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
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/°(-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
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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-
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Page 2 of 3