3776 Red Robin Lane
(o 0 3~ 2 3~ 8 (o ~ 'Rdla1 n
Use BLUE or BLACK Ink
For Office Use I
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City of Eap 1 Permit
1 Permit Fee:
3830 Pilot Knob Road I ~a I
Eagan MN 55122 t Date Received:.
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Phone: (651) 675-5675 t t
Fax: (651) 675-5694 1 Safi' -a
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: iQ "-95-13 Site Address: ~J7"7a? 3-2Wo0 377$ 3 28o, 378a, 37$'u -Unit
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Name: Phone:
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Resident/
Owner Address / City / Zip:
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Applicant is: Owner Contractor
Type of Work Description of work: cc, is • n4y
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Construction Cost: 5 1 od Multi-Family Building: (Yes t No )
€ ! Company: Contact: 1 "'0' C>R
i Address: City: 3, Inc-,)C
Contractor
State. f f Zip: ~5 3 `>S j Phone: 1116 ~1 - ' f Gy " 09ac)
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License 06L`¢ c1 Lead Certificate #
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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:
MOTE: Plans and supporting documents that you submit are considered to be public information Portions of
t the Information may be classified as non-public if you provide specific reasons that would permit the City to
conclude _that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protechon against underground utility damage. Gall 48 hours
before you intend to dig to receive locates of underground utilities
I hereby acknowledge that this information is complete and accwate. the work w.ll be n 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.
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Applicant's Printed Name Applicant's Signature
Page 9 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152749
Date Issued:10/30/2018
Permit Category:ePermit
Site Address: 3776 Red Robin Lane
Lot:2 Block: 17 Addition: Town View 1st
PID:10-77100-17-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Peter Shrader
12457 Flag Ave
Savage MN 55378
(952) 292-0285
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature