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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. + Cities Digital Quality_Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ?jl l; f,:;r. 8;iildr rs znc. J r . 11034 133-67A e F. C. JACKSON LAND SURVEYOR ` R[61ETRRlO UNDBR LAW6 OF lTAT6 OF MINNQ6DTA > ` uCtNG[D MY OROINANC[ pF CIn Or YINNZAI?OLIf / ?"" ? ri Y 9616 EAST 88TN STRSET554I7 ? \ 7?1-3484 • iburbepor'g Certificate ? , - •, I. 1q? ? ,1 •)? L Q 1 I , ?t, ?? ? ?w ? I f' Q 1 ? N i N 1' t •1 L ?? 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I S,.s_?._.? - -- - t p F ? t.lr . ? ? . _ ? 5. ?. .. ? . r ? ?.. 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 , p? y p y v p `=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