1571 Baylor Ct B CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address: Lf
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. O. Box 21199
Fagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.• Date 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:EA121928
Date Issued:04/18/2014
Permit Category:ePermit
Site Address: 1571 Baylor Ct B
Lot:4 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-040
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.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Mary Lou Ratz
1571 Baylor Ct B
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNOgvlrb~-13
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 T~ES\T RECORD OZ Z ~~W
ADDRESS CITY cl ►1
OCCUPANT OWNER ~
SOLD BY INSTALLED BYE 0 1'I0
MAKE ~TtCV%L MODEL
SERIAL NO.INPUT
THERMOSTAT -~!Vl VENT SIZE
VALVE e lk TYPE OF LINER
LIMIT ~o ►L"_~~J~iJ i 1 LINER SIZE
LIMIT SETTING 1 bo FILTERS: SIZE NUMBER
FAN SETTING WIRING
PILOTTYPE o TESTTAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING DATE TESTED Ap r i I Zq t!~ 2, t 14
PRESSURE t ~ PERCENT CO,
t -!y COMPANY TESTING 6C Do,,) %61(-,
INPUT CFH '76[a-co PERCENT 02
STACK TEMP. 0 PERCENT CO ()APW NAME OF TESTER
FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129357
Date Issued:02/03/2015
Permit Category:ePermit
Site Address: 1571 Baylor Ct B
Lot:4 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Deb Larson
8815 209th St
Lakeville, MN 55044
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Mary Lou Ratz
1571 Baylor Ct B
Eagan MN 55122
(651) 452-0970
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature