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3350 Dodd Rd �; � l Use BLl1E or BLACK Ink �---------- ---i � For Office Us���'i� I �1 I j � C�� O� LLL Ull �V GV i Permit F� . /O/.�S j � � ���� � Permit ee I 3830 Pilot Knob Road i i Eagan MN 55122 S�p O g 1�'�I� � Date Received: r�w( j Phone: (651)675-5675 i �(, i Fax: (651)675-5694 I Staff: � I � �����������������J 2014 COMMERCIAL BUILDING PERMIT APPLICATION ��'� Q �!, ^ � Date: "' l Site Address: �/�� 'J�A� �d�� Tenant Name: � � N�.R. (Tenant is: New/ Existing) Suite#: Former Tenant: Name: �PIIFIEO �1�'EENI �t�G Phone:(95��5����35 PCOpei�/Qwt1�C Address/City/Zip: ��� ��� ��� c��L�'� Applicant is: Owner�" �Contractor r D NE l,tltNA�cu s' Il'E GRc�L F� �� S � Typ�of Wdrk Description of work. D Z �r�l Construction Co� �D v�� Name: License#:✓� 1 � V� �� au . n4 C�ntt'a�tor Address: 1385 FBtmdS�Road Ciry: St Paul,MN 551 i&2731 Q/ C State: Zip: Phone: � � Z —p co�J �3 3 �� ' Do�� �=}�1�1� R,UDEAU Email:`�A.hEIC� �$TR�10��kU . CO M Name:I�REcI�. 6�R r�E� . M U��-L E� Registration#: � Z ��1 Archite ngjMger' Address�' �IJS G'AN�t�I, e4�E �;ry: tNVER ��VE NGl'S� M� State:�(� Zip: �"� S��� Phone: � 'r'��"4�� —���� Contact Person:J�M ICREGN Email: KO MA 1�a•�M Licensed plumber installing new sewer/water service: �� Phone#: NOTE:P�ans and supporting documents'that yacr submit are considerqed to be p+�b1�c it�for�a�orr. Por��c�t" .' the information may be c/assifi�i as non-pubiic if you provide�speci�i�r�ea�ns#hat wo�rit�.��n�t���j,r�i conc/uale that the are trade��cre#s. 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.4opherstateonecall.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 the work will be in accordance with the approved plan in the case of work ich re uires a review and a proval of plans. X�/�.�t t t� S. `�'R�DE,a�1 X � � ApplicanYs Printed Name AppiicanYs Signature Page 1 of 3 �; � ,,,, � �3��� (��o�C �� l � �15� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility Exterior Alteration-Apartments � Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Exterior Improvement Reroof Demolish Interior Alteration Repair �Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION �� Valuation ��►6aQ Occupancy �_ / M�CES System Plan Review Code Edition �S��SAC Units (25%_100%_ , i Zoning i�= 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) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) �/ Final i No C.O.Required Foundation Other: Drain Tile Pool:_Footings AidGas 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: f�'41�� , Building Inspector Reviewed By: ` ' , Planning COMMERCIAL FEES Base Fee �t'�D�Q r�s Water Quality Surcharge l�� 0(� Water Sampling Fee Plan Review Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit 8�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTA o�� Page2of3