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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