3410 Federal Dr4 City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
SEP 02
Date Received:
Staff:
(� 2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: "I ' J o Site Address: 34 Fed e co, ) r^ V e
Tenant Name: Ex+ e-r tar Remodel (Tenant is: New / X Existing) Suite #:
PROPERTY OWNER
TYPE OF WORK
CONTRACTOR
ARCHITECT /
ENGINEER
Name: MF Pro p ertied 5, L+ P Si 452- 3303
Address / City / Zip: . 3 4"7 0 L s4 S N t r�G,. 1D o (t r , WI b 2, Ecastun hlK 517 2 3
Applicant is: Owner X Contractor
Description of work: R E ®de R d r B h o epm Cee 3 r -Id f EI l a
Construction Cost: $' 94 COO
Name: t..../AS Co s1 r c t. ct 'c r- Svcs/ LLL License #: 1.044 33
Address: 3 D w Agin , v, �, j — / b Z City: Ec 0.v.
State: 'F'4, Zip: 5S112— Phone: ('5 I lt5l 3303 /[mot! 41z 799 -53 S
Contact: C.18 d 5o 4,4 d y Email: C.5ct. vk d c P m rc. rmpte -°es. t o �,
Name: Av-e 1,;3 Co w s eo r4 t t,. p► . 0.1-Registration #: ZZ2$
Address: Q d( N Tk j rci S - ✓ 'e'e City: M er S
State: to■ Zip: �J 5'4 Z b I Phone: (al 43 la ° 4' O 3 0
Contact Person: Elliot" Ste-via { e_) Email: e91 t tctLl c o r cl„ca►15Pet • WW1
Licensed plumber installing new sewer /water service: l Phone #: to
Pla
nfo rr
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.Qopherstateonecall.ora
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 requires a review and approval of plans.
x Chcid E. Sav,ci e,
Applicant's Printed Name
Former Tenant:
x
Applicant's Signature
Use BLUE or BLACK Ink
Permit #: C-
Permit Fee: \114C.®
-70
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% S./)
Census Code
# of Units
# of Buildings
Type of Construction
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
s yip C-6--7d-ERY4-1 DP
Public Facility
✓ Commercial / Industrial
Greenhouse / Tent
Antennae
_ Interior Improvement
V Exterior Improvement
Repair
Water Damage
9 0 COO =� Occupancy
Code Edition
Zoning
Stories
p Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
V Footings (Addition)
V% Foundation
Drain Tile
Roof: _Decking _Insulation Ice & Water _Final
V Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
DO NOT WRITE BELOW THIS LINE
Final CIO Inspection: Schedule Fire Marshal to be present: Yes
Accessory Building
_ Exterior Alteration- Apartments
Exterior Alteration - Commercial
Exterior Alteration- Public Facility
Siding
Reroof
Windows
Fire Repair
2Co7 M' &-
" Sheetrock
Final / C.O. Required
7 Final / No C.O. Required
V Other: 5 14-elc-rifrt IJ C.
No
Reviewed By: G , Building Inspector Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
_ Demolish Building*
Demolish Interior
_ Demolish Foundation
Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
ti �
I JbT -&- P
Ni
Pool: _Footings _Air/Gas Tests _Final
S ti �Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Page 2 of 3