Loading...
2016 Zircon Lane ~w, PERMIT # _ ;.2 t Y } 4' qw MECHANIC1LPERMIT RECEIPT# `k CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: GONTRACT PRICE PHONE: 454-8100 Site Address "0; BLDG. TYPE WORK DESC PTION Lot Block ~ Sec/Sub ~ Res. A_ New - j Mult Add-on m Name Comm. Repair Address ' c City k-> , - ~ Phone l ' Other FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address - _,pDDiTIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW ; CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK o GOMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. , M BTU 1--0 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other f FEE S/C: - GN TUR OF E.AG~ i ~ r! ~ ~ p TOTAL• FOR; CITY O EAGAN 4' /sf a? 3 CITY OF EAGAN Fiemarks * Cedar Grave Acquisition ~ Addition CEDAR GROVE #1 Lot 6 Rik 11 Parcel 10 16700 060 11 , Owner Street 2016 Ziroon I.d[1B State_ Eagaln. MN 55122 i Improvement Date Amount Annuel Years Payment Receipt Date STREETSURF. 1985 1266.95 84.46 15 1266.95 C009395 9-10-84 STREET RESTOR, GRADING SAN SEW TRUNK * SEWER LATERAL ( 2 WATERMAIN * WATER LATERAL 972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STFiEET LIGHT WATER CONN. BUILDING PER. SAC PARK I inis reqaest void ~ ~ mo9h2 ~0 92096 ~ `Rre No. Rouph-in Insveamn RQuYUS tl? ~ UAVS,dy Nuw WiII Nobiv InVper [or When Neatl ~c.censeC Electncal Contr:+c[or I herebV reQUestinsOacUOn of ebova ? Owner electncal work mstalled at. Street Address, Boa or RoutyN?. City ecuon o. Townshio N-e ame r o. ,u anBe No. Covnry Ouent IPfiINT1 ` Phone No. v Power Sup0lier Address EI cvical Co Vactor ICompan N mal Convaclor's l,cense No. 2~. l~,G ~a~~, Mailinp AdJress (COnVac[or or Owner akm8 Instaila[ion) n7 --I ~ ~ yyy .AuNonZed SiBnamr (COntrac or/Owner Making Italla~mn~ Phone N MINNESOTA STATE BOAflD Of ELECTNICITY TMIS INSPECTION PEQUEST WIIL NOT Gripps-MiOway Blde. - poom N-191 BE ACCEPTEO BY THE STATE BOAPD 1821 Univernitv Ave.. St. Yeul, MN 56104 UNLE55 PNOVEF INSPECTION FEE IS Phone(612) fi42-0800 ENCLOSED. ntuutST FOR ELECTRICAL INSPECTION es-o / Sea imhuctiona br comoleb np this form on beck ol yellow cooV "X" Below Work Covered by 7his Reques! ~ the Home Range Temporary Service POMD,te eo. TvPe ol BwlemO Aoolioncea M'irW Equiymani Wired Duplex Water Healer Lightiny Fixtwes Apt. BuilAine~ Dryer Electnc h{yTLn Commercial 81dy. Fumace Si1o Unloader Indus[rial BIAg qir Condrtioner Bulk Milk Tank Fa~m Other oeci v iher Isnedtyl t m uoci Y Ner Oih¢r Insp ection Fee Below p Fee ServweEnVenceSize b Fee Fandars/Sublexdere tt Fax Grcuits 0[0 200 qm s 0 to 30 qm s 0 to 30 Am s Above 200 qmps31 to 100 qmps 31 to 100 A y Swimming Pool Above 100_Amps Ahove 100_Am s Transrormer5 Irrigation 8ooms Partial.'Other Fee Signs SpeciallnsUection errarks TOTAL / Nouph-in Date I, th Electric ~ insue eev / r Final wrtdy thet the above v insoection has bean made, ThIf r0puesl voiE 18 monlM irom EAGAN TOWNSHIP BUILDING PERMIT 2471 Owne: U...._----Js"..".-----)- ......p. - - Eagan Township Address (preseni) .a.Z.~.1~1.......~:GN`....~'..T.....V.-!`."................. Town Hall % Bullder Dale ...!V41..71 Address . DESCAIPTION Stoziea To Be Ueed For Fron! Deplh Haighi Eef. Coc! Permi! Fee Remarke Io LOCATION 8lreei. Aoad or olher Deseriplion ot Localion I Lo! Bloak Addltlon or Trae! ~9 / / G-1 ~ This permit doea aot auihor[se the use of slreefa, soade, alleye or sldewalke nor doee it gtve the ownes or hie agent the righ! !o ereale any sifuation which is a nuisance or which presenls a hazard fo the healih, safefp, convenieaea and ganeral welfare !o anpone in the communiip. THIS PERMIT MUST BEEPT ON T E PAEMISE WHILE THE WOAK IS IN PROGRESS. , ~ Thia is !o ceriifp, ihel... _ati!~ ...............---...............--------has permission !o ereet a...'~~,.Q`.... .y c....~c~~..."'_"""'_._upoa the ebove described premise subjecf to the provisions of the Suilding Ordinanee fo E~i egen Township adopfed April 11, 1955. Per ...............------............~..................9....._P........_'-'---...""......_... Chairmeof Tnwn Board Buildin Im ecfor ~ I• CITY of EAGAN N2 _3693 BUILDING PERMIT Owne: / . 3795 Pilot Knob Aoad ..a ` Eagan, Minnesola 55122 Addsess (Pieaenf) --...+C.U.J.6 454-8100 Builder ..trft.lY............................... Dala . Q_ ~ ~ Addreas DESCAIPTION Sfosiea To Be Used For Front Depih Heighl Esl. Coe! Pesmi! Fse Asmaskt 16 iz s s,~P oz s~ d~ l~~ty /~q ~c /S~ ~o.~. r + sr?bu c /C ~ LOCATION Sfreaf, Aoad or olher Descsiption o: Loealion I Lo! Sloek Addiflon oz Trae! This permit does not eulhorize the use of sireeis, roads, alleys or sidawalks nor does it give the ownes or his agent ffia righ! !o create anp situalion which is e nuisance or which precenls a hasard !0 the healSh, aafely, oonvenianes and general welfara !o anpone in the communilp. THIS PERMIT MUST BEEPjf O~N T~IF~ PAEMISE WHILE pHE WORK IS IN PAOGAF~~S.. t / This is to ceriif !hal..~i.lC.l......1. ef~..t~../1 ............................has ermission !o eree! a.......~1/J..LZ../~(......~.,/. .L~~........_upoa the above described remise subjeci !o the provisians of all applicab inances for the/ i ~agan. •"'_71/„_,...._. .../Z...~1.7........._...°-_--.......--........ Per . _LC...... . ~ ' Mayor Suilding I'-mpecfos . EAGAN TOW N S H I P pa.01- UILDING PER MIT N0 2314 Ownex '-.....J..L~ EeBan Township Addrasa (presenf) .......u`,. 0.1 ~_....~.,.fjLL~ dY~..... Town Hall Builder .........(15 w . . . . . . ~ . . Q' (~~7f~ Addreas Daie . .../.O.f.~.(..,[.y.:. / DESCRIPTION Storiea To Be Used Fos Fron! Depih Heigh! Est. Cas! Perml! Fsa Aemarks /~J tzl~.G~ 2 e2 24Dn ' S/.n LOCATION Slreel, Roed or oihar Deeartplion o1 Loee!!on I Lo! Bloek Addl!!on or Trsei ~ D/ . 77.v,_.r ' l~ /l (;e,e/a_„ CA-„~ / Thie permit d no2 aulhorise the ufe of clreele, roada, alleye or sidewalke nor doas it glve the owner or hia agen! the righ! So ereaSe anp siSuafion which is a nuisance or which presenis a hezard !o the healih, eafely, convenienee aad general welfare !o anpone in the community. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESB. This is fo ceriify. !hel................................................................ has pe:mi~~ssyyionpp ~~!o erect a............................................................ _upon the above deacxibed premise eubjeet fo the proviaiona of the Build~1 ~ anca for EaganTow ship adopled April 11, 1955. • ~ /.....°:!`~`.....-1 aar . . ~C...~,ir..1.. Z.~i'~........................... Chelrman of Tnwn Boerd Bulldlny ImpeeSOr ~ EAGAIvI TOWNSHIP Nc 423 . ~ BUILDIiVG PERMIT Own - . Eagan Township . Address (Preseni.t...:....... ..~f ~ Town Hall a . Builder • n ~-rL~......... Address - " . ~ . ~ ~ DESCRIPTION ' Siories To Be Used For Froni Depth Heighf Esi. Cos3 Permit F'ee Remarks ~ ~ , ~ LOCATION ~ Stree2, Aoad. or olher Descripiion of Locatiori I Loi Elock Addition or Tract ~ - ~~T~• ' ~ J~- ~r j This~ permii does not authorize the use of sireets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create. any sifuation which is a nuisance or which presenSS a hazarcl fo the hcalih, safety, cor.vanixnce ar.d general welfare fo anyone in the communi4y. ~ THIS PERMIT MUST T q~T, ~TFI±E' MI WHILE THE W.OAK IS IN PROGc,[g ES/S, This is ceriifp, iha JFT~ - ----has permission !o _.__..C.. i!~!.~_.._..... _ .Y~._..__.... ..upon the ab ibed bjfcf !o iho provis:or.s of the Building Ord:nance fcr Fayah Towr:zl adon4=d A,ril 11, 1 ~ ; ' Per - i, ~ an o ' ~ Building Inspecior 4-~/ 7~U RESIDENTIAL BUILDING PERMIT APPLICATION cirr oF eacruv 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 ) a g . New Construdlon HeauhemeMe NemodeVFieoalr Reauirememe • 3 registered sAa surveys showing sq. fl. of bt, sq. lt. ot house; and all ruofed areas • 2 copies of plan (20%marimumbtcoveragealbwed) • 1 setofEnergyCakulatbnsforheatedadd'Aions . 2 copies of plan showing beam 8 window sizes; poured tound design, etc.) • 1 site survey lor exAerbr addabns & tlecks • lsetotEnergyCalculalbns • Indicate'rfhomeservedbyseplicsystemfora0d'Abns • 3 copies of Tree Preservatbn Plan N bt Dlattee aRer 7l7/93 • Rim Joist Datall Optbns setectbn sheet (bWgs wiU 3 or less units) DATE ~ ~ 3 /0 Z VALUATION ~z S7b r SITE ADDRESS MULTI-FAMILY BLDG _ Y SN TYPE OF WORK FIREPLACE(S) X 0_ 1_ 2 APPLICANT ~0~~~-l (~~v~36 STREETADDRESS 7,) /lP CIN~STATE~'`~`ZIP6Z 1 Z TELEPHONE # CELL PHONE # FAX # PROPERN OWNER 7~dltJ~ NJuV TELEPHONE #~~~-,v' l0 8~ COMPLETE THIS S TION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVKESOTA R" 7670 CATEGORY 1 MINNLSOTA RULLS 7672 (4 submission type) • Residential Ventilatio Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calc tions Submitted Plumbing Conhacfor: Phone # Plumbing system uicludes: _ Water Softene _ Lan~i Spriul:ler Fee: $90A0 Water Heater No. of R.I. Baths No. of Badis Mechanical Conhactor: Phone # Mechanical system includes: Air Conditioiwig Fee: $70.00 Hea[ Recovery Sys[em p~ Sewer/Wafer Conhacfor: Phone ri APR 2 ~ 2002 - I hereby acknowledge that I have read mis application, state Th formation is orrect, and agree to c ply with all appticabte State of MinnesoTa Statutes and City of Eagqn ances. BY Signafure of AppUcar~ 0~L_ ~U Y C(_ C C~37~ Y Ia- CP OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4I02 MASTER CARD • LOCATION b Al, I'b OWNER SO A 4 STRUCTURE AND A w ~ ~ TA'~l LAND USED AS ~ T Issued To Permif No. Issued Coniractor Owner BUILDING f- PLUMBING CESSPOOL - SEPTIC TANK WELL ELKTRICAL HEATING GAS WSTALLING SANITARY SEWER OTHER OTHER • ,i.q ..p . : . . , "Approved ' Items (Initi5l) ' Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION - CESSPOOL FRAMING 71LE FIELD F7. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION ' SEPTIC TANK CESSPOOL DRAINFIELD ' PLUMBING WEIL SANITARY SEWER t . • Violations Noted on Back COMMENTS: . ~ MASTER CARD LOCATION ,rdQ,pt__,~a OWNER STRUCTURE AND ~O X/ I IJT , ~ LAND USED AS Issued To Permit No. Issued Contracfor Owner BUILDING 3s 9 s >117 PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER ~ Approved Items (Initial) Date Remarks Disiance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. fINAL ELECTFICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK r ~ CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS , MASTER CARD • LOCATION e o 1 -1 r-I OWNER s STRUCTURE AND LAND USED AS ~ a ?aGP Issued To Permit No. Issued Coniractor Owner BUIIDING 23/y 9-/~- PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ESSPOOL FRAMING / E FIELD FT. FINAL -f~ ELECTRICAL loor - DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL $ANITARY SEWER • Violations Noted on Back COMMENTS: L ~C BL CITY USE ONLY RECEIPT ~ S~ SU60. ~SLLSCO~ ~ G C Q -e I RECEIPT DATE. a" PERMI7 # _32 ~5S ~ d 1999 PLUMSINH PEfiM1T (RESI)ENTlAIJ Cff1' OE Ef1fiAN 3830 PILOT KNOB itD f.AfiRN, MN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH TOTAL e.ciil iub W 3.0 0 X = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwelfin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ 30 Water softener if dwelling under construclion 5.00 x = $ Water soflener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e 50 $ 50 Total $ O.SO Reminder: Call fer inspections of alteretions, La. watzr Feater, water saitenecs, e.c. I hereby acknowledge that I have read this appliption, state that the informaGon is cortect, and agree to comply with all applirable Ciry of Eagan ordinances.It is the applicanYS responsibility to noti(y the property owner lhat the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and mamtenance activities to the facilihes constructed under this permd within Ciry propertylright-oi-wayleasement. i ~ SITE ADDRESS: `NEeB, SHnRON I - 201621RCONLANE OWNER NAME: : EAGAN, MN 55122 TELEPHONE - (651) 681-0684 (AREACODE) INSTALLER NAME: NORBLOM PLUMBINO CM TELEPHONE 627-4033 (AREA CODE) STREET ADDRESS: %'905 GARFIELD AVE Sp CITY: STATE: ZIP: SIGV4W OF PERMITTEE CLAIM VOUCHER - REF[IND REQUEST CITY OF EAGAN CLAIAfANT SOUTHSIDE HTG & A.C. ADDRESS 9317 PILSBURY AVENIIE SOUTH BLOOMINGTON, MN 55420 Location 2016 ZIRCON LANE L6. B11. CEDAR GROVE I ' Receipt No./DaCe 15495-7/13/87 Reason for Refund OVERPAYMENT OF FEE ~ Q~OYl r~.Zi~i+7n~~ Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ 24.50 Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 , $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ $ TOTAL $ 24.50 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 7/14/87 ~nature Date City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2016 Zircon Lane Lot: 6 Block: 11 Addition: Cedar Grove #1 PID:10- 16700 - 060 -11 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Window World AKA Probuilt America 2211 l lth Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Construction Type: Occupancy: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k ) has t o be removed t o install a smoke detector. Esther 1 1 Dahl 2211 1 1 h Ave E North St. Paul, MN 55109 651- 770 -5570 estherd @probuiltam.com Total: $70.00 - Applicant - Owner: Robert L Webb 2016 Zircon Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $69.00 0801.4085 $1.00 9001.2195 Issued By: Signature Building EA075458 10/12/2006 ePermit 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. Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: r Use BLUE or BLACK Ink Permit #: Permit Fee: 90, • / w� Date Received: Staff:j 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: c2/ tY//gE..�-0/1/2"4/ Suite #: RESIDENT /OWNER Name: j3&5 w6/35 Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: ,et -" KTv O P Construction Cost: ,G00 ®e? Multi -Family Building: (Yes / No ) CONTRACTOR Name:S/? //6-6,enle4 S6,(4, --(c- )? r512 License #: 02 %5 3 ©9- Address: /3f' %D ,gyp Z" 4 -- City: Pc ne PI State: -MA Zip: 55 A 9'1 Phone: -7e0 3 --4/7 7 'le 7 Contact: Lc 7//> Email: 16/0 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 alocuments that you`submit are considered to be publ►c information Portions of the information maybe classified as non `public;f you;provrde specific reasons that would peirm1t the City to conclude that they are�trade secrets,, ' CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.qopherstateonecall.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 stagy 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 pl. �::. / �/' / x T ►4 Applicant's Printed Name x Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA158828 Date Issued:11/04/2019 Permit Category:ePermit Site Address: 2016 Zircon Lane Lot:6 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-060 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Robert L Webb 2016 Zircon Lane Eagan MN 55122 (651) 303-9246 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164354 Date Issued:09/25/2020 Permit Category:ePermit Site Address: 2016 Zircon Lane Lot:6 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Robert L Webb 2016 Zircon Lane Eagan MN 55122 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:EA176137 Date Issued:05/03/2022 Permit Category:ePermit Site Address: 2016 Zircon Lane Lot:6 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-060 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) 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. All tiled shower bases require a water test. 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 - Robert L & Sharon L Webb 2016 Zircon Ln Saint Paul MN 55122--280 (651) 303-9246 Certified Mechanical Inc Dba Eds Plbg And Htg 1001 N 7th St Lake City MN 55041 (651) 345-2251 Applicant/Permitee: Signature Issued By: Signature