1959 Shawnee RdHr? 9(?3
II S i 13
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
l
Foundation Only New Construction Interior Improvement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always-
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always-
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• Project Specs (1)
1 • Energy Calculations (1) " d
t. • Electric Power & Lighting Form (1)
1 • Master Exit Plan (1) 1
4 • Fire Protection Plan (1)
1 • Soils Report (1) 1
• MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602.1000 c211 651-602-1000 call 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE ?C7 WORK TYPE _ NEV?REMODEL CONSTRUCTION COSTa?,3CO 00
SITE
TENANT NAME
FORMER TENANT NAME
SUITE #
DESCRIPTION OF WORK I1Qta' (JCTr?bUlfOc?g' ?1Sd1 ?7V VW I? ?!
Name: n,? CoMaWn? Phone#: \S? 1 C)ld?
PROPERTY Last First
OWNER ?(^?ti? C }_
StreetAddress -l,cJ c.) '1 tJ?
City &W\ State A 1 Zip &'I,) ??-
Company W al kV rvs,\nt 1 tR ??M?GYI? / Phone #
c l o ) ??? a?
CONTRACTOR t
Street Address: am 3(p? ?.
City -.6 Ns State MA Zip a?60L
ARCHITECT/
ENGINEER Company
Name
Street Address
City
State
Phone # L-
Registration # _
Zip
Licensed plumber installing new sewer/water service: Phone M
I hereby acknowledge that I have read this application, state that the information is corn rs comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
--115 ?L ',?G.p Vti Signature of Applican . ,j
-n p ?p Updated 1101
no o u @
M JW4: 2 g iii0;
By
? v?-QS Ci L ?L v?i? --'C7 cr,
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE Fh-tr-µ
? 31 New ? 35
? 32 Addition ? 36
? 3 Alterations ? 37
4 Replacement ? 38
GENERAL INFORMATION
Census Code "0
SAC Code go
No. of Units o
No. of Bldgs. I
Const. (Actual) -
(Allowable)
UBC Occupancy
? 26 Public Facility ? 30 Accessory Bldg.
27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 28 Greenhouse ? 34 Ext Alt - Comm.
? 29 Antennae ? 35 Ext Alt - PF
J (Z?01 ? 37 Nail Salon
Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
Move Bldg 43 Reroof ? 47 Repair
Demolish (Bldg) ? 44 Siding ? 48 Authorization
Demolish (Int) ? 45 Fire Repair
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation
sq. ft.
sq. ft..
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Plumbing ? Stucco/Stone
APPROVALS
Planning Building Lxjab) Engineering Variance
?a - VALUATION $ ??f•t/lJ _
Permit Fee
Surcharge ob 9
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
)-t 3 (o. C es-,
Meter Size AlPrnw-Te*?-OFF;
* CAti F61L A, VEC4N4,, LNc-P. Pwoe,
To M ILOO Fl NK'1 ,
3(-i-? o<?'
1999 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
(651) 681-4675
Submit following to obtain necessary permit
Street Address:
City
Company:
Street Address:
Foundatlon Only New Construction Interior Im rovement
structural plans (2 sets) architectural plans (2 sets) architectural plans 12 sets)
civil plans (2 sets) structural plans (2 sets) code analysis (1)
code analysis (1) civil plans
(2 sets)
project specs
(t set)
project specs (1) landscaping plans (2 sets) Key Plan
Special Inspections & Testing Schedule code analysis (1) energy calculations (1) not always -
soils report (1) Electric Power & Lighting Form (1) not always -
SAC determination letter from MGES - SAC determination letter from MC/ES - SAC determination letter from MC/ES -
call 602-1000 call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1) •'
project specs (1)
energy calculations (1)
Electric Power & Lighting Form 1
-- Contact Building inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: 3- tL99 WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: 07, 000 to TENANT NAME: ?, llklC MecI a yQq./
SITE ADDRESS: Jg5G 1Q one-e TK-" . SUITE #:
LOT
PROPERTY
OWNER
BLOCK SUBD. if C-A`G U V- I P.I.D. #
Name: W-C N Z 'Q-J Ecc I./i Y VL CAS Phone #:
Last First
CONTRACTOR
ARCHITECT/
ENGINEER
MAR 1
-?) --7 0t C, DL
-->s_ I?-95
Zip:
7aG a 3a6
City C() 6-?b - State: MN Zip: S5-1--0((/
Company:
City
Sewer & water licensed plumber (only if installing sewer & water):
Phone #:
Registration #:
State: Zip:
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances. /y
Signature of Applicant:
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
? 18 Comm./Ind.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
Census Unit
Census Bldg-
MC/ES System
City Water
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SNV Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION:
% SAC
SAC Units
Meter Size
? 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
Total 9q (Q - Z5
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 6814675
Site Address:
1959 Shawnee Rd
Lot: 1 Block: 3
Addition: SECTION 17
Description
Sub Type: Commercial/Industrial
Work Typed *-
Description:': Q lisp
Census Code: r
Permit Type: Building
Permit Number: EA034705
Date Issued: 03/16/1999
UBC Occupancy:
Construction Type:
Zoning:
Square Feet:
Remarks:. Tear off & reroof hot asphalt.
Fee Summary:
Valuation: $67,000.00
R
I
State Surcharge
Base Fee
Contractor: - Applicant -
WALKER ROOFING CO INC St. Lie.:
2701 36TH A VE S
MINNEAPOLIS, MN 554060000
6127292325
33.50
762.75
$796.25
Owner:
Lawrence Wenzel
1959 Shawnee Rd
Eagan, MN 55121
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
PERMIT
sued By: Signature
Y, �
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3830 Pilot Knob Road �j fw �(�1�, I Permit Fee: . I
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Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 �
Fax: (651)675-5694 � Staff: �
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-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: � �- Site Address: � t�� �1°l(�i.�J 1J�L�° �bA� C3
Tenant Name:����1..3�'�_ v__ l 1.���� (Tenant is: New/�Existing) Suite#:
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Former Tenant:
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Applicant is: Owner Contractor
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„ � T�� Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
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CALL BEFORE YOU DIG. Call Gopher State One Call 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.aopherstateonecall.orq
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 will be in accordance with the approved plan in the case of work which requir s a review and approval of plans.
X�m1n� ����.e�,�
ApplicanYs Printed Nam Ap li anYs ' ature
Page 1 of 3
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DO NOT WRITE BELOW THIS LINE ' ��1 ��
SUB TYPES
Foundation _ Public Facility _ Exterior Alteration—Apartments
�%Commercial/Industrial Accessory Building Exterior Alteration—Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility ,
Miscellaneous Antennae �
WORK TYPES I,
_ New _ Interior Improvement Siding _ Demolish Building* ��i
_ Addition Exterior Improvement � Reroof Demolish Interior ',
_ Alteration _ Repair _ Windows _ Demolish Foundation ��
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change *Demolition of entire building—give PCA hahdout to applicant
/
DESCRIPTION /
/� ec I
Valuation �7SdOd Occupancy MCES System
Plan Review ri0 Code Edition SAC Units
(25%_100%_) Zoning City Water
Census Code /� Stories Booster Pump
#of Units Square Feet PRV
#ofiBuildings ` Length Fire Sprinklers �
Type of Construction Width
REQUIRED INSPECTIO
Footings(New Building) Sheetrock
Footings(Deck) Final/C.O.Required
Footings(Addition) Final/No C.O.Required
Foundation Other:
Drain Tile Pool:_Footings _Air/Gas Tests _Final
✓ Roof:_Decking _Insulation _Ice&Water ✓Final Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough In Air Test _Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes '�No
Reviewed By: M+� �. , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee /, �p�a•7,5� Water Quality
Surcharge �'�1• �6 Water Sampling Fee
Plan Review Water Supply�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TO y a .a s-
Page 2 of 3