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
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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