4174 Knob CirDate:
Tenant:
City of Eapft
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2011 MECHANICAL PE I T r AP ,p PLICATION
&J 25 �� Ci
f 2011 Site Address: `Li K V�[) VtV
Kent Rhe cn
04000
c CEO
Permit #:
Permit Fee:
Date Received:
Staff:
Suite #:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name: k-ef l f ICI 1e (.r
Phone: b 1 325 - 7 2-1 U
Address / City / Zip:
one tiwr Rah
Address: I D4 Verrn
Name:
State: nn Zipp:Oa
Contact: Ja n 1. HeiThan
r License #: e c
Phone: ( S1 +31 4
Email: Cia a unttourair.om
New ,/► Replacement
Description of work:
Additional
Alteration
Demolition
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
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 OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
_ $ Permit Fee
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010- $11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
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.qopherstateonecall.orq
1 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 dame Herman
Applicant's Printed Name
App ant's Signature
Use BLUE or BLACK Ink
outth to Air Te
HVAC Screening Ins
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108098
Date Issued:11/15/2012
Permit Category:ePermit
Site Address: 4174 Knob Cir
Lot:012 Block: 02 Addition: Knob Hill of Eagan
PID:10-42500-02-012
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
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 -
Kent E Rhein
4174 Knob Cir
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
MEMbb. r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use 4~ I
Permit 1
City of Eqd I `(d
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/1/13 Site Address: t4l 7~ ((7Z 17 J~YLO° (""Unit
Name: Ci
Phone:
Resident/
Owner Address/ City/zip: 6
Applicant is: Owner V" Contractor
Type of Work Description of work: P't - 11Q-,&0
Construction Cost: 12) Le 60 Multi-Family Building: (Yes V / No )
Company: Contact: C 3
°cc 10L~
Y'r Contractor Address: ~Cp 3 U City: 1i 7
State: _ Zip: _ t) Phone: 7-q777
License Lead Certificate M
If the project is a empt from lead certification, please explain why: (see Page 3 for additional information)
c~_ ~t i1~4F? ~rj V,\ ,l-av~ it Z2 iN\~ LJ
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.,qopherstateonecall.org
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.
n
X L^,; i }
`l a✓I *App'can' Applicant's R ' ted Name t ure
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