3155 Coachman Rd Unit 381PROPERTY OWNER
Name: STEVE KAH LE. Phone:
Address / City / Zip: 1 55 CIACM-HP0.1 tr)Pt-r) EA(At) Yin. 55 (41
..
Applicant is: y Owner Contractor
TYPE OF WORK
Description of work:FATutita9 (...iypurere. WITH ARDec (")5
Construction Cost: i t000.
CONTRACTOR
Name: A foiD A CiOtkrri? 0 GT10 NI CP J License #: cp aS
Address: I P I I 1 5 14 E 1'4 (...0 C,k- C4 City: LAKEV l LI .e
State: 01 4 Zip: SO Phone: 1A-SI49-3315 9sa- 43 I - 2.00 g
Contact: WA40E r E
ARCHITECT /
ENGINEER
Name: Registration #:
Address: City:
State: Zip: Phone:
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
conclude that they are trade secrets.
City of Eatali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
(,\Y`
c'T-
(Tenant is: Now/
Permit Fee:
Use BLUE or BLACK Ink
For Office U7. , f
Permit #: VV
Date Received:
Staff:
2010 COMMERCIAL BUILDING PERMIT APPLICATION Ao,„
Date: 1 0 ( 110 Site Address: r AL
Tenant Name: s (AHLE
Existing) Suite #: 3? 1
Former Tenant:
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.
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
WA' C B I DEkLL x
Applicants Printed Name AppIican» Signature
Page 1 of 3
3(66 Cow
hw KCB. 3e1
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
7\ Apartments
Lodging
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Public Facility
Commercial 1 Industrial
Greenhouse l Tent
Antennae
_ Interior Improvement
Exterior Improvement
Repair
Water Damage
DESCRIPTION
Valuation / o0'
Plan Review
(25 % 100% )
Census Code
# of Units
# of Buildings
Type of Construction a
REQUIRED INSPECTIONS
_ Footings (New Building)
Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
_ Roof: _Decking insulation Ice & Water _Final
Framing
_ Fireplace: _Rough In Air Test Final
insulation
Meter Size:
� ''
COMMERCIAL FEES
Base Fee 5 •
Surcharge , 5
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Accessory Building
_ Exterior Alteration-Apartments
Exterior Alteration - Commercial
Exterior Alteration - Public Facility
Siding _ Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Fire Repair _ Salon Owner Change
*Demolition of entire building -give PCA handout to applicant
n -z
---- ---- --
Final CIO Inspection: Schedule Fire Marshal to be present: Yes o
A/1- Reviewed By: �` " , Building Inspector
y�s
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
_ Final / C.O. Required
✓Final 1 No C.O. Required
Other:
Pool: Footings Air /Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
_ Retaining Wall
Erosion Control
Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL 67, 7 S
Planning
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