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4130 Arbor LaneOily of aan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x Ft e /1-- 6-t , cLe7- s" x Applicant's Printed Name Applicant's Signature For Use BLUE or BLACK Ink Use Date Received: Staff: Permit #: Permit Fee: j 2010 MECHANICAL PERMIT APPLICATION 6 /e4 0 Site Address: Suite #: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: FA Z k cc !tir f ^ Phone: 5 6 /_ Address / City / Zip: 71 3 6 /3f2 /? d& 66.4-.E._ ,6'L qG/ a l/7 Name: License #: Address: City: State: Zip: Phone: Contact: Email: New Replacement dditional Alteration Demolition Description of work: NOTE: Roof mounted.and ground', mounted mechanical 'equipment is required to be screened by City Code. Please contact the Mechanical Inspector for ;information on permitted screening methods. ,�� RESIDENTIAL l/Fumace Cs>-4-41 c� / Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping l/C`as COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001- $2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 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. Rough Extenor;HVAC Reviewed y has Service FOR OFFICE USE Required Inspections reening Insp€ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4130 Arbor Lane Lot: 23 Block: 2 Addition: Wenzel 1st PID:10- 83570- 230 -02 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Jenn Sondrall 5320 Triton Drive Golden Valley, MN 55422 763 -521 -0070 ductworks @visi.com Fee Summary: Total: Contractor: Ductworks Heating & Air Conditioning LLC 5320 Triton Drive Golden Valley MN 55422 (763) 521 -0070 Surcharge -Fixed ME - Permit Fee (Replacements) Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $50.00 $50.50 Owner: Frederick Williams 4130 Arbor Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA077067 03/26/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State íí þýý üûüûû úýýùì ò Þ åòæâò þýö ÿþýüû øôø øýüû÷ú øôø äø Þäøýüûäÿêÿøø ø÷ÿõþøöõ÷ÿõþø Þ øî ý òàâ ö õææ ò àæ òàæ ò øõïá Üùø ôßçææëå ëåâ õú ÿøìøïéçæë ë æ ôÿó öòñ ûû óìõû ÿõþïøø õ òàâ òøþø ä÷ææ òä÷ææ áàæ ßòàæ ò ìøþüúììíøìûûììêøõøøøõûüúìûûþ êä ÿóüêîøë ûûù øõ ÿøÿü ÿø 0512312014 11:27 Les Jones Roofing, Inc. (FAX)9528817009 P.0091016 Use BLUE or BLACK Ink 1 For Office Use I I I City of Ea an i Permit#: I Permit Fee: "71- -7 1 15 3830 Pilot Knob Road 1 I Eagan MN 66122 Date Received: Phone: (651) 676-6675 1 I Fax: (651) 676-6694 1 Staff., 1 I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address; N12$' 4130-V/$2-913r1 -Q(3di2 LA.,4C unit N Name 8 r*,F ,Amseas Assoc. A6Ahw~'hone: SI-4oS-~S~~ Address / Clty / Zip: "11 (o AQ$p p . i Applicant is: Owner X Contractor Description of work: bat d v~ .~AJD /~EOG.Qf.~ BG)r Construction Cost: 4 3 7 9 7 r Multi-Family Building: (Yes X/ No ti Company: AE G Contact: CMer s, y-,vaa rLS0A/ Address: 4YI 144 _ Cm,: ~Gdo ~yl ~ State: lAd . Zip: 'V24) Phone: 95A - 76 7 - 011 b , License Lead Certificate M _ Wm- 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: CALL BEFORE YOU DIG. Call Oopher state One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilkles. www.oonharstateonecall.oro 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 pormll Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x C*i2rS 4#DiWS0A1 x "17 . Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166751 Date Issued:02/02/2021 Permit Category:ePermit Site Address: 4130 Arbor Lane Lot:023 Block: 002 Addition: Wenzel 1st PID:10-83570-02-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Steven & Ellen Lepinski 4130 Arbor Ln Eagan MN 55122 (612) 710-7811 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature