1536 Aspen DrRESIDENT / OWNER
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Name: 6 ' 95 A q/.5 5
Phone:
Address / City / Zip: 698/y (?..4 -4 u), K._tcJGC. , r t'`J..4),�1.,.c,
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Applicant is: Owner Contractor
TYPE OF WORK
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Description of work: 1 r/'
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Construction Cost i ( 3/ is? oQ Multi- Family Building; (Yes X / No )
CONTRACTOR
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Name: 14 eti (fir /AJ& License* D /05D
Address: +/ V J_ . /__JJ • it - Lr
state:! Ul.f Phone: lei -' l '6 r
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/j,/;Zip
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Contact : 4 V fV VII--- email: f i. j � �
COMPLETE
In the last 12 months, has
_ Yes No If yes,
Licensed Plumber:
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan: ._
Phone:
Mechanical Contractor: Phone!
Sewer & Water Contractor:
Phone:
documents that you submit are considered to be public information. Portions of
be classified as non public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
NOTE: Plans and supporting
the information may
Jun. 1, 2010 4:0OPM SELA ROOFING
Cllpf}1aau
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax: (651) 675 -5694
Applicant's Printed Name
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address_ �� 3 1. ' _ r t C'
/532 53 , /5 -
No. 1929 P. 2
Use BLUE or BLACK Ink
Permit #; - / `I a, .L V
Permit Fee: / i 3
Date Received;
Staff;
CALL BEFORE YOU DIG. Call Gopher State One Gall 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.00pherstateonecall.orq
Suite #:
Page 1 of 2
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
agan; that I understand this Is not a permit, but only an application for a permit, and work is not t0 start without 2 i; that the work will be in
accordance with the d appproved / pian in the case ooff wor which requires a review and approv plans.
k C
x C5/444 Applicant's Signature
Use BLUE or BLACK Ink
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For Office Use
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City of EPermit
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I
3830 Pilot Knob Road I Permit Fee: ~0,
Eagan MN 55122 j I
Phone: (651) 675-5675 I Date Received:
I I
Fax: (651) 675-5694
Staff:
L--------- -------I
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: - I L3 Site Address: z C A,, '
Tenant: I,J,, 6E/,~ v ~Suite
Resident/Owner Name:/%. Phone:!
Address /City/Zip:
Name: License
Contractor Address: ze
State: vi Zip: ' Phone:
Contact: s°.5vt~ ~y Email:",'
New Replacement Additional Alteration Demolition
:/~'~;%e'~ _
Type of Work Description of work
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
ARESIDENTIAL COMMERCIAL
I
Furnace New Construction Interior Improvement
Permit Type Air Conditioner _ Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under/Above ground Tank Install Remove)
t
+ Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, 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 )case a permit, but only an application for a permit, and work is not to start without athat the work will be in accordance
with the approved plan in the f work which requires a review and approval of plans.
x
/tJ x
Applicant's Printed Name Applicant's Signatur
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening