Loading...
2251 Creekside Ct j a~4~~ aaL1.S~ i -7~ ~----se BLUE or BLACK ink For Office Use I ~ Permit l1d~0 J I I 1~V o Eap I Permit Fee: g 00 3830 Pilot Knob Road Eagan MN 55122 I Date Received: rJ I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I I 16 Staff: L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 13 Site Address: s 5-laq-7 Q,41,1961 Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: i Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor - - Type of Work Description of work: Construction Cost: 71 Lea Name: t_ License - - Address: _ - T City Contractor - - - State: _ Zip: Phone: Contact: " Email. z ; Name: Registration Arch itect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans 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 they 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.gopherstateonecall.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. x t i x t°w- Applicant's Printed Name Ap`ttbant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167326 Date Issued:03/09/2021 Permit Category:ePermit Site Address: 2251 Creekside Ct Lot:301 Block: 02 Addition: Eagan Heights Townhomes 1st PID:10-22425-02-301 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Karen Ann Botz 2251 Creekside Ct Eagan MN 55122 (651) 260-8397 Ed Brown Plumbing Llc 328 County Road E Houlton WI 54082 (612) 328-0827 Applicant/Permitee: Signature Issued By: Signature