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4130 Rahn Rd B206 �,^ Use BLUE or BLACK Ink I t . ,- For For Office Use :::: 'tiCit of Ea apY : l )-. 69/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: _7-_ f /7 Phone: (651) 675-5675 RECEIVED A Fax: (651) 675-5694 staff: JUL 1 9 20J7 i �[(Qd 2017 COMMERCIAL BUILDING PERMIT A PLI TION —1-3I.,�'? Date: 7/1g Site Address: 1l f v Ra. I°1 r` A. ( ((3 //:1- Tenant Name: *La L . E Dei,4' (Tenant is: New/ Existing) Suite#: Former Tenant: Name: -re LA LNut'-tT Phone: )6i - Property Owner Lt(30 IR6-11h 0. Address/City/Zip: i Applicant is: � Owner X Contractor . Type of`Work' Description of work: // Orq Construction Cost: 1"[ o 6•® o .................. c l Name: 51-e-�- L.o kik License#: Contractor Address: (15'17 reit al-c'C w o v-�.0 z P City: (o a 1'^t H'9-cik State: fl 1\1 Ll( � Zip: > 7 Phone: C ) ,._s- o —5-4)07 s, p 1 Contact: 6` ° Email: h�-kt5 l'eIA erG`�uc� , C c Name: Address: City: Architect/Engineer � State: Zip: Phon-. s f Contact Person: Email: a 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 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will b- in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applicat . fe cermit, and work is not to start without a permit;th. tr e work will be in accordance with the approved plan in the case of work is -, ires a review and approval of plans. 40° 5 ,R,, k . L-5.cs-or, / Applica i-'rinted Name Appli ant's •i•nat re Page 1 of 3 DO NOT WRITE BELOW THIS LINE I I s6 I SUB TYPES V? D cZotl-tn 1a 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 Za__90 Valuation Occupancy . g.c 2 MCES System Plan Review Code Edition SAC Units (25%_100% )() Zoning 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_Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Concrete Entrance Apron Insulation X Other: 0 t1 ,/e af). /}4 Sheetrock Meter Size: Roof:_Decking Insulation Ice&Water _Final 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: 7 , Building Inspector FEES Water Quality Base Fee 00 0 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: Treatment Plant(Irrigation) Park Dedication Trail Dedication TOTAL: Page 2 of 3