4705 Sunne Pt 1i *•-_
"p' lMJT f}.:
EZ : (..)3.7,-.....1.....1.! ° j � Flo. sf ttOlts:" ' --- " Qf ` r
s'-' Addrisc-
Vie: Consent , e - 9
'
No.: : Ac co u n* Deposit
Perm# Fee: 1 f_ . Qd �
1rsts�,wr wM, "Os!. 5 t3
isc.:rgae: gip, 00 tx� :tit
Toot: am oft read:
Y
liegen, MN z oning: r ; PFRtittT ^t0.:
: I T- DAB': " ---- -) ress: Y Fl tf _ t NQ U '{ I n r
Sit. ALBS: `t7°J C M r
PI �, &- Urd 1G' pm
umber e n F L
1, 7/10 �eCllffe2r
tu of s C0 r tton 100 00 dad
I ems to Ottaiply WI* t
Account Deposit:
B r+»It Fee:
r -e tom;
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
In o
City of EaEd Permit#:
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `7 7491 U J5a O e V70-0'170V e l- Unit M
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: ee ,P-J d fl
Type of Work
Construction Cost: D U Multi-Family Building: (Yes 3<~No )
Company: h6kxe- to Contact:]
Address: S4.e b'" Q- City: Kie-nS /dl e
Contractor
State: An Zip: C.5 3 3 / Phone: 4 (ep 47
License 22~ 3 1~7Q o~ -7 Lead Certificate
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. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gogherstateonecall.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.
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 ed°--
Applicant's Printed flame ns aturiePage 1 of 3
Use BLUE or BLACK Ink
For Office Use�`-(/y� �j
:::::ee
City of Eaall0
RECEIVED : G
3830 Pilot Knob Road l
Eagan MN 55122 JUL 2 0 2017 Date Received: �'O`�'��
Phone: (651)675-5675 Staff:
Fax: (651) 675-5694 I.
`7 xCl l
2017 RESIDENTIAL� �PPLUMBING PERMIT APPLICATION
Date: ( '-ad -17 Site Address: 7 O J S(A V\by_ p0Px Y\"--
Tenant: Suite#:
�a. 614 - 37c 7C 1
Resident/Om/tier
Name VY� �Y`e r 5 Phone:
Address/City/Zip: 00 4 �a` �GV 1�S V C
Name:Ya Y1c e's Pl l,.Wtb`)/ITi ke l"� C..:14 € t License#:M Oc 5-
Contractor Address: (� 7 3 �C'34 City: Lei VS C
Stater A/ Zip: Phone: (9 i oZ' � " ô37
( In 1
Contact"l0�14 e e I3 e ��av� Email:Yde kc'i R,l , CO Vn
New Replacement X Repair —Rebuild —Modify Space Work in R.O.W.
Type of Work
— — —
. ' q 1 n 1 �/, �
Description of work: ( p �e V#. S et'1(\1'\- . t�Z4 cA 11 S 1)1 ((
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/_PVB)
Yp
Permit T e Add Plumbing Fixtures(X Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
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 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
accordancevwith the approved plan in the case of work which requires a review and appro al of plans.
x 1Gtvlce Oet fix //
Applicant's Printed Name •plicant's Signature
FOR OFFICE• ,USE •
"ev ed Bit �� `� Date
Required Inspections: ��Under r and Rough In Air Test Gas Test;; :...Final
Meter RelatedItems Meter Size , Radio Read Manometer Staff