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1220 Diffley Rdr City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / 3SC/96, 1J° Permit Fee: Date Received: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: S 5 lC Site Address: &&Uck l Lit- J ('q p n i Tenant Name: 4porra /4V f- Pa ik. 1 20 hi-CE6-41 Name:- E. a E.a it ope1 t Pot /< (Tenant is: New / ✓Existing) Suite #: Former Tenant: Address / City / Zip: Applicant is: Phone: Owner Contractor e of :Wor Description of work: I �'1 c1 -u l(d hfn Skt Construction Cost: ' Z S . oi ntr..acto rchitectlEng ineer."` Name: C G1 f41 ;KNE Pot -:'k / (�he7 ess.PCR / t1. Ad r : IZd 1i 7�l S �� Q d � �-1 1 City: an State: Mil I %) Zip: SS/2. Phone: 6S1— 4S `7 T / 2— Contact: e, Oct AM( Email: CC'Ga •,, 1 ' ' ,' i i' r F- cN c$/—yry- rs $ Name: VI/eSt4 7iYl & Farr - c Registration #: Address: / / S0 /,Z ern E State: V1— Zip:T ©T Phone: Contact Person: J MX( r r Email 11 p5111e t. . Ce)'V' Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and sups the information may L cortin e c/as: loci /{ec encs that fou submit a►e onsl erect to be ;<c in orrr at on r ions' s non publicf you rovide pec/fiereasons hat nio ldpermit the C/ty ;10,de that they are trade secrets, . 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.gopherstateonecall.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 which requires a review and approval of plans. c keel] O a - Gn{ Applicant's Pried Name x Applic AII)0<$ 6 -C2, -8i, 9 -01i4/ Page 1 of 3 Di (C(Gm 2et DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Commercial / Industrial _ Apartments Miscellaneous WORK TYPES New Addition Alteration Replace _ Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% X ) Census Code # of Units # of Buildings Type of Construction )( Public Facility Accessory Building Greenhouse/Tent Antennae Interior Improvement Exterior improvement Repair Water Damage 2,5, 000 B REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation Framing Fireplace: Rough In Air Test _Final Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required )( Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final _Ice & Water _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Final C/O Inspection: Reviewed By: Retaining Wall Erosion Control Concrete Entrance Apron ule Fire Marshal to be present: Yes ')( No Building Inspector Reviewed By: - , Planning 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 / z. J - Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: S° TOTAL: 4/z. Page 2 of 3