3115 Farnum DrRESIDENT I OWNER
Name: G I) I'i * `�h 1 also Phone: to -3Fa - )380
Address / Zip: *3 ii, r a/7lih Dr.
CONTRACTOR
/City
010/.40'w
Name: /4 d R l - ect i /¢i '" License #:
Address: 14 l„ /c.,h11f-� Lt ] cit 1t1 le Vc [ley
State: Zip: 1) Phone: Gi9ic — 33 61
Contact /6,5 Email: CGrb 04,7115 4a 0 V yy,L, e0.
TYPE OF WORK
New ✓ Replac:ement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City
Code: Please contact the Mechanical Inspector for infonnation on ,pentted screening methods.
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
New Construction _ Interior Improvement
Air Conditioner
_ Irk Piping — Processed
Air Exchanger
Gas _ Exterior HVAC Unit
— Heat Pump
_ Other
—
Under / Above ground Tank (__ Install I Remove)
_
" When installing/removing tank(s), call for inspection by Fine
Marshal and Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
turned out appliances, ductwork, etc.) (includes
G 5 . p Q
$5.00 State Surcharge)
$5.00 State Surcharge) $_ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each 51,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the ferroll fee is less than
- If the Perak fea is > $10,010,
Fee = $ Surcharge
(i.e. a $10,010 - $11,010 Permit
_ $ TOTAL FEE
4 City otEap
2011- MECHANICAL PERMIT APPLICATION
Date: 3 *I/ Site Address: 3 HS' F4fr1 Dr
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651).675 -5675
Fax: (651) 675.5694
x �xt ✓/i C l
Pith Applicant's P Name
Use BLUE or BLACK Ilk
For Owe Use
Pernik*: �, G•✓
Permit Fee:
i Received:
Staff;
Suite #:
J
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protectlon against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq codes hereby acknowledge that this information is complete and acaxate; that the work will be in conformance with the ordinances and des of the City of
Eagan; that l 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
e
with the�pproved in the case of work which requires a review and approval of plans.
�
FOR OFFICE USE
Required Inspections: Under Ground i Rough In _ Air Test Gas Service Test .In-floor Heat
Exterior HVAC Screening Inspection
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road
Eagan, MN 55122 PERMIT NO.:
DATE:
Zoning:
Owner: No. of Units:
Address:
Site Address: —
Plumber:
Meter No.:
Size: Connection Charge:
Reader No.: Account Deposit:
rmit Fee:
1 agree to comply
P y with the City of Eagan Surcharge:
Ordinances.
Misc. Charges:
By / Total:
Date of Insp.: Dote Paid:
Insp.,
CITY OF EAGAN SEWER SERVICE PERMIT
3795. Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Add ress:
Site Address:
Plumber: —
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee. .
By Surcharge:
y Misc. Charges:
Date of Insp.:
Total:
Insp.: Dote Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162444
Date Issued:07/15/2020
Permit Category:ePermit
Site Address: 3115 Farnum Dr
Lot:2 Block: 08 Addition: Coachman Land Co 1st
PID:10-18150-08-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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)$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 -
Diffe M Mekuria
3115 Farnum Dr
Eagan MN 55121
(651) 353-7901
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature