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3928 Princeton TrPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128387 Date Issued:11/07/2014 Permit Category:ePermit Site Address: 3928 Princeton Tr Lot:10 Block: 5 Addition: Lexington Square PID:10-45075-05-100 Use: Description: Sub Type:Residential Work Type:Alteration Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Jon Scheumann 1113 Madison Ave Sw Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Prem Kumar 3928 Princeton Tr Eagan MN 55123 (201) 323-4629 American Eagle Plumbing 1113 Madison Ave SW Isanti MN 55040 (763) 291-5752 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks ?`i J;i, 7):,4? (S , iLo Addition LEXINGTON SQUARE Lot 10 Rik 5 Parcel 10 45075 100 05 oWner Street 3928 Princeton Trail State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1985 254.53 16.97 15 - 2-84 SEWER LATERAL beII trlc 1986 173.65 11.58 1 1-28-85 WATERMAIN 1986 68.3 4.56 15 6$.33 C010120 1-2$-$5 WATER LATERAL WATER AREA 2 1-28-85 STORM SEW TRK 1986 501.2 33.42 15 501.29 C010120 1-28-85 STORMSEWI.AT 1986 513.81 34.25 15 513.81 C010120 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 5--8 5 WATER CONN. 500.00 BUILDING PER, 99861 tt n SAC PARK Receipt PLUMBING PERMIT. • Permit No. CITY OF EAGAN Fee •?_. ? Fill in numbered spaces S/C Type or Prinf /egibly Tot. 1. Date ,2. Installation Cost . 3. Job Address Lot Blk. • Tract •, , 4, Owner 5. Contractor Phone > 6. Address 7. City ? State ' f Zip 8. Building Type: Residential EX Commercial ? Institutional ? 9. Work Description: New Q( Add ? Alter O Repair ? 10. Describe 11. No. ..4 Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner i Shower Well i Kitchen Sink UrinaUBidet Other I Laundry Tray 1 Floor Drains 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 Inspectioris: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-6100 CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAIV, MINNESOTA 55121 onrE t9 , RECEIVgD PRORA AMOUNT $ I , ?. ? CASH .. i _ , . ?. , . i FUND COOE A1+lOUNT 1 ' " ?, / ! l (" ? • . Than ou? - SY i ir ? CHECK ? ., U White-Payers Copy Yellow-Posting Copy Pink-File Copy & DOLLARS 1 oo Raceipt PLUMBING PERMIT Pormit No. CITY OF EAGAN Fee Fi/l in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Installation t ,?, .?.i . 3. Job Address 3 B ! ?V94"- l.at._roBlk. __T_ Tract 4. Owner 5. Contractor 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? 10. Describe 11. r, Add ? Alter ? Repair 0 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other laundry Tray Floor Drains 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. 5igned : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Phone ? I . ry Reoeipt MECHANICAL PERMIT Psrmit No. ! CITY OF EAGAN FN •' Fil! In numbsrrd apacer S/C Type or Print legfWy TOL 1. Date 7-o 2. Installation Cost c? 3. Job Addreaa Lot Blk. _ 4. Owner SCHI?g:lC HOMES I Troct 5. Gontractor l •:tR rcti:<;Q:i Phona 4.', 2-2775 6. Addl'@fs ;!•?•j?. ?.rcti:, r,.-?a?- L'1. 7. City } State ;i Zip :' 3 37 8. Building Type: Residential'Q Commercial ? Mstitutional 0 9. Work Description: New Add O Alter O Repsir ? .? 10. Desa'ibe ?''lirnac:'ti - Gl::'n-?i-•-7?' Fuel Type :;t.. 3u_ 11. No• Fquiamp.nt BTU - M. Ea. Forced Air 32,001, No. Eauiament CFM Air Handling: Mfg. BO1lers h Mfg. Mech. Ex aun Unit Heater Mf9• Other Air Cond. AAfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goveming this type of work. S'9^ed : for Rouph Final Inspections: Date Insp. Date Insp. ? This ia your permit when numbered and approvad. Approved CITY OF EAGAN 464-8100 -1111 IUILDING PERMtT r. ?. .We #" 8r CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 , ..? Recefpt SiteAddrea 3929 pRINLgTQN TR Lot 10 Block s Sec/Sub. L$xiNGTON 80 Parcel No. W Name aa.naas8w avsa8a icn. ? Address 13004 GLElvNHURBT AVS City SAvAGB Phone 9?? z,? Name uu Addresa Citv Phone Neme _ Addrest City _ Erect Occupancy A3_ Remodel 2oning at Repeir ? Type of Const. I Enlarge ? No'Stories Move ? Length Ad, Demoliah ? Depth Grade ? Sq. Ft. Install ? Assessment Pertnit _JL- Water b Sew. Surcharpt - Police Plan Review_ Fin SAC Enp. Water Conn. planner Woter AAeMr Council Rood Unit _ I hercby ockrawledpe tFwt I have road this applicotion ond stote that gldg. Off. I/24/8s ? p i?z , ee the informntion is correct and ogree fo wmply with all opplicabla APC Total State of Minnesoto Stotutes und City of Eogan Ordinonces. Var. Date Sipnofun of Permittes /1 Buildiny Permit Is issued to: ?S? ??ES ?? on the expraa tondition that oll work sholl be done in accordonce with atl oppliooble Stote of Minnesoto Stetutes ond City of Eaflon Ordinowes. Bufldlnp Officlol Pwmit No. Permit HoWw Date TNephone ie Plumbinq > C? p ? Q,,? ? 3I I L? ° H.vA.C. ?^ 7 Saftwwr liapection Da" Insp. Other Footinyp Foundation FraminY ?Q vt. ? n tl - ? - I - ? - qooflnQ Rouyh Plba • ? gS Rouyh HVA Inwlstioe ? - Final Plba ? Finsl HVAs Final / ? v '?T/L ? CKt/Ooc. wour Dosoribe Lotation: Weil Sewsr Pr. D'qp. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55727 DATE: Zonirg: `l No. of Units: ? 0wner. Sclukiei: iiomes Inc Address: Site Add Plumber. 1 pme to ooMolp wuh IM CRy ef Eeps Connectton Chorye: ?2 5•00 r!d Ordi"nat. Account Deposit: Permk Fee: ; . Surdwrpe: ' -? - By Mise. G+nroes: Date of Insp.: T'otal: Insp.: Dote Pald: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 91199 Eagan, MN 55121 Zoninfl: '' ?- - Owner: ?chir.?ek Eiomes I?Z Address: Site Addrcss: 3"'21'r3-nceton T Plumber. Meter No.. Size: Reader No.: 1 eyrw te eanoif? wilh IIN Gtp sf Eo9an Ordinona& WATER SERVICE PERMIT PERMIT NO.: DATE: . No. of Units: BS Connection Charqe: AcCOUnt Deposit: _ Permit Fee: Surcharge: Mlsc. CFarges: 7otal: -.-- Date Poid: ey `1TY OF EAGAN 30 Pilot Kneb Road . O. Box 21199 agan, MN 55121 inp: r: ` 'ek iiotne3_ a<t: ress: e /lddrcss: umber. er Wo.:•.31cS3/ to •- . Treter WATER SERVICE PERMR PERMIT NO.: DNTE: , _ No. of Units: ` tan Squarv 000 prl 5.0 ze: j i sclkj ..,.?.._..- -- I rl ,? IU P[' keader No.: ?o Pennit Fee: ,-. ?? •? it 1sgeeg to asmPh +vhb tM CfH of Ee91w Surcharoe: ?Drdfw?aa?. Mlsc. Claryges: - ? TotoL• ? v V Date Raid: By pute of Insp.: ' ??" /?' ;Z 3' F5 n F REQUEST FOR ELECiRICAL INSPECTION . MI°°°°?/-0° . See i.truel:a.s for comple` ti?g [his torm m bnek of pellorr eooY- 3/?'? G ? 18003 Work Covered by This Request I J • Fee SttviceEntranee5ixe q Fee Feeders/Subfeaders C Fee Gircuits L llojy Otp2IX1 0 to30 A 0 to30Am _ A6ove 200 AmM 31 to 100 qmps 31 to 100 q Swimmi?j Pool Above 100_Amps Above 100_Am ' Trartsf?mers Irtigation Boorrs _So Partial'Other-Fee Sigis Speciai Inspection ? / \ \ S O? T0?7RL?E flenarks F/ ? ?faC Rougl-in e D , ] ?k9 ?l 6 ...; t?,? ?.. ci^?1 oee<io? ?s eee. ?ae. tpis?op?ert.dUtBnmmhs7mm C/? l8is rep?ast wiA ? '?(?3 Reques[ Date ?? ? Fire No. Bough-in In tian Pep ? ? u afleady N. ?II Notlfy. Inspec- tor Wh It Q es ?No en eatly u LicenSed Electrical Cantrac[w 1 herab Y Fe9uast impec[ion ot ahove ? Owner . e1ac4i"1 wdk irmtelled at- Street AAdress. Bo: or Route No. Cfry cuyn Townshup Name or No. nge No. Cwnty Occupan-t (PRINT) . (?/7 Phone N?o/. p?j ? 7' ' 1?/O / Prr? SVPlia I Address .I? ?? r Electriol ontractor ICO npaM Name) ? P ?/ c?i 1?G r Conhacm s License No. DSLG ?? Yailinp AtlArass 'IC/OMractor m Owner Making Imtapilatia/9,?" p ' - G- Author' iB^a on[ cta/ r YakinB Irtstallaifonl Ph ne Nipnber C YINNFSOTA gTpTF/eOApp pF ELECTIIICITY ? TNIS INSPECTION ftEQUEST pILL NOT Grigps-YidweY BISp Noom N-181 aE ACCEPIED BY 7HE bTATE BOARU 7ffi7 Un:versitp Ava., St. Paul, YN 55104 UNlESS PIIOPEp INSIEC710N FEE 13 Wone 16721 297217t ENClOSED. CITY OF EAGAN No 9861 3830 Pilot Knob Road, P.O. Box 21-789, Eagan, MN 55121 PHONE: 4548100 ? BUILDING PERMIT Re??M # ,`??0L Ts M wwd for SF DWG/GAR E#_yalue $60,000 pate JANUARY 25 1y 85 SiteAdd.? 392$ PRINCETON TR Lot l? elxt 5 cec/Sub. LEXINGTON SQ Pxcel No. ? Name SCHIMEK HOMES INC ? Add,n$ 13004 GLENNHURST AVE cxy SAVAGE Pnone $94-2907 Neme SAME Addrese Ciev Phone Name _ aaares: City _ Phone I hereby acknowledge tFat I hwe read this opplication ond stote thot tha inlormafion is corrett and ogree to complY wifh oll opDlicable Sinte of Minmsota Sfafute City of E?a/gan rdi nces. Sipnaturo of Permittee La- ,/ Erect ](.I Oocupeney R3 Remodel ? zoning Rl Repelr ? Type of Conat. V EnlarBe ? No. Storia Mwe O Lenseh 46 Demolish ? Depth _44 Grede ? Sq. Ft. Install ? Azzessment Woter & Sew. Poliu Firo Eno• Planner Council BIdg.Off. 1 24 85 APC Var. Date Faea Vermit S 313, DO SurcMrpe 3 f) - n0 Plan Review 1 56 _ 50 $qC 595 _ hQ worer cort,,. ri n n n p Woter Meter 61 00 Rood Unit 280 90 T.P. 139_00 A Building Pumir Is iuued to: SC IMEK HOMES I NC m thp axpress caditian that oll work aholl be done in aaordonce Ti al??o ble? of Minnesoto?es ard City o4 Eopon Ordironces. Bufldinp Off{dal ?. o.* / 313•00+ 30•00+ 156•50+ 525 •00 + 500 • 00 + 63•00+ 280 • 00 + 132•00+ 1Y999•50* . ,.. 1985 BUILDING PERNiT APPLICATION - CITY OF EAGAN NOYE: ALL CONTRACTORS HUST BE LICENSED iRTH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7 SE? OF ENERGY CALCULATIONS To Be Used For:?Yv??.??yaluation:nOU?'j " Date: Site Address: OFFICE USE ONLY Lot: 16 Block Sect/Suti-`?%*34^ Si4?r ?e t x Oceupancy ? Remodel Zoning Q-I Parcel If Repair _ Type of Const '$L Enlarge !l of Stories ONner Move ? Length ? Demolish Depth Address U?P ?Ar??u?s???U?? Grade Sq Ft City/Zip Code?(/r(v, /(- - r? Contractor Sq?.t C' qS Address City/Zip Code Phone # ??,// Arch./Engr Address Phone ll APPROVALS Assessments Permit ? 31 13. ^ Water/Sewer ? Surcharge 30.°= Police Plan Review Fire SAC 525,? Engr Water Conn ? .- Planner Water Meter (03. °-° Council Road Unit 2$O. ?' Bldg Off ? Parks APC Treatment Pl Variance ?OiAL // ? S? Zq- K??2 ?q (, & x s4 - 4 i 4-7 Z 1E)ox ?3S0 2o x 2? - 4c? K ? ? ' 4 400 53252 I? x i 2 = I2o rc u 5v ( -? 2 f? CERTIFICATE -SCFtIMEK CONSTRUCTION C0. w , -,-7- 0 i_li: i O i^ ? 1 ..i ? 0 O n; -_*- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = FEET • OEPIOTES IRON MONUPIENT FOUND PROP05ED GARAGE FLOOR = 8 94 . FEET X000.0 DEPlOTES EXISTING ELEUATIO?! PROPOSED LOlJEST FLOOR = g91 •4 FEET (000.0) DEIlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 894•6 FEET I HEREBY CERTIFY TO SCHIMEK CO?ISTRUCTION C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 5, LEXINGTON S4UARE, accordinq to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHaW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYEO BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 22ND DAY OF JANUARY, 1985. SIGNED: JAHE R LL, INC. ? BY: HAROLD C. PETERSON, LAND SURYEYOR MINtIESO7A LICENSE N0. 12294 I I PROJECT NO. I BOOK / PAGE I JAMES R. HILL, INC. 85417 103/55 planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avsnu• South FO L D ER Bbomington, Mn. 55431 812-884-3020 IOR ENVELOPE AVERAGE "U" COMPUTATION . h,4 w..c.lJL- I-F?es ? Juc- SITE ADDRESS , s CONTRACTOR SOt w? Q DATE 3 -g V PHONE Fr?I N' 4P-f4 Datermine working square footage each. 1. Total exposed wall area...... ffiL. W sq. ft. x.?8 = ?T•? 2. Total roof/ceiling area...... /0 4/D sq. ft. x •04 = Total exposed wall area above floor = 13901• Z a. Total wall window area .......................... ? b. Total door area ................................. c. Total aliding glaes door area ................... d. Total fireplace wall area........................ e. Total wall framing area (average 10%)............ =-,? f. Total net wall area sbove floor ................. g. Total rim jo'ist area ............................ Total exposed foundation area = h. Total foundation window area ..................... i. Total net foundation area above grade............ 817.10- Determine "U" value of each wall segment. a. 1N4 g ilpff .55 = -74•2 b. 39 x IIuII .139 = 6.a8 c. x ifult _ a. - x fluff e. 52 x IIuII f. l084. to 8 x 'full g fo9 x flu ll ?- . pq(o = 11 •Slo 4lo. (oq •o?l = a.8a.. r, x IVUll - - --- i. $'f.la x IIuII •?lo = 110?8•S 3. 15143 3a. Totai = 1LW.S35 IP item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = Total grosa roof/ceiling area = J. Total skylight area .......................... _ k. Total roof/ceiling framing area ....... ........ 1..Tota1 net insulated roof/ceiling area......... cL4 L Determine "U" value for each roof/ceiling aegment. 4. j, ---- g nUn k. 104 x ifult i. 931o x ,IuII lOLID Total • 035' = 3 cPAl . Q3 = 4A 08 = 3! - '1 Ci. If total of #Q is the same as, or less than #2, you have met the intent of SBC C006(c)1. To utilized the total envelope system method, the values established by the aum of items #3 and #4 ahall not be greater than the aum of items #1 and #2. 1. + 2. _ MATERIALS 3. + 4 Exterior Air Siding Material Sheathing Inaulation Sheetrock Interior Air Studs Rim Conc. Blke. Therm. Resistance "R" .1"1 .04 a.ob .9S • ?,-[?ry ? ? i.a?' T.• . 1 ? a ? ? a ? 2/84 ? CITY OF EAGAN . ? APPLICATION FOR PERMIT / ` SEWER AND/OR WATER CONNECTIODi ' (PIEASE PNINT) 1) PROPEFYPY ADDRESS: 3Q?r? Prineefn %R r.rrnr• DESCRIPTION: L, 2C .SO(12'P _ (Ipt/Bloclc/Subdivision or TaY S&rcel I.D. NLmiber) rF S=-,U=F, ..`., _. 07 PRESEN'I' --,^„]I1%X;/Pr<)PpSED USE: 5r F2-1 SINGLE FAMILY ? R-2 DUPLE{ (TWO UIQITS) 0 R-3 1C%+IDII-IOCISE (TfiREE + UNITS) ( UNITS) ? R-4 APARP4ENT/COi`IDQtiLENIiM ( UNITS) p CCYHMEE2CIAL/RECAII,/pF'FICE ? IIMUS7RZAL Q INSTIZVTIONAL/GWERIZMfP (PLEASE PRINT) 2) Appl,iCANr (? L NAME: Uc,lill724 #om ADDRESS: /300j4 (a/ehAiirnlc AV CITY, STATE, zrn; 5avnae n?,v 55,37y ' -? PHONE: 3) pLUMBm NA PLEASE PNINT) t?: FOR CITY USE OXLY vVtiqZrzt ADDRESS: - Ee!'AW , KCUUCacrnaIVE. EAGAN.MINN.55722 PLUNBERS LICEHSE: Q Active ' CITY, STATE, ZIP: "--.ro...,, 452-1565 ,y,.•----- Q E:pired MASTER ' . PHONE: PLUMBER LICENSE # 001445M2 ? xcord a ni ia q) OCCJpp,NT/a*qER (PLEASE PRINT) NAt?: ?LpE QS ?3' 7_ i+DDRESS: CITY, STATG, ZIP: PFI(XIE: 5) INDICATE WHICH PERMIT IS BEINC; RpQUESTID; Q CONNECPION TO CITY SES^TER Q CONNECPION 'Ib CITY WATER ' ? OT'[ER (PLFASE DESCRIBE) 6) IIVDICATm 0,'dE: ? PI.EASE HOID APPRChM PERMIT FOR PICK-UP BY ONE OF ABC7JE Q PIEASE MAIL APPROVED PII2NIIT 1C) 1, 2, 3? 4 P.BOJE (Circle one) 7) SI?A2URE: DATE: ?i F O R C I PERMIT # ISSUED FEES: $ $ Y U S E O N L Y SEWER n-RMIT (INCLliD:: SUP,CIiP.R,E) Sa WATER PERD1IT (INCLUDE SURCI[ARGE), , $ WATER METER/COPPERHORN/OUTSIDE R EADER $ WATER TAP (INCLUDE COP PORATION S . TOP) $ SEWER TAP $ i S•?? ACCOUNT GEPOSIT - SEWER $ ?? • ?d ACCnUNT DEPOSIT - WATF..F. WAC, $ ?? ??^e SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL 1 $ ?;',"AMOUNT PAID/RECEIPT"# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGSf-*.EERI:IG . CIVI?IQ.":. i,IST e",u A CONDI-- TION. SUBJECT TO TEiE FOLLOWING CONDITIONS: APPROVED HY: o`zOC?G TITLE: DATE: ? ?? 9&oa ?3a10 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q110 Site Address:, 89folB AFc nC 2"Y8n qY' ( Tenant: Suite #: RESIOENT/OWNER Name: fl fc) C?4 b U(1"1tTYb Phone:0s1oN2? Address / City / Zip: Applicant is: _ Owner X-Contractor TYPE OF WORK Description of work: f f-QQ'f- Construction Cost: Multi-Family Building: (Yes No? CONTRACTOR Name: .C:L o ? License#: ??ot9g pddress: L1`1 M nr;a, City: c3T'f IICAI?CA ?r State: W?r ?2ip: 55080 Phone: l27 ? I - "I ??-? Contact Person: _ _-KQCfy'? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Su6mitted (V submissiOn type) • Energy Envelope Calculations Submitted . In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased 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 Plarrsand,supp? fing{dq ments?ha J+ subrtKrk4rec?`g '6Jf?1 p'? 1 fiae ttt/GfrritHtlo,n+ ?+ iass7li?# ? ? tR# I hereby acknowledge Ihat this iMOrrnation is complete and accurate; that the work will be in conformance with the ordinances and codes oi the City ofEagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perrnit; that the work will be in accortlance with the approvetl plan in the case ot work which requires a review and approval of plan x??}?ql?Q V 1 \??(?Q x U -, ApplicanYs Printed Name Applicant( Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3928 Princeton Tr Lot: 10 Block: 5 Addition: Lexington Square PID:10- 45075- 100 -05 Use: Description: Sub Type: Work Type: Description: Fee Summary: Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365 -1340 e - Water Heater New Water Heater Meter Size Meter Type Comments: Permit closed Kris Oien Total: Manufacturer Applicant/Permitee: Signature hout required inspection(s). Letter sent to applicant 3/2/2010. (pf) PL - Permit Fee (WS & /or WH) Surcharge -Fixed PERMIT City of Eaan - Applicant - Owner: Brian H Matsumoto 3928 Princeton Tr Eagan MN 55123 Serial Number Remote Number $50.50 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA091138 09/14/2009 ePermit Line Size I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State tl v. n dr :r ; ilex'grza I City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or -BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 10.0a•—• 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: VaVia-- Site Address: .61A-8 ii/`h+u401-% / ALA Unit #: Name: rage lttirr - CAVitedd er><y Address / City / Zip: Applicant is: Description of work: Construction Cost: Owner Contractor Phone: �•, Tallb4- klyy 441 -3z - > GUNS }- 1471 1n5'r41 ©©©, 00 Multi -Family Building: (Yes / Noah) Company: ,rV N 6(4RA:et Contact: /la* l- !Price`] Address: Po PoyJ 1 City: SurnS v44e State: tild Zip: 54-337 Phone: ( ) a./1 License #: & 643157 ! Lead Certificate #: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.orq 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 Applicant's Printed Name Applicant s Sig at re Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171549 Date Issued:08/20/2021 Permit Category:ePermit Site Address: 3928 Princeton Tr Lot:10 Block: 5 Addition: Lexington Square PID:10-45075-05-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Prem Kumar Jose Jeya Kumar 3928 Princeton Trl Eagan MN 55123 (320) 334-2020 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature