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3786 Golden Hill Ter VILL GE OF EAGAlI WATER SERVICE PERMIT 379 Pilot Knob Road PERMIT NO.• 1376 t'. Ea n, MN 55122 DATE: 12/11/73 R - � 2 Townhosues Zoning: I�lanito x No. of Units: Owner: Address: Site Address: 3784-3786 Golden Hill Terrace Plumber: Donaldson McCormick `I Meter No.: Connection Charge: Size: Account Deposjt • Reader No.: 11 I agree to comply with the Village of Eagan Such gee. . Ordi • Misc. Charges: By Total: Date of Ins Date Paid: p " Insp.: DESCRIPTION OF BUILDING Industrial Commercial Residential Multipl: Location of Connections: Co Pe St To In Da Re • EACAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 1' ✓?q ✓7? NUMBER ie =.oa OWNER i`��:. mac .v : Address TlC -3;L4 UJidan hill AUY3al j ft :d�"'GJLLi.li.'}. ='3(:J PLUMBER > . ii.,s , 4qu„ _L,. tx stg. TYPE OF PIPE ir DESCRIPTION OF BUILDING • Industrial Commercial Residential Multiple Dwelling No. of units Location of Connections; Connection Charge Permit Fee +J•-' j i� /_ / (2 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By c.Alald;;on- nccormick Pl f eas th k e notify s when ready for inspection and connection and before any portion oe wor i covere (Q - ~'11co, 3~1$ gto Cdl~ 4' kt "ear Use BLUE or BLACK Ink -For Office Use I city o~ Permit#: I Permit Fee: 1 3830 Pilot Knob Road i I I Date Received: 2-1 I Eagan MN 55122 i I Phone: (651) 675-5675 i I Fax: (651) 675-5694 18' 1------------------ 2013 RESIDENTIAL. BUILDING PERMIT APPLICATION C~ldt~ W`II Trr4e.e- Date: 13 Site Address: 'r7U4 377$ 37$y} Ylai Unit Phone. Name: I Resident! Owner Address / City / Zip: I 1 Applicant is: Owner Contractor t Type of Work Description of work: C~Co rtiti - i Construction C Mufti-Family Building: (Yes I No ost 115, __J Company: '~o taia j, Contact: 1 t d r✓~~y +rinen4 Address: ~C) o~ i~.~ ;rctJ~ rr . City: 9 Contractor q i OYZ~! State: Zip: ~)<53`4S Phone: ` 7( License `4 5 Lead Certificate#: N lq cgoop - f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -..Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor; Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Calf 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate-; that the work will be in conformance withthe ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ctr I C k P Applicant's Printed Name Applicant's Signature Page 1-of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121518 Date Issued:04/07/2014 Permit Category:ePermit Site Address: 3786 Golden Hill Ter Lot:6 Block: 09 Addition: Town View 1st PID:10-77100-09-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Roxanne Burke 3786 Golden Hill Ter Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature