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3442 Denmark Ave Use BLUE or BLACK Ink S For Office Use I a r ~ I Permit City U rr ` I I of Eapn 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: ' Fax: (651) 675-5694 ~ Staff: - 2013 - - J MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Doh ,/Y)GiAe Tenant: Suite Resident/Owner Name: ~c✓1 Phone: r Address /City /Zip: Dain /YI Gtl~ ~ 1 4 Name: Ay ~Gt.S(~ ~-fyys License Contractor i Address: 45,xcila"cg~,s city: SSA State: dLl~ Zip: 75 Phone: Contact: Email: New X Replacement Additional Alteration Demolition I Type of Work Description of work: "to /Q 1,1 f , NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City a Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL i Furnace New Construction Interior Improvement Permit Type € -Air Conditioner Install Piping Processed -Air Exchanger _ Gas ` Exterior HVAC Unit [ -Heat Pump Under/Above round Tank Install / Remove - 9 - ) - Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES al- Contract Value $ 0 X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee *If contract value 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 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 sta ut 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. xlrcz Applicant's Printed Name plicant's Si FOR OFFICE USE Required Inspections: Reviewed By: Date: r' LI Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use 7 0 J Citnon y of Ea I Permit#: R-C~,IVcD v►~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 APR 2 ~ Zo~~ I I Date Received: 7 a- "l I 1 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: - Z.~; ` site Address: 4Z L.,~. Tenant: -Zr7-~. 1141) Suite Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Axn>l 1 I`S T©( [.6,717 Construction Cost: Estimated Completion Date: Name: &E^'60-A`-- 'SFZJ LC94' License # d Z Contractor Address: 4a~3 City: WH LTS State: 141-) Zip: Phone: _ s - !5 L Contact:. ' R5,lZ4zAtJL-T Email: peryaLk ftep rcef-cwt sr~r~ lzj~Y FIRE PERMIT TYPE WORK TYPE KSprinkler System of heads _ New _ Addition _ Fire Pump _ Standpipe Alterations _ Remodel Other: Other: DESCRIPTION OF WORK: Commercial _ Residential _ Educational i FEES' a Contract Value $ X.01 $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 = $ Surcharge* ***If the project valuation is over $1 million, please call for Surcharge c~ ..u _ $ TOTAL FEE 3/4" Displacement Fire Meter - $260.00 L-1 /A Fire Meter 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 x Applicant's Printed Name Applica s Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by 1 Date: / C~ C / I q