3110 Farnum DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3110 Farnum Dr
Lot: 2 Block: 08 Addition: Coachman Land Co 3rd
PID:10- 18152- 020 -08
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Yefim Kabakov
3110 Famum Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$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
EA088877
04/24/2009
ePermit
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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 with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: 9 {` ry gr/ Insp.:
CITY OE, EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: _
Site Address:
Plumber: —4f07-3/4/e4r--
t
1 agree to comply with the City of Eagan e e p yeicti6rC grge:
Ordinances. /,'C unk�l}Igpp
e: C- /l. l t'eS
Surcha g s t %
By Misc. Charges: 1.
Date of Insp.• Total:
Insp.• Date Paid:
Use BLE�E ar BLACK Ink
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3830 Pilot Knob Raad � �
Eagan AAN 55122 1 Date Received: �
Phone: (651)675-5675 j i
Fax: (651)675-5694 � Statt_ �
AUG 2 8 2015 -------------�'
2015 ESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ` Site Address:� �/'/� YQ;I''/]!/�'I'1 � ��-��. �� .�����
Tenant: l'l���m /�l,�i�1�.ic. �� Suite#:
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Name: e �
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: � Address/City/Zip: ,� � � 1''. • J���
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� Address: .3t/�/(� ND��`3 KJ�• City: !Y�.S tth
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State:�.� Zip: J����� Phone: ''7�.� 31SC�o"�"�fa /
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Contact:(/�M J'CV�11��'r' EmaiL- �DI1 !' � •he� ;
� � New V Replacement Repair Rebuild Modify Space Wwk in R.D.W.
'������ — — — — —
� � Description of work:
� -
� � RESIDENTIAL �
� � Water Heater � �
� Lawn frrigation{_ftPZ/_PVS} � ' "'ater Softener �
� ����� � � Add Plumbing Fixtures(_AAain 1_Lower Level)
� Septic System
� _ � Water Turnaround
New �
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` �Abandonment � ��� �
� RESIDENTIAL FEES: ;
� $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) '
� $60.00 Lawn Irrigation(includes State Surcharge)
� $60.00 Add Pfumbing Fixtures, Septic System Abandonment,Water Turnaround"{includes State Surcharge}
- i`Water Tumaround(add$210.00 if a 5/8"meter is required) �
� $115.00 Septic SYstem New(includes County fee and State Surcharge)
TOTA�FEES$ C�D� � -
CALL BEFORE YOU DIG. Call Gopher State One Gall at(651)454-0002 for protection against underground utifity damage.
Call 48 hours before you intend to dig ta receive locates of underground utilities. www.qapherstateanecail.arq
I hereby ackr�wledge that this information is complete and acxurate;that the work will be in conformance with the ordi�ances and cades of the City of
Eagan; that I understand this is not a permit, but ortly an application for a permit, and work is not to start without a permit;that the uvork wifl be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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ApplicanYs Printed Name ppp�i •S g��{��
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