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4154 Knob Cir411 City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: .1138'31 5° Permit Fee: Date Received: G% q � C l I� Staff: �t3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I / I ( 13 Site Address: q l 5 v"- l rimUnit #: Resident/ Owner Name: Al Phone: % S 1- `C �`i - `F6�' IG 1 Address / City / Zip: �f 194 k V' civ) C � ( v> +1M Ai 4-C 7 2 Z Applicant is: Owner \Z Contractor Type of Work Description of work: I:4 - 1,`c5° Construction Cost: 171 Le DO Multi -Family Building: (Yes // No ) Contractor Company:1 7ek ( 5 Contact: J °' 6,L 1 " 3 `3 -3 2 II��L A'I�� Address: .70� 3 i 7 7 City: to 4--1 drag-t©L1 t t 0,1,11„c,1 p State: MO I1V Zip: S 4) 0-4 Phone: %)- c 7- L{ 777 License #: _13C_ta 3 C/47 Lead Certificate #: If the project is aempt il'1 &1 1 c,` from lead certification, please explain why: (see Page 3 for additional information) 12 f po 0 v\ ,reoc A rY -ree ,M 4C ' -11, 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.qopherstateonecall.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. L x � A ia ‘ t Applicant 'ted Name S x App ature Page 1 of 3 Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: X2'0 Ido Permit Fee: 1 Date Received: 1 Staff: 0,13 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: J Tenant: IIii. Suite #: Name: V !S I d Y r 1`"G r G %Vs kl/ Address / City / Zip: Lit C;;; ,k d4 C fIrC Resident/Owner Contractor Name: lf" r: / e (-/ f Gt C Address: pokox State: MI Zip: S-0 Phone: Phone: License #: r Cl 3 D 0 City: U5(11/( it I L- Contact: W /VAC-- Email: VY I} t'! x C . C o - Type of Work Permit Type New %/ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener V Add Plumbing Fixtures ( Main / 3 Lower Level) Septic System New Water Turnaround _ Abandonment r E V o r o f c/ 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) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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 accordar with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Pri ed N x /»Ift- f , Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA142889 Date Issued: 05/23/2017 Permit Category: ePermit Site Address: 4154 Knob Cir Lot: 021 Block: 02 Addition: Knob Hill Of Eagan PID: 10-42500-02-021 Use: Description: Sub Type: Residential Work Type: Replace Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Air Express Inc 1010 -118th Ave NE Blaine MN 55434 (763) 291-8519 - Applicant - Owner: Volodymyr Korenevskyy 4154 Knob Cir Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature