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--------i
For Office Usa
t ~JL.
::::::e. City of Ea al
J [
3830 Pilot Kn
ob Road I
Eagan MN 55122
Date Received: r--(q
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff_
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: dty4' "7u (4-14- -i 164 Cc -C LC,
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: P4-)ko_e ttO?ya.J ; r„ b 4 ni i + hone: (s l) (15 " 11-10C
Address / City / Zip: (2.'2- c4 i zs C j U \ . + ! 5 - , - >(2 -3
Applicant is: Owner - Contractor
TYPE OF WORK Description of work: ,t`W ; a 0, r ~"t- T (b tsc g tc" .r r r ,t a
Construction Cost: ~(94
CONTRACTOR Name: Ci;G Cc ti t c t a € 1- License c 's 2
Address:
"fir' E, W',
City: C t# tv I v State: ri4 Zip: 5 i L
Phoney 3 `i t Contact Person:
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: A 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.
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.
Applicant's Printed Name Appli nt's Sig
Page 1 of 3
09/13/2013 02:36 6122251801 CNC CONSTRUCTION PAGE 10/10
Use BLUE or BLACK Ink
of Pond
a
41
EQWm UN M22 Pffd* Few
Fm: (eal) a oaAe Reawea:
2093 COMMERCIAL BUILDING PERurr apPUCATION _
oae.: 88. Adams:
Ufa.: X22.
R I.: WWI ) BuN. E•
Nen~e. ~ F'ontrrr Tanana
Ptww.
,L owner ✓ aiz
Tmw of ftrk Dsmkftn of wo&
Cm coe~ 1 I7
Now c-mc
COr1bactor Addrow ~ 4A,
city.
smaee:.~_~=~•~.~~.~~__ Phone. X95
-9-
cooled: _ ~ ~
Name:
NuONtt+etlen t
ArchftvWEn0WW Addnras:
slaw,
Phan:
-
CvrMact F'enorr Emus.
1Jlcot""
piauewrrbar aewrarrwatsr asrrbe: . PhWra urporft ow ~`1^~ pia abet ~ ar
a~ a~b~~INs. '"~~t~~14►b
CAA 0"'Wr aft of cap at p") 4"mw ft aeaina urrderdrwjw
Call 48 boom bsaa you amend b <90 mu moalea taagea of undreproww t~Ab& Phan danwga.
I hemby adage aaa qty N*Wnom to mp*m and ftmaW ow the wpk w~A bar In odnmwm
codes o11* City of 6*m; that 1 wftmw d This is not a parmt but oNy an tor' ppn ~~n~ ~ a and
#0 work Y A be In aomO/rR = VM the eppr&md phn in Ihm awe a~f wprh
cj~ ~ r"*" a mWaw sod asorewo of N plem
pps
1Of3
Use BLUE or BLACK Ink
�j �i n For Office Use j
CityV llil Permit#: J 1'��,.� !1 0
6(>
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122
.. Phone: (651)675-5675 Received:
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
r Please submitrtwo (2)sets of plans with all commercial applications.
Date: 4741"I? Site Address: J 4 - /470
Tenant: ("Suite#:
j'� f �,� ,�^ ,+'err
y;241
'<SIt ;A-6Z ;.; Name: DAl i� ",r � ;yam- ✓ 77
� �. Address/City!Zip: �. C + l 6-:5:::"‘75%.5"-6"/-4:52,(/.30*` t
License#:Com
Company RayN Welter Heating
Name:
'� 4637 Chicago Ave
` Address: 9 City: Minneapolis
State: MN Zip: 55407 Phone: 612-825-6867
- Contact: Cu- Email: rickw@welterheating.com
mm New Replacement Additional Alteration Demolition
a- Description of work:
,'0 . O E toofi a"unted and roundnnountedmzecha ical equip e s re red to be s,--- - e y rty
,': ode, lea c'ortact he Me an 'al l s ct l�or info tion ®ter t M a
' 44
RESIDENTIAL COMMERCIAL
�'„ Furnace _New Construction _Interior Improvement
Air Conditioner Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
Heat Pump
� � under/Above ground Tank ( Install/ Remove)
4 <���'� —
� ��� ' .—.Other
RESIDENTIAL FEES
TOTAL FEE
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
` $75.00 Underground tank installation/removal, includes State Surcharge
_$
=$ Permit Fee
Surcharge=Contract Value x$0.00.05
Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 wor no.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.
it A l) '
Applic is Printed Name Applicant's S' ature'
'.--1'-„,:•IL4--1 4,,,,,=.''''!':64 41(ii tira,4,144.7-ra W:442:4;:::::77:it-7.:44'''',_ ,,;.,b2a1.;i.:14°'''
9 . B°' , ` - we-,:44iia i 'r . I'v- �. 5``.,i..as, a "'7 0-s* , e''�a ,"x� 3: