EA189456 - Building - Commercial/Industrial - Issued Date 04/28/2024 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd %;P=°, Permit Number: EA189456
Eagan, MN 55122 `'®4 �'�`` EAGAN
(651)675-5675 , 111111111111 IN 111111111111111111111111111111,
www.cityofeagan.com * E R 1 8 9 4 5 6 *
Date Issued: 4/28/2024
Site Address: 1360 Civic Center Dr
Lot: 3 Block: 1 Addition: Ted Wachter
PID:10-75300-01-031
Use: Cascade Bay * 1 0 — 7 S 3 0 0 — 0 1 — 0 3 1
Description:
Sub Type: Commercial/Industrial Construction Type: V-B
Work Type: Alteration
Description: concreate Footings for shade Structure Ctd
EA155184 Occupancy: A-5
Census Code: -
Zoning: PF
Square Feet: 0
Comments:
Fee Summary: Surcharge-Based on Valuation $2.50 9001.2195
Valuation: 5,000.00 Total: $2.50
Contractor: Owner: - Applicant -
JL Theis, Inc City Of Eagan
860 Quaker Ave,Suite 102 3830 Pilot Knob Rd
Jordan MN 55352 Eagan MN 55122
(952)492-3888
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 Issued By: Signature
ECEIVE
FEB 29 2024 -------------------------,
For Office Use
' 1
BY• I Building Permit#: 189456
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S&WPermit#: ,
EAGAN
I Permit Fee: I
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Date Received: 2/29/2024 ,
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 I '
( ) ( ) I -----Date Issued_-------- I
Plan Submittal: building insoections aC�.cityofeagan.com ___
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 2/29/2024 Site Address: 1360 Civic Center Drive Suite#:
Tenant Name: Cascade Bay- City of Eagan Tenant is:
❑ New 14 Existing
Former Tenant(if applicable):
Name: Mark Vaughan Phone: 651-675-5592
Appl����tt
Applicant is: 14 Owner ❑ Contractor 13Agent Email: mvaughan@Cltyofeagan.Com
concreate Footings for shade Structure continue
l Description of work: g
WOPicfrom permit 155184 from 2019)
$5,000.00 Construction Cost:
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Company: TBD SL T"hrs I-NC Contact: lrc 7"he'.S
B�u1�#�Ing 't Address/City/Zip:
Contractor;�
Phone: Colo?• Email:
le e- 4_7 co r-,
License#: Expiration Date:
company: Shade Creations by Waterloo contact: Billie
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Arcltitc# 3105 Airport Blvd., Waterloo, IA 50703
�noo Address/City/Zip:
rN 1-800-537-1193 billie@waterlootent.com
Phone: Email:
Company: Contact:
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po tri Address/City/Zip:
1teulp Phone: Email:
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License#: Expiration Date:
I understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications.
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Nth'Plan upp�idCtF! ci sus(cfe� d berpttblic iiftirmatlot .I�brtion ;"bf thewt `fortisaticn,.
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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 Mark Vaughan X
Applicant's Printed Name Applicant's Signature