4552 Villa Pkwy
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit 5 0;?
City of EI Permit Fee: 1504 . OAS
3830 Pilot Knob Road
Eagan MN 55122 `
I Date Received: 1~ ~ I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I
t-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: j 3 Site Address: -5 th & Px,-YW - qJA I of /I
Tenant Name:cr/,!G S (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner U00 1 1~1~'l ~zio y PDu
Address/ City /Zip:
J Applicant is: Owner Contractor
Description of work: f1 h t :5 J I h
Type of Work > fj'
Construction Cost: ?2 v r V
Name: 6 `Qf.Aen U License /3q6
I
Contractor Address: a) ~ ~l> /71/G / It t City: (3"y 1 d e'i V
State: n Zip: s5C . Phone: J3 0 0
,f
Contact: V '`4 /'j,4/Pk-7 Email: UQ} j -erA,,, 6 0 , C 0
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
i
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.ora
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 ~V/ / fpl x
Applicant's Printed Name Applica is Signature
Page 1 of 3
r '-.
For Office Use J /�
t : Permit#: /sec! ( C.-
E AG.,� A N Permit Fee:
�. Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 rPayment Recvd: Yes No I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspections ar7.cityofeagan.com Plans:_Electronic Paper I
Plan Submittal:eplans aC�.citvofeagan.com
2019 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ 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: 11/07/19 Site Address: 4552 Villa Drive
Tenant: Erin Place Family Townhomes Suite#:
Property
Owner Name: Dakota County, Nick Sisterman Phone: (651)675-4480
Name: Norblom Plumbing License#: 643133
Contractor .Address: 1465 Selby Avenue City: StPaul State: MN Zip: 55104
Phone: (612)827-4033 Email: service@norblomplumbing.com
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: Replace water heaters in units:A, B, C, D
Type of Work Irrigation System( yes/_no)( RPZ/_PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices? Yes No Flushometers_Yes No
COMMERCIAL FEESContract Value$ 3200.00 x.015
$60.00 Permit Fee Minimum $ 60.00 Permit Fee
$60.00 PVB/RPZ Permit(includes State Surcharge)
$ 1.60 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call City for Surcharge $ 61.60 TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service. $
Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State 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.citvofeaaan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
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 Jeffrey L. Norblom x2
Applicant's Printed Name A icant's Signature
Page 1 of 4