4427 Lynx CtCITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
WATER SERVICE PERMIT
PERMIT NO •
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 Dote Paid•
Date of Insp.: Insp •
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
- P. O. Box 21199 PERMIT NO •
Eagan, MN 55121 DATE.
Zoning: '`^ No. of Units
Owner
Address.
Site Address•
PI umber
1 agree to comply with the City of Eagan Connection Charge.
Ordinances. Account Deposit.
Permit Fee.
Surcharge.
By Misc. Charges.
Dote of Insp.: Total-
! nsp.:
otal•!nsp.: Date Paid.
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: InDV)
Permit Fee: (6(' (9a
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CF /t{ 1.3 Site Address: q Y
Resident/
Owner
Name: .._,2.J'A-lk. (u D Oa k Phone: 61 %"6 6U '-G 40-c2
-// L
Address / City / Zip: L(4 -/ _\{4 1 C.---I--
.---I-Applicant
Applicantis: c./ Owner Contractor
Type of Work
Description of work: re.. c00 --c
Construction Cost J Multi -Family Building: (Yes _Ti,.. -- No
Contractor
Company: S
917P Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project
(
is exempt
from lead certification, please explain why: (see Page 3 for additional information)
/
f
In t e last 12 •nths,
\ es 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:
Licens- Plumber:
Mechanical , ontractor:
Sewer & Water ontractor:
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 Code must be completed within 180
days of permit issuance.
x • Ah) vct !/-
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA137149
Date Issued: 06/20/2016
Permit Category: ePermit
Site Address: 4427 Lynx Ct
Lot: 062 Block: 01 Addition: Oakwood Heights 2nd
PID: 10-53801-01-062
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
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Owner:
Karen E Johnson Petty
4427 Lynx Ct
Eagan MN 55122
- Applicant -
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.
Applicant/Permitee: Signature
Issued By: Signature