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4130 Rahn Rd B123City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit 311'00 Date Received: / 1 3 .13 Permit Fee: Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION yr o,414,ed 0/'423 eij .ftp) Date: / ^' f 7 13 Site Address: Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: Name: /irei44/ Lr Jg f.4• it -$ i' 4' 4V-- I 4' 414-- zr Address / City / Zip: :17.3 3 S. /f, 4c s 4^ E .21 co, . S3/ Applicant is: X. Owner Contractor Description of work: hs pC, D. ti -4 isd/44,41 ► Q ,fifortqyu A10.i-420. :A L C SAttogito Construction Cost: i 5'C #' J Name: /1.es by ko d IA k License #: •Q d 3 8'64I Y Address: ijd.r.CAdf/' L /' s A9 State: MA/ Zip: SSW 6> Phone: City: Lod* s4 . ,zA u t• G'J - 3'c;o 4.2,g y Contact: JJ6h+ 4.1 16Liorovvi Email: J0 As/ d &ca. $A'si I 4 r L • to0+ Name: '"' Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: 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 vy�'c_h requires a review and approval of plans. x v)13,s4LI Applicant's Printed Name Page 1 of 3 _ 10 ci D 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Commercial / Industrial _ Accessory Building /Apartments _ Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction _ Interior Improvement Exterior Improvement Repair ✓Water Damage J6say Ito 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 77 Framing Iirepiace: _Rough In Air Test _Final nsulation Meter Size: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows _ Demolish Foundation Fire Repair Retaining Wall *Demolition of entire building - give PCA handout to applicant 0-0o-7 /u siC MCES System SAC Units h0 a a-+- . P City Water Booster Pump PRV Fire Sprinklers v/Sheetrock _ Final / C.O. Required Final / No C.O. Required Other. _ Pool: _Footings Air/Gas Tests _Final _ Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: /GC_- L , Building Inspector Reviewed By: , Planning 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 32€. 30 R,S-o A Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL �'�`P� Page 2 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office10°1(039 Use(� r _ 2 (� Permit #: I, 0(03 / Permit Fee: I 65 •aS Date Received: Staff: slash3 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3- 2.1- L Site Address: LI130 ( i$ -01At — U 14h"r 12.3 Tenant Name: ..1 Property Owner Architect/Engineer Name: (Tenant is: New / Existing) Suite #: Former Tenant: 0,2 aPc1 i I(PrV?Ft( Phone: Address / City / Zip:141)() Q PT 1 ICU )ti`T t73 Applicant is: Owner X Contractor Description of work: - OA IV Construction Cost: 3( 8b3.1 Name: SZ \ W MNS i a - License #: 2bb ?.2(1 3(1 Address:1) [0 OTRUR-$ ST City: ST LOOS P '6K -h— State: 1)\ M, Zip: J vb Phone: call --4\43 J Contact: (6K( WA -1 — Email: LeQN d e Name: Address: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Registration #: City: Email: Phone #: NOTE :'Plans and supporting documents -that you submit are considered to be public. in formation Portions of the information may be classified as non public if you provide specific reasons that would permit the :City -to .conclude that the are trade secrets_ 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.org 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 willbein accordance with the approved plan in the case of work which es = evi �, nd approval of plans. N OU cf'f 61(c Applicant's Printed Name Page 1 of 3 /1-13`6 Vf-, ct - uto (- 1).3 DO NOT WRITE BELOW THIS LINE 10(03q SUB TYPES Foundation _ Commercial / Industrial %/ Apartments Miscellaneous WORK TYPES New Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Vater Damage 3,983.73 no # of Units # of Buildings Type of Construction V-114( REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final V Insulation Meter Size: _ Exterior Alteration -Apartments _ Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows Demolish Foundation Fire Repair _ Retaining Wall *Demolition of entire building - give PCA handout to applicant l2-2 ,;10a7frtsec Sheetrock MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers _ Final / C.O. Required (/Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes • Reviewed By: /144.- L , Building Inspector /No Reviewed By: , Planning 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 A03. AS- .1. S a. 04 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 1/ 05; 25 Page 2 of 3