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3776 Red Robin Lane (o 0 3~ 2 3~ 8 (o ~ 'Rdla1 n Use BLUE or BLACK Ink For Office Use I 1 I I , City of Eap 1 Permit 1 Permit Fee: 3830 Pilot Knob Road I ~a I Eagan MN 55122 t Date Received:. 1 t Phone: (651) 675-5675 t t Fax: (651) 675-5694 1 Safi' -a L--------------- -elo 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: iQ "-95-13 Site Address: ~J7"7a? 3-2Wo0 377$ 3 28o, 378a, 37$'u -Unit i I Name: Phone: i Resident/ Owner Address / City / Zip: I D Applicant is: Owner Contractor Type of Work Description of work: cc, is • n4y ~ l 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) i ) License 06L`¢ c1 Lead Certificate # If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) / { - -Vc e, 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. x 1 ~c _ `•c c r- x 1 J? 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