Loading...
1607 Raindrop DrORSAT TEST HEATING TEST RECORD COMPLETING AN ORSAT TEST LS A REQUIREMENT TO FINAL OUT YOUR HEATING PERMIT PLEASE COMPLETE AND FAX OR MAIL TO THE PER.M]T #li✓/ 5 --)>AL{ oma�a dg? .S 4P�o �a . Cb( ) Address /6 ©7 Contractor yet tJ ,T ;✓,e ..,.'.4-,5 i "4;.e ��vd. ..f,.v..,,A_., Type of Heat: FA W Stream Space Heater Unit Heater Other Make IBI t" t Model # 31 o room) e.) d c c 1 O Serial # id id 4 / 40 3iL 7 Input -2 p, coo Controls Kind of Liner 6 c /-Ass,? Draft Hood Draft Checked: 0 YES 0 NO Pilot Type ar s,, : Le Chimney Construction Chi$ ss - . Regulator: YES 0 NO L.W. Cut Off Pressure 3 . b Percent CO2 7 Input CFH -)o Percent 02 -' Stack Temp 390 CO PPM d? Tester's Name R4'r-( Z OL62-t t7-C9L Date Tested puoO.1!V 6uge8H NW l3 d60:90 Z L bZ 6ny *' City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: al 14 ( (-.1 Permit Fee: 44. 2:227 •c✓�� Date Received: 0 1 2-J I l 0 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION r Date: S- �U Site Address: Tenant: / 6o3 gp-INDP.4-P 3R Suite #: RESIDENT / OWNER Name: �® 1-{ /4 -111614 (Aub j- TbhuokSPhone: Address / City / Zip: SIU® -% Fzil- Di /2- • Applicant is: Owner Y Contractor TYPE OF WORK Description of work: RF R,oi Construction Cost:// S OCA Multi -Family Building: (Yes X / No ) CONTRACTOR Name: RcoF e.0,,%ip ,tJ4 ,c/C . License #: 02©i 7a l 5T3 Address: J %� c u ,4 /Ut: City: S?: li - ICN,4- C. State: /0 Zip: S -S -37Y Phone: 76 3 - SSS -O Yci 47/ Contact: /212- V Email: )D . h -a --V +UJ ✓ 0 ro 0•F co 67/1 . Cori\ COMPLETE In the last 12 months, has If yes, 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: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.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. ;L. -7;C) 77-7/ Applicant's Printed Name x Applicant's Signature Page 1 of 2 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Penult #: /6)5--3-2- Permit Fee: (9 �`— Date Received: 7- 2 -- Staff: 2012 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: O7 bon-/do/i2 Site Address: /to Oi ,Q�,:c>d✓��d .(�.Pi ' - Tenant: 4 e b /le S e to 'Lit) 1 Suite #: J RESIDENT/OWNER Name: .�e6 ,c�ps�d'aw0 Phone: 4-„5 / d' / 69� Address / City / Zip: / 607 .C°c,:.v.dirc./iD 4/: 6-74 .tl.A91 �ir.L% S 5'/d f CONTRACTOR Name: /4-/a.) 1S/ta,it/, j 4,;e Co -vel .=u.Jc License #: Address: /07c' /- 9.; 1.6./c.-, .4,9 j" 6-- .ts City: ,m VV0/? /6,�flr 9c f Ek, State: i41 -) .?c, b*" 3 fob Phone: 263 �d Y` -3 "ora" AEk 'o of /�ZZiip: o4 .5 -Ai"... s Email: 7d -v,.7 a 5 CO rr`r,.v b 70-4 c, c erre i TYPE OF WORK j New x Replacement Additional Alteration Demolition Description of work: P.e le t. t e 4..., .4 cc— c aQ"%e Ca.i.id r e v..v 55( . ti NOTE: Roof mound and ground mounted mechanical equ*pment is to by City Code. Please contact the Mechanical Son peern teed ` me hods. PERMIT TYPE RESIDENTIAL XFurnace COMMERCIAL New Construction Interior Improvement X Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump Under 1 Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (indudes $5.00 State bumed out appliances, ductwork, etc.) (indudes Surcharge) $5.00 State Surcharge) = $ f,O,*:: TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank installation/removal $60.00 Minimum (indudes State (indudes $5.00 State Surcharge) Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than = $ Surcharge - If the Permit Fee is > $10,010, Fee = $ TOTAL FEE (ie. a $10,010-$11,010 Permit 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.aooherstateonecall.org I hereby admowledge 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 t is 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 ; e case of work which requires a review and approval of plans. can 4, Applicants Signature 1 FOR OFF E USE Required Inspections: Underground Rough In Air Test Gas Service Test in -floor Heat Final CI QF EAGAPI; is,— t . y �� PERMIT .r, ., x . .6 iko PERMIT NC).: 61 9 P 55121 , , DATE k 22 -� 2 ,,, 13 N ,, , r No. of r :tr B1utgsr ! r 'mss n + , ,. , o L e .0 6 ,44.: c h1 artd�a > SRe Address. . ' *olliart Ital..lekn ,Y , Meter No.: Connection Chbrg: 3{). Qf pd Sizes Account Deposit: 15 - OOpd, -- . Reader No.: Permit Fee: 10.0 1 agree to comply with the Cdr of lieges Surcharge: . 50 Ordinances. Misc. Charges: 132.00 pd Total: , 63.00 er By / act Data Paid: Dote of Insp.: 3 - 2 _, 3 /I - ice. ' ., 7 , a ' Account 54 'a -., • 0 . $ J4 � � ��;�� i c��� � r c��-�, � t��� , rc��r, � c�i—� Use BLUE or BLACK Ink ------------------- � For Office Use � ' j Permit#: � � l�W-�� � �4� Ol L���ll � Permit Fee: Q�0 �' t�.� � 3830 Pilot Knob Road � 8 � Eagan MN 55122 j Date Received: �� � I Phone:(651)675-5675 I Staff: I Fax:(651)675-5694 � � �����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��: �� ��1 � s�ndtl�g: I bl��° ��Ci l3 �AtN 17i�P ��Zl��- Unit#: 1(�U 3-�6 l Name: Phone: Residen#! OW11CC Address/City/Zip: ��u3 - I (o l3 P.�t��? 1��1 J� Applicant is: Owner /� Contractor Type af WQrk Description ofwork: ���� Construction Cost:� � ��o� Mufti-Family Building: (Yes � /No� Company:�� ��. �.A - I��•. Contact: i �RRY 4����� Ct�tt'�1"1CtOl ' Address:55�S ��Y'� ��� City: -�1 � 1•a��r�'�L ' ' State:�Zip:`�� Phone:bI�'`0��'IoI3d Email:('t�o�cc��c. �n�.�1 hr��-�►'w� �•CD License#. �����3 Lead Certificate#: If the project is exempt from lead certi�cation, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA C1NLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan� _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer S Water Contractor: Phone: NOTE:P/ar�s and supporting dr�cume�th�t you scrbmrt are conslatered to be publfc ittfarma�ion. PvnCis�rrs o# the ir�fc�rmatian may be c/ass#fied'as r�arr puhlic if yoe�provfde speci�c re�sons�ta#►�rcw/d pe�it the City tn ' cc�»clutle that the are t�ade s�ect�ets'. ' 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 rec:eive locates of underground utilities. www.aopherstateonecal�.org I hereby acknowledge that th�s informffiion 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 pertnit, 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 approwed plan in the case of work which requires a review and approval of plans. Euterior work authorized by a building permit issued in accordance with the Ml ota State Building Code must be completed within 180 days of permit issuance. x�.�� �+C�TI�1 Cs X ApplicanYs Printed Name Applicant' Signature Page 1 of 3