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City of Epp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
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Use BLUE or BLACK Ink
For Office Use
Permit #: 1 13 Co
Permit Fee:
Date Received: 13
Staff: .813
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: q-5- Site Address: .3ai)slami3onix,ofia,aitod3lgD
Tenant Name: VZ°C* Eif e- ant is: New / Existing) Suite #:
Name:
Former Tenant:
Phone:
Property Owner
Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: -7/ 53q t
Contractor
Name: L..--Ce...tjt
Ete LI
Address:
State: /fj: Zip:
Contact: „;
Phone:
License #: pfv,
City:
Email: t
Name: Registration #:
Address: City:
ArchitectiEngineer
State:
Contact Person:
Zip: Phone:
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
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.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.
1 I UV- V1/7)
Applicant's Printed Name
x
kip ant's Si nature
Page 1 of 3
:>peA-(07)3
41/`. City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office U_ se / '
Permit #: ( `""
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 02" 7 / I/ Site Address: �`) `f O)C jl '''keAs tA)a'y
Tenant: 74r)d 'erg / 75
/Name: /lIICI{is /. ,%%'7..5{'
/V %4# 84Pf4- 4� 1,1171
Address /City /Zip: }�
Applicant is: Owner X Contractor
RESIDENT / OWNER
Suite #:
Phone:
�Oft2�l12'
TYPE OF WORK
CONTRACTOR
Description of work:
Construction Cost: Multi -Family Building: (Yes-/ No _)
Dec‹. lei r=1'Ul/fieri
Name: ere,3 f icrl,oc.3 License #: Zoc77` '512""
Address: 2 23 92- CA /fit," --171-444 /t/live
City: Ca -7-77.7 % % ,1 State: /Y!/7// Zip: 64
Phone:
1p, / - Z e7/ tg/ i Contact Person: Z e) / `.e 5/ 9061/".5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code
Category
(I submission type)
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered toy be public information, Portions of
the information may be classified as non-publie if youxprovidtle specific reasons that would permit the City to
conclude that are, trade'secrets.
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 1 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
Applicant's Printed Name
off /��rn7
x
Applicant's Signature
Page 1 of 3