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3065 Springwood Path - BL95026PROPERTY OWNER Name: L . : AJ A-(2 Phone: ?.5 - E 553? [✓4 • GcXi jZ MA/ Address / City / Zip: & r.. Applicant is: Owner Contractor `/ TYPE OF WORK � " 5p9, p Description of work: � / t Construction Cost: �` 7 CONTRACTOR Name: 5e.„1/ License #: 'Z4 �' /g/3 n Address: D 5- W✓ /T City: �itJG?v� 7? qq State: /79‘ Zip: 3/r Phone: �r Z' 9',)"D� Contact: � Ik v t. �-0� �' Email: •,f� -� e /`'� o ARCHITECT / ENGINEER Name: 7r" /H IV f' tLjlP.,c L I Z Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer /water service: Phone #: NO TE Plans and supporting'documents that submit are considered t o be p ub lic information Port1 of ; th information maybe classi as non - u bli c i f you provide spec►gc reasons th would p ermi t C to ., c onclude that they are trade secrets'a 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name City of Eaau JUL 0 9 RECD x Applicant's ,Signature r Staff: Use BLUE or BLACK Ink Permit #: / ` cj Permit Fee: / 7 o" 6 Date Receive. h 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: ! / Site Address: d PQ .JL Tenant Name: L jAirkb4 (Tenant is: New / Existing) Suite #: Former Tenant: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 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 application for a permit, and work is not to start without a permit; that t /ork will , e in accordance with the approved plan in the case of work which requires view and approval of plans. x Imo- J` Page 1 of 3 SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES ✓New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation Framing Fireplace: Rough In Air Test Final Insulation Meter Size: 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 Sfv.„Irlt& tditil DO NOT WRITE BELOW THIS LINE Public Facility Commercial / Industrial Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage t Po tZ ArR-v' 4 000 '`'`' _Ice & Water 1 O . Z� Z.so ( *Demolition of entire building - give PCA handout to applicant SA-Les TP-A1L&12 — Occupancy Code Edition Zoning Stories Square Feet Length Width Final ✓Accessory Building Exterior Alteration - Apartments Exterior Alteration - Commercial Siding Reroof Windows Fire Repair 2.4.4.7 F-! Sta,G Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: Exterior Alteration - Public Facility Demolish Building* Demolish Interior Demolish Foundation Salon Owner Change MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Final CIO Inspection: Schedule Fire Marshal to be present: Yes / No Reviewed By: (�e1•(® , Building Inspector Reviewed By: q.OD TOTAL 4 Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings _Air /Gas Tests Final Siding: _ Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control , Planning Page 2 of 3