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1644 City View DrVILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Not Knob Road PERMIT NO • Eagan, MN 55122 DATE: Zoning: No. of Units• Owner- sAddres Site Address e Plumber • Meter No.: Connection Charge• Size: Account Deposit Reader No.: Permit Fee• I agree to comply with the Village of Eagan Surcharge• Ordinances. Misc. Charges Total • By Date Paid. of Insp.: Insp • VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: _ Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: _ Date of Insp.: Total: Insp.: Date Paid: R04--10 )(ALI, 16t -R, CityofEaan eL�' ``5D 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 #: /Z "7S3-7 t 1 470J 1 Permit Fee: Date Received: t Staff: 2016 RESIDENTIAL BUILDING PER APPLICATION Date: ‘-Z/ f° Site Address: 1650 City View Dr. / Eagan / 55121 Name: Valley Ridge Townhomes Phone: Restden unit #: maga-USO Address / City / Zip: 1650 City View Dr. / Eagan /55121 I Ty 'tc Contractor Description of work: /?t/.,/ g -kc Construction Cost: U7(1 I Company: Capital Construction, LLC Multi -Family Building: Address: 406 Gateway Blvd. Contact: Cole Quinnell State: MN Zip: 55337 icense #: BC645094 Phone: 952-227.4004 0 City: Burnsville Email: cale@capitalconstruction-lIc.com Lead Certificate #: NAT -F156131-1 1 If the project is exempt from lead certification, please explain why: 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: Phone: Sewer & Water Contractor: Phone: Mechanical Contractor. 3 Fire Suppression Contractor: Phone: i NOTE: Plans and supporting documents that you submit areConsidered to=be public information. Portio -p : the information may be classified as nonpublic if you provide specific reasons that would permit the Ci conclude that the are trade secret CALL BEFORE YOU DIG. Calf 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.00pherstateonecall.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 - completed within 180 days of permit issuance. x Cole Quinnell Applicant's Printed Name Applicant's Signature Page i of 3