4547 Villa Dr
RESIDENTIAL MECHAIVICAL
Permit Application
City Of Eagan \
3$30 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pemilts are required for each unit
Date~/_Sj~/ d~
Site Address "-f~ 4/'7 Unit #
~
Property Owner ? Telephone #
Contractor ~ . .,,..~,R~.yrr~eva . YY4/~^V.YI~....
Q"A Vdenlvrcr'i ; ;v3, So
Street Address , City
- ic~..r,.,~s,-F; :V
State (952)881-900OZip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on, modification or alteradon to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
. ~ .
State Surcharge .50
O~ iIII1 JLt !i Ci Luu.i I~~ i ` V D
Total i$°-4d
ev-
I hereby apply for a Residenrial Mechanical Pemut and acknowledge that the information is complete and accurate; tUat the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pemilt, and work is not ro 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.
SEDGWICl6 liTG. 8 AlR COND. CO
Applicant's Printed Name Apphcant's Signature
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-family 6uildings when separate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (i[ applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New construction _Install _Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature ofWork:
Permit Fee $50.50 Mini+num Fee (includes Siate Surcharge)
ContractValue $ x 1% _ $ PemutFee
• If pemut fee is $1,000 or less, add $.50 ~ $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I bereby apply for a Commercial Mechanical Permit and aclaowledge that the information is complete and accurate; that ffie 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 m 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.
Applicanfs Printed Name ApplicanPs Signature
Approved By: , Inspector Date:
CLAIM VOUCHER - REFUND REQUEST
CTTY OF EAGAN
MAKE CHECK PAYABLE TO: VALLEY PLUMSING
ADDRESS: 860 QUAKER AVE
JORDAN MN 55352
RECEIPT #/DATE: 50926 7/10103
51203 7/15/03
52185 7131/03
52788 8113103
REASON FOR REFUND: INCORRECTLY CHARGED PERMIT 60180, 60183, 60271, 60272
60273,60561,60562,60563
f 60564;,60769
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Pemut 9001.4088 $
Building Permit Fee 9001.4085 $
Plan Review Fee 9001.4222 $
' SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
WaterConnection 9220.3865 $
Sewer Pemtit 9220.4532 $
Water Permit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
Water Treatment 9220.4685 $
Water Supply & Storage 9220.4680 $
Surcharge 9001.2195 $ 26.50
Oveipayment 9001.2250 $
Cur6 Box Deposit Refund 9220.2253 $
Conshuction Meter Dep Refund 9220.2254 $
Other - Fire Pemrit 9001.4096 $
TOTAL $ 26.50
I declare under the penalties of law that this account, claim, or demand is just and that no part oF it has been paid.
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 Fanuly Dwellings
Townhomes and Condos when permits aze required for each unit
Date3 /3 0_/ 03 14
SiteAddress y5-q-7 Uj~a unica /-41
Property Owner 1-r-11407u So n5 Telep6one )
Contractor V a I~ C~ P~uwl n C~
Address 2~60 Ovtk.w A ve . city J o~dc~
State /P) 11) Zip s,s36'e2 Telephone
The Applicant is _ Owner ~ Conhactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. qdditional consulWnt fees may apply.
Alterafions To Exisftng Dwelling Uni[, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5I8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
1 l
Waterso[tener Waterheater
11, $ 15.00
j
_ replacement _ additional !1ii
~
B}_
State Surcharge ~ - - $ .50
Total 's-D S zto
I hereby apply for a Residenfial Plumbing Pernvt and aclrnowledge that the information is wmplete and accwate; that the work wil]
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I undersbnd this is not a
permit, but only an application for a pernut, 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 wluch requires a review and approval of plans.
X-e-l(M
Applicant's Printed Name Applicant's Signature
b1oJ- ~
U
COMMERCIAL
2002 BIIILDIN(i PERMIT APPLICATION
5
C651-681-467~
Founda6on Onl New Construction interior im rovement
. SWCWrdI Plans (2) sefs . Arohitedural Plans (2) sets • ArdiitecWral Plans (2) sets
. CivN Plans (2) . SWdural Plans (2) . Code Analysis (1)
. CertificaEeofSurvey (1) • qvilPlans (2) • PraJedSpecs (1)
• CodeAnalysis (1)" . LandscapingPlans (2) . KeyPlan (i)
. ProjeaSpecs (1) . CodeAnatysis (1) ^ . MasterBdtPlan (i)
• Spec.lrisp.&TesdngSchedule" • CertiflpleofSurvey (1) • EnergyCalwlations (1)notalways"
• Shcs Report (7) • Spec. Insp.B 7esting Schedule (1) " • Elec. Power & Lighting Form (1) notaiways"
. Meter size must be estaWished • Meter size must 6e esfa6lished • Meler size musf be esfablished - if applipble
. ProjeCSpecs (1)
1 . EnergyCalculations (t)'• y .
1 . Electric Power & LighGng Fortn (1) 1
4 • Master Eztt Plan (7) l
1 . Emergency Responsa Slte Plan (1)'"" ! -
l . Soils Report (1) 1
• MCIES SAC defermination letter • MGES SAC determination letter • MCIES SAC detertnination leker ca11657602-7000 ce11651-802-1000 ca11.651-802-1000
Food & beverage or lodjing faalides - submit plan W MN Department of Heaith. Call 651-215-0700 far details:
Corkact Building Inspections for sample.
Pdmitfornow buildings or addiUons will not be processed without Emergency Response Site Plan. Ask Bu`ilding Inspections for requirements.
~
DATE: % 02 WO X NEW _ REMOUEL CONSTRUCTInN COST: ~Io,QO~.I~d
SITE ADDRESS:
TENANTNAME: Cedar Villas Housing SUITE#: ~
FORMER TENANT NAME, IF APPL(CABLE:
(~niv~lr'iG~ G2~JS'T~2~/~J/O?v
DESCRIPTION OF WORK
Name; Cedar Villas, LLP. Phone#: 6( 12 ) 341-7800
PROPBRTY Last Fust
OWNER •
StreetAddress: 900 Second Avenue South, Suite 880
Cit,. Minneapo.lis Stft; MN ~$S'4. 2,
oDmpany; Frana and 5ons, Inc. Phone#. 11~,952 1935-8600
CANIRACCOR
StreetAddress: 633 Second Avenue South'
Cqty; Hopkins Smte: MN Zip: 55343
ARCHITECT/
ENGINEER Company: Elness Swenson Graham ArchitectsPhone#: { 612 ) 339-5508
Nyme: David Graham Registradon#: 14808
StreetAddress: 700 Third Street South
City: Minneapolis 5tate: MN ZiP; 55415
t_fcensedplumberinstaltingnew sewerlwaterservlee: Imperial Developers phone#: 651 454-3330
1 hereby eckrwwledge that I have read this appik;atfon, state that tlie IMortnation fs correct, e ree ply plicable State of
NAinnesota STatutes and City of Eagan Ordinanoes.
SignaWre of Applicant ~
Updated 7/02
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments p 27 CommerciaUfndustrial ? 32 Ext Alt - Apts.
? 15 Lodging p Zg Q=ffiouse ? 34 Ext Alt - Comm.
? 25 Miscetlaneous ? 29 Antennae ? 35 Faci Alt - PF
WORK TYPE ? 37 Nail Salon
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition . ? 36 Move Bldg ? 43 Reroof ? 47 Repair .
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
O 34 Replacenient p 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Z,oning sq. ft.
SAC Code # of Stories ~ g
No. of Units
No. ofBldg.s. Width s4• 8: ,
Consk (Actual) Basement sq. ft. MGES S~~
S'siem
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? geaqng ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
PlanninB Building Engineering Variance
VALUATION
Pertnit Fee
Surcharge '
'lan Review 00
1AC/ES SAC % SAC
~ily SAC SAC Units
Nater Supply & Storage Meter Size
i/W Permit
31W Surcharge
-reatment Plant
'ark Dedicadon
"rails Dedication
Vater Quality
)ther
:opies
iS63~ SS-
otal
Use BLUE or BLACK Ink
I For Office Use
Permit 0 I 1
City of Ea a~ 1
J R I Permit Fee: 5o 4 95-
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 1 Staff: j
i-----------------1
2013 COMMERCIAL BUI N/G/ PERMIT APPLICATION
Date: Site Address:
Tenant Name: 111Ila S (Tenant is: New / Existing) Suite
Former Tenant:
15 - cQ"
S
Name: 6 d pe rA o', r Phone: f! /
Property Owner -
:Address /City /Zip: U00
~~1~') Cif D 5.froA
Applicant is: Owner ` Contractor
Description of work: T d h~ ~J i~ l h
Type of Work
Construction Cost: l
Name: AP°l License
Contractor Address: 3 39 9 /0 17L"tr A) City: 6-y (d e-, V o " r,P~7
State: n Zi : S5q~ 3: Phone: ?D J300
a Contact: V PIA. e, Email: & 6 l -ef -A~,~ ®
Name: Registration
Architect/Engineer 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 requires a review and approval of plans.
X Of ~1~J / /0 x
Applicant's Printed Name Applica is Signature
Page 1 of 3
FROM (THU)MAR 22 2018 8:33/ST. 8:32/No.8302878828 P 1
—Gall -yo' c. reab - Coad' -tt• lbtL./ ! b1 - 10S(7
For Office Use �/
b *4 d y
riysW., i !#'R :::es;
EAA N ��
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(851)875-5675 I TDD;(651)454-8535 I FAX:(651)675-5694 Staff:
buildinaii spections ancitvofeaaan.d L
•
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 3/2212018Slte Address: 4547 Villa Drive Unit A
Tenant: Suite#:
).,.I:,A:,,,�,�,., ,i::. dUt:a:r.rra�::'.' Shelter f°ii�p::.,:: »#ar.::,0: �MIt >t!1'41 Name: to Corp. Phone: 952-358-5100
ResJdenvownrer ia:t'.: �`)
.•:y rfii'iwl.Nlji,A::.rl�f�iri5`e,i,y)SNh`r`•li.••iil�:i ff 1V 0 1
;,,,;::,,:.,;.;:;:�;, ..,.,. •. ,,.'1„�::':::".,•:-;•:i�::��..•�.� Address!City!Zip Of k ns C rO.SS�6 416 n S 3 J
6 Q�` k; s MN
` a : •; rL. u : ili« wri1!,.id,:
sA
Erickson Plumbing Heating
Air
t
Electrical
License
#: M
600526
1 iAiR,., At. Name:
' ` i; :2,,i'' •: idil,;i,r, iI0gp', ig:.F: tili' 4Blame
t:l.4.0..: .rf�t, Address: 92ndane NE • City:
9J` : ?0r..i ;'::cyw ,, iit{ ,., :;ri!!.;t:
,y;. . ft:!!iI,;. ;il �; ::ifib State: MN zip: 55122 _ Phone: 763-7834545
;8; :;, ., ,. . g
: •. _, : i: ya; M ,t Contact: Alex Email: indra@ihearterickson.com
,i ';:,`::':1 ilf,1 i X
ii':':;,;t:,..:;i.:r"u:'dry=i':i;#';i,;i,�;a;1'Al,A"' ;.,
i.. ; : •;i,••rti ';4„ys(;. _New Replacement Additional _Alteration Demolition
`:`+d.: '`•r.:,i;;.:,:�:.:.::..:�....:..:. b lrg
7.1:I.1"y`Type 19��Work
,.
Description
of work: furnace re
placement
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.:*Mo » i QndAfAhte roenln mtlrods&,
i;:<;: y„ ; 4i; RESIDENTIAL COMMERCIAL
i :
,i,vi ,. tieA ;j4,m ; y ;
,•; ;::! o4 : {; %mr. rer. Furnace New ConstructionIm rovement,,,,o,iYli1.. ,,q,,,
S .iiiimeAir Conditioner Install Piping Processedis � Permigar igi, o -
., p 030' .: f : Vx4 Air Exchanger Gas Exterior HVAC Unit AdgI q , ' •rA; i —
b;?'.4#IIIii'+ Oal,yliIVII, LL _Heat Pump Under/Above ground Tank (_Install/ aemove)j0:k',; {ig : x ; ii ::04di{{ i:gitf, "aiih v;
—Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$fi0 TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
Contract Value$ x.01
$75.00 Underground tank Installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 -$ Surcharge
If the project valuation is over$1 million,please call for Surcharge ms TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvafcestan,comrsubecribe,
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 Alex T r ro, x aze.px .D.:---eLd-
Applicant's Printed Name Applicant's Signatu
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