3925 Eagan Outlets Pkwy Suite 910 - Pendleton Woolen MillsCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVE
MAR 1 1 201t
Use BLUE or BLACK Ink
For Office Use
/2/337
Permit #:
Permit Fee:
Date Received:
t
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2014 COMMERCIAL BUILDING PERMIT APIDLICATION
Date: .3 // Site Address•
00
Tenant Name: /'e,? di 004 t c /e r, Pair
(Tenant is: )( New / Existing) Suite #: C1/61
Former Tenant:
Name: 'o C��aT�� / P4 /in e Phone: WO/ Fr,Sc.; ` /S79
Address /s City / Zip:/ 2/7 4- , etc/t;.1aed 5/,
Applicant is: % K Contractor
Description of work: /t„uly✓ A,.....,1 4c/ Orr
Construction Cost: /05; 0/
Owner
Address: 11313 3214 .,I, N.
City: L ci/ e Elm 0
State: ("iM %Zip: ,j,SO412 Phone: 6S/ / 70'/ /70i
Contact: P [` /te 7";jLc a Email: m ie3'ke 0 re//i, co0.544,c2 i j„ cool
Name: Don eon C.c) ,L.Sw tT v /I/a ecr Registration #: 2y 9.9
Address: �-� -5 1OF edf d r2' P»y -#300 City: 6-rc pe v1 e
State: TX Zip: 74 05 / Phone: W7/V/0-2 .F5-63
n,
!'e4•+ Email:
Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
d supporting documents that: you submit
lay, be classified as nor public if you provide sp c.
conclude that they trade sec
NOTE: PIS
the inforrnat
d to be public infoe tti o. Portions o
reasons: that would pit "the City to
CALL BEFORE YOU DIG. can Gopher State One Cali 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 r quires a reviey/,dnd approval of plans.
x 'ihJ /msskeI)/
Applicants Printed Name
Applicants Signature
Page 1 of 3
r
39(„-s- 640,,, D IL k 7
DO NOT WRITE BELOW THIS LINE
124537
SUB TYPES
_undation _ Public Facility
Commercial / Industrial _ Accessory Building
_ Apartments _ Greenhouse / Tent
Miscellaneous Antennae
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100% kij
Census Code
#of Units
# of Buildings
Type of Construction
/Interior Improvement
_ Exterior Improvement
Repair
Water Damage
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Occupancy
Exterior Alteration—Apartments
_ Exterior Alteration—Commercial
Exterior Alteration—Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
Code Edition X60
Zoning
Stories
Square Feet
Length
Width
Roof: _Decking _Insulation _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test Final
(/Insulation
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
$heetrock
/'Final / C.O. Required
Final / No C.O. Required
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: u/Yes No
Reviewed By: Nl t b- L' , Building Inspector Reviewed By:
, Planning
COMMERCIAL FEES
Base Fee /, 094 , `f
Surcharge S3 , DO
Plan Review 7 1 0 , aq
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Quality
Water Sampling Fee
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL
/ $-"G . 07
Page 2 of 3
Use BLUE or BLACK Ink
For Office U j
I
1 oCf on >Y I Permit
li ' RECEIVED i Eaed
3830 Pilot Knob Road Permit Fee: -IU
Eagan MN 55122 1
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 I 1
Staff:
2014 MECHANICAL RMIT APPLICATION
NJ Please submit two (2) sets of plans with all commercial applications.
Date: `ty Site Address: q(5 LaGAP 6LtT105 ?A k / q
Tenant: F711 kkILLS
Suite
Resident/Owner f Name: Phone:
a
Address / City / Zip: p
Name: ' MM E~'bul -f l P3&L AwD
AJS~ /g)C. License 0 /Yl (3~1 ~f~
Contractor Address: 2"20 C712.t?~IWAq AVQJIkt; City: ~OkE6T L14~: e
State: Ak)_ Zip: 25=K Phone:
Contact: N l CS Email: GZWIQb C-RiJDN- com
New Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground 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 C_ 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 Q
Contract Value $ y rJ ` ~ ,01
$55.00 Permit Fee Minimum
-$70.00 Underground tank installation/removal = $ 0045
CST Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, 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.
xj`J i~
Applicant's Printed Name x-~°~
Applicant's Signature
FOR OFFICE USE
Required Inspection Reviewed By:~ Date: ` f
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
IM' For Office Us I
lT I ~I, Permit I
City o Eapn RECEIVED `j
f I Permit Fee:
3830 Pilot Knob Road 1 I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 'm 20% / I
Fax: (651) 675-5694 Staff:
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address: 3965 CR&I O fLCIrS ~eKU/At9
Tenant: -?AbW% WODL OV /I'll U-S Suite
Property
Owner ; Name: Phone:
Name: (?-b l.ll1(i iPVL P(AAM AJAr AND f[MjQ4blicense fLl Dsq 40
Contractor Address: QeeauwW Ayp- City: - Flogg6r L-I State: _ LZip: ~5425'
Phone: &SL c{ro~f .2~t Email: aWtL' kS@ e" pl-nA. Cott)
.s j
Type of Work j -New _Replacement -Repair _Rebuild X Modify Space - Work in R.O.W.
Description of work:
COMMERCIAL _ New Construction J/ Modify Space
Irrigation System yes no) L RPZ PVB)
• Rain sensors required on irrigation systems
Permit Type . Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
_ Meters Call (651) 675-5646 to verity that tests passed prior to Picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes No
.L
COMMERCIAL FEES Contract Value $ § ~.5'?~ -X.01
$55.00 Permit Fee Minimum
_ $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ 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
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEE
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
start without a permit; that the work will be in
Eagan; that I understand this is not a permit, but only an application for a permit, and aplanns
accordance with the approved plan in the case of work which requires a review and approx x
Applicant's Printed Name A
pture
FOR OFFICE USE Approved By: Date: fc~
Required Inspections: ynder Ground Rough-In VAir Test _Gas Test Final PRV Required: -Yes No
Meter Related Items: Meter Size Radio Read Staff:
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