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4580 Maple Leaf CirCITY OF EAGAN WATER SERVICE PERMIT 3795 Pitt Knob Rood PERMIT NO • Eagan, MN 55122 DATE. Zoning: No. of Units: Owner: Address- Site Address. Plumber. Meter No.: Connection Charge. Size: Account Deposit. Reader No.: Permit Fee. 1 agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges. By Pir // Total• / Dote Paid: Date of Insp. I nsp • I CITY OF-EAGAN SEWER SERVICE PERMIT 3795 Pitt Knob Road PERMIT NO.: Eagan, MN 55122 DATE - Zoning: No. of Units: Owner: Address: Site Address• Plumber: agree to comply with the City of Eagan Connection Charge• Ordinances. Account Deposit: Permit Fee• Surcharge• By Misc. Charges• Date of Insp.: Total- Insp.: Date Paid• Date: City of Eatali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use ,, Permit #/ : r,, ° (6 Permit Fee: b 0 44) Date Received: I( /4+ 1 ( 3 Staff? 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION V,00 4ith Zzo_ee, Tenant Site Address: J Suite #t: Name: kirvii�LL Address / City/ Zip: Name: Address: Zip: ,S3-70 3 Phone: 7/7 Phone: G,/-�`�- se.044.f `-T -tis. License #: �%*0.ly cty Repair _ Rebuild _ Modify Space Description of worts: ,C'' RESIDENTIAL New Replacement Water Heater Lawn krigation ( RPZ/ _ PVB) Septic System New Abandonment Work in R.OW. Water Softener Add Plumbing Fixtures Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater wig 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 butt) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utihtydamage. Call 48 hours before you intend to dig to receive locates of underground Willies. www.gopherstateonecall.org I hereby acknowledge that this information is canplete and accurate; that the work will be in cortormance with the orduhances and codes of the City of Eagan; that 1 understand this is not a permit, but only an appication 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 pians. Applicant's Printed Name City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink L For Office Use � �� � Permit #: Permit Fee: ®L1 Date Received: Staff: J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 12' S f 13 Site Address: 45 7O M & U. IQ CiY U&. Tenant: Suite #: Name: 17& wv ktvo Phone: Address / City / Zip: CooLtIvtc Address: \O3 30 a-bLa \fir City: a.at State: (✓(1Ni Zip: 5C)4? 4 Phone: (1(2_-32-b.1r12- Loa .iPi0.(eiy-4 Contact: WCD U Ick, Email: 141 LoC. \ .ch av-k. a -e 1. i.. New )&Replacement Additional Alteration Demolition Description of work: - f -v c .& R 414 - RESIDENTIAL As, Furnace Air Conditioner Air Exchanger _ Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee = $ Surcharge* = $ TOTAL FEE 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 sta ithout 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. x C -E Applicant's Printed Name City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA119480 Date Issued: 12/02/2013 Permit Category: ePermit Site Address: 4580 Maple Leaf Cir Lot: 241 Block: 02 Addition: Ches Mar East 1st PID: 10-17150-02-241 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes. Jeff Granowski Fee Summary: BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 - Applicant - Owner: Secretary Of Hud 4400 Will Rogers Pkwy Ste 300 Oklahoma City OK 73108 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