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4680 Horten PtR 55122 rK TT 'llemrsor:Homes teas: Site Address. 4EL .i Porten PoInt L4 B4 Ridgec1iffse Plumber.fent' Baan Meter No.: Size. Reader No. i:,pe.,. with *. OIT .f By Date Connection champs: 305.00 t€d Account Deposit: Permit Fee- : Misc. Chore Tote!. Date Paid: Insp.: Imp • pd .50 pd 60.00 pd ter' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 1113—) Permit #: Permit Fee: Date Received: Staff: 1,9e) 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:'477,41617 SYQ.Leigo Pi - G): /lfl tU #: Phone: Address / City / Zip: Applicant is: Owner VContractor Description of work: 1"71.1) /e —st 1/ Construction Cost: 2--1:%l ®®L7 Multi -Family Building: (Yes° / No ) Contact: dyz° /✓"-• City: eta, dh- 670- --kt 6 -Wei? Company: /2/21.41/'e. / Address: 1fCf– State: _L Zip: SeC 'j 37 Phone: License #: 3 lT O 6 407 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. Pr the information may be classified as non-public if you providepe igc re sc n ti i u C p mit tl ' conclude that the .` rutrade s 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.orq 1 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 1 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. ItA n// 5Oke ire i / Ap icant's Printed Name cant's ignature Page 1 of 3 111111' City of EIIQaII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION "/c 4/6"73 i/4 .,7 --4914 / Site Address: 2 L, /Z,SO HO/211W p -r- Unit #: Resident/ Owner Name: 8016 41 6 L f /::::re— .. i Phone: Address / City / Zip: 54 S c2 i1 n. )�J//� Applicant is is: Owner ontractor of Work Description of work: "i/ej -v' iel rl e /✓Z'7 / 5/ 4.--y Construction Cost: Fe/1"/ .4'6'4' Multi -Family Building: (Yes No ) Contractor P Y �"'"'!,_ Company: j ,�q Contact: 4('e,4*.e. ' Address: (3 7O cX e r %tF° ! City: BI} fly/✓4 State: /*/ Zip: 57337 Phone: 4:0/2- — 8/L A- 66 License #: .2 16,3 (d 647 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C must be completed within 180 days of rmit issuance. 4 115-e peijc't- x Appt's Si Lure Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177395 Date Issued:06/29/2022 Permit Category:ePermit Site Address: 4680 Horten Pt Lot:4 Block: 04 Addition: Ridgecliffe 3rd PID:10-63982-04-040 Use: Description: Sub Type:Furnace 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: 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 - Scott T Young 4680 Horten Pt Saint Paul MN 55122--263 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature