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Of EPermit
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I Permit 'Fee: ;
3830 Pilot Knob Road I - t
Eagan MN 55122 I t_
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 i I
l Staff:
L
2014 COMMERCIAL BUILDING PERMIT APPLICATION
_ y
Date: Site Address: 1? 0 41 Tenant Name: Ul!1lo ar (Tenant is: New / Existing) Suite
Former Tenant:
Name: 001-,)Q 242/51~_`z,0-I Phone: try " '770 ~41 flG)
Property Owner Address / City/ Zip: 8/7 1 , Az,
• Applicant is: Owner _ Contractor
Type of Work Description of work: -,re,4A_ e fl--
~
Construction Cost:
F Name POP, w e 5~ C U ✓1license
Contractor Address: (J L_ t) 5j t City: e"j°k
State: lL Zip: 5"5311 Phone: b f i
Contact: LT,- Email
Name: Registration #
Arch itectlEngineer I Address: City:
State: Zip: Phone:
Contact Person:
~ ..Email.
Licensed plumber installing new sewer/water service: Phone {
i
NOTE, ,Plans and supporting documents that you submit are considered to be public information. Portions of
the`i7rf wmation 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) 454-0082 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 applicatiog 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 1ch requires a review and approval of plans.
Applicant's` Printed Name is nVs SiinatutT'
Page 1 of 3
i
For Office UseS
i i ;• Permit#: F----r—�� Z.--
..... ,,, E AGA N permit Fee:
Staff. _
1--------
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 Payment Recvd: ___Yes —
—No
(651) 675-5675 (TDD: (651)454-8535 i FAX: (651)675-5694
Email; buildinginspectionse,citvofeagan.com I plans: —
2018 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive _/ _
Date: 1 .-"" (-2. S / CI Site Address: / I ) r L k) A t v '
—`. Suite# _
Tenant: A t. ' '.. ... ... .. �„a.+ _._�— --
Property — �„_ 3''� �j a. 35)
c----
Owner Name: i. Y! ` 1 /, �,r4..A,,1_• -hone:t r,. ••
`� - >, 0 1
, Name: I I a mall f L I ��i9 L , Agr se#:
�~
Contractor
Address: j MAR/$: City: e _
667 State Zip:
/L 11
I Phone: / 7 1�; 5 7 Email: ` . ± j^-!!-° rit
I, IL d
i New Replacement Repair Rebuild Modify Space __Work in R.O.W. i
� Type of Work � �-.
t Description of work. _6 _....../\00-9.A._ .._____.e_..4._ 12-_____________________!,
.___`C_e`4.-- _7
t_..—...._._...._....._.__...�... _ —.. Space I COMMERCIAL ____New Construction Modify `
i _Irrigation System( yes/ no)(_RPZ/_PVB} i
1 . Rain sensors required on irrigation systems I
Permit •
Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
_Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. I
Domestic:Size&Type --— Fire: 1 _No
Av GPM High demand devices? Yes No Flushometers_Yes —f
COMMERCIAL FEES Contract Value $ OZ' O
, $60.00 Permit Fee Minimum = $
Permit Fee
$60.00 PVBIRPZ Permit (includes State Surcharge) = $ Surcharge
I Surcharge=Contract Value x$0.0005 = $ TOTAL FEE
i If the project valuation is over$1 million, please call for Surcharge I
$ Water Permit
Following fees apply when installing a new lawn irrigation system
I Contact the City's Engineering Department, (651)675-5646,for required fee amounts. $ t
Water TreatmentnPlant
n Storage j
Spply&
$ State Surcharge ``
I � T$ TOTAL FEE
You may subscribe City
to receive an electronic notification from the of proposed ordinances by signing up for an email update on the City's at
www.citYo1sag6-n.comf/sub1cribe.
r•el i BEFORE YOU PIG. Call Gopher State One Call at(651)454-0002 for protection against underground uti •• mage. a� t�City Eagan;that I untlerstand this is not a
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with n the •• •Ian in y of case of work unde requires a review
permit, but only an application f a permit,and work is not to start ut a permit;that the work will be in
and a vai of plans. ,
fi }e � X ' i
X Applicant's Signature
Applicant's Printed Name
FOR OFFICE USE Approved By:
Date: �. 11111,
Air Test
Gas Test Final PRV Required: Yes_.._No
Rough-In �.
Required Inspections: Under Ground 9 _
Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of