4130 Rahn Rd B206 �,^ Use BLUE or BLACK Ink
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For Office Use
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'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. (
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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
..................
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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
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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
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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:
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