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1815 Cliff Rd Use BLUE or BLACK Ink For Office Use / I Permit ~j a I `,I City of Eap I I ~ Permit Fee: I 3830 Pilot Knob Road „ I 1 Eagan MN 55122 AU Date Recei ed: - i; C Phone: (651) 675-5675 ( JJJ""" I I Fax: (651) 675-5694 staff: j 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: ! + C!r Tenant: Du,A M e-- C r ij w F ©r J- Suite RESIDENT/OWNER Name-.- T) 4, q- n f- C- w a- w F d r ll - Phone: 6 S I _ & Address/ City/ Zip: CONTRACTOR Name: icense Address: Men en - City: 6 / l ~ State: Z?In zip: 3'7 Phone:: 9 S) 67 Contact: ~ed Email: /J .sj 6 Q/~ Q + TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: 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. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement J- 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: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gonherstateonecall.org 1 her 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. A a Applicant's Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA078050 Eagan, MN 55122 . Date Issued: 06/01/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1815 Cliff Rd Lot: 2 Block: 1 Addition: Strohkirch PID 10-72800-020-01 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home Duane E Crawford Tste 20802 Kensington Blvd 1815 Cliff Rd Lakeville MN 55044 Eagan MN 55122-2650 (952) 985-6675 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083170 Eagan, MN 55122 . Date Issued: 05/22/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1815 Cliff Rd Lot: 2 Block: 1 Addition: Strohkirch PID 10-72800-020-01 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Sela Roofing Remodeling Duane E Crawford Tste 4100 Excelsior Blvd 1815 Cliff Rd St. Louis Park MN 55416 Eagan MN 55122--265 (612) 823-8046 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. Applicant/Permitee: Signature Issued By: Signature SG/ PLUMBING (RESIDENTIAL) t Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Piease complete for: Single Family Dwellings Townhomes and Condos when pemuts aze required for each unit Date(? /q /?_? I ? 115 U Af Unit # Site Address [ U f?jL O P t Telephone #(60 roper wner y Contractor H.P. PIPEWORKS 3670 ad3ress EAGAN MN 55123 Cin' (651) 365 1340 State Zip Telephone # ( ) The Applicant is _ Owner -)a Contractor _ Other Septic Sys[em New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiutures to lower levels or room addidons, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water soCtener ? Water heater . ? $ 15.00 4 placement _ additlonal .? $ .50 State Surcharge \. ? $! ? - Total - - I hereby apply for a Residential Plumbing Pemut and ac}nowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application for a permit, and work is not ro start without a pemu ; that the work will be in accordance with the appro ed plan in t}?e case of work which requires a review and approval of plans. TI ? ApplicanY rinted § e App ic s i re For Office Use + Permit#:EAGAN Permit Fee: 6'0 - © ? Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst@cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 5/ 1 I f ui Site Address: 11 ` 7 Ci , / 4464 Tenant: " Suite#: Resident/Owner Name: C,g Wel�CK TJ Phone: �"S�f Address/City/Zip: /6/ CL. D Name: (444- f PG SSG /06-4061-7 -6."'e -2-50 ticense#: PG 1 42-1 Contractor Address: / "� I g'�� �v City: S .6r e,�', ,57570 State: `) Zip: ,.,.."7„5"-e Z..5" /‘..6"-/— /—JS"4' / Contact:c)41)/� �� Email F' .,.E ............... .......:.... T —New Replacement —Repair —Rebuild —Modify Space _Work in R.O.W. I ype of Work Description of work: 121,E.1� c Or"+z, /� .......... RESIDENTIAL y- 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) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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 accordance with the approved plan in the case of work which requires a review and approval of plans. x3)4tll d7 /1/ 0 x1-1 .©sLl x /i4 _ Applicants Printed Name Applicants Signature FOR OFFICE USE Reviewed BY: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: