1533 Greenwood Ct N - BL89349City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1533 Greenwood Ct N
Lot: 8 Block: 03 Addition: Surrey Heights 1st
PID:10- 73000 - 080 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
Quesetions regarding electrical permit
952- 445 -2840
TINA NEUBAUER
16411 ABERDEEN ST NE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Elec
Owner:
Brian P Kalis
1533 Greenwood Ct N
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA092238
12/07/2009
ePermit
cal Inspector,
~oi 1
Office Use
Permit City of Ea
-2L) P1
ermit Fee:
3830 Pilot Knob Road
Eagan MN 55122
Date Received:
Phone: (651) 675-5675 { Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5 2O-0/Site Address: hie t-1 ya)ads Qt` A/ `
Tenant: Suite
RESIDENT / OWNER Name: Phone:
5122
Address ! City / Zip:
CONTRACTOR Name: License 17 70 Tom-'' 1
Address: champion
3870 84.0100
City: State: Zip:
Phone: Contact Person:
i4k~ 0
TYPE OF WORK New V /Replacement Repair Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDE TIAL
ater Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) :Zj
TOTAL FEES $ 5)
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 x r
Applicant's Printed Name Applicant's nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-In Air Test Gas Test Final
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