3109 Lexington AveI?? 2007COMMERCIAL BUILDING rExn?r1T aPrLrcaTroN
City Of Eagan
. 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret a?nd why.
• Strudural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• CodeAnalysis (1)
• ProjectSpecs (1)
• Spec Insp 8 Testing Schedule (1) "
• Soils Report (1)
• Meter size must be established
1
1
1
1
l
y
. SAC determination - call 651-602-1000
• SoilsReport (1)
• Certificate of Survey (1)
• Structural Plans (2)
• Architectural Plans (2) sets
•: HVAC units req'd. on bldg elev. / site plan
• Civil Plans (2)
. Landscaping Plans (2)
• CodeAnalysis (1) "
• EnergyCalculations (1) "
• Emergency Response Site Plan (1)
• Spec. Insp. & Testing Schedule
• Elec[ric Power & Lighting Fo
• Project Specs D 1)
. Master Exit Plan rm??
• SAC determination - call 651-6 0 ?
• Fire Stopping Submittals
• Fire Suppression/Alarm Form „
Call MN Dept of Health at 651-201-4500 for details regarding food & beverage orJod7TlTff7ffrN
** Contact Building Inspections to see if it is required and for a saznple.
*** Permit for new building or addition will not be processed,withoubEmergency Response Site Plan.
Date O / _(S / 0?7
1
y
1
1
1
- call 651-602-1000
1? 0oo
31D? Construction Cost ?J-'C? ??/
Site Address
Tenant Name LexIt, ;? I 1 G?rc UniUSte #
?Former Tenant Name
Description of ork ote ?l icf
q
Property Owner &C Fift Telephone # ( )
C1?J'.I?I?.NL ?JContractor
Address
State
Zip
. Architectural Plans (2) sets
• CodeAnatysis (1) "
. ProjectSpecs (1)
• Key Plan (1)
• Master Exit Pian (1)
. Energy Calculations ' (1) not always"
. Elec. Power & Lighting Form (1) not always'*
. Meter size must be established-if applicable
? IJ U L;
QOXA
City
Telephone # (
Arch/Engr Registration #
Address scctp W_r?a '` Sk City 5State Mk) Zip Telephone #(q574 U7
Licensed plumber installing new sewerlwater service: A) /A- Phone #: (? I
hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
>nformance 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
)plication 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
ork which requires a review and approval of plans.
S4e*je ?.c?' vI5ovN
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
? 14 Apartmedts
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement 06
,57S 000 -
Valuation 2?? DOO ?
Plan Rev 100% %/ 25% _
SAC Units - G -
Nbr. of Units ?-
Nbr. of Bidgs ?
Fire Sprinklered r-
? 26 Public Facility ? 30 Accessory Building
? 27 CommerciaUIndustrial ? 32 Ext Alt-Apartments
? 28 Greenhouse 0 34 Ext Alt-Commercial
? 29 Antennae ? 35 ExtAlt-PublicFaci(ity
? 37 Nail Salon
35 Int Improvemeni ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair
37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
•Demolition Building - Give PCA handout to applicant
Type of Const ?r- Width
0ccupancy MCES System
Zoning ? City Water
_Stories.. • - -. : ' " Booster Pump
Sq. Ft. PRV
length Code Edition 2-01014e,
Req?} ired Inspections
?/ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
_ Driveway Apron
_ Roof Ice Pr _ Decking
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Sheetrock
FinaVC.O.
? Final/No C.O.
Other
Insul _ Final Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ 5tone Lath _ Final
Windows
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes ?No
Approved By-? Planning Building inspector
Base Fee ?y/ .S
Surcharge ?7' ?d /?? ,
Plan Review ?67 • ?/ ?--) G e--
SAC-MCES
SAGCiry
S/W Permit
S1W Surcharge
Treatrneni Plant
Treatrnent Plant (irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
5torm Sewer Trunk
Sewer Lateral Sewer Trunk
Street
Water Lateral Water Trunk
Other
Total
64, ?-
1 ?, ?