4550 Slater RdPROPERTY OWNER
) C- I � C,Irpn r :�1 C nnwnvA. ( �, , 'di/ P :
Name: 1 �,;; �.� Phone:
/ �
Address / City / Zip: `/ 9Y / .fel QOc,, Fag e , A, lil (V J 2 2
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: / e 4 f},C) -, i2 1C;vii.r J- G.t,!'o,- e. S
Construction Cost: 3 OcO
CONTRACTOR
Name: \ ei1 Corypct/1`J 0` Ain V License #: / 79A
Address: ll 3Fs - ON�
�. 1 !VA- r . City: G9 /elm 14,1le i/
State: MN Zip: S Phone: (7b) c`% 6 `� /i? 0 o ✓
Contact: .C+U J k p'/`L511 Email: tuts- (e CC t e6 c a CG (
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 Eagan
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Tenant Name:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
I
Date: --8- / l� Site Address:
4550
(Tenant is: New / Existing) Suite #:
Former Tenant:
r
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 a review and approval of plans.
sprJ Cr A)4,
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
For Office Use
Permit #:' q-3 3 7�
Permit Fee:
Date Received:
Staff: `rte
Page 1 of 3
RESIDENT / OWNER
Name:ck 'r GD('lo, Phone:
Address / City / Zip: 9,90 � �✓n..)Atle 6 J. 444 p15 J`5'7
CONTRACTOR
1
Name: r ( Y�. CC 7 License #: / " QQ 2 79 &r'd
Address: / w (� / 4 r 17 N c • E City: Z G 1 J / ' 7 V / 7k-
State: / + » " Zip: (5533 7 Phone: 95 c23v
Contact: Email:
TYPE OF WORK
New replacement . Additional Alteration Demolition
-17:-
Description of work: i bug 9 4 _c #
NOTE: Roofmounted and ground mounted mechanical equipment is required to be screen
Code P contact the Mechanical Inspector for information on permitted screening
by
metho
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
_ New Constructionterior Improvement
Fire
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
—
Heat Pump
—
Under / Above ground Tank ( Install / _ Remove)
Other
_
** When installing /removing tank(s), call for inspection by
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) y�y
$.50 State Surcharge) $ /12, 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 $ 790 00 x
1%
Fee
FEE
= $ Permit
- If Permit Fee is less than $1,000,
= $ i 0 Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001
� r-
= $ /t O. '5V TOTAL
CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Permit #:
Suite #:
Use BLUE or BLACK Ink
9; 9 � ` t
Permit Fee: 70 4 `O7)
Date Received: S
Staff:
2010 MECHANICAL ICAL PERMIT pd APPLICATION � f cde3
Date: � — 10 Site Address: `7 - 4 7 S 12 ±C R . _j.,r , 456
Tenant: - i VICE yr.oyu, Rid / 7 Cr( 1 S
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.gooherstateonecall.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 r'l c. 37) Yen x � `
Applicant's Printed Name Applican igna ur
R eviewed B y -Date
In Air T est _Gas Service
erior . VAC Screening Inspection `>
FOROFFI U
Required Inspec
PROPERTY
OWNER
Name: snr 1 �2a' CO c � 'a��;Or� Phone: n
Si 6 s ) f(� pz y0
CONTRACTOR
Name: JOO r ce rl an (Ccx-I , �i? L License #:
�
Address: /k / Z 6 1 a f 4 IC ,-C E._ City: 6cRr/\.5V I le State: ► Zip: 5
Phone: 952 - g ?5 ' ,c/OO Email: do -rte. r, ac100.✓'-ce» petL° Gka/■. CQ f , court
TYPE OF
WORK
New x Replacement Repair Rebuild Modify Space Work in R.O.W.
— _ _ _ _
I - >° /(�c� l" LJi
Description of work: p ® y +h oex p1pe
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 CaII (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`730 x 1%
Required
- If Permit Fee is Tess than
= $ 5. S- 7 3 Permit Fee
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
a $1,001 - $2,000 Permit Fee requires a $1.00 surcharge). = $ ' 50 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 $ _ . _ _ _ � p G/ =
Date:
FOR OFFICE US
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2010 /
COMMERCIAL IAL PLUMBING APPLICATION
3/23)/0 I0 Site Address: ` r 7 Y� ` 7 l Cc LT p0.8 ` ' `� - v
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
Tenant: Suite #:
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.orcl
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.
x Dcirt?n 2n rt ! x
Applicants Printed Name Applicants Signatur=
Approved By:
Date:
Required Inspections: .. Under Ground. Rough-In Air Test • _Gas' Test Final PRV Required: Yes
Page 1 of 3
8 121
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144
Date of tMp.: 1 ? n
_
err? . EAGAN I1
1
55121 DAE 1 -5-56 ,\ R4 14°. 01 12 Unit
sit 50 S Ist ***d. 11 a* g 7 . .
Irluirb re W e1 40,g1 ..
5 7755 11 - 21 - 85 - , i �2 ►. � ':' , i "` e ,
1. s amply with- Nn of C
* f .! 1}
* Fir p
'� 14,
_mss
SY f kt. } r
Dot of Inv.: � :
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit I S O V
City of Ea
d ~ I Permit Fee: A- • ✓~U I
3830 Pilot Knob Road 1
I
Eagan MN 55122 I tat
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 I Staff: 11 W
j
I
t-----------------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: / 13 Site Address: 7~5~1 7 S`7 b !S/6 k/ Q A
Tenant Name: ~h11 ✓f o'n yn f Lt ~P_ (Tenant is: New / Existing) Suite
j Former Tenant: Q
Name: D e/ ~ ~9,o,-fo An Phone: 51W
Property Owner Address / City / Zip A TUk/
$IS GNU j /-o0
Applicant is: Owner -K Contractor
Description of work: A')-JAa, C /11 Type of Work
Construction Cost: 350. 0-
Name: 64-, 60 License /?56
L.3'l
I Address: 0~OS /40k /7r' /z u City: Llt'`7
Contractor 0,1
(3
State: Zip: Phone:
Contact: rri r /`'tir Email: C0- G
Name: Registration
Arch itectiEngineer 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 i
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.
x ! AWN-7 x j.
A
pplicant's Printed Nari a Applicant's Signature
Page 1 of 3