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3870 Pilot Knob Rd - Civic Arena ceilingCity ofEaau Tenant Name: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2010 COMMERCIAL BUILDING PEMIT APPLICATION Date: 0 // 0 /a 0 / 0 Site Address: 8 3 t� p) l [� 1 4 /6, ) �!r , /�. I-/ ), CS-42,g / fcvx:t (Tenant is: New / °t/Existing) Suite #: Former Tenant: Use BLUE or BLACK Ink Permit #: g310 c � Date Received: 3 8 61. Staff: ( Permit Fee: PROPERTY OWNER TYPE OF WORK CONTRACTOR ARCHITECT / ENGINEER Name: Address / City / Zip: Applicant is: Owner _ Contractor Phone: s /- 6?-S -54-9 Description of work: 5. Construction Cost / /S SL7 �L�'Cy rl Name: Cilte l' F /n? /2 JJ/ 'N /,., Address: 27 : © I/al re in 31 e- License #: cit Sf- Lat-Lref-3f State: _ Or,- Zip: f{ /15 Phone: s7 J 3 3 y-3 38.E Contact: ; r 3eL J LGa. k Email: , el Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer /water service: Phone #: J OTS: Plans an d $ upp the Information may b CALL BEFORE YOU DIG, CaII Gopher State One CaII 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 applicati for permit, and work is of to start without a permit; that the work will be in accordance with the approved plan in the case of . U ich requires a rev i= an pproval of plans. Ll �J 7 t Applicant's Sig ` ature MAR © x tcS 6g 14 t - Applicant's Printed Name Page 1 of 3 SUB TYPES Foundation _ Public Facility Apartments X Commercial 1 Industrial _ Lodging — Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation 11-G I Ate et) Plan Review ✓ (25 %_ 100% ) Census Code # of Units 0 # of Buildings Type of Construction 1j. • 13 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water _Final — 7 Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: V Reviewed By: CfA i , Building Inspector COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S &W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Interior Improvement Exterior Improvement Repair Water Damage C tAt4 xra tiusuudior.l / St . 75" sB. 741. DO NOT WRITE BELOW THIS LINE Occupancy Code Edition Zoning Stories Square Feet Length Width Accessory Building Exterior Alteration - Apartments Exterior Alteration- Commercial Exterior Alteration - Public Facility Siding Reroof Windows Fire Repair Zoo 7 wove. Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: _ Demolish Building* Demolish Interior Demolish Foundation Salon Owner Change *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock _ Final / C.O. Required Final / No C.O. Required Other: ait N d Cktors•r e Pool: _Footings _Air /Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall Erosion Control No Reviewed By: I�r TOTAL q 40i 0 0 , Planning Page 2 of 3