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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