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1993 Gold TrCITY OF EAGAN Remarks ,4ddition MARELL' S 1ST ADDITION Loc 2 Blk' 1 Parcel 10 47300 020 01 Owner %}x-"XUFL. -7/2 G street 1993 $ 1995 Gold TY'ail state Eagan, M 55122 _ (Duplex) Improvement Date Amount Annual Years Payment Receipt Da2e STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL service stubs 1976 Paid unde lots 7& 8 angh ven Additio WATERMAIN ,t WATER LATERAL 8 -- WATER AREA ,r lg']'] 1` 1 4-25-79 * ? STORM SEW TRK 8 • STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. 460.00 8246 11-16-77 BUILDING PEFi. -- sAC 950.00 146 11-16-77 PARK CITY OF EAGAN 94R 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt Te w w"d fa FIRE REPAIREst. Va1ue 4,000 pote SEPTEMBER 6 ?q 84 SiteAddress 1993 G OLD TRZIL Erect ? Occupancy Lot 2 Block 1 ? /sub. MARRELL' S IST Remodel ? Zoning Parcel No. Repair ? Type of Const. Enlerge ? No. Stories Name UNaERMAP 7N CONST. Move ? Length W ? Address 4330 UPT ON AVE SO Demolish ? Depth Citv MPLS phone 922'2800 Grade ? Sq. Ft. ApProvals feas ? Name ?U Address Assessment _ City Phone Water $ Sew. r oc Pol ice F W Name Flre , =z Address _ En9. _ 0W ? City Phone Planner Countil I hereby acknowiedys that I hove read this opplication and stote fhct gldg. Off. the informotion is torrect and ogree to comply with oli opplicable APC State of Minnesoto Sfatutes and City of Eagon Ordinances. Var. Date _ Permit ''''•'v Surchorpe Plcn thetk SAC Water Conn. Woter Meter Road Unit Parks Totai Sipnaturo of Pertnitfee I A Building Permit {s issued to: UNGERPv1ANN CONST. on the exprcss rnndition tho+ all work shall be done in accordonce with al) appliaoble State of lWnnesoto Statutes ond Ciry of Eayan Ordirwnces. Buildiny Official ? ? Plumbiny H.VA.C. Ehetric Softaner Inspection Dete Insp. Other Footin¢ ? Foundation Framin9 Rough P16p. Inwlation Final Plbq. Final HVAC Final Csrt/Occ. Water ??ibe Location: VYell Sswer Pr. Disp. Y' CITY OF EAGAN 3795 Pilot Knob Roed Eagan, MN 55122 N2 4575 PHONE: 4548100 BUILDING PERMIT `?38,000. RQCEivt # 1UPLi :; A ? Site Address 1,993 & Lot Block Sec/5ub. Parcel .# 4; i:;, ' W Name _ z 0 Address °C Name _ z° oU Address u? Nnme _ Address I hereby acknowledge that i have read this opplication and state that the information is correct and ogree to comply with all opplicoble State of Minnesota Statut=s ond City of Eagan Ordinonces. r Erect ? Octupanty Alter ? 2oning Repoir ? Fire Zone - Enlarge ? Type of Const. Move ? .f}` Stories Demolish [3 Front ft. Grade ? Depth ft. Appeorals fees Assessment _ Woter & Sew. Police Fire Eng. Planner Council Bidg. Off. - APC Permit , ;.s3? Surcharge Plan check SAC s:;•? Water Conn. , Woter Meter Total =s ;4 in Signature o4 Permittee I A Building Permit is issued to: on the express condition that all work shall be done in occordonce with oll applicoble State of Minnescta Stotutes and City of Eagan Ordinances. Building Official - f:r' - Pwmff # Date luued PormIfhe Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Find Footings Dute Insp. Date Irap. Foundation Plumbing - / , Frame/ins. Mechonical ? Final Remarks: I crrv oF EaGaru 3830 Pilot Knob Road I Eagan, Minnesota 55122-189; (612) 681-4675 SITE ADDRESS: ?:ItWf 1 1 ' , 1':? I PERMIT SUBTYPE: I I' - „i F i hii; I y; ; MANK'w; : 1 tVc' I ltilf S 1496 001 19 f"ti TYPE OF WORK: (!U5i;R TFl 1'ION f?f Pn r tz ( R CMt- i h o ) ? . ---------------------------------------- INSPECTION ;C4RD PERNIiT TYPE; Permit Number: Date Issued: N f OCI I( ; , APPLICANT: {ul..') ?I13 -.'{i0 1 Pernit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FQUND FRAMING ROOFING ?L4 FYL!? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY Qf EAGAN 3795 Pilot Knob Road Eagnn, MN 55122 Zoning: ' Owner. f '! SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Sno .ddress: Plumber: 1 agree fo eompty with fhe City of Eagan Connection Chorge: Ordinanees, Account Deposit: Permit Fee: ' 5urcharge: BY Misc. Chorges: Date of lnsp.: Total: I nsp.: Date Poid: CITY aF EAGAN WATER SERYICE PERMIT 3796 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: ' Zoning: No. of Units: Owner; Address: Site Address: Pl umbe r: Meter No.: Connettion Charge: : Siae: Account Deposit: Reader No.: Permit Fee; ' 1 agree ta comply wiFh tha Cify of Eagnn Surcharge: '' •' C'!' :? Ordinanees. Misc. Charges: Total: 8Y ? dote of Ins : Date Paid: I p. nsp.: CI'RV OF EAGAN SEVI/ER SERVICE PERMIT 3795 Pilot Knob Read PERMIT NQ_: .saya, MN 55122 DATE: Zoning: , No, of Units: Owner: Address Site Address: Plumber. I agree to eomply with the Citr oF Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit: Permit Fee: 1 Surchnrge: _ Misc. Chorges: Total: Insp.: Date Paid: cirY oF EnGaN 37P5 Pilof Keob Road Eagory, MN 55122 Zoning: Owner; • Address: Site Address: Plumber: "- Meter No.: Size: Reader No.: I agree to eomply wifh the Ciiy of Eagon Ordinances. Dote of I nsp.: WATER SERYICE PERMIT PERMIT NO.: DATE ' No. of Units: ri ' ' Connection Charge: ' Account Deposit: Permit Fee: $urcharge: ' Misc Charges: ? . Total: Date Paid: I nsp.. . . ?- cirr oF eaacaN 3795 Pilot Knob Read Ee9on, MN 54122 N2 4575 PHONE: 4548100 BUILDING PERMIT APPLICATION 000 38 Receipt # 8146 $ , , Te be uced for DUPLEX pOfe Nov. 16, 1977 Site Address 1993 & 1995 Gold Tr. Erecr [jj Occupancy T Lot-2 Block_j__ _ Sec/Sub.. _MaTe.i_-1-_ig{ Alter ? Zoning 1t23 . Porcel # 10 4 74f1(1 020 _01 Repair ? Fire Zone _ Enlar e v e of Const T g ? yp . s Nome rlerell Const. Move ? # $tories 1? 3 Address . So. Demolish ? Front 72 ft. ? City glanming on Phone_ 881+-7225 Grade ? Depth 74 ft. z E 0 u4? ? Name_ Address Name _ Address I hereby acknowledge that I have read this application ond state that the informotion is correct and agree to comply with oll applicuble State of Minnesoto Statutes and City o4 Eagan Ordinances. Signoture of Permittee -- A Building Permit is issued co: Maeell OII all work sholl be done in accordance wit I app'cable St te of Buiiding Official %?t? !A? Assessment - Water & Sew. Police - Fire Eng. Planner - Council - Bldg. Off. - APC Feea Permit 110 .T_ 50_ Surcharge 14,00 Plan check snc 950.00 Woter Cann..46QQO Water Meter Total 1539 Sn _ on the express condition that and City of Eagon Ordinances. CITY OF-EAGAN M 9481 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55 121 PHONE: 454-8100 ?d BUILDING PERMIT Receiot # Te 6a u11ad 4er FIRE REPAIR Est. Vaiue 4,000 Date SEPTEMBER 6 I9 84 SiteAddress 1993 .iOLD TRAIL Erect ? Occupancy Lot 2 Block 1 Sec/Su6. MARRELL' S LST Remodel ? Zoning Parcel No. Repeir ? Type of Const. Enlarge ? No. Stories W Nerrie UNZIERMANN CONST. Move ? Lenyth ; Address 4330 UPTON AVE SO Demolish ? G d ? Depth S F ? City MPLS Phone 922-2800 ra e q. t. Approvals Fees g u? Name Address CitY Phone A5sessment Water & Sew. t Police w Name Fire ?u Address Enp. ?w City Phone Plunner Council I hereby acknowledge ihat I have read this opplicofion and slate that gld9, pry, fhe inlorrtwtion is correct ond o9ree to comply with oll appLca6le AP? State of Mmnesota Srotutes ond City of Eagon Orduwnces. Var. Date Permit YY.?V Surchorge 2.00 Plan check SAC Water Conn. Water Meter Rood Unit Parks Total Sipnoture of Pertnittee I A Bullding Permit Is issued to: UNGERMANN CONST. on the exprea conditlon thal all work sholl be done in qpcord_ ?nte_wifh o?licoble? M of Minnewro Srotures ond City of Eagan Ordinances. Bailding OffiNal 4??"`?`'' _ ? ? • ? ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE Q SETS OF PLANS, 4 ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: _?'re t Valuation:_???OZ?___ Date: Site Address: /9 q,3 ,?,,,?,?, ji , • • Lot: Z Block_LSect/Sub:/jAq 5 Erect: Occupancy: Parcel #: 15T.RnD, Remodel: Zoning: Repair: Type Of Const: Owner: Enlarge: # Stories: - - Move: Length: Address: Demolish: Depth: City/Zip Code: Grade: Sq. Ft.: Phone #= Contract Address: City/Zip Phone #: Arch./Eng: Address: City/Zip Code: Phone#: APPROVALS 7s-o Assessments: Permit: 7 Water/Sewer: Surcharge: a.so Police: Plan Rev.: Fire: SAC: Engr.: Water Conn: _ Planner: Watet Meter Council: Road Unit: Bldg. Off.: Parks: APC: Variance: ? - ,5b r { 'I Y OF :_AG(':") :'f?`ii"J:Re .., ?lIiEF.'Ti'!`%Ai. N'7e 3*!= ?, ?.y r..';" ..??,,?, ?:.. /( ..)fi ?. , ??t,i_: ,i.,,.,,,? .._..,.. . ?. ? ,i k? 3R; r) 90n'I C:tY_.C, l F' 74.75 2155 ?Ial:Pl 199:4 C;t71.D ;!'i ;..."iC) 1 !r'll,tl. ... Af.i; AP;O:..i?i'll .?..nc ; . PER1VgIT --?\-"CITY OF EAGAN . 3830 Pilot Knob Road PERMIT TYPE: B u z LqIN G Eagan, Minnesota 55122-1897 Permit Number: 029189 (612) 681-4675 Date Issued: 11 / 0 7/ 9 6 SITE ADDRES5: 1993 GOLD TR LQT: 2 BLOCK: 1 MARRELL'S 15T DESCRIPTION: (ROOFING) ermit Type p,rk Type SF (MTSC.) REPATR 434 A17. RESIDENTTAL ? r - ? s; afmam ? ??=9a a$ s<` a's'-rr'"vy. ?ma '? g ;e? ?ati?3-?-' ?w: ?BS%' ?T'§ dw.'..,.v REMARKS: INCLUDES 1995 GQLD 7R FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge $1.50 7ata1 Fee $76.25 CONTRACTOR: OWNER: - A p p 1 i c a n t- CARSBERG RICHARD 14018 COBBLER AVE ROSEMOUNT MN 55068 (612)423-2807 - ? ? ?her,e6y, ackn6?,JJ?g-#?glo,?.9 5Cr-rtut,e.rs arEdCY$y F°orF:$ -???, e ?-• _> x ?fYaz?? eea?k'4tF?ci???????,???i?rCS ?44 zc20pj',d,??37af5',l? T&t4t 8- p f MET. _ YFtBsc?"? ? r issueo v: si N r E . nnmE / ? - I/ - 7 j Se +e ?I'C" Wp 7"!c site Adaress: Lot Block Sec./SUb. Parcel Nianber '2- I AU ilc H 1 f7 /o 47900 09-0 01 BUILOING PERMIT AFPLICATION Os y"' r'J C<'?'? Include 2 sets of plans, 1 efte plan w/elevations and 1 set of energy calcu ationa. To be used for Valuation aaner /0. Address J2O^??py/i Contraetor -e_ Address Arch./Enq. Addxess Erect e/ A2ter Repair " I:nlarge Move nemolish Grade OFFICE USE /" C, Date of Approval 6 Initial AS383SR1f11t ?,yl. /! - /? • ? 7 ' Water/Sewer Police Fire Eng. Planner Council Rldg. Off. A.P.C. Telephone Telephone 'Pelephone OFFICE USE Occupancy Zoning K- Z Fire Zone s1? Type of Const. Y # of Stcries -Y Front Aepth Z? £EES Permit ll d - O SuYCharga P2an Check SAC S=]ater Conn. U 6- i) 67ater Meter a,?dr8n ?.??Nkw va.?lL- /? °-" J•` TOTAT, r _ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 09 1996 BUtLDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 • ? ? ? 3 rsyisterod sMe wrveys 2 copka of ptam (kiduds Dsam d rvindav slzea: poure0 W. desiyn: ete.) 1 ensrgy wlculaliona 3 copiea of tree prasena0on pbn N bt platled aRer 711l93 mquUed: _ Yat ? Na ? 4 eopies of plan ? 2 aNe surveys (exterior aEdiNena d Eecks) ? 1 eneryy calwletions tor Aemed addRions ?3 8"D'O CONSTRUCTION COST: /(?o o f?- DATE: DESCRIPTION OF WORK: STREET ADDRESS: 99 3.'-9 ? G7a/y -?'rAt LOT I BLOCK I_ SUBD./P.I.D. #: City: State: /I /I PROPERTY Name: ra?s OWNER Street Address- ?1Z 3- Phone #: t/ e . State: Name: Registration #• Street Address• City: 5ewer 8 water licensed plumber: change are roquested once permit is issued. Zip: S ?O (- 3 Phone #: Zip. Phone #• Zip. Penalty appiies when address change and iot i fiereby acknowledge that 1 have read this appiipNon and stete that the infortna6on is eortect end a ree to compiy with all applicable State of Minnesota Sbtutes and City ot Eagan Ordinancea. Signature of Applicant: OfPICE USE ONLY CoN'rRAC'roR Company: Street Address: License #• Ciry: State: ARCHITEC7! Company: ENf31NEER CertiBcates of Survey Received _ Yes _ No 7ree Preservation Pian Received _ Yes _ No 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 24? 651-681-4675 I4??Jb O Vi( 2 0 0 ` I, Reaulrements ?? ? 2 coPles of plan DATE: 0,1 I?7 ZeUQ CONSTRUCTIONCOST: ? IOOO. DESCRIPTION OP WORK: S h e??-&Sc ?-C d- ( 7 S v?h]j I( multi-family bldg., how many units? ? IiNDICAiE iHE FOLLOWIPIG EAUIPiNEfdT TO BE REPLACED AMD BY WHOPA: _ Plumbing _ Homeowner or Contractor Name _ Mechanical _ Homeowner Q Conhactor Name "NOte: If somebody other than the homeowner is pertorming plumbing or mechanical work, mey must apply for appropriate permit. Only Iicensed plumbing conhactor or homeowner may complete plumbing work. STREET ADDRESS: l ( ? ? G7 o [ d_ ? ?-K ( ? LOT: ? BLOCK: I SUBD./P.I.D. #: mclYe 1 t ?S ( S r PROPERN OWNER Name: &P ? T15r w P > Phone C /-S 7 9 Lasf I First Street Address: ? 2 0 7 L-Ls,. N CIty G-9 -,P S}Qt9: '?Ajlv zip: s S? 6 9 Company: Phone #: (area code) CONTRACTOR Street Addreu: License # Exp. CiTy State: Zip: I hereby acknowledge that I have read this applicatan, sFate fhat fhe information is correct agree comply wilh allapplicable Stale of Minnesota Stalutes and City o( Eagan Ordinances. ? Signaiure of Applicant: PERMIT # I-q () 1T -,)- RECEIPTDATE: (.. - I - Cl USIDFJTiAL PLUM$INfi PE$MiT APP11CATION crrY oF FAs,vv ssso euDT icxos en EAHAN, MN 55122 651-6$1-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit D_ backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: PETE, TIM 1995 GOLD TRAIL EAGAN, MN 55122 (612) 919-8334 Gl-ro . ?6nr1, m?rL nnH 4n f6n narmii wnrlr ivno TELEPHONE #: (AREA CODE) STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water tumaround Plature of work: yl?QQr nQo:a Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge 50 l lD? ` 12441 T t UN 0 ? g 60 5-° o a y?iti, J ` Remittder. ' Be sure to schedule inspections of alterations, i.e. water'neacers, wa[er sorte.s, ecc. ?r., ?- I hereby acknowledge that I have read this application, stale [hatffie information is correct, andp? reeto complywith all applicabie Ciryof Eagan ordmances. It is the applicanCs responsihility to notiy lhe propeRy owner Ihat fhe City of Eagan assumes no Ya6ility for any damages caused by the City durin9 its nortnal ope2tional and maintenance acGvities to the hacilihes constructed under lhis permit wiNin City propeRylrightof-wayleasement SIG A URE OF PERMITTEE TELEPHONE #: (AREA COOE) Updated 1101 i' ?? M li il ?I????'''I? I' I , - city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-MARELL'S 1ST ADDITION (3 DUPLEX LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners of duplex lots 1, 2 and 3, Marell's 1st Addition. The City is currently being billed by Dakota Electric for streetlighting for duplex Lots 1, 2, and 3 of Marell's 1 st Addition. a?A C?L Edward J.-Kirscft Sr. Engineering Technician cc: Mike Foertsch EJK/je zoas RE5IDENTIAL PLUMBING PERmITa,PPUCarioN 3/ 6 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 °Icas2 complete for modifications to existing residential dwelhngs i D-ete? a7! Uo ?i 1 _ - ,- I Site Street Address 7-ou ? Q;z ' C) I Uni[ # ? I i? ?I ? Property Owner Telephone # loo') 5Q - I - ? _ - -- I Contractor Telephone# (fo5O :9 (o ! Address d ' City ??ICLY? Statek4? ZipcJ??c2 ? --? iI l The ApplicanT is: _ Owner ?ontractor _Other --- Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee ,I $ 100 00 Per as-built I ° - - - --- - - - - ? $ 1000 ? - II Alterations to existing dwelling I? 5 50 00 ' l _ Add plumbing fixtures, This fee includes installation of a water softener andlor water l i? heater at the same time. If you are insfalling onlv a water softener and/or wafer ? heater, do not complete this secUon, move to the next section and check the I appliance(s) you are installing. _Septic System Abandonment ? WaterTurnaround (add $130 00 if a 5/8" mefer is required) " i - I ? j _Other --- - -- ------ / _ Water Softener ??/ Wafer Heater new - P re lacement - - -- --- i i $ 15 00 ?I ? I ? Lawn Irrigation _RPZ _PVB _new _repair _rebuild I ? $ 30.00 I II State Surcharge $ 50 ! Total -- $ I hereby apply for a Residential Plumbing 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 plumbing codes, that I understand tnis is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accorda; c,e with the approved plan in the event a plan is required to pq reviewed and approved. KX (?-D I e? A l Applicanfs Printed Name Applicants ignature lI(5 ? Use BLUE or BLACK Ink r For Office Use S Permit City of Ea ~a~ I n~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Z~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (r ~2 • tJ Site Address: P? l ! J l U (50LD 7~lL Unit t Name: I~ ~Srrll~ W~~-UO Phone: Resident/ l Owner Address /City /Zip: l9'9 3~-f9 2S 601-D 772.A-C9T (Z Z. Applicant is: Owner Contractor P-00F Type of Work ;Description of work: Construction Cost: Multi-Family Building: (Yes /No Company: f 10bST &-mke" hA.• Contact: IV frt Contractor Address: l Dl7 ~I~S WudD City: State: MF4 Zip:12do Phone: 12-Jqp, 0155 License fJ~l ©3 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of j the information may be classified as non-public if you provide specific reasons that would permit the City to I 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.gopherstateonecall.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. x " 1\i mot Tkui&ov x ~ Applicant's Printed Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For O�ce Use � C�6Ol �� �11 � Permit#: /v ��7.�u j Y � ' �o r �� � 3830 Pilot Knob Road � Permit Fee: � I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 I � I Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: j2 b z-- _Site Address: ���� ���'� --�(�l°t�l— Tenant: Suite#: �� ...J F � � �;�� y ���. � � ��. : f =� � Name: Phone: £ Address/City/Zip: �, s� �.i�,� ,. � 1, n Name: �PGiI!►�� 1�, (y�.�_�%�r �v�c, License#:��(X���3� �� - Address:�i�U.�J(� L�l�l:tk � City: ��GIh.P � � � °� j � � State: ►�.Zip: � ,3 Phone: ����1/� �}A-�(� � � R _ �-- - Contact: �� �' Email: _ �. . _ . �_�-,, Y New �Replacement Additional Alteration Demolition �� � �� �. ���� �y = p ; Description of work "��-�e` -c*- �4 � j �,�� 4" eS��� .� ���� m. �?' na-. '� �1{�! . _ ���. ' � . �..������� � �G�2t���� � O-.. C� �>_.�;_� - ��� . �_ � , � W .� _ �� :� r . _. .� . .. ���,�, ��._. �'�� � �������� �� ��3���'�� `�� RESIDENTIAL COMMERCIAL �_ �Furnace New Construction Interior Improvement � ���� r k _Air Conditioner Install Piping Processed ����� ���� _Air Exchanger Gas Exterior HVAC Unit � ' , � �,��- ����;�� � _Heat Pump _Under/Above ground Tank �Install/_Remove) �� g�� �� � ����� ����-'�� ,K Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 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 ' confoRnance w' 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 w is no o start withou �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 s. X-����"l��-'C-�� �(.�� X ' ApplicanYs Printed Name Appli nYs Signat re - - �,�,�,.. �,�,�r : �_ _ . , �_ .. g ,...� �_ _ . _ , :p . � _ v �R� u�:. _��� �- __ ��. � �� � � . � _v �- "` �� - ��:;nd�����-�° . . ���?U�� n�rLL �Air T�s as��-.,��,�- #; - oa� ea ��� .� �- ��; ._. 4�,--�,_ � _ � ,