511 Classic Ct Unit B106
Use BLUE or BLACK Ink
For Office Use
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City o Permit of Ea'Ed
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3830 Pilot Knob Road Permit Fee: IT O
,Eagan MN 55122 I I
Phone: (651) 675-5675 1 Date Received: l~ I
Fax: (651) 675-5694 I / I
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Pleasesu it two.(2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite
Resident/Owner Name: Phone:
Address / City / Zip:
Name:,4t/4E7L) Z7,-Z Of/ 7~_ & ( License
Contractor Address: }/41(6 kal
State: Ziip:0~- Phone: ~y( c7 l l.~!
Contact: l l~C/ d` ~mai1: //-f-' V0.4 9 410 <57j"S ? 2 r'~Ae, - AJ
Lew Replacement Additional Alteration Demolition
Type of Work Description of work: tic- -0/i/
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 L-Wew Construction _ Interior Improvement
_ Perm it Type -Air Conditioner _ Install Piping _ Processed
- Air Exchanger _ Gas _ Exterior HVAC Unit
- Heat Pump _ Under / Above ground Tank
(-Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) I
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES: ,
$70.00 Underground tank installation/removal Contract Value $ ~-Co x 1 %
$55.00 Minimum Permit Fee
"If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge"
_ $ ZA - 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 the approved plan in the case of work which requires a~rreview and approval of plans.
x y(/ us x
Applicant's Printed Name Appli s Si re
FOR'OFFICE USE
Required Inspections: Reviewed By:, Date: t
Underground Rough In' Air Test a Gas Service Test KIn floor Heat d Final HVAC Screening''