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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� ;, •l • C-,( si1..../ 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