1655 Oak Ridge Cir
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- - - - - - - - - - - - - - - - -
For Office Use
City Permit of Ea on
Permit Fee: 7
3830 Pilot Knob Road
Eagan MN 55122 1 [ Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
_,ch
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 12-0L` Site Address: (u`it- .1 4 aZ4 to-Ct....
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
r'4 A c
PROPERTY OWNER Name: t~.tc x.J r; L, n cv?yt J ta=r b - e `rnj f hone: (t 6-15- - yHac
6 ,.3 `s 5 1 Z S
Address / City / Zip: 17-1- 5 s: .a 3 t _ .r s k-ter A-:,
Applicant is: Owner > Contractor
TYPE OF WORK Description of work: F.1V f44Lrs, .rL,I'.r
Construction Cost: trJ It>c,
CONTRACTOR Name: C.. G ` T c - r -3 lit. License ____2
Address: 10-1 Z 6 L i. l b s V L :
City: iro i- t State: Zip:
3Phone: 1 `fit s Contact Person: `}off ? ' +T
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: I`31- t 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 AppIi a is Signat e
Page 1 of 3
09/13/2013 02:40 6122251801 CNC CONSTRUCTION PAGE 01/05
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6
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/34) 11-6-- Use BLUE or BLACK Ink
For Office Use�� U �� Permit#: /'15TZ
�ri/
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax:(651)675-5694
• Staff:
J
2017 MECHANICAL PERMIT APPLICATION
—
Please submit two (2)sets of plans with all commercialgappliPc�ations. ,a1✓
Date: 'a "� / Site Address: ���P "'� �Z?"��r { 4 ^ kd
ite.4
Tenant: Suite#:
-4A-411 � 4,*.41.0 OAK 7-4 C.Lei v e r y AVOLffilier165/—‘7.5---41,"
e - Name:
4,1
5
w. Address 1 City/Zip: bio , f .- 1 3
r Name: RayN Welter Heating Company Y License#:
' �� ' Address: 4637 Chicago Ave City: Minneapolis
,41048
A y,, State: MN Zip: 55407 Phone: 612-825-6867
griteVitlAtitWnligii,�V4,04LContact: £chrr Email: rickw@welterheating.com
ftftyfr4hAtizzaWcs New Replacement Additional Alteration Demolition
� - e ,x Description of work:
-: Y NOTE�Roofimour eri pp ,-'0,---,,,,,;,,,z4,..4.--,-4,z;onmntedmecha ical equipment s r gwredto a scrneene tby G t
ode, Please o�ntacti'tt a Mecham l inspector��for formation on ittedscreening ne hods�
lf-
RESIDENTIAL COMMERCIAL
,,, x Furnace New Construction Interior Improvement
$ Ps Air Conditioner Install Piping •_Processed
_Air Exchanger _Gas _Exterior HVAC Unit
��t -_.Heat Pump Under/Above ground Tank ( Install/_Remove)
, ���' < Y 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 noto 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.
'4/
e i # , - / , I . ...
Applic is Printed Name Applicant's S'ie ature'
5x t yt'FO O r � }„ �-- ;'Reg es a
� _. w,. �� � _ -�`- rl, �.»�.ks.. �v�» ..�cXI ;a �.�xACGG�`$eth.,lr�e