The URL can be used to link to this page

3583 Blue Jay Way Unit 200 x For Oifice Use _ - - - - - - - - - - - - - - - - - Permit 3 City of "EaRd Permit d b Fee: 3830 Pilot Knob Road J Eagan MN 55122 Date Received: / ? _ Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 MECHANICAL PERMIT APPLICATION Date: ~1"c~l ~1 fl t Site Address: Tenant: ~LL1(-'-( Suite RESIDENT / OWNER Name: UJ Phone: Address / City / Zip: 4 CONTRACTOR Name: License Address: 3451 W. Bumsville Parkway Suite 120 City: r State: Zip: Bumsvi'le, MN 55337 Phon _ S . ' - (0-!~) Contact Person: _lf_l 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 COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other - Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 'O • TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 the approved plan in the case of work which requires a review and approval of plans. x ^~rY1G esi Y~ iA _(l x (2i Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection ð ÿ þýý ðûüüûü úýýðïùð íø ñè ñ þýö þýüûúùø ÷ ò ýûúù ûúùø ÷ öø÷õùô ùóý ò ý òñíýùú ð þïý î ôù ìô ëëô ïý ô ü ô ê é øøù ÿé é ô ý ùêòé é ùé ê ò üôè ïý üúø éôúëô ê îæñåæêê õú þý ë çýæñåæêäêä çýñÿê ôó öòñ ùù õø ãëãþëý äòýúõò ññýâúú õ ìãöñ ãöñ áàßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175746 Date Issued:04/13/2022 Permit Category:ePermit Site Address: 3583 Blue Jay Way 200 Lot:053 Block: 04 Addition: Lexington Place 1st PID:10-45050-04-053 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Meaza Balander 3583 Blue Jay Way Unit 200 Eagan MN 55123 Hoffman Refrigeration & Heating 5660 Memorial Ave N, Suite 2 Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature