1784 Walnut LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1784 Walnut Lane
Lot: 005 Block: 005 Addition: Woodgate 3rd
PID:10- 84602 - 050 -05
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: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Shelby L Krumenacker
1784 Walnut Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA090150
07/10/2009
ePermit
VILLAGE ,OF EAGAN SEWER SERVICE PERMIT
3795. Riot Knob Road PERMIT NO.: 2535
Eagan, MN 55122 DATE: 7/21/75
Zoning: PYTI) No. of Units: 4
Owner: Nair Horizon — lkaodgata LtX
Address:
Site Address: x,778 -80 -82-94 Walnut Lane
Plumber: Thompson Plumbing Co.
1 agree to comply with the Village of Eagan Connection Charge: p
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: .50 pd
By Misc. Charges:
Date of Insp Total:
'
Insp.: 1 Date Paid:
VtLLU OF EAGAN WATER SERVICE PERMIT
3795 hI d Knob Rood
E,1 55122 PERMIT NO.: 3..________,_______77A Zoning: p DATE: 7 . 2 ?5
Owners No. of Units: 4
Address:
Site Address: : •
Plumber: '1_, ,.
_ : sue. ♦.,
Meter No.:
Size: Connection Charge: 5613 __ Pd
Reader No.: Account Deposit:
I agree to .: 1 Permit Fee: 1 °•°° PCI
comply with the Village of Eagan Surcharge: 50
Ordinances. Pd
Misc. Charges:
By Total:
Date of Ins Date Paid:
Insp.:
/ Insp.:
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Use BLUE or BLACK Ink
l For Office Use
City of Eap t Permit
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I Permit Fee. 05,926
3830 Pilot Knob Road t q I
Eagan MN 55122 f Bate Received: 1 4
Phone: (651) 675-5475 1 1 I
Fax: {651) 675-5694 y I Staff., t
I F
2093 RESIDENTIAL BUILDING PERMIT APPLICATION
Date F v L ^ Site Address- C•~
i_... d., Unit#:
Name: Phone.
Resident/
i Owner = Address I City 1 Zip:
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Applicant is: Owner Contractor
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Type of Work Description of work: - C4
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Construction Cost: 000 "'%(1 Multi-Fami Buikfi
, v ty ng: (Yes 1 No
I Company: L 1 Contact: i
Address:
Contractor tv: _ ~-e G C5
State: -MAL- Zip: _ 5 U 2 _ Phone: t? ~?Z Lfl
J License V0 C LA T 112 k Lead Certificate VV A 1 cj - `o - G On-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 may be 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. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
before you intend to dig to receive locates of underground utilities. www.ctooherstateonecald org Call 48 hours
i hereby acknowledge that this information is complete and accurate; that the worts 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 worts 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 184
days of penis i issuance.
x Ar\Dc_.,._t~ t , ~~J e e 1~~
Applicant's Printed Name X
Applicants Signature
Page 1 of 3
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