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1075 Duckwood Dr.?? 40 2007COMMERCIAL BUILDING rERMiT arrLicaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 • Svuctural Nlans (2) sefs • Architectural Plans (2) sets . Civil Plans (2) . Structural Plans (2) • Certificate of Survey (1) . Civil Plans (2) . Code Analysis (1) ** . Landsraping Plans (2) • ProjectSpecs (1) . CodeAnalysis (1) " . Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " . Meter size must be established . Meter size must be established b • ProjectSpecs (1) 1 • Energy CalculaGons (1) 1 . Electric Power & Lighting Form (1) " 1 • Master Exit Plan (1) 1 • Emergency Response Site Plan (1) 1 • SoilsReport (1) • SAC detertninatlon - call 651-602-1 000 • SAC determination - call '651-602-1000 • Fire Stopping Submittals . U? U° '? ?r • CodeAnalysis (1)" . ProjectSpecs (1) • Key Plan (t) . Master Exit Plan (1) • Energy Calculations (1) not always" . Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable 1 1 1 1 1 . SAC determination - rall 651-602-1000 Call MN Dept of Health at 651-2014500 for details regazding food & beverage or lodging facilities. "• Contact Building Inspections for sample and if required **" Permit for new building or addition will not be processed without Emergency Response Site Plan. Date .4/ / ? _ J. ??? ?? ConstrocYion Cost Site Address UniUSte # ? Tenant Name L4U1311 d(15r Former Tenant Name 44 Description of Wor ,l/ DOR Property Owner )- P_,Yih Telephone # 73 Applicant is: _ Owner -X Contractor Contact #: Ci (Z ) -7l ? '74? / Contractor 611z r z .5z-?UC ! Address 4?3 ?F- lMr! Dvi F City State Zip Telephone # (<95 L) ??/? ZZO 9? Arch/Engr Regis[ration # Address ? City State Zip Telep6one # ( ) Licensed plumber installing new sewer/water service: Phone #: ( ) I hereby apply for a Commercial Building Pernvt and acknowledge 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 the State of MN Statutes; I understand this is not a pernut, but only an applicarion for a permit, and work is not to start without a pemut that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?J ?p ? T G??rz Applicant's Printed Name Kplicant's Signat e DO NOT WRITE BELOW THIS LTNE Suh Types u 01 Foundation ? 26 Public Faciliry ? 30 Accessory Building ? 14 Apartments N`27 Commercial/Industrial ? 32 Ext Alt-Apartments 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial n 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Fo undati on) ? 45 Fire Repair C( 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition Building - Give PCA handout to applicant Valuation 006 ao Plan Rev 100°/o ? 25%_ SAC Units `- Nbr. of Units ? Nbr. of Bldgs - Fire Sprinklered Required Inspections _ Footings (new bldg) Footings (deck) _ Footings (addirion) Foundation Drain Tile Driveway Apron Type of Const 2zo Width ? Occupancy MCES System Zoning City Water ? Stories ? Booster Pump - Sq. Ft. ? PRV J Length Roof Ice Pr _ Decking _ Insul ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Sheetrock FinallC.O. ?FinallNo C.O. Other Final Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _ Final _ Windows Final CIO Inspection: Schedule Fire Marshal to be present _ Yes ?No Approved By: Planning _ki/i, Building Inspector Base Fee Surcharge Pian Review SAC-MCES SAGCity SIW Permit SNV Surcharge Treatment Plant Treatment Plant (Irrigation) Park Detlication Trail Dedication Water Qualiry Water Supply & Storage (WAC) S?• Sa ( ,?SlJ Financial Guarantee Storm Sewer Trunk Sewer Lateral Sewer Trunk Street Water Lateral Water Trunk Other Total ?? a- 2007 RESIDENTIAL BUILDING PERMIT ARPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675. FAX # 651-675-5694 New ConSlruction Reouirements 3 registeretl site surveys showing sq. ft. of IoL sq. fl. of house; and all mofed areas (20 % maximum lot coverage allowed) 1 Soils Report if pmpased building is fo be placed on disWr6etl soil 2 wpies oi plan showinq beam 8 window sizes; pared found desgn, elc. 1 set of Energy Calculations 3 copies of Tree Preservatlon Plan if lot platted after 711193 Rim Joist Defail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form ?-9?, C2_-5?- Remodel/Reoair Reauiremmts Office Use OnIY 2 copies of plan showing footings, beams, jdsts Cert of Survey Recd _ Y: _ N 1 set o( Energy Calwiations for heated additions Soils RepoR. _Y _N i site survey for additions 8 decks Tree Pres Pizo Recd . _ Y•. _ N, Addifion - indicafe if wr-sife sepfic system Tree Pres Requiietl Y' _ N Oo-sifeSeD6cSystem _Y _N Date /_ / /&- / SiteAddress /tl) ?? / 0,94 / ConstruMion Cost ?ZI f/ C? (Zj? '? X? Ari / -.e y IJniUSte # `J Sd Description of Work 42)14A ?? _5" Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor 'IZ Address State C?b' A Zip Telephone #?/? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Aules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculalions Submitted In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master pian: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? pplicanYs Printed Name - Applicant's Signature ' -? ?- DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demalition(Entire6ld g)-GivePCAhandouttoapplicant DOSCrIpYIOn: WaterDamage_ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation HVAC . Drain Tile Other Roof Ice& Water Final Pool Ftgs AidG asTests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Air Test _ Final _ Fireplace R.I. Windows _ _ _ Insulation Re[aining Wail Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Kno6 Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Consiruction Reauirements RemodeVReoair Reauirements Office Use Oniv 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all mofed areas 2 copies of plan showing footirgs, beams, joisfs Ced of Sunrey Recd _ K_ N (20% mazimum lot wverdge allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Recd Y_ N, 2 copies of plan showinq beam & window sizes; pouretl found design, etc. t site survey for additions & decks Tree Pres:Required `- YN 1 set of Energy Calwlztlons Addition - indicate d on-s'rfe septic system On-sAe Septic System Y_ N 3 copies of Tree Preservation Pian A lot platted after 717(93 Rim Joist Defail Oplions sele(Alon sheet lbuildirgs with 3 or less uniLS) Minnegasco mechanicaf ventilation form Date?_/ CanstrucfionCost ? ? 5r Site Address _?? ?? ????-r'?l,l?`-?l? ?!l?(° UniUSte it /L"? ? ,, / ,J / Description of Work Qi?,ri/ ???? ?i°%l1 ??????_?? ii/./? Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2 Property Owner Telephone # ( ) Contractor Address City State Zip Tetep6one # ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (4 submissionlype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Tefephone #( Telephone #( Telephone #( I hereby apply for a Residential Suilding Permit and acknowledge 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 the State of MN 5tatutes; 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 o£ wotk which requires a review and approval of plans. ? f s rJ?i?r JL7i? A/z?o Applicant's Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Descriptioll: WaterDamage_ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Rermit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock Final/C.O. Final/No C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA062932 sued: Ol/22l2004 Date Is Eagan, MN 55122 1 p EREd (651) 675-5675 Oi T www.ci.eagan.mn.us 1L Site Address: 1075 Duckwood Tr Lot: 1 Block: I Addition: I,exington Place ]st PID: 10-45050-010-01 Use: Lexing[on Place Clubhouse Description: Sub Type: CommerciaVlndustrial Construction Type: V-B Work Type: Int Impr Description: Census Code: 437- Occupancy: A-3 Zoning: Square Feet: 0 Comments' Plan reviewed by Craig Novaczyk. (Id) Separate permits required for any plumbing or mechanical work. Call (952) ? 4452840 regarding electrical permi[ and inspections. (Interior sheetrock, replace 2 windows, tongue & groove ceiling) FCC SU[CIICta1')': BL - Base Fee $251.25 0801.4085 Valuation: 15,000.00 Pl? Review $16331 0720.4222 Surcharee - Based on Valuation $7.50 9001.2195 Total: $422.06 Contractor: - Applicant - OWttCI': Girtz Construction Lexing[on Place Homeowners 16138 Goodview Cir 0 Lakeville MN 55044 (612) 791-7169 (952) 891-4208 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/Persnitee: Signature Issued By: Signature V c ? `2004 COMMER BUILDING PERMIT APPLICATION City Of Eagau 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S 4?-? (3 f. Foundation Onl New Buildin Interior Im rovement • Strucfural Plans (2) sets . Architectu2l Plans (2) seGS • Nchitectural Plans (2) sets • Civil Plans (2) • Stfuctural Plans (2) • Code Analysis (1) " • Certifipte of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Pian (1) • ProjectSpecs (1) . CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightlng Form (1) not always" • Meter size must be esNabllshed • Meter size must be established • Meter size must be esta6lished-if applicable 1 • ProjectSpecs (1) 1 . EnergyCalculations (1) d • Elec[ric Power & Lighting Fortn (1) d • Master Exit Plan (1) 1 l • Emergency Response Site Plan (1) 1 • SoilsReport (1) y • SAC determination - qll 651-602•1 000 • SAC determination - call 651-602-1 000 SAC determination - rall 651-602-1000 Call MN Dept o£Health at 651-215-0700 for details regazding Food & beverage or ]odging facilities. ** Contact Building Inspections £or sample and if required when it states "not always". "• Permit for new building or addition will not be processed without Emergency Response Site Plan. Da ! ?- / / 0 -3 ConstruMion Cost site Address DOl jfOUSF ,?x,Yr?? /?rI e?tP ?'o ?n ` f????vt?lwOZ^? ?/Z Unitlste # Tenant Name Former Tenant Name Description of ork ffY?Of? P? y'Ur ` ?YS f'? «? e?C?d 2, Property Owner )&X'ly7.214rq T)la,5?_e I Telephone # (,lv(Z ) 7 All -7l ef; 6?' Contractor 6p/ Z K5,(/ S j/,? C/ G770',f/ 7?!/ C- Address / City /?/fl('? [// L G .g State ?» ? Zip Telephone # (?rj_2 ) 5'g'/ - Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewerlwater service: Phone #: L_) - ? ?lS I hereby apply for a Commercial Building Permit and acknowledge 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requir a review and approval of plans. ? ??f) J_U_ DE T 6 l/qi `. Applicant's Printed Name OFFICE USE ONLY Sub Types C 01 Foundarion LJ 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 26 Public Faciliry )e 27 Commercia]/Industria] ? 28 Greenhouse ?l 29 Antennae ? 30 Accessory Building ? 32 Ext Alt Apariments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon >11 35 Int Improvement * 38 Demalish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation { 's 1 0 00 0.0AL- Census Code 43 7 SAC Units - m ? Nbr. of Units ? Nbr. of Bldgs ? Type of Const v Occupancy A - io MCES System Zoning City Water %/ Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered ? W idth Required Inspections _ Footings(new bldg) _ Footings(deck) _ Footings (addition) _ Foundarion Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Framing _ F'ueplace _ R.I. Air Test Final Approved By: Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage S/W Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total WO/ Insulation ? FinaUC.O. FinaUNo C.O. Other Final _ Pool ? Ftgs _ Air/Gas Tests _ Final _ Siding _ Stucco _ Stone W indows Planning 61 ? Buitding Inspector 31 - L+aa , oL w LEXINGTON PLACE 1ST 45050 (see file -"MulYiple RLA's" f'or Unit # P.1.D.) PERMIT DATE & TYPE 9/83 16-PLEX 12/83 REC CTR 4/84 POOL 1 I/83 16-PLEX 10/84 16-PLEX 10/84 I GPLEX 12/83 8-PLEX 12/83 8-PLEX 12/83 8-PLEX 4/87 16-PLEX IOBS l2-PLEX LOT BL ADDRES3 P.I.D. # 010 Ol 3590 BLUE JAY WAY 001-04 THRU 016-04 010 Ol 1075 DUCKWOOD DR COMMON AREA 020 01 3584 BLLJE JAY WAY 017-04 THRU 032 04 030 O] 3578 BLLIE JAY WAY 057-04 THRU 072-04 040 Ol 3572 BLUE 7AY WAY 073-04 THRU 088-04 010 02 3595 BLUE JAY WAY 033-04 THRU 040-04 020 02 3589 BLiJE JAY WAY 041-04 THRU 048-04 030 02 3583 BLUE JAY WAY 049-04 THRU 056-04 040 02 3579 BLUE 7AY WAY 260-04 THRU 275-04 050 02 3575 BLUE JAY WAY 230-04 THRU 235-04 238-04 THRU 243-04 14 C??13101? January 29, 2004 Mike & Toni Hanson 2861 Hiahridae Terrace Eaaan MN 55121 RE: Chair Lift Residence: Hanson, Mike & Toni Res. 2861 Hiqhridqe Terrace Eapan 55121 Department of Administration - Elevator ID# 04-09878PT03-28R Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your residence and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS ? =tvvt^? ? Jim Weaver State EleJator Inspector iqw/rkr (CE-2) C: Schoeppner, Dale R., BO, Citv of Eaqan Access Lifts, inc. ElFOtmCE2R Building Codes and Standazds Division, 408 Metro Squaze Building, 121 7th Place East, St. Paul, MN SS 101-2181 Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929 ?----------------- ? Por_t5ffcee' '_? ? ? Permit #: ? I Permit Fee: ? I ? I I ? I Date Received: I I ? j Staff: I L - - - - - - - - ? 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: -Site Address: awz al f. :1k • Tenant: Suite #: PROPERTY Name: LCsct.y c4c2nA ? Phone: 111`1 V?12 OWNER _ 4 CONTRACTOR Name: ? _?r11 sC L-1n4 iRL' b1(?rP ?e ? W?1tt.f License #: 0(018?sl" jp" Address? 3!J-1 24"i/ilLtl71 rs fA?ity: &lGCw7 State : ? Zip: ? Phone: ?,??? ?P?(o(sQ {&_ Contact Person: TYPE OF New }4 Replacement _ Repair - Rebuild _ Modify Space - Work in R.O.W. - WORK Description of work: "CotiIe4t PERMIT TYPE COMMERCIAL _ New Construction _ Modify Space Irrigation System (_ yes /_ no) (_ RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM _(2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to oidcina uo meter. Domestic: Size & Type Fire: Size & Price 3!4" meter 183.00 Avg. GPM High demand devices? _Yes _No Plushometers Yes _No PRV Required _Yes _NO . COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR contractvaiue E x 7% _ $ Permit Fee Required on ALL new 6uildings and boulevard irrigation systems 4 = S Radio Meter Read - If Permit Fee is less than $7,000, surcharge is $.50 =$ Meter(s) - If Permit Fee is >$1,000, surcharge increases by $.50 for each $1.000 $1,000 Pertnit Fee (i.e. a$1,007$2,000 Pertnit Fee requires a$1.OD surcharge). _$ State Surcharge Foflowing fees apply when installing a new lawn irrigation system. 8 water Permit Call the Citys Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES S l hereDy ackrwvAetlge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; fhat I understantl this is not a pertntt, 6ut only an application for a permit, and work is not to s[art without a permit; that the work will be in accortlance wllh the approved plan in ihe case o! wodc which requires a r w and approval of plans X? X ?t? ApplicanPs Printed Name ApplicanYs Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1175 Duckwood Tr E Lot: 000 Block: 005 Addition: St. Francis Wood 4th PID:10- 65903- 028 -05 Use: Description: Sub Type: Work Type: Description: Fee Summary: Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435 -2442 e - Water Heater Replacement Water Heater Meter Size Meter Type Total: Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $15.50 Owner: Cecil E Alston 1 175 Duckwood Tr E Eagan MN 55123 $15.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA076779 02/22/2007 ePermit Line Size Comments: Mike Skaja 2090 County Road 42 W. Burnsville, MN 55337 952- 435 -2442 tony sappmike@frontiemet.net Call for final inspection. 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 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. D. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: — No. of Units: Owner: _ Address: Site Address: _ Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinancesr. Misc. Charges: Total: B y O Date Paid: Date of Insp.: Ins CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Owner: No. of Units: Address: Site Address: Plumber: 1 agree to comply with the Cityiibf Ej Ordinances. ----Account Charge: Account Deposit: Permit Fees By Surcharge: r Date of Ins - Misc. Charges: P.: Total: - Dote Paid: City of Eaaft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /-360/ 96 61° Permit Fee: eq' Permit #: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 4/28/2016Site Address: 1075 Duckwood Drive Eagan, MN 55123 Tenant: Lexington Place Condos Resident/Owner ontradto Suite #: Name: Lexington Place Condo Association Phone: 651-210-6206 Address / City / Zip: 414 Hayward Ave North St. Paul, MN 55128 J Name: Wenzel Heating & Air Conditioning License #: Address: 4145 Old Sibley Mem. HwyCity: Eagan State: MN Zip: 55122 Phone: 651-894-9898 Contact: Andrea Preusse Type of Wor Email: apreusse@wenzelhvac.com Demolition New ✓ Replacement Additional Alteration Description of work: Replace furnace and a/c for pool room NOTE Roof moulted and ground m equipment is required to be screened"I y Cl', Mode Please contact the Meeh methods RESIDENTIAL ounted mechanical anical Inspector or in forrrttlon on ,permitted screens COMMERCIAL Interior Improvement Processed Exterior HVAC Unit ng ermlt,,Type Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas Under/Above ground Tank (_ Install / — Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge 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 TOTAL FEE Contract Value $ 6,650 $ 66.50 $ 3.33 $ 69.83 x .01 Permit Fee 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 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. xAndrea Preusse Applicant's Printed Name FOR OFFICE USE Required Inspections:', Underground Rough In., Digitally signed by Andrea Preusse Andrea Preusse `Date: 2016.04.2811:21:43-05'00' X Applicant's Signature