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4274 Meghan LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Plumbing EA090252 07/17/2009 ePermit Site Address: 4274 Meghan Lane Lot: 105 Block: 03 Addition: Meghans PID:10-48250-105-03 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Nicholas Dols 4274 Meghan Lane Eagan, mn 55122 Fee Summary: PL - Permit Fee (WS &/or WH) Surcharge -Fixed $50.00 0801.4087 $0.50 9001.2195 Total: $50.50 Contractor: Owner: Nicholas Dols 4274 Meghan Lane Eagan MN 55122 - Applicant - I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature 41' City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 242012 2011 RESIDENTIAL BUIL �./ /°(-77-7.—erite Address: / 06 Name: Use BLUE or BLACK Ink For Office Use Permit #: 0243 Lr Permit Fee: 01--13te Date Received: Staff: ING PERMIT APPLICATION C /n forf/i Unit#: CLOMG444-: Phone: J Address / City / Zip: Applicant is: Owner Contractor v c 1 DArn(Aci t`�1 l V1L( 11(pLa / SIC (►' ? /2U i't -S Description of work: t�G „ t r^ Construction Cost: 00 O Multi -Family Building: (Yes Y /No ) Company: Mi-- Address: I LI S® COLAY14-1 State: .N\)3 Zip: .15._(,v Phone: (0 (a' ct 0L 1 —1 - 41 0 Contact ) } f I.Qckf`tL�►5 City: K)Or tti bl7J License #: Wag, (#2,55,c23 1 Lead Certificate #: If the project is exempt from lead certifiction, please explain why: (see Page 3 for additional information) 64-(172. /9 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: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documnts'ethat you submit are considered to be public information j 'Portions o'. the information may be classified as non public if you provide specific reasons that would permit the City toy ... conclude;that they areradesecrets; 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 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 Buil 'no ade st be completed within 180 days of permit issuance. x l /ma 3. ke cl e Applicant's Pr nted Name x pelican ` . • — tune Page 1 of 3 1-1 LP ftt" DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family XMulti 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 0 CP a Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction V0 REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Code Edition 04/V4 2-a )7 Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: J 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ as Septic Other: Ci Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control lest Gas Line Air Test Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0_0 of v6cid pociAt, yt(i-yof,h- / Page 2 of 3