1781 Walnut Lane 1 /11.1.W . OF EAGAN WATER SERVICE PERMIT
3795 b t Knob Road PERMIT NO.: 1776
Eo MN 55122 DATE: 7/21/75
Zon P L7 D No. of Units: 4
Owner: _ _ .. _ ...,.
Address:
Site Address: 1777 79 81 -83 Tit Ai nest tare
Plumber: hpmpsnv Plumb ng co
Meter No. p /� / f i / / 0 _, ( g / Connection Charge: ' f (- 00 pd
Si • f Account Deposit:
Reader .: to Permit Fee: 10.00 pd
1 agree to comply with the Village of Eagan Surcharge: • 50 pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of' Insp.: �" " r Insp.:
VILLAOE,OF EAGAN SEWER SERVICE PERMIT
3795 Not Knob Rood PERMIT NO.: 2537
Edon, MN 55122 DATE: 7/21/75
Zoning: POD No. of Units: 4
Owner: New Horizon — Woodgate 111
Address:
Site Address: 1777 -79 -81-83 Winn* Lone
Plumber: T'ho psonP1:>ml6,ing Co.
1 ogres to comply with the Village of Eagan Connection Charge1 ° pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
pd
Surcharge: • 50
By: Misc. Charges:
Date of Ins Total:
Insp.: ru[ Date Paid:
A
.
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0
Use BLUE or BLACK Ink
i For Office Use
; Permit: 1 t 34°13 j,
City Of Eagan i s
i Pennlt Fee: 3 •
38330 Pilot Knob Road I 4 13 f
Eagan MN 55122 I Date Received: f
Phone: (651) 675-5675
i 1
Fax: (651) 675-5694 {Staff: t
1 P
2093 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l3 Site Address: l 1 Unit
;Name: Phone:
Resident/
Owner Address 1 City i Zip.
E
Applicant is Owner
Contractor
;p
a Type of Work Description of work: '4` u_
Construction Cost: C , 4177 55 C Muth-Family Building: {Yes i No
Company C. 1 Contact.
Address:
Y) am 0
city:' S- (5
z
' Contractor
Stale: M Zp: 55~S(p2.. Phone: to it (01 Lp
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f
License _ c 2 Lead Certificate 3 ' i 1t) - (10-1 -BA-
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 S Water Contractor: Phone:
NOTE:
pp 9 to be pubtic'Information. Portions of E
if submit
e infolmation maybe documents that as non-public you
you f ovidce s ecitic YT v
Ybe p pr p reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ggpherstateonecall.orct
i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that t 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 160
days /of permit issuance.
xAnck _«skcvJ_,e.P-k_ADii x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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COMPLETE TENS AREA ONLY IF CONSTRUCTING A ~ BLJILt~
Tor a shmmu r Pia" boo" an a aursM► Pte? t
W. file CMiI OtEagen isstlld a peewit E
in the lest 12 a1o4
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:Yes No if yea, dale and addnw of nusW pram .
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121275
Date Issued:03/24/2014
Permit Category:ePermit
Site Address: 1781 Walnut Lane
Lot:014 Block: 004 Addition: Woodgate 3rd
PID:10-84602-04-140
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
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 -
Christine R Cross
1781 Walnut Lane
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
IP°''
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
'Jill 1 5 7015
Use BLUE or BLACK Ink
For Office Use
Permit #
Permit Fee:/. 0 '
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑
Pleasesubmittwo (2) sets of plans with all commercial//applications.. ���5
Date: -7 lI 3/i to Site Address: / l ( (/V' { G .1_ / -6
Tenant:
Suite #:
Name: IL�L[!r9
Address:
�flflS 1
14-536
State: //�v t4" Zip: 5571? Phone: �37 ems-!
j14 IC- �..
Contact / i °l Email �� � � / - . �'✓�'�_
New Replac ent Additio al Alteration Demolition
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. PI-:seco -ctthe ch- 'c• Iss 1-cto • 'IIo a oo ,'tie- • - t a'wg g`*
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping , Processed
Gas Exterior HVAC Unit
Under/Above ground Tank (_ Install / � Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL. FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
Contract Value $ x .01
=$
=$
_$
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the 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 ease of work which requires a review and approval of plans.
x
fl'flck
Applicant's Printed Name
Applicant's Signature
./77/
FOR OFFICE USE
Required Inspections:
Underground Rough In Air Test
Reviewed By: pate:
Gas Service Test In -floor Heat
Final ` HVAC Screening'
Oct 04 2016 03:50PM HP FaxPerfection Heating 6517773252
City of Ekoa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
page 3
Use BLUE or BLACK Ink CC.
For Office Use
Permit #:
Permit Fee: 60'
Date Received:
Staff:
L.
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: /0/Ll/le, Site Address: 17E57 �/(JC� fivtt 161 j
iii ` %4;01.A.e Cross
Tenant:
Name: CIA. /. � ,�.e [ P oS S Phone:
Address / City / Zip: ,W (" cLiztpir
License #: try1�j 00,/i g
Address: (-77 0 COD r i.) i C City: An.gr, ���c)�
Stale: A) Zip: 5(I$ Phone: U� (. 7-7-1 • T"7(, 9. 0
Contact: (%N,e01,,Q,Lja Email:
Suite #:
J
New Replacement Additional K Alteration Demolition
Description of work: 1/QA,14- Aor I J ..)
':�:
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
ther
COMMERCIAL
_ New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank (._ Install/ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank Installation/removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value S x .01
_$
$
_$
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowredge that this information is complete and accurate; that the work will be In conf
Eagan; that I understand this is not a permit, but only an application for a permit, and work is no
with the approved plan in the case of work which requires a review and approval of plans.
with the ordinances and cs of the City of
a permit; that the wo;.-iii be in accordance