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1868 Sapphire Pt 1 N62 , 156 4 rll~ `e>O (p 1 `btaS, 116-701 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use f I p f Ea ~11 I Permit 5_[ I City of n I t ~D I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 1 Date Received: Fax: (651) 675-5694 Staff: i-----------------112 2013 COMMERCIAL BUILDING PERMIT APPLICATION g tc.~1► Date: 1 d~7 VS Site Address: t-~ 1 r Tenant Name: o l (,tatlc^ kom$(Tenant is: New / >1 Existing) Suite Former Tenant: ~ Name: D;mfN (-on5\6w5 X VMo►S wn~ gaCdc,n Iror•c5 Phone: 9Z) 43a- 8979 Property Owner Address / i City / Zip: r. ©X J X105 G hojv% N~ M 55-0 (a$ Applicant is: Owner Contractor Description of work 1 Ac- Orr- Govt GK l'l~rat S . nh Ct,OA~ C- Type of Work Construction Cost: H5, ~o Name: O y cov0(%x i d License AJ 1 01 Contractor Address: ~kojv\At c- a%JL City: IOsL ("~o~h State: M k) Zip: 175-069 Phone: -'-NA0C-,G ~J• I ' ;Z Ll 9 6 Contact: L't") i Email: ~cljt v ~-ek~ tC: od'S G=o(1 Name: Registration Architect/Engineer Address: City: £ 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 the 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 review and approval of plans. x O x 36 Applicant's Printed N e Applicant's Signature Page 1 of 3 For Office Use EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email:buildinginspectionsAcityofeenen,com Staff: Commercial Plan Submittal:eolans@citvofeaqan.com L ..4 2018 MECHANICAL PERMIT APPLICATION 1: Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive ,,,,,,, ,,,_ Date: ilKoky 03 24c5Site Address: 1S6g 51.11 fin gu-R- 1A)(717+-- . ..c,54fastil‘ Tenant: Suite#: - ' Name: stc...i (A 9 4Lga 3.3g Resident/Owner Phone: dr ...* ,i- , ._ ,,,. ___.sii8C1clisoStit sp11)1vt''{'I Address/City/Zip: _ _ ..._ ep 1,4,04.11,— _ A . A Name: (....mr.4- fr't tiA-Atl-rt.;-4-1 i". 6LLicense#: al-6, ss..) , AddresL City: 5 kokixtu j Contractor State: WI iok Zip: A.1 'a.4 d Phone: 65/1/4. 681 ,119.1_4 Contact:.16.116150.40s ..\ Email: New -"-Replacement Additional Alteration Demolition t fat (.44.. ... f-ok44,10 6,,e.k it-4A-C42441 Agie---- Type of Work Descripbon of work: ,..... NOTE*.Roof mounted and g ound mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Vurnace New Construction Interior Improvement I/Air Conditioner Install Piping Processed Perm it Type Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install!___Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 26,.. C x,0.1 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 60, 6z, 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'.ww.citvofeaqati,comisubscribe. 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 e in accordance with the approved 1\iplan in the case of work ich requires. -view and approval of plans.. P, .... ... it , .. x .... ....a...... - - .0.4:fet Applicant's Printed Name OA(c.:-,4:I 1 y Applicant's Signature 1di FOR OFFICE USE By: Required Inspections: Reviewed Date: , .., _, ..... ------ ,,n,,arrirro IA,. ....NI led,I., 6;_..r.......4 n.....- n_-,