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1257 Timbershore LaneJul 09 12 10:50a Gates General Contractors l b. -A_ 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 L g s is 4 k #��iit @ r+�d �: �� .+rMwM•. �^�f5tu�r 2 �.�fi 3 l �T J y 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