898 Wescott Tr - Unit 212
_ _ _ Use BLUE or BLACK Ink
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For Office Use ~7 I
My l Eatan
a Permit#: of 3830 Pilot Knob Road RECEIVED Permit Fee:
Eagan MN 55122 I
Phone: (651) 675-5675 MAC 7 2014 i Date Received:
Fax: (651) 675.5694 I
L Staff:
2012 MECHANICAL PERMIT APPLICATION
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Please submit
two (2) sets of plans Gwi~th all commercial applications.
Date: 3-11-1111 - Site Address: 899 IiC~C?,C6~~ I(G~~ I 4~ ~
Tenant: Suite
RESIDENT /OWNER Name: one: 0003 34~ / _
Address / City / Zip:
Name: License
CONTRACTOR Address: n ~~('S~~•l City:
State: Zip: c) Phone: a S(p - 61
i
Contact: (V_ Email:
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 -Air Conditioner Install Piping _ Processed
_ Air Exchanger Gas Exterior HVAC Unit
- Heat Pump - Under / Above ground Tank L Install I _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) / 10
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 0 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 `5 ge
- If the Permit fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ = Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) = $>75 TOTAL FEE
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.aoohetotatsonec la Lora
I hereby acknowledge that this information is complete and accurate; that the work will be i nfo ace with the inances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work i of to s ithout a p it; that the work will be in accordance
with the approve plan i the case of work which requires a review and approval of plans.
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Applicant's Pr ame ppl" ant' Sig to
FOR OFFICE US
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink,,
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ty f E
* For Office Use
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3-,,?-711,1 ,
uioaaall
Permit tr9°
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Permit Fee: /‘6 (t___
3830 Pilot Knob Road
1.14
Eagan MN 55122 Date Received.
Phone:(651)675-5675
V"itituill
Fax:(651)675-5694 Staff:
Cti
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION / () / Gt2-- -D .Q,
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Date: i $,---'11 Site Address: .' /,..i. ,, -,,, .i,,.„, ,,,,, Unit ff:
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Name: f,J iC1;., 0 1 i !: _;- 1 ,Ji..A1 1 (0 1 rk-- ‘i• : ;E i I L.,- Phone: _
t: ,,,, ">„/-,,,,>
' ) 1 -Resident/
Owner ; Address/City i Zip: //
.__ZIPECO,e1('
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Applicant is Owner Y\ Contractor . 1/ 37 ,
I ' Description of work:
Type of Work t
,
: 1 t'5 t -f -, CC
Construction Cost: ..._ )l•-,,, ,._/'_„. ./ , Multi-Family Building:(Yes ,..>:,%, /No )
l Company: -::), hA ' ,, Ci ....-.)--th.. tc LILA )
i Address::r;,2,-C-C, I--l.,„,,Wilii"XL/1(..14i -'.: (.-. 2:- r 1-;t•-`city: r ,i 4,..,41./X) ,II
Contact: i 'L 1 , L,(,..ii ,,, -1
Contractor -
..
1 t State: - t'-,)Zip: l---Ti-;1.)(i- ''"'C't Phone: I/„,l,„ ' Email: 1,;) ,t„,,„"„ 14I„(_,l"I 1,1 ,(:,,c,&- k.,1-3(.0:V,1171,(Ph.,1 1
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License it: I'''''i Lead Certificate#: p,,,,J
If the project is exempt from lead certification, please explain why:
1
1
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:
, 1
Licensed Plumber: Phone:
k
!
Mechanical Contractor: Phone: I
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.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 vvith 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.
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X i f',.1 A i i(-AA t ''' - .
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Applicant's Printed Name Applicant's Signature
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