837 Ivy Lane
2
JUN 2 2 2009 1 For of eUse
City of Ta Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 ?
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: cage( i -
Tenant: Suite
RESIDENT/ OWNER Name: C I 4 DI; V2~ Phone: V:7) ~
Address / City / Zip: SQ)4&
2-
CONTRACTOR Name: License ~7 7 0 it~t,
Address: amnion
City: 3670 tad Rd. #100 State: Zip:
IS WN S5112 339
Phone: Contact Person: ' 1' 1 5 0
TYPE OF WORK New replacement _ Repair , {pRebuild _ Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L- RPZ / _ PVB) L_ Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ~D
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.
J` I?
X \ V -elm X i...--
Applicant's Printed Name Applicant's Sf
100
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Ur der Ground Rough-In Air Test _Gas Test Final
3716{
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109414
Date Issued:03/06/2013
Permit Category:ePermit
Site Address: 837 Ivy Lane
Lot:10 Block: 04 Addition: The Woodlands North
PID:10-75890-04-100
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.
Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
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 -
Kathleen Murphy
837 Ivy Lane
Eagan MN 55123
(651) 452-4099
Adam's On Time Plumbing & Water Heaters LLC
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109414
Date Issued:03/06/2013
Permit Category:ePermit
Site Address: 837 Ivy Lane
Lot:10 Block: 04 Addition: The Woodlands North
PID:10-75890-04-100
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.
Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
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 -
Kathleen Murphy
837 Ivy Lane
Eagan MN 55123
(651) 452-4099
Adam's On Time Plumbing & Water Heaters LLC
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature