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City O Ea on Permit#: I
I Permit Fee: I
3830 Pilot Knob Road t 1
Eagan MN 55122 I L
Phone: (651) 675-5675 Date Received'
Fax: (651) 675-5694 t l
I Staff: I
L---=-- -------I
2014 COMMERCIAL BUILDING PERMIT APPLICATION
e,9 3
Date: Site Address: I a
~(J
Tenant Name: (.tom *117 Jr rR., / (Tenant is: New / Existing) Suite
Former Tenants
Flame: 000C, C, 7/3/11-2 f2 P- -7 Phone: 6 r -770 `Y 0
Property Owner Address /City /Zip: '1U -/7 t7Z
Applicant is: Owner Contractor
Type of Work Description of work: `e6 r< 1 Re-` e-)
J Construction Cost: 5~~e
Name:.1~ t P, letJ c° 1- 6 0 4 ~,~+✓~~1 G~''~ 7- icense
Contractor Address: t 1 City:
State: ~ Zip: ) 5 311 Phone
- ~ ,
Contact: t51 f" ~ -1 Email:
Names Registration
A ill
Architect/Engineer 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 Cali 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.got)herstateonecall.org
t 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 fch requires a review and approval of plans.
Applicant's Printed Name is nt's Signat
F Page 1 of 3
For Office Use
Permit#: iSa/10
Y L i P
'''4, t.‘ .,'' `. /• O 0 (-C
Permit Fee:
+ --,.6 . Staff:
w ` _—_..,;
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _Yes _No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT 0 0 ,)-
Email: buildinginspections( citvofeacian.com I Plans: Electronic Paper
Plan Submittal:eplanscityofeagan.com L
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/-- " /O Site Address: I g 9. �JTieiffI C t i' y /9rrc'
Tenant: Suite#:
Property e..""' =
Owner Name: ��4 , !, J,rLAI,L.w 'hone:
4( "i V5 a,, 6_41S
Name: 1 ( i i ALiti X1'c se#: P C --7/4 I S / d 4
Contractor � is-
/ /v inA - ��Q C�
� Address: �-2 Ity: .04) State Zip:
1 ----4 : PPhone:6,s-i,--y17
! 7 0; 5/ Email: bPA ++e 5 L4gJj? Cm/lit /Ca
i New Replacement Repair Rebuild Modify Space Work in R.O.W.
! 6Type of Work —i :E., ,,''''�^� A pip
Description of work: GA C '1
COMMERCIAL New Construction Modify Space
i _Irrigation System( yes/_no)( RPZ/_PVB) i
I • Rain sensors required on irrigation systems
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.
! Domestic:Size&Type Fire: 1 i
_ _ Avg.GPM High demand devices? Yes No Flushometers Yes_No
COMMERCIAL FEES _. ry.W _. �_. Contract Value$ e3R00x.01
s
I $60.00 Permit Fee Minimum =$ 6, ( (O Permit Fee
$60.00 PVB/RPZ Permit(includes State Surcharge)
Surcharge=Contract Value x$0.0005 =$ l` Surcharge ;
If the project valuation is over$1 million, please call for Surcharge I.
=$ 6-) /° (DTOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
I
Contact the City's Engineering Department, (651)675-5646,for required fee amounts. $ Treatment Plant
I
$ Water Supply&Storage i
$ - -- State Surcharge
_$ TOTAL FEE }
You may subscribe to receive an electronic notification from the city of proposed ordinances by signing up for an email update on the City's website at
www.cltvofeagan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground uti' •amage.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with e or. ances and co,-s o the City of Eagan;that I understand this is not a
permit,but only an application fo a permit,and work is not to start wi ut a permit;that the work will be in- o.an•e wi the - 'rove•plan in the case of work which requires a review
and a•• •val of plans. .i
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date: .-(( r
Required Inspections: _Under Ground Rough-In Air Test Gas Test Final PRV Required:_Yes No
Meter Related Items: Meter Size Radio Read Manometer Staff:
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