1843 Merlot Curve
From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (651) 675-5694 Page 23 of 269/2612013 8:24
USA BLVE gar OLACK Ink
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For 6Fffiar: Use ! i
f'errrtit 1
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I F"arrnft Pee: 1 •
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383p :Pilot Knob Rood
Eagan. M0551 1 22 ! Date Received:. I t
Phone: -(65116575-56.75 I
Fax: (651) 676-569 4 I Sisff;
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01 ''RESIDENTIAL BUILDING PERM ITAPPLICATION
Date: Li4e Address: !Unit P.
w0.s.: - _..ww
Name_ W I V` P~~
+ Phone:
Resident/ {
r
Own, r Address i Citjr I zip: F.
Applicant is Ownor Contractor
` Description of work L..rt x ~r«.n,
of Work
yp
construction dust Multi-IFamityBuild rig:'.(Yes,. j too %campany:. t~ ° ~ F I d ly . Contact: t-1` 9
Addrs±m:' -eta lda~ Gityr: C' 'City,
Contractor
t1 Zip, Phon&Y/- Cc l
t - State°
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71
Lims.se-* i 7r Lead Certificate /rVA.L - ?_9 U 3-/
'If the project is exempt frorrl lead certification, please. explain why: (see Paige 3 f6r addlHonal information)
V" 1 r
COMPLETE THIS AREA ONLY IF`+ ONSTRUCTING NE4l BUILDING
in the last 12 months, has the City of Eagan issued a permit for at similar plan based a master plan?
'Yes _ No Yves, date anti address of master plan:
Licensed Plumbec. Phone:
Mechanical Contractor: Phone.
Sawar & Water Contractor. Phone'
IV07E ,5lasis a_ d suopat:fir>g dtocurmerrts that,you submit are considered to be pubticinformation. Portions of
the Information way be classed as oon public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call GapherState One Galt at (651) 45"002i6r proter-flo t agn7nsi underg€Io+unQ utility damage. Call.48 tlours
br'fnre you intend to dig..to rei eive locates of undennound utflilie-s.
hereby ack iaMedge that this irrfp mormn is complete and accural~: tha( time work will be in conformance with the ordinances and codes of the C4 of
Fagan; that t undersland this is not a prermlit,: but only an application for a permit, and work is not 'to start ij4thau. t s permit, that the work M11 be in.
accordance with the approved plan In the case. of work vrhiah raquife~i a review and approual of plans
Exteriorwork atuthcrized bye buIilding permit I"ued, in accordarce with the tllfimasata State Building Code roust be completed within 181)
bays of permit issuanca.
Applicant's Printed Nance ,Applicant's Signatturie
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Use BLUE or BLACK Ink
I
I For Office Use
I CJL__ of Eapn ~ Permit I
I c
I Permit Fee: (1
3830 Pilot Knob Road I I
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
I I
Fax: (651) 675-5694
I Staff:
L-----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: / Suite
Resident/Owner Name: T08~`r 4"t N 5~En/ Phone: (CS I- - 7S-
Address /City /Zip: 19q3 ! ► IE&Lo- j- C( S,/i U`C &-O bA y, x
Z 00, L,&7 T 14 P~T"C__ License
Name:
Contractor Address: Z1310 7- ~&17-oN -k City: ~fC /G~~
State: Zip: .J 7a 3 Phone: Co J / ( < 7 ' 7 7 6
Contact: 0n -el Email: & clo
New Replacement Additional Alteration Demolition
~~1
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 XAir 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 or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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.
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
Use BLUE or BLACK Ink
For Office Use
Permit#: /� jd/
City of Eaall Permit Fee: /61 .a)//
3830 Pilot Knob Road
Eagan MN 55122 APR 1 2017 Date Received: -')4
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
V J
[J / 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "l/ S/ [-/ Site Address: 1%L\LI t113/ IVS-1 1%`-ti C-vA t Unit#:
Name: Phone:
Resident!
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: J?c' TZ-coo C
Construction Cost: Multi-Family Building:(Yes DC /No )
Company: ? OvvS \,(7✓15}1fvh/..6-- c Contact: vr ,)ACwt3c-
Contractor Address: )( O1.() -�r<r TLS City: CQv,k- G{1—y
State:OW\ Zip: Sc b11 Phone:(,tZ-14`1- ri g�t 1 Email: J 05111"‘S--e- PG�`:v./ 5)•
License#: ' C(.03cY11' Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.orq
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.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code m • - - within 180
days of permit issuance.
X )h,n �•tv11- .
Applicants Prints Name Applicants Signature
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