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1518 Woodview Ave WCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1518 Woodview Ave W Lot: 4 Block: 20 Addition: Surrey Heights 2nd PID:10- 73001 - 040 -20 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 Quesetions regarding elec 952- 445 -2840 Nicole Whirley 2200 W Highway 13 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: George J Vasiliou 1518 Woodview Ave W Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 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 Issued By: Signature Mechanical EA091382 09/30/2009 ePermit cal Inspector, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112253 Date Issued:08/05/2013 Permit Category:ePermit Site Address: 1518 Woodview Ave W Lot:4 Block: 20 Addition: Surrey Heights 2nd PID:10-73001-20-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Dean Kamrath 13791 Jonquil Ln N Dayton, MN 55327 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth M Hario 1518 Woodview Ave W Eagan MN 55122 (651) 702-0255 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:10 #166 P.014/037 u tn;l , - ~Slg f 5~~ 115 l$, l Sao woodull eu) Rve., W Use BLUE or BLACK Ink F----------------- I For Office Use I j Clt~ Permit I `Tlp j of Eallan ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: ry IV Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 staff: _ I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: _r014,I51U,~rll 152,0 woacrv►twwel+fp3AY010t oW ~amtJ ~..{._._..~..r----..~ Name: T NYr u Ht,,aVri~ h to ftmban a Phone: Resident! ~-%J Owner Address / City / Zip: (H~ CI W~ W, PgrkVVX4 I CWY1 NC rit, M N 5S~`-r Applicant is: Owner Contractor 11 ~ Type of Work Description ofwork: ~:R!_..._ off I iCe. - P-0 Vf I Construction Cost.. 12 t 1 t 2,01) - Olt) Multi Family Building (Yes X I No kny:Allsby ompaUlnst mct on Mahaaeamrxrt, LLL Contact: -bayle MCIhCYaan Contractor ¢ Address: 5195 ~Y oyistrial Sf _ #102 City: ple. Plain State: _MN Zip: 5 Phone: Email: {;IQYtQ ~aIIS~DIY•bL l ~N License tD3I S15 - Lead Certificate* N A T- 21A(P 1- 0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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? I _Yes _No If yes, date and address of master plan: I F Licensed Plumber: Phone: (r Mechanical Contractor: Phone: f Sewer & Water Contractor:_ Phone: NOTE., Plans and supporting documents that you submit are considered to be pub/ic 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. 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.org 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 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 180 days of permit issuance. x ~,~tilleh Mc~e~mulfi x Applicant's Printed Name Applicant's Signature Page 1 of 3