3595 Blue Jay Way Unit 102
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140402
Date Issued:12/16/2016
Permit Category:ePermit
Site Address: 3595 Blue Jay Way 102
Lot:035 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-035
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Marvin Jr L Alexander
3595 Blue Jay Way 102
Eagan MN 55123
(952) 358-1772
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
� � For Office Use
::::!
/O 0 ' CCD
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspectionsacitvofeaoan.com Staff:
Commercial Plan Submittal: eplansacitvofeagan.com L -'
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date:4 iry 2-6l 1 Site Address: 35'15 hoov
Tenant: Suite#:
hip152-368 x
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���= Name: Phone:
Res dOiti
Address/City/Zip: :35%5 c
La
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Name: Prat`IlkLicense#:
,-44716 -ffip
i �� Address: 131L44-44. .Cem City: LL/Lie
State: 1't&J Zip: 551,21 Phone: del.- 34.9 -
( : .� Contact: Email:
RESIDENTIAL
, —Furnace
3� Air Conditioner
" w
Penni Tie
Air Exchanger
Heat Pump
xOther
New x Replacement Additional Alteration Demolition
Type of Work cq, ;
v Description of work. n ik(� 1
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f
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeaaan.com/subscribe.
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�b�a in accordance with the approved plan in the case of work which requires a review and approval of plans.
IKJk. dE
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Applicant's Prited Name/ Applicant's Si ature
FOR 1 FIC USE 7
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,� r �c#ETst F H1< Final