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4545 Slater RdPROPERTY OWNER CI C AAit,nvn. 2 4 e c 1 a.Lvf-' Name: S/� j I - C I rpo rc1/4,k -).5,\ Phone: Address / City / Zip: gd Sk+er QUc -c FC 0 A, fil flf Ss7).2 Applicant is: Owner x Contractor TYPE OF WORK Description of work: ire — 0 4 hp }, Ac,,, t cbv f L Gil-9 e- cln-citicer Construction Cost: 30, 000 CONTRACTOR Name: v ‘ e,Y1 0 010(41 J 0,( V i, X1 C License #: / 7 / 4 / /r) S Address: D ' / O AA- �" V . City: C/Crer'l Va lam y State: ! i I Al Zip: S� JcZ7 Phone: (_7b) c`� 6 '` /300 j Contact: .C4 -U,S., SP1llt1 Email: SfV- (r G 1 vdtco _ co 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. Tenant Name: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: LE— 8- /0 Site Address: a:71-fir 46 Permit #: /3, 1 / Permit Fee: L / q1, ` ` Date Received: Ll -.(z, Staff: (Tenant is: New / Existing) Suite #: Former Tenant: 6 Use BLUE or BLACK Ink 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 requi es a review and approval of plans. S - pro x _Cr 5 Applicant's Printed Name Applicant's Signature Page 1 of 3 City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Permit #: Permit Fee: Staff: 2010 MECHANICAL PERMIT APPLICATION Use BLUE or BLACK Ink m r - ga9ng Date Received: 3 Date: �� �5 ld Site Address: � GI � � � .Y , L(c(e 3 3 i v\ vtCE in©vx._ Rid 4 -f s RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name iel r Corp, Phone: 00 Ave S. 44401 5 55 Address / City / Zip: Contact: Name: / � License #: / "7 QQa 790 &� Address: / c� / L / ' (fE / Q d E City: yee.:0 't V / / - Phone: c� ' 3 J 2 3c2s3 ( 4 State: 'm N Zip: <5 Suite #: Email: New replacement Description of work: F ika_C e- 9 _ Additional Alteration Demolition NO E: Roof mounte an g round mounted mechanical equipment is require to be screened by Code. Please contact the Mechanical inspector for information on permitted screening metho ' RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL terior 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 bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ '70 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal $50.50 Minimum (includes State Surcharge) OR - 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). Contract Value $ '770, x1% $ Permit Fee _ $ op Surcharge = $ 7 ' O , 67 TOTAL FEE 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 C- J / 5 t , . c g x ' . ■ Applicants Printed Name / Applican igna r FOR OFFICE U SES Required nspections evievved Exterior HVAC:Screening Inspection-; PROPERTY OWNER f // (� S) ' � 0 a 2-1/0 Name:.S(1 � t�2r' � o r 0 �'o.�-�-�Or� Phone: CONTRACTOR Name: RCI UG:.r) Ce A Y► e ri\tRj co , I_ l_._ License #: Address: it, /Z. 6 1 f P ! cr.-8 t City: (utr1t5v, 1 le State: 11\f1 Zip: 5 Phone: 95 -' S'S cj0 0 Email: do-- e r ad o .f c ec4 pe&.e ckae•-. Cc 1 , caw) TYPE OF WORK _ New Replacement Repair _ Rebuild Modify Space Work in R.O.W. _ _ Description of work: f e._rO /ac, p t<v 1 4-h o L.0 p ;per PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System ( yes /A_ 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: Q $50.50 Minimum (includes State Surcharge) OR Contract Value $ es -,.., 4 x 1 C YO Required - If Permit Fee is less than =$ 55 5- 7 3 PermitFee on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 h a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). = $ ' 5O 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 $ 5 Cif of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL PLUMBING PERMIT APPLICATION 7 Date: 3/231/0 Site Address: 3 / � k. t er koa_a £/� Tenant: x Applicant's Signatur Permit Staff: Suite #: Use BLUE or BLACK Ink tffipe Use Permit Fee: 7?6 - Date Received: 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 digto 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 with permit; that the ork 'II be in accordance with the approved plan in the case of work which requires a review and approval of plans. f� ✓ J x Dc r-r Applicant's Printed Name FOR OFFICE USE Approved By Date: Required Inspections: _ Under Ground Rough -In _+ Air Test Gas Test Final ; PRV Required: Page 1 of 3 3 _ .a� F Mg's. F 7 y �i T r b ;;mx,, i 't C' �3' f3 3 14 to • t { Y7 1" r e ,, - { & $ .; r e rr S >TS T �: t �1 se S t.,. t � y � ",72'47.-,,P ' • '.4-,:', t • ' ti ff► "5 F t /l t ! 'Y'T" 1 ' �� f"' sly Y -s t M . r' { Use BLUE or BLACK Ink r For Office Use Permit ( d 01 n City of Ea V I Permit Fee: • s-~ 3830 Pilot Knob Road i 1 Eagan MN 55122 I Date Received: 3 I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: ~56 I t-----------------I 019h 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: kr Tenant Name: 6),JAQM hn a I\d (Tenant is: New / Existing) Suite / Former Tenant: p Name: f ~~1 Phone: q5 5d -sl(9 Property Owner Address /City/Zip: A00 lTUIC~I~ 61-0 S /-00 Applicant is: Owner _K Contractor Type of Work Description of work: CAP (4,11 Construction Cost: Vr Name: License Contractor Address: 005 lop- 41--c 4 V City: & //e-7 State: Zip: 5,57o) Phone: 743-S / 4 1300 Contact: i I&A Email: vid /vi iV-IS L0 Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: t Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of xq c 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. L7a~ X ~L1 IJ;U x Applicant's Printed Narhe Applicant's Signature Page 1 of 3