4352 Johnny Cake Ridge Rd?191a 2005 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
• Strudurel Plans (2) sets
. Civil Plans (2)
. CertiFlcate oF Survey (i)
• CodeAnatysis (1) "
. ProjectSpecs (7)
• Spec. Insp. & Testing Schedule "
. SoilsReport (i)
• Meter size must be established
d
1
1
1
1
1
. SAC determination - call 657-602-1000
• Architectural Plans (2) set
• Structural Plans (2)
. Cfvil Plans (2)
. Landscaping Plans (2)
. CodeAnatysis (1) "
. Certificate of Survey (7)
• Spec. Insp. & Testing Schedule (1) "
. Meter size must be established
• ProjectSpecs (1)
• EnergyCalcuiations (7) "
. ElechicPower& Lighting Form (1) "
• Master Exit Plan (1)
• Emergency Response SRe Plan (1)
. Soils Report (7)
• SACdetermination-ca11 651-602-1 0 00
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Vv?lr?
. Architectural Plans (2) sets
. CodeAnalysis (7) "
• Project5pecs (7)
. KeyPlan (1)
. Master Exit Plan (1)
. Energy Calculations (1) not always"
. Elec. Power 8 Lighting Form (7) not always"'
. Meter size must be established-if applicable
. SACdetermination-ca11651-602-100D
Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging iaciul
f' Contact Building Inspections for sample and if required
Pemut for new building or addition will not be processed wi[hout Emergency Response Site Plan
Date Construction Cost CIw :-
Site Address ? Unit/Ste #
Tenant Name Former Tenant Name
?
Description of Work t 1
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PEW
Property Owner ?? ?AN C& fYan dvXj, ? Telephone # Wk ) (09`] - ISSoC`l
ContraMOr T 41?tke.
Address az)? \N ?? ST ?)\ ? ?"'?? City EC6-0'
State Zip Telephone # (q5'1?-2G2-?133`7
Arch/Engr ?Q Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new seweNwater service: Phone #: (_)
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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. J n
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartmenu 2"' 27 CommerciaUlndustnal ? 32 Ext Alt-Apamnents
? 15 Lodging ? 28 Greenhouse ? 34 Etct Alt-Commercial
? 25 Miscellaneous ,B' 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
,121' 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Add'Rion ? 36 Move 81dg. ? 42 Demolish (Foundati on) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitian (Entire Bldg o nly) - Give PCA handout to applicant
?
Valuation 3 00 O Type of Const Width
Plan Rev 100% ? 25°k _ Occupancy MCES System
Census Code Zoning ? City Water
SAC Units ?C' `"' - Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Req red Inspections
?Footings (new bldg) _ Fireplace _ RI. _ Air Test _ Final
_ Footings (deck) _ Insulation
_ Footings (addition) FinaUC.O.
Foundation ./ FinallNo C.O.
Drain Tile Other
_ Driveway Apron _ Pool _ Ftgs _ Air/Gas Tests _ Final
Roof Ice Pr
i
?/:F Decking _ Insu] _ Final _ Siding Stucco
_ Windows Stone
ram
ng
Approved By: Planning Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
S/W Permit
SIW Suroharge
Treatment PIaM
Treatment Plant (Irtigation)
Park Dedcafion
Trail Dedca6on
Water Quality
Water Suppty & Storege (WAC)
22? •
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
SVeet
Water Lateral
Other
Total
Sewer Trunk
.
Water Trunk
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