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])-1 3 of Eaan Permit#:
Permit Fee: /D'. 1°9
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
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2017 COMMERCIAL BUILDING PERMIT APPiLICATION
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Date: I 7 Site Address: 3
116 P A AA • ) I 0
Tenant Name: .r (4r(A`Z (Tenant is: New/,Existing) Suite#:
Former Tenant:
Name: ....(ANA- �L' 7rq" �77q
�t�c v1 t L( Phone:
Pro rt Owner "'� �f - L ( PC'r Y /Nev
Y Address/City/Zip: l� 2(ce /c f et . d !1
Applicant is: Owner Contractor
P.t (QC t iA K ` it c a v�d- 1 i S i- 0 ea leo,1 N
Type of Work
Description of work: y pp
Construction Cost: t4'f 0 C Lt.. °
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Name: 3 t u-e- t.0.kir-SL to License#:
Address: —1 3 17 4 .<C C3-‘) t C4 r.+ "'C` City: /J f v:'✓vn r (Ay ' ,ii1
Contractor / / CJ
State: es4 N Zip: .� 1 3 7 Phone: (,D t ) Yo �S ( 7
Contact: <.rCt tpti(',ltd C �'‘.‘,;e Email: S r\1 C' yl vi . l !f td ('
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Name: Registration#:
Arch tectlEngineer
Address: City: '
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State: Zip: Phone:
Contact Person:
Email:
Li---------------
ensed 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 1
, conclude that the 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 applica•on •r . 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 w,r, h'f h •quires a review and approval of plans.
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Applicant's Printed Name App ice''s Si.' -'ure
Page 1 of 3
DO NOT VI/RITE BELOW THIS LINE lLi;,.�P,3
SUB TYPES q('�t) iq 4,� r - ' 'U) t O 1
Foundation Public Facility Exterior Alteration-Apartments
A 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 € / r CP s, '' Occupancy MCES System
Plan Review Code Edition 11462,0 is SAC Units
(25%_ 100% ) Zoning 7 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) Final/C.O. Required
Footings(Deck) „ , Final/No C.O. Required
Footings(Addition) Other:
Foundation Foundation Before Backfill Pool:_Footings _Air/Gas Tests _Final
Drain Tile Siding:_Stucco Lath Stone Lath _Brick EFIS
Roof:_Decking _Insulation _Ice&Water Final Retaining Wall
l�
]f Framing c 30 Minutes 1 Hour Erosion Control
Fireplace:_Rough In Air Test Final Concrete Entrance Apron
Insulation Meter Size:
Sheetrock Electronic Plans Required
Windows
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: , Planning New Business to Eagan:
Reviewed By: 1—k-, Building Inspector
FEES Water Quality
Base Fee Storm Sewer Trunk
Surcharge Sewer Trunk
Plan Review Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Other: / >. ;', Of"
Treatment Plant(Irrigation)
Park Dedication
Trail Dedication TOTAL: 2° 000
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