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4279 Augusta Lane Use BLUE or BLACK ink I I For Office Use I nouL bay of Ealan Permit I I 3830 Pitt Knob Road Permit Fee: Eagan MN 58122 I I Phone: (661) 675.5675 1 Date Reserved. 1 i Fax: (651) 675-5694 1 sta>fi: 2014 MECHANICAL PERMIT APPLICATION [sate: Site Address: Tenant: Suite RESIDENT / OWNER Name: 1 Phone: (C_~) " ~ . Address i City i Zip: CONTRACTOR Name: ' nse Address: city: State: Mn Phone: t(J jJ~ -V Contact Vt_r) V r -Emait: TYPE OF WORK New 4 Replacement Additional Alteration Demolition Description of work: NOTE: RW mounted and grou mounted mechanical equipment is required to be screened by City Code. Phase contact the Mechanical inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement _ Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit -Heat Pump _ Under I Above ground Tank Install Remove) er When installing/removing tank(s), call for inspection by Fire Marshal and Plumbi Inspector RESIDEN17AL FEES; $55.00 Minimum Add-on or aAeratiion to an existing unit (includes $5.00 State Surcharge) r~ $95.00 F'e'e repair (replace turned out appliances, ductwodc, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank instaitation/rernoval OR Contract Value $ x 19fi $55-00 i i M (includes State Surcharge) Permit Fee - If the EMA Fee is to" than $1010, surcharge is $ 5.00 - If the Em A fm2 is s $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10010-$11,010 Perm Fee requinas a $ 5.50 surcharge) TOTAL FEE CALL §CFORE YOU DIG. can Gopher stare one call at (651) 4".0002 for protection against underground utility damage. Call 48 hours before you tend to dig to receive locates of underground utillthm www.goaherstateonecall.ora l 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 p x Ct~ t~ g Applicant's Pii#ftd Name ApOka nrs lure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground - Rough In -Air Test -Gas Service Test -in-floor Heat -,Final Exterior HVAC Screening Inspection IF- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Bo), A 199 PERMIT NO.: Eagan, M' 55121 DATE: Zoning: r` 't o. of Units: 1 nor: Joe '"I' ddress: Site Addmu 4? _ - ~ I k ~ 1 ~k?fi ~E~ S Sun:',: t 1 s V Plumber: ii#=FiO!k~; LE TR1 GA Eti. Motor No.: CtnAW Charge: 470.00 pd Size: r~L.4`• Account Deposit: 15.00 pd Reader No.: 1") L l -16 42 Permit Fee: 1.0.00 pd 1 49me to comply with the City of Eagan Surcharge: .50 pd Misc. Charges: 63.00 pd meter Total: BY Date Paid: Dote of Insp.: Ge (.9 Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road F P. O. Box 21199 PERMIT NO.: Eagan,,MN 55121 DATE: Zoning: R1( No. of Units: 1 Owner: Joe `tiller. Address: Site ,arm: 4279 Augusta Lane L3 B1 Sunac,l: Ist Plumber: NcGul.re tech Meter No.: Connection Charge: 470.00 d Size: Account Deposit: 15. p Reader No.: Permit Fee: 10.00 p 1 evree to campy with the City of Began Surcharge: .50 P Ordinances. Misc. Charges: 63.00 pd meter Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2119 PERMIT NO.: Eagan, MN 55111 DATE: Zoning; Joe , t e r No. of Units: Owner: Address: Site Address: Augusta one _ iiieet: ZXV 1st Plumber: ic(:uire Mecn k p 1 ague to comply wleh do City of Roos Connection Charge: 425.00 pd P Ordinances. Account Deposit: 15.00 Permit Fee: - PT- Surcharge: p`. BY Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PHONE: 4548100 7 c~ BUILDING PERMIT Receipt Ta be aed for DWG/GAR Est. Value $67,000 Dote JULY 17 , 9 -BA 4279 AUGUSTA LN R3 Site Address Erect ~ Occupancy 1 R! Lot Block 1 Sec/Sub. SUNSET I Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Enlarge ❑ No. Stories It Name JOS MILLER CONST INC Move ❑ Length 6 Z Address 18133 CEDAR AVE Demolish ❑ Depth 24 City FARMING hone 454-4753 Grade ❑ Sq. Ft. same Approvals Fees ,g Name Assessment Permit S 334.00 OU Address U~ City Phone Water a Sew. Surcharge 33.50 Police Plan check 167- 0 0 W Name Fire SAC 525 _ 00 1Z Address Eng. Water Conn. 410- 00 iW City Phone Planner Water Meter 63- n0 Council Road Unit 260, 0 1 hereby acknowledge that I have read this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable APC Total $1,852.50 State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee A Building Permit is issued to: ~JOS MILLER CUNT INC on the express condition that all work shall be done in accordance with all applicable Stf_of Minnesota Statutes and City of Eagan Ordinances. Building Official mom Permit No. Permit Holder Data Plumbing ~e a rnC k i U g`( H.VA.C. y7~1 6c,K yb iol6 Electric Ja I ip I h c1 16„~ a y 5 o Z Softener Inspection Date Insp. Other Footings FT F oundation Framing Rough Plbg. ~ -z5i=8' Rough HVAC B'_/z_ i Insulation . /z. r. - Final Plbg Final HVAC Final ' Cert/Occ. Water Describe Location: Well Sewer Pr. Disp. Receipt ' - ,4 MECHANICAL PERMIT Permit No. < < CITY OF EAGAN . 1 Fee 1 I I Fill in numbered spaces S/C Type or Print legibly Tot. r~ "7- 1. Date 2. Installation Cost 3. Job Address/ Lot~ BIk. i Tract r 4. Owner b. Contractor Phone I,. 6. Address f 7. City / State Zip 8. Building Type: Residential 40 Commercial ❑ Institutional ❑ 9. Work Description: New C1 Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type, 11. No. Eau'ioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : -r-Q for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt i % PLUMBING PERMIT Permit No. b G CITY OF EAGAN J Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 4 2. Installation Cost 3. Job Address ~i 2. 7 ° P UC U S tc-lLot 3 Blk. I` Tract Lane % 4. Owner GG t'illcr Constrllc h i c 5. Contractors r,.- i i - c- ' C c-, ( - ~1 Phone 4 - 6. Address r . c . i_ 1 c 7. City State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New C!k Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition SUNSET FIRST ADDITION Lot 3 Rlk 1 Parcel 10 72985 030 01 Owner street 4279 Augusta Lane state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1981 168.57 8.43 20 134-89 A014514 9-6-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 571, 1981 168.57 8.43 20 134-99 A01 4914 - STORM SEW TRK 1985 547.79 36.52 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 44779 7-17-84 WATER CONN. 470.00 IT IF BUILDING PER. #9314 SAC 525.00 " PARK This request wid 18 mon1. fnin W-J ✓r ^J I Y A 066167 ~3 G i 35. fle mst Date Fire No. tugh-rn?inspection / fleq redReady Nom WFBI Mptity. Inspec- Yes o lu,, whim Ready Licens Electrical Contractor 1 herabY request inspection rd above Owner eleetrical wmk irrstalled all Suet Address. Boa m flnrrte o. City 71 6cga ecbmr M. I Towrshrp Name 27o.- nge No. C Occupant IPRINTI Plnere No. mllivv ~J .3 A/ 2 ctllr ICmrmany Ne ttacmr's Liceeise MP. ned Mall ma actm m Owner Makirp Installation) VAu""zed ss SS ~3 turli j on ctm/Owner in, Instal )anon ) ! t Pharr Nlvntras CJ sa - MINNESOTA STATE BOARD OF E C ICITT THIS INSPECTION BEQUEST WILL NOT Griggs-Mid"v Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE Is 1821 Ph Univar9 Aw.. St Paul, MN 55104 Pis IB12/297 211t ENCLOSED. L46- 4 S REQUEST FOR ELECTRICAL INSPECTION ED-00001 -04 rw , Sea imbmtions for completing this farm m back of velioe cepy_ nui R7 ""X". Below Work Covered by This Request A Add 1tep. Type of Bum Wine Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater 4- -fighting Fixtures Apt Building Dryer b Electric Heats Cormrlercial Bldg. rouse Silo unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm er (Smcifyj Other USpecerwU t r Sppct y Other other Compute Inspection Fee Below q Fee Saryiee Fadranee Size q Fee Feeders/5abfee"m A Fee circuits 0 to 200 0 to 30 Am 0 to 30 Amos Above 200 Am s 31 to 200 Aetgts 31 to 100 Swimmi Pool Ab0Ve 100_ Abmte 200 Transformers Ini tion Booms 935~c Partial'O kwns Fee Signs Special inspection mrerks T 31=02)11 Rough-in 77o-1, 1, a` ppr, hereby certify that Tire above Final • D'te t - .m has been ilss request gold t8 me aft hmn RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements Remodelliteoair Requirements • 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions • 2 copies of plan showing bears & window saes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate If home served by septic system for additions • 3 copies of Tree Preservation Wan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) n DATE .3 _ 13 _OJ 42-7 1 VALUATION D ` 5 JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MA Y UNITS? PROPERTY OWNER 4 TYPE OF WORK ~lJ FIREPLACE(S) _ 0 _ 1 2 r APPLICANT faAft-M r PHONE* 65-1 7 S_-J ADDRESS 7 j ZIP CODE PAGER # CELL PHONE # FAX # 3:'_.1 U.7 (J NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPL D [ n Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MAR 1 5 2002 (check one) - Residential Ventilation Category 1 Worksheet Subm - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 By 7JI - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O ante Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required updated 2002 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Parch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or- N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors D 34 Replacement "Demolition (Entire Bldg only) - Give PDA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other____ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) - Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total WAN ~j, pLJCa. BLnlzdwl PEAMTT APPi.ICJk!EN sst of aesw ca/Lma&t;"w-. '!b Be Used Fbr / Valuation lo7,(J. Deb S ~la"'D 7 Site Address: a OrF= um Cwx wt S Block sec./Stab. root X ~ooot envy fZ_3 Parcel i s ~~►►li Fire Say Oansrt1s _ VIPs of Non # a""" Address: city/zip Code: ~ ` both Phone Oontraa6or • !l efi~ (%Ul Assest mats Peoait 3 ~J4 -o 33.5= liater/8wter Sw4w Addresa: Police Plan Chscic 1Co Fire SAC City/Zip Code. Zll 5'd -r- Phone S y73 Ov• Water x„"70. am. Plattner NOW slater ro'~ Arch. /EM. ODtnxdl Abed mdt 2C0, Bldg. Of Address: APC City/Zip Code: Phone CITY OF EAGAN " v tY ti 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # Te be wed for SF DWG/GAR Est. Value $671000 Date .TUL.V 17 19_$4 Site Address 4279 AUGUSTA LN Erect ❑X Occupancy R3 Lot 3 Block I cec/Sub. SUNSET I Remodel ❑ Zoning ~Kl- Parcel No. Repair ❑ Type of Const. V Enlarge ❑ No. Stories Name JOS MILLER CONST INC Move ❑ Length 66- Address 18133 CEDAR AVE Demolish ❑ Depth 24 D City FARMINGTONphone 454-4753 Grade ❑ 5q. Ft. Name Sit' Approvals Fees O Address Assessment Permit S 334.00 City Phone Water 8 Sew. Surcharge -13 . 50 Police Plan check 167- 00 FZrc Name Fire SAC -)95.00 Address Eng. Water Conn. 470 _ 00 Z City Phone Planner Water Meter A 4- N 0 'z Council Road Unit 260.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable APC Total $1. $52.50 State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of Permittee A Building Permit Is issued to: JOS MILLER CON&T INC on the express condition that all work shall be done in accardanc it ll opplicabl Star to Statutes City of Eagan Ordinances. Building Official A -77 11'(1_ 1L.A111 U IF1ko. %Woll 1111GU IC UT Jul Vvy TUr SURVEYING • SERVICES joe miller const. Eagan, Minnesota 55121 .1 N~1 •narF ~ ~ ~ vo.w • w ay : - 2S C 4 <3 I ~ J 'o 'D I i •e e ' V 2 m2 7 A I ~ I N SI 3e I S~AtE: ~"~?o• 'O. I'va -1W w N -.Tf Ali' LEGAL DESCRIPTION: Lot 3,151ock 1 Sunset let ADD. 930 Denotes Finished Elev.. 9.u ..Denotes. Garage Floor Elev.. I hereby certify that this survey, plan or report was prepared by me or under Bradley J. S-Wenson Mn. Reg No. 15235 my direct supervision and that I am a duly Registered Land Surveyor under the Date' Laws of the State of Minnesota. M i 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: LOT 3 BLOCK 1 4279 AUGUSTA LANE LEGAL DESCRIPTION: ,z_<1 / fftT/3o'k' ud 1fvision or Tax Parcel I.D. NuTber) IF EXIE72--G STRUCICJiRE, DATE OF ORIGINAL BUILDLIG P=,:IIT ISSUANCE: 'o PRESET zn'TI`_X;/P-RC) OS]ED UZE: ~<R-1 SINGLE FAMILY ❑ R-2 DUPLE{ (TFO UNITS) ❑ R-3 TOQECUSE (THREE + UNITS)( UNITS) ❑ R-4 APARTPj1E!:T/CONDamINIUM ( UNITS) ❑ Ca,1MERCIAL/Rh7AII/OFFICE ❑ I%MUSTRIAL ❑ INSTITUTIONAL/GOVEUNMENT 2) APPLICpV'I' (PLEASE PRINT) NAME: JOE MILLER CONSTRUCTION ADDRESS: 18133 CEDAR AVE SO. CITY, STATE, ZIP: FARMINGTON, MINN. 55024 PHONE: 454-4753 3) PLUMBER PLEASE PRINT) FOR CITY USE ONLY NA1,1E: McGUIRE MECHANICAL SERVICES, INC. PLUM RS LICENSE: ADDRESS: P n RnX 719 ~ Active CITY, STATE, ZIP: LAKETILLE, MINN. 55044 0 Expired PHONE: L. Not of Record nyg_agr:a PLUMBER LICENSE N 002751M7 a initial 4) OCCUPANT/a%,,,TEt2 NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERhIIT IS BEING REQUESTED: CONNECTION TO CITY SEWER Nr CONNECTION TO CITY WATER ❑ OTHER (PLEASE DESCRIBE) 6) IdDI= 0.E: ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ❑ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3 4 ABOVE (Circle one) 7) SIG!~=--RE: DATE: ■RN:iAW1EJO =01M M1!~~tA_!:aaMfa 70 W W WW Wt~a!rt Wt~FaF '4Mzl ~M!M*Mil~ci es F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ r o 5 r Ep%ER ox-D%Trm LUDE SURCHARGE) (I_ C$ i O _ WATER PERMIT (INCLUDE SURCHARGE) $ l WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ~ Lam. ACCOUNT DEPOSIT - SEWER $ / o ACCOUNT DEPOSIT - WATER $ -l-Z ~7O, WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL AMOUNT PAID/RECEIPT #/~~'~~d 9 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:r~D TITLE: DATE: tsrws~a~se~aaa wtawt~~~ww"m wmslum m igwI"SUMj*wmaW=mNEL" mmoitwims mm Use BLUE or BLACK Ink r-----------------, I For Office Use I Permit D ACID z City of Ea b - hermit Fee. ___3830_ Pilot-Knob-Road _ I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: 1 I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 5r~ T//s'ez Phone4~2 RESIDENT / . OWNER Address / City / Zip: 'V2 ~9 /Tl/g~j %GJ GC!/JC Applicant is: Owner __X_ Contractor TYPE OF WORK Description of work: Ile IyaI fjpy!!c° Construction Cost: ~a0= a49- Multi-Family Building: (Yes / No-) Company: ~'tC(/gdJG'e / ontact: CONTRACTOR Address: 13 O6 Rewe- 67- City: V_1917R_l~ wl-Zeg ~ Stater l)/l Zip:. ,r//o Phone: & - License L7C~j Cz Lead Certificate 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: 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.gol)herstateonecall.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 requires a review and approval of plans. Exterio zed by a building permit issued in accordance with the Minnesota State B g Code must be completed within 180 days f permit issuance. 9_21kze~_ x x-~ LcY( ~f Applicant's Printed ame Applicant's Signature s/er yA~~e~'i Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA141194 Date Issued:02/27/2017 Permit Category:ePermit Site Address: 4279 Augusta Lane Lot:3 Block: 1 Addition: Sunset 1st PID:10-72985-01-030 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John C Tuset 4279 Augusta Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157400 Date Issued:08/19/2019 Permit Category:ePermit Site Address: 4279 Augusta Lane Lot:3 Block: 1 Addition: Sunset 1st PID:10-72985-01-030 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 - John C Tuset 4279 Augusta Lane Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature