1878 Sapphire PtRESIDENT /OWNER
Name: 4--- t<t.. .\ e t_tQ Phone: 1 t - 40 S t .1 L
Address / City / Zip: 1 ( 61e SAP2NI RI. l"vfvoi t �ilbf 1 7--
CONTRACTOR
Name: F \. /i(Q_ i 1) vol 1 i f C. - IOC. License #:
Address: 1 0 Lyci- )007- t-h R3 cc_ k\ .
� q3
C
City: 6 � L \J ALL State: M &) Zip: J5 7
Phone: 3 li \to Contact Person: 13 ` IoRKS
TYPE OF WORK
New "Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE
/ RESIDENTIAL
J Furnace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
_ Gas Exterior HVAC Unit
Air Exchanger
Heat Pump
Under / Above ground Tank (_ Install / Remove)
_
" When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
Other
RESIDENTIAL FEES:
$50.50 Minimum Add -
or alteration to an existing unit (includes $.50 State Surcharge)
out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 56 • 5 C:, TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
- $2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Fee is Tess than $1,000,
= $ State Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
$ TOTAL FEE
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 MECHAICAL PERMIT APPLICATION
Date: It ` :14C: l� Site Address: 6 4 6 ' i ( e) � l� Q P f-� + 2 - 1 - POI 107
Tenant: Suite #:
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 ork will b ccordance with the approved
plan in the case of work which requires a review and approval of plans.
x 'OKI IS ' TROMP VO x �� --
Applicant's Printed Name
FOR OFFICE USE
Applic• s Signature
For Office Use
Permit #: qt; / 3
Permit Fee: , // Date Received: / / 2 3
Staff:
J
Reviewed By: Date:
Required Inspections: Under Ground _ Rough In _Air Test _Gas Service Test In -floor Heat _Final
Exterior HVAC Screening Inspection
BONA, ~5-7(QI leb I b 1 1$~0(1e82, 108 4
t a~~ t `~S~ i 18G~p1 , $G~2 I ' $G~Gt.~ '$~(0 Use BLUE or BLACK Ink
U r - - - - - - - - - - - - - - - - i
w, ee I For Office Use
Permit
City of Ea oa~
u b I Permit Fee: l~~ J
3830 Pilot Knob Road I
Eagan MN 55122
I
I Date Received: to
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff: I ~S
t-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLIQATION I2- '
C~ 18X 5781/SSd/IE8_St/ 5gPPh1,-e Ft
Date: 1 27 Site Address:7?/ f3g., //f?g"I /IfQD/189Z~11~,~/8Y6
Tenant Name: Q~~rOkt!1 CoMft-S ~.i►\~S $-%I Var~c4 komlajenant is: New / > Existing) Suite M
Former Tenant: Q
Name: C._VN0hs X yak&IS AAA gV rA,, wmS Phone: C S*A- 4 3 A-8171
Property Owner Address/ City /Zip- P-0 DOX J hOSehoJv► Am JrJrO (o$
Applicant is: Owner Contractor
Type of Work Description of work7eA O ~C- X12. - ('oo~ G-K ~ Kn r 5 a . nh Ct ~a~ C`
Construction Cost 177,3
Name; O ~ COV ~ C%x1i o License lJ C_ ~aZ ~ t e1
Contractor Address: ~1e\p~ L ~~ow~c~t pvG.- City: 1050- M0J%
State: M~J Zip: 5 S~~Q Phone: `1 9 ('06-
Contact: Email: LGvi
Name: Registration
Arch•itect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
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.
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.goi)herstateonecall.orrg.
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 L,~, I O x 3MA
Applicant's Printed N We Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office U„se.* _
City of Eakall Permit#: /Z77 /4
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122
Phone:(651)675-5675 Date Received:
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 601 A7//A' ? Site Address: ( 1-2(,
Tenant: Suite#:
Name: -- -e-/-)/1 / E�1� / ii— e�1 Phone: <�/
T)5 1J/ee
Resitlent/0wner
Address/City/Zip:/ I' /&' At/ '1.
Name: 1-1t-/ e--"7/% Lic nse#: rilEZ7OCIAD-7
Address: 9L7Q 1..
S O/ cr7� A / ity: � O/�/I
,Contractor " v;e6�
State/kl•
Conta5stl�� Zip–SSPhone:6` 57-1 -
7_ _- Email: f *7"- g,- 1-1 � 6/ ecva
• l
New k. Replacement Additional Alteration Demolition
hype ai(1nfQrk Description of work: A i �� / a_
NOTES Roof mounted and groe nd mounted mechanical equipment is required to be screened by City
Code.;Please;contact the Mechanical Inspector for nformation on permitted screening method's.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
,x Per�rt�Type
Air Conditioner Install Piping Processed
Exchanger Air
9 Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank (_Install/ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ 6%90 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=Contract Value x$0.0005 =$ Surcharge
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 work is not to start without a permit;that the work will be in accordance
with thel approved plan in the case
of
work�which requires a review and approval of plans.
c
V'aTzc •1
Applicant's Printed Narr4 Applicant's Signature
pP 9
Required inspections Reviewed By: Date
Underground Rough In ,- Air'Test, - Gas Service Test - In-floor Heat —Final HVAC Screening.:., :.¢
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143691
Date Issued:06/23/2017
Permit Category:ePermit
Site Address: 1878 Sapphire Pt
Lot:120 Block: 04 Addition: Diffley Commons 2nd
PID:10-20451-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Jennifer J Kleven
1878 Sapphire Pt
Eagan MN 55122
(651) 405-1316
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature