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4421 Sleepy Hollow For Office. Use I city Of Eapfl I Permit / I a ~ I 3830 Pilot Knob Road I Permit Fee: I i I Eagan IVIN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I 1 2008 RESIDENTIAL 9UILDING PERMIT AP LI~AT N ~l2 1, ~~z~ 5° r Date: Site Address: L 72- y X1,7 / Tenant: Suite RESIDENT / OWNER Name; Phone: Address / City / Zip: Applicant is; Owner Contractor TYPE OF WORK Description of work: Construction Cost:! G Multi-Family i CONTRACTOR Name: ZZ5 jy,/, License Address: r f~ 292) City: State: hw Zip: JJ%,l~_ r Phone: _4)12-3, _2,y Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted I subi-nission 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? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Wechanical Contractor: Phone: Sewer & Water Contractor: Phone: IUOTE: Plar►s and su ~ ppo►iirr documents thaf you su,~rrrlt are cc~nsidei°r~d to be public ir►~®r~ratior~: Poriioirs o~ i the ir►formation Wray k~e classified as nr~~7~puJ~lic if you provide specific reasons that t~rduld permit the City to .conclude that the are trade secrets: iereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of j 3gan; 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 :cordance with the approved plan in the case o work which requires a review and approval o 1 )plicant's Printed Name Applicant' Signature Page f PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153223 Date Issued:12/03/2018 Permit Category:ePermit Site Address: 4421 Sleepy Hollow Lot:133 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-133 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. 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 - Katie Beal 5313 Trailhead Ln Se Prior Lake MN 55372 (952) 237-4276 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153235 Date Issued:12/03/2018 Permit Category:ePermit Site Address: 4421 Sleepy Hollow Lot:133 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-133 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Katie Beal 5313 Trailhead Ln Se Prior Lake MN 55372 Applicant/Permitee: Signature Issued By: Signature