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Permit#: / gqeo7
City of Eaall Permit Fee: VC t.
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
buildinginspections(d cityofeacian.com Staff:
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2017 COMMERCIAL BUILDING PERMIT APPLICATION
Dated/® /7 Site Address: a4 / c /0 _,, (feR-,......71 Z. ,e ( / I 0
Tenant Name: r Q r d IO.5-1-0 0 (Tenant is: New/le Existing) Suite#:
Former Tenant:I 1
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Name:_ ,__.. __c)/._4....4.1 G Cis CZ—c Phone: �I/J — S o '`Zj
Property Owner £ Address/City/Zip:1 6-o pi,® PL. (:)ea Al /9 Cl/ a 3 r tA S/
Applicant is: Owner Contractor
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Type of Work Description of work: /1)0 i't_
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Construction st uction Cost:
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IName: License#:
i, iAddress: City:
Contractor 1
I i State: Zip: Phone:
Contact: Email:
Name: Registration#:
Archi ectiEn ineer Address: City:
State: Zip: Phone:
_rnt,I' Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you:submitare considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www.cityofeaoan.com/subscribe.
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.qopherstateonecall.org
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.
Applicant's Printed Name App ' ant's nat ��`
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DO NOT WRITE BELOW THIS LINE /L/
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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 So O- a.v Occupancy s' / MCES System A/�Al"
Plan Review Code Edition ZO I 5-/14&C- SAC Units /
(25%100% ) Zoning Pi) City Water ✓
Census Code Stories / Booster Pump
#of Units ( Square Feet PRV
#of Buildings ( Length Fire Sprinklers 1/7
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: egAi t, , Building Inspector
FEES Water Quality
Base Fee 410.5-O Storm Sewer Trunk
Surcharge /Al GLJ Sewer Trunk
Plan Review AidAlE 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: 41
Trail Dedication TOTAL: 4. 4 ,-
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