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1345 Easter LaneRESIDENT OWNER Name: 51 C� Xi G Phone: qc -3 -7273 Address City Zip: i 73 ak 61N p Ay L Lg, "i") 'a'7`' Applicant is: X Owner Contractor TYPE OF WORK Description of work: /6' 4 Construction Cost c UOC: Multi- Family Building: (Yes k No CONTRACTOR Name: `e` f License Address: City: State: Zip: Phone: Contact Person: 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: Sewer Water Contractor: Phone: Phone: 11 TE Pl ad a 6 c, do coi e r t you b are onsi'd 5:/ #�a atia raajrbe c s r1e. art a to se ib n o f ere i� a�ff 0C a a �Pa�o sof y r,. 5 ✓i yr, CityofEaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0y' t)..00ti Site Address: j34^S ets-ter- I-e, `'""dal J M 156 2 3 Tenant: Suite CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00pherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan x SK�irl�i k�� Applicant's Printed Name 'Lhu U 0 4 2009 i Permit Permit Fee: Date Received: Staff: Use BLUE or BLACK Ink a.. =7i` Applican igm� Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 100% Census Code of Units of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair D Fireplace Garage Deck Lower Level REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice Water _Final Framing Fireplace: Rough In Air Test Insulation Meter Size: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4 -Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final C.O. Required Final No C.O. Required X HVAC Other: Pool: Footings Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control Building Inspector Reviewed By: I �j 0,2 Page2of3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1345 Easter Lane Lot: 4 Block: 5 Addition: Wildemess Run 5th PID:10- 84354- 040 -05 Use: Description: Sub Type: e - Fumace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Air Mechanical 16411 Aberdeen St Ham Lake MN 55304 (763) 434 -7747 Quesetions regarding electrical permit 952- 445 -2840 TINA NEUBAUER 16411 ABERDEEN ST NE ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Shengqi Xie 17346 Gettysburg Way Lakeville MN 55044 $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 EA092128 11/23/2009 ePermit cal Inspector, VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot 'Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By _ , Date Paid: Date of Insp.: 7j e7 .4.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood Eagan, MN 55122 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Char ge: Ordinances. Account Deposit: Permit Fee: By: Surcharge: Date of Insp. :� Misc. Charges: Insp.: ,�,- Total: Date Paid: