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1942 Shawnee RdOFFICE USE ONLY W L ?...(Lf] n fJ ?. RECEIPT#: 35415 SUED. RECEIPT DATE: 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MIN 55122 (612) 6814675 Please complete for: • all commerciaVndustrial buildings- • multi-family buildings when separate permits are nM required for each dwelling unit. • backilow preventer to be installed in commercial areas or residential boulevards DATE: WORK TYPE: 7 Const. Add-On _ Repair DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes _ No UNDERGROUND SPRINKLER SYSTEM INSTALLING METER? _ Yes _ No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM. Pressure Reducing Valve may be required If installing new service - contact City's Engineering Department at 681.4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract price, whichever is greater. Minimum State Surcharge of $.50 due on all perks. CONTRACT PRICE: $ x 1% j S U $ 7 COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 = $ WATER PERMIT (new service only) 50.00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 $ METER: 1" _ $186.00, 2" TURBO - $846.00 $ PERMIT FEE $ v y? FIGURE SURCHARGE AT 60 CENTS FOR EVERY $1,000 OF PERMR FEE DUE STATE SURCHARGE TOTAL $ ? 7 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the properly owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the fa 'Ik'ea constructed under this perk within City property/right-of-way/easement. SITE ADDRESS: _A rLe-e led TENANT NAME: L y h ??/? STE. # OWNER NAME: INSTALLER NAME: 7/?V ?blQ,/` S C" *?_ ff1 ;91'0AYtLEPHONE#: ?SV ! ( ?C7 b STREET ADDRESS: /L '? 13 O CITY: OFFICE USE ONLY • REVERSE SIDE STATE: ZIP: ?3?c/ `/ OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE Domestic Irrigation PRy UTILITY CONNECTION IAPPLIES TO NEW SERVICE ONLY) Building Inspector To determine meter size Yes _ No Date • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a T' meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Check PIMS Screen 320 for all of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. If meter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. Use BLUE or BLACK Ink For Office Use pi City 0 Ealan V 1 Permit Y I 1 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 SFP I fl j F Phone: (651) 675-5675 3 010 i Date Received: 3 M I Fax: (651) 675-5694 ~3 1 Staff: P~~ I I 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 9-ZE,_ l3 site Address: -1 Z~ i 1 :195 Z, r9yq 1,9V6 , 19YN 4 Tenant: 1/~ I(2.1 t9 t-'~ Suite Resident/Owner Name: Phone: Address / City /Zip: Name: QrYZ~+[L. lA~iC ~-i_ License Contractor Address: I(.,( A- City: &"s I State: AJ Zip: 45533 .7 Phone: q5-2-- ?l e/ -Z 23 ~~~~~~pr,~•,~c~f~,r~[c~/ GsY'-t Contact: vE cxc`t [I1T Email: 514W5 New Replacement Additional Alteration Demolition Type of Work Description of work: A&T79st- A-0 t'I-EPWL GA-s Ai p(.cAr 17-ny.A, 56a,- PAnnA* J NOTE: Roof mounted and,ground mounted. mechanicahequipment is required to be screenedby City Code. PIease, contact-the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type -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 $5.00 State Surcharge) -$100.00 Residential New (includes $5.00 State Surcharge) $ 70TALFEE COMMERCIAL FEES Contract Value $ ;ZoQQQ fit? X.01 .$55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee "If contract value is LESS than $10,010, Surcharge = $5.00 S;~D Surcharge" '*If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 "f the project valuation is over $1 million, please call for Surcharge = $ btu, OV TOTAL FEE 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. Applicant's Printed Name ant's Sign re FOR OFFICE USE / Required Inspections: Reviewed By: _'~y_ Date: f~~ I I Underground -Rough In F Test Gas Service Test In-floor Heat Final HVAC Screening � Use BLUE or BLACK Ink N1> [�-�/s1C,��-�`I�/� ,-----------------, � For Office Use I • G��t `� � � � Pertnit#: I� �� l�y �� , � � �_ � ry I Permit Fee: � �� I 3830 Pilot Knob Road �UN � � LO1� i i Eagan MN 55122 I � Phone:(651)675-5675 � i Date Received: �3 � C3Y: Fax:(651)675-5694 � I Staff: � L------- ---------' 2014 MECHANICAL PERMIT APPLlCATION ❑ Please submit two(2)sets�f plans with all commercial applications. Date: � t� I Site Address: ��Z�' «`t� ��,1.(L�Cll� �1 UA�� M� Tenant: Suite#: j � Cl L �/1�r, 5 ��-S��`�+ �� , Name: ��:U Q� �I��r l Cl� �I's�C�� Phone: ��#t� y ' i i ' r• �,�� . `� Address/City/Zip: IZ�IC� I�`�� }Q- �IrL��1SI�f II,L, YV1� ��33-7 _ �� , Name: ��12-�'�"l:�-1�—��'1��< � License#:�� JQ l J� � �� ryd �,� � � � f �, ( ,,1 �"j � �'�� Address ��'"l �.�[`C� �,C�• �• City:��5�(��, �l � °' C� '�� car t 2 ��J�- �f�� ' F y State: �� Zip: �.J3� Phone: � � ��F�N lq�� ` Contact: C� EmaiL• YV1 ��y � New Replacement Additional Aiteration Demolition ��i � ,�� , ,, . ' �\ , t _ '�;��rf�i��C ' Description ofwork� �O�CQ, ) S 1'1 e s `� y f� �� %t+�T� �af ti��su�Mte�t-;�r�d�u�td�rr�n�sd„trie�ba��Ga{equip�ea��is,required'�.6�:s�c�er�ed t�y�#�y�t � .�..'; : ' -��C�.de: f�ea��corrta��f#te�CFiariical 1r�spasc�s�r��tai`�;-.ir�#c�rmat�or�an:pe�?t�ri�ed,��ereen�rt��ne�l�d5.,..=` RES/DENTIAL COMMERCIAL � n f= " Fumace New Construction Interior Improvement r�s — — — �� Air Conditioner Install Piping Processed � '��@fi�t��}� — — — � , •, ': s _Air Exchanger Gas ✓ Exterior HVAC Unit ��,�� _Heat Pump Under/Above ground Tank �Install/_Remove) ; , �y �r�.` — ' j��.�... Other RESIDENT/AL FEES $60.00 IVlinimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ �� Q - � x.01 $55.00 Permit Fee Minimum r �9 $70.00 Underground tank installation/removal =$ ��"� •v LL_Permit Fee �If contract value is LESS than$10,010,Surcharge=$5.00 =$ g�� Surcharge"` ""`If contract value is GREATER than$10,010,Surcharge=Contract Vafue x$0.0005 ""If the project valuation is over$1 million, please call for Surcharge =$ I ��r 1� TOTAL FEE I hereby acknowledge that this infortnation is complete and accurate;that the work will be in confortnance 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 ��a n� �J �uC� � Applicant's Printed Na icant's Signa e �7"�R�E"7'"IV��/z��a3�'� g i- �� .Fr c �i 6' �°z�',�i'ry,s�i�,��1 /�'C G s�l �a�� -�/i � � ��`�`� : /�v��' � : - - ��'�/�si �t -: � � f��P / �� 6��lt£@Cr�1�5��.t��l.�'Si��«� �" � °��°��`' ry�/i`r/ c�� i� � `r� � ai r�r� a �� r�rs".1� .1��%' a�/r� -�'�' �i�� /��,� ' /y . ',,.�}FK�E�t�CYi U�i',�' '�" z c�t313Q�3�fl: �il'�{..'S� -..'', �� ,Sy�7E�T�fi#�.'�� a,r��kS�1`�� r � �,��