3930 Rahn Rdr
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For
Permit #:Office Use C Z) 61°1
f r
Permit Fee:?'
Date Received:
Staff:
2014 COMMERCIALgBUILDING PERMIT APPLICATION
Date: 9"41 ', Site Address: `, V k k
Tenant Name: pare (S0 /Sl ` 066 1
Property Owner
Type of Work
(Tenant is: New / Existing) Suite #:
Former Tenant:
Name: M d" sf- Ca (v 4 R� 137th r L..er � R C 1 u rC 11Phone:
r
Address /City /Zip. ( � h -C
Applicant is: Owner X Contractor
Description of work:
Construction Cost:
qja -Ys/- 0 66 7
a. 6 006
Contractor
Name: �rwla.vvl Ord rt_tc'S �� tt n:4#: (-1 e, iU L (7co6i
Address: 17.59 Fv,k-6a e0 C f City: r •` ' seri
93-01- ger Ig.5
State: Pi N Zip: 550 d` I Phone:
Contact:
Email: .SS Oi '1ia a eta /lit
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 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.cooherstateonecall.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.
S f-2 r,e cwt Q
Applicant's Printed Name Applicant's Sig ature
Page 1 of 3
CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FEB 18 2010
Use BLUE or BLACK Ink
F.01
Permit #.
Permit Fee:
Date Received:
Staff'
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
�f
Date: �'` / (- lb Site Address: .."?1.3D I // et I) n PO t
Tenant: Plectra- batkr & e, " 1
Suite #: r
PROPERLY
1. ALGIi�/J�ci7: 2 C'1 ' 1 F� 66—/ ' 1. -J.24 i VOWNER Name: L Sr �
hone:
CONTRACTOR
/-
Name: e_»1itim P /I i't ilk / License #: o?)i!2'l gr)-
Address: 3 3--e, (0*--ielL .),0 Crty, AL1 Statein&/.► Zip: �i -a
Phone Email e �) i • /na-1 ( • (nJ
TYPE OF
WORK.,__,
New Re•lacement Repair 2c. Rebuild Modify Space Work in R.O.W.
_ _ _
of work .,_ L e * f'// / -
PERMIT TYPE
COMMERCIAL
New Construction Modify Space
_
Irrigation System (_, yes / no) L 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: 1
Avg. GPM High demand devices? e_ Yes _ No Flushometers Yes �No
COMMERCIAL FEES:
$50.50 Minimum (includes
State Surcharge) OR Contract Value $ x 1%
Required
- If Permit Fe_e, is less than
_ $ qi i Permit Fee
on ALL new buildings and boulevard irrigation systems 4 _ $ 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). _ $ r 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
TOTAL FEES $ 7)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecaf.orci
1 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 wit • ut a permit that the work will be in accordance with the approved
plan in case of work h requires a review and approval of plans.
d —rP e•
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections tin+
d By: Qte
round _,Rough -in Ai
Gas Te
r Requi
Page 1 of 3
S Crt4-- .Z14 //a t7i h 4eLs
411k
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: /12 3 5-`7 `'-'IC
Permit Fee:
Date Received:
Staff:
L
2012 COMMERCIAL PLUMBING�PERMIT APPLICATION
Date: Site Address: 3 `"5,) /2,4-,4/"/PP
Tenant: /IT 0 U r
e ptiL U A / i1 * -1( e2 e.ht c)/LC /7A- Suite #:
Name: `7' C 4t V
k Phone: 6 (T/.. ' 9 " Z3 z/�
Name: //kJ f pL e 7 l'/ %-O License #:
Address: 1.1 4(f - Ail L i9 ileCity: / o G'"t �r e rel Stater J Zip: rJ Y2-2
Phone: 4 l2 - 2 91 _ 7 cd,f Email:.T6Ffn�,Id �i p%` 14al?l 71
New _ Replacement _ Repair Rebuild _ Modify Space _Work in R.O.W.
Description of work:
COMMERCIAL New Construction Modify Space
Irrigation System (_ yes/ _ no) (_ RPZ / iC 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: 1
Avg. GPM High demand devices? _Yes _No Flushometers Yes _No
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x 1%
= $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ TOTAL FEE
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.qopherstateonecall.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 ofpla
x 114 AUL zi'1) I N So I
Applicant's Printed Name
x
PP
icant's Signature
Page 1 of 3
tN
�'+t"'3- �t�E!' t �" � , � � Y,.,.,:'':',411,f, � lµ t V k # E'i � "C i�
�ee z " ,( cr.`s'" ' : F' ` 5 3 w -.
.:4 v `A A i#
AS�b �5 4 - �. a � �: ` S S ' N * 0 „ } E i ' .
"•. Permit Fee 4 tit9
0 't City of Siarrahar : z+} � c 4 .'
Mist
4 , i, f,
," 4 ' Toto1 r
r .'
5 . ' s
p t e 1w . e it" '
e v ♦ „ �".
�F
% la '� •#
V f
J' X t� �,. i � f 4,4 � 11i ` �` � 9 . .
yf��, �}y�rr vy^ M R �
4 M
5
'',:t‘i:'''4''' '''.:. ti.,17,4,i'': ':,Aitiiii,,:;4;:,:.100".' 16.1,..' 3'',. :.:',7' ' ''' ' ".'-' .D7P-it`i4;''4:-''''.:'*.. :7 � 'Y '�." P p ffiI � fi 3
,y �.. • �°
4'
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
TE: / / 'Z1 - 4 7
NUMBER 74
..- _
R: At effie.4Q ' dAi,„,gei v Address 30 4 ,1
1 . ER 4 vz e,. Afire TYPE OF PIPE (3 5('
DESCRIPTION OF BUILDING
•ustrial Commercial Residential Multiple Dwelling No. of unite
'.-
1
ation of Connections: Connection Charge
Permit Fee 7, TO Pu
Street Repairs
Total
Inspected by: J e -P
Date ll fr4/6l
Remarks: st �.
By
Chief Inspector
consZeeration of the issue and delivery to no of the above permit. I
reby agree to do the proposed work in accordance with the rules and
gulatione of Eagan Township, Dakota County, Minnesota
By
ease notify when ready for inspection and connection and before and portion
the work is covered.
I r 1111
I ° 11111111111
IhI
1.
1 VH
1 1 Ilk 111
I MO
4,111
CityofEaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
J
.-� / 2012 COMMERCIAL BUILDING PERMIT APPLICATION
Date: —7/Z 40 / 1.7„.._ Site Address:
Tenant Name:
Tenant is: New / Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: i t f CQ,` L U' V"� Phone: C152_ 45 06,6pI
?,�� A/�
Address / City / Zip: 3d1 JIB . Irl ! r , I\1 55 1 ZZ
Applicant is: X Owner XContractor
TYPE OF WORK
Description of work: �e f'cc C`T0.
Construction Cost: 4 �LJ`J
CONTRACTOR
Name: OYA! n C.,1See (1 biO\ k. License #:
Address: City:
State: Zip: Phone:
Contact: Email:
ARCHITECT/
ENGINEER
Name: I/h 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.aogherstateonecall.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 wii be in accordance with the approved plan in the cas equires eview and approval of plans.
cant's Signature
ai, L/-er
Applicant's Printed Name
Page 1 of 3