1527 Woodview Ave WRESIDENT / OWNER
Name: 1 Phone: 1.P91 J cit 73 &tom
0j �'] ���Ul�'J � yfi, l �.'u1 9
Address /City /Zip: �✓ � ( � l. , , � qoAil
CONTRACTOR
Name: License #:
A mance CC i:inections Inc �.
Address: City:
131 G i a iii iii
State: Zip: ShakopeerMW55379
Contact: 9 - 445+4603 •
TYPE OF WORK
New Replacement Repair Rebuild _ Modify Space Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
l? IDENTIAL —
Water Heater Water Softener
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) (includes County fee and $.50 State Surcharge)
bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
., TOTAL FEES $
Tenant:
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ' I D S ite Address: 1.1)1 W ter` ` (-fr
4u, ttacn
App ant's Signatur
Permit #: c=
-��-
Permit Fee:
Date Received:
Staff:
Suite #:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecalLorq
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 fdr• permit, and work is not to start without a permit; that the work will by in
accordance with the approved Ian in the se of work which requires a review and appr I of plans.
x art
Use BLUE or BLACK Ink
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test _Gas Test _Final
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:07 #166 P.005/037
%
523 1c 152"/ ° 152°1 oodv t ~ Ave- W
qwY~~
Use BLUE or BLACK Ink
l _
For Office Useh l
j Permit `2 454
j
City of EadH I Permit Fee:
3830 Pilot Knob Road I .~C
Eagan MN 55122 j Date Received: 151-1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: 71~t"~
`
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-1-14 Site Address: 1523, I52(; 191.11 V;Vl wuiAVIII v Wtsf (hildiol? -TOWnh°trnz)
Name: S C ' lffbi a..:-a Cr~- .>Phone:
Resident/
Owner Address/ City/ Zip:
1P43 a CI 3 W , POIr Edti h lai Yi GTM N 5S31-f `I
Applicant is: _ Owner ~ Contractor
I Description of work: My
Type of Work
Construction Cost:, &cjCJO.OO Multi-Family Building: (Yes X / No
f Company: AIIS-hy tQ1QS1 ChDn MOIAtY11GYf, LUG Contact: tayle MtLACYOIDItrt
Address: 5115IhdvlsMIJ SJ_ 4I0:s
L
- MP f PI011n
Contractor I City:
I State: _MNZip: 553151 Phone: IVLIL-1439 Email: Clahf (S OIIISt r . bL
License Lead Certificate N PCT- 21701(0`1 - 0 II
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 3 ~~3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan.
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
i the information maybe classified as non-public if you provide specific reasons that would permit the City to
econclude that then 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.aopherstateonecall.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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1dw McbeempT x
Applicant's Printed Name Applicant's Signature
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