1573 Four Oaks RdRESIDENT / OWNER
Name: #4 otrt' , " 0 T1 ✓JS 7`e 7 (eIeAe/ Phone: r/ C - 353 — G9 /?j
Address / City / Zip: £ 1 9 9 / Pi w 55 ))-
CONTRACTOR
Name: THE SNFI 1 1NG COMPANY, INC. License #:
1400 CONCORDIA
Address: City:
b i . PAUL, M N 5
State: Zip: 651-648 -7381 Phone:
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: f; e, /i 4 -Pi,- ? e---
NOTE: Roof mounted and ground mounted mechanical equipment is wired to be screened by City
Code. Please contact the Mechanical Inspector for information permitted methods.
on screening
PERMIT TYPE
RESIDENTIAL
Fumace
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
bumed out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ f TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (indudes State
(includes $5.00 State Surcharge)
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 Fge is Tess than
= $ Surcharge
Fee
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
City of Eaaii \1
3830 ilot Knob Road MA� � %
Eagan MN 55
101
Phone: (651) 675 -5675
Fax: (651) 675 -5694
]] 2012 MECHANICAL PERMIT APPLICATION
Date: £ / 7 /' Site Address: /S73 Fa v r ofi-
Use BLUE or BLACK Ink
For Office Use
Permit #:
/O
Permit Fee:
Date Received:
Staff:
�S I2
Tenant: Suite #:
J
CALL BEFORE YOU DIG Can Gopher State One Call at (651)4540002 for protection against underground utility damage. CSI 48 hours before
you intend to dig to receive locates of underground utilities. www.00nherstateonecall.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 worISas not 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 pia -,
Xk.L\ 42A (` .r`
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
�..... .......
RESIDENT !OWNER
Name: A ^) jinx -+-J gfi, 1 C)--)ii )2 9 Phone: 6 353 — ��`i�3
Address / City / Zip: /5 —7 3 f aa-ics )21r7 `5 5
CONTRACTOR
Name: S p°Vt__ f 1 e/f Won )L':5 License #: Pe— C.a
Address: .2 - 2-- -- I,30 Fiat A City: - 5'5 V
//� J
State: M/ - Zip: - 5- 37 ° I. Phone: tl's) 398 Li 89 /
Contact: C- ) 14. '�L/ri 4'x.'LG Email:
TYPE OF WORK
New replacement Repair — Rebuild Modify Space _ Work in R.O.W.
— —
Description of work: CAJ V i\- . F t_
PERMIT TYPE
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures (_ Main / _ Lower Level)
Septic System
Water Turnaround
New
Abandonment
. ...................
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
City of kap
Date:
•
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
rr' I /riJ
MM 1 4 2012
x
Applicant's Signature
Use BLUE or BLACK Ink
For Office Use
Permit* 1 D 1 d1 O
bo. /1, 4 112- OQ
Date Received: 5 4
Permit Fee:
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Suite #:
Site Address: 1� 3 a"f �4 ,e5 lA
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 s : without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of plans.
Reviewed By:
Required Inspections: Under Ground Rough -In Air Test 'Gas Test _Final
FOR OFFICE USE
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:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total: '°" By Date Paid:
Date of Insp.: ✓ID G Zd Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795, Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 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:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108162
Date Issued:11/20/2012
Permit Category:ePermit
Site Address: 1573 Four Oaks Rd
Lot:4 Block: 03 Addition: Coachman Land Co 1st
PID:10-18150-03-040
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
ANDREW REICHERT
5000 PLANO PARKWAY
CARROLLTON TX 75013
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature