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City atEap
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
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Use BLUE or BLACK Ink
Permit #: CA,$:•N
Permit Fee:
Date Received:
9 011
Staff: (.\,
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
114'(2 I ' Site Address: it 501 Sc � [ �� t () -E M44 A t N SY 12•
Suite #:
RESIDENT / OWNER
Name:
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MLC IOC-) CHE 4-(ftvpS -t-ithle{os Phone: CSI — L3 -6q r $r
Address / City / Zip: 130 4 t ( e r IOC r'rN yy te 41 , MAI
Applicant is: ' Owner Contractor
TYPE OF WORK
Description of work:
Construction Cost:
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Multi -Family Building: (Yes / No )
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes V/No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
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crets.tliktnu„1
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.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.
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Applicant's Printed Name
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Applicant's Signature
Page 1 of 3
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA096299
Date Issued: 10/06/2010
Permit Category: ePermit
Site Address: 4507 Scott Tr
Lot: 021 Block: 02 Addition: Cedar Cliff 3rd
PID: 10-16602-021-02
Use:
Description:
Sub Type: e-Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Iron River Construction LLC
7540 Shoreline Dr W
Waconia MN 55387
(952) 442-1762
- Applicant -
Owner:
Wachovia Bank NA
701 Corporate Center Dr
Raleigh NC 27607
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160667
Date Issued:04/01/2020
Permit Category:ePermit
Site Address: 4507 Scott Tr
Lot:021 Block: 02 Addition: Cedar Cliff 3rd
PID:10-16602-02-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Ryan M Hartos
13049 Elderberry Ct
Apple Valley MN 55124
(612) 990-5881
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature