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7711 For Office UsiCity ,rJ,of an Permit#:
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Permit Fee: ld
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 APPLICATION �r
Dater�` /, Site Address: �' eiVie// o /T/®s) /-44, f/i N "s'A /Z--3
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
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I Name: 7® �rW t' L GC-- - Phone: 4�/- s 0
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Property Owner Address/City/Zip: 6 F r ,i riVieA V � 3� US
I Applicant is: V Owner Contractor
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$ Type of Work Description of work/VC)&o/ex J/ / Tu� C 0.
Construction Cost
Name:_ —w - , . ,...,, ,.-. License#: . ,. . .,.»
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Address: City:
1 Contractor }
s State: Zip: Phone:
I Contact: Email
Name: A lk- Registration#:
I ,, Address: City:
1
Architect/Engineer
State: Zip: Phone:
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� I Contact Person: Email
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 would permit the City to
conclude 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 wor. . ill 1- in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an ap. ' . .r 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 . �ir f h requires a review and approval of plans.
/1/070 d0/4440 /6MAil 4.Ze. 441?
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Applicant's Printed Name ,v =. ica' 'l nature
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z) Cass e - 1v; LILI -7S
1 DO NOT WRITE BELOW THIS LINE
SUB TYPES
-_rFoundation _ Public Facility _ Exterior Alteration-Apartments
,/ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility
Miscellaneous Antennae
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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 50 O. ow Occupancy S• I MCES System Al//'
Plan Review Code Edition 7-0 I si 12C_ SAC Units
(25%100% ) Zoning Pt) City Water ✓
Census Code Stories / Booster Pump
#of Units ( Square Feet PRV
#of Buildings Length Fire Sprinklers ✓
Type of Construction V'8 Width
REQUIRED INSPECTIONS `
Footings New Building_Deck_Addition Drain Tile
—
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes_1 Hour Steel Reinforcement
Insulation Concrete Entrance Apron
Sheetrock Other:
Roof:_Decking _Insulation _Ice&Water _Final Meter Size:
Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic As-Built Plans Required
Windows
Fireplace:_Rough In _Air Test _Final ✓ Final!C.O.Required
Pool:_Footings Air/Gas Tests _Final _Final/No C.O.Required
Final C/O Inspection: Schedule Fire Marshal to be present Yes No
Reviewed By: , Planning New Business to Eagan:
Reviewed By: Cgi' , Building Inspector
FEES Water Quality
Base Fee 40.5-0 Storm Sewer Trunk
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Surcharge /Al tLi) Sewer Trunk
Plan Review aiE Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other: lel'
Trail Dedication TOTAL: 0, S—d
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