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1946 Glenfield CtDate: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 (0 /20 /10 C',/,e /s /4 v,ae:7:7?s Applicant's Printed Name E9rh©tF9P 1,)SP Permit #: Permit Fee: S63 — 1 , 5 Date Received: Staff: Applicant's Signature /bO166f Use BLUE or BLACK Ink Tenant: Suite #: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: j93g 38 44 4 4 (p +A48 GL-E'JPIE t-0 CouRZT CALL BEFORE YOU DIG. CaII 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.gopherstateonecali.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. Page 1 of 2 RESIDENT / OWNER Name: /v P2oPt,7 ry ( /AZ Phone: 6 5 i- 6 ? ?4 `f Address / City / Zip: P.O . Box 2125 I NVV Gtovv 4,u,ms MN 55 7/0 Applicant is: Owner )(Contractor TYPE OF WORK Description of work: LJMOV6 1414 K WRAC-6 c -0 GAD 12o0F Construction Cost $ 21, OOOb Multi- Family Building: (Yes / No ) CONTRACTOR Name: F3E1 Eic -(o)2 14p-i N1 COR,P License #: 26.2 /// 3/ Address: q05 V f . 60 SnW G1 City: J ciffnV p't ij n, State: / Vt lV Zip: 55 Phone: f7 1 2 — g( - 21/3 /+ Contact: PA-UL tit. Email: /OA) bGISCM . Co 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 fora similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 (0 /20 /10 C',/,e /s /4 v,ae:7:7?s Applicant's Printed Name E9rh©tF9P 1,)SP Permit #: Permit Fee: S63 — 1 , 5 Date Received: Staff: Applicant's Signature /bO166f Use BLUE or BLACK Ink Tenant: Suite #: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: j93g 38 44 4 4 (p +A48 GL-E'JPIE t-0 CouRZT CALL BEFORE YOU DIG. CaII 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.gopherstateonecali.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. Page 1 of 2 SEWER & WATER PERMIT .� 1, r - OFFICE USE ONLY CITY OF EAGAN METER # / 7/ PERMIT DATE 12/04/91 3830 Pilot Knob Rd. al / 5 S. a Eagan, MN 55122 -1897 � f p _el CHIP # Q �/ (o h •� PERMIT # 12417 - +r+exvv METER SIZE I " ¶ ) sit S B.P. RECEIPT # C 15423 DATE 9 ISSUE DATE / - /O-- • 702 B.P. RECEIPT DATE 09/17/91 PRV BOOSTER PUMP 1934 1936 1938 1940 1942 1944 1946 1948 SITE ADDRESS latittxxis3 (FNFjFfD CT PERMIT REQUESTED LOT 3 BLOCK 2 SEC /SUB DIFFLEY COMMONS X SEWER X WATER TAPS APPLICANT: Tile Rottlund Co- ADDRESS: 5201 Fast R i vPr Rd . COMM /IND ' X RESIDENTIAL CITY, STATE Fridley, MN Zip 55421 X NEW EXISTING PHONE: ( 612) 571 - 0304 La Sprinkler Meters are to be Installed PLUMBER: 1 4 Valley plumbing A • of Domestic M -ters on Water Line. ADDRESS: 1 e%kz'[ ar1e C - ILL NOT be ; ' er,Lfor Deduct Meters. CITY, STATE Cl MN ZIP 55,7 PHONE: (61 4 '. 21 21. AGRE TO • OM • Y WITH CITY OF OWNER: The Rottlund Co. EAGANORD ANCES ADDRESS: 5201 East River Rd. .� CITY, STATE Fridley , MN ZIP 55421 --� PHO • ( 612) 571 � IGNATUR HEN METER ISSUED IG D S / PLE • r r' O WOR AY FO PRO SSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER P RMITS, CONTACT ENGINEERING DEPT. 57/9 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130772 Date Issued:05/13/2015 Permit Category:ePermit Site Address: 1946 Glenfield Ct Lot:019 Block: 04 Addition: Diffley Commons PID:10-20450-04-019 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Nui Truong 1946 Glenfield Ct Eagan MN 55122 (612) 439-4947 Mill City Heating & Cooling 2803 Johnson St NE Minneapolis MN 55418 (651) 964-8413 Applicant/Permitee: Signature Issued By: Signature