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City of Eap
Permit Fee 3_
3830 Pilot Knob Road ! }
Eagan MN 55122 Date Received: awl
Phone: 651 675-5675
Fax: (651) 675-5694 t Staff:
3
20'13 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 3 2 ° 3'f - 1~ ~ 3 IS W I,- b CyeS~C AU. - Unit _
Name:
Resident! --i f) C YcR 'T1:ZC 3tJ 6~° 13ZGs)11-t!-&')hone_ Z. ~ D
Owner Address ; City I Zip: Q- 2 in 1~z f f~a~ MA-) 5-
Applicant is: 4::mer Contractor
Type of Work Description of%vork: Jae--RQoV
Construction Cost. 5-p Multi-Family Building: (Yes ~ t No )
Company: n Ir T)V\0 3 U -H Contact: lh u R,
Contractor Address: -I Z-C y Vail 7" i city: 9 Q AN,
State: N_ Zip:) L~ Phone-
License
Lead Certificate:_ j IT cr, I
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:
NQTE. 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 speck reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utdty damage. Call 48 hours
betwu you ,mend to dig to me eive locates of underground utilitie=s
I hereby acknowledge that this informat<on is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of
t agan. Thal 1 unde!stand this is nol a permd, brat only an appLcation for a porrrnt, and work is not to start wilhoui a permil treat the work vulf 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 11[1 ? L? (sari [1A 92 1 EAZ a~ X
Applicant's P ted Name Applicant's ignature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141158
Date Issued:02/23/2017
Permit Category:ePermit
Site Address: 1338 Windcrest Ave
Lot:002 Block: 003 Addition: Windcrest 2nd
PID:10-84461-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Lon Olson
1338 Windcrest Ave
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature