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3987 Fawn Way*' City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 c� Use BLUE or BLACK Ink c. Permit #: 9995 7 Permit Fee: 1AP(l 7 50 Date Recefd: 9-6 - /1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: RESIDENT / OWNER Name: Phone: Address / City / Zip: .3 985— /cq LA./ A./ kr. 47 -..`,--;:;07,1A--.) 5:3-/ 2 Applicant is: Owner aC Contractor <, l_ u R#39r) TYPE OF WORK Description of work: ge)O Construction Cost: / 2, 60 6 Multi -Family Building: (Yes X / No ) CONTRACTOR Company:41E4M (c. R (-‘0,)il g0,) Contact: V..� WE P ^ME-$ Address: /7549, 0_01.,x4/27 O t e.. C City: (Cc� `J State: i)tJ Zip: '5�-7+ Phone: 7 c2 _- Li2,6 3/0-.2 License #: QO/ 599 17. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes 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 specificreasons 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.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, -•• 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 Applicant's Printed Name x Applica ' 's Si =ture Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA092070 11/18/2009 ePermit Site Address: 3987 Fawn Way Lot: 21 Block: 01 PID:10-20200-210-01 Use: Addition: Deerwood Townhomes Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding elec 952-445-2840 Judy Mayer 8910 Wentworth Ave S. cal permit requirements should be directed to Mark Anderson, State Elec cal Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881-7739 - Applicant - Owner: Stewart D Walker 3987 Fawn Way Eagan MN 55122 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 Applicant/Permitee: Signature Issued By: Signature SEDGW1CK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH UTJ%� TH�••MIINNEAPOLIS, MN 55420 • (952) 881-7739 � ADDRESS 8 7 I > > th J CITY 4.�A' 4 [ ,Q� " OCCUPANT OWNER �crl FC,G O- ab4-1_4� 23 LUOg INSTALLED BY DEC`l� HEATING TEST RECORD JOB NO `6)(r SOLD BY Ce444 MAKE SERIAL NO tietuifoY 5 > Q/ THERMOSTAT VP fkX)/ VALVE J�14, r" LIMIT )(ail LIMIT SETTING if2r /v FAN SETTING / ► :CC'N PILOT TYPE IGNITION MODEL Lev1/'1(.2)c PILOT TIMING `r^ PRESSURE INPUT CFH STACK TEMP. l4 PERCENT CO2 PERCENT 02 PERCENT CO dk MODEL Lb -/o l 1141°1/36F m 7/ INPUT v/CY 400./ VENT SIZE N TYPE OF LINER 13 p (et.,`?- LINER SIZE ll/ FILTERS- SIZE 66' - 7t/ NUMBER / WIRING TEST TAG LIGHTING INST DATE TESTED " -07 COMPANY TESTING NAME OF TESTER FORM 235 (REV. 6/08) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIALgBUILDING PERMIT APPLICATION Date: 00-3/76/Z �c 3/7bl-� Site Address: / e 573 3.7 F-414)Li/1-'7 Unit #: Resident/ Owner Name: p ptdta /Ow,df(/tt- /1- - Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: OC7 i41f 4 C 0-c O -JT Construction Cost: Multi -Family Building: (Yes / No ) Contractor 140 A-, 6 fe J etvr-- a-. � &i6- Contact: . -{fit t-6- 60 1 J4 Company: /e)-21.4- � Address: ?I 7 S - 'tri $7 ' .iL %- City: (..)f 7 ff- Q :(c . _ State: /1 /v Zip: //0 Phone: 76 3 € 20 ' 1i 6 7 License #: /6 C ‘61 Gq v Lead Certificate #: S 6C fs 6-Gat,.J If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 8 4---T- (778 0.7?6 z--49,, In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? 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 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 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 autho ized by a building permit issued in accordance with the Minnesota State Buildin. •de must be completed within 180 days of per *ice,� Applicant' signature Page 1 of 3 Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -398'7 Use BLUE or BLACK Ink r For Office Use Permit #: /d3 (f)& Permit Fee: /c0 �./ O2. Date Received: !P' ! 6 —734- Staff: 74-Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 3r8,7 Resident/ Owner Name: Address / City / Zip: 3 n 7 Phone: Unit #: Applicant is: Owner X Contractor Type of Work Contractor Description of work: Side l/vi nG1Uws Construction Cost: 4. LS--GGci Multi -Family Building: (Yes / No ) Company: /TMc/',2�0�� Je Address: mR 17 Contact: State: /%VZip: SSG) Phone: City: 101,-k %),-5'/7J73Email: License #: G k2 /1/ �G 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 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 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 7(` / 61 Applicant's Printed Na x Axpplican Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA179261 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 3987 Fawn Way Lot:21 Block: 01 Addition: Deerwood Townhomes PID:10-20200-01-210 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Mary L Titus 3987 Fawn Way Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature