1644 Norwood CtCITY OF EAGAN
3795 PUet Kno6 Road Eagan, MN 55122
PHONE: 4WE100
' BUILDING PERMIT
Te 6a nenid fer , ,- .. Fd Vn6m •'
SiTE Address -? „?• -
_ ,_; ?-±-r-,.-? •
Lot Block Sec/Sub.
. „ .? .
Parcel #
oc Name
W
3 Address
O
Ci Phone
? Name
Zo
?? Address
F- r..., "_r)874
Nome _
/Wdress
I hereby acknowledge that I have read this applicotion and state thot
the informotion is correct and agree to comply with all upplicoble
$tute of Minnesoto Stotutes and City of Eagan Ordinances.
N2 5474
Receipt #
Erect C] Octuponcy
Alter ? Zoning
Repcir ? Fire Zone
Enlcrge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade p Depth ft.
Aoorovol: Fees
Assessment _
Woter & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bldg. Off. -
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
Signoture of Permittee I
A Bullding Pertnit is issued to: on the express condition that
oll work sholl be done in accordarxe with ell applicable Stote of Minnesota Stotutes and City of Eagan Ordinances.
Buildin9 Official
hnnif # Oah Itw? rwwiffw
Plumbin9 fyi k??
Mechonical
(? ?i /!? 79
INSPECTIONS DATE INSP. Rouph-In Fiml
Footings ? Date Irop. Date Insp.
Foundation Plumbing 6° !
Frame/ins. ? MecFanical _ Q
Finol ? - -
Remcrks:
C7.
?
CITY OF EAGAN • - ? - ?.
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for • Est. Value Date ,19
Site Address Lot Block Sec/Sub. _
Parcel No.
a Name
W
= Address
p << ??:-L r ? 1
Ciry Phone
.o Name
? ? Address
P. City Phone
Vj W Name
y
FW
U n Address
4 yZj City Phone
I hereby acknowledge that I have read this application and state
that the information is correct and agree to comply with all epplksble
State of Minnesata Statutes and Ciry of Eagen O?dinances.
Signature of Permittee
OFFiC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On 51te Well _ Type of Const
Ciry Water _ (Actual)
(Allowable)
# of StOries
th
L
eng
Depth
SF. Total
Faotprirl?t S.F.
APPROVALS FEES
Asseasments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Revie
Fire SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance
A Buiiding Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
UtTTAN X
Building Officlal
Permit No. Permit Holdar Date Telephon* ?
Plumbing
H.V.A.C.
Electric /A y%7
Softener
Inspection Date Insp. Commants
Footings I
Footings II
Foundation
Framing
Roofing ?
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final ?
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
?, a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT
To be used for '
Receipt #
Est. Value " = ? 5w Date ' 1'1'Y
Site Address •
Lot Block Sec/Sub.
Parcel No.
c Name ,.•. '
W
3 Address
0 C:itv • Phnno
¢
.o Name
o Address ? •
l
F. City Phone
c~i a
Ly W
Name
Address
g W City Phone
I hereby acknowledge that I have read this apolication and state
On Site Sewage _
MWCC System _
On Site Well _
City Water _
APPROVALS
Assessments
Water/5ewer
POIICB
Fire
Engr.
Planner
Council
Bldg. Off.
?
Signature of Permittee A Building Permft is issued ta
all work shall be done in accordance with all applicable State of Minnesota S
Building Official
13941
,19 ,
Length
Depth
&F. Total
Footprint S.F.
FEES
_ Permit _ Surcharge
_ Plan Fieview
_ SAC, City
_ SAC, MWCC
_ Water Conn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Copies
Tf1T 1 /
express condition that
Permit No. Permlt Holder Date 7elephono
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footingsl
Footings II
Foundetion
Framing ?•?t
Roofing
Rough Plbg,
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert.Occ.
Temp. LP 1?0 Ls r c
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition BRITTANY Lot ? Blk
Owner '?1? -J: Street 1644 r'orwood Court
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, n 2255.90 C008020 9-27-82
STREET RESTOR.
GRADING
SAN SEW TRUNK i <
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA ,6- /
STORM SEW TRK
• STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 16386 10 23 79
WATER CONN, 270. OO Tp I I
BUILDING PER. 5474 11
SAC f'
PARK
OF EAGAN
95 Pilot Knob Rood
Pean, MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE: --
No. of Units:
Addf@55: ? ? nY+ e: ?,. -? .:?1. T-t• T ?_'? ?^ •' }tri ?.. .
of Insp.:
Connection Charge: %d
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Total:
Date Poid:
Insp.:
oF eaGaN SEWER SERVICE PERMIT
,l9S Pilot Knob Rood PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Add ress:
Site Address: ; ` . Plumber: _ --
,
I agree fa comply with the City of Ea4an Connectlon Charge: ' -? •'?'-' ???'
Ordinances. Acwunt Deposit:
By
Date of Insp.:
Insp.:
eader No.:
ngree W comply wifh ffie City of Eagan
Permit Fee: ---c
Surcharge: '
Misc. Charges:
Totol :
Dote Paid:
cITr oF Er?cnN
? 3795 Pilof Kae6 Road Eagoe, MN 65722 N2 5474
• PHONE: 4548100 BUILDING PERMIT APPLICATION RecaiVr # ? /0`9 ef 6 -
re b. a?e fa. SF Dwla & Garaae FN v„i,. 69.000. n„ra 10-23 io 79
Site Address 1644 Norwood Court
Lot 8 Block 3 Sec/Sub. BYlttdLly
pa,cei # 10 15000 080 03
rc Name John Rudolph
w
? Address
0
p Name 'j'ollefson BldrS.
Address 13816 Holyoke
? ,.;.. Apple Valley 454-6874
Name _
naareu
I hereby acknowledge that I have read this applicotion and stete that
the Information is correct and Ggree to Comply with all applicoble
StoM of Minnesota Statutes and Ciry of Eagan Ordinances.
Erect [j< Occupancy r-3
Alter ? Zoning Rl
Repatr ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? # Storiea
Demolish ? Front ft.
G'ode ? Depth. fr.
Anorovals Fee'
Assessment -
Worer & Sew.
Police -
Fim
Eng.
Planner -
Council _
Bldg. Off. -
APC
Permit 1625.UU
SurcMrge 34.5?
Plan check 84.0?
SAC 525.00
wmer conn. 27n _ nn
Water Meter ---0.0
RA_ i7ni+ 75_00
rotal 1,216.50
Signafure of Permlttee I
A Building Parmit is issued to: TollefSon on the expreu rnndition thot
all work shall be done in occordonce with all upplitable State of Minnewto Stotutes and City of Eagan Ordinances.
Building Official 7? ? - --
?°. ? .
CITY OF EAGAN N° 13 9 4 1
•? 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
?
BUILDING PERMIT PHONE:454-8100 Receipt # -7 5
To be used for STDRAGE Est. Value $Z > 500 Date 1liLY 17 19 87
Site Address _
Lot $ Block
Parcel No.
1644 NORWOOD CT
3 Sec/Sub. BRITTANY
a Name JOHN RUDOLPH
; Address SAME
? City Phone
s Name SEN OSTMAN
?E Address 1300 DUNBERRY LN
P City EAGAN Phone 452-1576
a
w
W Name
w
?78 Address
a w City Phone
I hereby acknowledge that I have read this application and state I
that the information is correct and agree to comply with all applicable
State of Minnesota Statutea and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issueA to: BEN OSTMAN
c?
all work shall be done in accordance with all app I State of M
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Conrt
Ciry Water _ (ACtueq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPflOVALS FEES
qssessments _ Permit $44.50
Water/Sewer _ Surcharge 1 . Sn
Police Plan Review
Fire _ SAGCity
Engr. _ SAC,MWCC
Planner WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC TreatmeM Pt
Varianc _ Parks
Coplas
?.00
on the express condition that
Stqtutes and City ot Eagan Ordinances.
CITY OF EAGAN N! 13 7 7 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
R + PHON E: 454-8100 ?7 ? ? ? /
BUILDING PERMIT Receipt# / 'O
Tobeusedfor 3-SEASON PORCHESt.Value $12,000 Date JIINE 12 11987
SiteAddress 1644 NORWOOD CT
Lot 8 Block 3 Sec/Sub. _
Parcel
Name JOHN RliDOLPH
Address 5AME
City Phone 454-8761
Name PATIO VILLAGE
o 0 ? Address 7920 POWELL RD
U, City ST LOUIS PK phone 938-7989
w W
w Name
z? Address
a W City Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
City Water _ (ACWaI)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $107. $0
WaterySewer _ Surcharge F nn
Police Plan Review S?T? S
Fire SAC,City
Engc _ SAC, MWCC
Planner WaterCOnn.
Gouncil Water Meter
I hareby ecknowledge that I have read this application and state I Bldg. Off. _ Road Unit
thattheinformationiscortectandagreetocomplywithallapplicable APC - TreatmentPt
State of Minnesota StatutQe??$an/df Cityof ega Ordinences. Variance _ Parks
9nature of Permittee - 707nL Copies
Si $ 67. 5
? ?(J
A Building Permit is issued to: PATIO VILLAGE on the express condition that
all work shall be done in accordance with all agqlicable State of?Ainnesota Statutea and City of Eagan Ordinances.
BRITTANY
Building Official
x
V.,rr#ifirttfr jof (Orrupttnry
Citp uf (Eagan
Bepdrtmrni crf BuilDing Insprrtiott
Tbit Certi firate isrued puauant w tbt rcquiremrnu o f Settion 306 of tln Uniform Building
Code crrti/ying rhar ar iyr rrme of lttuana thit ltrutlare war in comPliance. with the variout
ordinaxrrr ot tht City regulruing building torsn+nction or utt. For tbe fauouanx:
u.cl.ms.em SF Ihvlg & Garage BIdg.Pemti,NU .' 547?
?poryTYpeR'3 rypComwcuon V Firczon III Zomn6Di.tnct . R
,Tollefson Bldrs. AaaRa 13816 Holyoke Ln.,
BY. March 5, 1980
.e.. ?. . <???W...,,<.
o..., .,.
PLiR11B:.''G (RESYBENTiAL) ?
(00q 72? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required For each unit
Date / -a4/
Site Address Unit #
Property Owner
-? Telephone #? `-
Contractor u P_ PIPEWORKS _
D ROA
?? DOD
ndaress N 55123
?q?;?N
?x city
,
(651) 365 1340
State
Zip Telephone # ( )
The Applicant is _ Owner )90mractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigarion system
_ Water softener DWater heater $ 15.00
placement _ additional
_ - ---------,? r 1
L?
$ .50
State Surcharge
I
?
I
JG
,,?
J
V
I 1
L
V
Total ?
-I $
I hereby apply for a Residential Plumbing Permit and aclmowledge f}mYthe information is complete and accurate; that the work will
be in conforntauce with the ordinances and codes of the City of Eagan and with the PIymbing Codes; that I derstand this is not a
permit, but only an application for a pernvt, and work is not to start without a permjthat the work w/dll in accordance wiffi the
approve plan in the ca e'df work which requires a review and approval of plans.
) & 4&4 m
App icant's P ed ? Appl' ant's Signat
q?? 2000 FIREPLACE PERMIT APPL(CATION
j CITY OF EAGAN k
3830 PtLOT KRI08 ROAD - 55122 ?
651 681-4675 1'„2-ryMo O
'1
Date: C;? oo
Description of Work: _ Construct new fireplace .? Gas _Masonry _ Alierations to existing
Install gas insert onlv _ Install gns line orr/y
Other
Jobaddress:
Lot: _-9 Block: Subdivision/P.I.D. #:
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
Name: V d/'i,& Phone
PROPERT'Y Last First
OWNER q/ ` I
Street Address: /V /V j)/? (,vey kF ?T
Ciry State: 41V ' Zip:
Company: ?llc Phone #:
(azea code)
FIREPLACE
INSTALLER Street Address: ?N I ? /V,
ciry 13rzu)e/Gr" stace: & A/zip: 3 S
Company:? Y!-i 7,- Phone #:
(azea code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
I hereby aclmowledge that I have read this application and state that the information is wrrect and agree to
comply with all applicable State of 1vIinnesota s and Gity of Eagan Ordinances.
te
Signa e
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations ? 39 Gas Line
? 34 Repair ? 40 Gas Insert
GENERALINFORMATION.
Census Code 434
SAC Code 01
REMARKS
? :i 41 Wood Stove
Chimney/flue must be inspected before concealing.
x . ? ? .
I
1987 SUILDING PERMIT 9PPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IRCLDDE 2 SETS OF PLANS, 3 CfiBTIF2CATSS OF SII&VEY, 1 SET OF ENERGY CALCOLATIOHS
NOTS: ADD&ESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGAAYE itHICH ADDRESS
IS DSSIRED. NO CH9NGfiS WILL BE 9LLOWSD ONCE BIIILDING PERMIT IS ISSOED.
MOLYIPLS DWLLLINGS - RESIDENTIAL RENTAL QAITS FOR SALE DBiIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQftVEY - CHECK iIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPII+IBRCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: tjjI`fQ 4r(?r?Sa„ (sr:? Valuat ion: 4Z 0-&-b Date: (p
Site Address /(/ONJC,d4 Lr"f' OFFICE llSB ONLY
?
?
Lot
Block On Site Sewage_ Occupancy
_- MWCC System Zoning
?•---x
Parcel/Sub _ C?? On Site Well Type of Const
,
City Water (Actual)
?
Owner n i J c?h J 0 ?Z (Allowable)
??
{?
"
"4-
? # of Stories
Addres s
yy ,
r.u06
tl r
0 1 Length
Depth
City/Zip Code ?q5izjz fLj/4F S.F. Total
Footprint S.F.
D
Phone p no? gPPR0V9L5 FSFS
Contractor Q- Assessments Permit
-y ° ?/
?
9)
11? Water/Sewer Surcharge ?
-
Address _/
t7
v,JC?
@ Police Plan Review
1:?
?i /J
?
'
(
? Fire SAC, City
City/Zip Code ?/
.rJv
</
qe' Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
/E
A
h Bldg Off Road Unit
T
t Pl
t
rc
.
ngr. Q??
f men
rea
Pariance Parks
Address ? y&,.r? ?cs !L???.c. Copies
TOTAL
City/Zip Code
Phone S
/
1987 BDILDING PERNfLT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDfi 2 SEfS OF PLANS, 3 CERTIFICATSS OF SORVEY, 1 SET OF ENERGY CALCOLATIONS
`?L
HOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGHATE WHICH ADDRESS
ZS DFSIRED. NO CHANGES WILL BE ALLOWED O1QCE BDILDING PERMIT IS ISSQED.
MOLTIPLE ?WELLINGS - RFSIDENTIAL RfiNTAL DNITS FOR SALE il?TITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For::-5704,?4i?- Valuat ion: i2J0 Date:
Site Address /P `rL/ /v d'g+'pUV OFFICE IISE ONLY
Lot ? Block ? On Site Sewage _ Occupancy
MWCC System Zoning
Parcel/Sub On Site Well Type of Const
Owner,,,1j)[(k. City Water (Actual)
(Allowable)
Addr // ?PC??? /???C ess ?? !i j # of Stories
Length
City/Zip Code G ? SS ? Z
? Depth
S.F. Total
Footprint S.F.
Phone
Contractor,-,bZ-F/L-- APPROVALS
Assessments FSES
?
Permit ? ?
/
Address/j01) --XX ? iz6f ? Water/Sewer
Police Surcharge I .;ia
Plan Review
City/Zip Code?t,9/?i .?SlZ-3 Fire
Engr SAC, City
SAC, MWCC
?
Phone '?/SZ ?'/S' 7(a Planner
Council Water Conn
Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Varianee Parks
Address Copies
TOTAL ?
City/Zip Code
Phone #
v'
,
?-jus-r?rv?t
kvrx, E:-
;
?
?I
?
C????
'. . . . . V . ,j?. ,... .' . . . .. .. . .
i.,
9UIyDING PERMIT APPLICATION
4l
11 '. ' . .' a . '.. , . . . , . •" ...A... . .. f.
Trwlude 2 seEs oE plens, l sita plan a/elevat3.ons and 1 seE af energy calctt3atioee.
? To be used Valuativn
' r
? Site Address:/?yy
, . IAt Hlock Stlb. Parcel NtIDtbei /? ? J npD - L?n e93
,
. ? ? . , ' . . , .. , ..
Address
Ioontractor?
€
r
Address
Arch./Eng.
Address
Telephone
,
Telephone
Telephone
OFF2CE O58
Erect
Alter
Faepair
Enlarge
taove
nemolish
Grade
OFFICE USE
Date of Approval & Initial
Aesessment ?a LI > 7 9
water/sewer
Police
Fire
F.ng.
Planner
Oouncil
Blflg. Off.
A.P.C.
?
OcCUpancy
Zoning
Fire Zone 3
Type of Const. 17
# of stories
Front
DepCh
£EES
Pezmit '
Surcharge
Plan Check Ff'Y -
snc
F7ater Conn.
61rAter Meter
?Q)?„,,,;d 70
TOTAI.
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LAND SURVEYOR `
R[61ETRRlO UNDBR LAW6 OF lTAT6 OF MINNQ6DTA > `
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2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each unit
Date 4 / CA
Site Address { ?-A N(jr-L?(3, &?- ` Unit #
Property Owner C..?> >h -N-Ldd` 4" ' Telephone # (r" 45'A- C 1 2(aI
?- -- -
?
Contractor Wohlers Southside Htg. & Air, I
nc.
6950 W. 146m St., #106
Street Address Apple Valley, MN 55124 C't3'
I (952) 431-7099
I
State Telephone # ( )
l
Bond #: d5" c-7q 8 Expires:
The Applicant is _ Owner /_ Contractor _ Other
Add-on or alteralion to existing dweRing unit $ 30.00
? furnace _Additional Replacement
air exchanger
? airconditioner _New 14 Replacement
other
State Surcharge $ .50
Total ?• ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the informaUOn is complete and accurate; that the work will
be in conformance with the ordinances and codes of the CiTy of Eagan and with the Mechanical Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a pemut; that the work will he in accordance with the
approved plan in the case of work wlrich requires a review and approval of plans.
1--)a c1iCi -R .1- ``'ller'_-_-? - LN_? ?L 1
Applicant's Printed Name Applicant's Signatur
APR 16 2004
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commesciaUindustrial buildings i
multi-family buildings when sepazate pemvts aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
1
1
coutraetor
Street Address City I II
I
State Zip Telephone # ( )
I
Bond #: Expires: I
The Applicant is Owner Contractor Other 4 1
Work Type
New Gonstruction _ Underground Tank _ Install _Remov e **see below
_ Interior Improvement _ install Piping _Processed _Gas II
Nature of Work:
"When installing/removing underground tank, caff for inspection by Fire Marshal and P fumbing lnspector
Permlt Fe¢S; $70.50 Underground tank instaltadon/rerrwval II
$50.50 MGaunuar (includes State Surchsrge)
or
Contract Value $ x 1% -$ i
i Perxnit Fee
• If nemut fee is $1,000 or less, add $.50 =1 $ State Surcharge
If?emut fee is over $1,000, add $.50 for i
every $1,000 pernilt fee $ I Total Fee
I hereby apply for a Commercial Mechanical Perntit and aclmowledge that the informarion is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Godes; that I understand this is
not a permit, hut only an applicarion for a pernut, and work is not to start without a permit; that the ii rk will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's Signahue
Approved By: , Inspecmr
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
_________ i
I p0?
I ?•` ? I
? Permit
? Permit Fee:
I
? / ?
? ?
? Date Received: /
I /7 I
? Staff: I
I
-----------
-------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ! 2U? ? Site Address: AYc/ IJG(IuUOU c) C7'-'
Tenant: Suite
RESIDENT/OWNER Name: OOHAJ j2u'?OLP Ij-- Phone:
Address/City/Zip: j6?y 1'Jo2WOOp c(
Applicant is: _ Owner C Contractor
TYPE OP WORK Descnptionofwork i EIt?- o? 2efZ?c F
t•
Construction Cost: `76c?6 - 61- Multi-Family Building: (Yes _/ No V
CONTRACTOR Name: _ /o,v P?., -?c,??u.M s,'sh License #: ?v07 0
'? ?
Address:.W'Fr?Y1 Si C:T
City: Q?m(? State: I-fAj Zip: .?512r
Phone: Contad Person: %? pfi¢-Q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) 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 plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans an"d supporEin'g doc`umenfs ihaf you submtt zie consrderetl to tie'pubGc information:t Portions; of =
t the Cityto
`;
ecifrc reasons that would perme"
the informatron ma
be classrfied `as'non
ublic 'ii
ou pro`
ide s
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`=concfude"thAt fhe are
I hereby acknowledge that this infortnafion 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 oNy 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.
X?GN lAi `-_ X ?/?^. 4 `r1`C _
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
Use BLUE or BL_AC_K Ink
i For Office Use
/ I
It r- - Permit
t i
r Ly
Permit Fee: l
Date Received: I
Staff: }
2012 MECHANICAL PERMIT APPLICATION
Date: it tJ` i 'tX. C f' '`1
Site Address:_
Tenant: W
_ Suite
RESIDENT/ OWNER 'Name Phone: L( - 1
Address l City l Zip: (01 LA 0 lu E
Name -4icense
Address: City: t liE' C~
CONTRACTOR
r _
State: )V~ Zip: ~t Phone:
Contact t U (I ~1D a) e I✓t Email: ti ~ Y~ S f~ r~Vtilfir~ SIC r a
New X° Replacement Additional Alteration Demolition
v~
o QCc_ ~1 ~
TYPE OF WORK w Description of work,
~ t
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
X Furnace New Construction _ Interior Improvement
PERMIT TYPE Air Conditioner Install Piping Processed
1 -
Air Exchanger Gas Exterior HVAC Unit
(
- Heat Pump _ Under / Above ground Tank Install I Remove)
Other
RESIDENTIAL FEES.
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)' TOTAL FEE'
COMMERCIAL FEES.
a x5.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ (Spo0.6 0 X1%
$60.09 Minimum (includes State Surcharge) Permit Fee
2fPe'Permit Fee is less than $10,010, surcharge is $ 5.00 _
- If the Permit Fee is > $10,010; surcharge increases by $.50 for each $1,000 Permit Fee - _ Surcharge
(i. e. a $10 010 $11,010 Permit Fee requires a $ 5.50 surcharge =
..n,., ) TOTAL FEE.
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.aoDherstateonecall.org
I hereby acknowledge that this information iscomplete 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 p~of/work which requires a review and approval of plans.
~.J 1 ct
X
X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections; Reviewed By: Date:
Underground Rough In Air Test Gas Service Test 1r-floor Heat Final HVAC Screening