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1729 Bluebill Dr Use BLUE or BLACK Ink For Office Use I I f City ! Permit Z~ 3 a I -7 6' t Permit Fee: 3830 Pilot Knob Road t I Eagan MN 55122 Date Received. O I Phone: (651) 675-5675 j !LI" i Fax: (651) 675-5.694 I Staff. ~y L 2013 RESIDENTIAL BUILDING PERMIT APPLICATION ~~JC~OiII ~J~iV<. Date: 10Site Address: 1~7 17a9 l Z31 1733 Unit r Name: Phone; Resident/ Owner Address f City t Zip: _ Applicant is. Owner Contractor Type of Work Description of work: )eL C? i Construction cost: GLI ~ 0 Muni-Fatuity Building: (Yes t No s Company: ~~~~'tttn¢le( t.S nc~~Ia~iio~S Contact ar✓Q__ M; Contractor Address: -City: ' e\,\R"6^k-°'' M tj Zip: Phone: 6, - t~ <.1 ' e2 0ro State; License #:_)L t 5 Lead Certificate f1) P-F Utp - -t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) P , LeJ A C,+ - ,''~%cz t '1 .vim 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 amaster 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 considered to be public information. Portions of the information maybe 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. 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 pernat, 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 >2~ !2-'~ X1~_ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167072 Date Issued:02/22/2021 Permit Category:ePermit Site Address: 1729 Bluebill Dr Lot:3 Block: 05 Addition: Town View 1st PID:10-77100-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Mckenzie T Biffert 1729 Bluebill Dr Eagan MN 55122 Airic's Heating & Air Conditioning Inc 9124 Grand Ave Bloomington MN 55420 (952) 345-0032 Applicant/Permitee: Signature Issued By: Signature