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Permit
City of Ea
~ I Permit Fee: i
3830 Pilot Knob Road` I I
Eagan MN 55122
Phone: (651) 675-5675` Date Received:
Fax: (651) 675-5694 I' I
l Staff:
t----- 1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 3 C f?'3 I~ l 1 ,
Tenant Name: 1.1,1117.jr rR,r y (Tenant is: New Existing) Suite
Former Tenant:
Name: 001-26 _7,4~~ ~2 V17 Phone: 7s~ '
Property Owner Address / City f Zip: O 8/7 t 1 ,
1
Applicant is: Owner Contractor
Type of Work Description of work:
~
Construction Cost: '74
j
_ Name: Lt~ t' 4 r1 #,9W / _ LIcense
Contractor Address: 1 15 1 13 City: &
State: AV-' Zip: Phone:
41
Contact: J I'M /Yd G' DelV y Email: e w` y3 Go 1 ✓~ff /r 4
Name: Registration `
Architect/Engineer Address: City: i
State: Zip: Phone i
Contact Person: Email I
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 ich requires a review and approval of plans.
X~
Applicant's Printed Name is nfs Si6naftmlt'
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t
Ilk 0AGAIN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
Email: buiIding inspections(a�_cityofeagan.com
Plan Submittal: eplans _cityofeagan.com
I For Office Use _ I
Permit #: , I
I Permit Fee:
I I
I I
Staff:
I Payment Recvd: Yes No I
I I
I I
I Plans: Electronic Paper I
L-----------------
2018 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of paper plans with all commercial applications as well as aft electronic set of the submittal,
submitted via email, CD or flash drive /
Date: d Site Address:
-/A 3 �ll
Tenant: Suite #:
Property
Owner%/► %
Name: 'Ira - J0
t i
Name: vio
f
/W&Mse #:P r
:Zq)510
Contractor
Address: RA -t ity:
e A) _14x StateA Zip: D
0 I Phone: cP5 7 Email:
44e !
I New Replacement Repair
Rebuild Modify Space
Work in R.O.W.
Type of Work
Description of work:
COMMERCIAL New Construction
Modify Space
Irrigation System (— yes / — no) (— RPZ / —
PVB)
x 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
9 lushometers
Avg. GPM High demand devices? Yes No F Yes
—
—No
COMMERCIAL FEES
Contract Value $ R O O X.01 t
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit (includes State Surcharge)
_
$
Permit Fee I
= $
Surcharge ;
Surcharge = Contract Value x $0.0005
:.
If the project valuation is over $1 million, please call for Surcharge
= $
TOTAL FEE
I Following fees apply when installing a new lawn irrigation system
$
Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $
Treatment Plant
$
3
Water Supply & Storage
$
State Surcharge
_ $ 4'_4, - �� �_ TOTAL FEE
You may subscribe to receive an electronic notification from "city, of osed propordinances by signing up for an email update on the City's website at
www.cltyofeacian.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 a or ances and co s o the City of Eagan; that I understand this is not a
permit, but only an applicationpa 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.
viv�
1 f
X X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test 3 Final PRV Required: Yes No
Meter Related Items: Meter Size Radio Read Manometer Staff:
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