Loading...
4678 Lista Pt 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit -$ 30 !E)o Date (AP / cA-1 / Q(p Site Address L-kbI L.k -,?AGl "Vp i Mfi Unit # Property Owner Q Zc1''\ U rq z.Q,r-k ? Telephone # ( (051 Contractor ?`?7n.Ipn.Qat otrxKa) GNL? ' Aif 52r1/1UL - , S'K. StreetAddress i City State m('? Zip Cv5 \01- Telephone #(' Ip`-j ) Z'2-b1 lqO Bond #• Expires: The Applicant is _ Owner A _ Contractor Other Add-on or alteraNon to existing dwelling unit $ 30.00 _ fumace _Additional ?LReplacement f New - "-- air exchanger _ air conditioner ?? i i heatpump , _?u; _ other 5tate Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accurate; that the wock will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicadon for a permit, and work is not co 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 p\l?ans. I ? ? ?_?- ? C?n4- Apphcant's Pnnted Name Apphcant,s Signature RESIDENT OWNER 7 Name: 'J'I J 6 Phone: Address City Zip: 7 1 ZtSl 7`` Applicant is: Owner X Contractor TYPE OF WORK Description of work: r/' Construction Cost: /4 75 Multi Family Building: (Yes No CONTRACTOR Name: N e CO CSji\O (.&L* S License 2(.) (03(03(05 Address: 2 2 0_,(0V& \('i 1 r• City: c Votbk State: fl Zip: 3 4I r Phone: (p 7 Contact Person: j'ed (A' I (P1 COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Eagan Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name Appli r Use BLUE or BLACK Ink For Office Use Permit C cC Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /(7.-) 1 Site Address: Suite 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.popherstateonecall.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 t e approved plan in the case of work which requires a review and approval of plans. Page 1 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: t Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the -City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: %, - 7 �- 0 C Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Plot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: — - - - - -- -------- - - - - -- - -- - - -- Site Address: Plumber: — — — — -- - -- agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink r For Office Use • I jl City of EanRdon , Permit#: I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: I I I - - - - - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: v f 3 Site Address: q07,1491 R&ATOh !L?~Y,Jd G51 pfi Unit Name: g J V&A1C L (rF- f S~ Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: 0 re y Type of Work Construction Col ~'y '0 y Multi-Family Building: (Yes > / No ) Company: hto1L1Z'W -t t f&A ''e --tm Contact: Lie N J' 't " Contractor Address: I ~>os- SACr-fiG4-o Gt City: ,Jy/ fyu~ State: Zip: T-l?? 7 Phone: C0r~_ - 9/ (s `'f -0 1 - 4 4 License 2-U3 gpU / Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: F NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of L__~e information may be classified as non-public if you provide specific reasons that would permit the City 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 before you intend to dig to receive locates of underground utilities. www.cioi)herstateonecall.org 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. T Applican s Printed Name Appli s Sig ure Page 1 of 3 41° City of Eapi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: /2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y 7'_4'4 Site Address: 14 7,YL8'% Ihniteri y17F y`12 664 ~" Unit #: Resident/ Owner Name: IID 6 e C L /Fre (c t Phone: �J� Address / City / Zip: L_ it41 Applicant is: Owner Contractor T e of Work yp Description of work: -5/07115 Construction Cost: (0 . (,L;(� Multi -Family Building: (Yes X / No ) Contractor Company:/0e/2od1 /1i4dt C'. 1i/1 Contact: A 11 G-- 41.567V -e vel / Address: / 30Q Gs .0/ / e� Gt' City: ge.J/LL1.54/7(! "t' f/° State: f � Zip: Sr S— 7 Phone: U!/®1 — F/ t "- 7 P U X33 License #:42 v / 3 ko G G Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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 before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codeeof 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 ork 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 complete within 180 days of permit issuance. / y e J''� '/fort x � .rF` A Printed Nafiew PP Ap'. cant's gnature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149426 Date Issued:05/22/2018 Permit Category:ePermit Site Address: 4678 Lista Pt Lot:1 Block: 03 Addition: Ridgecliffe 3rd PID:10-63982-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Vernon Gragert 4678 Lista Pt Eagan MN 55122 (651) 454-3259 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152156 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 4678 Lista Pt Lot:1 Block: 03 Addition: Ridgecliffe 3rd PID:10-63982-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Vernon Gragert 4678 Lista Pt Eagan MN 55122 (651) 454-3259 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature