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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