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2896 Lexington Ave?????? INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: ??" r1 1) rN'? 3830 Pilot Knob Road Permit Number: b? .' ?+ N s? tEagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 ; `i i ? 0 ?{ ?' 0 1. t , APPLiCANT: i. Fx1w6iOM avt ?. Mr.'?:rF :tp(t PERMIT SUBTYPE: I I ,•r i .1 r D'cvVir•;1t11t-0 nW?;riAr? kAIN';t t61:11 `I;!y-111ft" TYPE OF WORK: nl iE 1;111 Ii)N INSPECTION .,, D• . .• iFi /,i ? ., . ,. . : ` - ?? _ ? Pertnit No. Permlt Holcter Data Telephone Ii ELECTRIC PLUMBING HVAC Inspectlon Dete Insp. Comments FOOTINGS FOUNU FRAMING ? r! ROOFING '?? 7jDh !#,?} tCled ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINALHTG ??? P ?, dG2 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks 5treet ? 11 aIk 2 Parcel 10 i.77K2 110 02 xington Ave. So. State Eagan,MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1968 1 * SEWER LATERAL WATERMAIN * WATER LATERAL 1968 1020.00 1 WATER AREA STORM SEW TRK 1985 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. s,ac 2498 -22-70 PARK EAGAN ,'OWNSH' P Ne 138 BIJILDiNG PERW61'T Ownex -a It- Builder - - - Addzess (Presen!) ...._....r. ............_ -------------- ..... ... Address ._. ----------------------- ...-------------- DESCAIPTION Eagan Township Town Hall Daie .l.----t-35?..---....... Siories To Be Used Foz Froni I DepYh Heigh! Esl. Cos3 Permif Fee Remarks V?T U / r or a'?y? ? J'?'Ooao nor does if give the owner or his agenf !o the healih, safefy, convenience and ,, This pexmit does riof aulhoxise the use of sireels, (96ads, alleys or sidewalks the righi fo create any siiuation which is a nuisance or which presenis a hazard general welfare to anyone in the communiSy. THIS PERMIT MUST BE KEPT ?N TH P This is So cerfifp, fhal EMISE WHILE THE WORK IS IN .?? . ? ...... has parmission !o erec ?G..... the above escribed ' ci i ihe ovisions of the Buildin4 Ordinance 1955. 7r?Pe PAOGAE 5. Y a---- --------- ---------....------- upon for Eagan To s ip adopfed April 11, . .._ .._ _ .. ...... ............ --- ..._.............. ... ...._ -- °- .._.. . __...._..... _ Chairman of Board Building Inspeeios _ - - EAGAN TOWNSHIP N° 2'749 Eagan Township Town Halt - 7z Date . ........ .................. Siories To Be Used For iJ 0 Front Depih Heighf Esl. Cos! i Pesmi! Fee Remarke LOCATION /d-S'o Slreel, Road os oYhei Descripfion of Locafion I Lo! Slock AdAtflon os Trac! I l1 Q -7Aei/? 11:9' a?"? This permii does aot aufhori:e the uae of sl:eels, roads, alleys or sidewalks aoz does it give the ownes or hia agen! the rigb! !o creafe any siluafton whieh is a nuicanee oz which presenls a hazard fo the healih, safety, eoavenience aad general welfare !o anyone in the community. TFIIS PERMIT MUST BE KEPT ON THE AEMISE WHILE TAE WORK IS IN PROGRESB. Thia ia !o eerlifp, ihat..... 10.'.:'Y?±---_...... haspermicsion 3o erect a.......e. ........... _upoa the ahove deseribed premise subjee! !o the proviaiou of the Building Ordinanae for Eagan Township adopled April 11, 1955. ......... .........._--.:!:. ..°---".t.`..:."^?J...-----... Per .......................... 9'!?? ....fl..:?---.................. Chaismaa of Tnwn Soard Huilding Inspecloz ? 16 55q 5 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55922 651-681-4675 New Construction Reauiremenb • 3 registared site surveys shmr5ng sq. ft. o( lot, sq. ft. of house; aM all roofed areas (20% maxumum lot coverage allawed) • 2 copies of plan showing beam 8 window saes; Doured found design, etc.) • 1 set of Erceqy CalculaGons • 3 cropies of Tree Preservatlon Plan d lot pia@ed after 711l93 • Rim Joist Detail Options selecdan sheet (hldgs with 3 or less unils) DATE ??2 La ? r- RemodeURenair Reguirements • 2 copies of plan • i set of Ene(gy Calculatrons for heated addAians • 1 site survey fur exterior additions 8 decks • Indicate if hane served by septic system lar addilions VALUATI0t*1? SITE ADDRESS r???LE??I n ? MULTI-FAMILY BLDG _Y ?N TYPE OF WORKSI?lf?6 FIREPLACE(S) S? 0_ 1_ 2 APPLICANT STREETADDRESS 'oAb`1?p LP%) N,t,? aN TELEPHONE # LdSIt-I CELL PHONE # FAX # PROPERTYOWNERQ0}l'? V"F1?L TELEPHONE#\ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Catagory _ MINNFSOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • ResidenGal Ventilation Category 1 Worksheet Submitted • i e Co11e?Norks4@e . Energy Envelope CalculaBOns Submitted OCT 0 2 2n,7 i Plumbing Contractor: Phone # _ Plumbing system includes: _ Water Softener _ Iawn Sprinkler ,-;.J---F.ee: 190.1 _ Water Heaker _ No. of R.I. Baths _ No. oF Baths Mechanical Contractor. Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System I hereby acknowtedge that I have read this application, state that with all applicoble State of Minnesota Statutes and City of Eaga5 Signature of IS ZIP Fee: $70.00 to comply OFFICE USE ?LY Phone # Phone # Certificates of Survey Raceived - Tree Preservation Plan Received - Not Required _ Updated 4102 RESIDENTlAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681 -4675 Yew Canstruction Repuirements • 3 :egi5ferea 5de surveys Showing sq. ft. of lol. Sq ft. of house, aiM ail roofed afeas 120°b:naximum Iot coverage allowed) • 2 mcres of plan showing beam 3xindow ;2es; poured found design, etc I • 1 aet of Energy Calculanons • "s eopies of Tree Preservatwn Plan if lot platted aRer 717l93 . 3im Jorst Oetail OpBons selecuon sheet (blCgs vnth 3 or less uni4s) _ Water SoRener Water Hcater No. of Baths ? DATE 7 ? (?a VALUATION ? ?.`oC?' \v:' ?XiClq?'OR AQ..k- <n e.?? • ? SITE ADDRESS MULTI-FAMILY BLDG _ Y _?)N TYPE OF WORKRogC - ?? FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ::S??\NEtCZ STREET ADDRESS STATEWJ ZIP s?,2 TELEPHONE # CELL PHONE # (ESI a7c? ?kj?_PAX #Q?l- S-R-2070 PROPERTYOWNERVVsy'?eZ TELEPHONE# 6?,1'32(,' ---...-•--------------------------------------------------------------------------------------- COMPLETE THIS SECTION POR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ ?1INVFS0T.1 RULGS 7670 C:A"CEGOliY I MiV\ESOT.A iti'LP5 7672 (. suhmission rype) • Residential VentllaGOn Category 1 Worksheet Submrtted • New Energy Code Worksheet SucmiCeC • Energy Envelope Calwlations Su6mitted Fnu 7 -Tonn Plumbing Contractor: Plumbing system includes: Mechanical Contractor: LV[cch;ujicil scsLcm includrs: Sewer/Water Contractor: Phone # Phone # ---°-------------------------------------------------------------•---------------- I hereby acknowledge ihat I have read this application, state that the informc with all applicable State of Minnesota Statutes and City of Eagan Ordi anc Signature of Applicant Fcc: rcc: SiQ.00 •---------•-----------•-•----°°- is correct, and agree to comply OFFICE USE ONLY Certrficates of Survey Recerved _ v ?? . RemodellReoair Reouirements • 2 copies ol pian • 1 sel ol °_nergy Caiculanon5 for heated 30dAicns . 1 vte survey'cr ex;enor addiUCns 8 decks • Ind¢ate J home served by septic system for addihons 4 Phone - Lawn Sprinkler No. of R.I. Batt :\ir Condiuoning Fleal Rccoccrt• S}:striii Tree Preservation Plan Received Not Requfred _ Updated 1%02 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 2896 LOT: MCKEE P.I.N.: 10-06200-040-25 PERMIT PERMIT TYPE: Permit Number: Date Issued: LEXING70N AVE S 11 BLOCKa 2 3R0 r 026086 08/30/95 DESCRIPTION: B,?iiltlaiSfc?Prermit Type SF (MISC.) ?4+i3ds?f`G)'r?4cTYpe ALTEftA7TON ? R aC f'q [?+4 ? ? , .. _ • E ?.h;.*m .:8?'`?. ?w?e ? -•em_ ?z?Afl?? .?ya, w Y pe- ?¢IV£5'?f ..; g m C` 3r',-?, r s w,?i u b, v REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fea VALURTIQN $174.75 $61.16 $5.50 $241.41 $11, 000 CONTRACTOR: - flpplicent - s'i. LzC. OWNER: DSVERSIFIED AMERICAN CONST 19297952 20017349 SALONEK TOM 5115 EXCELSIOR BLVD 107 2896 LEXIMGTON AVE S 5T LOUIS PARK MN 55416 EAGAN MN (612) 929-7982 (612)688-6741 r? `ttie?re?hy ackrcow3 edg-e tlaaC I havt?" ?Nead th.i s ?appla..c'a,ti6Ji a.n,d, state :t'H6t', the e? - ` irrformation i.s o5rrscC` ahd'?:aq'f aa tro. comp`Iy i-a,Il appli,aable 5t,ate #f A1n.- ` StatuCe''s'and City of ?agan Ltrdiraanaers. ?-°- -..' _' • , _.` ,.:.::• ;. ._. m°- ` = ? - - - ..?._. .,? APPLICANT/PERMITEE SIGNATLIRE ?'1 nt,n R?;,r?_ l m?- sUE D . I A? -C- I INSPEC'I'IUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:P•I•N.: 10-00200-040-25 LOT: 11 BLOCK¢ 2896 LEXINGTON AVE S MCKEE 3RD PERMIT SUBTYPE: sF ( mzsc,) BUILDING 0260$6 08/39J95 2 APPLICANT: DIVERSIFIED AMERICAN CONST (612) 929-79$2 TYPE OF WORK: ALTERA7ION INSPECTION FRAMING D. . ROUGH TN PLB6 .. RqUGM TN HTG FTNAL ? •?_ _. ? . .. _ ? ? t ?. r` CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw Construd"+an RacuiremeMS Remodel/Reoav Reouirements ? S iegistered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sises; poured fid. design; etc.) ? 2 stte surveys (exterior atlditions 8 decka) ? 1 energy alculatipns ? 7 energy calculxdons fir heated addiHons ? 3 copiea of Vee preservation plan N lat platlad aRer 711193 mquiratl: _ Yas No ? DATE: CONSTRUCTION COST: ???!? DESCRIPTION OF WORK: STREET ADDRESS: ' ?d ? i g LOT ? BLOCK ?-- SUBD./P.I.D. PROPERTY Name: Phone OWNER 1AbT F'"°T Street Address, City: State: Zip: CONTRACTOR Company: bl.?(WC,11-V1 tb4&' CAWI*hone #:OJZ 1 l?T_ Street Address: ?? I 1? License #• 6 QI I ;- ( L Ci ? ? ? State: o? Zi •?? ?,. k??- ?_ ' ARCHITECT! Company: Phone ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty applias when address Change and lot change are requested once permit is issued. I hereby acknowledge that I fiave read this application and stattlhW-ffi?nf' roLmaGon is corre2, ?gree to oomply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. \ ?,/ Signature of OFFICE USE ONLY ?" %0 r. 0 ?// k Certificates of Survey Received _ Yes _ No •? Tree Preservation Plan Received Yes No ^-??--- OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation o 06 Duptex ? 11 Apt./Lodging ? 16 8asement Finish 0 02 SF Dwetiing o 07 4-plex ? 12 Mufti RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility o 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous -e-05 SF Misc. a 10 = plex ? 15 Deck WORK TYPE 0 31 New <zg,?-33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuafj (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permff S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire 5prinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Y.PY Footprint sq. ft. SAC Code Census Bidg ? Census Unit , Building Engineering Variance Vaiuation: $ ll new % 5AC SAC Units EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: dune 22. 1970 OWNER• Arnold Gloe NUMBER /Q.1- Address 2896 Lezineton 9ve. ?/-C) ?'?- d PLUMBER Self TYPE OF PIPE He,gvev Cast Iron _ AESCRIPTION OF BUILDING Industriall Commerciall Residential Multiple Dwelling No, of units Location of Conaections: Conaection Charge 200.00 Permit Fee 18.00 Street Repairs Total Aaet. Dep. 1600 ? -A?%,re In ected by: Asa•? DaYe Remarka• $y Chief Inspector In consideration of the issue aad delivery eo me of the above pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Totmship, Dakota County, Minnesota Please notify when ready for inspection and connection and before any portioa of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Mipneaota 55111 Telephone 454-5242 PERNIIT FOR WATER SERVICE CONNECTION Date: June 22, 1970 Billing Name• Arnold Glos Owner: Same Plumber; Self ion 61? 61X'17° Meter xumber: IM9 /l a KG1E---3 Site Address: 2896 Lezington Ave. Silling Addreas Same . 260.A0 Meter No, lPermit Fee 10.00 Meter Resding iMeter Dep. Meter Sealed: Yes_ [Add'1 Chg. Acc.Dep. 15.00 NO `Total Chg. 285•00 Pd. Building is a: Residence z Multipie Ko. Units Cammercial Industrial Other Inspected by Date Remarks: Bq: Chief Inspector In conaideration of the isaue sncl deliverq to me of the above permit, I hereby agree to do tte proposed work in accordaace with the rules and regulations of Sagan Township, Dakota County, Mi.nnesota. $St: Please notify the above office when ready for inepection and connection. ,. ?P,:=, `" fiE8 rI / '966 City Council City Hall 2795 Pilot Knob Road Eagan, Minnesota 55121 Attention: Mr. Tom Hedges City Administrator 2,896 Lexinqton Avenue SoutY?, Eagan, Minnesota 55121 February 8, 1980 Re: Purchase of City Land Councilmembers: My husband and 2 are interested in purchasing a plot of land owned by the City that had previously gone to taxes. The land is located on Lexington Avenue South off of Reefe, between the residential corner lot (our lot) and the driveway of Carson, Pirie, Scott, the recently built carpet warehouse. As it stands now, the land has no regular upkeep in the summer by the City. Dead trees and weeds continue mounting giving our lot an unattractive appearance. The fencing that Carson, Pirie, Scott placed along the back of the residential lots north of the warehouse ends on the east side of the City's lot, givinq us the view of the warehouse. The lot is of no henefit to the City because it is not large enough to build on. Selling of the lot would place it back on taxes and save the City the cost of future upkeep. We are interested in purchasinq this land, if at a reasonable price, to make our lot square and to beautify it and our lot. There is one item of concern to us. The ease- ment has a large casing of equipment placed there by the telephone company. We would appreciate knowing if that could be set underground or if it is a permanent obstacle to the lot. Please notify us of the Council's decision: if the lot is for sale, the price of the lot, whether anything can be done with the casing of equipment or if the lot is not for sale. Thank you for your time. Sincerely, Lofgre Shelly. (y. # 715a /la o? tVELL CONSTR(,'CTIOti ,a.vD ,aBA:tiDONNtE`"I' NVELL PERMIT ? AHEREAS? th8 DBA: Gary's Well Drilling, Inc. ADDRE3S: 21220 Mushtown Road Prior Lake, MN 55372 Pe:mi: Nu. 90-9002 has submitted a permit application, has paid the sum of one hundred ($100.00) dollazs to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary Por obtaininq this permit to permanently seal the well or wells described herein: ?L•. '`. . An abandoned water supply well with a casing diameter of 3 inches and approximately 130 feet in depth. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted and terminated at least two feet below grade. The well is located in the municipality of Eagan on the property of: Owner: William Lofgren Address: 2896 Lexington Ave. South Eagan, MN Telephone: (612) 452-6458 NoW, T?REFORE, Gary's Well Drilling, Inc. is hereby permitted and authorized to penuanently seal the well or wells described and located above for the period February 27, 1990 - February 27, 1991 subject to all provisions of said Ordinance, the Minnesota Water well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 27th day o,February, 1990. NON-TRANSFERASLB 1_b'• ?? ENVIRONMENTAL HEALTH SPECIALIST ATTEST •?'? ???+-..'??. L, :.,-Yi,,,.;? ENVIRONMENTAL HEALTH S- ? RVISOR P[TBLIC HEALTH DIRECTOR DABOTA COUNTY PUBLIC HEAI.TH DEP?,R1iVIED EW[RONME.?7TAI. HEAI.TH SERVICES SECIIO WATER QUALIIY M N ,?YAGEMENT iJNIT 33 E Wcntwor[h Ave., Wcst SG Paul, NIN 55118 Telephone:(6L)450-2607 MASTER CARD • LOCATION O`,NNER STRUCTURE AND IF y LANO USED AS Atr-- Permit I No Issued Issued To Contractor Owner BUILDING PLUMBING i ?7yI /_ .._ _.-?.-, CESSPOOI - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OTHER I i OTHER I I I • Items ,'GOTWG FOUNDATION fRAMING FINAL ELECTRICAL HE4iING GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER . COMMENTS: Approved (Initial) Date ? i'?7", - /3 - ?i Remarks Distance From Well SEPTIC fT. DEPTH ' OF WELL Violations Noted on Back ? a x a .sl Gl?ie-?? • eO ? ?8/- ? ?oi `7 - ?--g 94 ??e-?r=h- ,?-, -?? S• - - - -- - - -- ?i -? - - r t ??? v? -- - - - 411U1_ r/Y -- - ?/ - - -- - > - /3 • ? - -- ?Ci9? - - -- -- - - - -- - -- --1 - ( - - - ? --- 0 -? - - -- ? - - - z,y / -- - - -- -- --?? ? ? - - -- - ? -9L?f13 - - ---- ---- - ------- - , -- - ? - 2?-- - z4 - - - Zq! - -- - - ? - ? - - -- ? - -- ? - - - - - - -- -- ? ?-? - - - - -- - A X • r----------------1 For Office Used City of Eapn j Permit Cn I Permit Fee: . ✓ (J I 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 2009 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: Fee: $50.50 City Sewer City Water V Repair Disconnect Description Of Work: ~Q e 0 V d I t e- Street Address for Proposed Work. OWNER Name: Phone: Address / City / Zip: 41A a &T A'Jeju) Applicant is: Owner ✓ Contractor Licensed Pipelayer V11, Master Plumber Property Owner X, L+ Name:, Phone:726 \ ~p E Address ! City / Zip: YY7 1 `'L/ Pipelayer Training Certification Card or Master Plumber License I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. 1 understand this is not a permit, b onl an application for a permit, and work is 0:~ 4 not to start without a permit. _q b11~~ Applicant (Print Name) A plicant' Sign u e 09/18/2014 14:11 FAX 651 451 7740 CULLIGAN l�0001/0002 �l„e�� �� -�dR— ,� �'�U���G �`r'` "���t�a�.c� � �-��- �-a-y/ Use BLUE or BIACK Ink j----------------, � For Oftice Usa � _ �� ��t,������ i Permit!t: /4S 7�� / I . ty of E��a� �,� , , Permtt Fee: 3830 Pilot Knob Road � �� SEP 18 2014 i �/ ] i �;7 � � Eagan MN 35122 . E, � 1 Date Received: / � �� Phone:(651�675=5675 ���f' � � � fax:(651).675-5694 - � S��� i ' �����������������J , 2014 RESIDENTIAL PLUMBING PERMiT APPLICATION Date: � Site Address: ���50 ' ""r��"�3'��b/� /� S Tenant: s���#: �� �' - '�""' ,*_� f (�� � �sidentlO�w � Name: Phone: ��eZ"e����iT 7 �� Address�City/Zip: , �p � j� � i '����` " `�� Milbert ompany inc dba Culli Water . Name: � � - ����se#: �NC643176 ;� �� .. �� .� Add�ess: 180150t_ Street East �;�,: inver Grove Hgts. �����.;< ,,. . . - � state:. :MN, z�p: 55077 Pno�e: 651-451-2241 �Y- '�'��; _,�:; r .Contad: W I I I I a fYl' R�M I(bC f't Email: .Y� +�� � ` �New Replacement _Repair _Rebuiid _Modify Space Work in R.O.W. � p�e f�1N,r' t — — ,.:. ' . Deseript(on ofwork: .� , "'�' - RESIDENTIAL �., � Water Heater :e_ A �a � � �WaterSoftener� ' _Lawn Irrigation(_RPZ J_PVB) . P.e;rrt��.,YT''y ; Add Plumbing Fixtures�Main/_Lower Level) �'� Septic System — � �',. ����' � � _,.,New _Water Tumaround ;_��; . Abandonment .:RESIDENTIAL FEES: � =.�60'i00 VNa4er`He�Eer,=Water Softeoe�,or Water Heater and Softener(includes$5.00 State Surcharge) ' �.360:00 Lawn��lrrigafion:(includes$5.00 minimum State Surcharge) $6'O.00 Atld;Plu�bing`Fixtures,Seatic Svstem Abandonment,Water Tumaround'(includes 35.00 State Surcharge) �� � .�`Watec�Tum�round(add$200.00 if a 5/8"meter is required) �115 00 SeptiC.SVStem New($10:00 per as`built)[ncludes Cou�ty fee and$5.00 State Surcharge) � TOTAL FEES S CAL'l'BEF.ORE.lf`OU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Ca1198�hours'befare`you'intend to dig to receive'locates of underground utilities. wv�rw.aooherstateonecall_ora I�hereby ack�owledge YTiat this�informa:ion fs eomplete and axurate;thel the work will be in confortnance with the ordlnances and codes of the City ot : Eagan;.'.Chat�l'undersland:fhis is not a.permlt, but ony an application tor a,permtt,and work ts not io start wfthout a pertnit;that the work will be in �accordance:witli:lAe.appiroyed plan in lAe case of work which requires a review and approval ot plana. � '.... � ._:; �. .. . ''� �� �� ��� ��V� � ::�Applicarit's�Printed;Name App ic nYs Signature , . . , _ : _ , .. .,__,, - - �. �Fq ' ' ; ° . . . - -� � � Y,�= .., r , >�_.. �;.e' .n ,, _ . " . ', ... � � '�'f" _N ' @,UIF� * ftS;'Q��1IIF]S' «� °;".< '::._ �a^ev' '�,,, ��� �� �-- .: i; , .;. _ F ." . 1� . r�hv� I'AeterReJate. l .•. Mef., ,.z, .� ;;c1�o� ,. �'',a�`,' ... _. ,..._._ ;. __._._ .: ' . _. . . .. ... .. : _. .. . . w-,a iKani....s. Jd./f.-.aa' m w.� . .._.-. .