1650 Oak Ridge Cir.f'.c/_ G. rY
IIIII (III II I III II I III I I I
..* I II?
?
II IIlI! 8P1QUNversState iry B a dRm. SRectricS 'Pau P T O
l, MN 55104
5 * Phrne (fi12) 642-0800 ya(? ?
ome Duplex Apt. Bldg. Other: New Addn
'? Commercial Indushial Farm Remod Re air
Air Cond. Hig. Equip. Water H}r. Load MgmL Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by this request. Enier remarks in fhis space and on ihe back of the white copy only.
Calculafe Inspecfion Fee - This Inspection Request will not be accepted withouf the correcf fee:
Olfier Fee # $ervice Enhance Sae Fee # Circuih/Feeders Fee
Mobile Home Park Stall % 0 fo 200 Amps Jo j 0 to 100 Amps S
$freef Ltg./rmffic Sig. Above 200 Amps bove 100 Amps 9
Trans(ormer/Generator INSPECTOR'SUSEONIY TOTAL
$ign/Outline Ltg. Xfmr. ?. oa?
Alorm/Remote Conhol
Swimming Pool I here ani that I ?n. ?d zi i? th<dab: Aebd
Imigation Baom Rooyn-In ? . D.re
S
ecial Ins
eciion -
p
p Final r Do
Investigofive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNE . N HIN 18 MONTHS.
2 w^??? O ?
4 a o OFFIC USE ONLY This reqeest void 18 manihs Irom ?alidafion dole pnnhd in Ihis box.??
I /
L . Q a-?
?
PLEASE PRINT OR TYPE d1
.. /
Reqoest Dore Raogh-in inspecfion reqelrcd2 es ? No Inspectian e an Rough- : 0 Ready Now 71 Coll
tYau must mll Ihe Inspenor when ready) Dote Ready:
I, [41censed contrador ? owner hereby repuest inspedion of ihe above elecfrical work af:
Job Pddress (Slree,, Box, ar Rouk Na.? Ciry Zip Code
6A-K Cn?-el? .?,?
Sedion No. Township Name or No. Range No. Firc No. Counry
p."ni ,
?l.A CP»?//f,aA?Lt Phone No.
1?iS`7 ?OS?
PowerSupplier Address
j/ /Z
ConfiaMr (Cempany Name)
Eletl m
l Cantmctar lianse No. Maslar bc No. (Plant EIM. Only)
/
? ???
Mailing Pddre?e (CoMraclor or Owner Performing InsMllaNOn)
a, s3 ? s ?
AuMarized SiqnoNm (Conlmcmr or wiar Pedormirg Insmllafion) Phon[e ?Noq.p /Q
STATEBOAIi COVY•SEEINSTRUCTIONSONBIICKOFYELLOWGOPY
IIIII IIII II W85REQUEST FOR ELECTRICAL INSPECTION Minnasota State 8oard oi Electricity J821 Universiry Ave., Rm. S), $t.?aul, MN 55104 ?
enona (siz) saz-0eoo ?`. "
ome Duplez ApT. Bldg. Othar: New Addn
Industrial Fartn
i r Cond. Htg. Equip. Wafer Hfr. Okier.
l er Ran e Elec. Heo} Tem . Service
"k' above the work covered 6y th'rs request. Enter remarks in this spoce and on the back of the white copy only.
Calculate Inspe<tion Fee - This InspecFion Request will not be accepted withoul the mrreU fee:
Olher Fee S Service Enharice Size Fee # Circuifs/Feeders Fee
Mobile Home Park Stoll / 0 ro 200 Amps ?a /J 0 to 700 Amps bS
Sheef Ltg./lraffic Sig. Above 200 Amps ? Above 100 Amps 9
Transformer/Genera}o! INSFEC70p'SUSEONLV TOTAL 0?
Sign/Outline Ltg. Xfmr. ? .00 ?r
Alarm/Remoie Confrol
Sw'immingPool Ihe2 cent +hot nn: tmi nMedates:mfcd
Irligation Boom Ro?gh-In Dare ?? J'/s
ecial Inspedion
S
p
Invesfigative Fee Fin.1
?
THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT COMPLETED WlT ffN 18 MONTHS.
?_ 4 6_ V aJ 1 ET OFFlC Uo SE ONLY This request wid 18 monfis (rom validanon doh pnmed in this box.
?a?? 5?? s
PLEASE PRINT OR TYPE
kequest Dme Rough-in insecNon reqotred? [njTe ? Na Ins ion Olher ihan u9h-In: ? Ready Now ill Call
?You must mll lhe inspecror whe n reodY) Dnk ReodY:
I, [r]'licensed contmclor ? owner hereby requesf inspecfion of the above eledrical work ah
Jab Pddrc/ss /(Shee1, Box, or /Rowute ?N?o?.)
SU Ciy ?y ?p ode
/ Io
Sedian No. Tawnship Nome or No. Range Na Flre No. Covnry
t
Q"rxO
Occopvm Phone No.
ftn?u.* QS 9 5'a?9
Power Suppliar Addrezz
?
ElMnml Conkacror (Compo, Name) Confracror Liceme No. Marer Lic. No. (Plant Elen. Only)
??Qi)?A ?G77Lii2. ???4 CifO'"/)+' ?FjO /?
Mailing Pddiass (CoMmtlor ar Owner Pedorming Insallorion)
740 40 x - 6a ,?.,?- 55.3s7
AirMonxed?aNre(Conln r orOwnxPadormirglnsmllafion)
(, ? PhonaNo.
EB-00001LG&15-- bfATEBOAROWVY-SEEINSTRUCTIONSONBACKOPVELIAWCOVY
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT T, RL ? `' Ll V (0
io l??/ 55
PERMITTYPE: auiLazNG
Permit Number: 0 2 6 5 8 0
Date Issued: 10 / 2 0 J 9 5
SITE ADDRESS:
1650 (7AK ftIDGE C]:R
LO7: 1 BLOCKa 1
OAK RID6E FAMILY HOUSING
DESCRIPTION:
B,4fil?tling'.,Permi.t Type DUPLEX
Buildinq 4Ja,r_k Type NEW
? UBC OCcupancy`,. fi-3 U-1
? Construction TXpe V-N
Zoning
/ R-'1
Building Lengr.,h
i 39
Building Width 53
? 8 u9.1`dihg stories 2
?°,
-
•
l
,, „
7n
?: _ .,... ?
. - _
REMARKS:
INCLUDES 1652 QAK-RIQGE CIR
PRV S & W PLBR - FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SNC Units
5ubtotal
VAI,UATION $135,000
$1,077.25 CITY SAC
$377.04 WliTER CONNECTION
$69.00 S & W PERMII'
$1,700.00 S & W SURCHflRGE
100 TREAT MEtiT PLANT
2 ROAD UNTT
$3,223.29 ToCal Fee
$200.00
$1,500.00
$100.00
$.50
$744.00
$550.0@
$6,617,79
CONTRACTOR:
FRANA & SONS INC
7500 FLYIN6
EDEN PRAIRIE
(612) 941-0282
- Appl9cant -
19410282
CLOUD DR 755
hiN 5534A
sr. Lzc. OWNER:
0007620 UNKOTA COUNTY HRA
2496 145TH ST W
ROSEMOUNT MN 55065
(612)423-8111
I
T hereby acknowledgo that T have read this appl3catiion and state tttat the
informatican is correat and agree to comply witt€ all app1icable 5tate of Mrr:
SCatutes and Ci:ty of Eagan prdinances,
? ,.
APPLICANTlPERMITEE SIGNATURE ISSUED B SIGN URE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -L675
? 3 isgistered site surveys
? 2 copies o1 pleu (indude beam & window sizes; poured ind. design; etc.)
? 7 snerpy celwlations
? 3 copiea of 6ee preaervation plan if bt platted after 7!1/93
required: _ Yes _ No
DATE: 9-19-95
? 2 copias ot plan
? 2 sfte surveys (exterbr add'Aions 8 decks)
? 1 energy alwWGOns for heated addicions
CONSTRUCTION COST: 0x36) Jf/Oe
DESCRIPTION OF WORK: woon FitartE SLAB ON GRADE TOWNHOMES
STREET ADDRESS:
?
LOT BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Namg: DAKOTA COUNTY HRA
Wi MiT
Street Address, 2496 145th sT. wEST
City: RO5EMOUNT
State:m Zjp; 55068
COn'IPBfIy: FRANA AND SONS, INC.
PhOne #:612-941-0282
Street Address:7soo FLYING CLOUD DR. #755 License #•0007120
(`,jry;EDEN PRAIRIE Sta{e: MN ZjP• 55344
COmPanY: PAUL MADSON 8 ASSOC.
PhOne #'612-332-7026
Namg: PAUL MADSON RE91Str8tl0n #'013243
Street Address- 420 N STH sz.
CIty: MINNEAPOLIS, Stat@: MN Zjp•?
Sewer 8 water iicensed plumber: Penalty applies when dress change and lot
change are requested once permit is issued. I I hereby acknowledge that I have read this application and state that Me
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY +
Certficates of Survey Received _ Yes _ No
Tree Preservation Pian Received - Yes - No
\
y.z3-Bi//
Phone #:61 z-3+2-1?
to comply with all
_- ;`; -- J-
j SEF 2 0
1995 ?
1 ?
? ----?- -- -- - `
BUILDING PERMIT TYPE
? 33 Alterations o 36 Move
? 34 Repair o 37 Demolition
. ?• d??`? ry?
0 01 Foundation z;R?06 Duplex o 11 Apt./Lodging a 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 'Swim Pool
0 03 SF Addition o 08 8-plex a 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21
Miscellaneous
? 05 SF Misc. 0 10 = plex o 15 Deck 1
WORK TYPE
43-- 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft. -? MCNVS System ?-
,IF-Al Main level sq. ft. / ZS City Water ?G-
e-s u-i ? sq. ft. o? Fire Sprinklered
x - I/ sq. ft. PRV ?S
Z C!w&-r} sq. ft. Booster Pump
39 sq. ft. Census Code. /o?
s3 Footprint sq. ft. SAC Code o/
Census Bldg /
Census Unit y
Building
OFFICE USE ONLY
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surctiarge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% sa,c
SAC Units
---??
Valuation: $ / 38,G+oo ?
. AAiN
?-
/z, 28. yyK i?i? - s"i7
l2.yro' 3? ?7?
. ?Zs?Xsy=
?l
Z? yYX 3?.s? -/,o96Xs? Z?? ?.yz = 5-72, xl,(,>
/SZ?
f Yz ? ?
OFFICE USE ONLY 57G 9/
L ? BL ? RECEIPT #:
SUBD. DATE: 5Ao 40
/ 1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675.
Please complete for. ? all commercialfindustriai buildings.
? multi-family buildings when separate permits are Il4S required far each dweiling
unit.
DATE:
mo
CONTRACT PRICE:
NEW CONSTRUCTION _ ADD ON _ REPAiK
WOf2K TYPE: Y_
DESCRIPTION OF WORK: Z2aeg4 9 A-e9Ay'C S
IS WATER METER REQUIRED7 ZYES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES X_ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WIIL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES X NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgnit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
7 3. NtS>
r
s SO ,
TOTAL 3 O
SITE ADDRESS: 1 C.sL>- S?iPiAae R? b ??F_ Gp' -? l?
TENANT NAME:
STE. #
OWNERNAME: 19Ak07',V- r_x:v 6jfze?- a?pv.?_
INSTALLER: L? 12-( r r PG h' Ce r_r'e?P
ADDRESS:
cin: STATE: J4l.) ZIP: _'t?
PHONE #:??-lTl=?n S:Z SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
CITY USE ONLY
L BL RECEIPT
SUBD.
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
DATE:
Please c:flmplete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower • EACH
3.00
x
Water Cioset 3.00 x
Bath Tub 3.00 ;c
Lavatory 3.00 x
Kitchen Sink 3.00 ;c
Laundry Tray 3.00 ;c
Hot Tub/Spa 3.00 :<
Water Heater 3.00 :c
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - t 3.00 x
Rough Openings 1.50 x
Water SoRener 5.00 x
Private Disposal • Dakota Cry. license 65.00
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00
Alterations ' to exisnng 20.00
Water Tum Around 20.00
STATE SURCHARGE
TOTAL
? TOTAL
.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
crnr:
STATE: ZIP:
PHONE #: (
CITY USE ONLY
L BL L_ RECEIPT #:
SUBD. DATE:
6
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ?
1:!'jao 5
all commercial/industrial buildings.
multi-family buildings when separate permits are pQt required
for each dwelling unit.
DATE: c2:?2 Z-2 ? CONTRACT PRICE:
WORK TYPE: X NEW CONSTRUCTION
DESCRIPTION OF WORK:
16'To C?
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee 4L 1% of contract price, whichever is greater.
• Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgnIit fee due on all permits.
CONTRACT PRICE x 1% LP ?• O CI
PROCESSED PIPING
STATE SURCHARGE
TOTAL
(pr 59
SITE ADDRESS:
OWNER NAME:, G? ????G? /?1Gvl TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER: Z? ??-Ilv
ADDRESS: 125 7 k ??
CITY: STATE:,///v ZIPw ? 79
PHONE #: J-/Db _
SIGNATURE:
SIGNATURE OF PERMITTEE CIN INSPECTOR
50
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL) ,
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 (612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24:00
Additional 50 M BTU 6:00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge 1.50
TOTAL
SITE ADDRESS:
OWNER NAM
PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP: _
PHONE #: (
?
?_ \
L? gL qTYUSE ONLY RECEIPT#: DoW.J
SUBD. Gf.4144 RECEIPT DATE:
O
1999 PLUM$INc PF.RMIT (R£SIDENTIAL)
CI'fY OF EAfiAN
5890 PILOT KNQB i2D
Ef?flRN, MN 55122
(651) 681-4675
Piease complete for: ? single family dwellings
i townhomes and wndos when permi ts are required for each unit
: backflow preventer for underground sprinkler system
-------------------------------------------------------------------
FIXTURES -------------
EACH ------------------------------
# -------------
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot _bS a 3.00 x =
Water Heate 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum -1 3.00 X =
Rough Openings 1.50 x =
Water Softener ? for dwellings under wnshuction 5.00 X =
Water Softener ` for existing dwelling 30.00 x =
U.G. Sprinkl2t ' for dwelling under const. 3.00 =
U.G. Sprinkler ' tor existing dwelling 30.00 =
Altefations ' to existing residence 30.00 =
Vdater Turn Around 30.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems) .
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installationlrepair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alteretions, etc.
TOTAL ?
----------------------------- -------------------------------------------------------- -------------------------------------------
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanCS responsibiliry to notity the property owner fhat Ne Ciry of Eagan assumes no liability for any damages pused by the City during i45 normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: i-,?,;j7?
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREETADDRESS:
CITY: I-ASTATE: ZIP: ?
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY USE ONLY RECEIPT #: ? n1 'f3J?
SUBD/? Ll./'(.t.0?,2 RECEIPT DATE: ,,/''^ IIl
1998 PLZJNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT HIi08 RD
EAGAN, MQ7 55122
(612) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
Shower
Water Closet
Baih Tuo
Lavatory
KRchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Fioor Drain
Gas Piping Outlet ` minimum - t
Rough Openings
Water Softener ' for dwellings under wnstruction
Water Softener ' for existing dwelling
U.G.Sprinkler 'fordwellingunderconst.
U.G.Sprinkler `forexistingdwelling
Atterations " to existing residence
Water Turn Around
Private Disposal System ' MPC iic.
(new and refurbished systems)
Private Disposal Systems ' Abandonment
EACH # TOTAL
3.00 ' x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x
3.00 x
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 x =
3.00 =
20.00 =
20.00 =
20.00 =
75.00 =
20.00 =
STATE SURCHARGE 50
TOTAL '710 .Jv
-
- ----------------------------------- • ----------------------------------------- -----------------------------------------------------
- .
- Eagan -
- oMinances -
! hervby acl:n?eledgs thst I have read!his epplication, state that the information is corred; and agree to comply w8h all applicable - City of -
It is the applicanYs responsibiliry to notily the property owner thet the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operalional and maintenance activities to the facilities wnstructed under this pertnit within City property/right-of-way/easement.
SITEADDRESS: J(o'v G-RCLE
OWNER NAME: bh;K bTA C TY a`ig?'c
INSTALLERNAME: G(--LCKSDN? kX' _ TELEPHONE#: TV3 -+!?-4'5-
STREET ADDRESS: "1 ZI Z 15AWT) °i- Nb -
ciTr:
ZIP: 5:L44?--
SIGNATURE
JSIFORMS BLDGIPLBG PERMIT (RESIDENTIAL) 1998
------I
For Office Use
Permit V I
City of Eaall
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I~ I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
t-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Ulf 1 Zz'l I Site Address: (line '"iZ Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
JsC C r. c4, C~4- /
PROPERTY OWNER Name: e ~ r" f ob ttV ' s b J(J - /hone: (b (i S- -
Address / City / Zip: ai c:. J V r J-- A. E. i J oAej 537 1 2.3
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Vv~
t-~. r_~t t: : , t +r
Construction Cost: 4,040
CONTRACTOR Name: C-S C to s`1~i fix if License c ~`L
Address: l ~ V2--4 7-. ' AL_A- 19 y' - l =
City: State: A J Zip: 515 73 t L
Phone: (AA, 3) liW_i ®q o 2°- Contact Person:
ARCHITECT I Name: qJr Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: D+t # Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.
X X V~
Applicant's Printed Name Applic nt's Signatu
Page 1 of 3
09/13/2013 02:40 6122251801 CNC CONSTRUCTION PAGE 02/05
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City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: '1 ¢' 't JC�
03
Permit Fee: (W() • (,
Date Received: (� (� 03
Staff: Ill P{3
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 10-25-2013 Site Address: 1650 Oak Ridge Circle, Eagan, MN
Tenant: Oakridge Townhomes
Suite #:
J
Name:
Dakota Count CDA
Phone: 651-675-4503
Address/City/Zip: 1228 Town Centre Drive, Eagan, MN 55123
Name:
Northland Mechanical Contractors, Inc.
Address: 9001 Science Center Drive
License* MB003463
City: New Hope
State: MN Zip: 55428 Phone: 763-544-5100
Contact: Michael Tieva
Email: service@northland-mn.com
New X Replacement Additional Alteration Demolition
Description of work: Replace exiting furnace with new furnace
RESIDENTIAL
X Furnace
Air Conditioner
Air Exchanger
_ Heat Pump
Other
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 $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
=$ 60.00
TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**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
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 plans.
Michael Tieva
Applicant's Printed Name
x
Applicants Signature
WO# 49222
•
644 #1, Use BLUE or BLACK Ink
For Office Use kJ /�/,
{{((�y of Eapll Permit#:
24
3830 Pilot Knob Road Permit Fee: [OD
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax:(651)675-5694
• Staff:
J
2017 MECHANICAL PERMIT APPLICATION
P Pleaseo� submit two (2) sets of plans wiitthh all commercial applications.
Date: "i�r�tIII Site Address: / 5 /f,5 0044 kity' ,04(1-•6°.*
Tenant: Suite
#:
Name: DA KOr4 CIPS49/- Jf 7 x 410
eVte'"s q,', f1tE?otia
Address/City/Zip: /.r190 flame (r4191177(t4" ,e2Ar '"' ti56/423
:� ° Name: Ray N Welter Heating Company License#:
® r- Address: 4637 Chicago Ave City: Minneapolis
i State: MN Zip: 55407lOgUale0AAtAktg Phone: 612-825-6867
Contact: 'eel?* ". Email: rickw@welterheating.com
New Replacement Additional Alteration Demolition
p Ii),F.:FliAL, Description of work:
*mak"q y
- t OTE oof,mounted3and ground iounted:mechanical-equip erat,isiiregtaired-to?e cree ed by Citya
M
" - _4 -Cad 'Pleas r.P*0Mechanical l speetor forrinformation''n er nift reening xethods
n '' RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
_n___Air Conditioner Install Piping • Processed
' Air Exchanger
y g _Gas Exterior HVAC Unit
Heat Pump
- - Under/Above ground Tank ( Install I_Remove)
tAf t � Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
i:-.$ Surcharge
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 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 wor.inoIto 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. 'i
Alt
ki Al ' ' ij x
i
Ap licait's Printed Name Applicant's Sature -
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HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLIS, MANN
Weatherstrips A.S.H.V.E' Construction No. Insulation
Guide .
indows Doors Refermat Out.Wall Int.Wall Ceilinggr Roof Floor Kind How Applied
1:1, No •es No 19 X, i A)dl!".sg:`d7j
Fl.I 1< 1 eoom Length /(, Width j,, Height 8 ,,' Fl.j ,i,,,,th T-4,> "•m Length Width/ Height i
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
tVidth Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane Of
pane lights of crack sq.ft. No, of pane of pane lights of crack eq.ft.
3 gfe ;id, 01 St 14,
Coef. ` Bt _ Coef. Btu
Infiltration L Infiltration
Glass *} � ¢`
7 / 3'f #p Glass 1,
Exp. wall r Exp.wall
Nett.p. wall ,/j,O MIT—) Net exp. wall
Int. wall .._ Int.wall hifiA Ai., 641,0
Ceiling Ceiling W° 51g
17
Floor y> o 3. f Floor
j
C
Total Btu. TPW---
I Total Btu. . `i5
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ( Required sq. ft. E.D.R. or sq, ins. W.A.Leader area 1./
F1.1 41 l/d. Room(Length s,7' Width t 2 Height5 alRoom!Length/4'' Width 41., Height
'Windows.an oors--Crackage.and Area Windows and Doors—Crackage and Area
Width �t eight No.of Ltneai ft. Area Width Height No.of Lineal ft. Area
No- of pane of pane light, of crack aq.ft. _ No. of pane of pane lights of crack op.ft.
r
I } Coef. B u _ Coef. Btu
Infiltration _ 2 Infiltration ` /519
Glass i 24.
rs j vilr GlasseSaY_ /d5:2
Exp.wall )j 0 Exp.wall
07
Net exp.wall d ' /44/0, Net exp.walla. 5 "12,
Int.-wall _ Int.wall .40111410,014„
.,,�j�.
Ceiling Ceiling ./#' / // /6
Floor , > f 0115 Floor
Total Btu. �►7 p Total Btu.- / � � /
Required sq. ft. E.D.R. or sq. ins.W.A. LeacleI area ..... Required sq. ft. E.D.R. or sq. ins. WA.Leader area
Fl. Room f length lag Width f' Heightg.
Fl1 Room 1 Length Width Height
Windows and Doors—Crackage and Area Windows and Doors--Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area ,^•; ? 1
No. of
pk.n. of pane lights of crack aq.ft. No. of pane of pane lights of crack eq.ft .•
47. A`@ Sit
Coef. Btu I Coef. Btu
Infiltration to 7 t°7. J57.5 Infilt-ation
Glass ,6174, irnl 1/52 Glass
Exp. wall f Exp.wall v ,
Net exp.wall / _* ; aO Net exp.wall
Int. wall - Int. wall
Ceiling 1 X/ J+ _ 434/9 Ceiling
Floor Floor
Total Btu. _ yj Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader area