3684 Robin Lane Use BLUE or BLACK Ink
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C o f Eapft For Office Lase
itV T Il Permit i I L
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Permit Fee: IL! a.'
3830 Pilot Knob Road t
Eagan MN 55122 Date Received:
Phone: (651) 675 -5675 r r)
Fax: (651) 675 -5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: I Site Address: j ,lC._ ,F /7 i �"J Zy)
Tenant: 4 1" 1�'v Suite
RESIDENT OWNER Name: 5 Phone: 6/). 7Cl'Y7 7
Address City Zip: ,,r te v- :Y
Applicant is: Owner Contractor
TYPE OF WORK Description of work: kc? c? 4`, 7
Construction Cost: L�/ (;7 0 Multi- Family Building: (Yes No V
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
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 nonpublic' if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.
Applicant's Printjd Name Applicant's 'gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171763
Date Issued:08/30/2021
Permit Category:ePermit
Site Address: 3684 Robin Lane
Lot:021 Block: 01 Addition: Blackhawk Acres 5th
PID:10-14304-01-021
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 -
Murray & Patricia Weiss
3682 Robin Ln
Eagan MN 55121
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature