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1381 Berry Ridge Rd Unit 501 for Office Use City of Eafta A j " r y ? 3 Permit Permit Fee: ' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: - W,.C----- Tenant: Suite RESIDENT/ OWNER Name: <49- - _ Phone: Address / City /Zip: 'ICA CONTRACTOR Name: )tV _ License Address: City: C. CEV-) State: AN -zip: Phone: Contact Person: TYPE OF WORK New _ eplacgment Repair Rebuild Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L- RPZ / PVB) Main Lower Level) Septic System ---Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 he in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant s Print me Applicant's Si eure FOR OFFICE USE Reviewed By: Date: Required Inspections: ____,_Under Ground _Rough In ___Air Test __-_Gas Test Final CF ÿ ýüû þýýüûúÿûúÿÿ ùüüýýñøüüð ë÷ þ ë ë ÿþ þý úùø÷öõ ô ÷öõóò þ õ ñùþþ ü ü õ ð ïù ðþþ ùø î þûúý þõ ûíì ëê ý ë þ öé ð öðù ó îý ðèíçõðþêæ å ÷ù úù üèäæ ìåëì öõô óò õõ ú áüà üúùþâî öðù åó öçüçÿ îõþîó ýüîó ë íëêë ë øöòü þõõþ ã ðþ ü ðõöò õõøú ãîþúùþöãýüé þå õõß ðúüù þþùöúüù Use BLUE or BLACK Ink ,,�;� r For Office Use ,i f , . ' , /V 3 / :) .';,` .w :i +�,r; p Permit# V = * Z4. ,�` �, o Permit Fee: a.� ,'- : 441/4,400' Date Received: /6- 30 ` 1 7 h . 3830 Pilot Knob Road I Eagan MN 55122 i_ �' `''' Staff: Phone:(651)675-5675 I buildinxinsoections(acitvofeaaan.com 7 J 2017 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date: /0 -2-1—11 Site Address: I.3 t (?c j 2 t c c. ReA Tenant: Suite#: * S® I . def,, Name: SUSo+.-r (/Y1rttec.Ai Phone: ,4/2.-66 5i5-- k ` ' Address/City/Zip: I 3C3[ /3�v v'„ Rk,d5 e ! Name: Lekp r ,f C; i Y (--I e.:,` :n License#: Vile dO`E g g 2.. w' Address: 1 L/3 Rog/y'vr /'e City: 14-u_, f `: State: jfri frt Zip: S S L' `-1 Phone: XII-4 /L/ . 3 tS p 3 Contact:jJ(M 4—`r Email: C—tf 4-4.12._C l'y)--(5 S+12)1.01 e 4r,co,' New L-'1 eplacement Additional Alteration Demolition y of Wo Description of work: £ OTE t f to 4 tft . , t .. .. . anical�i o�` ,« i.` `.' .,., . . s, screeningd ; RESIDENTIAL COMMERCIAL urnace New Construction Interior Improvement Air Conditioner Install Piping Processed _Air Exchanger Gas Exterior HVAC Unit Heat Pump _Under/Above ground Tank ( Install/_Remove) _ Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New,includes State Surcharge =$ 6C-2 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value$ x.01 $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 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.citvofeaoan.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 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 J — Oc f 1 x �/li/, Applicant's Printed Name Appli ' Signature ��ptio e 1 F Y ��•Y` u.x-i Itt r Y,, Test . 1 � � . �4 zr i Use BLUE or BLACK Ink F For Office Use 4% i; Permit#: 117 719r ® 4,7� . • Z .... �, ,--� a c Permit Fee: /tz •-- 4e< Date Received: 3830 Pilot Knob Road I Eagan MN 55122 Staff: Phone:(651)675-5675 I Fax:(651)675-5694 buildinginspectionsc citvofeagan.com 2017 RESIDENTIAL BUILDINGjPERMIT APPLICATION 1.� Date: Site Address: I 3 d ) " 21 '# Ca/ Unit#: Name: 6 ti5a-in rviale�4 - Phone:ry/),— 3G 3' c c/ Resident/ //�� ✓1 Owner Address/City/Zip: 131c/ /3t2/(j id / /le, (,i 1 4-0/ Applicant is: Owner )( Contractor Type of Work Description of work: -�2+J2. /.=:/1991 /Q01 70 /�i.V (44-k Pu.i10104-) Construction Cost: /„et0 Multi-Family Building:(Yes /No tle ) Company: /7' OQ %DvY)a4 0 Gc.,-01 f Contact: 'J ss: 5 Addre3 /c h� $ate /rJ��% City: Contractor '" ' State:to f✓ Zip: 5 v 15 Phone: fl'(O?- O Email: t Jc,g a-o%rn 17- G a License#: & l'7?4f9 Lead Certificate#: L 1'' 2 h 3 2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the Information dray be classified as non-public if you provide specific reasons that would permit the city to conclude that they are trade secrets. 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.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.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 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 (,✓L 5 Oa C. ,1 x Applicant's Printed Name Applicant's Signatu Page 1 of 3