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I
Permit U^
City of Ea
Ed I Permit Fee::
3qn(,
830 Pilot Knob Road r I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 t i
Fax: (651) 675-5694 j Staff: I
t---------"--------1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant Name: U1&1 1 &r fitgf / (Tenant is: New / Existing) Suite
Former Tenant
Name: 001-26 x/142 f2,0'"7 Phone: tp -770 0V
Property Owner el? ► ~
Address /City /Zip: Az,
L Applicant is: Owner Contractor
Type of Work Description of work: -fe64 t°`- 0 f- " f
i Construction Cost: _ - -t i c1q0
i Name: az Lu' e ! C o 4 /d l frY Oo License
Contractor Address: 'l
!fie 7 ~ 1 3 City: State: Zip: Phone: b ! I
Contact: Email:
Name: Registration
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 Gall 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.
Applicant's Printed Name is nt's Signat
Pagel of 3
For Office Use \\/Z
Permit#: I ) 316sfJ
• -r/ I4FCIA
.w Permit Fee:
(.0/ 6)1)
JAN 0 4 2019 `Staff:
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
Email: buildinginspections(+t citvofeagan.com I Plans: Electronic Paper
Plan Submittal: eplansna.citvofeagan.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 /' r
Date: l 1 y Site Address: 9 'F/ A I L U )
Tenant: #:
Property Iwit'
/Owner Name:4)/ N U� v/—r/^; � /, ►LL A.l,[_' "hone: �+ • f/- l ?
Name: 6infriftS4t4g '41%, OLA, /lT ffse#: p r ?Li / S / u
Contractor Address: 'L"'1 / I�/�A/2% City: A Staten)W Zip:.)Jed o? 7
Phone:6.s7 th 7 a; 5 7 Email: • e 1 CO l' IL. `ee't
New "‘ii Replacement Repair Rebuild Modify Space Work in R.O.W.
Type of Work '�^� A. �p 1 e V
Description of work: rt^
� 9'` \\et` l
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$ R o d x.01
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit(includes State Surcharge) =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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
$ Water Supply&Storage
$ 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
vAvw.cltvofeaoan.com/subscrIbe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground uti? •=mage.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with e or. ances and c•.•_ • 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 witiaaut a permit;that the work will be in = • •an•- wi i the= •plan in the case of work which requires a review
and a val of plans.
7-
Applicants
Printed Name Applicant's Signature
FOR OFFICE USE Approved By: 3 Date: l I
—7 '
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test Final PRV Required: Yes_No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
For Office Use —___e
Permit#:4.6.14 a(/
11 Os
i0 Permit Fee: 496 O
E AGA N
Staff:
Payment Recvd: _Yes No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Plans: Electronic Paper
Plan Submittal:eplans(a�citvofeaaan.com L
2019 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 17 11-1 /ii Site Address: f U 1 rot, l h/� p 11
I
Tenant Name: /A (Tenant is: New/ ,e Existing) Suite#:
!!! Former Tenant:
Name: LA I N I I C djc„) Phone: 6S!'7 o c-S 1 I
Property Owner
Address/City/Zip: i Li ` ra (Aiui
Applicant is: Owner 4(Contractor
I I
Type of Work Description of work: �►^,v�SJ`��r GCh‘..eC �'V�� -56e-56e ��G �� 5 Lpej
Construction Cost: J
Name:• 6 y}- l License#: 136.-61z bv\
Contractor Address: Ip 14g 1,./r ; )1 f City: k�cja.-\
State: An-) Zip: 5scI Z Phone: 6 5"-f- 5-1- O.7 3g
Contact: k155 Email: ' , / . . ' ., 110 o• Cevtl
Name: Registration#:
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.
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.citvofeagan.com/subscribe.
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.000herstateonecall.orq
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
accordaRO5
ce with the approved plan in the case of work which requires a review and approval of plans.
x 7 6 spy MCv� X
Applicant's Printed Name ' Applican
- spa
1
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