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4295 Lodgepole DrCITYOFEAGAN Remarks WtY' & SE?nT COri. d, on 6-8-71 Addition Evergreen Park Lot 20 Blk 1 Parcel 10 2 880 200 01 Owner i?`)(li,()U!c I:LIigtreet 4295 lodgepole Dr. Stace Eagan,rN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING ? SAN SEW TRUNK Z 1973 1 .00 8.75 20 SEWER LATERAL S 1 2 0 00 48,00 Paid WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 26 BUILDING PER. 2 62 SAC PARK CITY OF EAGAN ?Q a 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagen, MN 55121 7i?? ? PHONE: 454-8100 .. . . . ? ? BUILDING PERMIT Receipt# 7 gr-'r< a To be used for Est. Value 614•t Date Site Address < ? ; ? ,?•?": ?'°?+?- ?`? Lot Block Z Sec/Sub. 7t(? •'.i: Parcel No. c Name FUGB;:'W S,'U:etiN YAbIMRnX,k ; Address 42?`5 LOrGf:P(1LS DR ° City .:?'CA-H Phone 454.-1075 u` I Name $btLi"s"tt«E Ct'??SYi?vCT2ti6i I o ? Address 3729 ??'.''1' s.,tC)s ;'D 1,- City f ACAPhone 434-ss.?9 City Phone I hereby acknowledge ihat I have read this application and state that lhe information is correct and agree to comply wilh all applicable State ol Minnesota Statu[es and City of Eagan Ordinances. Signature of Permittee $14ft?r,t.`.`4'lRUCTIC:i A Building Permit is issued to:- L!? „c -_' _ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Sfatutes and City of Eagan Ordinances. 8uildingOfficial_______ _._______ _ OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (ACtual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Foo[print S.F. APPROVALS FEES Engr./ASSess. Permit tl..,i:9 Planner Surcharge Council Plan Review 109.eO Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks 3?9 00 TOTAL ' - Permit No. Permit Holder Data Telephone # Plt] mbin9 ?/,?(').? ` „n_?'Y??ccr??tr7_ ? 'y ? H.b.AC. ?? EI@CTfIC c-? Sokener Inspection Dets Insp. Comments Footings I R 8 S Footings II Foundation Framing Roofing Rough Pibg. ,? • Rough Htg. Isul. ^ ,cc Fireplace Final Htg. j ? Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. t PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 ? - Site Ad?ress ' Lot Block Sec/Sub r ?. ? Name d m Address ' - c Ciry Phone ` i Name c Address ' O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & 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) , . _.. . ,. . ._ r.. SIGNATURE OF PERMIT7EE fOR: CITY OF EAGAN PERMIT # 'RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on + Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Water Closet - $3,00 $ _Bath Tubs - $3.00 -Lavatory - $3.00 -Shower - $3.00 -Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 -Laundry Tray - $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. - $10.00 _Rough Openings - $1.50 ? ;. FEE: r i STATE S/C: -GRAND TOTAL: ' ' PERMIT # • . . MECHANICAL PERMIT RECEIPT # ?CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?1"'``` :ONTRACT PRIC : PHONE: 454-8100 Re A)dress , , ".- e Drive BLDG. Ty?PE WORK DESCRIPTION ot Block Sec/Sub T? Res. New t;, 7 t1 ;& 00 7 I7!7 WO Mult. Add-on ? Name Comm. Repair o Address ?acnary etne NO. H a;?^I e urove 493-2477 0?'? c Ciry ' ' Ph?te Name _ Address TYPE OF WORK Forced Air , Boiler Unit Heater Air Cond. Vent. Gas Piping?putlets # ML...? n Phone ?-'. I ? ' "' M BTU M BTU M BTU M BTU ? CFM , FEE ? S/C. TOTAL: FEES RES. HVAC 0-100 M BTU ? -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 7 PER PEkilAln - 1.50 EA. COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ? REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCkARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) r_ ... . „, . .. .. . ?.; ,,. .. , CITY OF EAGAN 19427 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PEjiMIT Receipt # ?,, D ,_1 To be used for E? & Est. Value Date 3p1- 1 gAnnig 6 , 1991- SiteAddress-A2QS LnnfiE!'W-F n= Lot 20 Block I- Sec/Sub. OFFICE USE ONLY Parcel No. occupancy _ Fees Zoning _ W Name FI? b??g v?j?42riR (ACtuap Const _ Bldg. Permit _??_ Address At2QS_(J?Qrrt,?-? nR (Allowable) - a City _p.ACAM PhOne Aub-1A7,11 # ot Stodes Surcharge .,? I Pl n R i Lengih -I& ev a ew a Name WES H?l1S0l1 atJIIDEn I[iC Depth snc ci f , y U Address g? PAM A1?S 8 S.F. Total - ¢ SAC, MCWCC ? City ?NG'1'QM Phone 8?3453 S.P. Footprinis _ On Sile Sewage Water Conn G W Name On Site Well Address - MwccSystem _ Waler Meter <W City Phone ciry waier _ '4cct.DeP°s't PRV Required _ S/VJ Permit I hereby acknowiege that I have read this application and state that the Booster Pump - SNJ Surcharge information is correct and agree to comply with all plicable State of Minnesota Stalutes a i ol gan inance D Treatment PI Signature of Permitee i ;eA AL APPROVALS Road Unil A Building Permit is issue WE$ HMMp ali1(oaR$ I Planner - park Ded. on the express condilion tha all work shall be done in accordance wilh all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies Building O(ficial Variance - TOTAL 60.50 . Permit No. Permil Holder Dats Talephone N WATER SEWER PLUMBING H.V.A.C. ELECTRIC ry??pc 8 ? ?1? dc? ? Inapeelion Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace - Cht 2 0,01L- S 6 r Final Htg. Orstat Test Final Pibg. Plbg. Inspector - Notily Plumber Const Meter . Engr./Plan Bldg. Final Deck Ftg. ?• /Q ,U Dedc Final Well Pr. Disp. No. CITY OF EAGAN 3795 Pilot Knob Read Eayae, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS June 19, le Dote: Receipt No.: Single Site Address: Residential Lot Block ? Sub/Sec. i Res., Comm./Ind. ? Name New/Alter./Repair . ? Address Cost of Installation City ? n Phone: Permit Fee Name ''''..r' irRl.le,y ? Surcharge ti770 C,,rj r g Address e fJ ? City Phone: Totol This Permit is issued on the express condition thnt all work shall be done in accordance wiTh all applicable State of Minnesoto Stetutes ond City of Engon Ordinonces. Buildinp Official Q/???r0/? ¢f y p- . ? EAGAN TOWNSHIP BUILDING PERMIT Owner ....... ----°--:,?.--°-----------------°----......-°-- Address (Presen!) ..... --?---i`C"`..:......-----..°--.....-°-----------° -°- Builder Add:esa DESCRIPTION N° 2462 Eagan Townahip Town Hall Date ...??--°...... . Siories To Be Used For Fron! Depth Heigh! Eal. Cos! Permi! Fee Remarka ? I I ? ?° I /v / .c-cit?- ?o? ? . LOCATION sireas, noaa or o:ner ueser4ps?on o: Locanon I Los I nIocs I naauion or 'i'sacf This permiL does no3 auShorize the use of st:eets, soads, alleys or sidewalka nor does it give the owaer or 6is agent the righ! !o create any situation which is a nuisance or which presen3s a hasard io the healfh, eafety, eoaveaience and general welfare !o anpone in the commuaity. THIS PERMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PAOGAE S. This is io certif-??- ............. - •••• •• - -• •--- • • •••-•-•._ y, !hal ..--°---------- ----------•...y has pexmission io erec3 a...... . . .. . . ...... . upon the above descsit?ed premise subjeet to the pxovisions of the Huildiag Ordinance for Eagaa ownship opted April 11, 1955. . ..............°----....__..:.•••-•• ••----._.....P.".`.:"5:?.?.... Per -°-°°°.-°--._/?"-?2`.-:...•••57....•-••---..-e?-?°?....:-•••••-••••..........__. Ch rmen of Tnwn Soard 6 4 Buildin Ins ector CITY OF EAGAN - - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?T ly? 15968 ?O//7 e BUILDING PERMIT PHONE: 454-8100 Receipt # / To be used for ADDITION Est. Value $24, 000 Date DEC 14 ,1988 Site Address 4295 LODGEPOLE DR Lot 20 Block 1 Sec/Sub. EVERGREEN PARK Parcel No oc Name EUGENE & JOANN V NOV RB KF 3 Address 4295 LODGEPO .E DR ° City F.p .AN Phone 454-1075 a Name BRUESTLE CONSTRUCTION O ?Q Address_ 3729 PILOT KAIOB RD ? City EAGAN Phone 4539 U W Name _ WW ?_ _? Address 4 W City _ I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? r?SignatureofPermittee A euilding Permit is issued ro:__ BRUESTLE CONSTRITM4N_ on the express condition that all work shall be done in accordance with all applicable State of Minnesota?yStatutes and City o( Eagan Ordinances. Building OHiciaL -?-t??-?? '-1 ^"'r'? On Site Sewage MWCC System On Site Well Ciry Water PRV Fiequired Booster Pump OFFICE USE ONLY - Occupancy APPROVALS Engr./Assess. _ Planner Council _ BIdg.OiL Variance Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEE5 Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL 21-a.-00 _1Q9 _ nn 3iY_OU TOt•7N OF EAGAN 3795 Pilot Knob Poad Eagan, Minnesota 55121 ???'??f??Yl PERMIT N0. 125 The Board of Supervisors hereby granes td.r. i?arre'.± ': San of 95?: I4??$i. '°,;nc:?nc?. St. ??nu1 55117 a 'LU.it -T ,-`. Permit for: (Owner) ?'i142n Cti,n:,tcuc: ion Co. at 429- S 4-Q45VALc-d•nn=a1r3 a'.r;.vn , pursuant eo application dated J•?sn,.?? .? ? 7 97^• s Fee Paid: s4i.[Ifi Dated this '! 3cii daq of 'un° , 1971 , Building Inspector ??? o / ToiaN oF Eacnrr 3795 Pilot Knob P.oad i Eagan, Minnesota 55121 ... .???/ PERPSIT 110. 120 The Board of Supervisora hereby grants to 4:lubbard df 99?2rth 3nollir? Ave.. St. :°evl 55104 a F:""ATi^:v Permit for: (Oamer) Tilsen CuTS truc?ion Clo, at _ 1437 n9?ct,m, ,};,?: j` `?.r?? ;. ??.?7 Lo e rsuant to application dated Juri- -: 15_ tg7L Fee Paid; _$Bp,Cp Dated thia Lfith day of 3un- ? 1971 Ij Building Inspectmr CITY OF EAGAN Np 19427 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,I BUILDING PEFi1MIT PHONE: 454-8100 Receipt #?- soZ DECK & Tobeusedfor gASEMENI FINISH Est.Value Date JUL 16 , ?g91 Site Address 4295 OD PO F DR Lot 20 Block 1 5ec/Sub. EVERGREEN PARK Parcel No. _ w Name FirF OANN VANOV RS KF ? Address 4295 LOD['EPOt.F DR 0 City EAGAN Phone 454-1075 _' Name WES HANSON BUILDERS INC 8? Address $900 PARK AVE S ? City BLOOMINGTON phone 888-3453 ? WW Name ?30 Address a W City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply wit all pplicable State of Minnesota Statules a y t, agan inance . Signamre ot Permitee A Building Permit is issue ? ES HANSON BUILDERS INC on the express condition thatall ?^1 work shall be done in accordance with all applicable Slale of Minnesota Statutes and City ol Eagan Ordinances. Building Official Occupancy Zoning (ACtuaq Const (Allowable) d or Stories Length Depth S.F. Total S.F. Footprints On Si1e Sewage on Site well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY - FEES 181 161 Bldg. Permit Surcharge Plan Review SAC. City SAC,MCWCC Water Conn Water Meler Acct. Deposit S/W Permit S/W Surcharge Treatmenl PI Road Unil Park Ded. Copies TOTAL 6n_nn .50 bO.SO This repuest void g? Si ?? 19 monlhrTrom 5 4 3 3 8 0 $,3l °-D Request Date ire No, RouPh-in Inspection Req ired? ?Ready NuwMWill Notity InsDec- ? ?yes ?No Lor When Ready ?Licensed Electriwl Contractor 1 hereby requast inspection ot above Owner electrical work insfalied at: Street Address. Boz or Rou No. CitY / ags Lo ? ? r. .Z??Q ecuon o. Townshi ame r No. Range No. CountU/ G7 ?C 0 Occuoant(PRINT) Phone No. r e Po Supplier Atldres5 Electrical Contractor o pany Ndmel (C Contractor's License No. ? ? B L/d J°'??U lsPC7?/C Mailing Address (Contractor or Ow er Making Inst ilat o / G7CtA'?ZS ? L'-° rU ? t7 Authorizj,id Sig ture ( ntr od w er Making Installation) Phonp N um ber / / MINNESOTA S7ATE B6ARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT Griggs-Midway Bldg. - Room N.791 BE ACCEPTED BY THE STA7E BOAND 1821 Universitv Ave.. St. Paul. MN 55104 UNIESS PROPEfl INSPECTION FEE IS Phnnwfet9I a42-nann ENCLOSED. REQUE7ST FOR ELECTRICAL INSPECTION ee-ooooi-os s ? / See instructions for comoleting this form on back of yeliow copy. E tl 4 3 3 8 0 "x" eelaW Work Covered by This Request Nevii Hdd Rep. TyDg oY Building APPIinnCee Wited Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Silo Unioede.r Industrial Bldg. Air Conditioner Bulk Milk Tank Farm O[n?r necify .tner ISOoaryl t Pr VeCi y Other Other Comuute lnspection Fee Below p Fee Service EntrenceSize 8 Fee Feeders/Su6feaders # Fee Clrcuits U to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Arnps tip 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps TransPormerS Irrigation Boortts ,.$0 Partial-'Other Fee Signs Speciallnspection $ Herrarks ? TOTAL E ?, dV d Rou h-in 9 Data I, tha Electrical Inspector, herabv certity thnt the above Final D"5e insoection has been made. Thie requesl void 18 montha irom a 64312 a? 0 Request Oate Fire . Ro Inspedion ? Ready Now ?Nill Notily Inspector "7 ?/ '' ? ( ? % ? s ? No ? When HeadY? 1?ensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Boz or Rou1e No.) ? -? / - . City j O `e I , -4w Secti.on No. Tawnship Name Na Range Na Cou 0 ? ? Occupant(PRINT) Phone No. Power 5 lier Atldfess ElqctncalContraclor (Company Name) - ContracM09 license No. S .?e-. Mailmg Atldress(COntredw or Owrier Makin9 InsWllation) AUlhonzed Si aWre (C acIONOWne 05kingjpttal n . Phone Number .' ' G? MINNESOYA STATE BOARD OF ElE ICA -- THIS: INSPECTION REOUEST WILL NOT +- GAggsMWwag BWg. = Room S-1701 eE ACCEPTED BY THESTATE BOAFD 1821 Unlversity Are•, 51. Paul, MN 55104 - UNLESS PROPER INSPEGTION FEE IS phona18121642-0806 ENGLOSED.- S'(REQUEST FOR ELECTRICAL INSPECTION 611151 ji? S22 instrudion5lor completing Ihis form on Dack ol yellow copy. WR_ A'l12 "X" 8elow Work Covered by This Request ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex ` Water Heater Electric Heating Apt. Building Dryer . Other (Specify) Comm./lndustrial Furnace Farm Air Conditioner Otner (speciry) Contracror5 Remarks: Compute Inspection Fee Below: # Olher Fee # Service Entrance 5ize Fee .? # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps ove 100 _ Amps SIg05 Inspedor5 Use Only. TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION O DISCONNECTED IF NOT Other Fee COMPLETED WITHI NT I, the Electrical Inspector, hereby Rough-in - ? ' f( certity that the above inspection has been made. Final Lpawli ? OFFICE USE ONLV This reque5l void 18 months Iram , ? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 16 q ? I INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRES5E5 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLIIDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS - COMMERCIAL INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS e z4, o0o I Z To Be Used For: z?&' 'Ma YL, Valuation: ? Date: ?/J'-v°? Site Address V2 FS A P P6 -7' OFFICE OSE ONLY Lot a o Block / Parcel/Sub Z t/e-f-? ? e e. ,-L„ Pa r ? Otaner ?r,-c??x? ? ?"?av?e,- Uan Duerbek Address ya4s ??dgP?,;l? t)r City/Zip Code Phone Contraetor F-ta-e- 5tbiv_ C ,v,,S Address 3%aqeo; e??,& kj . City/Zip Code a.- T Phone 5?S^f? - S? 3 9 Arch./Engr. Address City/Zip Code On site sewage_ MWCC system ` On site well _ City water , PftV required _ Booster Pump ` APPROVALS Oceupancy Zoning Actual Const Allowable # of sto^ies Length Depth S.E. Tota1 Footprint S.E. FEES Engr/Assess Permit Planner Surcharge Council P1an Review Bldg. Off. '797 s/t 3 SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 2 1 e). 1Z. (oq, .g.w Cl . o n Phone # 1991 BUILDIN TT APPL CATION CTTY OF EAGAN . SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMfERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEYT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MIIST SHOW A LICENSED PLUMBER. To Be Used For Site Address ptc_v+ NVr?LS. 1 Valuation: N) A Date: cii y?q$ LoGlptpa?2. ? OFFICE IISE ONLY Lot 2C) Block I Parcel/Sub E V ??r4 f4-E,N y0.r'f, Owner GAyNQr 4c VcANN VQhNCAe1.e- Address y;Pq5 LoqAtDokt 0r City/Zip Code E? N ??'?1? $$ 170 Phone Nsy- 107$ Contractor Wea 40kKSo.+ fxi??c?Evs ? ZNt . Address %q ub vQPrN t1Vt 5aw-Hn City/Zip Code Q`oow.?..?,?oh m?v 554X Phone Q'9Q ' 3 ys 3 Arch./Engr. ts)/ A Address City/Zip Code Phone # FEES Occupancy Bldg. Permit ?nC?• 00 Zoning Surcharge Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC LengthD67-1{ j(cX- /S Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well Road Unit MWCC System Park Ded. City water _ Trail Ded. PRV _ Copies Booster Pump _ SIIBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL =7, Bldg. Off. Variance agrees that all work shall be done in accordance with 'gnature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?.. , i . . ..., r; ?. r .?----- ??S a 5D 'S;&4'e 5? ? rc?ha1- ?t-.#, EAGF.N TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PER11IT FOR WATER SERVICE CONNECTION Date• ,7vne S- 1271 Billing Name:T;lsen Constrvction Ce. Owner: 38me Plumber: Luecken ExcavatinQ Co. Number• 632 e, ?, Site Address: 4295 Lodgenvle Drive. Evergreen Pk. Billing Elddress same Meter Size 5/8 ead Out No.: 636421 Meter No. 11398203 , 260.00,_pd 6/7/71 Permit Fee 1Q00 d 7/27/71 ;?b"pd'77ZTT/1 s/c Meter Reading iMeter Dep. Meter Sealed: Yes_ 'Add'1 Chg. NO I Total Chg. Building is a: Res3dence MulCiple 11*0. Units Commercial Industrial Other Inspected by Date Remarks: c^? n ??li^'?J L i _ .<, ., J::1C' ' t ? -'Jf f ?iv:F_l::.i ;?Ydi?'i?L?V %•i'" ? Sy: Chief Inspector In consideration of the issue and delfverq to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of fiagan Towmship, Dakota County .sota. Byi Luecken Excavating Co. Please notify the above office when ready for inspecCion and cozutection. EAGAN TOTdNSHIP 3795 Pilot Knob Road 5t. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SF,FiER SERVICE CONI3ECTION DATE: yjyyly 27. 1971 OWNER:Tilsen Construction Co. PLUMBERLuecken Excavating Co. NMEg 839 .aC'1-- f ?•?'" Address 4295 Lodgepole Drive, Eagan *5122 TYPE OF PIPE Cast Iron DESCRIPTION OF BUIIA ING Industriall Commerciall Residentiel I Multiple Dwelling I No, of units Location of Connect£ons: Conaection Charge -0- Permit Fee 10.00 nd 7/27/71 .50 pd 7/27/71 s/c Street Rapairs Total Inspected by: DaCe Remarks• By. Chief InspecCOr In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance th the rules and regulations of Sagan Tox-mship, Dakota County, eao a By s Luecken Excavatiag Co. Please nntify whea ready for inspection and coanection and before any portion of the work is covered. j ? ??? ? ?. S 1 ? ? o[[rtwaao ?? cl ? • a ? ¦ J/ - ° ? ? a POND ¦ rF[4'F/ ? s° ..[ BERRr wrGV I p NFJ '?' PdAR ? ?/ ??_? ? P? ¦ ? ?/Al4 ????? ? ??? '?• M??' . ui, II . c?ow??uR 00 ; gc y 1,?? g,e m R c ?? o I? 265 - , `' .. I 6A? I `f? us.w?? ?? i . ` ° T= / ! ? ?. ? ? "31 rr sn ? n ¦ b i'° /h?d I I 35 'y ? I ?aeumn G?r.?xnaii .e a S Ifi a? ¦ _ /; e ? u I ?4 ea? ?I P . ?1 84 I^? CLEOyc ¦ ?? i a? ? I II ? / `'IY 4lLN ? / . ¦ ? <1TM? Y P/AR !?$T?', i4 L? ._ ? Z2d ¦ .i? O Ju?fl.9C. ?. Cn0. ? y XE (? ? 9p00 Si).tJ.?? -Z[i. u' Y' tADMq?% l ?\?' / n 7 ery o ? ` ? ,t.o,: ,C??"t'? I«.a f?l?y ? ¦ x] 4 1v . L :.+ AYF ? ]4 8 . Yii Oi S? [ ?ca s? c. • e?'?. I i?:a : ¦ ,?f, i'!,^Z: _? t? ' °'«??'?-_? ,? ? ° ?? 0 ,o,b?? n i?: s , .? .M 'I • 1.1u'.?cifull R?Na] Y I• t1 ? n ' N ?ncwros ?-,? i °' ¦ b?? ???•eeo? ? ?e)oo ?i?IIi/ 1988 STREET MAP ¦??¦r??¦ ?' a?.4' ? THAILW4Y ?• A,b \3?C _?!_. ? ': O.N'a?.. t?? /? pT -- ' N°-Jt` 2?69? {.r?UR 1 _M.4lA!]-? 6 , ?w - 3 y 16 • e ,?? q% 21 ? .??/ . " ??J i • , ? ?? 9 ? ? ?? 1 ? ?J~ • _? o F1k? •? .:+ ?? e`? i ' 1T •?' ? ?ppE `RI ,- ?•?' :'•a?1?' `s~ // ? ? If ,T??I?M'• * ? ??6? ,? ?F,qt: g a,: e • ? ?.? ? ..-..-- e \, j • ?; i",'c' - S`,a R? F d ? ?i,.+ t d. ?\?\\I . •;•?y '. . ?i ? Q IB a ? ? \Y jW ?'i 9,?g?,? : o: . / •? •?`'• ?1\??\ `O? i• e? a;!• `} _ ?, b g ,ov/ ?L? I ?? ?.??\ ?\ F...°' „".P' .:. - . 4 I tt I ?, ? , . . . .._. ? ?.? . ' 10 ?" - ? '•;f-- ';.?e,:? POND t o' "'.•• \ ? '. •? ? ?? Y 'i ?%i:.. i. ?. .a?N ..n 'a ? ? ?? S5 ? a Ci? i Ib?" ••+ ! ? . ?f 1 .\??.. y S J p,???? pyyy w ?? ?1'y : .•,'; ?6Y9//? ? w4?f'.€O '?g' s,.y.' ? ?? i Lp• S «?vY I ? ? ? 'd ?? h?Da q 12 @ / ° pR ? ? •O ?O iA 14 13 { 1 ny{ . i '• ,?3a ' c 13 'A y' i•)!` a !??? ? ? J f\ l ? f? fj I+.? • 9?II Y?De +A,. ? r 1 . s' ?°, ? ito 00 ' . ?• `~ ? W . ??m +ya cm ? ?? ? .; a / ? ? Y , _ .?.,. -. A r•s ,. .z t• y.. I l?1• _ Tv.a ` 4b9?: • AUBURN u. Cp • ? ? \ ' . _ ?_ R IIOOn 9000 ?a00 J Y+"YJ ) w e? 4?+,-0 . r? 'o . , . r ?+??^y' ?..?.abe • ?''e ? o° e ? nr7? o' • '1 6 ?...??, ?,' 1q_ f e t s -= 8 4 ? .?.,. ,? '?? • e. ?? d ?„° 6 r b r ? • . ' 8, . -^- ?f' ?e i• i ' 4? t`° 8 t y,: " asoo u•.e y,b +. ` M ?Y M ?! • •?O ?? ti ` t L01 Y ?iJ % +r Q y ` . I . < i ^ m ?? ? ? Mq a? il V .r y Ch, C q ? .? oo? k? ."+i°` :.. ?c+ ,?? • ? . ? :,? ? ? a?TlnA, ? ? N N. ? M ? Z i W D = a W l2 wjw 8? .°?t nR ^? •o i " ?lo tis < ?N . o oa 8 _ ; ° 11 I? O o ? Qg o . 1 e 12 I .''t! . ;? 10 Q ? 9 ? ( F1tt \ 1 }i9 )] [:Y?I `..? ' \?\\ \ \ ?\. ?\\ xt \ ,.;,• L ? r e^, 2! 8• a ? n 21 t? .=y 40 •?r•eroe'? 27 rw•mea9 ? .J _ 2. y 16 ? 1) IB ? 19 ? 20 0;r: "'?qfFS ? . ciy Of .._% Eog,,, . • ; oio-oo ?•, EVERGREEN _'v 10? ?.! /l > 1 ? • ,? ? 0 CITY OF EAGAN SUBJECT: WAIVER OF PLAT?°??y?' APPLICANT: EUGENE VAN OVERBEKE LOCATION: NE 1/4 OF SECTION 28 FJCISTING ZONING: R-1 (SINGLE-FAMILY) DATE OF PUBLIC HEARING: MAY 24, 1988 DATE OF REPORT: MAY 16,1 988 REPORTED BY: PLANNING AND ENGINEERING DEPARTMENTS APPLICATION SUMMARY: An application has been submitted requesting a Waiver of Plat for the conveyance of a land sale only; no development will occur as a result of this Waiver of Plat. This proposal splits the eastern approximately 100 feet of Lot 9, Block 1, Thomas Lake Heights Addition and combines it with Lots 20 and 21, Block 1 in the Evergreen park Addition. Currently, a drainage and utility easement physically separates the house pad locations, and the owners of the lots in the Evergreen Park Addition already maintain the area proposed by this split. All Code R-1 requirements have been satisfied. If approved, this Waiver of Plat shall be subject to all applicable Code requirements. ASSESSMENTS: City records show that the parcel identified has fulfilled all required assessment obligations in accordance with special assessment policies in effect at this time. . L07" SPL/T FOR? MR. VANOVERBEKE LEGAL DE9CRIPTION ..wn . wa e, n..6 1 i?011oM MM ?ppl}I4. Maory1N N u, n- MtN:? P1ot tMnsr pkot. Ceu?t/. lshtM, ?It? Y.t % H w u.a n.o4 9..t •t I,o% t. u.c6 1 nuus uu ?:.„oi..'°i ::?{..Sii imia.NOai.:ie`ii:: :ih::ii w io .:i::i:i M?t M W? tM tM [..% eI.Ot /r. H.LLd "t P. ?uN1 a L.a n. n.ab 1 "Cqll[O WY ?ppI110?. ??NI?? M tN A• 4.N*A PIOt tMrwf hket. Cw?tr. Mlu??e??. ?e??lNr ?t1A tMt Pn •t IM [..a ot.a1 b.a d L.a S. Nxk un 11[IOML .eearGtno ae M? ?eNN ?IN lMrwl OWi. Co.nq. Xlr.uu. lliy twe% ot ab Umth Ib. oI ..1d ba ll uuMN U.?t t? NH tM Y..% 11?. a aM io.{ ".0? f..t .1 ?.1d I.ot 9. I w ` I --- J ?? i ¦ ?? ?? 00 f _ DRIV-_- ? T B EVE??REEN ? ;I ? W I c I? ' a s? JPA R K m I A? 19 N K ? III ? I$? AD ITION N,.?. ? ' u.? E ' . 21J i N 2` THOMAS= -- -??- C =? : ;'2rE 23 E ? u°°' :.. ?? LAKE Q r° _ i'^m ? HEIGHT-S . _ a a !.?.o. ",,,,.. "-- f ?. ..w,. B Y. zl L \ 0 c s \ M M.N wAllr N M.Irwe ?W? ?y? W? W ??- wN t?p??rullM ?I W M?i??IY lf W IW M?ae1?M Mo. -e4 ryVWl, NsIwm tM ..4LWe " ?f l?nw?wl?. w?M. e wwt.. aaH to wtM Vt?w. R I?ttMp wr?111 W\ Yl? IW?? ?N MMM M M 1f w.r rdlrbt wwnb?? M Wt 1 ra 11r?M lW rr- wn. irMe W lw -t Yo ?MM M ILLryoy yat 1m W N srll. IIN. N WIcMN db?wM MY1t ? ni-uo 'wmiw m., 1w. z ? 10 _'?N aVA • MnM rommom oor nn • MYlr M.1s\VN na WlA Y a. IfIM 4aki TRI-IAND SIIRVEYINO CQ, IWC. SURVEION9 / ENdNEERS / PLANJER! 10Y1M RMI! PI10L110040L. RDl - M2 i0! WO fMa2[ OWOl IIOU .[?.1M. 7dl1 ax..u-mo I MASTER CARD • LOCATION OWNER -/ - E i° STRUCTURE AND /' LAND USED AS j? W ? (? Q 1Q Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSFOOL - SEPTiC 7ANK WELL ELEC7RICAL HEATING J2 Q ?r GAS IN57ALLING SANITARY SEWER OTHER .3 ? 3 Y I I OTHER I 0 FA Items Approved (Initial) Date Remarks Distance From Well FOOTING "D b ? SEPTIC FOUNDATION CESSPOOL FRAMING FINAL ELECTRICAL 71LE FlELD FT. HEAiING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? WELL SANITARY SEWER ?' ? PiLL ? ? ` •. Violations Noted on Back COMMENTS: ? ? q L'c 2006 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. fc6.C-50 Date ? ! ?2 1 ! 0(0 5ite Street Address Unit # PropertyOwner??e?, VLl.l?lll?J[-'Y ???1 Telephone# ((ci? 1)LIc? Li ' I'D 75 Conteactor Fi ? Telephone # (446() 406 jzvqU Address ? ' City StatemN Zip 55132) The Applicant is: _ Owner (_ Contractor _Other Refurbished Submit 2 sets of plans and MPC license 5eptic System New Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inciudes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next secfion and check the appliance(s) you are installing. _Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other: Water Softener !T" Water Heater _ new ? replacement $ 15.00 Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the intormatlon is compiete ana accurate; mat me 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 e reviewed and approved. . Applicant's Printed Name ApplicanYs 5ignature //'D City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4295 Lodgepole Dr Lot: 20 Block: 1 Addition: Evergreen Park PID:10- 24880 - 200 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Signature Home Services 758 Reaney Ave. St. Paul MN 55106 (651) 731 -1147 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Eugene Vanoverbeke 4295 Lodgepole Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA086761 10/09/2008 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 Issued By: Signature Use BLUE or BLACK Ink r For Office Use I I Permit G ~r l ll~ 7 City of Ea oa 6 Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~ Date: 13 Site Address: -L I - L-na Unit Name`s A,.J 0v ev,SEV_ 6 e ~ Phone: J Resident/ Owner Address / City / Zip: ALuJy_(b%,,e_ tom, „e ~a far '-,fsLkvz Applicant is: Owner Contractor Type of Work Description of work: Q L Q",f; Construction Cost: 1 t, au- Multi-Family Building: (Yes /No k ) Company: ~Y R e Y. 2 C can rz ► a `'"LContact D Q v-_, b- 61-C a '--c Contractor Address: `(0 1 y a 5 t'= S~ City: 'SL a rN> State: AA tJ Zip: ~1 3 Phone: (9 k 1- VS 6 " ~1'`F-4 5 -3~f 3 License U c:~~O Lead Certificate O kT_ it 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.gopherstateonecall.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..^ x J `~rv~ \ r ~7 r LVl x Applicant's Printed Name Applicant's Signature Page 1 of 3 • . For Office Use Hei ØØ ::::: Date Received. ` /O 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEVED I1' (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: ,,..„1„,.. buildinginspections Wcitvofeagan.com MAY 2 4 2018 L -0(41 2018 RESIDENTIAL BUILDING PERMIT APPLICATION ,...- 1 'l ep i Date: -J 2 / Site Address: ` 2---c i-/l< lc- ()r(&X Unit#: i_ 0e4 Name: ,,,iii, �L °�/.^� �� Phone: ;� - Resident/ �� • n Owner Address/City/Zip: 5 . e__-- t) r /` " . Applicant is: Owner Contractor i Description of work: --(4 (DO!'� 1\..)t - C---"Ori)//Z- G rhL Type of Work ck...--- Construction Cost 09 c`� Multi-Family Building: (Yes /No ) 5(f, uv �� Company: ��� '1 � �� � Contact: , --f- -U'E- � �� Address: 134 Cr:3 . i)a(.I LILI O J W'. City: s;611.0 3 Contractor EmState' ip: 55O(2 U Phone:65 'q% ail: fi` Ux Jr76 ci/ii , (in 41. License#: 0015..) Lead Certificate#: If the project is exempt from lead certification, please explain why: ("K9 , 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: I I Mechanical Contractor: Phone: i Sewer&Water Contractor: Phone: Fire Suppression 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-•ublic if ou •rovide •ecific reasons that would •emit the Ci to conclude that the are trade secrets. 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.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call G._• ,` State One Call at(651)454-0002 for protection against underground utility damage. C. 48 hours before you intend to dig to receive locat- • :erground utilities. www.qopherstateonecall.orq I hereby acknowledge -- information is complete and accurate; that the work will be in conformance with theme: ances and codes of the City of 00 Eagan; that I undue- :"is is not a permit, but only an application for a permit, and work is not to start •• a permit; tha • . •- -- accordance witit , - - •,_. plan i . - o wor w es a review and approval of plans. c./� x Appli.=nt's �,�l ed Name A. . • -nt's -ig -ure // 5 =/ (/& 4141 DO NOT WRITE BELOW THIS LINE i ( 1- dA Or /LfJ 5T 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 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 i ( c.,. b Occupancy \' C ( MCES System Plan Review Code Edition ,o ' O ' SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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 }c 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: , Building Inspector RESIDENTIAL FEES Base Fee " . Surcharge ( riG Plan Review MCES SAC tyq (iyArIn City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant -- , r'` 0 o0 =/ Copies ..1,. TOTAL v,i'" Page 2 of 3 For Office Use ,„ P: ee: „,,,,, EAGAN P (00°. .. 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: buildinginspections@cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION1--Date: � Site Address: H (IS— 1.--dJ (. 0 1f-4 il r Tenant: Suite#: 111 Resident/Owner Name: ��V� 7 �J 6 ©\JQ 4eP�hhone: Address/City/Zip: Y 5 ( 2' IName: e r l C •-t �� 1 n License#: �p �� P • Contractor Address: ►0 l — , / �� S�., City: (krif�SU i�1 \� State: �' ” Zip: 55-33-7 Phone: 95-g- C� t( 10 Contact: a_5'0,17\ Email0,S C3 t^ 4.Wl-e 1"\CCA 1 (4 • 1 koo. (-c') Type of Work --New LReplacement _Repair Rebuild _Modify Space _Work in R.O.W. Description of work: �4 C-Q p i cc-9€ RESIDENTIAL Water Heater • Water Softener Lawn Irrigation( RPZ/_PVB) Permit Type Add Plumbing Fixtures( Main/ Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) 1 $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.org 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.cityofeagan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi e ordin- es and code of the City of Eagan; that I understand this is not a permit, but only an application for a permit, :Id work is not to start out a • it; t - thed ork will be in accordance with the approved Ian in the case of work which requires a review and ap,0ro -1 of plans. , x a50 V ' '' ANle Applicant's Printed Name •,•plica Vs Signature FOR OFFICE USE Reviewed By:• Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: