Loading...
4422 Michael Point DrSEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (952) 881 -7739 ADDRESS l /4l2 ` Z 4 / i &At — P 01 d14 ` CITY ' OCCUPANT SOLD BY MAKE SERIAL NO. /4 N 2 1 foot 13160 THERMOST VALVE LIMIT ��� FORM 235 (REV. 6/08) OWNER INSTALLED BY f t.a.. „ MODEL INPUT (6040 //,36/02 9 DEC 2 3 Zoos 4, 4 i1 VENT SIZE TYPE OF LINER . - ts-cv.. LIMIT SETTING FILTERS SIZE / 1(04( FAN SETTING PILOT TYPE IGNITION MODEL PILOT TIMING��jj PRESSURE C, ii S .-- PERCENT CO INPUT CFH .lO 60f) PERCENT 0 STACK TEMP. C9 7 / PERCENT CO LINER SIZE WIRING TEST TAG LIGHTING INST. DATE TESTED HEATING TEST RECORD NUMBER JOB NO (913 73t COMPANY TESTING NAME OF TESTER FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4422 Michael Point Dr Lot: 139 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10- 17791 - 139 -02 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952- 445 -2840 Joy Post 8510 Wentworth Ave S Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Jodi A Kube 4422 Michael Point Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA092279 12/10/2009 ePermit 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 For Office. Use I city Of Eapfl I Permit / I a ~ I 3830 Pilot Knob Road I Permit Fee: I i I Eagan IVIN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I 1 2008 RESIDENTIAL 9UILDING PERMIT AP LI~AT N ~l2 1, ~~z~ 5° r Date: Site Address: L 72- y X1,7 / Tenant: Suite RESIDENT / OWNER Name; Phone: Address / City / Zip: Applicant is; Owner Contractor TYPE OF WORK Description of work: Construction Cost:! G Multi-Family i CONTRACTOR Name: ZZ5 jy,/, License Address: r f~ 292) City: State: hw Zip: JJ%,l~_ r Phone: _4)12-3, _2,y Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted I subi-nission type) Energy Envelope Calculations Submitted 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: Wechanical Contractor: Phone: Sewer & Water Contractor: Phone: IUOTE: Plar►s and su ~ ppo►iirr documents thaf you su,~rrrlt are cc~nsidei°r~d to be public ir►~®r~ratior~: Poriioirs o~ i the ir►formation Wray k~e classified as nr~~7~puJ~lic if you provide specific reasons that t~rduld permit the City to .conclude that the are trade secrets: iereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of j 3gan; 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 :cordance with the approved plan in the case o work which requires a review and approval o 1 )plicant's Printed Name Applicant' Signature Page f PERMIT City of Eagan Permit Type:Building Permit Number:EA163045 Date Issued:08/12/2020 Permit Category:ePermit Site Address: 4422 Michael Point Dr Lot:139 Block: 02 Addition: Cliff Lake Townhomes 2nd PID:10-17791-02-139 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Jodi A Kube 4422 Michael Point Dr Eagan MN 55122 (651) 295-5854 Minnesota Exteriors Inc 8600 Jefferson Hwy Osseo MN 55369 (763) 391-5514 Applicant/Permitee: Signature Issued By: Signature