1377 Easter LaneVILLAGE 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•
VILLAGE OF EAGAN WATER SERVICE PERMIT
2195 Pilaf
Knob Road PERMIT NO.:
Eagan, MN 55122
Zoning: DATE:
Owner:
No. of Units:
Address:
Site Address:
Plumber:
Meter No.:
Size:
Connection Charge:
Account Deposit:
Reader No.:
Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances.
Misc. Charges:
By Total:
Date of Insp.: 1•s n Date Paid:
Insp.:
411,11
C!tyofEaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use �(
Permit #: 110 tJ —57`�
Date Received: 1 l'31>-12—
Permit
'3)12
Permit Fee:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
- Plumbing / Sewer & Water
` )377 64sy t_ 44-Aic.
Date: �g' ` ,� � �� Site Address:
Tenant:
Suite #: &5-/ to Cf 3 -0747
Name: 5eCTT 1 }L Et�f;(S`C. Phone: CPS -7 — 6(1'3 - 6767
Address/City/Zip: 1 77 biSTN/2. u4Aie SLIvA16 /1411/• 5S-1 �3
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
t Sump Pump Repair
Other:
Description of work:
SEWER & WATER (Outside the building envelope)
Repair
Other:
AeA - -444,144.p i,61Bay
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.qopherstateonecall.org
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.
Sear,- A- FfeeUa ec
Applicant's Printed Name
Applicant's Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA119220
Date Issued: 11/19/2013
Permit Category: ePermit
Site Address: 1377 Easter Lane
Lot: 2 Block: 1 Addition: Wilderness Run 5th
PID: 10-84354-01-020
Use:
Description:
Sub Type: Siding
Work Type: Replace
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Csc Exteriors
8444 Pillsbury Ave S
Bloomington MN 55420
(612) 767-6301
- Applicant -
Owner:
Scott A Hengel
1375 Easter Lane
Eagan MN 55123
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