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940 Yankee Doodle Rd a e Use BLUE or BLACK Ink ----------------- For office Use Civ � e f i C� U .�� t I Pere 3830 Pilot Knob Road Permit Fee: �n Eagan Mid 55122 Date Rer�ived: l - l Phone:(651)675-5675` ( Fax:(661)67"694 L 8 2016 1 Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: a.A_ Gt17 Tenant Name: . c e. r't r- +- (Tenant is: New V A E)isting) suite#: Former Tenant: Name: L�,t cy 'e, Phone: P'rQperty owner.: Address,J City l Zip: 4 t.. r. Applicant is: Owner Contractor � j+pe of 1Aloric' Description of work: (*w bus to rt&kk r a—itv_k Construction Cost: m'lt , Naive:. License M Ci ` e Contractor Address: 1 F x 4 ty _ State V-1 Phone:_-7 L - �-t'1 a-S) Email. r" v Name: r '_r Registration#: ArchifectlEngineer Address: I , yv f Styr state'. y' dip:. ` l� Phone:"Its % %. Contact Person:' rzci + ( lr cf Pmail: fY a r ,-s o Licensed plumber installing new sewerlwater service: _ Phone#: NtJTE 'Plans and supportfng documents,'t5haf yon subm►t art,to be ptrblc informsi Fo�hro�s;o� the lttfot�rraort mpy be# asslfled a:svn�pr rc r y pvvfde frc rleasana fiat uruld It fire C! x. conclude.#hfit t`ffe :are trade sef`ets: x n : CALL BEFORE YOU DIG.. Call Gopher State One Call at(659)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonsoll,ora I hereby acknowledge that this information is complete and agate; 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 Appiicant's Printed Name, I Applicant's Signature" Page 1 of 3 q c) V4- k4,-j�&j UL_ DO N© WRITE BELOW THIS LINE �- SUB TYPES _ Foundation a Public Facility Exterior Alteration-Apartments Commercial I Industrial Accessory Building Exterior Alteration-Comm arcial _ Apartments Greenhouse I Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES Now Interior improvement Siding Demolish Building* Addition Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows _ Demolish Foundation Replace Water Damage Fire Repair _ Retaining Wail Salon Owner Change Vornolitian of entire building--give PCA handout to applicant DESCRIPTION Valuation 1y,ebe Occupancy 4%, MCES System Plan Review Code Edition 241r /h&e- SAC Units (25%%0 I00%:?%j 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) Sheetrock Footings(Deck) Final I C.O.Required X Footings(Addition) _2i Final I No C.O.Required Foundation Other.. Drain Tile Pool: Footings Air/Gas Tests „,Final Roof:_pecking `Insulation ;,_Ice&Water „,,, ,„Final Siding._Stucco Lath _Store Lath Brick ?C Framing Windows Fireplace:_Rough In Air Test _Final Retaining Wail Insulation Erosion Control Motor Size: Concrete Entrance Apron Final CIO Inspection- Jule Fire Marshal to be present: Yes ?� Ne Reviewed By` , Building Inspector Reviewed By: !' ,Planning COMMERCIAL FEES Base Fee Zo7��%' Storm Sewer Trunk Surcharge �l3S,"' Sewer Trunk Plan Review Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral J Treatment Plant Other. z e57 Treatment Plant(irrigation) Park Dedication -° Trail Dedication Water Quality - TOTAL:� r� ell Page 2 of 3