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3465 Trails End Rd ððü ÿ þýý ðûüûü úýýð îïý þïý ññ þýö þýüûúù ó ûúùöø ù ó ã þÛã ûúùãýéý þ öýôü õôöýôü þÛ ý ôúçüú äÜ éìþ ãù ÿãö ôîáþÝ÷ óßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ö üôýôü â äÜ éìþñàû õ ãù ãö ãöññ áàßññ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý RESIDENT OWNER Name: Phone: Address City Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: P( ..O -h T Construction Cost: 2 Multi- Family Building: (Yes No CONTRACTOR Name: (L; t.-- L c. -r✓ AP-rtl License ')-v fd)"/ 0 X Address: l ,-_'7t' C' e L- Ut, City: ‘...-001.1-t) e State: 7y1 Zip: j l j Phone: 5 t c) a2 C 2- Contact Person: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: documents that you submit are considered to be public information. Portions of be classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. NOTE. Plans and supporting the information may City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink For _Office Use CI Permit 1 1 Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: J` //2/ 1-76 f z/t 6 7 F Suite Tenant: 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name AV p cant Signature Page 1 of 3 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 09/03/91 3830 Pilot Knob Rd. Eagan, MN 55122 -1897 CHIP # PERMIT # 12252 METER SIZE B.P. RECEIPT # C 14997 DATE AUG 19, 1991 ISSUE DATE B.P. RECEIPT DATE 08/19/91 PRV _ BOOSTER PUMP SITE ADDRESS 3465 TRAILS END RD PERMIT REQUESTED LOT 7 BLOCK 2 SEC /SUB WESCOTT SQUARE SEWER X WATER TAPS APPLICANT: ADDRESS: COMM /IND X RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PLYMOUTH PT.AMRTNG TNC ` Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHARY LN Credit WILL NOT be given for Deduct Meters. CITY, STATE MAPLE GROVE MN zip 55369 A PHONE: 493 -2474 a ( I /I, I AGREE 7`O COMPLY WITH CITY OF OWNER: NEW HORIZON HOMES INC EAGAN ORDINANCES ADDRESS: 12201 MINNETONKA BLVD CITY, STATE MINNETONKA MN zip 55343 PHO E: 933-2521 SIGNATURE WHEN METER ISSUED PLE t�� O D Y S FO PROCE G g OR FOR INSPECTIONS. FOR STORM SEWER PERMITS, CO TACT EN N RING DEPT. Jun 07 13 08:24a AA Garage Door 651-702-0838 p.2 Use BLUE or BLACK Ink 1 For Office Use ff 1 j Permit ft: vl City of Ea ~a~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: - Phone: (651) 675-5675 Fax: (651) 6755694 1 Staff. I 3 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: d ► Unit a Name: Do 1 f d Doi ro i I Phone: Resident! _ TtC~ T~ ~lZ(} Iy► / S"a c Owner ~ Address / City / Zip t S ~~Iw l ~ ~F~ ~ ~ f - Applicant is: Owner !_Contractor Description of work: 006 eX(.Sn/1 over /l~r Type of Work t-/ V - Construction CostQ d Multi-Family Building: (Yes / No 41 f Company: 1" r 6,w n ulJ+ Contact: bp/ Contractor Address I ~ City: P al t r ) Zip: 7I State: Phone: (flJ l i License Lead Certificate MI mo- W7 ya- 3 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 I x 1 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: i Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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. vvww.gopherstateonecall ora 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 1 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 days of permit issuance. TWO " x_k o sal Applicant's Printed Nam Applicants Signature Page 1 of 3 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. � 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD ADDRESS ��P�� L%!�✓'� �� CITY � � OCCUPANT �/ �� OWNER SOLD BY �o INSTALLED BY%�"'i �L�� MAKE ��L MODEL �%'�-+/'�iJ�G'�D��V�� SERIAL NO. `� `�y v� v ` / INPUT ��(�� - y �� THERMOSTAT VENT SIZE VAL`JE �'[�� "��" S TYPE OF�INER S I LIMIT �� LINER SIZE /$O o/— / LIMIT SETTING ` � FILTERS: SIZE ` ��/ NUMBER FAN SETTING � WIRING �G� PILOT TYPE T TEST TAG — f IGNITION MODEL LIGHTING lNST / PILOT TIMING__� � / �/��/�� j DATE TESTED J PRESSURE `�� PERCENT COZ � � `� �' l� COMPANY TESTING � e G� INPUT CFH �� PERCENT 02 L� v � / pQ ✓� STACK TEMR `�� PERCENT CO— °�// � NAME OF TESTER� �� FORM 235(REV.10/10) FORM DISTRIBUTION: WHITE COPY•JOB FILE YELLOW COPY-CITV PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129192 Date Issued:01/20/2015 Permit Category:ePermit Site Address: 3465 Trails End Rd Lot:007 Block: 002 Addition: Wescott Square PID:10-83730-02-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Holly Flood 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Donna J Doiron 3465 Trails End Rd Eagan MN 55123--223 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature