unit C O�t, 2. 2014 12, 05PM Crest Exterlors 651-463-8095 P, 6
� Use BLUE or BLACK Ink
� For Offlce Use v y~ I
' j Permil#: � � � j
Clty of Ea�a� � Permil Fee; —1 u �fl �
3830 Pllot Knob Roed � I
�agan MN 55122 � Dale Received; ` � �
Phone:(651)675-5675 � �
Fax:(651)875-5694 � S�aK. �
I �
`_�....�.--.___________J
2014 RESIDENTIAL BUILQING PERMIT APPLICATION
Date:�V Site Address:��1' r Unit#:
Name:CI�� n�i �� �I 1 a 1 �.'K� Phon�U►�/J�1^ C�`��/
.�R�sJilentl � C
��gr Address/Ciry/Zlp: 7 • I
�„��ti,,^��_ Applicant is: Owner Conlractor
. � P�.�'
„e�,'�?:�-1']y,� . � n
.�-.��,�a��` Descriplion of work: 1�-�� �
$;Q,� of �.
� �r^.�� ,�3�-•,.
"`�'� ' " Conslruction Cosk� � Multl•Family Building:(Ye �l No_)
.,.__..�.... ,�:_--,:- Company:l����1 CJ\�,��l)��� i Contack��.)
�:-��� �-��-��.. Address:�Z.r)t� /_ �� �Y� '� l_l ��l - City: , 1� �
'.Q�,�tr'a�tor.: " .
'' ' � � S�ate;�Zip��1"'} Phone, O��kmall:�S � ( .rr1Q����
Llcense�F:C)C�U+'}-t Or� Lead Certlflcate#:
If the project is exempt from lead certlflcation, please explain why: (see Page 3 for additlonal inFormation}
, ,
Q� (' ►` `^Q � r � — i 1 � � , C ,
COMPLET�THIS A A ONLY IF CONSTRUCTING A NEW BUILDING
In the las(12 months,has the City of Eagan issued a pemtit for a similar plan based on a master plan7
_Yes _No If yes,date and address of master plan:
�icsnsed Plumber: Phone: �
Mechanlcal Contractor; Phone:
Sewer&Water Contractor: Phone:
NOTE:P/ans a{�d supporting dqc�irr'�enfS't" � s -`i a're con�lder" 'tl:o' �'' u6lic information.,PPorHons of
�t]`ie Inforina[ion�inaytie c1�sSrf( . �if d ' s � ^ s ns�af would pBim►f'ttie'Crfy fo
' '�~ ��c °a`�' �'��i 'frade s�cr Es�
CALL BEFORE YOU DIG. Csi�Gopher Stata Ona Call al(681)464•0002 for prolecUon agalnsl underground utllity damage. Call 4B hours
beFore you Infend lo dig to receive localag of underground uUlilles. www. o herslate I r
I hereby acknowletlge lhal lhls In�ormallon Is complete and accurale;lhal lhe work wlli be In conformance�Yith lne ordlnances and codes o(lhe City of
Eagan; Iha1 I undersland lhis is not a permil, bN only an appllcallon for a permil, entl woAc Is nof lo slart withoul a permlt; Ihal lhe work tivill be i�
accordan�e wilh Ihe approvsd plan In Ihe case of work which requlres a revlew and approval oi plans,
Exteriorwerk authorized by a building pem+tt Issuad In accordance wlth the Minnesola S te Bullding Code must he complated wlthln 180
days of permit iesuance.
x�� i ���1.�� ) x
Appllcant's P�lnted Name Applic nt's Signature
Page 1 of 3
Date:
City of EaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 MAR 1 81016
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
( , Site
1 reas: 1/1/L LIAL°C
J
Te n a nt:
Suite #:
Name:
Name: °Hilbert. Company Inc dba Culligan Water
License #: WC64
376.
Address: ),;8Q1 5Qth St East
City: Inver Grove Hgts.
State:'
Mn
55077 `
Zip: Phone:
Contact: William R Milbert
651-451-224T
Email:
— New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /
TOTAL FEES $ (D , D O
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.aooherstateonecall.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. anwork is not to start without a permit; that the work will be in
,ccordan r with the approved plan in.the .cpse of wo-k which requires a review and app ival.of plans.
Water Heater
Lawn Irrigation L_ RPZ/PVB)
Septic System
New
_Abandonment
Water Softener
Add Plumbing Fixtures L_ Main / Lower Level)
Water Tumaround
xw�1�.
Applicant's Printed Name
x
r
Applicant's Signature
Use BLUE or BLACK Ink
,
For Office Use
* City of Eapil Permit#: 11-1i f
3830 Pilot Knob Road Permit Fee.
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax:(651)675-5694
Staff:_
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: ;1727- 7 Site Address:
3 /61 :5:/ ;nFe J ' 4 c_-__-
Site
Suite#:
r"--- / A/
/
Resident/Owner Name:„,,,
cr l� A//1- Phone: (,5—/-39-S /323
Address/City/Zip: 3'/G /f—;,/;e4-/J 4,14, • . . ../ _53 7,2
Name: License#: Gt�jS ,�/
Contractor Address:/ i ! //�7 f,Az� cj city: /j/e f
i� .rt °
State: ,/LL,J Zip:......).3//i Phone: UiS/'j'i c'4/S-7C1
Contact c:%.J,1 tLir� Email:C7u%�i y ler? :-.11,
New Replacement Additional Alteration Demolition
Type'of Work Description of work: .l� S 'c. ,.Y
NOTE:Roof mounted and ground mounted mechanical equipment Is required to be screened by City
Code. Please contact the Mechanical Inspector fpr information on permitted screening methods.
I RESIDENTIAL COMMERCIAL
1 X Furnace New Construction Interior Improvement
Permit Type Air Conditioner
Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
IHeat Pump I _Under/Above ground Tank ( Install/_Remove)
Other 1 `
I RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
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 •, t the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x bi>5.1/1'k/1/4•14-1042 ,S.-
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:EA178866
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 3616 St Francis Way C
Lot:004 Block: 05 Addition: St Francis Wood 4th
PID:10-65903-05-004
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Joshua Rabideaux
3616 St Francis Way Unit C
Eagan MN 55123
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature