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
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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