2721 Hwy 552000 BUILDING PERMIT APPLICATION (CONIMERCIAL)
- ' CITY OF EAGAN
651-681-4675
• SVuctural Plans
• Civil Plans (2 sets)
• Code Anatysis (1) "
• Project9Pece (1)
• Spec. Insp. & Testlng Schedule "
• SAC detertnination Iettar from MC1ES -
call 851-602-1000
• Architeclurel Plans (2 sets)
• SWCtural Plens (2 sets)
• Civil Plans (2 seta)
• Landsqping Plans (2 sets)
• CodeMalysis (1) *'
• SAC detertnination letter Trom MClES - call
851-602-1000
• Spec. Insp. & Testing Schedule (1) "
• ProjectSPecs (1)
• EnergyCalculaUOns (1) "
• Elettric Power 8 Lighting Fortn (1) "
• Master Exit Plan
I - IU _ 3-OUD
• Architectural Plana
• Code Analysis
• Project Specs
• Key Plan
• Master 6dt Plan
• SAC detertnination letter trom MC/ES
851-602-1000
• Energy Calculations
• Elec. Power 8 Lighting Fortn
(2 sets)
(1) ..
(1 set)
- tell
(t) not always «
(1)notalwaY3 ?
" Contact Building Inspections for sample
Food 8 beverege or bdging facilities: Plan must be submitted to Minnesota Department of Health - call 651-2150700 for details.
$ a.
DATE: I-5-m WORK TYPE: L/INEW _ REMODEL CONSTRUCTION COST: IS, ?Y"
DESCRIPTION OF WORK: 3_,JS}k1U'o,J -4 A,J 00-6lc0R
TENANT NAME: SUITE:
FORMER TENANT NAME: 5-is
a
SITE ADDRESS:_<Zo Lir.P- Qw7lko4J F,ylcE -oF-W? ?A_LLOT BLOCK _ SUBD
Name: Soo L'r_,e gc'1Re4e1 [c- Phone#:(
PROPERTY Last First
OWNER
Street Address: ?bt /11m??4e
Ciry /nn157 state: ,/Y7n1 zip:
Company: ?r L' az 0)(,4J0,ve gveQii5il n - Phone #: ( 6 r/ )C,
CONTRACTOR ?I,3S CJ
RsI '„74Ill./ ?R ve S? ?'?2 ??
Sveet Address: 3
City ?rtrf State: MI-i Zip:
ARCHITECT/ ^7-?
ENGINEER Company: I?'?ornPSorJ Sti6Ir•?ea??1G GR'x'p Phone#: ( ?/d3 )-7z?S'06y??
. Name: Registration #: ID6 U 3 5-
StreetAddress: )? o goX ?q7
Ciry S Scace: TiJ zip: 3`7371- v ?V7
Sewer/water licensed piumber (if installina sewer/waterl: Phone #:
i hereby acknowledge that I have read this application, state that the infortnation is correct, e to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant: o--- ? ?---???
OFFICE USE ONLY
B?1ILDING PERMIT SUBTYPE
r, 01 Foundation ? 26 Public Facility ? 32
? 14 Apartments ? 27 Commercial/Industrial ? 34
?, 15 Lodging ? 28 Greenhouse
' ? 35
? 25 Miscellaneous )R
29 Antennae
WORK TYPE n `L'J -ree- Sfa^407J -r?h
)E? 31 New ? 34 Repairs ? 37 Demolish Bldg.
? 32 Addition O 35 Tenant Impr ? 38 Demolish (Interior)
? 33 Alterations ? 36 Move Bldg. ? 42 Reroof
GENERALINFORMATION9
Census Code v ;
SAC Code _R
No. of Units
No. of Bidgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning ?
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Water 5upply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
Building
I ?s ? a-S
4; _o ?
? Insulation
Engineering
Variance
VALUATION:$
-?
?._
?---
-? -
'l g(o- ?-5
%`SAC
SAC Units
Meter Size
Ext Alt - Apts.
Ext Alt - Comm.
Ext Alt - PF
,W.' _ -.
? 44 Siding/Soffits/Facia
? 45 Fire Repair
? 46 Windows/Doors
sq.ft.
sq. ft.
sq.ft.
sq.ft.
MC/ES System
City Water
Fire 5prinklered
? Plumbing ? Stucco/Stone
+ ?1TE M.AP
(VicOW FST
NCTE: Oimensions rountletl [o nearesi fooL
GoPYh9ht 1999, Dakata CouMy'
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sta0e olfices aM oNm sources. aRecting Me ama sirown, aiM rs to Oe used fw rtemrce purynses
oniy. Dakab Cowly is nKK rBSpansibie for any ineceuracies neren canmiMd. M aiscrepancies are
fauM.pleesemnbG.IlsYONtaunrys i'=`?J.aotl ^R•^^°"^^l1aPaitinmt
MapOeb:Octobar7.1999 Aena1 Plqm92GhY PartzlsUptlrted:929/99