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*. 3 ' ' 11 PERMIT
Use BLUE or BLACK Ink
r
For Office Use
Permit 2A6 I
n 1
City Fee:
of Eaa Permit
3830 Pilot Knob Road I 1
Eagan MN 55122 I I
1 Date Received: I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 I
1 Staff: 1
t-----------------1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Z 14 Site Address: U-4 _1 OP, FaQC'jYl IQN
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
¢ P_ r Address/City/Zip:
Applicant is: Owner Contractor Type of Work
Description of work:
Construction Cost:
Name: License
Address: City:
Contractor
State: Zip: Phone:
Contact: Email:
Name: Registration
Arch itectlEn9ineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets
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 0 x \,J0
Applicant's Printed Name Applicant's Signature
Page 1 of 3
5
l~a~ CU 17~~ ___Use_B_L_UE or BLACK Ink
For Office Use
Permit #:~~~a77~o
fin I
City of EaEUR RECEIVED IVJ / ,
3830 Pilot Knob Road I Permit Fee: ,
Eagan MN 55122 MAY 19 2014 I 'T i I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 1 Staff: - - - I_0 I
P~ t_---------
2014 ~ n L PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. f~
Date: ~ ~ Site Address: 1270 /dcc%c J C~N~G` Or
Tenant: yJ,4 /Vq(/J- Suite
Resident/Owner Name: G Phone:
Address / City / Zip:
WENZEL-PLYMOUTH PLUMBING, LLC
Contractor 1959 SHAWNEE ROAD, SUITE #130
EAGAN, MN 55122
cmichels@wppmn.com
651-452-1565 X
ration Demolition
Type of Work Description of work: A2 Ve.ZwS.1~11 111.7W)
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.
RESIDENTIAL COMMERCIAL
Furnace New Construction X Interior Improvement
Permit Type -Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES
Contract Value $ X.01
$55.00 Permit Fee Minimum c
$70.00 Underground tank installation/removal c~~• Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 J- _ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ~c.
***If the project valuation is over $1 million, please call for Surcharge = $ 6 O' TOTAL FEE
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 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE /
Required Inspections: Reviewed By: b Date:
nderground 1~ Rough In Air Test Gas Service Test In-floor Heat -Final HVAC Screening