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1757 Woodgate Lane
4OPP City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 iJUl.SgREVD Use BLUE or BLACK Ink Permit #: Permit Fee: ✓' CO Date Received: Staff: 0 c 7 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION U 'L �Lh `� � �0 � Ste Address: �S 7 c�'" `" Tenant: Suite #: RESIDENT / OWNER Name: 5 Talic, Phone: 65 ?i -5/ Address / City / Zip: 116 ..1 atto)a) ' li/ l , t1�` ',l ! v `� CONTRACTOR Name: Appliance Connections Inc License #: Address: 1313 Danita Cr City: \.\ Shakopee, MN 55379 State: Zip: one: 952-4 5,486 Contact: Email: . . TYPE OF WORK New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ Description of work: PTE,SIDENTIAL-- )(` Water Heater Water Softener PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) (_ Main _ Lower Level) _ Septic System Water Turnaround New — Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) , Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter.is required) New ($10.00 per as built) (inoi<udes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ . 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; Ihpt 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 applicationitra 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 whi%Ii requires a review and approval of plans. ��� , r xif r F' x' 'Yli Appli t s Signature PP .• 9 Applicant's Printed Name FOR OFFICE USE Reviewed By: * - Date: Required Inspections: _Under Ground _Rough -In _Air Test _,_Gas Test Final Icnwna• s - RESIDENT / OWNER (mil/ d n.�i ivi y - Name: Tangy Je.,/w---sui Phone/ 5-7 —q6, ` e Address / City / Zip: 7 _ to a ale_ # - CONTRACTOR Name: 3URNSVILLE HEATING & A/C, INC. License #: q/&S 3 7/3 3451 W. Burnsville Parkway Address: 120 City: Suite State: Zi MN 55337 Phone: q 15d - " ' ' LI 0 () Contact: / Email: TYPE OF WORK PERMIT TYPE New )Replacement Additional Alteration Demolition Description of work: '' ' ' / RESIDENTIAL Furnace 1 l ' / LJL. : L',,,„ ,ILA COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pu p Under / Above ground Tank ( Install / _ Remove) _ / y(; Other : IL ** When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ 55 r TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001- _ $ TOTAL FEE 4 City otEagau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: / O O V 2010 MECHANICAL PERMIT APPLICATION - 7 7) in Site Address: - 11 1 20 WCol App icant's Printed Name OCT 222010 Use BLUE or BLACK Ink e : Permit # ( c� Permit Fee: Date Received: Staff: 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 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 t approved plan in the case of work which requires a review and approval of plans. C tr_ A 4.1■ .‘_■0 App icant's Signature J City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For;Office'_Use Permit #: 1 622 S O Permit Fee: 55 • Op Date Received Staff: j�r��// ` 2011RESIDENTIAL PLUMBI G P RMIITT APPLICATION Date:/o2---10W( Site Address: � it/ef(./Y �.— J Tenant: Suite #: RESIDENT I OWNER Name: 417M/ 5 '0:/fr5 f Phone: b5-9®1- ,3ea Address / City / Zip: (75.7 Alo© 64.4.--t._ CONTRACTOR Name: 64/2 License 7.p___,,57--&a-c-/--- per Address: / Or a City: IM -4 =1'" State: / %- Zip: lr Phone: 62--c?"i'"`?' ! 9sZ-r Contact: Email / ✓Az TYPE OF WORK _New replacement Repair��jjRebuild Space in R.O.W. _Modify _Work li' Description of work: . ���� d/5t�t� ' L PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing `Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.gophe teonecall.or I hereby acknowledge that this informa Eagan; that I understand this of accordance with the approve x Applicant's Print is complete and accurate; that the work will be in confo mit, but only an application for a permit, and work i case of work which requires a review and appr 41017 e with the ord start withou nd codes of the City of that the work will be in pplicant's Si. ature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final �rra { ,, C17 f: EAGAN VIAMER P M o o t i9 9 Road PERMIT NO 39 P.O. BoX 21 « ` 1-28.-85 MN 85121 DATE: 1 man _ . RI No. of Units: .;; Ow FrontienMtat. : Corp r Address: floodgate Is t L1 B1 T� ' "I�it Site Addnsc: 1757 Woo Star P _ / Wenzel Mech. Pl umbe r: 500 . kk pci Connection Charge: Meter No 15.I" pct Size: 1 0Permit Fee: Account Deposit: 1 p . UQ pd Reader No.: .50 p4 1 spree to comply with the City of Eegen Surcharge' 132.00 sic Ordinenaa. t Misc. Chorpes: 63, r, 00 mete & Total: horn By Dote Paid: Date of Insp.: cp / 1. - insp.: CITYOF EAGAN SEWER SERVICE PER/OUT 3830 ikri nob Road 7135 P. 0. Box 21199 PERMIT NO.: 1 -28 —d) Eagan; INN 55121 DATE: 1 Zoning: Na. Units: Owner: Frontier Midwest ` C orp Address: Site Address: 1757 Woodgate In Ll BI Tiberon 1st Plumber Star Plbg 1 Fenzel Mach 1/21/85 49113 100.00 pd I agree to comply with the City of Eagan ? pbnnection Charge: 425.00 pd Ordinances. 'Account Deposit: l 0 d p U Permit Fee: 1 U pd Surcharge: .50 pd By " / Misc. Charges: Dote . -, Aj� Total: insp c % 7 /7 • - Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA121374 Date Issued:03/27/2014 Permit Category:ePermit Site Address: 1757 Woodgate Lane Lot:021 Block: 1 Addition: Tiberon 1st PID:10-76400-01-021 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Thomas L Jensen 1757 Woodgate Lane Eagan MN 55122 Corbin Exteriors Llc 1115 Southview Blvd South St Paul MN 55075 (651) 760-3116 Applicant/Permitee: Signature Issued By: Signature