3925 Eagan Outlets Pkwy Suite 920 - Cosmetic Store Use BLUE or BLACK Ink
For Office Use -f- -
Q
d~- City of Eap I Permit I
I L0/1~3
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 PE.CENED I
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 675-5694 APR 1 J 2014 j
I Staff: I
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2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: /GS Suite C~
Name: /I ~l~C`' ~1/i~YIE' CS / ~>11G~ Phone:
Resident/Owner
Address / City / Zip:
Name:',. l License
Address: 7 % V/ ~ c= City:
Contractor _
State: r Zip: S L~ Phone: f o~ r ~1 -3 f22
i Contact: ,4~ J Email: O ~C
New Replacement Additional 'Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and groun mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type 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 $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal 70- Permit Fee
"If contract value is LESS than $10,010, Surcharge = $5.00 j ° Surcharge*
"if contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
"""If the project valuation is over $1 million, please call for Surcharge
TOTAL FEE
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
Applicant's Printed Name ant's ignature
FOR OFFICE USE
Required Inspections , Reviewed By: Date: I 1 r
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening