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3759 Robin Lane 09/30/2013 09:55 6513447137 AMANDA HANSON PAGE 01 Use BLUE or BLACK Ink I For Office Use PermitOl I c/~~V Eatan Permit Fee; ,Sp i 3830 Pilot Knob Road Eagan MN 66122 i Date Received: Phone: (681) 6754676 1 p.~ I Fax: (661) 6764664 I St0 ]t_Y? I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:. 3'J 3 Site Address: 3~ Name: Phone: Address/ City/ Zip: 2(P, ~ (~,.~~<A~ C Wt et-, 21 Applicant Is: Owner Contractor Description of wok gEeO-65 a Construction Cost: 42t , 4000100 Multi-Family Building: (Yes -X-1211 No Company. Ci.STq-UGm a. Contact: F fe, Address: !Z00 "TWr I g L~Cr1 NG s City: Fi) ~D~1 I A! rCL l State; l111Zip; 3 I Phone: k I 0% (0b Llcenss; VGQ3 f Lead Cerdflcate* Kilt, - 11( r) If the project is exempt from lead certification, please explain why: (see Page 3 for additlonal informaWn) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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: CALL BEFORE YOU DIG. Call Gopher State One Gall at 1681) 4844002 for protection against underground utility damage. Call 4B hours before you Intend to dig to receive locates of underground utilities, www-gopherstateonecalLoro 1 hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and. cones of the Gty of Eagan; that 1 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 suthofFzed by a building permit Issued In accordance wMh the Minnesota State Building Code must be completed within 180 days of pemtit Issuance. x Ap I canYr Printed Name f pi anri Signature Pape 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124523 Date Issued:07/03/2014 Permit Category:ePermit Site Address: 3759 Robin Lane Lot:4 Block: 01 Addition: Blackhawk Acres 3rd PID:10-14302-01-040 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. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Robert N Miller 3759 Robin Lane Eagan MN 55122 (651) 454-3015 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157913 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 3759 Robin Lane Lot:4 Block: 01 Addition: Blackhawk Acres 3rd PID:10-14302-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Robert N Miller 3759 Robin Lane Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature