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City of Epp
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 #: 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
specRwTS
41/r. City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Fob Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: <2'"" 7 ' / 2/ Site Address: ' D C Przs )A 6 t /
Tenant: E1 \ 2 e- ` "144 ied 5
Suite #:
RESIDENT / OWNER
TYPE OF WORK
Name:
0)7 a _betk,u-�,���
Address / City / Zip: 4 l(j c VL
/
Applicant is: Owner iC Contractor
Description of work:
Construction Cost: Multi -Family Building: (Yes /No
Phone:
5 c0a/ A(\I
Coit -21g 6, Pie. Re-Pt-Web/reef
CONTRACTOR
Name: 1e3 f jj/ r ri Carr I- :._ License #: Z.031/24"5"2--
Address:
b24"J2--Address: Z3 82- t%o%o dia'
City: r-® /1 4'/y///7? r? State: J Zip: o`�
Phone:
b6/- 10//C ) (0/ c / i Contact Person: Ze/ "l A5/$2I ?.5!? 4/:5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 — Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes __No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are'considered to be: public information: Portions of
the information may be classified= as non-publl c if you provide specific reasons that would permit the City to
conclude„ that, they are<trrade. 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 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
foccordance with the approved plan in the case of work which requires a review and approval of plans.
I►.1/.
•
S6dg 1461
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
RECEIVED
MI 91115
Use BLUE or BLACK ink
For Office Use
Permit #•
cc��'��
Permit Fee: (DO- CO
Date Received' 0 - I -
J'I
Staff&
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Oa (i 71015 Site Address: 221 (o 1-043
Tenant: Suite #:
Name: ( gt.N..A. L ' Phone: (.S i--)Lia--7-06,
ResidentlOwner
ontractor
Address / City / Zip: 22 16
Name: MINNEAPOLIS -ST. PAUL PLUMBING, HEATING & AIR License #: MB003372
Address: 640 GRAND AVE.
City: ST. PAUL
Type of Work
Permit Type
State: MN Zip: 55105-3402
Contact: Daniel K. Vopava
Phone: 651-228-9200
Email: PERMITS@MSPPLUMBINGHEATINGAIR.COM
New /Replacement Additional/Alteration Demolition
Description of work: AZ`f� el N n ice
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
/Furnace
V irConditioner
_ Air Exchanger
Heal Pump
Other
COMMERCIAL
_ New Construction Interior improvement
_ Install Piping — Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install /_ Remove)
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)
1 COMMERCIAL FEES
jjj $55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5,00
1 "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
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a penni
with the approved plan in the case of work which requires a review and approval of plan
9--A 00 TOTAL FEE
Contract Value $ x ,01
_$
=$
x j� c.►�► J&pc
Applicant's Panted Name
Permit Fee
Surcharge"
TOTAL FEE
noes and codes of the City of
e work will be in accordance
nt's Sign
FOR OFFICE USE
Required Inspections:
Underground Rough In Air Test Gas Service Tes# _� In -floor Heat Final HVAC Screening
rd Sy:
Date: