4714 Lund Pt CITY OF EAGAN WATER SERVICE PERMIT
3715 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit: _
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinance Misc. Charges:
Total:
By Date Paid:
Da a of Insp.: - Insp.:
CITY OF VGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units: _-
Owner:
Address:
Site Address:
Plumber: —
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: — - Total:
Insp.: _ Date Paid:
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
r
a~ ; Permit#:
City of Ea q-1
o R
I Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1'~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
_
22013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Irn 13 Z 1 Site Address: T 7~1 7 y71'0 y71y O Pt Unit
Name: AIJ060 1 pw- 4g Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner X__ Contractor
Type of Work Description of work: #J-,0 V
Construction Cost: ,0O0 Multi-Family Building: (Yes / No )
Company: laic o~9 d _,jtA AK 4"!tr7ebhtact:
Contractor Address: 3212E %S ;W/ff; V~ e: X1_ e4 P City:"
State: Zip: J 337 Phone: (Ol~' y ~~a J
License n ai 6 G G 7 Lead Certificate
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 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. www.-qopherstateonecall.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 ust b completed within 180
days of permit issuance.
x x
Applicant's Printed Name Ap ant's nature
Page 1 of 3
Use BLUE or BLACK Ink
i
(j { For Office User m�/-
('� of Ea �,..® .,�.,. Permit#: Use/g7 (L�
3830 Pilot Knob Road JAN 0 2 Lil C Permit Fee:
Eagan MN 55122 Date Received: 9-- a -1 8
Phone:(651)675-5675
Fax:(651)675-5694 Staff: 1
,
2017 MECHANICAL PERMIT APPLICATION
Please submit two (2)sets of plans withsall commercial ap lications.
Date: /''-'/" '� Site Address:r / / �
-til, �" J
Tenant: Suite#:
Resident/Owner Name: 514 '' �., l r� nLii Phone: J ufLi" 6'
Address/City/Zip: 1I7/<� .1i a.'� !'r A%• �
Name: Ray N Welter Heating Company License#:
4637 Chicago Ave Minneapolis
: Contractor Address: 9 City: p
State: MN Zip. 55407 Phone: 612-825-6867
Contact: Gerd rickw@welterheating com
E1 New 1/ Replacement Additional Alteration Demolition
I Type of Work ` Description of work: (r-Gil e(±:% (l/, eiL ioz. 7,i 7w io- 6667 Z.,%) DTZ; 6/ 4
4
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
I RESIDENTIAL COMMERCIAL I
• v_Furnace New Construction —Interior Improvement
Permit T e` —Air Conditioner Install Piping Processed
yp —
_Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/_Remove)
Other
RESIDENTIAL FEES
I
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge /�
$100.00 Residential New, includes State Surcharge =$ ( )' TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01 I
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
_$ Surcharge
1 Surcharge=Contract Value x$0.0005
L.
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 'd 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 ork will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
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)
._ '" / )4;//,. '
Applic rit's Printed Name " Applica' rgnatrfre
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening