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'.. :..i ''-; .-. . - , ',4 ( .. , 2,7 A ..,-.-.: L, ,.-,:.....- '' 7, --, , ...: , ...r..,;::::::-2,: ; 77 -. .i i , , .•::::;:4-i , `i, 7. -•:,,.::';'- ':. , ., ,,y.„12,4,.:4-.(,.f...,,:.-•.:,:,.---..,-,- :-,-;.',,,Atx-,',.'\.v, ,, i.;: , .. ,--, ; ,. .:: - : ,-, 7 - _ ,- ;;;44.-,- , t;N:-:-,, , :-.-_ , ,-.. , :;. .,:i., ,..,,-• , - ': '- ' -. alum 41°14 ptivorr 1040.: _ __ ___ f 6 t 12 of -:141100111 , • _ > t Use BLUE or BLACK Ink For office use l Pennrt 0. ~ I ' I P 1 Of Eivan I Pemnt Pea. 1 3830 Pilot Knob Road Eagan MN $5122 i Date Received: Phone: (651) 675$678 I Fax: (661) 676.6684 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -5 --,Z7,4/ ~ a- y; s-41 , s r, (.1 o; b A, t. Y, Site Address:1 Yw., by. 7 0, 7A, 7q, 7 ScurHPe ~a 7`~ .T. 2~ Unit: P Name: c c 19 C T /r1 A,J 4 l0 4 M L s,) , Phone. 743 -.r9i 3 5 7 70 ~ Ovtmer . address I city i zip: 8so kS e~ o+ ~u Q Av ~ ,2 A aotD S•.! vos-t cs-y Applicant is: Owner X_ Contractor TypR+e. f1E c• Description of work: '7'-'.+h2 OP l- (Z E - Qvo ~ onstruc Lion cost 3 1.7 .5. X h . Multi-Family Building: (Yes_ I tJo.~ Company: 1 £a~ r~e.lt~aR N47,i r . [.errZ>D Contact: trav,~ I~v R_R r 5 Address: Yo s- W 6 7 T. City: M p4. $ State. /19a' Zip:.~~'// 9 Phone: ~O x y3 License 0: 4d e- .1 III/ / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~~Aios I.J~e>r I~,,,cT Pas; i 9~ s' 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? _Yss _No If yes, dots and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer S Water Contractor: Phone: O t) . Call GaPherst~ Ons Call st (661) 461-0002 for protecWn againA underground udlky damage. C40 48 hours bafm you intend to dig to rtiOelVa locates of underground Lfiftes. ! aoohersts ll or g I h@mby acknowledge that this information Is COmplete and acudrate; th®t the work will be in conform mce with the Ordinances and codes of ttte Ciy of Eagan; that I understand this is not a permit. but surly an appuoadon fa a permk, and Morrk k is not to titeA Ndthout a a00ord®nq with the approves plan in trio ce" or %VDM wttlt:h regWre d rabieW and approval plans, permit: that d w Nark will be in E"0"rior work authoriz8d by a building permit imuod in accordanco with the Mtinnesoia g~ gulldl days or WWI: isetmnce, Code must be completed within 180 aAt,,~ ~~2.R►s appllcanCe Printed Name x Applicant's Signature Page 1 of 3 TO/TO 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 bS:OT bTOZ/LZ/SO • Use BLUE or BLACK Ink I For OfNce Ua�e�y.r-----—� (���} f c� I Pemtit�f •�J� ( U11�� Ol �U � � i �� . 7� � � � Pe Fee• I 3830 Pllot Knob Road E��n MN 66122 j Oate Reaeived: j Phon�:(651)87fi�6676 I � Fax:(6s1)s76�s68a � � � � �----___.�-------__.. 20�3 RESIDENTIAL BUILDING PERM�T APP�ICATION Da�e: S� ,!�/ ,d�sy SG,S"a�,l�, G�., G��/ SFte Address:is�b�,��;'��.�7:t, 7`/�y�. So�rr/iPa�•J 7-� � Unit�: ;J�,:::�.�. N�,e:��o A e r �►�.�a��n� Lv; .7-a e Phone:��3 -s-�� - ���o � , Address/City/Zip: �l S� 1� ��.►4�'—�,2 A✓ �u � ,2 19 �oi,.�E.; (�i�'t�r' , . �,�,� s.��x ti � � Applicant is: Owner �C Contractor � . .,..,. . D�scripdon of worlc: Q E K o✓� a 2 ti-P��c� �Ai�1 e'o TYp�,,�f 1IV!'or�c � Construct;on Cost��9 �� r Multi-Family Building:(Yes�/No�) . .. . .. . ,. " Company; ��.! �,�'r'f_!��o R /1'1?�i.a� �+�--� Corrtact �v4 v� �J f��(�R�5 ����or��.-;. Aadr�ess; �os k� 6�� S>. �;�,. �PGS. , �': _' � State: �� zip: SS'�/� 9 Phone: �O'.; - �C�i- �x 4/3 � .� , Llicenr�e� �� ��/J I 3/ lsad Ca�tificab#: If the project is exempt from lead certification, plesse explain whjr:(see Page 3 for add'Rional iMormation) �L�loS L.��2� �v�Lr Pos: / Q7 �' CpMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 6UILDIN� �n the last 12 mo��,has the Ctqr af Eagan Issued a permit for a simitar plan bs�sed on a rna�be�pla�n? Yes ".,No If yds,dabB and addnass of master plan: Licansed Plumber: Phone: Mecha�ic81 Contractor. PhOnO• Sew�r&Weter Contractor. Phone• NOT�:.R�al�a�o�d� .. � . ,' K .. , � �. .��'� :-'� . •. +e, ,. ,. . �. � �rJ' • bf@.;� . , • • ••' . ':Y� '� ;�'.K�"��� :,j',"%,.;.,,;� r� �. 1., ,,a.. , � � �Y"�s� �. :�t-� �,i:. 4:A: ,� a •,�f�• +��o.�5r,?ui;:.r�..v� C�.4 B�EQB�Y�U D�• Ca��Gopher Slam One Call et�661)45s.ppp2 fcr protedion aqainsl und�t+ground utlll[y Camege. Call 46�oura Defo�e you�r�end to dlg ro reoeive locetes of underground udlrtJes. �W W.�O]Lh615t8t�OneGgll.om I her�by aGcnowlQdge that this infama6on is oomplele and accurete;thet the work witl be in confamance with the wdinences and codes of the City of Eagdn; tl1aC I under�nd this is npt a p0lmit,but oNy en OppGcetion for a p�►mit.dnd wak i6 noC to start withart a parnut: 1haR the waic will be in aoconea�ee wkh tha approve0 p1511!n tne case W woffc wRICr1 I�DQWr�9 8 18vi@w 8f1Q BpplVVel O(p18n5. Ex�ria'+wwk autho►i�sd by a bullding pBrm7t lssued tn accord��ce wfth tDe Mlnnesota st�e 8ulldln Cods must M complebd wkhln 180 days of psm�ft issupnCe. x ��i�r� ��R2r5 x AppllcanYs Printed Name APPllcanY�SlgnAture Page 1 ot 3 �0/Z0 3Jvd 1NICW 1X� I3S L9Z9T98ZT9 b5�80 bZ9Z/ZZ/90 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173961 Date Issued:12/15/2021 Permit Category:ePermit Site Address: 1866 Southpointe Ter Lot:023 Block: 03 Addition: Sun Cliff 3rd PID:10-72977-03-023 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 - Jana Ratkovich 1866 Southpointe Ter Eagan MN 55122 (651) 439-3331 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175733 Date Issued:04/12/2022 Permit Category:ePermit Site Address: 1866 Southpointe Ter Lot:023 Block: 03 Addition: Sun Cliff 3rd PID:10-72977-03-023 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Jana Ratkovich 1866 Southpointe Ter Eagan MN 55122 (651) 788-6812 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature