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4154 Arbor Lane 0512312014 11:26 Les Jones Roofing, Inc. (TAX)9528817009 P.0061016 Use BLUE or BLACK ink For Office Use I tl: City of EaRan ; PerI I l7 1 I Perrnlt Fee: -5 l + ~ 31330 Pilot Knob Road Eagan MN 55122 1 oats Received: I Phone: (661) 676-6676 1 I Fax: (661) 6765684 I stag: 1 I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date; et 3 Site Address: t'1152 - it ~ gLrs A LA vo- Unit Name: o l AR-was. 6 SaG. JE AwNE lei hone: 6 SI - 4 o s - 8 s~t~ Address (City /71p: 4l t V(, j4 1Z (Z . Applicant Is: Owner X Contractor Description of work: r-'t o vE r Construction Cost: 3 9 7. Multi-Family Building: (Yes X / No t Company- Ae NG Contact: 4We4 s A-tiO SOA Addreae; U/. 8d X2 7 " City: Aaalg'e&b ~ State: _ (lam Zip: Phone: _ 9'SR - 7b 7 - IIIII License 4 ago Lead Certificate M VAT- `f o 3 7.7 _ If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: CALL BEFORE YOU DIG. Cali Gopher Stale One Call at (681) 464-0002 for protection against underground utility damage. Gall 48 hours before you Intend to dig to receive locates of underground utilities. MMUmpherstateonecall.om 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. Exterior work authorized by a building permit Issued in accordance with the Minnesota state Building Code must be completed within 180 days of permit Issuance. x_ cimis 4 00-0AI Applicant's Printed Name Applicant s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA125671 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 4154 Arbor Lane Lot:024 Block: 001 Addition: Wenzel 1st PID:10-83570-01-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Doreen L Mckenney 4154 Arbor Lane Eagan MN 55122 (952) 941-0426 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126180 Date Issued:08/15/2014 Permit Category:ePermit Site Address: 4154 Arbor Lane Lot:024 Block: 001 Addition: Wenzel 1st PID:10-83570-01-240 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. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Doreen L Mckenney 4154 Arbor Lane Eagan MN 55122 (952) 941-0426 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature Use B�UE or BLACK Ink -----------------, � For Office Use I I • �� ������ �. � �a� 9� � ; ��t� af �a�a� .� ; Permit#: �o. � � SEp 17 20�� � � Permit Fee: I 3830 Pilot Knob Road � I 9 � 7� � Eagan MN 55122 I Date Received: � Phone: (651)675-5675 ��� –._-------.--__-------__� � staff: /�l j Fax: (651) 675-5694 i________________� 2014 RESIDENTIAL PLU ING PERMIT APPLICATION Date: ` ,,� Site Address: J 1..�.J� Tenant: 1 ��' Suite#: 'R��iCf@(1�/(�Wlfif.'1' Name:� Phone: IJ �—�`l �V4 ��['j Address/City/Zip: S� / Name:' � r ' l _ � � ' ' #: � ���� l�..JV . COi1#I',�Gt(ir� Address: \��, ���� 1 ���_City: �M t UI� �! State:.�Zip: � ' Phone: L���0 �`°i `-l��( l Contact: EmaiL `- ��/���f��rk �_ —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: i RESIDENTIAL Water Heater �Water Softener Lawn Irrigation(_RPZ/_PVB) Perr��T�jae Septic System Add Plumbing Fixtures(_Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround"(includes$5.00 State Surcharge) "`Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(includes County fee and $5.00 State Surcharge) TOTAL FEES$ 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.gopherstateonecal�.orq 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, l�ut only an application for a permit, and work is not to'start ithout a permit; that the work will be in accord n e with the approved an in the case of work which requires a review and appro f plans. , � , , x l��VL.. X ApplicanYs rinted Name Ap ' ant's Signature E<� Y� d �. �, �: � z �L}R���ICf US'� Y .� Y� �-�: t�"�ul�t�;�'�� • ������-���. C���3-;��,,;,� � � � ��� � � � ' , �,�— '�o� � �� � � �� p � ��equir,ed i�s��t�on�� �lnder Cr��� � J�`i�� !n fi�r'i'�st � ��� ��T�st���F'an�l � - � � -W-"�� s � �.�.,,. � N�eter 1�elated I#em� m= Meter�i� �I��ctic� F�eatl'� Stafi�: u �:� «.. ?�,����_ ss ��. �`� ��� r a � � �.. a