4207 Heine CtGity ef Raaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: 2 — At \C)
Tenant:
x L �► Y �0 L 1
Applicant's Printed Name
Staff:
2010 MECHANICAL PERMIT APPLICATION
Site Address: a) \-\
x
Applicant's Signature
Suite #:
Use BLUE or BLACK Ink
Permit #.
Permit Fee: •.S
Date Received:
-J
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name:
Ze_fe.o Phone:an -LT-J.3- E 3)3
Address / City / Zip: d.5 1 �\ P l F_Cx.cyill
1�11R1�SVftLt Intl 1 INU !t AI(, INC.
3451 W Rltrnsville Parkway
Suite 120
B urnsville, MN 55337
Name:
Address:
State:
Contact:
Zip Phone:
Email:
License #:`-1
City:
°MAP c
New >( Replacement ( � � �
Description of work: A A .t T - 1 C� 0
RESIDENTIAL
Furnace
'1 Air Conditioner
Air Exchanger
Heat Pump
Other rAu k.J0
Additional
New Construction
Install Piping
Gas
Alteration
Demolition
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50inimum Add -on or alteration to an existing unit (includes $ .
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.
State eS Surcharge) �
50 State Surcharge) $ `)E1 Ql j
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation /removal
$50.50 Minimum (includes State Surcharge)
OR
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each
$1,000 Permit Fee (i.e. a $1,001- $2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $
x 1%
= $ Permit Fee
= $ Surcharge
_ $ TOTAL FEE
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.
• '& AT PERM 5
.OF EAGAN M ER =PERMIT
;*Pt Knt)b Rd.
C
fi 55122 -1 89 7 HIP # WATI R PI T# 1fl 7
IN TER SIZE f ^EIPT # . 4 224
; ,. ISSUE DATE B.P, R IPT t.)A7E 6/1/80
ix: i'RV — BOOSTER PUMP ;.
AL?DESS ° •9 P IM/t' REQUEST
L OCK 1 " • SE cISUB al �+t r► . st
• „,44r. PLIC , : 4 ” wi I#DII zoo mt i s +o. ✓ sEWER L'WA`
DRESS: z ; _ _ C ` $ ESI DEI+}1 IAA.
RY,µSTATE ► 4i +a k ii . m > ZIP'-`00 3.11
L'' N EW EXISTING
,PLA) u-#ER: 1f esk t PL • ►,
‘AODRE / 3►-3. i 1 ,E 'IP4 t t f'Y OF
crry STATE . ZtP
R / * $ , g-
;` 1RESS' K' SIGt* W WHEN MtiV*QED
GI Y, STATE SIP
PIONS:
ALLt1 : ~ ` '" 'g . t. . FAG r • PT. , ° NOI FII�b' PROCESSED ,
t
Sep-25. 2013 10:51AM Property Claim Solutions No.1291 P. 16
Use BLUE or BLACK Ink
~ For Office Uffeerr--2-,Q-p y Permit l~-J ✓-I~ ;
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I l
Fax: (651) 675-5894 I Staff I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: n he~at~ Jac, P
hone:
.<Ownrr;;; Address
Appllcantis: Owner Contractor
*'`'a-y Description of work.
JK1
Construction Cost:
Multi-Family Building: (Yes / No
y ti,T >'<r y" Company 1 Contact
Address: City:
t$ai itia.er ,
State: 22L Zip: L~ 02
Phone: f
ri:;;t?:< z;,, s s' License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY 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: f
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
NOTE: Plans an
d supporting:dooumom me..-Y. submrf,ereir consltleredfey:lae.public:information. ;Portions of
the Information maybe ciassifletl ais non public ifyou prov/deapeclfic.rasons that would peritilt:fiie City:f`ti:.;
.c
.3:
neauale~
fhatthe .:are-traal'eseerets
I
CALL BEFORE YtJU DIG, Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.ooaherstateonscall.ora
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 wlll be In
I
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 '
dayM~t lssaanc
i
x x
Appllcan ' lnted Name Applicant' Y I aturs
Page 1 of 3 i
N ov. 4. 2013-12:20PM__Property Claim Solutions No.1647_P 13
Boulder Ridge-1013279 Use BLUE or BLACK Ink
- - - - - - - - - - - - - -
For Office Use
Permit I
City of ~aOaIl
Ea Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received; j
Phone: (651) 6155675 1 I
Fax: (651) 6755694 1 Staff: I
. 1
- - - - - - - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address: 4203, 42050 4207 Heine Court Unit
Name: Boulder Ridge Townhomes Phone: 612.290-3055
/ Zip:. 4203, 4205, 4207 Heine Court
D~illlne~r Address/City
Applicant is: Owner x Contractor j
Description of work: Repair only siding neices that are damaged. I SQ
Construction Cost: 581
Multi-Family Building: (Yes / No
Company: PCS Residential Contact: Patty Hanna
A re
_ City. 1=agan
200 pin Oak Drive
~e~.gl~ttrac#or ,
Olk"
-255-0609
State: _MN Zip: 55122 Phone: 651
x. License BC593158 Lead Certificate M.
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY 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 & Water Contractor: Phone: ,
NO.TE< plans-
and supporting tlocume►Its that yotr subm are coi?s~dsr~d to Ike pukll~;litf+i2rmation,'l :Po[tion~l of
the lnfO.Ma Jon may be classrfred s non public X fortgf~trld l'specrP/c l' ~s Qns fliai€;;viroufd penii3t t1ie:C~ty Ip:
a.:........
, ~ : a:oric►u elthatch :;a trail`8*s _ ;;F~:~~;;:~;::_
CALL BEFORE YOU DIG. Call Gopher State One Call at (681) 484-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonscall.org
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 i
Eagan: that I understand this is not a permit, but only an application for a permit, and worts Is not to start without a permit: that the work will be In +
accordance wth the approved plan in the case of work which requires a review and approval of plans.
i
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Paris Hanna/PCS Residential x MVVL&-
i
Appllcant's Printed Name Applicant's aturs
Page 1 of 3 i