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4321 Diamond Dr
EAGAN TOWNSHIP BUILDING PERMIT Owner --- ?4_p . .. Address (present) .. S71' .......... . ..... ..._.......... :..e1?.?s.?_ Builder ................... Address .._............ ...___.._..._ . Stories To Be Used Fur -1 DESCRIPTION N° 922 Enrian Township T n Hall Remarks LOCATION Street, Road or ocher Destripfion of Location Lot Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. PT ONp? THE PREMISE WHILE THE WORK IS IN PROGRESS. ify. 1955. THIS This is to c IT MUS S T _E , KEPT above described premise subject _,_.has permission to erect aF L.zi... L?;-7f °_r: ?--'--•upon the. E rib d ,{nett to the provisions of the Building Ordinance for Eagan ybwnship adopPed 71pri1 11, `.^._'_P,c<!.(........... ................... ._.. Per ..__..____ Chairman of TnwnQBWd Building Inspector . EAGAN TOWNSHIP BUILDING PERMIT Owner ... 7U Address (present) --- -.-- y""`......`-=..... f `.?. `... ..... Builder ....{1a.. ........0 --- ................---------------............ Address ..1?L11.4 .`..'.:°...... I J ??DES?CRIPTION N? 2409 Eagan Township Town Hall Dale ....L'?.7/ .................... Stories To Be Used For Front Depth Heigh! Est. Cos! Permit Fee Remarks 110-? Ay a 5A/" I /a, '?-o -5 LOCATION This permit does not authorise the use of streets, roads, alleys or sidewalks nor does It give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK 15 IN PROGRESS. This is to certify, fhaf... ,a....?....{.(.r.-_e'?-ies1 .................has permission to erect a..................................... .upon the above described premise subject to the provisions of the Building Ordinance for EagdB Township adopted April 11, 1955. ......' -°------- .... Per .................... 1:.".".:.`........06-'-r'............ .................. airman 0 f nwn Board 6 Building Inzpeci!8 ---? RL CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 Col. SITE ADDRESS: APPLICANT: L J PERMIT SUBTYPE: TYPE OF WORK: I 1,A i I 11 . 2% F1r-R0(1IF Permit Holder Date Telephone # PLUMBING H VAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFIN G ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST R.I. FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition rrrlhR GROVE #4 Lot 26 Rik 6 Parcel 10 16701 11150 06 ? // 1 Owner 7L %? 11 i? -?- Street 4321 Diamond Drive State Eagans NQI 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 19 2 1,304.00 52.16 25 Paid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING Permit Application City Of Eagan ?Sl ?J 3 3830 Pilot Knob Road, Eagan Mn 55122 d Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeVReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan _ Cett of Survey Recd (20% maximum lot coverage allowed) t set of Energy Calculations for heated additions -Tree Pres Plan Reod 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Recd 1 set of Energy Calculations Addition - indicate don-site septic system _ On-she Septic System 3 copies of Tree Preservation Plan If lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 0S Construction Cost ^ GQ V , ) C Sit 0 O,, c Add 3 a I U i /S # ress 1 c ,, e n t te Description of Work ' 1 PP1ialot 64);4(do„0 Mgve_?bAk koov k,k ev\ (crWlgclEli Multi-Family Bldg _ Y ? N Fireplace(s) & 0 _ 1 _ 2 neW 5 c5; 4' ?b t Property Owner Oh+\ 0?-/S1J'esS r Telephone#(6<1 ) ?40S-09%1 Contractor O W V\ e G vv Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) • Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( ) Mechanical Contractor Telephone #( ) Sewer/Water Contractor Telephone #( ) L u MAY 0 5 2003 I hereby apply for a Residential Building Permit and acknowledge that the in ation is complet ccurate; that the work will be in conformance with the ordinances and codes of the v of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicatioh for a permitsd- o without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and proval of plans. d (. ?lGSrvt'SS 6?,r-? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N X 25 Miscellaneous Work Types ? 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 ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ?On;> Occupancy A 3 MC/ES System Census Code !rl`34 Zoning A-/ City Water SAC Units ' Stories - Booster Pump Nbr. of Units Sq. Ft. - PRV 1 Nbr. of Bldgs - Length Fire Sprinklered r- Type of Const _ Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. - Footings (addition) Plumbing - Foundation y? HVAC - Drain Tile Other Roof _ Ice & Water Frami _ Final Pool _ Ftgs _ Air/Gas Tests _ Final ng Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ _ Windows (new/replacement) ,f' Insulation _ Retaining Wall ------------- - Approved By Building Inspector - ----------------------- Base Fee ------------------- -- --- ?j/ ----------------------------------- ------- ------------- ------------------------------ Surcharge `7. SC7 Plan Review ((p 3 . MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total y a a . v c? PLUMBING (RESIDENTIAL) Permit Application _ 17Ct City Of Eagan J 1 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Dated / o!5 / D 3 Site Address 432t %1INAOw C1 N?u°i Unit# 1 n Property Owner ?OlA Q l V3(,,9.5.5 Telephone # ??+ ) cios "'0 1 Contractor Address City State Zip Telephone # ( ) The Applicant is Owner J Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter 'd needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener _ Water heater $ 15.00 _ replacement _ additional $ .50 State Surcharge Total $ ,©C7 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 th ork w 11 be in accordance with the ?p\)provefd plan in n/the case of work which requires a review and approval o lens. Applicant's Printed Name pplican 's Signature PERMIT CITY-?;CE EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 033213 09/10/98 SITE ADDRESS: 4321 DIAMOND OR LOT- 26 BLOCK: 6 CEDAR GROVE #4 P.I.N.: 10-16703-260-06 DESCRIPTION: T.O. & REROOF Bp4l!D g,_Permit Type STORM DAMAGE ,gFWi1'ding, Vgrk Type REPAIR rt"S Ctld;?, 434 ALT. RESIDENTIAL K' rw G a a. 5'w r' ..,,x &i Llt IE g lfO Sff (y4 °x 3x'.` 3S vft A T R "'ui as 7saa aieR.,. nqa aij nr 3i^_t?'f-wsrt .,,t 14b H'iai.i li a? t REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: ADDED VALUE EXTERIORS INC 14539177 20098419 GIBSON JOHN 7 SIGNAL HILLS 4321 DIAMOND DR W ST PAUL MN 55118 EAGAN MN 55122 (612) 453-9177 (651) i:' ?f1tY4, CT,e.3:. Mn. 4 6-? l-46 SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN q 3830 PILOT KNOB ;RD • 55122 `1_ (6 - t 9' New Construction Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations • 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: 2-10 - 9 DESC?RIPPT N OF WORK:-F?.z., 0[x/4 STREET ADDRESS: ?? a II T Lc,- r Remodel/Repair Requirements • 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions `Y CONSTRUCTION COST; SSScxD 22 LOT: to BLOCK: SUBD./P.I.D. #: 4nJ v 6 Y U J? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: (; f bs;?- k ? Phone #: Last First // Street Address: L{ 3 a- t L) tCz,- I ?Jl'?L b . City % 0-- State: 1?b ??L Zip: S I Z Z- Company: A,60t-_ f- L?ttLCe 2 C yC+avrc?`i ? Pho Street Address / ?y r Ci X_ State: s City ? St ? r Company: Phone #: Registration #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: s?,(/ if Zip: Penalty applies when address Chang I hereby acknowledge that I have read this application and state that the inform ti on is r?ct ar agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. 1 Signature of Applicant: ` OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required State: ne #: `t--s':3 ? I ? ) 1119 C? L License# 3oc, /OT 1n 7 AAR?w 1 3? ---? -X/d - a =?? T -? -- - - - I I - I MASTER CARD 0 LOCATION OWNER (i4/ /IA M icy "S STRUCTURE AND ww•?C ?? LAND USED AS I`/K Permit No. Issued Issued To Contractor Owner BUILDING Iva it PLUMBING CESSPOOL - SEPTIC TANK WELL I ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ` OTHER OTHER • 7 Items Approved (Initial) Date Remarks Distance From Well FGOTING ;? SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 1 0 o 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 S70,66 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cod of Survey Rood _ y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rood _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if onaRe septic system On-site Septic: System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date / G'< ( Site Address L( 2j o2? !> CU\" 4 C}CO Construction Cost 2 1 Z)r,. Unit/Ste # Description of Work ?e De- _ Y _ N G'-Multi-Family Bldg Fireplace(s) _ 0 - I - 2 \ Property Owner 3,-4, 5 55 Telephone #(le(;-k) Contractor --..- Address State City Zip Telephone # (- -- ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Category 1 Residential Ventilation Category 1 Worksheet (q submission type) Submitted Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING I S,il lniTd ? 1 PR LLB 1111 2 If so,, Telephone #( Telephone #( plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. 14, 0 SS Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (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 /q 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ( K 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation (9V` fl Occupancy MCES System Census Code 3 y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ _ Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. - Air Test _ Final Insulation REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing HVAC Other Pool _ Figs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: 1`2 -,Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?i ?r9 ? 4 -1 (0 2004 RESIDENTIAL BUILDING PERMIT APPLICATIONn _ >t a---v\ p?, City Of Eagan -? t' 3830 Pilot Knob Road, Eagan MN 55122 C) U Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions Tree Pres Plan Recd _Y -N. 2 copies of plan showing bear n& window saes; poured found design, etc. 1 site survey for addtions & decks Tree Pres Required _Y _N l set of Energy Calculations Addition- indicate ifonsda septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date/ (3 OL? Site Address LA 3,? Construction Cost \0,000, >r? Unit/Ste # Description of Work ?^ ?o dreec8?ty1 i f Multi-Family Bldg - Y 'LC N Fireplace(s) 0 - 1 - 2 1 1 Property Owner JO Nvl OYSt.52SS -7 ((oS O `?U? ??? I Telephone # Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING s 7672 Minnesota Rules 7670 Category 1 !?% Energ y Code Category . Residential Ventilation Category 1 Worksheet a ode Worksheet (J submission type) Submitted u • Energy Envelope Calculations Submitted , 1 3 Have you previously constructed a building in Eagan with a similar fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? _Y jam, N Telephone # ( Telephone # ( Telephone #( so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informati X 11,6 t- 14 ate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 ans. proval o6rls)?X?5 of ?\ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ® 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor _N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair ;3 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire B ldg) - Give PCA handout to applicant Valuation Occupancy R -3 MCES System Census Code / Zoning )? f City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V ?1 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 - Brick Fireplace _ R.I. -Air Test -Final Windows T? Insulation _ _ Retaining Wall .J Approved By:?/? ? ?A , Building Inspector --------- - ------ - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date y ? 3 Qvl Q ? y? VY- ? U it# . . - r ? Site Street Address n Tenant Name (if applicable) Previous Tenant Name Property Owner )Gl \ , Telephone # Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is Owner Contractor Other Work Type _ New Construction _ Underground Tank _ Install -Remove **see below ?C Interior improvement _ Install Piping - Processed -Gas Nature of Work: K)E'-" ? ?_ * When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground lank installation/removal 550.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ 50 ° - Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 f pla ts. .)00, ox-wesS Applicant's Printed Name pplicanfs Signature Approved By: , Inspector Date: [.,_ 13 e??( 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN $? r (o ?j?? O 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date L( 1 ['5 l UL? Site Street Address (4 3 7, J ? `a1 Unit # Property Owner V\ O f SJ Telephone# (?'() `GS-??? Contractor Address city ( ) Telephone # State Zip The Applicant is: )S1 Owner _ Contractor -Other Alterations to existing dwelling -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment _Water Turnaround (add $121`.00 if a 5/8" meter is required) Other: fn ?jp p e-PVC ?1 i $ 50.00 Water Softener Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $-5n I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap? JQI n 0 )CSNess Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160956 Date Issued:04/24/2020 Permit Category:ePermit Site Address: 4321 Diamond Dr Lot:26 Block: 6 Addition: Cedar Grove 4th PID:10-16703-06-260 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 T Oksness 4321 Diamond Dr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature