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4191 Running Brook Rd 4 1 4Vb 3, ,,1tSS7 I A 1 2~1 Use BLUE oi- BLACK Ink Qp~ I a l ~ V - 1 ( ~ ~ L~ ~ ~ `"1 ~ -15 ~ t 1 I "~J or Office Use I I Permit It aka I Permit Fee: _bq~. .a5 I / 3830 Pilot Knob Road I I ✓ Eagan MN 55122 j Date Received: ' I Phone: (651) 675-5675 I Fax: (651) 675-5694 j Staff: ~ I L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: j Site Address: qI13(,1fl003A96;4V?7441V1 4191 l 1414? Bre Name: f errant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor _ w.. Description of work: i__ Type of cork u ~ Construction Cost: 1,7 ~303 i Name: License _ Address: - - - City: - - State: Phone: , Contact: Email Narne: Registration Address: City: Arch €teot/Engineer State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone # NOTE: Mans and supporting documents that you submit are considered to be public information. Portions o the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trarle secrets. CALL BEFORE YOU DICE. 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. Applicants Printed Name Apply ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112941 Date Issued:08/27/2013 Permit Category:ePermit Site Address: 4191 Running Brook Rd Lot:403 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-403 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 - Chime Yangzom 4191 Running Brook Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161062 Date Issued:05/04/2020 Permit Category:ePermit Site Address: 4191 Running Brook Rd Lot:403 Block: 04 Addition: Eagan Heights Townhomes 2nd PID:10-22426-04-403 Use: Description: Sub Type:Windows/Doors Work Type:Skylight Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Chime Yangzom 4191 Running Brook Rd Eagan MN 55122 (651) 357-5735 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature