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3012 Woodlark Lane*' City of Baan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 • Nov U32010 Use BLUE or BLACK Ink For Office -Use �% Permit #: Li 4'g Permit Fee: ✓ ` 0 0 Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Site Address: 3° v c n\ , G, 1L, L60-1 Q.- Suite #: RESIDENT / OWNER Name: SR.Id` _S..0 k�'tl i Phone: \- 9 b Ci c Address / City / Zip: .(3'.) \-4 v d' Luv-lc, c7 , n s c.,\, --,f Jam- 1 , CONTRACTOR Name: '� V -V r o VT)I f _ _'1 C. L ce�ise #: Vr 1 S (0 "1 -3 3 -S Address:\ CA 1/4iO W �-- C 0 (''�i. R N)\ City: et` 1 v^ --Gil(-5( State: Zip: �/� Phone: c1, a - , u - 8 i 1 Contact:t V CAN" \'' S (he A\ F~ Email: s C --k k 0�. !1i S t J , LO /I'l I TYPE OF WORK New )( Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipmentis, required to be screened" by' City Code. , Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL x Furnace COMMERCIAL New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and PiumbingsInspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)kjj $5.00 State Surcharge) $ --5.-- S TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 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.gopherstateonecaltorq 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 FOR OFFICE USE Required Inspections: _Under Ground Reviewed By: Rough In Air Test Gas Service Test In -floor Exterior HVAC Screening Inspection RESIDENT OWNER Name: 5 A i I Phone: I KA —e /5 7$s' /f Address City Zip: 361 6,i/` /t26 G6 C CONTRACTOR Name: Wja 161 License .5 2 7 "no Address: 3 I51n 9 V J 1 0, oc City: 1\ ki n S .e:. 4 Zip: �I Phone: (Z 701- o ,tact Person: l _..6 1 l .41.,_ TYPE OF WORK New Replacement Repair Rebuild ,(Modify Space Work in R.O.W. Description of work: 4 ,c 1'i ch 3 �a h L. r ab t+CC/.g /3/a'. Q eougoi- iX PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $.50 State Surcharge) FEES $30.50 Lawn Irrigation $50.50 Add Plumbing `Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes (add $165.00 if a 5/8” meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL City of Ea�afl x 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 e Applica Printed Name Use BLUE or BLACK Ink Permit Permit Fee: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: n (3 Site Address: 301 2- tO k r i(' Tenant: S uite I. 5 c Date Received: Staff: 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 information is complete and accurate; that the work van be in awdonnance with the and axles tithe City of Eagan; that t this is not a puma, but crdy an appkration for a perm, and work is not to Mart without a perm that the work vra be in with the approved plan in the case of work which requires a review and x ♦4 Applicant' J F OR OFFICE USE Required Inspect RESIDENT OWNER Name: D DO Address City Zip: t► Phone: ti iio- 4 U )41 A o k CONTRACTOR Name: ,p trnal. f /h5 License S 7 7 Address: 3 VO/A41 i ,�h C �'�il y\ State l tL Zip: Zoe )J Phone: 12 70' ��j�'J Contact Person: t \4JLP L-�I TYPE OF WORK New Replacement Additional Alteration Demolition Jo kw, C a' kIstout. t h itx,t A) it LaJ Lis NOTE: Roof mounted Cock Please t h e it p d �r inn PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under I Above ground Tank Install f Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee If Permit Fee is less than $1,000, Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 TOTAL FEE 40 City ofEaQau x r QiitThafrN Applica s Printed me 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink Permit Permit Fee: Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Date: /0/7210q Site Address: 30 1 (k C Tenant: Suite S: J 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.gooherstateonecall.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 a permit that the work will be in accordance with the approved plan in the case of work which requites a review and approval of plans. CITY OF EAGAN SEWER SERVICE PERMIT 379b Pilo! Knob Rood PERMIT NO.: Eagon. MN 55722 DATE: _ . 1'• /Zoniny; No. of Units: - Owner: " Address: Site Address: Plumber. I a9fte to compir with the City of Eagan Connection Charge: Ordihanees. Account Deposit: Permit Fee: Surchurge: BY Misc. Chorges: I Dote of Insp.: Total: ~ Insp.: Dote Paid: I~ I II I I ~I I II II I PLAN W-1335-1 ~ d W I DTH 60'-0" DEPTH 24'-0" EACH FLOOR - 945 SQUARE FEET ~pf - - • r' = ~ In a modest area of 945 square feet Per floor level, this exceltent large family ~ home design provides four generous sized bedrooms, two complete bath- rooms, two partial bathrooms, two places for dinin a lar e livi g, g ng room, and a spacious den. Full basement provides - - recreation, storage rooms, and a mas- sive fireplace. . ~ _ _ ..,,~~~..a.,....._. . . .x.,~ , Ho LIVING AM. nINING K l uEN tn~ D. p~ °°T~ bEDQ00M bEDR00M I~°- •232 Il4•II: ~°.~~5 w. 104•114 u6w 104•~~f GARAGE - nEN ,qs . Zo? bED200M bEDR00M ENTRY ~o4ans ~~~sOi P.Q I'i°•i5° hATN ? ~ lo°•U! . noc ~ e voacu ~ . SECOND FLOOR PLAN I L . ' t . - ~r I ~ 1 i t r ~il ¦ I~ ~ ~11 ~ UE i ~ . ~ ' Rambling Western Ranch Styl mb d With Highly Functional and Luxurious Planning cn i iTio LIVING RM. 15Z•224 9RESSiN DININGM DINING QM. DMM d~T TN R0O"" FAMI~Y QOOM iis.i2° FAMII~YROOM ua•1z° ~ • 2- ~ 0 Ib- • Iqp ~ 14- • ie° ~ u LINLN KITCU[N KITCUE ENTRY ~z4 • ~o'-° cw, ~ 129. IoT F 0 u r I CITY OF EAGAN Remarks II Addition 0g1lmA TtmharlinP Lot 2 Blk 1 Parcel 10 55300 020 Ol Owner FL, 1 n n n i 1 Street 3()1 ? LTnnA 1 a rk T.n _ State Eagan, MN 55121 i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK 1968 $1 $3. 33 30 PAID *SEWERLATERAL 1970 $1210.00 $60.50 20 WATERMAIN WATER LATERAL WATER AREA *'STORM SEW TFiK 1970 ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ' , EAGAN TOWNSHIP N° 1389 BUILDING PERMIT Owner _......--f.....~~!c~r~-~t.r...c".--.~GS..tz~.rt Eagan Township Address (Presoni) 7re~-e Town Hall Suilder .........--°---.?.--s~,...~,d---- Dafe Address DESCAIPTION Siorios To Be Used For Front Depih Heighi Esf. Cosi Permii Fee Remarks U i/ LOCATION Street, Road or olher Descripiian of Location I Lo! P.lock ' Addition or Tract I ~ This permif does not aufhorise the use of sireefs, roads, alleys or sidewalks nor does it giva the owner or his agenl the righlfo creafe any sifuation which is a nuisance or whieh presenfs a hazard !o the health, safeSp, eonvenienee and general welfare fo anpone in the communiiy. TIiIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGRESS. L _ This is !o ceriifp, ihaf---~. has Permission !o ereci a---- - - - !he above dssc:ibed premise subject fo the praviSions of ihe Building Ordinance for Eaga • Townshad~ed April 11. 1955. . ? _ . • Per ' ' Chairmen of T wn Board Building Inspecior.. w'~ , _ 0~~ ~~-~-J' G~'~'~.~ • ~ • ~ ° 1.3 89 ~ ~ , ~ . ~ , , , , . , ~ I ' • . 1 ~ I . 1 ' I RESIDENT OWNER Name:, ..077 1 JC__ A -7)4 Phone: 'O y' 75 Address City Zip: 2 /Wit >a a L 6 ,Z Applicant is: Owner X Contractor TYPE OF WORK Description of work: fr L"y1/4p,e1.* 40 Oe Construction Cost: I are Multi-Family Budding: (Yes No J( CONTRACTOR Name: An. License 4Gg S T3 Address: L !eX 1 4 Alec XC.C� City: 3 C State: ,r; 1 Zip: j j '7 Phone: fg 7,7Y) Contact Person: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 speck reasons that would permit the City to conclude that they are trade secrets. City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date:I T f Site Address: Tenant: `jC C jT 7° i w )65 �K x Applicant's Printe• Name i nc 0 1 7009 ignature Staff: Use BLUE or BLACK Ink For Office U Permit 5: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Permit Fee: 67, 90 f'C� Date R eceived: Suite eut X? L' 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 conforman 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 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 Page 1 of 3 SUB TYPES Foundation i Fireplace Porch (3- Season) Storm Damage Single Family Garage Porch (4- Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) 01 of Plex _Lower Level _Pool _Miscellaneous Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100 Census Code of Units of Buildings Type of Construction Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit Surcharge Treatment Plant Copies DO NOT WRITE BELOW THIS LINE ik) s Interior Improvement Siding T Demolish Building* Move Building Reroof Demolish Interior Fire Repair Windows Demolish Foundation Repair Egress Window Water Damage *Demolition of entire building give PCA handout to applicant Vitt TOTAL Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final C.O. Required Footings (Addition) 'x Final No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice Water Final Pool: Footings _Air /Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test Final Windows Insulation Retaining Wall: Footings Backfill Final Meter Size: Radon Control Erosion Control Building Inspector Page 2 of 3 PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105463 Date Issued: 07/16/2012 Permit Category: ePermit Site Address: 3012 Woodlark Lane Lot: 2 Block: 1 Addition: Oslund Timberline PID: 10-55300-01-020 Use: Description: Sub Type: e - Fixtures Work Type: New Description: More Than One Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Angie Westman Comments: 31569 Nuthatch Ave aitkin, MN 56431 612-701-4789 PL - Permit Fee (miscellaneous) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Valuation: 5,000.00 Total: $60.00 Contractor: Owner: - Applicant - Westman Plumbing Inc Scott J Bernath 31569 Nuthatch Ave 3012 Woodlark Lane Aitkin MN 56431 Eagan MN 55121 (612) 701-4789 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink j For Office Use I il I l 1 C J. 7 lyo f E qm,Il I Permit ~ I RECEIVED I ' I Permit Fee: 3830 Pilot Knob Road I / Eagan MN 55122 MAR 3 1 2014 1 Date Received: t[ Phone: (651)675.5675 1 Fax: (651) 675-5694 Staff: j L----- 1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION v 4",i Date: 3 IZ"IY Site Address: 301.1 Wood l llc G ar, a Unit Name: SCO71- eh L,'v~GlScy ~crhalT~ Phone: V90-S"-7Sc/3 Resident/ Owner Address / City / Zip: 301 a (,(/pq~/g//c Gpyc Eag~a„ /~iV SS/Z / p, ,T4 Applicant is: _,r_ Owner Contractor Type of Work Description of work: _4 OGiPr LCvc ( /~i h, 4 q Construction Cost: O Multi-Family Building: (Yes / No X-) Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.goaherstateonecall.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 1 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 Sco7~ XTffwo 4 x Ar a Applicant's Printed Name Applicant's S' ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) - Single Family T Garage Porch (4-Season) _ Exterior Alteration (Multi) - Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous - 01 of i Plex Lower Level _ Pool _ Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 1[ 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 t1 MCES System Plan Review Code Edition 2, L;118 SAC Units (25%_ 100%4) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction 1012 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) X 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 VAir Test Final Siding: -Stucco Lath -Stone Lath -Brick Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ~f J r` Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge V (J Treatment Plant Copies TOTAL Page 2 of 3 a ~ Use BLUE or BLACK Ink A For Office Use I ft. dtt RECEIVED Permit f~? City of Ea ) Perini[ Fee: - (01 I 3830 Pilot Knob RoaaA Eagan MN 55122 t Date Received: lLy i Phone: (651) 675-5675 d Fax: (651) 675-5694 i Staff. i A, l f~JC S A ~ ~cZ) , Y Gail l,~Y+ l L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j 7 ! Site Address:_ Unit t _ Name_ Phone: t Resident/ r l Owner Address ! City i Zip: / 11,)( rd 16 4! 1 Applicant is: Owner Contractor Type of Work r Description of work: ti - L~ l 1~ i Y LGt e~ - ' Construction Cos : Multi-Family Building: (Yes i No ) ~rt Company: vi If , r + t Contact. 1 - - Address: 't / i City: 4 j t tC ; LIA Contractor J State: 9A ZI p: Phone ErnaA: j iiLicense kv' ~~L~ Jet Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s 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 j 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 w ~tw www_gopherstateonecalt.orq I hereby acknowledge that this information is complete and accurate; that the work will t e 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 words 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. Applicant's Printed Name Applicant's Sig atuie Page 1 of 3 idlavIc v L) DO NOT WRITE BELOW THIS LINE SUES TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck _ Porch (ScreenfGazebotPergola) ~ 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 00J Occupancy MCES System Plan Review Code Edition SAC Units (25%0_ 100%) Zoning City Water Census Code Stories Booster Pump of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final l C.O. Required Footings (Addition) Final i No 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 rtr Sheathing Retaining Wall: _ Footings Backfill Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170998 Date Issued:07/27/2021 Permit Category:ePermit Site Address: 3012 Woodlark Lane Lot:2 Block: 1 Addition: Oslund Timberline PID:10-55300-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Tile shower drain, RI LL Bathroom Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott J & Lindsey M Bernath 3012 Woodlark Ln Eagan MN 55121 Diversified Plumbing & Heating Inc 125 E Railroad St Norwood Young Americ MN 55368 (952) 583-9646 Applicant/Permitee: Signature Issued By: Signature