1615 Oak Ridge Cir
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For Office Use I
# Permit
City of Ea an
Permit Fee: I ~I 0
3830 Pilot Knob Road I I
Eagan MN 55122 I
I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: Vi3•-is 04$- ~-A14& CuLcL(-
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
latfL.A- ~_i1ar
PROPERTY OWNER Name: e* err) it-Y rtVJ r.JG r;-rb P rN0124 hl1hone: (6571) ; c - L140C
Address / City / Zip: ( 2 23 'TJ C am - b A I L , 4 &iAi'1 55-12-3
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Kec t= fZtr. t'4 q,r~.+.tnr-,u'T (t a >c.L, te-c- r A:1t . rCLT MMP"--wf
a t c~"_ S i diEn?'TSr I cc S, i i.
Construction Cost:
CONTRACTOR Name: Ct3S Co'3T~~t7c`.i T-r=vAct'y5- t,lSC_ License#: ZC3 _t,
Address: 1 \ 2- AL.-A r) _
City: t_ 1 State: t Zip: i5`53 i L
Phone: (Jt 3) 5br1 Contact Person: -9A A ! ' ' + r
ARCHITECT / Name: fitA Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
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.
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 requir s a review and approval of plans.
x J6,5 t) iJ A P_Kl - -'Y- x
Applicants Printed Name g -1 ii Appl' it's Sign
r J
Page l of 3
JUN182009
09/13/2013 02:36 6122251801 CNC CONSTRUCTION PAGE 03/10
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2013 COMMERCIAL BUILDING PERMrr APPLICATION
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APPNaerM's PMMeA Net+tu 7&1
-7 ftoo 1 of 3
•
' 41. Use BLUE or BLACK Ink
For Office Use c„...-as .,)
Cityof Permit#: /i
3/ i
����Il 190°`'
3830 Pilot Knob Road Permit Fee:Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax:(651)675-5694
• Staff:
J
2017 MECHANICAL PERMIT APPLICATION
I- Please submit two (2) sets of plans with all commercial applications.
Date: 2-,j/'1/��/"" j/10( 7 Site Address: � /6"/ Q, kil,'
• e'
Tenant:
Suite#:
A £ t 40
fir- �^ { lk 4)4 ,,.�- ,,/ rte,
Name: DAI 0i+ C—f t`jr5, 7,4-----4/ 1
, ...b...,. Address/City/Zip: • A.2 41? -u ;1 ' ,5"6-412,.3.` 0.4
'
4,,,,,Iiiiwgio.gootzst4. Name: Ray N Welter Heating Company License#:
IgiNQW.RetZ' ;', 4 '' Address: 4637 Chicago Ave city. Minneapolis
' ' State: MN Zip: 55407 Phone: 612-825-6867
t , Contact: 4ierr' w. Email: rickw@welterheating.com
A.
—
New Replacement Additional Alteration Demolition
®e ,, .o, Description of work:
41gti NOTE Roof"tnou ted and gr aund mounted nechanic equipmen# rir
c e,d to�.be scree ed syCity`-
.� Code Plea on acute l leo(latacal nspector for information o per fitted screening met rodss i
RESIDENTIAL COMMERCIAL
—Furnace New Construction Interior Improvement
o . a•; _s___Air Conditioner Install Piping •_Processed
Air Exchanger g Gas Exterior HVAC Unit
��;� f� Heat.Pump
� �;� —Under/Above ground Tank ( Install 1 Remove)
, M - Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge=Contract Value x$0.0005
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 nooto 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.ii
it
0
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Applic is Printed NameApplicant's S': ature' ''
.,� � ,.,�. er�. `g� 4y "� t;- .. = .,�... 4 e41P:. ee yt � a`�. Da$
� = c.c®��® E®rg.;• , f tis �t9 (614-W ' C Sc-eeniir ng
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