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3908 Rahn Rd*City ofban 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 1-6-< *7-10 Tenant: - a 4 \\ RFCEi'JED JUL 1 ' 2011 Use BLUE or BLACK Ink Permit #: /00 Permit Fee: ' 0 Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION 3q p$ Z...\r\C1 Site Address: d () Suite #: RESIDENT / OWNER Name: �± f.) 1"•'\r-rN Address / City / Zip: 3 q C S n3r, ^ Phone: 631- — $ / CONTRACTOR Name: License #: Address: RESIDENTIAL HEATING & AIR, INC. City: State: Contact: 1815 fast 41st street Suite A. Zip: Mi�MIit M.,_5�P i ° rvapv�� 1� �'KJ� (612172400 a TYPE OF WORK New N Replacement Additional Alteration Description of work: CA. Le PERMIT TYPE RESIDENTIAL 7 Furnace 5$ uv eJ 0 6 0 " Air Conditioner LLA (co ti Air Exchanger 7_ -0 Heat Pump Other �rna� d A_ 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 RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) - TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) OR - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Pernit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee _ $ Surcharge _ $ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protect' • against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www. s o • herstateon =' . I.or I hereby acknowledge that this information is complete and accurate; that the work will be irr Eagan; that I understand this is not a permit, but only an application for a permit, and work is not with the approved plan in the case of work which requires a review and approval of plans. \L f‘ Lc- Appl ci ant in ed Name x Applicant' inances and codes of the City of that the work will be in accordance City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �/ Permit #: / g7� Permit Fee: / ✓ �� Date Received: Staff: ,^^ �^q 2016 RESIDENTIAL BUILDING�PERMIT APPLICATION Date: V ` I I (1 Site Address:'51°C6 ' ` i ' I� , t fl Unit #: Name: M (1 -7( f 10 ` S Phone:qS 2 C t ` Address / City / Zip: 34.6s V.26(1 h Applicant is: )\ Owner Contractor Description of work:-\ Y-9 Construction Cost: Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE; Plans and supporting documents that you submit are considered to pubic iia ermatron ;tions o the information may be classified as non-public if you provide, specific reasons that t►rt Id ermit tlt City to conclude that the are trade secrets. 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 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. 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. x Applicant's Printed Name Page 1 of 3 c EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 FAX: (651) 675-5694 buildinginspections(acitvofeagan com For Office Use( l Permit #: " Permit Fee: ( .)?-1 Date Received: Staff: L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Name: Rc &&c C,®ctiv,..� oyf Phone: Cq S Address / City / Zip: 3C10% Applicant is: Owner Contractor Description of work: Construction Cost: Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone; Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the classified as non- • bile if • u • rovide • eciiic reasons that would • ern* the Cit to conclude that the are trade s You may subscribe to receive an electronic notification from the City of proposedordinances by signing up for an email update on the City's website at www.citvofeagan.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. Cali 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 proved pin in the case of work which requires a review and approval of plans. x Applicant's Printed Narl'ie Refl Applicant's Signature DO NOT WRITE BELOW THIS LINE 14V-1 ( / SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code #of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final x, Framing 30 Minutes . 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final flan g%Klcig Siding Reroof Windows Egress Window Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required x Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Hood Pool: _Footings _Air/Gas Tests _Final Drain Tile 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 Copies TOTAL Page 2 of 3