4174 Arbor LaneCity of 6
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RECEIVED
NOV 0 9 2010
Applicant's Printed Name Applicant's Sign ture
Use BLUE or BLACK Ink
1
Permit #: /
Permit Fee: ✓ bC)
Date Received:
Staff:
2010 MECHANICAL PERMIT � APPLICATION
Date: \ r
\ - 1 V Site Address: 1 LJ J \ ( j "' '
Tenant: --__1 hr) S kckr cc
Name: Y\ StCA c Ct = tL Phone:( 1 1- 41_0 - 7
Address / City / Zip: t "'V - 1 y �\ . EC-L.00A 55 D-
License #: ` t 5�
RESIDENT / OWNER
CONTRACTOR
New - Replacement
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
_ Heat Pump
Other a Q
Additional
Alteration
Description of work: kA 0_,Q AC "C C -( t
Demolition
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
TYPE OF WORK
PERMIT TYPE
Name: BURNSVILLE HEATING & A/C, INC
3451 W. Burnsville Parkway
Address: Suite 120
Burnsville, MN 55337 0 1.S - 2-- - C-i. - C 3 C)C 35
State: Zip: Phone:
Contact: eA Email:
City:
RESIDENTIAL FEES:
$50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) t oc)
$90.50 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ v
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation /removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001- $2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
Suite #:
J
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454 -0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecallorq
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
x - to
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:EA129127
Date Issued:01/12/2015
Permit Category:ePermit
Site Address: 4174 Arbor Lane
Lot:030 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-300
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.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Eric J Stolarcek
4174 Arbor Lane
Eagan MN 55122
(651) 444-8845
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buildinginspections a(�.citvofeagan.com
ECEIVE
SEP 19 2019
I : ►�
2019 RESIDENTIAL BUI NG P
Date: 9/19/19 Site Address: 4174 Arbor Lane
r For Office Use
Permit #:
Permit Fee: /g7.
Date Received:
Staff:
9-/f-79
G(9a7-/9
APPLICATION 7
Unit #:
" P
Rosi nt/
Owner
Name: Eric & Lois Pawlowski Phone:
Address / City / Zip: 4174 Arbor Lane Eagan, MN 55122
Applicant is: Owner X Contractor
Type Of Work
Description of work: Bathroom remodel - Please see drawing for details
/o! L(
Construction Cost: $6,700.00 Multi -Family Building: (Yes /Oketli)
.a .
Company: Minnesota Rusco Contact: Julee Massie
Address: 5010 Hwy 169 N City: New Hope
State: MN Zip: 55428 Phone: 952-935-9669 Email: lulee(a)_minnesotarusco.com
License #: CR002173 Lead Certificate #: NAT21315-2
If the project is exempt from lead certification, please explain why: p 2
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
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.
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.aooherstateonecall.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.
x Julee Massie
Applicant's Printed Name
Appli ht's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi _ Deck
_4_
01 of x Plex _ Lower Level
'117/ 4-rbarL
_ Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
_ New _ Interior Improvement
Addition_ Move Building
Alteration_ Fire Repair
Replace_ Repair
— Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%J
Census Code
# of Units
# of Buildings
Type of Construction
zr3y
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before
Roof: _Ice Bywater _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
IL Insulation
Sheathing
Fire Walls
Braced Walls
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
4/ 5-x/
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
176-1
Pi)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
Backfill HVAC _ Service Test Gas Line Air Test _ Hood
Pool: Footings Air/Gas Tests _Final
Drain Tile
_Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
r
For Office Use
,, E AG A N
a ° r a, Permit#: /5 //MP3
RECEIVED
Permit Fee: (P
r'' Date Received: /!/— cVq.
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 NOV 2 5 2019 Staff:
buildinginspectionsecitvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11/20/19 Site Address: 4174 Arbor Lane
Tenant: Suite#:
Pawlowski, Eric & Lois
Resident/Owner
Name: Phone: (651 )444-8845
Address/city/zip: 4174 Arbor Ln / Eagan/ 55122
Name: Minnesota Rusco Inc License#: PC749301
Contractor
Address: 5010 Hwy 169. N. City: New Hope
State: MN Zip: 55428 Phone: 952.935.9669
Contact: Scott Ziemer Email: scottz@minnesotarusco.com
Type of Work —New V Replacement _Repair _Rebuild _,Modify Space _Work in R.O.W.
Description of work: Demo existing shower, install new shower with surround
Tankless Water Heater Lawn Irrigation(—RPZ/—PVB)
i Standard Water Heater
✓ Add Plumbing Fixtures (✓ Main/ Lower Level)
Description Water Softener h changeout
eout
Shower o e c a g
Description:
Septic System
1 Connection to City Water from Well
New 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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges °C)TOTAL FEES $ U�
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ith 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; ..rt without a pe r'', that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
XScott Ziemer Xogrir
Applicant's Printed Name Applicant's Signa,;
Page 1 of 2
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168538
Date Issued:04/23/2021
Permit Category:ePermit
Site Address: 4174 Arbor Lane
Lot:030 Block: 001 Addition: Wenzel 1st
PID:10-83570-01-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Eric J & Lois J Pawlowski
4174 Arbor Ln
Eagan MN 55122
(651) 444-8845
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature