1195 Timbershore LaneRESIDENT / OWNER
Name: C1!!4� �1 O, fV\ -Q- Phone: ( — Leo- 1031
Address / City / Zip: \ R5 �y V ersh Lay -Ne i_,
CONTRACTOR
• (I Y , 4 110111/(1007" Oi• i t
N ame: ! �� Q s V
Address: $ ®6 a n
t�
,ap II f ` ,P..
State: f\ ip: ' E la- P one: C,G1-- ` - • 011
Contac 1 1�X�
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TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work:
mechanical . equipment isre o e by Ci
Inspector for in on'permittedxscreening °m etho ds, i
O T . 90tTounted and groundmounted
od e Please contactthe
PERMIT TYPE
RESIDENTIAL
'( Fumace
COMMERCIAL
_ New Construction _ Interior Improvement
Air Conditioner
_ Install Piping Processed
Air Exchanger
Gas _ Exterior HVAC Unit
_
Heat Pump
_
_ Under / Above ground Tank ( Install / _ Remove)
Other
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
_ $ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (Le. a $1,001-
_ $ TOTAL FEE
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x
App ant's Printed Name
Applicant's Signature
Use BLUE or BLACK Ink
Permit
Permit Fee: ' C .
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: t�t 10 Site Address: \\ q 5 C, r at, W 1�r'e. ,
Tenant: Suite #:
1
J
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
1 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 a permit, but only an application for a permit, and work is not to start without a permit; that the work will be i • accordance
01I A IL 0 1111C
with the approved plan in the ca e o work which equires a view and approval of plan
R eviewed By.
R ough InT Air Test ' Gas Service�Tes
'Exterior HVAC Inspection.
RESIDENT / OWNER
Name: O M, tAV.j Phone: (S5 ( g- i ca"
Address / City / Zip: \\ -- k -- ;44 - 1.r - i l �.�. L1. _t
CONTRACTOR
�` - /�
� (� ��r 1 lJQ
i(� ice `�' " "/'�1/ ClC
Name: � ��
�p)J-e
�y l
Address: �®6 - City: 1
i r(IU..J1�
State: POI � Zip: V -I— Phone: CP6 1 22- - e t 0-1 1
Contact:A \ 1�1� l� t 1c\L.,C_O .CY
TYPE OF WORK
New 4 Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
y Water 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 $166.00 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 $`
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �, \3 y Site Address: \\c5 l �ipy \ _ C LOL1 t''e
Use BLUE or BLACK Ink
Permit #: ��! `' 5
Permit Fee:
Date Received:
Staff:
Tenant: Suite #:
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.gooherstateonecall.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 wilbe in
accordance with the approved plan in the case of work wt)ich requires a review and approval of plans. c
x
Applicant's Printed Name
nt's Signature
FOR OFFICE US
Required Inspections: - _Under -Group
Reviewed By:
Rough -In _Air Test _ Gas Test Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161074
Date Issued:05/05/2020
Permit Category:ePermit
Site Address: 1195 Timbershore Lane
Lot:4 Block: 05 Addition: Timbershore 4th
PID:10-76503-05-040
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 -
Nathan S Hoemke
1195 Timbershore Lane
Eagan MN 55123
(651) 686-1034
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature