619 Crane Creek Lane Use BLUE or BLACK Ink
-----------------
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I For Office Use
C111yo j Permit
1 E"nEal ll n I Permit Fee:
3830 Pilot Knob Road j 1
Eagan MN 55122 I Date Received:
Phone:(651)675-5675 I I
Fax:(651)675-6694 I Staff: I
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 819/2016 Site Address; 6'�, 6 '� 6/9, 6 + Crane Creek Lane_Unit :
Crane Creek Townhomes Association 952-922-2500
Name: Phone:
a Address city,Zip: 5707 Excelsior BLVD St. Louis Park MN 55416
Applicant is: Owner ✓ Contractor
Reroof entire building
Description of work;
Construction Cost: �c(I o35 Multi-Family Building: (Yes No
—)
` Xtreme Exteriors N.A. Inc Jeffrey Sigler
Company. Contact:
*YM 7722 289th Ave NE North Branch
Address: City.
MN 55056 763-441-1334 jell @xtremee)cteriors.com
yFx �tr Nr A State Zip. Phone: Email;
BC362463 NAT-25417-2
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:
Y �
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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.aopherstateonecall.om
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.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Build g Code must be completed within 180
days of permit Issuance.
Jeffrey Sigler x
Applicant's Printed Name App c ure
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177382
Date Issued:06/29/2022
Permit Category:ePermit
Site Address: 619 Crane Creek Lane
Lot:12 Block: 01 Addition: Crane Creek
PID:10-18475-01-120
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Emily K Bull
619 Crane Creek Ln
Eagan MN 55121
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature