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4152 Beaver Dam Rd ~1~a, ~1~4 ~~tla~, ~14~, g15a, X152 v~rr ~aurn ~ 101 6'7 IZU,6t C,"We BLUE or BLACK Ink I For Office Use Permit GQ n o n J_`6- City Ol EQ Qll Il I S I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I I I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I L----------------- 2013 COMMERCIAL BUILDING PERMIT APPLICATION - 12 UY1 t tS Date: '1 d17 Site Address: yv gvCr are. Tenant Name: Coe ftj 0,1 (;,.,1 ko+nt$(Tenant is: New / i`-, Existing) Suite Former Tenant: a Name: D;MtN C.or%ho.,s ;L \j%kk&s ot^j !~gCL,& "S Phone: AS*A- 4 3 a- 817 9 Property Owner Address/ City /Zip: ?b D42X N>3 et ho\)V% (of? Applicant is: Owner Contractor Description ofwork~eac- Oicr Qnc- (,oo~ a!, C1~rar 5 .vh Ct ^'C` Type of Work Construction Cost: b~~q Name: O T License \J .C~ 1 t et a a Address: ~Aojv lee, o•vL City: q 10!5C_ 0jV%A- Contractor State: M ~J Zip: ';J5'0(~sn Phone: !Tcs-l - 21 ;L` ~ 9 (as o~`J . G.of1 ? Contact: LG-► Email: ~f j kd V ek( e, 6 Name: Registration Architect/Engineer Address: City: State: Zip: Phone: a 2 Contact Person: Email: Licensed plumber installing new sewer/water service: _Phone _ _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to y conclude that they are trade secrets. 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.got)herstateonecall.org 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 requires a review and approval of plans. x Lc~j_ I o V x - r}nu. - Applicant's Printed N e Applicant's Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4152 Beaver Dam Rd Lot: 12 Block: 4 Addition: Diffley Commons 2nd PID:10- 20451- 012 -04 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Sandau Construction 12605 Creek View Avenue Savage MN 55378 (952) 403 -9100 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Joann G Clark 4152 Beaver Dam Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA079879 09/19/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4152 Beaver Dam Rd Lot: 012 Block: 04 Addition: Diffley Commons 2nd PID:10- 20451- 012 -04 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Quesetions regarding elec 952- 445 -2840 Ashley Orman 410 W Lake St Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit r equirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Joann G Clark 4152 Beaver Dam Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA088471 03/17/2009 ePermit cal Inspector,