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931 Savannah Rd . PERMIT # ~ ' . MECHANICAL PERMIT RECEIPT # ~ CITY OF EAGAN pJ ~ 8~ 3830 PILOT KNOB FiOM, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address A f BLDG. TYPE WORK DESCRIPTION Lot / Block SeclSub Res. New I 1 i' i Y Name ~ ~ Muft Add-on ~om~n. Repair y Address pther c Ciry - ~ Phone _S~ ` - FEES Name FiES. HVAC 0-100 M BTU -$24.00 3 Address ADDITIONAL 50 M BTU - 6.00 Ci ld Phone (~ES. HVAC INCLUDES A/C ON NEW O ~ ~l'~- ~ CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK C,OMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIIyIUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU ' REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 VenL CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # $ BEYOND $1,000) Other ` , ~ , . FEE - - • S/C: ~ SIG R F P RMITT E i TOTAL• ~ .~G FOR: GITY OF EAGAN PERMIT # PLUMBING PERMIT RECEIPT # ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ; PHONE: 454-8100 Site Address BLDG. TY~E. WORK DESCRIPTION Lot ! Block ' Sec/Sub Res. New ` - _ ' f~' Muit. Add-on ~ Name ' ~ Comm. Repair ~o Address ~ ~ • ' ~ Other c Giry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name J-~ Water Closet -$3 00 ~ c ~ , ~r ~ Bath Tubs - $3.00 3 Address ~ ` ' Lavatory - $3.00 p City Phone `y ~ ,T~, Shower - $3A0 Kitchen Sink - $3.~0 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -~i 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ _ (ADD $.50 S/C IF PERMIT PRICE GOES Sottener - 55.00 _ BEYOND $1,0OO.OU) Well - $10.00 Private Disp. - S10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: J • S G7 FOR: CITY OF EAGAN GRAND TOTAL: OF EAGAN.. Psrmlt No: ` 7~~ Date: ~ Knob R~fad Meter No: -3 g 7~`f 3~S7 Size: v°~ 2~~ Reader No: ~_5~ ln 3 8]' l Date: g'/~~~7 an, MN 55121 r~~ Custoi:~ ::c,..~e~; Owner. Site Address: ,~~vanna;~ ~ i Lexin ^ toi. r• Li; Plumber ~ •"I- ~ ~:l'1 ? Conn. Chg: ~ M~-~~ Cni~ Et~' 'ti ACCt Dep; ~~o. of`U ~i~i~L Permit Fee: ~ ~ 8~ 1~ " Surcharge: I egree compty wFth !he Cft~r ot Eayan Tr. Plant ~ ~ ~ ' Ordina c Meter. 7 ~ I~~,,~n.~ Misc.: gy v _ WATER SERVICE PERMIT . . . . . . r. ° .r,f -f., . CiTY OF EAGAN F Peanit No: ~~~3 Date: ~'~'3'"87 3830 Pilot Knob Road Meter No: Siza P•~• B~ ~~~9 Reader No: Date: Eagan, MN 55121 Owner. `'~~r~ Cust4~ ~iota~:s Site Address: ~ 31 Sava.nna:? Road Ll B3 Lexirl toi~ q 6 L l~ Plumber ~orthrup *`:ccranical _ . . Conn. Chg:~ 525.OOpd Zoning: ~ ACCt Dep: 15 . ~O~d No. of Units: 1 Permit Fee: Y • Q~rS~ Surcharge: • 50;x1 I agree to compiy with the City ot Eagan Tr. Plant 1:~ 0_ OOnd Ord(nancea. Meter. ~7~nn_., Misc.: By WATER SERVICE PERMIT CITY ~F EAGAN SEWER SERVICE PERMIT 3830 Pllot Knob, Road P.O. Bq~c ~1 ~9~ PERMIT NO.: 4`~4 ~ Eagan, MN 55121 DATE: ~-3--°7 Zoning: ~1 No. 01 Unib: i :~e[ro Glustom Homes Qwner. Address: gvaYiiia os . x gton Sq ~t Site Addre~g; Plumber. ••~rt.:rup ;.ec ~nica I--~7 741~b 1Qt~.Qt)pd I ayree to complr wkh tha Gry oi Ea~en Connection Charge: 5? 5~ p~ ~t ~rdinances. Account Oeposit: l S_ ililn~? Permit Fee: 10 _ (l(`,~_ Surcharge: S0.{~'- - gy Misc. Charges: Dste of Insp.: Total: ~~sp,; Date Paid: . ~IT'Y OF EAGAN ~ ~ , ~ 3830 Pflot Knob Road, P.O. 8ox 21-199, Esgan, MN 55121 . PH O N E: 454-8100 BUILDING PERMIT Receipt # ~ ~ f To be used tor -r Esl Value ~ 7~' Date ' ,19 Site Address _ _ ~ ~ OFFICE USE ONLY L.:XINGTUIti SQ C~nSlteSewage Occ.upancy ' Lot Block Sec/Sub. - - MWCC System Zoning Percel No. On Site Well Type of Const y City Water (ACtua~ c Name , f!0"ES 1'.(. ~Allowable) W ~ - ~r of Stories ; Address _ Length ~ Glty _ Phone i _ Depth ~ ~ S.F. Total , p Name FoolprintS.F. ~ i Address APPROVALS FEES ~ City PhOne Assessments ~ Permlt ~ ' ¢ Water{Sewer _ Surcharge ' • W W Name Police _ Plan Review ~ 2 Fire SAC, City ' Address ~ Z Engr. _ SAC, MWCC ' g W City PhOne _ _ Planner _ Water Conn. Council Water Meter I hereby aCknowledge lhat I heve read this application and state Bldg. OH. _ Road Unit that the information is correct a~d agree to comply with all applfcable APC Treatmem P1 • State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee ~ _ TOTAI ' ' ' _ - - r:~-~; . A Building Permit is Issued to: _ _ on the express condition that all work shall be done in accordance with all applicable State of Mlnnesota Statutes and City of Eagan Ordinancea 1Building Official _ _ • Parmit Ho. P~rmit Mold~r Dat~ T~hphon~ it Plumbing ~ ~ ~i / ~ ) _ ~I L~- C.,~~i~ H.V.A.C. ~ ' -~~~5 7 Electric l~J~-~J~ y~ L~t `~r~~ 7 c~ Softener i/ ~ ;/J ; g 7 ~ Inspection Dat~ Insp. Comm~nts Footings I 7 ~ ~ Footings II Foundation ~ Framing ~ Roofing Rough Plbg. -.~.~7 ~ Rough Htg. ~ ' Isul. ~ ~ Fireplace ' Final Htg. _ ~ ~ ~,r( Final Pibg. ~ ~ ~J Bldg. Final ~ ~ G ~G GSS Cert. Occ. ~ , Temp. LP DeCk Ftg. Deck Frmg. Well Pr. Disp. . . - ' . , 'iT:~ ; . ~ _ _ . ~7. PERMIT # G ~ ' MECHANICAL PERMIT RECEIPT # ~~GO y ' CITY OF EAGAN ~~~5 7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ' BLDG. 7YPE WORK DESCRIPTI~N Lot Block S/Sub Res. New ~ ~ Name < Mult Add-on ~s Address < ~ % Comm. Repair c City f~i'~~~...,~('?~~ j~ Phone r'r Other FEES L Name ' RES. HVAC 0-100 M BTU -$24.00 3 Address ~ ADDITIONAL 50 M BTU - 6.00 p City r Phone ~ (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK CQMM/IND FEE - 19~6 OF CONTRACT FEE Forced Air M BTU .OG APT. BLDGS. - COMM. RATE APPUES TQINNHOtJSE& CONO~S - RES. RATE APP3:IES Boile~ ` M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 °7~Cir Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 ~ STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # G'~_ BEYOND $1,000) Other FEE: ~ • S/C: 5 SIGNATURE OF PERMITTEE TOTAL• d ~ FOR: CITY OF EAGAN . . • • 'n ~.r . ._r.. , .';n , , T: :~u TMY'4'9!~ . i • . . . PERMIT # ~'1 I • . PLUMBING PERMIT RECEIPT M ~ T ~ CITY OF EAGAN ' 3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7~ CONTRACT PRICE PHONE: 454-81d0 Site Address j ~ BLDG. TYPE WORK DES RIPTION Lot ___L~ Block ~ SeciSub Res. ~ New ~ ~ Mult. Add-on m Name Comm. Repair ~v Ady res? Tg~~~q, • Other c Ci Phone ' RES. PLBG. ONLY - COMPLETE THE FOLI.OWING: NO. FIXTURES TOTAL _~Water Closet - $3.00 " ~ Name ~ ` ~_Bath Tubs - $3.00 ~ c Address 5~.~~sA+ ~~irt ~ ; ~_Lavatory - $3.00 Ce ' p City ,4~ ~ a.~1 Phone Shower -$3.00 _..~_Ki?chen Sink - $3.0~ 3 ' FEES Urinal/Bidet - 53.00 COMM/INO FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00 l APT. BLDGS - COMM RATE APPLIES __~.__Floor Drains -$1 50 TOWNHOUSE 8 CONDO - RES. RATE APPUES ~_Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.U0 ~-Gas Piping Outlets -$1.50 f_~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'n (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - ~10.0a Private Disp. - $10.00 ~Rough Openings - $1.50 • SIGNATURE OF PER I EE FEE: ~y v~ STATE S/C: -'~u FOR: CITY OF EAGAN GRAND TOTAL• CASH RECEIPT ~ CITY OF EAGAN ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . ~ i~ ~ ~ DATE 19 ~ REG6IVED ~ 1~ FROM AMOUNT $ ? - I & DOLLARS ~oo ~ CASH ~ CNECK FOR I~. t h~ ~ I r. ~ ° ~ , i ~ ~ ~ 1 , FUND CODE AMOUNT Thank You . BY White-Payers CopY Yellow-Posting Copy Pink-File CoPY BLDG., PERMIT N0. ;'~,~~o,~ 7 - ~ ) ~~'/7 ~i • ~ - ~ 'Y' J~-x i/ . '~,~~j ~ a ~ • - 01-3210 Bldg.'Permit ~ _ 01-3422 Plan Check ~ l: .t ~ 01-3445 Surch./Adm. ' ~ 01-3446 SAC/Adm. ~ 01-2155 Surcharge ~ 17-3860 Road Unit S~ c~ 20-2275 SAC ~ 7' 20-3865 Water Conn. " 20-3868 Water Trmt. U 20-3716 Water Meter ~ 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. " 11-3855 Park Ded. TaTAL ~ ^ ~ CASH RECEIPT , . . CITY OF EAGAN ~ ~ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r , . ~ DATE 19 RBCQIVED FROM AMOUNT $ I B~ DOLLAR{ ~oo ? CASH CHECK POR - _ ~J ~ Gltl-tf--y`-~E~-+~J FVND CODE AMOUNT -_y ~ Thank You BY : • . White-Payers CoPY Yellow-Posting CoPY Pink-File CoPY 7his request void p~ 1 ~ 18 months Tiam ~/~`f/O ~ i ` ~ 178?8 - _ ' i i~ ~ ~~s G') ~ ? {~:.C2./Y Request Dat~ Fire No. ugh-in Ins .uon ,J e ~red? ~qeady Nuw~Will NoUfy Inspec- Yes ~No tor When Ready Licensed Electricai Contractor 1 hereby request inspection oi ebove ~Wnef electrical work i~telled at: Street Address, Box or Route No. City ~nah Q ction o. Townshfp Name or No. Range No. Counly Occupant IPRINT) ~~0~~ A/~~ r I~ ~~~~1 Phone No. ~j~~ Pow r SupD~ier Address D~CL ~z° -~~r e. '~3acs ~ Elec~tr~i fal Contractor I ompany Namel Contractor's License No. l?' 1 I C~IGL l~l ~ C~~ e-~i'' c C, t,~ 1~o ~ o- a-. Mailmg qddress IContractor or Owner Making Insta~laUOnl 5" /~d ~ur-ns vr <<G Autho ed Signatura (Convac r Owrter Making Installationl Phone Number ~ `c"'~'~~ ~~tb - ~P~l/ MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST W~LL NOT Griggs-Midway BId9• Room N-191 BE ACCEPTED 8Y THE STA7E BpqRD 1827 Universitv qve.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642 OA00 ENCLOSED. ~/c~%- REQUEST FOR ELECTRICAL INSPEC710N ee-ooooi-os , SBe instructlons for compleling Inis form an back o~ vellow copy. 'l!~ D ~ 1~7 8 ~"X" 8elow Work Covered by 7his Requesl J AAA ReD~ ~~t~e oi Building Applinncea Wire~ Equipmenl Wirerl Home Fange Temporary Service Dupl~;x Water Heater Lightiny Fix[ures Apt. Building Dryer Electric Heatm Commercial Bldy. Fumace Silo Unlonder Industrial Bldg. qir Conditioner Bulk Milk Tenk Farm o~nr, nea v emo, tsuo~;ryi ther Suocfty thor Qth~:r ompute lnspection fee Below p Fae ServiceEntrenceSize tr Fee Fanders/SUbtaetlers # Fea Circults / ~ to 200 qm s 0 to 30 qm s 0 tn 30 t1m s A6ove 200 qmps 37 to 100 q~~~py 31 to 1 UO Am s Swimming Pool Above 700_Am s Above 100_Am s Transiormers Irrigation Boortis d Partial~"Other Fee Rem3rks Signs Special Inspection 5 7 -FL ) $Sa TOTAL F .y r~ rr- C 9 ~~,~'O ,f' flouph-in D~te.~D I, the Elechical 6 Inspeclor, he~eby Final ~ ~ ,~ee certify thet the above ~ y~ D ~nsoection has been T mede. T~IerepuesivalElBmonllulrom ^ • This reQUes~ void ~'~G~~~ 18:!rpn[hs from C ~ ~3 0 ' ,3 0 ~ ~r2~ % Request Oate Fire No~ J Req~I~ 1°!Inspection ~qeatly Now Q Will No~ify. Insuec- ~H 7 ,j'/,~` ?Ves ?NO ror When PeatlV Licensed Elechical Contraetor 1 hereby request inspection of a6ove ? Owner aleetrieal work ir~stalled at Streat Address, Box or Route No. Citv 3/ Savahnah ~a av~ ection a. Township ame or No. RTnge No. Cou~ity bakofa. Occupnnr(PBINT) Phone No. e-f-r CGcS fo om ~ Po ¢r SuD0lier Address ~a -fa, ~l ~e~ ~aoo aao Elecvical Convactor (Compan Name) Cnniracfor's Liconse No. M~dlahd ~~e~-Er« ~i~io-a~. Mailin0 AtlJress IConiracm. or Owner Mgk~ne ~~st~onl `~SOO W ~p i~ ~urn5vi l ~C. Aulhoriz SignaWr ~COnvactor~ ~er Making Instzllationl Phone Number £s~io - 9b <l MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT Origps-MiCway BIAq. - Room N•191 BE ACCEPTED eY THE STATE BOAND UNLESS PNOPEN INSPECT~ON FEE IS 1821 Univeraity qve.. St. Peul, MN 55104 ENCLOSED. _ ~ne 1612) 642-OBOO - 5~~~//~~ REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os _ 1 See inshuctions tor comoletirg tAis /am on beck o/ yellow copy. ` "R'" Below Work Covered by 7his Request AAtl ReO~ Tyoa ol Builtlinp ADV~ianeea Wir~tl Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Buildinc~ Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader ~ Industrial Bidg. Air Conditioner Bulk Milk Tnnk Farm ~n~~ aec~ v ~ne~ tsned~rl ~ t e~ uea(y ther Otn~r ompute lnspection Fee Below • Fea ServiceEnbeneeSize p Fee Feetlers~5ubfeatlers I~ Fea Ci~cuits U to 200 Am s 0 to 30 Am s 0 tn 30 Am Above 200 qmu 31 to 700 Amps 31 to 100 A Swinming Pool Above 700-Am s Above 100_/a~n ' ~ Transfortners Irrigation Booms D Partial."Other Fee Signs Speciallnspection ems~ks 5~ p~ • SO TOTAL F ~ RouBh-in Dnte ~he Ele ~ Inaoector, he~eby eertify ~het the above Finel O~ ns0ection Aes baen , mede. tl~b repueal rola t8 montla iram CITY OF EAGAN N°_ 13 7 0 4 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454•8100 ^7 ~ ~ Jr~ BUILDING PERMIT Receipt# 7obeusedfor SF DWG/GAR Est.Value $~4,000 Date JUNE 1 ~~g 87 Site Address 931 SAVANNAH ROAD OFFICE USE ONLY 1 3 LEXINGTON SQ 6TH On Site Sewage Occupency R3 Lot Block Sec/Sub. MWCCSystem ~ Zoning $1 PafCel NO. On Site Well Type of Const City Water (ACtuep a Name M~TRO CUSTOM HOMES INC (Allowable) V w # of Stori¢5 Z nddress P-0. BOX 1049 Length ~+F o ~~ty S' VILLE phone 454-9383 Depth ~,y. S.F. Total , p Name $~E Footprint S.F. ~a Address APPROVALS FEES ~ City Phone Assesamenta Permit ~ 412.50 f. WaterySewer _ Surcharge ~6~ w W Name Police _ Pien Review 206.25 t Z Fire _ SAQ CRy ~ on _ nn x- Address oi Engc _ SAC,MWCC 595_OO aW City Ptibne Planner _ WaterConn. 575_[1(1 ~ Council _ WaterMeter 67.nn I hereby acknowledge that I h~ve read tbis application and stata BIdg.Off. _ Road Unit 305.00 thattheinformationiscOnectandagreetocomplywithallapplicable APC _ TreatmentPl 7Rn nn State ot Minnesota Statutes a City of Eagan rdinances. ~ Variance _ Parks ` Copies Signature of Permlttee J~ 707AL $~~7. 75 A Building Permit is issued ta ! METR CUST~ 1 I MES INC on the express condition that all work shall be done in accordance with all appli le State of Minn ota~,Statutes and City of Eagan Ordinancea Building Official - ~ C? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ ~ 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 n, Q~ Vy~,~.~~ New Construction Reauirements RemodeVReoair Reauiremenls r" ` Of~ce.Use Oniv T' 3 registered sRe surveys showirg sq. ft. of lol, sq. N. of house; and all rookd areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Ene~gy Calculatbns for healed addAions Tree Pres Plan Recd _ Y_ N. 2 capies of plan shawing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks Trce Pres Required _Y _ N lsefofEneryyCalculations Add'Aion-indkafei~on-sitesepticsystem On-sAeSepticSyslem _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/153 Rim Joist Detail Options selection sheet (bldgs with 3'or less unifs ~ ~ Date ~ . ~ / ~ / ~ T Construction Cost Site Address ~JOI ~,J~~~ 'i\ ~ Unit/Ste # c:. ~ { , ~ W~,~( ~e.U~e~' ~ ~ R~ ~ Descripfono Work 'e ~Q~5 Mult -Family Bld~ r~Jlr~lY ~ N Fireplace(s) ~ 0 _ 1 _ 2 ~'7^_ PropertyOwner ~(}(,,11'1 Telephone#(~~) L~r) ~1 `~~c~~ Contractor r t Address '7~~ \I ~G llC1 ~/14 Yl d- City ~ Gl.rl State m IV Zip _L~~ Telephone #(~5' I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesora Rules 7670 Cateeorv l _ Minnesota Rules 7672 Energy Code Category Residentia~ Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) ~ Submitled Submitled • Energy Envelope Caleulations Submitted Have you previously constructed a building in Eagan with a similar Y_ N If so, 25% plan review fee applies. Licensed Plumber e 6n~~ y Mechanical Contractor Teleph~ #D ~ Sewer/Water Contractor hone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 ase of work which requires a review and approval of plan . ~ , ~m Ap cant's Prin Appli s Signature va5~~,n S. '~~'a~~ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 D-plex t~ 19 Lower L/evel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlbgbY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation `~"0 0 D Occupancy 2- ~ MCES System Census Code ~ Zoning City Water SAC Units ? Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs / Length Fire Sprinklered Type of Const .C~~/ Width ~ - REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing _ Founda[ion gypC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test Final Windows ~ Insulation ~ _ Retaining Wall ~ ~'p`o'-~ Approved By: ~ ~ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PLIJMBING (RESIDENTIAL) ~ ~ I ~ ~ Permit Application ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernuts are required For each unit na~e ~ i~i b Site Address ~G Unit # Property Owner a~~- l 1~ ~~l_~~~~ Telephone #((OSI ) U~~ ' S~ ~ Contractor ~`"-7'7(1 }~J~~~.~~~r~d- T~~`~~L1 Address J(_J'J ~[_l~Sr Q~l ~L~ City ~ ' ~J` State \~~,v Zip ~2 Telephone # ((r`5 9 ~ ~l ~ ~ ~ The Applicant is _ Owner ~ Contractor _ Other Septic System New Refurbished Submit 2 seVs of plans and MPC license $ 100.00 InGudes County fee. Additional consultant feas may apply. Altera}ions To Existing Dwelling Unit, Including $ 50.00 ~C Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+~5//~8" meter if needed -$121.00) Other: 1 J(~,01 iM.t ~ 1/~ ~ S~- _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional Stste Surcharge ~ ~ v ~ ~ ~ ~ $ .50 Total $ ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the in a- ate; that the work will be in conformance wiffi the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; th -ttte wor ' be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ~ ~~~~t lCZ-l n Slc~ ~~-a-s~ Applicant's Printed Name Applicant's Signatur v'l5~ ~la~r- ~Y~c~- oo~~- ~r ~ ~a - o~ ~ SS~I ~ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55'122 g S 651-681-4675 New ConsW ctlon Reauiremenh RemodellReoair Reauiremeirts • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plan (20% maximum bt cnverage alloweC) • 1 set of Energy Calculatlans tor heated additions • 2 copies of plan shawing beam 8 window sizas; paured faund design, etc.) . 1 site survey for exterior addiGon,a & decks • 1 sel of Eneryy CalculaGans • Indicate if home served by septic system for additiore • 3 copies of Tree Preservafwn Plan if la[ platted afler 711193 • Rim Joisl Detail Options selection sheet (61dgs with 3 orless units) DATE O p~ VALUATION ~ O D'~D SITE ADDRESS ' MULTI-PAMILY BLDG _Y !i N TYPE OF WORK ~f- U FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 4 0 N r~ STREET ADDRE,SS .7 - ~~V CITY ~ ~ STAT ZIP~~"'~'1~3 TELEPHONE " CELL PHONE # fAX # PROPERTYOWNER tiT'/"A,EIY ~.6~f-" TELEPHONE#~'~/~~~~°~'ry COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~IINNESO'1'A RUL~S 7670 CATLGORY 1 MIIVN~SOTA 12ULCS 7672 (J submission type) • Residen6al Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Su6mitted Plumbing Contractor: Phone # _ Plumbing system includes: Water Sottencr _ Lawn Sprinkler Fee: $90.00 _ Wa[er Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Vicch.uiical system includes: Air Conditioning ~ ~I ~2 ('N Il fl~ f~ ~ $70.00 Heat Recovery Systcm II(~~ U I~ ~L~ SEP 0 9 2002 Sewer/Water Contractor: ~ Pt~one # RJ I hereby acknowledge ihat I have read ihis application, state that the information is corr ct, and agree to comply with all applicable StaTe of Minnesota Statutes and City of Eagan Ordinanc s. ~ Signature of Applicant - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 o4-plex ? 12 12•plex Plbg_Y or_ N ? 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)• ? 43 Reroot ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 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 Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bidg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests 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 & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other • Total o•~ 0•*I . 0•0~+ 0•OU~~ 41'2•5U+ •~£7. • u U + 206•2~+ 625•OU+ SL5•OU+ ~ A 67 • 00+ v~ 305•UU+ jJ 180•OU+ ` Z,35`~•'l~k . . ~ 1987 BDILDZNG PERMIT APPLICATION - CITY OF E9GAN SINGLE FAMILY DWELLINGS , IDICLQDE 2 SEfS OF PLANS~ 3 CERTIFICATES OF SIIRVEY~ 1 SET OF ENERGY CALCULATIOHS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOiiNER MOST DESIGAATE i1HICH ADDRESS IS DFSIRED. NO CH9NGES WILL BE ALLOWED ONCE BIIILDZNG PERMIT IS ISSIIED. MQLTIPLE DHELLINGS - RFSIDENTIAL RENTAL IIHITS FOR SALE UAIIYS INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SIIRVEY - CHECK iiITH BLDG. DEPT.~ 1 SET OF ENERGY CALCULATIONS COI~B9ERCIAL ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2~000 LANDSCAPE BOND rlq'~ To Be Used For: Sin~le Famils Valuation: ~$;886- Date: Mas 21, 1987 Site Address ~31 Savannah Road OFFICE USE ONLY Lot 1 Block On Site Sewage_ Occupancy ~ 3 MWCC System ? Zoning ~•I Parcel/Sub Lexington Square-6th Addition On Site Well Type of Const TI City Water ? (Actual)' .Y Owner Metro Custom Homes, Inc. (Allowable) i~- 0 of Stories Address P.O. Box 104g Length Depth ~ City/Zip Code Burnsville, MN 55337 S.F. Total Footprint S.F. Phone 612-45~+-9383 6PPROVAIS FEFS Contractor Metro Custom Homes, Inc. Assessments Permit `-t~2 ~ Water/Sewer Surcharge Address P.O. Box 1049 Police Plan Review 206 ?S F3re SAC, City ~cx~ . City/Zip Code Burnsville, MN 55337 Engr SAC~ MWCC SZS~ Planner Water Conn 52S Phone 612-454-9383 Couneil Water Meter h~. Bldg Off Road Unit 3pS • Arch./Engr. Metro Custom Homes, Inc. APC Treatment P1 1 80• Variance Parks Address P.O. Box 1049 Copies TOTAL ~ S , ,f-' City/Zip Code Burnsville, MN 55337 Phone 612-45~+-9383 ` 2 ~ ~ 2~ x ~ ~ ~ ( 2- ~ ~ v x ~~o ' Z~ 20 ~ 2 = 4Q~ ~ ~ z = ~ 2g ~ 2~ ~ 2~ _ ~ ~ ~ ~ ~ Zq ~ ~ ~ ~v Pi00t' 78 ~ yA6E 9 e C ~ET~Z.~ CuSTCm, l-f~n,_ • nO ` COHSUlT1N6 EH61NEf95, ~ 266.~! ENGiNE~RING P~ANNESS and LAHD SUAYEYOQS Connnc~NY, ~tac. L 3C00 E.1:7 146E1 57REE7~ BLIRHSY(LL°_~ 4IHH£SCTd S.`.33? PH 412'5000 C~r~z}`z ccz~e o~ Su~"'Y~ c~ ~aCCj ..~c~•cr~pc'ic~z: LcT i, BL.Oc:.< 3, LEXII~~GTOn,' $w~ARc' 6=r AC:^%~ . DAKD i f~. u"'ui~i-`r ~ M 1 N NE ;vTA C~°E•~ i.Et.:o ; c= ciCl~ i;~i~ E'.wVA`iG'.: Ld9s.5'> ~E;VOTc~ %2::rG~c'v E:..EVA'ilJti' ? !t~1Ci%=-``~.~ ~~f<-~TiC,ti OF ~~1RFA~'c DRAIlJA6c 896. S=_ = r I~i /~fr'~~ ~A~PL'inc' FLDOR E~E VL1 i!O N 162.5~ N.S.o G~~ EslS..=i?:~±~:~ ~ . t FER ~C. NO. 535599 % ~ ~ - ~ ~ 6Z.SO ~ So.aD N.S.~? Co. ERSe'. FE'R\\ ~30' FRo,uT G~'/LDI~l6 BK. 3' o~ M.R. p6. Le~ I ~ so.oo I ~ ~~-~~ac~: ~;ti~. ~ ' 10.00 OAK. C.o. ELH^_7RrC I CODP EFSEMENT S 89° 43' 03' E r~z DOC. N0~ ~~.°°i ~(E95.'~ I ,~G~_~Y '4~75,:, - I /SL7,ZZ I520556 . ~90~_-~ ~ ui ~ N~` _ _ ~_s9^`.3; _~_l Vc:,i~ ~ ~ ~~oa.-~ ~ _ ~ P ` G OO I . ~aec,_3; - ~8~~_a . ~1' ~ ~ -:V cZ.~o (?9B.i~ - liJ ~ ; ~ ~ R ~~i ~ , c \ ~ ' ~ oi ~ 642li6E' ~ ~ ? i I M ~ I v, I~_ ~ ti ev7, I N ° ~ / ~I /o_oo__Jiz.oo ~l`1E, i ~ I `J I O ~ _ ~ , . 3o.co _ ~ I : = ~ ~ ~ i ~ ~ ~6.6 I y~ ~ ~ ~ ~ ~ ~ ~ ~ QI i O I~ I~ 98~5~ a~~ m ~i9B.o~ ~ O I r°-C,~ ~ PlE,S N 4~ C98.5~ I I I 1 -.~j C .I Z I~ Za..oo /89~_oi; J ry~~ I$ 'K1 ~ ~ i°„ Y u I~ ~ ~ ay. - - ~ - - .-t Sob. ~ u7 ~ C8Y5 4'' I \ - - ' ~ `e~b. i~ 147. 41 ~e.4` ~ (~ob.z, ~ ~H96,o~ JC ¢3 ~ ~2J E ~ -r ORA~NR6c' AIJD L_~~ I L_ UTlLl7Y EASEMEN- I her~by cartify t`~at thi~ ia a t:ue and c~rrzct rnpraeentition olHa trae! Di land as thovtz' and descr?bed herson.• As prspared by me on thia /`f ~ dtY of /~AY ~ 19 &7 . / ~L<~- ~``""e-. Hinn. l~es. No. s~os~ ~------z ity oF eegan 3830 PILOT KNOB ROAD. P.O. 80X 21199 ~ BE4 BLOnn9ul5r EAGAN, MINNESOTA 55121 ~'Of PHONE: (612) 454-8100 7HOtvwS ECAN JAMES A SMIM - ' VIC ELLISON RIEODORE WACHfER Special Assessment Search ~~,~m~R nionnns Heoces Ctty Atlminishotor EUGENE VAN OVERBEKE Date: June 17, 1987 Requested~by: Re-, ~~~on Square 6th ' + . . 10-45080-010-03 i Universal Title Insurance Co 14031 ~~aven Drive I Buxt~sville NIId 55337 On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for , improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The City's policy is to levy assessments based upon the current : zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is ' rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional . assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can i provide further clarification of this policy if you desire. WAIVER/DISCLAIMER: i Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was requested by i the person or persons indicated. Nor does the City or its employees ~ assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all ~ other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pendin9 assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, ~ .I'~.~-E~ ~ SPECIAL ASS~SSMENTS Attachment ; ' THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN # c i ~ TRANSACTION ID: R763 SPECIA!_ ASSESSMEhITS SF'ECIAL ASSESSMEhITS SEAIiCH SUMMARY PRQPER7Y I.D. TODAYS DATf: O6/17/Z7 ---SF'ECIAL FLAGS---- i -2-~,-4-5-6-7-b -9- i cJ i~l-~F5i_iS0-pI0-i~' ~ titi S.A.# ASSESSMENT TYESCR. YR YrS RATE TOTAC ANN.PRTN. FAYOFF C.OMME rqi~93I STRk:~6i ~4 i5 10.SG% ~79.00 i~.69 22~.~C~ 1C>T~46 S F4~~ 36 IS 9.~)C~"/, .i.~il .ni_~ _ .Ut~ iC~i24u 5 S F433 R6 i5 9. ~~~a"/. .O~] . t~l~ . v0 Ii_~i2~F9 SS1Tli F'~3~ 86 Y5 9.~~C~% .0~~ .0~? .nt? iVF'-i67 UTILITIES c~r STREET GU Cl .c1t1"/. 45i.9<^ ~5i.92 45i.9:: PEND Y UP435 UT I L IT I ES Rr STREETS t?~) t5 . OC~"/, i442. ~Jt~ i 442. C~t~ 744'~'. Ot~ FEND *~~e*~r# SUMMARY OF AC.TIVE 279.~1~~ i~.6~~ 2?~.'='u COMM ~r+~+~~ THIS YEAR'S TOT F'~I aEa~:~r+~x SUMMf~RY Q~' RENDIIVG . 7843.9~ 7593.92 . . . ~ : ~ . . . , , . , . . . Fres= ENTER (C.omments?, FI or Fs.(Hea~Jer Form? or F7 (Restart R764J , . *t***+*rwr*~*x*x~t::xrx~**:c**tt*** * ' - ~ CITY OF EAGAiV * * , * ~~ovAL oF r~T. APPLICATION FOR PFRMIT * * . ~ INSPDC.TION OF SES~R Ai~/~t V~TII2 * y TTSS^TA7SATTQN$ WIId. I~A7 $E SC~~D~ 'F SEWER AND/OR WATER CONNECTION P~T * ~ ~ 1~PROVID. • * w * ~ * . P ease Print ~ 1) PROPERTY ADDRESS: ~'j ~ - ^ Sd!.~~ " LEGAL DESCRIPTION: L„O7`/ rxp~1/~ ~a ~ ~ 6~Gj ~j~// Lo,t Bloe,k Subdi~is ' n or ax Parce ID ) IF E7QSTING STR[.'CIL'RE, DATE OF ORIGINAL BL'ILDING PERNLiT ISSf:ANC~; - lNbn Year1 PRESENf ZONING/PROPOSID L'SE: ~ COfR~RCIAL/Rf.'I'AIL/OFFICE • ~ R-1 SINGLE FAMILY Q IrIDC'STRIAL . Q R-2 DPPLEX L~nits) ~ INSTI~()TIONAL/GOVER~r ~ R-3 ZOW[~iOLSE (Three + Lnits) ( Dnits) ~ R-4 APARTTg3~PP/COI~ID()MIDIIL~M ( Units) 2) ~ . . ru,r~: d~h /~'1~C~ Z~.L GvC~ . a,~D~ss: o ~ ~ CITY. STATE. ZIP: / ~ ,~j PHONE: ,7' D/ s 3) • u _ For City Use ' ~ ~ l~dD7/~ Pliunbers License: ADDRESS: a ~tive j-{ ~pired CITY. STATE, ZIP: ~_j Not recorded PHONE: . MA.ST~ft I,I(:EDISE# ~ ~al 4) e~a ~ o ~a~• ~r~ NF1ME: . . ~ i /C/.~D . /AU /CJ ~/C/~ _ ~D~ss: D ~ /6 ' ci'rY, srP,~, zzr: ~,('t ~ 3 Pxot~: _ ~ ~5} r ~ r• : n ~ o~ a~ ~j CONNE7(.TION 2l~ CITSC SES~d~It 1'S~P C~ONDIDCTION TD CITY WATIIt dt4glt . 7~. f~„ 6) ~ • ~ pT.F~_qE HOID APPROVID PEE2MIT FC)R PICK-[Jp BY ONE OF ABOVE - PLER.SE MAIL APPROVID PEEtMIT TO 1. 3. 4. ABWE (Ci~cle one) n 7) c • ~ ~ ~ d - ~ 7: ~ r. ~ ..,e u e . e~ • e.- ~ ia• . ,e r c~• • a• i r: • • ae • ~ ~ r. • I:r~ ~ ~ . ::r ~I:b ~~e!a~ 1 ~ ~ 71' • e• • 1 • : ~ , . ~O~ ~CIT'"Y C1SE ~IVLY PERMIT # ISSUED ~ ~~9~~ . - Pd w/Bldg. Permi.t FEES: ' S $ ~S~ ~°_.SEWER PERMIT (INCLL'DE SCRCAARGE) , ~ $ WATER PERMIT (INCLL~DE SC'RCHARGE) . $ (G ~~Cl~ S WATER METER/COPPERHORN/OL'TSIDE READER S S WATER TAP (INCLC'DE CORPORATION STOP) S $ SEWER TAP S S ~~j~•~ ACCOUNT DEPOSIT - $EWER S $ ~S 0'U ACCOC~NT DEPOSIT - FIFiTER $ Z 5 ' O-Z~ $ WAC S ~ Z S ~~7 S SAC $ $ TRC~NK WATER ASSESSMENT S S l - TRL~NK SEWER ASSESSMENT ~ S $ ~ LATERAL BENEFIT/TRDNK SEWER $ S LATERAL BENEFIT/TRL~NK WATER ~ / X $ WATER TREATMENT PLANT SURCAARGE $ $ OTHER: $ ~ ~ $ ~ - U Ci $ S~' ~ TOTAL 7.y~ -7~ S3~ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF' WAY? ~ YES IF YES, THEN A"FERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSUED SY THE ENGINEERING NO DZVISION. LIST AS A CONDITION. ~ SUBJECT TO THE FOLLOWING CONbITIONS: APPROVED BY: l~~ /v`~e--u/'~"`~ TITLE: . _ DIaTE : lr ~ ~ - 411. C!tyofEaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: I )DS -Y7 Permit Fee: / 0 Date Received: . /513 Staff: 7 , 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,S//57/3 Site Address: q3 Unit#: Restden Q r Name: 3LA S fin CO Com? n Phone: (S' - 3 - (0.,;2� , ! 3 Address / City / Zip: 5 c UC.x-�'I✓1� kb Applicant is: j Owner Contractor e o yp`• Wr -� i ,,� Description of work: � ISLL( .� u l r S c_11 1' b n>1 rf-0,--, rs< v� t>..) /� 7 Construction Cost: -i/ 'r`` ' S 1O (l°Multi amity Building: (Yes / No ) Contrac o Company: Contact: 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) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE lam a d support g documents hat you submitareconsidered t be B' . n% ' o o s o the info at on,may IIasslpublic if o ro nie ssp rf ` asons hat woul pe C to c00,01 a that they, are t ad 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.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. Exterior work authorized by a b ilding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit iss ance. x Applic s Printed Applicaf4tfs Sig tf�ure Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA117983 Date Issued:10/25/2013 Permit Category:ePermit Site Address: 931 Savannah Rd Lot:1 Block: 3 Addition: Lexington Square 6th PID:10-45080-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Justin Brown 931 Savannah Rd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161745 Date Issued:06/11/2020 Permit Category:ePermit Site Address: 931 Savannah Rd Lot:1 Block: 3 Addition: Lexington Square 6th PID:10-45080-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Justin Brown 931 Savannah Rd Eagan MN 55123 (651) 233-9991 Perfection Plumbing 9633 211th St W Lakeville MN 55044 (612) 867-1192 Applicant/Permitee: Signature Issued By: Signature