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1912 Sapphire PtFEB -3-2.011 11:50A FROM: 41111''City otEailan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 676-5694 TO:6516755694 P:2/2 Use BLUE or SLACK Ink Permit #: Permit Fee; Dato Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I / Site Address: /6,/' s.Sa/ re, Unit #: Cc R O NER NT r Name:<oy r '� C„i /a' 47,-) Phone: e05/ - 2/5,7 <72049" Address / City / Zip: ce4-411.C+- 557)-9, )- Applicant Applicant is: _ Owner /"!,Contractor TYPE OF WORK Description of work: rtJ..() c jt' Spf „ q- vent -7l , ja — Construction Cost: r Mull -Family Building: (Yes, / No �� ) CONTRACTOR Company: Kline Corp. ;ontact — Address: DBA: Practical Systems city: 4342E Shady Oak Road State: Hopkins, MN 55343 952-933-1868 sV, License #: Lead. Certificate #: 4!j s 5-3 !C"- / Does this project require If no, please explain: Lead Remediation? C7 Yes li`No (see Page 3 for additional information) In the last 12 months, _Yes NO If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: , : NOTE:- Piens .endsupporting documents that yen submit are considered to b'ee pUbI c.rnfonnatlon. Portions of: • the information May be classified as.nen-public1? you provide apec/f% reasons that would permit the City 10 cOnCiude that the are trade secrets.. " . . 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. w.ew.aoaherstateanecalt.otg I hereby acknowledge that thl$ 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 in accordance with the approved plea in the oeso Of work which raqures a review and approval of pians. Applicants Printed Name ("fey f Page 1 of 3 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA094160 Date Issued: 05/26/2010 Permit Category: ePermit Site Address: 1912 Sapphire Pt Lot: 113 Block: 04 Addition: Diffley Commons 2nd PID: 10-20451-113-04 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: Joyce A Clarkin 1912 Sapphire Pt Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature 1`bg,l1no; 161o2, 1104, 1°l0(0, I10S ow)) VW__ zuapph;ii-e 'P -r City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 1151bd Permit Fee: m: Rs" Date Received: Staff: 11 2013 COMMERCIAL BUIDINp PERMIT APPLICATION - 8 u,Y14-\- q j a MOO/ 9v z i9QV/ /Q� Date: 1 177/ t3Site Address: t 1' `/ /fog/ if/0/1,/Z S�p,�,;�� F'71Tenant Name: p;cckti CoMOrkS )a J r.4 0w4 (7 ire' 4 ortS(Tenant is: New / Existing) Suite #: Former Tenant: Property Owner Type of Work Contractor I Architect/Engineer Name:p%Mt, CotuNorS V tIkaS J ,n 04.re w 5 Phone: (315a— LI 3 a- 817 Address / City / Zip: v.0 c5Ok �J `t1oSeho.jv%.k. I t M 555 (o Applicant is: Owner Contractor Description of work 1 GA,C' OCC - 00- Gti) nnor ; �► . �q Ct �� C' Construction Cost: f 2.11-1. 3 Name: koi4" (.ok45.}r ioiA License#: \�— 2211 City: lOSc. r\oJ Address: [LOA, C,dmork{ State: M'V Zip:` `` 5-5-0(09 Phone: 1 + Contact: L 14 + Name: Address: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/w Email: L ; ' LAO tek -tC: ort . G -o '\ Registration #: City: Email: service: NOTE: Plans and supportinge •Cdocuments that jroe the information may bp pi anon-public • ,concludethaa itare cor sdi vide specif secre. Phone #: lic information portions of at would permit the. City to CALL BEFORE YOU DIG. CaII 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.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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L<A) Applicant's Printed Nafne x Applicant's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Usl Permit #: Permit Fee: Di -7 Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION El Please submit two (2) sets of plans with all commercial applications. Date: I1/Z.Spt'1 Site Address: f°I I Z ' r rin I r— p4 Tenant: Suite #: Resident/Owner Name: 3C1yC.s.._ eloor1\tV' Phone: (OSISZ"" 2_00 9. Address / City / Zip:1912 Sc h ; °^-C_ 94 i £a i co" YY) 1.J,3� 595- Z Z Contractor I 1 c Name: FAA&\ p IA w‘b h,3 4 103CQ License #: Address: Oil® ( o..y ( 4Q City: 5't paw L State: rvi iv Zip: 55/65 Phone: CQ 7 1 — Z2 g ^ et 2-00 Contact: Email: Type of Work New Replacement Additional Alteration Demolition Description of work: too flick -J2_ ..r1A v.- y‘ Ott—Q_ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permittedscreening methods. Permit Type RESIDENTIAL Furnace 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 — _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 $5.00 State Surcharge) State Surcharge) , © o _ $ b O'''TOTAL FEE $100.00 Residential New (includes COMMERCIAL FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract ***If the project valuation is over $1 million, please call for Surcharge = $ Surcharge* Value x $0.0005 = $ 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 Applicant'sslhl'd ame x F vt v‘sy Applicant's gnature FOR OFFI USE Required Inspections: Reviewed By: Date: _ Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening