1311 Cliff Rd..
PROPERTY OWNER
'
Name: Gf o' Pte,,9 Phone:651- 6 - 52e)o
Address / City / Zip:
Applicant is: ✓ Owner Contractor
TYPE OF WORK
Description of work: ,ri.e...or ih0it m todo eri,, 564 PA r1& rtof 4r-
Construction Cost: ', Ce DUO -
CONTRACTOR
.
Name: P1 nip/ attars "5 .Tc- License #:
Address: /7 (2 5 Itt ke g'i: /Y14/ City: 4'dove r'
State: 1hW Zip: 63 tj Phone: ?63 - 2i2 1'- g7W0
Contact: ^J of YA[ ne T Email: - J ° e 2 n'6c• Co*"
ARCHITECT/
ENGINEER
Name: fit! 3 $ . 33O(.... The.... Registration #: 1 7 1 26 2.
Address: "7 )a►zta A ve , tgtt,/( City: M Pi lbe l r.
State: /4'V Zip: 5 5 - 1 22_ Phone: 163- 5 - ' .11 66 9 a
Contact Person: Nvvhe7 ZtI,Jef Email: Weer: V134 ` ern
Licensed plumber installing resew, sewer /water service: 1 01 - ° Phone ft;
NOTE Plans arrd supporting
the Information may
documents that you submit are .considered to be public information. Portions of
he classified as non - public if. you provide specifie . rea that would permit the _City to
conclude that they are trade secrets. -
City at Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
V3H
CAJ .
r
For Office Use /0149) �JC
Permit Fee: : 0
7'I3
Staff. Pei_
Date Received:
Use BLUE or BLACK Ink
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 19/4/207 Site Address: 44 131 5 p•( Ceasii.e/ /y /Wm . - Cr/ 7 , Waive Y43"
Tenant Name: 01 or a c v c - 66
(Tenant is: New / 7-"" Suite #:
Former Tenant:
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.'o•herst- = onec -,..o
I hereby acknowledge that this information is complete and accurate; that the work will be
codes of the City of Eagan; that 1 understand this is not a permit, but only an a for
permit; that the work will be in accordance with the approved plan in the ca
Applicant's Printed Name
s Signature
nce with the ordinances and'
work is not to start without a
ew and approval of plans,
Page 1 of 3
SUB TYPES
Foundation
/ Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New / Interior Improvement
Addition * Exterior Improvement
Alteration _ Repair
Replace _ Water Damage
Salon Owner Change
DESCRIPTION
Valuation 508 GAO
Plan Review
(25 % 100 %)
Census Code
# of Units 7J
# of Buildings
Type of Construction V • .3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
v _ Decking _ Insulation Ice & Water /Final
/Framing
Fireplace: Rough In _ Air Test _ Final
Insulation
Meter Size:
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
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: (1-41 , Building Inspector
/ S4 1 •ece ,
e . 4 4)
no CI trf.'
DO NOT WRITE BELOW THIS LINE
_ Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Exterior Alteration— Apartments
_ Exterior Alteration — Commercial
Exterior Alteration — Public Facility
Siding
Reroof
Windows
Fire Repair
L)
z oo7 H5.1e
Yes
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
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
VF / Final / C.O. Required
inal / No C.O. Required
Other:
/ot40/S
Pool: Footings Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall
Erosion Control
TOTAL / 5 64
Al/A- 7 /0R--
Reviewed By: , Planning
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