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930 Oakwood Heights Cir CITY 'OF EAGAN WATER SERVICE PERMIT 3795 Pilot 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: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By �i`. Date Paid: Date of Insp.: L Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eaton, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: 1 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: Use BLUE or BLACK Ink I For Office Uise1 ; Permit *City of Ea ~d ii 1 .15 ; Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. 5 I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Z.- b O wt'~* Name:_ hK (`a - /l#►~L ~r pa: ~ 2. 73 t -2ol Resident! Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: K*- Construction Cost: il-c-D o Multi-Family Building: (Yes ! No Company: It'{3 a + ±ks offl'u N~ Contact: T1 u a Contractor Address: (i za el " 4 City: EA'c State: M ice' Zip: M ~-3 Phone: (P I Z ° 2f © 4n (v License f~c -7 Lead Certificate #:X14-~`' q I Ige, _f 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: NOTES Plants 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 the 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..go2herstateonecall.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 1 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 compk"d within 180 days of permit issuance. R Applicanrs PrInTed Name Applicant's gnature Page 1 of 3 Use BLUE or BLACK Ink r-----------------, I For Office Use � I < � I C�} 0� n� �� j Permit#: � j , / _ , b � I Permit Fee:/ �- �� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ��` Date: ZOl Site Address: ^ � 3 �� � C���w�o p N��G�rts c+�-* Unit#: - _ �C-N�(� , vjNTS Name: �hA��'C.Gtf�I� F�i�h.� CnN om ir��w,__ f�,SPhone: fo S f �/� -D�i 3 � Resident/ 5 � �'�"�'` ` Address/Cit /Zi �- 1� � � E �f � � Owner Y P� ,: : � ��: Applicant is: Owner _�Contractor � �� ����' Description of work: �/�( r N 9�c�w ��Q r r,no ='Type of Work : `�' -'�� � °r V Construction Cost: � Multi-Family Building:(Yes � /No � Company:��i n E�'-�""'�'�SE' �_. Contact: 1 lpv� I c� tIJeY""�T7a,1 Gontractor �_� Address: � Z (� ��, t�-r��'��� city: �'1�G� rv /r� L�yrne f�"'�', State:�Zip:�?� Phone: (p�Z ZI(�") (o�o�mail: G�ir��b.�»+[�Y'"�0 nJ V �� /�l,o ' License#:�a 0 S�S�7 (E,�i Lead Certificate#: /�I'�1" "��4 4 R�-( 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 8�Water Contractor: Phone: NOTE Plans and supporting documenfs fhat you s�ubm�f are consideretl to be pubGc informat�on Porhons of " fhe�nforma#�on may be c/ass��ed as non publ�c rf you prov�de spec�fic reasons that woultl permit the C�ty to ;` car►clude.that;the are trade,secrets:= t�, x;-; � �� � .: � ,g� '�n�� , �; 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. vwvw.qopherstateonecall.orca 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 �ti O��. �\ V.�1� F'rrTUJv x Apptl'�ant' rinted Name Applicant' ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157927 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 930 Oakwood Heights Cir Lot:112 Block: 02 Addition: Oakwood Heights PID:10-53800-02-112 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Kellie L Haehnel 930 Oakwood Heights Cir Eagan MN 55123 (612) 573-2207 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature