4083 Meadowlark Ct VILLAGE `10F EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By . Date Paid:
Date of Insp.: .27rigralir Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
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Use BLUE or BLACK Ink
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3830 Pilot Knob Road � i
Eagan MN 55122 � �
I Date Received: I
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I I
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: C / ls t Site Address:
Tenant Name: {�� ���v...���� �;�����,/� � v� g�
Tenant is: New/ A Existin Suite#:
Former Tenant:
Name: {� �-e•.cM�,�n� X� �'\�i �� � � Phone:
Property Owner Address/Cit /Zi N��y , ti/^� � �f�, � aj�� I y�q?� {po�s'
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A licant is: Owner ��`^�'v''^'i"`� C'�
pp �Contractor
Type of Wot'k ' Description of work _s�. r.��r�N� h i�w1�.,��
Construction Cost:�t S�2 Y��
Name:��v 1^�v�.�t�� ��� �o v.i`1►�c�iv^ License#: � 3�5� �
Contractor . Address: �� Q'�'� ������,� Q r. city: �/; ��.=.��
State: �`1 -� Zip: �S 3 c�' � Phone: G S� - d �j ° �� b b
Contact: %he �'�'� � e� Email: .�. , ?r.
� � J� �-Q�...;�.�,�.
Name: Registration#:
Architect/Engineer Address: City:
' State: Zip: Phone:
' Contact Person: Email:
Licensed piumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents fhat 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 fo
conc/ude#hat the are tracle 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.qoqherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the w rk w�l be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an ap c tionifor 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 r whi h requires a review and approval of plans:
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ApplicanYs Printed Name ApplicanYs Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173822
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 4083 Meadowlark Ct
Lot:033 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-033
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 -
Abigail M Mccartney
4083 Meadowlark Ct
Eagan MN 55122
(612) 414-8485
C & M Heating & Air Conditioning Inc
7308 Blair Way
Wahkon MN 56386
(612) 490-1444
Applicant/Permitee: Signature Issued By: Signature