511 Classic Ct Unit B112
Use BLUE or BLACK Ink
For Office Use
j Permit v IY2 1
City of Eap
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 I _ I~ I
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 675-5694
~ Staff: {'J" 1
2013 MECHANICAL PERMIT APPLICATION
❑ Please-su it two-(2) sets of plans with all commercial applications. --Vle ~ , Zee "6&7'g r7_011 _41/
Date: Z `Y ! Site Address: f/ C~ U cS'iC /e < ~ Al a
Tenant: Suite Z
Resident/Owner Name: Phone:
Address / City / Zip:
Name:Ajc~ 2!7G-~- C License
Contractor Address: -}/z/(J Q5l,,6L_--&z
State: Zilp: Phone: l®Vf c~ l
Contact:
Lew Replacement Additional Alteration Demolition
Type of Work Description of work: iar--Z-~~
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 ✓N w Construction _ Interior Improvement
PertllltType -Air Conditioner Install Piping -Processed
-Air Exchanger Gas _ Exterior HVAC Unit
- Heat Pump _ Under / Above ground Tank
Install Remove)
Other
RESIDENTIAL FEES: t?
$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: ,V eIAL
$70.00 Underground tank installation/removal Contract Value $ 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.nooherstateonecall.ora
r-
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.
x x
App icanrs Printed Name A cant ignature
FOR OFFICE,USE
Required Inspections Reviewed By:
Date:
lJnderground Rough In _ Air Test Gas Service Test In floor Heat Final rHVAC Screening