1722 Nokia WayCITY OF EAGAN
3796 Pikt Knor Rood Eeyon, MN 55112
' PHONl: 4544100
BUILDING PERMIT Reuipt #
To be wed for SF J??r/f-, A.r Est. Vaiue S6)00 Date Se
8 4 3 9
83
Slte Address -L / Z t noKid ivay
Erect R-3
Occupancy
Lot -` Block 1 ?/? RidQecliffe lst A1ter p Zoni.q pL' F-i
Pa?? # 1_ 3-5393???-1'D-')1 Repoir ? Fire Zone
?
, ompson a es v s on
Enlarpe
p
Type of Const.
m Nome Move O # Srories
z
t
Addmss
.*•'t 1712 lioptins Crossroad
a. 5 5 + Olk- - 3
Demolish ?
Gmde ? f,?,
Length
Depth Sa. Ft.
o Name "°...__
?? Address
1- rt.., oL..__
Nome
I hereby acknowledge that I have read this applicotion ond stote thot
the intormafion is correct and agree to Comply with oll opplitab?e
Stote of Minrxwto Statutes and City of Eogan Ordinances.
A55essment
Woter & Sew.
Police
Firo
Eny.
Plonner
Council
Bidy. Off.
APC
Pe?mit
Surchorfle '
Plon check
SAC ??_: . . . •
Water Conn. 450 • OG
Water Meter '
:'_5'?.7r.
Rood Unit
Totol 1?17014.50
Sipnoture of Permittee
:: ?
i O SC 3r',t?5 2on
A Building Permit is issued ta on the express condition that
oll work sholl be done in otcordonte wlth oll op.yli?able 5ta!e `of MlnnowS Statutes ond Ciry of Eayan Ordinances.
11
Bulldinq Officfnl ;
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing ?j'fT?' WEhzE ( q-0^,?lJ 3
H.V.A.C. 31 D S ? ? (,?Lq- 10 -343
Well
Watsr
Disp.
Smwsr
Ekctric ? ( ZS(a S grc.(l E ?EC
Inspedion Date In:p. Other
FaotinQt
Foundation
Freminp I? ?
Rouqh Plbq.
Rouyh HVAC ? 3 .
Inwlstion
Final Plbg. j .
Final HVAC
Final
Water Describs Location: ?
VYell
Sewsr ' ' •
Pr. Disp.
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered spaces
Type or Prini /egib/y
Permit No. ?
Fee
S/C '
Tot.
1. Date ' -? 2. Installation Cost O C
3.
Job Address i
Lot Blk.
Tract '
4. Owner % dUN THOMPSON HOKL
5. Contractor Phon e -• r?
6. Address 37
7. City _ State ?. Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair O
10. Describe - - - - - Fuel Type
11.
No.
? Equioment 8TU - M. Ea.
Forced Air No. Equiament CFM
Mfg. Air Handling:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mf9• Othe
Air Cond. 1'•
, r
Mtg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt P UMBING PERMIT
q
? ?ITY OF EAGAN
Y? Fill in numbered spsces
Type or Prini /egibly
Date 9/2/83 2. Installation Cost
,
3. JobAddress1722 NOkia Wd_Y Lot /1;4 Blk. ? Tract
4. Owner ORR
5. contraccorWenzel Mechanical Phone 452-1565
s. Address 3600 Kennebec Dr
7. c;tY Eagan State Mn Z;p 55122
8. Building Type: Residential [X Commercial ? Institutional ?
9. Work Description: New 91
10. Describe
11.
Add ? Alter ? Repair El
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
? Shower Well
I Kitchen Sink
Urinal/Bidet Oth6r s/W $21.00
1 Laundry Tray d i ihwas er. __-
_L Floor Drains S OY@
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
; ? ?? L-
=?
Permit Na.
Fee UU'
S/C
Tot.
C???
CITY OF EAGAN Remarks
Addition D,i dsecl,if£F First Addil Lot 12 Blk 1 Percei #10 63980 120 01
Owner 11d'{-l-tl j•L. hi.C:rStreet 1722 Nokia Way State Eatzail, 1bW 55122
? ) •`t I lfli'..?_
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK 1980 184.49 12.30 5 14 .62 L'QD'T64o 2-18-82
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA l,lt .()2 COO Gl1O 2-18-82
STORM SEW TRK ? 1982 638.24 S 638.24 C007616 12-23- 1
STORM SEW LAT
Services 1982 637.75 5 637.75 C007616 12-23-81
CtJRB & GUTTER
SIDEWALK
STREET LIGHT
ROIID UNIT 150.00 38411 9-1-83
WATEfi CONN. 4SO.00 of it
9UILDING PER. 9439
SAC n n
PARK
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 551 21
Zoning: ?.
Owner: i rOm;}) Son LSkBS U
Address:
i
. Sits Address: 1 2 Z: io k 1 a iilely L
WHBZol P1b,, u itt
a' Plumber:
Meter No..
Size:
Render IVo.:
1 agm to oon+ply wbb iw G1y of la90n
° Grdluesea.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
D11TE:
. No. of Units:
e
Connection CharQe:
Acoount Deposft: _
Permit Fee:
Surcharge:
Misc. Ctwroes: ?
Total:
Data Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3a30 Pilot Knob Road p??T NO.: '? `''?-
P. a. Box 21799 :i-?-3::
Eagan, MN 55121 p'?`?'
Za??: No. of Units:
Ownar•
Address:
Sfte Add
Plum6er:
1 egrae M eomph? wilh t6a CitY ef F+9as
QrdlNanass.
Connection Chcrge: `+,4j• uv ' ''
ACCOU?ft DEpOSit1 ..... ? E rCY+^-^
Permlt Fee: `
.. ?_
Surcharge:
MMc. Charoes:
Totnl:
pots Poid:
8y
Dnte of Insp.:
?.:,% C7'i']' OF i:1G1N Incliide 2 sets of plans,
Y? ? 1 site plan w/e]evatsons s
p1 an; `BUII.DINC; PF,F,= AF'PLiCAT10N 1 set of energy calculations.
---- SF Dw ?Q? . ? 70 ? O O -
7b Be Used For Valuation Date
Site Pddress: `-(Z'L OFFICE USE ONLY
Lot kl Block ? Sec./Sub. ..?.k - -hrect /? OcciipancY
PaL cel 1: !d - Co 3R o - 1 ?O Alter Zoning -
Repair Fire Zone
O.oner: Enlarge Zype of Gonst.
Npve # Stories
Address: Derrolish Front G<f ft.
City/Zip Code: Grade Depth ?-(o ft.
Phone @: ' . -
ContSactor: - TMQMflSOr1 lAi<ES L1EVfS10N
Ar3dress: eDii?i?WOmiN CR05SFt?D?-
City/Zip Code_ . .....°----- ----------
Phone u :
Arch _ /FYig. :
Fdclress:
City/Zip Code:
Phone #-
APPROVALS ' f'F?'S
AssessTents Permit 3 / 9 ? _
Water/5u„er Surcharge 3. ev
Polioe Plan Check /S-9 ?
-
Fire SAC s,Qb ?
E7ig. Water Conn. -'/SD
Planner Water Meter
Council , Road Unit Co.
Bldg. Off.
APC ` J
'Il7PAL ? ? ? . J O
CITY OF EAGAN
3795 Pilot Knob t oad tagan, MN 35132 *T
l?l ? 8439
PHONEs _ I54•8100 ?/J.?//
BUILDING PERMIT Receipt # 2S
Te ba ume Ior SF DWG/GAR Fst. Voiue $62,000 pate Se ptember 1_ jy 83
SiM Address 1722 Nokie Way Erect ggg Occupamy R-3
Lot 12 elock 1 Sec/Sub. RidAecliffe lst Alter ? Zoninq (+PD) R-1
Porcel # 10-63980-120-01 Repoir ? Fire Zone NA
E
l T
f C V
n
arga ? Ype o
onst.
Name Thompson Lakes Division
Address 1712 Hop&ins Crossroad
,.:_. Mtka. 55343 e,___ 544-7333
? Nome _
0
O?J Address
? CI _
Nome _
FZ Address
Assessment _
Water 8 Sew.
Police -
Fim
Enp.
Planner -
Council _
1 hereby acknowledge thot I hove read this apDlication and state that Bldg. Off.
the information is correct and agree to wmply with oll opplicable APC -
State oi Minnewta Statutes ard City of Eagon Ordinances.
Sienature of Permittea
A Building Permif Is issued to:
all work shali be done in accordance wlih oll
Building Officiol
Move ? # Stories
Demolish ? length 64
6rode ? Depth ZS-bSq. Ft.-
Approrals Foes
Permit j17.w
surcnorge 31.00
Plun check 159.50
S,qC 525.00
Woter Conn. 450.00
Water Meter 60.00
Road Unit 250.00
Total $1794.50
_ on tha expreu condition Ihni
and Ciry oi Eogon Ordinonces.
REQUEST FOR ELECTRICAL INSPECTION
' See instructions tor completiog this torm on back of Yallow copy.
"X" Below Work Covered b This Request
Q Y
EB-00001-0d
',3qZqD
Adtl Bep. TYUe ot Builtling Aooliances Wirod Enuipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dg. Fumace Silo Unluader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Fafm Other pea y ihe, (tipr,cify)
ther Syecify Ot cr Ofie,
COInm/1P IOSOFCUO/1 FPP RP.IOW
M Fea ServicaEnVanceSiza tI Fee Fnadars/Subteeders b Fee Circuits
Q, 0 to 200 qm s 0 to 30 Am s .1.U 0 to 30 Am s
Above 200_Amps 37 to 700 Amps 31 to 700 qm s
Swimming Pool Above 100-Am s Above 700_Am 5
TranSPormer5 Irrigation Boorr.s , o Partial-'Other Fee
1 I ISignS ? I ISpecial lnspection JS
Nemarks 7 ?D?l? TO EE
L_ /A(
/6 /?I iM?.FJee?Fical
? nsoector, heroby
certity that the xbove
?^1e _ insoection has been
voidl8
This repuest voiA R Z b
18 rcwnths Imm ?? _l • L! a ? 1? f ' ?l ??e.lrf?
ReOUest Dale Fire No. FlnuBh-in Inspection
Repuired? Ofieady Now Q Will Notify Inspec-
?Ves ?No «lr When Featly
(M Licensed Eleclrical Conlr;wtor I hereby request inspection of above
? Owner electrical work installed at:
Streel Address, Boz or Rou[ No.
J 7'L- 'Z- Ne-??c/a.?+
! Citv
L?. .
ection o. Township Name or No. flanA?` Nn, Cnup[?
?
Occupant (PRINT)
k?M4soj 1.kAS Phone No.
Powe,r SuoGI.er
? AdAress
??(LMINl?111N
Elect 'cal C1onvGac?lo?rl ?IC?ompu?a+-?C nY Name)
W`?'? L..?C.1.7 Convar,tor's CLicense No.
?Jc2.7"Z'
Mailing AdJress ICon[raclor or Owner Making Insmilationl
'1 I i (; . C "K- f-0!eD
Authoriz $ign ure I ontractor/Owner Making InstaIlation) Phone Number t
?j 0rsj mJ
MINNESOTA SiATE BOARD OF ELECTRICITY THIS INSPECTION REUUEST WIIL NOT
Griggs•Midwev eldg. - Noom N-191 BE ACCEPTED BV THE STqiE BOARD
1821 Univarsily Ave., St Peul. MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
?q Of EaiBII
9830 Pllot Knob Road
Eagan MN 55122
PhOne:(651)675-5675
Fax;(651)675-5694
Fy_? ------------------ I
i
? g (0i
j Permk #:
? Permit Fee:
I
i1 I
? Date ReoeNed: v ?? I
i ?
I Staff: ? I
? I
`______-__'__-___y
2008 RESIDENTIAL BItILDING P'ERMIT APPUCATION
Dgo: sn.aaarms:l`LZZ ?D u, 0,__ MaH
Terrent:
safm Yf:
Phone: ?Y ? ?? 3 trl - 3 ? n
VvIQ
I
-
RESIDENT ! OWNER ,
s?
Name:
,
Address / CiN ! Zio- 1 Z Z?f?l?? ?)aAA r'7 ? ? Z Z
Applicant is: _ Oxmer 4- CoMractor
TYPE OF WORK Description of work: -tfti,Ir' Of:? *, ye
Conshuc0ion Cost: Multi-Family Building: (Yes _/ No ?
CONTRACTOR i
Name: ? Liceiue #: ? D I ?I I ?I L O
rwdrass: l b-1 Ll D l,U vk a,l.e &MS ? S?e Zo?
?
l?? AA ` hn? S?a: ?: 2D
ft
--
,,:
c
Phone:i C7Z - w b C? Contact Persan:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
EnergY Code • raesbentiW vermianon cmeeory i waksneei • taew Ererpr Coee wonaneei
Qftgpry Submitted . 3u6milted
submisslon type) - • Energy Emelope Cala,lations Submit[ed
in the lest 12 moriMs, has the Gly of Eagan is.wed a permit for a simllar plan based on a mester plan?
_Yes _No H yes, daDe and address of master plan:
ucenaed Piumber: Phone:
MechanlCal ContraCtor: Phone'
Sewer 8 Water Contractor. Phorte:
w ., ? ?`ar?b ??siif?i?si1'?d fi§ pt11?1'7?` Haai. ps- `
'
'
i
}
`
te
ra?%fwspeicofC r+BasDris N?a7'woouldepertnk the.CNy
ff?#ie
??ti?atl?un'it?y
asr?el?led 8s non-pflt?
1b H j?ari4p
"
.
Elie';thqt :aFe-ttade se?ret9. .
1 nereby adcnowladge thet UNS infarmation is comple[e antl accurete; mat llie woAC will be in corHOffnance vAtli the mdinances ard codes of Ure Ciry ot
Eagen; ihat 1 urMeroYerd this is nrot a permft, but any an applica0on far a permi6 em1 is rat to a parmi[; that the vrork wfll be in
accor nca wit the appro en in the cwe of woAc whkh requlres e revlew and val of laris.
x ti , W?=it/
Ap enYs Printed Npme Applicai ' Sigrreh
Page 1 of 3
1722
,. -}0 C. R. WINDEN 6 ASSOCiATfS, INC.
v tAwp SUQYEYORS Tt! 446-3646
FOR: C/ ??Cw ey 1381 EU5TI5 ST., Si. PAUL, At1+JN. 68+OC
U. S. AOME CORPORATION
N
w
SGALE" )"=30'
0 DEfJOTES IRONK.0
S 569
w
i
m
m
m
M
\
cc V
ti
? M
o =v ?
Note:
Proposed garage floor 81.959•5 3
(96q.0) Denotes propored finisned qround E1.
-"C- Denotes direction of surface drainage
Vertical Datum - N.G.V.D. 1929
1
M 89 ° 14' W ?
' 1 4 P. g q ?.{95Z
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N
I O r_ ` ? 20
24.?
4 32 a°
O ?
' ? v v t( 1?1 1??
N L - ? ? ! i ?
z? o
i i
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n0? .
9e ?, N?S?.?o \
Lot 12, Block 1. Ridgecliffe First y f ?
Addition, Dakota County, Minnesota. Qse;?'e,yy
20
?ya9•5?? ?
Q
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? W
Oenp
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-oLLJ
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WE MERE6Y CERTIFY THAT TMIS IS A TRUE AND COtRECt REPRESENTATIOw OF A SURvE1' 'Of TME
BOUNDARIES Oi /ME IAND ADOVE DESCRI6ED ANO OF THE IOCATION OF All WItD1NG5, IP ANY,
TMERfON, AND ALL VISISIE ENCROACMMENTS. IF ANY, fROM OR ON SAiO IAND.
Cafed tAi.?dar oF A"-A.D. IV 83
C. R. WINDEN & ASSOCIATES, INC.
br L..+GSE-." (/ dgio?
<
Su.voror, Minmewle Rpiurofisn Ne 772
N1i519
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete fo:: Single Family Dwellings
Townhomes and Condos when pernuu are required for each unit
DateA /(i / D-??
it #
Add
U
Sit
I-129) ' V D6 6
Q
e
ress
a
- W
VI
Property Owner Telephone # W` ) HoU?-?
Contractor
Address a City ?A-? ?? VCr
State p f ?,?' v Zip Telephone #(a?- O"? `f ????(%?
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Suhmit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional wnsultant fees may apply.
Alterations To Esisting Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ re6uild $ 30.00
_ Lawn irrigation sys[em
? Water soFteaer _ Water heater $ 15.00
V replacement _ additional
State Surcharge $ 50
Total $ l4-
I hereby apply for a Residential Plumbing Pernnt and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the P ing Codes; that I understand tlus is not a
pemilt, but only an applicarion for a permit, and work is not to start without a pe that the work wIll b' accordance with the
appr
oved in the case f wo which requires a review and approval of plans.
? ? ?_..
A icant's Printed Name ApplicanYs Signature
? ? ??j f-30,50
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compie[e for: single family dwellings & townhomes/condos when permits are required for each unit
DateC)S,
K
C #
Site Address
Jl
{ l/V Unit
Property Owner y? Telephone #(65'
Contractor
Street Addre;JANDARD HEATING 8 AIR CONDITIONING
Ot) iyEST L#IEESTfIEET City
MINNEAPOLIS, MN 55408
State 612_g24_2r? Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner ?Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?\?Replacement
' air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total $ _??
I hereby apply for a Residential Mechanica] Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Cod • t I understand this is not a
permit but only an ap n for a permit, and work is not to start without • that the iIl in accordance with the
appro d p a'n the of w rk which requires a review and approval of p ns.
's r,?rc
Applicant's Pri ted Name Applicant's Si re
2005 COMMERCIAL MECHANICAL PERMIT
i
?
APPLICATION
City OfEagan ?i
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 I
Please complete for. commercial/industrial buildings
. multi-family buildings when sepazate permits are not required for each dwelling unit
Date i
Site SYreet Address Unit #
Tenanf Name (if applicable) V
Previous Tenant Name i
Property Owoer Telephone # ( ) l?
,
i.
Contractor
Street Address City
State Zip Telephone q
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other I
Work Type i
I
?
New Construction _ Underground Tank _ Install _Removel';"*see below
fnterior Improvement _ Install Piping _ Processed _Gas ?i
Nature of Work: I
"When insta!ling/removing underground tank, cap for inspection by Fire Marshal and Plu ?mbing /nspector
PeCmit Fees: $70.50 Undergmund iank instailatioNremoval
$50.50 Minimum (includes State Surcharge) II
or
Contract Value $ x 1% _ $ I' Permit Fee
?
• If ep rmit fee is $1,000 or less, add $.50 =:> $ ? State Surcharge
If ep rmit fee is over $1,000, add $.50 for i
every $1,000 oermit Fee $ I? Tatal Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete I'and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but onty 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 pians. „
Applicant's Printed Name ApplicanYs Signature
Approved By: Inspector Date:
-4206 °
zoos RESIDENTIAL PLUMBING PERM?T APP?-icarioN
CITY OF EAGAN
3830 PILO7 KNOB FtOAD, EAGAN MN 55122
651-675-5675
Piease compfete for modifications to existing residential dwellings.
,P /S. SU
te
? D
a
unn #
Site Street Address 'n l
Telephone # ((0Ct ) 4I.5`[^ 11-57- _
Property Owner
° ??rn ft ??'^ ?'? . Telephone ? ((pr1) ?? ?0??
LMt
?
.o
.
Contrector
Address ??` en '`? ??t?+ ?'ty -?-? ei`" State Y4i±-- 21p
The Appiicant is: _ Owner ? Contractor _Other
Refurbished Submit 2 sets of plans and MPC iicense
New
Septic Sysfem Includ ? ?
Ofee
_
? OD.
Per as-6uilt $ 14.00
Alterations to existing dweiting $ 50.00
Add plumbing fixtures. This fee includes instailation of a water softener andlor water
heater at the same time. If you are lnsiaffing on! a water softea,er and/or water
heater, do not complete this section; move to the next section,end-check the
appliance(s) you are installing.
Septie System Abandonment
_
? 9
Water Tumaround (add $130.00 if a 518" meter is required)
Other:
_
- ,
Water Softener ? Water Heater $ 15.00
J new ? replacement
Lawn Irrfgaiion _RPZ ___,PVB -new _repalr _rebuitd $ 30.00
State Surcharge $ 50
S o
I 5
Totaf $
.
I hereby apply fior a Residentfal Plumbing Yermrt ana acKnowieoge [na[ me inrorrnauon is cuMpIcM anw awura«, til_< <11V
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be 'sn
accordance with the approved plan in the event a plan is requir to be reviewed and approved.
?c c «ffe, A
ApplicanYs Printed Name pplicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137886
Date Issued:07/27/2016
Permit Category:ePermit
Site Address: 1722 Nokia Way
Lot:12 Block: 1 Addition: Ridgecliffe 1st
PID:10-63980-01-120
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 -
Michael J Johns
1722 Nokia Way
Eagan MN 55122--362
(651) 403-2884
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature