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4412 Naper Bay JJ / ' -o i ,EIr:0Mce: Use I City of Eap I Permit#: _ I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !,D"- Site Address: } All/ Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: ZG z3z, Multi-Family Building: (Yes•• / No CONTRACTOR Name: Z-~ r '17 1e,-7,-,11-7C'tE- License M Z&;7 7-VD Address _ ? ~ 'GLYt7r ?z_/'' -!5'1 5411 le 2 Y29 City: / Z40egL 1 State: - Zip: J~ I,3 Phone: /a/ Contact Person: A~ -5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet ~ New Energy Code Worksheet Category Submitted Submitted (submission type) Energy Envelope Calculations Submitted 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: NOTE. Plans and supporting documbrits 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 the are trade secrets. 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 be in accordance with the approved plan in a case of work which requires a review and approval of pla s• applicant's Printed Name Applicant's Signature Page 1 of 3 I~ PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159287 Date Issued:12/05/2019 Permit Category:ePermit Site Address: 4412 Naper Bay Lot:107 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-107 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - David M Frontzak 4412 Naper Bay Eagan MN 55122--247 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature