3590 Blue Jay Way, Unit 107Date:
City of Eathall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
d)o(e)
Use BLUE or BLACK Ink
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING P MIT APPLICATION
Site Address:5-9 4612-tt
Suite #:
Tenant:
J
RESIDENT / OWNER
Name: 4A_® Phone:6 / cli- 7.57 10 1
Address / City / Zip: 3.5 e 611 _ j 7
CONTRACTOR
Name: MILBERT COMPANY INC.dba CULL AN W_ TER
Address: 1801 50TH ST EAST City: INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651 451.-2241
Contact BILL MILBERT Email:
TYPE OF WORK
_New replacement Mo•Space _Work in R.O.W.
_Repair _Rebuild _
Description of work: Ut ) Q'2.,- cf' 'K�
PERMIT TYPE
RESIDENTIAL
)( Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 55: ��
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. www.000herstateonecall.orq
1 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 approvedri
Ian in the case of work which requires a review and app . 1 of p1s.
11 vhs beid-
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Applicant's Printed Name
UildeVPREQ, ,k1911071P"
x
Applicant's Signature
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: ///z z 741 Site Address: _3_:,WG) LI 4 'y
Tenant: 1>4-e-6-77- Iv --I) %t/
Suite #: /..() 7
RESIDENT / OWNER
Name: ,-ci- H 64 -iv Phone: 6/,2- -jam - /OYCy
Address / City / Zip: 35-4-70 a_0�'� y LA/4 1- i /0-7
CONTRACTOR
Name: 4:Y Z- i'1,44 YV �- rii,..`��% i. License #:
Address: (3 t 3 P-3-7✓z %!3- C"- i, 2 City: 6h4?C
State: %74 Zip: Phone: 4:'-' Z -may ' -e-1 'c
Contact: Email:
TYPE OF WORK
New replacement Additional Alteration Demolition
Description of work: rt'C.---
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods. '>
PERMIT TYPE
�( RESIDENTIAL
Y Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes $5.00 State Surcharge)�_
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
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. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work
Eagan; that I understand this is not a permit, but only an application for a permit, and wor
with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
x
App ant's Signature
emc..
s not to start
ance with the ordinances ancodes of the City of
ithout a permit; that the wJ( will be in accordance
Ar.
1°. -
FOR
FOR OFFICE"USE Reviewed By: Date:
Required Inspections: Under Ground Rough In:_Air Test Gas Service Test In -floor Heat' Final
Exterior HVAC Screening Inspection
C!ty o(Faaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: C\\cl
Permit Fee:
SZ -
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: f 7-)'(0 Site Address:
Tenant: ''r i �— Suite #: 7
3 5r'Pc l c>e_ Jerg t .1fr- n'Pt /o
J
RESIDENT / OWNER
Name: l'T f <---/4>C�/R •-t Phone: (p /al - ? 51 - /C fr
Address / City / Zip: 59err+z e •7'-6'"v–r
CONTRACTOR
Name: Licensety. #:
Appliance Connections Inc Ci
Address: 1313
Danita Cr
State: $ham-MN-5ea
Contact: 952-445-480il:
TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
_
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
bumed out appliances, ductwork, etc.) (includes
0
$5.00 State Surcharge)
$5.00 State Surcharge) $ 5 -5, --..TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
_ $ TOTAL FEE
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. www.gopherstateonecaliorq
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 wit i tut a permit; that the work will be in accordance
with the proved plan in the case of work which requires a review and approval of plans.
RV/
Applicant's Printed Name
s Signature
FOR OFFICE USE Reviewed By:
Required Inspections: _Under Ground _ Rough In Air Test _Gas Service Test In -floor Heat
Exterior HVAC Screening Inspection
Date:
Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161823
Date Issued:06/15/2020
Permit Category:ePermit
Site Address: 3590 Blue Jay Way 107
Lot:008 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-008
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Dale R Hogan
3590 Blue Jay Way Unit 107
Eagan MN 55123--220
(651) 235-1295
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature