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1928 Sapphire Pt
a 1~ ►1°~~ 1 a► I od 1101ao 11 0122, I L124 ~ Ga(~ I ~o«~ ► ~?JQ ► 3a ~3~34, I ~°I3IOpvl t~-e ~~'Use BLUE or BLACK Ink For Office qs? G ~s~ I J Tl Permit#. ' O11 T Ea Cit I J ~ (~Q111 I ~14a-1~5 i Permit Fee: I 3830 Pilot Knob Road 1 1 Eagan MN 55122 I I 1 Date Received: I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 1 Staff: ~h 1-----------------1 Ib 2013 COMMERCIAL BUILDING PERMIT APPLICATION 1a- U_j4'%k5 Date: Site Address: ~'~'t/ 1 i(lq p & -TZZ-122 3G Tenant Name: V%~ ktK (4oMl~n5 1A&S V..4 ~ar~e1 kom$(Tenant is: New/ Existing) Suite Former Tenant: r Name: D~ t!~ ftns X V k11wS ^^A ! 1O T % Efts Phone: Q53A- 4 3;L- 81 7 9 Property Owner Address / City / Zip: _p.0 (jpk J 63etnow%Ir MAJ 55-0 (o I? Applicant is: Owner Contractor Type of Work Description of work 0i c_ 04-1c- Cpy{ ~iK n+r~ S . nh Ct a~ Crr Construction Cost: b J ~ 3• i o . Name: O T cove . ('%xiZ o License 1J t- .C2 1 t a Contractor l Address 14,~p.t L koov\A-e c, a%lL City: i I~SL I"~U~~ T State: Zip: ';5_0 (69 Phone: 211-c. S- I ' 2 9 (0 Jr Contact: h{"j+ Email: ~G~t ~eJL~'tCi cd'S. Go,(1 Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: licensed plumber installing new sewer/water service: 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.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 o x Applicant's Printed N .We Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138427 Date Issued:08/25/2016 Permit Category:ePermit Site Address: 1928 Sapphire Pt Lot:107 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-04-107 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Daniel J Hardzinski 1928 Sapphire Pt Eagan MN 55122 (952) 220-2819 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use ' '''City of Eaall Permit#: /1/69/71-71(/ 3830 Pilot Knob Road Permit Fee: 60 -00 Eagan MN 55122 Phone:(651)675-5675 Date Received: Fax: (651)675-5694 Staff: 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. O Date: (I-27"/'1 Site Address: /ga8- -5 qv- »e aye Tenant: Suite#: Resident/Owner : Name: 14�a l/8tirp. Phone. „tela _a30-(0-2©5.. •I Address/City/Zip LAI-1 *Oifv‘o.V10,y,L `LLC.Q t� P a- ►�2 � ` } I Name: f �Sense#: • Address: IO2 ' 10 5i 2 6 {J Cit 1 (y�"` Contractor Y Q� i� , State: M/1) Zip: b5H O Phone: (el?-3 b 0- 9 .gp t 4 Contact; �Y�f►s 1�"y�G f.,_4ma,��.Cor^ .. .. u .._.. m Email- • 3 ' 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: I RESIDENTIAL COMMERCIAL FurnaceNew Construction Interior Improvement Permit Type _Air Conditioner Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit i. —Heat Pump —Under/Above ground Tank ( Install/_Remove) Other ! RESIDENTIAL FEES i $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge a $ TOTAL FEE COMMERCIALFEES ...... .. .� . , ... .�,��_...�� .,e,_,., ,...�,....�.� .4.,..... .,....s�� �_._.�_ .,1 Contract Value$ x.01 $60.00 Permit Fee Minimum 1 1 $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge= Contract Value x$0.0005 =$ Surcharge f the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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 rith the approved plan in the case of work which requires a review and approval of plans. 7/ u5 -l,n i.Yt c(s ��"' ��, x ipplic nt's Printed Name Appli"rt's Signature OR OFFICE USE !equiredInspections: Reviewed By: Date: Underground. Rough in ,w Air Test Gas:Service Test - —In-floor Heat Final HVAC Screening