4903 Steeplechase Ct Use BLUE or BLACK Ink
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3830 Pilot Knob Road � Permit Fee: � �
Eagan MN 55122 � I
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � I
� Staff: �
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address: ��� 3 -ST����r��`��.-- ��'
Tenant: Suite#:
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New Replacement �Additional Alteration Demolition
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Furnace New Construction Interior Improvement
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_Heat Pump Under/Above ground Tank �Install/_Remove)
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RES/DENTIAL 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, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is GREATER than$2,010, 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 permit;that the work will be in accordance
with the ap roved plan in the case of work which requires a review and approval of plans.
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ApplicanYs Printed Name Applicant's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179784
Date Issued:10/19/2022
Permit Category:ePermit
Site Address: 4903 Steeplechase Ct
Lot:2 Block: 6 Addition: Steeplechase Of Eagan
PID:10-72540-10-043
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Mary L Heuer
4903 Steeplechase Ct
Eagan MN 55122
Parkway Custom Construction Llc
1303 S Frontage Rd
Suite 199
Hastings MN 55033
(651) 480-3797
Applicant/Permitee: Signature Issued By: Signature