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1278 Town Centre Dr - Suite 105 .r a . T EJse�Ltt�or�LACK{ttk , -------------, j Fa�()ffice Use '��j-� e�' �� Q� �i� �� e�,��:�� ' � ��✓.� � � � Permit Fee: � S � 383�Pils�t Knob Road � -� d� / '�� E�tg�n AlIN 5s'122 � � � Date Rece�ved:��."��'��.� d �'j� '' Phone:(651)675-5675 , � � �°� ��t. 66'i fs75-5694 ,� i i � � ��.r`� � ` l��;� � StafF: � � ... — --_......, 2f�1 rJ�C�M�EF�Cf/�1�.. BU1L.D�Nfa PERMlT APPL�CATION 07-23-15 1278 Town Centre Drive E}ate: Stte Address._._. {Naxing the City x Tenant�tame: tT�ant[s: New/ Existing} Suite#c 105 I �'orrner Tenant; Eagan Floral ��. � Name. ��1/Franch�se Grnup,LLC Attn:Tim Yocum Phane: .y^�651-�fl4-4279 _.H,��^ �� 4' .. .. .. . � Pr� L3u�ne�r � 1694 I�rory Ave N,L�ke Elrna,ME� 5504� � �� Acldcess i Ciiy l Zip: � > � � , � � I Appticant is � Chvner ContractQr � w.� �� '- � _, ., ...�.. _�w�,�, �� ..,��,�w.�...�.� ,�.�,� � � �,, �.�., �.��,,,� � �.. � � Tenant improv�mer�f,wo�k jnc3udes i�n�shes,irgh#�ng, interiar walis � ; � Oescripfion ofwork: y Type Of Worie 3 � f , F - /7,�3 yS2 .o e , , � Constructian Cost: � r ��p,r� ��,��,,��,,.�,.,��_.,�»M.,.�,��.,._,�.n�a.4,�.�,� ,,�.�.� d�,�,.�„�,.,,,,�,�� i �� Name: T.B;C}. e�-r��ZS�1�_.1.�W_�Gicense#: � � ' � f .��N�J � � �d�ressc ��E�3 �Tt71,( `3?R�.�_.. _cit�r: ; � Cc�ntr�ctor /' :: � state� N�h, zip: rJ56�3 Phone` l 6 5�� 9'g3Q b D SS � � _ � �r}�Q( $�rU��--- �maii; . G�'Irt S �SP�I iriA C�vH _ � � � �vntact� S _ ' �.�...��,.�m�,�,,� ��.a�...9 AA..�,�,� �..... �.�� .K�„�..m_. ._�, - x.,p�„�� .� ��. _�.� .�,sa��,.W.H.�,�.A�P.�-,��,,,,,�.aa...�.�,�,»,.,�...�,,�� '[6�8{? ' � � � Mi+cha�l J.Wiikus,Architec# � ¢ � Name �.___ R�9istraticsn#: � � � 15 Ninth Ave'hd Hnpkins � �;Architc�tlEr�g�neer � �daress: city: ; � � MN . 55343 952-&43-5Q51 � ; � State: i�p: Phone: �� tlktlS�fCI1.COf7F F Ke�ly�us�a €maii: kt�bCt�v�+. � � Gon#act Person: - �,��,_�..�M�,�, . �.�� ,,;�Q,�.�. ��,, �.�..�,,,.,,,.,��.� 5 � Lic�rs�cl pinmber�nstal(ing�new sewerlwater serv�re: Phon�� ; _iV�?T�:Plans and suppoirtlrrg dvcumer�ts thst yvri submit are cc�rtsidered io be pubtic t�vrmatitsn. i�+�rtions of � tf�e inform�tton may be clas�ifi�d�s nora p�tilic if you�rcvvide specifr'c reasvns that wo�ld permi#the t�y to � � p,wx ryA.� �,��.,.�µw,._._ �� ct�rtct�rcie'�tt�at�tf�ey�r�f�ade�±�cr��. �,� �w��„ _..�.�,�_�_ �.. ,� _ ,.._.. � CALL B�FORE Y�U E}[Ca. ��I[ta't�pher S1Gate Qne Calt at($5t)454-@{l02 fc�r protection agai�st undergraurtd u�ility darnage. Call 48 hours before you irrtend to dig tc�receive lacates af underground utilitie�. ' c�e�pt�erstaiec�r��ll o�ra i hereby acknawtedge tha!thfs informatian is compfete and accarate;that il�e wark wiil be in canformsnce with ths ordinances snd codes af ttte Gity af Eagan,that f understarrct tttis is not a perrnit,but onty an apptic�tton for a permit,arrd K++�rk is nat to staR without a permit;that the wt�rk wiEl be in accorclance with the appraved plan i�the ca5e trfwork which requir�s��'eview artd ap�ttoval of plans, �„�"'�....�- � y�'", �� t# Le x � _ ARpl�cant's Printed IVame �PRlt�ant's gnatu -___ __ Page'1 of 3 Y � I / DO NOT WRITE BELOW THIS LINE ! �� SUB TYPES Foundation Public Facility E�cterior Alteration—Apartments ✓ Commercial/Industrial _ Accessory Building _ Exterior Aiteration—Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility Miscellaneous Antennae WORl�T'YPES _ New ✓ 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 "Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation /7p�ODD•� Occupancy � MCESSystem � Plan Review ✓ Code Edition ZDl S M8G SAC Units d� (25%_100%� Zoning GSG City Water ✓ Census Code Stories Booster Pump #of Units � Square Feet 'Z� PRV #of B�ildings � Length Fire Sprinklers � Type of Construction ?Z '/� Width REQUIRED INSPECTIONS Fmotings(New Building) Sheetrock Footings(Deck) ✓ Final/C.O. Required Footings(Addition) Final/No C.O. Required Fqundation 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 Wail Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: �Yes No Reviewed By: ��'lG , Building Inspector Reviewed By: �• , Planning COMMERCIAL FEES Base Fee /� S3o • 7� Water Quality Surcharge 89�so Water Sampling Fee Plan Review q 9 . q9 Water Supply&Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S8W aermit 8�Surcharge Water Trunk Treatrrlent Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail D'edication Other: Water Quality TOTAL 24 /S: 2� Page 2 of 3 � � � � � / �� s� . �Dale Schoeppner August 3, 2015 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Waxing the City to be located at 1278 Town Centre Drive Suite 105 within the Town Centre Shoppes within the City. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Treatment 8 stations @ 7 stations/SAC 1.14 Office 62 sq. ft. @ 2400 sq. ft. /SAC 0.03 �, Total Charges: 1.17 Credits: � ; Town Centre Shoppes (SAC Paid 1/86) 2345 sq. ft. @ 3000 sq. ft. /SAC Q 7$ Net Charge: 0.39 or 0 Thel business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at toni.ianzig(a�metc.state.mn.us. Sincerely, , � � Toni Janzig SAC Program Technical Specialist TJ: Is: 150803C5 (680569, 386581) Det�rmination expiration: 08/03/2017 - cc: Peggy Fleck, City of Eagan Amy Griffin, City of Eagan Tim Yocum, MW Franchise Group, LLC File, MCES r �..- . • � :r �!�1/�rr...�.,�- - • - • •� �� • •t � . • �•�� - . . . . METROPOLITAN . C O U N C I L C3�—��,� .�� k �} r�# �$ a = - � �w ZF �� •a� £ZISS Nd`JV3'NW g Y� o SOL#'iNJ32llN3�NMOIHLZL �� $o x V 4 � w r?� >J �� ° .J�.LI��JNIX�M �� ; � � � � �Qog , 3 >< - 3� � � ei3 ie � � pg� I ❑ �w F .o� x N z � ....:.� . . ,��. ... . ,..,. „, ,.... . ,... . . ...... ...:. ,. . � � � � cU z � ., W z W , � , � o� � f� 1 z, �Q$ Q o �o� �00� ��O ��/}� � ' wa_ ` "n u�rc wz` 4 wrc� � a� � � � rc °' w LL o rc rc � z �� `�� 0 0 - 0 `�� - 0 `�` - - `�� - °� �z �� N� = W� � V�6 io � ti=� 30 om 'I � O 0 O g ./ �� C� i � w � w Q�o �� w q �^ z � �0 .o.e ; am = o ��o a�� o � ��o ao�A ��o a�� - a � NO $a aaf aa` �°c` � � a a I ' . � � � o� - O' � �. 3 -- ��.. � ... ..�.... :, ,�. .��.:, nr„ri �w � ,w�. ..:a. _: .,�.... . . ,. .� .:.:�,�., . x-..� e_� " LL� �� g� = g g � � � s �S �W w w � 8 �r�o� w ,= g N �-u � a z � � � = a� � �k'�Fm tt� � gyY.� „� � �'o � _ �� _� � ¢p "w V sm3�x��F��g��a��$ $� � �� O ` - I ". w W = �$o � �� 5� - - W $ ° �y �� p � � `z � "z LL r �a�=� � oh, �� o ;�� o � � o u°, s�so�`g a��o` � w tl=sg �� ?� � tlo==� '� rw =o '��^'�� ~ � Q =��$�'« �J»�e �aY$�`3�'�p "�; �a ` N� �:��a ko��= _ � r �sy ' %�"� $x�� I'': 2a z �m �°=x$o pK;�^=�.� � $ X3 W O i �i Z �� x� u�i� _y �yF N I1� z m Q aS�3�8xni 'm3.�r�Lrx �3�Rxr3 $ � W� �=��g �wo��g = w �€ a ° � - �< �� . �pm� . _ " a � : � O �a _ i s° O m O � 40 2 � �O��Q�� ___ � po� q i T ~ '£a x ��Q��°=$o J � ��3 3 E;� �� Ul � � a„„"s °t� - J �� J ��-��` �S��p.oa � W #, oo� .o-.e _ i 5�� W � m - - W �pww°z W W : . � O � � g a F � a o��<�p x � � � �� I ' ` � - ^ } w � o8=LL"wg V � � w:w E 0 N r N � � F � : �—� �,�m��o�' �w u.a� J �� J � o� o� g � �p�� v}.,.. �..r f . " w a � 8�a � « .o-.� I Q W �¢ � O � ��^°�� 0 S s e _:a . � L#IIVM Z#IIVM £#IIVM C Q $apw� o " -� r��- Q 8 � : _ � :� �,��g;° _ _ o€ Q `�� o �� d -� O g ��`g€e`' 'gs � F� ma;� � p �jw'��>-ryo 0 oLLo��p�a,�� w pW�g��°_�3p�3 -�°�`�§3°as�`-�`ow '�gi��g�§�0��» � o��,'��E a � �� - m'"kp� b = w " o �=wp; : � N�� s W;�fog ��,��3 � C7<a=�` _��_`�� W s�< ��E��z � .J Q�Bo 3�'��O'b'F Z � _�'��,�� a�&9 � p��i�8i�� J� �a a .� , � r, �� Craig Novacryk From: Chris Bauer <chris@stotkospeedling.com> Sent: Monday,August 24, 2015 5:35 PM To: Craig Novaczyk Subject:, RE: Company information Attachrr�ents: STOTKO WTC - Bid Proposal Form 5-21-15.xlsx Yes, we need to adjust that. The total job came in at$178,752 per attached breakdown, which includes everything needed for the construction. Thanks for doing that. � �� w�w` S�'��I�� CHRIS M. BAUER, LEED AP Project Manager STOTKO SPEEDLING CONSTRUCTION, INC. 1303 Edd,y St. Hastings,'�MN 55033 (P)651-480-0055 (F)651-4$0-0079 (C)651-3�9-2838 chris@st�tkospeedlin�.com/www.stotkospeedling.com n.m.n .� . _ ....m_., n . _ m mrc, r From. Craig Novaczyk [mailto:CNovaczvk@citvofea�an.com] Sent: Monday,August 24, 2015 4:07 PM To: 'Chris Bauer'<chris@stotkospeedlin�.com> Subject: RE: Company information Chris, There were no additional SAC charges per the Met Council letter dated August 3rd 2015.The permit costs were based on the submitted costs of construction.The permit application that was submitted had a tota/construction cost of $235,000.00. Base on that number,the permit costs are as follows: • Base Fee-$1,866J5 • State Surcharge-$117.50 • Plan review-$1,213.39 • Total Permit Fee =$3,197.64 I can only assume that the cost of construction was submitted by the ownership group, since you weren't awarded the job until just recently. If that number is incorrect please contact me and we discuss it. Keep in mind, when I say total cost of construction, it includes everything (plumbing, electrical, hvac, fire suppression and building costs). Craig From: Chris Bauer [mailto:chrisCa�stotkospeedling.com] �v�� Sent: Monday, August 24, 2015 3:43 PM To: 'Diane McGrath'; Craig Novaczyk Subject: RE: Company information � ��.�� Craig, I was informed the permit cost was$3,197.64 I'm wondering what the Architect may have used for a construction value?or if maybe SAC/WAC played a part in the higher permit cost, because it is higher than I expected. Let me know when you get a chance. Thanks, � �T+C�7`K � � �..= �P��}L�� CHRIS M. BAUER, LEED AP Project Manager STOTKO SPEEDLING CONSTRUCTION, INC. 1303 Eddy St. Hastings, MN 55033 (P)651-480-0055 (F)651-480-0079 (C)651-329-2838 chris@stotkospeedlin�.com/www.stotkospeedling.com From: Diane McGrath [mailto:diane@stotkospeedlin�.com] Sent: Monday,August 24, 2015 10:04 AM To: cnovaczvk@citvofea�an.com Cc: 'Chris Bauer'<chris@stotkospeedlin�.com> Subject:Company information Hi Craig, Thank you for your time this morning. Below is our company information and contact name: Stotko Speedling Construction, Inc 1303 Eddy Street Hastings, MN 55033 P: (651)480-0055 F: (651) 480-0079 Contact person: Chris Bauer chris e,stotkospeedlin .� Thank you and please email or call with any quesrions or if you need of any other information from us. � ix � 1 � � � � � � � SPF�L�LII�G Y K Diane McGrath Office Administrator 1303 Eddy St. Hastings,MN 55033 (p)651-480-0055 (fj 651-480-0079 diane@stotkospeedlin�.com http://www.stotkospeed I i ng.co m 2 /�,G� ��`�:ri� I--- Use BLUE or BLACK Ink Cf�� ' � For Office Use. I ��S I `j I Cl4 Ul 11� �il �� i Permit#: �v � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 I �.Z.j . ' I Phone: (651)675-5675 � Date Received � Fax: (651)675-5694 AUG Z 5 ZO�S � Staff:t5� I � ------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with �a�l� �mercial applications. Date: � � � S Site Address: � WYl �h�1/'� �'��/-� . E�v1a�-'� �M'� SSIZ.�, Tenant: MiG� - �4�vYLt�Lo•v�. �..p�.� �-��-c_ - M1� �..1�l� Suite#: ��.5 � �� Name: Phone: �� Address/City/Zip: � Use BLUE or BLACK Ink r---_____---- -i � �- I For Office Usa � ' C• S�� `('/� :,�:, � Permit#: �� lt f�i, n I� �s' ,� 't . .;' � � �— I 14y Ol L��11 `G` f� �' r, � Permit Fee: �� 3830 Pilot Knob Road � � , I � �� Eagan MN 55122 �� ," �� j Date Received: I Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: �-----------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION Please su mit two (2)sets of plans with all commercia applications. ate: � Z `�� Site Address: �� o w7 ��1� . Tenant: �a.�� l.� ` Suite#: � � = Name: Phone: � f�' I �'/ Q�7�S �`� N e: Ur'�� `'�`�'"`li� � C�� C License#: `� �` �� s�-;� s�s�33 Address: ` City: �9 S�"� State:M�Zip: Phone: �� S`'r �3� mail: ��w��.��' Zc� � r New _ ep acement _Repair _Rebuild �Modify Space _Work in R.O.W. Description of work: � ^� 6��'�' , / S"i�E r COMMERCIAL New Construction �CModiry Space �� i _Irrigation System�yes/_no)�RPZ/_PVB) M� ��, �' • Rain sensors required on irrigation systems � g��" • Avg.GPM - (2"tufio required unless smaller size allowed by Public Works) � �� _Meters Call(651)675-5646 to verity that tests passed prior to aickin4 ua meter. � Domestia Size&Type Fire: 1 � ��} � Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$�� x.01 $55.00 Permit Fee Minimum r� _$ �7 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 f -a-� *""If the project valuation is over$1 million, please call for Surcharge =� L � � 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 confortnance 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 wit the approved plan in the case of work which requires a review and approval of I ns. �- X � ��t`� X �� ApplicanYs Printed Name Ap IicanYs Signature �n _ . �e . f n _ _�_ . ,e . �� . _�- -__��t7R " :"n " '" � _ � .- -�. � � r � �"_ , --� ._ _.. �_ .. - � �� - : y -� . � � Page 1 of 3 / Use BLUE or BLACK Ink �.. �C✓', ,� � � r---------------- I�I � ��-f� � � � For Office Use � � �� I � � Ul4 Ol �� 11 ��'' (.�� Permit#: � � � �� d�� I I 3830 Pilot Knob Road i Permit Fee: � , Eagan MN 55122 � ^. —�-1 , Phone:(651)675-5675 � Date Received: ��. I, Fax: (651)675-5694 � � ' � Staff: I , �--------------- —� � � 2015 MECHANICAL PERMIT APPLICATION � ,�,�J� '� ❑ Please submit two(2)sets of plans with all commercial applications. � / � � � ,p� , � ) �� I Date: SiteAddress: I �� 1:�%l� ��i�� U`lJ� �l 1 � /b� I � ` i I Tenant: t� Suite#: � f� S � ' � �� Name: Phone: �� : �� , �;�� Address/City/Zip: ��, �; ��.E � ��': v�� , Name:��(��,►J�"�T Je �Jri�,��tv ,c�5.-�..�Ui c�ense#: �~� �� S! �GL�V�°�x..� CitY� ��e C.�.�l� �� ,�� Address: � ,/� ,� l /l e � ' ��...�� State/�r /'� Zip:,'{��,�� Phone: �...5�� `"��7 � U l.S�� . �...:' ..,,r .�` �,. -; Contact: �b��r�t�� Email: - e.l)�yJ ,J� eC�i C6 �� ; �� New Replacement Additional Alteration Demolition �' ��0�� ::: � � � � � � �� '�`� �,�� Description of work 1�.)7'�v�o/ ��Cl C.�[�zs�i�- \ :,��`�� .� �� 1"�'. I�vcf� �ritec��nc�groun��`�� r��al�q� � �+tr ,;; I�s��en�si by Crtjt . v,� _�� ``�� °� �ode �? canta�c�th�M�e��a � �It�sp+ectar�cr��` ��a�mi � .� �'� �� .... . : .,., .�. . ,,... , .., .,�.. .. ., �.,.., \�� `' ` , �.., .. _.. . >. .�< v, � z, RESIDENTIAL COMMERCIAL � y � � �� ' �j � � _Furnace New Construction ✓�Interior Improvement : � * ,; ��t'ml'�T�j� ,� —Air Conditioner Install Piping Processed �� '��`�� _Air Exchanger Gas Exterior HVAC Unit �� .�a��, _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$5.00 State Surcharge) _$ �,d�� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ 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 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 JGl�� C�.-�� l�t.�Jl'I�.� � x `�, Applicant's Printed Name plicanYs Signature � �w z� \\\ ,. . �y��y'S�� _. + y :. titi�" d • \Qn '�,. ��\y�a.,\ °'.n�� . ��1'�� @ ti ��.: �� m�"' 3y �,ii��, .�,.a ��,� ��,, $.::., �..:� ��o�.�a�w*r��\ �� .\a .,os..� � ��- �� - �'�� } �� y ``\.k��\ � � -��r��a��{}�+ �� y� ��'.�s��.,�''a ��{��Gi � d'� �,, � uF..,_ �� v �� "� � ��\ ;,.�� , '�'�. ��w�� &�F z r a�s� �� '�., �� \ z �� a' w ,�r � a�\�`�� s �. ��l+�,r°�r��r�r�t '.. . .. �.ln -€...�=;�. ��ti, ..�..�.�„�as a�rvic�:�'�t l��ff�r H . �., �. ��`�..�:��'�n��,�� ; _ � ` � y Use BLUE or BLACK Ink � 0 �----------------, S /� � For Office Use I � l,/ 1" � �` j Permit#: /�� !Zs� i ��t �� a �.Il �� ; . . �_ av � � � � � Pe�nit Fee. � I 3830 Pilot Knob Road ��` j � Eagan MN 55122 �`�, , � Date Received:�'� �� Phone:(657)675-5675 ' � Fax: (651)675-5694 � ... � I �'Mi� � � �'�""� i Staff:� � .,.,,, ��J 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION ,�j � � � Date: `r�'��'!J SiteAddress: �7� /�� %�� #C�l= Tenant• G �1 Seaita#• �/!�� h Name: Phone: FK RrQ��ty��nrner � Address/City/Zip: � ' Applicant is: Owner Contractor Descriptionofwork: �G'Z-�-+�-TL �� >,/1 t`LL�'1'Z—tt��r�S '�y�?e Of W+�r� � � �_= ': Construction Cost:� 3� �� Estimated Completion Date: fp""�3�� Name:�•�?� �zt'�� License#: �d�Gv � :. Address: �� '�7LvlC.L_�� e�4r� City: L,i��s4'!�� nt�actc�r State:��Zip: S�-�� 7 Phone: �.��77j��✓�� ' Contact: �� EmaiL �- L L �^�� FIRE PERMIT TYPE WORK TYPE � Sprinkler System(#of heads� _New _Addition Fire Pump _Standpipe _Alterations ✓emodel Other: Other: DESCRIPTION OF WORK: �ommercial _Residential _Educational FEES $60.00 Permit Fee Minimum, includes State Surcharge Contract Value$ �� x.01 "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ Surcharge" $100.00 Residential New(includes State Surcharge) _$ �v, �� TOTAL FEE 3/4"Displacement Fire Meter-$270.00 = $ 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 v�rith 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 a rdance with the approve n e of work which requires a review and approval of plans. 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