1531 Clemson Dr - unit B852
RESIDE Anoka,
Charlotte Drive
MN 55303
Name:
hone: 74)5- y57— 7a
CONTRACTOR
License #: /tt 3 70 6 ??
Address: RICCAR HEATING & AIR ity:
�;
2387 STATION PARKWAY N.W. , ��
State: moon Phone: i _ �� %V i d
763-754-4000 Email: 14 I - ' r .,' 0 si '
Contact:
TYPE OF WORK
New Replacement 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 information on perms ted scree me th
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
— Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
_
RESIDENTIAL FEES:
$60.00 Minimum Add -on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge) /,, c6
$5.00 State Surcharge) = $ l� v TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation
$60.00 Minimum (includes
/removal (includes $5.00 State Surcharge)
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010 - $11,010 Permit
41 0 1 ` City otEaQan
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Solid Rock
Eg 1 �,p1'l
/ 2012 MECHANICAL PERMIT APPLICATION
Date: ` Site Address: /S / 6 d i & /riL 9L1I
Use BLUE or BLACK Ink
For Office Use
Permit #: I C)-75_1.0 Z �
Permit Fee: (-
Date Received: -Z{r��j2
Staff: ' J `)
Suite #:
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.clooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work 111 be in onformance with the ordi ances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wor / % to tart without a perms t t the work will be in accordance
with roved plan in the case of work which requires a review and approval of plans
Ap licant's Printed Name Appli'. Ys Signat
Revs
Test Gas Service Test
FOR OFFICE USE
Required Inspections:
Underground Rough In Air
wed By:
n -floor Heat
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges: _
�� r / (_— Total:
By O Date Paid:
Dote of Insp.• Insp.•
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road
Eagan, MN 55122 PERMIT NO.:
DATE:
Zoning:
No. of Units:
Owner:
Address: — — - - -- - - - - - --
Site Address: - -_ —_
—
Plumber: —_ - -- — . - - -__
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
B Y Surcharge:
— __ —
Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
tV2 31 3 t fb 1 633 Pr i t 5 33 Conn Aso Y\. brr
Use BLUE or BLACK Ink
F-----------------
I For Office Use l
I Permit ~
1t3~at
City Eap
I Permit Fee: d i
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~1~ I
Fax: (661) 676-5694 1 Staff: 7C 17 I
I I
- - - - - - - - - - - - - - - - J
12013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: G~ I C~ (J
y 1! I~~ V t y i f v t Unit M
Name: 1 C i o m o ~c' 4 f Xi sa ui lmhone: , G,K W c'
Resident/ 1 ~o V ~ f r`l
Owner Address / City / Zip: yy) ~G
r
Applicant is: Owner Contractor
Type of Work Description of work: Q ~ G V16 VI VDr ~y
Construction Cost: 0 D Multi-Family Building: (Yes / 'No
Company: ~S~LA tlocc)~'L~t1c~ KEi71(x~L'~in4 o tact: ~`J e V 1
Contractor Address: gIC)G ~c~lslO~ ~JiUc~ City:, S4. Lock
State: PA 1A Z``ip: 5y ~O Phone: / o~
License a-(L o Lead Certificate
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?
_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 may be 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.gopherstateonecall.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 o
i2 f permit issuance. ~j1
x t~ 1-11 S x
Applicant's Printed Name App ' is ig ature
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