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1855 Silver Bell Rd - Unit 307 .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