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.
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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