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4537 Slater Rd*6 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: ?3373 Permit Fee: Date Received: Staff: y-� 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 4633 6 1 id Tenant Name: 4637 (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER C,Ani,nvn /2 s61 Name: �he.11 �rpa!'txkkL Phone: Address / City / Zip: 7C 9Y 5&+(r foc,„4 F&9 0A, /71 At gc-I2 2 Applicant is: Owner X. Contractor TYPE OF WORK Description of work: k6 -R,00 4 4o4 , lJ ,i l Cr f a- G L ctft .t,%x Construction Cost: 30, O CONTRACTOR Name: v ► e4A Co(ypot ACJ O /n114 ✓1 C License #: / 79h Address: /)3 FS- / O %)I/k, a/. . City: o /G/el " Vu,//G State: MN v Zip: S�yo%? Phone: (7b) c4/6 — /300 Contact: -C S?IMnJ- Email: eft ts.Q G (e.) - co- Lorv- 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. Portionsof the information may be classified as non-public if you provide specific reasons that wouldpermit 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. SJtUrit Spronk- x S‘,u Applicant's Printed Name Applicant's Signature Page 1 of 3 RESIDENT / OWNER v i Name:�711 1'r 1- E%( Phone: Address / City /Zip: / 4.4 b /—ve 5, d�YI p 1 . 4r .4-- CONTRACTOR N ame: IC U YC ( �Vv lei License #: / " 7 Q`7) 790 0 & r'd /` Address: � / "'T (' ' f' x�l City: C C i' r i U i k___, //ON State: r O! v Zip: , 55 33 7 Phone: 9 2 - ?�' 3c)3 Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: h rvkac E- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for in formation on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Constructionterior Improvement Air Conditioner — Install Piping — Processed — Gas Exterior HVAC Unit _ Air Exchanger — 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) � $.50 State Surcharge), $ /C/y 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 - $2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ '7 00' 00 x 1% $ Permit Fee - If Permit Fee is Tess than $1,000, ^^,, ° $ r `0 D Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 $ i,e 0 . 60 TOTAL FEE City otEapn Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 MECHANICAL PERMIT APPLICATION Date: , -) /() Site Address: 1 � 3 J I -i±r _LW- u de`s 46 A4Ctir‘c)A_. Rid , /-t �11 S YlC( .A Yi Applicant's Printed Name Applican Use BLUE or BLACK Ink e Permit #: 9 (1-3- 6 Permit Fee: 1700 1 0 Date Received: 3 Staff: C Suite #: Under Grown Reviewed as Sl ion FOR OFFICE USE Required Inspection eripr HVAC S creening ins J CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454 -0002 for protection against underground utility damage. CaII 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 plan PROPERTY OWNER Name: s - (,S I go O Z 9O � � � �2r co �o rPo Yea �� Phone: n CONTRACTOR cet /7 0 . b �a `b � Name: 44 LOf CPr► Me r - ,�ctniGciLl , I LL License #: Address: Jtr I2.. (1 : t'T I , .-8 City: )3 utrt`5v i re Stater Y1'\ f\ Zip 5j S✓�. 7 Phone: 95 - Y i°S ' c /OO Email: do re.A. r_ atcic?o."cer ir:e cka.ti. 1 cc, 1 . caw') TYPE OF WORK New Replacement _ Repair Rebuild _ Modify Space Work in R.O.W. _ _ _ Description of work: r e O {G:c e po iii w; 4-h o ex p , per PERMIT TYPE COMMERCIAL New Construction > Mod Space Irrigation System ( yes /4. no) (_ 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? _ Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ 85"73': x 1% Required - If Permit Fee is Tess than = $ ZS 5. 7 3 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 50 a $1,001 $2, 000 Permit Fee requires a $1.00 surcharge). = $ I 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 $_ gb...- 5 FOR OFFICE U City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x I / CSI - ii° A r 9 ^ . Applicant's Printed Name Approved By: Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: .3123/ J0 Site Address: 2 16 J Tenant: Suite #: CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.orq 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 I understand this is not a permit, but only an application for a permit, and work is not to start with permit; that the work y. 'II be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicants Signatur equiredInspec bons : _ Under Ground = Rough In % Air Test _ asTest',' Final _ PRV Required City orEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink` Permit #: / s 3t Permit Fee: cP --7/ 7 l Date Received: Staff:+ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CAF' Date: /2 — d—/ d j 7 S 3 7 SiW / 2 � Site Address: 721 � Tenant: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: JR. 14� Co r /f/ Address / City / Zip: /6 0 0 , f, k,,,t j Applicant is: Owner k Contractor Suite #: Phone: gsL " .35' t CreSS ro rGl .4141c J S d Description of work: (L it . /i /� f /:: / Construction Cost: Multi -Family Building: (Yes ` / No ); /yC tilk O r s J Address: CP% 4 y 6 % S / " E- City:. . M. 4-1 a` State: Yk, f Zip: 3 7 0 3 J Phone: (� s-/- 9 0-- 1 7(1 �e - Contact: �G-Q Email: 7:3-e. P & r t • fere_'rf E.Qd j- Co l Name: 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. 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.00pherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in co . ance 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 wo is ' of to start without a permit; that the work will be in accordance' tu..the-appproved pia in the case of work which requires a review and .�... rov .t . ns. xJJ ��O-e Me A Atte..- Applicant's Printed Name x Appli nt's Signature q (4-/657 C/kkci( DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage `x Deck Lower Level Interior Improvement Move Building Fire Repair Repair 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: Porch (3 -Season) Porch (4 -Season) Porch (Screen/GazebolPergola) Pool Siding Reroof Windows _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation _ Egress Window — Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy L. Code Edition 61N)..0 7 Zoning Stories Square Feet Length Width Final MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required 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 0/0'00\ () Page 2 of 3 f .,t' t t fi' J. fi R Y1 p. >q 5, .',fF -t 7 . rte L v .,k ` " s . ' A M tl ,.714:1. i ,e�� S ��, a v w . ;.1 X5121 - - r : 'CAYrwr; � i - of • , s, , W 57755 U-21= '; '. +='�+1M iii, Car s* 4O; 2{ G.. � oft: tom, -, ... Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use Permit I ~0 non City of Eq, I Permit Fee: ~V 3830 Pilot Knob Road I I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff: j L-----------------I jj 2013 COMMERCIAL BUILDING / _PERMIT APPLICATION Date: ! I3 Site Address: W3 3/ Y-5-3 3 9 Tenant Name: 614A t7 Al hY) (Tenant is: New / Existing) Suite / / Former Tenant: a Name: ~ At e / l-er & Va ,-A ~kn Phone: ! Property Owner Address/ City /Zip: A0o apk-1~s 61-e) ~ s /-,o 0 Applicant is: Owner -K Contractor Type of Work Description of work: 9 i 4.0, on j 5 l J I h 0 Construction Cost: Name: tl l,^SP'~ License / Contractor Address: yss / [bb- A;VX 4u City: &/u y0,) State: Zip: Phone: 743 Contact: vii MX 'l Email: Name: Registration Architect/Engineer Address: City: t State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: _ Phone M NOTE: Plans and supporting documents that y(;u_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 I 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.goi)herstateonecall.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 OMA x L7a Applicant's Printed Narhe Applicant's Signature Page 1 of 3