4155 Arbor Lane 0512312014 11:28 Les Jones Roofing, Inc. OAX)9528817009 P.0141016
Use BLUE or BLACK Ink
For Office Use - - I
j Permit 8: 7 I
City of Ealu I r ~5 1
I Permit Fee: . 1
3830 Allot Knob Road I I
Eagan MN 66122 j Date Recelved:
Phone: (661) 676-5675 I I
Fax: (661) 676-5694 1 Stat I
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: 23 Site Address: I - 411-unit Name: TE Amal oRS_ 46x06. ~.~e-Pr~nfe l~► hone: Ao5`I-9P-S ss~
Address / City / Zip: l St A&I
Applicant Is: Owner X Contractor
Description of work: 6'rt b ✓A-
Construction Cost: 3 / 7 17 Multi-Family Building: (Yes x / No
Company: -E5 ,ToNm3 goo&_ * WC. Contact: ~'s12t s A yi
Address: %I O City:
' State: _ 14AI Zip: ,a24) Phone: 9sa - 76 7 - a8/7
License* Lead Certlflcate AIAI"' Y03 9.7 =1
If the project is exempt from lead certlflcatlon, 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 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:
CALL. BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utIfty damage. Call 48 hours
before you Intend to dig to receive locates of underground ulllltlea.
I hereby acknowledge that this information is complete and accurate; that the vmrk vdll 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 plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Coda must be completed within 180
days of permit issuance.
G .2fs ~40095VAI
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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Use BLUE or BLACK Ink
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� � �� � � � I Permit#: � � �
Ity of Ea�a� ; . ;
� PermdFee: D�• � I
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED i Date Received:I I— I�D - I� �
Phone:(651) 675-5675
Fax: (651)675-5694 NOV � � ?O�5 I Stafl_� ____�_____ �
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1' t' � Site Address: '�..)✓ �C�J (�� a�� ��
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Tenant: � �
r � Suite#:
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Reside'ntlOw�;e � � � Phone:�� � .�"
,A.� �
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`� �.n�� ' � : Address/City/Zip: �'Dl� �' c�"�
r ��� �� tt, �'
'� "�� � Milbert Cou� an Inc dba Culli an Water WC641376.
� ,� � ��� $ Name: _ u�P.. .Y . g License#:
���,���'� „� � �
�� �'� � �'�ontr�ct r�� � Ada�ess: �1�8�t 50`� St East ��ty: Inver Grove Hgts.,
�`���'� '��� �,� 55077
� '``y� � state: � zip: Phone: 651-451-224�' �
F#�����ts��Y �ki�'
n���;���`�' `' `��.,�� ' ;i Contact: W1Il11iT1 R M1IUert
Email:
, .� � �; " i,
� � `�� � New _,Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
� Type�of Wo f_ � — —
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'�� .,�� . _ � , � Description ofwork:
� �� �� ���� �����u. �. RESIDENTIAL �
-��. .�� �
"�� •e•�.�� : � �° '" WaterHeater
� k �Water Softener '
�� �Pe�mi��T� Lawnlnigation(_RPZ/_PVB)
Y,-�
��k `>�� � Septic System Add Plumbing Fixtures�Main/_Lower Level)
h � � '��.� �
� •��� � New Water Turnaround
� �� � �� _
� a���. ��� . -.,> —Abandonment
� RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
! . $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(inctudes$5.00 State Sur�harge)
"Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as 6Uilt)(includes County fee and$5.00 State Surcharge) R O D
TOTAL FEES$ V
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities: www.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes oi the City of
Eagan; that I understand this is not a permit, but only an apptication for a permit, and work 1s not to start without a permit; that the work witl be in
acc rdance with the approved lan in. e case of work ich requires a review and approval of plans.
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Appl anYs Pri ted Name Applican 's ignature �
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137249
Date Issued:06/24/2016
Permit Category:ePermit
Site Address: 4155 Arbor Lane
Lot:011 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-110
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 -
Melody Mckee
4155 Arbor Lane
Eagan MN 55122
(651) 454-3630
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature