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4173 Arbor Lane õ÷õ ï þýüýû ÿþþ ýüûûúù øýýþþùö åö ñ å å ÿ ÿþõ úù ø÷ ìùý êá öø÷ ô ó ìùý êá ßù üýü ý÷ Þù ù òý ûúý þ ý ÷ ûëã è þ å òþ ì ëï ÷ý ç æåæåå ôø úù ýü ìä çæ ãæã óüòü õñð ÷÷ý ú üóõ ýüêáüÚ Ú åô ýâ ûúù ý ò ýõ ü þýüýòô ëã èååã øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù 0512312014 11:26 Les Jones Roofing, Inc. (FAX)8528817009 P.004/016 Use BLUE or BLACK ink For Office Use Permit C q77 1 City of Evan ; -7-6 11 3830 Pilot Knob Road I Pemtll Fee. 1. 1 Eagan MN 66122 Dale Received: i" Phone: (661) 676-6676 I i Pax: (651) 875-6684 I stem 1 I - - - - 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date; oZ 3 . Site Address: UW- 41-71 - .41-73 4t75 Agag1L Un(t Name: p ,.6 AamRs soc. ~A K hone: - 4 e S sLC Address/ City/ Zip: Lf-fo AIZE10 9 I Applicant Is: Owner x Contractor Description of work: r2 ct-t v p ~ Construction Cost: - 3 2 2 *7 ! Multi-Family Building: (Yes x / No Company: AiFS jaN63 R oamy ; /NG. Contact: CNR-r x 101v0APZS0A/ Address: 4YL W. ?d city: BGOtNG,t/ Stets: Zip: ,~,l~~f2a Phone: 9'F;I - 76 7 - &W/7 License Lead Certlflcate -/A-7' 'V O S ?.7 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan Issued a permit for a almllar plan based on a master plan? `Yea -_No If yes, date and address of master plan:. Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor; Phone: CCALL. BEFORE YOU DIG. Cal Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. mmoer aoohwstateonecall.oro 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 plane. Exterior work authorized by a building permit Issued In accordance with tho Minnesota State Building Code must be completed within 180 days of permit Issuance. x_Gi'At5 4AiDE9b'0A1 x Appllcanr s Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153945 Date Issued:02/05/2019 Permit Category:ePermit Site Address: 4173 Arbor Lane Lot:028 Block: 001 Addition: Wenzel 1st PID:10-83570-01-280 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Janet Tste E Beecher 4173 Arbor Lane Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature For Office Use .;y e !1, :::::ee EA AN ,. : MAR 0 4 20193- 1/^ Date Received: 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-5675 1 TDD: (651)454-8535 l FAX: (651)675-5694 Staff: buildinginspections(acitvofeagan.com L 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION (J Date: °�/i�f l' Site Address: 7.2 fi- 's 64-4G Tenant: Suite#: Resident/Owner Name: _Z-7?-id /3 r k ChLt Phone: &s-1-617- O? 70 Address/City/Zip—� rnt-. tr-44`` 'J; /1')"0 1"?`' Name: COMMERS CONDITIONED WATER License#: W e'(0,,-/yc(/ 9150 W 55W SERVICE DRIVE BLAINE MN 55449 Address: City: Contractor /,�7 State: Zip: Phone: '2-- ---1-- 716/ Contact: /1 S- [�i�,�) Email: /New Replacement _Repair Rebuild Modify Space Work in R.O.W. Type of Work — ,R Description of work: �>�� `T�w`, „zr,24,Le,b RESIDENTIAL Water Heater /Water Water Softener Lawn Irrigation(_RPZ/_PVB) Permit Type Add Plumbing Fixtures(_Main/—Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ ("Q•©O 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.aooherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. 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. 2-1.&4 fill-id x Applicant's Printed Name Applica s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: