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4178 Running Brook Rd41\tAt 4110, 411P, Arico1rrsi4l2014182 Rtunfi')/libmq*,_ City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: ( Tenant Name: Use BLUE or BLACK Ink For Office Use Permit #: It3(04-1 Permit Fee: -714i.19 Date Received: Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION ZD Site Address:L(1(A Lt 14'1-01) 14r74 / 47014\781) 130 ,47 ExiY4IL rs\Yi#: 4611x* -- (Tenant is: New / Former Tenant: Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Description of work: Type of Work Contractor Contractor Construction Cost: 6 , License #: ito/t.A.; Name: ILA Address: e't r City: State: Zip: Contact: 1 Phone: LC, / Email - — (/`,4,-/ / e—ee11 / Name: Registration #: Architect/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 reeuires a review and approval of plans. X V Applicant's Printed Name A(51nature Page 1 of 3 Cpw zn5pE610/T5 lar. City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For ice Permit #: s"e Permit Fee: i(o�ti Date Received: Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 02— 7 I/ Site Address: Tf 7 44/7 /tel if:A° Tenant: LJo eipij 2! (-r1 h e- F Suite #: RESIDENT / OWNER TYPE OF WORK Name: ))z e pi / Z1177 J7€ I— Phone: Address / City / Zip: ``1 / 7 • Rk-,74 j % be -P kel Applicant is: Owner X Contractor Description of work: Construction Cost: Multi -Family Building: (Yes' / No _J I Cr�>42� per. RePtWeb-lreet CONTRACTOR Name: Cie,3 f / I'/ ' LLQ License #: ZY/Z'Z- Address: G- 2-$ 92- c ®,open di /t City: /- af/1T/,? /42,1 State: /714/ Zip: 6f 02/ Phone: Z:"5/ C/tc`(„) a,/ $/ Contact Person: —5Z -'l 171 e5/829d01/.5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (4 submission type) Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted 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: NOTE: Plana- and aupporting documents that yQu submit are'consldered to be: public information: Portions of the information may be classifiedias non:,public if YoU'provide specific reasons that would permit the City to con#ludezthat they ere,tracle.secrets: 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 'ccordance with the approved plan in the case of work which requires a review and approval of plans. 6•dl`t�G�i�Z x Applicants Printed Name x Applicants Signature Page 1 of 3 City of Eagan PERMIT 411' CityofEaan Permit Type: Plumbing Permit Number: EA134017 Date Issued: 11/17/2015 Permit Category: ePermit Site Address: 4178 Running Brook Rd Lot: 206 Block: 04 Addition: Eagan Heights Townhomes 2nd PID: 10-22426-04-206 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater 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 (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: Joseph A Zimhelt 425 Thompson Ave W West St Paul MN 55118 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