874 Trails End Rd Use BLUE or BLACK Ink
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Permit#:
City of Ea�ai�
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: I
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2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ' 7 Unit#:
`..1 Name: �1 c ✓1 �� ,ti* ri Phone: 'i 2
Address City/Zi p'
Applicant is: Owner ontractor
SWork;
Description of work: T
<< Construction Cost: U-b C) Multi-Family Building:(Yes /No
Company: Contact:
Contra
Address: City:
State: Zip: Phone: Email:
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License#: Lead Certificate#:
If 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:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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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.cior)herstateoliecall.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, z nd 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 uilding Code must be completed within 180
days of permit issuance. �y y
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143821
Date Issued:06/28/2017
Permit Category:ePermit
Site Address: 874 Trails End Rd
Lot:000 Block: 001 Addition: Wescott Hills 5th
PID:10-83602-01-031
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.
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 -
Star Management Llc
2027 Safari Hts
Eagan MN 55122
Air Express Inc
1010 - 118th Ave NE
Blaine MN 55434
(763) 291-8519
Applicant/Permitee: Signature Issued By: Signature