Loading...
2108 Water Lilly Lanes U 0, v -0 j 0o ?-) 14 2 95-7 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: ,A 111)17- Site Address: _ 2-109 Fi � Tenant: r ,I - n 1P71 1° 1 A_S Suite #: Name: ` 7W (—I (,� r Phone: ✓� b O 2 / Address / City / Zip: v "L%'i L4 I 5S) -2-2- Name: W.f f )LH 1-} 6 (t License #: D 2-2 D c� Address: C I bq V V & �I b n City: State: - Zip: c JSC)33 Phone: Contact: _lid Email_ �(�YyL(q j`�]C_�Y1f'.1�.S6Y1 liYl��(t3U _Additional __ Alteration - Demolition New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank (_ Install / _ Remove) $60.00 Minimum Add -on or alteration to an existing unit (includes $5.00 State Surcharge) j� f, $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ CPO, 1 06 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation /removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10010- $11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ = $ Permit Fee = $ Surcharge = $ TOTAL FEE X1% 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 which requires a review and approval of plans. X� Applicant's Pri ted Name Applicant's Date: Tenant: Ao 00.00 Tdb4� Use BLUE or BLACK Ink - -i For Office Use I Permit #: I � I I I Permit Fee: / I I Date Received: I I I Staff: I 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION RESIDENTIAL FEES: Site Address: Suite #: Name: or ( rl ri V71 P I dC Phone: jgS L 6% 1 ` Address / City / Zip: Name: Address: State: Zip Contact: New Replacement Description of work: RESIDENTIAL XWater Heater Email: —Repair —Rebuild _ Modify Space _ Work in R.O.W. Lawn Irrigation L— RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures C_ Main / Water Turnaround Lower Level) $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) 'Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.om 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 which requires a review and approval of plans. x >� x 1A, utcf e:,-Pkz1L4,, Applicant's Print Name Applicant's Signatur r.10 a~oa , al 0A I -.;I-\() (0 , aln 8 2110 1211; Use BLUE or BLACK Ink 2 t 4,► t t S t~- Ll4 I For Office Use ' 11~5a Permit#: Y I ' C"l3a.75 I Permit Fee: 3830 Pilot Knob Road 1 c I Eagan MN 55122 1 Date Received: J Phone: (651) 675-5675 1 j Fax: (651) 675-5694 j Staff: I t-----------------1 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: Name: Phone: Property Owner Address /City /Zip: Applicant is: Owner Contractor Description of work: ' Type of Work Construction Cost: Name: License Address: - _ City. Cot State: /-ip: Phone: Contact:— Email: Name: Registration Address: City: Arch itect/ ngineer 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 then are trade secrets _ . .._fn _ 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 which re uires aview and approval of plans. X tr` x t Applicant's Printed Name Ap cant's Signature Page 1 of 3