1430 Yankee Doodle RdC!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
JUN 3 2011
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Date: (p - 3 - / / Site Address: /4 /5/g
Permit #:
Applicant's Signature
Use BLUE or BLACK Ink
Permit Fee: 1I /
Date Received:
Staff:
Tenant Name: Yoh ke e Jkv p /F7 604 is: New / _xisting) Suite #:
Former Tenant: EX 04 4 EM1 DEL
J
PROPERTY OWNER
TYPE OF WORK
CONTRACTOR
ARCHITECT /
ENGINEER
Name: /(LFC 4.0,4 e, 5 Lid fl 17, Phone: 6S7 t/SZ 33 o3
Address / City / Zip: Tif7 0 t,Jex Li,r ri 3u - pr. ) D2
Applicant is: Owner X Contractor
Description of work: Zc iei o'o r" ita S k D
Construction Cos 35 9, O0 40
Name: CMS Con siviAti-tom Sery cps LI .L License #: 20'1- Y
Address: 31/70 CJ et. I )17 n Drive At/OZ City: Eale a
State: PN Zip: Sal Z-2- Phone: 6,5l - Y; Z - 33D , 3 60 6/2 79?-
Contact: c..41 rjw+�cl 1 Email: roc metey CP. tn. vrcp re pei i-, a
Name: Arc �« r t 1 .1 (mutt, r j uwi L L C Registration #: Z ZZ lv 5
Address: CO I N • 71, o rd Si Sol le ?ZIP City: t-k►v.v►ec J lr'S
State: •14 Zip: 5'
Phone: b1Z - 436 -4-03o
Contact Person: l iii +vide 1 Email: eS')'enc1d e arcb+ea n S art co nn
Licensed plumber installing new sewer /water service: N 1 4 Phone #: '—......
at you sub
- public if you
concludezthat they
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.aooherstateonecall.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 wo which requires a review and approval of plans.
GMS Ser%w t.
x Cho c4 E. Scx"cd ey V ice ()reb ;ato+ x
Applicant's Printed Name
Page 1 of 3
)
SUB TYPES
Foundation
Apartments
Lodging
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 % 100 %_)
Census Code
# of Units
# of Buildings
Type of Construction
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S &W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
4 l - Rd
DO NOT WRITE BELOW THIS LINE
Public Facility
1." Commercial 1 Industrial
Greenhouse / Tent
Antennae
interior Improvement
•Exterior Improvement
_ Repair
Water Damage
ye
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation _ Ice & Water _Final
(Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
4536'. 7S
/7S. a°
I / 46).89
_ Accessory Building
_ Exterior Alteration— Apartments
_ Exterior Alteration — Commercial
Exterior Alteration — Public Facility
Siding
Reroof
Windows
Fire Repair
MCES System
S6C_.SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final CIO Inspection: Schedule Fire Marshal to be present: Yes I No
Reviewed By: /' it- 1 • , Building Inspector Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
_ Demolish Building*
Demolish Interior
Demolish Foundation
Salon Owner Change
*Demolition of entire building — give PCA handout to applicant
TOTAI2 y 3 ?.;, 4 7
Sheetrock
F final / C.O. Required
inal / No C.O. Required
Other:
Pool: _Footings Air /Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
Windows
_ Retaining Wall
Erosion Control
, Planning
Page 2 of 3