1842 Southpointe TerCity 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
EA075205
09/20/2006
ePermit
Site Address: 1842 Southpointe Ter
Lot: 000 Block: 003 Addition: Sun Cliff 3rd
PID:10-72977-011-03
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. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952-881-9000 Crystal.Gemuenden
@ServiceExperts.com
Fee Summary:
Valuation: 7,915.00
Surcharge -Fixed
ME - Permit Fee (Replacements)
$0.50 9001.2195
$30.00 0801.4088
Total:
$30.50
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881-7739
- Applicant -
Owner:
Kathleen A Anderson
1842 Southpointe Ter
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
CITY OF EAGAN
3830 Pilot Knob Road
P, O. x21199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address.'
Plumber: Wei
Meter No
Size:
Reader No.:
1 agree to comply with the City of Eagan
Ordinances.`
WATER SERVICE PERMIT
PERMIT NO • /773
DATE: 4'-2-66
No of Units
s,' te
By
Date of Insp,: %/C
CITY OF EAGAN
3830 Pilot Knob Road
P. O: 4titt 21199
Eagan, M g 1
Zoning: �,
"
:.f
Owner: ! P`'' _ De e ; ,m, t
Address:
Site Addr ss• le3O 1 5:
Plumber: t:'en-r-c
Connection Charge• 6,1 -. atm
Account Deposit:
Permit Fee•
''
Surcharge:
Misc.Chorges:
Total:
Date 'Paid:
Insp •
8
SEWER SERVICE PERMIT
PERMIT NO. 4,4
DATE.
No. ifUnit'
P
1 agree to„compy with the City of OEagan
Ordinances,
By
Dote of inip.r
Insp.:
�City
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permits: j -116(n
Permit Kee: 57 S.45°
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
/8.3,', 31, 3 V, 3 421 I J, '/0,
Site Address:/TVZ1 N06 44,, Lir?, sv.£Z Soor#P6)0'' .7_712- Unit#:
Name: c4 ,A C 7" M'4 til 4 E U C Phone: 7& -. r 3 -,9" 7G
Address / City / Zip: SO uJ c 4 "--4.)2 , v ,ij '� �2 hi &oi-h E,J VNKLh'
/4'a -53-4/17
Applicant is: Owner Contractor
Description of work: 7" a. Q E - R-cr,o
Construction Cost:.) x 7 a .57_
Multi -Family Building; (Yes X' / No
Company: GIE I G',� rriz•og ofih. ; . &2f? Contact: tAvr CI"
Address: V o S W Drr .4 . City: /%9 PG s,
State: A/Ki Zip: SS-'// 9 Phone: 1./2-1)76/- 4 2 y3
License #: 4 C x Yl 0 3/
Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t &S 1.JLr2c. 110,1,7- Pos: !97 S'
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:
N l.a►� , and ,
the;i�rrr,at�of;>i.e
CALL BEFORE Y9U DIG. Call Gopher State One Cau at (651) 454-0002 for protection against /underground ulillty damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www,g_ooheratateonecall.oro
I hereby acknowledge that thls information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that 1 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 Etulldin Code must be completed within 180
daysof permit issuance.
x bAL, �v2Rr�
Applicant's Printed Name
TO/Te 39' d INIVW 1X3 I3S
Applicant's Signature
Page 1 of 3
L9Z9T98ZT9 0T:9T btOZ/ZT/50
ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (661) 875-5694
Use BLUE or BLACK Ink
For Office Use
Permit*:
Permit Fee: ll' —1
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
S-iz-//% /6,34.>, 32,39,3( 33 4'O,.
Date: Site Address: / rvt, qv, silo, 4'P, sc, .5-X S0u7-#P6 .Z. Unit #:
J
Reside tf ..;
Owner -
Name: 4A C T /n r4 A3 46 E /11 L _•-) e. Phone: 743 - s'9 3 - 5' 7
7 0
Address / City / Zip: ' Sv b. E• - r4 7—u Q AI ,t3 ,2, /5► G'oi� El''‘3
-53-11,7
Applicant is: Owner X Contractor
Type 0f Work
Description of work: A h ° v z 6- R £Pt, £ .///s/A). 10
Construction Cost Z 9 Lo' Multi -Family Building: (Yes )‹.' / No )
Company: 4'1E1 £,r -i- .Tait I)14,...1 - 6,2- P Contact:.N4v/66 Z''' 2SZ' S
Address: 9%0 -s i.3 617*` 4 . City: M PL $ .
State: /1".i Zip: .575.4// 9 Phone: /o/Z - ii96/- ,,2113
License #: at A v 113 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1.11-414/0S (.J E 2 £. Roar- Poi' 1 9'7 8
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: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and:, -S404164#19 d �"' a `R
k S
r . i
the in€onnairon be cla i si� s lc s k
R
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.aooherstateonecall.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 Buildin Code must be completed within 180
days of permit issuance.
ilk bA✓,N qu,a,S
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3