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