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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130345
Date Issued:04/17/2015
Permit Category:ePermit
Site Address: 4682 Lenore Lane
Lot:3 Block: 11 Addition: Ridgecliffe 4th
PID:10-63983-11-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Douglas Erickson
4682 Lenore Lane
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
_ ,. . :IVED .
r For Office Use
APR 11 2019
• -r Permit#:
%.:%. ...1..0 EAGAN
.�.� ••.� Permit Fee: / , . bq
.� x,11 -t1
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: f 1`
buildinoinsaectionsOcityofeanan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION .
Date: 4/11/2019 Site Address: 4682 Lenore Lane Unit#:
_- -- Name: Doug & Barbara Erickson Phone: 612-998-1239
Resisl >�t/ _ 4682 Lenore Lane,Eagan MN 55122
--_-=Owif6.-- Address/city/zip:.
Applicant is: Owner ✓ Contractor
- -:___--------- Description of work: replace pedestal sink, shower pan, valve, surround
::•170e:; _ 5731
- _ _ _ ,- Construction Cost: Multi-Family Building:(Yes ✓ /No )
-..=:------_-=_ Company: US Patio Systems Contact 952-314-9885
_
-1:--=,----=-,7---=t-- 7-
=---:- =-- Address: 218 N River Ridge Circle City: Burnsville •
State: MN Zip: 55337 Phone: 952-314-9885 Email: wrache@uspatiosystems.corn
•
-: License#: BC661813 Lead Certificate#: F119453-1
If the project is exempt from lead certification,please explain why:
Built in 19819,,,.------3
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:
Fire Suppression Contractor: Phone: —
=NdYE:=Rlaris.and supporting documents that yori:submit aCe eonsfdered to be putilic infotmetlon Pottfians of.the lnfotrilatTon maybe
=elassffled iii.non-public if you p[ovTde specific reasotrs tfiat:would permlf the_CTty tc conclude that they.arearade"secrets _ -:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.gocherstaleonecall.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 •rk 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 approve .f plans.
,Wendy Rache X 1,, ,' i ,c 1?OCfto
Applicant's Printed Name Applica s Signa u e
z-/‘g,7 Logo Z-fi . / sc' 9 -
DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation _ Fireplace J Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi)
�_ Multi � — Deck i Porch(Screen/Gazebo/Pergola) Miscellaneous
—
(j 01 of-=1 Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
New ‘0 Interior Improvement _ Siding _ Demolish Building*
• Addition — Move Building _ Reroof _ Demolish Interior
___ Alteration — Fire Repair " Windows Demolish Foundation
_
_____ Replace _ Repair _ Egress Window _ Water Damage
• Retaining Wall 'Demolition of entire Building—give PCA handout to applicant
DESCRIPTION
Valuation 4 7/ �'- Occupancy -1-2 --3 MCES System
Plan Review Code Edition opt Z0 IS.-- SAC Units
(25%_100% ) Zoning R - 'j' City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final 1 C.O. Required
Footings(Addition) Final 1 No C.O. Required
—
Foundation Foundation Before Backfill jo HVAC—Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath ,.Brick_EFIS
)o insulation Windows
Sheathing Retaining Wall: Footings Backfill_Final
Sheetrock Radon Control
?4 Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
,y/ I
Reviewed By: / 0/72 f/11 /L(V/" , Building inspector
RESIDENTIAL FEES 8,77/ 12 6)0(4/•..._
Base Fee
Surchargeinn ALP'
�U 11 f e•--
Plan Review J/v�
MCES SAC
City SAC .
Utility Connection Charge •
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
• Page 2 of 3
For Office Use // /�
20
„, �� Permit#:
EAGAN
11 2019 b
APR Permit Fee: "
Date Received: Li '«-t)
3830 PILOT KNOB ROAD I EAGAN,MN.55122-1810
(651)675-5675 I TOD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinoInspections(a citvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/11/2019 Site Address; 4682 Lenore Lane
Tenant: Suite#:
•
Resldent!Owner_
Name: Doug & Barbara Erickson Phone: 612-998-1239
__ Address/City/Zip: 4682 Lenore Lane Eagan, MN 55122
_--_— Name: US Patio Systems License#: PC708206
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