511 Classic Ct Unit B107
Use_BLUE _or BLACK Ink
For Office Use I
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City of Eap I Permit I
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3830 Pilot Knob Road Permit Fee: I?.~~~ I
Eagan MN 55122 I I
Phone: (657) 675-5675 I Date Received: f' (3 I
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Fax: (651) 675-5694 ~ I
~ Staff: _ I
d
2013 J
MECHANICAL PERMIT APPLICATION
❑ Please su it two-(2) sets of plans with all commercial applications. AL--w it5&-Ag
Date: e5 i1e lSite Address: -AY -Y a
Tenant: Suite C7
Resident/Owner Name: Phone:
Address / City / Zip:
Name:A/EE7;;L) 2rG-7
License
&ZC--
Contractor Address: ~l
State: /V/l Ziip:Phone: ~Vl c l cp
Contact: "a
New Replacement Additional Alteration Demolition
Type of Work Description of work: )AC
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- New Construction - Interior Improvement
Per Air Conditioner Install Piping Processed
rmit Type - - -
Air Exchanger _ Gas - Exterior HVAC Unit
Heat Pump Under / Above ground Tank
Install Remove)
Other
RESIDENTIAL FEES: 1
$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: VV eig
$70.00 Underground tank installationtremoval Contract Value $ s5co x 1 %
$55.00 Minimum = $ 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.gogherstateonecall.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 a proved plan in the case of work which requires a review and approval of plans.
x~ x
Applicant's Printed Name Applicant ignatur
FOR OFFICE USE
Required Inspections Reviewed By. Datei
UndergroundRough In ` Air Test Gas Service Test,; In-floor Heat Final HVAC Screening