2834 Eagandale Blvd Sep• 13. 201 6 10:23AM �'St7t:o Igo No. 8847 P. 1
Use BLUE or BLACK Ink
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For Office Use I
Cit of Ea a
Knob s ; Permit*
I
3830 Pilot ad Permit Fee: 621
Eagan MN$5122
Phone:(651)675.5675 1 Date Received:
Fax:(651)675-5694 I I
Staff:
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2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications,
Date: 9 Site Address, ZASI C!o..o"'Jmle Blvd
Tenant: uaP Cold Suite#:
UP
Name: Clauela.� Cld Phone: lbSl—&7S-S&7"
ResidentlOwner
Address/City 1 Zip: M Al
Name: 1•la,e r;s ct ry.o ar,n&S License M
Contractor Address: aeq Avei,fr4d Crrc.l City: 51- Paw'
Stater Zip: 55107 Phone: -&T o 0
Contact: Va,,,4, 4- Email; KZw,,e tom.bl�0 ' & k,,,, ! car►-�_
_New _Replacement KAdditional _Alteration Demolition
Type of Work Description of work: b le f� l:§!� C I P.
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 —Zinterior Improvement
Pertllit Type —Air Conditioner _Install Piping _Processed
—Air Exchanger _Gas Exterior HVAC Unit
Heat Pump _Under/Above ground Tank (_Install I_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an eyisting unit,Includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ t!DO TOTAL FEE
COMMERCIAL FEES Contract Value$ t &.'"d X.01
$60.00 Permit Fee Minimum d
$75.00 Underground tank Installation/removal,includes State Surcharge Permit Fee
s�
$ 3
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 thls 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 ooff-work which requires a revlew and approval of plans.V_ ,
Applicants Printed Name Applicant's SlgiWture
FOR OFFICE USE .(� �2 /
Required-lnspections; R®viewed:By; - `' Date. ` !�
Underground Rough In Air Test .Gas Service Test in-floor Heat kFinal HVAC Screening
Sep, 13. 2016 12: 24PM �50(0(tw No. 8850 P. 1
Use BLUE or BLACK Ink
I-----------------i
For Office Use Q/ rte I
Permit#: V 1t7 tJ
City of Eajan I Pelt Fee: -Q
3630 Pilot Knob Road I I
Eagan MN 66122 Date Received: I
Phone:(651)675.5675 I
Fax:(651)675-5684 I Staff: I
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2016 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all coa Vner ial applications.
Date: qj Site Address: jk§. a(o.(t? swd
Tenant: a / (za-� (d }oi Suite#:
Property
Owner Name: o d1e•..G COW SA." Phone: (a S-1 V7 5
Name: Ro v-M S Ca m pa,;& License#:
Contractor Address: 104 M,7,N+rtaA [.;rc.(Q City: 5+ Pawl State: MNZlp: SSr02
Phone: (951- UO2- U5 a0 Email: V-z..i te,(ko 4.1 12 Ina c C•�►t^�
Type of Work —New —Replacement i Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work:
COMMERCIAL _New Construction _Modify Space
_Irrigation System L_yes I_no)(_RPZ 1_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 rip moter.
bomesUe.Size&Type Fire: 1
Avg.GPM High demand devices?Yes Y—No Flushometers Yes_No
COMMERCIAL FEES Contract Value$ , ' ., X.01
$60.00 Permit Fee Minimum =$ Permit Fee
$60.00 PVBIRPZ Permit(includes State Surcharge)
Surcharge=Contract Value x$0.0005 $ Surcharge
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)464-0002 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 YNn Gwif�Nl°� X
Applicant's Printed Name Applicant's SI ature
FOR OFFICE USE Approved by: bate:
Requlred Inspections: _Under Ground — ugh4n _Air Test •—Gas Test na) pftV Required:_Yes_No
Meter Related Items: . Meter.SiZe Radio Read Manometer Staff:
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