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1700 Four Oaks Rd Unit 114
G?C-2 2006 COMMERCIAL BUILDING PERMIT APPLICATION '1a City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . Structural Plans (2) sets • Civil Plans (2) . CeNficate of Survey (7) • CodeAnalysis (1) " . ProjectSpecs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) . Meter size must be esiablished • SAC determination - call 651-602-1000 . • Architecturel Plans (2) sets • Strudural Plans (2) . Civil Plans (Z) . Landscaping Plans (2) • CodeAnalysis (1) " . Certificate of Survey (1) . Spec. Insp. & Testing Schetlule (1) " . Meter size must be established • PrqedSpecs (1) • Energy Calculations (1) " • Electric Power & Lighting Form (1) " . Master Exit Plan (7) . Emergency Response Site Plan (1)'«+ . Soils RepoM1 . (1) • SAC determination- cait 651-602-1 000 • Fire Stoooina Su6mittals 4 7p av • Architectural Plans (2) sets • CodeMalysis (1) " . Project Specs (1) • KeyPlan (1) • Master Exd Plan (1) • Energy Calculations (1) not always" • Elec. Power & LighUng Fortn (t) not always"' . Meter size musl be established-if appticable ? 1 1 ) 1 . SACdetermination-ca11651-602-1D00 Cal] MN Dept of Health at 651-215-0700 £or details regazding food& beverage or ioagmg tacmnes. Contact Building Inspections for sample and if required *'• Pelmit for oew building or addition will mt be processed without Emergency Response Site P1an. Date 3, Constroction Cosf } Site Address ?/ '?CY??-i UniUSte if / Tenant Name (('?& ? / YVILUJ l l,U/?S (IO FJU5 Former Tenant Name DescriptiooofWo YYIC.I1!4 C?J /?1an-lU6Cl faAI/5 1? R(X;YN PropertyOwner (b aL?Y{'1CU'1 o IGYI'iir'Iff.•Wl elephone#(13 ) q4l-qlb<% Applicant is: ? Owner _ Cootractor Contact #: ( ) ContraMor Address City State Zip Telephone # ( ) Arch/Eogr Registration # Address City State Zip Telephone # ( ) Licensed plumber InsWl ling new sewer/water service: Phone #: _ . _ . . . . . ._. ?I t .. _I .:11 L..:?. 1 hereby apply tor a Uommerciai tsuuamg rerm¢ ana acKnowieuge i.nac mc u«oJ„.a???U 1? ?.,?,?Y,?.., u.... ??.....?.-, --..._ ..-... ..... __ __. conformance with the ordinances and codes of the City of Eagan and the State of MN Sta[utes; 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 Appl' t' ature APR 0 3 d? 2006 DO NOT WRITE BELOW THIS LINE Sub Types G 01 Foundation ? 26 Public FaciliTy ? 30 Accessory Building C 14 Apartments ? 27 CommerciaVIndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial G 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding D 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair ? 33 Alteration 37 Demolish (Bidg)` ? 43 Reroof ? 46 WndowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Plan Rev 100% 25% SAC Units Nbr. of Units Nbr. of Bldgs Required Inspections _ Footings(new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile _ Driveway Apron Type of Const Occupency Zoning Stories Sq. Ft. Length _ Roof Ice Pr _ Decking _ Insu] _ Final _ Framing Width MCES System City Water Booster Pump PRV Fire Sprinklered Fireplace _ R.I. _ Air Test _ Final Insulation Sheetrock Fina1/C.O. Final/No C.O. Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco Lath _ Stone Lath _ Final W indows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: Planning Base Fee Surcharge Plan Review SAGMCES SAGCity S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irtigation) Park Dediration Trail Dedication Water Quality Water Supply & Storage (WAC) Building Inspector Financial Guarantee Storm SewerTrunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk bra– 1()S Cit (Alain 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694;/ Q/ d l 2012 COMMERCIAL PLUMBING PE MIT APPLICATION Use BLUE or BLACK Ink For Office Use�n Permit #: l 0"' 1 1(1 Permit Fee: °16 Date Received: Staff: ❑ Please submit two (2) sets of plans with all commercial applications. Date: 00 qi 01, Site Address: ) 7o0 fog 1 . c rt - 0 IND Tenant: COr-CN n\ >J c? -S oOi►1St..7ZVC\5 Suite #: PROPERTY OWNER Name: CA-Oc M1tt`) 0 Pr - S CC)N1 OGS Phone: CONTRACTOR �� Name: Y's-- 01 'tA NIA ill— License #: p1�Gt'jr G3 I I ' • City: IIIL•JN' �fti@QLE— fri Zip: 55LO.0 Address: aa� � 6 i o State: Phone: "IBJ ' 'Z' '1 1 c-61 Email: at .i b& \J6t 1 �. CJI 1 • �. C 1� TYPEOF WORK New X- Replacement Repair Rebuild Modify Space _ Work in R.O.W. _ _ _ � -1 -Aly Description of work: DveEt.. r -O"2 0.1.5f,5 4? 7 PERMIT TYPE COMMERCIAL New Construction X Modify Space Irrigation System (_ yes / no) ( RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ ?- . 01:51:: x 1% Required - If the Permit Fee is less = $ WI ©,' Permit Fee on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read than $10,010, the surcharge is $5.00 $ — Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee -� Permit Fee requires a $5.50 surcharge) $ State Surcharge (i.e. a $10,010-$11,000 Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ `"— Water Permit Department, (651) 675-5646, for required fee amounts. $ "-- Treatment Plant $ — Water Supply & Storage $ State Surcharge _ a-ev aO TOTAL FEE 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.gopherstateonecall.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 work which requires a review and approval plans. x C A ►J Applicant's Printed Name x Ap ant's Sig re FOR OFFICE USE Approved By: Required Inspections: _Under Ground Rough -In _Air Test _Gas Testinal PRV Required: ,_ Yes _ Nc Page 1 of 3 of Fi \C- T rid,, T� � t� .3...L.e.15 V1 V 5/ 17 z,9- rte-► �; '" FS (� \tL&L/YSS SL%S?\Z is ot. 2 — 0,0e S S % ry C,. (1 f es'),rAk' (_.T M ,\.)t 3 ', /►- r rj i, Cs \°`•) 'SL- L (Pv` cTr)1)G i S ,4%tiJL-4 SS r�ELo s-:N 5 P Pr-C \c-S'\)Gam.