2289 Clark StBUILDING PERMIT
10333
Receipt ?
To M ?d fa Est. Value Oate 19
Site Addreas ' Erect ? Occupancy
Lot . ' 61ock ' ?c/Sub. Remodel ? Zoning
Repair ? Type of Con:t.
Percel No. Addition ? No. Stories
Move ? Length
W
Z Name Demolish ? Depth
3 Address
Int Im
r ?
S
F
b y p
. q,
t.
City Phone Install ?
o
Name Appro ralt FNs
?U Address Assessment Permit ?- -1 4.-`-' ?-
? City Phone Water a Sew. 5urcharge
? Poliu Plan Review
Name
WW
W Fin SAC
F
?,-? Elddresa Eny, Water Conn.
?W City Phone Plonner WaterMeter
Council Road Unit
I hercby ackrowledge thot I haw road this application ond state that gidy_ pff. Tr. PI.
the inlormotion is correct and ogree to comply with afl opplicoble A?
Stob of Minrxsoto Statutes and firy of Eagan Ordinonces.
• 'Var. Date Parks
Copies
Sfpnoturo of Pem+ittee T
?
otel
A BuHdinfl Permit Is issued to: on tM expreaf tondition thoo
all work shoH be dorw in occwdcnce with oll applimble Stote of Minne soro Stotute: ond City of Eopon Ordinonas.
Buildinp Offitiol '
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PH ON E: 454-81 a0
Pe.mk No. PKmk HoMw Dan Telephone ?F
Pfumbinq
H.VA.C.
EMetrie
8oftsm?
Irapsction Daa Insp• Othw
Footinys 1
Footinps II
Foundatfon
Fra?riny
RoofFng
Rouyh Plbg.
Rough Htg.
Insul.
Flrepiaco
Final Hty.
Flnal Plby.
Final
CorVOcc.
Watw Doscribe Loestion:
We11
Sswer
Pr: Disp.
CITY OF EAGAN Remarks
Addition RivPr ui lls 9tb Lot - 1 n etk 3 Parcel °?. ZO 64400 100 03
owner ?ldjl',? street -2289 Clark St state Eagan, M[J 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? a
* SEWER LATERAI "y
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
+! STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREETLIGHT 1980 .80 13.56 5 PAID C006539 9 26 79
WATER CONN. $rriSVl e 205.0 Rgr,
BUILDING PER.
SAC
PARK
J
ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i A V 1
I# 1%1 1? 14 f i I', 11 11
PERMIT SUBTYPE:
TYPE OF WORK:
, ..,
- - - ---- - ---- ------ ------- -- ------ --
PERMIT TYPE: ,,"; 1 "' ^''
Permit Number. 0 ? ?? fi Q
Date Issued: '" '' / to /"?
-§V'w- tw°' "' APPLICANT:
FH EiIUCK !
f I t F? i:' 1:3 - q;( .11
?: ,,,tt>r- ; J Pi OVv NC VTF W1 tl nv H ll I annmr,
Permlt Hoider Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
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
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
C11'Y of EAGAN
BUILDING PERMIT
Ownex ......... .......
..... ......" ................ .........................................?
. .
... .? 77 .= :,??-.
Addraes (Presen!)
---' .......... ......'-'.......... _... . ............. _...... _ r......
suilder .............. --•.-?-.
......................................................... ......................
Addreu ......
s in
N-0 3701
3795 Pilo! Knob Road
Eagan, Minnesofa 55122
454-8300
?- 7 - 7.r-
Dale ...............................
Slorias To Be Used For Front Depih 1!eight Ecf. Cos! Pesm!! Fea Romazks ?
1 /?.S-sc??
e7
Stseef, rioatl or oi ei Ue3eTlpI o 02 LaCaSion I LOS 131oCK Apolilotl os TfaC!
3
This pesmi2 doea not aulhorize llie use of sireeffi, zoads, alleps or sidewelks nor does iY glve !he ownas os hb agan!
!he xigh! !o eseate any silualion which is a nuisanee os which presenls a huerd !o !he health, safefy, canveaieaca and
ganeral welfaxe !a anyona in ihe communitp.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORR IS IN PROGAESS.
This is !o carlifY, !ha!-_?.)A.... k9 :C-............... .haspermission !o ereet a__.:..-___-.` -°..":`??y?`."' .............._upon
!he above described premise subjeeY !o !he pxovisions of all applicable Ordinances for !he Ci of Eagai'i.
_....._...._.....?..: ?_......_-'...---...' ............... Per .................................. ..........""
Mayor ? Suilding Impecloi
,Cof /o J?ka , R,verPilla 71=
CITY OF Fr3GAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 587
The City of Eagan hereby grants to Thompson Plumbina do.
of Minnetonka
a PLOAIDING Permit for: (Owner) Windsor Dev. Corc.
Cark ,
a,y?,-E ?3a?-' -:14 ? pursuant to application dated t_'°
Fee Paid: 580.00 dated this day of a, r_ ? ?9 ?S •
2.00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 717
The City of Eagan hereby grants to itav N. Welter Heatina Co.
of 4637 Chicago Ave. So.
g HEATING - Pexmit for: (Owner) Windsor nev. Corp.
at 2289 Clark St. , pursu2nt to application dated 8/12/75
Fee Paid: $20.00 dated this 14 day of Auq. , 19 75 .
.50 s/c
Building Inspector
Mechanical Permits:
Bid Totala
?
t
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Nlinnesota 55122
PERNLIT N0. • 771
The City of Eagan hereby grants to _RAy N i rPr HPAtiY1(J
of
a nru rnxmFermit for: (Owner) , w n ?r
at 27gQ riArr s*-_ ? pursuant to application dated 1742474
Fee Paid: ?_ nn dated this i n day of n..,, , 19 7S .
.50 s/c
Building Inspeetor
Mechanical Permits:
Bid Total:
' CITY OF EAGAN N a 10 3 3 9
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt
Te M uwd Fer DECK _Ed. VaWe $750 pO1e JUNE 4 . 19 85
SiteAddrex 2289 CLARK ST Erect ?X Occupenty
Lot 1 Block 3 Sec/Sub. _$IVER HILLS 9TH Remodel ? Zoninq
Parcel No Repair ? Type of Conct.
. Addkion ? No. Storia
TERRY TEBOCKHORST
Na`^e Move ? Langth
W
;
SAME Demolish ? papth
Atldress Int Impr. ? Sq. Ft.
b City Phone 894-5460 Instell ?
o $AME AVVrorab F*as
Nmne $
$u Address Assessmenf 14 _ SO
Permit
? City Phone Water 8 Sew. Surcharge _ 50
t Police Plen Review
W Name Flro SAC
4?
'Q Address
Enp.
WeterCona
<W
w
City Phone
Plonner
WatBrMeter
Countil Roed UnR
1 here6y ccknowledge thot I hove read this applicotion and stata ihaf gldg. Off. Tr. PI.
fM inlormution is CorreA and ogree to comply with all applicoble
Stota of Minrxsoto Statutghand iry of Eogan " anc . A? Parks
? Dete Copies
Siprwturo of Permittea $15.00
TFRRY TEBOCKHORST
A Building Dermit Is issued to: rotal
on the axpreo Conditlon Ihoi
oll work shall be done in accordonce with a licobla St o Sfatufes and Ciy o5 EoOOn Ordinorxes.
Buildirq Off{dol "?Q ? ?
--
vaLAcE oF EacaN WATER SERVICE PERMIT
379.5_pilot Knab Road 1786
Eagan, MN 55122 DATE: pERMIT NO.: 8/5
_ /75
Zoning; ?
No. of Uni[s: _L.
Address:
Site qd ess: 22@y C1ark ct
,
Plumber: -MOlli184n nupblna Co
Merer No.L-,;?7 ?Z-4Lu
Size
P
-fIz Lonnection Charge:205.00 Dd
:
,
? ? X
Reader No.:
Account Deposih
I fo eomply with tAe Villo9a of fa an
? a
6
i 10.00 pd
Su charFee:
R .50 pd
r
n ncas. ?
Misa Charges: 60. _ 00 IDet@Y
Total:
$Y D
Date of Insp,; ate Paid:
Insp.; _
VILLAOE OF EAp4N SEWER SERVICE PERMIT
3795 Piloi Knob Road
Eo9on, MN 55121 PERMIT NO.: 2547
Zoning: Rl DATE: 8/S/75
Owner: Win.icnr
Tlo p7y?m No. of Units: 1
t
Address:
Site Addreas: 778
Plumber: Thompson P11IDI133n4
I °9ree' ro eompr whh ths Villoga of Ea gon Connec[ion Charge: 425 00 Pd
Ordinonea,.
Account Deposih
Permit Fee: 10.00 pd
BY? Surchazge: • 50 pd
Date of Insp.: Misa Charges:
Inap.: Total:
Date Paid:
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CON?RACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIO S
To B
U
d F
? non
1S
e
se
or:
Valuation: Ci Date: i S
Site Address: J,7L- OFFICE USE ONLY
z??
?3
Lot: Block
Sect/Su Erect Occupancy
? Remodel 2oning
Parcel II Repair Type of Const
??- Enlarge 11 of Stories
Owner ?/z&t? e 16FZe?/a./jf'J Move Length
Demolish Depth
Address ZZgq clk'ae,e S''c._ Grade _ Sq Ft
CitY/Z1p Code 111A)9Z)2_Z ------------ -----------------------
Phone SW - APPROYALS
Contractor Se/-t Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Parks
Arch./Engr. APC Treatment P1
Variance
Address TpTpi,
City/Zip Code
Phone 0
(? ct tc, v? ?? 1 Pr /v - -- - ----
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SOUTHWEST STATE BANK
Fadzi;
7600 Parklawn Avenue • Pentagon Office Park, Edina, Minnesota 55435
612193fr98Btl ?
8?31 -G &CG
April 25, 1975
Dakota County Treasurer
Hastings; Minnesota 55033
a?
Re: Lot 2,3,4, and 1, Block 3? and Lots 14 and 15,
Block 4, all in $y??Ar u;11c 9+h Add• „
Dear Sir:
Enclosed is our Bank Money Order in the amount of
$13,181.10 as payment in full of the special assess-
ments against the above property.
Please send us a receipt for same.
Yours truly,
Irene Hufnag?e ?
Mortgage Loan Dept.
Enc.
APR 1915
,_
?
MASTER CARD
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING .?_?_?
J ? . u ?t hdr?r
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
?
HEATING
GAS INSTALLING 7l? ?,!?17•?} I/vel?t'1/
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance from Well
FOOTWG _ r SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELI
GAS INSTALLqTION
SEP71C TANK
CESSPOOL
DRAINFIELD
PLUMBWG
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
OWNER ??df+e )/ 42-Oay
PERMIT
CITY OF EAGAN
3830 PilotKnob Road
EaQan, Nlinnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE: B U I L D I N G
PermitNumber: 033289
Date Issued: 09 / 18 ( 9 S
zzas r,LaRK sT
LOT: 10 BLOCKa 3
RIVER HILLS 9l'H
P.I.N.: 10-64400-100-03
DESCRIPTION:
13011di.tHj;7, Permit T.YPe
?uild5.og Wp?rk Type
ensus ?atl6_ t-
?
si' wisa
a ?
ei" fvHItmr_
?
s
y.
{na'4%?a?
?,
p . - tp"'R5 wA4"
li
?1 e3'
DECK
NEW
434 ALT. RESIpEN7IAL
U aiRUi
?gac 5?i z? ?a:, ??
m. iv ixt i'i°a wn g 5
REMARKS:
PLAN REVIEWED BY BTLL flDAMS.
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
CONTRACTOR:
1
hereby acknawled'i
`:infarrciat?an is ?vr'i
.<<St?tutes=?r?d-:Ca.t,y;'+
$50.00
$50.50
OWNER: - Applicant -
QUSNN MEGHAN
2289 CLARK ST
EAGAN MN 55122
(715)273-4331
, . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PII.OT KNOB RD - 68122
681.4675
New Conshuttion Reauirements RemodeUReoair Requirements (?%-R-PX Q'?? 99
? 3 registered site suneys ? 2 eopies oi plan -
• 2 copies of plans (inUude bcam 6 window sizes; poured fid. design; etc.) ? 2 ske surveys (exlerior add'Rions 8 Eecks) T
? 1 energy wlwlations ? 7 enargy calwlations tor heated addkions
? 3 eopies of tree Dresenation plan N bt platted aRer 711/93
required: _ Yes _ No
DATE: SUPrEtA-&-S`R- a*'" t`ta 8 CONSTRUCTION COST; S?FDD'=
DESCRIPTION OF WORK: ut4) btcK QA?gT?UG't?o?
STftEET ADDRESS: 2-Zgq G1,4-V-- sT.
LOT: 10 BLOCK: 3 SUBD./P.I.D.#: R-IUEI-4ILL-S 00--Ad17tT1O\)
Name: Q U I N rJ k,tZ ttl4i`l Phona #: 8°I O. ro j9 2-
Latt Fust
-l?S/ ?a?3- `+331 Cw
PROPERTY
OWNER
StreetAddress: 2-'a"gOt GO.A{LFL- 1s:T-
City CA&AtJ State: htiN'J Zip: ?512-2---
- FW 0?J
CONTRACTOR
ARCHITEC7'/
ENGINEER
Street Address: ?t ET?
CiTy Cu-6.d3pfL'C
/
Company:
State:
License #
Phone #:
Name: Registration #:
Street
City
State:
Zip: 9?D 1 t
Zip:
Sewer & water licensed piumber (new conshuction only): . Penalty appiies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is coRect and agree to comply with all applipbl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Z- Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? OS 8-piex
? 04 SF Porcfi ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
9 31 New ? 33 Alterations
0"'32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
ilBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
O 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
APPROVALS
Planning
Building
16 Basement Finish
17 .Swim Pooi
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
• Census Bldg
Census Unit
Engineering Variance
?
d
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatmen! PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units -
E 36
85'
102'
T 17'
22 ? /2' ?
?
22'x22' Deck
House
148'
148'
Garage
Driveway
2289 Clar
n
?
z
0
Q?nnn w
Qp ?
?
CS
?nIU (?I L
[..? V
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirenbents
• 3 registered site surveys showing sq. R. of lol, sq. ft. o( house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found desgn, NcJ
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted afler 7l1193
• Rim Joist Defail Optiofx selection sheet {Wdgs with 3 or less unils)
DATE / r 9- o a
SITE ADDRESS
TYPE OF WORK_
APPLICANT_
STREET ADDRESS
iElEPHflNE A
ATCZIP SvZ_3
PROPERTYOWNER ?.EqA/L U/?A'11?I2 TELEPHONE#
------------------- ----------------------------- ----------------- --------------- ..............
COMPLETE THIS SECTION FOR °NEW" RESIDENTI'AL BUILDINGS ONLY
Energy Code Category _MINNESOTA RULES 7670 CA"1'r:GORY 1 MINNESOTA RLZES 7672
submission type) . Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submittetl
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
iblechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery 5ystem
MULTI-FAMILY BLDG _Y
_ N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fee: $90.00
ree: $70.00
-------------------°------------...--------°-----°---------------------°°------------------°---------•-----------°-
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 Or k i
Signature of
OFFICE USE ONLY
_ Water Softener
_ Water Heater
No. of Balhs
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
q `t .?-5
RemodellReuair Reauiremenh
. 2 copies of pian
. 1 set of Energy Calculations for heated additions
• 1 site survey for exfenor addNOns & decks
. Indicafe rf home serred by septic system far addNais
VALUATION ?+J g7 O ' b ?)
-?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Re?vired--_
Updaled 4/02
?50,6D
? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when peimits aze required for each unit
Date Ll/ / 0 / (/'5
2M `? 0/1(
ly F"1 S?
Si
Add i
#
,
.
te
ress- Un
t
Property Owner R(/ beV ?U inc, ! V Y I TelepLone #( /?? ()
Contractor
-------- --_
"`?--- ---
?
----
__--- -- --
??(
Y=
--
StreM Address OI?LJ
N- Cit :
BWV ?' 1s ?/' I Il
/
V t
y ,
State Zip Telephone # ? ) /( W
Bond #:"I ?,? ? x l) ?- Expires:
The AppGcant is _ Owner ? Contractor _ Other
Add-on or alteration to esistiug dweRing unit $ 30.00
furnace _Additional _Replacemerrt
air exchanger
air conditioner New Replacement
? otner CU?
State Surcharge $ 50
T
l ?? • ??
ota $
I hereby apply for a Residential Mechanical Pemut and aclaiowledge that the information is comple[e and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pernmt, and work is no[ lo start without a permit that the work will be in accordance with the
approved 1 in the case of work which requires a review and approval of plans.
? m ?nV? I I? ??z'adw . .
Applicant'sPrintedName A? ant'sSigna re r,' ??? ? . I
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105870
Date Issued: 08/01/2012
Permit Category: ePermit
Site Address: 2289 Clark St
Lot: 10 Block: 3 Addition: River Hills 9th
PID: 10-64400-03-100
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Twin City Roofing Construction Specialis Kyaw S Aung
72 Ivy Ave W 2289 Clark St
St Paul MN 55117 Eagan MN 55122
(651) 636-9640
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.
Applicant/Permitee: Signature Issued By: Signature
1
For Office Use
#M ° �# Permit#: //77 S-21
E AGA N
Permit Fee:
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:
buildinginspectionsc cityofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/24/2018 Site Address: 2289 Clark Street, Eagan, MN 55122
Tenant: Suite#:
Resident/Owner
Name: Kyaw Aung Phone: 651-261-6953
Address/City/Zip: 2289 Clark St, Eagan, MN 55122
Name: Genz Ryan License#: PC643433
2200 W Hw 13 Burnsville
Contractor Address: Y City:
MN55337 952-767-1000
State: Zip: Phone:
Contact: Amanda Email: grscheduling@genzryan.com
New Replacement Repair Rebuild Modify Space Work in R.O.W.
Type of Work — —
AddedI in to sumpum
E 3 Description of work: p p g pump
RESIDENTIAL
1 1
Water Heater
Water Softener
( Lawn Irrigation ( RPZ/—PVB)
Permit Type
Septic System Add Plumbing Fixtures( Main/—Lower Level)
New Water Turnaround
Abandonment
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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
"Water Turnaround (add $280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
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.citvofeaqan.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 fora 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. Digitally signed by Amanda Connor
/'+ Amanda Connor °"`°=Amanda°°°°°`.°,°°.
Amanda Connor email=amandac@inspirafiondesigncenter com
,'c=US
x Date:2018.05.24 16:12:05-05'00'
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test GasTest 'Final
Meter Related Items: Meter Size Radio Read Manometer Staff: