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1263 Easter Lane CITY OF EAGAN WATER SERVICE PERMIT PERMIT NO.: `s 795 Pilot Knob Road PERM Eagan, MN 55122 __ A DATE: . Units: Zoning: — Owner: Address: — --- Site Address: Plumber: _ Connection Charge: Meter No.: — Account Deposit: Size: Permit Fee: Reader No.: Surcharge: 1 agree to comply with the City of Eagan Ordinane / — Misc. Charges: L 3 Total: Dote Paid: By fa A i A l Insp.: Date • Insp.: 04 p . CITY OF EAGAN SEWER SERVICE PERMIT PERMIT NO.: '3795 Pilot Knob Road PERM: Eagan, MN 55122 _ N of Units: Zoning: — - - -- Owner: -- __— _—_ -- -- Address: — Site Address: --- — -- _ — Plumber: -- -- with the City of Eagan Connection Charge: 1 agree comp y Account Deposit: - -__ Ordinances. es. Permit Fee: Surcharge: - -- -----______— __ Misc. Charges: By = _Total• Date of Insp.: — - -_ Date Paid: I nsp.:— PERMIT City of Eagan Permit Type:Building Permit Number:EA118816 Date Issued:11/08/2013 Permit Category:ePermit Site Address: 1263 Easter Lane Lot:000 Block: 005 Addition: Wilderness Run 6th PID:10-84355-05-081 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: 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 . Jayme Meyers Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Colleen A Raskob 1263 Easter Lane Eagan MN 55123 Bayport Roofing And Siding Llc 10 South 5th St, Suite 700 Minnepolis MN 55402 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ' �----------------� � For Office Use � !/''1C�`C°J(s� I . j Permit#: EY 1 C�ty of�a�a� � ; �:� � � Perrnit Fee: "�� I / I 3830 Pilot Knob Road � ?/�� � Eagan MN 55122 � Date Received: � Phone:(651)675-56T5 I Staff: � Fax:(651)675-5694 I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � r�� Date� Site Address: Unit#: 1: ;'Fi$i.F�e ef.-i 7�1 i a� 7 �� [�] �1� �`WiLl� 1�..IIfJ..i� 1�� ;� ! � t� ou (� e as Phone: �_F- � �����,,Ep�o��E�r�a��^�i°��� Name. . �aC�,�f��'�pS� � a,��'�� — 12 ��M4e°!'��."���' " �`9i e�i9g��go���,. Address/City/Zip: 7 `�R�P��;t,i�i ud er ��o�°I.� F.B{�i I'�:.�,��:' �i i n }:�k�fd p r I�� � �,,. .ino in�t'n"� ,��t��' i�H`o�`�°5-��������'�' Applicant is: owner ,�.Contractor � � `�p �1 e �.• �� V L. �:°at��,�,�N�0 iEM k� �;�� y,�°�� Description of work: d �� � :�,� ,•w, . . i� � , • �i� ���;�u� �� �.;: '�eIA�� "�/� �"� .,,+� ����,�,,;,,��•�� ����v Multl- amily euilding:(Yes /No_) i���in7" '��� ���� � COf1StNCtipn Cost_ `�,rr ;�u1��Ui J i�li�`1�"�,�.; �j4�.^ ` ��� �./ '��'"i���1�.��?�" �i �jo�.il � �7 '��J tCJI� CiOflti�dCt: � ��-�:��_�:_�di:� ' � COII'1 an � � M li �{eu.�l,;. � �a�a�ro�L;n„:��:��;•,��y�s,a�; p y� - i�-�� �,, '�r:�n�m�n �� � �r�'e�e�o�u r �a��� �{�y�°�a� .6iJ�°R��,����: � City: 5 �f�`���P 7'���� .� .,G„��I�en�,��.� Address: ° ,',i�rr �. /'�,�� �L�'1 ioni "rp�k���A�u����t����'.��." � . 2,..�.��mail: � ����io���•���9' �� ��s� 5tate:�Zlp•CG�s�� Phone; •� ��,"�o e`•i'i ii i i e o a e �'ei ���.��a:;Sp�,c�,� � �o,���� � � — r _ ^�ol��,���o�ii�3aa`�� �a 1°���, i��Y�� � VJ�L l(/ �}� tA#: � �`•�''°'�'"� �g!��, ���� License#• J Lead Cert ca ii�q9�i"itri°•jS'�i°�i�':iaBeV:ie�����v�i���%' If the project ls exempt from lead certificatlon, please explain why: (see Page 3 for additional informatlon) COMPLETE THIS AREA ONI.Y IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Clty of Eagan issued a permlt for a similar plan based on a master plan? Yes No If yes,date and address of master plan_ Licensed Plumbe�r: Phone: MeChanlcal Contractor: Phone: Sewer&water Contractor: Phone: W � ...4• ` w+ fr 7 � t t . .Cp� � �� A: '?' t ��� . �R•�� . .1:�3� '� . $1�� .6i,... +.L"�w e�aiu�.� �' ��� {il/. � .i . t o..• T I '{1•f iE����1 1� ,iw:� -aa��,o.s�,�'.t�)�� d .�„�k,:�:e. . �'�6;E'�,r E .i. r� 'ISeVi..i •a� ,� ' o .il 6 i 1 �'��^ � ��� ' �'� �e. � '^"" •�� �' �-i�'���. < < g� ' i i . i �91•,♦a� V iF<< n'' '. �u•.1•'i"nii�F. �,���/��:'�A'f,� 1�eI '� �1i� �V 4 ,. V �1 i�'�e���'i � 17�1,a'p 'a� (���(_ "�' � M,fl 7 . �.. i . 1 y,��` iSie�M � � ��.�I„�'7;'1 .-II (u1�i �.li rt'i ��� �i'h`������r�E?1��..���1;�6�!I'•�ckanc�nil��� ' ; �d� � � ,c a:L' .�i �� �� � s{�ji.1,�rl�;,.'�,.n�i(1 .1!:7 E-? .�%.�. : '� . rl��= � ��.� '•6: ,�tl,�,.a la� �.G'..�! d;��•�T"�C� : CALL BEFORE YOU DIG. Call Gopher State One Cell at(851)454-0002 for protection agalnst underground uti�fty damage, Call 48 hours before you intend to dlg to receive locates of underground utllhles, www aoAherstaceonecall.ora I hereby acknowledge that this i�formatio�is complete and accurate;thet the work wlll be in conformance with the ordlnances and codes of the Gty of �egan;that I understand this ie not e permlt, but only an application for a permlt, and work is not to start wlthout a permih that tha worfc will be In accordance with the approved plan in che case of work which requires e rAVlew and approval of plane- Exterior work authorizad by a bullding permit issued in accordance with the MinneBOta StatA Bullding Code mu9t be co plated wlthln 1 SO days oP peRniE issuance. i x '-�✓� X ppp icant's rinted NamA Appllc ►e Page 1 of 3 � �.��e G a�,�.�. � � v�a �u��.�-�,� e�-►�,� . �