Loading...
4573 Slater RdPROPERTY OWNER S h - e 1T tJ CPpa rt�,A', ,, c w � 2 : � � <L� Name: ��" Phone: �/�- Address / City / Zip: % a S k °Pr ieoc FAg t ,n, 7 Cs Applicant is: Owner Contractor TYPE OF WORK Description of work: /.,e'Ro 4- !'p Qi,,.i id;V1-g 0i- G L S u Construction Cost: 30,000 CONTRACTOR Name: G lea--reAA Co (ypU Al O °I' Al i ili t r4C License #: / 794 Address: /) 'S /O / vv., W. . City: GDIcie4 K ile y State: I f 1 N v Zip: SSzic,7 Phone: (7b3') C`7/ — /cJ Q Contact: . -A E Email: Y ( r G i 'e} Ada c o . 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 Eagan Tenant Name: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x sprJnk Applicant's Printed Name x S/' wittAi Applicant's Signature Use BLUE or BLACK Ink X1'33 c Permit Fee: Date Received: Staff: Permit #: 2010 COMMERCIAL BUILDING PERMIT APPLICATION q > 4 I ia, Date: � ' ©- / � Site Address: 45 - 7 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 requires a review and approval of plans. Page 1 of 3 Cityofaali Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x &Ark Jn tdco Applicants Printed Name 2010 MECHANICAL PERMIT APPLICATION Tenant: RESIDENT / OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Suite #: Name6 H f a ( 2°' ' Phone: Address / City / Zip: 9 /20 c).nur:b Ave 5, v r r ` p i 5 55 Name: ( Yv 1.e t _ Address: G' I "'t (3ff' P \� License #: / �Q `7� 7 &d City: y eL U'f't State: iMN Zip: 55337 Phone: 9 — `3q1- 0` Contact: Email New Replacement - Additional Alteration Demolition Description of work: 1 (0 e- - a _c =Nt ATE Roof mounted and ground mounted mechanical equipment is required to be screened by ode. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction 1-- Improvement Install Piping — Processed Gas LExterior 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) $ 701 000 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation /removal OR Contract Value $ 70. 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 _ $ 5 Surcharge = $ � U • 6 0 TOTAL FEE Site 145 / 5 I - -._ter _lam c,e77 ,itovtCEw. ©vim Rid o A s 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.ciooherstateonecall.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 Applican igna Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: 3 3 Staff: FOR OFFICE U SE Required Inspection Reviewed By: in ^Air Test G as Servic Test In b oor eriorHVAC Screening ins r. y, PROPERTY OWNER ff /r ( 6,5 i R ?0 f z yO Name: sne � t2r" (. r o d',9.��t-�Cr� Ph one: CONTRACTOR Name: /QdU0.ncer+ F < , L LC License #: Address: lb. /2_ (, I z ff Ice,--8 t_ City: 6 c - rf\5u'r ► ie State: m Zip: 5 Phone: 952.- Y S'5 000 Email: do-,re. acijo ✓.CeL f n.e c ka "-J c4 I 1 cow) TYPE OF WORK New / Replacement Repair _Rebuild Modify Space Work in R.O.W. — _ _ Description of work: fQ {�� c 0 t ( p +h o e)c p ip� PERMIT TYPE COMMERCIAL New Construction M od i fy Space Irrigation System ( yes / 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 °.V' x 1% Required - If Permit Fee is Tess than _ $ 3 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). = $ 1 5L/ 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 Su TOTAL FEES $ p ,. s City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Permit #: Permit Fee: Staff: 2010 COMMERCIAL PLUMBING � PERMIT APPLICATION Date: 3/23110 Site Address: ` 7 6 . /r c hem Y\ �p fc-c r ! 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.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 withgut -a permit; that theyvork yiill be in accordance with the approved plan in the case of work which requires a review and approval of plans. l Applicant's Printed Name J 1 FOR OFFICE USE Inspections: "_ Under Ground "Rough -In X Approved By : Applicant's Signatur Use BLUE or BLACK Ink Date Received: Date: Final " PRV Required - Y es Page 1 of 3 S -.„. - = '•5 r! ' -; mr ' '• • • ' - ; • .c` 411114ii ' •-• • .„ , = . 'lief ' 5 121 _ $# s $ f Pram Na 439 /).. $ 8 , _? 7 57155 13= 21� 86r o laf -� .; By �t tam:, Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit I `~(2 O City of Ea o~~ d b I Permit Fee: 7 g 3830 Pilot Knob Road I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 I I I Staff: I t-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: ( h Site Address: 1V5 23j~ 7 . Tenant Name: _6117/1 AQM i)n a j"'d ~'P_ (Tenant is: -New/_ Existing) Suite f,QQ r'f~l Former Tenant: q57, ~5Q Name. Shxl A Phone Property Owner Address /City/Zip: A0() &A"/11S 61-0 ~ J /-00 Applicant is: Owner Contractor i ti ~6 Type of Work Description of work: 1 J~ Gi Qrl % ct / hi Construction Cost: 'Ul do,, 3570 - 9x F-- NLicense Address: 0 ! c 1l u city: Ile Contractor State: Zip: 557) Phone: 7t3- SW j~ ~3 Contact: V(k i r j "lid Email: fi r''/J/~ L0 - U Name: Registration Arch itectlEngineer' Address: City: State: Zip: Phone: 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 maybe 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 tLJL1Uitk x a Applicant's Printed Nan'ie Applicant's Signature Page 1 of 3