4700 Lund PtC!ty of Eapli
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2012 MECHANICAL PERMIT APPLICATION
I/ —0)6 Address: ¥70 v L4 4 - Pr
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14u 1 /d,
Applicant's Printed Name
RESIDENTIAL
•Y Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL FEES:
$75.00 Underground tank installation /removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010 - $11,010 Permit Fee requires a $ 5.50 surcharge)
OR
x u ,
Ap icant's Signature
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For Office Use
s0(7
Permit #:
Permit Fee:
Use BLUE or BLACK Ink
Date Received:
Staff:
Suite #:
Name: `c l-Tu Zl11ir s� ,t/
Address / City / Zip:
44. /1,4. A441 �i P-197 C �K f . License #:
Address: 4 66 x 7 cit LAtevi 11e.
State: 'fink) Zip: Cs *-ft( Phone: 9 S2_ g es- 1 { ? 3
Contact: C.C. -✓ �- Email: `L r<ntirico e- Ta
New - Replacement Additional Alteration Demolition
Description of work:
COMMERCIAL
_ New Construction Interior Improvement
_ Install Piping Processed
Gas Exterior HVAC Unit
_ Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) //
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ COD • TOTAL FEE
Contract Value $ x 1%
=$
=$
=$
Permit Fee
Surcharge
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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.
CITY GI EAGAN WATER SERVICE PERMIT
s795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: —
Zoning: _ No. of Units:
Owner: — —
Address: —_
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: . Account Deposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of I n p� %r _ j I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
1'795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: -- — No. of Units: _
Owner: — - -- - --
Address: - - -- - --
Site Address:
Plumber: — —
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges: -
Date of Insp.: _— ___ Total: -
Insp.: _ _ Date Paid: —
Use BLUE or BLACK Ink
r
For Office Use
Permit#: I M1
City of EaROD ~aPermit Fee: 410.01
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Q /2,13/13 Site Address: y161 XJVf'iJ7fC,405" J(7 40,
11704V Unit
Name: IV- Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner , K Contractor
Type of Work Description of work: 9e/~C DUI-
Ype
Construction Cost: Multi-Family Building: (Yes -9/ No )
4
Company: f/~~ 1r Contact: 45A M44.4 #401
Contractor Address: 13A0r , aRrie`d e4- City: IS~aXle
AI A State: AI A Zip: ~J7 Phone: ( I A "
License #:2 03 ~4 66 / 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:
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 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.gopherstateonecall.oro
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. ~y
X_ I~ t'049' 430 x
App icant's Printed ame A ant's Sign ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173256
Date Issued:11/04/2021
Permit Category:ePermit
Site Address: 4700 Lund Pt
Lot:1 Block: 01 Addition: Ridgecliffe 2nd
PID:10-63981-01-010
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, 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 -
Jeffrey Lawrence Hutchinson
13281 Downey Trl
Apple Valley MN 55124
(612) 280-9674
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179432
Date Issued:10/05/2022
Permit Category:ePermit
Site Address: 4700 Lund Pt
Lot:1 Block: 01 Addition: Ridgecliffe 2nd
PID:10-63981-01-010
Use:
Description:
Sub Type:Water Heater
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jeffrey Lawrence Hutchinson
24824 Logan Ave
Lakeville MN 55044
Dana Hoagland Plumbing Inc
410 Regency Lane W
Hopkins MN 55343
(952) 935-5150
Applicant/Permitee: Signature Issued By: Signature