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4148 Arbor Lane Use BLUE or BLACK Ink For Office Use I I ; Permit J1o~ 9 ' I 4- I City of Eapn Y 3830 Pilot Knob Road Permit Fee: 14~~1.u I Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: Qh113 Fax: (651) 675-5694 I I Staff: _ - - - - - - - - - - - - - - - J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 5'2$' \_j Site Address: Tenant: A'yb b Y Lame Suite Resident/Owner Name:D Ph~one: Address / City / Zip: J j~E~ R" Name: Rons Mechanical Inc License Address: 1 201 0 Old Brick Yard Road City; Shakopee Contractor I State: MN Zip: 55379 Phone: 952-445-8585 t ' I Contact: Linda Email: 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 7Air 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) = $ UD.0 TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value $ x1% $55.00 Minimum Permit Fee *If the project valuation is over $1 million, please call for Surcharge $ 5.00 Surcharge* W&. 00 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.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. x ~ k mrdty x Ar%kl)v~ 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA111801 Date Issued:07/11/2013 Permit Category:ePermit Site Address: 4148 Arbor Lane Lot:016 Block: 001 Addition: Wenzel 1st PID:10-83570-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Eugene W Tiffany 4148 Arbor Lane Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 0512312014 11:26 Les Jones Roofing, Inc. I:AX)9528817009 P.0071016 Use BLUE or BLACK Ink I For Office Use ~,~-1 ^ _ - 1 Permit V City of Eap I I 7-5 Permit Fee: G 1 3830 Pilot Knob Road I 1 Eagan MN 66122 Date Received: Phone: (651) 676-5675 I 1 Fax; (651) 676-5694 I Staff; 1 I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 23 Site Address; Jw4 - 4 tgL-414c -1.tt0 Q_ ~ Unlt Name: 9o r..e AsteoQS s wc. bV'Ah*%W' hone: ~o Sl- 4 Q S- S S~~' .n Address /city/ Zip: li k ao Amok Applicant Is: Owner X Contractor Description of work K 6'at o rv6' .A,VD DGF /~pUC Construction Cost:.* 3 Multi-Family Building: (Yes x / No 74 i r Company: AE s .vc. Contact: Cmer s A7yJMS0A/ Address: ! T City: ,II-M,1/ A ' ` Stater Zip: ,~OfVZp Phone: 545.E - 76, 7 - 0?8/7 r License Lead Certificate 'V n 3 77 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, data and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sower & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Cell at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www gogherateleonecall.om 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 1 understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that ft work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. Extorlorwork authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Clfi2ld f~lUt7S0~ _ x . Applicants Printed Name Applicant's Signature Page 1 of 3