3065 Springwood Path - BL95026PROPERTY OWNER
Name: L . : AJ A-(2 Phone: ?.5
- E 553?
[✓4 • GcXi jZ MA/
Address / City / Zip: &
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Applicant is: Owner Contractor `/
TYPE OF WORK
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Description of work:
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Construction Cost: �` 7
CONTRACTOR
Name: 5e.„1/ License #: 'Z4 �' /g/3
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Address: D 5- W✓ /T City: �itJG?v� 7?
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State: /79‘ Zip: 3/r Phone: �r Z' 9',)"D�
Contact: � Ik v t. �-0� �' Email: •,f� -� e /`'� o
ARCHITECT /
ENGINEER
Name: 7r" /H IV f' tLjlP.,c L I Z Registration #:
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing
new sewer /water service: Phone #:
NO TE Plans and supporting'documents that submit are considered t o be p ub lic information Port1 of ;
th information maybe classi as non - u bli c i f you provide spec►gc reasons th would p ermi t C to
., c onclude that they are trade secrets'a
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
City of Eaau
JUL 0 9 RECD
x
Applicant's ,Signature
r
Staff:
Use BLUE or BLACK Ink
Permit #: / ` cj
Permit Fee: / 7 o" 6
Date Receive. h
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ! / Site Address: d PQ .JL
Tenant Name: L jAirkb4 (Tenant is: New / Existing) Suite #:
Former Tenant:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 t /ork will , e in accordance with the approved plan in the case of work which requires view and approval of plans.
x Imo- J`
Page 1 of 3
SUB TYPES
Foundation
Apartments
Lodging
Miscellaneous
WORK TYPES
✓New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking Insulation
Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
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
Sfv.„Irlt& tditil
DO NOT WRITE BELOW THIS LINE
Public Facility
Commercial / Industrial
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
t Po tZ ArR-v'
4 000 '`'`'
_Ice & Water
1 O . Z�
Z.so
(
*Demolition of entire building - give PCA handout to applicant
SA-Les TP-A1L&12 —
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
✓Accessory Building
Exterior Alteration - Apartments
Exterior Alteration - Commercial
Siding
Reroof
Windows
Fire Repair
2.4.4.7 F-! Sta,G
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
Exterior Alteration - Public Facility
Demolish Building*
Demolish Interior
Demolish Foundation
Salon Owner Change
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final CIO Inspection: Schedule Fire Marshal to be present: Yes / No
Reviewed By: (�e1•(® , Building Inspector Reviewed By:
q.OD
TOTAL 4
Sheetrock
Final / C.O. Required
Final / No C.O. Required
Other:
Pool: _Footings _Air /Gas Tests Final
Siding: _ Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
, Planning
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