4170 Arbor Lane
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05/2312014 11:25 Les Jones Roofing, Inc. ffAX)9528817009 P.0031016
Use BLUE or BLACK Ink
For Office Use I
~G
70' City of Em Permit
I I
1
I Permit Fee: r I • ~ ~ I
3830 Pilot Knob Road I
Eagan MN 65122 I Date Received: i
Phone: 661 675-6676 I t
Fax: (661) VMS% I slap:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r Z ! Site Address: 414110W - 4. 4 I'll)- 11'72 - 4 f 7 q ,Q mg~ ,4,,r ar unit
Name: rE ,.4R8o S
Q SoC. f-Ar.1NB'
K 1hone: AEI
~I O•S - ~ 5~ r
Address/ City/Zip: 4 L S(e AQ p
Applicant 1s: Owner X Contractor
.
Description of work: 9114 v
Construction Cost it 3 '7, Q v~ Multi-Family Building: (Yes x / No
a Company: -AE5 fON6S Ra2j2d/J- INC. Contact ~N2t s N0fi72 s0A/
" Address: ! City: 494Ue&:~!MA/
State: _ Mnl ZIP:. Phone: `t52 - 7 7 - AP11
License Lead Certlficate WAI-
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?
_ _ _Yee __No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL gt~FORE YOU DIG. Call Gopher State Ono Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. boomr.aooherstaleoneeatl.em
I hereby acknowledge that this Informetion 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 plane.
Exterior work authorized by a building permit Issued in accordance with the Minnesota Slate Building Code must be completed within 180
days of permit Issuance.
x_ c/f-kls 41D0SdA/
G~%~%ta
Applicanfe Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137625
Date Issued:07/13/2016
Permit Category:ePermit
Site Address: 4170 Arbor Lane
Lot:032 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-320
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Stephen J Ivanca Jr
4170 Arbor Ln
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157851
Date Issued:09/11/2019
Permit Category:ePermit
Site Address: 4170 Arbor Lane
Lot:032 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-320
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Stephen J Ivanca Jr
4170 Arbor Ln
Eagan MN 55122
(651) 888-2398
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature