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• Clt of �a aIl ; Permit#: �� �D �
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3$30 Pilot Knob Road � Permit Fee: � i
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Eagan MN 55122 i i
Phone: (651}675-5675 I Date Received: 1
Fax: (651 j 675-5694 � �
j Staff: �
�-----------------�
. 2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3(07�1 - vb7�-3(�r7$_��8C7 t );r1QP.nr, �,�.v �e�er.f.l✓��
Tenant IVame: (Tenant is: New I Existingj Suite#:
Former Tenant:
Name: Phone:
Pt"0�3e1't}/OWtt@P Address I City t Zip: �7 � � - �(�,`jg -3(Ey$(� �
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Applicant is: (?wner �Contractor
Type of WoI'k ��scription of work: ��,�(''�j� �
�� ��
co►,St�u�c�op cost: 1 °7
Name:��'�e,..� �r't'i�'d`UG�t(�f1 �+��.. Licsnse#._���� ur��
Contractor Address: ��� r'��� F�i � �s�r��S�"` City: � 4 ,+ °
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state:_��zi�:_�3��3�� Phone: � �� � q�`I� ,� -°I b���
Contact: � ''� e,j:t" Email: t„?C"f� c*� �!VtS� �
Name: Registratian#:
#
Address: Cit
Architect/Engineer v� � I
� �
� State: ziP� Phone: �
t
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phane#:
NOTE:Plans arrd supporting documents that you subrnit are considered to Ge publrc informatJon. Porf�ons of
fhe infarmafion rnay be c/assified as non-pub/ic if you provide speciflc reasons that would permit#he City to
conctude fhat the are trade secrets.
GALL BEFORE YOU DIG. Cal1 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 utiiities. www,qapherstateonecail orq
I hereby acknowledge that this information is compiefe and accurate; that the wark 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 far a permit, and work is nat to start without a
rmit;that the work wi11 be in accordance with the approved plan in the case of work which re uires a re ' w an provai of plans.
x
Applican#'s Printed Name X
AppGc t s igna re
Page 1 of 3
�
DO NOT WRITE BELOW THIS LiNE
SUB TYPES
_ Foundation _ Public Facility _ Exterior Aiteration-Apartments
_ Cammercia)/Industrial Accessory Building Exterior Alteration-Commercial •
! Apartments _ Greenhouse 1 Tent � Exterior Alteration-Public Facility
_ Misceilaneous Antennae
WORK TYPES
_ New _ Interior improvement Siding Demolish Building*
` Addition � Exterior Improvement � Reroof _ Demolish tnterior
V Aiteration _ Repair ` Windows Demolish Foundation
` Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change "Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuatian Occupancy MCES System
Plan Review Code Edition SAC Units
(25%,14Q%�} Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinkiers
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Buitding) Sheetrock
Footings(Deck) Final 1 C.O. Required
Footings{Addition) Finai t Na C.O. Required •
Foundation Other:
Drain 7ile Pool:_Footings _Air/Gas Tests �Final
Roof:_Decking _Insulation �Ice&Water _Finai Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough in �Air Test �Final Retaining Wa0
insulation Erosion Contro{
Meter Size:
Finai CIO Inspec#ion: Schedule Fire Marshai to be present: Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Sampling Fee
Plan Review Water Supply �Storage(WAC)
MCES SAG Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(trrigation) Street
Aark Dedication Water Lateral •
Trail Dedication Other:
Water Quality TOTAL
Page 2 of 3
� � �
.
Clt of �� ��
y �
� 3830 Pilot Knob Road
Eagan MN 55122
(651) 675-5675
COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS:
Foundation Oniv
❑ 2 sets of scaled Structural Plans New Buildinq AND Additions
❑ 2 sets of Civil Plans ❑ 1 Soiis Report
❑ 1 Certificate of Survey ❑ 1 Certificate of Survey
❑ 1 Code Analysis*'` ❑ 2 sets of scaled Structural Plans
❑ 1 Project Specs ❑ 2 sets of scaled Architectural Plans
o HVAC units required on building elevation/
❑ 1 Special Inspection &Testing Schedule*'` site plan
❑ 1 Soils Report ❑ 2 sets of Civil Plans
❑ Meter size must be established—if applicable ❑ 2 sets of Landscaping Plans
❑ Met Council SAC Determination (651) 602-1000 ❑ 1 Code Analysis**
❑ 1 Energy Calculations complying with the 2009
Interior Improvement Commercial Energy Code (Chapter 1323 of the
MSBC) "`**"
� ❑ 2 sets of scaled Architectural Plans ❑ 1 Emergency Response Site Plan ***
(maximum plan size =< 24" x 36")
❑ 1 Code Analysis ❑ 1 Special Inspection &Testing Schedule**
❑ 1 Project Specs ❑ 1 Project Specs
❑ 1 Key Plan ❑ 1 Master Exit Plan
❑ 1 Master Exit Plan ❑ 1 CD including electronic copies of the final
reviewed plan submittal
❑ 1 Energy Calculations complying with the 2009 ❑ Fire Sto �n Submittals
Commercial Energy Code (Chapter 1323 of the pp g
MSBC) "*"* ❑ Fire Suppression/Alarm Form ,
❑ Fire Stopping Submittals ❑ Meter Size must be established
❑ Meter size must be established—if applicable ❑ Met Council SAC Determination (651) 602-1000
❑ Met Council SAC Determination (651) 602-1000
* Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities.
** Contact Building Inspections to see if it is required and for a sample.
*"* Permit for new building or addition will not be processed without Emergency Response Site Plan.
***" 2009 Energy Code Compliance Forms are available at www.citvofeaqan.com/buildinqinspections. You will need the
ANSI/ASHRAE Standard 90.1 —2004 to complete the compliance forms.
�
Page 3 of 3
tlse BLtJE or BLACK lnk
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3$3t3 Pilot�{nob Road �;;.. _ � �
• Eagan MN 55122 ` � Date Received: �
Phone: (651 j 675-5675 �, .� ; � , � �
Fax:(651)675-5fi94 � " � Staff:��� 1
�_____.___________ I
20'14 RESIDENT(AL BUILDING PERM{T APPLICATlC)N
Date. ��,- �( � i � Site Address: � � r� Unit#:
� t�ar�e:�,���`��.�!'�"� wa
, ��Si�entf
� �� �ht�ne:�°�� �-(c'�l{� l
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Tyj�B Of WO►'k uGSCi t�rt�Ur�Uf worK:� ta �c�_�, .___..,..
Construction Gost: Muiti-�amily Building: (Yes�/Nn____}
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Contractor Address: h�`� � ��}- �;ty. ����,����,�, ,
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State: �1.�} Zip:�� Phone:�S�-t3.L{1-70'7�maii: � s � °�
• License#� (:.,,t�7 5.�",� l.ead Certificate#:_-J��-"'� �-1�Q'�j,�--�
. - -_ _-_...___».�:...� j.:.;,.�,;�;a�.�rr�uiii YYiiy. iSCC raye J rc�r aaa�t�onai intormatinn}
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� !n the last�2 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
,,�Yes `No If yes, da#e and address of master plan:
L.icensed Plumber: Phone:
Mechanicat Contractor: Phone:
Sewer&Water Contractor: Phone:
IVOTE_ Planc anrl.rrinn�rt;.,n.�t.............s,,fr..,�._--- _..�__.� _ . . . _ _ _._._.___
- v(ii�,siiV 4f
�+,��rrv��nai�or�rrray Ae ciassit�ed as non-public if yau provide specff�c reasons thaf wouid�permit fhe Cfty to
canclude tha�fhe ar�trade secre#s.
t^��t 1 RGCfSbC vnf� n,�.
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I hereby acknowiedge ihat fhis information is complete and accurate;that the work will be in conformance with the ardinances and codes of the City of
Eagan; that 1 understand this is not a permit, but oNy an application for a permit, and work is not to stari without a permi#; that #he work will be in
accordance with the approved pian in the case af wark which requires a review and apprava!of plans.
• Exterior work authorized by a buiiding permit issued in accordance with the Minnesata State Building Code mus#be compteter�w�tt��n�Rn
[�avc nf narmit icc���n�_o
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Appticant's Printed Na Apptica s igna re
Page 1 Qf 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152687
Date Issued:10/25/2018
Permit Category:ePermit
Site Address: 3676 Widgeon Way
Lot:5 Block: 02 Addition: St Francis Wood 3rd
PID:10-65902-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill Yankovec
3676 Widgeon Way
Eagan MN 55123
(651) 216-0635
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature