1325 Eagandale Ct - Mechanical Permit PERMIT #
?,
. , ,
.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE -
CONTRACT PRICE: PHONE: 454-B100
Site Addre89
TYPE WORK DESCRIPTION
BLDG
Lot Block ? --' Sec/Sub .
?
.
?
N
R
Name ew
es.
Add-
M
l
2
S
S
Address t
on
u
R
i
C
. r
epa
omm.
City Phone pther
Name •'" `' FEES
?
3 Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other ?-
,
FEE;
SIGNATURE OF PERMITTEE
S/C:
TOTAL: J
FOR: CfTY OF EAGAN
PERMIT# /
? MECHANICAL PERMIT RECEIPT #
CtTY OF EAGAN - ?
,
CONTRACT PRICE: 3830 PILOT KNOB ROAD, EAGAN, IYIN 55121 DATE
PHONE: 4544100
Site Address BLDG. TYPE WORK DESCRIPTION
Loi -- Block /Sub
S
i ?
:
w
R
N
e
es.
m Name lt Add-
M
?
Address ' u
on
Comm. V Repair
c City Phone ? Other
? Name FEES
i c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C IF PERMIT PRICE GOES
VeM. CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
GNATURE OF PERMITTEE
?
S/C:
, TOTAL-
FOR CITY OF EAGAN
PERMIT # '
' . ,-.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?
Site Address BLDG. TYPE
Lot Block ? Sec/Sub
' . Res.
m Name MuR
w Address Comm.
c City Phone ' pther
?
m
c
3
O
Name _
Address
City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outtets #
Other
? • S'( /-. i rk k .
M BTU
M BTU
M BTU
?- M BTU
? CFM
. FEE
S/C:
TOTAL•
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COMQ. 0-24 BTU
ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/INO FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
$24.00
6.00
12.00
6.00
1.50 EA.
10.00
20.00
.50
SIGNATURE OF PERMITTEE
FQR: CITY OF EAGAN
PERMIT #
. • , , A MECHANICAL PERMIT RECEIPT # /=
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Ad ess %- - ' ' ? r
? " '? - : ; ' , ' , • gLpC,,. n(PE WORK DESCRIPTION
Lot
Block ? Sec/Sub? ,.-" 1 I
_ -
X
R
N
m Name ew
es.
M
t
Add
S
Address -on
u
t
i
C
?
R
- omm. .
-
r
epa
c City - Phone O
ther
Name FEES
?
3 Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M B'TU STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
?
FEE: `-
,. , _..
S/C: SIGNATURE OF PERMITTEE
TOTAL•
L FOR CITY OF EAGAN
MECHANICAL PERMIT
' CIIY OF EAGAH
3830 PILOT KNOB ROAD, EAGAH,
Rir_F- 014Mi1F• iU.R1AA
Site Address ."
Lot Blxk ?
m Name
m Address
c City
i
? Name
y
3 Address
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
, Air Cond. M BTU $
Vent _ CFM
Gas Piping Outlets # ? - $
Other $
FEE
S/C:
, . .
TOTAL•
PERMIT #
RECEIPT #
MN 55121 DATE: _
BLDG. TYPE
Mult
Comm?-
Other
WORK DESCRIPTION
?
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
0
FOR CITY OF EAGAN I'
PERMIT V
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN r?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: ` ? PHOHE 454-6100
Site Address ' gLpG, npE WORK DE SCRIPTION
Lot = Block r' Sec/4 94
.
?
N
ew
Res.
m Name M
lt Add
2
Address -on
u
R
i
C
c
City
Phone _ omm.
epa
r
Ot
her
Name FEES
?
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciiy Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced AIr M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINtMUM - COMM/1ND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
Ver?t. CFM BEYOND $1
000
00)
Gas Piping Outlgts # ,
.
Other
0 ?
.
FEE: ,
,
P
.,?, S/C: 7
• SIGNATURE OF PERMITTEE
????
? TOTAL•
FOR: CITY OF EAGAN
v . .
Site Address
PRICE
, Mame =
? Address
c aty
?
MFCHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
Name ?ji v ' , ' .
(D
Address • ' . ?. ' ` r
O City ? Phone y
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU )
Vent CFM
Gas Piping Outlets-# ?..._
;-
Other
i FEE:
. ? rw1 ri0 X AlC S/C: 0 '? 0
C-1: P h( ti LA, TOTAL• _
B4DG.TYPE
• Res.
Mult
Comm. ?
Other
WORK OESCRIPTION
New
Add-on '
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE F R ITT
? , --?' FOR: CITY OF EAGAN
R•aipt pIIECHANICAL PERM17 Psrmit No.
CITY OF EAGAN '
Fes
FiII rn numbered fpaces S/C Type or Prinr /eglb/y Tot. •
1. Dste '. ? 2. Installation Cast
3. Job Address Lot Bik. Tract
4. Owner
5. Contractor Phone
6. Address '
7. City ?"• ? State Zip
i
8. Building Type: Residential ? Commercial L? Institutional 13
9. Work Description: New tI Add ? Alter O Repair ?
10. Dsscribe ' - Fuel Type
11.
No. Enuioment BTU - M. Ea.
Forced Air No. EquiAment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilen
Mfy. Mech. Exhaust
Unit Heater
Mfy.
Other
Air Cond.
Mfg.
Gas. P'iping Outlets
12. I hereby csrtify that the above information is true and correct, and I agree to
oomply with slt ordinances and codas governing this type of work.
Signed : for
Rouph FInN
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 464-8100
MECHANICAL PERMIT
' CIIY OF EAGAH
3830 PILOT KNOB ROAD, EAGAH,
Rir_F- 014Mi1F• iU.R1AA
Site Address ."
Lot Blxk ?
m Name
m Address
c City
i
? Name
y
3 Address
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
, Air Cond. M BTU $
Vent _ CFM
Gas Piping Outlets # ? - $
Other $
FEE
S/C:
, . .
TOTAL•
PERMIT #
RECEIPT #
MN 55121 DATE: _
BLDG. TYPE
Mult
Comm?-
Other
WORK DESCRIPTION
?
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
0
FOR CITY OF EAGAN I'
PERMIT V
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN r?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: ` ? PHOHE 454-6100
Site Address ' gLpG, npE WORK DE SCRIPTION
Lot = Block r' Sec/4 94
.
?
N
ew
Res.
m Name M
lt Add
2
Address -on
u
R
i
C
c
City
Phone _ omm.
epa
r
Ot
her
Name FEES
?
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciiy Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced AIr M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINtMUM - COMM/1ND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
Ver?t. CFM BEYOND $1
000
00)
Gas Piping Outlgts # ,
.
Other
0 ?
.
FEE: ,
,
P
.,?, S/C: 7
• SIGNATURE OF PERMITTEE
????
? TOTAL•
FOR: CITY OF EAGAN
v . .
Site Address
PRICE
, Mame =
? Address
c aty
?
MFCHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
Name ?ji v ' , ' .
(D
Address • ' . ?. ' ` r
O City ? Phone y
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU )
Vent CFM
Gas Piping Outlets-# ?..._
;-
Other
i FEE:
. ? rw1 ri0 X AlC S/C: 0 '? 0
C-1: P h( ti LA, TOTAL• _
B4DG.TYPE
• Res.
Mult
Comm. ?
Other
WORK OESCRIPTION
New
Add-on '
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE F R ITT
? , --?' FOR: CITY OF EAGAN
R•aipt pIIECHANICAL PERM17 Psrmit No.
CITY OF EAGAN '
Fes
FiII rn numbered fpaces S/C Type or Prinr /eglb/y Tot. •
1. Dste '. ? 2. Installation Cast
3. Job Address Lot Bik. Tract
4. Owner
5. Contractor Phone
6. Address '
7. City ?"• ? State Zip
i
8. Building Type: Residential ? Commercial L? Institutional 13
9. Work Description: New tI Add ? Alter O Repair ?
10. Dsscribe ' - Fuel Type
11.
No. Enuioment BTU - M. Ea.
Forced Air No. EquiAment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilen
Mfy. Mech. Exhaust
Unit Heater
Mfy.
Other
Air Cond.
Mfg.
Gas. P'iping Outlets
12. I hereby csrtify that the above information is true and correct, and I agree to
oomply with slt ordinances and codas governing this type of work.
Signed : for
Rouph FInN
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 464-8100
2007 COMMERCIAL MECHANICAL rERMiT arrLicaTiorr
City Of Eagan
3830 Pilot KnoU Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-familv buildinQS when senarate nermits are not reauired for each dwellin¢ unit
Date Z / 7 / -'-- -7
Site S[reet Address Z 32-5- Z?AG194 PO?p 61- Unit #
Tenant Name (if applicable) ??ik Previous Tenant Name
Property Owner Telephone # ( )
Contractor G le 1 c% 9 yJ7r/ ?? Gi'? ? ( k?
StreetAddress //3/ j ??,?!i?i?J ??-?- City
S[ate M )I Zip J .?l 1jr,' Telephone # ( 70
Bond #: 13 / % 4- 0f/' Expires:
The Applicant is _ Owner Contractor _ Other
Work Type
N
C
u
I
i
I /3?
sed ? Gas
P
i
y I
l?i
ew
onstruc
on _
nter
or
mprovement roces
ng _
nsta
p
Under/Above gound'I'ank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature ofWork:
Permit Fees $70.50 Underground tank installation/removal
$50.50 Minimun (includes Sta[e Surcharge)
Contract Value $ ? J7P x 1% _ $ PemtitFee
$ + } State Surcharge
To calculatesurcharge
If Permit Fee is less than $1,000, surcharge is 50 cents.
If Permit Fee is >$1,000, surcharge increases by $.50
for each $1,000 Permit Fec (i.e. a$I,001-$2,000 Permit
Fee requires a 51.00 surcharge).
$ 3jy Total Fee
I hereby aeknowledge that this information is complete and accurate; that the work will be in eonformance wlth the ordunances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, bu[ only an application for a permit,
and work is not to start without a pemut; [hat the work will be in accordance with the approv A-t in the case of work which
requires a review and approval of plans.
Applicant's Printed Name App icant's ignature
Approved By: , Inspector
Requiied Inspections: _ U.G. R.I. Au Tes[ - Gas Service Test - Infloox Heat - Final
j G 7 i0
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5673
Pkase complete far. commarciaUindustrial buildings
mdti-family buildings wlwn aeparate pelmits m ?oi requimd for each dwelGng uoit
??• ??
DatedZ /?-(?/ 07
Site Street Addross : Z; ? Unit #
Tenaot Name (if applieable) n ? Py ' Previous Tensnt Name
r-2LF -?'S
PropertyOwner Telephone#( )
Contredor
strftt Addreg, A.3i5-- Atl.? ,eL aty
3tate ZiP Telephone# ( Gli3 )'C[oT-'?o?er 2.
Bood #: ° mq 490- Ea
ires:
p
Tbe Applicsnt ia _ Owner ? Contractor _ Other
W ork Type
_ New Construdion ?Interior Improvement ?Install Piping , _Processed ?Gas
UndeNAbove graurxl Tank Inatall Remove
When lnstalling/removtng tank(s), call /or Inspectlon by Flre Marshal and PIymbing lnspec r
?
Nature of Work: OP ? e ? (I(d. i?
PePmit Fees: S70.50 undexgromd tank inetallatiodiemwal
S5450 Minonam (includm Sink SutcLarge)
C
ontractValue $ x 1% _ $ PemtitFee
+ y?
$
State Surcharge
If VCnaft fee is las then $1,000, edd $.54
If oatmit fee is more tlhmi $1,000, surcharge
is 5.50 for every $ 1,000 owed.
$ i5 (e. 3 6 Tobl Fee
t nereoy apply tot a C:ommercial Mechanical Peimit and acknowledge that the iuformation is complete and accucate; that the wmk
wi11 be in oonfomiance with the otdinances and codes of the Ciry of Eagan and with the Mechanical Cndes; that I undetstand this is
not a pennit, but anly an application for aperati[, and wodc is not [o start without a pennit; . at the wo ' ll be in accordance with
the approvad plm in the case of work w6ich requires a review and approval of plans.
Tl1 jZitnfCOt1f2 .? -.
ApplicanYs Printed Name ppli t's Signatur4
Approved By: , Inspector Date: Z-2-tr
Required Inspections: _ U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heaz _ Final
IVl 4-64- 65-o z-
? 7y5-C)? 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for commerciaUindustrial buildings
mui[i-family buildings when separate permits are not required for each dwelling unit
Date 1-7- ! Z-3 / o4
Site Street Address (7 p+-i c?eot'- Lt Unit # 1.1.0
Tenant Name (if applicable) t_.fZ,65,A i?LJ - L-„e (3s Previous Tenant Name
Property Owner Telephone 4 ( )
Contractar ??/L(VZE}C ?ib-?
3
S
Add
it
52?9 e Cit
ress
.
treet
T_
/1 t y
State Zip 5'St-4 C?O Telephone # 4. ) 9`ZZ - O<o o
Bond Expires:
o ?@
!D
p
nel:
7 ?G
The Applicant is Owner X Contractor
- 44 di
Other
y 1
W ork Type
New Construction _ Underground Tank 4 Install _Remove **see 6elow
? Interior Improvement Install Piping _ Processed _Gas
NatureofWOrk: 1?p??Al? -Y,O?J?'?? U?tiL? l-E ??''Y?P
**When installing/removrng underground tank, call for inspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (inciudes State Surchazge)
or ,?
Contract Value $ n?`F J Z f x 1% _
$ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 => i
$ J° State Surcharge
If ep rmit fee is over $1,000, add $.50 for ?
every $1,000 ermitfee $ TotalFee
1 hereby apply fox a Commercial Mechanical Permit aod acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permir, that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of,plans. ,
Jo ^)
Applicant's Pri ted Name Appl' ant's Tignature
Appraved By: , Inspector
'f'- /C-'` $356
CZTY OF EAGAN
3830 PILOT 1CNOB ROAD
EAGAN, MN 55122
PHONE: (612) aV0w4*ft
PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON ?ZS
REPAIR _
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
SIGNATURE OF PERMITTEE
$
COMki?RCIl?./?N'D?l?TAL:_ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR
• NOT REQUIRED FOR EACH DWELLING UNIT.
-----__°-----,-Cr-----------------------------------
CONTRACT PRICE: FEES
OWNER NAME: /.l,<'feIZTRN.V.C l,dftP- _ 1% OF CONTRACT FEE.
p STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
7 ? 07?PROCESSED PIPING = $25.00
LOT: ot BLOCK ,L, SUBD? /$25.00 MINIMUM FEE.
INSTALLER:;?MLY.v =Lvl. $?jYL l?lu97e CONTRACT PRICE x 1% $
ADDRESS: f 31R ?iTt-ST J-T6GE-eT 9 tl. E.. STATE SURCNARGE $ • 50
?g8 s.?
CITY: MI.V.vLAOeiGI `J ZIP: SS6t`8
TOTAL: $ 0
PHONE #: A(?
/ C?" ?J
(SIGNATURE)
FOR:
! _ .
C 17 OF EAGAN?
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
FOR CITY IISE ONLY
PERMIT #
RECEIPT # /4
DATE: /IZA// Y/
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL:
CITY OF EAGAN FOR CITY USE ONLY
F ti 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT #/OS 7
?i?,C1abI!7?CAI.;;a#?E?? DATE: 9?-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE tt:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M STU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL: $
SIGNATURE OF PERMITTEE
??J3fMERCIALfTNDTlSTRTAL,;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDZNGS,
.......::................. <:::.....:,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: 4 720 oC&
OWNER NAME: -#IA u L}oa1( f.S
SITE ADDRESS: (3? gkk) WE C?oo?I
IAT: ? SIACK I UB. ?
t
INSTALLER:
ADDRESS: IO -?,,?7
CITY: ???OQ2e-- 9
ZIP: 5ZT37
PHONE #:
FOR:
CITY OF EAGAN
-r? a- ?nw
? l??a,t`icULS
,
` i
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
pp.pr,gSsFn PTPTNG - $25.00
$25.00 MINIMUM FEE.
#
CONTRACT PRICE x 1% $aSeO0
STATE SURCHARGE . $ 01:50
TOT $ aS SO
(SIGNATURE)
-0-'}708017
. , MECHAIVICAL (COMMERCIAL)
? Permit Application
City Of Eagan
, 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674 IL?? ?
Please complete for: commerciaUindustrial buildings
multi-family buildings when separare pcrtnits are not required for each dwelling unit
Date ! /2?_ /oS
Site Address 1325 fAgp.?dNfR` iic**?, C26 Unit #
Tenan[ Name (if applicabie) NjeTNS T.t& ,z?qf L Previous Tenant Name
Property Owner Telephone # ( )
Contractor Ai/L C'Dnob. ,/qc$ S OC ,
Street Address &-rr_? ?. City 2:i1-,- AU4-
State Zip 6rl0?t Telephone# 6,r( ) fM-025 l
The Applicant is _ Owner _ Conhacror _ Other
Work Type
New construction Underground Tank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work: (ZePLACC Eu'Sn.?1 s%qyf=7oP JN/7
?-
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
ConhactValue $ Or- x .Ol% _ $ 11-1 Q ?U? PemutFee
• If permit fee is $1,000 or less, add $.50 T a -? State Surcharge
If permit fee is over $1,000, add $.50 per i
$ j ?
$i,ooore?tFee SEP 2 3 2003 So ?D ?Ij Total Fee
I hereby apply for a Commercial Mechanical Permit and ackn"'owledge that the information is complete and accurate; tha[ the wotk
will be in confortnance with the ordinances and codes of the Ciry of Eagan and with the M anical des; that I understand this is
not a permit, but only an applicarion for a pernvt, and work is not to start without a per '; that th ork will be in accordance with
the approved plan in e e of work which requires a review and approval of pla
Applicant's Printed Name plicant'so nature
9
Approved By: ?? ? Z? -? /, Inspector / Date: 9/Z2/d .J
%?13 2007 COMMERCIAL MECHANICAL rERMiT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
/?1- ,q,6?
Please complere for. commerciaUindustrial buildings ? / ,/? ?
multi-famil buildin s when se ara[e ermits are not re uired for each dwellin unit (.,.?? l?rN++t? L? c-Czz? .J f6-
Date 5 / o /
Site Street Address Q q 04- d o, e 0-o .?, C Unit # atilr- 1 10
Tenant Name (if applicable) Previous Tenant Name ? y U
Property Owner Telephooe #( )
Contractor
StreetAddress 7? b 7 l5 ee?. City
State V" '?,?A\? Zip 5?ct3/ q Telephone# C?5 3? /
Bond #: ? 0 6, 7 ? Expires:
/
The A licant is Owner
pp Contractor _ Other
Work Type
New Construction _ Interior Improvement _ Install Piping _ Processed _ Gas
Under/Above ground Tank Ins[all Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
NatureofWork: t'o
C ?
Permit Fees $70.50 Underground tank ins[allation/removal
$50.50 Minimuiu (includes Sm[e Surcharge)
V
? ? ut F
? ZI0' q,?r P
Contract
alue
x 1% eru
ee
_ $
i
-0
State Surcharge
$ , 6
To calcWate surcharge
If Permit Fee is less Ihan $1,000, surchazge is 50 cents.
If Permit Fee is > $1,000, surcharge increases by 5.50
for each $1,000 Permit Fee (i.e. a$1,001-52,000 Permit
Fee requires a $1.00 surcharge).
$ TotalFee
I hereby acknowledge Iha[ this information is complete and accurate; that the woxk will be in conformance cvith the ordinances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, hut o y an application for a pemut,
and work is ot to start hout a pernilt; that the work will be in accordance with the ap roved in the case of work which
require r iew, nd appov 1 of plans.
?? c????
Applicant's Printed Name Applic t's Signature
Approved By:
Inspector
Required Inspections: - U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final