4142 Arbor LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4142 Arbor Lane
Lot: 005 Block: 001 Addition: Wenzel 1st
PID:10- 83570- 050 -01
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
New
Water Heater
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
Nicole Whirley
2200 W Highway 13
Bumsville, MN 55337
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Ronald J Goedken
4142 Arbor Lane
Eagan MN 55122
Serial Number Remote Number
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4087
$0.50 9001.2195
Issued By: Signature
Plumbing
EA091216
09/21/2009
ePermit
Line Size
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4142 Arbor Lane
Lot: 005 Block: 001 Addition: Wenzel 1st
PID:10- 83570- 050 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Ronald J Goedken
4142 Arbor Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA091217
09/21/2009
ePermit
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
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
0512312014 11:27 Les Jones Roofing, Inc. (FAX)9528817009 P.0081016
Use BLUE or BLACK Ink
I For Office Use
j Permit!!:
City of W a~~.
I Permit Fee. I
3830 Pilot Knob Road -if
Eagan MN 66122 Date Received: /
Phone: (661) 676.6676 I I
t=ax: (651) 676-SG94 i Staff
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L3 I Slte Address: 4) 36- 91:91 - 140 -4141, W-2 I ~9~ Unit
Name: 90-rig- Aw-seas As soc. I JF-i%mW=' K)hone: C,SI- 4oS-? EC-
Address / City/ Zip: t S (o R Bo Q . L 4#qE-
s
f Applicant Is: Owner X Contractor
Description of work: 6K b ✓F ,A-it//l X-CPC * iW X 90,00
Construction Cost: w Multi-Family Building: (Yes X / No^l
r~
` Company: _ AeFS Z)NAS RcWem('b- /NG Contact: CALM r 47Va6P2.soy
Address: 91f W ZO 711 O'r- _ City: A:4 44,te,r6-FD,t1
a -
State: lAd Zip: Phone: gSa - 74 7 - 0?e/9
License M, kalo Lead Certificate _ UA-T `/0 5'
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:
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 ulhlldes. www.oooheretateonecalt.om
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 le 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
days of permit Issuance.
x C*hs dA106Rs0x
Appllcanfe Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179858
Date Issued:10/24/2022
Permit Category:ePermit
Site Address: 4142 Arbor Lane
Lot:005 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-050
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ronald John & Susan Goedken
4142 Arbor Ln
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature