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4589 Slater RdPROPERTY OWNER Name: Phone: Address / City / Zip: LIS sk +e/ Qocr, Ecu 6, A, /71N c 7 2 2 Applicant is: Owner X Contractor TYPE OF WORK Description of work: ke —R-0v 4 App , £ . l Ji\o t/ Q S1Y - er Construction Cost: > 3 000 CONTRACTOR Name: Gti QrypCtf U' /y)( V, ✓ICLicense #: I79 Address: f S /O�� r JvF. r 1 • Cit £/Cr'A 14,, /ley State: t f N Zip: S Phone: (7b�) < 6 � Q 0 ff Contact: .CTt } -S70I/14: Email: Stills e G I l & co . 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 o .; the information may be classified as non-public if you provide specific reasons that would permit the Ci to conclude that they are trade secrets. 4 t) City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: 1 ÷ -8-10 Site Address: Tenant Name: x 5 5 p con k Applicant's Printed Name Applicant's Signature 2010 COMMERCIAL BUILDING PERMIT APPLICATION Permit #: q 3 3 7 Permit Fee: q9 •7Ji Date Received: q - 9 Staff: L (Tenant is: New / Existing) Suite #: Use BLUE or BLACK Ink 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 a review and approval of plans. Page 1 of 3 RESIDENT / OWNER Name:6 e4e M 0, Phone: Address / Cit / Zip: 9O0 L✓n,EI Ave S. flift o 1 s 55 - CONTRACTOR Name: ( 'Me ' License #: / 1- QQ 2 79 Bitird Address: / / L Cil / l X4 • L City: Ze i ti i 7k State: / . N Zip: 55337 Phone: %c ' 09' c Contact: Email: TYPE OF WORK New Vepiacement _ Additional Alteration Demolition 1.._.. Description of work: I (C e- c i - a --c , NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by Ci Code - Please contact the Mechanical Inspector for information on permitted screening metho ; PERMIT TYPE Furnace RESIDENTIAL COMMERCIAL _ New Constructionterior 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 burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ". $.50 State Surcharge) $ /(1) Q d 0 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 $ 7 i 0d • , ©() x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ /J Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001- = $ ' ,PO , 60 TOTAL FEE City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x 4.et ✓ice �n YCn Applicant's Printed Name x Applican igna Use BLUE or BLACK Ink Pemiit #: Permit Fee: 1706 ' ,-61 Date Received: J Staff: e- 2010 MECHANICAL PERMIT p A � P ii PLICATION Date: � _ 1d Site Address: " I o. c RG1 - _.L..tACI, uszie3 s S Tenant: , i to nCf Oyx__ id /4 s Suite #: CALL BEFORE YOU DIG. Cali 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.gopherstateonecaliorq 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 OROFFICEUSE�� equred inspection eview In Air Test Gas Service T est erior S creening l nspention ." PROPERTY OWNER I cG Name: Sh I 4-er - Co rpor - o 4 --io,r. Phone: 65 ) ' ? azIO CONTRACTOR Name: /4doO.nce nie.r:)Nrtni'ccJ , (_LC_ License #: Address: 4; /2._ (, 1 • tT Ice. -c t_ City: 6 c_ri\S�'r i ie. State: in r\ Zip: 5 Phone: 95 yYS ,r/00 Email: do e-42 adda✓ p,te cka ?J c4 1 , cow) TYPE OF WORK — New x Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ f � /6c e._ ®j ( r Description of work: P +h pax p ,pe_ PERMIT TYPE COMMERCIAL New Construction Modify 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 $ er731 x 1% Required - If Permit Fee is less than = $ 75 5- 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). = $ ' -' 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 $_ - -_ gb_ s *City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 O-r r - ` Applicant's Signatur :00:g 01:0 Perm 'l 1/ it #: 0 Permit Fee: g((J " Use BLUE or BLACK Ink Date Received: Staff: 2010 COMMERCIAL PLUMBING i PER I PERMIT APPLICATION Date: 2/231)0 Site Address: 1 46(e . S `a �Lr l� p Qc c"-1 6 f 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 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 theyvork X✓ill be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name FOR OFFICE USE Air Test Gas Test 7\ Final Required Inspections: = Under Ground Rough-In Approved By: :.. Date: PRV Required' - Yes Page 1 of 3 � a � ,yam �. �� � � ',.<''' r a u� -. � +r �- � , ,,fi�rr . .._ - j . w', -1. a sa� '35 ,tits , , aP:" .. ,�cw si �., 3 x x = r � r r r ` fir , b 6 5 3+F : '� p f f h a4 j 3 Y x ST : st ,yW Y 'w k: 3 ` . "4 t�Y �4� } �' }. 1'b 1 ti e,- '. t p qr `Y� n R, � �. k r te... . , .> y3 P 'IV ' if l..e9 l w a , .24 R.. Use BLUE or BLACK Ink r For Office Use I Permit#: • 15 0 g n City Ol Ea~a I Pe rmit Fee: ?2(0 • r✓ 3830 Pilot Knob Road I I Eagan MN 55122 Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 I I I Staff: I L-----------------I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: ! 1h Site Address: /5Sg17 ,5 Sh 7' , QA Tenant Name: t~h/I✓t~Al On (Tenant is: New / Existing) Suite Former Tenant: j C A j / 5y 06 Name: yte1~ Phone: ! J Property Owner Address / City / Zip: _B00 &P/Ir/ 'S /-,o0 Applicant is: Owner Contractor 1 ~ Type of Work Description of work: 4/11 % 1 h Construction Cost: 301 3 S,0. 131- Name: License /3196 Address: /oil /~✓Z ' !~J City: 4 1 G( V0_1 y s? l le Contractor State: Zip: 57~ Phone: 74 > _i t II Contact: Email: i Name: Registration i Architect/Engineer Address: City: i State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: ___ns Phone M _ B NOTE: Plans and supporting documents that you submit are coidered 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. xx Applicant's Printed Narhe Applicant's Signature Page 1 of 3