4535 Villa Dr
19 ~S 7 RESIDENTIAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 S-0
Please complete for. Single Family Dwellings & Townhomes and Condos when permits are required for each unit
Date -4_ / d_ / e„/
Site Address Unit #
Property Owner ~/()y1Q Telephone # F/a
Contractor r~n~rnrt[lle11 71"f4`a A1R}PnR1r11T"'""'
6"10 Wentwor',h Ave. Z~
Street Address ' 3 City
r
State P4 Z p Telephone # ( )
Bond Expires:
The Applicant is _ Owner -L-/ Contractor _ Other
Add-on, modification or alteraHon to existing dwelling unit $ 30.00
fumace replacement
air exchanger
air conditioner _ New _ Replacement
other
i
(ol jCdO Olf'dl')
State Surcharge g .50
Tutal
J,
1101
1
f ~
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is_c-Qwlete-and-accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemvt, but only an application for a permit, and work is not to start without a pemvt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
SWGIMCK kTG. & AIR COND. CO
Applicant's Printed Name Applicant's Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
malti-family buildings when scparate pemuts aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephoue # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
_ New construction _Install _Remove Underground Tank
_ Interior Improvement Schedule inspection during Inslallation or removal of tank
Processed Piping
Nature ofWork:
Permit Fee $50.50 Minimum Fee (includes Sfate Surcharge)
Contract Value x 1% _ $ Pemilt Fee
• If permit fee is $1,000 or less, add $.50 ~ $ State Swcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
ApplicanYs Printed Name Applicant's Signahue
Approved By: , Inspector Date:
\CU c\- ) ~ ,i- l.J (rz I
connMRCiai, ~t;- 0 3 s~~
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
cS
Foundation Onl New Construction Interior Im rovement
. SWcWral Plans (2) seb . Architedural Plans (2) sets • Architedural Plans (2) sets
. Civil Plans (2) . Strudural Plans (1) • Code Analysis (1)
. CertlflpteofSurvey (t) . CivilPlans (2) • ProjedSpecs (1)
• Code Analysis (1) " . landspping Plans (2) . Key Plan (1)
• PiolectSpecs (i) . CodeMalysis (1) . MasterEdtPlan (1)
. Spac. Insp. & Testing Schedule " . Certificete of SurveY (1) . Energy Calwlations (1) not aiways••
• SoilaRepoR (1) • Spec.lnsp.a TestlngSchedule (1)" • EIec.Powet&LighdngFOrtn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
. PmJectSpecs (1)
1 • EnergyCalaladons (1)
1 • Elec4ic Power 8 Llghting Fortn (1)
1 . Master Ezit Plan (1) 1
i . EmergenqResponseSiOePlan (1)'"` l
4 . SoilsReport (1) 1
• MGES SAC determinatlan letter • MCIES SAC determlraNon IeCer • MGES SAC determinatlon letter ptl 651-602-1000 call 651602-1000 tal1.657-602-1000
Food & beverage or lodging fadlides - submR plan to MN Deparhnent of Heaflh. Call 651-215-0700 for details.
" ConTad Building InspecUons for sampie.
Pertnftfor new buildings or addtdons will rrot be processed widwut Emerge.ncY Response Site Plan. Ask Building Inspecdons for requirements.
~ I -ea-
'-t ID if
DATE: _~I/~/02 WORKTYPE: X EW _ REMODEL CONSTRUCTIONCOST._`"4`~D•O)_
SITE ADDRESS:
TENANTNAME: Cedar Villas Housing ~ SUITE#: ~
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Natoe: Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800
PROPERTY Last First,
OWNER
StreetAddress: 900 Second Avenue South, Suite 880
Cit),. Minneapolis SU MN - Zip; 55402
Company; Frana and Sons, Inc. - Phone#: 9( 52 )935-8600
^AN7Z2ACI'OR
_
SueetAddress: 633 Second Avenue South ,
, .
Ciry: Hopkins State: MN ~ `Zip 55343 ~ I~,
, ~I ~i:,v 2 '~J'I
~ Ll
ARCHITEC'T/
ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: ~(ar612--1-3~-9-5SU8
Name: David Graham Registration#: 14808
S4eetAddress: 700 Third Street South
Minneapolis 5tate: MN ZiP: 55415
City:
Uc:ensedplumberinstallingnewsewarlwaterservice: Imperial Developers p{oneg: 6( 51 ) 454-3330
I hereby eckrawledge that 1 have read this epplicatlon, state Mat the IMortnadon Is correct. end W mP~Y ~ applicable State of
Minnesota Sfatutes and City of Eagan Ordinances.
SignaWre of Applicant:
Updated 7ro2
OFFICE USE ONLY
SUBTYPE
O Ol FoundaHon ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartrnents ? 27 CommerciaUlndusuial ? 32 Ext AU - Apts.
? 15 Lodging ? 28 Grcenhouse ? 34 Ext Alt - Conun.
? 25 Miscellaneous ? 29 Aniennae ? 35 Ext Ah - PF
WORK TYPE 0 37 Nail saion
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
0 32 Addition ? 36 Move Bldg ? 43 Reroof p 47 gepair
? 33 Alterations ? 37 Demolish (B1dg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of Stories s ft.
sq. ft
No. of Units I-ength ,
No. ofBldgs. Width s. ft: "
Const. (Actual) Basement s. ft. Sy, ~ .
q MCBS System
(Allowable) Fust Floor sq. ft. Cqty qrater
UBC Occupancy sq. ft. Fire 8prinklered
MISCELLANEOUS INSPECTIONS
0 Gas Service Test 0 HeatinS ? Insulation q Plumbing ? Stucco/Stone
APPROVALS
Plannung BuildinB Engineering Vaziance
Permit Fee VALUATION $ c3 766-tt
Surcharge '
?lan Review v
1AC/ES SAC % SAC
~ity SAC SAC Units
Nater Supply & Storage Meter Size
i/W Pertnit
'/W Suroharge
, - reatrnent Piant
'ark Dedication
7ails Dedication
Vater Quality
)ther
%opies
'otal
CLAIM VOUCHER-REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: VALLEY PLUMBING
ADDRESS: 860 QUAKER AVE
JORDAN MN 55352
RECEIPT #/DATE: 50926 7/10/03
51203 7/15103
52185 7/31/03
52788 8/13l03
REASON FOR REFUND: INCORRECTLY CHARGED PERMIT 60180, 60183, 60271, 60272
60273,60561;605621*60563
60564,60769
TYPE OF REFUND: '
Plumbing Permit 9001.4087 $
Mechanical Pemrit 9001.4088 $
Building Pemut Fee 9001.4085 $
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 9220.3865 $
Sewer Pemut 9220.4532 $
Water Permit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
Water Treatment 9220.4685 $
Water Supply & Stocage 9220.4680 $
Surcharge 9001.2195 $ 26.50
Overpayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 92202254 $
Other - Fire Permit 9001.4096 $
TOTAL $ 26.50
I declare under the penalries of law that this aceount, claim, or demand is just and that no part of it has been paid.
&.0~ 7 di[„(,. 8/19/03
SIGNATURE DATE
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
l-E-f---
nate 30
SiteAddress ~S~S U•~I0. D/',VL ~}~n9~ ~ Unitk
Property Owner ~r4/1 a% d' 5o/15 Telephone )
Cantractor ~&OLA. f IV`n6c'i C~
Address $(00 Ovak-&,- Avt. City .JDldc/I
State /M i? Zip SS 3.S'oZ Telephone #(4~d)Y9a -alJ/
The Applicaat is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additional consulWnt fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water sokener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.DD)
Other:
RPZ , new installation _ repair _ rebuild
- $ 30.00
_ Lawn irriga6on system
r. l
V1
II r n. 1
_ Water softener _ Water heater I~Ej--
State 15.00
_ replacement _ additional Surcharge $ .50
Total S~
~.v(
I hereby apply for a Kesidential Plumbing Pemut and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of tUe City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work wluch requues a review and approval of plans.
s~.A k.cll Q-~ r.g-a,z
Applicant's Printed ame Ap ip cant's Signature
Use BLUE or BLACK Ink
r---------------
I For Office Use r 1
Permit ✓oxi
City of Ea a~
R I Permit Fee: • as 1
3830 Pilot Knob Road 1
Eagan MN 55122 1 q 1 In 13 1
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694
1
1 Staff:
L-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
qljq)
Date:
I Site Address: ~1739
Tenant Name: 6cdar 11 1/G S (Tenant is: New / Existing) Suite
Former Tenant:
/ / G]C Q
Name: Ske 60 ,r~~ r~t Phone: r ~ °
Property Owner Address / City / Zip: UOO 0, &r0 a
I Applicant is: Owner Contractor
T ~ i ~ l h
Description of work: f I"-#
Type of Work'
Construction Cost: J I
Name: License /
Address: l01-1 Av-c A) City: 6-or de,, V4
Contractor
State: n Zip: Phone:
Contact: V>O~ v11Email: ~Q 1'VI 1 ~.~'r1~®• C
Name: Registration
Architect/Engineer Address: City:
s
State: Zip: Phone:
Contact Person: Email:
i
Licensed plumber installing new sewer/water service: _ Phone
_ions of
i NOTE: Plans and supporting documents that you submit are considered to be public information_. Port_
a 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.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 /lx
Applicant's Printed Name Applica t s Signature
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