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EA185763 - Building - Drain Tile - Issued Date 08/09/2023 PERMIT City of Eagan , ® , Permit Type: Building 3830 Pilot Knob Rd Eagan, MN 55122 EAGAN Permit Number: EA185763 (651)675-5675 www.cityofeagan.com MR R 1 8 5 7 M63 K Date Issued: 8/9/2023 Site Address: 2095 Shale Lane Lot: 6 Block: 8 Addition: Cedar Grove 4th PID:10-16703-08-060 Use: * 1 0 6 7 0 3 — 0 9 0 6 0 Description: Sub Type: Drain Tile Construction Type: V-B Work Type: New Description: Census Code: 434-Residential Additions,Alterations Occupancy: IRC-1 Zoning: R-1 Square Feet: 0 Comments: Fee Summary: BL-Drain Tile/Radon $94.00 0801.4085 BL-Plan Review-Fixed $40.00 0720.4222 Surcharge-Fixed $1.00 9001 2195 Total: $135.00 Contractor: - Applicant - FEagan American Waterworks ethany J Faber 1307 Valleyhigh Dr NW Rochester MN 55901 5122 (800)795-1204 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 ssued B : Signature 1-----------------, I For Office Use I 1 I `a I 1 Permit#: 185763 EAGAN ECEIVEI Permit Fee: ' I 2023 1 1 j Date Received: 8/3/2023 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �Y; (651)675-5675 1 TDD:(651)454-8535 FAX: (651)675-5694 I Staff: i buildinginsaections&cityofea an com I I 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ` ,' fl,pl) I t l e��_ Phone: V-7- -" ' (.,1 J _2LP Resident/ Owner Address/City/Zip:AL-A ;,SL U_ I_i,o �,t pkn, Mk) � j 7 Applicant is: Owner Contractor Type Of Work Description ofwork:lA C' . _,AL r— `: 'd­U'Jyj t , Ftet{ "#rye t` Lreu , C. CC Construction Cost:. $ i A�� , Multi-Family Building: (Yes /No ) Company: t ' { Contact:6( b f' . t=4'lr'' . Contractor Address 1 �- l Vau, `l � .L�`� ti W City _'ck ? ,.��•�t, � y State: ' fV Zi _ r' m p: Phone: :�t "i 3�2­1,3(IZ)Email:4xik I e4q,con– yo d4 Vwl License#: 1 Lead Certificate#: �� " If the project is exempt from lead certification, please explain why: R-1, Cedar Grove 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the Information maybe classlfled as non- ublic if yogyrovIde specific reasons that would permit the City to conclude that flM are trade secrets. You may subscribe to receive an electronic notification fi-om the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaenan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Cali 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 accordajntce with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed 4ne Applicant's Signature