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4542 Slater RdPROPERTY OWNER Name: ...I. lTCT fpa r-0, , Phone: Address / City / Zip: / d - /6,+°P./ QOc F6L t A, 711 TV C i�.2 Applicant is: Owner 'X Contractor TYPE OF WORK Description ofwork: e- U.- 4 IL 1 dr'j5 °- Grt/ E- cinmitear Construction Cost: 3 COD CONTRACTOR Name: G «t'V ,t1 e,'Yy7at f J O /)l / J X 1 C License #: / 79-6 Address: 11 /0�� 1-71 &- M Cit Go /Cruel Vie;!ky State: I i' I Al Zip: SCys,17 Phone: C7b3) .C "^ /S Contact: -C�t S9I1J14: Email: S1 CD 1 i\ii -eik co - co M 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. City of Eaali Tenant Name: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: L i - 4-10 Site Address: 4 453 g Applicant's Printed Name 45L (Tenant is: New / Existing) Suite #: Former Tenant: x S� Applicant's Signature Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 3376 11' 7 CALL BEFORE YOU DIG. CaII 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 requi a review and approval of plans. Page 1 of 3 CityofEaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 MECHANICAL PERMIT APPLICATION i tAy aw©vu. ig(dam A -Is Use BLUE or BLACK Ink Permit #: /0 c 7 Permit Fee: Date Received: Staff: 3 Tenant: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name l - $1 - COC Address / City / Zip: 9 /70 A-ve 414 t d f 5 55 400 Phone: Name: Address: Contact: RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other Suite #: ( 17 License #: / L/Q@ 790 t �Cv l (7f 4 • E cit Zam6u1 7k State: /M N Zip: 65337 Phone: 95; — c0 @ o�39 3 Email: New replacement Additional Alteration Demolition Description of work: hm' c e_ `- 2 -C NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by Ci ode. Please contact the Mechanical Inspector for information on Permitted screening methods New Construction Install Piping Gas COMMERCIAL 1.--iriterior Improvement Processed ✓Exterior HVAC Unit Under / Above ground Tank ( Install / — Remove) ** 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 $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ Vj 000 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $ WV, 00 x 1% $50.50 Minimum (includes State Surcharge) - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). = $ Permit Fee _ $ i7 Surcharge = $ 7P U • 6d TOTAL FEE d Site Address: `' 3 S d � R G 1 - L1 C 1 o ciej 4 161 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 kA ✓i :132 YCp Applicant's Printed Name x Applican ' igna J ns- U nder Grou it Te enor reviewed By ' ' "" ak1SerVicellfasty In floor Heat I nspection PROPERTY OWNER ff P 65 yr2 O z/ JO Name: Sne j ��� C o r o o',�� -�Or Phone: 7 CONTRACTOR Name: Advanced Y f t!°.r.i•an iCotl , I., License #: Address: 1 jp / Z (, i Yf I cz -c el City: 13 co-r i ) C'_ State: m� Zip: 5 Phone: 95 - gYS ' c/ 0 Email: do--(1 aci0 .✓�cec r n.e cka"-J c4 I , cow TYPE OF WORK New / v Replacement _ Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: I ep lace_ p0 y 1.4) 'r +h r ex p ; pe 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 $ e5- 73 10 .1% Required - If Permit Fee is less than _ $ 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 ,C jj^^�� a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). = $ / ..-' 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 $_ ji‘e,.. 5 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date 2)23110 FOR OFFICE 2010 COMMERCIAL PLUMBING PERMIT AP PLICATION Site Address: 4 - - _ - 3g" S tc l -ec Y\ )c -c / 2 `"7 Required Inspections _U nder Ground pproved Rough -In Air Test Gas Test Permit #: Permit Fee: Use BLUE or BLACK Ink 3/7( Date Received: Staff: Tenant: Suite #: 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.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 withgut -a permit; that theyvork yAII be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ! ✓Ge rA V) r z Applicant's Printed Name ✓ Final P RV Require Date: !, J Page 1 of 3 [- °nom j . L 55121 4"F Trial' # Om* Ott er d _ I3 t* .. M er Net.: O ,. , . lei } ev N wM1�. 6erf lriwM • CITY Of EA 1 '99 PEN& NB.: 89 } 55121 DATE: 8-647 47 #4thinssig \\ IMMINI111111111 \\ Site Addle= 5 342 load E plumber: 241 51755 11 -21 -85 - W480 r k By -. Lie of IMO.' T r .rte Use BLUE or BLACK Ink r For Office Use Permit i 15 Q ~I ~P City of Ea U t~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I q I Phone: (651) 675-5675 Date Received: ~J Fax: (651) 675-5694 j Staff: I t-----------------I BUILDING ,,PERMIT APPLICATION ! ) 2013 COMMERCIAL Date: / 1- Site Address: 7~y 7 ~3 sh kr QA Tenant Name: 4A am On a (Tenant is: New / Existing) Suite Former Tenant: G j Name: V` ` Phone: ! Property Owner Address / City / Zip: 00 lTU~1C'/~ S 61-0 S /-00 Applicant is: Owner _K Contractor \ ~ p Type of Work Description of work: A i Q/1cl ~ l ct I ti Construction Cost: j 3 0I 35-0 ` L Name: 6-/`~' License Address: S,30-s lob- /;v-c '!y city: r)Id'o-► Contractor ol State: r Zip: y57 Phone: 7t3- 5 4 Contact: ~iW / "t ~'lf l Email vidM L~ • Name: Registration Architect/Engineer' Address: City: State: Zip: Phone: _ Contact Person: Email: ~v Licensed plumber installing new sewer/water service: _ Phone _ . Portions_ofv1 NOTE. Plans and supporting documents that you submit are considered to be public_information__ the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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. C / x L A) I x L76t Applicant's Printed Nar-he Applicant's Signature Page 1 of 3