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1872 Sapphire Pt2011-02-10 14:31 BOEVAAG PLUMBING 9524403791 » 400P City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 875-5694 651 975 5694 P 2/2 Use BLUE or BLACK Ink For Office Use Perm s: Permit Fee: Date Received: staff: 011 RESIDENTIAL PLUMBING PER IT APPLICATION Date: 2/0 / 1 I Site Address: 1 q7 L h i�' �. ) di Tenant: Qe Suite #: RESIDENT I OWNER Name: V • T V f k Oki k t Phone: Address / City / Zip: CONTRACTOR Name; e)evC{6t 1,10161,1q ivi ( l_ican #: 06 2CM (S' 01 Address: t" •o t � t z 5 7 .] City: or / ifr ( / e'` c / 7 (ft /G) ' 7( t 2' State: Al, A/ �i : � Phone; 1 J G � .� I' ,,,,��� I1 ��`J)) __- 1 t,i r Contact: .� � S Email: �jf) �t/�)ld " if" , fV C'j- TYPE OF WORK _ New x Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RIDENTIAL Water Softener Water Heater Plumbing Fixtures ( Main / _lower Level) _ Lawn Irrigation (_ RPZ / _ PVB) —Add Water Turnaround Septic System — T New Abandonment RESIDENTIAL FEES: 555.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation 555.00 Add Plumbing "Water Turnaround $405.00 Septic System $95,00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $168.00 if a 5/8" meter is required) Nlgw ($10:00 per as built) (includes County fee and $5,00 State Surcharge) - r, J burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) TOTAL FEES $ ti J CALL BEFORE YQU DIG. Call Gopher State One Cali at (661) 464.0002 for protection against underground utility damage. Call 45 hours before you intend to dig to receive locates of underground utilities. www;gophersu3ttpner;.al! my 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 1 understand this is not s permit, but only an application fora 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 - Appi is nature 4 x 3c (I5 jo l to Applicants Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _,_Rough -In _Air Test Gas Test _Final' City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA087043 10/23/2008 ePermit Site Address: 1872 Sapphire Pt Lot: 132 Block: 04 Addition: Diffley Commons 2nd PID:10-20451-132-04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952-445-2840. equirements should be directed to Mark Anderson, State Electrical Inspector, Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 - Applicant - Owner: Peter A Wratkowsld 1872 Sapphire Pt Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature 1558, 18lab t 18b2, 1$(04 18040, IvlaB, 1b10, I, 'Ft Saip'Ptiirt P -V ,* CityEta"of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: t159c0► Permit Fee: (o(ol .1J Date Received: Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION g1►A5 Date: 1 q ($ �� ig4©,/ig6 z //l (V/ 66 /D�p I d27/ t3 Site Address: g. 4g//8707%0)2-- I Tenant Name: Dicikt3 C rgowS a.n1\cs 4 (n rtd kor+cS(Tenant is: New / >. Existing) Suite #: Property Owner Type of Work Contractor Former Tenant: Name:D;\t� CorkeNor5 .l VMed Ani AaCdc,n 5 Phone: (15.--I3 a- 8174i Address/City/Zip: ?,() (5ak J `�JOSGhoov44- Mkj 55Ota$ Applicant is: Owner Contractor 12- Description of work 1cw(- OCC - (govt' r:- S<<i•�•q Ct�A�C- Construction Cost: 45 Lj co (• $ Name: kn' r CAh5 Sa. rocli (HA License #: \J c- 22.11 a a, City: Address: IL L to�+n 1 O•�/L �OSC- r\ -0,)%4 State: %±j Zip: 5-5-0109Phone: G�I' �" coos Contact: 1-.4+ 1 14 V - Email: v��1-e�� Vet. : od'`J . Cse ("1 Architect/Engineer Name: Address: Registration #: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Email: Phone #: E. Plans and supporting documents that you submit are considered to tie 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 the are trade secreta: 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 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 Lit kOh Applicant's Printed Name x Applicant's Signature Page 1 of 3