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3908 Valley View Dr S'44' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 C 1,011 Use BLUE or BLACK Ink 1=� P� � 9697 Permit #: Permit Fee:$3 J 9. f/5 Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: r."' /`'/- 1/ Site Address:3 90 g - 39/01 Tenant Name: 6f7//,y G!,w dr s. (Tenant is: New / ..%Existing) Suite #: Former Tenant: PROPERTY OWNER Name: 1./., r e � ckW.e."¢r446 Phone: (S~/" y9'..5-'91- o2 /1.,z1- F A v Address / City / Zip: 3s 7 Y �-,A7, 1/,‘%.,..,, D; leis -I A) ..5-..59.07 • 2 i Applicant is: Owner .Contractor TYPE OF WORK c� /. Description of work: Xt./ke e -„/,;s .3 V , „ / Sidr�,s n` Ir��ke,w t.,' +� � � p s, • hs y s/4 -- Construction Cost: v�L'` 000 CONTRACTOR Name: 4/j, De,,A9, ,-sires ksA,. 1:4 .; License #: 2a4.3 56S ' Address: 426 7v?5 (o:.,,4y /)r,✓/ ! City: lie ice,” 6r State: 01)---Zip:y7f5a- Phone: G;/a' 74'1 /79/ i Contact: D4 Ow 1 Email: do/1.e f p a ///„ %,,1 r/ : Gc> •"'L ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting the information may documents that yousubmit are considered to be public information."Portions: of be classified' as non-public if you provide specific "reasons that would permit the" City to conclude that they 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.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 an •_• •royal of plans. xI2, i ve( is 5K. Applicant's Printed Name x Ap• icant's Signature Page 1 of 3 41,111 C!tyofEaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit #: Permit Fee: Date Received; Staff : - /J 2009 MECHANICAL(f'PERMIT�]APPLICATION Q 4 f r5 l a Ck Site Address: al O C3 6, v -1 ky w Del Lt.. 1 a Tenant: Suite #: RESIDENT / OWNER eb ui Name: U i e t../ Po' J.N.. ):' A f"i P\L* l&r Phone: Address / City / Zip: I r 0. /Ai ti; u W Di:�i f .Jt ..-, /-7P 5J) CONTRACTOR II3. 1/,'c_ �j Name: Br." a {,+t L. AJex Our, b 3 c. --L AG- - / k License #: 3 j' (13 1i1V Address: l' / so JL /'0:..4 1,,...ski ALL City: . .I. /'c,,/ i State:At0 Zip: -..5-17/G� 1II t' ,�/4 Phone: 6 sl- 7-3('— 1 p 321 Contact Person: /"U./�c. TYPE OF WORK New Nk. Replaceme t Additional Alteration Dernolit'on Rcrs - eta �w.-flu-4ltr 0.-.42-01.'4 Ilc f Description of work: -f w p ix (A..) 4A, I, 1 t,,, t } 1- cf q s, s ,.. g— j ,� Nei-- (,l„ 144 NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger X Gas 15•..1{43 Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other *" When installing/removing tank{s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). 00 Contract Value $ ? fj OE -, x t% �y _ $ rD fps 00 Permit Fee - If Permit Fge is Tess than $1,000, = $ b SO State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (Le_ a $1,001-$2,000 Ih k �} $ li Ellt c0 TOTAL FEE er y ac no edge that this mformanon rs complete and accurate; that the work w11 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 wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. x M, c k& it Ro i v Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date - i Required Inspections: _Under Ground Rough In __Air Test Gas Service Test In -floor Heat Finale Exterior HVAC Screening Inspection Z•d 1709Z6E1699 H >g 6uiqulnid uosleN eon l8 el79:80 60 6l 6ny Aug 25 11 02:55p Bruce Nelson Plumbing & H 4111b City of Etta 3830 Pitot Knob Road Eagan MN 55122 P hone: (651) 675-5675 Fax: (651) 6756694 6517312804 p.8 Use BLUE or BLACK Ink ForOfnce Use Perrnft #: /00 7 Permt Fee: Date Received: Staff: 2011 COMMERCIAL PERMIT APPLICATION 'tea 1' �� 4 ., rl Date: iN Site Address: \ ; Tenant Nannei. (Tenant is: New / \/ Existing) Suite #: Former Tenant ' PROPERTY OWNER Name`t \--kU I L i �� mil_ rv)S Phone: Address1CilylZip:�1,�1Q. UnC 1n Q,f114 Ptt1I inn Applicant is: Owner _Z—Contractor 0 z TYPE OF WORK Description of work: 1-- 2- ( j t \. d Construction Cost CONTRACTOR j Name.i 4.(a -1114.(a-111_' a ` rn et Licenne # ii 3V -111)L ✓4.(a Address:1 \ 1 ,bj\ � N iff4 . City, qT t k(J�,SL State: 10 Zip:1\, t:tPhone: I— 0 3 C.)3-51-( Contact:0 ( i.\ Email: ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: . Contact Person: Email: Licensed plumber installing new sewerlwater service: Phon': #: 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 sp ecific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661► 454-0002 for protection tigainst underground utility damage. Call 48 hours before you intend tc dig to receive locates of underground utilities. www.cooherstateonecall.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 1 understard 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 cis afwo lane i !i r a review and - cpval oiplons. `ti `aL Nru)c-\; Applicants Printed Name . Appli s Signature Page 1 of 3