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unit C Oct. 2, 2014 12: 05PM Crest Exteriors 651-463-8095 P 3 Use BLUE or BLACK Ink �--------w-------- � For Offlce Uee � I I ' Q Q j Permil#: ��� ��� I C��� �� �`��"� � Permil Fee: �� l •��� I 3830 Pllot Knob Road j �� � />� I Eagan MN 55122 I Date Received: ✓i i� � Phone:(651)675-567fi I Sla(i: � Fax: (651)875-5694 � � 1..r�-.���____�r�_____J 20�� RESIDENTIAL BUILDING PERMIT APP��cA'rION Date:l� SlteAddress; � � � 1 t Unit#: � Name:V . Phon$.l�/"��'` (1`��� ,;Reslil�ntl. � ` � � � ��e�� Address!City/Zip: � C• - '�°'''�=�" � ° Appllcant is: owner Contraclor �s�.a:�.:..�c;�:�.. 1 '," f�A��:'. Descfiption oF work: K-� � � :�e .� ��� _ ,. t' . � ' " ' ` Const�uction Cost:� Multl,Family Building:(Ye J No�) '.i:�.. . ...- Company: J \� l� Conl2ct:���i - .±;?:.;.,i,. ' ;;:>�;:;., Address: , City: �� ro�n racfoC=- + ,°,��_ ,� -�..-- (� � �/ • 5tate;�Z�p���—tJ�� Phone: � �'�mall:l.1Q,S��. �nr� ��r��r��l Llcense#:i)\�U+��Q���� Lead Ce�tlflcate#: If the project is exempt From lead certiFication, please explain why: (see Page 3 for additional information) � � ' '�'� '-,� n , 1� / i l i COMPLETE THIS A A ONLY IF CpNSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permlt for a slmllar plan based on a master plan? JYes _No If yes,date and address of master plan: Licensed Plumber: Phone; Mechanlcal Contractor; Phone: Sewer&Water Contractor: Phone: N�€:p �, and supportin' 'e("'" "ts.:'t'at:' "�i`3� �f�''ie�c""n'i` e `b��e:public infotmat�on Portions of �,� � � �,, .4...L... e in"fo�mafi n'`��}i`r�e��c ►� . o `H%ou"�al p�if=f�i`�e�Gify:fo -. � . .. . � °:�:.�:�;�.co c Q ra ���,..:_ . . .. ,. CALL BEFORE YOU DIG. Call Gopher SEate One Call a�(851)464•0002 for pfotecUon againsl undelground uGllry damage. Call 4B hours belore you Inlend lo dig lo recelve locates of underground ulililles. www. o herslaleo or I hereby acknowledge thal Ihls Informalion is complete and accurate:Ihat lhe woAc wlll be In conformance wilh lhe ordinances and codes of Ihe Cily of �egan; lhal I undersland lhis IS nol a permil,bul only an appllcallon(or a permil, 8nd work fs nol to stari wilhout a pertnit; thal the worlc uvill be In accordance w+lh the approved plan in lhe c9se oI work whlch requires a review and approval of plans. Ezterlorwork authorized 4y a bullding pe►mlt issued in accordancA wlth the Minnasota State Bullding Code must be completed wifnln 1A0 days of permlt Issuance. x�U1-I.�,���l�, L- x _ , � Appl�cant s Printed Name Applic nts S gnature Page 1 0(3 r For Office Use r Permit a. ♦gra •y.,..t Perna Foe (o ,5+ Date Received 3830 PILOT KNOB POAD)EAGAN, MN 5512 1810 (851)675.5875 I TDD (851)454 8535 FAX (651)675-5694 Staff bu Lnylrisprinnaclty.2fea an rim i 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Data: Site Address: 3(.40 I 5 iticukt Un t#: r III " Name �+<�ri�,•� � 1\1c- y ;4°4, /Au)it Phone. (0,,i �. ..� �7- (/ j.„t' owner Andress/City/Zip. L, v i r ✓" Applicant is: Owner N ontrac for Tvpo of wok Descrip800 of YYXiri( ion C, • r Cons tCost 0 C O-s" ` Multi-Family Budding (Yes No CompanyTr tV7-4 Contact c r, Pe, Contractor Address 1 ti 10 O �' t-? 1t ar.�- 6a 1 d 1 Ai rt''a d c©City t �-— Lr /r.4, C's State. iA,'Z p 5 !-4''J i -"Phos 6 S1 7 ?7* 7 31. / Erna (t t e,Lt. r, r 4 License* ( W c(r- - Lead Certi icate is 41"r /f / it the project is exempt from lead certification, please explain why: 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; Swyer&Water Contractor Phone: Fire Suppression Contractor Phone: IMO'M'E Alms weiasppeakegdommianta theriertsekeriareeeteddivetia freptifillealtrowillem Pinkratif i i i N i alt --.m .�... .:� _ lar• #s _�. SIM'i Yau may subacAbe to receive ar►.i.ctrca Ic not$$v*lun Mohr the testy of proposers+ordtr+ancss by signing up fat an small oa this Cmy'a fwbMte at wtiaw, t att.corr s rite.. Exteriorwork by a b1dldleg peant Issued in aroo�orda we wltf t thio Minnesota 8taas Bulldinp Code anw be cenn l ed within 150 days of penile issuance �,jt{j,B YOU DIG_ Cat Gopher Stats One CaS at 151)464-0002 for protection against wxiergrors�d,bey damage Cat 48 rrouru before'au ererxi ba trig to rvoeivr locatee of underground chilies. err ,ac ajlEai t ,�rrecar uHy hereby.ckmaNdge that this a+brm* n u completeand emirate,that tate worts will he a carronnanc a with tare And ends of the City of Eagan: that I r/tdes�arnd this is not a palms, !tt/t orgy an application for a permit. acrd work is Mt to start etsotrt a pant., neat the work will be in accordance wen are approved plan in the case of wank*tech requires*review end apQrvt7l oto a L.✓� S 1 c� Vim,k `(r_ �- t / '' — Applicants Printed Name ApplIcatrtt'a Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159945 Date Issued:01/30/2020 Permit Category:ePermit Site Address: 3601 St Francis Way C Lot:035 Block: 05 Addition: St Francis Wood 4th PID:10-65903-05-035 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 Link 3601 St Francis Way C Eagan MN 55123 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature