D104 For Office Use
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Permit#: / S7 - 71 t ! /
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Permit Fee:
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-- ,-- Staff:
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 � Payment Recvd: Yes No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 -
Email: buildinainspectionsacityofeaaan.com I i 'y�"�,-'^ I Plans: Electronic Paper
Plan Submittal:eolans[caatvofeaaan.com f,
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2019 COMMERCIAL rVILG IC PERMIT APPLICATION
❑ Please submit two(2) sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email,CD or flash drive
Date: ./ e)/// Site Address: -S / r°. S 5 t c _
Tenant: Suite#: "0 6 4
Owner Name: PPhone:
Address/City/Zip:
t //%CZ Name: I.`Qi S5 h License#:
V
Address: 3 8. 2 l6e 1 f SY``‹� City: 9"/c2l� 4 CPk�
ctor ''�
State: /7)l4 Zip: S-. 7 a Phone: C( —36 `5 4 9
Contact: 5e5rCa� A,42 a)/1 Email: 1e 6h h Par(/,' ® gma/6 E ell
,(New Replacement Additional Alteration Demolition
Type Ofw k Description of work:
totes mounted and ground mounted mechanicalequipment is required..to be steed by"City
C! ntact,the Mechan cal,I pe l`,for Information on permitted*Preening methods.
G COMMERCIAL r� A n` ,p�
Ilii t�'
xNew Construction —Interior Improvement f��I'l ; T J/OP)
Pelrmit Type"' Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank L—Install/ Remove)
COMMERCIAL FEES
Contract Value$ , -2 C a x.015
$60.00 Permit Fee Minimum
$75.00 Underground tank removal, includes State Surcharge =$ 70- <0 Permit Fee
=$ ` -S S Surcharge
Surcharge=Contract Value x$0.0005r�S
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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 : •-rmit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed/Name Ap licant's Signatu
FORS OF E vU ,,1---?,,,,,,7,:;.,,..,9,1!..-y7 z
a ' a S ,, '-GRE • e: _1 ,1(
Requ#red i .�N � k� �R+e�rlewei:! ,l� �.
_._,..Un round .Rough'In `_„_,R r Test -Gas Service Test In-floor Heat 4 Final -HVAC Screening
% % e For Office Use
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,,,,, ti4,.., 0 .. Permit#: �C '
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�� Permit Fee: (/ C. -..
Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
1.0 0-—••�� marsai'LRLCuirLiSiS--Y LC,
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 1 Payment Recvd: Yes _No 1
mail: With inspections iryofeaan com 1 I
Plan Submittal;eDlans(a.citvofeagan.com Plans: Electronic Paper
2020 COMMERCIAL PLUMBING PERMIT APPLICATION
I ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive
{ Date: 09. Z2 Zo Site Address: S-3\ Gk-RJS“L Cove-( ,
I
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Tenant
Suite#:
i Property
Owner Name: '1)P'"4 1':h s c+4'-i Phone:
Name: RoEt.•So'.1 Pt.,.ne•ar,- se-RNAck , i'.f�. License#: P<4-46(47-71-11
Contractor Address: ►oSz-tet Ptoae+Evk pQ.
City: gv2as4tiuZ. State: er,N Zip: sss .-4-
Phone: es.%•71's •salt Email: RoE►..sc..:s 11wn%c3rI-4`,. c.,,.,Ril._ � rv.
New Construction Addition V.1 Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: c"FL G-'1 b - 8vi`Uovt
Type of Work Irrigation System( yes/ ---/no)( RPz/ PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2.turbo required unless smaller size allowed by Public Works)
Meter Required-Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers_Yes No
COMMERCIAL FEES
Contract Value _ x.015
$60.00 Permit Fee Minimum ,.
t o6.. :
$60.00 PVBIRPZ Permit(includes State Surcharge) $ Permit Fee
Surcharge=Contract Value x$0.0005 $ 3o Surcharge
If the project valuation is over$1 million,please call City for Surcharge $ \O�. _ TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ /o Water Permit
connecting a new water service.
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ e-i I A Treatment Plant
$ . 1 '4 Meter Fee
$ "r I A Radio Read
$ State Surcharge
=$ 1 0_ 'S' TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www,citvQfeatian&oralsubscri be.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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 confor ance 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 sta witho a perm hat the work will
llll be in accordance with the approved
plan in the case of work which requires a review and approval of plans,
\141A.•-. .* L
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L-'V i rJ d L.5c� x "—...__L
Applicant's Printed Name plicant's Signature
Page 1 of 4
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i e tr d tn$ eatFons Under;Ground Ro gh In _Air Test _Gas Test .Final F 1f Red i d'` Yee tato
a Y
I(eter=Rebated Items Muer Size Radio Read Manonast
Page 2 of 4
( C1196s i � CF /03 / o 47
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eki ldt q 7 7 / CQ 71
Thank you,
Kevin Olson
Roelson Plumbing Services, Inc.
651-285-5351
>On Apr 27,2020,at 9:46 AM, Roelson Plumbing<roelsonplumbing@gmail.com>wrote:
> Hello,
>See attached....
> Eagan Car Club
>531 Classic Court
> Units 103& 104
>Job Description:
>Shell Building -Bathroom/Loft Buildout
>Scope of work:
> Unit 104
> •Relocate existing water softener.
> •Install wall hung laundry tub.
> Unit 103
> •Relocate existing water softener.
> •. t
> •InstallInstalav oilet.sink.
> *Add ADA shower.
> •Add kitchenette in loft.
>Thank you,
> Kevin Olson
> Roelson Plumbing Services, Inc.
>651-285-5351
>>On Apr 24, 2020,at 11:33 AM, Roelson Plumbing<roelsonplumbing@gmail.com>wrote:
» Please see the attached commercial plumbing permit application....
3