4552 Horizon CirgiF
Date:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
)
Permit #:
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Tenant:
Sit Address-
LiI rt±E---r6S)—l(sc—(
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip: vs -3-a /bieiro/i able
Applicant is: Owner
ontractor
TYPE OF WORK
Description of work: �'/L j- D(
Construction Cost: ,
Multi -Family Building: (Yes / No )
CONTRACTOR
Name:
Address: /72/ L1, 6,
City: / i /d'/'s!� //��i
Phone:
'cense #: ce/-/cc..9-42-
1j 73,2 --ed i 2— Contact Person:
State: pi,t) Zip: 027
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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
the information:: may be classified as non-public if you provide specific reasons tT
3y, ... conclude that they are trade secretsM
(formation.
Portions of
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.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or nances 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 witho j a permit; that the work will be in
accordar with the approved • Ian in the case of work which requires a review and appro .- of s.
plicant's Printed Name
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4552 Horizon Cir
Lot: 6 Block: 03 Addition: Ches Mar East 3rd
PID:10- 17152- 060 -03
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Quesetions regarding elec
952- 445 -2840
Nicole Whirley
2200 W Highway 13
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Daniel J Kinsella
4552 Horizon Cir
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Issued By: Signature
Mechanical
EA091311
09/25/2009
ePermit
cal Inspector,
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105266
Date Issued: 07/05/2012
Permit Category: ePermit
Site Address: 4552 Horizon Cir
Lot: 6 Block: 03 Addition: Ches Mar East 3rd
PID: 10-17152-03-060
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
Renae Freinwald
2200 Hwy 13 W
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Valuation: 2,873.00
Total:
$60.00
Contractor: Owner:
- Applicant -
Genz Ryan Plumbing & Heating Daniel J Kinsella
2200 West Highway 13 4552 Horizon Cir
Burnsville MN 55337 Eagan MN 55123
(952) 767-1000
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.
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123273
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 4552 Horizon Cir
Lot:6 Block: 03 Addition: Ches Mar East 3rd
PID:10-17152-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Robert Antonsen
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Daniel J Kinsella
4552 Horizon Cir
Eagan MN 55123
Antonsen Construction Inc
411 Marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150968
Date Issued:08/01/2018
Permit Category:ePermit
Site Address: 4552 Horizon Cir
Lot:6 Block: 03 Addition: Ches Mar East 3rd
PID:10-17152-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Daniel J Kinsella
3754 Terra Vista Way
Chaska MN 55318
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151541
Date Issued:08/29/2018
Permit Category:ePermit
Site Address: 4552 Horizon Cir
Lot:6 Block: 03 Addition: Ches Mar East 3rd
PID:10-17152-03-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Daniel J Kinsella
3754 Terra Vista Way
Chaska MN 55318
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature