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For Office Use 1 9
Cityof En all Permit#: '
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
L
'f �" 2017 COMMERCIAL BUILDING PERMIT �APPLICATII1ON
Date: / vc"'f, Site Address: �A+2f'e,/r-Wic e (i,v'r-v , "'i *,/n/t/i'S7�
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Tenant Name: /v//q (Tenant is: New/ Existing) Suite#:
///! Former Tenant:
° Name: ® C�G//V+C./�.r .� .,. Y ... , Phone: J7 7
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Property Owner
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Address/City/Zip: 9 �.%1'�CG.�c cf
Applicant is: Owner Contractor
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Type of Work I Description of work: I //e� +�--'�
Construction Cost:
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Name: /u//4nn
License#: I
i Address: City:
Contractor
State: Zip: Phone:
I Contact: Email:
YName: /V�r� Registration#:
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Architect/Engineer 1
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: /d/A' 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 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 appli . ''n 1 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 w% ' requires a review and approval of plans.
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x MWD Ct)1/1001 41.e - ,,Zqw �y� 'a� ' x Applicant's Printed Name Applic Se.
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ZI Cl4SSic-1— 10-7
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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 56 D. ca../, Occupancy S, / MCES System N/A'
Plan Review Code Edition Zo S 5I'4Z C- SAC Units
(25%_100%_J PbZoning City Water ✓
Census Code Stories / Booster Pump
Sof Units I Square Feet PRV
S of Buildings ( Length Fire Sprinklers ✓
Type of Construction V'E 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 _FinalFinal/No C.O.Required
Final C/O Inspection: Schedule Fire Marshal to be present 7Yes No
Reviewed By: , Planning New Business to Eagan:
Reviewed By: Cgti—Le, , Building Inspector
FEES / Water Quality
BaSe Fee Y'D.5--o Storm Sewer Trunk
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Surcharge 1 iU GL/b Sewer Trunk
Plan Review AidAIE 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: /I
Trail Dedication TOTAL: '. re)
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