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1184 Timbershore LaneJul 12 10 08:13a Gates General Contractors 4IP* City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (763) 498-7710 p.3 Use BLUE or BLACK ink For Office Un Permit*: (,✓/J Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION g Z` I f kt, 12-,4 , a vG 7;1..4 6a,--/-.0.71,e-1--Ai Suite 4: Date: "7'"-1 'Z - i o Tenant: Site Address: J RESIDENT / OWNER Name: titer arc .L- [ c.4 i . Phone: ..,...r /45 Address / City 1 Zip: ,,.D6r r,)4 Applicant is: Owner — Contractor .— TYPE OF WORK Description of work: —I -6-11'7v Construction Cost: r0 3• Multi -Family Building: (Yes No ) (C/ CONTRACTOR +1/1 Name: 6/I1 %���r License #: /&793 fes,, Address: ;t5-01 vi7.1(5i3 t+�y /-./, City: 4, v re 7 ` f ( f / Ste- �°a .3s/ ,,_. State: �N Zip: Phon^e�: tett 773'`/+ 3 v1� ..51-1/t/7 Contact: 1 `�/L + c 2 6/'11 s Email: 171.4, s.- Oaiire % f04 4/ 407. ...51 COMPLETE In the last 12 months, has Yes 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: _No Plumber: Phone: Licensed 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 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. lwww.gopherstateonecall.org1 I hereby ackn... edge that this informatiggqn is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan' - 1 u .erstand this is not a �eunit, but only an application for a permit, and work is not to start without a permit; that the work will be in a • • ante w the approved plan4 case of work which requires a review and approval of plans. x (-�' 6(./ G z' -1%G S nt's Printed Name Applicant's Signature Page 1 of 2 Date: Tenant: C!ty of EaQaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 RECEIVED JAN 1 2013 Use BLUE or BLACK Ink For Office Use Permit #: ,1 0008 9 Permit Fee: llf Q' O / Date Received: f // 5 /Yi Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION T Site Address: 11 j B L1 T 1 .icr irc Lane e Type of Wo Suite #: J Name: k1' l U d `'" K -Q Phone: l(Jf l C'� Address / City /Zip: '\ \,(6-4 1 ltaxs ir\e/k L Name: hYl �� i �iG t FI`�`1�) � i� � CeLicense #: VC[ 2 L S Address: EOS VOad FVQ City: 1 State: JN Zip:SS( Phone: to5i22 g07I Contact: Email: New VReplacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: Permit Type RESIDENTIAL y/Water Heater Lawn Irrigation (_ RPZ/ _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) Water Turnaround (add $200.00 if a 5/8" meter Is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) ��) TOTAL FEES $ (00 ,(16) 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 hereby acknowledge that this information is complete and accurate; that the work will be in cortormance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appbcation for a permit, and work is not to start without a permit; that the work wil be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 4 \ 1.iro ti a )( Applicant's Printed Name Applicant's Signature FOR OFFICE USE . Required Inspections: Under Gr Related; Reviewed By: Date: Id Rough -In Air Test Gaffs Test Radio Read Staff: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: w Date Received: Staff: 2014 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: Site Address: , Tenant: t V 2. A-OY'C� Sd uS yk_Qx Name: (11.12(A t5YYC1 S4ke.,u YIQ,►— Address / City / Zip:'_ S -Lt Suite #: Phone: IQs lot Name: THE SNELLING COMPANY, INC. THE #: Address:1400 CONCORDIA City; ST. PAUL, MN 55104 State: Zip: 651-646-7381 Phone: Contact: Email: New I\ Replacement Additional Alteration Demolition Description of work: RESIDENTIAL ').Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL _ New Construction Interior Improvement Install Piping _ Processed Gas _ Exterior HVAC Unit Under/Above ground Tank ( Install /_ Remove) 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) $ (SO TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $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 Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee $ 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 is not a permit, but only an application for a permit, and work is = = • 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. Applicant's Pri ted Name x App '' 's Signatu