4460 Erin Dr??&ZT0
Neafing $ Air CondffJoeing, Inc.
3062 RanchviewGane North
Plymovth, MN 55447
Phone: (7'63) 473-2267 Fax: (763) 473-8565
FAX CD VER SHEET
DATE:
TO:
FAX NO,
FROM: Steve Hucovski
TOTAL PAGES ?.
AQESSAGE:
??- Z/?/t
(INCLUbES COVER)
6-1 v;? Pr,
F
Thenkyou!
Xt is a pleasure doing bustness with you!
r.
tom•d dmzIti smismrsm
??oo L
2005 CONIMERCIAL PLUMBING PERNIIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
??s-D
Date D'S / OS
Site Address 4y (p(? elr_t v?_ ()r Unit #
Tenant Name Former Tenant Name
Property Owner t Y?C e? ?6WI C.S Telephone #( )
Contractor FarvyN i u I,i
Address 9, 10? Iv¢- City Fztrwi?4?Lq
State nn? Zip Telephone # ((4g51
License # ,3579 ?N) Expires: )2 -OS
The Applicant is _ Owner ? Contractor _ Other
Work Type Zc New Bldg _ Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace
_ Irrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri aNon s stems
Description of WorkZ
To inquire if Pressure Reducing VaWe is required on new service, call 651-675-5 6
Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oicldn a un meter.
Irrigauon Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disolacement $761.00
DomesUC Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ y 37?j . d? x 1% _$ Permit Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
If pertnit fee is $1,000 or leu, surcharge is $.50 s St3tC SUTChazge
If permit fee is over S1,000, surcharge is $.50 per $1,OOD of the Permit Fee
?
Following fees apply only when installing new irrigaGOn system ? $ Water Peixnit
Call lerry Wobschall at 651-675-5024 forrequired fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
-----------------------------
------------------------------------- - ---------------------------------------------------------------------------------
$ -----------
Total Fee
I here6y apply for a Commercial Plumbing Permit and acknowledge that the infonnation is complete and accurate; that tne worx wul oe m
conforrnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a perrtut, but only an
applica[ion for a permit, and work is not to start without a pemiit; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans. r\??
.J??ie( 11k e?e? ? owu ;?1t?.o
ApplicanPs Printed Name App ican4s Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: , BUILDING IDISPECTOR
General Information
• Radio Meter Read (required on all new huildings & boulevard irrigauon systems- $141.00
• RPZ's must be tested every yeaz and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the Ciry of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, renair, remove.
• R'ater meters include copper hom/shainer, remote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" iriigatiOn syst $ 735.00
displacement smcommercial turbine*• public Works
maximum
must approve
continuous meter size
10
2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00
maximum displacement residential gz
continuous sm commercial production lines
15
3-50 I" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 uniu
maximam sm commercial gz
continuous & Ig comm bldgs
25 irri arion s stems
5-100 1-1/2" bldgs 25-64 units 429.00
maximum displacement & p
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIpR TO PICK UP
GPM METERS USE PRiCE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs Bz $3,563.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very lg comm bldgs very Ig comm bldgs
15-1000 4" turbine very lg irrigation $2,226.00
syst
& production lines
? y?l•? To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water tum-on, call 651-675-5300.
cc: Mamtenance Division Clerical Technician
7anuary 2005
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
C 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc commerciaUindusvial buildings
multi-famiiy buildings when sepazate permits are not required for each dwelling unit
`Al'?5 °`T S-0
Aate6,4 / 41/ /G?_,
Site Street Address Unit #
Tenant Name (ifapplicable) Previous Tenaot Name
Property Owner / /72?? r?1?C ot?l Telephone #
Contractar
StreetAddress?Jb& a RGnCl??/i?? A.C17,e City State Zip ? Telephone # 3 ) 1173 0? <a ?
Bond #: Expires ?z IU S-
The Applicant is _ Owner _i'Contractor J Other
Work Type
? New Construction _ Underground Tank _ Install _Remove "see below
^ Interior Improvement _ Install Piping _Processed _Gas l
Nature of Work i,S????-47L.2o 4 tICK?'?G )
"`When insta/ling/removing underground tank, caIl for inspecfion by Fire Marshal and Plumbing Inspector
POfmif r' ¢¢5: $70.50 Undergmund [ank installation/removal
$50.50 Mixinmm (includes Sfate Surcharge)
ContractValue $ ?? e_ x l°!o = $ 0-9 PermitFee
• If ne rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 ne rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start wit permit; that the work will be in accordance with
the approved plan in the case oF work which requires a review and approv of plans.
ApplicanYs Printed Name App ric t s Signature
Approved By: ho Inspector Date: MAR 0 7 2005
,"p A}7"''?ic,?hv
city of eagan
TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL
DALE WEGLEITNER, F1RE MARSHAL
PAUL OLSON,SUPERINTENDENT OFPARKS
MIKE RIDLEY, SENIOR PLANNER
CAROL TUMINI, UTILITY BILLING CLERK
BOB KRIHA, CONSTRUCTION INSPECTOR
STAN LEXVOLD, CONSTRUCTION SUPERVISOR
TAM COLBERT, PUBLIC WORKS DIRECTOR
MEMO
JOHN GORDER, DEVELOPMENTlDESIGN ENGINEER
TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
ERIC MACBETH, WATER RESOURCE COORDINATOR
MARK ANDERSON, ELECTffiCAL INSPECTOR
SCOTT PETERSON, PLUMBING INSPECTOR
FROM: TERRY ZELENKA, COMBINATION INSPECTOR
DATE: MAY 2, 2003
SUBJECT: FINAL INSPECTION FOR BUILDING E
4460 ERIN DRIVE
LEGAL: LOT 1 BLOCK 1 HONEY TREE 1 ST
The Protective Inspections Division will be performing a final inspection on Friday, May
23, 2003.
If you are requesting that the Certificate of Occupancy be held, please fill out the proper
hold request form. Failure to return the hold request form will be considered your approval. The
person, or department, requesting the hold is responsible for notifying and resolving any
problems with the affected parties.
CDPoIdg insp/misdfinal insp - comm bldgs
i_ _nA- 1 f-?)16c_L 1
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-9t675
rra? 3-1'FS I 4-
L, C i(•`a S- ?a-.
t OI, 11`-1_1°}
Foundation Onl New Construction Interior Im rovement
• SWdural Plans (2) sets • Architectural Plans (2) seb • Architectural Plans (2) sets
• CivilPlans (2) • SWcturalPlans (2) • CodeMalysis (1) TM
• Certiflcate of Survey (7) • Civll Plans (2) • Project Specs (1)
• CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1)
• ProjeGSpecs (1) • CodeMalysis (1)" • Master Exit Plan (1)
• Spec. Insp. B Testing Schadule " • Certificate of Survey (1) • Energy Calculatlons (1) not always"
• Soils Report (7) • Spec. Insp. & Tesfing Schedule (1) " • Elec. Power & Lightlng Form (1) not always"
. Meter size must be established • Meter size must be established • Meter size must be established -'rf applipble
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1) " d
1 • Masler Exit Plan (1) 1
1 • Emergeney Response Site Plan (1)
1 • SoilsReport (1) 1
• MGES SAC determination letter • MGES SAC determinaGOn letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Gall 651-zl5-oiuu tor aerans.
" Contact Building Inspections for sample. I
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: WORKTYPE: )C- NEW _ REMODEL CONSTRUCTION COST: ISQ dJ ?
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
SUITE #:
DESCRIPTION OF WORK 'V F+'Ci 'cc r?« .??r? •
Name: o L/} Phone#: ( 612 745.2
PROPERTl' L54 irst
OWNER q?
SheetAddress: g' ?Z loGyL l? • • •
City: l (v 14 State: Zip: 7
Company:
Phone#: ( 6 /Z ) Sf / - ? QS7
CONTRACTOR ? ? ? ? ?
S?eetAddress: ?%L?L i% •
City: j? kf- State: 147 Zip: ?;2
ARCHITECT/
ENGINEER Company: Name:
Sheet Address: L15-
n-?
Phone #: ( lvS ? ) ?-SZ ' d 3 ? ?
RegistrationS#f?,
C.^'
City: State:
Licensed plumher insWlling new sewedwater service: 7U 61/r w./%S-3" Phone #: ( 7? 7 1 3
I hereby acknowledge that I have read this application, state that the information is correct, ano agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
de 1'??
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments Cl 27 CommerciaUlndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
e 31 New 0 35 Tenant Impr ? 42 Demolish (Fo undation) ? 46 Windows/Doors
? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code JAY- Zoning pp sq. ft.
SAC Code ?Q # of Stories / sq, ft.
No. of Units -- Length /..O sq, g.
No. of Bldgs. ? Width ? sq. ft.
Const. (Actual)
(Allowable) ?IJ
IW Basement sq. ft.
Fi
t Fl
ft ?-^ MC/ES System Ut.6
rs
oor sq.
. City Water
?
UBC Occupancy sq. ft. Fire Sprinklered
AIO
MISCELLANEOUS INSPECTIONS t
? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
Planning Building Nk& 1'• Engineering Variance
Permit Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
4a73.7,57' /
J5. QD ?
Sa'7. 9Y ?
4000. 00 ? % SAC
/oo, ap ? SAC Units
/D0. 00
.56
340. d0
Socn, 00
VALUATION $ QSD bo
Meter Size
Total -t 111, q
it Metropolitan Council
Buiiding communities that work
Enuironmental Seruices
October 4, 2002
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner.
The Metropolitan Council Environmental Services Division has deternuned SAC for the
Oxford Development - Building E to be located within the City of Eagan.
4`71(00 C1Z1A(
This project should be charged 1 SAC Unit, as deternuned below.
SAC Units
Charges:
Office
1500 sq. R. @ 2400 sq. ft./SAC Unit 0.63 or 1
lfyou have any questions, call me at 651-602-1113.
Sincerely, ?
?
Jodi . Edwards
5taff Specialist
Municipal Services Section
JLE: (300)
021004SE
Cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
F. J. Sabongi, 5abongi Consulting Group Inc.
www metrocounul org Metro Info L1ne 602-1888
230 East Flfth Street • St. Paol. Mimesola 65101-1626 • (851) 602-1005 • Fax 602-1 I38 •"CIY 291-0904
An Fquu! OppwtunIhj F.mPioyer
ta t- ) i?)locl I
1-}6-? n -C r-e-e
l?
COMMERCIAL BUILDING
Permit Application
City Of Eagan
?(t gl s? 3830 Pilot Knob Road, Eagan Mn 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
0 -?
(.- 19
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sefs • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) °
. CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1)
. Project5pecs (1) . CodeAnalysis (t) . Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule " . Certifipte of Survey (1) . Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Fortn (1) not afways"
• Meter size must be established . Meter size must be established • Meter size must be established-4f applicable
L • ProjectSpecs (1)
1 . EnergyCalculations (1)" 1
L • Electric Power & Lighting Form (1) *' 1
L . Master Exit Plan (1) d
1 • Emergency Response Site Plan (1)
1 . Soils Report (1) y
• SAC determinaUon - call 651-602-1000 • SAC detertnination • call 651-602-1 000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regazdmg food & beverage or lodging facilities.
** Contact Building Inspections for sample and if required when it s[ates "not always".
**" Pemut for new building or addition will not be processed without Emergrncy Response Site Plan.
Date 6 / i2 / 0> ConstruMion Cost ? -3 5, d
Site Address y- ,? lv t, c? ?t ?,(°J,.L . Unit/Ste #
Tenant Name J/{?', "p N .Former Tenant Name
Description ot Work 'ce- 76k r ovL ?r ri ,S' ?-/
Property Owner Telephone #(&/ /L
Contractor
Address City / ,/ 4-
State Zip ;4 7- Telephane # (61Z) -?2 7 7 ¢S ?-
A
h/E R
i
i
# Ir
?r ? ? '? I ?? ?
'1
rc
ngr strat
on
p
eg ?
Address City JUN ` L2
State Zip Telephone #
Q
c
Licensed plumber install ing new sewer/water service: Puf,n ?3 '? Phone #: G( S(, )?? - 5?6d??
?
1?
L
I hereby apply far a Commercial Building Permit and aclrnowledge 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 the State of MN
Stahxtes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accardance with the approved plan in the case of work wtrich requires a review and
approval of plans.
?a?
plicanf' $PrintedName
?
ApplicanY i tptff e
OFFICE USE ONLY
Sub Types
? 01 Foundation
-1 14 Apartments
71 15 Lodging
? 25 Miscellaneous
Wy rk Types
?" 31 New'
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
N6r. of Units
Nbr. of Bldgs
Type of Const
3? oo a
?
? 26 Public Facility
R'?'27 CommerciaUlndushial
?] 28 Greenhouse
E 29 Antennae
-1 30 Accessory Bldg.
?l 32 Ext Alt - Apts.
Ll 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
0? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg only) - Give PCA handout to appiicant
Occupancy 13 MC/ES System !J?_ 5
Zoning City Water ? r 5
Stories I BoosterPump _-
? Sq.Ft. 300o PRV _
N
Length 1.0, Fire Sprinklered _
Width SD I
REQUIREDINSPECTIONS
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof Ice & Warec Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insularion
u
Final/C.O.
? FinellNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Arr(Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ?? lli? << ^ « , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
44a.ns
! 7. SO
3,20. 29
fi
Y
11
? ?
` PLUMBING (COMMERCIAL)
Permit Application
City Of Eagan
!0 00 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
it, L-0 .s?
Date &_ I 2 "'F / 0 -3
,
C
Q 0 GY ; h Pr ? Unit #
Site Address 'VZT
?
(
?
Tenant Name ,\ ?Q IJ ?2 L? ? o? ? Former Tenant Name
Property Owner Telephone # ( )
Contractor Y?rv 'QG I-61
Address y?
? C?O n CG C L City ?
- S
State Pv1/^- Zip do-C/ Telephone #((?pV) .p6 t`-P? trl G
The Applicant is _ Owner ? Contractor _ Other
Add-on Repair _ RPZ PVB
Work Type lel New Bldg _ Irrigation system *
_
' Jerr WobscAell [o calculatc fees. Re uired mMer sizc is 2" turbo unless smaller size ermitted b Public Works
Description of Work
To inquire if Ressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conducavity, and bacteria tests passed orior ro ofckina un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" displacement $156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers Yes No PRV Required _ Yes _ No
Permit Fee $50.50 mrnimum (includes State Surcharge)
Conhact Value $ d x 1% -ri U0 U Base Fee
$ Meter(s)
Required on all new buildings & boulevard irtieation svstems $ Radio Metex Read
If base fee i5 $1,000 or less, surcharge is $.50 $ -? State Surcharge
Ifbase fee is over $1,000, surcharge is $SD per $1,000 of the Base Fee '
?
Following fees apply only when installing new irrigation system Water Permit
Contact Jerry Wobschall at 651-675-5024 forrequired fee amounts
-, -?
TreahnentPlant
r, o?j Water Supply & Storage
i .JUl 2 ¢ StateSuscharge
-----------
---------
_ ------------------------------------
--------
- ---------
------
?
--------------------------------------------------------- -------
I
Total Fee
-- - -____?
By
I hereby apply for a Commercial Plumbing Permit and aclnowledge that the information is complete and accurate; thaz the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pertnit, 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.
/? ?t? TA9leEir=N?
ApplicanPs Printed Name ApplicanYs Si a re
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: S fi CO `ZG?63 , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee pemrit per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS U5E PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" iit'igation syst $ 781.00
displacement sm commercial turbine** must reCeive
maximum
approval
continuous
10 ' from Public
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg imgation syst $ 982.00
maximum displacement residenrial &
continuous sm commercial production lines
15
3-50 1" displacement very ]g res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $484.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine very Ig irrigation $2,329.00
syst
& production lines
l.Vl[LllW1L5
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, ca11 65 1-67 5-5 3 00.
ce: Maintenance Division Clerical Techniaan
Upda[ed 1/03
City of aaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
t
Use BLUE or BLACK Ink
For Office Use
Permit #
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL P -MIT AFP ATION
0 Please submit two (2) sets of plans with all commercial applications.
Date: SI (4 1-6111-• Site Address:
Tenant:
'ala® i 1)1--
14-tr (Cu i t)r Suite #: `Z -
RESIDENT / OWNER
Name: 1 f o Pr Phone: 1QSk— CSkoi
Address / City / Zip: SAT:A Cjd.n+z 'Cov.r1 Qui Lp ( SIEv.- Aric 0,4 S''
TYPE OF WORK
RESIDENTIAL FEES:
Name: er•iidt fxr t Avg License #: 15 3 LA1. k.p
Address: 1`VVZ 1Cwooktelli A4E City: (0AILtAn % GA -o4
State: V AT4 Zip: SStYVAI Phone: IS'-- `L,'L .e - OS\e3
Contact:
Email: C .1twoNt, e Gbvw
New Repla ment Additional Alteration Demolition
L� �� c
Description of work: �. L-6I�E-
,Z,� 4yti��+P�TT w�OlAWr b C.,A1
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
Furnace
Air Conditioner
— Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR Contract Value $ ��- x 1%
= $ q) oc: Permit Fee
= $ ' Surcharge
= $ C%- U 0 TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454-0002 for protection against underground utility damage.
you intend to dig to receive locates of underground utilities. www.aouherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conform ce va th the ordinances
Eagan; that I understand this is not a permit, but only an application for a permit, and work is o start outja permit that the
with the approved plan in the case of work which requires a review and approval of plans.
Applicants Printed Name
FOR OFFICE USE
Required Inspections:
x
1148 hours before
nd codes of the City of
rkwill be in ac«.,.ante
Applicant's Sig
oa:2/14?
Underground ough In - Air Test Gas Service Test In -floor Heat drat HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131125
Date Issued:06/03/2015
Permit Category:ePermit
Site Address: 4460 Erin Dr
Lot:003 Block: 5 Addition: Honey Tree 1st
PID:10-33500-05-003
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
T M Foley Llc
4460 Erin Dr
Eagan MN 55122
(651) 295-3458
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature