Loading...
1313 Crestridge LaneRESIDENT / OWNER Name: t7/, ie =--2 (.), i 5 To fr-t %./0 Phone: ' 5-1 .3'./1-1 -18 2 q Address / City / Zip: 13o 3 GYe s ice, :2 f t G. /-4Z g- -¢i- 53'7 2 Applicant is: Owner ' CContractor 7,9,1, . ( 3i2s /30 nog 13/1 °(l /3 TYPE OF WORK 0, Description of work: ! -ice' 0 ( t `t k ` i /� Construction Cost: a ) , 4 P Multi - Family Building: (Yes '& / No ) CONTRACTOR Company: /V® /(,J -4r C - c) l/c9e s �.�r Contact: • r; /l�li i1c7 Address: g�m �'l Z � "7 z i 6 •t- - A---City: ///16- � 27 c State: /' Zip: 5 S (I Phone: 6/2 -- g `t_ gs 7 />' License #: b G ICI Ll7.5 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. City of Eapn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Use BLUE or BLACK Ink r — For Office Use Permit* Permit Fee: ° - 7 ,6 Date Received: Staff: Unit #: 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.qopherstateonecall.orq 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 fr ' ' Applicant's Printed Name /'l /Z - 7/._ /Applicant's Signature Page 1 of 3 Use BLUE orBLACK Ink �-----------------, � For Office Use � Clty of Ea��� � � 3� -� � � Permit#: I � I 3830 Pilot Knob Road � Permit Fee: �("�• �� j Eagan MN 55122 REC��U�� � { � Phone:(651)675-5675 � Date Received:�l ` 1� - I� � Fax:(651)675-5694 NOV � 6 ZO�g � Staff: �-,.�- � � I . ___�����._�_____�_J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: �!�����c.� Site Address: 1 � � ���(� �r4�� Tenant: Suite#: � ,� ' '� ���� � ��.] I— � � �i'��`� ����R���� ��, �, Name: � � Phone: � � ��ff� �"� � �` / r � ) .���"�. ,..� �,��� ��,�:: �,. Address/City/Zip: / ��`� L� �v� ,,��IV� � �'`s �� ��� � Name: � L �6 License#: �`�"} '�- , ,, � � � �. 4�� R //��,, /� ///�///� � � "'S � -�'#'d"� �>�'�. *� � ✓ ���V � II�/ / �V � �� � Address: City: , f ��� ���� �� �� ` ����� ^���-€ �� ��k�g ,�, State: Zip: Phone: � �� F , � � � ''� � �� Contact: l✓L EmaiL �W ���Y' � L� �. t� �, � }� � ���' � '' g��`�"' ��� � � � ��� � M � , �" New eplacement Additional Alteration Demolition ���� ��, �s ,� ���;���t� � Descript�on ofwork. �� ��(I�C�? �� /(� �,�', �'/ �'J � ? � � � ���€�`� ",� " '��, � ' xa�i� '� � ��'i� ��p��]f�����E�c'£�8�� � �'��I � ����F.,`Ct����; '� � � � ��.� � � �S� e'��IIY� � ������I�t� �a � � v �- �� � � _ _.q.�„ , �_�_ ;��-> -- v:� �. ` � _ . � . _. .. . _ .. x.a�?F�: < . r�_ �- �t "� a "� �� �� �' '�"".�-�: . � ��'� ��,� RES/DENTIAL COMMERC/AL �� ��'��" x �P� Furnace (ev,���,l,��J _New Construction _Interior Improvement ` �' � Air Conditioner f ,� — Install Piping _Processed � . �� ;����' �£' ,���F� �" _Air Exchanger Gas Exterior HVAC Unit >� '�` �� ��`� — a �� _Heat Pump _Under/Above ground l'ank �Install/_Remove) ������� � � ��' Other ,� . , z a-r.� ,�. n �%.Y RESIDENTIAL FEES l $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) � � $100.00 Residentiaf New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES - Contract Value$ x.09 $55.00 Permit Fee Minimum , $70.00 Underground tank instaltation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" "If contract value is GREATER than$10,010, 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 wor 'll be in accordance with the approved plan in the case of work which requires a review and approval of plans. y� ,�r��� ./' X Y C�� � X � Appl�can s Printed Name Applic Signat ` x������.a ���� ��`°,�`�.�� �,�.��� ""� ..`.�,��',�,"�� r;,,�.`��..`�'`�"'*r x,.�.�..s^�����" z.'�'.�� ,� z�°; .d ��- a� ��������� �`��,-.� s <� �ve a=. e ua: 1: ,- `�� .i a-�- .�.`'�.-�`-� �z � � 1N � `� ,.;,� `'�''�.�.y �..;� . �� s �z�` .-S�,y.-c;�, .:.�^.� "�`'� � a� 4 �*`�� "��.t".� x�, ..��; �.�,uu�. ,"��`x ,�`� ��� �+ �' z� � ;xa� � ���'� '� � '�`� �" ��. `� ���`€��--� �'� �t`"� � � ��"3� a �`x.,� �e �[�,�IiSti� "'� . ,, r �:c y ��. � }'�c'k `-w'^.�'.#-. � �'�F� � � �`a" �-t�` �� �r�� '+� ��t�.s,.�� . r� � "..r f�, x ".-:���`�''�- ' `}�,�5` 6 -. c'Y' '�,`�`�*�"'��dz-'� -,�u, d �=-'. .�, x a �` -:� +,�.*�� �.x x .��" � =cc � . a�r t �. ,,��.3s.�.. ���' ��`s5 1� �.s"�°'a�� �.� �e '� "� �� � `�`� �, a��' � ��J���� ^€� � 2��a�' �°��� � �.�����' "�` ���� ��r . ;�� � `���`- - ,'�''�r ����.n � ,. ��UI'YIEQB�'� � r� Q�?, � �``�"�. ;�:ev.�,,� a , , x C�`� �1 ,A,�,�,� �-�.x _.: r,�:.._,,,:, ,� �..,..' `���1 ��$K�� . .,��Cl�� w ����i� '� ��� �Q�x,,»�`,IN�....��..'"�. � � "+ � �� , . �.,...., - �P 8 , �C > ���(� ... ,..< r. .. �.._ , . . z= PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160775 Date Issued:04/13/2020 Permit Category:ePermit Site Address: 1313 Crestridge Lane Lot:1 Block: 03 Addition: Hidden Oaks PID:10-32750-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Christine A Fitzgerald Po Box 21577 Eagan MN 55121--057 (651) 303-7050 Krinkie Heating & A/c 87 E County Rd. B St. Paul MN 55117 (732) 651-4885 X555 Applicant/Permitee: Signature Issued By: Signature