4254 Limestone DrCITY OF EAGAN Remarks Cedar ?- uV2 ann+liS1t10ri
Addition Cedar Grove #2 Lot 31 Bik 5 Parcei 10 16701 310 05
Owner 0 I%ir.A ^.: Street 4254 Limestone Bi, State F'agan,rN 55122
i
C f+," A (: x e
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. S 1985 1266.95 84,46 15 -
STREET RESTOR.
GRADING
SAN SEW TRUNK
? SEWER LATERAL 1972 130.Q0 2.1 2 pyya,
WATERMAIN
x' WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STOFM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT -
WATER CONN, n l1
BUILDING PEfi,
SAC
PARK
? EAG.AN TOWNSHIP No 651
? UI ING PERMIT
Owne , ...?? •.-!- ?.--- ... v- -., . . -- -- - °--- ? _? _ _ . - Eagan Tawnship
Address (presen .:%1... ...... '
¢ ...... ...s ---- --r -. •-•.:: - -?--°`- Town Hall
Builder --------- :...-°---?l.c.-?-
-?--._:....... - --- -................
1?'_._ -?.-- ? -- - - -
Address Dao//?
--------------------------
DESCRIBTION
5tories To Be Us
d For
e Fron! DepYh Heigh! Es3. Cos! Permi! Fee Remarks ,
/
? ? ? . . -..
LOCATtON I
Street, Road or oiher Description of Location I Lo!
? Elock
.
r Addition or Trac2 _
. . . ?f_i/ti?•,? ?IXJ ? Z.4?.`f-L/1?? `(PThis permit does not aulhorize the use of stree;s, roads, alleys or sidewalks nor does i3 give the owner or his ageni.
the right fo create any situation which is a nuisance or which presenis a hazard io the healfh, safeiy, convenience and
general welfare Yo anyone in the cpmmuniip. . ..
THIS PERMIT MUST B?.r PT TH ILE THE WORK IS IN PROGRESS.?
This is !o ceriify, thp ?v..-?? --haspermission !o ereci ....upon
l ?
the above described remise sub]. _.f'ecY to the proV?isians of the Building rdinance for Ea n p adopSed April 11,
1955. ?.
------------- -- - - - - -....... -.- - Per
. _ _ -_/-----°
Chairman of Town Board B ng Inspeclor
EACAN T01iVRl SH I P
BIJILD1NG PERMIT
L, .... .......... ------.....
Owner _?i?-?.....?:.-- --°_°- • -- - °-
Address (Preseni) •-• l-----°------° ° `--°--... - - - ---? i
Builder ---.- . °-- --- - ••---=/f..... --??-...................
\- Address .......- ...... _
DESCRIPTION
1030
Eagan Township
Town Hall
Da3e ... ?f l 4.1..?
53ories To Be Used For Froni De fh Hei hf
g Est. Cos3 Permi! Fee Remarks
??/l d-f/ o?e eZ? I ???"° I
LOCATION
Sireef, Road or other DescxipYfon of Location I Lo! I Block I addinon or '1'reci
1. 3l s C ,G. ?
This permi3 does noi authoriae the use of sYreeYs, roads, alleps or sidewalks nor does ii give fhe owner or his agenf
the righi to cceate aay siYuation which is a nuisance or which presenis a hazard io ihe health, safety, convenience and
general welfare !o anyone in fhe community.
THIS PERMIT MUST BEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. .
This is fo eerfify, that d..1c/_-.-• =------------------has permission !o exect a---- ------ ..---- -- -."?- ••------_-•- -.........._upon
!he above described premise subject io the provisions of the Building Ordinance f Eansh p adopled April 11.
1955.
---.-°---°•°-°----..Koe-!L1..----i'----..••-"`r'"--°-----•----... Per ?-c ?w ?---..,...----?
-°-....----'---° •-- -uJ...-•• -----------• •-..-/-••---- _------•_•-•_
Chaizman of Town Soard Building Inspector
? . ?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-P
New ConsUuction Reouiremenis RemodeVReoair Reauirements
3 registered site surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copies M plan ffiq?-
2 (20% maximum lot coverage allowed) 1 set of Energy Calculatlons for heated additlons copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey tor additions
& decks 1 set of Energy CalculaUons Add'Non - indlcate if on-sRe septic system '
3 copies of Tree Preserva6on Plan if lot platted after 711193 T
Rim Joist Deteil Options selection shcet (bldgs with 3 or less units
Date 15 / b Construction Cost ?v v v
Site Address 1, 1 M??0 C ?. , UniUSte #
Description of Work? ? QiV) l A D Qtt ?/J I rjA V`U V.YD ??
D:ul.S-Family $]dg _ Y N Fireplace(s) _ Q _ 1 _ 2
Property Owner U) 4Yl. Telephone # (? ? ) ?°? 3
Contractor &"-AT Vjj /J 00--tJ ? J ??) A) 6
Address City
State Zip Telephone # (?jSa ? r ?3 y
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1 _
(J submission type) • Residential ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor .
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I ?D
I hereby apply for a Residential Building Pernut and acknowledge that the information ??orn lete andMa ?ra ;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?? m I ?ez &n-,?? ?-
Applicant's Printed Name Applican s gnature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Woricsheet
Submitted
N If so, 25% plan review
i CITY USE ONLY r
L 3L BL C-7) RECEIPT #:
' SUBO. Ge?ar GroJ.e, RECEIPT DATE: I^?-0(1
PERMIT # 7) q a g?
1999 PLUM$INfi PEftMiT (RESIDENTIAL)
CPfY OF ERfiRN
3830 Pu.oT xxos [tn
f146AN, MN 55122
(651)6$1-4675
Please complete for: ?<:jingle fam??dwellings- - }
, ? iwnhomes and conaos`vahen permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x _ $
Floor drain 3.00 x-- _ $
Gas i in outlet * minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under wnstruction 5.00 x = $
Water softener if existin dwellin 30.00 x = $ o t7o
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> --..> $ : o.
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this appliq6on, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYS responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilitles constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: y25-4 L-1 .m 9221
OWNER NAME: : :'ra,yrcs 1410_ eSolu TELEPHONE #: ? ?.5? -,Rl?
(AREA CODE)
INSTALLER NAME: TELEPHONE #: G,/Z 75g-°'z72W
STREET ADDRESS: 7za -//,[e ?h ?l??r_ ?:/f ?, (AREA CODE)
CITY: STATE: ZIP: -?0?D_5
SIGNATURE OF PERMITT
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
f ..
' CITY OF EAGAN
3830 PILOT KNOB RD - 55122 p-99
L 651-681-4675
New Conshvclion Reauirements Remodei/Renair ReauiremeMs
? 3 registered sRe surveys showing sq, ff. of lot, aq. fl. of house 2 copies of plan .
and all roofed areas (20r°6 maximum loi eoveraae allowedJ 1 set oF energy calculations tor heated addRions
? 2 eopies of plans (show beam & window sizes; poured fnd. design; etc.) 1 sRe survey for exterior addRions 3 decks
? 1 set of energy calculations
? 3 copies of hee preservation pian H l01 plaMed aRer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 'ezow?" 'A°PW'YW J?i?/< ,DAI!?n?Gr
STREET ADDRESS: .Zitaae,£ 9
LOT: :3 l BLOCK: ? SUBD./P.I.D. #: CC&G- f C, ? o 'J <--(4 -D-'
Name:_ Phone #:
PROPERTY Last First
OWNER
Street Address: '/3 ?'!? 1?171?????? ???? ?
City £?104? State: Zip: SXl3-7-
Company: f?I.'? <f ;x'F? Phone #: - 3??y.3?dZ---'
(area code)
GONTRACTOR
SheetAddress:;D,7 ?i/"? ???? license# --;271,1' Exp. ?
City ??A11) State: l,?l? Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stree"t Address: Registration #:
City
State:
Zip:
Sewer 8 water Iicensed plumber lreauired for new construction onivl:
Pertalty applies when address change and lot change is requesFed once permH (s issued.
I hereby acknowiedge that I have read thls applicaHon, sfate that the Information is correcf, and agree comply with all applicabl
State M Minnesota Statutes and City of Eagan Ordlnances.
Signature of Applicanr
OFFICE USE ONLY ?
li
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not Requked, •, .? _.-_.. ---
- - - ?
CITY USE ONLY
G , 2
LOT ? BL 'J RECEIPT #:
SUBD. RECEIPT DATE: 10
?? f 1
MECHAIVICAL PERMIT #
1999 MEcHAvicAr. PERMrr (REsinErrrIAw
C17'Y OF £AfiAN
S$SO PILOT KNOB gD
EAfiAN MN 55122
Date: (651) 6$1-4675
Complete this secrion onlv if you are installing HVAC in a single family dwelling, townhome or condo under
consh-uction and not owner /occunied.
• HVAC: 0-100 M B T U
' T 4 F T,Tf 7
t11J1J11iVLVtiL .?(! lYi D1 V
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
nn
J.tiV
State Surcharge .50
Total $
Complete this section oe:lv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New X Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
X Furnace
Air exchanger
? Air conditioning
Other
$ 30A0
State Surcharge ?
Minimum Total Due
SITEADDRESS:_Wtg•15L IMC_.L3IU! iP1 I_)r•
OWNERNAME: J1ril-I T 1IC-PHONE#: (051 -q5L''r Q!?a3
INSTALLER NAME: ? /LKJUI'WS I WC? ?J?1 ' PHONE?A CI(D o? 1,I L7
2aY?(.'?1r1`?Cy?l(/?,?'?? (AREA CODE)
STREETADDRESS: ?-CfY?. .
CITY:
STATE: ZIP: -':?>5Io-
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4254 Limestone Dr
Lot: 31 Block: 5
PID:10- 16701 - 310 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Addition: Cedar Grove 2nd
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124 -0000
(952) 891 -1919
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
James R Hickson
4254 Limestone Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA084065
07/07/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116043
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 4254 Limestone Dr
Lot:31 Block: 5 Addition: Cedar Grove 2nd
PID:10-16701-05-310
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
James R Hickson
4254 Limestone Dr
Eagan MN 55122
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140941
Date Issued:02/01/2017
Permit Category:ePermit
Site Address: 4254 Limestone Dr
Lot:31 Block: 5 Addition: Cedar Grove 2nd
PID:10-16701-05-310
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
James R Hickson
4254 Limestone Dr
Eagan MN 55122
(651) 454-8963
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145300
Date Issued:09/01/2017
Permit Category:ePermit
Site Address: 4254 Limestone Dr
Lot:31 Block: 5 Addition: Cedar Grove 2nd
PID:10-16701-05-310
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.
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 -
James R Hickson
4254 Limestone Dr
Eagan MN 55122
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
• :E;.C: .: VED
DEC 16 2019 CC
For Office Use
95i
t ,t.V; r�, 2
• is-114
".rr 01 KNOB ROAD EACAN MN
M
�,, -i. a3�"�'.`; 't1.-' ,a2,ft71 .^�-T. '. FAX aiatl ....,...._._.. I
Pa(14 in
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A L.j d_Le __ °,. _._ Site Address ,",..42,-C.,:/1-4 1 t j ChtA, �._')"/-1 Unit#:
Name } 5 •' }` J
Resident'
Owner :f.. ess a l Fa, � t1}
Type of Work
rk �.,,r;ar. „f_ i � ! . _ k <% I l 1—L--1 _. '' a..1
z,..0 T.-Wt.'v
Contractor
siatt,_ 1,, i 2-30 L-11'211,- • • a 'r
y 0 • •
License a. 4 .._�;_._. Lead Certificate 4 z/"G r
if the orolect is exempt from lead certification please exit ale why
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?
Ye: No if yeis date ar-d atiJrc__. _ nlaasta.rvia!'
Licensed Plumber: -._w... Phone
Mechanical Contractor: _..___. Phone:
Sewer&Water Contractor; Phonc>
Fire Suppression Contractor: Phone.
NOT ;Plans and supporting documents that you submit are considered to ce public information. Portions of the information may be
classified as nonpublic if you provide specific mesons Chet wood permit Me City to conclude that they are trade secrets..
You may subscribe to receive an electronics notification from the City of tiroposed ordinances by signing up for an email update on the Cay"s
website ata
Exterior work authorized by a building permit issued in accordance with#tier Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG, t ac Gopher State One Cali at(551)454-0002 dir iiSecr,-rr„aW. 4
.rx:I to(fig ..;ccs aa-.at.. �.:'ar'sIe,. ad,a ..p>ti_ ...
.,.i r .,t:- n'mat way .I.s s....r C ;opix . a -:3r tr' ;�i' dr,r,w.-.,F xf ,r., ., ., . ;` tY
r,i.LI a. Sidd .i' ' ba';t i-`.7; .3r, + t j:5i r - 0Ii lad fo..i1 e,,ri,
• .3rdra r...,F t.r. 7I>pri7`.+ii.,.;r:;ra V C ' a',i ' u},.i.f 'c.l.,t, w .. :"Ap ,u,al ,a r:Bnx
App• iicant s Pouted Narnr "_._. Applicants Signatote
DO NOT WRITE BELOW THIS LINE ' / S'/ X ,`niesfri€ 4( 4 /5-,s--) /
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
7 Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation U(2.0 Occupancy p‘,/j1, MCES System
Plan Review Code Edition WO 01 SAC Units
(25%_ 100% 10 Zoning —14— City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings (Addition) VFinal I No C.O. Required
Foundation Foundation Before Backfill I) HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final �` Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
X Insulation Windows
Sheathing Retaining Wall:_ Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ri, Building Inspector
RESIDENTIAL FEES VV
Base Fee ..�
Surcharge 6
`T/ �f
Plan Review '"1 ,
�`
MCES SAC til "i�sif
1 f;
City SAC r
Utility Connection Charge
SSW Permit&Surcharge A
Treatment Plant d
17 0-0
Radio Meter Read , ,0/1 2
Copies f` L:
TOTAL i ill
Page 2 of 3
r For Office Use
::::: Z"
%.,,,,,,:k 1,,,,,,,,, E AG A N
...c,
...........=.:,.....,
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:
buildinainspectionsAcitvofeagan.com J
2020 RESIDENTIALPLUMBING PERMIT APPLICATION
Date:G -- c ;Site Address: 471-5-771 .4/A/5 s 7Lo"'d�
Tenant: / Suite#:
ti Name: at- / 5 e 1A'J5/C� Phone: �� 029 Ct--76
Resildent/Owner . /
Address/City/Zip: dled" reli Le/A/2=5 4,fre
Name: 11 P6 j '1.---(-7
`� License#: r 7�s b'S
Contraptor Address: /r9-/ -5u f- 1-41- - -- City: e� .
State: Mme_ Zip: Phone: ['l d' '477d2/_ c-1/?79..2-
Contact:
1 ?79..2-Contact: Email: 4470("Q'!'t.C"7L- -7. 4./I
Type O Work —New _02eplacement _Repair _Rebu'd _Modify Space _Work in R.O.W.
Description of work: ieliellit � al fnueda--///1 b' (
Tankless Water Heater Lawn Irrigation(_RPZ/_PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/_Lower Level)
Description Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+ $290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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 no ification from the City of proposed ordinances by signing up for an email update on the City's
website at www.c1;ofea•an.com/subsc ',e.
I hereby ackno ••e that this informatio i omplete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I •-rstand this is not a 'e' it, but only an application for a permit, and work is not to start without a p it; that the work will be in
accordance wu,i e approved plan i e - e of work which requires a review and approval of plans.
.►�it / x e' en/L-7
Applicant's Pr' ted Name Applicant's Signature
Page 1 of 2
FOR OFFICE USE
• n
Reviewed By: Date:
Required Inspections: _Under Ground Rough-In ..._Air Test . _Gas Test _Final
Meter Related Items: Meter Size Radio Read x Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections(cr7citvofeaaan.com
Page 2 of 2 •