511 Classic Ct Unit B1011,11'
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
❑ Please su
Date:
Tenant:
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee:
Date Received: 7- 1 k /13
Staff:
1
J
2013 MECHANICAL PERMIT APPLICATION
it two (2) sets of plans with all commercial applications. .fek- -e) , ree moria/e_
C �3 Site Address: \//C Z - fl 7 / eJ el j07- k 6'
Suite #: I n,
Name: Phone:
Address / City / Zip:
Name:ZO C = C License #:
Address: 4'/ 6 (3l oL`-6-747*- "7&--7111 rte'Pte_ /z 4"Y
State: .1i /i . Zip: .5��/c9p9— Phone: ,\57c l Win` �1
Contact:; l - s`�` mail: //C/�{ i l �`l el) �✓ i` ic/
�ew Replacement Additional Alteration Demolition
Description of work: ii/4:4- e ZZ � �iO n) - i i /I /
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
_ Heat Pump
Other
Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$55.00 Minimum
*If the project valuation is over $1 million, please call for Surcharge
Contract Value $ %/ x 1%
_$
$
=$ /1.57
Permit Fee
.00 Surcharge*
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.aooherstateonecall.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 _' be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x
.7—
Applicant's Printed Name
4*
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Fin b 2014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /. 53
Date Received: fi5hy
Staff:
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Z /2 5-A Site Address:
Tenant Name: AL /f c'OE/
37/ ZVers G Cvr,/,e.TL
Property Owner
Type of Work
Contractor
Architect/Engineer
Name:
idd WC-,Uoez-rt__
(Tenant is:
Former Tenant:
J
New / >( Existing) Suite #: ,6/O//
Address / City / Zip: / Sri /
Applicant is: X Owner
Phone: 451 Slb2 It) s.7
/ [L//',/o/y 4/14,wd /
Contractor
Description of work: 15e?,/,/-; rooh-7
od.
Construction Cost: .a5-oo--
Name: , F
/ c7// /•9
License #:
Address: City:
State:
Contact: Email:
Name: 6N/7/ /4,0 -eh;
Zip:
Phone:
Address:
Registration #: 2 / 23/
7500 kk:57/ /q'7,14 reed city: /e a'y
State: /1/74 Zip: 5-/Z Phone: 95-2_ 0/` / /3 3
Contact Person:
e//n/A/ /`/t/ rSccn/ 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 classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.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 accordance with the approved plan in the case of work which requires a review and approval of plans.
x ,4 J c.L/•C E /Z
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
/ Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100% '//)
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
a5-00
/
Census Code
# of Units
# of Buildings
Type of Construction t(• Al,
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Decking _Insulation Ice & Water
Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
Final
Final C/O Inspection: Schedule Fire Marshal to be present:
Reviewed By: (� , Building Inspector
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building - give PCA handout to applicant
S • 1- MCES System e S
26o']M+SBL SAC Units 0
'`I� City Water 7-e5
1 Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
%// Final / No C.O. Required
tres
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Yes No
Reviewed By: (mac
, Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
88
5-d
5"'7• S3
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL / 407- 53
Page 2 of 3
•
*.
C!tyofEaaali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Ch ec‘.(7
at, rik60/1�
FEB 1 2 2016
Use BLUE or BLACK Ink
For Office Use
1�� DID
Permit #:
Permit Fee:
Date Received:
Staff:
2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
6 Site Address: 51 I kt.SS Courk
AlcittC
Tenant:
J
Name: Ak "D`
Phone:
Suite #:
Address / City / Zip:
Applicant is: Owner Contractor1
Description of work: /A & (raoy nZ , AAA 1 e� VILA& e I.aSt+
Construction Cost: 600 °a Estimated Completion Date: Oil /1
License #: COS -C.(
Name: SitAigS R
Address: lSSV E.&--kAttly\O City: EaCiver
State: It_ Zip: SS 330 Phone: 73(/c! 0
Contact: S ‘4e - e,1 Email: SitA C..ni4-e Ba ws- ') 1 C-• cowl
FIRE PERMIT TYPE
)(Sprinkler System (# of heads 3 )
_ Fire Pump _ Standpipe
Other:
WORK TYPE
New_J Addition
Alterations /� Remodel
Other:
DESCRIPTION OF WORK: X Commercial _ Residential
FEES
$60.00 Permit Fee Minimum
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
$100.00 Residential New (includes State Surcharge)
Educational
Contract Value $
$ 6a
•
_$ GO
x .01
Permit Fee
Surcharge
TOTAL FEE
3/4" Fire Meter - $280.00
= $ TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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 YtAr \A\WSJ►'`.
Applicants Printed Name
x
Applica Si
1
Permit Reviewed