Loading...
3204 Borchert Lane Use BLUE or BLACK Ink r For Office Use Permit I Cc 1, C) City of Eap 1 00 I Permit Fee: 3830 Pilot Knob Road I I I Eagan MN 55122. 1 11-3 1 Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 I I I Staff: I L------ r COMMERCIAL BUILDING PERMIT APPLIC ION DateSite Address: Z_/ 7 Tenant Name: (L" T'/ U F (Tenant is: New / Existing) Suite Former Tenant: Name: epe}"64,-j Phone: X 53-2 q Property Owner Address /City /Zip:. 7j a_e3o P^~+ ~LU I kvUJ P-/2 Applicant is: Owner Contractor Type of Work ! Description of work: SGJ11J5/~LTC/L Cy~J~Tf~ T LcJ~ Construction Cost: 00 62 Name: 5n? G License : Contractor 'Address: City: State: Zip: Phone: s Contact: Email: Name: ^V11 - Registration Architect/Engineer Address: 200 S. E ~ .5 1.JCity: S~J U f+zj ~7 S_ Ci Z State: 4-F-i--1--- Phone: 'S_0 0 'Z Contact Person: Q S ail: Licensed plumber installing new sewer/water service: Phone M NOTE. Plans~and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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 appl' tion for a permit, and work is not to start without a permit; that t e ork will be in accordance with the approved plan in the case of w r w ch quires a review and approval of plans. x 4PW L 6 ~ x Applicant's Printed Name Appli ant's Signature Page 1 of 3 t r DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility _ Exterior Alteration-Apartments (Commercial / Industrial _A_/ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New _ Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof Demolish Interior Alteration Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation DO E+ Occupancy A ' 3 MCES System N Plan Review - - Code Edition Z~fl SAC Units (25%_ 100%- - Zoning City Water Census Code Stories f Booster Pump # of Units U Square Feet 3zo PRV # of Buildings Length Fire Sprinklers Type of Construction /3 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) V' Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final _ Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick ✓ Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: f r Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Building Inspector Reviewed By: , Planning COMMERCIAL FEES L"4&x- Base Fee dN Water Quality Surcharge. Water Supply & Storage (WAC) Plan Review 0. Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3