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1662 Donald CtRESIDENT / OWNER Name: fl,.. gm or P� lJ ♦ 1 - Phone: Address / City / Zip: ) l I c L (.- I J Applicant is: Owner contractor TYPE OF WORK Description of work 5 re — i® 0 Construction Cost: 1" L� Multi - Family Building: (Ye?‹/ No ) ) CONTRACTOR Name:U L 5Ck)1)(c, License #:x # ?(aD- Address: �, 1 Jim (_i City: g, Vi State: Zip ), u( Phone: 0 6,-)- -- 1471 �C Contact: �/ ( 9 J Email: /7c )n V ® � " "', ( ,kG73--, COMPLETE In the last 12 months, has _Yes If yes, THIS AREA the City of Eagan issued date and address of master ONLY IF CONSTRUCTING A NEW BUILDING a permit for a similar plan based on a master plan? plan: _ No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NO TE• Plans and supporting documents that you 0u m' are co tiered t© be public rn on Portions of th information may be classified as non 'public !kJ you spe R c reaso th at would rmrt the =Ci to ,.; � conclude. that; they are trad e,secre ts. City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 r 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V , 7 ( Site Address: / p Use BLUE or BLACK Ink Permit #: Permit Fee: go. b U Date Received: Staff: Tenant: Suite #: 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 pe it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f plans. x l /! rci U 'CArd Applicant's Printed Name As . icant's Signature Page 1 of 2 . CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: -- —, Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By j Date Paid: Dote ref Insp.: / �� Insp.• CITY cTF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: Misc. Charges: • f Insp.: Total: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA126771 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 1662 Donald Ct Lot:1 Block: 01 Addition: Cameron Court PID:10-16300-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Roberta Trantow 1662 Donald Ct Eagan MN 55121 (612) 481-3740 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature