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511 Classic Ct Unit B108 � Use BLUE or BLACK Ink vr-----------------I ' ��' G� I For Office Use � • RE�EIVED �a�s �f , Y�� j Permit#: �� I Clty of �a�� p� � �-7(� �� , 3830 Pilot Knob Road ��{'� �� ► � G�'r� ��0 �„/�S j Permit Fee: JV� � �1' � � I Eagan MN 55122 � � Date Received: ��/� I Phone: (651)675-5675 � I Fax: (651)675-5694 /�'�^ I Staff: � ��'�. C�C,�,��.rC �/ �--------- -------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION `�, ❑ Please submit two (2) sets of plans with all commercial applications. � ��r � �, � �--r- �-- Date: � SiteAddress: �/ �'Y..� �r r �^ l7� Tenant: _ ��r-��+ C 9-vr� � Suite#: l� /�D�� Property ^ Owiler Name: (y�<� Phone: Name:-��i.,,(c, /��f.a-�-+ l�.:`".'ti License#: Contractor. � � r/,�? . Address �� v��"/�City: , 7��f i�'��fi�L State: Zip: J��' Phone:��.� / `°�J�/� '�"l.�Email: Type Of WOPk —New _Replacement _Repair _Rebuild _�'Modify Space _Work in R.O.W. Description of work: COMMERC/AL _New Construction odify Space _Irrigation System(_yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. " Domestic:Size&Type Fire: 1 ' Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ �pj�� x.01 $55.00 Permit Fee Minimum _� j�� Permit Fee '`If contract vatue is LESS than $10,010, Surcharge=$5.00 =$ �� Surcharge* `*If contract value is GREATER than $10,010, Surcharge=Contract Value x$0.0005 , "*'`If the project valuation is over$1 million, please call for Surcharge -$ �<�°� 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. $ 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 ns. �./l�l�� 5 ��-�e�.-� �� ApplicanYs Printed Name pplicant's Signature 'FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground �ugh-In ir Test _Gas Test �nal PRV Required: Yes . o Meter Related Items: Meter Size Radio Read Manometer Staff` Page 1 of 3 Use BLUE or BLACK Ink For Office Use j Permit 6 I 41~ I City of Evan. ; 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: I C. I Fax: (651) 675-5694 Staff: J - - - - - - - - - 2013 MECHANICAL PERMIT APPLICATION ❑ Please ZZ it t wo-(2) sets of plans with all commercial applications. v Date: Y Site Address: C~ cSv /C /0 < 1 Tenant: Suite Resident/Owner Name: Phone: Address / City / Zip: Name: AJ2TGZ- cl License Contractor Address:l State: /V~J.. Ziip: Phone: Contact: l~1 ~ mail: ~P0.1 /r✓ L-_`-New Replacement Additional Alteration Demolition Type of Work Description of work: J~j.-✓ 0,c✓/ % /C 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 - Air Conditioner Install Piping Processed Permit Type- - - Air Exchanger _ Gas - Exterior HVAC Unit Heat Pump Under 1 Above _ ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) I $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: ec $70.00 Underground tank installation/removal Contract Value $ ~5co- x I% $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.aooherstateonecall.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 s r, 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 Applicant's Printed iNi ame Ap 'ant's Stgn-ature FOR OFFICE USE f Requir d Inspections Reviewed By: ! Date: 1" 1 I I n erground Rough In 'Air Test Gas Service Test In-floor Heat ~ -Final HVAC Screening ; t Use BLUE or BLACK Ink �-----------------� � For Office Use � ' I Pertnit#: ��Y'/ � I Clt of �a aIl � � �� ; � � RECEIVED i PermitFee: �- � 3830 Pilot Knob Road i �� i Eagan MN 55122 �AY Z 8 �� Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 i ��. i L__�_____....'____T__ 2414 COMMERCIAL BUILDING PERMIT APPUCATION �-"1 !� ,r�/D � C Date: � °'�p � Site Address: d e r ra�" V � � 1� C� 1�� Tenant Name: (Tenant i�: New/ Existing) Suite#: Fortner Tenant: Name: V Q`w d�' � Gr"e.9 /� r i^��a'`� Phone: (.O l 07 �`�7 'a �� Pf O�t'ty OWtI@[ ' Address/City/Zip: �c3/�O /'"'+C�a cs�o n�°i �� /�ir de �O /`�` S �� Applicant is: �Owner �Contractor f D�scripfion of work: (.o�S /«c �a. ��r � PX 7� ��Gt � S 4 C� Type o Work Construction Cost: `��f'�? � 9 c . o a t �/ / � Name: CL ��G�S��h C�' �[�V %�t/G- license#: Contractor Address: �o?'%�oZ O ��a wc• /7"e ��ty_ G✓tJ't %a«-� State:�i✓ Z�p. ��/� Phone: �/•1�G L �c�lo/ Contact: Cdct✓C. Email: o` /l�G�tSli'! Cr'Qr�✓�' 4�4d •Ga�+'� Name: �'L'�' /v es% n �� i� Registration#: �� 3 � Architect/Engineer Address: � 3�g ��i.n� o i✓ ;S� City: S7 (a c•�( State: /�°�� Zip: `�`S%/ v Phone: G �cJ oZ �Yo�/9,� Contact Person: �v G� Email: Licensed plumber installing new sewerlwater service: Phone#: NOTE:Ptans and supporting document�itrat you submftare considered ta be public ir►formation. Parl�ons af the information may be classified as nony�vb/ic if you provide s�ffic reasons that would pemrit the City fio conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for pratection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.o� 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 wilf be in accordance with the approved plan in the case of wo hieh requires a re w and approval of plans. X Q�G�✓la�l MCi�S/'n cr X Applicant's Printed Name Applicant's Slgnatu Page 1 of 3 . 4 5��11 �1�.t�.r i�c �s�" / � �;� �/S DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility Exterior Alteration-Apartments �.,Commercial/Industriat _ Accessory Building � Exterior Alteration-Commercial _ Apartments _ Greenhouse!Tent _ Euterior Alteration-Public Facility , Miscellaneous _ Antennae WORK TYPES /' _ New r/ Interior Improvement _ Siding _ Demolish Building* _ Addition Exterior improvement � Reroof _ Demolish Interior _ Alteration _ Repair � Windows � Demolish Foundation _ Repla+ce � Water Damage � Fire Repair _ Retaining Wall Salor�Owner Change *Demolition of enfire building-give PGA handout to applicant — � DESCRIPTION �-,,,�� G� Valuation �5 _ d / � � Occupancy � MCES System � � u;�, Plan Review ./ �� Code Edikion /1�i1�iSAC Units � S��S R�� (25%_100%�V � Zoning �� City Water e- Census Code Stories ""— Booster Pump � #of Units Square Feet PRV #of Buildings Length Fire Sprinkiers Type of Construetion � Width -� �%��S REQUIRED INSPECTIONS Footings(New Building) S �etrock ��ootings(Deck) Finat/C.O.Required ,/ Footings(Addition) Final!No C.O.Required Foundation Other: Drain Tile Pool:�Footings _Air/Gas Tests iFinal Roof:_„Decking ____Insulation _Ice&Water ,_,,,Final Siding:_Stucco Lath _Stone Lath _,,,_Brick ,/ Framing Windows Fireplace:_Rough In _Air Test _Finai 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: Planning COMMERCIAL FEES � Base Fee �� •� Water Quality <:�� Surcharge `` R Water Sampling Fee Plan Review ��__� Water Supply 8�Storage(WAC� � —�„�.., MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Perrr�it&Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Traii Dedication C3ther: Water Quality TOTaL��•� Page 2 of 3 i �.. # Use BLUE or BLd�►CK Ink � For Office Use I • ��) ^,/ Q ' ��a��1�� N� "' "'- C�/f I��! � � Permit#: � ��t of ��. an :�� ' � Permit Fee: I 3830 Pilot Knob Road �"�� ,� � ZO�4 � /� �, ' i Eagan MN 55122 I Date Received: � Phone:(651)675-5675 �, I � Fax:(651)675-5694 �;'��y _ ��=—F------, _� � I � Staff: � � ( ? �� .SSSIL �'� L------ ________J 014 FIRE SUPPRESSION SYSTE S PERMIT APPLICATION* Date: Site Address: � V� . �� Tenant: `- (Z.� Suite#: �� 'i _ :' Name: Phone: R1'Ci��l'�illlE,t��1` �. �- � ��}� o .� Address/City/Zip: � � L,�,�.,�S � Z �,�"' ' Applicant is: Owner Contractor � ��,� Description of work: �� '' Construction Cost: Estimated Completion Date: i 7='C!► .� c�.f--- r-- r-- Name:�.y9-w�.�- #--��- a� �il,c�1�License#:� �� `� ; "� � �'` /� � � � 1� � � /�� ' ��i'�C��Ot' Address: .�J�� l"'P.�'"�i'c�.1,1 tL � �U City:�'�'1� 1�fe.�,f�,�1 � State:��Zip: �j��['� Phone: b� " � "� � '': Contact� Email: ��(� FIRE�fRMIT TYPE WORK TYPE ✓Sprinkler System(#of heads�) New Addition _Fire Pump _Standpipe _Ar Iterations �Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residentia� Educational FEES � � --� Contract Value�.!Y �� x.01 _$ ��c� $55.00 Permit Fee Minimum "-"" Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 �� ""If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ '�j '^'"'' Surcharge* ""'"If the project valuation is over$1 million, please call for Surcharge pta _$ '—" TOTAL FEE 3/4"Displacement Fire Meter-$260.00 =$ � A Fire Meter _$�� TOTAL FEE *Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby appiy 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 i acco�dance wit h pp�oved plan in the case of work which requires a review and approval of plans. x�_`\��h.-� x Applicant's Printed Name canYs Sig . k � �� • �� ...��I\i�/4:�Y.�: '... .'. . .. .' ' � ..�.,,,; ��. 't�k�!��t�r�i�a��r[a��vs Hydros�ti� Ftt�uu Ak�rm': ' Brain T��t �Fi�eagt�In 'I'rip F'u�p Test- ' C��trai S#atii�n. E/. �rr�a# ' ��ndi#ic�ns af.l�su��c:�: �� ___!� P�rm�-#��ari�rn�d by: _ . C�at�; f f � �