501 Classic Ct Unit B103
Use BLUE or BLACK Ink
~ For Office Use j
City of Eapn I Permit OJ ' " I
I I
3830 Pilot Knob Road I Permit Fee:
I
Eagan MN 55122 I „ I
Phone: (651) 675-5675 I Date Received: <l F I
Fax: (651) 675-5694 I I
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please su it two-(2) sets of plans with all commercial applications. iry 'A5&.~ .,J.,o
Date: Q G Y /,3 Site Address: C-~~
Tenant: Suite (L>Resident/Owner Name: Phone:
Address / City / Zip:
Name:,J License
l`~E~
Contractor Address:
State: i Zilp:Phone:
Contact: J<2~;O ltmail: //mil ~i9-1~.~ -
~ew Replacement Additional Alteration Demolition
Type of Work Description of work: f r'~ e>Z err Aft j
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for,information on permitted screening methods.
RESIDENTIAL COMMERCIAL
- Furnace Construction _ Interior Improvement
Permit Type -Air Conditioner _ Install Piping - Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
- Heat Pump _ Under / Above ground Tank Install Remove)
- Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal Contract Value $ x 1 %
$55.00 Minimum , Permit Fee
*If the project valuation is over $1 million, please call for Surcharge 5.00 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.gooherstateonecall 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 no start without a permit; that the work will b accordance
with the approved plan in the case of work which requires a review and approval of plans.
x x
Ap i nt's Printed Name A c nt's ignature
E OFFICE USE
ired Inspections Reviewed By: t I~
Date:
Underground e Rough In Air. Test
has Service Test In-.floor Heat Final HVAC Screening
411,11
City of Eapil
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
11-1-r3
l�tU'
Ca
2013 COMMERCIAL BUILDING PERMIT APPLICATION
\\
Site Address:sa
Tenant Name: ---1 6 jM W (%U s
•
(Tenant is: y New / Existing) Suite #: $1 03
Former Tenant: %.f Ohs.
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: I jJzSt3t) 0- 1,1J-12-1, 61/1-
It
Construction Cost: 26/ D
tut>` LL, 6 Ricer FI:2.[b
Name: 5t' r'Lte*-)5 License #:
Address: ?`moo -r r t > J City: \j`f S L
State: M1t.1 Zip: iA1b Phone:
Contact _ Email:
Name: Pt LM 1-i 5--nyol a
( 2-3.4`5
s- c a1r
Address: )`a"•11 ro S (7- e*
Registration #:
City: )
State: PA. -0 Zip: S5 I OZ Phone: jp 12 21 2 t'5
Contact Person: L -t-) 4-4415 lq L." Email: I V CAS Q L7.1 v 014s15hr 6 .cOw
Licensed plumber installing new sewer/water service: Phone #:
TE Plans and
;ormat►on
ortin+
at you sub nut are considered to n
you provide spec fic naso
iota%; that., they are trade secret
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.goDherstateonecall.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 i +.1 D
Applicant's Printed Name
x
Applicant) SJgyature
Page 1 of 3
SUB TYPES
Foundation
✓ Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100% •V )
Census Code
#of Units
# of Buildings
Type of Construction
SC[ Cks- ; C 6163
DO NOT WRITE BELOW THIS LINE
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
/Interior Improvement
Exterior Improvement
Repair
Water Damage
old, WO
Yes
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking Insulation Ice & Water _Final
—7 Framing
Fireplace: Rough In Air Test _Final
Insulation
Meter Size:
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Fire Repair Retaining Wall
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
yeh
Sheetrock
✓Final / C.O. Required
Final / No C.O. Required
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: Yes Y No
Reviewed By: / k/t� L
, Building Inspector Reviewed By:
, 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
33/, 0.5-'
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL 569, 76
Page 2 of 3
City of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6756694
f \Ieuev-ecl
o
DEC 16 1013
r
Use SLUE or BLACK Ink
For Office Use
Permit #;
Permit Fee:
Date Reoevr
Staff:
2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date- l2- /i L /i3 Site Address: g." -t( C L% i s / C C .
Tenant: C." 14 l 13 103
Suite #:
}
e1 �t�i�7 a(
g,x
Name: Phone:
Address / City /Zp:
Applicant is: Owner Contractor
a �j fir . a. '''S',
� '
Description of work: / .7I.t-L g S
at 1. !/G(,rh LfL 4 v �b! .e0 t /vac.*
r
Estimated Completion Date: l Lill f
Construction Cost 2_2. a ".
{raa�l"
X e G z
V,'%
�X 11' 9;.
int'1 Fire Protection'984"
Nam_ License #:
2 ' ea s ow roo ' ve. 1
Address: City:
State: Zip: Phone: G1L- Z lel- - 4,-676
Contact Fir /4 I/' l�t/(4 Email•
FIRE PERMIT TYPE
Sprinkler System (# of
heads 13)
WORK TYPE
New Addition
Fire Pump
Standpipe
_
><Alterations Remodel
_ _
Other:
r Other.
DESCRIPTION OF WORK: >Commercial — Residential
, Educational
FEES
$60.00 Minimum (includes
State Surcharge) OR
$10,010, surcharge is $ 6.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ 2-2.. + A x 1
- If the Permit Fee is fess than
= $ 6..5-.7. Permit Fee
- If the Permit Fea is > $10,010,
Fee
= $ , 5:P*Surcharge
(1.e. a $10,010-$11,010 Permit
TOTAL FEE
3/4" Displacement Fire Meter - $231.00
= $ Fire Meter
_ $ Gq o� TOTAL FEE
"Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I thereby 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 Buliding/Fire Codes; that 1 understand this Is not a permit, but
only an app +on 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 work
which r . a review and aggro I of plans.
x
Applicant's Printed Name
x P'(' voLr'
Applicant's Signature
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.aor herstateonecall.org
-POR.:.OFFICE..USE
REQUIRED. INSPECTIONS
Hydrostatic
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 1 1 2014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date:
Tenant: 7 -X-ce6 Suite #: e / 3 -
Site Address:
51/ c/o _CI -
Property;
Owner
Contractor
-J
Name: ./-13 n4 k,Phone: (GI 7J 1/3
Name:
—/Will tdcnt
Address: 2-6 S" 1a 'i" [ 6- City: l61
License #:
Type of Work
Permit Type
State:jg%j Zip: 06.
Phone: 657. 16-7q Email: 121. eticP GtikJf9/,e,/i aC/c 6'b+t
New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work: fin ISH / 47-1/- 63- 6I7'7,v) Zed Tdl (. %tr*l-G•- Sarmie-e,
COMMERCIAL r New Construction X Modify Space
Irrigation System ( yes / _ no) ( RPZ / PVB)
• Rain sensors required on irrigation systems
• 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
$55.00 Permit Fee Minimum
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
*If the project valuation is over $1 million, please call for Surcharge
Following fees apply when installing a new lawn irrigation system
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts.
Contract Value $ �®� � 62 x .01
_ $ Permit Fee
Surcharge*
TOTAL FEE
_$
=$
$ Water Permit
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 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.
---7//n61-4
Applicant's Prin ed Name
&4T x
Applicant's Signa ure
FOR OFFICE USE Approved By: Date:
Required Inspections: _Under Ground _Rough -In Air Test Gas Test Final PRV Required: _� Yes
Meter Related Items: Meter Size Radio Read Staff:
No
Page 1 of 3