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3100 Alden Pond Lane 4 4 0 9 %"l r r Request Date Fire No. Rough-in Inspection Requir . ❑ Ready Now &VVAI'1Qotify Inspector S •J 1 es ❑ No When Ready? I icensed contractor ❑ owner hereby request inspection of above electrical work at: i Job Address (Street, Box or Route No.) ~ City Section No. Township Name or No. Range No. County d II Occupant (P~IN'I) / Phone No. 14 /a L Power Supplier ~ Address /Cd$ I,3_-zP6>0 Elect Contractor (Com ray Name) Contractor's License No. 0 2-- Mailing Address (Contract or Owner Making Installation) A razed 'nature (Contractor/Owner Making Insta lion) Phone Number t ems- 7-Y 7 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 40809 Request Date Fire No. Rough-in Inspection p^ Requir ❑ Ready Now fIQotiy Inspector rS !J Re ❑ No When Ready? I icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) city Section No. Township Name or No. Range No. Count Occupant (P NT) Phone No. Power Supplier Address Elect At Contractor (Com any Name) Contractor's License No. 0 Mailing Address (Contract r Owner Making Installation) A rrzed ~ ature (Making Insfa tion) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Building #17 6 Units 3100 Alden Pond Lane 3102 3104 3106 3108 3110 n SEftR &_WATER PERMIT ~ OFFICE USE ONLY MY OP EAGAN 10/1.1/89 3830 Pilot Knob Rd. PERMIT DATE P.O. ~ l Knob WATER PERMIT # 11017 SEWER PERMIT # METER # Q B.P. RECEIPT # Eagan, MN 55121 QEA11r.,~ sd S L E~. RECEIPT DATE 10/4 89 METER SIZE S&W RECEIPT #04089 ISSUE DATE - PRV BOOSTER PUMP r SITE ADDRESS 3100 Alden Pond Lane PERMIT REQUESTED LOT 17 BLOCK 1 SEC/SUB APPLICANT: Rosewood Construction, Inc -',E)NER DER TAPS ADDRESS 1711 W County Rd. 8 COMM/IND tf__RE~SIDENTIAL CITY, STATE Roseville, MN Zip 55113 PHONE: 631-3254 EW - EXISTING PLUMBER: Major Mechanical ADDRESS: 10650 Hig1way 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE Maple Grove, MN ZIP 55369` EAGAN ORDINANCES: PHONE: 424-6680 OWNER: 2770 Limited Partnesbi ADDRESS: 1711 W 'C imt,y Rd_ R SI ATURE WHEN METE D CITY, STATE Roseville, MN ZIP 55113 PHONE: 636-8050 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING.. FOR STORM SEWER PERMITS, NT /CT ENGI `SEWER &.1NATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 10/1-1/89. 3830 Pilot Knob Rd. WATER PERMIT # 11017 SEWER PERMIT # P.O. Box 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # 10. RECEIPT DATE 1014 89` METER SIZE S&W REC: -IPi x4089 ISSUE DATE _ PRV _ BOOSTER PUMP i SITE ADDRESS '1 ` 0 PERMIT REQUESTED LOT L BLOCK G SEC/SUB APPLICANT: sewood Construct on* Irc.. ~SEWER -dVATER' -TAPS ADDRESS: 71.E K, County Rd. B COMM/IND RESIDENTIAL CITY, STATE ZIP PHONE: -31 7254 ~ NEW EXISTING PLUMBER: sj~}r - ch icat ADDRESS: L"650 t''iEfiy y 15? `I AGREE TO COMPLY WITH CITY OF CITY, STATE K 1 P rfrO ve - ZIP 9 EAGAN ORDINANCES: PHONE: 9 i~tiC3 OWNER: 2210' Limited P.-vrim.,xi-shin ADDRESS: 171_ : L `.'punty Rd.. 9 SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER &,WATER PERMIT OFFICE USE ONLY CITY bti EAGAN 10/11/89 PERMIT DAT, 8830 Pilot Knob Rd. WATER PERMIT ` 018 SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Eagan, MN 55121 R # B~ S'3c1 M)P. RECEIPT DATE 10/4/89 METER SIZE S&W RECEIPT #04089 ISSUE DATE r PRV - BOOSTER PUMP SITE ADDRESS- 3 ? en Pond Lrano PERMIT REQUESTED LOT 17 BLOCK I SEC/SUB ~A) _~"WATER TAPS APPLICANT: ,P.-QSayaAd G~t3~S1;c'~ien3-1nc WER ADDRESS: 1711 W, County Rd, 13 COMM/IND ~ RESIDENTIAL CITY, STATE Roseville, MN' ZIP 55113 PHONE: 631•-3254 -W EXISTING PLUMBER:-- Major Mechanical ADDRESS: 10650 Highway 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE Maple Grove, IIN ZIP 5-5169 EAGAN ORDINANCES: PHONE: 424-6680 OWNER: 2220 Limited Partnership ADDRESS: 1711 w, County R-1. 3 SIGNATURE WHEN METERASI~D CITY, STATE '~oseville., AM ZIP 5511.: PHONE: r.Y4 r PLEASE ALLOW TWO WORKING DAYS FOR PRO FOR STORM SEWE~R~ PMITS, CONTACT ENGIN% GDP SEWER &.aIVATER PERMIT OFFICE USE ONLY CITY OF EAGAN PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # AR. RECEIPT DATE k METER SIZE S&& RECEIPT '"C CAC 9 ISSUE DATE - PRV - BOOSTER PUMP x SITE ADDRESS ~ddpr: P'?m La e PERMIT REQUESTED LOT 17 BLOCK I SEC/SUB "`SEWER ? MATER TAPS APPLICANT ' recacmn ;~s 5 7~A3E 1~1 TnC ADDRESS: 171.1 W rrmnty %j. 'R COMM/IND =`RESIDENTIAL CITY, STATE 'Osevi 11 p ZIP P 1.1 PHONE: 651--3154 -NEW -`EXISTING PLUMBER: Maior r,!echaidcal ! ADDRESS: 1.0650 H:g?1wa.y 1S2 1 AGREE TO COMPLY WITH CITY OF t'iE!31e rrsup,i EAGAN ORDINANCES: CITY, STATE ZIP PHONE: 12 4 -F,5fi l OWNER 2120 Li .rafted Partriers1l ADDRESS: 1711 w'. i;o"nty Rd,- P SIGNATURE WHEN METER ISSUED f CITY, STATE Rosevi i le . I ZIP S';21.:a PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. I SEWER &ANATER PERMIT OFFICE USE ONLY CIW bF E9AGAN 10/11/89 3$$83U Pilot Knob Rd. PERMIT DATE 3 Pilot Knob WATER PERMIT # SEWER PERMIT # P.O. Box Ea an, MN 559 METER B.P. RECEIPT # g M RECEIPT DATE 1014189 _METER SIZE S&W RECEIPT tC4089 ISSUE DATE - PRV BOOSTER PUMP SITE ADDRESS 3104 71den Pond Lane PERMIT REQUESTED J C)•rl f r. LOT 17 BLOCK 1 SEC/SUB ' A) ATER -TAPS APPLICANT; _ Ras vnnd Construction, Inc. {''SEWER ~ ADDRESS: 1711 W. County Rd. B COMM/IND 4,- SIDENTIAL CITY, STATE Roseville ""N ZIP 5511.3 PHONE: 631--5254 i4EW EXISTING PLUMBER: Ma i nr `9ech nn i C81 ADDRESS; 10) 50 Highway 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE Maple Grove, NIN ZIP 55369 EAGAN ORDINANCES: PHONE: E24-'6680 . OWNER: -'220 limited P2rtnershii) ADDRESS: 1.711 'f~, Cocmty Ftd. B SIGNATURE WHEN METER . SD CITY, STATE Roseville, P'~I ZIP 5S 3.13 636 Soso PHONE. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT x ry ? t SEWER &*ATER PERMIT OFFICE USE ONLY CITY"OF EAGAN l t'> 3 I / s PERMIT DATE r 3830 Pilot Knob Rd. WATER PERMIT # , SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # 133.#. RECEIPT DATE _ 10/41 9 I METER SIZE S& Rr VEI PT #-.4039 ISSUE DATE - PRV BOOSTER PUMP SITE ADDRESS 3'04 'd 22 Ond PERMIT REQUESTED LOT -67 BLOCK SEC/SUB f ;fil j - SEWER L-"1VATER -TAPS APPLICANT: Rosewood Construction. Inc ADDRESS: / Coy Rd, h _ COMM/IND RESIDENTIAL CITY, STATE .1cse'Y .Ale, MN Zip ""°1.13 PHONE: 2 -:525 _4,.,~,NEW EXISTING i PLUMBER: 1-la j nr Meehani pa l ADDRESS: IA50 Highway 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE rf-*-3€' €rove ; x ZIP - 577,69 EAGAN ORDINANCES: PHONE: 424 -t5h'=sf OWNER: "12"'o Limited 28".tners` p ADDRESS 1711 V'. County Rd R SIGNATURE WHEN METER ISSUED CITY, STATE ?rrSGVZ?.1 ZIP 14 PHONE: e; i PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . n {--.tee'- ,a `f 3 _ -cup SEWER &WATER PERMIT OFFICES o CI*1D0 tAGAN Popl?Vh4 PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # 11020 SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Eagan, MN 55121 - / ~~•S' XV RECEIPT DATE _10/4/8g METER SIZE S&W RECEIPT #04089 ISSUE DATE PRV BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED _37Q6 Aldpn Pond To, LOT7ZBLOCK 1-SEC/SUB Mae I 1lSEWER 1~'WATER TAPS APPLICANT: Rosewood Cons ruction Inc ADDRESS: 1711 W. COtIIlty Rd. 8 -COMM/IND PRESIDENTIAL CITY, STATE Roseville, MN ZIP 55113 PHONE: 631-3254 NEW EXISTING PLUMBER: -Ma j nr Mechanical ADDRESS 1065b Highway 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE Maple Grove. MN ZIP 55369 EAGAN ORDINANCES: PHONE: 424 -6680 OWNER: 2229 Limited Partnership ADDRESS: 1711 W_ F.ount•v Rd. B SIGNATURE WHEN METER D CITY, STATE Roseville, MN ZIP 55113 PHONE: 636-8050 PLEASE ALLOW TWO WORKING DAYS FOR PROC SIN . FOR STORM SEWER PERMITS, CONTACT ENGIN RING D PT. OF EAGANR PERMIT OFFICE_ StNX CISETWER 0 PIIOt Knob Rd. PERMIT DATE 383 11Q20 383 BOX Knob WATER PERMIT # SEWER PERMIT # 21199 Eagan, MN 55121 METER # B.P. RECEIPT # 9 READER # &V. RECEIPT DATE 10/4/8 ° METER SIZE S&W RECEIPT *C4089 ISSUE DATE - PRV BOOSTER PUMP SITE ADDRESS 3106 Aldan Pond T ~2`E3 PERMIT REQUESTED LOT 17 BLOCK SEC/SUB 41h~:- lu 4 c. tF APPLICANT: Rosewood. Construction, Inc, -SEWER .WATER -TAPS ADDRESS: 1711 W• County Rd. COMMffND ^'"k kENTIAL Roseville, CITY, STATE ~IN ZIP 551=' PHONE: 631,3254 sue'` EW EXISTING PLUMBER: Major Mechanical ADDRESS: 1!1650 Highway 153 1 AGREE TO COMPLY WITH CITY OF CITY, STATE h'anle (3rove, ~ !~N. ZIP 55369 EAGAN ORDINANCES: PHONE: 424-6680 OWNER: 22?Q LiMitAd PgrtnarShi s ADDRESS: 1:711 W_ Eounty tad: i3 SIGNATURE WHEN METER ISSUED CITY, STATE I'oseviile t*W ZIP 5511 PHONE: f,,"i_ X050 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER &pWATER PERMIT OFFICE USE ONLY CI'Rlf'OF EAGAN 10 / 11; 89 PERMIT DATE li 3830 Pilot Knob Rd. WATER PERMIT * 11021 SEWER PERMIT # P.O.. BOX 21199 METER #,Z 72 r-6 B.P. RECEIPT # - Eagan, MN 55121 - - - 074799 RECEIPT DATE: _ METER SIZE S&W receipt 4`-,4089 ISSUE DATE - PRV BOOSTER PUMP SITE ADDRESS 3108 'Alden Pond Lane PERMIT REOUESTED LOT 17 BLOCK I SEC/SUB APPLICANT:, Rasawnnd ConatrurtiQ~T~, ~ER -L.--WATER TAPS ADDRESS: 171E West County Rd 8 _ COMM/IND i"""ESIDENTIAL CITY, STATE Roseville. MN ZIP 55113 PHONE: 631-3254 EXISTING PLUMBER: Major Mechanical ADDRESS: 1 PASO Highway 15 1 AGREE TO COMPLY WITHL CITY OF CITY, STATE X21_0 G7C ve , MN ZIP -S-S369 EAGAN ORDINANCES: PHONE: 424-6680 OWNER: 2220 limited Raip - ADDRESS: 1711 W.' County Rd. B- SIGNATURE WHEN METER U CITY, STATE Rloseville, M3 ZIP 55113 PHONE: 636_.8050 PLEASE ALLOW TWO WORKING DAYS FOR PROCgSSING."FOR STORM SEWER PERMITS, COi ENGINEERING D PT. SEWER & WATER PERMIT OFFICE USE ONLY CITY'OF EAGAN 10/ 1411 W`?9 3830 Pilot Knob Rd. PERMIT DATE _ WATER PERMIT 1 SEWER PERMIT # P.O. BOX 21199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # 1'. RECEIPT DATE (7I ' METER SIZE S&W receipt K:411£39 ISSUE DATE - PRV - BOOSTER PUMP e SITE ADDRESS "-108 Al 'en PE'. Lane PERMIT REQUESTED { LOT' BLOCK SEC/SUB -SEWER -WATER - TAPS APPLICANT: trr~ Sri fnr,<2 rsa .t 'i r: 7r ADDRESS: 1211 Nest Four y Rd. ~ ""CITY, STATE 0sey,1.twe' A.41i ZIP x51,1 COMM/IND RESIDENTIAL PHONE: EXISTING PLUMBER: '+;srch~nCa l ADDRESS: f)Fsn Tli ghway 15 1 AGREE TO COMPLY WITH CITY OF 3 CITY, STATE m nle f;rnve - k d - ZIP ss' bti EAGAN ORDINANCES: PHONE: 4--Ei6?Q OWNER: 'Limited-RaTineraLi a ADDRESS: i- ~'11 t4 • Co~~ty ci, u SIGNATURE WHEN METER ISSUED CITY, STATE tasvi l l ,r T ZIP PHONE: f;;?+S.f? (1 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEW R &vWATER PERMIT OFFICE USE ONLY CI OF.eAGAN la/1] /89 PERMIT DATE 3830 Pilot Knob Rd. WATER PERMIT # 110 SEWER PERMIT # _ P.O. BOX 21199 METER #&I-7-4-7 B.P. RECEIPT # - Eagan, MN 55121 R #OZ~e ;7 RECEIPT DATE 10/419 METER SIZE ck S8c5? RECEIiT #,,34089 ISSUE DATE L PRV BOOSTER PUMP SITE ADDRESS 3)10 Aden Pond Zane PERMIT REQUESTED LOT * 7 BLOCK SEC/SUB A) Rosewood CanstruGtion Inc _~t S WER WATER _ TAPS APPLICANT: ADDRESS: 1711 W. County Rd. B COMM/IND 'RESIDENTIAL CITY, STATE Roseville, MN ZIP 55113 PHONE: 631-3254 _ W EXISTING PLUMBER: Major MEchanical ADDRESS: 106501 Highway 152 ` - 1 AGREE TO COMPLY WITH CITY OF CITY, STATE ^iaple Grove, MN Zip 55369 EAGAN ORDINANCES: PHONE: 424--668 OWNER: 2220 Limited Partnership ADDRESS: 1711 . County Rd. B SIGNATURE WHEN METER s3UED r/ CITY, STATE Roseville. r,24 ZIP }S 1 17 PHONE: 536-8050 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONT CT ENGINEERING DEPT. ` SENDER &WATER PERMIT OFFICE USE ONLY CITYOF EAGAN PERMIT DATA'' 3830 Pilot Knob Rd. WATER PERMIT # SEWER PERMIT # P.O. BOX 21 199 METER # B.P. RECEIPT # Eagan, MN 55121 READER # &`c1'. RECEIPT DATE METER SIZE ,:Ssr*;:1zT ;l~Ca3`3 ISSUE DATE PRV- BOOSTER PUMP t SITE ADDRESS 3-211 ' Pond La,,e PERMIT REQUESTED LOT 12 BLOCK -'SEC/SUB SEWER i GVATER TAPS APPLICANT: Uac ADDRESS: t a'xztt~"~` -COMM/IND -RESIDENTIAL CITY, STATE 'C3Q~'Vl ZIP ,L PHONE: NEW EXISTING PLUMBER: #i3 t)Y' ~;r~,aracal ADDRESS: 106 '141k'° way 152 1 AGREE TO COMPLY WITH CITY OF CITY, STATE `'`Tf1tiJ~'' ZIP``' EAGAN ORDINANCES: PHONE: a2 OWNER: -`22:` Limited Partnership ADDRESS: 1711 r1• Cotmty P.d• 8 SIGNATURE WHEN METER ISSUED CITY, STATE ZIP ! 1. PHONE`.. 630 30 ,19 PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. II CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122/ DATE f 19 V 1 aecFREIVEO OM ~ c 0-?t _ ' lG 2 L f j AMOUNT I's \06 & DOLLARS ❑ CASH CHECK '00 d- 7 / / FUND OBJECT AMOUNT Thank You BY C a White-Payers Copy 0 Yellow-Posting Copy Pink-File Copy CITY OF EAGAN - 1 amt 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for fig-PLEX Est. Value $242#0W Date 13 "CH 19 Site Address 3100 - 3110 AUM POND LN Lot 1 Z Block 1 Sec/Sub. BEN POND OFFICE USE ONLY Parcel No. Occupancy R-1 ?"t--1 FEES Zoning i--3 W Name 2220 (Actual) Const V`1 1tItW Bldg. Permit 1.137.00 Address- ' > C? 11FM ST SUITE 705 V-1 11R (Allowable) 121,E 00 341--019 - Surcharge CRY - Phone # of Stories p Name WS t~iSTRUCTI-! IFIG Depth 1g2 Plan SAC, Review i30•0 1'711 W COUI~'C'Y RDAD $M6 City 60000 Address; S.F.Total 800.00 SAC, MCWCC ~ city flSVILL Phone 831W-32.'54 S.F. Footprints 6t328 On Site Sewage Water Conn 3,750.00 Ujw Name ALtt~Il NTALs AnRITECTURE, INC On Sile,Well • W Water Meter Address 6860 514INOLE CREEK MWY MWCC System 00 - aW City BROOKLYN CENT 'hone 561-5757 City Water XX Acct. Deposit PRV Required S/W Permit hereby acknowlege that I have read this appli o and state that the Booster Pump S/W Surcharge information is correct and agree to comply 1 1 pplicable State of Minnesota Statutes and City oah'Cdir ns.., Treatment P,f Signature of Permitee APPROVALS Road Unit 2,130.00 A Building Permit is issued to: ROSE VW6+ CONSTR ' 1 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 14 " Variance TOTAL ~ 129.00 Building Official Permit No. Permit Holder Date Telephone # WATER tEWER PLUMBING y-` G H.V.A.C.~~~ j -7V ELECTRIC 0 Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. ",3 Const. Meter Plbg. Inspector- Notify Plumber Er ~ r./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT{ RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: /-J; PHONE: 454-8100 For Office Use Only: Site Address::., 66,)i A Z BLDG. TYPE WORK DESCRIPTION Lot Block , Sec/Sub R New Mult Add-on Name en M In Comm. Repair Address Other -Y c City HEATIN & Phone IV 8910 VVEK- FEES Name x✓ 1~'~' a. ' F RES. HVAC 0-100 M BTU -$24.00 c Address L-.,Z> Ai ,G' ADDITIONAL 50 M BTU 6.00 p City -lam Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air " M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater _ M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # t BEYOND $1,000) Other FEE: ty ` :4%7jtc 16 SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 454-8100, ' DATE: BLDG. TYPE WORK DESCRIPTION Site Address ht4a Lot Block Sec/Sub Res. New, Mult. Add-on Name Comm. Repair Other Address , c City - Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ -Ad C LD Name Bath Tubs - $3.00 Address t~j~~ r Lavatory - $3.00 City ' phone . Shower - $3.00 Kitchen Sink - $3.00 oc Urinal/Bidet - $3.00 FEES Laundry Tray - $3.00 OC COMM./IND. FEE - 1% OF CONTRACT FEE t: Floor Drains - $1.50 .,a- Water Heater - $1.50 c APT. BLDGS. - COMM. RATE APPLIES _j TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00 MINIMUM - RESIDENTIAL FEE $12.00 I T~ Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 s Rough Openings - $1.50 SIGN TUBE OF P MITT E PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: X17 FQUNDA !ON ONLY d~ cr% (9Y DRESS 3100 - 3110 ALDEN POND LN Unit # Permit 1769 AD L 17 B 1 Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS 3100 ALDEN POND LN Unit # permit # 17589 i ALDEN POND L 17 B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS e. /o ~?o 112 SITE ADDRESS 3108 ALDEN POND LN Unit # Permit # 17589 L 17 B 1 Sect./Sub ALDEN POND . INSPECTION INSPECTOR DATE COMMENTS ~I "~Q r o a .tee r-P' ~C g c ' f Sul D S ~1-!3d ,0 3~a SITE ADDRESS 3104 ALDEN POND LN Unit # Permit # (7589 L 17 B 1 Sect./Sub. A L D E N POND INSPECTION INSPECTOR DATE COMMENTS b ys-~a 3o7 ~l/ SITE ADDRESS 3406 ALDEN POND LN Unit # Permit #Tf9 L 17 B 1 Sect./Sub. ALDEN POND INSPECTION INSPECTOR DATE COMMENTS i~ t"- I n5"v k~ 3 6 SITE ADDRESS 3102 ALDEN POND LN Unit # Permit # 17-589 L 17 B 1 Sect./Sub. ALDEN POND INSPECTION INSPECTOR DATE COMMENTS -Tel to - d' tC 6( `r nr 3 SITE ADDRESS 3110 ALDEN POND LN Unit # Permit # 17589 L 17 B 1 Sect./Sub. ALDEN POND INSPECTION INSPECTOR DATE COMMENTS TOWNHOUSE RENTAL UNITS CITY OF EAGAN , NO 17589 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MNx55121 PHONE: 454-8100 N ( BUILDING PERMIT Receipt # _ ' To be used for 6-PLEX Est. Value $242,000 Date MARCH 8 , 1940 Site Address 3100 - 3110 ALDEN POND LN Lot 17 Block 1 Sec/Sub. ALDEN POND OFFICE USE ONLY Parcel No. Occupancy R-1 M-1 FEES Zoning R-3 W Name 2220 LIMITED PARTNERSHIP (Actual) Const V-1 HR : Bldg. Permit 1,137- n0 3 Address 105 S FIFTH ST SUITE 705 (Allowable) V-1 HR 121:00 e City MPLS Phone,. 341-0190 # of Stories 2 Surcharge Length 148' Plan Review 739.00 c Name ROSEWOOD CONSTRUCTION INC Depth 2' SAC, city 600-n0 ` 0a Address 1711W COUNTY ROAD B S.F. Total 8,776 SAC, MCWCC 3, 600.00 631-3254 Footprints 6, 28 City ROSEVILLE Phone On On Site Sewage Water Conn 3,750. 00 W Name BLUMENTALS ARCHITECTURE, INC on site Well 540.00 ww Water Meter Address 6860 SHINGLE CREEK PKWY MWCC System XX <W City BROOKLYN CENTElPhone 561-5757 City Water XX Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this appli and state that the Booster Pump S/W Surcharge information is correct and agree to comply w' 11 pplicable State of 1,512. 00 Minnesota Statutes and City o . g rdi es. Treatment PI Signature of Permitee APPROVALS Road Unit 2, 130.00 ROSEW00 Planner A Building Permit is issued to: CONSTRUCTION Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and C~ ity of Eagan Ordinances. Bldg. Off. Copies - oB.[~_a 1 Variance TOTAL 14,129. n0 Building Official L1 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 11994 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. ~ ~i 0 M, MULTIPLE DWELLINGS RENTAL UNITS -t3' FOR SALE UNITS 0 # OF UNITS 40INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS En DEC To Be Used For: Townhouses Valuation: sue'- Date: December 20, 1988 Site Address 0 amgh Amk ZyZ 000 OFFICE USE ONLY Lot 1- Block - x Occupancy - 1 FEES Zoning Parcel/Sub Alden Pond Actual Const V I IIR Bldg. Permit 03(0 I13r? Allowable V- I H k Surcharge 1 I?-) ; Owner 2220 Limited Partnership # of stories Z Plan Review 1 739 Length 4 SAC, City 0 (000 Address 105 So. 5th St., Suite 705 Depth SAC, MWCC D 3600 S.F. Total Water Conn a 3950 City/Zip Code Minneapolis, MN 55402 Footprint S.F.(O 2 Water Meter y0 Acct. Deposit Phone (612) 341-0190 On site sewage S/W Permit On site well S/W Surcharge Contractor Rosewood Construction, Inc MWCC System v Treatment Pl. ( 15~ City water t/ Road Unit 2 213 Address 1711 w. Countu Road B PRV required Park Ded. Booster Pump Copies City/Zip Code Roseville, MN 55113 TOTAL APPROVALS 141L9 Phone (612) 631-3254 Planner Council Arch./Engr. Blumentals/Architecture In Bldg. Off. Variance Address 6860 Shingle Creek Parkway Council City/Zip Code Brooklyn Center, MN 55430 Phone # (612) 561-5757 NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building` permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a`permit at City Hall. INSPECTIONNREC-ORIY T CITY OF EAGAN PERMIT TYPE: 0 < . ~ 3830 Pilot Knob Road Permit Number: o ; 4a f Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: tf . t lit t' APPLICANT: I es'i1 ti.i;'Ea L PERMIT SUBTYPE: TYPE OF WORK: PA (P INSPECTION INSPECTION TYPE DATE INSPTR. 1 ~~r+4 a a~daF t; £€~41i.4- ~;`fir J k~~lx 14't~3. 3 ~~e~... ? ~ d~~J ~ . 1 ~7a" ~ 69ty ~'4~ 1tIY~# 1'~s`!`$f~Y 1. ~f~#' t~ f~ t tI, ?r by M;~'i r 4 ~ - I Y PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 4 5 4 (612) 681.-4675 Date Issued: 07/07/98 i SITE ADDRESS: 3110 ALDEN POND LANE L-OT:: 17 BLOCK: 1 ALDEN POND DESCRIPTION: REROOF ' Ruil.di.rig Permit Type STORM DAMAGE Buil.di_ng Work Type REPAIR Census Code; 434 ALT. RESIDENTIAL I I I REMARKS: INCLUDES: 3108, 3106,-3104, 3102, 3100 ALDEN POND LANE PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: E CONTRACTOR: - Applicant _ OWNER: INRECON CONSTRUCTION 24503900 WINDSOR AT ALDEN PONDS LLC 22650 EXECUTIVE DR 101 600 ATLANTIC AVE STERLING VA 20166--9534 80STON MA 02210 (703) 450-3900 i_ hereby acknowledge that I ha~/e read t hLS appl i =,tion and rate that the information i~: correct and ayt ae to damply wiLh all appliCab:l.e State of Mn. StaL:ute: and City of Eagan Ordinaric e. - APPLICANT/PERMITEE SIGNATURE ISSU BY: IGNAT 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 681-4675 Submit following to obtain necessary permit Foundation Only New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) code analysis (1) " civil plans (2 sets) project specs 0 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calculations (1)notalways ~ Special Inspections & Testing Schedule soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCMS - SAC determination letter from MC/WS - SAC determination letter from MC/WS - call 602.1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) Electric Power & Lighting Form 1 Contact Building Inspections for sample Food & 77, a or Lodging facilities:Plan must be submitted to Minnesota Department Of Health. Call 215-0700 for details. DATE: tit A WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: ~aa CONSTRUCTION COST TENAN4T NAME:' ~±1-2 SITE ADDRESS: 11 / e o -14A lea SUITE LOT BLOCK SUED. (I QOUh I P.I.D. # Nameff, of C.o/'fan~„ %.61, ~ , ,a. J sr Phone # wiz 4'S'~ ~y Z PROPERTY Last First OWNER Street Address: City State: C o f, A Zip: Company: Lo-z/ C_.,.O~S' Phone 3 ej:~ CONTRACTOR Street Address: SG ~c /a J License # City State: Zip: a0/ 6 6 - 5~r3 y ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer& water): 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. - Signature of Applicant: OFFICE USE ONLY • • BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 CommAnd. ❑ 20 Public Facility ~ tZ WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish 32 Addition Ok 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. Basement sq (Actual) MCNVS System . ft. (Allowable) First Floor sq. ft. City Water UBC Occupancy _ sq. ft. _ Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code o Length sq. ft. Census Bldg, o/ Depth Footprint sq. ft. Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~S - Ow, Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size SELIGWICK HEATING & AIR CONDITIONING O. HEATING JOB NO b# y7 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (612) 881-90 TEST RECORD f r'~ ADDRESS1 ~1OR~~ ~-~l V CITY QCCUPANT OWNER SOLD BY INSTALLED BY -,lltJl C.. MAKE MODEL Pi t 15-bc (fl SERIAL NO. 4o ( Z t INPUT ?S-. ©oo THERMOSTAT ` W t VENT SIZE VALVE OD 2A St lj4J TYPE OF LINER LIMIT 440 Lt> LINER SIZE LIMIT SETTING OC7 FILTERS: SIZE/ NUMBER FAN SETTING (DO WIRING Vf PILOT TYPE LC_LC TEST TAG IGNITION MODEL k~Oh~z`~ LIGHTING INST. PILOT TIMING / ri 5- DATE TESTED 7~ y + PRESSURE ?j ' `t I/'` C + PERCENT CO,~/ a/© \ ) r COMPANY TESTING C.~/ t7W CC' t 16 Flo INPUT CFH PERCENT OZ f STACK TEMP. 4 d 0;~ PERCENT CO NAME OF TESTER FORM 235 (WV 17!84),.-.. FORM DISTRIBUTION. WHITE COPY - JOB FILE YELLOW COPY- CITY SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN~ 5554(20 (612) 881-9000 TEST RECORD ADDRESS lpV RLM L9 CITY t..•'/ `l:~'l'( l~l OCCUPANT OWNER C.c,(G-tom SOLD BY INSTALLED BY MAKE ~W J 1V MODEL c SERIAL NO.6D LO~Z " ! KA INPUT o. oco THERMOSTAT VENT SIZE VALVE i QN 42k// CL)e-G- L, TYPE OF LINER LIMIT LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING OG7 WIRING PILOT TYPE c=G1 If C.. TEST TAG I IGNITION MODEL Q LIGHTING INST. PILOT TIMING DATE TESTED t Z& t C 11? r 70 PRESSURE ly~C- PERCENT CO, XQJ , _ INPUT CFH 5-0 PERCENT OZ C7 COMPANY TESTING If C"4C STACK TEMP. PERCENT CO NAME OF TESTER :.FORM 235 (REV. 11/89) FORM DISTRIBUTION. WHITE COPY - JOB FILE YELLOW COPY - CITY SEDGWICK HEATING & AIR CONDITIONING CO. TEST TANG JOB NO, 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (612) 881-9000 ADDRESS t 1 1`~ ~ 'f CITY EE; A N OCCUPANT / G r 0 OWNER SOLD BY SE - INSTALLED BY ✓ ~ ~ G~~ ~"Ir~ MAKE h 'Z MODEL 6 b~oG SERIAL NO. 440 (r INPUT THERMOSTAT 5 n (21,J VENT SIZE J t ~ VALVE TYPE OF LINER LIMIT ~(~~~,y~lo L l LINER SIZE LIMIT SETTING' FILTERS: SIZE/ NUMBER FAN SETTING too WIRING PILOT TYPE I IAN G, l TEST TAG' IGNITION MODEL ~~Zfi KJ LIGHTING INST. PILOT TIMING K 1 AtA - 26 ` DATE TESTED PRESSURE t t t PERCENT CO p INPUT CFH ~ PERCENT O2 COMPANY TESTING STACK TEMP. PERCENT CO ( 'l lQ` 1 C~ NAME OF TESTER ' l ✓l..ti_ ~i'~ • j FORM 236 (REV. 11189) FORM DISTRIBUTION. WHITE COPY JOB FILE YELLOW COPY CITY SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO 8910 WENTWORT(HAVENUE SOUTH • MINNEAPOLIS, MN 55420 (612) 881-9000 / TEST RECORD ADDRESS / I v IC/ AUDDO Q140 L ~ CITY OCCUPANT// OWNER SOLD BY rJ~~ rnl~(J t~r.~ INSTALLED BY MAKE - 7 I C~i\1 l~ MODEL EG G AS ~S~L.o Z? ` 1 SERIAL NO.® 7D ll K A INPUT ZC Poo THERMOSTAT VENT SIZE VALVE n0t-4 U2e-(- _ TYPE OF LINER LIMIT © LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING, WIRING PILOT TYPE - TEST TAG f IGNITION MODEL LIGHTING INST. V PILOT TIMING DATE TESTED PRESSURE C PERCENT co, V U/ COMPANY TESTING ✓'/rl„J 17 (;dL~ ~ C~ INPUT CFH O PERCENT O2 STACK TEMP. O PERCENT CO l 1 U` ry~'. NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY JOB FILE YELLOW COPY - CITY SE15GWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. X175 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (612) 881-9000 TEST RECORD ADDRESS w O ~ ?yt j J 4 CITY Ml 1~d OCCUPANT / OWNER I C- SOLD BY r~ INSTALLED BY MAKE MODEL Tl go l IC.-b ° I SERIAL NO. INPUT aZ/~ THERMOSTAT 6C VENT SIZE VALVE Not' 04 k-)e -L- TYPE OF LINER LIMIT LINER SIZE LIMIT SETTING S FILTERS: SIZE NUMBER FAN SETTING to WIRING V~ PILOT TYPE ~O_ TEST TAG( IGNITION MODEL LIGHTING INST. PILOT TIMING tt ! DATE TESTED L1 PRESSURE PERCENT CO. INPUT CFH !;p PERCENT O2 COMPANY TESTING / j STACK TEMP. ~ ~ PERCENT CO NJ) NAME OF TESTERI n KA Co FORM 235. (REV. 11/89).. - - FORM DISTRIBUTION. WHITE COPY - JOB FILE YELLOW COPY - CITY 17 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. `JJ 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS MN 55420 • 612 881-9000 TEST RECORD ADDRESS t f C/ LLN ~ X CITY ` , t" A 1 1 OCCUPANT OWNER SOLD BY l INSTALLED BY S3 D6 ,)I Gc MAKE `"V• ~Ot~YV MODEL l;► Cz -7,A (U SERIAL NO."1 1~ 7 l 1 f ~~k INPUT THERMOSTAT 1~!f 7 1, VENT SIZE -S-r VALVE TYPE OF LINER LIMIT L LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING to WIRING V PILOT TYPE TEST TAG v IGNITION MODEL _~IaLI f ,1"C LIGHTING INST. PILOT TIMING, C`F DATE TESTED PRESSURE 3 ( PERCENT Co, b b `J l7 w F- INPUT CFH PERCENT OZ COMPANY TESTING 1 h STACK TEMP. PERCENT CO t 7ON NAME OF TESTER FORW235;(REV. 11/89).. FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY _ e~:..r_..~._ _.~t, _.-..:~_i .:.:.....:...a.m..a:.:.emu..d.,~..,...~~..s:.;.rom.,.~.¢.,.;.;:.~.....,:r~. Use BLUE or BLACK Ink 1 A I 1 Permit X. /~'Z ( J I City of EaEafl 1 j i rsv v 3830 Pilot Knob Road's I Permit Fee: I Eagan MN 5122 ~ °l®1~ i Date Received: Phone: (01) 675-5'675 Fax: (651) 675 5694 start. ~ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Addnss: ©6y~~ , Tenant: tIO ulb tl: RE SIDENName: Q,tSs Phone:1j)-, 12-4 _~1q Address I City iZip. b0 I J p ~ CONTRACTOR Nanie: MILBERT COMPANY INC.dba CULLIGAN ATER Address: 1801 507H ST EAST City. : DA4ER GROVE Vii= State: TZip; 55.077' Phone. 6Sa 45I-2241 Contact: _ BILL.1~fILBE1~T`,i Email: TYPE OF WORK _ New Replacement _Repair -Rebuild _ Modi fy Space _ Work IrI,R.O.W Deacrl lon Y06r PERMIT TYPE RdIDENTiAC Water HeaterVYater Softener Lawn l rlgatign RPZ PVB) Add Plumbing Fixtures Main Lower Level) Water Turnaround Septic System New =Abandonment .4~SIDENT:AL FEES: $53.00 Minimum Water Heater, Water Softener. or Water Heater r~.LS) Softener (Includes $5.00 State Surcharge) $35.00.Lawn Irrigation (Includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtufes, Septic System Mandonment. WaterTumaround• anciudes $5.00 State Surcharge) 'Water Turnaround (a0d $166.00 ifa 5V meter Is required) $105.00 Septic System Vim~ ($10.00 per as built) (includes County fee Bind $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appilances. ductwork, etc.) (Includes $5.00 State Surcharge) TOTAL FEES; CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 Hours before you Intend to dig b recetvd locates of underground utliitiea.• www.oooheratateonecall.ore I hereby atdcnowledge Met thh krf~ mation N complete and accurate: that the work will be In conformance with the ordinances and codes of the City of Eagan; that 1 understand this is riot a permit. but only -an appfttloe,for a permt.t, and work h not to wtttttout a permit that the work will be In accordance velar tM approved pia In the caw d work which requires @,review and a of no x 7 Applicant's Printed Name Ap Vs 81n ature FOR 0 FiG $ Rev. ewe B Regy re ik d o. I , 41* City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 II COVED Dtl. 7. 0 2015 Use BLUE or BLACK Ink For Office Use /r756 / Permit #: Permit Fee: 6C. e(> Date Received: Staff: 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: i 2- 223 `�S Site Address: 3100 ,.A) j'(`) S LGA Tenant: () cO Suite #: Resident/Owner Name: 1 U,., ?o ^ `To L.—) n A\o d -S Phone: C51' y52- 65 04 Address / City / Zip: 3 i U 0 A- La .. ,-1 ? O r U\ —55( 2_c Contractor �--dCti'k Name: 1:1F, t' e,431`) t•t t I)--cc.A'k -ZS r /4 • ( License #: Address: 18t 5 �_ 1-l.1 57- Si- Su,&c_ e City: N.n-,-�_po1.- State: CNN ^ Zip: S St -k0 1 Phone: g 1 L- 7Z_ t{ -1 FS C Contact:, e -, Email: Ct n ev.... - \c0\,-.c_cO \e\p \-i-.. • -Cv Type. of Work New .`C•N Replacement Additional Alteration Demolition Description of work: J va. Tc9rrle..rQ _ C us,--,�C 5 8 St -A ala ,soya 6(zDoc) 3 NOi E Roo1I moo hanical a 1pme is wired tai b re by -City Cod ;> i�s t th r nic l`fr for fa'r `c o on on perms ed ser nt g meth ds. Kermit T RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ 19 b �� TOTAL FEE $100.00 Residential New, 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 $ x .01 = $ Permit Fee = $ Surcharge TOTAL FEE =$ I hereby acknowledge that this information is complete and accurate; that the work will be in co ance with t • • ances 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 t sta without . p' at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1✓ r;�� Applicant's Printed Name x Applicant's"ignature FOIA OF It E USE ed inspecticrts: Underground Rough In Air. Te ServiceTest y: HVAC Screening