1650 Donald Ct CITY OF EAGAN WATER SERVICE PERMIT
1795. Pilot Knob Road PERMIT NO.:
Eagan, AN 55122 DATE:
Zoning: — No. of Units:
Owner: —
Address: — - -- Site Address:
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:
g Date Paid:
Date of Insp.: (� — I nsp.:
C ITY OF EAGAN SEWER SERVICE PERMIT
3795' Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 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
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' � Permit#: �o�'—� I
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� Permit Fee:
3830 Pilot Knob Road � � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �
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2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ���� ��h,i� 1CY� � " �r 'ti7,�h Unit#:
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�` �, �.' Name: � �� ���� � Phone:
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� Applicant is: /` Owner Contractor
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� ���� . Description of work: / ) '� � `''�0
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�; , ;; �; Construction Cost: Multi-Family Building: (Yes /No )
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������`��`� Company: Contact:
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�������,? Address: City:
���`i� State: Zip: Phone: EmaiL•
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�; License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a simi�ar 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:
Fire Suppression Contractor. Phone:
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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.qoaherstateonecall.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.
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ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
For Office Lse 151i-1(
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Permit#:
E AG A N
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Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a�citvofeaoan.c,om L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0,62/2-3 c2 Site Address: /g5o OQ`Ja-/d' Cate Unit#:
_ 3
Name: Gei- l y / o S !tel/ PhoneC �<57/)-2-3.5
Resident/ v /J
Owner Address/City/Zip: /6'.00 0914cx- d L pte r � - -/ /f/V 55/,2/
Applicant is /Owner Contractor ��ll
Type of Work
Description of work: L.,l�r c-V/4 j J n3 Q/cL /i9 d 'zc
't
Construction Cost: 102. a Multi-Family Building: (Yes /No
Company: Contact:
Contractor Address:_ City:
State: Zip: Phone: Email:
t License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the C'ty 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:
Fire Suppression Contractor:_ Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non- ublic if •u rovide ®ecific reasons that would ®ermit the Ci to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
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.
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 informa ion 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 plan
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Applicants Printed Name / Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179117
Date Issued:09/19/2022
Permit Category:ePermit
Site Address: 1650 Donald Ct
Lot:5 Block: 01 Addition: Cameron Court
PID:10-16300-01-050
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Eagan 168 Llc
% Heather Lin
11239 Whitewater Dr
Woodbury MN 55129
(952) 447-3762
Genesis Heating & A/c
15021 Manitou Rd
Prior Lake MN 55372
(952) 447-3762
Applicant/Permitee: Signature Issued By: Signature