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- - - - - - - - -
I For Office Use
f Permit
City of Ea VR
Permit Fee: •x_71
3830 Pilot Knob Road
Eagan MN 55122
Date Received: `1 I
Phone: (651) 675-5675 ff I
Fax: (651) 675-5694 Staff: (
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: I1' L0c Site Address: jig -31 &o- k lzs r- Ct -cL
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: tekv-,.A1 k t tt' t ' t Tb PA4i-Aj4,C i4F/hone: (65-1) I 1 ` V ac
Address / City / Zip: 1 2--2- , 3 } C_ o: ( 2-
Applicant is: Owner ' X Contractor
TYPE OF WORK Description of work: ^ t r r t r =r f r "t+'~•`_
Construction Cost: OtCC)T>> L*b*rl;4-1
I 2, bYic
CONTRACTOR Name: CG 'i r, c-tlt ?t, License #:c
Address: M7-4 j. , A-1 t ,d rA rat-` 1,
City: t' ~ t J State: I+ O3 Zip: 5 rt i L
Phone: 76Contact Person: ra:,=+-
ARCHITECT I Name: 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 vvrk which requires eview and approval of plans.
X r, ;Q X
Applicant's Printed Name Applica igna ur
Page 1 of 3
09/13/2013 02:36 6122251801 CNC CONSTRUCTION PAGE 02/10
use BUM or BLVA W&
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2013 COMMERCIAL. BUILDING PERMIT APPUCATION
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&I /1 Use BLUE or BLACK Ink
(�t�. For Office Use [ i, //�
City of Ilp p Permit#: l ` �'� i, `�
((� 11 (G'C)
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
C Please submit two (2) sets of plans with all commercial applications.
Date: 49t11- Site Address:/60-/ —4,29" > OA 4. ilefit* fite,,...f.-e"
Tenant: VSuite#:
Sal E � Q:. Name: DA or " C't ', ! "7 /1
F �. �.' Address/City/Zip. �. +f3 3 "` :, /
Name Ray N Welter Heating Company License#:
" Address: 4637 Chicago Ave City: Minneapolis
� �°���' ' '��,
. State: MN Zip: 55407 Phone: 612-825-6867
Contact ,*Gori- Email: rickw@welterheating.com
" New Replacement Additional Alteration Demolition
" ®e_-,®` olic Description of work:
- NOTE ioof m6unted and ground nounted-mechanicatl equipmeissr quired to be creen:ed by City
..k Code'Pleacontact,e-Mecham,ca°)Inspector for information n ermscreenin methods.
--,:,,--_,----,,,,,,,t,,,,,,,-,„....„,—,„,---, ., ham. �w. ..:,�,..,,,
� z� RESIDENTIAL COMMERCIAL
r _Furnace New Construction Interior Improvement
$_ /z Air Conditioner Install Piping Processed
n 4' _Air Exchanger _Gas _Exterior HVAC Unit
r "akoloNklgta . _Heat Pump
_UnderlRbove ground Tank ( Install/____Remove)
",,,— —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
4
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.
r4
x x ,T , y -
Applic is Printed Name Applicant's Si ature
1:'''':°--;'71
"aw x✓ „, -t a Xt �, '�"� r �a�� '
�e®e i e n e ec ro :<4 , '�' � ; 7Da"te'3
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