3560 Blue Jay Way Unit 101PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133063
Date Issued:09/21/2015
Permit Category:ePermit
Site Address: 3560 Blue Jay Way 101
Lot:117 Block: 04 Addition: Lexington Place 2nd
PID:10-45051-04-117
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Natalia Sadchikova
3907 Princeton Trl
Eagan MN 55123
(651) 905-9905
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
For Office Use 9 ,
%:‘%* °'41°''' EAGAN
��•• +moi•
Permit#: 76
►1 Permit Fee: lv e
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
Email: buildinginspectionsCa cityofeagan.com Staff:
Commercial Plan Submittal:eDlans(fcitvofeagan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 7/Lib g Site Address: 35--(0 d 01uf, 47,ey / 0 1
Tenant: Suite#:
Resident/Owner Name: 111/M I I A 4-5.4 G//)K p Vi9 Phone:
Address/City/Zip:33 , f) /31t7i Joy a)"Y veli 1 0) k-,IgAvJ
Name: D i N7-y C D429 License#:
Contractor Address: 111`a 47,0 SQ, 406-64d1 pp, City: if 03� 1v o 113T
r ,�
State: /1771 � 'V �0
Zip: � 0�j Phone: )_ 2. 3—
Z
F t' ' 3 4
Contact: 44 Email: 144,41,41 / gY4/7 o - L°,•—
RESIDENTIAL
.Y Furnace
VAir Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New Replacement Additional Alteration Demolition
Type of Work
Description of work: /V-111') flv),A/A L' * 4 ) 'Yt' C. eD-D Yt )17.4)01—)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge 4
$100.00 Residential New,includes State Surcharge =$ (} f TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeagan.com/subscribe.
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.
X �fi v', -� V b g pig
Applicant's Printed Name
Apphca t s ignat
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final