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1376 Lakeside CirPERMIT City of Eagan Permit Type:Building Permit Number:EA148814 Date Issued:04/23/2018 Permit Category:ePermit Site Address: 1376 Lakeside Cir Lot:032 Block: 03 Addition: Ches Mar 1st PID:10-17100-03-032 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 - Jay M Ladin 1376 Lakeside Cir Eagan MN 55123 (612) 747-1022 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1376 Lakeside Cir Lot: 032 Block: 3 Addition: Ches Mar 1st PID:10- 17100 - 032 -03 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Total: Contractor: Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431 -4328 ME - Permit Fee (Replacements) Surcharge -Fixed Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Judith Brook 1376 Lakeside Cir Eagan MN 55123 $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 EA078381 06/19/2007 ePermit CITE' OF ;EAGAN , WATER SERVICE PERMIT lc 3i9( iIot Road PERMIT NO.: Eagan; MN 55122 DATE: ,} . Zoning:. No. of Units: i4 I Owner: - dr. ; ., _ 1 Address: Site Address: `s s. t " �' Plumber: . ��� fine ; � T 2`- - u; . 3 •: a e yam; - -': %1 Y & Meter -No. Connection Charge: Size: Account Deposit: Render No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. '•Charges: Total B Date Paid: Date of Insp.: • CITY OF EAGAN :SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: l 'Eagan,eMN 55122 I DAT.c. } Zoning: ='" No f Units: 3 Owner: '{ Address: Site Address: -41r--- Plumber: 1¢ r'. -' 1 agree to comply with the City of Eagan Connection Chang Ordinances. Account Deposit: Permit Fee: Sr B y U \ Misc•¢yC urcha Date of Insp.: Total. ‘ "' -Date Paid: Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r _ For Office Use Permit #: Permit Fee: 1 DIM T bac— Date Received: Staff: 2'13 RESIDENTIAL BUILDIN PERMIT APPLICATION SiAddress: Unit #: `OA_ � 'hone: 5 -V-52- Address / City / Zip: ; 6j 5g ce-a-ce, _h—T3—g-FD.?) Contractor Applicant is: Owner Contractor Description of work: Construction Cost: Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: License #: 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 liNo 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 wit 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 issuange. x Applicant's -Printed -Name ignature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I ~ I Permit 123 I City of Ea I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ©D Phone: _7= Resident/ CL. C,~ Owner Address / City / Zip: E2z ~2 Applicant is: ~wner Contractor Type of Work Description of work: O Construction Cost: G Multi-Family Building: (Yes ✓ / No Company: Cv,'s FotG Contractor Address: City: State: Zip: Phone: Email: License 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 the 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.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 permit issued in accordance with the Minnesota State Building Code must be completed within 180 f e' c x ~-x ,N Q x Applicant's Printed Name App ant's S gnat re Page 1 of 3