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2988 Pilot Knob RdReceipt - PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /e;qib/y Tot. 1. Date ' 2. Installation Cost 3. Job Address -Lot ' Blk. f Tract 4. Owner 5. Contractor 6. Address 7. City State 2ip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New O Add O Alter ? Repair D 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs ra e sspoo n Se tic Tank Lavatory p Soft e Shower r n Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Phone cin oF EAci?N 3799 P1kt Knob Read Eayan, MN 55122 8??? 4400 PHONEs 454-6100 7, BUILDING PERMIT Receipt * J Te 6e md for RERODF ING Est. Volue $1? 7 Q 0 Oote 5-1 6 l9 8 3 Site Ilddrcu 2988 Pilot Knob P.d Erect Q Occuponcy Lot 5 ei«k 1 ?/Sb Cntry. Home Hts Airer p zoni?,g porcel # 10-18300-050-01 Repair I$ Fire Zona Marlarie J. Brandt N? E"iorga p Ty? ot conn. W Move Q * Stories ; /lddress Same Demolish p Length b 5512-1 4-2713 5 Gty _ Grode p Depth Sq. Ft. o Na,f,e Don's Serv3ce Co. ?u Acfdreu Filot Knob Rd ? r?.., ri S 1 2 l o?_-- Name _ Address I hereby acknowtedge that 1 have read this al the intormation fs correcf and ogree to ton Stote of Minnesota Stotutes and City of Ea Sipnature of Pertnittee:'?'-, i A Building Permit Is issued to: ' oll work shall be done in accardonte wlth nll Buildinp Offtciol and state tfiat OI I Oppl iCOb10 Assesmwnt Woter & Sew. Pol ice Fi ro Enp. Planner Counci I Bidg, pff. 5-16-83 /1PC Fees Permit $urthorge - Plon check _ SAC Water Conn. Wcter Meter Rood Unit _ TOt01 18.00 on fhe exprcss condition Iha+ of Minnesota Statutes and City ot Eayan Ordinonces. ? PNmit No. Permit Holdsr Miic. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer Ekctrie IMpeetion Ds" Insp. Othar Footinps Foundation Fremin9 Rouph Plbp. Rouph HVA Insulation Finsl Pibp. Final HVAC Final ?? Dascribo Locstion: w Well Sewsr M. Dhp. CITY OF EAGAN Remarks Y v - Addition Country Home Heights Lot 5 ik 1 Parcel owr,er Cbtm-i,,ce- 4-M .&ana? street 2988 Pilot Knob Road State Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1\0 SAN SEW TRUNK 110*SEWERLATERAL& StUb 1972 326 WATERMAIN *WATER LATERAL & Stub 1972 20 WATER AREA STORM SEW TRK 3 1984 495.00 33.00 15 495.00 C008199 7-29-83 STORMSEWLAT g?Z 1984 495.00 33.00 15 495.00 C008199 7-29-83 CURB & GUITER SIDEWALK STREET LIGHT WATER CONN. $2$0.00 11676 9-17-74 13UILDiNG PER. sac 400.00 11676 9-17-74 PAR K - SEWER SERVICE PERMIT VILLAOE OF EAGAN : 2347 PERMIT NO 37YS Pilof Knob Rood . 9/17/74 Eagon. M!1 55122 llATE: 1 Zoning: ?t-1 o. of Units: 1N Owner: Clarence A. IIrandt Address: Site Address: 2936 Pilot Knob Roaa r: same b Pl um e 400.00 pd 9/17 1 ograe ro camply wiM fhe Villoge of Eagan Conneclion Charge: 15.00 p(i 9 17 Ordinancas. Account Deposit: 10.00 pd 90 - Pertnit Fee: , 50 pd 97-17 Surcharge: ? ?`)v/ B Misc. Charges: y: Date oF Insp.: Total: 425 50 Insp.: Date Paid: biiLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: -1586 Eagan,MN 55124 DATE: 9/17/74 Zoning: R1 No. oS' Units: 1 Owner: [`lareIICe H. Brandt Address: . site Address: -2_9$8 pilot Knob Road Plumber. s_ame ?eE-//G? G Meter No.: -23640781 Cunnection Charge: 280.00 pd 9 17 Size: 5/8 Account Deposit: Reader No.: -$1.Z437 Permit Fee: 10.00 pd 9 17 1 agreo to eomplr with fhe Villoge of Eagan O di hi??rge' P,.,.?- nJ7 ] .50 r nwncas. TURN WATER OFF AT /? 4 Tolal: ?6},}? ? By ? /??.e. 6 _ Date Paid: Date o£ Insp.: Insp.: K6 8 91 Feq est0ate ire No. Rougn ' In pecnon Requir I Reedy Now ? Will Notity Inspeclor ? V ??^ r ? Yes y-li When Reatly? I4' licensed contractor p owner hereby request inspection of above electrical work at: Job Atltlress (Street Box or oute No.l Ciry 8Sf o?` Kno.h ?v - a? Section No. Township Name w No. Range No. ?N I/^ Occu INT? ?one No. ge ( U one - o Power Supplier AECress S? 30 eU ew a?+ S??sS ElecVical ConVactor (COmOany Name) M d,- (Unrthevn % EecfnY C onlratla5 Lic nse No. e?- l a-3 Mailing Atltlress ICOnVaclor or Ownar Inslallation? 3s lal S a o N ? Aut?o a u vactoN wner Making Instellaiio Phone Number -r,.. . ?sa -3Q MINNESOTA STATE BOAHD OF ELECTRICITY THI$ INSPECTION REOUEST WILL NOT Griggs-Mitlway BItlB. - R..m S113 BE ACCEPTEO BV THE STATE BOARO 1821 Univeraity Ava., SI. Vaul, MN 55100 UNLE55 PROPER INSPECTION FEE IS Phone(6/2)6C2-0B00 ENCLOSED. REUUEST FOR ELECTRICAL INSPECTION ee.ooooi-oe K 6 2 8 g 1 , See insvutt ons lor completinq tbis form on ba± of yeliow copy. `_. ? X" Below Work Covered by This Request ?:k e Ad Rep`. ,TypeolBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Eledric Heating ApC Building Dryer Olhec (Specify) Comm./InduSirial Furnace Farm Air Conditioner Olher (syeciy) GonVacrorS Remarks: K^„O Amp 5er vLte IA(7? r[ul /? 't? ? • Compute lnspection Fee Be/ow: # Other Fee # ServiceEntranceSize Fae S Circuitslfeeders Fee Swimming Pool 0 to 200 Amps d 1 0 to i00 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspeaa5 use Oniy: TOTAL ' trrigation 9ooms (02,? Special Inspec[ion Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT Other Pee COMPLETED WITHIN 18 MODIiHS. ., i I, the Electrical Inspecror, hereby Rou9h-in f certify that the above inspection has been made. oa? Finai ? e 2-?? OFFlCE USE ONLV _ d This request voi0 18 momhs imm TOWNSHIP I hi G PElaiv@ IT Ownex 5`?.....! Addzess (preseni) Builder Address DESCRIPTION NO 153 Eagan Township Town Hall Daf .?E??. .....I - - ----- .:?b.... Siaries , To Be Used For Froni Dep2h Heighf Esi. CosY Permii Fee Remarks a = ? LOCATION SSree2, Aoad or oiher DescripSion of Loeafion I Lo! Block Addiiion or Trac! `-' ?, t4l This permiY does not aulhorize the use of sireets, roads, alleys or sidewalks nor does it give the ownex or his agenf the righ! !o creale any silualion which is a nuisance or which presents a hazard Yo the healfh, safelp, convenience and general welfare Yo anyone in the communify. THIS PEAMIT MUST BF?{ _ TH ?t?JdMISE WHILE THE WORK IS IN PRO 55. , This ia So certify, lhaY: ?'.-___ ,.f..... --._F....._.....__.has permission to esecY a-' -.------ .----------- ._.......------ upon the above desc 'bed pre ' o the provisions of the Building Ordinance for Eag ownship adapfed April 11, 1955. -'-----`'-..... ---"`. --- ? ? --- ? - ? -----....... Per -------------------------------------------- - S - u ......- ilding ----- ? -?.- -! - ------ Inspecior - ......_-- ........................ Chairman of T a Board CITY OF EAGAN . 3795 Pilet Knob Raed Eagan, MN 55122 VXONl: 4514100 BUILDIN(x'. PEdMIT Recelpt # re M uad fe. REROOFING Er v„i,,, $1,000 M,,,e 5ue Address LytStf YllOt xnob xa Lot 5 Block 1 Sec/Sb.Cntry.Home HtS Percel # 10-18300-050-01 ? IN.,e Mariorie J. Brandt ; Address SdIil2 4h4-2 /13 b p lName _DQn' S S2TViC2 CO. Address Pilot Knob Rd Name _ Address 1 hereby ocknowledga ihat 1 hove read this cpvlication and stote thot the informolion is correct and agree to wmply with oll o licoble Srate of Minnewta Stotyre;.qnd Ciy of Eogon Ordirron N° 8042 5-16 83 Erect ? pccuponq Alter ? Zoning Repair [X Fire Zone Enlarpe ? Typc of Const. Move p # Stories Demolish ? Length_ Gwde ? Depth Sq. Ft.- Aoororals Faes Assessment Permit 1/ .7U Water 8 Sew. Surcharge • 50 Pollce Plan check Fire SAC Enq Woter Conn . . Plonner Water Meter Council Road Unit Bid9. oFf. 5-16-83 APC Total 18.00 Signoture of Permittee • / I A Building Pertnif is iuued ro: ? on the expreES condition ihat ull work sholl be done in accordance wit? ?all jap?plica/bJ??/,State of Minnesato Statutes and Gry of Eoqan Ordinonces. Buildirg Offlciol ??^-'?-?' .G? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ko gUILDING PERNffT APPLICATION 1 set of energy calculations. To Be Used For Z"Z Valuation '? .J G C C> • o a Date Site Pddress? "OFFICE USE ONLY ?Wll Lot 5 Blocx J_ sec .isub . ?t??ect o?cupancx Parcel #: City/Zip Oode: Phone #: ? Contractor: i4_ Adclress: City/Zip Code: Phorie #: Arch./Ehg.. Address: City/Zip Code: Phone #: '> n O o so c? - .?`/ 3 A7.ter zom.nq gepair Fire Zone gn7 arqe _ Zype of Const. Nbve # Stories Demlish Front ft Grade Depth ft APPROVALS FEE'S Assessnents Pe?-"nu-t -? v T4ater/Sewex Surcharge ? Police Plan Check ire SAC , Water Conn. Planner Water Meter Council Road Unit Bldg. Off ? P.PC 2CTAL 510q 7 RESIDENTIAL ??--- BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851•681-4675 New Conatructlon Beauirementa • 3 regLstered site surveys showing sq. R. ol bt, sq. fl. of house; and all rooled areas (20% maximum bt coverege afiowed) • 2 copies of Dlan Showing beam 8 window sizes; poured tound design, etcJ • 1 set ot Energy Cabuletions • 3 copies of Tree Preservatbn Plen N bt pleHed atter 711193 • R6n,bist Deteil Optbns seled(on sheet (bkigs vrith 3 or less unilc) DATE 5 --3IqD-2- RemodeNieoalr Reps hei meMe . 2 copies of plan • 7 setN Energy Cakulalbnsfor heated addltions . tsltesurreybrexlerioraddabns&decks • Indicate0 homeServedbyseptbsyslemtoraddBbns VALUATION l' AULTI-FAMILYBLDG _Y 4----N' FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREETADDRESS I ??I lvlc..AA LJZf fTVZ -`C TELEPHONE #a61--7U-Z+kSqCELL PHONE # PROPERTYOWNER Oau ,'d _? vi r s TELEPHONE# 6,9-1 - 4?5(y -62W -°---------------°-- ° °-----------------°------------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 submission type) • Residential Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: _ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Conhacfor. _ Water Softener _ _ Water Heater No. of Baths Air Conditioning Heat Recovery System GU.OMU.¢,STATE W! *I211?J?_ FAX # 662i;b0lb" Phone # Fee: $90.00 Fee: $70.00 ----------------------------------------°------°---------°-----------°-------°----------------------°-----°-------- I hereby acknowledge that I have read this application, state that The Information is correct, and agree to comply with all applicable State of Minnesota StaTutes and Clty of Eagan Ordinances. SignatureofApplicant Ih C-1 ................°---"--°---------'------"--°--°°- OFFICE USE ONLY _ Phone # I,awn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bidg 0 02 SF Dweliing 0 08 06plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi 0 03 01 of_ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt- SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi ? 05 03-plex ? 11 10.plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36. Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" 0 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolkion (EMire Bldg only) - Give PCA handout to applicant Valuation ' Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & &torage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY LOT ?I BL ? RECEIPi #: 9/ T 0 SUBD. ? RECEIPT DATE: 199$ MECHANICAL PERMIT (ftESID£NT1AL) crrY oF Ewswx 3$30 PILOT KNOB RD gAl6AN MN 55122 /9l (612) 691-4675 Date: 7/ ?'8 Complete this section o/v if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not ruired for alteration/add-on to ductwork in existing residential units; but is required for the following: X Install fumace ? Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge Total: $ 20.50 SITEADDRESS: agEg PV/df Rd OWNER NAME: CJGt v 1d 'L Cd-4X J O hP,s PHONE Sd' 9 I INSTALLERNAME: I/1/D I'lIf YS SOL(4AcS<<I? IG PHONE #: 4--?3 I- 702'? STREET ADDRESS: W13a Pfh h OCJ5 fl'V -e CITY: YJI.e- UQG ? STATE: ? ZIP: zX1? ? ?? SIGNATURE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 L BL SUBD. CITY USE ONLY APPROVED BY: INSPECTOR 1998 MECtIANICAL P£ftMIT (COMIdERClAL) C1TY Of' £kfiAN S$SO PILOT KN08 RD EAHAN, MN 5518E (61E)6$1-4675 RECEIPT #: RECEIPT DATE: Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (iMPROVEMENTS ONLY): INSTALLER: ADDRESS: PHONE #: CITY: ($.50 per $1,000 of permit fee due on all permiu.) PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE 002GS Councll Minutes September 20, 1933 ? PARR RIDGE TRONR KATEttHNIN - ROBERT H. LEWZS SlSNITARY SENER CoNTRACT #83-13 Hids have been received for Contract ik83-13 and it is recommended the lov bidder, S. M. Hentges 8 Sons with the total base bid of $45,725.00 be approved. Egan moved, Wachter seconded the motion to approve the lou bid and award the contract to S. M. Hentges & Sons. A11 voted yes. MARJORIE J. HRANDT - WAI'ISR aF PLAT The application oP Marjorie Brandt for waiver of plat covering Lots 4 and 5, Block 1, Country Hame Heights Addition to shift the center lot line between the lots uas presented Lo the Council. Mrs. Brandt was present and indicate3 that her intent was to change the line to include the garage on the lot with the house. The APC recommended approval subjeet to conditions, and upon motion by Wachter, seconded Egan, it was resolved that the application be approved subject to the following: 1. All necessary easements shall be dedicated to the City as recom- mended by City staff. 2. All aoplicable ordinances shall be complied xith. All voted yes. KIl9DER gOLLEGE - CO.?IDITIONAL IISE PERMIT R 83-53 The application of Rinder Rollege, Inc, for conditional use permit to alloN day care facility in the former Mr. Steak Restaurant in the Cedarvale area was presented to the Council. The Advisory Planning Commission at its meeting on August 23, 1983 recommended approval of the application, subject to certain provisions. A representative of the applicant was present and answered questions of Councilmembers. Councilman Egan queried whether a shopping center is an appropriate location and it was noted that the Silver Bell Shopping Center location where a Montesorri School was proposed included a play area vhere the main traffic pattern around the building would have taken place. After discussiun, Wachter moved, Egan seconded the motion to approve the application subject to the following conditions: 1. The hours of operation shall be from 6:00 a.m. to 6:00 p.m., Monday throu3h Friday. 2. This use shall meet all State licensing requirements. 3• This proposed ne:rly-created 1ot shall be subject to the Park Comais- sion's review and comaent. 4. All aoplicable City Ordinances sha11 be met. All voted yes, 8 Use BLUE or BLACK Ink r - For Office Use i 44!Iliro \�- Permit#: 1 � O�City of Eaiall Permit Fee: 1 . 3 1P 3830 Pilot Knob Road /71 Eagan MN 55122 Date Received: v S`" Phone: (651)675-5675 buildinginspections(a�cityofeagan.com 7u;;�ti Staff: • : � 2017 RESIDENTIAL BUILDING PERMIT APPLICATION c44IlAl • Date: �r, _. Site Address: 4", / " t Unit#: Name: Phone: (4 Resident/ Owner Address/City/Zip: ,' ,` \-) Applicant is: Owner Contractor Description of work:2 'e fn o vZ 4,0 4// L' ' 'rt t Type of Work Construction Cost: Multi-Family Building: s /No Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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: 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. 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.cityofeaqan.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 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.dopherstateonecall.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 start1vithout 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 p s.,.., x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 14 /V 1 C SUB TYPES , L 4 0 P' l6\- yitolp _ 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 LI, 0 0 0 Occupancy ,`/,,. ., MCES System Plan Review ,Code Edition 0f) Rt SAC Units (25% 100% ) Zoning City Water Census Code P Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionVlb 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 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 iirt,, Surcharge /" in ,9 '" Plan Review , ` + .y. MCES SAC ` " °rte I L �` City SAC 1 ° . Utility Connection Charge - r f iej At) S&W Permit& Surcharge ► "o Treatment Plant " Copies TOTAL Page 2 of 3 For Office Use %„® ,44 t ®f :::: E AG A N fes , 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: buildinainspectionsa,citvofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION / ,/ r n Date: /2 Site Address: 2 , / P�/ /1 ,.d / Tenant: Suite#: � �d� Name: A D c! C 4-6S 7 Phone: -5 /'-2 to-6 Z Re #demi ►Wrier "' : Address/City/Zip: l g � i-) /0� k.,16 (2 D ,, ', - Name: License#: ', ivy ,r7' E i AliM -- ik 5 ti Co • ��up Address: City: 1� State: Zip: Phone: iii:" s- rt l ;uu ,k, 'i'''' Contact: Email: - � ° f o —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. . Description of work: �L�„ RESIDENTIAL ar Water Heater 1 x` Water Softener t� 'ls' 4 Lawn Irrigation( RPZ/_PVB) Perry ypp�a ,a -:41„Ai, Add Plumbing Fixtures( /Main/_Lower Level) �� .�01, � � Septic System 3 r 13 E'L _New Water Turnaround 1 ,i�isiS6 s . �A1'G. ' .,,,,A —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.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.citvofeaaan.com/subscribe. 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 witho : permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appy=,- • •ans r , x I . vc0 T OgeS / x , Applicant's Printed Name Applicant's Sign•ture/ iij,= 7 rrlNM1tl £ \ �r � � , - 1 l 1- .. 1 i -� r .„:„A,!, "itf.va '.;,,,4-0,040,;,,,,,,,, d : t,.1-4,40r-= �':- Nt o . rx4R ': e• :„..61,:!,,,',',_FOOFFt� E U$�_ E �� eWewed .'d ' y t � _ „Y&7 <FY.1 - i,SNiry r 1 :14Fd m � e, ,''''EliW-: v3 .,- ,,, y,, -.:-.,,,,,,,-4-0,,,,,,,,.- tPe{ , e ' ”., '''''it''''''''''''''''''' . ,k�1 "V'''. a '' drr '1"2:k11 hl y 4irT Gas, -�Ruird,',spec on d :,.un ,; dun vii: s ° Iko 7Pl4� � ' ti � �il' v ° ''91 . : r7 - tA,Ay� �dm641 4I :% e �ti ga a) R 'Mie - i ' , >Mete Relattms1t eteriZ ' r > ta, Radio Rea t ,. : 1, - ,,