3590 Blue Jay Way, Unit 207City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA088528
03/23/2009
ePermit
Site Address: 3590 Blue Jay Way 207
Lot: 16 Block: 4 Addition: Lexington Place 1st
PID:10-45050-016-04
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Quesetions regarding elec
952-445-2840
Chris Musta
21210 Eaton Ave
cal permit requirements should be directed to Mark Anderson, State Elec
cal Inspector,
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$50.00 0801.4088
$0.50 9001.2195
Total:
$50.50
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
- Applicant -
Owner:
Steven E Knudsen
3590 Blue Jay Way 207
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
'411'.
C!tyofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: \,0\,�� ax
Permit Fee:
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: /74)04 Site Address:
Si t>
Tenant:
3> Po B JAI?, '---'Y P6
Suite #: �v %.
J
RESIDENT / OWNER
Name: f/Gul --1 I4/7Uale-7 Phone: .P.P0 — a)?/C'
Address / City / Zip: 5-4-7+-a,c. %r
CONTRACTOR
Name: Appliance Connections Inc License#:
Address: 1313 Danita Cr City:
Shakopee MN 5379
State: zip:
952-445-4803one.
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: R eill-t c. ,¢/G. ,#"/ A Linc-, e I
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
$C 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
$5.00 State Surcharge)r-
$5.00 State Surcharge) $ J 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.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
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.
x .rim tc. )Z.ioil
Applicants Printed Name
ants Signature
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165997
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 3590 Blue Jay Way 207
Lot:016 Block: 04 Addition: Lexington Place 1st
PID:10-45050-04-016
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Deming Zhang
3590 Blue Jay Way Unit 207
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature