3244 Hill Ridge Dr
952 881 4491
2009 Jul 16 10:37 AM Sedgwick 9528814491 1/1
o o 106 U'-. Q --/~/y----
Permit r_ ° `
City of Eaftall
Permit Fee:
3830 Pilot Knob Road Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
l l
Fax: (651) 675-5694
2009 MECHANICAL PERMIT ARFLICATION
Date: 7" )b Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Cn P-.- in cnj))1~5 Phone: to) 1 10;6 4)
ll
Address / City / Zip 1 1 )
CONTRACTOR Name: License
SEDGWICK HEATING & AIR CONDITIONING LLC
Address: --89143-MrItwori'll Ave. So
City: Minneapolis. MN 55420 State: Zip: G!s R91) 91,11
Phone: (952) 881-9000 Contact Person.
TYPE OF WORK New Replacement Additional Iteration Demolition
Description of work: I.c-C- O. Yl c
NOTE: Bofh roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for Information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction - Interior Improvement
Air Conditioner _ install Piping - Processed
_ Air Exchanger Gas Exterior HVAC Unit
Heat Pump - Under / Above ground Tank if Install Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.5o.
It Permit Fee Is > $1,000. surcharge. Increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2.000 Permit Fee requires a $1.00 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
1 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\_i pwe_n FrcDe M x
Applicant's Printed Name lcant's Signature Tim
FOR OFFICE USE
Reviewed By: Date:
Required Inspections:. _Under Ground Rough In Ali Test GasServlce Test In-floor Heat Final
Exterior HVAC Screening Inspection
VILLA OF EASrN
WATER SERVICE PERMIT
3795)1 «nob Road PERMIT NO.: 1511 •
E on,M 55122 DATE: JO 3, 1974
Zo g: 2,-4 No. of Units:
Aiv'e,t:'ate .AC
�
P
g ss: s"3pr c,rs ;
Address: 3240•- 42- 4 4 u•48- -5C' -. - 4 F� ridge
w 1ber:
Meter No.: Connection Charge:
Size:
Account Deposit: 4$13
Reader No.•
Permit Fee: .50
I agree to .only with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 2270
Eaton, MN 55122 DATE: July 3, 1 974
Zoning: 3{..r No. of Units: F#
Owner: Rivera ate 1 .i
Address:
Site Address: }' t t. •ste w `C? �' z 1 ^°i r -
Plumber: t, ; t
agree to comply with the Village of Eagan Connection Charge: -r
Ordinances. Account Deposit: C
posit:
Permit Fee: * 5
Surcharge:
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
UseiUse BLUE or BLACK Ink
For Offce
PermitCity of Eaall Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
buildinginspections(&cityofeagan.com I_
+2017 RESIDENTIAL
�iPLUMBING
� PERMIT APPLICATION
Date: )D`31 1 11 Site Address: 321- '--i Hill l , L tCIC.Q1 J V
Tenant: J Suite#:
-_.--_a ,..i ,, ,
Resident/Owner
: ����
Name' vv ���i LAR 1 • t� •
Address/City/Zip: j2/-41-t 1 \ \ 2)C IC
Name: CHAMPION PLUMBING License#: PC000308
Contractor
Address: 3670 DODD RD. SUITE 100 City. EAGAN
State: MN Zip: 55123 Phone: 651-365-1340
Contact: Email: permits@championplumbing.net
Type of Work 1 —New X Replacement —Repair Rebuild —Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(—RPZ/—PVB)
Permit Type Add Plumbing Fixtures( Main/ Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required) 'l
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ U U . U V
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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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
accordan/cee1with theapprovedplan in the case of work which requires a review and approval of plans. /`
Applicant's�rinted Name Applicant's Sign.yOr
FOR OFFICE USE Reviewed By: „Date
Required Inspections. Under Ground Rough-In Air Test,-L'='-'' Gas Test ^ final
Meter`Related Items: Meter Slee Radio Read Manometer