1501 Woodview Ave W
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:19 #166 P.035/037
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' j Permit *I n,4-7-0
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~ Permit Fee' 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I Q~(Z 1
Fax: (651) 675-5694 1 Staff: Q V t
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-1-ILA Site Address: H LJCA;. IC;6 WOOd EV Wc~i fc err ~w~~~)
[,._.r-_ ~ Name: S - r CID, mT~.e.,,. .~...,...,.y~ Pho
Resident/ E
Owner !Address/ City l Zip: (PH3 ~ W , PArkWOWI P U4 h 6U d t f MN G53t-H
Applicant is: Owner Contractor PPP
Type of Work Description of work: Tf.ay Ofd ~ P,0
Construction Cost:. $Zk (1W -OU v Multi -Family Building: (Yes X / No
Company- l tia►y Ulmlr~nc pn M hQIQIt MGnf U-b Contact:
~ the MetheYaan ~
Contractor Address: 51LF)1Y1GIVISh111 S-h_ -I0?1 city: Mapit Ploifn
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i State: N Zip: 5x135 Phone: - Email: 01V1t 0G1(IS1 V . bL
License* Fu',1o315)5 Lead Certificate M N PE- ICAVI - 0
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 Eagan issued a permit for a similar plan based on a master plan?
e _Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
k
K
p' Mechanical Contractor: Phone: &
P;
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i
the information maybe classified as non public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org
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 plans.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ .,uftlg Mc~e~-mutt x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159864
Date Issued:01/24/2020
Permit Category:ePermit
Site Address: 1501 Woodview Ave W
Lot:7 Block: 06 Addition: Surrey Heights 2nd
PID:10-73001-06-070
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 -
Lori A Kisrow
1501 Woodview Ave W
Eagan MN 55122
Ray N Welter Heating
4637 Chicago Ave S
Minneapolis MN 55407
(612) 825-6867
Applicant/Permitee: Signature Issued By: Signature