3474 Trails End Rd*City of Eta
Date:
TYPE
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675-5675
Fax; (651) 6764694
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Site Address: 3 4 ' 7 N T/r A 14 s Err 4 A . &A:3 - FS/ 3 Unit is
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Construction Cost 9, VD 0 4-113
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RECEIVED
FEB 0 2 2012
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Name:% /id; Al )01.6L , ewr /0 „g 6t Ai.t.g.p.) r 44 6 Phone: 743 -ss 97740
Address / City / Zip: SSo p tw c A ' '/..4 ',. ;J 1r 2 P1 acid.04..4 .0.4 '.Sri/?.
Applicant Is: Owner >e' Contractor
Company: a E / cxrFlr r c.2 Ai 4I %. eo ro.
Address: go s [J
Permit Fee:
Start:
Description of work: 8A v a £ d /2 E oa •► C t. Sy r a G L 2
Multi- Family Building: (Yes
Contact: 34 ✓ E 4v2A2i $
City: ,GMZ 3 .
State: OA) Zip: 5 9 Phone: 4 /2 - 3'41 6.2
Ucense #: Q C I , Lead Certificate #:
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
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:
Ucens d Plumber:
Use BLUE or BLACK Ink
For Mice Uee
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Permit � I
owe Received_ (7 7. ' ,��/
Phone:
Mechanical Contractor. _ Phone:
Sewer & Water Contractor:
Phone:
AMO
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CALL BEFORE YO I DIG. Call Gopher SOele One Ceti 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.goottrstateonecilll.oua
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 pemnit, 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 requites a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Sued U ode must be completed within 180
days of permit Issuance. —�
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Applicant's Printed Nt#me
Applicant's Signature
Page 1 of 3
L9Z9I98ZT9 STET ZTOZ /Z0 /Z0
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160342
Date Issued:03/04/2020
Permit Category:ePermit
Site Address: 3474 Trails End Rd
Lot:20 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-200
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 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 -
Shari L Horsman
3474 Trails End Rd
Eagan MN 55123
Bob Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature