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4443 Woodgate CtCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4443 Woodgate Ct Lot: 005 Block: 003 Addition: Woodgate 3rd PID:10- 84602 - 050 -03 Use: Description: Sub Type: Work Type: Description: Meter Size Meter Type Comments: Fee Summary: Contractor: e - Water Softener New Water Softener Brian Schultz 4443 Woodgate Ct eagan, mn 55122 Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: PERMIT City of Eaan Serial Number Remote Number $50.50 Owner: Brian Schultz 4443 Woodgate Ct Eagan MN 55122- -242 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4087 $0.50 9001.2195 Plumbing EA091282 09/23/2009 ePermit Line Size - 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 RESIDENT OWNER Name: 2 14' R )1 .C' 4, 4 1 1 F Phone: 6 I 251 C Address /icily /Zip: J Q J 7C. Applicant is Owner Contractor 6piOk 0 TYPE OF WORK Description of work: I P totcz A))-'0 1 S (4) ',1 -1 At) Construction Cost S 6 00 Multi- Family Building: (Yes No eC r CONTRACTOR 1-7("Le,�- t .of k W e v a f 59� 2 Oa GO '1Z 7- Name: L roe: 6 '14- Address: 14 6 5-Z) c) -ki )f State: 1 1. Zip: S.----- City: X P 4 �j Phone: —s 3 q� Contact Person: 7 r 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 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 they are trade secrets. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 I hereby acknowledge that this information is complete and accurate; that the work will be in co Eagan; that I understand this is not a permit, but only an application for a permit, and accordance with the approved plan in the case of work which requires a review and a x Nod U Ylz -g--- Applicant's Printed Name Use S LUE or BLACK Ink For Qffice Use Permit g Permit Fee: q•), Date Received: Staff: 1 2009 RESIDENTIAL B UILDING PERMIT APPLICATION Date: V Site Address: 4/ L (1 ?3 lit) 61-- Tenant: Suite 1: CALL BEFORE YOU DIG. Call 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. mprw.gopherstateoneca i,orq with the ordinances and codes of the City of a permit; that the work will be in Page 1 of 3 VILLAGE or EAGAN WATER SERVICE PERMIT 379Y Knob Rood PERMIT NO.: 1796 Eagan `MN 55122 DATE: R/5 j75 Zoning: RI' No. of Units: 4 -- Owner: New HOri�ua>3. *o dgskt, t TT Address: . Site Address: 4441 -43- 45-V Wsto4epto rt. Plumber: +ihe pits+ nimbi nog rm. Meter No.: Connection Charge64 Pd Size: Account Deposit: - Reader No.: Permit Fee: 10.00 pd agree to comply with the Village of Eagan Surcharge: • 50 pd Ordinances. 1 M sc: Charges: / Total: By .0- �, / Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT .3795 Plot Knob Road PERMIT NO.: 2557 Eagan, MN 55122 DATE x/$/75 Zoning: RII No. of Units: 4 Owner: New Horizon - Wood.ate III Address: Site Address: 4441 43- -45 - WoOdgate Ct. Plumber: I'm , • ° • S°11 Plumbing Co • I agree to comply with the Village of Eagan Connection Charge: 3 OU • C10 Pd Ordinances. 1 Account Deposit: Permit Fee: 0 • Q Surcharge: Date of Ins Misc. Charges: p.: Insp.: Total: Date Paid: A,Aq ! AAA3, UM BLUE or M.AM Ink Alto a-- of I I YernM1 FM I t Liu ' 3p@ plm Kmb fmad i DNA phom (m)wv 5 + SIDE BUILDING PERUff APPU ►T N 201 oe> , PRhKOWWMW Address I CRY ' Appd owner of 11 Ql* .F Deem of work Btr (Yes / No i Y Cast . ~ Carawucro 1~cxs~x s~ H 40146- 156-31 bAgLW!ll Ad*em pwm # NAT 57 ~3~so8 _LAdMWWOmft 3 for add ~ If the pK+oled is exempt Iran lsad p ' WW (we i'me 6 CoWqmT!~AREA oWY y: CO 'TM A JONDMAM r Tot a s~ P based an a m oW P~ in 9w fast 92 m=Wm- has ibs cmV of Fagan bw ad a P Yes _.__M yes, dgo snd addmm of nusW PWm . pbona: ucemd PkWhOe Piwnes rochsnftd Coetraelor PltoAm Satter & Vodm Canwaclar. ~disfe)IElj+srf. a nieY ifd pen►>titti c=SY~ ►a rd uti>llr da - Cd 48 ho= YOU ~G. C;ril6aPh r=a%owCMtatIM)M"Mfor01 ~a*nrt buns you id m l to di8 b reoaiYe i CdM d . reI er wod~ wia b be fm aditm+oss and codas die (may of ~ a psmf to so vm* VA be in i hereby agagroledge IM 1Hs b oornpieis and aoa fW a P~ in is rat to a1°A°A mrt WNW* I #A dnd 1Ms is not a pew. bd co* an gppleabn for #M vx* oe%%O #wow jn#wo we o►waa~► a'°"iw' an°'e xwAdof sOM ggMW roaawotae 'rAi@" Im WM,Wworrc aaerorewa ry s d P ~swd iA scoastnsoa w1iM t6s tm at psi" page 1 ofs PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135651 Date Issued:03/28/2016 Permit Category:ePermit Site Address: 4443 Woodgate Ct Lot:005 Block: 003 Addition: Woodgate 3rd PID:10-84602-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Brian Schultz 4443 Woodgate Ct Eagan MN 55122--242 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature