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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'
Page 1 of 3
o
t a
e
aAGAIN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
Email: buildinginspections(aD-cityofeagan.com
Plan Submittal: eplans(cD-cityofeagan.com
jFor Office Use j
Permit #:
I Permit Fee: G /
I I
I I
Staff:
I Payment Recvd: Yes No I
I I
I I
I Plans: Electronic Paper I
L -----------------J
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
ate-• t
Date: i1 ,qite Address: / 1
Tenant:
Property
Owner
Name:
ite #:
-7q)510
ILO'
Name: P c se #:
P r
f I
COntraCtOrAddress: / l� /nA� City: State Zip:, Q c� (4
Phone:62 YJ 7 (c J 7 Email:_ _44 _C _
X4 Replacement TrY�Repair ` Rebuild Modify Space Work in R O W _....,
Type of Work ® ,�
Description of work: C
COMMERCIAL New Construction Modify Space
Irrigation System (— yes / — no) (— RPZ / — PVB)
• 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
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value $ 3 R ® 0 x .01 8
$60.00 Permit Fee Minimum = $
$60.00 PVB/RPZ Permit (includes State Surcharge)
- $
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge = $
Permit Fee
Surcharge
TOTALFEE J,
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 a
i
$ Water Supply & Storage
$ State Surcharge
---- ---------------- _ __------ ----- ---- - -- ---- - ---- --
_ $��Z. elp 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.cltyofeaian.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against undergrounduti ' amage.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with a or pances 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 a co ande wi the rove plan in the case of work which requires a review
and a val of plans.
x 1� t x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections:
Meter Related Items:
Under Ground
Meter Size
Approved By:
Rough -In Air Test Gas Test ina
Radio Read Manometer
Date:
_�4�
PRV Required: Yes No
Staff:
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