4131 Arbor LanePERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110981
Date Issued:06/06/2013
Permit Category:ePermit
Site Address: 4131 Arbor Lane
Lot:011 Block: 002 Addition: Wenzel 1st
PID:10-83570-02-110
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
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 -
Michael Bartholomew
4131 Arbor Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
0512312014 11:27 Les Jones Roofing, Inc. TAX)9528817009 P.0111016
Use BLUE.or BLACK Ink
For office use I
City of Wan I Permit
1
1 Permit Fee: i ! 1,-75
3830 Pilot Knob Road I i
Eagan MN 65122 1 Date Received: 5 J .0 /1 't
1
Phone: (661) 676-6676
Fax: (651) 675-6694 1 Staff. I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S 23 Site Address: 417-4- 4131- 413 913o> A
Agtoop 4,A-QC Unit
Name;, /N*E Aims 5 Svc. ~ w%w• K phone: to SI --4 dS • 8 ss-c-
Address /City /zip._ ` tfl, A R BC&l.t '
r'
" Applicant la; Owner `
X-Contractor
Description of work: X- E'at ✓6- r AWA
t ti Construction Cost: q Multi-Family Building. (Yes x I No
Company: -Es '&WAT Nix- Auc- Contact: Cam s
Address ! City: ,tai-Trig/
State: - l Zip: XrV AD Phone: 95-2 - 76 7 - 0?11
t
License Lead Certificate &A'r `f t) 3 V;? L-
/
If the project Is exempt from lead certlflcation, 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 Ragan Issued a permit for a similar plan based on a master plan?
_-Yea __No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground uIllltles. mwno n
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 permll; 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 160
days of permit Issuance.
x_ CLiets ~49AM- Al
Applicant's Printed Name AX- /~Z'
pplicant's Signature
Page 1 of 3.
!"
#$%&'()' *+*,
-./$%'"&0-1 -EK*,$E*2
-./$%'53/4-.1 678C?79
<*%-'!==3->1?;@?:@;?7A
-./$%'#*%-+(.&1- -./$%
B$%-'6>>.-==1''9787''6.4(.'N*,-''
433"# $% &&44'())* * + &&A/+C/#&39
012 345V\[76454'5334&
89/
<-=E.$0%$(,1
:;<&=>?/ @/9*)/+ *-#
A .%&=>?/ @/?#-$/
2/9$.*? * + Q;.+-$/&R&(*.&M +)* * +/.
_;/9 * +9&./G-.)*+G&/#/$ .*$-#&?/.F* &./O;*./F/+ 9&9K ;#)&</&)*./$ /)& &: - /&X#/$ .*$-#&1+9?/$ .\\&,-.%&(+)/.9 +&- &HU7'J&
#(//-,%=1
!!75'V!4L
M-.< +&F + N*)/&)/ /$ .9&-./&./O;*./)&P* K*+&34&D// & D&-##&9#//?*+G&. F& ?/+*+G9&*+&./9*)/+ *-#&K F/9&H,*++/9 -&: - /&
,X&5&0/.F* &Q//&H@/?#-$/F/+ 9JT7UL44&4V43L!4VV
F--'B3//*.&1
:;.$K-.G/5Q*N/)T3L44&U443L'3U7
"(%*21GA?H??'
#(,%.*E%(.1IJ,-.1
5&&(??#*$-+ &&5
(*.&@* /&B/- *+G&R&($&1+$2*-+/&=*##/.>
IU\[7&3!I K&: .// &A/9 \\&\]\[U\[U6&1F<#/.&=.
(??#/&b-##/>&,E&&773'! -%/W*##/&,E&&774!!
HU7'J&IV\[53U44H74VJ&6365\[633
1&K/./<>&-$%+ P#/)G/& K- &1&K-W/&./-)& K*9&-??#*$- * +&-+)&9 - /& K- & K/&*+D .F- * +&*9&$ ../$ &-+)&-G.//& &$ F?#>&P* K&-##&-??#*$-<#/&: - /&
D&,*++/9 -&: - ; /9&-+)&M* >& D&X-G-+&Y.)*+-+$/9L
(??#*$-+ S0/.F* // &:*G+- ;./199;/)&"> &:*G+- ;./
!"
#$%&'()' *+*,
-./$%'"&0-1 -FE*,$F*4
-./$%'63/7-.1 89:;<9M
=*%-'!>>3-51<?@<A@?<9B
-./$%'#*%-+(.&1- -./$%
C$%-'855.->>1''M9:9''8.7(.'N*,-''
877"# $% &&88U())* * + &&B,+_,#&7=
456 789V':;898U9778&
<=,
=->F.$0%$(,1
/1>&?@A, E,=*),+ *2#
B 3%&?@A, E,A#2$,
6,=$3*A * + I13+2$,&`&(*3&G +)* * +,3
c1,= * +=&3,.23)*+.&,#,$ 3*$2#&A,3K* &3,01*3,K,+ =&=M 1#)&>,&)*3,$ ,)& &/ 2 ,&X#,$ 3*$2#&5+=A,$ 3P&F23%&(+),3= +&2 &QW:U\]&
#(//-,%>1
!!:9UV!8N
G23> +&K + -*),&), ,$ 3=&23,&3,01*3,)&C* M*+&78&O,, & O&2##&=#,,A*+.&3 K& A,+*+.=&*+&3,=*),+ *2#&M K,=&QF*++,= 2&/ 2 ,&
FX&9&4,3K* &I,,&QE,A#2$,K,+ =\]S:WN88&8V87N!8VV
G--'C3//*.&1
/13$M23.,9I*-,)S7N88&W887NU7W:
"(%*41HB<I<<'
#(,%.*F%(.1JK,-.1
9&&(AA#*$2+ &&9
(*3&E* ,&\[,2 *+.&`&($&5+$6*2+,&?*##,3@
\\W':&7!\\ M&/ 3,, &B,= P&b'W'W;&5K>#,3&?3
(AA#,&R2##,@&FZ&&::7U! 2%,L*##,&FZ&&::8!!
QW:U\]&\\V'97W88Q:8V\]&;7;9';77
5&M,3,>@&2$%+ C#,).,& M2 &5&M2L,&3,2)& M*=&2AA#*$2 * +&2+)&= 2 ,& M2 & M,&*+O 3K2 * +&*=&$ 33,$ &2+)&2.3,,& &$ KA#@&C* M&2##&2AA#*$2>#,&/ 2 ,&
O&F*++,= 2&/ 2 1 ,=&2+)&G* @& O&X2.2+&J3)*+2+$,=N
(AA#*$2+ D4,3K* ,, &/*.+2 13,5==1,)&"@ &/*.+2 13,