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3994 Cedar Grove Pkwy .� � Use BLUE or BLACK Ink �------------ ---� � For Office Use � ��� I . I I R������� I Permit#: � �lt 0� ����Il �,.�' y � Permit Fee: i 3830 Pilot Knob Road ,�(�� � � 2��� i �1a, ` � Eagan MN 55122 � Date Received: � � Phone: (651) 675-5675 i Fax: (651)675-5694 � Staff: � `��������������� J �`��� C,�a� G r��� I�'k 2014 COMMERCIAL BUILDING PERMIT AP�LICATION Date: � � � �°'��Site Address:_���`C'vt�"'> E � �°� ��C Tenant Name: C,. �!� O /��'�rg y�f� /V' (Tenant is: New/�Existing) Suite#: Former Tenant: _ ��.�,�.�,.._.� .�.�,�.....�.,�.�..,_�.,�..,�.,.�._.�,...,�....� _,.,,.�,.��„�.M.�.,.�,�.�....,..,�.�.�....�.,.�.�.�.�,.,�,�.�, Name: ��� d �- .�I C, r9/✓� _Phone: /�$��- L�o 7`v�^u 3�2 Property Owner Address�city�zip: � �"G/ ���4�.�/1'1� y dPd t,/UZ' �,...�.�_ - ._..W. APPlicant is.:...�,.,._,�....�, Owner � Contractor�,,,..�,..,�__.��,�,�r....,...�,.��.�..,..,._...�,._.......,...�.._..,.�..,�._m.�.�..�..._�.n.�,.e,� Description of work: �G7!!/ST/�CtCi� �� �/� v����-rCa/� ������S � Type of Work � � _...�,,.,_._�..M..,..�.�.�....�.�._._ Construction.,,Cost�.�.� O�L� ""_"'.�.�.�..�r.,..�,..,.,�.,,..�,�.ru...�..�a,...,.r,,.,.�.� �.....w..k....,..�.�....�,�.�.�..$ �„ �.,.�. ,.,. ..... � � Name: G f'�C-=�g.T���' S �G"$ License#: Contractor Address: �l yo'�/ 8���`a R a ��ty: /YII N.N�T o�'�1� State:�Zip: �`�''����_ Phone: �a !�0'2 �^ �O �S" ' � `���" � .__.�.._...� ..�..�...�__ ...�._,..n.__.,�_.. ��� rt.. Contact: �1�� �ICIC�D�s sl'��O EmaiL ,C'�L..SE/'`�U � G E=S (°� �O � . .,�.,..�D 2�`C0�2. �n�/��.�,�. ,� .�..�_ �-� �y�YVw�Y�µ^N�6��������.Jtl Name: �7'L=l��"Ol/' f'1"vSC-` �� N Registration#: �pT7Y� , � � Address: �a t/� �V, lv� �0 7`�i ��C`' City: �CJ��l�y1� � Architect/Engineer State:�.Zip: 7 � ��.� Phone: ��� " cS� y� ' l��� 6S��t�mail: Contact Person:��T�'UC fY �����wM v�.,�„�,„�„„����,„,.,�,,,,, �....a.��,,�....�.�,�.,�.�,. ,�.M�,_.,,�,.v�.,.,,_,..�..� �,.,,._,� .�,,. �.,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 wou/d permit the City to 9 ������� �, � � conclude that th�are trade secrets. �� ����n u���„�„��„��,,�_,; CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cail 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 which requires a review and approval of plans. X ��4 v�� F. /��°�Z!�o c-� X =f- l"5 Dn ApplicanYs Printed Name Applicant's Signature �--�_��3�0��3 Page 1 of 3 :� ..! . � . � . � 3��� Ce�►� �`r��� �okw DO NOT WRITE BELOW THIS LII�E I ����3 SUB TYPES / _ Foundation s;/ Pubiic Facility Exterior Alteration-Apartments _ Commercial/Industrial _ Accessory Building _ Exterior Aiteration—Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility Miscellaneous Antennae W RK TYPES New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Reptace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION �� Valuation � ���G Occupancy � MCES System Plan Review �t�JtD Code Edition "�'pp"j /iti$BL SAC Units (25%_100%_) Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet — PRV #of Buildings Length �- Fire Sprinklers Type of Construction � Width .�--- REQUIRED INSPECTIONS Footings(New Building) �heetrock Footings(Deck) Final/C.O.Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof: Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath Stone Lath Brick �Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: � •°,,,. Final C/O Inspection: Schedule Fire Marshal to be present: Yes '✓ No Reviewed By: �''I�f`/�- �� , Building Inspector Reviewed By: �' � , Planning COMMERCIAL FEES Base Fee W�V�� Water Quality Surcharge �.�� Water Sampling Fee Plan Review ���c� Water Supply 8 Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL Page 2 of 3 . . a���� , ���l�' �� � , , ��� , � �� , , �,. � � � ���, ������ �� ,. , � ,; r , i , , , , — , �_ . � . � , a� �. ���� � " ,�'� 1 �`_�"�o , _ � , � � _- ' i �� � � \ \ �� , � � . ; . ` � o � � _ �,.� .-� > ��. . � ��, " , � � \ , , _ > . - � �. � � -,, ` � ' '_�- 3'-� � i � �� � � � n � �� ��� i � � � � A . , �� ,. � .� , . , . � , �� �., -� � �„ -� - � ? s �� �. /' _ ,� a _ � � � \ . ��� _ _ i �l� A' �� � � . �, �. _ . .. _ . �- . . i . - , .._ ,, _ � " � . _,y - �' � - � � z � . . � . �,- . �. � ,. a . . . i : , ,� -: . � i u� ' . . . . . , X , - , -.,:� , � � � ' „ ' -� _ y i � ti , �, ' / . -- ��:�� ; . . . ._ � �,- '�� � � - ,r � ;-, ..,_ �,. ,_ . �, : ,, .:. , . ._- _;... . . . . „� ` ��_ / \\ _ . . - � ' �� ,� , � ._ ,e . ,�� --.�� � . � � _ _ . . . _ _ _- -�.. ��' �. . , y , _ . f _ . ' �' �' .�� � � �� � � � � � � � � �= ��= � �� �� a� , �s `� � q� o t; e r, ':.:. , .. , i � � , �� _ �. � _, ,�j - ��.� ' . . .,�x �, . .,. � .. -.� ..,.�' � .;� . . "� � \ .. .� � � � � . -o -, - � � ��- �� .�- _- �� . �- ,' . . A f \ O ,�� „( , . . . � z ��I I a c � m _ � � � �� I� � � � j ! � ' � � ;�� , i, ���V � I � � �� Ill i � � 7 _,. , , ,_ _ . , , . L- s N �` \ � `,,� . � t% � ,i�� � .� - � �#�,e�4 �—"s + i Y N . n ' �II s o � �� � �, - � � �- '� �� � -- . a o a', � � �a \ � �� o,.� ..>��a � a Nicols Ridge Park Development � uM�mE����' ���m^ "'r.��a� �� �. m ..,.._....,_. o,as�-o,o N EAGAN,MINNESOTA — — m"" °�