2217 White Water Way
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Use BLUE or BLACK Ink
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I For Office Use 1
1
I Permit ✓ Sn~~ 1
ity of Eap
1
I Permit Fee:-5,9 . 0 0 1 /
3830 Pilot Knob Road I .V/
I
Eagan MN 55122 I
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 j Staff: 2 I
i-----------------1
013 BUILDING COMMERCIAL PERMIT APPLICATION
Date: "qVj Site Address: a!L 2 t i1 t
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
y'i' v-f or Description of work: tom. L '
Construction Cost: :,7 ~ e
1 f
License
Name: .t
Contractor Address: - City:
f
State: Zip: Phone: _y a
Contact: - Email:
Blame: Registration
Arch itecdEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
DOTE: 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.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 -eview and approval of plans.
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Applicant's Printed Name Ap'P ant's Sicanature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use C�Permit#: / (00 (70g
0g
* City of� ��� Permit Fee: 6°0,
3830 Pilot Knob Road
Eagan MN 551220_.2Lf_1
Phone:(651)675-5675
Date Received:
Staff:
J
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: 9/15/2017 Site Address: 2217 White Water Way
Tenant: Suite#:
Paula Peterson 651-983-4968
Resident/Owner Name: Phone:
Address/City/Zip: 2217 White Water Way, Eagan, MN 55122
Name: HomeWorks Plumbing Heating Air License#: MB725117
Contractor
Address: 1230 Eagan Industrial Rd. #117 City: Eagan
State: MN Zip: 55121 Phone: 612-400-9020
Contact: Hailey Vorderbruggen Email: haileyv@callhomeworks.com
New X Replacement Additional Alteration Demolition
Type of Work ? Description of work:
I ROTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
,. 'Code. Please contact the Mechanical Inspector for Informationonpermitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Permit Type —
yp Air Exchanger
9 Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/_Remove)
1/ Other Boiler
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$60 TOTAL FEE
CONiMERCiAL FEES
Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
1 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordin ces 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 st, wit gut a permit. at the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x Hailey Vorderbruggen �������
Applicant's Printed Name -pplicant's Signat re
FOR OFFICE USE
Required Inspections: Reviewed By: _ , Date:
Underground ' Rough In Air Test > Gas Service Test In-floor Heat Final -HVAC Screening