Loading...
4619 Penkwe Way zUseQ City of Permit 1 1 Permit Fee: 7, 1 ° 3830 Pilot Knob Road Eagan MN 55122 i Date Recei Phone: (651) 675-5675 1 leax: (651) 675-5694 1 Staff: L__ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION P a t e : [ Site Address:L/6j7, 1/1, 17 "_2_ -1 'I L(6lml 7enant• O 4 Y i $ 2 4 ~ _ ( c 5'~ d uite RESIDENT I OWNER Name: J 4 Au, rG- 1s i ~`yevr! ! 4 one: Address I City I Zip: Applicant is: Owner -9 Contractor TYPE OF WORK Description of work: __`d` 9 ..-t `e_.;11 .t ' Construction Cost: , 569 Multi-Family Building: (Yes f No CONTRACTOR Name: /t/bfLt"V_'°?F GQt'1 1'r¢c Z 1 - License a<715 q e-1 7.3 Address: Chit. e /f-- City: I~ ? ti s'o`~.~C_ State: Zip: Phone: i 12 S5"?- ~ T Contact Person: 32 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 (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? _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.yoru. submitate r e> a ii ation. Portions of the information may be classified as non- ublic 1f"Yau'Proof ee>fi 'ias "that o" d ennit`th'e: Ci to P . . -P P' conclude thatfh ' are' se" I hereby ackrr edge that this information is complete and accurate; that the work will be in ce with the ordinances and codes of the City of Eagan; that I u (stand this is not a permit, but only an application for a permit, and work o start without a permit; that the work will be in accordance with e approved plan in the case of work which requires a review and approvaI of Applicant's Printed NameV A a ature Page 1 of 3 W/7 P670,71 0 t g~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) Multi = Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES n GI t?~P : u S ~i Ul) E S New Interior Improvement 10 Siding _ Demolish Building* _ Addition Move Building Reroof Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation POO - Occupancy MCES System Plan Review Code Edition t/) Z 1 SAC Units (25%_ 100%_) Zoning 13 _3 City Water Census Code 3 ( Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) 10 Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water -Final Pool: -Footings -Air/Gas Tests Final Framing Siding: -Stucco Lath Stone Lath Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By , Building Inspector RESIDENTIAL FEES Base Fee ODO S ~7j;ncr o pl~? tee) e Lv Surcharge g• pt9 i pv~ Plan Review DOI) v04-q 1- MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Office UsE n Permit City of Ewalt I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner C ntractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: ntact Person: COMPLETE THIS AREA ONLY IF CO STRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Work heet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simil r 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.. 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. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 t C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS TeL. 645-3646 For • 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. Home Corporation ' Scale: 1" = 50' 2' it U, . ? `t . r 4 N Z 3 IN, - N l ~ ~ C~ N W 41 ` N M C O' u~T ~ V\ Q ~ n v `c `44i r_ 9 Z 7 40.1 EAGAN BY REVIEW. ~I F,Y DATE: BUILDING INSPECTI©Ng DI ION Lots 1 through 4 inclusive, Block 9, Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this day of ? ar- ' A•D. 19g/ C. R. WINDEN & ASSOCIATES, INC. by A. Surveyor, Minnesota Registration No.-222G + E GAN WATER SERVICE PERMIT POO -Knob Road i PERMIT NO.: r —'' , 1 MN f 5 5122 . DATE: 1 / 1'; / ,: 1 � : F: ti No. of Units: 1 unit tnt'ES(- Owner: Orrin Thr,p$nn_:oe.4 Address: Site Address: 4619 Pankwe Way L4 139,,1 C Ridg,12 `. III Plumber. ida n 7 a 1 P1 mil) in. - Meter No...-. ' o.:. c C ._ a ,*\ ,jl Connection Charge: 335.00 pd Size: . `Y, Account Deposit: Reader No.• Permit Fee: 10.00 pd 1 agree to amply with the Oty of Eagan Surcharge: - .50 pd Ordinances.. ° Misc. Charges: � 60.00 pd meter Total: BY Date Paid: Date of Ins — J 2 — U - ' 7 Insp.: CITY i d; EA4AN SEWER SERVICE PERMIT a> ! "i Knob Rood 5015 Est an; MN 55122 !SATE: /18/81 IV 1 unit tnhse Zoning: No. of Units: ' Owner: trrin Thompson H omes Address: ✓ ,, Site Address: .2 619 Penkwe Way L4 B9 3 C Ridge III Plumber: Wenzel '3ng c ---- 4 /1 X81 27333 \ 1 100.00 pd I agree' to con lly of Eagan Connection Chan!: 425.00 pd Ordinances. i \ Account Deposit: \ Permit Fee: 10 pd Surcharge: 1 - 50 pct By c \ Misc. Charges: Date of .. Total: Insp.: l- f Io ' Date Paid: y r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 051 (909 Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: .;VAI Site Address: Tenant: if‘ 19. KA, PP4) we: 1'r Resident/Owner Contractor Type of Work' Name: ' 41)e(c-t i Address / City / Zip: /{(,,T', �gA)2ivk' l�f) Name: d ;6 4)jTAC. Address: (1-765' //1444.---4c-'-` 4 ✓ State: 4.N Zip: , 5e) -rj Phone: Contact: 4 New Suite #: Phone: S,-/-'' 3? —/ iiso License #:1 ' "/(44::? / 7 City: 6' zr, 4„)e.- Z.37n-Y5-1'g'/ S? ( Email: .( Replacement _ Repair Rebuild Description of work: Modify Space _ Work in R.O.W. gtg4-44.- core A)1. Permit Type RESIDENTIAL //Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) # $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8 meter is required) 1 $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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 requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature x L/f? 4.E007/4,114 - FOR 0 FOR OFFICE USE Required Inspections: Reviewed By: Under Ground Rough -In Air Test Gas Test Final �. � �t��`i . �� �� ' 1�-� l.(��� � ( ��� �� , Use'�L�lE or BLACK tnk � ForOfRceUse---------� ; 1 �-���� ; C�� o��a a� , P�„t�: � � 50 � .�-I� � P�,►���: �� � 3834 Pilat Knob Road Eagan MN 55122 i Date Receiried: j Ph+�ne:(651}675-5675 i , i Pax:(651)6?5-5694 1 Staff: I I � �. . . . . . . .. . . � � `.� - � ��J 2014 RE5IDENTIAL $UlLDING PERMfT APPLICATt�N ��:�--I�y�� s�Ad��:N�� � - � � � '�� P���� � ' u���: Name: UC�1"�/�J�r� Gr�f'l��.- Jt�t.�i?11��rt.._ �Phone: Resic�entl F� �}Wtt�� Address I City f Zip: �7�`✓�°' /� �� APPiicant is: Owner �1. Conttactor T Of 1M01"k Descxiptian of+n�rk: �'��' �l�� � �C�- '--�Q�v��' Yt� �onstruction Cast: ��'r t�� � Mutti-Family Building:(Yes � /No� � �,,.- .- Company:��f.�YZtJ�°�j 7� �M�i/�r.i�V�S '� Corrtact t��'�'� �'f G,��Q�' Ccr�#ractc�r address:�'��l Z.�t��1 �,,a�- L✓+�x /td City:� �!Z��,.�'�--, State� Zi f.1 � Phone: f��'���Emaii:t�rru� t3s�'L�3�`sS'7rGr�Yl'�✓*'���vY �� P�� � "�'r?e.--L�� �icense#.�C 1.S`� � 7 3 Lead certlficate#:N3a.-t-°�-1%j J�1��' —1 Ifi the project is exempt from tead certi�cation, piease e�tain why:(see Page 3 for additiona}information} COMPLETE THIS AREA ONLY IF GONSTRUCTi�iG A NEW BUt�DING '�_.--� In the last 12 mo , the Gity of Eagan kesued a pertnit for a similar pian t�ased on a master ptan? �Yes iNo It yes,date and addr f master plan: Licensed Piuinber. Rho�: Mechanical Cor�tcacMr: , Sewer 8�Water Cor�t r. Phone: N�}'"E:` s�nd,s�ppo�tirt�a�c�c�rt�ents t�i�rf yc�srrbmit ar�e consid�red to be pub/i�r`re�'c�rafro� ,�r��s,of E�Q,r�a�on r�iay Ir�cia�etl sas�o�t-p�tblic it yov prnvr"�fi�spe���'ic t�asaers'that wc�ul�pe�i�����#o . . . � - . � � � _ ., ct��cf�d�:�t fhe ar�e#r�+de s,e�r+et�.�; � � , , CAi�L BEFORE YOU QlG. Galf G�hsrState One Cali at(651)454�002 for protection against undefground�tty darnage. Gat!48 ha�rs befofe you intend to dig to receive locates of underground utili6es. wwvw.aoohersiateonecatl.are� < I t�reby adcnowledgs that this infoRnatian is camptet�arid aaxir�te;that the work wnil be in conformance with the ordinar�e.s and codes of#he City of EagaA;tfiat i undetstand this is not a perrnit,but or�ly an application#or a permit,and work is not to start without a permit; that the work witi �tn acxordance w±tM the approvect ptan irt the case af worlc which requi�a a�eview and approva!of ptans. Eactsrior waricau��izad by a buiidir�perm#t issued in acc�dance with the Minnesota State Iding Code must be compietsd within 180 days of pertnit issuanee. ' X �4 t P� G X �PRiican�s Printed Name T ' ant's Signature < Page 1 of 3 " ' ' Use BIUE ot`BL.ACK Mk �------------------i � For Office Use � ' � <���/� � }� � I Permit#: ,�„� ; 6 �� +� REC��`JED ; ,1-�� ; Pemtit Fee: 3830 Pilot Knob Road c n � I E�gan MN 55122 Ji,�u � a �1!�� j Da1e Received: i(�'� f Phone:(B51)675-5676 � � F�:(6�1)675-6694 � Sta�: � L_.....�__^-.�_.�-_ ��_� 20't4 RESIDENTIAL. BUiLDlNG PERMIT APPLICATIt?N Z ' ,,�+j�� DAte: � �O Site Address: � � " Unit#: J � Name: Phane: ���.a�a����� Residerntt C� �-�� �w��. t� ' Owner Address�City�zip: � L` �'�_ - 1�,�, �� � 5�5'tzz Applican#is: Owner Contractor �.Y��W�� Description of work: �� Construction Cost: Muiti-Family Building:{Yes�/No�) '` Gompany: Contact: Ctitlfl'aCtOP' Address: Gity; State: 2ip: Phone. Email: License#: Lead Certificate#: If the project is exempt from lead certiflcation, please explain why: (see P�ge 3 for additional information� COMPLETE THIS AREA ONLY iF CONSTRUCTIN(3 A NEW BUt1�DiNG M the last 72 months,has the City of Eagan issued a permit fot a similar prlan based on a master plan? ,,,,_Yes _No if yes,date and address of master pian: Licensed Plumber. Phone: MechanicaL Contractor. Phpne: Sewer�Water Contractor: Phone: NOTE:Plans and suppdrt}ng documents�►at yvu svbmft are cansidered t�a be pubtic information; Po�cros vf i#te�nfomratiaa may be c/assif'ied as norrpublic it yc�prr�vfde specitic�ssasons�at wouid perrr��t the Cily to conclud�#hat the are tr�secr�ets. CALL BE�ORE YOU,DIG. CaN Gopher State O�Cali at(661)45�-0002 for protectfon agair�t underground tdiMy damage. CaA 48 hours befwe you+rrtend to dig to recei�locates of underground utiliti�. www.aoaherstateonecall.ora t hereby adcnowfedge that this iriformation is camplete arxi accurate;that the woric wiil be in corrFormance wHh ths ord'mances ar►d�of the City of Eagan;that I understand this is not a pertnit, but only an ap�ication for a permit, and work is not to start without a permit;that the wwic will be in accordance with the approved pian irt the case of work which requires a t�view and approvai M pians. Extsrior wotk autho�iZed by a buildinp pemnit issuer!in�rdance witlt the Minnesota State Buiiding Code must be cample�d wHhfn 18Q days of permit issuance. � x � L�-�-��— �� , X � A�pPlicanY's Printed Name Applicant's �gnature Page 1 Of 3 . . . . ���� /����c � .�� ���,� DCl NOT WRt'T`E BELOW THIS LiN� �UB TYR�S � �oundation � Firsplacs � Porch(3-Seasoo) _ ExUarior Alfieratlon(Single Family) ____ Single Famity � Garage porch(4-Season) i Eu�eriar Altera6on{Muiti) T Multi � t,�eck � Por�ch(ScreeMGateba/Petgc►ia) � M�cellar�eous � 07 of,_Ptex � l.ower Levet � Poal � Accessary Building WORi�T1fPE3 � New , IntQrior Mnprovement � $iding � Clemo![sh Building* � Addition � Move Building � Reroof ____ Demalish Interic►r � Alteration T Fine Itepair � Windows � t)emolish FaundaHon � Repiace � itepair � Egress Window � Water C�mage � Retaining Wsll •�of enRfi+e buiWin�-�qive PCA handout to t�ppHcant DESCRII�'i lON Yalua�on ��Q' pccupancy :�.�Z.�% 3 MCES Sysfiem Pian Review Code Edition '�Rt AAN ��� SAC Units (25%„_,10U°��,} Zoqirng `�� City Water Census Code 3tories Booster Pump #af Units 8quare Feet PRV #of Building� Ler�gth Pire Sprirtkiers Type of Construction � Z Widi�� RFQ�tIRED INS��,C710N3 Footings(New Building) Meter 5ize• � �ootings(Deck) � Final/C.d.Required Footings(Addition) � Final!Na C.d Raquired Foundation HVAC___,Gas Service Test Gas L.ine Air Test Roof:,,,_,_Ice&Water ,,,,_,Final Poo{: Footings �AirlGas Tests �Final � ��m1n9 Drain Tiie Fireplace:Rough!n Air Test ,.,,_Final 3iding.TStucco La#h .,,_,,,Stone t.ath �Brick � insulat�on � Windows Sheathing Retaining Wait:,_Foofings____Backfill�„Fnal Sheetrock Radon Controi Fira Wall� Erosion Can#roi Braced Walis Oth,�r: Reviewed By: �F J Building Inspector , �`- '� _.v�v ,'.tr"` RESIDENTtA��EES Base�'�a � = 2� �c �� � � 3C� � s��cnar�e �� � Z �` Plan Review u u��c��E-�"`^^ MCES SAG City SAC ��- UY���C4�h�CUO�V��a�' �o V V ���/161.\r�""L `��� ` �� \ SBdIV PBfTriit$$UrChB�g@ Treatment Plan# �� Copies ����� " �� tOTAL I Page 2 of S � •� •,�/� � • ' C. R. WINDEN b ASSOCIATES, 1l�IC,, � � C�� �'��,' lAND SURVEYORS Tet 643-3646 Fdr' �%���EV l38i fU5T�5 ST., ST. PAUl, MINN. 55108 U. S. Home Corporation • /���'" N g9�1 � . � � � �'�-�- �/�,l-� �f��7�z ��1�'� ���� � � � � I � � �r���,� .��� �.� � 1° �' . �a l'' Scale : 1" = 50' . -32 rjYF.� �� r . 2'c.�''�„ �r G2's3 ,r �� r r�.� Z � � �r cv � r' � � �Z p.L� � a '-+a p(e� a � .v � >. N"L'- 23 � � �.: d � �J N�\ W 1+� �' � o.!�`� r � � � 4 � � � 3 p(��4 ,�� � > v .r �,- � o� d '"� 13 u� p` N 4Z : c7 �"�L.�3 `� � D„- \ y, � 3 Z rQ ��; � � f- � �p.l ...- - �\ a-� ��a . t _ � 1���� �! — '� �— �AGAN � _ EVI E1/V� � � �,,lF.Y BY . P�N�.VJ .._--- DA'TE; �Iq 19� . '�� , J_.----•'` ,� - G�• vi�, W,�� � ._.--- BUIIDiNG lNSPECTI4NS DI If�N � —' "� Lots 1 through 4 inclusive, Block 9 , Johnny Cake Ridge Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS t5 A TRUE AND CORRECT REPRESENTATION QF A SURVEY OF THE BdUND/tRIES OF TNE IAND ABOVE OESCRIaED AND OF TNE IOCATlON OF All 6UItbINGS, IF ANY, TNEREON, AND All ViSiBIE ENCROACHMENTS, IF ANY, FROM OR ON SA10 IAND. J � C. R. WINDEN b ASSOCIATES, INC. Datcd rhii�—day oF A�" +�A,d. 19g/ � �� . . . . '� ��. ,�� ` rr^'�-� br -- S�rvpror, Minn�soto Ropisttation No. `�G� GANr For Office Use 4 71 Permit#: �59 7 7 �+j► �'� Permit Fee: LDD - 0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections(a citvofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION j Date: I.2 JO ,Z o 2 O Site Address: /-4L11 Per\kw e Wky Tenant: Suite#: ResidentlOwner Name: Phone: Address/City/Zip: FkJ 0/IL( pl�l� b/�r �h(- P(7y/6I ty Name: J License#: 4-ti Address: 13q.2 q 205- s City: �r (a c 4 Contractor � // / State: N Zip: �b 3 S3 Phone: 7,63 2 u 8 -8g 2-1 Contact: `�''� Email: r" ust,OhCtPIUPa�►n3@Cj si / CO Type of Work —New )` Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: Tankless Water Heater Lawn Irrigation( RPZ I_PVB) Standard Water Heater Add Plumbing Fixtures( Main I_Lower Level) Description Water Softener Description: Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+$290 for Meter and $200 for Radio Read = $550 *Sewer&Water Permit also required for connection charges TOTAL FEES $ 4 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.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. f c 6)civ?hict- x � /�f Applicant's Printed Name Applica-Si >nature Page 1 of 2 FOR OFFICE USE Reviewed Sy: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginsoections as cityofeagan.com Page 2 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174728 Date Issued:02/15/2022 Permit Category:ePermit Site Address: 4619 Penkwe Way Lot:4 Block: 09 Addition: Johnny Cake Ridge 3rd PID:10-39802-09-040 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Nichoas J Lindwurm 4619 Penkwe Way Eagan MN 55122 Southtown Plumbing Inc 6636 Penn Ave S Richfield MN 55423 (612) 866-3057 Applicant/Permitee: Signature Issued By: Signature