No preview available
 /
     
1981 Ruby Ct N ~1~a, ~1~4 ~~tla~, ~14~, g15a, X152 v~rr ~aurn ~ 101 6'7 IZU,6t C,"We BLUE or BLACK Ink I For Office Use Permit GQ n o n J_`6- City Ol EQ Qll Il I S I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I I I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I L----------------- 2013 COMMERCIAL BUILDING PERMIT APPLICATION - 12 UY1 t tS Date: '1 d17 Site Address: yv gvCr are. Tenant Name: Coe ftj 0,1 (;,.,1 ko+nt$(Tenant is: New / i`-, Existing) Suite Former Tenant: a Name: D;MtN C.or%ho.,s ;L \j%kk&s ot^j !~gCL,& "S Phone: AS*A- 4 3 a- 817 9 Property Owner Address/ City /Zip: ?b D42X N>3 et ho\)V% (of? Applicant is: Owner Contractor Description ofwork~eac- Oicr Qnc- (,oo~ a!, C1~rar 5 .vh Ct ^'C` Type of Work Construction Cost: b~~q Name: O T License \J .C~ 1 t et a a Address: ~Aojv lee, o•vL City: q 10!5C_ 0jV%A- Contractor State: M ~J Zip: ';J5'0(~sn Phone: !Tcs-l - 21 ;L` ~ 9 (as o~`J . G.of1 ? Contact: LG-► Email: ~f j kd V ek( e, 6 Name: Registration Architect/Engineer Address: City: State: Zip: Phone: a 2 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 y 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.got)herstateonecall.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 Lc~j_ I o V x - r}nu. - Applicant's Printed N e Applicant's Signature Page 1 of 3 ---Use—B_L_U_E_or_BL_AC_K_Ink For Office Use I '4001ity Of Eapn Permit#: E � I I 3830 Pilot Knob Road Permit Fee:I � Eagan MN 55122 Phone:(651)675-5675 I Date Received: Fax:(651)675-5694 I I I Staff: L----------------� 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: 2 � ' f Site Address:_ 11$ I North &N CT E0 qa n ,lYN 551 Z Z Ll Tenant: Suite#: Resider f l trlllter. Name: brow n Phone: 95Z- 393' 9 O 2 Address/City/Zip: D r�`1 K �J( Cl �� (Zl') �j Z Z Name: License#: y90 d/V 0Wrnz- Address: 300 City: 1�OuI h El• 1pC(CL 2 State: M V Zip: 6 07`5 Phone: 0 p0 JH�"1) Contact: ��r a Email: �rQY I l��G (OM I7 S a a m New Replacement Additional Alteration Demolition Type of W0►II r Description of work: la C e Tll r n a Pi�i fl a.091+ , 4 R-15-1.91 RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement P @CC111Jt- _Air Conditioner Install Piping Processed 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 //�� $100.00 Residential New, includes State Surcharge =$ lJJ0, DU TOTAL FEE COMMERCIAL FEES Contract Value$ X.011 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ 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 La o,kl 6 t,, D(V x t da4,d_,� &-aA Applicant's Printed Name App Want's Signature FOR OFFI�'USilr #I I „f 3 I Required Mspeor�s,. t# li4jil �f y