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4710 Tana Pt For Off ce Use Ct iPermit I y of Eajau Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Staff* Fax: (651) 675-5694 1 2009 RESIDENTIAL BUILDING PERMIT APPUCATION Date: 7i't 9 Site Address l f ® q i Tenant: 1 Suite RESIDENT / OWNER Name: / 7G (SCa n W Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 5 0 ?I 0.1A a Construction Cost: _6PS_ • Cti Multi-Family Building: (Yes No CONTRACTOR Name: { SYr_ " k1 " -i-"k License # O CIO j Address: 70 o City: (ww 4- V 1 State: Al_Zip: Phone: 7 ~~i ''Oi Contact Person: 1 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 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 you submit are considered to be pubes Information. Portions of the information may be cued as non-public if you provide specific reasons that would permit the City to cones that the 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 it the work w4N be in accordance with the approved plan in the case of work which requires a review and approval of pla . x ova( Ilk X &&t Applicant's Printed Name Applicants Signature Page 1 of 3 •7 . '� t e PERMIT NO.: =,. WitiredP s NOS $` 7 r. .S to Mdres: �S' a 4 ftess.aseitavir *OM the Otv.f togaM SUN:bage3 rt 4' ' i 4' Y .TMlit11f� � Doti 5 pr .Qf_ imp,: r TrA { l A► AN SEWER SEinn PSRMIT 3795 P 1* Knobs,. Reed PERMIT NO.: isrsw, •A$ 55122 DATE: Zoning: No. of Units: lr Crwner: ' /�ddreas Site Address: ? m " f Plumber: 1 espies N eeerglr wl t Ile Cit ► of Eagan' Connection Ordiassess. Account Deposit: Permit Fee: Surcharge: By _� Misc. Chorges: r Total:: l" "Z G, Dote Paid: � ` Use BLUE or BLACK Ink r For Office Use n Permit#: City of Ea ~a~ Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I //J'' ` 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - Site Address: Unit Name: Y,711- `171S~ C"101P V710 " Y71'1 rte' lg~ll Phone: Resident/ Owner Address / City / Zip: Ijedee- Applicant is: Owner Contractor Type of Work Description of work:/! Construction Cost: Multi-Family Building: (Yes / No ) Company: 2 dm Contact: i);;l C Contractor Address: /✓~r ~~1~ e~ City: State: N17 Zip: Phone: 671 License U e) 16-7 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.clopherstateoneGall.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. 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. r X 'Dry/, X Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161294 Date Issued:05/18/2020 Permit Category:ePermit Site Address: 4710 Tana Pt Lot:1 Block: 05 Addition: Ridgecliffe 2nd PID:10-63981-05-010 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 - Arlen W Nelson 4710 Tana Pt Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature