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3419 Coachman Pt a Use BLUE or BLACK Ink For Office Use I I Permit I I Cit Y I of Ea an I Q1 I 1 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 Date Received: I Fax: (661) 675-5694 I ~ Staff I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1 / 2 8 / 13 Site Address: Eagan i C MN Tenant Name: Utilities Admin. Building (Tenant is: New! X E)isting) Suite Former Tenant: Name: City of Eagan Phone: 651-675-5675 Property Owner Address / City / Zip: 3830 Pilot Knob Road a £ I k Applicant is: Owner X Contractor Type of Work Description of work: Remodel of reception area Construction Cost: $ 16 , 8 54 Name: Derinq Pierson Group LLC License Contractor ` Address: 13905 272nd ave City. Zimmerman : State: MN Zip: 5 5 3 9 8 Phone: 612-369-3676 Contact: Adam Derinq Email: Adering6deringpierson . com t Name: Wilkus Registration#: 22274 d Architect/Engineer Address: 11487 Valley View Road City: Eden Prairie State: MN Zip: 55344 Phone: 952-941-8660 m~~ Contact Person: Jeff Rapp Email: Jmr@wilkusarch.com 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 the are trade secrets _ o 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.aogherstateonecall ora 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 fora 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 ,rk which,requires~a review and approval of plans. X Adam Dering x Applicant's Printed Name Applicants Signature Page 1 of 3 -3 q (fe. qc-14 j4,4n DO NOT WRITE BELOW THIS LINE v~b(f SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments "Commercial I Industrial - Accessory Building _ Exterior Alteration-Commercial _ Apartments - Greenhouse I Tent _ Exterior Alteration-Public Facility - Miscellaneous Antennae WORK TYPES _ New interior Improvement Siding _ Demolish Building' _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration - Repair Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair Retaining Wall _ Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 17 ba ° Occupancy MCES System Plan Review Code Edition ~o7 045^ SAC Units 0/46 eow4f, Im V% o11: a"-. L,D (25%-100%-) Zoning Ir_ City Water ✓ Census Code Stories Booster Pump # of Units O Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction `s Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) -7 /Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final oof: -Decking -Insulation _Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Building Inspector Reviewed By: i , Planning COMMERCIAL FEES L"4fix- ~j e/ry PXWec-7- Base Fee O • ~o Water Quality / Surcharge $ • Yd Water Supply & Storage (WAC) Plan Review . 0-0 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 _ Use BLUE or BLACK Ink ~ For office use i ' 11,530 Ciq of Eatan I Pemnt#: 1 Permit Fee: 010 I i ~ 3830 Pilot Knob Road 1 i Eagan MN 55122 Date Received: qJ3113 I Phone: (651) 675-5675 Few. (651) 675-5694 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: .3 7 Site Address Tenant 1-,,74,1 o 40 suite Property Owner Name: v f g Gs Phone: Name: lsV License :5- Contractor Address: ffiZS , v rx e, I tty State-~ Zip: ~5 Phone:,~r5/2?. Z 71S Email: L~ / L✓ /7s ss , < r _ Type of Work ` New _ Replacement Repair A Rebuild _ Modify Space -Work-in R. .w. 01 Description of work: / COMMERCIAL New Construction Modify Space _ Irrigation System L Yes I - no) L RPZ _ PVB) • Rain sensors required on "atior system Permit Type . Avg. GPM (2- hirbo required mom smallerswe allowed by Pubkc\Norks) Meters: Call (651) 675-5646 to verity that tests passed prior to oil im meter Domestic: Size & Type Fire: 1 6 Avg. GPM High derrnmd dmces? Yes No Flushomok is Yes No r COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum _ $ Permit Fee If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge* "if contract value is GREATER than $10,010, Surcharge= Contract Val 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. $ Treahnent Plant $ Water Supply & Storage s $ Statesu charge _ $ TOTAL FEE 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.gopherstateonecali.orcg I hereby acknoWedge that this infonnation is complete and accurate- that the work wig be in conformance with the ordinances and codes of the City of Eagan; that I understand this is riot a permit, bid orgy an application for a permit, and work is riot to start without a permit; gun the work will be in accordance with the approved plan in the case -of worts which requires a review and approval of plans. X 6 lN~ ~~IGIn-ts Applicant's Printed Name Applicaris Sigs e FOR OFFICE USE Approved By: Date: Required Inspections: -Under Ground _Rough4n Air Test -Gas Test -Final PRV Required: _ Yes No Page 1 of 3 Use BLUE or BLACK Ink For Office Use ! Perri W*- 1 3 3c~ ~gofE*n I 5.0:1 i I Permit Fee. 3830 Pilot Knob Road i ! Fagan MN 55122 1 Date Received: 3I (3 t Phone: (661) 675-5675 I Fax: (651) 675-5694 Staff I 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applicatio jam,--- Date: 3 Site Address: T ``I L~ Gf G 1Y-1 61 -1 / Tenant: Z~ :f A A-9 Suite M Property Owner Name: L c~ a 6(::44 Phone: ~j d y Name: License / 71 06 Contractor Addressga? j e,r/4_1~ t r-L City. state:/ ~ 7 Zp, Phone: z,sJ ~3 ~~/S Email: mil/ yt a~J Type of Work - New - Replacement Repair Rebuild - Modify Space -Work in R.O.W. f J/ 4~~/ Description of work' h .w + COMMEIWML New Construction Modify space _ trrigation System C_ yes r) L RPZ / _ PVB) Rain sensors required on irrigation systems Permit Type Avg. GPM (2° turbo required unless smater size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed Ito W-dum rm meter. Domestic. Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Rushomelem Yes No COMMERML FEES Contract Value X.01 $55.00 Permit Fee Minimum _ $ Permit Fee If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge* " tf contract value is GREATER than $10,010, Surcharge = Contract Val x $0.0005 'if the project valuation is over $1 million, please calf for Surcharge = $ TOTAL FEE Following fees apply when installing a new town irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required tee amoruds. $ Treatment Plant $ Water Supply & Storage . $ State Surcharge $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground unity damage. Call 48 hours before you r intend to dig to receive locates of underground utilities. www.oooherstateonecall.org I hereby ackn&Medge that this information is complete and accurate; that the work wig be in conformance with the wrimanees and odes of the City of Eagan; that t understand this is not a permit, but orgy an application for a perk, and work is not to start without a permit; #0 the work will be in accordance the approved plan in the case of work which requires a review and approval of plans. < x A)"~ AppiicarWs PriName Applicant's Signature F OFFICE USE Approved By: Date: ed Inspections: -Under Ground -Rough-In Air Test -Gas Test Final PRV Required: Yes No Page 1 of 3 For Office Use• + + , Permit#: , ', EAGAN , Permit Fee: i RRRJJJZJ' I -d• CEIV DE �c TE Staff: .�. 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 �. EPayment Recvd: Yes No I (651)675-56751 TDD: (651)454-8535 l FAX: (651)675-5694 JUL 0 9 2019 I Email: buildinginspectionsacitvofeagan.com Plans: Electronic Paper I Plan Submittal: eplans( citvofeaaan.com 2019 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: 7/9/19 Site a, � f� Address: 3419 Coachman Point � Tenant: L4 41/ it�/ `0 r 1�1 GO-121e f' �,CC4-�� r�`5'Gite#: Property owner Name: City of Eagan Phone: Name: Wenzel Plymouth Plumbing License#: PM061555 Contractor Address: 1959 Shawnee Rd, Suite City: Ea an State: MN zip: Phone: 651-452-1565 Email: kgoehring@wppmn.com New Construction Addition Modify Space Replacement Repair ✓ Rebuild Work in Right-Of-Way Description of work: Rebuild existing PVB Type of Wo Irrigation System( yes/ no)( RPZ/ PVB) • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter. , Domestic:Size&Type Fire: 1 Average GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ x.015 $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 City for Surcharge $ TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ 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.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. 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. Digitally signed by Kayla Goehring x Kayla Goehring x Kayla Goehring pate zo,so�.os,a,soo-0soo Applicant's Printed Name Applicant's Signature Page 1 of 4