2096 Emerald LaneCITY OF EAGAN
3795 Pilo! Knob Road Eagan, MN 55112 N° 4 912
PHONE: 454-8100
BUILDING PERMIT
To ba umd for Poo1 and f@nce Fst. volue
Site A,s?,,,?c :?ii9E L,nerald iar?e
Lot lr ~+ Block ? Sec/Sub.
Parcol #
? Name
I Addre:
o NQ? t'aC121C Y001 8L1C1 !'3t10
u? ??? E9%2. 55th «ve. N.
r:.,, .,. ,... : su i Pti,,..e 770- 313
r
Receipt #
Erect M
Alter 0
Repalr ?
Enlorga ?
Move ?
Demolish ?
Grode ?
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Counci I
Occuponcy
Zoning
Fire Zone
i
Type of Const.
# Stories
Front ft.
Deoth ft.
Permit
Surchorge 4
Plan check _
SAC
Water Conn.
Water Meter
I hereby acknowledge thet I have read this opplicatian and state that gldg. Off.
the information is correct and agree to comply with oll opplicable 34.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Pertnit is issued to: ? on the express condition thet
all wo?k sholl be done in accordance with oll applicoble State of Minnesota Statutes ond City of Eagan Ordinunces.
Building Officiol
PennM # DaM lawd Parw}ft"
Plumbing
Mechonicol
INSPECTIONS QATE INSP. Rouflh-In Finol
Footings Oote Irnp. Date Irap.
Foundation Plumbin9
Frome/ i ns. Mechonica I
Final ?
Remorks:
CITY OF EAGAN
Addition =DM C+
? Lot 1 Blk 6 Parcel, ,n 16 700 010 f]f
Owner r I ' lf- Street 2096 Emerald Drive State EaQan• MN 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF. c 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1106 1972 1,304.00 52.16 25
WATERMAIN
* WATERLATERAL 1972
WATER AREA
STOFM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55 1 22-1 897 Date Issued:
(612) 681-4675
SITE ADDRESS:
: P11 f.-Ai 11 I ANI
IIAit 14KOVt l
PERMIT SUBTYPE:
wo i1 iaiM,
A iy'3y'1
A7 /i 119,
, svn %I I w q 4>
APPLICANT:
u'a / 4
TYPE OF WORK:
14 1 t.i
INSPECTION D, . ..
Pertnk No. Pe?mft Holder Date Telephone #
ELECTRIC
PIUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOT7NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL6G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
, 'PAGflC P001 ? PAT10
MINNESOTA PACKAGE PRODUCTS, INC.
6922 SSth Avenue North North St. Paul, Minn. 55109
Phone 770-1313
CUSTOMER NAME DATE
ADDRESS PHONE
POOL SIZE TYPE
Directions to job site
Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" varivnce)
J ?
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3
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- = _-- - - - --? - W_ .._-?
:?? ?' -// .s /- '
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.
,
, .?
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,
k 6 S?-?.?ff??? c?
. tc,3rce
?rrsT er
a
0
l. Indicate deep end by (X).
2. Mark location of filter and/or heater by (#2).
3. Indicate approx. elevation of pool in relation to a permanent fixture on the property. If there is no permanent fixture, mark
the diagram with the rymbol (A) at grade point.
4. Will trees, ctothes poles, power lines or any other obstruction be encountered? Yes ? No
If yes, explain
5. Does customer wish to retain any or all dirt from pool excavation? Yes ? No ?
If yes, explain
6. Indicate and explain any special instrudions not covered above
7. Pacific Pools recommends that the customer construct a retaining wall as soon as possible after the pool is completed.
Yes I-[J No ? Show in diagram.
$. Customer understands that some damage may be done to the yard and/or driveway while entering and leaving the yard during
consFruction. Initial here .
9. Customer acknowledges receipt of grounding instruction sheet, and is responsible for grounding and electricol wiring of
the pool. Initial here .
10. Customer acknowledges the fact that he is responsible for the gas installation for heater if applicable. fnitial here
Crew Chief Use Only
Inspection Required SPECfAL NOTE 70 THE CUSTOMER:
1. Walls ?
2. Plumbing F] If you wish to change: filter position, slope of land, extra concrete, or anything
3. Footing ? else stated in this outline, please call your salesman at the ofFice - 770-1313. Crew
4. Electrical ? chiefs are not authorized to change anything on the job or make any promises for
5. Other ? work to be done by them. Any changes that are not authorized by the office will be
charged at a standard rate - no exceptions.
Call Mr.
at
Seller Signature Customer Signature
Phone No.
iA/Y/ 9 ,
121 80?i 7? j?
a'? a'O°
,?
_,,
?? /
ReQUest ate Fire No. RougRin Inspedion '
Requiretl? ? Reatly Now ? Will Notty Inspector
? r ? Yes G N. When Ready4
I urrrcensed contractor O owner hereby request inspection of above electrical work at :
(Sireet, Box or P e Na.) Ciry
FN. Township Name or No. Range No. Couny
RINT)
?I P
O i 4
o- ~ ? 10
S
U L• I
PowerSupplier Aapress
Eledric I onVaclor (COmpany Name) Contractor5 Lice 0.
Mailing Atloress (Contraclor or Ow r Making Installation)
Awhorize Srgnawre (ConUactor/ w r Mak/i?ng Installauon) /??
in ? \ I? Phone Number
MINNESOTAx*AU BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlCwey BIAg. - Room S-173 BE ACCEPiED 6V THE STATE BOARD
1821 Unlvenity Ave.. 5t. Gaul. MN 55104 IINLESS PROPER INSPECTION FEE IS
Phone(61P)64Y-0B00 ENClO5E0.
9
012180
REQUEST FOR ELECTRICAL INSPECTION
& See Insimctions for wmpleting this form on back ol yellow copy.
'7C" Be%w Work Covered by This Request
Ea-0000,.o?
9?
?.?.? .
ew Atld Rap. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Ofher (spacity) Conhactor's RemaBS'.
Compute Inspectian Fee Below:
F Other Fee # SarviceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 fo 200 Amps 0 to 100 Amps
TranSformers A6ove 200 _ Amps Ab Amps
Sig05 Inspector5 Use Only: TOTAL
Irrigation Booms
Speciallnspection
Alarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certif
that ih
b
i
i Aouqn"m oata
y
e a
ove
nspect
on has
been made. F;nai
7 4
OFFICE USE ONLY
This request voitl 1B months irom
Thisirequest void 18 months from
/ /.? i se?
Date of his Request ?? P94180
I, asLicensed Electncal Contractor ? Owner, do hereby request inspection of the above electri-
cal ?ring installed at: ???) 6 ? Ly 6?
?61f uRi/?" ?'rs?L> City?
Street Address or Route No, p07(5
Section --- Township --- Range `-- County_dlllr"4?,._
Which is occupied by A-y yn2ffo?
( ame ot OccuDant)
Is a roughin inspection required on this job? No ? YesX Ready NowX Will Call ?
Power Supplier Address
Electrical Contractor 4, Contractor's License N493%17
/'.? (Company Name) n ?// / /? (ii/,,
Mailing Address /n?l?p?j /,???« C?' .ff?i /.?ti Nl//- rS-.J7aA'
Authorized
Phone No.
SU/\ U(? p? ?A 2 D ?_p? This impection request will not 6e accepted by ffie
f2°-,? ?; Q State Baard unless proper inspecaon fee is enclased.
mmnesota state noara ot tiectncity
. Uqiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
? REQUEST FOR ELECTRICAL INSPECTION
`CHECK BELOW WOAK COVERED BY THIS REQUEST
P 94180
Type o[ Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired Fm
Home ? 29 Ll Range ? Temporary Wiring ?
Duplex ? ? ? Wacec Heatei ? Lighting Fixtuces ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. 11 ? ? Fumace ? Silo Unloadet ?
Industrial Bldg. ? ? ? Au Conditioner ? 8ulk Milk Tank ?
Fazm ? ? List ) List
O[he[
?
?
? p }
Hereersl Q
Heherg?
COMPUTE
lot to
Above
vS<.?iiyiy,.?i„
rBP6/ I TOTAL(EE,,')j6 o
?
I, the Electrical Inspector, hereby cerpfS at ve dnspection has been
(Rougto-in) _ Q,?P ) Date
(Final) Date_
This request void 18 months from
7
Sa
I.
crrr oF EAG?N
3795 Vilo! Knob Road Eagon, MN 55122
VHONF: 4348700
BUILDING PERMIT APPLICATION
To 6e uaed for p001 and fence E
8,800
N4 4912
Receipt # ? ?Q --lk,
Date 7/28 1975 -
site nd ss 2096 Emerald Lane
Lot iff Block 6 Sec/Sub. OG 1
Purcel #
rc Name ++u.a .?vauc
i Address 2096 Emerald Lane
aga n , 454-7421
o Ncme Pacific Pool and Patio
?b Addre?? 6922 55th Ave. N.
r -... • au 770-1313
Name _
Address
I hereby ackrwwledge that I hove read this application and stete that
the (nformoHon is correct and ogree ro comply with all applicable
State of Minnesoto Smtutes apd City of Eagan OroirynRes.
Erett ? Occupancy -.?..-
Aiter ? Zoning
Repoir ? _--
Fire Zone _...
Enlarge ? ?a
Type of Const.
Move ? # SMries _?----
Demotish ? Front -.?---- fr.
Grode ? DeMh k.
Approvala Feea
Atsessment _
Water & $ew.
Police _
Fire Eng.
Planner -
Countil _
Bldg. Off. _
APC
Permit ?
Surcharge
Plen check_
SAC
Water Conn.
Woter Meter
Torol 34.50 -
Sigrwture of Permittee - 1
A Building Permit is ?ss d M: on the express condition that
pll work sholl be don ccordanca ith, II imble $taM oMinnesoto Statutes and City of Eogon Ordirmnces.
Buildirg Offkial ? 4 4L'?
?,..
EAGAN TOWNSHIP No 533
4 BUILDING PERMIT
OwneryCfP-'4fa? . . ..C..?...._f'.Fs(r[s?.. ._ ,. .. Eagan Township
Addreas (pres 2) .... Town Hall
Suilder _-°-??
...............
Address ... -2-pok -?..--........ --?----
--_/?:_:_.i
Sfories To Se Used For Front Depih Heighi Es3. Cost Permii Fee Remarka
LOCATION
sxreei, xoau or oines liescnpiion oT LocaTion I Lo3 I Eloek I Addifion oi Trac! /
pf''6
This permii dces not authoriae the use of slseels, raads, alleys or sidewalks nor does it give the owner or his egeni
the righ! !o creaYe any sifuafion whiah is a nuisance or which presenls a haaazd fo !he health, safefy, eonvenience and
gener6l welfase lo anyone in the communifp.
THIS PERMIT MUST BE EK P?T?O?',?Ji$ PREMISE WHILE THE WORK IS IN PROG ESS.
This is !o cerSify, iha2_ ._sE?i ._....._.....__.____has permission lo ereci a.
-- -----'-- -------- '---------------------- upon
the above described premise subjec! !0 the provisions of the Building Or nance for Eag adopfed April 11,
1955.
.------ .------------------------- "_--------------------------------- --------------- __. Per ...__. ?.
. . ... .__......_....._...._.......
Chairman of Town Board Bu in ecfos
EAGAN TOlNN S1-I I P
? B•I,.DING PERNIIT
Owner
Address (Present) ---- ^- - --'--°' ................-------------------_......--.....
Builder ..... ...---°-'---?.----...--------`------°' ...............
Address ......
.....-------'
DESCRIPTION
N° 358
Eagan TowasLip
Town Hall
Deie '4?'"...,1&":7........
Siories To-Be Used For Fronf Depih Heigh! Est. Cos! Permi! Fee
? Remerks
04
LOCATION
bueex, xoaa or :62her De8cr3piioa of Locaiion I Lof I Black I _ Addiiion or Traef,'
This?permit does no2 aulhorize the u"se of sfzeefs, roads, alleps or sidewalks nor da'es ii give the ownE'r or his agent
the righf !o ereate any sifualion whieh is a nuisanae os which presenis a hazard !o the healih, safaly, conveaieaee and
general welfare Yo anpone in the communifp.
THIS PEAMIT MU O ? PRENJISE WH LE THE WORK IS IN PROGRESS. „
ST B -'-.upoa
This is !o certifp, fha: _?????_l? ., has P . ermission !o erec! a?.. /1/ - '?..-'_"
' -? .?. ..
Yhe abovk de?scibed?premi e, sub7e o She psovisions of the Building Osdinance for Eagan Township ?dopled April 11.
Per ---- ..............................................................
....°---
Building Inspeefos
I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date to 1 a a- / O'f
Site Street Address
o ri (d Z?rh&-Ajk L
A_Ae? E
Unit #
PropertyOwner C,An BoYY111Ad'& Telephone# ( )
Contractor ?YAUdC? a'd SO
Address a, hB to/li /? _ Telephone # ("763) 7Si?=(a?la9
City L.aon ,OeLS State_A(,&l Zip s?,
The Applicant is: _ Owner ?COntractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5l8" meter is required)
Other: $ 50.00
Water Softener
-Z replacement _ ZWater Heater
additional $ 15.00
Lawn Irrigation System RP2_ new _ repair _re6uild $ 30.00
State Surcharge
Total OCT 2 7 004
IBV 1
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances ai ----?-^f-the City of
Eagan and the plumbing codes; that I understand this is not a permit, but c
f??? ??
permit, work is not to start without a permit and work will be in accordance v ?
the event a plan is required to be reviewed and approved. ,t2fiLwu,,(, qp 44??
6-rLyC(' " ctd4L(av,
ApplicanYs Printed Name Applicant's Signature ?e-A-1
r-?
11 ?? 5353 eA erNw LiL ? RamseY, MN 55303
?... 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) lorS U• S7)
3 D 3Q ? CITY OF EAGAN
/ 3830 PILOT KNOB RD - 55122
681-4675
Mew Construction Reaulrements RemodeVRecair Reouirements
? 3 registered ske surveys ? 2 copies of plan • 2 copies of Dlena (inGude beam & window sizes; poured fnd. dealgn; etc.) • 2 ske aurveys (exlerior additions 8 tledcs)
• 1 energy calalations ? 7 energy calwlations tor heated addwons
? 3 copies Mtree preservetion plan H IW platted after 7N/93
requiretl: _Yes _ No DATE: ? r30??I7 CONSTRUCTIONCOST:
DESCRIPTION OF WORK:
STREET ADDRESS: F4 W ! 6 L/.we./a I o{
r
LOT ? BLOCK _A' SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
# /-=
Name: ?rv?eS Phone ??53' GI9 /y
StreetAddress Q°a??Q
City: State: Zip: ? S 12 ?
.?
Company: Sj-? Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Ja-I? Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licerned plumber (new construction onty): . Penalty applies when address change
and lot change are,equested once permit is issued.
I hereby acknowledge that I have read ttiis application and state that the infortnatio is c rrect and agree to comply with all applicable
State of Minnesote Statutes and City of Eagan Ordinances.
Signature ofApplicant:
OFFICE USE ONLY
CertificatesofSurveyReceived _ Yes _ No I JUL 0
]997
Tree Preservation Plan Received _ Yes _ No _ Not Required p?,,
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Dupiex
n 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
a OS SF Misc. ? 10 = plex
WORK TYPE
X 31 New o 33 Alterations
[3 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Pertnit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
0 11 Apt./Lodging ?
0 12 Multi Repair/Rem. ?
? 13 Garage/Accessory o
0 14 Fireplace n
?( 15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building 41-1?10 Engineering
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
Cfty Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
72 4f
!
a
,
% SAC
SAC Units
CITY OF EAGAN
I' 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.S.N.: 10-16700-010-06
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
2096 EMERALD LANE
LOT: 1 BLOCK: 6
CEDAR GROVE 1
Permit Type
14?qrk Type
ff
pECK
NEW
434 ALT. RE5IDENTIAL
BUILDING
030399
07/11/97
?
"4ax' VG 7" '40 y ?I
ff
REMARlCS:
FEE SUMMARY:
Base Fee
Surcharge
7ota1 Fee
$5e.0e
$50.50
CONTRACTOR:
?
?
OWNER: - Applicanz -
BAINES MIKE
2096 EMERALD lANE
EAGAN MN
(612)683 -9974
?w,ACnB °
„ ?
DATE f •?'Y .•?
SUILDING PEFtMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
7b be used far
x i
Site Address;
Valuation
Lot Block See. Sub.
/ O 61 ?? ! C'6 /
Owner Lr?? v. /?Ocl E'_
Address o!U`jG?iyie,??(W(
Contractor ?1-?+?_,'??'?-
Addresa t;?ia ? s5 r-`` ,qvzau e /V
/i%rtk ?S# !?:nl SS /n9
Arch./Eng.
Address
?
Erect
Alter
Repair
Enlarge
- -
Move
Demolish
Grade
x
, OFFICE; ?SE
---
--
s,
-,
- Date,=of Approva3 & Initial
Assessment
Water/Sewer
Police
Fire i
Eng.
Planner
; Council _
Bldg. f. _
.
A.P.C.
Parcel Nwnber
Telephone
Telephone 77 0 `13% ,3,
Telephone
OFFICE US
Occupancy ?
Zoning
Fire Zone
Type of Const.
# of Stories
Front -
Depth
FEES
Petmit ------_?C??-?z_
Surcharqe •? ?.
pi-in Check J_
SAC ?Glater Conn• ?
t7ater Meter
TOTAI,
3 ..
° CUSTOMER NAME_
_ •-? i
' PRGF/C
MINNFCATA PA[!
• _ . .. . . ...?"-%%'-?_'?r-/?
.. ? . _ _ ?
7. Indimte deep end 6y (7C).
2. Mark lomtion of filter and/or heater by (#2).
3. Indicate approx. elevation of pool in relafion to a permanent fixiure on the property. If there is no permcnent finture, mark -
,
ihe diagram with the rymbol (A)'et grade point.
4. Will Trees, clothes poles, power lines or any other obstrucfion be encountered? Yes ? No tEl?
If yes, explain
Use BLUE or BLACK Ink
I For Office Use I
j Permit f 1 5f S j
City of Ea ~Il I a s 1
Permit Fee. I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: W d lw § an Unit
Name: t-f ah fT~~ Phone:
Resident/
Owner Address / City / Zip: 'M f t"l<d 1411'e
Applicant is: Owner hr Contractor
Type of Work Description of work:
Construction Cost: -&0-0. CD Multi-Family Building: (Yes / No,.Nr--)
Company: Vt 1 F Qn`br{ -T"c _ Contact: - AihS2h
Contractor Address: PD Ay- VS'9 City: J~f tar~fl.~"f'rf
State: Zip: 337 Phone: i4WA
License M ki?1677 Lead Certificate &A
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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.gooherstateonecall.oro
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 Building Code must be completed within 180
days of permit issuance.
x A4 EvanSPh x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162357
Date Issued:07/10/2020
Permit Category:ePermit
Site Address: 2096 Emerald Lane
Lot:1 Block: 6 Addition: Cedar Grove 1st
PID:10-16700-06-010
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 -
Fran Borman
2096 Emerald Lane
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature