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EA181204 - Building - Commercial/Industrial - Issued Date 02/08/2023City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.cityofeagan.com PERMIT Permit Type: Building ® 9 ® O AN A90ft, A& AS Permit Number: EA181204 Ej6AUAN ® * E R 1 B 1 2 0 4 Date Issued: 2/8/2023 Site Address: 4300 Nicols Rd Lot: 241 Block: 6 Addition: Cedar Grove 4th PID: 10-16703-06-241 Use: Living Word Lutheran Church 1 0— 1 6 7 0 3— 0 6— 2 4 1 Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Windows/Doors Description: 6 windows Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: BL - Base Fee $215.90 0801.4085 BL - Plan Review 65% $140.34 0720.4222 Valuation: 9,974.00 Surcharge - Based on Valuation $5.00 9001.2195 Total: $361.24 Contractor: - Applicant - Owner: Home Depot USA dba The Home Depot Living Word Luth Church 2455 Paces Ferry Rd 4300 Nicols Rd Atlanta GA 30339 Saint Paul MN 55122--191 (763)852-1044 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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. Applicant/Permitee: Signature sued B . Signature r -------------------------I I For Office Use Building Permit #: 4 � I S&W Permit M.'EAG I I Permit Fee: ` E E I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1 I (651) 675-5675 1 FAX: (651) 675-5694 I Date Issued: I Plan Submittal: buildin ins ections ci o ea n. ! ____---- -----I COMMERCIAL BUILDING PERMIT APPLICATION Date: 1/31/23 Site Address: 4300 Nichols Road suite #: Les Liudahl J_ w�>u k``+► in Cl, wWC� Tenant Name: Tenant is: ❑ New V Existing Former Tenant (if applicable): Name: Scott Doughman Phone: 201-515-0571 Applicant"t ,; rre�ff Applicant is: ❑ Owner 4u Contractor ❑ Agent Email; melissajordan@gopermits.org ' Remove and replace 6 windows, same size no structural change n t Description of work: p ridriwk r 9,974 Construction Cost: Company: HOME DEPOT USA, INC. Contact: irilding_: Address/City/Zip: 2455 Paces Ferry Road, Atlanta, GA 30339 txti>;r, ermits o ermits.or ;Phone: Email: P �9 P 9 BC147263 License #: Expiration Date: Company: Contact: Arerttitactt flgllietrl' Address/City/Zip: Phone: Email: S Company: Contact: on. a, blt Address/City/Zip: Rectutre� Cdr ''° Phone: Email: neu+ tnl�strticftort< a►x�, atidt�ixns �� License M Expiration Date: I understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications. 'TE : P; ia�rl arttl suppt�rrtirtg documents that �rou;subtti?it are co siders d tb be �ubiic irftarMatlon ittr� rif the=itiformatioh N© ma .,ib��cl ssified.ds,riart, ubiic it` otatpvidb,� �ciflc tettsonat� Yl�tw° iidK �i'dit..: CI to con, ludo tha#�tta' .ar+e� tt�ds stcwets..;' 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 Scott Doughman X sa&&'T�® U Applicant's Printed Name Applicant's Signature SUB TYPES Foundation Public Facility _ Commercial/Industrial _ _ Accessory Building _ Apartments _ Greenhouse / Tent WORK TYPES New Interior Improvement — Addition _ Exterior Improvement Alteration _ Retaining Wall DESCRIPTION Valuation Plan Review Census Code # of Units Type of Construction Occupancy a� 1797 �r s� Code Edition Zoning Stories Square Feet Length Width Site Address: 4300 Nichols Road Antennae Tenant: Les Liudahl — Permit : _ Demolish Building* Demolish Interior Demolish Foundation 'Demolition of entire building - give PCA handout to applicant ?d,PZP� MCES System i SAC Units City Water Fire Sprinklers _ Footings _ New Building —Addition Retaining Wall _ Foundation Foundation Before Backfill Other: Vapor Barrier Other: _ Framing 30 Minutes 1 Hour _ Insulation _ Sheetrock Final / C.O. Required _ Roof: _Decking _Insulation _Ice & Water _Final Final / No C.O. Required _ Siding: _ Lath _Brick _ EFIS Fireplace: _Rough In _Air Test _Final Pool: _Footings —Air/Gas Tests _Final Final C/O Inspection: Schedune Fire Marshal to be present: YesNIZ No Reviewed By: FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication (9328.4670) Trail Dedication (9375.4671) New Business to Eagan: Building Inspector 9� 21 Landscape Guarantee (9001.2257) Tree Mitigation (9111.4677) Tree Performance Security (9111.2257) Stormwater Performance Security (6501.2257) TOTAL: $ 0.00 Revised 8/19!2022