2147 Cliff Rd. . F'o . " . , T . , f `
J ?7 - ? b?l 1
Site Address
? Name ?
?a Address ?
c City '4,?
Name
_ 3 Address
o Ciry ?
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
? 3830
MECHANICAL PERMIT RECEIPT # -?-
CITY OF EAGAN
r KNOB ROAD, EAGAN, MN 55122 DATE: ?%"•'? ?'? 7
?T°`"'"'", Res. New
Mult Add-on ?
: f?cc 4?
? Comm. ?- Repair
Other
Phone
FEES
? • RES
HVAC 0
00 M BTU
.
-1
-$24.00
ADDITIONAL 50 M BTU - 6.00
Phohe
- (RES. HVAC INCLUDES A/C ON NEW
_ CONSTRUCTION)
GAS .OUjJ,,,ETS (MldlllaUM ,_] PER PERMIn - 1.50 EA.
`COMM/IND FEE - 1% OF CONTRACT FEE
?
M BTU APT. BLbGS. - CONIM. RATE APPLIES
M BTU TOWNHOUSE & C4NDOS - RES. RATE APPl1ES
MINIMUM RESIDEMTIAL FEE - ALL ADD-ON &
M BTU REMODELS - 12.00
M BTU ? MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE: ? F-7)
S/C: • S SfGNATURE OF PERMITTEE '
TOTAL-
FOR: CITY OF EAGAN
Reoeipt
?. ?
1. Date
3. Job Address
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
FN
Fill in numbered spacea S/C
Type or Print /egiblY Tot.
2. Instatlation Cost
Lot Blk. Tract
4. Owner
4 ?
5. Contractor Phone
6. Address _
7. City
.
State
Zip
8. Building Type: Residential ? Commercial ? Institutional D
9. Work Description: New ? Add ? Alter ? Repair 0
10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby Certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rouyh Final
Inspections: Date 5/- -&'20nsp.,Lj? Date Y-3o- eT(nsp. w,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
15 laur?j
5o3bt
A n Q.
E8-()0001-07
rsEQUEST Fon aFCnncaL msrEcnow
, Sea imtrwtions tm covaletim this Mm m beck W wlWw cnuY.
, r% r e_._. W?a-r..,wr n. rn,s eeoLesr
Th,s ,e4uest w,a 56361
18 monthv fmm
A D82622 °
I Pequest Date ?
-, -?'-?5
c setl ElectriWl Cootr:+c[or
? Owner :J?
oddrass. Boa ar Noute No.
Powar $upPlim
Electr{cal Csontracto, IGOnPa^v
MaJmg AtlJress iGm[racmr m
MINNESOTA STpTE 60I1RU OF ElEC7RIGfi11
Grig9s.MitlweY BId9. - pas'^ N-181
1821 UniversitY Ave.. St. Paul. MN 5b""
Phone (6121 29]-2171
10.01
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iM 1Y11en Re3dy
impaehm af above
IecViol ?sk insblbd aT.
EA-4
;wnt
lh. No.
Address
7NL5 IKSPECTION BMUFST WILL NOT
BE ACGEPiEU Bt 7XE STAIE 90AMD
UNIESS PNOPER INSfEC110N FEE IS
EMCLOSED.
CASH R?MP?Ys-?^Yl??..
GITY OF EAGAk2ae-'?-
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 &
FROM LiC.rr?2./
AMOUNT $
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N° 49636 Bv
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direcc su ervision and diat I am a du! Rc~is• ~~voaio~a . (~"~I~ ~'~'r~'°1'" ~I 1: ~1 ~I~"i~
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t_-:___,- ER~~i~1 , NIN.
»_._Reg, Ho. LL= I
~ 0 R A T E D ~ 0 TON WIac~ rTor uW?T
TPLlS DRANdIBdS3 IN DE$IGPd AFdD DE'fAIL
18 4tER PROPERYY AND M1851' NOT BE 6JSED EX6EPF 6P0 CONNECYION Ydi'PH DR. imy M. my
061R W6RK. ALL RICsM'T3 OF CBESICN AtdD DEpASa. ARE RESgRmED. 9649 Girard Avenue South, Minneapolis, MN 554 eapolis, MN 55431 - (612) 884-1661 'DAr on ' J87° (811 ' rr Na ~A -1 ESr.
swEL
Use BLUE or BLACK Ink
For Office Use I
~
I Permit
I
My of Eajan
3830 Pilot Knob Road Permit Fee: )
Date Received: ! L~
Eagan MN 55122
I r
Phone: (651) 675-5675 I
Staff:
Fax: (651) 675-5694 1 ----------------j
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: » °001 Site Address: y tiKrf. K
Tenant: Suite
PROPERTY
OWNER Name: Phone:
CONTRACTOR Name: Wyy, F P License 03(or(C5f [ f6 P
Address `l% " ck-" S City: StatA`I►w Zip: s40e
Phone: ~O`~. S a~ • LA %o`1 y _Contact Person: Vs A `Pvc,&t r'SU
TYPE OF -New ,Replacement _Repair _Rebuild Modify Space _ Work in R.O.W.
WORK
Description of work:
PERMIT TYPE COMMERCIAL
_ New Construction / _ Modify Space
Irrigation System yes / - no) RPZ PVB)
• Rain sensors required on irrigation systems
• 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 up meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? _Yes No Flushometers _Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract value $ X1%
= $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
- If Permit fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ ` IMF
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. www.gopherstateonecall.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
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 NC►.y,, ~`2~f'Sb h x
Applicant's Printed Name Applicant's ature
FOR OFFICE USE Approved By: Date:
Required Inspections: -Under Ground -Rough-In _Air Test `Gas Test -Final PRV Required: Yes - No
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