1848 Sapphire Pt4)
City o(Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694.
RECEIVED
11573TIVIih
ras
Permit #: CV, ".p O
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: l'2 -12s1 I o Site Address:
Tenant:
Michelle Marks
1848 Sapphire Point
1
Suite #:
RESIDENT / OWNER
Eagan, MN 55122
Name: e.
6514859466
Address / City / Zip:
CONTRACTOR
B�,n,
Name: NOLUM t 5
RBLOM PBING C License #: 0L52-41 p
Address: * (612) 827-4033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person: /In
\fii
TYPE OF WORK
_ New )( Replacementt Repairi Rebuild Modify Space Work in R.O.W.
_
Y `
Description of work: ( C V V &r heater
PERMIT TYPE
RESIDENTIAL
1 Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / _ PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 Je# L. a'Jorbt
Applicants Printe Name
A "''cant's Signature
wired:
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA097500
Date Issued: 12/21/2010
Permit Category: ePermit
Site Address: 1848 Sapphire Pt
Lot: 144 Block: 04 Addition: Diffley Commons 2nd
PID: 10-20451-144-04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary:
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
- Applicant -
Owner:
Michelle C Marks
1848 Sapphire Pt
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
V3AQ 1 V644 t 1t•4Co, 1,545
‘b50i N.5a,l S4,la94° vel)fph;re-•
City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use GQ �f
Permit #: 1 5 a to 4
Permit Fee: (L L• v • 00
Date Received:
Staff:
VI•
2013 COMMERCIAL BUIL�ING PERMIT APPLICATION g l -c v►i �5
O► gya/ ' • r yb/i g'ttso / 1g .../i'1/ISS0 i
Date: 1 jd�7� �3 Site Address: • � �, �Q /P��
�
ti r
Tenant Name: D;cckti ContAow5 ). \\aS 04 (7ar.ii kor,6(Tenant is: New / X Existing) Suite #:
Former Tenant:
Property Owner
Type of Work
Contractor
Architect/Engineer
Name:D t� C-otuNons X vaka.5 AAA 3aCd«. Lorv.5 Phone: et5a- y 3 a- 817 9
Address / City / Zip: P. d DO)( J R03 t toov4 So{?
Applicant is:
Owner Contractor
Description of work":"Terit.c c 9sle, - c':+04 Gti C1ar0.r 5 ; e& : (,q
Construction Cost: 1 ‘k5 J5. 7 J
Name: ko 'V C ova 5.} r \-i oti License #: 7c5C- 21 as
Address: l(ctztLo b -J e 4•1/41G. City: 'l C'SC-("‘0*-)v\,'\-"
State: {" l'V Zip: SO(Phone: G JCI -2 +1' `f q 41,6-
Contact: L 1 14 V Email: L \ L d-ekl-ec+o`r`J. ace\
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person:
Email:
Licensed plumber installing new sewer/water service:
NOTE: Plans and supporting documents that:y�....
the information may be classified as non-public if
contlude.that the
su.
mit are cony
a proYIPe'specii
are trade seer
i'C
Phone #:
easons
f�c nformation. Portions :af'
of would per`rrrt the City to
CALL BEFORE YOU DIG. CaII 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 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.
xo
Applicant's Printed N e
x
Applicant's Signature
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