4574 Villa Dr
C~ c~La ~\l ~ ~ las COMMERCIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 R
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey ('I) • CivilPlans (2) • ProjectSpecs (t)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (1) . CodeAnalysis (t)• MasterEwtPlan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculatlons (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be estahlished-if applicable
1 . ProjectSpecs (1)
1 • EnergyCalculatlons (1)'• 1
d • Elecbic Pov?er ffi Lighting Fortn (1) " 1
1 • Master Exit Plan (1) L
1 • Emergency Response Site Plan (1)
1 • SoilsReport (1) L
• SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health az 651-215-0700 for details regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required when it states "not always".
Permit for new building or additlon will not 6e processed without Emergency Response Site Plan.
Date Construction Cost 4~.412~9 QAGi:Ud-~ G~aS/
c
Site Address UniU te #
Tenant Name [~~Nif/! `/i/ Former Tenant Name
Description ot Work ~62/w l f}~~~ OSl
Praperty Owner e/ c42 Telephone # ((,N- ) 3W- 9AO
Contractor /'fi'/7~ / Address (,-;32 9.&d i.1'lG c5-0- City /~i~Ib5
State Zip 63~3 'l"S Telephone #(10a) 9~,s = /Pd a~
Arch/Engr Registration #
Address /0 City 4P/49
State Zip vn Telephone #Q;/pl)
Licensed plumber installing new sewer/water service: Phone
~
I hereby apply for a Commercial Building Permit and acknowledge that the information s comple d accurat ;
that the work will be in conformance with the ordinances and codes of the City of Ea
Statutes, I understand this is not a pernut, 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 e o work which requires a review and
approval ofp s. plicant's Pnnt~d N~e Applicant's Signature
~6/r'.~
OFFICE USE ONLY
Sub Types
? 01 Foundarion C 26 Public Facility C 30 Accessory Bldg.
? 14 Apartrnents X 27 CommerciaUIndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 2$ Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
A 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement `DemoliUon (Entire Bidg only) - Give PCA handout to applicant
Valua4lon L ab Occupancy V MC/ES System
Census Code 3 Z S Zoning PD City Water
SAC Units Stories ~ Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const f~ Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) ~ FinaUC.O.
Footings (deck) FinaUNo C.O.
? Footings (addition) _ Plumbing
? Foundation HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framiug _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By: , Planning Division Approved By e~4~ , Building Inspector
- - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total