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~~p nT j Permit V ✓ I
City of I I
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I I
Phone: (651) 675-5675 I Date Received:
I
1
Fax: (651) 675-5694
Staff:
- - - - - - - - - - - - - - - - - J
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with la~ll commercial applications. -
Date: Site Address: ` I9 '-t ® ~Y ~ ` (Y1 I J
Tenant: W A , ` n 4- fYV ~ r ark d 4L ~ h 6 y 4!~.r Suite
Name: W LC, °i' R1t f6 nCt.a J 1 11/ x' Phone: Z^ ~ ' C
Resident/Owner
Address City / Zip: i r~
Name: li ny Ul~~~ Y- License 22Z 0~® ~
Contractor Address: 1 ,9,l 011 4 U pp~/ f~"CGL:~`1 I12~, ~'-yW i l b can S T' City: A6( sA-1 iFFn ~i
Stater t zip: 55 ()-;S'3 Phone: L.C S1 - 431- q Z.~v1
Contact: Email: rYt(.VY~G~~C I-Soy)@ CI`tA~6 U_y(X1' . COO
New Replacement Additional Alteration Demolition
Type of Work Description of work:
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 _ New Construction _ Interior Improvement
Permit Type XAir 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) oo
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) 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.aoaherstateonecall.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 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 t -C- y"vl 1 t~S C~YI x C~
Applicant's P nted Name Applicant's "g attire
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
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Use BLUE or BLACK Ink
1-----------------,
1 For Office Use I
I
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co of Ea I Permit
all I ~ I
41
16 I
Permit Fee: 0
3830 Pilot Knob Road 1 ' l 1
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1 1
I Staff: 1
Fax: (651) 675-5694
20013 RESIDENTIAL ~PLUMBING PERMIT APPLICATION
Date: Site Address: ~I 4/V a/- Vt--( r 1( 'P
Tenant: Suite
Resident/Owner Name: vim-re o Mn , k,Vt'w Phone: (012 - (l,W J ~ `f
Address/City/Zip:
Name:tCC)YtVwYtiS : DPA jQ vj t' ► License M ou 4's t)
Contractor Address: ~ VfkMf ll a n City: Aft V-~
State: Zip: SIS033 Phone:
Contact: Email [f I~~6 Y~~ bye ~1 E
Type of Work - New 41eplacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
~ ~ RESIDENTIAL
Z Water Heater
Water Softener
Permit Type Lawn Irrigation RPZ PVB)
} Septic System Add Plumbing Fixtures Main Lower Level)
i ~
_ New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.gor)herstateonecall.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 start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires as review and approval of plans.
' '
Applicant's P Anted Name Applican Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
I°t38, la~o, 1842. l°l4
Use BLUE or BLACK Ink
Wt re
q,S i For Office Use
City of nano n Permit ~j' \ S I Permit Fee: • Coc) i
3830 Pilot Knob Road l 'S Qx I
Eagan MN 55122 I l
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 j Staff: j
L-----------------I~
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ~ 27 Site Address:
Tenant Name: tS at'1 comow5 a1 ~ ~v
.i►1~u5 ol ~ar srl ~lor+t,S(Tenant is: -New/ Existing) Suite
Former Tenant:
F - cf
7
Name: LoC1~10wS V~~~aS ^4 %0,rt <4, "s Phone: 95a1' 4 3.A- 81 7 7
Property Owner ~ M&I 5,6-0 (0
t ;Address /City /Zip: RO.SGh
Ok J oJr~
Applicant is: Owner Contractor
g Description of work l Gore O ~c- - Cc~y~ GK C1~rar 5 ,*a • ^h C-
Type of Work t 1
Construction Cost: 7 $ . 5 a
Name: O (_0VX ~ ('JAi o License \J 1 t of
Contractor Address: City:
I
State: Mk Zip: '750(69 Phone: `c s ` ;Z I;L ` `1 9 5
Contact: L J I Email: ~G✓t ~d "1'e~~-`Ci o~'s. C~-c~r1
Name: Registration
i
Architect/Engineer Address: City:
i
g State. Zip: Phone:
t
t
Contact Person: 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
I the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.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 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 L,~, I g*!!N\_ x - r}r~
Applicant's Printed N e Applicant's Signature
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