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1792 Walnut LaneAN WATER SERVICE PERMIT • 3793RD Knob Road PERMIT NO.: 1775 I won, MN 55122 DATE: 7/21/ %5 Zoning: PL1D No. of Units: 4 Owner: Nen► Horizon — Woodgate II1 Address: Site Addres1:786`0139O 92 Wal.ritit Lithe Plumber: Thompson Plumbing Co. Meter No.: Connection Charge: 560.00 Pd Size: Account Deposit• Reader No.: Permit Fee• 10.00 pd I agree to comply with the Village of Eagan Surcharge: • 50 pd Ordinances. By Date of Insp.: Misc. Charges: Total: Date Paid: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2536 Eagan, MN 55122 DATE- 7/21/75 Zoning: PUD No. of Units: 4 Owner. New Horizon — Woodgate IIT Address: Site Address. 1786=88-90-92 Walnut Lane Plumber: Tompson Plumbing Co. 1 agree to comply with the Village of Eagan Connection Charge• 1700.00 9d Ordinances. Account Deposit: Permit Fee: 10.00 pd Surcharge. _ 50 pd By: Misc. Charges. Date of Ind'.: Total. Insp.: y Date Paid: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 5.—y3 Use BLUE or BLACK Ink For Office Use Permit #: 1 I JVt 0 Permit Fee: (Oo.° Date Received: lD be) I 13 Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: 1_3 Resident/. RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /�/, TOTAL FEES $4 ' W Site Address: I I WaQ' . k Name: -J Suite #: \VN. Phone:(L 1 DOG ^-5X-T Address [City / Zip: ' .fes wati&A & �� - r" '� ] s37 d o�- Name: MILBERT COMPANY INC dba CULLIGAN WATER License #: 063031 -WC Address: 1801 50Th STREET EAST City: INVER GROVE HGTS State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: _ New replacement Description of work: Repair _ Rebuild _ Modify Space _ Work in R.O.W. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / — PVB) Septic System New Abandonment later Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of under0'round utilities. www.gopherstateonecall.org 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 case of work which requires a review and approval of plans. ppbi,/,0,24,pAi. .aa Printed Name x Applicant's Signdture Date: Gity Df Ea2u 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ir" Use BLUE or BLACK ink For Office Use i I Permit #: 1'3 n 'C /1ela { I Permit Fee:_I .0 • So i I Date Received: °I/4/ �� f I Staff -ibFf 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3 Site Address: Unit #: Name: Address / City / Zip: Applicant is: Owner '7( Contractor Description of work: Construction Cost 1 ()`i 4-100 Mufti -Family Building: (Yes / No Company: -Tt j tv, e r c Opi' - f alb,' " 1 it Contact 10 01/4,_ Address: \b Cj S0.m 2S M_ a City: "j.. S -e (S State: MAI Zip: 5 S 3 (,p 2 Phone: Q \ Z 32.1.- 0(0 5 License #: C. C r I (2 t Lead Certificate #: R- - \' 3 7 9- i(1- GO -1'61 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 supportingdocuments 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 the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall,orq 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 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 r\ !Nob. ion W e.e kte.y Applicant's Printed Name Applicant's Signature Page 1 of 3 1itfo, 11U. 119,01 11op )Jasw'a- Lh Cili of 3830 Pilot Knob Road Eagan MN 66123 Phone: 0651) 6754675 Fax: (651) 575-5684 Use BLUE or BLACK Ink For oMoe use ti15ba1 Permit Fee: _ Date Received: Staff: (316 2013 RESIDENTIAL BUILDING PERMIT APPUCATION ate, : 1784, WALAJ T- lam. Name: V*44 A`M 1 II ditfriigt. ss t5 Phone: (pi 2. 7-.4) (4. Address / City / Zip: 1 C i l C. , Art.) 22 Applicant is: Owner Type of work on of work: Re 12-400F 1 0� Multi -Family Budding: (Yes / No C�omasbuckorh coat ... SI6Thuq hoMc S R.V,c5, ct S9 PRh Addmtstr iS63 r DitgLIA)4 PAS ov: Qs04auPT state: 14 i Zip: 55t4P Phone: 165/— 2-'20 _7 f 5 FC -39650 Lied mit: N'4T 57396 - if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUC11NG A NEW BUILDING In the last 12 months, has the City of Eagan issued a penult for a similar plan based on a master pian? Yes No if yes, date and address of master plauc ; Licensed Plumber:Phone. Mechanical Contractor: Sewer b Water Contractor: Phone: NOTr Plans and supporting documents that you submR am considered to`be`pW is Information. Portions of theinformation Abe cid as non-public ifs specific would ',wafter, City to contrktde that they erre trade secrets. CALL BEFORE YOU DDIG. Cali Gopher S4M ass Call at (661)4640602 for protection against underground uNNty damage. Call 48 hours before you intend to dig to mceive Iocwlas of underground Willies. www. ore I hereby acknowledge that this information Is complete and accurate: that qhs work will be in conformance with the ordihanoes and codes of the City of Eagan that I understand this a not a permit, but only an application for a permit. and work is not to siert without a pemdt that the work will be In aeooudence with the approved plan to the case of wont which Wires a review and approval of plans. Exterior work authorised by a bending permit issued In accordance with the Minnesola Stab Building Code meet be completed winds 160 days of pemdt Issuance. x PLIL$»J cilf;'i' 1 1 11MW- App6cents Printed Wane 5-161 i,• i, , r t "`� t e C - Page 1 of 3