2170 Garnet DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2170 Garnet Dr
Lot: 34 Block: 2 Addition: Cedar Grove 1st
PID:10- 16700 - 340 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Rybak Brothers Construction
2206 East 117th Street
Burnsville MN 55337
(952) 405 -8871
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Lawrence Toledo
2170 Garnet Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086416
09/26/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
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
Issued By: Signature
BUILDING PERMIT
ADDITION &
TO b0 u5ed fOf FTRFPT.A(:F
Est.Value $22,000
Site Address 2170 GARNET DR
Lot 34 Block 2 Sec/Sub. CEDAR GROVE 1ST
Parcel No.
11 w Name ROBERT D BRATTLAND
o Address 2170 GARNET DR
City EAGAN Phone 454-3776
?a Name 3AME I
g¢ Address
" City Phone
?
0 ?W Name
? ; Address
aW City Phone
I hereGy acknowlege that I have read this application and state that ihe
infortnation is correct and agree to comply with all applicaGle State of
Minnesota StaWtes and Ci of Eagan Ordinan
SignatureolPermitee A I?m, G?M e
A euilding Permit is issued m: ROBERT D BRATTLAND
on the ezpress condilion [hat all work shall be done in accordance with all
applicable State ot ,M?(i?nnesota S.t{atu?tes a'nd C?iyryy 1of E qan Ordinances.
Building Oflicial L-). f? I??l? 11
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-81 DO
Receipt #
N° 16892
0
OFFICE USE ONLY
Occupancy R=3 FEES
Zoning R=1
(ACtual)Const V=N BIOg.Permit 226.00
(Allowable) V=N Sumharge 11.00
x ol Siories -
Z?
Plan Review 113.00
Lenglh
Depth L8' SAQ City
S.F. Total - SAC, MCWCC
S.P. Pootprints -
On Sile Sewage _ 'Naier Conn
On Sile Well - Water Meler
MWCCSystem -
AccL Oeposit
City Water _
PRV Required _ SlVJ Permit
Boosler Pump - 5lVJ Surcharge
Trealmenl PI
APPROVAIS Road Unit
Planner - Park Detl.
council -- 2
50
B?? Off. _ Copies .
Variance - TOTAL 352.$Q
, ?• ? ' . ;:_
? n , .i . , . ` ; • . . . : , ' . . . .
EAGAN TOWNSHIP
?BUILDING PERMIT
---'-.... --? - ------ - p
? . Addrw (Hmea lCQ-_.. ._?-.. ..s. ..(?. ...? ,tL?
Baildos ._......L4c.?----°.......---------------...-----°-----°°---
? Addrea ............................................... ,....................... __..........._- ......................
DESCAIPTION ? ' .
N° 335
?0'Tex
Eagen Township. Towa HeII
Dip .?"'-"'-"----
Btos
_ To 8 Fsoai Deplh FSei9hl L Cosl Permi! Fae - Rem
. . •
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?
Q? ? ?? ?????
_
v
17tls yarml! - doea eot aulhoei:e !he use oi slseeb, zoada, alleps oz aIdawalks nor does it g[ve tha ownar or. Lis ageni
!he slgh! !o creale any siluation whfeh is a auisance os whie6 presenfs e hazard fo !he heallh, safatp, convenience and
general welfere !oaapone in fhe eommunity. THffi P£RMIT MOSi.B T O THE P I WHILE THE WOAK IS IN PROGRESt
Thle !s !o ceslitp, fhat?... e.-??1has pezmission !o erec! 'a-??-?---' .................. upon
!he abovp described !o !he provisions of !he Sullding Ordinanae fos Eagan Tadopfed April 11.
.
1855
?/....??i'.X._1?..-?.----L??.?.{'-
.. °------°----------- Per
. CLairroan Soard
........ ---............ ------------ ............. ........
Building Inspec?or .
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex .._._.?.A'7! `.:`.'.K!......... .. . ? . ...... ..... .. .... .............
Z
1
7P
`
?
Address (PSesenl) -- ......ti
...
.
.
.'S.....
'-:--.
Huilder ----------------- .. ..... /0-f ..--......------------------------------------------- --
Address ----- ------------ -------------------------- ------- .........................................
DESCAIPTION
N° 869
Eaqan Township
Town Hall
Dafe ._A. .?E.?....62?..-•----°-?---?
510ries T F Height E
sf. Cos! PermiY 9ee Remar
?
? I ?
?
iy
?
?
/
" /J / LOCATION
Siseel, Aaad or ofher Deserip4ion of Locafion Lo! Block Addition or Trac!
3? I
.2- ??' ? • ? /
This permii doea nat aulhoriae the use of sfseeis, soads, alleps or sidewalks
the righf !o cxeafe any siluation which is a nuisance oz which presenfs a hazard
general welfare to aayone in the eommuniiy.
THIS PERMIT MUST BE `?EPT N TIiE PR MISE WHILE THE WOAK IS IN
Thfs is to cerfify, ihai._?).. .t -_ ---... .........-has permission !o erec
the above dcseribe premise subjecf fo the provisions of the Building Ordinenc
1955.
.................__.._...-'-'--°...............--...-- ......?. Per ..........................
Chairman of Tnwn/ Sear?n s
K
nor does it give the owner or his agenf
io the healih, safeip, conveniexee and
PROGRESS.
! a .... .......... . ' ..--'-'. ..._....... ....upon
.?
e f Eagan... ownship a opfed pri] 13,
'---` ........... ...C.'?.. / L
Bvilding Inapeclor
,.. . • ^`??_: , i.?e . .++'.* '? r ' ;, `
CITY OF EAGAN 16392
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 .-r • ?
BUILDING PERMIT Recerpt # 1c;
ADDITION d
Tobeusedfor FIREpLACE Est.Value ;Z2*000 Date ??. r? , 1g f
Site Address 2170 CARRBT DR
Lot 34 Block Z SeclSub. CSDAIt CHO'VR 1ST OFFICE USE ONIY
Parcel No. Occupancy R-3 FEFS
Zoning R- I
W Name ??RT D ?n?D (ACtual) Consi V? Bldg. Permit 226•00
,
3 Address 2170 GARNET QR (Allowable) V-* 11.00
0 CitY ? Phone 44-3?'76 # oi Siories Surcharge
Length 241 Plan Review 113•?
?
Zo Name SAME 6epth is SAC, City
?¢ AddfBSS S.F. Total - SAC, MCWCC
~ C11y PhOn@ S.F. Footprints -
On Site Sewage _ Water Conn
rQ
F W Name On Site weil - Water Meter
?? Address MWCC System - Acct. Deposit
a W Cl1y Phone City Water _
PRV Required _ S/LV Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. 7realment PI
Signature of Permitee APPROVALS Road Unit
A Building Pefmit is issued t0: ROW_ D aUTTLAM Planner - park Oed.
on the express condition that all work shall be done in accordance with all Council 2.50
appiicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Of(. _ Copies
Variance - TOTAL 352.50
•
BuilCirrg pf?iciaf
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUM8ING
H.V.A.C.
ELECTRIC 3p?a3 ??7 fj 06V'
Inspection Date Insp. Comments
Footings 1
Foundation
Framing
Rooting
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Fnal Pibg.
Consl. Meter Plbg. Inspector - Notity Plumher
Engc/Plan
Bldg. Final
Deck Ftg.
Deck Final
Wefl
Pr. Disp.
CITY OF EAGAN Remarks * Ceda,- ^-raTe P_cquisition
Addition. CEDAR GROVE #1 Lot 34 Bik 2 Parcel 10 16700 340 02
Owner StreeZ 2170 Garnet Drive state Eaqan • MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1985 1266.9 84.46 15
STREET RESTOR,
GRADING
SAN SEW TRUNK
* SEWER LATEAAL 1972 2,304.00 52.16 25
WATERMAIN .
WATER LATERAL
WATER AREA
STORM SEW TRK
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. u
BUILOING PER,
SAC
PARK
2004 RESIDENTIAL BTJILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
--- ---- - - ----- --- - --Telephone#651-675-5675---- FAX#-65I-675 5694--- ---
7 O °o
New Construcfion Reauiremenis RemodellReoairReauiremenGs
3 registered site surveys showing sq, ft of tot, sq. ft of house; and all moted areas 2 copies of plan (20% maximum lot coverege allowed) 1 set of Eneyy Calculations for heated additions
2 copies of pian showing beam & window sizes; poured found design, etc. 1 site survey foi additions & decks
1 set of Energy Calculations Addition - indlcate i(on-site sepfic sysfem
3 copies M Tree Preservatlon PYan if lot platted after 711193 -R(mJoistOetailOptionsselectlonsheet (bldgswifh3orlessunits Date `I /_? J() t4 Conshvction Cost $ ? ILA -61.--;'>O
Site Address (7) ?? n n o?- ?11 l 7P
UniUSte #
Description of Work) m,
n i
Mnlti-Family Bldg _ YI n* .
Fireplace(s) _
Property Owner Telephone # ((g51) LASL{ -' S1 `] ( o
KNIA HC1ML Sr;KVICr;1, 1NC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy.Ste. #200
State Atlanta, GA 30339 City
- 763-542-8826 BC-20268257 ''P Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
0 submission type) - ,' Residential Ventilation Category t Worksheet , . New Energy Code Worlcsheet
Submitted SubmiUed
• Energy Envelope Calwlations Submitted
Have you previously consfructed a building in Eagan with a similar plan? Y N If so, 25% plan review
fee applies. - -
Licensed Plumber
Mechanical Contrqctor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply, for a Residential Building Permit and aclnowledge that the informati ?B? ac te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State o MN
Statutes; I understand ttris is not a permit, but only an application 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
a?proval ofplanc ,
Applicant's Printed Name Applicant's Signature
.?
PeI1a Windnws 8c Doors - Tcvin Cities, Inc.
7une 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Wd96?1 •.g unr amij paniaaay
15300 25T13 AVE. N. STE. #I60
PLYMOIITF7, MN 55447
763t745-1400
WATS 1-800-462-5359
F.4X7631745-1401
Elder Tones Corporarion is authorized to pull building pexmits for Peila Windaws &
Doors - Tcuin Cities, Inc. Please allow theiz representative to provide that service for us
in Eagan. TEus authorization shalI be valid until suah tizne as the @ivision manager
expressly zevokes it, in writing to the City.
I request that this authorization be accepted experlitiously, so as to not deIay the
processing of our building permits any further. Please call me if there aze any questions,
I can-be contacted aY 763-745-1432.
Your icrunediate attention to this matter is appreciated.
' cerely,
BrYan . May. J NEfTEW.?SANBD ?
Replacement Saies Manager
?ra?un?raciw.steooa
cc: Kara - Eldcr 7ones
DannaKraf#y-ReplacemenYSalesProcessCoordinafor
Windows, Dours,
& Skyiights
7nnti?T eWrrrn nrrur Tu,r ?isr exi 7ra ves i-r:er rus rnion/on
! t 1
3INGLE FAMILY DIiELLINGS
2 3ETS OF PLANS
3 REQISTEiiED STTE SOBVEYS
1 SET OF ENERGI CALCS.
2 SSTS OF PLAN3
EEGISiSRED 32TE 30RVES3 -
(CHECH IiITS HLDG DIV. )
1 SET OF ERERCI ClLC3.
2 SSfS OF 1RCHISECTUR9L
i SS %0OFSP L PLANS
1 SET CIFICAT IOHS
1 SE! RGS CALCS.
MULTIPLfi D1iELLINGS BENTAL IINITS FOA 3ALE DAIT3 I OF
iOTEt IDDAFS3ES FOH CORNER LOTS - COATR?C?OR/HOt+EOWNEB MOST DESIGNAiE iiHICH \IDDAFSS
IS DFSIAED. HO CHAHGES AII.L BE lLLOiiED ONCE BUII.DIIiG PERHIT IS ISSOED.. ?
3EWER 8 iiATER PEAMIT FEF.S lND 1CCODNT DEP03IT F6E3 XII.L B& INCLDDED 1iPPH THEII.DINO
PERHIT FEE. PAOCFSSING TIME FOR SLfiEA AND WITER PElttlI2'S IS TiiO DAYS OIiCE l PE IT H?S
BEEN WMPLETED INDICATING A 1.%CEN3EA P1,V-RER.
PENALTY 9PPLIES_WHENs PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
F1RcFLa,e,'=-
To Be Used For: AV) i i Lc', ?J ValuaEionA44P? Date:
l?
Site Address Z170 442A.1C.T i)2
Lot 39 slock z-
Parcel/Sub (fEI;'A)- 6a-1uE 1ST AbV M
Oimer z62t-#- TLA/-l i)
lddress Z170 C?A2.ti?=.T ?Q
City/Zip Code CAGjpcrJ J jIZ2
E
PhoneH Jµ L?S4 ?? 7 Cc
Contractor 5 z LK
Address -5Arrn *--
City/Zip Code Sri? 1_
Z 2, ooD?
Occupancy R-3
Zoning 2-I
Actual Const _V-?ti.
Alloriable \/_I.i
i of atories
Length
Depth i8'
S.F. Total
Footprint S.F.
On site aexage
On aite well _
MWCC Syatem _
City vater _
PRV required
Booster Pump _
lPPH0YAIS
Phone Planner _
Council
Arch./Engr. Nd ?J? Bldg. Off.
9arianee
Address N ?
Citq/Zip Code
Phone 3
r I,
1469 SUILDING PEBHIT APPLIC!?ION
CITY OF EAGAN
A0191
M[iLYIPLE DftELLINGS
FEES
Bldg. Permit ZZb,oo
Surcharge 11.00
Plan Aeview 113,00
SAC, City
SAC, MIiCC
Water Conn
Nater Meter
Acet. Deposit
S/N Permit
S/il Sureharge
Treatment P1.
Road Unit
Park De .
Copies 2SDBTOTAL
Penalty
?OTAL
/
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REQUEST FOR ELECTRICAL INSPECTION ?°..!.. ,?ti ?a ee-ooom oe
4^???? See in'Vuqions lor completing ihis form on bBCk oi yellow cnpy. ? C?? ?I
?? `? lJ(/? //
?? "X" Below Work Covered by This Request ?'•?
ew n..: TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm.llndustrial Furnace
Farm Air Conditionar
Omer (suecify) Conhactor's Fiernarisl-
i Inspection Fee Belaw: R£ G[. S ' r r rn i
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 t0 100 Amps
Transformers Above200-Amps Abov _Amps
SignS Inspec[or5 Use Only: TOTA
?
Irrigation eooms ?
j
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED iF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°ugh-m oate
certify thal the above inspection has
been made. F;nai ? oeie
OFFICE USE'JNLY ?
This request voW 18 monihs hom
7
)#,
Req st Date Fi No.
? Rough-in In9pection
ReQUireE?
CI Raetly Now WNot ity InsP?TOr
R
?
? Ves No n
eeUY
I-7 licensed contractor >(owner hereby request inspection of above eledrical work at:
Job Atltlress (SireeL Box or te Na.)
? I Ciry
r
/7U arne
SMion No. TownsM1ip Name or No. Ranpe No. County
Phone N?7
Power SupOliar pdtlress
Elecmc 1 Com actor I ompany Name) ConVactor§ License No.
ic?n? ?-
Mailing Atl ress ontracror or Ownrl Makin ns lation,
Auth etl Si aiure iCanVador n aking Installation) Phone NumEer
M NESOTA TATE BOAND OF E TRICI
G IggrMiCwey BIOg. - Room 73
1 21 Univnsity Ave.. St. Paul. MN
Phone (812) $42-0800
THIS INSPECTION qEQUEST WILL NOT
' 9E ACCEPTED 0Y THE STAiE BOAPO
UNLESS PFOPERINSPEGTION FEEIS
' ENClOSED.
5
?? (0
°
38"4
23 ? ? 0
°
Rapuest Da?e -- Fire No. R u9 -in Inspaction
Re ireE?
? ReatlY Now II NotiN In??1w
Y ? NO
es When Ready7
10 licensed contractor p owner hereby request inspection of above electrical work at:
Jab Atldrass (5treet. Bov a Rvu1e NoJ - t Ciry ' .
21770 C7c?h ?F
Section No. Township Name w No. Rarge No. CouMy
IIP?T? PlrofieNO. ?*77 .
Power Supplier AtlEress
EIM I CAn
IraL1a (COmpBny Nama)
COnVdCIOr? LicenSB Np.
c wner?
plep
Maili
RtlEm
(COnhacto? r Owner Iting InstallatiGn) '
?
n
`
Au1 '- oft6a gtiaWre (Co vector ' er Making Instalia' n) K P
? e Num r_`??
3
t
rlN ESOTA STATE BEAP EL CCITY -y THIS INSPECTION REQUESi WILL NOT
p9rNMway BI09- R m S 3 BE FCCEPTEO BY THE STATE BOARD
1851 Unlverslly Rw., St. 55104TBI UNLE55 PROPER INSPECTION FEE IS
Vlnne(61R)662-0800 ENCLOSED.
?/r7/qr
a 18423
REQUEST FOR ELECTRICAL INSPECTION
lir See inslmctions for completing this form on back Oi yellaw copy
"X :Below Work Covered by This Request
EB-00G001-08
01 J?4
e Adtl Rep. -- TypeofBuilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Dryer Other (Specify)
Comm.llndustrial 'Furnace
Farm Air Conditioner
Olher (specity) CqnVecbrS Reni
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size fee # CircuiGS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ?0 100 Amps
TranSfofinere A6ove 200 _ Amps Ab LJ,00-Amps
Signs tnspwor'a use Only: ? TOTA Si
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORD EDI'^aCONNECTED IF NOT
. Other Fee COMPLETED WITHIN NTH .
I, the Electrical Inspector, hereby
certify thai the above inspection has
been made. Roupn;n ? oare
-?.
F„ai roaia
OFFICE USE ONIY ?
ThiS reque9t Wk 18 monMS irom
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113942
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 2170 Garnet Dr
Lot:34 Block: 2 Addition: Cedar Grove 1st
PID:10-16700-02-340
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Lawrence Toledo
2170 Garnet Dr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use I
i Permit City of Ea ~Il 1 00
I Permit Fee. lob,
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 j I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l d " 3 f 3 Site Address: ® ~fZ, ~j G l~ ~
Tenant: Suite
Resident/Owner Name: 6 y 04 R Phone: to -6S
Address l City / Zip: qO 6ARN~r D12 6;} N o"Za-
Name: License
Contractor Address: 15a5 BuT--t. City:
State: f ` j Zip: ~S (00 Phone: b44 G` 1x
Contact: ilk-Arlie -AVy~, Email: rlieav0~e Q Urvi-east, net
Type of Work New XReplacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work: LZ~
RESIDENTIAL
X _ Water Heater
/ Lawn Irrigation RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures C_ Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnarounds` (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 0p
TOTAL FEES $ (OD
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
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 pl
x WA L'e-5 W, AYo S x r Ae
Applicant's Printed Name Applicant's 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 Staff:
c
Use BLUE or BLACK Ink
For Office Use
City of Ea I Permit
E €loz I 1100 ,
n
3830 Pilot Knob Road Permit Fee:
, " • I
Eagan MN 55122 I
Phone: (651) 675-5675 i Date Received: I
Fax: (661)675-5694 j
Staff.
2013 MECHANICAL PERMIT APPLICATION
❑ Please sub 't two (2) sets of plans with all commercial applications.
Date: 10L)3 7/3 Site Address: 170
Tenant: Suite
7l
Name: ~ / 0 k/ l P 7 Tc/ O Phone:
Resident/Owner
f
Address /City /Zip: S
~
Name: =aH-rEroa ING CQhAP_ANY' 1NG License
Contractor Address: 1400 CONCORDIA City:
ST. PAUL, MN W3104
State: Zip: - 61 646-734 Phone:
Contact: Email:
New Replacement Additional Alteration Demolition
Type of Work Description of work: c'"n re
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
mace New Construction _ Interior Improvement
Permit Type Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
!f _ Heat Pump _ Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) j
$100.00 Residential New (includes $5.00 State Surcharge) _ $ t~ y TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in ance 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 i of to start wi out a permit; that e w rk Will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
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X 7 r! x
Applicant's Printed Name Applicant's SignatureLl
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground _ Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening