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2093 Marble LanePERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111960 Date Issued:07/19/2013 Permit Category:ePermit Site Address: 2093 Marble Lane Lot:37 Block: 7 Addition: Cedar Grove 2nd PID:10-16701-07-370 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. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Russell C Lemcke 2093 Marble Lane Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature -.....r .-? r .. . . PERMIT # MECHANICAL PERMIT ? CITY OF EAGAN RECEIPT # ??.p- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -; ONTRACT PRICE' y, j G? c? PHONE: 454-8100 ? Name G??:?Z.. c.. .P'?s" ? i/ m •-• c Address . Ciry L . Phone Name c Address 0 City .. . f?.i.. Phone TYPE OF WORK Forced Air M BTU • ' Boiler M BTU Unit Heater M BTU Air Cond. Zv M BTU Vent. CFM Gas Piping Outlets # Other ? FEE: ?.. ,, . . _ ... _.. ....r. ..., _....__ S/C: . ,._ TOTAL: BLDG. TYPE WORK DESCRiPTION Res. ? New Muft Add-on - Comm. Repair 5 FEES RES HVAC 0-100 M BTU -$24 00 . . ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 1 PER PEkrAI'n - 1 GAS OUTLETS MINIMUM 50 EA . . - ( COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE - ALL AOD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRICE GOES ' . BEYOND $1,000) OF EAGAN CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 37 Bik 7 parcel 10 16701 370 07 Owner 4 JKA-" street 2093 Marble Lane state Eagan,MN 55122 Lx': i+ ('Irn : Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. 1985 1266.95 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 13 .00 2.? 2 WATERMAIN WATER LATERAL 972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC ?. PARK ,??/?r2y f? 242? ? 2 &,?? Fequesl0afe 7/18/89 1 Fire No 1 Rough-in Inspechon Reqmretl? ? Ves 12 No ? Reatly Now (XWill Notiry Inspector When Reatly' I IX licensed contractor ? owner hereby request inspection of a6ove electrical work at: ,bb Address (Sireet, Box or Route Pb ) Cily Section Nv. Townshlp Neme or No. Range No Counry Dakni-a OccupeM (PRINn Phone Na 454-4115 PrnverSUpplier Atltlress Electncal Conhactor (COmpany Name) ConVyc1or5 License No. 040445 Mailny Atldress (ConVactor or Owrier Maksng Installatron) AuMO?li?h?et(COnhactorlO r aM Installatron) PhonO Number MINekaA p;piEllgpqpWIKECTMCITY ? THISINSPECTIONREOUESTWILLNOT Grlgge-Mitlway 61tlg. - Hoom 3173 BE ACCEPTED BY THE STATE BOARD 1821 Univeniry Ave., SL Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSEO 7a,Ilk9 . ? 24223 REQUEST FOR ELECTRICAL INSPECTION ? See instrucnons for completing this form on back of yeilow wpy X" Below Work Covered by This Request E&W001-0] e Add Rep. TypeoiBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /Industrial X Furnace Farrn g Air Conditioner Other (specify) CoMraciw$ RemarkS: ComputelnspectionFeeBelow: Job 20866 # Other Fee # ServiceEnimnceSize Fee # Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Ahove 200 _ Amps Above 1 Amps Signs Inspector5 Use Only: TOTAL trrigationBooms /J? 15.50 Special Inspection ? Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oate certiry that the above inspection has been made. Final ,, o pr OFFlCE USE ONLY TMS request wb 18 monihs hom EAGAN TOWNSHIP BUILDING PERMIT ?o Owne: ----............. ................... Eegan Township Address (Preseni) ....-_?..... '-4 . .............. Town Hall Builder .....?..?f..U.?.._...b`.,`.?..................... Dale "_?// /_', Addresa ............""""""_......'--'......."_'-'-'....'-__ .....................""....'-' DESCAIPTION 2469 / SSOZias To Be Uced For Fxont Dep2h Heigh! Eal. Cost ermi! Fee Remazks s:ree:, aoaa or osner nesenpnon o: Loeanon i Lo: i mocx I AGQIIl07l Oi 1'leC1 I 3--2I--7 I G.c?- -"'? This permit does aot auShorise the use of sireeri, roads, alleps or sidewalks nor doee fl give the owner or hSs agent the righlto creaie anp situafion which is a nuisance or which presenls a hasard !o the health, safeYy, conveatence and general melfare !o anpone in the communiiy. THIS PERMIT MUST BEEP ON TFiE PREMISE WHILE THE WORK IS IN PROGAES,S. + Th{s is So carlifY, !hal.Q?:.-.?:?.^c•.?!.-_ ......................hasPermission !o ereci a..----a?x?s?---_-•-_......_ .... upon ' - - "---..._ the above deacribed premise subjee! 2o the provisiom of the Building Osdinance tor Eagan Townshi adopled Apsil 11, 1955 ....._""-' "'._...."-'.... ....................._.."""-' ._..._"' ............... ......_--'....X!..../-.°---..•.` ...?:......'_'........ Per ..............._^?-?.' ?J! Chaan oE Tnwn Board Suilding_InsPeelo?j irm 40 EAGAN TOWNSHIP BUILDING PERMIT Owner _"'f!???'.".?----..d.?cicr!-CA"? ./....---..................... Addzess (PresenS) -• ?c3- `1..:?...--Y?.`.-`.? "-f-c` •.?-................ Suilder ...---- ----- -- -------------- .------------------ ............ Addreu .......................... .-------- '...... ......................... DESCRIPTION N° 2098 Eagan Township Town Hall Dale ? ?' ---- Y1-`-'`--?- ?-? .................. To Se Used For Fronf Depih Heighf Esf. Cas! Permif Fee Remarks n ?`--?-?- " LOCATION or ??? ? 1 0- - This permit does not auihorise the use of sireefs, roads, alleys or sidewalks nor does it give the owner or his ageni the right io creaie anp sifua2ion which is a nuisance or which presenis a hazard 20 the healih, eafe2y, eonvenienee and general walfase !o anpone in the communily. THIS PERMIT MVST BE ngEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGRESS. _ This is !o eeriify. ?......-----_......._haspermission !o erect a..... '-_?-?:_-?--'-_----_upon the above described premise eubjec! !o the pcovisions of the Buildins Ordinanee for' ag?aa Township adopled April 11. 1955. ........................ . . ............... -?._.-?-.?-...---.._..... ' Chairman of Tnwn Board c. (3 ?.-??.?......?-? -?-? Per ..................... .....'--.........y "-'•- f-'.-........e ............. Building Inspecior Y EAGAN TOWNSHIP ,,--,BUILDIAIG PERMIT Address Builder .... ...__--' Address ._ .. ----------------- '. / ? r LOCATION N° 682 Eagan Township Town Hall D aie /,Z....C?_-..-40.... Aemaxks ' - -- - ----?---- - -----' .+.?. ..+,wa ---- --naalnon or Iraci This permii does noY authorixe 1he use of sixeeis, roads, alleys or sidewalks nor does if give fhe owner or his ager.i !he righifo ereafe any Siluaiion which is a nui5ance or which presenis a haaard fo !he heal2h, Safefy, convenience and genexal welfate fo 8nyone in fhe community. THIS PEAMIT MUST B KE T O H£ P£?KIS yY E THE WORK IS IN PROGRESS '• This is !o cerlify, ih as permission !o ereci ?? ... _.. .. ..?. .._--- __.. upon the above dcscribed premise sub eci fo fhe provisions of ihe Buildin Oxdinance for wns adopfed April 11, 1555. Per Cheirman of Town Soard --- - - ? ____ __. . n...' . . . . . . . ... . . . ? ? W 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 gy.a? New ConsWclion ReoWrements RemodellReoair Reauiremenb mo 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20%maximumlotmverageallowed) 75etofEnergyCalculationsPorheatedadditwns 2 copies of plan showing 6eam & windowsizes; poured found design, etc. i site survey for additions & decks 1 set oi Energy Calculatlons AddiGon - irMicafe Aon-site septic sysfem 3 copies of Tree P2servation Plan if lof platted after 711/93 Rim Joist Dehail OpUOns seledion sheet (bldgs wdh 3 or less units Date L/ Construction Cost e? tO, f SiteAddress a0??j L"C. UniUSte # a M?j 2 Description of Work I G r c?oWS Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1 Q Telep6one #((rfj 1)?? ?? '`I I(5 Contractor mi f1YIQ5ro?` 4DW%Q (A up f5 { Zne' Address 57410 _ i?Y OLI ? City /?/iHllt ¢Dn k t State /l/]A/ Zip.5'S3 y3 Telephone #(9S; 9ay SySY COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules'1672 Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. 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 ardinances 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 requires a review and approval of plans. M #c- b !4 7a-GF I,,e wic.k C Applicant' rinted Name <Z:2 Appl' t's ature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2093 Marble Lane Lot: 37 Block: 7 Addition: Cedar Grove 2nd PID:10- 16701 - 370 -07 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: Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124 -0000 (952) 891 -1919 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $90.00 Owner: Russell C Lemcke 2093 Marble Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA084015 07/03/2008 ePermit 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 41' Cityofaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 2 0 2016 Use BLUE or BLACK Ink For Office Use �( p��( Permit #: j ;) i v ✓— Permit Fee: to 0� Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: LI' igj - ILP Site Address: Tenant: Suite #: Name: L 'f`ct Phone: 195) - 341 - 4353 Address / City / Zip: -2.S)(3 S\P.&B t.\ rab tn7 1e11,. 55YLt Name: V1.1M4. \c&1 4 %11L (. License #:M1:6C)C-) 34'L14 Address: C13003 ?0/cn ANYL-City: 1 tb`t N 4a\L l/� State: N\ ti Zip: 5`jy L Phone: 63- 5L122- 111 olc \ Contact: .1OS-1,1J `j4Jk' New Replacement Email: \1\� C \ k � (-O'r''\ Additional j Alteration Demolition Description of work: L7 XS \-t AA C cton. Wc.v4 RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other b1).1/4 i. COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit 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 _ $ is)3, TOTAL FEE 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 Contract Value $ 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 plan x 1R U J\ S � k-te, pyo io Applicant's Printed Name x� Applicant's Signatu FOR OFFICE USE Required Inspections:' Underground Rough In.