3241 Alden Pond LaneSEWER & WATER PERMIT '°
crry OF EAGO1
3830 Pilot Knob Rd
P.O. Box 211
Egan, MN 55121
OFFICE USE ONLY
PERMIT DATE ::, -8/10/89
WATER PERMIT # ,1O14 SEWER PERMIT #
METER #:' , S P RECEIPT # C 2226
READER* B P RE EIPTDATE 5/31J 9
`METER SIZE
ISSUE DATE PRY ___a BOOSTER PUMP
SITE ADDRESS 32411 Alden,(rid Lane��
LOT 3.LRLOCK 2 SEC/Sly T�11IfP>+ I d -
AF I.ICANT. Rq)sev4 Cofstruct..i.on. inc..
Ess: ,._ 1211 'We _C gmtq.iloaa;'.
CITY, STATE Roseville, J: 55213 ; ZIP
mime 631-3254
r �
PLUMBER: major r Mechanical,. .rna. 4 . .
ADDRESS: , 050 High } 152
CITY, STATE p1#
C€rotxe ZIP =5369
PHONE: 424.6690..,
QWNER: "2U raPn e1'7 Pa?"tn
ADDRESS: 7777 =W, Cnuntv Reza
CITY, STATE RRootreil1Ct PAT
1PIE 634-8(150
c4. tZ)/-
ALLOW TWO WO 1F
ENGIIw1EERINe PT.
41111
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DLL 2 8 2015
Use BLUE or BLACK Ink
For Office Use /
Permit #: 1 t/5'6o
Permit Fee: G;
Date Received:
Staff:
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 17.- 23 -1 5 Site Address: 32,91 e‘ -s?0 n U S \ek
Tenant:
Name:
Po fi) (� �, }A. a N.
Suite #:
Phone: 6 5 1 - ``15
Address / City / Zip: 32-'1 ' .4 k ?a Lr _ 4 1 S 5( a
Name: 5 C1t-^A--cs-i r'1 eco\•no - A f License#:
Address: i$1S �_ IALS $t - Suet It City: Rnele
State: N r Zip: S S '-t 0 Phone: 6) L - 7 LLI _ (g c9
Contact: Email: Anne -)C a \ncr Q ` t'1a'kr•-‘0‘..` 1- C4M
New )( Replacement Additional Alteration Demolition !O
6'6, coo ="', U S
Description of work: ? c_ ,‹ r t; _3o r
nwc� Cctr�cc - S 8s?�to
NOTE: Roof mounted and grd
Code. Please contact the M
Id mounted`r
hanicai insp
irod;to.be i creeped by City
ods.
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
_ Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $
=$
=$
=$
TOTAL FEE
60
x .01
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordin
ces 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 sta flithout a per/nit t e work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
V 42—D1/4- fN \Lo `,. .f
Applicant's Printed Name
x
Applicant's Si
ure
FOR OFFICE USE
Required Inspections:
Underground Rough In Air
ce Test
r Heat
Final HVAC Screening