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4457 Cinnamon Ridge Cir :ATV cr EAGANN WAT kV k E Pa id 3830 Pilot Knob Road P. 0. Box.21199 PERMIT NO.: Eaaan, MN 55121 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: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: /_ K-1 Insp.: CITY OF EAGAN I SEWER SERVICE PERMIT 3830 PElof Knob Road P. Q. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: _._. Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: Misc. Charges: Dote of Insp.: Total: I nsp.: Date Paid: Use BLUE or BLACK Ink For Office Use p ! /00 ~y`~ I City O .runa~11 j Permit 0 i ro ! I Permit Fee: 4a(J, 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: I Phone: (651) 675-5675 ! Fax: (651) 675-5694 Staff: /Y L., 2012 MECHANICAL PERMIT APPLICATION Date- Site Address: ~ ~ y r~nr~1 Lz2LL 1. 1 ,k Tenant: 1 r Suite RESIDENT / OWNER Name: IS C„ C'yt(i t r'~ 4 Phone: (0 S1 c~ Zs a -t~C13~~ Address / City / Zip: J'~ a 9URNSVILLE HEATING Name: 1 -1 - 11_ License V CONTRACTOR Address: 0U:11G "2C City: Burnsville, MN State: Zip: Phone: X52.- (-Lb X Contact: Email: New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: LYIJ-~ A o jLf d1 & 00. Arai f1 (1 rha d 4-slb-1 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. RESIDENTIAL COMMERCIAL Furnace _ New Construction - Interior Improvement PERMIT TYPE Air Conditioner Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install Remove) Other Cam(! t X12, RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) / $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.aooherstateonecall.ora 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 t approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening Oct.18, 2013 9:02AM Crest Exteriors 651-463-8095 P. 29 Use BLUE or BLACK Ink ~ ^ ForOfflcaUse^^'wfi`rJ_` ~ I Permll l l 1 City of Eakan I I Permit Fee; l 3630 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (661) 675-5676 I 1 Fax: (661) 676-5694 t Staff I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I D- I -1 -1 ~ Site Address: "7 Unit Name: f~Qy W La Phone: ~ Res tlenU~ ~ (^,n ~1 l - - ' r%•" Address /City/Zip:_/95•-7 ' CI ~1 1C 1~J\ u ` C ~1 y' Applicant Is: `Owner V Contractor Description of work: R~ r~~ln O Construction Cost: Multi-Family Building: (Yes / No L ~ Company: . I l ~WVN ~f X) l ( &"Contact O r C t - Address: ity: x ' State: Y111) Zip: G 1Z, 1 Phone: l 9 j 2- BC_ 4t A ' License Z~l? 2 v 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 leaued a permit for a similar plan based on a master plan? __Yes ZNo If yes, date and address of master plan; Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ^OTE Plas~aritlsZ p o f oaf - os` m ;'a"° ' tl'fob lilic t inriford ir Vo`n ,m~ t/ons.of CALL BEFORE YOU DIG. Call Gopher State One Call at (861) 464-0002 for protection against underground utl►py damage. Call 46 hours before you Intend to dig to receive locales of underground utilities, www.gonherslateonec tl.oro I hereby acknowledge that this Information is complete and accurate; (hat the work will be In confomtance with the ordinances and codes of the City of Eagan; 111121 111 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 leaued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. X x Applicant's Printed Name Appllcant'e Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use j Permit I City of EaEaR I Permit Fee: OC5• 35 I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: I j Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 0103 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: . t Phone: 6~sf ° Resident/ Owner Address / City / Zip: 11-01/2 Applicant is: Owner Contractor Description of work:. ILr Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: . ~AR3S ~~$~~N S'& ttVo' contact: #34, 4 ,0o~ /I,; Address: city: M.Olkj. l ~1 r Contractor 3 State: Zip: f ' g0 Phone: License ~ ? a 2- Lead Certificate //,4-7 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.gopherstateonecall.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 must be completed days of permit issuance. Applicant's Printed Name App scan Page 1 of 3