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1887 Silver Bell Rd Unit 213PROPERTY OWNER Name: 5 63:A S- W. L Phone: l's g 'l b Address City Zip: t k, ,�0 sr k Z-L #2._a Applicant is: Owner X Contractor TYPE OF WORK Description of work: %a i 04. Construction Cost: i 2 4 a CONTRACTOR Name: 6 \I.0 0M 1 S License 20 L Address: A Nokil\W lis1i t 14 City: NA.iM \..lS State: tfl..t Zip: Phone: (\L' 1`g 1O Contact Person: U CC e-OS 0 ARCHITECT ENGINEER Name: 14 I k Registration Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone 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 they are trade secrets. 4 CityofEaQan Date: p, Tenant Name: 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 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. Xe e\-y.c Applants Printed Name CJ rCx> e YTh 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 COMMERCIAL BUILDING PERMIT APPLICATION 1 2 c)(2 Site Address: t L_ 3 .L. L»\ tT L (Tenant is: New x Existing) Suite Former Tenant: For Office Use Permit*: 6 f (F Permit Fee: Date Received: "AUp 2 Staff: L eu (d '1 Page 1 of 3 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 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 Public Facility Commercial Industrial Greenhouse Tent Antennae Interior Improvement Exterior improvement Repair Water Damage 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 CIO inspection: Schedule Fire Marshal to be present: Reviewed By: 1141�G2 1_. Building Inspector 4 7s bcr DO NOT WRITE BELOW THIS LINE Occupancy Code Edition Zoning Stories Square Feet Length Width Accessory Building Exterior Alteration- Apartments Exterior Alteration Commercial Exterior Alteration- Public Facility Siding Reroof Windows Fire Repair Salon Owner Change *Demolition of entire building give PCA handout to applicant R MCES System /LI SAC Units City Water Booster Pump PRV Fire Sprinklers Demolish Building* Demolish Interior Demolish Foundation Sheetrock Final 1 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: Planning Water Quality Water Supply Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: Siverba L .2-I 3 TOTALS ,:e c Page 2 of 3 For Office Use City of Permit 9~6 oo of Eaau 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 I Date Received: 02 Fax: (651) 675-5694 Staff: t-----------------I 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: / 9- ?.2 ' ()"el- 6 . / /20 Tenant: GrAnort qlc~ CEO Suite 2 l3 PROPERTY Name: Phone: OWNER CONTRACTOR Name: License 2 Address: 2 6 l Sl'-44" ity: /141 iU State: IW41Zip: 2- Phone: 7G3 5 :?3 Z24- Contact Person: 06,(V/ TYPE OF New Replacement Repair _ Rebuild _ Modify Space - Work in R.O.W. WORK ~w~ Description of work: ~Dlc,~~?/~~kge%~~ PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) 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: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ %Uor G .i x 1% Permit Fee Required on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ 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 $ 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 rdance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicants Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Pough-In -Air Test -Gas Test -Final PRV Required: Yes No Page 1 of 3 2009 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if applicable) Date: FOR OFFICE USE ONLY PRV required Property Owner: Address: Phone Number: _ City R-O-W Permit Plumber: Contact Name: _ County R-O-W Permit SEWER WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @ $100 / unit Water supply storage MCES SAC @ $2,000 / unit Receipt , Date: Receipt , Date: Treatment Plant @ $735 / unit Septic abandonment $ 50.00 Permit Fee $ 50.00 Permit Fee $ 50.00 State Surcharge $ 0.50 State Surcharge $ 0.50 *Plumbing Permit Required - water meter to be TOTAL: acquired with building permit TOTAL: SEWER & WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt # , Date Water supply & storage Receipt # Date Treatment plant Septic abandonment $ 50.00 Permit Fee $ 100.00 State Surcharge $ 0.50 *Plumbing Permit Required - water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units $ 1,635 / SAC unit 6-10 SAC units $ 410 /SAC unit I For Office Use I 11+ SAC units $ 465 /SAC Unit Permit I Permit Fee: I Date Received: I I Staff: I ------------------I Cc: City of Eagan Finance Department Page 2of3