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3741 Burgundy Dr     õöõ    ú     ÿÿ þ ýüûúüû     ùþþÿÿ øðï  þ  ëñ í ññë   ÿõ  ÿþýüûéÿù çùâù úùýüû÷ö  ùûéÿù çùâù ïÿ  ù ùù ûùóùàÿùó  ÿþùõ ùù   ù   ûù èêñå  ÿ ððñìð õ äñîìîðìì ôù  ÿù ùéãäñîêîêñ ß ÿ ë ððî  óò õ ñ÷ ûû  íøøó òøùù çí  ùþ  ñõóù  î÷ëðÿùÿüù ö ùõ÷ññì  õ÷ññ èñåðëêñ ùþü ö   ù   ûû     øùó  ùù  ùóûüö  ûû þ  øõ   ÿ  âüø  áù  î ûû æ ÿü ÿù Id Use BLUE or BLACK Ink For Office Use I Permit 3 ~ I City of Ea Rd~ ~ l Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received:' - ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 20213 RESIDENTIAL ?BUILDING PERMIT APPLICATION Dater cJ Site Address: - 3 J 7 `7 - 37 VI &zr - Unit i Name: Phone: Resident/ Owner Address / City / Zip:3731-373 9 -3-74// t9ci u~io% ,di Applicant is: Owner Contractor I Description of work: , Type of Work Construction Cost: Multi-Family Building: (Yesx / No Company: U001e.: ~cs!/~! /sl~JieG Contact: Contractor Address:3/00 su,0711ne-r 5✓ ~J City: ~d ~.S`' - 01 State: M/) Zip: -s•$"~/~3 Phone: _ Z/.? -13 00- 9460 License Be- ;2 6-.2a VC) Lead Certificate °-~37 9/2 V j If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: i 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 the 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.oopherstateonecall.org 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 Applicant's Printed Name Applica s igmature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163517 Date Issued:09/03/2020 Permit Category:ePermit Site Address: 3741 Burgundy Dr Lot:3 Block: 05 Addition: Seneca Hills PID:10-67125-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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, Mark Anderson at (952) 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 - Jarrod M Augustson 3741 Burgundy Dr Eagan MN 55122 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature