3563 Blue Jay Way Unit 206PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107525
Date Issued:10/16/2012
Permit Category:ePermit
Site Address: 3563 Blue Jay Way 206
Lot:207 Block: 04 Addition: Lexington Place 2nd
PID:10-45051-04-207
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Valuation: 1,500.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Jill L Johnson
3563 Blue Jay Way Unit 206
Eagan MN 55123--226
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
gyp. ~v~ 35~~32=
Use BLUE or BLACK Ink
For Office Use I
I
City of Eapn I Permit
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I I
Phone: (651) 675-5675 1 Date Received:
Fax: (651) 675-5694 Staff: I
T
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 13 Sit Address: ! ~V
Tenant: so Suite
Resident/Owner Name: so VA Phone: if Address / City / Zip: 3C ✓U k:Y--
Name: On y o('.(l License U-1.- 26S-4
Contractor Address: 19 p-vm i I I lar coy City: 46('*1' nn 151
State: ~J,4 Zip: Phone: (0,51- 4"31- 9 2.. ah X 2,2
Contact: Email: YL(.U►~~}~c l`. o16''oLwoL.iY. CO1
New Replacement Additional Alteration Demolition
Type of Work Description of work:
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 L_ Install Remove)
Other
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 project valuation is over $1 million, please call for Surcharge 5.00 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.ciooherstateonecall.orci
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 plank in the case of work which requires a review and approval of plans.
x K-L tr vl 1 in ~ ~ t C pot ►yS c*-) x ' N
Applicant's P nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening