3889 Serpentine Cir CITY OF EAGAN Remarks- SAW & WtY' CCpltl. pd.11 -14----b8
Addition Cedar Grove #6 Lot 9 Rlk 6 Parcel lo 16705 090 g6
Owner,nkA UkYhQY(A IJJ~7IA'riStreet 3889 Serpentine Dircle State Eagan,MN 55122
~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
5TREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 7 970 72.00 20 P11d
WATERMAIN
*WATER LATERAL O 20
WATER AREA
# STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1072 11 -20-68
BUILDING PER.
sAC 200.00 1072 11 -20
PARK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0'~ aH
Eagan, Minnesota 55123 - ~ Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
N t TiYE CTR "Ni i, ;'ri ~.i N11111 1I rJl, i N(
: J iitkl ; u 4,. ! , . 00. 61
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DATE INSPTR. INSPECTION TYPE DA
; t~1F1~
I
Permk No. Permk Ho{der Dete Tetephona i
S/1N
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inspect{on Date Msp. Commerrts
Footi?gs I
Foundation
Framing
Roolin9
Fough Plbg_ v,
Ftough
Isul.
Fireplaee
Fnal Heg.
Orsat Test
Finel Plbg. Plbg. Inspector - Nati(yr Plumber
Const. Meter
EngrJPian
&dg. Flnai
Dedc Ftg.
Deck Final
wen
Pr. Disp.
I
CITY OF EAGAN
j~~~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19347
~ PHONE: 454-8100 '
BUILDING PERMIT Receipt • i ~t' ~ j
To be used for ~~M IORCO Est. Value ~3~000 Dale 'rULY ZO 19 91
Site Address 3W9 8RPOTilli C1RCLZ
OFFICE USE ONLY
Lot 9 Block 6 SeciSub. CZDAR aRYL 6
Parcel No. occuPancy _ FEEs
zoning
W Name JOdll 8 JEAN DtllQOLL (Actual) Const _ Bldg. Permit ~
; AddreSS swM (aiowable) _ 1 0SO
p Surcharge
City Phone be1-0sbi # oi stories
Length 12 Plan Review
o Name aAM ~M o b i~~ ~ a s- a y n"J Depth ~ snc, cicy
0~ Address S.F. Tocal _
City Phone S.F. Footprints _ SAC, MCwCC
F On Site S ewage ~Nater Conn
Name On Site Well water Meter
ddr('SS MWCC System
City Phone Cily Water _ Acct. Deposil
PRV Required _ S/W Permit
I hereby acknowlege that I have read this appliCation and state that the Booster Pump - SMI Surcharge
intormation is correct and agree to comply with all applicable State of
Minnesota 5tatutes and Ciry IFagan Ordinances. Treatment PI
Signature of Permitee ~APPROVALS
Road Unit
JON
A Building Permit is issued to: a~~ DRIsWLL Pla""ar - Park Ded.
an the express condition that all work shall be done in accordance with atl Council 2.30
applicable State of Minnesota StFAutes and City oIi EagaR qrdinances. gldg, pn. Copies
Building Official ? Variance - TOTAL
~
1 Permit No. Permit Holde? DaN Talephone #
WATER
Y
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspeetbn Date Insp. Comments
Footings 1z 7 yi ps
Fourtdation
Framing j-q,~ . 1i e4l vs NP-Y v
Rooting
Rough Plbg.
Rough Htg.
Isul.
FireplaCe
Final Htg.
Orsta[ Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final ~
De ik Ftg.
Oedt Final
weli
Pr. oisp
.
CITY OF EAGAN No . ~ 939~
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 J
BUILDING PERMIT PHONE:454-8100
Receipt #
To be used for SCREEN PORCH Esc Value $3,000 Date JULY 1D 19 91
Site Address 3889 SERPENTINE CIRCLE
Lot 9 Block 6 Sec/SubCEDAR GROVE 6 OFFICE USE ONLY
.
PBfCQI N0. Ocnpancy - FEES
Zoning
W Name JOHN & JEAN DRISCOLL (AClual) Const _ Bldg. Permi[ $ 54.00
3 Address SAME (Aliowa6le) _ 1.50
~ City Phone 681-0564 s oi stodes su~cna~9e
Leng[h 12 Plan Review
io Name SAME DeDih 12 SAC,Ciry
$Q Address S.f. Total - SAC, MCWCC
~ (~.11y PhOf18 S.F. FoolpriMS -
On Sim Sewage _ Water Conn
r
~ W Name On Site Well
~w - WaterMeter
Address MwcC Syscem
a W Ciry Phone Ciry Water _ Aoct• Oeposit
PRV Required - SNJ Parmit
I hereby acknowlege that I have read this application and slate that the Booster Pump - S/yy Surcharge
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci~1y~ ffg~an /Ord/Ri nces, d Treatmenl PI
d~l~i~~ ~LGi APPROVALS
Si9nature af Permitee d
qoad Unil
A Building Permit is issued to: JUHN & JEAN DRISCOLL Pianner - park Ded.
on the express condilion thal all work shall be tlo in accordance with all Council 2.50
applicable State ol Minnasota SI es and City aqaq dinances. Bldg. Off. _ Coqes
~ r 58.00
Building Oflicial Varience - TOTAL
S
EAGAN TOWNSHIP
BUILDING PERMIT N° 1897
Owner Eagan Township
Address (Preseni) ._~._.-_........=•.•_::1l....~-~----~-------------------- Town Hall
Suilder ~°z
jlG
Dale
Addresa
~ DESCRIPTION
5fosies To Be Used For Fronf Deplh Heigh! Esl. Cos! ~Permit Fee Remarics
~ ~7 il..~-c ~oS-P•--= ~ o' ,~d
?
LOCATION .3-o G~zz4z
Sfreel, Road or ofher Descripiion of Location Lo! Block Addifion or Traci
This permii does not auShozise the use of sireels, xoads, alleps or sidewalks nor does it give the owaer or his agenf
the righS io creale any siiuaiion which is a nuisance or whieh presenls a haaard !o the healih, safeiy, convenience and
general welfare !o anpone in the eommuniSy.
THIS PERMIT MUST BE KEPTq,ON TqHE PAEMISE WFIILE TfiE WOAK IS IN PROGAESS.
This is fo vezfify, Sha2..... P.._..!~:.......! . ----.-........has permission fa eree! a..... _..~~r. u on
- - p
the above desaribed premise subjea! !o the provisions of the Building Ordinanoe fas Eagan T~sh3p ad fed April 11,
1955.
.
ti'
~ ~---~r~va........... Per _ .............--.~4 .4.x.........~
~ Chairman~ Tnwn Board ~ Building ~nspecfor
Q '6
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan -t- t-7 ~ U~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consirucfion Reauirements RemodeVReoair Reouiremenis i~e~~Se~N7 3 registered siie surveys showing sq. N. of lot, sq. ft. of house; and gJI roofed areas 2 xpies of plan Cad es+,X N
(20%maximum lot coverage allowed) 1 sef of Energy Calculafbns (or heated addifions II2m0
CCSI'~n';Recd -_.Y _N2 cnpies of plan showing 6eam & window sizes; poured found design, elc. . 1 site survey for additans & decks
1 set of Energy Calcula6ons Addm'on - iridicate if on-site sepfic system Orisite 3ept~c SystBAt _ Y
_ N3 copies of Tree Preservatbn Plan if lot platled aHer 711/93
Rim Joisl Detail Opiions selection sheel (bldgs with 3 or less units
Date /0,3Construction Cost
Site Address -M,62 UniUSte #
Description of Work
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Praperty Owner T ,vNify /c Telephone # VS/ 4Sa 214S~
Contractor W~3 k~- l
Address 1~~ ~ ~„~rw Av~ 1u City &~oDn cA
State eo Al ZiP 53~¢/ Telephone # Qd"3 )$Q/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Yvlinnesota Ruies 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Category 1 Wwksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Conhactor Telephone ~
Sewer/WaterConfractor Telephone S!!!accurate;
I hereby apply for a Residential Building Permit and acknowledge that the info ' 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
pemut; that the work will be in accordance with the approved plan in the case of work 'ch requires a review and
approval of plans.
Applicant's Pnnted 1 ame Applicant's Signature
OFFICE USE ONLY
Su6 Types
? 07 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. Ait- Multi
? 03 01 of _ plex ? 09 07-pleac ? 17 Garege ? 22 PorchlAdda (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-ptex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-pleac ? 12 12-plex Plbg_Y 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 Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy 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 Width
REQUIRED INSPECTIONS
_ Foollings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
~ Drain 1Yle 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
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit 8 Suroharge
Treatment Plant
License Searoh
Copies
Other
Totai
~
, ,PERMIT
CfTY OF EAGAN `~3} 7
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Num6er:
(612) 681-4675 Date Issued: ,i
SITE ADDRESS:
10.: " rLCL~- b
~'.I.Ontt ?;?t0`:~1 e: f il
_ I..... b/~~)5lh9'9 R~
DESCRIPTION:
i ~
~ ~ ~ ti.~
. ~ _ . . . .
REMARKS:
FEE SUMMARY:
v h i u r, (j l~:
7o I e a
~ '~'y
CONTRACTOR: OWNER:
6
tlTL:'tP' Nl~ ]PIC 1, S!-~ii110~0 o 01)
!4'"hi1dPOL I , _Pi
. ..by .I:-_ . liwv~ r.li,~ . ~ ;.c~ l. . . . ~
0, rm.r, . i"J ..,y;~;.c. _o -o:::)'v . _ . . ~ . .
~ -
nuo
APPLICANT/PERMITEESI URE ISSUED V: IGNAfiSIRE'k
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
-X 17.?~ :TI~ '1'4~-fl Cr`.N Irht~;U1) f I. b;(, .iC
6i'.0 `J( 11 (hl7j '74iY()
PERMIT SUBTYPE: TYPE OF WORK:
:;r rPSIS~~ ; RC=1~liCf•
INSPECTION D. • DA
F
L.
PERMIT # CITY OF EAGAN /
REACTIYATE , 1992 BUILDING PERMIT APPUCATION
681-4675
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by 1'ast working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Va/l uPon- of work V~) U
Site Address:
STREEt SUITE t.
Tenant Name: (commercial only)
IAT BLOCK ~ SUBD. P.I.D. M
lRG r~
Descri tion of work:
The applicant is: ? Owner Contractor ? OtI12P (Deseribe)
Name ce ll Phone
Property LA5, FIRST 1
Owner Address ~-2'~ a,,~L
STREET STE N
CitY 4W
State Zip
Company yi "cea_x Emocyrklcx ' Phone -ODzU
Contractor Address 60 XX " Li
/ cense aU~v Exp.
City _ "V7"du~ State ~ Zip 7
ArchltecU Company Phone
Engtneer Name Registration N
Address
City State Zip
Sewer 8 Nater licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
torrect and agree to comply wi all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appllcant: ~`k0.~`~=G
OFFICE USE ONLY
. .
BUILDING PERMIT TYPE
? ,.,r 01 Foundation ? 06 Duplex ~ 11 Apt./Lodging 1°Base,
.men; t F i n i s h
? 02 SF Dwg. O 07 4-Plex 11 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch . ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition 4 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) . Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
length 0n-site well Census Cade
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing p Framing O Insulation
? Mallboard ? Final O Draintile ? Fireplace
Permi t Fee ~0 0 v,i,mt;,,,,
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter .
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded. '
Trails Ded.
CoPies
Other ~
Total:
SAC %
SAC Units
MEMO
4~~
_ city of eagan
T0: aiANE DdWNS, UTILITY BILLING CLERK
FROM: ED KiRSCHT, SR. ENGiNEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 i$
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
42L
Ed Kirscht Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EK/je
_ ' _ _ _ _
;
EAGFN TOWNSHIP ~
3795 Pilot Knob Road ~
St. Paul, Minnesota 55111
Telephone 454-5242
PERPIIT FOR WATER SERVICE CONNECTTON
Date: Numner: 149
(~,~~t/ i
Billiag Name: YI i.rV Site Address:c'~p`~o c3VP~
n 7C l~
Owaer: ~AYee~,¢l' Billing Address
Plumber:c91-~•
~ -
j
~ Location of Connectioa Meter Size Connection Chg.
' Meter No. Permit Fee 7.50
; Meter Rezding Meter Dep. ,
~ Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
~
Date ~
li Building is a: Remarks: ~
, . Residence
~ .
Multiple No. Units
, Commercial
Industrial By:
i = Chief Inspector i Other
In conaideration of the isaue and delivery to me of the abwe permit, I
hereby agree to do ttv proposed work in accordance with the rules and
regulatioas of Eagaa Township, Dakota County Minnesota
BY:
PLease notify the above offica when ready for inepection and connection.
i .
~ `
a
EAGAN TOWNSHIP
3795 Pilot Rnob koad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: • I3y Iq NUNIBER 266
OWNER:r..~&V Addrese Lw,a.A.:~~11e,
PLUMBBR TYPE OF PIPE
DESCRIPTZON OF BUIIDING
Industrial Commercfal Residential Multiple Dwelling No, of units
~
~--r~
Lacation of Connectiona: Conaection Charge a~~•
Permit Pee 7•50
Street Repairs
Total
Inspected by:
Date
Remarka•
By
Chief Inspector
In consideration of the issue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Aalcota County Minaeao[a
sy ~C,
Please notify when ready for inspection and connection and before any portioa
of the work is covered.
qK! RC} rsaPl nyJr.a wyr•.SJC~
1])SUU7N111. S1 nw::i.w. :.y
. iLf'1, 944.n14
' 61M ANG W4HaSN5 51 VpUL 0AVUj hyjUj
!(i121 J%. )"l
]01W 6UHNSVILLf VNWY.HUPrySVIILLMiNM1SSJ)1
Ili11i Y.P4 !y]0
&SIPAULTITLE
RJSUFANCE CURPpRFT10N
ORDER NO. D-7706
DATE May 14, 1981
. SPECIAL ASSESSMENT SEARCH
Legal Description: c Lot 9, glock 6, Cedar Grove No. 6
County of: Dakota
PropertyAddress: 3889 Serpentine Circle, Ea an
Plat: 10 16705 090 06
Owner: Voehl, LeRoy b Marlene
Parcel:
SPECIAL ASSESSMENTS NOW PAYABLE ARE AS FOLLOWS:
Beginning No. of No. Remaining
Levy No. Type of Improvement Year Years Years BALANCE BALANCE
NONE
PENDING ASSESSMENTS ARE AS FOLLOWS:
Project Current S.atus
Estimated Cost
NONE
APPROXIMATE COMPLETION DATE FOR PENDING ASSESSMENT IS:
AUTnOPIZED SION4TURE a40.SA5:12/79 .
/ 3
1991 BUILDI G PERMIT A P~TION
CITY OF EAGAN
i
G
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ~J
7
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS IS
DnSIRED. NO CHAIvGES WILL BE ALLOGED ONCc BUILuING rERMIT IS ISSJED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
':5-r-wmyn aeu-!
To Be Used For: Valuation: 4~w- Date:
? ~
Site Address ,~'2~ SGt~/WiY~(G CiRLl-t ~ OFFICE IISE ONLY
Lot 21- Block 4~p I'~D FEES
Occupancy R'3 Bldg. Permit q,DO
Zoning Surcharge
Parcel/Sub C6/,~q.~L /~r/2vve Actual Const Plan Review
Allowable SAC, City
Owner .JWh d- Jfi4/Y 1)(Zl5loZ1- # of stories SAC, MWCC
J Length 2~- Water Conn.
Address 3 /~fl
~~9' Scuc~l"(kG Lii1c.) r. Depth 121 Water Meter
S.F. Total Acct. Deposit
City/Zip Code ,E;4r~N S"S J,ZZ Footprint S.F. S/w Permit
S/W Surcharge
Phone 41~9/-OSe`/ On site sewage_ Treatment Pl.
On site well Road Unit
Contractor 5el_P ifWCC System _ Paric ueu.
City water Trail Ded.
Address PRV _ Copies ~•SO
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ~
Arch./Engr. ~GLfC Bldg. Off. j)S 9_kJ11
Variance
Address
City/Zip Code
Phone #
C, agrees that all work shall be done in accordance with
ignat re of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
a•e ~ ~
TY<D
~ j .
r ~ . . . . . . ~ . . . . . . . . ~ . . . . .
~
(Q Zb NoT ~Cr.K R~4u~RE~D 4~~/PESS ~?iivDDrvS
NOR iNT~e~C~~/!~/.dED w~NlX~c?'G1~N~tiG-S . . ,
Do NOT CreF47S', S!T A-TTONJ G/N/C!P C16~47~,
; EKc~'IV~' L;47F.X ~i2F354KE oN~ OvST7N4 :
,~JtLiN r,
~
. , . . . . . . . . i . . . .l. ~OJ I
. . . . . , . . . ~ i . ~ . . ` i
. d i
. . . 'i . 'i .
. ~ . . . . ~ i . .
. . , , , . , . . . . . _ , . i .
~
. . . , . ! ! . . ~ , . . . i . . . ~ : i : ~ - . . ~t
. ~ , ~
I
, I ~ LoNti2a{c $LR~j ~ i : ~
,SUtEEN
17
. . . . . ~ ! . . . : v~ ~ vL , . . . ~ . ~ . ~ .
. , ' ! . ~ ~ . ' ' ~ ` i • ' ' i ! '
. . , . . _ , "--r . . . . . . . ,
~ ~1 i I I I
c nT~ ; L./ N t
~ ~ ;
~ . ~;~~.'c,
2006 RESIDENTIAL PLUMBING aeRnnir aPPUCarIoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I C~o ~ 1 ~ C
Site Street Address t~iUV'~ aQr=~Idk tJnit #
Property Owner~ 6q/-Pef ~xa Telephone #(95.) lpz/~-eLO /O
Contractor ~%P.IzONI~ N(4 Teiephone #%p51) 3 105 I 0
- Address E~, MN 551
City State Zip
The Applicant is: _ Owner COntractor Other
Septic System _ New _ Refurbished Submii 2 sets of plans and MPC license Includes County fee
$ 100,00
. . Per es=builf - $ 16.00
Aiterations to existing dwell7ng $ 50.00
_ Add plumbing fixtu2s. This fee inGudes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water softaner and/or wafer
heaYer, do not complete this section; mave to the nexk section and check the
appliance(s) you are instailing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
WaterSoftener ~WaterHeater $ 15.00
_ new replacement
Lawn lrrigation _RPZ ,_P5/B _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ~ S -50
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of Uie City of Eagan and the pfumbing codes; that I
understand this is not a permit, but only an applicaGon for a permit, work is not to start without a permit and work will be in
accbrdance with the approved plan in the event a plan is required to 6e reviewed and approved.
~.obe.~t ~al 12
ApplicanYs Printed Name ApplicanYs Signature JUL 2 b 2007
~~gtl~O
BY