4670 Manor Dr - Site Survey2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciallindustrial buildings
multi-family buildings when separate pemvts are no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appiicable) Previous Tenant Name
PraperTy Owner Telephone # ( )
Contractor
Street Address City _
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove'"see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'*When installing/removing underground tank, call for Inspection by Fire Marshal and Plumbing lnspector
Perllllt F¢es: $70.50 lJnderground tank installa4on/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Pemut Fee
• If pennit fee is $1,000 or less, ad3 $.50 ? $ State Surchazge
If permit fee is over $1,000, add $.50 for
every $1,000 uernut fee $ Total Fee
I hereby apply for a Commercial Me6lianical Pemrit and aclnowledge 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 with the Mechanical Codes; that I understand tlus 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 wluch requires a review and approval of plans.
Applicant's Printed Name , ApplicanPs Signature
Approved By: , Inspector
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NOTE: lNLRIN3 DIMlyVSI0N5 5HOhVN ARE fDR Nt7qQOHTAL
d VEqTICAL I.OCATION Of STRUCTURE ONLY SEL" NO7E: NO SPECVIC 50145 INVESTIGATION HA3 BEEN COMPLETp
AI"ITfCI'UAL RANS i0R BVILDING 9 FOUk0ATI0N ON THIS WT 6Y TNE BURVEYOR, T}E $WTA9ILITY OF
aMEN9pNS. SoILS TO BUMMT THE SrWf1C Hp1J/E pftpOftO IS
do DENO7E5 PRpPOSED SURFACE DFIAINAGE NOT TME pE!/pN81B1LITY oF TNE SuRVEYOfi.
O DENOTES IRON MONUMEN7 SET SCALE: t INCH = 30 FEEf
• DENOTES IRON MONUMENT FOUNO PROPOSED QARAGE FLOOR - 9 343 FEET
X000.0 DENQTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9244 FEET
(000.0) QENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 34,7 FEET
WE HEREBY CERTIFY TO TNORSON HOMES THAT THIS IS A TRUE ANO CpRRECT
REPRESENTATION OF A SURVEY OF THE BOUNDAAIES OF:
Lof I, el ock I LAK@VIEW 7RAIL AODITI ON, acCOrding ta the rocorded
plat iMreof , Dokota County, Minnesotn.
IT DOES NOT PURPORT TO SHOW lMPROVEMENTS 4R ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 22ND DAY OF DEC. , 1992.
PROPOW dMpss 1?0MM MA11R TAKeN
FM THO rMMn a aswgLeNrw.
NLAN IOV10t4 @if PIONEER ENO.
ev?/?< <
JOHN C. LARSON, LANQ SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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10
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEY4RS
2500 W. CTY. RD. 42 *BURNSVILLE. MN. 65337 • 612-890-6044
R. HILL, ING.