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4597 Slater RdPROPERTY OWNER j, j� , C Ani, nvn 2 , 6 • Q, 41.4 Name: s �� I�r' ('p c ti' +19. y Phone: Address / City / Zip: 1%9d? S7 +r %oc , Fag U. A, /71 N 5s- 42.2 Applicant is: Owner x Contractor TYPE OF WORK Description of work: ke-koo A £L d,vi ,' G . E S'v c Construction Cost: . 3 000 CONTRACTOR Name: G l e4\ O t /i / 0 /nt)15 r1C License #: / 7 9L Address: g3 ' / O I4? &- W. • Cit G /c/eA V a /k y State: MN I i v Zip: ,S Phone: (7b) cz-/6 -/300 Contact: Sp(bA Email: Stet S �` i �' j &A C. (1 . 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 Eaaau Y 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 j Date: '7 / 0 Site Address: Tenant Name: — q 3 S IcL-t-i R,1 . 1459 7 x 57 Applicant's Printed Name Applicant's Signature Permit #: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink 93 3 Permit Fee: 2 01- Date Received: Staff: (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.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. SPr° Y1k Page 1 of 3 RESIDENT / OWNER e /-) r Name6 ,e-l+e e0Cp, Phone: Address / City / Zip: 9 / S, /WI t p (5 5.5-- '7 CONTRACTOR Name: / /� ur✓( Vie License #: / "' 7 QQ 2 77 0 C�►' Address: /La / L Cif / 1 /4 • E City: "SGLii' (Ji lle--" State: VW J/ v Zip: (5533 7 Phone: c: — ' 59` 7 ® 3 Contact: Email: TYPE OF WORK New replacement Additional Alteration Demolition Description ,_ of work: waC e- 9- (� -c �l / NOTE: Roof mounted and ground mounted mec equipment is equ to b e screened by Ci co ty* Code. Please n t he Mechanical, Inspector for information on p ermitted s cr e ening method PERMIT TYPE Furnace RESIDENTIAL COMMERCIAL New Construction i-- 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) �-y $.50 State Surcharge) $ i 0, 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, = $ , Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 717 �l = $ O. 6(1 TOTAL FEE C!tyofEaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink Elf _.. Permit #: 9o299 Permit Fee: / . Date Received: Staff: H / (/ 2010 MECHANICAL PERMIT p A � P �( PLICATION ct Date: � � JO Site Address: 7 f -S.3 �� t8 - _1_.t (4 3 y 5 Tenant: (J i vt CE wLD Rid A -is Suite #: 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.gopherstateonecall.orb 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 7C �O JA Y X .1._ Ili. Applicants Printed Name / Applica R eviewed ough in _Air Test. _Gas Service Test =in Exterior HVAC Screening inspecti PROPERTY OWNER Name: Sne f t2r" C o r o a'a. ro,� Phone: n Si rr P - 6 S ) ?t oz. 90 CONTRACTOR Name: , JOO•ncer+ r°C Jan i'COt-! , t_LC License #: r Address: /t 1 Z 6 f f P I c -cS IL City: 6ci_rr.S') 1 ) e State: flfin Zip: 5 Phone: 95 g i'3 ,c/ D O Email: do--rte- ^ atclOcx✓�CeC e cka•'J c4 (, cOWI TYPE OF WORK New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ rep {Ctic>� D � 1,,)? Description of work: p y 4+) ee_x pipe_ PERMIT TYPE COMMERCIAL _ New Construction > Modify Space Irrigation System ( yes /4. 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 $ g."7 x 1% Required - If Permit Fee is Tess than _ $ 55 5• / -7 3 Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 h 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 $_ ger .2 s City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: .3/23110 Site Address: % /Cc [e - koa_d_ � `� Y g Tenant: Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: Suite #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to digto receive locates of underground utilities. www.gopherstateonecall.orq 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with. . permit; that the ork '11 be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1 10-rnr '1 g A r f 9 x '! Applicant's Printed Name Applicant's Signatur FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough 1n_Air Test _Gas Test Final PRV Require Page 1 of 3 t t " f � ...,-4.- { S a abiS .•*' �,i T +�') '" : , ./i." 0. 43"0" � � . mss" � i P. v c ['- AS' t a Kq 'L" Aov4a . i3, f r t .,-,1, , r " , ',..`;,.:1',I,'.-;:'‘5,';'-'' { i V £ '' x n° r xt Y y ,� ,,Y`w r 1 vs ; !'"'• ' - , . 11 3 :17 : Use BLUE or BLACK Ink AML I For Office Use rr I Permit U S Ron City of Ea ~1 b I Permit Fee: • J 0 3830 Pilot Knob Road I I Eagan MN 55122 I I Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 I I I Staff: ~ L-----------------~ 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: /Sq,I7Sq -3 S& k/- A a Tenant Name: C.~}fIAam on (Tenant is: -New/_ Existing) Suite Former Tenant: Name: 'Y11e/~ r,0,0111A 'U` ` Phone: Property Owner Address / City / Zip: A00 a 1C /$IS 61-0 S rod Applicant is: Owner -K Contractor Type of Work Description of work: A i aAJ, (1,11 Vd I h flt, q~ Construction Cost: j 30f ago Name: License Address: 3 5 AI X / iV City. &I d ie., Contractor State: Zip: SS7~ Phone:D 3 13 ~V Contact: avii f. Email: ~l yid M ~j~~ '1 L~ • C~ Name: Registration Architect/Engineer ` 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 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. _ -__.w 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 0(AIA Awoi~:7 x L7a Applicant's Printed Nar-he Applicant's Signature Page 1 of 3 01/61/2013 02:03 ?6344471�6 D&D ANDERSON H & P PAGE 03/03 Use BLUE cr BLACK lok . � —, . I forOtflcaUss ---^---- � • ' )31 �0� ' Clt� o��a�a� ; P��#: . � � � i Permit Fee: �� 3830 Pilot Khob Roed � � /,, ,-- � Eagan MN 551Z� ; • I Date Received:V — � Phone:(651)675-5675 ' � � f � � sta�:5�7 I Fax:(651)675-5694 : ' 1 L--------...�_...__,_� 2015 C MMERCIAL�PLUII�IBING PERMIT APPLI�CATION ❑ Please suBmlt two(2)se of plans wlth all commercial applications. pato: ro'la'l5 site aa�ess: 'f SR7.5°lc'.d%f'�'ir' �.OGZ� � ��p ��"i Tenant: I�l. �Gt rG'1'�7i7�'/:�If$ 3uite#: �.�y� : I#�� Name: I I'2 N'�Y► ��, L'�C.� �'1''�S Phone: �� N'��1`s � Name: 1� � p� �ice�se#: ��''c� lu.. a � � > i �� : �� 1 IAtiA � � � ' Address: �S•3��` li✓c�tY: ��l��:��. scetell'l.�1J zip:`�S� iy ' � + ,P�! ,tP q t. Phone: " �/� 3� Erriail: C�.�t�.�"��OGI!!'l.r�el�G'-�' ;�;hl;,.;, ' ' : - -- � �� _ ew.. A Replacement _Repair ,Rebuild ,,,,Modiiy Space _Wohc in R.O.W, ' usi g�:w �� Descrip on ofwork: ��it, ��'��fi7�^ " COMME C/AL New Cvnst�uct�on ZC Modly Spaee _�mgaG n Systsm(_yes/_no)�RPZ 1_PVB) ' • In sensors required on irrigation sys{ems • .GPM (2"turbo required unless smaller size•allowed by Public Wodcs) ;� "� ' Mata Call(651)675-5646 to verily fhat tests pasSed p�r,jo plcking u�mater. '�"� �� Domestic: ze 8 Type � Fire: 1 � i�;1, , Avg.OPM High demand devlc66?_�ea_No Flushometels,iYBs_No COMMERCIAL FEES Conbact value� �C�� I.C�l� x.o� $65.00 Permit FeA Mlnlmum � �7.�(� Perm�t Fee _$ *If contract value is LESS than 10,010,Surcharge=55.00 =$ �� 5urcharge"' '*IF contract value is GREAT�R than$10,010,Surcharge=Cont�a�t Value x$0.0005 ***If the project valuatio�is vver 1 mllllon,please call for Surcharge -$ �'�� TOTAL FEE Following fees apply when ins Iling a new lawn irrigation system $ Water Permit Contact ihe Ciiy'8 Englllee�ing Depa merrt,(651)67r5846,for raquired fee amount6, $ Treatment Ptant $ ' ' Water Supply&Storage $ State Surcharge =$ (LRJ•� TOTAL FEE CALL BEFpRE YOU DIC�4. Call Goph �3Sdto One Call at(661)464-0002 tor prateetion ageinst Uf►derground utility damage. 1 " I nQreny acknowledge thal this inform tlon�complete and aoCurA�e;that�he work will be in confom►ance with the ordinances and codes of the City of Eagan; that 1 understand this is not permlt, but only an appliceti0tl for'a permit, and wodc is not to atart without a penllit; that the woilc will be in accordance witfl the approv�plan in e cese M woNc which requires a review and approval of plans. �G� � S�C � Applicaot's Printed Name Ap ' snt's Slgnature i•;�'�• '1� .��i�; , �� ` � ,y n�,i� �' �i.. � �i1� . �� 'i + � Pa e1of3 � �in�_� �� /� �" � �