2066 Copper Lane f
Cld
Use BLUE or BLACK Ink
- -
For Office Use
CPermit ity O1 j.!(( ~
of ~(l11 RJUN 1 4 2010 i q1> ~
3830 Pilot Knob Road Permit Fee: ! 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (661) 675-5694 1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lu Site Address- w
ddress: U
Tenant• V
Suite
RESIDENT / OWNER Name: Phoneen
Address / City / Zip:'~O'P 6 a.4,- Yl'l V) s1 La
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
00
Construction Cost: Multi-Family Buildiinng: (Yess / No d
CONTRACTOR Name: Lz±wnn a--- • License ,
l `t" 9 _
%J3~~ city:
Address: `7? `1
State: i -y) Zip: SS Phone: ~ s1 " C 94- v) lp L o
Contact: Email:
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oonherstateonecall.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, and work is not to start without a perm' ; that the work will be in
accordance with the approved an in the case of work which requires a review and approval o s.
x x
Applicant's Printed ame Applicant's S ature Page 1 of 2
cirr oF EAGAN ? $526
3793 Pilot Kno6 Rood Eagan, MN 55122
PHONE: 434-8100 ' ? -
BUILDING PERMIT
R-??-ROOF
$500
Site Address ?••"" ""?'y" ,?o.,?
Lot ci Block a Sec/Sub. Cedar Grove 4th
Pnroel # I0_16703-400-08
oc Name tiar cas . , oo :
Z 2066 CopQer Lane
JAI
? TssajZan 55122 _
p Nome _
?
u? Address
F r:...
4
1 hereby ocknowledge thot f hove read this oF
the inlormotion is wrrect ond agree to corr
State of Minnesoto Stotutes and City of Eo,
Sipnature of Permittee
111
A Building Pertnit is issued to:
c!l work shcll be done in occordnrxe with all
Buiidiny Officicl
oti
t
Receipt #
?? 7u j
Erect Occuponq 11-3
Alter C) Zoning 12`1
Repatr X3 Fire Zorre 14A
Enlarge
?
Type of Const. Y,
Move [] ,# 5tories
Demolis h ? Length
Grade p Oepth Sq. Ft.
Approval• Fees
Assessment
Wacer & Sew.
Police
Fire
Er+p.
Planner
Countif
Bldg. Off.
APC
Permit
Surchorge -
Plan check _
SAC
Water Conn.
Woter Meter
Road tlnit _
TotGl `' 17. 0
on the express condition thm
ond City of Eoflan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
w.u
Water -
Disp.
Sswer
Elertric
Inspection Date Insp. Other
Faotings
Foundation
Freminp
Rouyh Plbg.
Rouqh HVAC
Inwiation
Finsl Plbp.
Final HVAC
Final
Water Diescribe Lo ion:
Well
Sewar
Pr. Disp.
CITY OF EAGAN Remarks * CEddr GY'OVe Acquisition
Addition CFDAR GROVE #4 Lot 40 Blk A Parcel 10 16M3 QOA A8
-i
Owner .
j' Street 2066 C70pper ISfle gtaLe Eaqan, NIId 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADI NG
SAN SEW TRUNK
* SEWER LATERAL 1972 1.304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILQING PER.
SAC
PAR K
A4,1 -#. iro G
? ?d
?
?
r RT „
a
:
?
-------------
, 02' , hh f
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w
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4
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Pti - ? •C4.°`4^"?
Su/?.? .. -- J?? 'Gr - 0
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.y..? ?. ?A
? u U""""" ? flLGa`?l? . -
?
, CITY OF EAGAN M 8526
9795 Vllof Knob Road Eogan, MN 55711
PHONE: 454-8100
BUILDING PERMIT Receivt # !3
Te ba uud for RE-ROOF Est Value $500 pate Sep tember 28 , 1 q 83
Sife Address 2066 CODAeT Lane Erect AR Occuponcy R-3
Lot 40 Block $ Sec/Sub. Cedar Grove 4th Alrer ? Zoninq R-1
10-16703-400-08 Repolr )a Fire Zone NA
Parcel #
Enlorge ? Type of Conat. V
? Name _ Chax'105 A. Cook Move ? # Stories
; Addreu 2066 Copper Lane pemolisn ? Length NA
o ci Eagan 55122 Phone 454-8453 G.ade ? Depth NA Sq. Ft.-
0 ? Name OWner Approrolf Feet
u? Addrem
Nome _
Addrcu
I hereby acknowledge that I have read this apDlication ond stote that
the inlormation is correct and ogree to camply wrth all opplicable
State of Minrrewto $tatutes and City of Eogon Ordirances.
Sipnature of Pertnittee
A Building Permit Is issued to: ChHi12S A.
all work sholl 6e done in acmrdance with oll op icable
Building Officiol
Assessment Permit 11.50
Wofer & Sew. Surcharge • 50
Police Plon check
Firo SAC
Enq. Woter Conn.
Planner WaterMeter
Council Road Unit
Bldg
Off
.
.
APC
Total $12.00
_ on the expreu condifion thnl
Ciry of Eapon Ordinances.
CITY OF EAGAN
BUILDING PERMIT APPLIrATION
p
Zb Be Used For ?k - P?OC'P- Valuation
Include 2 sets of plaris,
1 site plan w/elevations &
1 set of ener.c7y calculations.
Date 9IeQ TAI3
Site A}d?dress: ap?6??,?. c? }t1 OFFICE USE ONLY
Lot 'f U Bloclc $r Sec./Sub. C?tLA?C?re?u t. Erect Occupancy --
Parcel #: ItD70 3- q CxJ-O ?j' Alter _
Repair _
Owner : l? l?l ct r' C eS 4, C7c'jQ k Enlarge
Nbve
Pddress: C0,?XJe-P- Goc.,,,e Deimlish
Zoning Iff/
? Fire Zone
_ Zype of Const.
# Stories
Front
City/Zip Code: 2!?G[ qec,-) 2 Grade Depth /1/100`" ft.
Phone #: Z?
Contractor: OzynGY"
Address:
City/Zip Code:
Phone #:
Arch. /Ehg. :
Prldress:
City/Zip Cocle:
Phone #:
APPROVAiS FEES
D
Assessments Permit
Water/Szwer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water nleter
Council Road Unit
Bldg. Off.
APC
TCYTAL -T / a 1 Q d
EAGAN TOWNSHIP No 875
BUILDING PERMIT
Ownax .._ rI J'? ? ? L:,.C.Z / ---?-: ---- Eagan Township
!1!!/`?'--....----
Addiess (preseni) Town Hall
Builder ....--.._'--`---........ ....... ..... _ ............ .. ............................ . . Date . ? . ?-/ - ? 2_
--'---....._
Address ..._ _....._......----- ...---------- - - -. .
DESCHIPTION
Sfories
--- To Ba Used For
.Q Fron! Depfh Heigh! Esi. Cost I [P-ermif Feel Remarks-
or
LOCATION
or
CJ 4
3-7 - 3??,Q J-Z; /X- 2v-s.r-2,.1- -g1 -- `[u- ;2r7 'SL
This permii does not avihoriae the usa oi sireels, roads, alleya or sidewalks nor does if give the owner or his agen7
the righY fo cxeate anp situafion which is a nuisance or which presenSS a hazard fo the healih, sefefp, convenience and
general welfare !o anyone in the eommuaiiy. ,
THIS PEAMIT MUST BE KEPT ON?THF? PREMISE WHILE THE WOAK IS IN PROGAESS.
. ............'_""'" ?
. _.' . . .. ...
..?? upon
This is to cerlify, 2haf_?1:!........._haspezmissioa Sa erect a.?'?.f........._.. '_ .
the above de729 bjec! !o !he/ s?p/n visions of the Building Ordinance fos Eagan - ownship adopte April 11,
1955. /?/? //? ?/J ?q A _ e?aC- /
Q ? zT?^!:,?,..._.. Per ---. ..... _. ?^-S.L.u-.... _ i
.°----'---.....--...--...---..... ../ ?.u_ - -------.............._...._.......eTnwn Board / Suilding /
Inspeefor
EAGAN TOWNSHIP
BUILDING PERMIT
owne: ....----ddt„?n ...................
Address (Preseni) ..a2G14 .......-!z-t----...--
Builder ........... .?7./.------------------------------ .....----...--•-----.......-----
Address
N° 2'7'79
Eagan Township
Town Hall
Dale ...... 7'_ ;1-/- 7 L
...... ......................
5tories To Be Used For Froa! Depih HeighS Est. Cos! Permi! Fee
l Aamarks
C.
LOCATION 31's-0
5ireel, Road oi ofhei Descriplion of Locaffon I Lo! 131ocK AtlCli3oa or Tract
I '44 O C.,;, "!Z? L/
This permit does not authorise the use of streets, zoads, alleye or sidewalka nor does it give the ownes o[ Lis agen!
the righf !o create anp siYuafion whieh is a nuisance or which presenls a haaard fo the healYh, safelp, eoaveaianee and
general welfare !o anyoae in the eommunify.
THIS PERMIT MUST BE KEPT ON TH ISE WHILE THE WORK IS IN PROGRESS.
This is !o ceriii9. 2hat------- LV.._ 4-r-°°-• . ................... permission !o erect a........ . ............w.... .............._...._........._upon
the above described premise subjec! !o the provisions of the Building Ordinanae for E an Toaskip adopled April 11,
1955.
.......... ................. ....C ........?`_. ?^..'.?.'..-'-L...'9' :..'.-°---......... Per ............... 't....
......................
....................................
hairman of Tnwn Soard Buildin Im ectot:?6
16
RESIDENTIAL
/ BUILDING PERMIT APPLICATION
?y qje 3830 PILOT KNOB RD - 55122 7?/
651-681-4675
Naw ConsW ctlon ReauiremeMa
• 3 regotered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooled areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing beam & window saes; poured found desgn, etc.)
• 1 sel of Energy Calculatbns
• 3 copies of Tree Preserva6on Plan A bt pladed after 711193
• Rim Joisl Detal Options seleclion sheet (bldgs wifh 3 or less uniGS)
DATE _j?'?_Z/ o/
JOB SITE
RemodellReoair ReauiremenU
• 2 copies of plan
• 1 set of Enrergy Calculalians for heated additions
• lsitesurveyforexterioradditians&decks
• Indicate if home served by sepGc systam for additans
VALUATION bl?r?oe0o
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER S??VC-J £ ^^A 9e12*-?4/`t""J?
TYPEOF WORK FIREPLACE(S) ? 0_ 1_ 2
APPLICANT PHONE# 6'Sl^hS-`llJy-
ADDRESS
ZIP CODE 53 12 Z
PAGER # CELL PHONE #
Phone #
fVEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor. _
Mechanical System Includes:
Sewer/Water Contractor:
Air Condiaoning
_ Hcat Recovcry System
FAX #
Fee: $90.00
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature ot Applicant
Certificates of Survey Received - Tree Preservation Plan Received = Not Required _
MINNESOTA RULFS 7670 CAT'EGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
? Water Heater _ No. of R.I. Baths
_ No. of Baths
agree to comply
Updated 1101
`, ? eL n CITYUSEONLY RECEIPTS: Ir?)5/ D
D
SUBD. RECEIPT DATE: I' C? t5- OO
PERMIT# ZDONOS
2000 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
EAGAD7, !•A7 55122
651-681-4675
Please complete for: D single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
"
A $ 30.00
Bath tub $ 3.D0 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Se tic System newirefurdisned • requires MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation7repair/rebuikl 30.00 x = $
Rau h o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under wnsMUCtion 3.00 x = $
Under round sprinkler if existing dweuiny 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x f = $ . UO
Water softener if dwelling under conswetlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcha e .50 -> --> -> $ .50
Total -> --> -> ---> $ er>n
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------• -------•----------------------...---------------- ----------------------------•-•---......--°--------
I hereby acknowledge that I hsve read Mis applicaGon, siste that the Information is cortec[, and sgree to comply xrith all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notHy the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
nortnal operational and maintenance activkies to the facilities constructed under this permit within City propeKy/rightof-way/easement.
SITE RDDRESS: 1
OWNER NAME: :
INSTALLER NAMEA
STREET AD6RESS]
CITY: !
BERNHAROT, GItJA
2066 COPPER LANE
EAGAN, MN 55122
(657) 905-9194
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
MN 5540? STATE: ZIP:
QIK-a
SI A OF PERMITTEE
RESIDENTIAL MECHANICAL
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Condos when permits are requ'ved for each unit
Date
? /
ji / O3
_
-
/ ?
Site Address ' U nit #
Pro
ert
Owner Telephone # (?(?/ )
`u ?
p
y ?I
? ? ? t
Q
Contractor 11 W
StreetAddress La. Y-?Ys?' City S
State v Zip S? 33 Telephone #(???
Bond #• Ezpires:
The Applicant is _ Owner x- Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit
? f
l
t $ 30.00
urnace rep
acemen
? air exchanger
air conditioner New ? Re
lacement
-
p
other U
- ,
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Pernrit and acknowledge that the information is corriplete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I u erstand this is not a
permit, but only an applicarion for a pernut, and work is not to start without a permit that the work will be ' a cordance with the
approve ? in the case of work`w? r?equires a r? and approval of plans.
?4N ?lI ?- lO NS? ??04&
Applic t's Printed Name App canYs Signature ?
City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
FOPtTRICBUSB ?
F _
; Permit ?. '`l ? / `7 / i
i Pemlit Fee:
j Date Heceiv9d: I
i I
I Staff: I
2008 RESIDENTIAL BUtLDfNG PERMIT APPL1CATiON ClqIf cdI
Date: Site Address:
Tenant:
Suite #:
pESIDENT l OWNER Name: N&M_ 4'.' ?&KLJ 1.Y4LVt.? Phone: ?? 1 -130'"3058
Address/City/Zip:
?LYt '?4C?C?,
_
"(lI0O
,
.
T
_
J
Appiicant is: _)C Owner _ Contraclor
TYPE OF WORK Description of work: X C1eC.t?.
Construction Cost: Multi-Family Building: (Yes No _X_j
CONTRACTOR Name: ?o(1"1e_ tU(1er License#:
Address:
Ciry: State: Zip:
Phone: ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIIDING
_ Minnesota Ruies 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residerrtial VerNilation Category 1 Worksheet ?• New Energy Code Worksheet
CategOry Submitted Submitted
(4 SUbmission typE) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan baaed on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical CoMrector: Phone:
Sewer & Water ConVac[or: Phone:
NOTE: Plans and supipor#ing documents Ehai you s,ubithR.afe aonsldered to 4e pab)Io 1iHOmiation: Pdrtitins.at": ;
fhe inforrnalPon.inay be classiredas rron-putilic %/ yau'provlde specific"reasons;that,wo"uld per?y!'to-
".
canclude that ihe are traafe secreRS..'.
I hereby acknowledge that this information is complete and accurate; that the work will be in coniorrnence wiih the ordinanees end codes of the City of
Eagan; that I understand this is rwt a pettni4 but only an application for a permit, and work is not ro s[aR hout a percnit; that the work will be in
accmdance with the approveU plan m 1he case of work which raquires a review afid approvaV o p} M.
IC X
App icanYs Printed Name D??; ap?? d°s si9n ty Page Y of 3
II f
? APR 2 3 2008 U \
DO NOT WRITE BELOW THIS LINE '
SUB TYPES
? Foundation ? OS-plex ? 76-plex ? Accessory Bullding ? Pool
? Single family ? Obpiex ? Fireplace ? Porch (3-season) ? Ext. Ak. - Multi
0 01 of _ Plex ? 07-piex ? Garage ? Porch (4season) ? Ezt. AR. - SF
? 02-Plex ? 08-plex A Deck ? Porch (screen/gazebo/pergola) ? MuRf Misc.
? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage
? 04-Plex ? 12-plex Q Miscellanaous
WORK TYPES
q New ? Interior Improvement ? Sfding ? Demolish Buildfng'
?i Addition ? Move Building ? Reroof ? Demolish Interior
,jW Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement p Egress WirMow ? Water Damage
` DemoliCron (enfire buildmg) - give PCA handout to applicant
DESCRIPTION: ?J ?
Valuation 7e Occupancy MCES System
Plan Review Code EdRlon 2??o fn SAC Units
(25°/,_ 100% X-i Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const Wid[h
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Root: Ice & Water Final
? Framing
PireplBCe:_R.I. _Air Tsst _Final
Insulation
Sheetrock
Final/C.O.
_x Final/No C.O
HVAC
Other:
Pool: _Footings _AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath ,Brick
Windows
Retaining Wali
Revfewed By: T L , Building Inspector
-------------------•-----------------------------------------------------------------------------°---••--------------•--°-------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MCiES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
CoPPER LHNE
30 +o cert?e.r of
. -
- -- j ?
?
a5' ?i ? I
-a?" ----? ?
. ,---- --- , 2 ?r'L
T -- -- ? ?.
5
' i ,--- ??? H?-•
I N,?P o?M ?,;o II ! ? S
?I? _ _ -¢4?qRIIE I ?
,6„ 5
I BE?flGOM ?I?CE
-- G - - i
? -- - -- -- - - ?
r- uy,- - _ ---- - - -
?3a!
16' ?
i'
I? II`?-la,` i
IMNOMEA
yX
y S'
- Lot I a•0' x 15
Adib-
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
Date:
--------i
I F.or,Office Use ?
I
? Pertnit #?
I Permit Fee:
? Date Recerved.
i
I Staff.
I
------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
9-8-0E3
Tenant:
Site Address:
Suite #:
. ?
? Phone:
?-e
A
L
RESIDENT/OWNER t
.
Name:
yn
?
?n ?O?O?Z? L_Yl ???+'L V"4'"
Address/City/Zip: ?)
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: lr-eYOv4:7
Construction Cost'WCJ S-oU Multi-Family Building: (Yes No
CONTRACTOR Name: /7 ow OW''1 e.?- License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef
Category Submitted Submitled
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude thaf the are trade secrets.
I hereby acknowledge that this information is compiete and accurate; that the work wdi be in confortnance with the ordinances antl cotles ot me ciry oi
Eagan; Ihat I undersfand this is not a permit, but only an application for a permit, and work is not to start wi[hout a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval L x x ?
4
plicanYs Printed Name Ap ? ic iYs Signat
Ap
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147063
Date Issued:12/06/2017
Permit Category:ePermit
Site Address: 2066 Copper Lane
Lot:40 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-400
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Adam W Avery
2066 Copper Lane
Eagan MN 55122
(952) 239-6497
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature