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1760 Gabbro Trcirr oF E?"N 3795 Pilsf Knob Raad Eogon, MN S5122 PHONes 454-8100 BUILDING PERMIT Site Address _ . ,. ' .-.. 1 q Lot Block Poroel # ae Name _,usan 3 Addreas i W) CT o Eacran Receipt # 9 ' ? oc' Date _ Erect ?_`•] Alter ? Repoir Q ? Enlorpe ? _ Move p _ Demolish ? o Na,,,e liavia hesler ? o? S ?d?? 9271 Chicago Ave. S. Assessment - u~ ?7'C'u tll??tori 898-8396 Water&Sew. Ci Phone ? Pol ice W Name Fi re ?? Address Eng. a'Z" Ci pFwne Planner Counci I I hereby acknowledge that I hme reod this application ond state that Qldg. Off. _ the informotion is correct cnd ogree to compiy with all opplicnble State of Minnesoto Stotutes ond{ity of Eogan•-O"rdinqncis. APC Signoture of Permittee Permit 6. fl!7 _ Surcharge Plun check SAC Woter Conn, Water Meter I Total ? - r 0 A Building Permit is issued to: on the express condition thot al) work shull be done in accordance with all applicable Stcte of Minnesoto Stotutes and City of Eagan Ordinances. Building Official ' N2 4887 v -j Occuponcy - Zoning 3 Fire Zone ,.a Type of Const. # Stories Front ? . k. Depth ft. PermM # Dafe lanod FawlttN Plumbing Mechonical INSPECTIONS DATE INSP. . RouqFrln Fl?wl rw I Footings Foundation ? Frome/ins. Final 2 Plumbing Mechaniwl Date Inap. Date Irap. -,y -- I Remarks: CITY OF EAGAN ; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value 1, -!U{` Date 'AY 24 ,19 bb Site Address Lot I E Parcel No. 1760 GARRU Tit y Sec/Sub. ?EDAR CROVE 5t'H a Name W 3 Address ' ° City Phone ¢ Name " o o` Address ' f- City Phone r40-07' ' v¢ yU W W Name F x z,, Address L) W City Phone I hereby acknowledge that I have read this application and state that the inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee r A Building Permit is issued to: T ` on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning Qn Site Well (Actual) Const City Water (Allowable) PRV Required # of StOries Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Ptan Revlew Bldg. Ofl. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 P k ar s TOTAL '"? Permit No. Permit Holder Date Telephone ?t Plumbing H.V.A.C. E lectric Softener Inspection Date Insp. Comments ]ing Isul. Firepiace 4 ?? I/ C fQcU Final Htg. Final Plbg. r Bldg. Final cert occ. Temp. LP Deck Ftg. Deck Final Welt Pr. Disp. Ell CITY OF EAGAN Remarks $ew & Ltr p2j"m'Z'tS at]'d 3eW Addition Cedar Grove #6 Lot 1 eik 1760 Gabbro Trail Owner4 - u ?- ?i7, r?hStreet Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. OL 1971 1060.15 106.02 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK 3£. SEWER LATERAL ? 1970 1472.00 WATERMAIN j iNRTFR LATERAL 1970 20 WATER AREA STOFM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 200.00 1294 4-10-69 SUILDING PER. sac 204.00 1294 4 - - PARK CITY OF EAGAN 3795 Pilot Kno6 Road Eagun, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # N° 4887 Te be used for deck Est. Value 900.00 Date 7?17 - 19 7? sire nl.e:: 1760 G ro Tra Ered z7 acucancv--.-??- Lot Biock 9 Sec/Sub.?GrO 9 V@ 6 Alter ? Zoning Partel .{? Repolr ? Fire Zone -?_- Enlarge ? TypeofConst. - Susan Vartman w Name Move ? # Stories ; Address TO Ydl pemoiish ? Front -?ft. b C. Eagan phone 454-7361 Gmde ? oevrh n. c N Da • Aooro.ml. Feei p ame "l nadreBloomingtonpago Av88858396 Name _ Address 1 hereby ocknowledge that I have read this application and state that the informotion is correct and agree to comply wit oll pplicable State of Minnewto Statu= Eaga r n s. SignMUre of Permittee Assessment - Woter & Sew. Police _ Fire Eng. Planner - Council - Bldg. Oft. _ APG Permit 6-On _ Surcharge ^ S(1 Plon check SAC Water Conn. Woter Meter Totol 6-50 A Building Permit is ' ued to: on the exprea conditlon that eli work shall be d e,in etco wlth ell aoolicnble State of Minnesota Statutes and City of Eagan Ordirwnces. Buildirg CITY OF EAGAN nJ? 15 0 6 4 _ ? 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121 PHONE:454•8100 BUILDING PERMIT Receipt# r5`7" 7- To be used for FIREPLACE Est. Value $1,000 Date MAY 24 ,19 88 Site Address 1760 GABRO TR OFFICE USE ONLY Lot i Block 9 Sec/Sub. CEDAR GROVE 6TH OnSiteSewege _ Occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ (Actuap Const , x Name .)ERI JOHNSON Ciry Wa[ei _ (Allowable) ' W z Address 1760 GABRO TR PRV Required # of S[ories - ° City EAGAN Phone 688-6515 Booster Pump ._ Length Depth ? 0 Name HEAT-N-GLO S.F.7otai oa Addresz 3850 W IIWY 13 FootprintS.F. V? City BURNSVILLE phone- 890-0758 pppROVALS FEES ww Name Engr./ASSess. Permit 24.00 t z Address Planner Surcharge • 50 xa Q W City Phone Council Plan Review Bldg. Off. SAQ City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correct and a ree to comply wiiicable State ol Minnesota Statutes and Ci Eagan Ordinanc s. Water Conn. ? ?yy Water Meter Signature of Permittee ? ? fioad Unit A Building Permit is issued to: HEAT-N-GLO Treatment Pt on the express condition tha[ al I work shal I be done in accordance with all applicaGle State of Minneso}a Statutes and City of Eagan Ordinances. Parks Building Official Nlll WL? ? f_III TOTAI 24.50 EAGAN TOWNSHIP BUILDING PERMIT Ownax ? r c?j .. ?.... ................ _..`.........-'---_.. Addreu (P:esent) ................. ? Huilder ....................................... .._..._............._......_.....---............ Addreas .................----- DESCRIPTION N° 1975 Eagan Township 1'own Hall Dafe _..?... ?..°L ?.Y?.: ? Siories To Be Used For _ -------- ?? .?? J . ? Froni Depth Heiqhf - Esk. Cosf ----- ? s, ----? Permif Fee ?r?• : -- Remarka - --- ? L - --?, , .,z ,r ,a<.-c• ?,4' O - - - ' ?Bo ...-r -- -- _ TION Sireei, Moaa or oines Ueseripnon ot Location _I Lot Block Addifion or Trao! _ .?so L - ? •. 9 ??t q,} ?13 This pormif does not auihorize ihe use of sfreels, roeds, alleys or sidewalks nor does it give the ownes or hia egenf the rigLt fo eseafe aay eifuation which ic a nuisance or which presenls a hasard io the heallh, safely, eonvenianee and general welfare !o anpone in the eommunifp. THSS PERMIT MUST BE KEPT ONE PREMISE WHILE TFIE WORK IS IN PROGAESS. 2his ia Yo cerlifY, fhal...0::..•fi>:.-.-......_....._._..._.................... has permission io erect a...l..:?r... ....: . ..? .... ............ ... ......upon the above deacribed premise subjec! !o the provisions of the Building Ordinance for Eagan T wnship ad April 11. 1955. . .................... - '- --... . ...... . ......... .............. .:.. . Per _..__...._._...,.? .:........ ........-- ..................... Chai an oE Tnwn Soard Building Inspector G - ig 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? )10 V1 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CDNTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COFII4ERCIAL INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used i•or: Vfj 01, Valuation: .4 3?Z?Y"p Date: ?5,ZS- Site Address fq/e rAF32nTea.i L? Lot I_ Hlock Q ParcellSub Af)'>{, lp .u , '. Owner 5 e?2..L 50411)5OA) ? Address IVA (;ABP-n TQQIC- City/Zip Code (L -x 551 Z7, Phone 6p ? - ikS111;r Contractor 4Lf '/I/- P& Address MjlJ W - 4GUu 13 City/Zip Code/?D.lDS U! CL? .533'3 7 Phone Zgd Mch./Engr. Address City/Zip Code E/DO0 " or'r'. On site sewage_ MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupaney Zon3ng Actual Const Allowable OI of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ?D ? Phone Ir .4 r, c nnmEe?? -7, BUZLDING PERMIT APPLTCATIOTd Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for a- fV V? QV Gd Valuatia Site Addresn; Lpt Block See. Sub, # 1 9 Ow119t l 7c: 5.4 v U?3/ZT?9.R /I/ Address 1 760 6?f ?.s.Q TrL.ui? Parcel Numher 1,4 5' o/O o Q Telephone a- 5-4- 7 3 Contractor ,v v: 2 Address Arch./Eng. Address Erect Alter Repair Enlarge move nemolish Grade Telephone i??! 913 ??W/ -- Telephone OFFZCE USE ? Occupancy Zoning / Fire Zone -3 Type of Const. 1? # of Stories Front ? U Depth OFFICE USE 1?ate of Approval & Initial Assessment Wdter/Sewer Police Fire Eng- Plan[ier (buncil Pldg. Off. A.P.C. FEES Pexmit -------- °-'?-- Surcharqe r1.an Check SAC [•later E:onn. t?ater Meter TOTAL A SITE PLAN T Y LWE 0 I I ? ? Feet t Lirve' I i 44 ? v: I , ELV Garage UNE? ? L.OT = i BLac k ? I - -_ - ? STREET ADDRESS I ELV. 100 ?a .? _--- ...._..._ ._. . ? EAGP.AI 1'DWNSHiP ' 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERP'!IT FOR WATER SERVICE CONNECTTON Date• r /`f-/(? `r Number• 248 Billing Name: Site Address: /-q=G /7G 6.-?? 04merd,64t Billing Address Plumbe'r:-- 77 Meter ion Meter I Permit Fee 7.50 Pd. Meter Reading.,---d Meter Dep. Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by DaCe Building is a: Remarks; Residence_L- Multiple t,*o, Units Commercial Industrial By; Other Chief inapector In consideration of the iasue and delivery to me of the above permit, I hereby agree to do tte proposed work ia accordanoe with the rules and regalations of Eagan Township, Dakota County Minnesota. By: ? Please notify the above office when ready for fnepection and connection. t -,-. i EAGEsId TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 ERMIT POR SEWER SERVICE CONNECTION DATE: G y NUMBER 37n OWNEP.• .( y. Addreas f 9-(a l76 0AKeY?A PLUMBER ? TYPE OF PIPE C°'&.ei(1 ?(i1f7iJ DESCRIPTION OF BUILDING Industriall Commercial[ Residential I Multiple Dwelling I No, of units Location of Connections: I Conaection Charge 200.00 pd. Permit Fee 7.50 pd. Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue attd deLivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toc-mship, Dalcota Co? Minnesota By Please notify when ready for inspectioa and connection and before any portion of the work is covered. 4?> MEMO - city of eagan TO: DIANE DOWNS, UTILiTY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY C05TS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the singie family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-18 18 BloCk 4, LOtS 1-11 11 8lock 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. ?- Ed Kirscht Sr. Engineering Tech Cc: M{ike FoerEsch, Asst. City Eng. EK/je 11LeO a(obro Ty. DO NOT WRITE BELOW THIS LINE (<t4a'7 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 DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Siding: Stucco Lath _Stone Lath erfro Air Test Final Windows i"z%E S ,(e, Retaining all: Footings Backfill Final Radon Control Erosion Control Building Inspector Final Brick 0 RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL i/vili3OA fr-rp-r, #001 ‘"IA)(-) Page 2 of 3 Date: Tenant: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use9 Permit #: ! 1(? -fo2 Jl Y Permit Fee: Date Received: Staff: / 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 11/30 0` I 1' 3 Site Address: /71.0 / V a O,6t o /Jc d r/ J Suite #: RESIDENT 1 OWNER Name: 5.7'@ vi n J0 A ii 5 0 f) Phone: G s."1 /t 8 s• 6 S/ 5. 17&o Ga6,r`o 7rp4,% Address / City / Zip: Applicant is: Owner `C-ontractor TYPE OF WORK (!w#iidu,,, opening At4ire Description of work: 9 LJ//i CA is * ©k f /b do ai rip/au 11-)141 Construction Cost: 8 0 /_ Multi -Family Building: (Yes /No CONTRACTOR Name: THD At- Home Service, Inc, — 2690 Cumberland Pkwy, Ste 300 Address:. Atlanta, GA 30339-3913 State: Lic # CR268257 Ph. 763/542-8826 Contact: �J O C1 f Email:_d:0 O'/ _ License #: C p c+ 1 ' 5 7 (a '1(0_l q6-7434654• 40�7 aeziddrV ares. (o rn 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: tit 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.oro 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. Applicant's Printed Name x Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA124315 Date Issued:06/26/2014 Permit Category:ePermit Site Address: 1760 Gabbro Tr Lot:1 Block: 9 Addition: Cedar Grove 6th PID:10-16705-09-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven R Johnson 1760 Gabbro Tr Eagan MN 55122 (651) 688-6515 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink -----------------I Office Use NY of Evan wcE�v 11 I Permit#: �D I 0 r(�_ I Permit Fee: 3830 Pilot Knob Road FEB 51 1 1 I Eagan MN 55122 I Date Received: !! I Phone:(651)675-5675 I I Fax:(651)675-5694 1 Staff: I I I -------------- 2016 RESIDENTIAL BUILDING PERMIT APPLICATION lit ,)I' ) LP Date: Site Address: Unit#: ' - Name: ��r I C)-tz n Sloes Phone: Jr/ �I Address/City/Zip: ���'t/ f ►�-C� N���I Z iQ11 'y r Applicant is: Owner Contractor I hi p ;�4Pn �AA9 C(_ �rl n� PJ� r�• Description of word k,alV I14o1T�� �I _ Construction Cost. Z . 0 0 Multi-Family Building: (Yes /No Company:CC�f� �� (If Contact: Le,- rt jJ4(2- �I' C Address: , 4n9DA- r City: M in rezG,Q y US State:NA" Zip: � Phone:&1Z--_M-S.01mail: L-tr/ Ca3"fe pol PIP „ License#:�C����—] Lead Certificate#: 11/1?^ x-133 S I.°I.i 7� = 2 Z If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: GE, g Ali ter' y t �$ 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.ciopherstateonecall.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 LIX _ rGG C� x Applicant'f Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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 Occupancy MCES System Plan Review Code Edition a ,`� 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 HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick 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 v Plan Review } MCES SAC ` City SAC Utility Connection Charge (f S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eathall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: o`_ Date Received: Staff: L 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Z —2 7-1-76 Site Address: / / 69® Tenant: ��—ve- Suite #: Name: �Gvg 3—Q scs 4 Phone: Address / City / Zip: / Name: >ex re/ver f/C-t '7/49 License#: Contractor Address: 2c;>3 2 7 / �G !'y _ City: ��; �c �C�d /ft State:1 A Zip: Sso Phone: 6? Z c = ( T 7 7 Contact: Email: fc, Xfc�r'li�r '�� .�. 'n — J l C41 New 1C Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: L(-/71.4 Sc c RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / _ PVB) 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 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. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Meter Related items: Meter Size Radio Read; ' Manorne PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176432 Date Issued:05/16/2022 Permit Category:ePermit Site Address: 1760 Gabbro Tr Lot:1 Block: 9 Addition: Cedar Grove 6th PID:10-16705-09-010 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Steven R & Jeraldin Johnson 1760 Gabbro Trl Saint Paul MN 55122--291 (651) 688-6515 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature