540 Lone Oak Rd..r ' r;. ., . .,.,,, ?... . .. .. . . . ; .
PERMIT q I'??? 7s
CONTRACT PRICE:
Site Address ' "'
Lot Block .2- ec Sub
Name
m
m Address
c Ciry - ? Phone ? ' `- '
Name " -
3 Address
4.
O _
City Phone ti?!?
FEES
COMM/INO FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT . RECEIPT p ?g L9 I
CITY OF EAGAN •- ?,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
•" BLDG. TYPE WORK OESCRIPTION
Res. New _
Mult. Add-on
Comm. Repair
Other
-RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TUTAL
-Water Closet - $3 00 S
_Bath Tubs - $100
_Lavatory - $3.00
_Shower-$3.00
_Kitchen Sink - $3.00
-Urinal/Bidet - 5100
_Laundry 7ray - $3.00
_Floor Drains - $1.50
-Water Heater - $1 50
_Whirlpool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
-Softener - $5.00
-Well - $10.00
?Private Disp. - $70.00
_Fiough Openings - $1.50
FEE:
STATE S/C: -
GRAND TOTAL: ' - ?
F-- -IgNF--
CITY OF EAGAN Remarks
Addition Section 12 Lot eik Parcel 10 01200 010 02
Owner - Street 540 Lone 021t Rd. State Eagan+nN 55121
%a?.:. n j F'.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOfl.
GRADING
SAN SEW TRUNK 1970 270.00 25 P21d
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1984 757.00 50.47 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
EUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
,B iLDING PERMIT
Ownex _ ....C----------- -- -_-?/"-' •••- /-- ------ --- -°---°--
Address (P?-° ???----°---
l
Buildes ................... -----........ -..............................................................
Address
DESCRIPTION
N° 541
Eagan Township
Town Hall
? ??
Date -- -°?'.4'a--7--?--??-?-?------°
SYOriea To Be Used For Fron3 Depth HeighY Est. Cos!
l Permi3 Fee Remar s
!K ?llI-1.??/(.r??-?f?i? ?
LOCATIGN
$lxeeY, Roadl6V o3her Descriptiu f Locaiion I Lo!
` ?• t'"'
? l
?
, Elock Addi3ion or Tr f
.
C o
r
/? }
? ??? ? J?- • ??
?
This permi3 does nt aufhorize the use,'of stxeels, roads, alleys or sidewalks nor does it give the owner or his egen3
the righ! !o create any siiuation which is a nuisance or which presen3s a hazard to the health, safety, convenience and
general welfare !o anyone in the communiip. r
THIS PERMIT MUST EP REMISE WHILE THE WORK IS IN PR E^?. ?
? ?
This is 3o cerfify. Yha!- •--.`._?-- -- - -- - - -...---_------._...has permission o erect ......•-_ -------------upon
the above dESCribed premise subjeci Yo the provisions of the Building rdinan or agan , ed April 11,
1955. ?
----- ......................°------ ---°-------- - ----------.....------......._. Pe .7------- - - ----- -------- ---
-• --- - ? - -- P ? --•• -
Chairman of Town Board Su m s i e.
L 7 BL o2 CITY USE ONLY RECEIPT
SUBD. /,d- DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: a - a 7 " ? (°
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL o(" ` S 0
SITE
,
OWNER NAME PHONE
INSTALLER NAME: A
STREET ADDRESS:
CITY:
PHONE #: (61d
STATE:
ZIP:
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