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1278 Town Centre Dr - Suite 195 � ' Use BLUE or BLACK ink ---------� j For Oifice use � � � /�'"� I � Permit#: v ` I �� li j . 'l �.p I � � � Permd Fee: � I 3830 Pilot Knob Road � � � �� Eagan MN 55122 RE��Ep � Date Received: � Phone: (651)675-5675 � � Fax: (651)675-5694 ��V O t i � ,� �► ��J � Staff: _ \ / ---------------- -�,i7 2015 COMMERCIAL BUILDING PERMIT APPLICATION �� ..,.... /x�7:� �c�%a✓ C'�"Nr�'r� l�.c�- � ��.�t�. �/V Date: /�� `-�" �'/r S Site Address: Tenant Name: .✓��'�� ?��'/C� /��9-� �3"f�-�E ��N(Tenant is:�New/ Existing) Suite#: Former Tenant: ��-� �L�11��,,� Name: �1`/i'j, �Zl.�l�'iC'� ��'�i �f�'��'�'�I�NPhone: /'.`�� l�2?� Property Owmer ' , �-�- Address/City/Zip: �i�,�_�� 1��' , ��1�� : /I�� ' Applicant is: Owner � Contractor Type o#Wark Description of work: �,�i/1S7'r�t�'`-T� �� r_s cN� L(.✓�L-�..-- �,�� Construction Cost: �� > � �� Name: /�..r��c ��'�Z. �.�i✓�j. � //1/� License#: ,��(� ��CJ'� C011t1'�CtQY Address: /l��J f"��C�-7"T+ �� N�City: ��"�j ��/V' . , Ci�� C"` State:_,�R''��Zip: 5��.�.�L� Phone: � /�;� ' ��'� �3�'�� . , , > � ., Contact: ��`�-- r�P�:3 EmaiL• " '[��'/�'l�� f` ` � �,, I �J � , �-, Name:` �J �7:�5�e�!'�1�� L�t�.._ Registration#: ArchitectlEngineer Address: �� ?� �-�5 City: ��,N� ��t� ___- State:�Zip: �,5 .�� Phone: �� J+ .3��a� Contact Person: %✓l ; ;�4�''� sc11� Email: Licensed plumber installing new sewedwater service: Phone#: MC?7E:Plans and supporf/ng docwments that you su6mit are cans�red tv be pubitc Infc�rrna#ian. Pztrtfr�r�s of the informaf�on may be c/assified as nvn publFc�f you provide specific reasor�s that wautd,�r�n�t t`he C�r#Q conciude that#he are trade secrefs. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0802 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.orq I hereby acknawledge that this inforrnation 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 ~�� hf-�'�/"f�� x �,>,�-'� Applicant's Printed Name Applicant's Signature � Page 1 of 3 . � �a�� , � �� - � DO NOT WRITE BELOW THIS LINE � ��U73 SUB TYP�S _ Foundation _ Public Facility _ Exterior Alteration-Apartment� � Commercial/Industriai _ Accessory Building _ Exterior Aiteration-Commerciai _ Apartments i Greenhouse/Tent _ Exterior Alteration-Pubiic Facility Miscellaneous Antennae WORK TYPES _ New ✓ Interior Improvement � Siding Demolish Building* _ Addition _ Exterior Improvement _ Reroof �Demolish Interior , _ Aiteration _ Repair _ Windows _ Demolish Foundatian ! _ Replace _ Water Damage _ Fire Repair � Retaining Waii _ Salan Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTIl3N Valuation 'ZD�E�"w Occupancy ��",ric.Q,�yx�MCES System `� Plan Review ✓ Code Edition ZDI S M BL. SAC Units ��Y��T �P� (25%_100°r6� Zoning �� City Water ✓ Census Code Stories ( Booster Pump #of Units a Square Feet PRV #of Buildings / Length Fire Sprinklers �� Type of Construction �G �� Width REQUIRED INSPECTIQNS Foatings(New Building) �Sheetrock Footings(Deck) Final/C.O. Required Footings(Additian) � Final!No C.O.Required Foundation �/ Other: F12.� 5?DP�/N G Drain Tile Pool:_Footings Air/Gas Tests _Finai Roof:_pecking �Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick �J Framing Windows -Fireplace:_Rough In Air Test �Final Retaining Wall � Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marsha!to be present: � Yes No Reviewed By: ��' , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 3 3� • Z� Water Quality Surcharge (�� •�-v Water Sampling Fee Plan Review ZZb.�1 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 Trail Dedication Other: �� Water Quality 4�� +��( � TOTAL �7'¢'' �G' �� F��' �Page 2 of 3 � r � s .- . ` � Use BLUE or BLACK Ink , ,. � �"` — —, � For Oftice Use � I � ,`t� • jPermit#: � � �� f ,� I � ,�� Cit of �aoaIl , . �� , ,,, � b Perrntt Fee: � � 3830 Pilot Knob Road � `�/� �i4 Eagan MN 55122 � Date Received: Phone: (651)675-5675 � � Fax: (651j 675-5694 R�CEIVED j staff: " � NOU 0 4► 1015 !----------------J 2015 COMMERCIAL BUILDING PERMIT APPLICATION r , i � /°` Date: 1 G� �� Site Address: I Z�� (Ls�( ,��iL�/!!� Tenant Name: ��i! �OffE�/tf fi �/Ele //lJu� (Tenant ls: New/,�Existing) Suite#: �� Former Tenant: �� cfl`lC�l.� Name:_�� fi'�/�� Phone: ProPePI�/OWt1eC AddresslCi /Zi � � �./"' [o"T'1� S'� . �U/7Lt" �� s"'�� ri p:� .�L��t l Applicant is: Owner Contractor �� d� T pe of Work Description of work: !�f'�� X��i��— ��u��T �� y � �.,e�C� Construction Cost: Name: /\�TL..I,U� �� License#: �� Gontractor Address: �� r/LTa�' �rN� ciry: �/�//�� State: `"I� Zip: �J�3 T� Phone: Cl�.�I �� '"� l Contact: �.I��T�aU �I�/�t3�maiL• �fJS."7-/fCf��' (��GCl1�✓�-C�-rC'O� Name: ��/T/�� V,� Registration#: Z� (,�--> Architect/Engineer Address: a a � �/� �� (� ciry: �'T/��-f,�/'��' State:�Zip: � �� Phone: ��" ��'�� Contact Person: (� �N Email: ��U��`�/r"f Licensed plumber installing new sewer/water service: il/� �d(Ot�/l� (�fillS'��hone#: NOTE:Pians and supporting dacuments that you submft are considere�d tc�be pubtic fnfarmat�on. Po�rtions of the lnformatlan may be classlt�ed as nan-pu6lic if yau provlde specific reasons that wauJtl permi�the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cail at(651)454-0002 for protection against underground utility damage. Cait 48 hours before you intend to dig to�eceive locates of underground utilities. www.gopherstateonecail.orq I hereby acknowledge that this information is compiete and accurate; that the work will be in confarmance with the oMinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and woric is not to start without a permit;that the work will be in accordance with the approved plan in the case of work require rev'. nd of plans. X ��+�r i�J yO��G 3C,vf�f _ Applicant's Printed Name Applicant's gnat Page 1 of 3 � � ` , ` ' '� �� ` �'��U-• ��`� ��'��DO NOT WRITE BELOW THI3 UNE �'��'7�� / SUB TYPES Foundation Public Facility Exterior Alteration-Apartments �s�/�� ✓Commercial/industrial i Accessary Building � Eute�lor Alteration-CommercPai , Apartments _ Greenhouse/Tent _ Exterior Aiteration-Public Facility u Miscelianeous _ Antennae WORK TYPES � New ✓ Mterior Improvement _ Siding _ Demolish Building* _ Addition _ E�cterior improvement _ Reroof i Demolish Interior _ Aiteration _ Repair ` Windows _ Demolish Foundation , Replace _ Water Damage _ Fire Repair _ Retaining Wall � Salon Owner Change *Demolition of e�rtire bullding-give PCA handout to applicant DESCRIPTION � �. Valuation .�ZS�bb6 Occupancy MCES System Plan Review v Code Edition SAC Units O�� (25°10,100°� V) Zoning City Water d Census Code 3tories Booster Pump #of Units � Square Feet � PRV ' #of Buildings � �ength Fire Sprinklers �~ Type of Construction �•� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) � Final l C.O.Required Footings(Addition) Final/No C.O.Required Foundation Other: Drain Tite Pool:_Footings _AirlGas Tests _Final Roof:^Decking ,_Insulation _ice&Water _Finai Siding:_Stucco Lath ,iStone Lath _Brick � Framing Windows Fireplace:_Rough In _Air Test _Finai Retaining Wall Insulation Erosion Controi Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: _ `� Yes No Reviewed By: �=+'�� , Building Mspector Reviewed By: s•�� . Planning COMMERCIAL FEES Base Fee 2`�aL•7� Water Quality Surcharge ��'�-'�� Water Sampling Fee Plan Review I�b •39 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit&Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Laterai Park Dedication Trail Dedication Other:�''�� o'�' Water Quality TOTAL `�0�/3 �� Page 2 of 3 . . l��/`�� 'i Dale Schoeppner November 18, 2015 � Chief Building Official City of Eagan I 3830 Pilot Knob Road �, Eagan, MN 55122-1810 � Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has reviewed the SAC assignment for New Bohemia Wurst+ Bier Haus. The original letter for this determination was dated November 05, 2015, letter reference 151104A9. This project is located at 1278 Town Centre Drive aka 1312 Town Centre Drive within the Eagan Tower within the City. The City will be credited 7 SAC Units for this project, instead of the original 6 credits. *The rules allow for these 7 net credits where SAC was actually paid to either be taken city-wide or left site-specific. Any net credits taken city-wide can only be taken if the project is reported to MCES at the time the permit is issued. Otherwise, the net credits remain site-specific. The SAC review is based on revised plans. SAC Units Charges: Restaurant Bar 33.83 ft. @ 1.5 ft. /seat @ 23 seats/SAC 0.98 Non-Fixed Indoor Seating 1606 sq. ft. @ 15 sq. ft. /seat @ 10 seats/SAC 10.71 Outdoor Seating 88 seats @ 10 seats/SAC x 25% 2.20 Total Charges: 13.89 Credits: Old Chicago (SAC 28.76-9/95 + 6-4/00) 3831 sq. ft. /6524 gross sq. ft. = 59%x 34.76 SAC 20.51 , Net Credits: -6.62 or-7* The 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.janzig(a�metc.state.mn.us. Sincerely, , . ��'�.'- I Toni Janzig '� SAC Program Technical Specialist TJ: Is: 151117B1 (680569, 388907) Determination Expiration: 11/18/2017 cc: Peggy Fleck&Amy Griffin, City of Eagan Jeff Bornmann, New Bohemia File, MCES '""u�� . �• - -- s ' •/ � .. - . - . . r�� . f � . •�� - . . . METR.OPCJLITA[�T G O U N C I L. W Q fl � " ` otv � a � o � on S •� y � �v � c a 1/-�, +7�5 "��r°� m �� ° 20L� �iava� "f � o ° � A NC ^ .GJ 9 �ypN'Q4� � U VE C �O V I I C:3: .L. �❑ 3 J n £ �J � \ M � rYi �i F.C!� ` . 2"/�� '-r� e _- Z � " yy w Ba ..m� 3Z � d'b�lS c"� aLL c c x a U ��'4Ci �� y 'Lf'1'O od` _�` «xF rn � � �� y'^ ~ K ��Jd, °En CWN WLL N ��ll A/ �+g m �� Nrn J�d,Oy N d.qa;�£ a`m W ,� s . z .. m w Q w °' =o � " � m $ _ � m% Z � �^�EV � � �L p I I I 3" �i � I I 3 i i � g` U ... I .�. W_— � � � .1 (,� _ . 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I I I; I � I I 1 � I " I ' I� I �� I � I I g I I � � j � �:�' I� � Yb I I I Y° I I � y $ 8 ,w, �c� I� I d= II I I I o5 I I ,j. g' fi � -V,�� Iv I 'g I I I I �g I I j I I Rz � I I qt I I � g � j ��' j � I I �' I I � � m d ' I I � I I 3 - I I I I I I I I I I I I I I I I _ � � ( _ I I I I I I I. I I I I I I � I . Q _—_ '—_—_—_� z� � �'. �� II � _.t' 4 L 0�5 D�„ i� �;g �I � z � � _ � , Use BLUE or BLACK Ink ` (� � For Office Use I � L'- ; /�y�(�S�� '�� Permit#: � (� C�� O�F��. �� RECE�VED , 'g�' �� i��i 3830 Pilot Knob Road 1p �,�� i Permit Fee: ' � i Eagan MN 55122 �v pEC 15 2015 � Date Received: �'� � �� Phone: (651)675-5675 I � Fax: (657)675-5694 � Staff: ��'') � �-----------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: /�/o -/� Site Address: f�7� /O�s✓ C'�,�/�.� Tenant: /►/C'GcJ �z�,L/L'/��LT Suite#: ` � �� k ' �,�� :��, . � �� .� Name: J�/��' .�f�6�/�-�✓ �c��./ �e�v�/I,6 Phone: ��, � � �� Name: �i�/(�Z�L /�1 f/�ociyf/ ��-L License#: O�/�-c D�/�vr,� � �� .� � � � �� ,a � � Address:��jc�`Iqt�,c>e� �� .(jOCity: ,�,t��-„/ State:�'/f.%Zip: ��ZZ �� `�' � !/ �' � � �� Phone:_�jv��`7�� '�� Email:�/Lt i C�iE� �t/: Go� �:a� � .I� G�J/�f%�-J �" u�� , �y��,�� New Replacement _Repair Rebuild �Modify Space Work in R.O.W. � — — — �� - v�,�� ' �- c � � ' ��'w� �f Description of work: ��S�tJ�/a,v� �f/�p/,�,,�� C ,�� :. ' . fi /�'., 4 . . . . . � � � , , COMMERCIAL New Construction Modiry Space �� , ��` �' � Irrigation System(_yes/_no)(_RPZ/_PVB) �� T �� '�� • Rain sensors required on irrigation systems � ,� � � • Avg. GPM (2"turbo required unless smaller size allowed by Public Works) �i� �� *�� r: _Meters Call(651)675-5646 to verity that tests passed prior to pickinp up meter. �� Domestic:Size&Type Fire• 1 m � �� '' r�:; a ,��{`� '�� '" Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERCIAL FEES Contract Value$ /�J�� x.01 $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit(includes State Surcharge) -$ � 9� Permit Fee Surchar e = -$ �� Surcharge g Contract Value x$0.0005 / 9�j If the project valuation is over$1 million, please call for Surcharge =$ �/ / /� y 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 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 l, f�/�� G ��/�' X jti��-c�i%��,� Applicant's Printed Name ApplicanYs Signature � ��, r. � � � �� . `4 d ,�.. k� , .� b .� ; "i` k �:. � � `� ,� ; :. �,. �wF�'.•4� `� ��'A s��}p R $�' � .d,L �* , .� �u:;� '��-.v +� ��:a� �"R � �� i.v '�rTry� .,�#`�' �'�` ,F, ,� a`� �: �:. . � r, 'z >»�.' ..r � �s �: � � � � �'�� i�� }, .��, a s .`�`., r,. „c�e,,. Page 1 of 3 41,11 C!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 chccK d- ns Zcc cWa RECEIVED JAN 212016 Use BLUE or BLACK Ink For Office Use ' 0 Permit #: / 3 g Permit Fee: (.Lil ` �✓ Date Received:I - 419 Staff')b J 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: I-- 11--((o Site Address: 12-1 T5 60 h,e.vo Suite #: Tenant: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TrViekwc/yuf syS - Construction Cost: v� / 0-1 d D Estimated Completion Date: ___D2 Name: -XJW ✓tn;w,ca11, 1 P Address: #4-44-4411-.14-y2- Description 4„44-4�Y'r( Description of work: License #: City: 9/ /144.,I State: 04/..1 Zip: $ (p 3 Phone: C /^ 3_7'1—/y71f Contact: t - ti Email: FIRE PERMIT TYPE _ Sprinkler System (# of heads _) Fire Pump Standpipe K Other: Atust.,0 *PfvZ4 WORK TYPE New _ Addition Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial Residential _ Educational FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) Contract Value $ , 1 00 x .01 _ $ a [ Gn. e Permit Fee _$ �•K� Surcharge _ $ �r• ms -- TOTAL FEE 3/4" Fire Meter - $280.00 = $ 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 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 &>h".) / f%Ua`¢IS-!sj Applicant's Printed Name x Applicant's Signatur )77(.-70 CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED VI 2 6 2016 Use BLUE or BLACK Ink For Office Use'. Permit #: ft Permit Fee: Date Received: /-a6- Staff: -a6 Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1– 2(j – /(p Site Address: 12.7 2 1 D1,0 Pi een I--✓ Q7)✓ Tenant: a -W ' o 1 e. -v .'c.. Suite #: J dent/; £h. Name: Phone: Address / City / Zip: _ • !wactor Name: Eco Mccb....-r►i ca1 &ZV14LS License#: /r980O603r Address: ) 9 L5 Mob r(0142. S %O City: RA",. Se State: MQ Zip: S5- 3e2, -j Phone: C(2 " ! Q ( — 25-9 7 Contact: CGf 1 1 -kJ ..t- Email: P�c+NI, tCAN COvir oft M, .;(. GO w1 e o Work New Replacement Additional /1 Alteration Demolition woIL e Description of work: ckok.r S., rt1.4 ) . � a6ec� NO T �f = i a a R nt d mechani t Is � be �o y C spec or fo iont sn p rt:enin a RESIDENTIAL Furnace COMMERCIAL New Construction X Interior Improvement 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 State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum o• Contract Value $ 11/00 0 � x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ 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 - pe it; 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 C ort Applicant's Printed Name w Use BLUE or BLACK Ink For Office Use /�n� I Permit#:1 J q I City f Eap c I Permit Fee: � I 3830 Pilot Knob Road r � �; _ �j; I I Eagan MN 55122 '°``` `` I I Date Received: C;? Phone:(651)675-5675 Fax:(651)675-5694 JAN 2 8 2016 i SEA 0, I 2016 FIRE SUPPRESSION SYSTEMS�PERMIT APPLICATION Date: , Site Address: �Z `9W� `•a=w��. Tenant: / ew.-C 4 Suite#: 77777,77-7 Name: Phone: a Pr()Orty 0"ner - Address/City/Zip: Applicant is: Owner Contractor ��- Description of work: bLiQ E - 'bDS 700 �FDL �IC1� �tMA W4% TY Construction Cost: S P0 Estimated Completion Date: Name: b � �hc� License#: Cont C Address: 3� `7?o21L E City: j Stater Zip: Phone: f/S� �G��••Y�� `�^� a .LSE 'I�ZO �lw aZo t4 J S Contact: Email: FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of heads P _New —Addition Fire Pump _Standpipe _Alterations Remodel Other: Other: DESCRIPTION OF WORK: Commercial _Residential _Educational FEES i $60.00 Permit Fee Minimum Contract Value$ S400.°ia x.01 Surcharge=Contract Value x$0.0005 =$ - G� Pe f 54rmit Fee If the project valuation is over$1 million,please call for Surcharge �r � _$ 2 •—k 0 Surcharge $100.00 Residential New e h S t St d l Incues State Surcharge)9 ) _$ TOTAL FEE 3/4"Fire Meter-$280.00 =$ Fire Meter =$ �Z • "�� 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 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. Applicant's Printed Name p cant's igna ure w Ise V5 FOR."OFFICE USE REQUIRED'INSPECTIONS Hydrostatic Flow Alarm brain Test Rough In Trip Pump Test Central,5tation, Final Conditions of Issuance: Permit Reviewed b` -�-� w+ Date. l ; � --- r - 41I'City orEke 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FEB 042016 Use BLUE or BLACK Ink L For Office Use �i n QS Permit #: /'/C-9 Permit Fee: q.- OL Date Received: Staff: J 2015 MECHANICAL PERMIT APPLICATION Pleaselsubmit two (2) sets of plans with all commercial applications. Date: 2.-I t 12-0d b Site Address: 12-7S i4�M e E J1-Eie- ..hRi 4/!= Tenant: de4A/ Suite #: t' Name: Phone: Address / City / Zip: Name: 04676Th l T r't t�-(`p17�i 41 �J 2J License #: 0-2i3 003 s—a Z '/ Address: (' %'O 1l1�/I/ID EG �, S SO�rt/, v. J,City: [�I State: nil Zip: SS`t' 7 Phone: 770.3' 577 `' V 9 9 Contact: S` v -L- 4/5S Email: Cu sT6.�?�,e r� y l�.4 ' (- OW New Replacement Additional Alteration Demolition Description of work: RESIDENTIAL FEES Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL 1/ New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install /_ Remove) $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ 8 660 x .01 =$ g Permit Fee 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 /PA' 7://a_5 Applicant s Printed Name Applicai,Signature