4439 Woodgate Pt V!1 Of EAGAN WATER SERVICE PERMIT
.%79friVet Knob Road PERMIT NO.: 1894
EagwR.ldl4 55122 DATE: 12/12/7 ��
Zoning: RII No. of Units: 4
Owner: MOW : . . . . :: s . r
teIII ,, t
Address: ' ' X r .' r
1
Site Address: 4439 -41 te Paint & 1724 -26 Woodgate Lane
Plumber: • +1110A P11233bing
Co.
Meter No.: Connection Charge: 640.00 "
Size: Account Deposit:
Reader No.: Permit Fee: 10 • rf $
agree to comply with the Village of Eagan Surcharge: • 5° billed
Ordinances. / Misc. Charges:.
By ✓ r " ` % b l i -
Total:
Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAOAN SEWER SERVICE PER
3 795 Pilot Knob Road PERMIT NO.: 2651 MIT
Eagan, MN 55122
Zoning: l�T DATE: 12 1
Owner: - Leon Ranee - No. of Units: 4
Address: NdO `e IZZ
Site Address: 4439 -41 Weedgate PL. & 1724- . * * , . e
Plumber: b * , • son Plumbing t7D•
I agree to comply with the Village of Eagan Connection Charge;
Ordinances. 17 �• Qfl pd
Account Deposit: 7 C Permit Fee: 1-
gqr "4. Surcharge:
Date of Ins Misc. Charges:
p. • Total:
Insp..
Date Paid:
Use BLUE or BLACK k*
I For Office Use
Ea City af i j Permit:
I ~b5 '157 1
t Permit Fee: 1
3630 Pilot Knob Road I
Eagan MN 55122 f Date Received: t
t
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 i Staff: t
--.~--~.----------1 /
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
ffl nit
Date'v Site Address 1 ILLI, 2 -1 9-
F
Name. Phi:
Resident)
Owner Address 1 City / Zip:
' Applicant is Owner X Contractor
Type of Work Description of work: .Q lCk Q~
T" Lc Q 1 Construction Cost 4,1>00 rn Mufti-Family Building: (Yes / No
$ i
Company: t Contact
I
s Address: 0. e
a
Contractor - City: [ ' s!e Q
State:_ Zip: (D2 Phone: Q ~2 ~j2 O ~p~ tp
i
3
License* _ Z C- LAT f t 2 f Lead' Certificate 0-1$
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 at you submit are considered to be public information. Portions of
the information maybe 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. Call 46 hours
before you intend to dig to receive locates of underground utilities. www.gODherstateonecall.aroa
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 1 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 164
days of permit issuance.
x- A r\Dc. E ts,~ ~2t/ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3