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4480 Woodgate Pt41110 City of bin 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink V For Office the Permit #: Permit Fee:}�' j Date Received: `� /'1 / 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CA t(6. Date: 0-10- I ) Site Address: 41 -iso W oodi tf'_ 1` - . Tenant UJ 3i+ Truin1►1(,mms Assnanahi on .3 Suite #: RESIDENT / OWNER Name: / r )en € e! c4 5 y) Phone: 657- '62 194 9 n Address /City / Zip: '4 k)c P Eagan Mn1 .•"3---/ 02 O te_ . / Applicant is: Owner X Contractor TYPE OF WORK Description of work: REPL,f3C.&' EX/ S iirt/G- b EGA Construction Cost: y100 i Multi -Family Building: (Yes )( / No ) CONTRACTOR Name: (,.,L) P t,(S' w i (QI25 R(4di, i) -7 C. License #: 2021051© Address: 20 O5 L)/A/A/ 64'. City: Pie/ie /4kg State: Mi Zip: ,5-6---0'.7 2 Phone: 6,12- - 5 2Q< Contact:�y PE/ ii' oiV Email: !AREA COMPLETE In the last 12 months, has If yes, THIS 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: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public 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.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 the approved plan in the case of work which requires a review and approval of plans. x LARg9 PETEksoJ Applicant's Printed Name x Applie5nt's Sign y' re Page 1 of 2 • Lft(co DO NOT WRITE BELOW THIS UNE SUB TYPES Foundation _ Single Family Multi 01 of Plex _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review _ Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement _ Move Building Fire Repair Repair 2,00 (25%_ 100%4 Census Code 7/ # of Units # of Buildings Type of Construction V 0 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: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Siding _ Demolish Building* Reroof _ Demolish interior Windows _ Demolish Foundation Egress Window _ 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 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 /1 V /©L20 Page 2 of 2 VILLA) OF EAGAN 37 Pilot Knob Rood Bison, MN 55122 Zoning: RII New Horizon Owner- Address- Site wner•Address- WATER SERVICE PERMIT PERMIT NO • DATE • 1841 9/26/75 No. of Units: 4 Site Address. Plumber 4480-82-78-76 Woodgate Point Thompson Plumbing Meter No.: Connection Charge: 640.00 pd Size: Account Deposit - Reader No.: Permit Fee: 10.00 billed 1 agree to comply with the Village of Eagan Surcharge: • 50 billed Ordinances. Misc. Charges: 6 Dotal• By Date Paid: Date of Insp.: Insp.: VILu►OJ OF EAOAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2600 ran, MN 55122 DATE: 9/26/75 Zoning: RZZ No. of Units: 4 Owner: 258 BoriZOO Address: Site Address: Plumber: 4480-82-78-76 WOodgate Point Thompson Plumbing Co. I ogre* to comply with th* Village of Eagan Connection Charge: 1700.00 pc! Ordinances. Account Deposit: Permit Fee: lo.00 billed p / / ` I Surcharge: • 50 billed By: /' Misc. Charges: Date of Insp. • Total: Insp.: Date Paid: 4Vkliod 41?) yo)t):ektaW 4?Cityst 3530 Rot Knob Road Enos EN 65122 Phon: (651) 675.6675 Fa= (051) 6115.5094 2013 RESIDENTIAL BUILDING PERMIT APPLICA'TION Unit* octork— ?A-0 2:z, us. BLUE or BLACK kik .-17or ;int wok - -I 1 Dote Roodv•O IL PiNflonscr)f citY City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA129311 Date Issued: 01/29/2015 Permit Category: ePermit Site Address: 4480 Woodgate Pt Lot: 009 Block: 002 Addition: Woodgate 3rd PID: 10-84602-02-090 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Ashley Orman 130 Plymouth Ave N Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Arlene V Sheldon 4480 Woodgate Pt Eagan MN 55122 (651) 452-1949 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. Applicant/Permitee: Signature Issued By: Signature