1349 Easter Lane 0911612013 14:28 ftX) P.0011003
Use BLUE or BLACK Ink
1 For Office Uee I
j Permit A y j
City of Eap
Permit Fee:
1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: I(~
Phone: (651) 875-5875 I I
Fax: 675-8694 1 Staff I
(651) 1 I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ) 1A013 Site Address: 13 (-l7 6 4A40tc /3 6;+Jr6k CF Unit 02
Name: C-ti WT-'-J /A4 41,46 A Phone: (-6'1- 775- /9(/C,
RESIDENT /
OWNER Address I City 121p: / 3 C/ 7 Ir.,,~4s izfA 44AIirr J 46 Apt! 57:51 d 3
Appllcantls: _Owner -X-Contractor
TYPE OF WORK Description of work:
® f"~ntrnl rc
Construction Cost: g 0o Mu-Itl-Famlly Building: (Yes / No__)
Company: /`iQEr.H rL4& o or-t Contact: Af✓1 !•yNG
CONTRACTOR Address: S 96 to /f L/krK J-kk f 46 City: -fAYV , G &"'-o 4-/'6iErJ
State: ZIP: S SO'74 Phone: cis-- (0 3`8
Lloenee BC 583 a7 Lead Certificate NA~r- 7yS3S °
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 cons/dead to be public Mformatlon. Portions of
the Information may be class►fled as non-public K you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIQ. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro
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 if le Mll`tt.1/GcSS x
ApplIcanCs rinted Name Ap cant's Sign t e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161388
Date Issued:05/21/2020
Permit Category:ePermit
Site Address: 1349 Easter Lane
Lot:3 Block: 5 Addition: Wilderness Run 5th
PID:10-84354-05-030
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Clinton R Mclagen
213 Dessa Lane
South St Paul MN 55075
(651) 457-1996
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161389
Date Issued:05/21/2020
Permit Category:ePermit
Site Address: 1349 Easter Lane
Lot:3 Block: 5 Addition: Wilderness Run 5th
PID:10-84354-05-030
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Clinton R Mclagen
213 Dessa Lane
South St Paul MN 55075
(651) 457-1996
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature