4199 Knob Cir q /�� A T
i","+
Peat
tfr ' of z
k, , k Joe*pili Millen ° 11 4• of'Uni
fkrrier:
Site Address: 41 Xnob ` Li B1 nob RI '?
Address:
S i t
Plumber: feGuire M
r No Connection Charge: + /0`..U0 pd '21
— Meter__ Account
° Account • 15.00 p d- ''
ea .No.: Pet'mtt Fee: Deposit 10.00 pd ' '
1 1 PI 41°.11* wilts the City of g,,,,,,, Surcharge: t 51� pp
Ot aa. 4 Mi sc. Ch a r ges :
b3 . Ut) pd 19neta , .
pate
B ` i
,~ t+e Paid:
Date Hof to 7 insp.:
F�1` . b lu ..' SERVE P" "
0 Pilot K, 7 a . ;: 6784;
v a NI�f 55121 q r R 7- 26.84 ,
.Owner.' Jo s toh It, is U . .,N
), T
Ad\ '' ,4 ; , ',. .
cI1'es - rd � �
Site Address: 4199 Kno , , , " . = Hill
Plumber: _ _ . _
6 -18 -8 '17 �., . > ; . QJ 1rr.OQ ;
I e to eo >iw .,.. •,- " :.. L i on � c e f •
°"� Fee: t Q "' f "
By r �4 roer t® , .. " a
Date oR i n�p : ��l�."/i/ .�tii 0�. ° !
I • N r :, Pip ` . � '^
Use BLUE or BLACK Ink
r
I For Office Use I
1 Permit City of Ea~d~ I 5~
Permit Fee:
Q I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: - [ ~3 I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1' ~7 l I ! Unit
Name: Al Phone:
Resident/ 4 C ,
"Owner Address /city /zip: 6
Applicant is: Owner \Z Contractor
Description of work: fit: -
Type of Work ,
Construction Cost: ) C¢ 60 Multi-Family Building: (Yes V/ / No )
Company: c1 Contact: c~ wo ~ l~ Z;1-3`E3 r3'(_V
'~7/_ ,c) ~raCI -tot[
Contractor Address: 'l 3 o City
C~_l
q -7
State: ' V~Zip: rd- Phone: /~o _5C77- 77
License C q Lead Certificate
If the project is a empt from lead certification, pleaseexplain why: (see Page 3 for additional information))
r r , c~ t~ c ~j P4~? ~av " G~ J C ~2e j "✓v~ Lj 7
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.ora
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.
r ~ l
x l~ Q ~ t x
Applicant's P ' ted Name App 0*can' Sig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139311
Date Issued:10/18/2016
Permit Category:ePermit
Site Address: 4199 Knob Cir
Lot:002 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-002
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.
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 -
Arlene Cepull
4199 Knob Cir #102
Eagan MN 55122
(651) 456-0933
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature