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4597 Maple Leaf Cir4 * C!ty of Eaall Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 X 't M tRV r C�wr Applicant's Printed Name X Applican s Signatur Use BLUE or BLACK Ink FrOfficeTs Permit #: 13 57 " 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Li -1 - 1 ::$ -- l® Site Address: M A I 1-se ti CAI .riGrt.. Permit Fee: ' 7S' Date Received: _ ?6 Staff: Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: V � Phone: b57 Li 7v 77- Address / City / Zip: 1 4C 14 Ai Pa . 1-6 A ( C.( ik(-4 -6 0 1 $ Applicant is: X Owner Contractor Description of work: 'alt 1 N 15b W 4 s t o t N ‹- R riPL A 11.E r Construction Cost: > Multi - Family Building: (Yes X / No ___ Name: a Ivt Address: State: Zip: Phone: License #: City: 195/ 32- y s'�Ic7 Contact: Email: Cpl • CYVe- C.YL a 13 JYL2s't roOrw1.14 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 support %gig documents that you submit are considered to be public information, Portions of he 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.00pherstateonecall.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 per that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Page 1 of 2 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.• Eagan, MN 55122 DATE: Zoning: ____ — No. of Units: - Owner: - — Address: — Site Address: - Plumber: — - Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply w the City of Eagan Surcharge: Ordinances. f Misc. Charges: Total: By Date Paid: Date l nsp.: Insp.: 'CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA126933 Date Issued:09/16/2014 Permit Category:ePermit Site Address: 4597 Maple Leaf Cir Lot:29 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-290 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - James E Fruechtl 4597 Maple Leaf Cir Eagan MN 55123 (651) 324-5919 Walker Roofing Company 2270 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170165 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 4597 Maple Leaf Cir Lot:29 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - James E Fruechtl 4597 Maple Leaf Cir Saint Paul MN 55123--192 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature