Suite 345 - La Michoacana ^( ce Use ,
Ch(10C'c�— For Office Use
em_ •
Permit f /U/t/
��ii.,I. r�,� • 0()47). C. �� Permit Fee: 0I,S0
E A
A
Staff:
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810
EC�.11✓E i Payment Recd es No I
(651)675-5675 l TDD:(651)454-8535 I FAX:(651)675- 4 �
Email:buildinginsoectlons@,gityofeasan.com MA" 1 1 20200 Plan�lc.Electronic Paper I
Plan Submittal:a lens cityofeaaan.com
BY:
2020 COMMERCIAL PLUIMBINCHIERMIT APPLICATION
• ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted d'ia email,CD or flash drive .
I 12-0' Site Address: 9Lc 5 A Gf'� L) C)IAIL91S ktiu y
Date: 3 s
Tenant:
1 A j1/) i C�1 O R('fl A H Suite#:
,Preps , .• •
. Owner. Name: (� Phone: _j
tt•:.,;. 1;i.,k,', Name: L 1. 6 e ( / PLA) IAA g l IV C License#: I``k O Lt �3�.b
COf1tf8C gAddress; ! - Z 7 A lltw City: 84-174 eState: im'r✓ Zip: 13-
Phone: 763-2BC,-Z Y65- Email: / / / V I l C___ 0 I/ G C/rq
New Construction Addition X Modify Space '
' Replacement air Keouuo --7wvv,XillRiyiunvravcy
'° ' .a •'A' ( _6'4-- 4- -1— �o - QwA%n
lam,>;r.•', •. 4,;t,'?!. Description of work: n
',• Irrigation System(__Y !_no)L RP2/_PVB)
Type'of
1:"..:,:otC.` (y� •
. Rain sensors required on irrigation systems
' • Avg.GPM (2'turbo required unless smaller size allowed by Public Works)
PA Meter Required–Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
' "I I. Domestic:size&Type Fire: 1
• . . •• Flushometers Yes No
i Average GPM • High demand devices?Yes_No ,
COMMERC/Al FEES Contract Value$•3O 0 AA x
$60.00 Permit Fee Minimum $ i t Fee
$60.00 PVB/RPZ Permit(includes State Surcharge) $ Surcharge •
•
Surcharge=Contract Value x$0.0005 $ ,TOTAL FEE
If the project valuation is over$1 million,please call City for Surcharge •
The following fees may apply when Installing a new lawn irrigation system or $ _Water Permit
connecting a new water service. $ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $` Mater Fee
•
$_ Radio Read
• $ State Surcharge
_$ TOTAL FEE
' •You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
yrww.citvofeaaan.comisubserlbe. •
CALL BEFORE YOU DIG. Cell Gopher State One Call at(651)454.0002 for protection against underground utility damage.
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 en application for a permit,and work is not to start without permit tit the work will be In accordance with the approved
plan in the case of work which requires a review and approval of plans. /)
Applicant's Printed Name Applicant's Signature Page 1 of 4
•
' ibR'OFFICEIJ .E
$. .
Approved By: d"ti • Date:.3 (ft (2-2;)
4 Required Inspgctlons: .Under.Ground, _dough-In ,.Air Test _Gas.Test((Final.• PRV Required: • Yes._No •
.Meir Relatexi ems ;Meter'Size' Radio Read Manometer `"","' Staff:
•
Page 2 of 4
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For Office Use �
Permit#: //:/O /j
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, 0 : 1 ,
„.et ���+i E AGA N
Permit Fee: �O
�...e •ems.
Staff:
a!)ECEIJEñ
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 1-Payment Recvd: _Yes X No I
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-56 R 3' 020 / \
TN t� 6 X020 Plans: Electronic Paper
Plan Submittal: eplans(c�citvofeagan.com _
BY:
2020 COMMERCIAL BUILDING PERMIT APPLICATION
S
Date: 0 0 e Address: c'A 611
3 0 ofOv-rz-G7S PA(Z 1 t-txy F A 6F11.J Nlnf
Tenant Name: _G LA _Z ♦„ IP ,.P ant is: New/ V Existing) Suite#: 3 % --
Former Tenant: i ) ) CC)
)
LLC
Name: ) i13/ G f;A6A NPho e:
Property Owner Address/City/Zip:27 E P)6A p-) OU"7'LF 5, PA 2Ac w 6 vrrE386
a PN6 An-) M rV 5-51 Z.Z
y Applicant is: Owner Contractor
Type of Work Description of work: / 1�(�P+T) 4”�' �NCO pd 5.
o a COUN�fZ
Construction Cost: ` t 0 0 0
Name 1�ACLDn��2N A N 2PI1Licenns#:
Contractor Address: 7C F l.A�.G�j j- City: 1\11 t N N spiP2 LA-S
State:M NJ Zip: 6540 7 Phone: 5-0 7' 3 77- L!
Contact: /` _ Email:
Name:_ ( (2i2 , \ NN) (= Registration#:
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
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 nonpublic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/subscribe.
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.aopherstateonecall.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.
x�,c.Pi1-1GriNi PVUDAZ espN)00AX .
Applicant's Printed Name • Applicant's Signature
DO NOT WRITE BELOW THIS LINE t
SUB TYPES G&- -- > 1901:PA Qt+1 "lite y4
/6. j.*‘ /.
— foundation _ Public Facility _ xteriorRlteration-Apartments
_✓Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
—
WORK TYPES
New _ Interior Improv' 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 , 51 b 0 O•1:441 Occupancy 1 MCES System
Plan Review ✓ Code Edition 201 5-Mee SAC Units {j/ `1--
(25%_100% 4 Zoning ! City Water
Census Code Stories I Booster Pump
#of Units Square Feet I1 01( PRV
#of Buildings I Length. Fire Sprinklers
Type of Construction 1' 6 Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof: Decking _Insulation _Ice&Water _Final Meter Size:
Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans
—
Windows
Fireplace:_Rough In Air Test _Final `7 Final/C.O. Required
Pool: Footings Air/Gas Tests _Final Final/No C.O. Required
Final CIO Inspection: '-TT-'t ire Marshal to be present: Yes V No
Reviewed By: r , Planning New Business to Eagan: *--
Reviewed
By: e -i [ L , Building Inspector
FEES Water Quality
Base Fee n B. a`'e- Storm Sewer Trunk
Surcharge 2!Sb Sewer Trunk
Plan Review 710• b Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: '' 1 q 7.ZO
Page 2 of 3
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3965 Eagan Outlets Parkway,Suite 380,Eagan,MN 55122,,