804 Eagan Oaks Lane.4t#
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: q ll(��i/ I
Permit Fee: / '
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: F.c.ia 1, Qo.kS InmAnrthaIMO. I4SS✓1 Phone: (OIZ—ZLq—d43^t
Address / City / Zip: 80 -z -r $dq, 506 g-c....9a n. Oaks IM.
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: Tea.,. o -I✓ -4' I rocIF
Construction Cost: LOt 000 "g Multi -Family Building: (Yes _ / No )
CONTRACTOR
Company: epic , ��..kers LLG, Contact: 8Y I 'a,". %i-%bvt, id -
Address: //OS 1 5* /VE City: &av'ne,
State: MA) Zip: 3'SY3l( Phone: 61 Z—Zt' l--OcItOq
License #: Z0 t 3 6 t at Lead Certificate #:
Does this project require Lead Remediation? ❑ Yes III No (see Page 3 for additional information)
If no, please explain:
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.00pherstateonecall.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.
1 b.rt /l`44Kt� kt
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
C!tyOfEaffafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit Fee: /O .-C75
Permit #:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
5/25/2016
Date: Site Address: S 04 a -r) 0 S 1---a-in-(2-2 Unit #:
Eagan Oaks Town Home Assn/fte reP
�� r �I 952-238-1121
Name: ge ef'►"t hone:
Address t City t Zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343
Applicant is: Owner ✓ Contractor
Resident)
Owner
Type of Work
Description of work: Garage door replacement
Construction Cost: $1 )152.64
Multi -Family Building: (Yes
/ No
Contractor
Company: Custom Door Sales, Inc
Address: 5005 Hillsboro Ave N
Contact: Amy Egan
State: MN Zip: 55428Phone: 763-535-0042
City: New Hope
Email: aegan@customdoorsales.com
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression 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.000herstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ust be completed within 180
days of permit issuance.
x Rvr
Applicants Printhd Name ppli a 's Sign ture
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA151104
Date Issued: 08/07/2018
Permit Category: ePermit
Site Address: 804 Eagan Oaks Lane
Lot: 6 Block: 01 Addition: Eagan Oaks 2nd
PID: 10-22461-01-060
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
- Applicant -
Owner:
Jeffery D Helgemoe
804 Eagan Oaks Lane
Eagan MN 55121
(952) 270-2432
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