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
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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)
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Applicant's Signature
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Address: 7 I v VA.P. I( ±11 6 City: / rS4 d 1 �}
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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
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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