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3420 Golfview Dr Unit 214
CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Permit #: nn Permit Fee: '0` C)() Date Received: Staff: qo 7o Q 2008 RESIDENTIAL BUILDING PERMIT APPLICTION Date: ©° t(- 09 Site Address: cO.D �- LA-Ak)it-A11-1 J :- Suite #: RESIDENT / OWNER TYPE OF WORK Name: Maiti Si 111 t,_ Phone64 4S`) — S) 4 5 S Address /City / Zip:5 L{a.© U,tS2 ti IQYt o� �," 71 1 c J 1 D 3 Applicant is: Owner Description of work; Iatu L11)LN� CJI.e l , V(.0 Aigieti&J Construction Cost: . Ono > Multi -Family Building: (Yes /No Y) CONTRACTOR Name: LietatTYYN License #: / ! el 2 Address: City: 114.45 Phone: 6(3s)7g�6'-� Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (J submission type) Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 witho it a permit; that the work will be in accordance with the approved lan in the case of work which requires a review and appro I of plans. 31AL:4 x Applicant's Printe Name x Applica Page 1 of 3 CityofEagafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APP O 6 2016 Use BLUE or BLACK Ink For Office Use G7 Date Received: (/ 6 /� Stet I Permit Permit Fee; 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: g///ne Site Address: 3112o t T V J ria. Tenant Name: / Ertset te Name; Address / City / Zip: Applicant is: )4. Owner Contractor Description of work: Construction Cost 4 / (Tenant is: ` Now /_,)4_ Existing) Su Former Tenant: .1 Phone: t5,(p—s,VC Name: ,(1L Address: 565 �lr,fl e. G City: l]7 . (.,/ State: HN V zip: � 5103 Phone: t J/ 379 -1 q 9 b 1•74$4e1 /2r4i J Oi'')(k k License #: 43aS J 67 )47 Contact Name: Registration #: Address: City: State: Contact Person: Email: • ra, C�. Zip: Phone: Email: Licensed plumber installing new sewer/water service: Phone #: T.E::10aii and 5ii" c• tig: ,rl00.0.0.0,0#.0.0t u,'•'.sPbVit. ara'co J? fsidere'd:,fad"tie )vtiblia: irrfotifitivr�.;;P.ori , .,...: 'M1": .•.:;. l:'r;�'dle�'1 '1lu�� .... d6 ri���C�•j• A;�,Y.�i nJtM.�ii M:..r � u••i hie ed;non ublic:r , z :,.. w .�m•r:'>eaa$ .. -p • 'you°proV�despe »$.that,' �'f� � Yin i�•f�ie' "�„•.�,. � .., t•"r .. •'.r••.:a•1..: :.... ......:!•�. r: '+::•:rr,�,wq .., '•'rkrst.;. +q,r..:roe..',,.� ,, �concJude.#hat•ttie':�aroe:.traa�e:��r"'iei� �;;rt.��:.;'.`�;c�;��"��:�t�";�;,;;.�w;/��' on CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstater_ecall,ortt 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 'II be in accordance with the approved plan in the case of rk whi requ' = eview and approval of plans, OV1:1 fte6drai Applic nt's Printed ame Applic Sig ature Page 1 of 3 1 q3 C O NOT ITE BELOW HIS LINE SUB TYPES Foundation Commercial / Industrial artments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage Type of Construction 1 AU/ REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water Final %7 Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows ✓Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant Al lc inS 06- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers V'Sheetrock Final / C.O. Required 17 Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron Final C/O Inspection: Fire Marshal to be present: Yes t/ No Reviewed By: Ki 17 \. Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: 6r,7 Page 2 of 3