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4558 Slater RdPROPERTY OWNER Name: Sii t. ( WrPo ('Ckk 9 Phone: Address / City / Zip: %9 .5h er QO c.,,4 Fcay u A, 7)1 111 C .2 Applicant is: Owner x Contractor TYPE OF WORK Description of work: e- 0 4o 4 , £ -1d 6v s )- G( e.. S ,l 4tire ., Construction Cost: 3 40O CONTRACTOR Name: G leAseA all'i U t t f X 4C License #: / .7 /b M / /Y1 Address: 8 0 AvE r'V. City: C.„.9 /Cre,. V(a y State: PIN I v Zip: J -Cyo).,7 Phone: C7b) �`V ( — /3 Contact: C SPPi/14 Email: Sf fits (r Gie_ to Co . co r 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 Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x St /- SrO nk- Applicant's Printed Name L x Applicant's Signature Permit #: 933 ` -1 Permit Fee: �` < / Date Received: Staff: J Use BLUE or BLACK Ink 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: 9 "8 /0 Site Address: X 554 1 a i--- - J (Tenant is: New / Existing) Suite #: Former Tenant: 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. Page 1 of 3 RESIDENT / OWNER N ame :` ii r UO CIO, Phone: /In �/ Address / City / Zip: 990 (9✓n,E Ave 5. 4 ► s t pi 5 554 CONTRACTOR , 00 2 Name: , di/Le( '1'I iee-k, License #: / "7 QQ 2 790 Byrd Address: / b / 4 ( 17-w Kd ' E City: 60"7/7 6 U / 7k- State: f il t J Zip: (5533 / Phone: �c, — ?9 023 )'3 Contact: Email: TYPE OF WORK New replacement - Additional Alteration Demolition Description of work: I 1f VCLC e_ c} C� , NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened Code. Please contact the Mechanical Inspector for information on permitted screening by C ity metho k PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction 1.-- Improvement Unit by Fire Air Conditioner Install Piping — Processed Air Exchanger — Gas Exterior HVAC Heat Pump — Under / Above ground Tank ( Install / Remove) Other _ ** When installing/removing tank(s), call for inspection Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) �-y�y $.50 State Surcharge) $ /t 7 000 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 $ Woe 50 x 1% Permit Fee Surcharge TOTAL FEE = $ - If Permit Fee is less than $1,000, = $ t 0 - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001- � l =$ ' /gy p, O(1 City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 kA J yep Applicants Printed Name x Applican igna Use BLUE or BLACK Ink Permit #: - ! g""/ q }� Permit Fee: ! 00 6 Date Received: 3 1 Staff: 1 4-5 1 5 1 2010 MECHANICAL PERMIT p A � PPLICATION Date: , � / d Site Address: `'t I fi t' Rc • -- -.�-.rr^-f (,c_Cie Tenant: 1 In Q W�OYI (� f S Suite #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecall.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 FOR OFFICE U: Required Inspection lnder;Ground Roug oor Heat . Fina eviewed Air Test = Gas Service Exterior HVAC Screening Inspection PROPERTY OWNER tt r 5" i R ym� o z70 Name: Sne � 1'2! CO (. r o,�-a� -�Or� Ph one: n CONTRACTOR Name: heiOan cer /f [c° r-- an ,CcL -i , I.. Lc License #: Address: it /1. (, i s cf ! a c IL Cit 13c d\5V i ie State: 7Y\n Zip: 5 Phone: ?SZ - Y iS - c i O 0 Email: Uarre . acL o ce» /v&.e c kt.J c4 I , cowl TYPE OF WORK New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ — Description of work: fep /acs p® (1.1 ( - 1 - h ieX p ipe_ 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: $50.50 Minimum (includes State Surcharge) OR Contract Value $ e5'73° 6 x 1% Required - If Permit Fee is Tess than _ $ 55 5. 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 $ g6,_ City of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL PLUMBING PER PERMIT APPLICATION Date: 3123 / 10 Site Address: l / ' L I S lcu" i ©fa-C 7 - i� ` ZS Tenant: FOR OFFICE USE x Applicant's Signatur Suite #: Required Inspections: Under Ground Rough - In - Air Te _Gas Test Final PRV Required : Use BLUE or BLACK Ink For Office i, so Permit #: 1 / 1 b b Permit Fee: 9lp Date Received: Staff: 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. c- x D 'fl? r '17 L G ' \ � Applicant's Printed Name Page 1 of 3 z � yr n • f ' . ,y ' aM+ rM� � 11! ♦ S4t / .mac �. , • � _ Dose of 1 t11 p.. , / f �4ji;� its* f 8924 6 Zoning: 14 or tinits: 12 Unite **flan t Site /ddross:. 4 •4 5 iffier: W _ # 1 57755 23.'^2k -6� = 2 4. d Posmit E r Q Euedwon -$ 00110,11 Rate of Ind '' F 2 , Ifnp.: / 4 Date PMdd: - t. Use BLUE or BLACK Ink r For Office Use ~n Permit IISUSt 1111 I 2~~.~ ' City Of 1 Ea I Permit Fee: c~ I 3830 Pilot Knob Road I Eagan MN 55122 1 n I Phone: (651) 675-5675 Date Received: 9 Fax: (651) 675-5694 1 Staff: j L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: / 13 Site Address: ~SSS /G9 k r Ul Tenant Name: C.ih/I L? Al hr% f~ S' e'_ (Tenant is: New / Existing) Suite Former Tenant: / Name: e! Ar' Phone: q ~ l U Property Owner Address/ City /Zip: A06; IT plicl 0 ~l Applicant is: Owner Contractor Type of Work Description of work:i Q~ I l h Construction Cost: tj ✓5®• q) Name: 6v License (3'/ °l Contractor Address: g3® OS j / 0~ /~JZ /lu city: Iles oil State: Zip: 5,57) Phone: 713-S/ - 13 Contact: * Vij yt. L Email: dfi -J /'q6 4 LCD - ~i Name: Registration g Architect/Engineer' Address: City: State: Zip: Phone: t Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M 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. 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 to A,woi--, x L7a Applicant's Printed NaMe Applicant's Signature Page 1 of 3