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Suite 210 - Van Heusen
Use BLUE or BLACK Ink My f For Office Use of E I "314 1 v` 1 Permit o) 0 ; 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 R I Phone: (651) 675-5675 Date Received: Q ; Fax: (651) 675-5694 1 I 1 Staff: 2014 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. tio Date: J +"A ~ Site Address: ~3 ~ ~ •r, Lc-r ~~w°1 ~ Z~ c~ j Tenant: Suite :.i gn, ` Resident/Owner Name: Phone: Address / City / Zip: i Name: ~c~ ~ct~•e-rv~ , .1rt- License* r~~~w~cyzrt Contractor Address:. A City: State: t~Nk--l Zip: 5 5c~~°L Phone: L c t -~3c5 - `atZ Contact: ~c A. TIC Email: c New Replacement Additional Alteration Demolition Type of Work Description of work: 1] epc ~s~.-rs 5 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 i _ 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 Permit Fee $70.00 Underground tank installation/removal = $ "If contract value is LESS than $10,010, Surcharge = $5.00 = $ Q 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 = $ ! 6 TOTAL FEE 1 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 Eli, A. 4M%i.,5 x 4 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections- Reviewed By: Date: Underground In Air Test Gas Service Test In-floor Heat Final HVAC Screenin 9 City oTEapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 h���,� 2014 FIRE SUPPRESSION Date: Ji(A"/ Site Address: -4045- Tenant: Van #C Lis eft yt)T RECEIVED MAY 0 a 2014 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: SYSTEMS PERMIT APPLICATION* azgaii Dec- ) vifwCcy Suite #:� J Name: Phone: Address / City / Zip: Applicant is: Owner Contractor /� a s1 rg /5 ea he Fe� d�,� c� ce l Description ofwork:.Of)3 .P/ 0 oh c )2� rprewa, ne 72 hew 6W leaf e'aldtq Construction Cost: (00. Estimated Completion Date: gist ) Name: /Meat en,t mile ) ()l e& -g!/ l License441c/kJ'?) #: C�pg Address: /3 765 t /l1%2 WO City: State: ice" Zip: J 5 t 7 / Phone: 10 dia 05 (0 Contact: FIRE PERMIT TYPE )(Sprinkler System (# of heads/) Fire Pump Other: Standpipe l/ Email: rib /OS (Q Qiier141 //��.C�U'Y% WORK TYPE New Addition _,& Iterations_ Remodel Other: DESCRIPTION OF WORK: )<Commercial Residential _ Educational FEES $55.00 Permit Fee Minimum *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 ***If the project valuation is over $1 million, please call for Surcharge 3/4" Displacement Fire Meter - $260.00 Contract Value $ a -O =$ 73ZZ =$ 5. =$ =$ x .01 Permit Fee Surcharge* TOTAL FEE Fire Meter TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that l 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. xGCCr6 /gRpoeS Applicant's Printed Name x Applicant's Signature REQUIRE© INSPECTIONS Hydrostatic : Fto Conditions of lssuane J Use BLUE or BLACK Ink ---------i For Office Use I I Q of Eap Permit -7 Le 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 t~A t Pa-Ij hone: (651) 675-5675 1 Date Received: I Fax: (651) 6755684 6 i staff: 2014 COMMERCIAL BUILDI~G PERMIT APPU I~N Date: -:;j' Site Address. 2 SPI5 Tenant Name: n (Tenant Is: "New / Existing) u Former Tenant: U-C r , ? Name: Pgo~ne 2~: )Lou 5ritL { Property Owner ' Address/ City / Zip: -2.1 3'; - ~ecvy ~Pxarhd~re~ Applicant is Owner Contractor r k"' t cf?h n i Y pmJ - 0 7Ype of Work escription of work 4e.C - i~1Gt U c~cxUcl~ e ' 1 ttC.t Pti,b . M Construction Cost: TS i°~SoO . p° Name: 4:z o iattz-ll/' License # r p t ~ City: L~ Contractor Address: ~13®~ -35 State: /"1 fhA/ Zip: q~sf zg Phone: 9 3 5 f 3 d 3 Contact: l~ Y~SjXi~ Email: g"pGy t'S~ ~~Cw1~ ~d h1 i Name: F-J -13 ConSWWAY ks Registration 4 Architect/Engineer Address: la--55 la--55 Cci1W;ck' City:SC1 (1n moc~ ~ z State: -VA Zip: -162-1 t„p Phone: (.-0) -4 ~e 1 [3L90 4 i Contact Person: ftberlf- c3141Y~ IC~Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit ore considered to be public information. Portions of f the information may be classified as non-public i1f you provide specific reasons that would permit the City to conclude that th g ar9e 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. wwvd.gopherstateoi7eeall.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 12)z~r>LL' L II< 5. x Applicants Printed Name Applican re Page 1 of 3 C~ DO4OT WRITE B W THIS LINE SUB TYPES -foundation Public Facility Exterior Alteration-Apartments T Commercial / industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse / Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New o/ Interior Improvement _ Siding _ Demolish Building* - Addition Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair ` Windows Demolish Foundation - Replace Water Damage Fire Repair Retaining Wall Salon Owner Change T *Demolition of entire building - give PGA handout to applicant DESCRIPTION eo Valuation 'l'T' SQ4 Occupancy- RACES Systems Plan Review y ~5 Code Edition Yk5_6 C, SAC Units (25%100% Zoning s City Water "E~ Census Code Stories Booster Pump # of Units Square Feet e a v PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings Air/Gas Tests Final Roof: -Decking -Insulation ____ice & Water -Final Siding: -Stucco Lath -Stone Lath `Brick -/Framing Windows Fireplace: Rough In -..Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: „ I- Yes No Reviewed By: , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee (O Water Quality Surcharge 3 7 50 Water Supply & Storage (WAC) Plan Review ~Jr t~ Storm sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 4 T7~e Page 2 of 3 � �� �����i� oC�j�� ---Use BLUE or BLACK Ink � �- —, ���'�� � For Office Use � • `/ tY� /�d � ���� �y{'����p I Permit#: I 3830 Pilot Knob Ro dj JUN 13 2014 � Pe�,�t Fee: �° �� i Eagan MN 55122 � Date Received: � �� � Phone:(651)675-5675 BY: � ' Fax:(651)675-5694 � Staff: � ������� �__����__J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ,� Please submit two(2)sets of plans with all commercial applications. Date: t0��/�� Site Address: � i�� �Q���1 ��,U'��T'S ��°�l Tenant: VQV1 }'I�Ll5eY1 Suite#: ��� ky Praperi�y�"� OWtI@C Name: Phone: � ; Name: �'����'�ttS ��up+5�;,nq , =i�L. License#: ��J��p��J `" � � , Address: I�G � �� ��� e7TG ,0� City: ���t5� State: �� Zip: �l��� � � �°s� "`� ��'�°'' Phone: ��G�' �Jb�' O�G�g Email: QS �"S �t��'tv�s 3 New Replacement _Repair Rebuild �Modify Space Work in R.O.W. TYpe c�f Work. ; — — — — �rv� � Description of work: � �,�,�,. '�� �,� COMMERCIAL _New Construction ,�Modify Space ��-� ` � _Irrigation System�yes/_no)�RPZ/_PVB) " " • Rain sensors required on irrigation systems `}: I�T�/p@,;r,,, • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ��' � �r;' _Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. � . � ����� Domestic:Size&Type Fire: 1 �`#'"'� , Avg.GPM High demand devices? Yes No Flushometers Yes No ,.��,. ri � COMMERCIAL FEES Contract Value$ �J�C�O� x.01 s� $55.00 Permit Fee Minimum =$ �� 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 i� "`""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 _$ GO���_ 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 conforrnance 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 �Q550rf S�Ein��'�LL5 x T Applicant's Printed Name A icanYs Signature FOR QFFICE USE� �y �"�pproved�t�.`�k �� te� .� _ a_�,3 . :,r; ,�.,." �. i�3 t Requ�d,lnspect�?�r�s _; .l nder GtQUnd �Rou gh �r�`� f`�Air Test Gas Test �,�i P I�� ui re d �,��s�`l�'oG : �, t M�t�"r Related<t�ems %� 11����r Si��---�_ 'Radio Read Sta�f� �''��v "���"� ��� ������ �� ��m�� Page 1 of 3 tt C� Use BLUE or BLACK Ink �-----------------i C,�"_ � � � For Office Use / I � � j Permit#: � � � � I Cl� of �� aIl ; . �� ; � � �����,•f�� Permit Fee: � 3830 Pilot Knob Road � � I I Eagan MN 55122 ,���. `� � '%��� � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 � � � Staff: � ���____�________�J 2014 COMMER�IC AL FIRE ALARM PERMIT APPLICATION* Date: � - 3- � � Site Address: �� �.S �°`5�� ��"}��+5 �kw y Tenant: v �"� �"I J e S�''� v Suite#: Z( � ������ Name: Phone: ������ ; Address/City/Zip: �ti���� `���� Applicant is: Owner Contractor ' .� �' �� � '' ���� Description of work:_�N S�a l� ��rc �(�,.r S� S-��✓�-, ������ \; Construction Cost: � ��� Estimated Completion Date: � �7 �- �� = Name: /"\'�S�c� �K��`"J��Sy �'��'� �icense#: �Sv (S?Z , � � � �� ��� Address: � SSS �2 �r`1 ST W �i�: SAr�R G� � �Qi'��!�'�'ft ; ����': State:��" Zip: �S 3 7 `� Phone: -1 $�Z - �U �- ?4�-F�-f Contact:Y�'�� kc ��'}'"��'✓� Email: �v���ke. ('Jo-�t�.� C�.(( �'E .C�w. IVew Remodel ���'���� Addition Other: Alterations DESCRIPTION OF WORK: �ommercial Residential Educational FEES Contract Value$ x.01 $55.00 Permit Fee Minimum *If contract vaiue is LESS than$10,010,Surcharge=$5.00 -$ Permit Fee "�If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ Surcharge* ***If the project valuation is over$1 million,please call for Surcharge I _$ � � TOTAL FEE "Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;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 S�� JQ �R c IC � � /'�� x -- � Applicant's Printed Name Applicant's Signature FC?R Q�F'1���1SE �evi+�wed 8Y� r' . ;,E . � � ° R ulred I�ns cr �e�r�h��t ir�ai F'�11���.�`� � �3!q 1�t t'#s: ,t'