2144 Water Lilly LaneaV64 D--13149 /2_130
&AAA <Piikto P-148 v30,,W.r
For Office Use
Date:
Use BLUE or BLACK Ink
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #: 13 to 0 9
Permit Fee: (06115 • 5o
Date Received: 9 /5 /
Staff: 8T5
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Tenant Name:
Site Address: 34, .13
tApalic th
Property Owner
Type of Work
Contractor
7Igto 2 4
(Tenant is: New / Existing) Suite #:
Former Tenant:
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
...-- ..--
r:
Description of work: 9...e..) 'k- ,, ----, g..c.k.4 t '1-1 C.' C C- -• N f '
Construction Cost:
Name L k 1„,4
7
2 6e uity:
License #: !Alt
Address: L7:,..-.):::),))) (,) fr;
State: iiqfk, Zip
ett ittt
Contact:
Phone:
Email: 72-2'21
Name: Registration #:
Address: City:
ArchitectiEngineer
State: Zip: Phone:
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
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they aretrade 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.popherstateonecall.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 ofysgc which re uires a review and approval of plans.
x
Applicants Printed Name Ap nature
Pagel of 3
zn60-ity)34,1111* ��10
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For attic e;USe
Permit #: 1Z_ L<5 1
Permit Fee: L(1.)
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 Site Address: U' Idol- 3 �"l.5rck/
Tenant: g/7 q L 'aif f- / 1 �l y /4
`I {l
Suite #:
RESIDENT / OWNER
Name: 1-14 dA J A 5i G"' / Phone:
Address / City / Zip: 2/2/ q , Wl.tjer / J / /et /'1 e
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 6Gt. v-ia e C/OO/ !�,°�ila df'1
/
i . ,,
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Name: eilfS x/ / /I2f.S LL License#: ‘,..54/ 2-2--
/
Address: 2 9-J ? ell t72/a Rini c a /? /
`
City: �°""iI-`t�ir?/ n?k .on/ State: '4i/1/ Zip:..-ezy.
/
rG I c if 6$— fly 9�
Phone: ��� 7�a0 �O � Contact Person: t�
COMPLETE
Energy Code
Category
('1 submission type)
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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.
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
t"ccordan with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
evk
Applicant's Signature
Page 1 of 3
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: / / / g '
Permit Fee: (Co. OD
Date Received:
Staff:
L
2016 MECHANICAL PERMIT APPLICATION
n Please submit two (2) sets of plans with all comJ4Ii
pplic ions.
/717--
Date: ' / 7-- / 4 Site Address: ,� !, l 4� t`
Tenant:
Name: /I 010 �S
k
Suite #:
Phone: 1 J41-7)7.7
Address / City / Zi •: `I L� / ` 1-
Name: irs
.. ,' license it
Address: J . 11Aea60 City: P6
6
State: ; Zip: � � ���� Phone:L�J � - f9 (,7
Contact: L4ti 1 _ is , ' _i Email: I (t
Additional Alteration
:4 3'4)0' 661' t.
roof:mounted nd raaun
e. ease ontact he Mec
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
RESIDENTIAL
rnace
Air Conditioner
Air Exchanger
Heat Pump
Other
niial
peri
Demolition
a
anrcal equipment is cequiredito be +cn
Ec r information:ons# ermittedwscreenin
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install /_ Remove)
=$
Contract Value $
ny
thoi
TOTAL FEE 4-6
x .01
Permit Fee
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 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
x
Applicant's Signature
',FOR':OFFICEUS`E
Required ,inspections: Reviewed y: Date:
:Underground Rough:In" 'Airiest Gas Service Test In -floor Heat Final
"HVAC,Screening