4182 Running Brook Rd41\tAt 4110, 411P,
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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
Op2in 5pe4i0'6 ��10
jih,_
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office_ Use (�y
Permit #: %o " V
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
1/-0 4, Re/
Suite #:
Date: 02"" 42 / Site Address: 7 //77 44a y �?q
Tenant: 1 tr1
RESIDENT / OWNER
Name: •' rT) Jk ( ho Phone-:
Address /City /Zip: � �� ✓/ / �
Applicant is: Owner Y. Contractor
TYPE OF WORK
Description of work:
Construction Cost: Multi -Family Building: (Yes' / No __J
CONTRACTOR
Name: ere3 f ri'r L" License #: Z �5"2--
Address: G- Z3 $Z //ape/Id/4k Ae )
City:
�ezfr T/Or? State: %7'7s7/ Zip: 64662)
/ ��
Phone: [� &
/ ' /' 2/ 8l Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1
Energy Code • Residential Ventilation Category 1 Worksheet
Category Submitted
(1 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans- and auPOrtind supportingdocuments: that ousubmit are considered to be public information: Portions of
the information may be classified non-public if#you provide specific reasons that would permit the City to
concladethai they are trade 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
accordance with the approvedl�//plan in the case of work which requires a review and approval of plans.
x
Applicants Printed Name
x
Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160360
Date Issued:03/05/2020
Permit Category:ePermit
Site Address: 4182 Running Brook Rd
Lot:208 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID:10-22426-04-208
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Eric J Shelhon
4182 Running Brook Rd
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature