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1525 Central Park Commons Dr
Use BLUE or BLACK Ink --------- For Office Use (� j I Permit#: 'T —1 33 1 City of Eajan 1 � 1 I � I 3830 Pilot Knob Road Permit Eagan MN 55122 1 Date Received: 1 Phone: (651)675-5675 Fax: (651)675-5694 1 Staff: 1 .�----------------J 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5/2/2016 Site Address: t' t `iy t'k,tLgt / Pilot Knob Rd. , J j �5 )t` L kt- Lint Qp Site Signage ( P'11, AJ ;) W171+1A)Cfe n Tenant Name: (Tenant is: X New/ Existing) Suite#: 516!8 5- monk? A)-1 sieA-7 15 • S/F Former Tenant: N/A Name: CSM Corporation Phone: 612-395-7030 Property Owner Address/City/Zip: 500 Washington Ave S. , Suite 3000, Minneapolis, MN 55415 Applicant is: Owner X Contractor 11 ea!?WOt Description of work: Construction of new 'c ( within Central Park Commons VP Construction Cost: Name: Weis License#: Address: 7645 Lyndale Ave South City.. Minneapolis Cor�l��ct01", State: MN Zip: 55423 phone: 612-243-5000 Contact: Steve Knight Email: SteveKnight@weisbuilders.com Robert Lucius, RSP Architects 14066 Name: Registration#: 1220 Marshall Street NE Minneapolis ArchitecflEngineeir Address: City: State: MN Zip: 55413 Phone: 612-677-7100 Contact Person: Robert Lucius Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Pars s rfingadocum fs that you su nit t cdriisldeied to=be p c In Yi�fNuo! : P©rEions c>'f the lnfarrnain'may be.classified as non-public ii you provl, sped mesons that vrnt#d pert"the Cf#�i fo corrclude:.that the "ire tr, �eciv�ts ;:. 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 t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. _0" x Applicant's Printed Name Applicant's Signature Page 1 of 3 I 'Sd'�- Corif,,rd P61-L Co e,rXI b.-S --D,,,- DO NOT WRITE BELOW THIS LINE l —3 V7 33 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 filler vt�'E Occupancy L4 MCES System tJL- Plan Review ` ' Code Edition I S M BC. SAC Units (25%-100%-) Zoning City Water Census Code Stories Booster Pump #of Units I Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction •13 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: f� , Building Inspector Reviewed By: y � , Planning COMMERCIAL FEES Base Fee 135.ra a Storm Sewer Trunk Surcharge OuFin Sewer Trunk Plan Review I rvr_c P 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 r, Water Quality TOTAL: 3 Page 2 of 3 Central Park Commons Signage Package 6261,004.00 Eagan, MN SPECIAL TESTING AND INSPECTION SCHEDULE Project Name: Central Park Commane Sigrim Petck o Project No.6261,004,00 Location: Eagan, MN Permit No.: FType of Report Assigned Description Inspector Frequency Finn Concrete,during taking of test specimens and Sl-S/Sl-T Intennittent TA placing of reinforced concrete 03 30 00 Bolts installed in concrete SI-S Intermittent TA 1 032000 Concrete reinforcing steel Sl-S Intermittent TA t 04 20 00 Unit Masonry SI-S Intermittent TA 05 1000 052100 Structural welding S1-S Intennittent TA � 0531 00 i 05 10 00 High strength bolting S1-S Intermittent TA 1 04 20 00 Structural masonry SI-S Intermittent TA 05 40 00 Cold formed metal SI-S Intermittent TA ' ACKNOWLEDGMENTS ^� i Each appropriate representative shall sign below: � Owner; i� �"`".>4 firm &!�� - _ Date:._....1.�..w� Contractor _ Firm; Date:A*•'#*fA Archie ,.,Fir�tr+: Dalc.�. SER: _ Firm: OL040'r— S1-S: - _ Firm+ TA: Firm_f rc..,"!__._ _ Dale: S I-1' 'ti'nt; °"+'^ _. _. Date; F: Firm: Date. F'_ Legend: SER = Structural Engineer of Record SI-T - Special Inspector-Technical TA= Testing Agency SI-S - Special Inspector-Slrll0lurnl F = Fabricator Accepted for the Building Department by_____Date QUALITY REQUIREMENTS 014000-5