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1781 Taconite PtPERMIT City of Eagan Permit Type:Building Permit Number:EA127546 Date Issued:10/06/2014 Permit Category:ePermit Site Address: 1781 Taconite Pt Lot:8 Block: 7 Addition: Cedar Grove 7th PID:10-16706-07-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Donald A Pavelka 1781 Taconite Pt Eagan MN 55122 (651) 454-7606 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks Addition GAO?)E 7 Lot 8 Blk 7 Parcel 11 16600 080 07 Owne I Street 1781 Taconite Point State Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET R ESTOR. GRADING SAN SEW TRUNK g; 1970 58.18 2.08 28 Paid • SEWER LATERAL 1971 20 WATERMAIN f WATER LATERAL 7f 1971 1,615.00 80.75 20 Paid WATER AREA • STORM SEW TRK 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 ^? 1981 11-21-69 BUILDING PER. SAC 200.00 1981 11-91-69 PARK EAGAN TOWNSHIP BUILDING PERMIT Owner ..../_?.................... Address (present) ....'M"_....._ .:._ :f . ............................... Builder ...... Address DESCRIPTION N° 2160 Eagan Township Town Hall Date ..._ f/? :? /. .......... _. Stories To Be Used For Front Depth Height Est. Cost Permit Fee - Remarks Street. Road- or other Description of Location L Lot I Block I Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent the right to create 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 BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify. that ...LyL. .r. <..__r. = .... .has permission to erect a...... 9_4:e- the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11. 1955 -^ ... trc. :.-.11 ....................... Per ...._---...._dei".+a..¢:-!:rtf.?.: ::?.r.......??.?s?: ................... Chaii en of Tnwn Board Building Inspector 4 -s. e? /?-yq/M HOUSE HEATING TEST ADDRESS/ ?'7 ( f1 ?' r ce^'/1?7L? f0//V ri- APT.- OCCUPANT OWNER. HEAT LOSS SOLD BY DATE HTG. INST Electrical Work By Gas Line By TYPE OF HEAT GA FA Le' HW STEAM SPACE HTR. _ GAS DESIGN MAKE MAKE OF Model uQ a N Model _ Serial Max. BTU INPUT MAKE OF Model INSTALLED BY LA_W,4A 7_e BURNER RECORD Z C'Qd% l 7 ?q -FLOOR CITY:r~'VSUBURB UNIT HTR. OTHER CONVERSION -- ----- sY •tJ /I THERM TAT eat Plug Vent Size Volvo KIND OF LINER /{'C.r&_*1 SIZLi ?-QNE Limit > Draft Hood TAIDOCed Regulator L-?w Limit Setting, U f O C Filters Si.. `x2 Nu er Fan Setting Arp v, C> gy -- Chimney Location I id¢.5 a Outside Pilot Type ??- Chimney Construction Pi lot Make Pilot Model Smoke Bomb I Pilot Timing Draft L.W. Cut Off Door Pressure= Pressure •S W/L Percent CO2 -45' Date Tested Input CFH ercent OZ 9 Company Testing LISWW Stock Temp. Percent CO Name of Tester _ Wiring ti O Test Tog r Lighting 1 t. vs' Form 235 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 /V Reaulrements > 2 copies of plan DATE: z/ f s /o I CONSTRUCTION COST: ?# =7/ 3ocr. Q;a. DESCRIPTION OF WORK: 4Aleor3yview WlAaOo r/ a4Ar./4E Gwrr- If multi-family bldg., how many units? DEMO . /2?r?v6 /has. 7141 044C-6 INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: Plumbing _ Homeowner g Contractor Name e JA Mechanical _ Homeowner 2[ Contractor Name )u A, "Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: 14-b I yAC4N(f? Roil LOT: BLOCK: SUBD./P.I.D. #: Name: 16?NGL SAPft Phone #: PROPERTY Last First OWNER Street Address: (?S( 14CoN(7Z- P?iki city irr1 State: M&/ • Zip: S 5 /u C'?Lc # J v -2q6 -aa7 z Company: ?R???/M ?)?s?yn! Phone #: 6r/ -L?1/'aryl (area code) CONTRACTOR Strsef Address: WAY License#Zez/;'G 91 Exp. City ?A State: lt7AJ, Zip: S J23 -07-2-2 I hereby acknowledge that I have read this application, state that the information is correct, of Minnesota Statutes and City of Eagan Ordinances. ?T9?HT? FEB 1 5 2001 By and agree to comply with all applicable State Signature of Applicant: 171 Reaulremenh 2 copies of plan DATE: DESCRIPTION OF 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 l - 3 - (), U CONSTRUCTION COST: Z? 1.5,O0o 0 C,k- O t ?.? kf6e Vie: /?,v if multi-famtty bldg., how many units? INDICATE THE FOLLOWING EQUIPMENT TO BE REPLACED AND BY WHOM: Plumbing _ Homeowner pr Contractor Name Mechanical Homeowner Q Contractor Name "Note; If somebody other than the homeowner Is performing plumbing or mechanical work, they must apply for appropriate permit, Only licensed Qplumbing contractor or ham wner may complete plumbing work. STREET ADDRESS: J / u I TAG' LOT: BLOCK: 7 SUBD./P.I.D. #: CCdaIr C" 01C # Name: -7Da ZSC? n Mcl?? Phone #: (os (- 4qS `I -95 ?D PROPERTY Last First OWNER Street Address: l 91 ?e 4&n-1 City C State: MnZ Zip: ?S f CONTRACTOR 0#: (area code) License # Exp Zip: ?I\pv 0 3 2000 I hereby acknowledge that I have read Misapplication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: City State: L BL L CITY USE ONLY ^ SUED. -Cidar 17rm # 7 RECEIPT#: ZT U 1S??? r if RECEIPT DATE: PERMIT# AI499 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished ' requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 > -> -> $ .50 Total -> Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------ I ----- have ----- read t------------------------------------------------------------------------------ ------------------------ I hereby acknowledge that h-is application, state that the information is correct, and agree to Comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS OWNER NAME:: SY VESTER PTFRSKAi LA TELEPHONE M 39n - 845-7RQn (AREA CODE) INSTALLER NAME: NK TELEPHONE* 507-334-6171 (AREA CODE) STREET ADDRESS: g429 _11'nmu QT T-7 CITY: MONTGOMERY ST ZIP: 5 606() SIGNATURE OF P MITTEE Tv PC 5 $N9 ?/S Sb CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 p9mg9 mg PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST lu_ ,°^.1u? ADD ON ' /°,?,¦,,,,? 0 REPAIR OWNER NAME: SSy { ai/A ?/IOyv i f l?,.?Tf SITE ADDRESS: 1781 {,/?7 LOT: D p BLOCK SUBD. A7;x 7A LOT: WSJ z tL /7%6 ADDRESS : / B S -S -SL /arJ n S E %-/) . CITY: ' ? Av ZIP: S ` / 3-j PHONE #: L/ So - :)- c' & ?- COHMMCIAL"TNDUSTRIlrr PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN (SIGNATURE) FOR CITY USE ONLY PERMIT # O o2 RECEIPT # DATE: FEES ADD-ON MINIMUM x$15.0 ,0 o HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: TOTAL: $ /S •SD .-- f , ` SIGNATURE OF PERMITTEE 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 SURCHARGE TOTAL: ZIP: r I EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: ple+:a bAR 19, 1969 Number: 384 Billing Name: Cedar Grove Construction C43ite Address: 1789 rannnj+-. oninf R_7_7 Owner: g,w8 rrnva rnncr. rn- Plumber: Rtain Tnnnrnnra+ofl Meter 1/21/69 Meter No. Permit Fee 7.50 Pd 11/21/69 Meter Reading ,Meter Dep. Meter Sealed: Yes_ IAdd'l Chg. NO Total Chg. Building is a: Residence xx Multiple No. Units Commercial Industrial Other Billing Address7sna rnnrnrr+ Rlud- Fnnh In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. Inspected by Date Remarks: By: Chief Inspector By: M?::r ..- Cedar Grove Construction Company South Saint, Paul, Minnesota Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: ni ,.--k-- 40 1oro OWNER:Cedar Grove Const. Co. PLUMBER Stein. Inc. DESCRIPTION OF BUILDING Industrial Commerciall Residential I Multiple Dwelling I No, of units Location of Connections: Permit Fee 7.50 pd 11-21-69 Street Repairs Total Inspected by: Date Remarks: NUMBER 529 Address 7383 1781 Taconite Point 8-7-7 TYPE OF PIPE Cast Iron Connection Charge 200.00 pd 11-21-69. By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Mary Jane Anderson Cedar Grove Construction Co. Please notify when ready for inspection and connection and before any portion of the work is covered. city of eagan November 8, 2000 Mr. Matthew Dawson Ms. Sara Eull 1781 Taconite Pt Eagan MN 55122 Re: L8 B7, Cedar Grove #7 Dear Mr. Dawson and Ms. Eull: PATRICIA E. AWADA Mayor PAUL BAKKEN BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members THOMAS HEDGES City Administrotor At your request, I inspected your home at 1781 Taconite Pt to check damage caused by the July 7th rainstorm. My observation revealed the following: • Mold four feet up bottom of walls • Moisture levels higher than normal • Advised to remove walls If you have any questions, please feel free to contact me at 651-681-4679. Sincerely, erry Zelenka Building Inspector TZ/hm MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (651) 681-4600 FAX: (651) 681-4612 TDD: (651) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity Employer www.cityofeogan.com MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122 PHONE: (651) 681-43DO FAX: (651) 681-4360 TDD:(651)454-8535 f? y RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 1 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. I, of lot. sq. ff. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after VIM Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS / 76'1 lU' r TYPE OF WORK G Ot.n G% I/1. " APPLICANT STREET ADDRESS `ISz:J ZlllB TELEPHONE # CELL PHONE # STATE ZIP FAX # :7-2 J--62 J/; `7 Gn PROPERTYOWNER ?rl '' TELEPHONE#l i-15 T 470 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ (J submission type) • Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Water Softener Water Heater No. of Baths Air Conditioning Heat Recovery System _ Phone # Laren Sprinkler No. of R.I. Baths --------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Ode Signature of Applicant Phone # Fee: $70.00 Phone # --------------------------------------- 3tion is correct, and agree to comply OFFICE USE ONLY Exteriors, Inc- MULTI-FAMILY BLDG _Y _N _ FIREPLACE(S) _ 0 _ I _ 2 273.2 RemodellResair Reauirements • 2 copies of plan 1 set of Energy Calcutations for healed additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions // C l? VALUATION f4 Certificates of Survey Received - Tree Preservation Plan Received - Not Required Updated 4/02 Fee: $90.00 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: / �� Clty of �� /p►� ��- � � Permit Fee: /V� � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �! '� (� r�7 Site Address: � / �! '" �`i�}�� ,�� Unit#: Name: �� / � �� L � Phone. �-��7� 7 °' / (O�� R@S�i�entl � � �-7pI �IWt��r`..., i Address/City/Zip: � ! O / " ��C O.J/� �'�/L ��, � �,.�� ,� Applicant is: Owner Contractor � ...�.'�� IP tiai�� ti �� . � i 'a J� .t.��,��,�� Description of work: T�� fr� � � � �I�-�i- �a, Il��m�k - OC3 : Construction Cost: �� Multi-Family Building: (Yes /No� Company: (_._�S/�C�1/N Ci Contact: / '� ��- �Q�1'�1'�C�OC , Address: l /�� ° �V�l T� �C lC /�� City: �1.�v(c'�S'1�/ LL� '. State:�� Zip: 33 Phone:IS�a^a �� U7�mail: � � � License#:l��go2� �'� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1�'C�TE:PJans�nr�sup;parti��d .GUmei��t� ��t,�au�u�r��t ace��r�si�lered,�c�be publfc,inf�r:m�tiQn, P�r#fvns�f the inforrhatir�n may be cl�ss��a1 a��rflr�-p��t'1��if ya��rv�rid�Js��c►fi�r�asv�s th�t wc�uld permit tl��City tn : c�i��`ude�#ha�t�He ar�'trade�ecret�. 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.aopherstateonecall.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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be ompleted within 180 days of permit issuance. '� x��-�� L IJ�C)�'c.(�ST�N4N1� Applicant's Printed Name Ap licant's ig ure Page 1 of 3 l#se BLL1E or BtAGK ink jFor E3Ffice Us�e ��~__—�I �� . t ��V f �� t �B►fTift�.#; , �� ( ..C �� Pemnii Fee: /� f 3$30 Pllot Krtc+b Raad i v � t Ea��n(i�N 55i22 � [�te Recehred:__��L � Phane?(65i}675�675 Fax:{6Si)675-5894 j Staft; i �.,..,__...___________,..� 2�14 F�E�i13ENT1AL �UILDINC PERMI APPLtCAT1C}N ��:-S.�_,��,.LAitE AtSdi@SS: ;/ 41/ � � � �/1�##: � � �... ..�c� � � �..��--r--•�--^•'�'�� " Narne: +Ln� i� Pttrat3�: L��"/ r7 �2+��e�►�' ` : ,, , . � � �� Address f City!Zip: � Glt •L : ,L`2 °- � � ,w � �� , � < r � ':.� � , Applicant is: t7wner Cantractor a 4 €?escription of wark: � ..�, dG � � � ��?��±C�� « � ° ' : Construction G�rst t�utti-Family Builsfiing.{Yes /hto � ��'� � , ��- ��.�.� ,�,.� �..�..�..�,. � � ` ' • � s � ` � •- , � Company: act: _.,� � L�3f#�I��" � Address: � ' ��Ci�+� �," '� � r �. � � f ;_ � .Stat Zi�l: PhOtte:�� tTtatl: / � , _ ,,. � 4_,� License#: � Leaa certiflcate#: �— c�2, � � !f the project is exempt from lea certificatio please exptain why:(see Page 3 for additianal infarmation) � � � « f ; � C+�MPt.E�E�MIS!AREAt�i�l�Y IF C.+4NSlRt1,C`iTit�Cs A!�{E{t1/�3t1CLC�Nt'a � � tn the Iast 12 manths,has the Gity at Eagan tssu�,t a pecmlt tor a similar plan bas�d on a mas�r pian? � € � � �Yes �No !#yes,date and address af master planr � � , � Ucensed F'tur�tber: Phone: 1 � �echanicat Gontractoc: Phone: � � Sewer 8 Water Cantractor: Phone• 4 �t3i1`��'��arnat��,��r+r��x�+�t�z�� b�t�ire�ctir��tf�"��C t��1`��'�rt��"�r� ��r,�t�� i��'��'mar�i"#��,at,��'l�i;��:�rt�-�e?�el��'��r�r�v�d�,�;�+�1f't�r�r�sa��#�a:��t�l�i�i��r��v � :+�#�!�t��t-�h�':�� ,�:;��'�e�ts GAL��EFORE ifO�El[liG. ea�t�opher state tyr��att at(s��t)ts#-oo82 toc protec�ian again�t undergroucad utiuty c�ama�. Cait 48 hc�e�rs before yau irrterid to dig to receitre lacaf�s of underground uhl�"tes. w�nv.s�s„�h�rs#�ieon�a#t.ora !he�by acknawled�that this infarmation is compiete and ac�urate;thai the work wiii!�in canfrrttnar�ce with the orclinances and codes af the Cit}r of Eagan;tMat i unde+stand this is not a permit, but only an appiication for a pertnit, and work is nat to start wifhout a permit;fhaf the work wii!be in aceorcia�ce avi#h the approved plan in the case of v�rork which requires a fevlew and approva{of plar�s. , i F..x#etior work au#harized by-a buiiding peRnit issued In acccmdarrce wfith the Minnesc�ta State Buit�ny Ct>de rnu�t�c�deted within 180 days af pemut issua»ce X � pjsf Gatt#'s PTtnte ' APPiicant"s Sign�ture Page T af 3 Use BLUE or BLACK Ink For Office Use 4*) City of Ea all Permit#: I` / �G 3830 Pilot Knob Road MAR 0 2 2017 Permit Fee: Cb Eagan MN 55122 Date Received: 32,1 7 Phone:(651)675-5675 Fax:(651)675-5694 Staff: 7____, 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial application j i . f Date: 0./—,;)/ Site Address: 1 O 1 / L 16 di O Tenant: Suite#: tet' /pJt� / �� Phone: l��I" C7C�6 .6.-Alt.- a t- Name: r,/ p 7i' " " ° Address/City/Zip: J/ O 1 /C'i-111 f (l z5/ N' &S-7,40, . Name: Ray N Welter Heating Company License#: -spa z 4•, Address: 4637 Chicago Ave City: Minneapolis on ct� - „��% , g State: MN Zip: 55407 Phone: 612-825-6867 �:.6. Gerri rickw welterheatin com � ,0„,..?.t�, Contact: Email: @ 9 a , New Replacement Additional Alteration Demolition :E• of e Description of work: '43: ;- ,„,,,,,,,.,-„w.- c. -s. „, wa « ,4AP.`,t`ae¥ .tea. s� 6 " ` - w `- 'NOTE: Roof mo ed d g oun® ed`mechanical equipme ais ®� • • ®,ea e mCity - z 'R` .�.,,° _ t' "rod'a• ;; d. �mn'+x'. : -F...,, ,a " odea °1r,=C:. ..Pani l "A- ® for Dr a e&`, W m scree' i e � xeo- � a4 s ,�- _u, �.Ana„ ._;': NTIAL COMMERCIAL 1, Furnace New Construction Interior Improvement ii — !!Air Conditioner Install Piping Processed kaC1 :t' � p 9 - - Air Exchanger Gas Exterior HVAC Unit »tea< .: �� .n T A � -- _Heat Pump —Under/Above ground Tank ( Install I_Remove) .� terOP e., Other, RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, irttludes State Surcharge 4(- ,ww $100.00 Residential New, includes State Surcharge =$ 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 work is not to start without a,permit;that the work will in accordance with the approved plan in the case of work which requires a review and approval of plans. x 44110‘ WdL;�� x l � y Applicants Printed Name Applica s Signatu —Ciw.. .d.;ri , „s ` � . v� ¢` i ' i FA � Irr � 1 v a � x � + a ,,,,,„ZR d 42a . ','"14,*s: xRr L e•y x . z yD s .Re uetX • i44^ l ,. Ioaa .FinatACS t �. "f Qlg t t Te Xz ; .rorH , �,_ ,