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
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Name: 6/I1 %���r License #:
/&793 fes,,
Address: ;t5-01 vi7.1(5i3 t+�y /-./, City: 4, v re 7 ` f
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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