4439 Lakeshore TerPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123516
Date Issued:06/10/2014
Permit Category:ePermit
Site Address: 4439 Lakeshore Ter
Lot:1 Block: 02 Addition: Cliff Lake Shores 2nd
PID:10-17786-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Norma C Noonan
4439 Lakeshore Ter
Eagan MN 55122
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
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1 For Office Use �
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3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I i
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: Site Address: �`�`�Z'� ��°"' �y Unit#:
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� � > Construction Cost: Multi-Family Building; {Yes /No_, �� �
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� License#: �G ��� ��.3 Lead Certificate#:
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� If the project is exempt from lead ce�tification, please explain why:
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �
� in the last 12 months, has the City of Eagan issued a permit for a simi�ar 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:
Fire Suppression Contractor: Phone:
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' t�re i��'or��tion r�ay,be classi�ed as non pub��if y��pro�tate spec��i�rsa��n�t�a#��d�src�i#t�e'Ci�#�
� co�d�de tiaat tl�e are t�ade sec�et�, � ��,
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.qopherstateonecall.ora
1 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota S t Building Code must be completed within 180
days of permit issuance.
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ApplicanYs Printed Name Appli s Sign ture
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