4135 Arbor LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4135 Arbor Lane
Lot: 9 Block: 2 Addition: Wenzel 1st
PID:10- 83570- 090 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Total:
Contractor:
Ductworks Heating & Air Conditioning LLC
5320 Triton Drive
Golden Valley MN 55422
(763) 521 -0070
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:
Warren M Miller
4135 Arbor Lane
Eagan MN 55122
$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
EA082646
04/21/2008
ePermit
0512312014 11:27 Les Jones Roofing, Inc. TAX)9528817009 P.0111016
Use BLUE.or BLACK Ink
For office use I
City of Wan I Permit
1
1 Permit Fee: i ! 1,-75
3830 Pilot Knob Road I i
Eagan MN 65122 1 Date Received: 5 J .0 /1 't
1
Phone: (661) 676-6676
Fax: (651) 675-6694 1 Staff. I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S 23 Site Address: 417-4- 4131- 413 913o> A
Agtoop 4,A-QC Unit
Name;, /N*E Aims 5 Svc. ~ w%w• K phone: to SI --4 dS • 8 ss-c-
Address /City /zip._ ` tfl, A R BC&l.t '
r'
" Applicant la; Owner `
X-Contractor
Description of work: X- E'at ✓6- r AWA
t ti Construction Cost: q Multi-Family Building. (Yes x I No
Company: -Es '&WAT Nix- Auc- Contact: Cam s
Address ! City: ,tai-Trig/
State: - l Zip: XrV AD Phone: 95-2 - 76 7 - 0?11
t
License Lead Certificate &A'r `f t) 3 V;? L-
/
If the project Is exempt from lead certlflcation, 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 Ragan Issued a permit for a similar plan based on a master plan?
_-Yea __No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
CALL BEFORE YOU DIG. Call Gopher 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 uIllltles. mwno n
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 permll; 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 160
days of permit Issuance.
x_ CLiets ~49AM- Al
Applicant's Printed Name AX- /~Z'
pplicant's Signature
Page 1 of 3.