4175 Arbor Lane 0512312014 11:26 Les Jones Roofing, Inc. (FAX)8528817009 P.004/016
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Permit C q77
1
City of Evan ; -7-6 11
3830 Pilot Knob Road I Pemtll Fee. 1. 1
Eagan MN 66122 Dale Received: i"
Phone: (661) 676-6676 I i
Pax: (651) 875-6684 I stem 1
I - - - -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; oZ 3 . Site Address: UW- 41-71 - .41-73 4t75 Agag1L Un(t
Name: p ,.6 AamRs soc. ~A K hone: - 4 e S sLC
Address/ City/ Zip: Lf-fo AIZE10
9 I
Applicant Is: Owner x Contractor
Description of work: r2 ct-t v
p ~
Construction Cost: - 3 2 2 *7 ! Multi-Family Building: (Yes x / No
Company: AiFS jaN63 R oamy ; /NG. Contact: CNR-r x 101v0APZS0A/
Address: 4YL W. ?d city: BGOtNG,t/
Stets: Zip: ,~,l~~f2a Phone: 9'F;I - 76 7 - &W/7
License Lead Certlflcate -/A-7' 'V O S ?.7
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Fagan Issued a permit for a almllar plan based on a master plan?
`Yea -_No If yes, date and address of master plan:.
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor; Phone:
CCALL. BEFORE YOU DIG. Cal Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. mmoer aoohwstateonecall.oro
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 plane.
Exterior work authorized by a building permit Issued In accordance with tho Minnesota State Building Code must be completed within 180
days of permit Issuance.
x_Gi'At5 4AiDE9b'0A1 x
Appllcanr s Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137675
Date Issued:07/15/2016
Permit Category:ePermit
Site Address: 4175 Arbor Lane
Lot:025 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-250
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.
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 -
Frank F Galle
4175 Arbor Lane
Eagan MN 55122
Air Mechanical
16411 Aberdeen St NE
Ham Lake MN 55304
(763) 434-7747
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167321
Date Issued:03/09/2021
Permit Category:ePermit
Site Address: 4175 Arbor Lane
Lot:025 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-250
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Steven M & Gail M St Marie
4175 Arbor Ln
Eagan MN 55122
(651) 387-3512
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature