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1533 Woodview Ave W*City of Etai 3830 Pilot Knob Road R C Eagan MN 55122 ,wry Phone: (651) 675-5675 A Fax: (651) 675 -5694 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. / } Date: (Oi 6 i / Site Address: /93 - 3 t ctv't) � £ Tenant: C.[ ` 5C,.,(, RESIDENT / OWNER CZWIRACTOR TYPE OF WORK PERMIT TYPE x II;G J eT Applicant's Printed Narthe Staff: For Office Use � j,\ Permit #: l ( m Permit Fee: /_( Q Date Received: (' -C S 12- Suite #: Use BLUE or BLACK Ink Name: fActc._ 1 , �[ /I ro f F Phone: Address / City / Zip: /J 3 3 60 d (s°'< fi ( ,1- 4 jS Name: P 1 License #: New v Replacement Additional Alteration Description of work: FLT Y Ct.0 .Q... RESIDENTIAL vFurnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL FEES: $75.00 Underground tank installation /removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit 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) x Applicant's Signature 0 Address: 7 I v VA.P. I( ±11 6 City: / rS4 d 1 �} es r\ State: 1 V - t Zip: g0 7 Phone: 59® -31 , 3- 7V 0 Contact: L'L T Email: ja dr' /Y -et✓f 'V1j� - Cl Demolition NOTE: Roof mou and grOU1141140unIetiffte4hakaiOqUipm t is. a screed tw,City Code. Pleaseaontadt theMechaaidal lavilactotfor r COMMERCIAL New Construction Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under / Above ground Tank Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE OR Contract Value $ x 1% _ $ Permit Fee _ $ 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.uooherstateonecaliorq 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 • 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. fOR OFFICE USE iuired Inspections: Underground Rough In Air Teat Gas Sergi T ,1�. r Heat. ARal HVAC Screeniri Ffam:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:05 #166 P.002/037 \C5 ~53'I W oo d v4 e,~ e- t~ l~ui+1.4 ~l ~CJ Use BLUE or BLACK Ink -For Offi - ce--Use----------- I Y~ Q I j Permit >E: Ot~ f T j Clty of Eatan I I Permit Fee: .00 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Ij I Fax: (651) 675.5694 1 staff. n t~ I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I'1 Site Address: r031, _IS_ _ (833► 153S+J53~ V Mi l " west-_ (-sZ r~lt° ~ Phone: j Resident/ ~ J J Name: S _r r-ID. ,hilitn VV) N111/1 I I Owner Address / City / Zip: (63 b Parkyyo reel ~ih ~1' I'I ~.T M N 553t-f`~ I Applicant Is: _ Owner Contractor t Type of Work I Description of work: Ttav W I Re- Roof Construction Cost:. $ 111550 .OO Multi -Family Building: (Yes X / No ) Company: Allstay U13SIVAd p" MOIrn P ult1 LGG Contact tayic MGpacin Contractor Address: SINS IhdvlS.mal X103 City: Maple Ploi n I State: _MN Zip: 65-351_ Phone: - Email: elahe OIIICIOIy • bL I License Lead Certificate 4l: N PVT- 24A V" I - 0 ~ I 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that then 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.got)herstateonecall.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. x jileb Mcbemutt x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174082 Date Issued:12/22/2021 Permit Category:ePermit Site Address: 1533 Woodview Ave W Lot:7 Block: 01 Addition: Surrey Heights 2nd PID:10-73001-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Richard & Jo Ann Schmit 1533 Woodview W Eagan MN 55122 (320) 266-6659 Lightning Restoration Llc 7600 147th St W, Suite 103 Apple Valley MN 55124 (763) 202-9473 Applicant/Permitee: Signature Issued By: Signature