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2076 Opal Dr?- SEDGWICK HEATING & AIR CONDITIQNING CO. HEATING 8910 WENTWORTH AVENUE SOWTH I MINNEAPOLIS, MN 55420 • t(612) 881-9000 ' TEST. RECORD ADDRESS d Q7 Cv ":74/ yA ? OCCUPANT ? i .?? ?? SC r?- SOLD BY ??aJ,' .? MAKE SERIAL NO. ?° JOB NO. CITY 4 4t1,. OWNER INSTALLED BY .ool MaDEL 4.1 -:20_a -3 E " 7S- INPUT 7! r-, rn n ii THERMOSTAT ` -W7 VENT SIZE ? VALVE _41S TYPE OF LINER LIMIT C U LINER SIZE 46 * LIMIT SETTING f ''f O ' rcl FAN SETTING I r M ? LI PILOT TYPE e'?/l4w ? c- IGNITION MODEI PILOT TIMING / rS7n T PRESSURE 3• S/,t?• ? PERCENT COZ 70P0 INPUT CFH 75- PERCENT 02 ? % STACK TEMP.PERCENT CO Ak.A e FORM 235 (REV. 11189) FILTERS: SIZE ??Ijr-ps-- NUMBER WIRING ?-~ TEST TAG LIGHTING INST. DATE TESTED 1.2716,1 COMPANY TESTING NAME OF TESTER - FORM DISTRIBUTION: WHITE COPY - JOB FILE VELLOW COPV - CITV CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #1 Lot 23 Blk 5 Parcel 10 16700 230 05 Owner ? ` - Street 2076 Oaal Dr1Ve State EaQan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 1266.95 84.46 15 1266.95 C009310 8-4-84 STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 $2.16 25 P d WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP ? BUILD Owne= I G PERMIT " . , -? ? `------?-? --...?' Addsess (Presenly?.??-?.---1..°.Q_r?!:???F4 . .L..r.L.4f.C---_" I_^I/e? 8uild6z ..._..._.. Addsau ..... . _ DESCAIPTION N? ?= I.:agan Township ':'own Hell _ -. y Date .. Sfories To Be'USed For ' I Froai Depih Fieigh2 E bsl. Cos3 Permi! Fee Aemarks _ 1 ofher = 1'hispermii doas noi auzhorise the usa of sireats, :oadc, alleys or sidewalks the righ! !o ereale any sifuation which is a nuisance or whieh presenls a hazard gene:al welfare !o anyone in the eommuniiy. THIS PERMIT MUST BEycK/gPT O THE P MI E FII ?E WORK IS IN TLia is !o certifp, lha2..6-:.?/,.Q.L_ _.. !??.?J.f?ks pe:mission io erec ffie above d scribed geemisp?? fo the p:ovisions of the Bu5ldiag Osdinance 1955. G .i ? r?. p :or does it give the owner or his agenf o fhe healih, safefy, convenience and PAOGS£SS).r, i a/r-.^'"-CC/ .._ ..............._..: upon for Ea,*an Township adopfed April 11, - - ---..._ .._... e= .. ....... ----- ._ -...... - - -__. ... .. Chairman o wn Board ..uilding Inspecior EAGAIV TOWNSHIP BUILDING PERMIT Address (presen!) Buildet Address DESCRIPTION N2 soi Eagan Township Town Hall Date 5loriea To Be Used Fos Fron! Depth Heigh! Esf. Cos! Permi! Fee Aemarks A /??rL47C/ LOCATION f ' SSreeY, Aoad or olher Descripiion of Localion I Lo! ? Slock I Addilion or Trac2 1'his permif does (y(of aulhorise the use of sireels, raads, alleys or sidewalks nor does it give the owner or his ageni the righi fo ereafe anp siluation which is a nuisance or which presents a haaazd !o the healih, safely, convenience and genexal weifaxe !o anpone in the eommunily. THIS PERMIT MUST S. N E P MISE WHILE THE WORK IS IN PROGRESS. /'?? This is So certify, fhai.. ..............Y!?:.,_...............haspermission io rect aO?hC4.. ..!?-?e?/.?I$ ?R.__............____upon the above dESCribed premise subjee! !o the provisions of the Building Ord' ance for E dop d April 11, 1955. ?? f /f 171 ..... ..... ---"--- ---. _ .. _.. Chaixman of Town Board ? . CITY of EAGAN . :. N4 3595 BUILDING PERMIT Owae: .ax? .......................................... ..:................ . ...................... Addresa (psasen!) ........................... t .:........................---............... . Bullder ........_t.?:?? .................................................................... Addreec ......... DESCAIPTION 3795 PiloY Knob Road Eagan, MinnesvYa 55122 454•8100 Dela ....... .?...?.. ? °j - 7• ? ................................... Siories - To Ha Uaed For Fzon! -- Deplh Heighi Est. Cos! Pesml! Fse Remarks 7 0"L??._ ?,y4.-:?_• ! ? ? ,1C ???.5_c > /o / C? - LOCATION • 511 or ?2 3 1 .r I ?_?.c.<... ?a-? . _n - / Thls permiY does not aufhorise the use af sireeYs, roada, alleys or sidewalka nor does it give the owner or hts agea! the righ!!o ereafe any sifuation which is a nuisance or whlch presenta a hazard !o the health, aafefp, convenlenee eed genaral welfare fo anyona in !he communily. THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOG$ESS. ' - This is !o eer!!f Shal...?:.....l?J??'-?'- p. .............................. ........ .------ has permiaeioa !o erae! a..... ......................... .................._upen She above described premise subjecY fo the provisions of all applieable Ordinances for the Citp of Eagaa. .-!:..._..??..'.? par ................... .......................... . .. ............................ ................................................ m ................................ l?: Mayor Suildiap Impeclos e?' .1 /C/ 9 ?-f °° p 54670 Request Dale Fne No. Roug?ininspeolio?? 1 Reqwrea? / ]yes ?NO ?? ?L ' eatly Now ? Wtll Notrty Inspedor W?enReady? __ licensed contractor 7 owner hereby request inspechon of above electn - do0 Atltlress ISVeet Bax o, Route No ? ? Qly Se ion No T sM1ip Nal e or N. Range No ? -n -- ? Occupam(PRI Y?? Phong.Na ______? L / Powar Sopplier Aotlress -- -- Elaclncal Conbaclor?Gonpeny Namel Contrac?or5 Lmense No Harrison Electric, Inc. 421867 Maihnq NtlCRSS IGOnhaclor or Owner Moking Instellauon) 2525 Nevada Avenue No 11301 Golden Vallgy} rrN 55[_2_7 __ ---- qolnonzeo Sig ?al e ICOn;rac?or akinq Inslallalion? Pnone Number ?/h, ?_ 5 4 a- 31n n----- MINN6GBTA STATE BOARO OF EIECTRICITY Gnggn-Mitlway BIEg - Raom 5473 • 1821 Unrverstly Ave. St Paul. MN 55104 , one (812) 662-0800 THIS INSPECTION PEOUEST WILL NOT BE ACCEPTED BV THE STFTE BOAflD UNLESS PftOPER INSPECTION FEE IS ENCLOSEO REQUEST FOR ELECTRICAL lNSPECTION ee-aoom-oa ?n/ / ? See inslmctions lo: corwpleliny this lorm on Oacn of yellow coDY //° /? ? 2 ns3 n r-' a r" n ...,11 ,_... ^-..---? 4 DA?, LJ n c?c?vrv vvvrn ?.vvmc? uy r?? ??oy?.oo? ?- ew Aotl Rep_ TypeofBwlding AppbancesWired EquipmeniWrted Home Range Temporary Service Duplex Water Heater Electric HeaLng Ap[ Budding yer Other(Specdy) Comm.llndustnal Furnace l Farm Av Condihoner Oth?Isyeclyl Connapor's Remarks Campute lnspecnan Fee Below # Other Fee # ServiceEntranceS¢e Fee fe Circmis/Feeders Fee Swimmmg Pool 0 to 200 Amps O l0 100 Amps Transtormers Above 200 _ Amps Above 100 _ Amps SignS Inspectors Use Onty ^ TOTAL ? Irngation Booms /J . ? Special Inspecuon ? 'AlarmiCommuniwnon THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Roci oa?e certify that the above inspection has been made F,,,ai OFFICE USE ONLY W ? This request vod i6 monNe fmm c1xY.oF EncaN ?? ^ ,-?, n??0 3830 P1rLOT I?NOB ROAD ?,?R,?/Ynti?,?.•{- oy EAGAN, HN 55122 PHONE: (612) 454-8100 yp {?iq? ??L"!? ?•??i??,? ?,^__!.S!"..:.a.o-.: ?:§............><.. FOR CITY USE ONLY PERMIT # RECEIPT # D o'Z O DATE: 9 ? PLEASE COMPLETE UPPER POILTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR OWNER NAME: C22m S:TE ADDR°S5: Jd 74 e2oizz Al, _ IAT : as BIACK 5 SUBD . /!L"- INSTALLER: [+P?C'1r ?II?'K _ `f:mlvv+° m ?rif` ADDRESS : K'S'M`n ? rcii?FCiRiii AIE. SO.CO. 6lii"CILlS, L:i " CITY: 8"I-M ZIP: PHONE #: .Yj'l- !q00l7 FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $_Z_?_ov STATE SURCHARGE: .50 TOTAL: S?Sd ?JlJD7n .. i o ??l d SIGNATURE OF PERMITTF??? ?/d7???-' w OSMMERCT_AL%?l'?USTRTAT:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BIIILDINGS, _. . ,.: .. APARTMENT BUILDINGS, ANA MULTI-FAMILY BUILDINGS WIiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCNARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN MASTER CARD LOCATION !f/{?/A,/ . 2079 23- c - $TRUCTURE AND a d?" , IAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBING _S rj'Q ?j aa?..???<-- , Y?-=< 'J' C?1_ CESSPOOI - SEPTIC TANK WEIL ELECTRICAL HEATING GAS INSTALLING SANITARY $EWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ?- 7-??• ] 7 TILE FIELD fT FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER 12 Violations Noted on Back COMMENTS: PERMIT NO. COMPLIANCE INSPECTION REPOftTS TO BE USED ONLY IN EVENT OF OBSERVED VIOIATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. . DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WIIL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. GOMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDI COMMENTS: DATE ?, 23 n?RESIDENTIAL BUILDiNG Permit Application CityOfEagan Q ? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsVUChon Reawrements RemodeVReDair Reouirements OKce Use Only 3 registered site surveys showing sq. R. of IoL sq. ft. of house; and all roofed areas 2 wpies of plan Cert o( Survey Recd (20% maximum bt coverage allowed) 1 set of Energy Calculahons for healed atltlitions Tree Pres Plan Recd 2 copies of plan showmg beam & window srzes; poured found design, etc. 1 site survey (or additions & decks Tree Pres Not Reqd isetofEnergyCalculahons Add'dion - indicateilon-sitesepticsystem _ On-siteSepUCSystem 3 copies of Tree Preserva6on Plan if lot platled after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less unAs Datc D$/07 Site Address Z-01 [O 0 a Construction Cost J bn? - 0'(? { X Unit/Ste # Description of Work f qG!/i-cz ro(IE Multi-Family Rldg _ Y_X N Fireplace(s) _ 0 _ 1 _ 2 Propcrty Owner !7C(!71 Liak Telephone #(461 }...(p l- L2 2 2- Contrncfor s Address State ? City ZiP Telephone # (Y6?o D (?7 ?? ?? ? Sl-?- -7 J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Suhmitted • Energy Envelope Calculahons Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/water Contractor Telephone # ( AUG 1 2 2003 I hereby apply for a Residential Building Permit and aeknowledge that the i drmation is comple`td'pnd accuraic. thaC the work will he in conformance with the ordinanecs and codes of the ity of Eagan and the.Stat?? nf NIN Statutcs; 1 understand this is not a permit, but only an application lor a perm? yand ?-vork-is'noffo s?art wiihoui ? permil; that the work will be iu accoxdanec wiCh the approved plan in the case of work which requires a re? ancl approval ofplans. ?J?1Yi mcow "A/ Applicant's Printed N e Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Af[ - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 72-plex Plbg_Y or_N ? 25 Miscellaneous Work Types ? 31 Naw ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbmg _ Foundation HVpC _ Drain Tile Other Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stuceo Stone _ Fueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved S}, Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Buildirg lnspec:or 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATiON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complere f'or: single tamily dwellings & townhomes/condos when permits are reqwred for each wit .??o. 5 D Date 1li / 19 l bb Site Address071D 0 p(,!.{ V'Q, Unit # Property Owner Telephone #(? s/ ) t3ID S- Contractor O'CONNOR ONE HOUR Street Address 1904 VERMILLION STREET City St t HASTINGS, MN 55033 Tele hone q(??? )?137- Nl I7 a e p Bond #• Expires: The Applicant is _ Owner V Contrac[or _ O[her Add-on or alteration to exisfing dwelling unit $ 30.00 v fumace _Additional V Replacement _ New air exchanger air conditioner heat pump other S[ate Surcharge $ .50 $ 30 s0 Tatel ) I hereby apply for a Residentia] Mechanicai Permit and acknowledge that the information is complete and acwrate; 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 this is not a permit, but onty an application for a permit, and work is not to start wi[hout 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 plansl) /J Applican 's Printed Name App ant's gnature 75 S ? 1 2006 RESIDENTIAL PLUMBING PeRMiraPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 =-Please complete for modifications to existing residential dwellings. /s. SZ :X ... Date I I ! 7 Site'street Address c`?d 7(a lj?il l!L unit # Property Owner ?1l'.fT74 L-r i-(.L_ Telephone # ( ) ' l hone #(6 T -1) yV-'1 1 17 CONNOR ONE HOUR O e ep 6 1904 VERMILLION STREET City 5tate Zip HASTINTGS, MNT 55033 The Applicant is: _ Owner ontractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dweiling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are instalfing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. p (r ? FE u ` ' ' _Septic System Abandonment I l _' -- - _Water Turnaround (add $130.00 if a 5!8" meter is required) W NCl'V t? 9 2006 Other: Water Softener Zillater Heater $ 15.00 _ new Zreplacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ $? Total I hereby apply for a Residential Plumbing Pertnit and acknowledge that the information fs compiete ana aceufate;-uaaccne work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requir d to be reviewe and approved. ??Pis•Sl? 1'l.Ld){?P,l?t?? .l'4-Qf?eJZ- Applican s Printed Name Ap IicanY ignature ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2076 Opal Dr Lot: 23 Block: 5 Addition: Cedar Grove 1st PID:10- 16700 - 230 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Scott Link 2076 Opal Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA092224 12/03/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA115864 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 2076 Opal Dr Lot:23 Block: 5 Addition: Cedar Grove 1st PID:10-16700-05-230 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Richard Haglund Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Scott Link 2076 Opal Dr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature � ��.d� J �b� �7��Zo Use BWE or BLACK Ink �----------- ---, �� For Office Use � �lt 0��8 �il ' /��/3 ' Y n � Permit#: I 3830 Pilot Knob Road JUN 2 3 2014 � Permit Fee: D• D� � Eagan MN 55122 � /_� �� Phone:(651)675-5675 �jY; � Date Received: ClJ Fax:(651)675-5694 � � � Staff: � I ��J 2014 MECHANICAL PERMIT APPLICATION ' ❑ Please submit two(2)sets of plans with all commercial applications. � Date:�� ( I l�� Site Address:_ Z�� (�jGt„� � )lf"1�1 �, � < ` 1 Tenant: � U�-� Suite#: �, . Name: ��C. -� -�— �''4'l M ,� �„dY1 �,L Phone: (��) -�Ll1 T l Z ZZ ResidentlOwner�_. � ,. Address/City/Zip: ' ' Name: 1; � d�- License#: � � � � `�� C011t�aCt�r Address: �� Q..'�� l � � S� City: �L',l._C�`l�{�Gi� State: �1�� Zip: � �`'"��Phone: �.Q� � � � ��^ �� -�— ��,,, Contact: EmaiL /� � C� U�i.�J'C.C.Fi" �(�j'j,� _New �Replacement _Additional _Alteration Demolition . .. _ Type of Work Description of work: °,. _ _ .. �,��„�, W. � �,. NOTE Roof mounted and,ground mountetl mechanical eqwpment is requ�red to be screened by Gity w Code Please contact the Mechamcai Inspector fior infarriiation on permitted screening methods. �_..� t.t. �, ��.�a� .. 2r. RESIDENTIAL COMMERCIAL _Furnace New Construction _interior Improvement ; � �Air Conditioner Install Pi m Processed �� Perm�t Type „ — p s _ _Air Exchanger Gas Exterior HVAC Unit � _Heat Pump _UndedAbove ground Tank (_Install/_Remove) �Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) Qu $100.00 Residential New(includes$5.00 State Surcharge) _$ �� ° TOTAL FEE � COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee � *If contract value is LESS than$10,010,Surcharge=$5.00 =� Surcharge"` **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 **"If the project valuation is over$1 million,piease call for Surcharge =$ �' 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 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 `��-9�L`U ��Y�ll►'� x �.,,��-.��z�-°' �/�-`��..--, Applicant Printed ame ApplicanYs Signatur <,.....�.. ...,�..��_,�.�..�...x,��.��. �, .,�...� �.�:� FQR OF�ICE USE ° ' "_`,> �,�'��`.� „", . �"'�'� ;�g�- : �� ,. �. � � � Regwred InspecUons: �� ' � ReviewecJ By:r �' � , � Date: � .� �,�, � �:. �� <=Y;. ,,. x� �. �� m��. �.�.� �� .�.� � Undergrou,na ._Roug�Tnt,�Air Test Gas SerncelTest. In floor Heat ._Final� �iVAC Screenmg r ., a ;