Loading...
3785 Red Robin Lane- 3-1.161( 31cat:31e,C \Zeck 'R-cAgin Use BLUE or BLACK ink ofCit Ea ail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 L For Office Use Permit #: Permit Fee: 1 aa• Date Received: Staff 231?) 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 ...24/ /3 Site Address: 37 751 3 -7 71 -3 "Vii 3)85 Rd '5442;;, 4rtacvnit #: Name: Phone: Address / City / Zip: Applicant is: Owner Description of work: CCro c 4 tok e' Construction Cost: 51 1 5 0 Mufti -Family Building: (Yes Company: SC—Nolo ce.), Address: 6°C-)P.Jt ContacrreJ o°- r I City: (4; 4oNE-4rtio‘lLe. State: ni Al Zip: )3.--13 Phone: 1352 q s- 9-9cfc) License #:-.6C- tit" 5,4 5 ead Certificate #: A) 0..."‘OM) ( f the project is exempt from lead certification, please explain why: (see Page 3 for additional information) iffrff. L11J 4-- c4,4‘kVe.-. 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: Phone: Sewer & Water Contractor: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call48 hours before you intend to dig to receive locates of underground utilities. 14-ww:99oherstatconecall or 1 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. xTTokr,-1. I --6( Applicant's Printed Name Applicant's Signature x Page 1 of 3 *City otbin 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB 2 9 2016 Use BLUE or BLACK Ink For Office Use Permit #: `� Permit Fee: (i: Date Received: Staff: L 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with1all commercialrapplications.�n Date: Zt 1 D 1 1U Site Address: ,�i�"J Qtd cLOv\'(� t�Q.�ii Ca1� ►`iI" 5t 0,2 Suite #: Name: S (xt \—\k\(\\ Phone: " ;0 - 11 \ Address / City / Zip: Yj ic) V & V.O\o i /'1..ctned Yl . 11/I N 5 12.2 Name: P 1 `(ce�V) License #: Address: 4\ 0 % \ \ (Aa lrnL ► 1V ei City: $0utIel State: NAN Zip: bb."" Phone: Lo S 1- 2JL.1 -G°I5 Contact: Sara,\r\ Email: Sa ct ke d LO -b r tVtU a I Corn New )( Replacement c Additional Alteration Demolition Description of work: ?('twa,Q l' (AY 1 C{ C � RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ (j O , 0 () TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ _ $ Permit Fee = $ Surcharge TOTAL FEE x .01 =$ 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 ScC Y1 ?A0C44 Applicant's Printed Name FOR OFFIC Required Ins Underg Appli o✓kGI.F,1 s Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159672 Date Issued:01/08/2020 Permit Category:ePermit Site Address: 3785 Red Robin Lane Lot:4 Block: 16 Addition: Town View 1st PID:10-77100-16-040 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Sue A Littrell 3785 Red Robin Lane Eagan MN 55122 (612) 730-9171 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159673 Date Issued:01/08/2020 Permit Category:ePermit Site Address: 3785 Red Robin Lane Lot:4 Block: 16 Addition: Town View 1st PID:10-77100-16-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Sue A Littrell 3785 Red Robin Lane Eagan MN 55122 (612) 730-9171 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature