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4634 Penkwe Way011yofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: pGCiAc Permft Fee: Date Received: staff: L___ 2010 MECHANICALnPERMIT APPLICATION Date: 1 -3-1 O Slttie Address: x-4%3 ii7n •Kane uxi.44 Tenant Suite #: RESIDENT 1 OWNER Name: —' WAl .6- +P-01.6 7c.r't Phone: Address /City /Zip: CONTRACTOR Name: THE SNELLING CdM ANY, INC. License 1: 1400 CONCORDIA Address: �IIN 5! 1fl4 Cir: ST. PAUL, State: z;�51-646-7381 Phorlo: Contact Email: TYPE OF WORK New Replacement Alteration Demolition /( --Addiitional Description of work: 1�. , ` ""rt :t )i'/ NOTE: ill mrr untt�ed a li d .r ,trod t& i dpi . ls° ell ierr die monied t►tr tom+ code. Please c >lhe til rah ca l.kra for i tlb an methods. PERMIT TYPE RESIDENTIAL — COAANERCIAL New Construction Interior Improvement Air Conditioner _ Instal Piping _ Processed Gas Exterior HVAC Unit Air Exchanger — Heat Pump _ _ Under / Above ground Tank (_ Install / _ Remove) _ — Other _ **When instaliirgfemoving tank(s), cal for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ct rk, etc.) (incudes $5.00 State Surcharge) $5.00 State Surcharge) $ '� TOTAL FEE $95.00d Fire repair (replace COASTERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, =charge is $ 5.00 surcharge increases by $.50 for each $1,000 Perrnit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee --If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fc is > $10,010, (.e. a $10,010-$11,010 Permit = $ 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.gopherstateonecall.org I hereby ackn viedge that this information is complete and accurate; that the work will be m Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with thetiapproved plan in the rlase of work which requires a review and approval of plans. Applicants Printed Name x Appil with the ordinances and codes of the City of a permit that ±h work wi? be in accordance Signature Gity of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Nov 1162009 Use BLUE or BLACK Ink Permit #: q;16 Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:! I b3iC.r!y�Site Address: (-1(0r"Pt j 6 (/tom Tenant: Suite #: RESIDENT / OWNER Name: �/ ril e` a _ Phone: LI32' (Lc/0' V'7(4( ` Address / City / Zip: CONTRACTOR c Name: C -k -`i1 ' `Th -"CV C, P&Si UiNA., XV1C i License #: Address:e9 L /i o l iD•112.6 is -1 L City: te.11.3 State:I/1N) Zip: 5-6e?)(--/ (-15 Phone1 LY20 13;4 Contact Person: LC-ill t1 TYPE OF WORK New \/ Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ _ Description of work: PERMIT TYPE RESIDENTIAL VWater Heater Water Softener Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) _ _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES CALL BEFORE YOU DIG. Call Gopher State One CaII 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,aooherstateonecalLorg I hereby acknowledge that this information is complete and accurate; that the work will be in conformance witbJbe 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 no start without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval x � k T �C� �' 7_ YZ \SCI Applicant's Printed Name pplicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test 41,11 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 67515694 Use BLUE or BLACK Ink For Office Use Permit #: 711& / 0 Permit Fee: 705" `>� Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION' // Date(4R Site Address: 46-31/ 7A/KW44. 414Y Unit #: RESIDENT / OWNER Name: /1�/Uy'AD!:5%/4.P 3-3''43Cd, 74i©a Phone: 6( 2 4/9f- 5/V7 7 "���� Address / City / Zip; 4r d .4 EW 1� . zciAy E/9 1—A (U /l(ti . SS/ Applicant is: .Owner Contractor TYPE OF WORK Description of work: P/C- &T%/ t /16/e_. Construction Cost: 11 et 91 • ac Multi -Family B iding: (Yes / No 1( ) CONTRACTOR Company ) ;VI L1 1 ?4. 6 °f pntact: S-rV E SC i /i 5D'% Address: 5-4,e9/ /t.'G/f2067 City: 77,O LC State: 7) ( /2' Zip: 5-5"---X2 X2 e Phone: 41.55,-, ' kt? t, -8 c Ucense it: z-3 6 5 C' G & Lead Certificate #: i 4?- —7 3 7 3 - i If the project is exempt from lead certification, please explain why (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA OILY IF CONSTRUCTING A gys BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: incensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone:• 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 sp lfic reasons that would permit the City to conclude that they are trade,secrets. CALL BEFORE YOU DIG. Cali Gopher State One Cal at (¢51)454-Q092 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, ywvw.ggpherstateonecall org I hereby acknowledge that this information Is complete and accurate; that the work wtU be in conformance with the ordinances and codes of the City of Eagan: that 1 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 requites a review and approval of. plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State 13uliding Code must be completed within 180 days of permit Issuance. x �(G/cam ,�/<�1—l�7 x _� c Applicant's Printed Name _ s Applicant's Signature Page 1 of 3 atEapanC!tv 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SEP 171013 r Use BLUE or BLACK Ink For Office Use Permit it r ✓ ? / Permit Fee: 610." Date Received: c/ / l /3 Staff: -Gf L 2013 RESIDENTIAL PLUMBING PERMITpAPPLICATION Date: DI 1 1 u Site Address: I re \ CJ w Suite #: Tenant: a 1i\CkV\ Resident/Owner Contractor Type of Work 0.ti _Rv-Nt 0.11 Phone LpLY2 3011 8015 Address/City/Zip "i`2.3 yl rAV)e. W t ot,n 5,s -i Name: SV, (NIA i\Ja v t4Nl L Ow U A-'0- License #: t_!tM qql wL Name: Address: i�c� 1 YCj Y. City: -Hudson fl State: wL Zip: 5L1()1 (,i Phone: f �1 15 L . 9L L l Contact: r ii\VA. SGhb tO'VV Email: Permit Type New Replacement _ Repair Rebuild Modify Space - Work in R.O.W. Description of work: 1 sASVal i (AAA'On W AA-C,r SO1 r RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ - 00 CALL BEFORE YOU DIG. CaII 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. gopherstateonecall.orq 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 isnot 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 fans. x . �W' bliDex- Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed Under Ground Rough -In _ By: _Air Test _,_Gas Test ,,_Final