4174 Rahn RdCity of Faun
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 132011
Use BLUE or BLACK Ink
Permit #:
Permit Fee: /-0°D
Date Received:
Staff:
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: ✓ a) I' / I ite Address: q i 7 i , / ,; 9
C1d Ce:D41` ' [J-)
Tenant:
Suite #:
PROPERTY
OWNER
Nam • (6 .,
Phone: AAMQF - 7F37
Name: X � 'iv\
cCONTRACTOR
Address:/ Y ' City: A. .►
Stat •: Zir J3' '
Phone: Gpl,�_ U/ (
�-- 1Email: i Ok)A 0
C 1 IA Ctl"\-_
TYPE OF
WORK
Replacement Repair
build _TylliSpace _Work in R.O.W.
_New _
Description of work: r Ta- (-��r�'
PERMIT TYPE
COMMERCIAL
New Construction
( Modify Space
size allowed by Public Works)
prior to picking uo meter.
Irrigation System ( yes / no) ( RPZ / PVB)
_ _
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller
Meters Call (651) 675-5646 to verity that tests passed
Domestic: Size & Type
Fire: 1
Flushometers _Yes _No
Avg. GPM High demand devices? _Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes
State Surcharge) OR Contract Value
on ALL new buildings and boulevard irrigation systems
than $10,010, the surcharge is $5.00
the surcharge increases by $.50 for each $1,000 Permit Fee
Permit Fee requires a $5.50 surcharge)
q
$ /, OW— 1%
Required
- If the Permit Fee is less
�t7xx
= $ CIO .CD Permit Fee
-) = $ Radio Meter Read
= $ Meter(s)
- If the Permit Fge, is > $10,010,
= $ .5.--: DO State Surcharge
(i.e. a $10,010411,000
Following fees apply when installing a new lawn irrigation system. $
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$
$
$
Water Permit
Treatment Plant
Water Supply & Storage
State Surcharge
C
TOTAL FEES $ 9 J tDO
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.gooherstateonecall.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 I
understand this is not a permit, butmy an application for a permit, and work is not to start without aytr' ; that the work will be in accordance with the approved
plan in tje-cpsof ,work which equirr4s a review and approval of plans.
171
Applies t's'Printed Name
Page 1 of 3
?
?-- - - - - - - -
7 ,
I Perrnit
I ?
I ?
? Permit Fee: 1/7/. ?
? Date Received
I
? Staff: ?
I
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: ' 'ge 0 u
Tenant Name:
13,
(Tenant is: New / Existing) Suite #:
PROPERTY OWNER Name: =;?SAYs ? t a/ A J4 k Phone:
Address / City / Zip: fo? J Gv17'4 AR'/h SY-?. Su.t zo
Applicant is: __ZOwner k- Gontractor
TYPE OF WORK
CONTRACTOR
ARCHITECT /
ENGINEER
Description ofwork:
Construction Cost: 4 G/
Name: /e?iv !- License #:
Address: C2& / ?- _?= (o (1(" S?
City: State: e-0/v Zip: 5??S-?
Phone: Pfa ? 7vZ? ^ o??? Contact Persorr. (/GzC /
Add ress:
Name:
Registration #:
? -
? sr
City: ?? ???i ? ? State: Zip:
Phone: Contact Person: l?`Th? '10???'/? ?---
Licensed plumber installing new sewer/water service:
Phone #:
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 wh'ch re uires a revie and approval of plans.
x x
ApplicanYs Printed Name plicanYs Signat e
Page 1 of 3
?_.
. ?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Apartments
Lodging
Miscellaneous
WORK TYPES
New
Addition
_ Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
_ Roof: _Decking _Insulation _Ice & Water _Final
Framing
_ Fireplace: _Rough In _Air Test -Final
Insulation
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
_ Public Facility _ Accessory Building
Commercial / Industrial Exterior Aiteration-Apartments
Greenhouse / Tent Exterior Alteration-Commercial
Antennae Exterior Alteration-Public Facility
_ Interior Improvement _ Siding _ Demolish Building*
Exterior Improvement Reroof Demolish Interior
Repair Windows Demolish Foundation
_ Water Damage _ Fire Repair _ Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
Water Quality TOTAL
Page 2 of 3
? f
• ?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation
Single Family
_ Multi
_ 01 of _ Plex
Accessory Building
WORK TYPES
New
_ Addition
_ Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace _ Porch (3-Season) _ Storm Damage
Garage Porch (4-Season) Exterior Alteration (Single Family)
_ Deck Porch (Screen/Gazebo/Pergola) ? Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
Interior Improvement Siding _ Demolish Building"
Move Building Reroof Demolish Interior
_ Fire Repair ? Windows _ Demolish Foundation
_ Repair _ Egress Window _ -Water Damage
*Demolition of entire building - give PCA handout to applicant
?
109Y900
t1C?
-?-------?--
? _
t---"'
9 -
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Size:
P- - 1?1 MCES System
,5-00'7 M-"OCSAC Units -"
- City Water
--? Booster Pump -----
r'- PRV --??
? Fire Sprinklers ?-
.?,
Sheetrock
Final / C.O. Required
? Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES I ? ? I 5-
Base Fee 55.4)0
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTALA
Page 2 of 3
PLUMBING (COMMERCIAL)
Permit Application ?
City Of Eagan
T??j 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
D
t
1?
a
e -, 2
Site Address Unit #
Tenant Name Former Tenant Name
Property Owner Telephone # (/l???') ??? ^'??/,-r?
Contractor
Address City
State Zip Telephone #
The Applicant is Owner ? Contractor Other
Work Type _ New Bldg _ Add-on Repair RPZ PVB Irrigation system *
* Jerr Wobschall to ca culate fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public Works
2
t . 1) .j C p Z
I" ?(
Description of Work
/ -
To inquire if Pressure Reducing Valve is required on new service, cail 651-675-5646
Meters - Ca11 65 1-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disnlacement $156.00
Domestic 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 $ x 1% _ $ Base Fee
$ Meter(s)
Required on all new buildings & boulevard irri at? ion svstems $ Radio Meter Read
If base fee is $1,000 or less, surcharge is $.50 $ State SurCharge
If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee
----------------- ----------- --------------------------- ------------- ----------
Following fees apply only when installing new irrigation system -------- ----
$ ------- ----- ------ ------ - ------ -------- -------- --------
Water Pernut?
Contact Jerry Wobschall at 651-675-5024 for required fee amounts
$ - Treatment Plaiit
$ A Wate'r Suppl4 Storage
' State Surcharg
--------------------------------------------------------------------------------- -------------
t3Yr -«__--_?..-„w----------------
----------------?
$ Total Fee
I hereby apply for a Commercial Plumbing Pernut 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 Plumbing Codes; that I understand this is not a pernut, but only an
application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of wark
which requires a review and approval of plans.
Applicant's Printed Name pplicant's Signature
CITY USE ONLY
REQUIRED INSPECTIONS: U.G. Air Test Gas Test
PLANS SUBMITTED APPROVED BY:
Rough In _ Final
BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee pernut per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" imgatlon Syst $ 781.00
displacement sm commercxal turbine** mugt reCel:'e
maximum
approval
continuous
lo from Public
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg irrigarion syst $ 982.00
maximuxn displacement residential &
conrinuous sm commercial producrion lines
15
3-50 1" displacement very lg 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 irrigation systems
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 iVIE iERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very lg irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very lg 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 lg comm bldgs
15-1000 4" turbine very lg irrigation $2,329.00
syst
& production lines
Uomments
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca11651-675-5300.
cc: Maintenance Division Clerical Technician
Updated 1/03
PVC- Phone:
? IF C [E ?? ..
?
MAY 1 1 2009
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 5-1' _ O ` Site Address: ?vlk L?
Tenant Name: &UjIl- (foCjI27- At" (S (Tenant is:
Address / City / Zip: !7f )? 1996 ItI tNfv t W6• -5-6 ?Q'"Z-
PROPERTY OWNER I Name:
TYPE OF WORK
CONTRACTOR
ARCHITECT /
ENGINEER
Applicant is: Owner -_k Contrac#or '
Description of work: IV L`'./
Construction Cost: k5222 X16
Name:
- ----------?
? F*20#?'t
? Permit #:
? Permit Fee: I
? I
? Date Received: (2 9
? Staff: ?
I
New / ?_c Existing) Suite #:
License #: 20y S-65- 7 7
Address: al ive
City: state: zip:
Phone: ?52_- 212° i7 ( T3 Contact Person: CT _VV5
Name: ??I ?}?(!?- Registration
Address: >2? 'F'C 'i/A 714 2o t
City: ?(1VVV flP0Us State: 0141/ Zip: 5?5yo/
Phone: 6(2^ 21e! 3&)5- ContactPerson: ?44*, ?WA4`C
Licensed plumber installing new sewer/water service:
Phone #:
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-afiwbP?`"c wfiic requires a re ' d approvaf of plans.
X 6 ? - W?F5 X
Applicant's Printed Name A licant's Si
Page 1 of 3
i
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Accessory Building
? Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
Lodging Greenhouse / Tent Exterior Alteration-Commercial
_ Miscellaneous _ Antennae _ Exterior Alteration-Public Facility
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
_ Addition _ Euterior Improvement _ Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
1?7d Replace _ Water Damage ? Fire Repair _ Salon Owner Change
_ Retaining Wall *Demoliti on of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ??/
"/ o? ? Occupancy
tL- Z
MCES System
Plan Review Code Edition z.?Z 7 SAC Units
(25%_ 100%-) Zoning _R City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinkters
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
? Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation _Ice & Water
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Final Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Final C/O Inspecljon: Schedule Fire Marshal to be present
Reviewed By: 1Gf? , Building Inspector
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Yes No
Reviewed By: , Planning
S ? ! • ZS? Water Quality
Z-v ,00 Water Supply & Storage (WAC)
? -7 ? • 2 (o Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
Water Quality TOTAL
Page 2 of 3
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 0/0 Site Address: 74-
Tenant Name:
(Tenant is: New / 7 - Existing) Suite #:
PROPERTY OWNER Name: C1 (JKQUAt?s lAt= Phone:
Address / City / Zip: V-I(f'VCT 06_ (:7,.? ??p2..
Applicant is: Owner A Contractor
TYPE OF WORK I Description of work: tA%)
Construction Cost: P01=
CONTRACTOR I Name: Ijv ? l? 1Vlilp 1n WL&,?) License #: 20q S6 S 71
Address: 'Tf'7(,QJ V \- u'L/1.,
City: ?ko _ State: Zip:
Phone: t JZ'?? 2-6733 Contact Person: _CL.Aaf??
ARCHITECT / I Name:
ENGINEER
Address:
City:
Phone:
Licensed plumber installing new sewer/water service:
I hereby acknowledge that this information is comptete 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 f ermit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case ic r ires? view and approval of plans.
x X
Applicant's Printed Name J App ica ature
Registration
State: Zip:
Contact Person:
Phone #:
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Public Facility _ Accessory Building
_ Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
Lodging Greenhouse / Tent Exterior Alteration-Commercial
Miscelianeous Antennae Exterior Alteration-Public Facility
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Gonstruction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
_ Roof: _Decking _Insulation _Ice & Water _Final
Framing
_ Fireplace: _Rough ln _Air Test _Final
Insulation
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Finat ! C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Yes No
Reviewed By: , Building Inspector Reviewed By:
Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
_ Interior Improvement _ Siding _ Demolish Building*
_ Exterior Improvement _ Reroof _ Demolish Interior
Repair Windows Demolish Foundation
_ Water Damage _ Fire Repair _ Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
Water Quality TOTAL
Page 2 of 3
City of Ea�aI!
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
�` e"';. °TMS, •,-, �/
Permit #:4 L/
Permit Fee: ____5_6'0O
Date Received:
Staff:
_ 2011 COMMERCIAL PLU BING ER'VIIT APPLICATION
Date: 6'..11(e" ' i Ij Site dcfress: `1l -)q '011
(1/
Tenant:
Suite #:
J
PROPERTYOWNER
Name:Phone:
40"Q - /
(1,-3) - /e4r+-
CONTRACTOR
Name: ; ..
/� I. Li ens- #:
Address: 773) d
�L ,
" ' /{lam- City: )
_
Stat Zip _
Phone: 1L: -7-53) Email:
TYPE OF
WORK
New Replacement '
Description of work: (E
e air Rebuild Modi
Spa
Work in R.O.W.
PERMIT TYPE
COMMERCIAL
New Constructionj Modify Space
Irrigat�ierrJSystem ( yes / no) ( I 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: 1
Avg. GPM High demand devices? _Yes _No Flushometers Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value $ x 1 %
= $ 5D .0tD Permit Fee
Required on ALL new buildings and boulevard irrigation systems 3 =$ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) = $ --��t.C) 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 $
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.aoDherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conforma
understand this is not a permit, but o ly an application for a permit, and work is not to start without
plan in the of\work why requir s review and pproval of plans.
Applica s Printed Name
with the ordinances and codes of the City of Eagan; that I
it; that the work will be in accordance with the approved
Signature
FOR OFFiI
Re
V Requ
Page 1 of 3
Date:
r
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
OLZ
Permit Fee:
Date Received:
Staff:
13
2013 COMMERCIAL BUILDING PERMIT APPLICATION
34/13 Site Address: �7� 1��w•� I�c�
Tenant Name: �¢.t
Property Owner
Contractor
Architect/Engineer
1._Licensed plumber installing new sewer/water service: Phone #:
(Tenant is: New /
Former Tenant:
Existing) Suite #:
Name: Z { `I� e ,t
Address / City / Zip:
Applicant is:
Phone:
Owner Contractor
Description of work: v"°t ae 9- go—Lite i ] O 7 e
Construction Cost:
Name: ____ 'j _3 7 -r -c7 r ,r- n&) n ense #:
Address: 23 `7,, ktk City: t".,;,..4 —1171V
State: ill A/ Zip: 50 3
Phone: 3= c5 -:;?-1g1
Contact: —T ' Email:
Name: Cz—R j./ �y-C . Registration #:��-
Address: '►.t (p Pa,,,� Av..e
State: 944 t'U Zip: 6 Lr
Contact Person: Alo w w
City: 5.,-i . Cflow.ek
Phone: `i2 -D - 1_0541-,10 57
Email:
C40h-4
iwt'714h-
ti'f
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.qopherstateonecall.orq
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
per he work wi AialilEitwaii , ce with the approved plan in the case of work which requ and approval of plans.
Applicant's Printed► ame
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
VI New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100% t )
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
go/ tee
I iv GAMIC
V•13
REQUIRED INSPECTIONS
/ Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation Ice & Water Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Meter Size:
Exterior Alteration—Apartments
Exterior Alteration—Commercial
Exterior Alteration—Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
U
Zao1 gg5,c
Sheetrock
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
/Final / C.O. Required
V Final / No C.O. Required
%/ Other: 51W711-1116.
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: 61% , Building Inspector
Reviewed By: , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL ,l teG B %
Page 2 of 3
I 1
�� For Office Use
.,: � i ��� Permit#:
•
j.-) qq7
EAGANRE EIVED Permit Fee: ‘®`
Date Received: , 6 /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 AUG 0 2 2018
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspectionscityofeaqan.com L
2018 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 1-Aug-18 Site Address: 4174 Rahn Road
Tenant: Boulder Court Apartments
Suite#:
0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Replace old FACP & smoke detectors
Construction Cost: $1,670.00 Estimated Completion Date: ASAP
Name: Metro Alarm & Lock License#: TS000401
Contractor
Address: 3921 W. 143rd Street city: Savage
State:
MN Zip: 55378 Phone: 952-890-6684
Email: service@metroalarmco.com
Contact: Tom Bonwell
New _Remodel
Work Type Addition _Other:
—
V Alterations
DESCRIPTION OF WORK: V Commercial Residential Educational
FEES Contract Value$16'70 x.01
$60.00 Permit Fee Minimum60.00
=$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ 0.84 Surcharge'
If the project valuation is over$1 m Ilion,please call for Surcharge 60.84
_$ 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.citvofeagan.comisubscribe.
I hereby apply for a Fire Alarm 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 of work v hich requires a review
and approval of plans.
xThomas R Bonwell
x
Applicant's Printed Name Ap•licant's Signature
FOR OFFICE USE Reviewed By. , -- Date: .R-623-Ig
Required Inspections: Rough-In Final Fire Alarm Test