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1904 Southpointe Ter rF .5. • - a S - "tip" .0.-t �-. 12 rte' I� ! S ra , i 4 ' - •a.. r• • a - • spa °,,,.. —.- ., . .as .' - Use BLUE or BLACK Ink � ForOHlastJs�'---------� I Cit of a �Il � p���� � �`��� ; � � � , ���. � � ���: � 8830 Pllot Knob Road � � Ea{�an MAN 55122 j Dsle Receiv�d: � I l / j Phone:(851)679�8675 I � Fax:(651)6755684 I � � I I ♦....�������������r�...J 2o�a RESIDENTIA� BUILDING P�RnniT AP���caTroN �-l�—ly r4oz,o1�,o�,ott;�o, /� Oate: Sf�eAddrees:14i�,_�wi��?, zo,x�,xY Sau;,�/Po�.JT'E 7�2 Unit�: I �' Name:��o A C 7' /�1�4 n.l�1��1'N E�U T .7"�3 C Phone:7G3 -s'43 �7�� � , Address/City/Zip: �5 d � �e.i4 �-^�2 /�t/ � � �oi.�E.� +ViK�� . . � . /�'�.► .S�y,�h . Applicant Is: Owner �Contractor T �,;� .:..";�' Desarip�ion of wor�t� /�L'�.o✓z, e� Q ���f c E �i d�kJ co YP ���k� ' � � � Cohsbuction Cast��9 �� �" Multi-Family Bullding:(Yes x' I No� , . .., • Company: ��/ ���clt�oR /Y/�i,��. �� Contact �wv�9 1��2R�S ��a�7°� �aaress: �/os C�1 6v� S�. ��y; lhP�.S �`'_. � Sqte: /�� Zip: .S�S`�� 9 Phone: �O�� �6�~ �o z�l3 ' � : �icense#; �e �y/�s I l.�aa certificabe#_ If the project is exempt from lead certiflcatio�, please euplain whj/: (see Page 3 for additional information) �[-�la5 �1..)�¢� �a/Lr PoS, / }y � COMPL�TE THIS AREA ONLY IF CONSYRUCTING A NEW BUILDING In tAe laat�2 months,has the city of�agA�Issued a pennk for a��mflar plan based on a maater p1An? �Yes �No If yes,date and address of masbar plan� I.icensed Plumber. Phone: Mechanical Contrs�ctor: Phone: Sawa��VY�ber Contractor: Phono• NO�':��. �..,. ,... . . �-�. � �.<.. ' ,� � �f. '.1��!�',. �- � . ,. _ ..,�!�4�. ,j�,fa�'. . �� Y�% '�„'4y",- .:?' ;,i;" �i• �'W,il �a•� ,�?�.,A t� �:''.:����1�• "t °S.. CA�,L F.f�FOR�YOU bIG. Call Gophq Sbete pns Call at(661)45�.00pZ for proteclion egalnst underground utlliry demsge_ CeM 48 twurs befare you Intend to dig ta recelv�e lacatee of undetground utililies. �vw. op oherst�teon�q.c,� I hergby acknowledge that Ihis in(pmtation is complate ana sopuratg;Met�he woAc will be in Contomtance with the adinanoes and codes of the Gty ol F�gen; that 1 underbyqnd thig is nol a perntk, bu!oNy an appACBtion for a nermR,and wqrk ie not to stsrt wiThout a pertniN, Ihat thc worfc wiU be In� soeo�dana.w�tn tho approv�d plan In rfte Caso oi work whIG1 nBqU1nES a�evi81N 811d epprpv9l C1 plans. Exbedorworic aulhorf�sd by a building permit iSSUad In a�qrytance wfdl tNe Minnoso0s SEate BUlldl Code must bo oompl6ted witi�in 1$0 deys of pertnK Fssuanr,e, z ��Av�� 'g�R2�s X Applican�'s priM�ad Name Appllaant's SIQna� P�e 1 of 3 TB/Z0 3Jvd 1NI�W 1X� I3g L9Z9�98ZZ9 ZS�ZZ btOZ/ZZ/L0 Use BLUE or BLACK Ink � .-------------- , � Fa or�ce use � � i �r,• f ; Pem,it#: (� � � t,l� �! �� � � � �„�F�: 5 I S� ; � � � � 3830 Pilot Knob Road �''�h� F/� �!"!'�°'� I � � „ � Eagan MN 55122 -�;.� � Date Reoei�red: I Phone:(651)675�',675 � Fax:(651 j 675�5694 � �' I � �.����.����w������.��J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION �.�. /� 9n oy o�,og rc� /� Date: �� Si�Address:iSiy,��;�g, xu,xx,x 5�' Sov7-�Pe�.��~�' .7."�2� Unit#: �. Name:��o f1 C T /y1,q n3�4��rit E v T .�"�C Phone:7�3 -s'9 3 - ��7 0 R:� I G � ` t/�� bv�mer . ' aderess�c�y�z�p: 8 so a ��,a �--�,e Av ,� .� � p o E,..� �rr•�.► .SS"�',�,7 �. APpiicant is: - Ov�mer �Contractor T , �'IdV41�c. Description of work: T£� �F-�= � (Z E- �F — YP�:.. � Construction Cost��� 7��.� Multi-Family Building:(Yes � /No� . .. Company: �E 1 £,��rE.2•��e /�'17i,.s�. �� Corrtact ��av�� �`'��5 Cc�ai�r�::;" add�ss: �os t� 6�� S�. c;ty. �PL S. . s��: �� zp: ssy�9 Phone: (a�z - �b�- �x v3 : � ,. ucer�ss#: �� .�YI�3/ Lead cerdficate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additionai i�ormation) ����s �J�Q� l��,�r Pos. i 5+7 � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 morrths,has the City of Eagan�susd a pertnit for a similar pi3n based on a master plan? _Yes _No If yes,date and address of master plan: Liceosed Plumber. Phone: Mechanical Contractcr. Phone• Sewer�Water Contractor. Pho�: WO�.��af' " : .. „ . . r t/�e.��%rr�i'oi�:'�.�!��' ' :'+` '. ' .• �'�� �� •,,��. .'�" ,,, •,,.'�.Yrr•� ,���'• ..• .y _• '�',�a`f :a;. ,�,`'� '< a So' �`^' S.i X�SaG �:� �'s..� - t �.�'��j.�r�;.• �ALL BEFOR�YOiI DIG. Ca��Copher state o�Ca�i at(651)dsa�o002 for protedion against underground uduty damage. Cau 48 hours b�Y��d to d'ig co r+eCeive bCates of undencjround uGT�tes. www.002h_erstateonequ.orv I herebY�thet tlus infortnation is oanplete arld a�rate;that the work will be in confomianoe wifh the adinances and codes of ihe Cily of Eagan; that I un�and this is not a Cerrnit.but only an appGc�tion for a pein►it.and work is not to start�a aertnir.that the wcric wiu be in aoee�danc:•w:�►a tM aPP`ovod Wan Ut the cese af woMC whNY7 I��WfCS 8(@ViBVH 8fW 8�(NOV81 OT p18�i5. Exterior work aulhorized by a buildln9 Pennit issued in accordance with tha Minn�Stabe Butic6 Code must be rompieted wid�in 180 days of Permit�u8�. X ��Avi� �J�ILJs X Applicant"s Printed Name APPlicanCa Signaturo Page 1 of S PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178694 Date Issued:08/30/2022 Permit Category:ePermit Site Address: 1904 Southpointe Ter Lot:037 Block: 03 Addition: Sun Cliff 3rd PID:10-72977-03-037 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: 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: 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 - Jm Ian Schliecker 1904 Southpointe Ter Eagan MN 55122 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature