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3557 Blue Jay Way Unit 202RESIDENT / OWNER Name: MA h O I h e .SS Phone: Address / City / Zip: 3557 6 l v e 'J -}� 6y 1Jcy 5 5722 CONTRACTOR Name: G rL, .M ty € - License #: 06 a"Y 69 7 -/ M / Address: c1 d."7 56,01 L N City: Qe /le !lit 1 -t G State: /h /✓ Zip: 7ta 0 / ( Phone: ( 0 2 ) 7 3 "" 7 / ' ? Contact: r_ Email: 9 / I` ✓ , C '`n TYPE OF WORK New 7G Replacement Repair Rebuild Modify Space Work in R.O.W. _ Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures (_ Main / Lower Level) Lawn Irrigation (_ RPZ / PVB) Water Turnaround Septic System 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 $ *. City of EaaR Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 / � v F`° t a - S> x6 r0�f Applican ? s Po inted Name x Applicant's tore r Staff: ) 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I'D l / 3l J Zo r!L Site Address: 3 S5 7 &/ V c. �4 S � -2 Suite #: 2.©Z 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. Use BLUE or BLACK Ink Permit #: ° N\p *" Permit Fee: Date Received: FOR OFFICE USE Required Inspections: Under Ground = Rough-1n Air Test Gas Test na PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169186 Date Issued:05/18/2021 Permit Category:ePermit Site Address: 3557 Blue Jay Way 202 Lot:187 Block: 04 Addition: Lexington Place 2nd PID:10-45051-04-187 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Matthew J Hoiness 3786 Burgundy Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173439 Date Issued:11/12/2021 Permit Category:ePermit Site Address: 3557 Blue Jay Way 202 Lot:187 Block: 04 Addition: Lexington Place 2nd PID:10-45051-04-187 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Matthew J Hoiness 3786 Burgundy Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature