4710 Lund PtRESIDENT OWNER
Name: 7/ Phone:
Address City Zip: //6 //Pe
7
Applicant is: Owner K Contractor
TYPE OF WORK
Description of work: re (t
Construction Cost: Z i9 Multi- Family Building: (Yes No
CONTRACTOR
Name: p ve-I.-) Con.C2. Q l_,l1 .5 License 20(o 5 (4.3(0 5
Address: Z8 ?-i V rtiv
City: C IT kO State: t'Y■ 1\ Zip: S 3
Phone: C911-- ;St— �S j -1 Contact Person: (Ln m?
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 they are trade secrets.
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
r
For Office'use
Use BLUE or BLACK Ink
c
Permit
Permit Fee: 5.0. 06
Date Received:
Staff: (2'
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: rt /z/1/
Tenant:
Suite
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.gopherstateonecall.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 st wit ut a permit; tiat the work will be in
accordance with the approved pl n in the case of work which requires a review and approval of pl. s.
x
Applicant's Printed
am•
AppI 's S gna
Page 1 of 3
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: _
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: _
Plumber:
Meter No.: —_ Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. / Misc. Charges: _
Total:
By /fr � Date Paid:
D., - of I r„ Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: - - -- — — _ - -- — -- - - - --
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges: _
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
r
a~ ; Permit#:
City of Ea q-1
o R
I Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1'~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
_
22013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Irn 13 Z 1 Site Address: T 7~1 7 y71'0 y71y O Pt Unit
Name: AIJ060 1 pw- 4g Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner X__ Contractor
Type of Work Description of work: #J-,0 V
Construction Cost: ,0O0 Multi-Family Building: (Yes / No )
Company: laic o~9 d _,jtA AK 4"!tr7ebhtact:
Contractor Address: 3212E %S ;W/ff; V~ e: X1_ e4 P City:"
State: Zip: J 337 Phone: (Ol~' y ~~a J
License n ai 6 G G 7 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: 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 they 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.-qopherstateonecall.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 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 ust b completed within 180
days of permit issuance.
x x
Applicant's Printed Name Ap ant's nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126312
Date Issued:08/20/2014
Permit Category:ePermit
Site Address: 4710 Lund Pt
Lot:1 Block: 04 Addition: Ridgecliffe 2nd
PID:10-63981-04-010
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.
Janel Behrends
122 West 3rd S
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 -
Kim R Stigsell
4710 Lund Pt
Eagan MN 55122
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature