3420 Golfview Dr Unit 314 Use BLUE or BLACK Ink
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3830 Pilot Knob Road j Permit Fee: 1
Eagan MN SS122 CEplJE® i 1
Phone: (651)675-5675 Date Received:
Fax:(651)675-5694
APR 62016 '
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address -312-0 )�J J i C�Q '
Tenant Name: 1!�A r
(Tenant is:`New/__)c Existing) Suite#: 3�
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Registration#'
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Contact Person;
Email:
Licensed plumber installing yew sewer/water service: Phone M,
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www,000herstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end
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 '11 be in accordance with the approved plan in the case of rk whi requ'fe eview and approval of plans.
Applic nt's Printed am
ApplicbW Slg azure
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 4 Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation (p 13,SO Occupancy n'Z MCES System
Plan Review J1/ Code Edition D15/k 5Oe , SAC Units
(25%_100%__) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
r
#of Buildings Length Fire Sprinklers
Type of Construction i NG Width
REQUIRED INSPECTIONS
Footings (New Building) ✓ Sheetrock
Footings (Deck) 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: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: UIL L , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Storm Sewer Trunk
Surcharge gS Sewer Trunk
Plan Review Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Other:
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality TOTAL: b 7 8s
Page 2 of 3
Date:
City of EaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant Name:
APR U 62O1
2016 COMMERCIAL BUILDING PERM T APPLICATION
Use BLUE or BLACK Ink I
For Office Use
Pent #: 35-0's 3/1'1'16
Permit Fee..
Date Received:
Staff:
Site Address: 3Zi)z c
0671C(6')
(Tenant is: New / Existing) Suite
Former Tenant:
Name: e
p rope ity e
i
Applicant is: Owner X Contractor
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Type ofWork !
! i Description of work:ICA v-- '01,..,1- C'..Pc i''5> 51-V1,,
; 1
5 I Construction Cost: ; L'IS
; 1
i I Name: (:C....k i( -4 -z. -c - (...:VS Cli. .k,,,....-.;--1- License #: P".1'q7s-
Contractor ,
Address:)Z... ,/6.s., 1,5-6-4 t.-, t,,,,, c.,,(,.. SiY-c, tioo City: ilt,t...C11,-",,('‘,."..7, tki',,
Ii State: iLl il'i Zip:
Contact:11/4 ,,-"L
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Name: Registration #:
ArchAddress: City.itect/Engineer I
! ' State-' Zip: Phone:
;
1 Contact Person: Email:
Address / City / Zip: O. (-°<c,:°)
Phone:
Phone: - S.- 5 O/' Ct
CZA c -C CA' fcw t>t,te,st
Licensed plumber installing new sewer/water service:
Phone #:
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 thatthey are trade secrets,
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Cali 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 of plans.
1,101
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
6
-
6
DO NOT WRITE BELOW mIS LINE
SUB TYPES
Foundation
ommerciaj 1 Industrial
../` Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
DESCRIPTION
-
Valuation 600 Occupancy
Plan Review Code Edition
(25% 100% Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Rb Deckin Insulation Ice 8i/Witer Final
aming
Fireplace: YRough In Air Test VFinaI
Insulation
Meter Size:
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
v7Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building - give PCA handout to applicant
k
20/5 h-5de-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
oneetrock
Final / C.O. Required
.nal / No C.O. Required
Other:
Pool: Footings Air/Gas Tests Final
Siding.. Stucco Lath Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: Ai A , 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
Lio.cre
Storni Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL: L w.0
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164246
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 3420 Golfview Dr 314
Lot:062 Block: 03 Addition: Tomark
PID:10-76900-03-062
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bridget J Maloney
Po Box 21505
Eagan MN 55121
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature