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4345 Diamond Dr Use BLUE or BLACK In v For Office Use Permit . Win City of EaRd 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received:, Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2010 MECHANICAL PERMIT APPLICATION ~ e7 U Date: - Site Address: 1) A)~ Tenant: Suite __7 Gq / l RESIDENT/ OWNER Name: Phone: Address/ City/ Zip: l /3h1 ul►~b0~ CONTRACTOR Name: PVPU 74 t` 43 _ License Address: _ City: v State:~ Zip: Phone: -/11,44--L`7?. u r . Contact: Email: TYPE OF WORK New eplaccement Additional Alteration Demolition Description of work: - 6 e + A)9 Al i NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE ",/Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank 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 x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conforrna 6 with the ordinances an wcodes of the City Eagan; that I understand this is not a permit, but only an application for a permit, and work is notjo-stait out a permit; that t e' ill be in accordam with the pproved plan i the case of work which requires a review and approval of plans. _7 Applicants Printed Name Appli s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ---Under Ground Rough In __Air Test ___Gas Service Test ___In-floor Heat --Final EAGAN TOWNSHIP N° 922 BUILDING PERMIT Owner ._(?G.eC?%Ll__° • _ ----- .------ _ Eagan Township Address (present) ..!l: G " ........ .. .. .. ........ .........._ Town Hall Builder --.__....... -.................. '`.e' . Date Address .... __.._.. -.---.[:5!-. E?.'?-._._........ DESCRTPTTON Stories To Be Used For Front Depth- Height Est. Cost Permit Fee Remarks or LOCATION ocx Raalnon or -1-tact o _ This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE oWHILE THE WORK IS IN PROGRESS. This is to certify, that. .<:.[-!:::r<._?r. has permission to erect a,./..... °f ... the above described premise subject to the provisions of the Building Ordinance for Eagan ;unship adopted ° Pril 11. 1955. t[. =K- f-c-_ . f ... iJ ? ?...._... .. Per ......_ ..._.... .__:_. Chairman of TnwnBCd Building Inspector Q. to EAGAN TOWNSHIP BUILDING PERMIT c_ Owner ...........• °------------...._......-------°---_ Address (Present) --?:j. .:......- J ------ l.-------. Builder ------- -----ate ------------------------------------ -- Address ------------------ ------------- ..............."-------------....-------.....------------ DESCRIPTION N° 1282 Eagan Township Town Hall Date .... SJ._??......... '............. Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks V V - LOCATION Street. Road or other Description of Location I Lot I Block I Addition or Tract Se I G e.. .:_;o IA- y This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE K PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ..... . t ...........................has permission to erect a... __............ .__ the above described premise subject to the provisions of the Building Ordinance for agE% annshi' adopted April 11, 1955 .................... - -~ -------- - -- -.... .e.....-------......_.. Per .....---- Sex........ .!?":?^r[S .---.... ....._------.. t.?.........,..... 16147- Chairman of Town Boar Building 7. Inspecto EAGAN TOWNSHIP BUILDING PERMIT Owner ............. .. . ........---..lS........ Address (present) ............................. Builder ..... °-° ....... ........... ................................... Address ................................ ............................................................. N° 2392 Eagan Township Town Hall Date ....91:3/7./........ Stories T o Be Used For Front Dop,h Height Esl. Cost ' Permit Fee Remarks I Street, noan or omer uescrtpnon or Locanon I Lot I t51ocx I Aaanion or Tracl This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health. safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE K PT ON THE PREMISE ISE WHILE THE WORK IS IN PROGRESS. / _ - This is to certify, that...... ............. .yrG-^ ---.-.--.........has permission to ................ ?^.`?'..'G': ?'. 'upon the above described premise subject to the provisions of the Building Ordinance for Eagan? Township adopted April 11. 1955. ( r..-..-....V...... 1 ? .. . .......... Per ..................??. ?.: .. Chairman of Tnwn Board Building ISUpeclos CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #4 Lot 30 Blk 6 Parcel 10 16703 300 06 Owner Street 4 345 Diamond Drive State Eagan, MN 55122 X1'1 , rf. Z w) r improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 WATERMAIN * WATER LATERAL 972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HEATING Date: September 25, 1979 PERMIT Site Address: 4. `' 01,un-5nd Drive Lot Block Sub/Sec. _- r I Name Duane ,lumen e Address 4345 Diamond Drive 3 O City 55122 Phone: Name r redricrson HeaLiti P Address e 0 CONZIUSTION AIR REQUIR$D No 1559 16033 Receipt No.: Single Residential X Multi Res., Comm./Ind. New/Alter./Repair alteration Cost of Installation Permit Fee Surcharge 5.00 50 V - City Phone: I Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' ,? Q54-35?h LOT .µ Y- NAME SIZE 3a TA %A F- S T. QNvie BLOCK ;? ADDRESS VALUE ,{ 4545 D tAf0.C'nJ0 ?m,vF q75?= ADD'N. n TH 1' E042 Gm?v1= 4- 4oo," AREA C G TYPE eDg2 m2 %JE FM A.ME Mosr 13C 5 IG, fD -s? Qr Lr_-asr !I PgTe Q 1 ?\ 3 `cal 1 MESH N Sc.v_ ?E r Ct j N ? M?sSN =N M TC.' LrnJt /VouS zzz f o ?? 7 (D SG1ua2E wtrH qo,e 7 ©Cnni ua F2/!-ON'T' OF ?Ar 4CzE ?U i-[H ?c,FbiL- ?jF tyUU?.? Ar_, ?j(-f G?w?U 1? alHGC1G. `vOE C?ti_2 F_FI.JLL.?/ ? '? ®S_E??C1u7L7E2 Ic c)loue2 WlsHe.S To ?vIIJ--,T4LL- n LoOVOIT TO SLAfS ?E WILL F-v?Ztit"?1{ A?xT1:.4 L<_,,JC l-., Ci rJ 1?U lT /O MESH TN S1.-!413 1£ `-?P2oIi / ?I C' //?? OrUST-c\u- -lz('w 6r- b IJLOCV- C)`J SLP.13 0M 4'Sloas A-s Sf-lGJW..J ?To57AL.L PA-IrI o SLA s As zbHc, "j&j WirHp MtE-s tis Avj o Do LJt3L 1= SL.o I''E . TOP OF Si.iA& 1p R-F AT LEAST 2G" WouJcIZ. I KA?J ?vr r>)>= ?41?f*.C?,E SLa6 I? O see c?-Jilt- vE 21 F`? ?v I7 H LJ"ilit-2. f H E H,(,A t-,-) NT VF 1 S Le.W - U/J AT10 ?'?, r SLAa P •? ?tzn ?.tT CITY USE ONLY LOT BL PERMIT #: SUED. Cedar G,(Oy f RECEIPT #: 4U?q-?- RECEIPT DATE: - D 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: ? 7 -00 Complete this section only if you are installing 14VAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) $ 30.00 6.00 300 .50 $ _3q. • State Surcharge Total Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New - Alteration _ Repair Furnace 9 - Air exchanger Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: y3?s l)/ ie rnar>r? /?)/' OWNERNAME: ??(! y (??('A ( PHONE#: &,FV - bWp ??7aJ / ( CODE) m INSTALLER NAME: SI NY18L'I (' ?r h ?l e PHONE #: 75cL (AREA CODE) STREET ADDRESS: CITY: S&kya e STATE: "4/ ZIP: J S.3? t SIGNATURE OF PERMIT-ME CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NN 55122 651-681-4675 MASTER CARD • LOCATION STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING hrf'dsr ti PLUMBING CESSPOOL - SEPTIC TANK ' WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER C7 • Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING FINAL ELECTRICAL 3^ TILE FIELD FT. HEATING A Jill DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL µ DRAINFIELD I PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: Use BLUE or BLACK Ink r________________� I For Office Use i � � Permit#: �� " � Clt� of ���a� ; ; . �- ; Perm t Fee. d 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: � I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U �� �� Site Address: 1��� �/7'� m�� �� Unit#: �_w.......�....y...__��,_�. Name: �1 r 1 -��L�� ��.1 ���Q� - - Phone�t����'!��� Resident/ —` �! �' Owner Address/City/Zip: � � �� �f .Q r�^�,�2��.F..,,� ��,���,� Applicant is: Owner �Contractor .�.._,..�.�.�_..�.��,�.._.: __�.�....�..�M.�a.�..�. _�..�_.__�_w_....�._�..�...........��.._���.___� � T @ Of WOYk Description of work: G�f�6'ZS� �� Yp � ��-j \J � Construction C� �✓� � Multi-Family Building (Yes !No�� ��..�,..�.��m.�,�..,.�..��., .�....�... � ..�,.�, - - � . ��°' � � �� Company: �s �1 r�i �� �--C� Contact: � �� I�I � �10 ���` � � � Contractor � Address: � l�� City: �j /1�c�`J ; s �n,�y / � C� ; State: � ' 11� Zip���� Phone: (�,J, '���"' 73 1�� ; � � /_''71 , License#:�, ��A ( � Lead Certificate#: �..�_..�.._.�w.... ....� �..�. _.�...�._ - � - -� 3 � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ;���,�.�..��..�.�..�.... �„�..�.�. _____..__.� ..�.�. ,.w...e�.� � � � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ; � In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: � ` Licensed Plumber: Phone: � i � 4 Mechanical Contractor: Phone: � � �� Sewer&Water Contractor: Phone: _..__.�._..��,...� a.�._�._..�v..�...��..�.... __. .�.v..�,..��.�.�..,�.... , .�._, ! NOTE: Plans and supporting documents that you submit are considered to be public informafion. Portions of ' the rnformation may be classified as non-public if you provide specific reasons thaf would permif the C�ty to � � _ �conclude that they are trade secrets. � � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours befor2 you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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, 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x����V I�.J ��.�� �/� x�. _ Applicant's Printed Name ApplicanYs Signatu e Page 1 of 3