1257 Timbershore LaneJul 09 12 10:50a Gates General Contractors
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City of Eakall
3830 Pilot Knob
MN 55122 C/ iV yr aill '
Road
Phone: (651) 675-5675
Fax: (651) 675-5694
7634387710 p.1
•••
Use BLUE or SLACK Ink
For Mee Use
Permit
Permit Fee:
Date Received:
Staff:
3
a--
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 76 07( Site Address: /Z 5 / • /76 7314644440-4,- 1-1/4/ Unit #: l/
Name: / %A'? oke-444art..1.— Al Phone: G fz° 2 7 f //7a.
RESIDENT/
OWNER ; Address/ City / Zip: 7. d . 60K 2 " , 0 4 /
e e.:41-7 niV PV1 ei./ 5 S - 7 2- /
I.
. . Applicant is: Owner 4 " ---- Contractor
: • • -,..••.. • . .
TYPE OF WORK
Description of work: e 0--/t- /72 c_
Construction Cost: 9' ) 5 0 ?
Multi-Family Building: (Yes
G Company: L., 4 CV esVC4 ,c4r/ezottex5 ontact: . >Aft.4/0- c.---
CONTRACTOR .i Address: !-b V .7 .13 v 11-7 Z-nd 4/ yoo-Scly: , p/ 7 111--* c/Ver l
State: /44."/ Zip: 5 VI Phone: 6 72 -'-' 77- 3 3 yi-
License #: c 7 3 Lead Certificate it:
N r 57 z- 55 /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional infomiation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the las112 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. iwww.00pherstatepnecall.orp I
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
Applicant's Printed Name
4 i-------
Applicants Signature
Page 1 of 3
Use BLUE or BLACK Ink
41 Per-----------------1
For Office Use I
1
mit#: � �7 Cit of Ea an 1
I Permit Fee: 1
3830 Pilot Knob Road 1
''`-0 {;F f 1 Date Received: 1
Eagan MN 55122 1 1
Phone: (651) 675-5675 I I
MAR 3 0 2016 I Staff: 1
Fax: (651) 675-5694 L________________�
2416 RESIDENTIAL PLUMBING PLUMBING PERMIT APPLICATION
Date: 3 aS/l Site Address: 1257 T i ry l e r .S &o re- L,/V
Tenant: /-� Suite M
l#i t IlfDeil' Name:V"r_�I h Q ALA)- �Ya ry l .h 1' Phone: 7J�� SrJ�/• 9,57
Address-/City/Zip: r~ G
Name: //m-5 Qt 0.L t4 PLQrn L1n,S License#:
Address
S Co n 4y rd 8 City: Ohs eo
t
State: M/, Zip: 6 9 Phone:
Contact: l lt�'1 L�r)d�10L`f'I Email• -S es4 cl/yt r n�cjq=C
T
New Replacement _Repair —Rebuild _Modify Space Work in R.O.W.
Description of work:
Of
RESIDENTIAL
1 Water Heater
Water Softener
Lawn Irrigation L�RPZ/—PVB)
Septic System Add Plumbing Fixtures(_Main/_Lower Level)
—New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ � D�
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.gopherstateoner-all.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance 'ht 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 n t rt ut 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 pla s.
x DlQ1rYL /1/e M Q Se—r) x
Applicant's Printed Name Applicant's Signature
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is 4 k
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r+�d �: �� .+rMwM•. �^�f5tu�r 2 �.�fi 3 l �T J
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Use Use BLUE or BLACK Ink
For Office i! Permit#: (f0 193
3830 Pilot Knob Road
Permit Fee: lr2 0
*City of�
Eagan MN 55122 Date Received: ii-3v ' b
Phone:(651)675-5675
Fax:(651)675-5694
Staff:
L / _1
2016 MECHANICAL PERMIT APPLICATION
D Please submit two(2)sets of plans with all commercial applications.
Date: I I'"a�'" �Q Site Address: 16/5 7 Tb ,rSktoce..
Tenant: Suite#:
A tt: k � ; Name: _ �� ,� L_. �i . — Q 11. Phone: 1 Sa--561`i-- /51
Address/City/Zip: .� /� .I tibj YPi qv
LA. l.J`'1'' I.) 1
Name: Snelling Company
4: License#:
E7. ; Address:111,440 1400 Concordia Ave. City: Saint Paul,
Itrie
a p State: MN Zip: 55104 Phone: 651-646-7381
Contact: Jody Pflipsen Email:Jody@snellingcompany.com
, m Replacement Additional Alteration Demolition
New
-ate
Description of work: ►t,Oxt (fgip R �C'a j twit
o ` , , e t r. " yep �'''
s $. �.. g p amass e �L F a' �.
ARM*, � i$# : � y " " t s r° ° a ear : 5 p
Y.� '� S '� �:.. , un,. � ._.M3+, �'''''''''a..K„m3,. .� "+.� � :°':
g -APS,? ®
S: �
F RESIDENTIAL COMMERCIAL
XFurnace New Construction Interior Improvement
-1Y-',11„..,:i0x . terra a''°`. �.
-Air Conditioner Install Piping Processed
.0• , —Air Exchanger
t fly Gas Exterior HVAC Unit i
Heat Pump
•
�� • �! — _Under/Aboveground Tank ( Install/_Remove) ;
�'�� �� 4� Other
RESIDENTIAL FEES
f
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge t
$100.00 Residential New,includes State Surcharge =$ CoO' 00 TOTAL FEE
COMMERCIAL FEES Contract Value$
i
x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
i
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge _$ TOTAL FEE
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.
.......1)44c
x Philip Krinkie
x
Applicant's Printed Name Appli ignatur
.- � } �d
xwta °maiitv, ��s 'R >tiretl "sb � , , � �- � e�n� ,f ou