1855 Silver Bell Rd - Unit 209
.tom
Y
Use BLUE,4w BLACK Ink
-
For Office Use
Permit#: y ~ , i I 0
` a
Ci of hian f
:z 6~ 11
I Permit Fee: ✓ ? U I
Pilot Knob Road t J
Eagan MN 55122 t
I
Phone:. (651) 675-567, Date Received:
Fax: (651) 675-5694 I / I
I Staff: i
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date' Site Address: / L
Tenant Named ELT A-3 At r 1 44 Yk > C 2~ (Tenant is: New / Existing) Salt,
&jW_
_ _Former Tenant:
Name:C (3 r~i C~-t w r~ o rn/~- "c M---_'1-Phone-."35!Z-
Property Owner Address / City / Zip: 7_4
Applicant is: Owner Contractor
Type of Work Description of work:
i t
Construction Cost: 1 J~ 0
Name: tf v License
Contractor Address: 7~7`~®0 7^f City:
Stater /V) Zip: J ~7 Phone:
Contact: 4 ° rv r e Email: C~ CO CO r J
- Ca
Name: Registration
ArchitectlEngineer Address: City:
State: Zip: Phone:
4 Contact Person: Email:
s
2~Z~2~`zl
Licensed plumber installing new sewer/water service: Phone #:!2z_
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,ypecific reasons that would permit the City to
conclude that are &ade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www (;)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that work mill be in conformance wifit the ordinances and
codes of the City of Eagan; that 1 understand this is not a permit, but only an a6plication for permit, and wortfAs not to start without a
permit; that the work will be in accordance with the approved plan in the case o whi wires a revieiet~nd approval of plans.
XLoAv/v ~F /144 r516 n/ Gib x
Applicant's Printed Name Ap icartrs Signature
page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility Exterior Alteration-Apartments
_ Commercial / Industrial _ 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 13,00o Occupancy MCES System
Plan Review vr, Code Edition alp? SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ~ Length Fire Sprinklers
Type of Construction ) Width
REQUIRED INSPECTIONS
,footings (New Building) Sheetrock
Footings (Deck) Fi al / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Aoof: -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:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: Wk~l b, ,Building Inspector Reviewed By: Planning
COMMERCIAL FEES
Base Fee .736.00 Water Quality
Surcharge 6 ,-5-e Water Supply & Storage (WAC)
Plan Review LL^
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 ¢j
Water Quality TOTAL` J-957 ~o
Page 2 of 3