4190 Running Brook Rd41'?At
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,City of Eapll
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: ‘13 LDS ci
Permit Fee: 2a.15
Date Received:
Staff: 25E>
2013 COMMERCIAL BUILDING PERMIT APPLI9M1Oking,
- 5 - Zol3 Site Address: LI-itti (-Mc) qtgt5, (WO, Lek/ WR
Tenant Name:
(Tenant is: New /
Existing) Suite #:
Former Tenant:
Name: Phone:
Property Owner
Address / City / Zip:
Applicant is: Owner Contractor
,,---1 -,,,- I ;'
Type of Work
Description of work: 1 --*.t: ,24:::&"\--
Coi
Construction Cost: 5 ) 3t
Name: !, A
Address:
State: Zip:
License #: Peg
City:
Phone:
'333-33, 3
Contact:, -1,;_z 7 Email:
Name: Registration #:
Address: City:
ArchitectJEngineer
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: 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 they 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.qopherstateonecall.orq
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 re uires a review and approval of plans.
x t rt -t,61
Applicant's Printed Name
X t
At'i-pr cant's SI na ure
Page 1 of 3
-1,n6pu.A-1003 091
City of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ror,
Permit #:
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a ! / y Site Address: / 90 k -fir? 7 Ori Re�
f
Suite#:_
Tenant:
6,4
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name:
Address / City / Zip: 9/ 912 gccii/7/4
Applicant is: Owner Contractor
Description of work:
6,402A IPE Pie.
Construction Cost:
Name:
Phone:
ArDpik
RePL.J/ye-717e
Multi-Family Building: (Yes- / No _J
G'r-e.3 f 71C (t 49C:=5 Z -i. - License #:
Address: 2 2-3 92- "'ape -1i ms
City: Ca-cminState: Mr/____ Zip: 5.46.
Phone: (t::'S1 ' 4/60 (0/ Cf/ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Energy Code
Category
(1 submission type)
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Yes No If yes, date and address of master plan:
Phone:
Licensed Plumber:
Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents pthat you cons►dered to beublic information: Portion' of
p
the information may be classified as non publ►cCif you,provide specific reasons that would permit the Cityto
conclude:tf atthey are:trade secrets::
I hat I understand this is notoation is permit, butete onlyan application ford accurate; that the work a permit, and work isl be in formance with the not to start without ordinances permt; that the work he wil b in
Eagan; that
c..,ccordance with the approved plan in the case of work which requires a review and approval of plans.
dg Articrq
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA131439
Date Issued: 06/18/2015
Permit Category: ePermit
Site Address: 4190 Running Brook Rd
Lot: 304 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID: 10-22426-04-304
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
- Applicant -
Owner:
Alison Shirk
4190 Running Brook Rd
Eagan MN 55122
(507) 383-8531
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.
Applicant/Permitee: Signature
Issued By: Signature