4546 Slater Rd06/11/2010 FRI 11:56 FAX 121002/005
•
4* City oTEaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUN 11 RECIP
Use BLUE or BLACK Ink
MIMIFfe
Permit #:
Permit Fee: / �4=-' q
Date Received:
Staff:
2010 COMMERCIAL BUILDING PERMIT PLICATION
Date: (r7- Site Address: -/ 7 4510.-+-er7.( 67� O
Tenant Name:
eau _61
-14-/o
(Tenant is: — New / Existing) Suite it:
Former Tenant:
PROPERTY OWNER
Name: ,\At\()..fw r. P.;48Q LLP Phone:
Address / City / Zip: ct
Applicant is: Owner
T _ ,Contractor
TYPE OF WORK
Description of work: Deck. F. rt Co �5n.
m
Constructon Cost: ,�7
CONTRACTOR
Name: 1 Q.48 69 N)06,.A1 0 -CAA&cense #: ) -741L1
_
j '
Address: 23 g5 10F,--- A • V 16Q`
JCity:
._A.
State: V Zip: clp.1 Phone: 63JS5/b"--
—S
Contact: (S+ J' Email: (di 6-1-04 c t
ARCHITECT /
ENGINEER
Name: I IAt (Uv ft -NJ 'tr- CDP .34-, ..., Re istratian #:
s� } L ' / 4
Address: DO tt,Sk� A1%, Gity: / r 1,) S
1i\IA.
State: t r ti4 V Zip: ��-? y 15f Phone:
/�� {�,, r
Contact Person: ej a r- U (\Zd Email: LQn - Jl C/�t.e' .Z 9 ai ck M (e'
Licensed plumber installing
new sewer/water service: Phone #:
.,I�ff.1i•
r "Pllar;%•:# : po1. rtigg'00 ,rs'7i , Pg:STOroaacs`160edo' ixe.01/1f4tai'A�•f la 1,"r.,,f
ons °I.'0hel0foi1 #0 4tak,�b l` #se,oti 00rllc if vdAil,6, 11e'rSp c: 04,56 ithalwafrr4YJb;01t
!, ,�i:,; alU`ri',i;:t „,,'co14ttidef�fley��rr����s�o�s ,..:,..::.,'N', tnfNtt tl���,; ;'
CALL BEFORE YOU DIG. Call Gopher State One Call at (551) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecafl.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 fora 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 Applicant's Signature
Page 1 of 3
r-/-L-�.a ci ,43-6 5(,(4.4-6,4
DO NOT WRI c BELOW THIS LINE
G 414/ala
SUB TYPES
Foundation _ Fireplace
Single Family _ Garage
Multi V Deck
01 of _ Plex _ Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
' Replace
Retaining Wall
_ Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
)-1-01)
Vc
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Roof: _Ice & Water _Final
X Framing
Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Reviewed By:
Siding
Reroof
Windows
T Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MN 2-°3 7
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
i, Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Aio
Page 2 of 2
City �f Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: '399—
Permit
3 / 9Permit Fee: 19[(/ r. 77
Date Received: J" //
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S"- /HO Site Address:
Tenant:
4 5jL 3«�
Suite #:
RESIDENT/OWNER
Name: C tnnrkmvr,. e� co P < Jdj1-0Phone:
,0.
Address / City / Zip: *set ? s ! c-1
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: rV i (\,ad p)oi teintn )- C;J n J ie, e, i n-)
Construction Cost: $ 41--b1 ODD Multi -Family Building: (Yes X / No )
CONTRACTOR
Name: (D o e.N ( 6.41 License #: 1796
Address: YS ! Of 1/ v t City: r''0id e l MA, de/
State: %Vl 0 \f Zip: SS -14)-7 Phone: (76?) „c98 -/20D
Contact: S? Jf%✓)I( Email: �/ (/t. P G I 'Lf Esvt .o.. co rL
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
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 Cityto
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.org
•
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.
S al4- f O mint
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
C . .
CITY OF EAGAN . .t~s ,
_ i~ " 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . J..i 1
PHONE: 454-8100
BUILDING PERMIT S~~ np Receipt# -
Tobewedtor 12 U~IT M.D. EstValue 11325 p8te NOVEI~^.BER 21 19 85
4546 SLATER icf) ~ SEE BP 11325
Site Ad ess Erect Occupancy .
Lot ~ Block Sec/Sub. ~~ON RII)C;E Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
a Name CINNAMON RIDGE LTD PARTNERSHIl~e ~ ~ength
~ Demotish ? Depth
; Address ~ Int. Impr. ? Sq. Ft
o C~~ ' 3 phone Install ?
o Name Z P.AfJA a SONS INC Approvals Fess
~ s Address hIARKBT PL DR Assessment Permit 5~~~'~ ~P
~ E:DEN P~~tIF 941-02 2 Water 8 Sew. Surcharge 11325
~a WZNDSOR FARICY ARCHITECTS Police Plan Review
W W Name Fire SAC
W - ~TE 375
~o Address 2 W TH 5T. Eng. WaterConn,
1 W City ~T `~~U~Phone 2 2 0 6 5 5 Planner Water Meter
Council Road Unit
I hereby acknowtedge that I have read this application and state that the g~dg. Off. 11 / 21/ STr. Pi.
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature of Permittee - ~
FRANA ; SONS INC Tota~
A Building Permit is issued to: on the express condidon that
all work shall be done in accordance wiih all applicabl~ State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
. MmM No. PsrnMl HoW~r D~b T~hphon~ N
Plumhiny ~Lv ~ -S - ~j
H.V.A.C.
C'. J t~~~ 1 K' N' f~ u-
ti S e~- SSO
~ 1 1 '7 t ~ 5, /c~/~~: ~s~~
/~,5.. . 5
L,
Insp~crion Dab Inap. Comments
Footln9s l ~ ~ ~ ~
Footings II
Foundstbn
Frominp D~~.~ uj`
Rooflny
RouqA Plby. _ ~ _ , ~ ~
Aou~+r+tp• /~r ~•Is/~E "
~nsu~. ~ ~D•~+ ~,f,y9 ~ 0
Fireplace
Fin~ Ht9. I f
Flnal Plbp. / /4/ ~ fN ~ % j7
!
Bidy. FMd
Cen. Occ.
- ~ ~O - /1//S~
D~ck Fty. ~ - ;
D~ck Frmp.
De~crlb~ LoeaNon:
WMI
Pr. Dlap.
_ ~ . . . _ ~ . . . _ PERMIT # ~ y
' PLUMBING PERMIT RECEIPT # 5 J S 9
qTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 6
CONTRACT P ICE~i 3c'C ~ PHONE 154-8100
Site Address ~ F~r BLDG. TYPE WORK DESCRIPTION
Lot ~ Block s~_ S~c/Su 'Y '
. t'~ ~ 7' Res. New ~
~ Name ~~L'"`~~ iii:Ct{a:~iGAL Mult Add-on
~ 3 KEN1~~,BEC ili~IVi:
~ Address Comm. ~ Repair
c Ciry Phone 52-15G5 Other
p~~4 uHS ' FIXTURES TOTAL
~ Name Water Closet - $3.00
c Addr ~ ` ~K ~ ~ ~ e /v /S'gath Tubs - $3.00
p~ Cif~~ ~ , • .Y Phon ~ 'Oo?~' ~ ~LBvatory - $3.00
Shower - $3.00
FEES ~Kitchen Sink - $3.00
Urinal/Bidet - $3.00 '
COMM/IND FEE - 1q6 OF CONTRACT FEE 7o~~undry Tray -$3.00
MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 2~.~ ~yyater Heater -$1.50
STATE SURCHARGE PER PERMIT - •50 Whiripool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SI TURE OF PERMITTEE FEE ~l° 3• U J
STATE S/C: J
FOR: CfTY OF EAGAN GRAND TOTAL: -3. ~
~,o~, CITY OF EAGAN
' 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~~~'t 2
PHONE: 454-8100
BUILDING PERMIT S~~ gp Receipt N ~ '
To be used tor 12 UN IT M. D. Est. value 11325 Date ~OVEI~IBER 21 198 5
SiteAddress 4550 SLATER RD Erect ~ Occupancy SEE BP 31325
~ot 1 eiock 2 secisub. CINNAMON RIDGE Remodel ? zonin9
Parcel No. 7TH ADDITION Repair ? Type oi Const
Addition ? No. Stories
~ Name CINNAMON RIDGE LTD PA.RTN~:RSHl~ve ? Length
1 ~9~1RQUE'1"rE ~1~ . i $'j'E 2 ~ ~ Demolish ? Depth
o Address MPLS 32-5544 Int Impr. ? Sq. Ft
City Phone Instali ?
o?vame FKANA 8 SONS INC Approvals Fses
c~°, i Address ~490 tIARKET PL DR Assessment Permit
~ City ~EN P~RIE 941-OZ82 Water 8~ Sew. Surcharge
WINDSOR FARICY ARCHITECTS Police PlanReview
W W Name Fire SAC
~ Z Address ST P TH ST - ST6 Eng. Water Conn.
< W Y e P lanner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the g~dg. Off. ~ 1 Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
: j _ Var. Date Cupies
Signature of Permittee i~~ Total
FRANA ~ SONS INC
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buflding Official
.d~ .~d
IPM
~~R~~'7 o4N~O
's~d ~I~O
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i
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p~
f s~ r f ~ ~~9/// '641d lauld
~ ~ ~ '61H N~Wd
~~xi
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~~t3 '61H 4Enoy
9~-$ 9.J' _ .641d 46nod
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a 6u~wa~
uop~puno~
p s6uµoo~
~s6upooj
quwuua~ 'dw~ ~WG ~ali~~l
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~.a , Q _ S ~ ~ ~ h ,.~,.,ws
~ ~"J k'~~"'~~. °-rr1'r~
Q9 9~ ~ ~"'~3 r tY ~~~1~~~ ~3
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~ 2~l / ~ , l ~ 6W4~~Id
? , - ~ ,
p ~uoyd~Nl ~RO ~PIoN NW~~d 'aN N~+d
_ _ _ . . • .
~ • PERMIT # y 7 ~
' ' ~ PLUMB{fiG PERMIT RECEIPT # ~S ~
CITIf OF EAGAN ~ ~ ~
i r p ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE~~ J o 0 ~ PHONE: 454=8100
Site Address L ~r '~a gLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Su
~'a Res. New ~
~ 'w'~Iv::~:. r~C~~,~V_C,~iL
Name Mult Add-on
~o Address 600 1.'E'~Pi~:i3~C I1RIV~ Comm. ~ Repair
c City Phone 452-15b.5 Other
Name r~~~a- Oh'S ~~G. O FIXTURES TOTAL
L ~Water Closet - $3.00
3 Ad ~ ~ a` e S Bath Tubs -$3.00
p Clf~" ~ Phone9~/ - ~Lavatory - $3.00
Shower - $3.00
FEES ~O _Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MfiVIMJM - RESIDENTIAL FEE - $10.00 °r~~ndry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20,0p Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ~~ater Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
Gas Piping Outlets - $1.50
BEYOND $1,OQ0.00) Softener - $5.00
Well - $t0.00
; Private Disp. - $10.00
~C Rough Openings - $1.50 ?
SIGN RE OF PERMITTEE FEE ~(O j• J`~
STATE S/C: S~
FOR: CfTY OF EAGAN GRAND TOTAL: ~
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.: t.
, P. O. Box 211~ D^~:
Eagan, MN 55121 ~ i~n
No. of Units:
~ Z.onin~: _ ;ons
pwner. ~ ~ t ~n:, ~
A~drcss: :1 a t et ^ c, ~ 1 , , _ .
~ plumber:~~ ~ ti.C;~a _ ^ ".~~~J .OCpr~
~ ~ ~ O ~1 - G~~tt!!~°: ~
~
~?~Aeter No.: r o cl ~n tiRa ~ 1 t~ .~)0
,
Size: ee: - ~4~ I
I Readsr No.: , 1
~,,~~~~~,r~ y~
~ ~ ~ R~ ~RE~ - - ~
~ Total:
~ pate Paid:
By IruD•: ~ ~ ~a ~
Date f Insp•: ~ ~ g~
//-/~'~i'~
-
~ WATER SERVICE PERNIIT ;
CITY OF EA~AN 777,,;
383p pilot Knob Road pE(tMIT NO.: ~_~_i: V,
P. p. Box 27199 DA7E:
n, MN 5512:~ T~~''
E~ No. of U~its: -
Zonir?y: - _ i ` F
/,~fE55~ //jrr ~ _ ' - u 3' r
~ a.. `
. C~jh ~fl`Ef~ ~ ~ j7~~:~ '~1i1.ir~
~n ~ ~ ^
Connaction Ghorfle:
~tR~1~r 1~31~a
~eter No.: peposit: ' ~ j
Size: permit Fee: ~
RECds~ No'. ~ b~~ SU(CJ~1C~' . r s i~t{_~~
~~rM ~e eowvlf wIN' C~'!? N1isc. Gw?~S:
Or~M*a~' Total:
p~ poid:
BY Irup.:
pote of InsP.:
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Road pE~~T NO.:
~ P. O. Box 21199 DATE:
.
Eagan, MN 55121 1 ~ ' " ~
~ No. of Units:
~t SO'..S
QwMr: -
Addrcss: , ~ .
~ ~ ~i t~-
Sire l~ddress: h I~ t: -
Plumber. ',r2`7~. - r~,~:', '
• .
. , . . ~ ~ nr~~ i;n.~~ ,
1 N~ h~M~f ~ lw Ci!! ei dlew Conracflon d~ary~:
j Account DePosit:
, ; y ~,:~,T,•
PermR Fes:
i ~i~~'~'~ '
SUfC~10rQl~
M{SC. CMrOei'
By
Dote of Ir~sp.: Total: ,
dot~ Pa~: i
Insp.: j
'ti.~~'
-
.
_
CITY OF EAGAN
. ' 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 113 4 2
PHONE: 454-8100 ~i17S~
BUILDING PERMIT SEE BP Receiptp
7obeusedtor 12 UNIT M.D. Estvalue 11325 pete NOVEMBER 21 i~5
SiteAddress 4550 SLATER RD Erect C~ Occupancy SEE BP 11325
Lot 1 Block 2 Sec/Sub. CINNAMON RIDGE Remodel ? Zoning
Parcel No. 7TH ADDITION Repair ? Type of Const. ,
Addition ? No. Stories
W Name CINNAMON RIDGE LTD PARTNERSHI~°Ve ? Length
1117 MARQUETTE AVE. ~ STE 200 Demolish ? Depih
o Address In~ Impr. ? Sq. Ft
Ciry ~LS Phone 332-5544 ~nstan O
a Approvab Feea
o Name FRANA & SONS INC
~a address~490 MARKET PL DR Assessment Permit SEE BP
¢ Ciry EDEN P~~2IE 941-0282 Water&Sew. Surcharge 113.25
Police Plan Review
ti Name WINDSOR FARICY ARCHITECTS Fire SAC
Q~ Address28 W 5TH ST - STE 375 Eng. WaterConn.
a W city ST PA4,T~~e 227-0655 planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off.ll/21/8 Tr.PI.
information is correct and agree to comply with all applicable State of
Minnesota StaWtes andCiry of Eagan Ordinances. APC Pafks
. Var. Date Copies
Signature af PermiHee Total
A euildin9 Permit is issued to: ERANA & SONS INC ~ on the express condition that
all work shall be done in accordance with all applicable (t~)
e of Minneso St utes and City of Eagan Ordinances.
BuildingOfticial ~
, ~ ~
CITY OF EAGAN
' 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55721 N~ 113 41
BUILDING PERMIT PHONE: 454-8100 ~7r~
SEE BP AeceiptN
7obeusedtor 12 UNIT M.D. Est.Value 11325 Date NOVEMBER 21 19 85
4546 SLATER RD ~ SEE BP 11325
Site Address Erect Occupancy
Lot 1 61ock Z sec/sub. CINNAMON RIDGE Remodel ? zoning ~
Parcel No. 7TH ADDITION Repair ? Type of ConsL
Addition ? No. Stories
a Name CINNAMON RIDGE LTD PARTNERSHF~~e ? Length
~ MARQUETTE AVE., STE oemoiisn ? oepm
o Address Int Impr. ? Sq. Ft
Ciry ~r'S Phane -5 Install ?
~ FRANA & SONS INC APProvals Fees
o Name
Address ~490 MARKET PL DR Assessment Permit SEE BP
~ c;~y EDEN PI~~IE 941-0282 WaterBSew. Surcharge 11325
~ Police Plan Review
~w Name WINDSOR FARICY ARCHITECTS Fire SAC
nddress 2$ W STH ST. - STE 375 Eng. WaterConn.
<w ~;ry ST PAUIQnone 22~-0655 Planner WaterMeter.
Council Road Unit
Iherebyacknowledgethatihavereadthisapplicationandstatethatthe gldg.Off. 11/21/8 Tr.PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and f)i(y~g~ Ordinan~ APC Pa~ks
~ ~ ~ ~ ~ Var. Date Copies
Signature of Permittee ~E ~ ~C '
Total
FRANA & SONS INC
A Building Permit is issued to: on the express condition that
all work shall 6e done in accordance with all applicabl tate of Minnes St utes and City of Eagan Ordinences. ~
Bullding Official ~ ~
Thi~ request void g__ a~ o
78 hs ~rom
16 91 ~ e a ~--n--~ ~ ~ ~ °
Repuest Data Fire No. RouPh-in InsOer,tion
flequireA7 ~Neady Now~W~ll Nn~ify InsDec-
?Yes ?NO When Ready
~icense~ ElecVical ConVactor I hereby repuest inspection of above ~
? Owner electrical work inv~eiled ar
Sveei Address. Bon or Foute No. Citv
~ ~ tisti ~ ti
ecuon o. Townshi0 Name or No. Ranye No. County
Ocwpant IPHINT) ~ Phone No.
Pow¢r $up0~~er Atldress
Eleclrical Contracmr IComDany Namel Contractor's License No.
' ~t' oeo-SBl - y
Mailing Address IConrtacror or Owner Making Ins~aila ion)
~.5~ ~ e~ ~u s~~
Authoriz Signa[ur ICoN ctod n r Making Ins[allatioN Phone Number
SS3-O°t~a, '
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST Wlll NOT
Grigps-Midway BIA9. - Room N•191 BE ACGEPiE~ BY THE STATE BOAND
UNLESS PPOPE0. INSPECTION FEfi IS
18I7 UniversitV Ave., St. Paul, MN 56709
Dh..... 16121 29].2111 ENC LOSE~.
~;J ~_8~ REQUEST FOR ELECTRICAL INSPECTION EB-o/~~~ /~q/
} ~ See irmtructions br completin9 tOis torm on back o1 vellow copy.
L ~ 6 ~Yd
16 91 ~~x~' Below Work Covered by This Request
FAd Xep. Type ot BuilEing ' ApO~~ancea Wired Equipment Wired
Home ~ ~ ftange Temporary Service
Dup~ex Water Heater Lightiny Fixtures
Apt. Buildinc~ Dryer Electric He2tin
Commercial Bldg. Fumace Silo Unloader.
InduStrial Bldg. Air Conditioner Bulk Milk Tank
F2rm Other aer.i v eher (Sper.ifyl F•
~ P.~ pCCI y ~ihC! ~Ihe~
ompute /nspection Fee Below
W FBe ServicaEnt~enceSixe tt Fee Feetlars~Suhfeeders # F5e Circults
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am
Above ZO _qmuy 31 to 700 Ainps 31 to 100 A s
Swimming Pool A6ove 100~-Am s Abave 100_Amps
Transiormer5 Irrigation Booms Partial-'Other Fee
SignS - Specia~ Inspection S ~
Bemarks ~ TOTAL~FE ~
flough-i~ f D.ne 7( I, ehe Electn
Inspeclor, haraby
cartily ~het tha abooe
Finel . inspection has bae~
mede.
lhlaraQUastvalOtBmonihshom . ~
1e /ic,~8~b G'75 3l~
7 ~ . i'~ 2 C': ~ti.o /2 ~ , //S3.So
Request Uate ' Flr No. peQUhed?~nsper,tion . peady Now ~ W~II Notity_ InsPec~
?~es ?Nu tor When Featly
~ LicenseE Elecvical Contractor I heraby requast inspec~lon of eGOVe
? Owner electrical work installed et:
Sfreet Atldress. Baz or Route No. Citv
~/S ~ -5 U
ecvon o. Townshio Name or No. Flanye No. County
Occupant IPqINTI Phone No.
y~ ~~~Z
Power Su001ier Atltlress~'~
~
Electrical Convac[or ~COmpany N me) CunUactor's License No.
~2 ~l~~; ~~~-z
Mailine Address IContracmr or Owner Making Instailationl
I
L
Authorized Si0 ture tracto ~wner Makina ~~~stallationl Phone N~jumJber
97/ rs~~9~
MINNESOTA ST TE BOAXD OF ELE ICITY THIS INSPECTION REQUEST WIIL NOT
Grigga-Midway Bldg. - Room N•1 BE ACCEPTED BY THE STATE BOAHD
UNLESS PNOPEH INSPECTION FEE IS
t821 University Ave., Sf. Paul, N 55104
Phnnn /6121 297-2111 ENCLOSED.
« REQUEST fOR ELECTRICAL INSPECTION ~ ee•oocwi oa
ti.
~ Sea instruetions 1or comDletin9 lhis form on back of yellow capy.
1316 7 •~X~ ~ Be~oW Work Covered by 7his Request
FAd Pep. Type ol BuilainB Appliancea Wiretl Epuiumenl Wired
Home Range Temporary $ervice
Duplr,x Water Heater Liyhtiny Fixtures
Apt. Bu~JAinc~ Dryer Electric HeaUn
~Commercial Bldg. furnace Silo Unloader,
Industrial Bldg. Air Conditinner Bulk Milk Tenk
Farm oUxr nec~ v o~h~„ ~sneury~
_ t er ueci Y t er pth~;r
ompute lnspection Fee Below
p Fee ServiceEntreneeSize h Fae Fextlers~5ubteeders K Fee Circuits
- 0 to 200 qm s n j~„p 0 to 30 Am s 0 tn 30 Am
pr~ A6ove 200 qmps ~y 31 to 100 qinps 31 to 700 q y
Swimming Pool Above 100_Am s Ahove 100_Am s
Transiorme~s ~rngation Booms .~Q PartiaL~Other Fee
Signs Special Inspection
Nemarks S~I$C/~ TOT{CL FEE +
~ ~/.i 7~' /
qouBh-in ^ Date M ehe~leetrlca ~
~~^~/I Inspector, hereby
cerUfy ~hai the above
Final ~''j~ inspection has bean
-l metle.
mb reQuest voltl 18 montlre Imm
~ ~********#*#********f#;#**~k#*#**###~
C I T Y ~ F E A G A i~ PAYM~?Ti' OF F£E AT Ta•~ pg
. * APPI,ICATION DOFS D]GT ~JTg
,*t APPROVAL OF PERbffT.
~ APPLICATION FOR PERMIT *
~ INSPECTION oF ~',,~,Y~R 1~ID/Cfft v~Y.~t
~ ~ y*, nu~rar.ramrONS FTtTI. NC)T
SEWER AND/OR WATER CONIVECTION » UI.ID IINrII. PF~2MLT FiAS ~I .
. ~ APPROVID.
*
r
~t
- ' „':kir***:tl~aF*~k~k*yFak**ir*,ts:txxir~r*~lr~Fieyr+t*~
Please Print)
~ 1) PROPERTY ADDRESS: 45~{,y~ Slater Rd
LEGAL DESCRIPTION: / 2 Cinnomon Rid e 7th Addition ~
Lot Block Sub ivision or Tax Parce ID
IF' EXISTING STRC'G~LR2E, DA'IE OF ORIGINAI, .gt,'ILDIAG P~2I+72T ISSL'P1VCr^.:
PRFSE~7I' ZONIt~/PROPOSID CTSE: (~n Year)
~ CA~`y"~RCIAL/RF.'TAIL/OFFICE R-1 521~LE FAMILY
0. .
Q IAIDCSTRIAI, ~ R-2 DC~PLEX (Tr,o L~nits)
~ INSTI1i7T20NAL/Gp~p ~ R-3 'IC)WDIIiOUSE (Three + Units)
( L'nits)
~ R-4 APARTMEN'I`/COI~MINIL'M ( 2)( 12 Units)
2) ~
NArtE; FRANA & SONS
ADDRESS: 7490 Market P1ace.Dri've
~ITY~ STATE~ ZIP: Eden Prairie, Mn 55344
PHONE:
3) ~ u For City Use .
~ME0-~~ v.rFnnFt ME~HANICAL '
`1DDRESS= 3800 K_WNE'uEC D~~IYE. EAGAN, h1iNN.55722 Pl~r~ ~CP11`~.E;
, AC't7.Ve .
CITY, STATE~ ZIP: " ~Pired
Not x'ecrorded
PHONE; MAST~ I,I~SE# 001445M2
St Ir~t1a1
4) • ~ i i~• .
'FRANA & SONS
_ ~~~5: = 0 i;arket 'rlace Drive
CITY, STATE, zip; Eden Prairie, Mn 55344 •
y PHONE: ,
'S) ~ ~ ~ .
, . : ~ •
~ CONNEK,`I'ION ?U CITY SEWER ~ ~pN~~20N 4U CITY {s1ATER .
? ~ .
6) PLEASE HOLD APPROVFD PERMIT FC)R PICK-UP BY ONE OF A~7~
PLEASE APPROVFD PERMIT ~ 1. 2. 3 4, AB;7~)E
' {Circ~one) ,
7) a u• - 7/2/.86
- . • y.. ,
. U ^ / I' • ? I:~• . i1 7• Y~I• • 9f•+ 1
• I' :,'r~l:l.•.t1?I 1 ~ ~J~
1 1 :A: ~ :A' • 1. y-. r
FUR CtTY USE ONLY .
PERMIT ~ ISSCED *
77~~
Pd w/Bldg. Permit FEES:
s S~ SEWER PERMIT (INCLUDE SURCHARGE)
s ~~~J " WATER PERMIT (INCLUDE SC~RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATZON STOP)
$ $ SEWER TAP
S $ ACCOUNZ' DEPGSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ~7~~ er~-~r~ ~,~C~°~f~ wac .
$ (v . C~ i ~D ~ SAC
$ $ TRL~IVK WATER ASSESSMENT
$ $ TRC~NK SEWER ASSESSMENT
$ S • LATERAL BENEFIT/TRL~NK SEWER
$ $ LATERAL BENEFIT/TRC~NK WATER
G9 $ WATER TREATMENT PLANT SLRCHARGE
S $
/ OTHER:
$ ~ C" ~~Cr ~ . $ ~I~ O~~ - TOTAL
~ ~.s~- ~~'~31
RECEIPT RECEIPT #
ir- zl -~S
DOES UTILITY CONNECTIC~N REQUIRE EXCAVATIODT IN PUBL~C RIGhT Gr WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
Q ROADWAY" MLST BE ISSL~ED gy THE ENGINEERING
N~ DIVISION. LIST AS A CONDITION.
SL'•BJECT TO TN.E FOLLOWING CONDITIONS:
APPROVED BY: ru,72~
TITLE:
DATE : ~ ~ /~r~
CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 92 9g.9'.^�
Permit Fee: 6 0 0 ',57)
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: - -1) Site Address: 45;9 `5)
7
Tenant: 1 InVIQveyv d / 7 I r( S Suite #:
RESIDENT / OWNER
Names l'I�IQf u-Dt'10, Phone:
Address / City / Zip: 9/70 c-UebAve S, iVtpi5 507/002—
CONTRACTOR
Name: eke( Vv l'C' License#: /I-Kad 790 &lid
Address: AP / L cii---w X4 • City:(%f llc—'
/I6V /
v
State: /M Zip: <5533 7 Phone: q c� - U 7` -0,1398
Contact: Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: i—(c e-
:NOTE: Roof mounted and ground mechanical equipment is required to be screened by City
Code.`- Please contact the Mechanicalinspectorforinformation on permitted screening methods
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Constructionterior Improvement
Air Conditioner
_
_ Install Piping Processed
Air Exchanger
Gas ✓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
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge) y
$.50 State Surcharge) $ ,O 000 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
�j
Contract Value $ Moe 00 x 1%
= $ Permit Fee
- If Permit Fee is less than $1,000,
= $ I 0-D Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
�7 /�
= $ / e 0. 6d TOTAL FEE
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 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
x k4. jay
Applicants Printed Name Y Applican
x
ignatur
FOR OFFICE
Require
ough In Air Tes _
srior. HVAC Screening Inspection
Date:
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 /
COMMERCIAL/ PLUMBINGPERMITAPPLICATION/
3/23)/0 I0 Site Address: ` r7 -6-% lCc �e — Y� � ` ' `� —7 v
Tenant: Suite #:
PROPERTY
OWNER
rr 65- ) ?0 42-1/0
Name: snr? � �2a' Cor o �'a���Or� Phone:
CONTRACTOR
Name: JOO r cerl 11an iccx-I , I_LL License #:
�
Address: /k / Z 61 f 4 ICr�j ,-c e_ City: )ScRr/\5V, I re State: ►°hr\ Zip: 5-5-537
Phone: 95-2- g?5 - ,c/OO Email: do-rre' r, acf0a..'-cec4 ivteGka/`.3 C4 f , court
TYPE OF_
WORK
New x Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work: I->° %(�c� ®l" LJi
P +h oe c p1pe
PERMIT TYPE
COMMERCIAL
New Construction Modify Space
Irrigation System ( yes /Ano) ( RPZ / PVB)
_
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters CaII (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No • Flushometers _Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value $ er73•: x 1%
Required
- If Permit Fee is Tess than
= $ 5<. S- 73 Permit Fee
on ALL new buildings and boulevard irrigation systems -- = $ Radio Meter Read
$1,000, surcharge is $.50 = $ Meter(s)
- If Permit Fee is > $1,000,
surcharge increases by $.50 for each $1,000
a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ ' 50 State Surcharge
$1,000 Permit Fee (i.e.
Following fees apply
Call the City's Engineering
when installing a new lawn irrigation system. $ Water Permit
Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$_ Su
TOTAL FEES _ __ pG/..3
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 digto receive locates of underground utilities. www.gopherstateonecall.orcl
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 withgui-a permit; that theyvork yv*II be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
x l �c,rren 2nrt9�!
Applicants Printed Name
FOR OFFICE US'
x
Applicants Signatur
Required Inspections: .. "_Under Ground. Rough In _Air Test • _Gas' Test .Final PRV Required: Yes
Page 1 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
dor Office Use
Permit #:
Permit Fee:
7S
Date Received:
Staff:
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: - / Site Address:
Tenant Name:
4550
(Tenant is: New /
Former Tenant:
Existing) Suite #:
PROPERTY OWNER
1) C -11V- CIrpnr :0 Cnnwnv, (�,'dy�LLf'
Name: �,;;� �.� Phone:
9L? .
Address / City / Zip: /`del QOc,, FC.9 tx A, iiiN gs'j 2 2
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: /e—R-00 4 /294-, i2c,jjbtif J- (Nitet--f e. S'Jin..t, r
Construction Cost: 30, OcO
CONTRACTOR
Name: \ ey\ Co (Yr ct/1`J 0`i" /YIP IiX'LLicense #: /79A
Address:ll3 FS- / O i tA- ,(V. City: 2 9 'elm V& Iley
State: I nv Zip: SCL%X7 Phone: (7b) c- 6 ` /30 C)
Contact: +l ,�i '/ i L Email: tuts-(er @ te}Aeik C 0 . CG M
ARCHITECT /
ENGINEER
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person: Email:
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.
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 requi es a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
/c�
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #• (I 7 L o
Permit Fee: g 71,-71
-71
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION CP(14
Date: /2 � 4 � l d Site Address: /IPA J J S
Tenant:
Suite #:
RESIDENT / OWNER
TYPE OF WORK
Name: Site- (r Phone: 9-Z -35-9 572-0
i. 1/ , /'
Address / City / Zip:
Applicant is: Owner k' Contractor
Description of work: (G ai •11A-9"
Construction Cost:v.' O 0 v
p/e J
sv 36r
Multi -Family Building: (Yes / No -
CONTRACTOR Name: M et re CJ . J 4 r (, e ire e ..' License #:
Address: of dl y ` r /''� r1 • - City: . ,
State: !rk .- l Zip: CS -73 3 / Phone: (Q s --/-V90 l /26
Contact: (Th -g- Email: 'J D .. Q f Q.• Crtrh. d Co
r7
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:
CALL BEFORE YOU DIG. CaII 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.aopherstateonecall.org
hereby acknowledge that this information is complete and accurate; that the work will be in co
Eagan; that 1 understand this is not a permit, but only an application for a permit, and wo
accordance pproved pial in the case of work which requires a review and approv
J /V 1.
G'L G �C! lc /Zt if -4
Applicant's Printed Name
x
Appli
• ance with the ordinances and codes of the City of
of to start without a permit; that the work will be in
ns.
nts Signature
uu IVU 1 VVKI I t btLUW THIS LINE
SUB TYPES
' Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
yN Replace
Retaining Wall
y6116 (-K-504-I 1
Fireplace Porch (3 -Season)
Garage — Porch (4 -Season)
_X, Deck _ Porch (Screen/Gazebo/Pergola)
/ Lower Level Pool
OrcivatA
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation g 0 Op Occupancy
Plan Review Code Edition
(25%_ 100% �() Zoning
Census Code // Stories
# of Units Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Final
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
gaga)
Demolish Building"
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
x Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
ju4tt
l�-cg ti
o
oa4
Page 2 of 2
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit I S O V
City of Ea
d ~ I Permit Fee: A- • ✓~U I
3830 Pilot Knob Road 1
I
Eagan MN 55122 I tat
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 I Staff: 11 W
j
I
t-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: / 13 Site Address: 7~5~1 7 S`7 b !S/6 k/ Q A
Tenant Name: ~h11 ✓f o'n yn f Lt ~P_ (Tenant is: New / Existing) Suite
j Former Tenant: Q
Name: D e/ ~ ~9,o,-fo An Phone: 51W
Property Owner Address / City / Zip A TUk/
$IS GNU j /-o0
Applicant is: Owner -K Contractor
Description of work: A')-JAa, C /11 Type of Work
Construction Cost: 350. 0-
Name: 64-, 60 License /?56
L.3'l
I Address: 0~OS /40k /7r' /z u City: Llt'`7
Contractor 0,1
(3
State: Zip: Phone:
Contact: rri r /`'tir Email: C0- G
Name: Registration
Arch itectiEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: _ _Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.org
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 ! AWN-7 x j.
A
pplicant's Printed Nari a Applicant's Signature
Page 1 of 3
12I11/2012 09:49 763444?106 D&D ANDERSON H & P PAGE 02f03
� ' Uss BLUE or BLACK Ink •
' � -----------------,
` � For O�ce Usa �
I ��j���,� 1 I
�6. � permit#: � ,
O����� i j Pertnit Fee: . �' . ( '� � '
� /
5830 Pllot Koob Road f � � I
Eagsn MN 55122 � I Date Reoeived: ��� /
' I
Phone:(651)675�6676 � I Staff:�S/� _. I
Fax:(651)675-5684 ; I_------_---------�
2015 CO MERCI L PLUMBING PERMIT APPLICATION
❑ Please submlt two(2)se of plans wlth a 1 commerclal applicatlons.
Date• �'�'a`��cJ Slte ddresa: 7 5 ��Iti � � , •
Tenant:
� 3uite�:
i
i..�� Name: /f.� Phone:
i � �
.�
Name: License#:���1L�—
�1j /�,, �j,, !
� Address: I� .�" l� � I��ity:C.� �'4'� ' � State["�/� Zip:� 'J'��
' c,�cQa,n�.C�,/�-i��1z�f�v'" �-
Phone• - Email: � �
k` � g _ ew ,�Replacelment ^F�epair ,_Rebuild ,_Modify Space _Work in R.O.W.
Descript on of work: ' �
b�� �
�• • COMME CIAL New Const�uction �Modify Space � ��� �����
�., � „_Irrigati n SystAm�yes�_no){_,RPZ 1_PV6) �����
• R in sensors required Pn 1lrtgation sys}fems
• A .GPM (2"tMrbo required unless 6maAer size a110wed by Public Works) �
! Mebe Call(651)675-5646 t0 verity fhat tests passed�ior to nlcking uo metel.
� Dom�stic; Ize&Type � � F��� � '
Avg.GPM Nlgh demen devlces?Yes_No' FlushomeberslY��+la
COA9MERC/AL FEES � Contract value$ � e�•�x.01
$55.00 Pe�mit Faa Minf um =g (�f,y�. Permit Fee
'If co�tra�ct value is LESS than 10,010,Surcharge=$5.00 : _$ ��d Surcharge*
`rlf contract value Is GREATER than$10,010,Sur�harge=C�nt�act Value x$0.0005 _$ �, C./� T07AL FEE
"'If the projecl valuation is over 1 million,please c,�all for Surcharge �
Following iees apply when Ins alling a new lawn iRigation syslem $ Water Pertnit
Contact the City's Enqinsering Depa me11t,(851)675-5646,tor required fee amounts. $ TPeatment Plant
I ' . $ Water Supply&Storage
� i $ St�te Surcharge
' , � _$ �C�+� 7o�_1'OTAL FEE
CALL BEFQRE YOU OIG. Call Goph r State One Call at(851)464A002 for protection 8galnst undergroUnd ulpiiy damage, 1
1 hereby acknowledge that this infarm tlon is complete and accwate;tf1at the�work will De In confarmanCe Wlth the ordinences and codes of(he City of
Eagan; tF►At I u�derstand this Is not pemtit, but only an appllcaUon for f a pem►ft, 8nd work i8 o0t to start wi1B0U1 a permir khdt Qhe wurk will b2 Itl
acCardance with tne approved pian{n t 8 case of woric wY11Ch�requires a 1'eVlew and approvel pf plans.
x V i X
AppllcanYs Printed Name j App ' eM's 8ignature
�
' �
'��
� f� � � � `,�- i- (�, Page 1 of 3
. ��fi � �- J '���
��
12111/2�12 09:40 7634447196 D&D ANDERSON H & P PAGE 01/03
' i
� ,
' � .
,�
D&D Ande son Heating & Plumbing, Inc.
075 305�" Lane NW
C mbridg�, MN 55008
� P one: 763- 44-5383 Fax: 763-444-7106 �
�
�
�
� •
T0: Ci of Eagan, B ilding Insbections
. �
i
FROM: Jan Gustafson �
;
�
DATE: Ma z2, 20015 j
t
SUBJECT: Co mercial Plu bing Perinit �
;
; ,
i
Total pages incl ding this co er: 3 �
�
t
�
Hello, `
My company is orking with the Robe�t 6. Hill Company to repiace a
comrnercial wat r softener a Cinnamon Ridge Apartments, 4546 Slater Road, �
Eagan. Please nd the compMeted Corrimercial Plumbing Permit Application, a
copy of our Ma ter Plumber ILicense and Minnesota Plumbing Contractor
License. Please let me know if you need anything else in order for my company
to work in your ity: i '
� �
� If possible, I wo Id like to p for this ;permit with a credit tard.
;
Thank you for y ur time and at�ention; it is greatly appreciate.
�
,
Best Regards, '
� �
l '
�
;
i
� j
�
�
1
7
. �
I
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, I '
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