1569 Baylor Ct - Unit B CITY OF EAGAN WATER SERVICE PERMIT
383Q Pilot Knob Road
P. O. Box 21199 PERMIT NO.•
Eagan, MN 55121 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:
Ordinance, Misc. Charges:
Total:
By f/ / „ Date Paid:
Date of Insp.• Insp.:
UITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. Cr. Box 21199
Eagan, MN 55121 PERMIT NO.:
Zoning; DATE:
Owner: No. of Units:
Address:
Site Address : ---
Plumber:
1 eons* to Comply with the City of Eagan
Connection Charge:
Account Deposit:
Permit Fee:
By Surcharge:
Dote of Insp.: Misc. Charges:
Insp.: Total:
Dote Paid:
•
Use BLUE or BLACK Ink
( For Office Use I
1
j Permit#:
L_t~-Q_fl 21/ j
City of Wan I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: A01-14 I-A j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff.
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - l hI 3 - Site Address: 15f ~5623 1571 )5?19 _ jor-~f-}' 'U n' Name:
[I---~! Phone:
Resident/
Owner Address ! City / Zip:
Applicant is: Owner Contractor
I
T e of Work Description of work:ef
Yp Construction Cos Multi-Family Building: Yes _ / No
Company: rill TiQI/ CZ/0✓Contact:
Address: -s LQs.? ~__LrZneG~a city: L4LCLCtr°a ~PL1~J_5
Contractor
State: I-t/ - Zip: Phone:
License -11 1 0 n 2- Lead Certificate -Nd ( 2 =1
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. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.org
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 r~/ r'Z a~~7~i2 en_---- x--
Applicant's Printed Name Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144801
Date Issued:08/10/2017
Permit Category:ePermit
Site Address: 1569 Baylor Ct B
Lot:1 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-010
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
BRENT A PERNTICE
765 HAMPDEN AVE S
ST PAUL MN 55114
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature