1857 Merlot Curve
From: Parsons Exteriors Inc Fax: (888) 426.9712 To Fax: +1 (651) 675-5694 Page 18 of 26912612013 8:24
Use BLUE or BLACK Ink
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Eagan N9i1! Daie Rcceived I 1 l
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Phone: (651') 675-5675
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Fax; (651) 675-6694 `t 8W, t
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of Work " DescOptlon of Work e+'
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R __.64 Construcion Cosh fAulti-Familly Dzildinrg,- Yes ~ i No
orripany: sp " ' , KContact: ~_JL
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Address: L ,74 lr 44 city-
Contractor
State INA ~j ~ Fhorie y ~ar - ~ " 70( 141 -7 1
A ' N pia S , o, sa k
License ft. Lead Certifi"to 9:
If the project is ex -not from lead certification, please explain why-*: (see Page 3 for adt itional information)
COMPLETE THIS AR A ~ ]ldl,"' IF CO F tl 'ii G.A NEW BUILDING
In the last 12 months, has the City of,Eaqan issued a permitfor a similar plan based on a :master plan?'
Y'es
_No If yes, date and address of master plan'.
Licensed lsiumber: _ phone: -
Mechanical Contractor: Phone:
Sewer & Water Contractor.. Phone..
NOTE flans and supporting dr~ctrrrtenfs that you sr~l~mit are considered to be publro information. Portions of
the Information maybe classified as non-public if you provide specific reasons that would permh the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One, tali at (651) 464-0002 for prolecticn against underground OtiliV darnaga. Call 48 hours
before you intend to diem receive locates ofuodergroundutilities-»va e~~h r , ( re 71 rfy
I hereby aevrrowledge that this ictfomaborz is cc,,rnplete and accurate; that tnewtork v?ilt bein =nformance with the ordinances arrd codes of the City of
.Eagan; that i oridemond.iryis 1s not a. permit, but only an application for a permit, and wsut4 is rv to start wiihcwz a perinit:.tnat the work MI be In
accordance with the approved plsl in 1hp case of work ivhlch requires a renew and approval Of places,
erior work authorized by a building pe rn-rt issued in accordance with the Unnesote State Saildit~g C*de must 6e cbtaiplnt&d withiP 1Bie .
dais o5 permit issuance.
Appli•craot"s Printed Name 4pplicanift signaftive
Page of 3
Use BLUE or BLACK Ink
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I For Office Use^^~~
Ol Ll~ Qll Permit I aC~ i
City
E ~
3830 Pilot Knob Road I Permit Fee: V ,
Eagan MN 55122 j I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 j Staff:
L -----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: Suite M
Resident/Owner Name: L D 2G4~- Phone:~1 Cn - 0a
Address / City / Zip: 1(~=/ ! 1QCk Loj~ CLr/2 (;67 C- 04 b A y' -
Name: &0 L.CJ T ~ k'~4C_ License
Contractor Address: ZI-310 City: E4619111
State: r)~?l y Zip: Phone: -7
l 76
Contact: ~n Email: b ! v C
New Replacement Additional Alteration Demolition
Type of Work Description of work: 4 q ('/2-
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 L- 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.
x /,I-> 4/~ &6(42 E x
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:Mechanical
Permit Number:EA123128
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 1857 Merlot Curve
Lot:102 Block: 07 Addition: Centex Vermilion
PID:10-16935-07-102
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
George A Henseler
1857 Merlot Curve
Eagan MN 55122--315
(651) 688-3020
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
`\ Use BLUE or BLACK Ink
For Office Use f
f Eaaau
41,11
City Ol Permit Fee: /(6. 4A
3830 Pilot Knob Road
Eagan MN 55122 APR 1 3 2017 Date Received: -13 '1
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
1. J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1� 17 Site Address: ► 1 k' I 1 • V ( , LA) Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Z00 F
Construction Cost: 1 Multi-Family Building:(Yes pc I No )
Company: V Cray--, COBS '1't-• c Contact: OS1-iv• S1/100.-‘
Contractor Address:\\QO"I p i�v�J 2p City: (Qi- +Cr% Cil
State:T•� Zip:-'cb12 Phone:(�I2- /99-`1146 Email: 3Ush\--N e vv-4,
License#: f p 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.gooherstateonecall.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 must be completed within 180
days of permit issuance.
X U%-N%IN c0',1-viS.—
Applicant's Printed Na
PP me nature
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