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3311 Roll LaneCITY OF EAGAN Remarks Addi ' DDTTTON Lot 8 Blk 1 Parcel 10 32001 080 m Owne %/i h I Street 3311 8911 Lane State Eagan, MN 55122 of b e-a b Improvement Date Amoun Annual Years Payment Receipt Date STREET SURF. 1-1973 119,50 0 10 STREET RESTOR. GRADING SAN SEW TRUN 1970 ?QQ 2 Paid IF SEWER LATERAL & -6U- 1972 2 14 107-19 2Q a3 WATERMAIN * WATER LATERAL 1972 20 WATER AREA STORM SEW TRK 1984 561.00 37.40 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320,00 2732 4-20-76 BUILDING PER. SAC 45o.00 2732 4-20 76 PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 AIR CONDITIONING PERMIT Date: ?day 26 Site Address: 311 Roll Lane 1717 Lot -SL Block r Sub/Sec. r Name E'. Rolhiecki a Address ' .111-Roll lane C City f' ;an 55121 _ Phone: Bandar d Heating & A/C Co. P Address ` t U W. Lake St. e 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. Receipt No.: 1? 1 f,l Single Residential Multi Res., Comm./Ind. New/Alter./Repair altriratinn Cost of Installation Permit Fee 5.00 Surcharge • 50 Total 5.50 done in accordance with all applicable State of Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eo9an MN 55122 N2 4592 BUILDING PERMIT . PHONE: 454-8100 ,-. Receipt # Date' tF'!' .:-? r!.a iri17?:F Site Address -»t t i o I 1 -tl Erect ? Occupancy - Lot Block 1! Sec/Sub. Harvey Kirchni iAlter fl Zoning Parcel # Repair ? Fire Zone - Enlarge ? Type of Const ae Name Move ? # Stories - 3 Address Demolish ? Front o ii Ph /f 514-') Grade ? Depth _ City one Approvals ix Name - - -? o ou Address , Assessment u? & S W Ci Phone ew. ater U Name Police Fi F W re Z5 Address Eng. v a z City Phone Planner - Council hereby acknowledge that I have read this application and state that Bldg. Off. _ the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee f ' 1 { 4 -,19? i ft. ft. Fees Permit 0 Surcharge • ``O Plan check SAC Water Conn. Water Meter I Total A Building Permit is issued to: , .j ", " : , 0 ) C %, • on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official remit # Date Inued Pemittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Inap. Date Insp. Foundation Plumbing Frame/ins. 2';? ' 7 Mechanical Final Remarks: CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 4463 PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for a Date 19 Site Address - Erect ? Occupancy Lot Block Sec/Sub . 'r Alter ? Zoning . Repair ? Fire Zone Parcel # - E l e of Const T n arge ? yp . cc Name 3J Move ? # Stories W 3 Address - Demolish ? Front - ft. City Phone Grade ? Depth ft. Approvals Fees o Nome i:(tl:' . iM c Address 164 v :? in Ave claStYl:j'.:, 437-71221 Nome _ Address 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. Signature of Permit-tee A Building Permit is issued to: zt` ! [ ; i?^ all work shall be done in accdrdance with all applicable State of Mir Building Official - Permit Surcharge '• Plan check SAC Water Conn. Water Meter Total 27, 50 on the express condition that Statutes and City of Eagan Ordinances. Assessment Water & Sew Police Fire Eng. Planner Council Bldg. Off. _ APC Permit # Dab Isomw PWMIH e Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings L_ Dote Insp. Date Insp. Foundation _ Plumbing Frame/ins. +J, F.. Mechanical Final ?. If Remarks: CITY OF EAGAN 8795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION $5,000. e } Receipt ## ... - . .. _ Dec. Site Address ' Lot 8 Block Parcel #k W Name David Rolbiecki z 3311 Roll Ln 3 Address a' Name P Vet 8? 1 Address Chapel Ln H r:... Eagan M a Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ,<t all applicable State of Minnesota Statute r City, of Ea dinonces. Signature of Permitte A Building Permit is issued to: D id Rolbiecki all work shall be done i, actor ce wi V all p :cable State of M' Building Official 1 Sec/Sub. 77 Erect ? Occupancy 1 Alter g] Zoning RL Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front --ft. Grade ? Depth ft. Approvals Fees Assessment. - Permit id. UU Water & Sew. Surcharge 2.50 Police Plan check Fire SAC Eng. Water Conn. Planner Water Meter Council Bldg. Off. _ - 20.50 APC Total on the express condition that ?soto Statutes and City of Eagan Ordinances. N? 4592 8289 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N4 4463 PHONE: 4548100 7237 BUILDING PERMIT APPLICATION Receipt # $6,700 . To be used for Garaee Date 6„?„ar 90 , 19-?7 Site Address 3311 Rol! *- - Erect ? Occupancy J Lot _A Black ._I Sec/Sub. Ham ryey Addy II Alter ? Zoning L Parcel # Repair ? Fire Zone _ u v= Enlarge ? Type of Const. V nugy z Name ---?- Move ? # Stories i Rolbeckie Address Demolish ? 28 Front ft. 0 City Phone Grade ? Depth 30 ft. Harvey Kirchner Name Approvals Fees 0 orj Address 16490 Goodwin Ave Assessment Permit 24.00 Hastings ph 437-71220 V? Water & Sew. Surcharge 3.50 one City Police Plan check F Fw Name Fire SAC Address Eng. Water Conn, City Phone L Planner Water Meter Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 27 50 State of Minnesota Statute and City of Eagan Ordinances. APC . Total Signature of Permittee A Building Permit is issued to: ey Circhner an the express condition that all work shall be done in ac dance wi all p licable State of innesoto Statutes and City of Eagan Ordinances. Building Official EAGAN ?4TOWNSHIP BUILDING PERMIT Owner ........It .r`-= ---------------------- Address (present)..... u`.:`.'....:.r .................. Builder ....---....M------------------------- .............°------------...-- Address DESCRIPTION N° 1707 Eagan Township Town Hall Date ..-----flli'14r -------------------- Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks ?G a? X5000 `am a-o ion QcLe. ?" or 19 1 or Traci This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ONV.THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ........ 24.?----- 1`?.^..- -! - ? ..............has permission to erect a... .... .... !.' ..... ..' .. upon the above described premise subject to the provisions of the Building Ordinance for Eagdh Townshi adopted April 11. 1955. p Cha Per of Tnwn Board Building Inspector Cc 'k4, EAGANI TOWNSHIP ?Q 398 i BUILDING PERMIT Ow r j I . .1 .--------..?ny -?..... _ L. c..-.... Eagan Township Address (Present) ...Za-f-e J4? .-, ...../..l-........1.--- Town Hall Builder ......... ......---------._.. .........---------------- D ------ Address DESCRIPTION Stories To Be Used For F so ni Depth Height Est. Cost Permit Fee Remark ,r ? ?j I or LOCATION oT '1' _ L This pe ?t+does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the rig .to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the commugqfly. , THIS PERMIT MUST PT ON TIRIEMI E WHILE THE WORK IS IN PROG(ggjg/ . This is to certify, t] i---- ----------- -? -- as permission to erect a.... 12SF ...?............._.........upon the abo a described pr mis he provisions of the Building Ordinance for Eagaa Towndo !ed April 11, 1955r? - - ?// 1 ??' Per Building Inspector EAGAN TOWNSHIP ILDING PERMIT Address (present);i... - --- I .......1? - Builder Address N° 525 Eagan Township Town Hall Date-i, ... .....- ...... "I ----......--- LOCATION /b g 9 ben nWn ljl., or vl / This permit does not authorize the u bf streets, roads, alleys or sidewalks nor does it give lhtlorbner or his agent the right to create any situation which i a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BF EPT ON T PR$M SE WHILE 0 orec PRO This is to certify, that. G SS.I/ L upon ....Q.i%??.... ?pro S -?G4t?E has par4a, the above described premise su f to the provisions of the But' toz ship opted April 11, 1955. - ........ .p .................... --'--°--------- ----...---------------- ---------------.. Pe ---- . \ Chairman of Town Board Huil n9 ns ector EAGAN TOWNSHIP Nto 296 "//? B 9L®I PERMI'? r Owner -!f`''''-- ---- ------ .....--- - 7- Address (Present) - ....... ...... .. Builder ----------------------------- _..- ' -- ---..-------°------._._... Address .......... ------------------------ -----....._--..........__.-' ----- ----.-._... DESCRIPTION Eagan Township Town Hall Date ----- Stories To Be Used For Front Depth Height _Est. Cost Permit Fee Remarks LOCATION .ddition or Tract W1f, 4 6-C/L. ®'C r This pes does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or h agent the xigh o create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general elf are to anyone in the comm nfty. THIS PERMIT MUST PT ON T R ISE WHILE THE WORK IS IN PROG S. This is to certify, th . ..----------- -. --- ------------------ has permission to erect a... ---------- ----- .----------------- Upon the ab ve ibed - provisions of the Building Ordinance for Eagan Tow p adopted April 11, 19? !1._-:..'..L/..........__. Per Chairman of Board Building Inspector EAGAN TOWNSHIP 315 BUILDING PERMIT Ow - T Eagan Township Address (Present) / .. ...-_? Town Hall Builder --.............------P- ------------------- '-------------------- - Address Dal -1 Q??../-........ DESCRIPTION ories St To Be Used For Front Depth Height Est. Cost Permit Fee Remarks to LOCATION 7 or This per?tt d s not authorise the use of streets, roads, alleys or sidewalks nor does it give the/Owner or his agent the right(to reate any situation which is a nuisance or which presents a hazard to the health, safety, convenience and - general welfare to anyone in the community. THIS PERMIT MUST S?FPT QN TAI / EWHILE THE WORK IS IN PROG%RES,S. _. l''.` ------- has permission to erect a.-.uPOn This is to cer -------------------------- r thccabo4e desc ' proms..-, provisions of the Building Ordinance for Eagan To hip adopted April 11, wan - --.-.._..... Per ----------------------- ...... Chairman o Board Building Inspector YIIJLAGE OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 WATER SERVICE PERMIT PERMIT NO.: 1958 DATE: 4/20/76 Zoning: RI No. of Units: Owner: David F.., Rolbiecki Address: /r-) We2? /'Y?, Site Address: Lane Plumber: 160. 24806802 f pd Meter No.: Connection Charge160.._DD_nd Size: ------------ 5/,g Book Rea er No.: -724291 . with the Village of Eagan ccunphy Oa ea} tO174 B Ttftal*=ge. a `3 ! Date of Insp.: Account Deposit: lS_D0_gd Permit Fee: IQ.._00 00_,>d Surcharge: .50 Pd Misc. Charges: _60..99_pd-- 11.3 Date Paid: Insp.: IILLAft Of EAOAN SEWER SERVICE PERMIT 1"S Pilot Knob Road PERMIT NO.: 2715 :agan, MN SS122 DATE: 4/20/76 mooning: RI No. of Units: 1 )wner: David F. Rolbiecki 4ddress: iite Address: 3311 Roll lane, Eagan ?lumber: weierke - Dakota Mg. 350 agree to comply with the Village of Eagan Connection Charge 0 )rdinoncee. Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd ly: Misc. Charges: 7,--;? )ate of Insp.: It : nsp : - Date Paid: . 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN (°3830 PILOT KNOB ROAD, EAGAN MN 55122 ?? 651-675-5675 Please complete for modifications to existing residential dwellings. Date 9 l 9 1 04 Site Street Address 3 I Unit # Property Owner ?,CE Contractor ?i ?c O.L () ?-tYt aJ Telephone# (LJ[) -3L5 -13 V6 Address D Lr1)Q CQ City State /!) h, Zip The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Wat r Softener V Water Heater $ 15.00 e V replacement _ additional Lawn Irrigation System RPZ_ new - repair -rebuild $ 30.00 State Surcharge $ .50 Total $ 2.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the 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 required to be reviewed and approved. Applicant's Printed Name Applicant's ignature F?' ? 2 ? D T T JUL 19 2001 O, WELL PERMIT (ar WHEREAS, the PERMITTEE/DBA: ADDRESS: DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Galaxie Avenue, Apple Valley, MN 55124 (612) 891-7011 Jay Ericson 3311 Roll Lane Eagan, MN 55121 Permit No. 94-2074 NON-TRANSFERABLE REVIEWED BY: Farr has submitted a permit application, has paid the sum of $100.00 dollars to the County of Dakota as required by ordinance Number 114 and has complied with all of the requirements of said ordinance necessary for obtaining a Reclaimed use Well permit described herein: A private water supply well is on a property served by a municipal water supply. The well is permitted for non-potable use only, such as lawn and garden watering. This well is subject to inspection by the Department of Environmental Management. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 3311 Roll Lane Jay Ericson Jay Ericson 3311 Roll Lane 3311 Roll Lane Eagan, MN 55121 Eagan, MN 55121 NOW THEREFORE, the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described for the period of June 1994 to June 1995. This permit - must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said ordinance. If the property is sold or otherwise transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requirements. -14? Given under my hand Thursday, June 16, 1994 ,?3 I l ?7/ 01 ?,?? o 0 o G-a??-- 1 i b f C N A-P (2 1 I j of A/ C J?e Tt /7 07 1410 Date_ o! BUILDING PER14 LOT---L- BLOCK. PARCEL & SECTION IMMER IF UIIPLATTED " APPLICATION .Ly ADDITION: ADDRESS OF IT ?r 8 X v ? Z00111G Lea OCCUPANCY W USE F ESMIATED COST OPMER TELEPHONE N0. ADDRESS TELEPHONE 110. 51a? / -71 o-. e Note° Include site plan, building plans, and energy calculations with this application Signed qL"-t4' OFFICE USE Z'; VALUATION 6d SAC HATER MINEC^_ IO l CRATER METER BUILDING PEWIT FEE SURCHARGE FEE PLAN CFECA FEE PARK DEDICATI9V FEE QV 7 OTHER TOTAL* APPROVALS. ASSESSETNT CLERK BUILDIi DEPT. POLICE DEPT. WATER & SE4:BR DEPT. FIRE DEPT. PARK DEPT. ` l[irchner ?'m onstruction HARVEY G. KIRCHNER I 16440 GOODWIN AVENUE EAST • ROUTE 2 • HASTINGS, MINNESOTA* 612/437-7122 e& J a 0i ?a, .y U lpG/i -s #,/ve DATE BUILD114G PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for , 6 Tv luation ??% -SOad Site Address: 3?// ?LG C9?? 1?2? Lot Block Sec. Sub, Parcel Number Owner /J Telephone Address Contractor Address gefl D5/ Gs1??? Telephone Arch./Eng. Address Erect Alter r'Al"Iyo Repair Enlarge Move Demolish Grade Telephone OFFICE USE Occupancy Zoning R- f Fire zone 'i Type of Const. M of Stories Front Depth OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. FEES Permit d Surcharge 7 2 _5 Plan Check SAC Water Conn. Water Meter TOTAL -?- city of eagan /-gi 16) THOMAS EGAN Mayor June 18, 1993 JAY ERICKSON 16120 FIOLIAGE AVE ROSEMOUNT MN 55068 Dear Mr. Erickson: PATRICIA AWADA SHAWN HUNTER SANDRA A, MASIN THEODORE WACHTER Council Members THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk In response to your question regarding the septic system and well on the property located at: 3311 R611-Lane I would like to state the following: 1. Eagan has no local codes which govern these systems except for the initial inspection at the time of installation. 2. Eagan has a health inspector to verify the condition of septic systems or wells. If you have any further questions concerning this matter, I can be reached Monday through Friday at 681-4678 between the hours of: 8:00 a.m. - 8:30 a.m. 11:30 a.m. - 1:00 p.m. 3:30 p.m. - 4:00 p.m. Sincerely, ? r Dirk House Plumbing Inspector WA/js MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681.4612 TDD: (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681.4300 FAX: (612) 681.4360 TDD:(612)454-8535 d PITY W- A Ct4.WTEA I 0 rNTS . _ Iy}.?? p1_?At_l'] T L.?? I. I? I , I I II . ? II I II " II n1 _ - C Ve1. n1; !M')f'F, 6. ?5 ' II I `.?'"F-.yY/i},rt:'-,?NW:'K $'.:'f%?KWL ?/nIM?}` ' ":T?r: '};•; ?k'*m:1rX(?y i zQ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) J U 55122 S 2- 3830 PIL T L KNOB RDN 651-681-4675 3 I?p New Construction Requirements Remodel/Repair Reauhement -- / 3 registered site surveys showing sq. ft. of lot, sq. ft. of house and all roofed areas LWI maximum lot coverage allowed) 2 copies of plans (show beam R window sizes; poured Ind. design; etc.) 1 set of energy calculations ? 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: /0 Z'440 C)VeyIOL DESCRIPTION OF WORK: 2 copies of plan 1 set of energy calculations for heated additions site survey for extedor additions & decks site ill-e-e K IC) /ab CONSTRUCTION COST. /Q / '?)DU STREETADDRESS: 33?I 12OLL LYItlE C49Crdt?ll LOT: BLOCK: -? SUBD./P.I.D. #: C-- Pt0S60 Cl0-r Phone#: bS!-?Sl??$4°?° Name, r Lad First PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Street Address: 331 ( 20 L,- (-A2-AJf (0 City Prv?>v State: Zlp: ?5 !a Company: e? 12 ?A1T t- ?IIJ G JL, Phone #: ?9f 2r 3 ??- (moo (area code) Street Address: ?5-2 6 0- City State: /MN Company:. Telephone #: area code ( ) Ucense # S01°I K Exp. Name: Street Address: Registration C City Sewer & water licensed plumber (required for new construction onlvl: State: Penalty applies when address change and lot change is requested once permit is Issued. Zip: SS?a Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. /, 1 r, Signature of Applicant '? " //???AC? /v G -2) OFFICE USE ONLY /Z) V? E? ) Certificates of Survey Received 4 Yes No Tree Preservation Plan Received - Yes - No - Not Required OFFI ICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 ? 02 SF Dwelling ? 07 ? 03 1 of _ plex ? 08 ? 04 2-plex ? 09 ? 05 3-plex ? 10 WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning 4-plex ? 11 10-plex ? 16 Fireplace 5-plex ? 12 12-plex ? 17 Garage 6-plex ? 13 16 -'plex ? 18 Deck 7-plex ? 14 Apartments ? 19 Lower Level 8-plex ? 15 Lodging ? 20 Pool Tenant Impr d 39 Gas Line Only ? 43 Move Bldg. C3 40 Gas Insert ? 44 Demolish Bldg.* GI 41 Wood Stove ? 45 Demolish (interior) p 42 Reroof Give PCA h andout t I c) applicant for demoiition permit Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea. ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous Siding/Soffits/Fascia Windows/Doors Fire Repair Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance 4 SAC Units % SAC 6505 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 3©• szj Date- / ? / 7? / #^ t g i # Site Address J`7 ! o /, ( I Un t Property Owner ?-l Ei-( C- Telephone # 4sf ) 4,&1' 1 01rii Contractor STANDARD Ninw & AIR CONDITIONING CO. Street Address 410 WEST LAKE STREET City State MINNEAPOLIS, MN 654Q§-2998 wen_ee4_mee rp Telephone# ( ) Bond #: Expirest The Applicant is Owner \ Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ! f ??(( Additi l t l \\ urnace acemen - ona ! Rep air exchanger X air condi tioner -New Replacement other lI? l? S?a Y tJ ' $ 50 State Surcharge D . ,:' ?,; 2 4 2004 Total $ _3P .5 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; 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 only an application for a permit, and work is not to start without a permit; that the r be in accordance with the approv plan in the case f work which requires a review and approval of p ?m Applicants Printed Name ?- ApplicanVs Sjgct ture 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION Cityl!Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits arIo not required for each dwelling unit Date I. Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address 4 City State Zip Ii ( ) Telephone # Bond #: Expires: j.: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank - Install -Remove **see below _ Interior Improvement - Install Piping - Processed -Gas Nature of Work: **When installinglremoving underground tank, call for'inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/mmoval 550.50 Minim(includes Stale Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If ermit fee is 51,000 or less, add $.50 => $ State Surcharge If en rmit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; 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 only an application for a permit, and work is riot 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 anid approval of plans. Applicant's Printed Name Applicant's Signature Approved By: Insp 4 for î þ ý þýý üû û ú ùýýúúï ä ôë ù ä ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ò ö ô â ùüþô ñûùò ñ÷ ò ò ë þ ãó ÝßÜßðð 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151108 Date Issued:08/08/2018 Permit Category:ePermit Site Address: 3311 Roll Lane Lot:8 Block: 1 Addition: Harvey 2nd PID:10-32001-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jay S Ericson 3311 Roll Lane Eagan MN 55121 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature