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4558 Villa Pkwy Use BLUE or BLACK Ink r I For Office Use n Permit I 150 Q City of Ea J b I Permit Fee: • D15;_ 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 I Staff: I I L-----------------I 2013 COMMERCIAL BUILDING `/PERMIT APPLICATION Date: q/jqjj3 Site Address: 1A 1(4 10 w Tenant Name: bed or 1111IU S (Tenant is: New / Existing) Suite Former Tenant: i Name: Phone: ~l p Property Owner lJ ® /,L„~ p/ „J Gr d S, /~d Address /City /Zip: y " Applicant is: Owner Contractor Type of Work Description of work: A00f I ti r i I h Q} Construction Cost: Name: License Contractor Address: City: 6-o/ d P.► to It {`'7 State: M n Zip: S5 t/ 3' Phone: ~763- Contact: • Il ,4\ v11 Email: Name: Registration Architect/Engineer Address: City: i State: Zip: Phone: Contact Person: Email: i Licensed plumber installing new sewer/water service: _ Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of j 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 171'1,C `U( fpn x Lyz~ Applicant's Printed Name Applica is Signature Page 1 of 3 r For Office Use i ; r Permit#: /�j° tI� E AGA N Permit Fee: Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 rPayment Recvd: _Yes _No (651)675-5675 TDD:(651)454-8535 l FAX: (651)675-5694 Email: buildinoinspections c(�citvofeagan.com Plans:_Electronic Paper Plan Submittal:eplanstc7i.citvofeaaan.com I 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: 4558 Villa Parkway 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 Selb Avenue St. Paul MN 55104 Selby City: State: Zip: 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 FEES Contract Value$ 3200.00 x.015 $60.00 Permit Fee Minimum $ 60.00 $60.00 PVB/RPZ Permit(includes State Surcharge) Permit Fee $ 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. Jeffrey L. Norblom Applicant's Printed Name Ap ant's Signature Page 1 of 4 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173686 Date Issued:11/24/2021 Permit Category:ePermit Site Address: 4558 Villa Pkwy D Lot:2 Block: 01 Addition: Cedar Villas PID:10-16900-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cedar Villas Lp 1600 Hopkins Crossroads Minneapolis MN 55305 Erickson Plumbing, Heating & Cooling 1471 92nd Lane NE Blaine MN 55449 (763) 783-4545 Applicant/Permitee: Signature Issued By: Signature