1920 Sapphire Pt
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Permit Fee: I
3830 Pilot Knob Road 1 1
Eagan MN 55122 I I
1 Date Received: I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1
1 Staff: ~h
1-----------------1 Ib
2013 COMMERCIAL BUILDING PERMIT APPLICATION 1a- U_j4'%k5
Date: Site Address: ~'~'t/ 1 i(lq p & -TZZ-122 3G
Tenant Name: V%~ ktK (4oMl~n5 1A&S V..4 ~ar~e1 kom$(Tenant is: New/ Existing) Suite
Former Tenant: r
Name: D~ t!~ ftns X V k11wS ^^A ! 1O T % Efts Phone: Q53A- 4 3;L- 81 7 9
Property Owner Address / City / Zip: _p.0 (jpk J 63etnow%Ir MAJ 55-0 (o I?
Applicant is: Owner Contractor
Type of Work Description of work 0i c_ 04-1c- Cpy{ ~iK n+r~ S . nh Ct a~ Crr
Construction Cost: b J ~ 3• i o
. Name: O T cove . ('%xiZ o License 1J t- .C2 1 t a
Contractor l Address 14,~p.t L koov\A-e c, a%lL City: i I~SL I"~U~~ T
State: Zip: ';5_0 (69 Phone: 211-c. S- I ' 2 9 (0 Jr
Contact: h{"j+ Email: ~G~t ~eJL~'tCi cd'S. Go,(1
Name: Registration
Architect/Engineer Address: City:
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.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.
x o x
Applicant's Printed N .We Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150553
Date Issued:07/13/2018
Permit Category:ePermit
Site Address: 1920 Sapphire Pt
Lot:099 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-099
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)$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 -
Samantha J Noltner
1920 Sapphire Pt
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature