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1669 Oak Ridge CirSITEADDRESSIIPIo 9 ?Gl<?i? qQ LIf^ Unit# PermR#?- L ? B ? Sect./Sub DAl<t?idQ t 1"Gm;lV l70USinct . INSPECTION INSPECTOR DATE COMMENTS z Q? av-?a6 INSPECTION INSPECTOH OATE COMMENTS SITE ADDRES$ o a ,? Unit # Permit # 5'7 L ? B? Sect./Sub. oa I. ?;u? ?/y7, ?/ r10 U_ INSPECTION INSPECTOR DATE COMMENTS ,e.o- -???• hk- 7T?P6 r -? )of c - -4 INSPEC?ON INSPECTOR DAiE COMMENTS ??• .?,...o...,.r %U*ftCQte of cCC1tvQtiC? Witq af Cfagan ZCVartmtxc .f 13amins 3aoection This Certificate issued pursuant ro rhe requirements of the Unifor+n Buelding Code eertifying [hat at tite time of issuance this structure was irt compliance with the various ? i aidinances of tiie City riegulating buildeng construction or use. For rhe fo!lowing: t` r' llse Ctass;fica?ion: D= sldg. Perma No. 96578 Oc-PancY TYPe R3/U I Zoning Distria RA Type Const. VN owner of euadnallAi07Lf1Q]d'LY IiRA na&- 2496153B ST W,-MEN= e.iwi„g naa,ess 1664 & I671 c]AK gTTY? ?Lmcwicyi.l neu umrE -IA-M-Uv ,oimcruv± , Dae. - B,silding officia, ; i::- POST IN A CONSPICUOUS PLACE J6 INSPECTION RECORD CMY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTIO .. N . ?. .??I •,i I,?i? ?; ? fl iti I t,;? ?,?;. ; ???r?i R!, "nHF ?i - 1 Nr.l 1?[i[ 16/ 1()f4K k( titi!' C(Ft ' I'RV :; k. i..l i'I H1'r . PLUMBING HVAC FoonNGs FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RDUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TES7 FINAL PLBG FINAL H7G ORSAT TEST BLDG FINAL ? BSMT R.I. BSMT FINAL DECK FfG DECK FINAL II?IIII III III?I 821QUnitv? ? Ae., Rm S?-1 BA? Pau? MNT55O104 ??? * 0 2 4 6 8 5 3 6 * Phone (612) 842-0800 ?,C/A3? ?, ome Duplex ApL Bldg. Gih€r: ^ New Addn Commercial Indusfrial Farm Remod Re air ' Air Cond. Htg. Equip. Waier Hfr. Load Mgmf. Other: ' D er Ran e Elec. Heaf Tem . Service 'X° a6ove fhe work covered by this requesG Enfer remarks in this space ond on the back of ihe whife copy only. Colculate Inspecfion Fee - This Inspection Request will not be a<cepfed withoul the correcf fee: Other Fee # $ervice Gtrance Sae Fee # Cirwils/Feeders Fee Mobile Home Park Stall to 200 Amps ? 3 0 to 100 Amps fa S $ireel Lig./Traffic Sig. Above 200 Amps / A 700 Amps Tmnsformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Oufline Lig. X(mr. ?? • ? Alartn/Remote Conirol SwimmingPaol iha.e «nl Mafiina d adete:rnmd Irrigotion Boom Rough-In oatn /' ?? Special Inspedion Investigative Fee THIS INSTALLATION MAY BE ORDEREU DISCONgRtWd IF OM ET WITHIN 16 MONTHS. 4^'2 ? . .f v J OFfI USE ONLY This reqvest void 78 monthslmm validolioq dak pnnhd cn Mis 6ox. 411319.0 . 5554eZ. PLEASE PRINT OR TYPE /, / /OS Requesf Dvte Raugh-in lnspedion required2 ? No Inspeeion Oiher Than egh.ln: 0 Ready Now ill Call • (Yaumust mll lh<insp«ior when ready) Doh Ready: I, D-N'censed contmdor 0 owner hereby request inspection of the above elechicol work ot: Job /ddress (Streei, Box, or RauVe No) Cip Zip Code Sadlan No. T ownship Nome or No. Range Na Fim No. CouMy I I nQ Occupo nf Vhen e No. ? + Y?-?14 d0y* F/1?iLl1? p G? ? ?? .Qi ? Power Supplier Addms ElMncol Conhoctur (Companr Noma) ' Conhaaor Ii<en:e No. Mamr li<. Na. (Plant Elect Only) ??307 Mailing Mdran (Canhadar or Owner Perloemirig Inzwllonon) ?0 ? ?^ - C.-OyLG9'TIJ /+? r`)?'nJ 4Y7 AuManzed Signa (Conhador or Owner Perbrming Inaallafion) Phone No. Jc' ------ --------- -- EB-OWOlA-10 6/9 STATE00-OCOPY•SEEINSTRUCTIONSONBACKOFYELLOWCOPY ' ? REQUEST FOR ELECTRICAL INSPECTION 21 Unv rsity AvearRm._?9?aul, MN 55104 IIIII I I? 81 i • s 0 2 4 6 8 5 4 4 s Phone (s12) saaoaoo,? ome Duplex f. Bldg. Ap Other: I New Addn Commerciol Indushial Farm Remod Re air Air Cond. Hig. Equip. Waler Hfr. Load Mgmt. Other. D er Ran e Elec. Heat Tem .$ervice "k' obove the work covered by this request Enfer remorks in this space and on the 6ock of the white copy only. Colculote Inspection Fee - 7his Inspecfion Requesf will no} 6e accepfed wiffiout fhe cronecf iee: Olher Fee S Service Enh'ance Srse Fee # Circuik/Faeders fee Mobile Home Park Stall ( 0 fo 200 Amps O 13 0 to 100 Amps y- $treef Lfg./TraHic $ig. Above 200 Amps Above 100 Amps Transformer/Generafor INSPECTOq'SUSEONLY TOTAL Sign/Ou}line Lig. Xfmr. ? • Alartn/Remote Conhol "" Swimming Pool i he.eb ?am +hm iins e.a?d ms ie?maal msaumi duonbed hi.em on roe dab::wred Irrigafion Boom peuyh.In ou /, S eciallns etlion p p Investigotive Fea Pinal n Dote THIS INSTALLATION MAY BE ORDERED DISCONNE NO E'fED ITHIN 16 MONTHS. 2 4 6- 8 5 4 x. OFFICE USE ONLY Thu requesl vaid 18 months (rom valldafion date prinkd i V 1114. /s? k PLEASE PRINT OR TYPE Reqoest Do1e 0.oogh-in inspMion reqoiredi ? Yes No Insp a Olher Than R h-Ire 0 Reody Now 0 Will Coll y1 7 -?' c (/oo must mll the inspecfur when rmdyl ?ate dy: I, Ea'licensed wnhador ? owner hereby request inspection of fhe above electriml work ai: Jab Address (Sheei, Bm, or Rovk No.) Ciry Zip Code /G? 1 d Kk c:k-?!{ ? Section Na. Townahip Name ar No. Range No. Fire No. Coonry O?f-/?.O'T7¢ pcwpam Phone No, fe"h?/1 ?%e-1 Ci8 i '?LofS? Pawer Soppller AAdrezs Q-41"Iyx ez"/772;-r- Elecfiml Conhacror (Campany Name? Contmcro, limme No. Masror Lic No. (Planf Elecl. Only) mti .•1?YI- U"u4DrtlZ 04-0 12e'7 Mailiig bildrcs? (Conhacror or Om?er Pedorming Insmllation) 1t.Trzr ?d , ? n . 6S AvMonzed Si/9J?9(fe (Conk'acror /or Owner Pedortning Inslallo?ion) !C ?r??7...Gn'-[U? . Phone No. &1-7`.`f? g?l,#_Ivg EB-OWOIA-10645 _SfATEB6AflOCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOVY PERMIT c 2 ? C) L/ h ?? 44-V gs CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u tLo:r NG Eagan, MinneSOta 55122-1897 Permit Number: 026578 ' (6 1'?)?681-4675 Date Issued: 2 B( 9 5 101 SITE ADDRESS: 1669 (]AK RI?GE C:CR LQT: 1 BLOCK: 1 OAK ftIDGrE FAMILY HOUSTNG DESCRIPTION: Permit Type D U P L E X 14r?i'k Type NEW H-3 0-1 toogtruot1ail Tk?e V-N H-4 39 #uiidiTSg 6tidtJF 55 " 2 tar "sh ,?•!' 01k* * 9#111 . . as ?? Q 81 'g{ L !' Z }a`y' ? j}sF? y`4 .z.`4Y R 1] ?? g. f?' {.l F 'cn T ? Fl ? ? I`r?$u K S ?.. iPo5 af: pA y f ?t ' t 3 ' °'f € M -??Li ?rv T n 2 u3IS 9 § ?S^.1pry P?.n? ?£? :S REMARKS: sNr,Luor_s 1671 oAK R:CDGE r,zP ' PRV S & W PLf3R - FEE SUMMARY: vAI.uA7 cnN $181,e00 Base Fee $1,292.25 CSTY 5AC $200,00 Plan Review $AS2.29 WA'rER CONNEC7I:0N $1,500.00 5uroharqe $90.50 S & W PEftMIT $:108.00 SAC $1,700.00 S & W SUY2CHARGE $.50 SAC % 160 'i"REATMENT PLNNT $744.00 - SAC UniLs 2 ROAD UNTT A?? Lic. Search Fee ?i.o {? 7nta1 Fee $6,934.54 SubCotal $3,540.04 CONTRACTOR: - flpplicant - s7. Lzc. OWNER: FRANA & SONS INC 19410282 0067620 GfiKOTN CUUNTY HRA 7600 FLYING ClOUI] UR 755 2495 1451-N ST W EqEN PftAIRIE MN 58349 ROSEMOUNT MN 55068 (612) 941-0282 (612)423-8111 d tF?l?0- applleati.gn and! s?t at e. t4ia t t;he ; INi I SUED : IGNA RE ? IL6 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL) B81 -4675 ? 3 repktered sde surveys ? 2 copies of plan ? 2 copfes of plana (indude beam 8 window saes; poured fid. design; atc.) ? 2 aile surveys (e)terlor addHians 8 dedcs) ? 1 energy ealalations ? t energy calcuWtions tor Ireated additions ? 3 copfes of 6ee preaervadon plan R lot plaUad after 7l7/33 required: _ Yes No DATE: 9-19-95 CONSTRUCTION COST: DESCRIPTION OF WORK: Woon FRAME SLAB ON GRADE TOWNHDMES STREET ADDRESS: " ?I LOT BLOCK SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER *Name: nAxozA couraTY xxn Ya3- E?// Phone #:612-"--'-o=-6 ?. ?.. Street Address- 2496 145th ST. WEST City; ROSEMOUNT State:MN Zjp; 55068 COlTlPBnY: FRANA AND SONS, INC. Street Address:7soo FLYING CLOUD DR Ph0(lB #:612-941-0282 Go 2 T. N ;'ZNNA #755 License #:ooo7 zo CIty:EDEN PRAIRIE Sta{g: MN ZjP• 55344 COmPany: PAUL MADSON & ASSOC. Name: PAUL MADSON PhOne #'612-332-7026 Registration #•013243 Street Address. 420 N sTx sz. Cjty; MINNEAPOLIS, State: MN Zjp;55401 Sewer & water licensed plumber: change are requested once permit is issued. I hereby acknowledge that t have read this application and state that the appiicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature ot P,pplicant: Penalty applies when address change and lot is ?oi?e nd ree to comply with all ? / L ? 1 ? OFFICE l1SE ONLY Certificates of Survey Received _ Yes _ No SEP 2 0 1905 I I Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ ? BUILDING PERMIT TYPE OFFICE U5E ONLY 0 01 Foundation -0?'-06 Duplex ? 11 Apt./Lodging ? 16 n 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 0 03 SF Addition a 08 8-plex ? 13 Garage/Accessory o 20 0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE 4?,-31 New ? 33 Alterations o 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning ?0 A/ Basement sq. ft ?u' Main level sq. ft. z79 / 7/Ny Sq. ft. 8 D R-N sq. ft. 6L sq. ft. 31? sq. ft. SS Footprint sq. ft. Building Engineering MC/WS Systen City Water Fire Sprinklere( PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Permit Fee 5uroharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SfW Permit S/W Surcharge Treatment PI. Road Unk Park Ded. Trails Ded. Other Copies Total: % sAc SAC Units Valuation: $ ?3 x286? = 3?3 25;13x le - 17 ° S33 ?3 X ZB.?7 F ?73 /? 9? xsy - ? 5 4G??1) 7-b-&-7 Z y 33x 3y = ? lvy 13 xL8•!o7 - 3?_. 3-? Z ? S?tG y5'?? ? . .?. ?» .?? nent Finish Pool Facility ac cl? i? /U3 ai ? i 2L) ??. 113x ? ,Sx 4 7 ' z Sx ?•?7 ` Z = 1?1 ,5"7 / x 16 ,' y i3? ? OFFICE U5E ONLY L BL RECEIPT #: SUBD. DATE: 7996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for. ? all commerciaVindushial buildings. ? muld-family buildings when separate permits are M required for each dwelling unit. DATE: ? CONTRACT PRICE: ?f 3 (i0 ? WORK TYPE: ? NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: ?2?A-2 ALc2",C?:A IS WATER METER REQUIRED7 YES _ NO. IF SO, PLFASE PROVIDE THE FOLlOW1NG: WATER FLOW: PM. ARE FLUSHOMETER:i TO BE INSTALLED9 _ YES 7? NO. FAILURE TO PROVIDE THI5 INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES"x NO. IF SO, YOU MUST APPLY FOR A 5EPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/u of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgmd fee due on all permits. CONTRACT PRICE x 1°k 7 3. 4 ip STATE SURCHARGE TOTAL SITEADDRESS: '9A'L-- ig1.?/"" ?.Kr=I -e- - TENANT NAME4"-LLJ'Q'& 14 1 STE. # OWNERNAME: na k.rL&t 4L5/.- d- 12p? „aJaedW A.fi`.4-.o_,cic/ INSTALLER: J3(-;, fZfs.r- T' QG B6 C-02CD ADDRESS: di7lD .4e CI7Y:?',?? STATE: 1 7? ZIP: PHONE #: ST'?> SIGNATURE: APPLICANT „ OFFICE USE ONLY METER SIZE: ?" DATE: INSPECTOR: ?? CITY USE ANLY L BL RECEIPT #: SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are I for each unit FIXTURES Shower EACH 3.00 x Water Closet 3.00 x Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 :c Laundry Tray 3.00 :c Hot Tub/Spa 3.00 :c Water Heater 3.00 :c Floor Drain 3.00 :c Gas Piping Outlet ` minimum - 1 3.00 x Rough Openings 1.50 :c Water Softener 5.00 :c Private Disposal • Dakota Cty. license 65.00 (new and refurbished systems) U.G. Sprinklet ` home under const. 3.00 Alterations ` to existing 20.00 Wafer Turn Around 20.00 STATE SURCHARGE TOTAL TOTAL - - ? - - - - = I' - - = II?? ? .50 SITE ADDRESS:_ OWNER NAME:- INSTALLER NAME: STREET ADDRESE CITY: PHONE #: ( )_ STA DA ZIP: CITY USE ONLY LBL ? RECEIPT #: 3 Oo?1 SUBD. DATE: ? 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please compiete for: ? all commercialrndustrial buildings. ? multi-family buildings when separate permits are n-Qt required for each dwelling unit. DATE: CONTRACT PRICE: ? C? WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Qr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pE.m]iE fee due on all permits. CONTRACT PRICE x 1% LP E• D cl i PROGESSED PIPING STATE SURCHARGE TOTAL 50 • fd,? SITE ADDRESS: I67 ? OlOK, L-1 &11. C1 OWNER NAME/?(?? 917G1 TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: /4 J CITY: STATE: ? ZIP. iL6Y? PHONE #: % ??`/ ? ?? SIGNATURE: dt-6WI VOF PERMITTEE CITY INSPECTOR L BL SUBD. CITY USE ONLY DA 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 ? (612) 681-4675 ?i Please compiete for: ? single family dwellings ? townhomes and condos when permits are required foreach unit li _ New construction Add-on furnace ? I _ Add-on air conditioning Add-on airexchanger, i.e. Van I ee system, etc. ? , Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.100 ? HVAC: 0-100 M BTU 24.0? 0 Additional 50 M BTU 6. '10 ? Gas Outlets (minimum of 1 required @$3.00 each) ' ? State Surcharge .60 TOTAL SITF Anf1RFSS• OWNER NAME: PHC INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( ) #: For Office Use Permit Xq / 7 City of Eaaall Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Lt? " ~ 1 I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: L - - - - - - - - - - - - - - - - - I Cc" I 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: I____ d am`" Site Address:Ily'71 X4Ct t..& Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: war PROPERTY OWNER Name: ekk M c a# i b e~ 1/'hone: ) 5 i yy° Address / City / Zip: (2'2 -rc a r x s a t , j 5 1 2- Applicant is: Owner Contractor TYPE OF WORK Description of work: c + L , r , f A f ti c - t= Li tt M/°h re. Construction Cost: CONTRACTOR Name: Ca a d r .veyt to tot. License c' t Address: AL- ii /'Vi,. t.j City: State: Zip: Phone: (763) 5V1 q0'2-A0 Contact Person: 2L- i1` ARCHITECT 1 Name: C41 Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: 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 w and approval of plans. p~ t X Cis }?ftPY 4.`.y, x Applicant's Printed Name fl Appli nt's Sig ure Page 1 of 3      ÷ì÷    ø ñ þ  ý þýý  üûúû ú     ùýý úîîóð ì ò í ù û   ÿ  þý÷  üûúùø íûô  ÷ôùø ó ö  íûô  áû  ô  ô  ô ø ô ô îûô   ûú ô  ã ô ô ýü  þ ô  ø ôý  ý ððäð  ûå ø ð÷ ë ãþ ô í Ýò ø  æêäêðää öù  üûô ô íè æê ê   õøôø ÷ óò øø  ñ ô ô    ñûùñ ð÷ ë äöñ ô ô þ ô ô þ  ãó Ý Ü ððð  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô 09/13/2013 02:40 6122251801 CNC CONSTRUCTION PAGE 04/05 1 Pon~R Fee: Ba_t _1 I saga wia Egan MN 56122 i Phow. (M) 0764W5 oN. R@00.cd Fax: (061) OY6 L----------------- 2013 COMMERCIAL 13UILDING PERMIT APPUCA71ON tsrl~e WW ARl*s t t i113 - I Li 1 ©Ak a 1 A FAN ~,11t~,~.~ ~y.,..~~ 2~ ~ Tonal Not (TMmt IM• Mewl l saltit ften wTeat r ft Pr PAp119' rr - 7 r w omw ✓c *r Type of Walk Dsoa%vkm of work: C+rotiorr cost T Name-, c- N.~,~lltS71,2Lr rin~v L4/ x: jr zign .27 Ca orr /~ddreee• afd~ L stow dip; "mm 66 cow t~ - • O Cr Regk+Oreooa 11: Ard*edlEnOimw Addrow aft., p; Cortt4ot Pardon:: L. C mV w lilt sswe+ ►.en~iw: 1'11orn # ~ conoNodr f6At am *adb soonl/x, I~+mitM~e QA4►td colt 46 no Iffiffm m b.cwe yw ' a dito wW" bWcafttof 'u'a01~8'nu1na trtlNg Wo esn. torp~oeacOp, I horebr a0urorrlactge anc nds Intonrisgoa is axes of Tie Cdy of E ftm.- that 1 urd mWW ttrls a pOW 0=28W. VW an,*. A Iha M~orlc w0 be In corNvrrrrsrbe ad aftj era VAlh the p«nMr t1a work wN1 be ~ ~ t~ ~vred in c e otw'i0liSuor, for s pwn,(f. aew wak W la noot mstart e ,R p o rorlaw and approwaF of piarp, Prlnled Nam. x MgNcanC~ page 1 of a A 0 ..A.- Use BLUE or BLACK Ink , r For Office Use / �i► Permit#: w ��City of Evan Permit Fee: o 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax:(651)675-5694 Staff: J f 2017 MECHANICAL PERMIT APPLICATION , 4 C C.d n Please submit two (2) sets of plans with all commercial applications. f? u1 Date: y''"t s !+�j/,..,� Site Address: /46y—/691 2A q ^tel Tenant: Suite#: Name: DAKOT:4 C*14.4try / 5/- 7. .,PniagiaM Address/City/Zip: /e2g �4 ..k . 1c 0.4440; '' " Name: Ray N Welter Heating Company License#.: � iv s,; - - Address: 4637 Chicago Ave City. Minneapolis !z, .'r , State: MN Zip: 55407 Phone: 612-825-6867 Contact - Geri + Email: rickw@welterheating.com ritiiiiiiir.-:: .:.,:•':- ''.-.-iv*:..','. New Replacement Additional Alteration Demolition giciDescription of work: "` : ; .„. ,r. € s 4 - r ui'„ V-P a -:•¢,,, ,,sera s a , NONE Roof mounted.,and ground mounted mechanical.ie {men, is r tried to screenedby CityM ' �� � . p:� ;' G�t�ieM�iease�an��lieleeh�`anica°ll�spe##o�o�r�nforr>*fiontonp�eril�ed��scr#entnggrne�hatlst, , R- RESIDENTIAL COMMERCIAL _Furnace 0. _New Construction Interior Improvement $IgniT X Air Conditioner Install Piping -_Processed M _Air Exchanger _Gas Exterior HVAC Unit --_-Heat-Pump _Under/Above ground Tank ( Install!_Remove) 4 V ,; 4 _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 =$ 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 nooto 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.ii 41 rilk '_ x A x lr' - Applic is Printed Name Applicant's S'+'' ature' — - ` � .i- '.s- � 7 � kg a ', sts Avi `a i ms - � F *f? 1e k` n