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1257 Dunberry LaneRESIDENT / OWNER Name, /�� 54 �c9- l/ Phone: Address / City / Zips'/ ' /.1, }e fy ,"1 k AV ) ..c 2 Name: J 4 1/U r .fir`/` f rtAicense #: / oO f/,- f 5 CONTRACTOR Address: � I ,, ? � ' 6 ..14 ity: -- — State. i Zip: - / 7 Phone: , .-g b — 7- 1 g _A Cont..4. t Z:., `LI Email: TYPE OF WORK New V Replacement Additional Alteration Demolition Description of work: NOTE: R oof mounted l a jd ground Cod Pl ease contact the Mechanical mounted mechanical equipment s requi d f oie screened inspector for information on p ernit,ted scr by Ci met o ds PERMIT TYPE RESIDENTIAL FLyaace COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Conditioner Gas Exterior HVAC Unit Air Exchanger Under / Above ground Tank ( Install / Remove) Heat Pump ** When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes $.50 State Surcharge) — 0 c $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ L0 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 1 33y0 C ity of Eaaau 2010 MECHANICAL PERMIT APPLICATION Date: g; " Z.OI O Site,4ddress: f Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 4 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection aga before you intend to dig to receive locates of underground utilities. www.• o • herstateonecall I hereby acknowledge that this information is complete and accurate; that the work will be Eagan; that I understand this is not a permit, but only an application for a permit, and work is with the pproved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name r Use BLUE or BLACK Ink Permit #: 0 91/4-5 - 0/. (v/ Permit Fee: .6-37 cf Date Received: (P° °lb Staff: m t- 2. Suite #: nderground utility damage. Call 48 hours nces and codes of the City of the work will be in accordance CITY OF EAGAN WATER SERVICE PERMIT 3195 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: ___ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: __ Connection Charge: Size: —_ Account Deposit: Reader No.: _ Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: 0 r Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: -- -- No. of Units: Owner: Address: - - - - -- -- - - - - -- — - - -- Site Address: Plumber: - -- I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By -- — Misc. Charges: Date of Insp.: __ —_ - -_ Total: Insp.:— Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA121366 Date Issued:03/26/2014 Permit Category:ePermit Site Address: 1257 Dunberry Lane Lot:022 Block: 02 Addition: Ches Mar 5th PID:10-17104-02-022 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Kathleen Myrman Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: 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. Contractor:Owner:- Applicant - Linda L Knutson 1257 Dunberry Lane Eagan MN 55123 (651) 688-8058 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature ,?ai2aYSaa 3u?;.??tn Lrx _.. •.st?•n'??- . F. C. JACKSON LAND 6iJRYHYOR . . .. , SC T I? ?/'= -3 D? . . RWIiT[R[G I1N001 LAMIN OP t1ATt 0I MINNtfOTA . .. . LiC[Nf[O OV ORWNATICE pF dT OR MIMMiArOW , •_ ,z'ro N . ' 3616 EAST 83TH STR6ET55417 727-3484 l.. • t, 1,_.?1 *urbcpoc's dCntificatt } ? .. i ?-77?1/7 ? ! 0 ?. ,.. ? Z7- --?? o O/Od SG'? ? ( • ? ? .Su 6 di 0 a ? 1 • • . `• . t JDII N /pr I" V ? ? . z Z ZS : . , ? -?--_- ---, _%4?- r --- -? ,??.?- - - ? I NtR[6Y C[ATIfY TXAT TX[ hOOV[ 16 A TRiJ[ AND Cib11RtCT PLAT Ow A BVRV[Y 0/ t' La[ 2,Bluclc 2,Ches Mer Fifth Addicion, ;. Daka[e Couaty,lllqnesota. >- r AS fURY[V[O ar M6 THIl--ZOd. GAY OR A!±B• .o. 1978 / Heviaed Jan. 19[n. 1979 / ?- 516N[D ' ? . - F. C. JAC 30N. MINN[fOTA.R[ 1fTnwTlow. No. 3600