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4581 Slater RdP OWNER C in nv^ P ; A y L L B Name: ht. iitj r aportnk Phone: Address / City / Zip: 9? S &+ c.,. EGA I. A, 74 fl✓ Cs" % Applicant is: Owner x Contractor TYPE OF WORK Description of work: Ke'0 /IO Ai,iiCr , j -Lr Gt s, „ Construction Cost: 3 00O CONTRACTOR Name: G ‘ e 4 A A I 04 of ,r4 C. License ##: / � / ! b / /n Address: 0 / O 1 J �" V . City: £ o/Cr lc lk y ii State: I r I + V Zip: 0- Phone: (_7b 'V -/?0 Contact: -C Spftld Email: Ch AS (r G i eit co - c6 1y^ 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 kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x S u. \ - Sp Applicant's Printed Name ■AJ Applicant's Signature 33 (eC Permit Fee: 1 �� Date Received: Staff: Permit #: 2010 COMMERCIAL BUILDING PERMIT APPLICATION ' J47 S des Date: � ��- �� Site Address: Tenant Name: Use BLUE or BLACK Ink (Tenant is: New / Existing) Suite #: Former Tenant: CALL BEFORE YOU DIG. CaII 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 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 RESIDENT / OWNER Names i f 01 01, Phone: o /ins /"-- Address / City / Zip: 9 c-9.".66 ,4ve 5 J, v� r t p+ b 50 CONTRACTOR Name: G' i l�'4 /'7 License #: QQ 2 790 Byrd Vt! Address: _ to / L (3 f7E /c► . Cit Zutri cii /7e- / State: -(, J1 v Zip: < Phone: %o — '594 23cP 3 Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: I vkQC e- 9 NOTE: Roof mounted and ground (mounted mechanical equipment is required to be screened by City .Code. Please contact the Mechanical Inspectorfoi information on permitted screening, metho PERMIT TYPE Fumace RESIDENTIAL COMMERCIAL _ New Construction A.-- Improvement 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 Fire 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� $.50 State Surcharge) $ /C/j 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 $ WO, 00 x 1% _ $ Permit Fee - If Permit Fee is Tess than $1,000, = $ / 5 Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 =$ 7eO, 6d TOTAL FEE City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK In Permit #: Permit Fee: '7 v •J Date Received: 3 Staff: C" 2 2010 MECHANICAL PERMIT APPLICATION p) Date: f d Site Address: 75 7 7 I d � � Gi Lr , 0d /� So/ ea l Tenant: ( - t a ACC t v yL. (d A -4 S Suite #: -J 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.eopherstateonecall.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 proved plan in the case of work which requires a review and approval of plans] t Jn y .Cn x -440 /1E._ /Air Applicants Printed Name Applican igna ur - ALgstimmeligtoL FOR OFFI U Inder Groupd iewed .F ir Test Gas Se, erior HVAC Screening Inspect PROPERTY OWNER f r Name: S{,e I-4-er CorPoro.� gar, Phone: 6.S) c OZyO CONTRACTOR Name: 10 (400.nCPr+ l e<i..aiN co-i ; (LL License #: � l Address: J jp 12.... (, • tT c Cit 6c, �(\Sv' i ie State: n Zip: 5533 Phone: 952 - g 5'`S - ,c/ O O Email: do -r:e■ ac+00.✓"-ceC /live t4 (, caw) TYPE OF WORK , New / Replacement Repair _Rebuild Modify Space Work in R.O.W. _ _ Description of work: rep Owe r_ 0 �� (,J � P y 4-h pax p ,pe.._ PERMIT TYPE COMMERCIAL _ New Construction M odify 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 $ e57 331 0 x 1% Required - If Permit Fee is less than _ $ ZS 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 $ f g . 3 C!ty of Faun 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 3123 / /0 Site Address: ' 7 6 7 � er f� f -8 / ( Tenant: Suite #: Use BLUE or BLACK Ink For Office Use Permit #: " 3 103 Permit Fee: g` 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 withgut -a permit; that theyaork ''II be in accordance with the approved plan in the case of work which requires a review and approval of plans. x I.JCt n k � Alf - ;:q Applicant's Printed Name Applicant's Signatur FOR OFFICE USE Required Inspections: `_ Under Ground Rough -1n Approved By Air Test Gas Test ate: Final PRV Required: Yes Page 1 of 3 n $x w m 8, s r * % 'k�`n 3 ' lik i * v" 4 r #r F 4"V."1' ^"YY t, 33 9 F ! r a z � r „ v " Si n y am , •euan a.s = .v., R # .N� ; 1 4 ' 1 5„^6+ . 1 f. ,, - ,- "'" uV'uY° 4 ' * m & k • „ 7.':•-•:07t4.1 G ' d�� '• a t r' x * } d( � �.. `` 4 � tia 4a4� :,'—',--iiiii-'''': 2.:c - -. .- '.': ... .. :::"' '-'- i , , 1 . 1 ii. - 2 '-,:::„.'?: 21 -8.5. 5 , i, , ;: --_- . ''' - :. ., , — k ., A ,,, N. -... ', ' ---=-. - : '':-. - ' ,.-, .; . : — '\ , -( tt, r tv r ,. , ' i - , , ,:',-1-n w Use BLUE or BLACK Ink I For Office Use Permit L d U1 City of Ea b I Permit Fee: to • 5 3830 Pilot Knob Road I Eagan MN 55122 I Phone: (651) 675-5675 i Date Received: q Fax: (651) 675-5694 j Staff: j L-----------------I 2013 COMMERCIAL L BUILDING PERMIT APPLICATION t jj 13 Site Address: ~Sgt~ /s CGy ko, OA Date: Tenant Name: I.+' a--1 an a (Tenant is: New / Existing) Suite M Former Tenant: © / Name: ,Z? 1 J®~ s'~t f~'tf< ` Phone: ! Sl !O Property Owner Address /City /Zip: A0v Apk/gls ~~U S -o0 Applicant is: Owner _K Contractor Type of Work Description of work: i ~ti U~ l ct I h Construction Cost: 30) 3 S-0 C7 Name: License Address: 9305 ! d b- A;y-c 4y city: 6-cj1G( t0,1 Il:9 Ll>`' Contractor I State: ~~1 Zip: Phone: 7.43 _ SW 13 Contact: viii Email: ~ltr~ elfish Co ~f I Name: Registration Architect/Engineer Address: City: State: Zip: Phone: i 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 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 re/quires a review and approval of plans. x j rk / "i woi::-7 x 7 V l Applicant's Printed Narhe Applicant's Signature Page 1 of 3