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1996 Jan Echo Tr Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - j I For Office Use t Permit#: Ila t I Permit Fee: CRY of Eav i I 3830 Pilot Knob Road s I Eagan MN 55122 l Date Received: It Phone- (651)675-5675 _ t I Staff: Fax: (651) 675-5694 l I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date:" Site Address r' r f r_ ' Unit Name: a, Phone: n.?d~l B~ i Resident/ ' 1k r Owner Address /City / Zip: 21 Applicant is: Owner Contractor T Of Work Description of work:- t _ Ype ) Construction Cost: e-- 7 Multi-Family Building: (Yes X" /No y t c i f te'' 1 ` Company: Ca t S } b 3 ~r ' 1 NriA)/ £ Contact: l36 ~ r4t lr I AddresszlyaSWk"MfA 5t OF, -City: c Contractor J ~ _ Zip: _j:5: Phone' Cj State: ;Z ' r License#: 2 ' Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) : t 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? I Yes -No If yes, date and address of master plan: i Licensed Plumber: Phone: Mechanical Contractor: Phone:, Sewer & Water 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 YOO DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig Lu recoivu locates of underground utilities. www.ciophers%teonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota Stato, Building Code must be Correpletted within 180 days of permit issuance. i Applicant's Printed Name Applicant's Signature Page 1 of 3 l lik) lJ g/~F / lq \1 ~ ~ r I ~~V o Ea a ; Permit I R I cD J I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: ; Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~j dV- h Site Address: i 4 c7 ' /q c y e Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: T)L' ~©f 12 Construction! Cost: Multi-Family Building: (Yes° / No CONTRACTOR Name: e) )c C6-9 License Address: 2 f ~l -5'6GH71; 2-lel " 5e-., le 2Y,-) City: _&40e"go, State: //-1// Z/ip: Phone: ~P12- c"/,~ 12,0 Contact Person: /7/ lyf •sC~e_ CO PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted 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: 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 the are trade. secrets. 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 ^ccordance with the approved plan in the case of work which requires a review and approval of plans. App it cant's Printed Name Applicant's Signature Page 1 of 3 � t�r�.� vi�-� �c�� � 7 Use BLUE or BLACK Ink ---------, � For Office Use � C�ty of����� �V���� i Permit#: �a'7`' 9'7�� j � / I � Permit Fee: CO�� � � 3830 Pilot Knob Road � Eagan MN 55122 .IUL 15 2014 i Phone:(651)675-5675 � Date Received: �— /.�j ^'/�-�. Fax:(651j675-5694 � � �Y' � staff: j �����������������J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: JI I�I I � �"1 Site Address: 1 ��;LQ V� �C:� (`� � ��(-� � Tenant: � Suite#: i�'l �•�� ' ��S I � ��7 �-�.�� ResidentlOwner. Name:__ 4 � Phone: � � Address/City/Zip: _ � � � � ��� Name: �> � � �- License#: � � � � ���� Contractor Address:_��U� \�.Q_.i�{�1`1�� �� � 4�l ST city: ��:,�C��C►� � �7 State: �4�� Zip: ���/�Phone: �.Q� { ' y ��" ���� Contact: {'� Email: 11 f� � Cl�.kt�C.�lr �(>j'� _New �Replacement _Additional _Alteration Demolition � Type of 1NQEk :� �� Description of work: �<� ���� � � NOTE Roo�mounted and ground mountetl mechan�cal equipmentis:�e4wred to be screened by City, Code �lease contact the Mechanical Inspector forinformation on perm�ttetl screening methods. ` RESIDENTIAL COMMERCIAL _Furnace _New Construction _Interior Improvement � �Air Conditioner Install Pi m Processed Permit Type , — p s _ _Air Exchanger _Gas _Exterior HVAC Unit i _Heat Pump Under/Above round Tank ' _ g (_Install/_Remove) Other RESIDENTIAL FEES $60.OQ Minimum Add or a{teratian to an existing unit(inciudes$5.00 State Surcharge) �v $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 � ` �: V1 x ApplicanYs Print d Name ApplicanYs Signatur � �.,�.� N:.. .�.,�<,���.��_r..�, . 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