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3035 Eagandale Pl4/* City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JUL G 1 2011 Use BLUE or BLACK Ink Permit#: (-/ ?5 - 3DatePermit Fee: — V 73- Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATIONAW-C Date: 7 3 f( Site Address: L O X35 j ct _) cu t`e.._ PLC +v aas L f < 's (Tenant is: New / _ Existing) Suite #: Tenant Name: k Former Tenant: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: c‘ y e e eS`FoiLcc T I 0 Construction Cost: __,,CA)� 3O -O CONTRACTOR Name: Address: / epd-,S,eov / 6 Al License #: l Z �. City: a Id i/eae i State: N/✓ Zip: 55-0"7 Phone: 6124 703- ST 7.3 Contact: lw. 1V -f 1.se ") Email: 3-1 Ma ex 4.. CofriA ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public informatio �e information may be classified as non-public if you provide specific reasons that would pen' conclude that they are trade secrets: 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.aooherstateonecall.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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 4111 x i1 I t f i5 0 Applicant's Printed Name Appli is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Public Facility A Apartments_ Commercial / Industrial Lodging Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration Replace Retaining Wall Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION Valuation 3 9 Qoc Plan Review (25%_ 100%cC ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) A Occupancy _ Accessory Building Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Fire Repair Salon Owner Change *Demolition of entire building- give PCA handout to applicant R-2 Code Edition Tee- 2.00 6 Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Final MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 1, 6, F& k i y► q 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 Final CIO Inspec 'on: Schedule edule Fire Marshal to be present: Yes No Reviewed By: , Building Inspector Reviewed By: , Planning h y COMMERCIAL FEES Base Fee Surcharge Plan Review -4 MCES SACS City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 *I City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: 4 ®/5-- J( Site Address:� Tenant Name: P � fe-G( 3c33-- a-e,L) du, /- (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: J /1 1E12 it0!/.-- ' GC Oie---- JDI7l6 Construction Cost: *kg- r' '...__c. Lft 1. --ib %1 CONTRACTOR Name: 67i'I'y�`.O„ ) License #: /7 Address: 3 es /Q 174- 4- - Al City: adide/J )(4-1, State: ria -1 Zip: ,��y.: -7 Phone: 7b^ 3 Aged �'-T,..-/��- /6� Contact: -I I"' i efsa,v Email.,..1 3.-,v,,,. N (S9 (c� i��� a�(f ,.. ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans `and supportingdocuments that you submit are considered to be public information Portions of the information maybe classified as non-public if youprovide specific reasons that would permit the City, to conclude that they 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.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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x � Jsa N) Applicant's Printed Name x Appli - nt's Signature Page 1 of 3 41! City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 2 6 2011 Use BLUE or BLACK Ink Permit#: 0776 c Permit Fee: d` Date Received: 4 1.c?4! Staff: L 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: 6/9"---- : %i% Site Address:3D SNI? 3c35 Z/Q 4 ' ,44 5-57.z/ Tenant Name:/ �i� /'%✓l (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: 4.",/�?63/ I. ' /V.v.i r'rez-, Phone: d 395 27/0 Address / City / Zip: 390,5' ,� 'G. G ,t_ii /771,/ .31.E % Applicant is: Owner V Contractor TYPE OF WORK Description of work: Construction Cost:Jljr'c,, -4&_,,_4,,_,,,',1‘ CONTRACTOR Namediad%%�. AV/71;7W- /-e-0 5%d`6'6ffo l.License #: Address:/ 3%% 4:-1,Zi-C.;7Y ,'G1 ,G' ai City:, W"/ 1 /IRPA/ State: % j4,.5 Zip: 7 -J/% Phone: Y 71, 6 &'di/�3 Contact:ZJ-4/U /k ;i91/, Email: ARCHITECT 1 ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: -Y NOTE Plans and supportingmdocuments that you submit are considered to be public information ' Portions of the information maybe classified as non publlc_if you provide specific reasons that would permit the Ci to conclude that they are: trade secrets 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 the work will be in accordance with the approved plan in the case of work which requires review and proval of plans. x n?- X11 f'TA4'e- Applicant's Printid Name x Applicant's Si • ' ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 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 Public Facility Commercial / Industrial Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: , Building Inspector Accessory Building Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair 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: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Yes No Reviewed By: , Planning 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 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 City of EaQall e/c5#16 � 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / Permit #: /07 7e SO Permit Fee: f q 5' V Date Received: Staff: J 201�1v�iCOMMERCIAL FIRE ALARMcPERMIT APPLICATION* Date: I D113`a0.t Site Address: 3o3S ✓ 2 ate- �'E4.C�G�.fl , Pan 55%at Y�aril � Suite #: `J Name: VOiKQ V . ('t(I56GL J[(fA�L4PP�hone: �c% ' Q1 0 Address / City /Zip: >F0.n 9a.cla l - rK'�ltSL Tenant: Applicant is: Owner Contractor Description of work: cACIC.PPAA. SCni Ce- \� -� _��L o4% Construction Cos/ .j .9.E.o. dD Estimated Completion Date: Name: D�.Y2nc c�'T.rA a� �/� License #:-CIb4 So5Cm Address: 3 Ww1 C5r1 . n City: Mt f %INC -a.- p es S State: M f\ Zip: 55y11 3 Phone: to l t - Co- �O' -'a°D0 �� 1 COM Contact: t t M1�lt.fb10��� Email: '(r2V�f1�C4. ��. S= New Addition Alterations Remodel Other: tv2PGt+,,ti.i 1.a. \-0 DESCRIPTION OF WORK: FEES $55.00 Minimum (includes State Surcharge) Commercial Residential Educational OR Contract Value $ / O 1S'ep d x 1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit. Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ 1R2. 8c Permit Fee _ $ 5. C1D Surcharge = $ ! 43 • R0 TOTAL FEE *Requirements complete sets of drawings and specifications ut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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 i9rn in th9 se of work which requires a review and aper of plans. ChLtv Applicant's Printed Name FOR OFFICE -USE Reviewed B. d inspection, Rough -In '` Final Signature 0" Fire Alarm Test P(ftk e2 rer1 brarmutlx ` V-5\ 2,0 of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-56945 Use BLUE or BLACK Ink For Office Use joy 7q0 Permit #: Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Date: 10 'Z-0— Site Address: � ct Tenant: 1_e rniy L-A iletV1,1?E01' f Phone: Suite #: Address / City / Zip: Klemm Mechanical Contractors Inc. 12409 County Road 11 Burnsville, MN 55337 Zip: Phone: 890 y8s, License #: 0-5–'1 9 7 City: Contact: &J /04M,'4 T Email: b—d A/14,140 4 /frieze (t.4. ro..n- New /L "i016. Replacement Additional X Alteration / Demolliitionn/ Description of work: 44274 / ite, �'T D Jr --4S6;44.44" /G4./ 4 r;074 RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ %3i4"9v' x 1% _ $ / • • Permit Fee Surcharge TOTAL FEE =$ -0 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.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 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 Applicant's Sign ure 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: // Permit Fee: 3 0 q Date Received: Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: f0 - Z0 — 1/ Site Address: G Sa eta& Tenant: a M WILrg Kms. APot ✓+wve-I'l--h' Suite #: II! is Name: Phone: Klamm Mechanical Contractors Inc. 12409 County Road 11 Burnsville, MN 55337 License #: d 5'7,43- 99S -4Z G L47 / p :ity: State: Zip: ',none: 9 C7 90 Email: -44 71'Llf$0441 _ New _ Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: /"`?Z� �� �yJ,r �`D�-- X<L/2E 14/40, 0 -Ale.,, '� COMMERCIAL New Construction Modify Space %? A/W. Irrigation System ( yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract �Viallu�-0e $$v $/ 4Od' x 1% = $ U `1 Permit Fee Required on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Pemmit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ 6--CD0 State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEE 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.aopherstateonecall.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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X E� /Lr 7 Applicant's Printed Name ciC Applicant's Signature Applicant's Signature Page 1 of 3 Craig Novaczyk faNti4 5(2 — oil 2.' To: Jim Nelson Cc: Dale Schoeppner; Mike Lence; Scott Peterson Subject: Lemay Lake fire repair Good morning Jim, 3635 Ettktt P!h{C The original construction type for this building was V-1hr, or what is now known as V-A construction. V-1hr construction is one hour fire resistive construction throughout. There are, in some instances, more restrictive fire resistive wall requirements. For example, rate exit enclosures four stories or more are required to be protected with two hour fire resistive construction. Concerning the exit enclosure: Rated exit enclosures shall be protected with Fire Barriers in accordance with chapter 7 of the IBC. Per section 706.5, Fire Barriers shall extend from the top of the floor/ceiling below to the underside of the floor deck above. Since the existing fire resistive exit enclosure walls do not extend from floor deck to floor deck (as required by Code), the contractor shall do the best they can to achieve the required Fire Barrier rating through the existing floor/ceiling assembly(s). Concerning therated floor/ceiling assembly(s): The floor/ceiling assemblies are required to have a 1hr rating per the Code. All membrane or through penetrations in the rated floor/ceiling assemblies shall be fire stopped to 1hr. The holes that were cut through the floor/ceiling to accommodate the tub overflow/trap configurations shall be fire stopped. Since all compression fitted plumbing overflows/traps are required to have access to be repaired and or unclogged, access would have to be from the unit below. If you choose to install access doors in the units below, they would have to have a listed and tested rating for a 1hr assembly. The alternative to rated access doors would be to have all of the fittings in the tub overflow/trap configurations welded (glued). Concerning the exterior sheathing: The exterior sheathing that has been compromised is part of a required 1hr fire resistive assembly. All damaged exterior sheathing that has been exposed during the demolition shall be replaced (from the outside) with materials consistent with the original 1hr fire resistive assembly. Hopefully this list of framing corrections will help you on the repair of the Lemay Lake Apartment fire, Craig Craig Novaczyk 1 Senior Building Inspector 1 City of Eagan City Hall 1 3830 Pilot Knob Road 1 Eagan, MN 55122 1 (651) 675-56831 (651) 675-5694 (Fax) 1 cnovaczyk@_cityofeagan.com THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. 1 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 1 4 r Use BLUE or BLACK Ink For Office Use Permit #: /eV /5 Permit Fee: LI • 75 Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION 0,1,6�s Date: V' M-4 ( Site Address: 30 35- 7 a If -1 ALA-- Piet e 11 Tenant Name: �.e _ 4 /in (Tenant is: New / Existing) Suite #: Former Tenant: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: I-�✓Sd/a 7 70 -�- 54.c. 71 / M AlCit1141 ) 2 Construction Cost: 64e !? ��AJ ' �� 7Ai � Name: (o f -P k 9 - ec9 License #: /—)1f - Address: 71f Address: k 3 rt- /d 14444- lel City: (; o ld -' Va /e7 State: )?/jn% Zip: 531P-1 Phone: 4/2 -. Contact: .� w-. N��S�-- Email: .Jw k. )v i aPedsee) a0 cow, Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting' documents that you submit are consrdereo the information may be classified as non-public if you provide specific conclude that they are trade secret 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.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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Th. P41.500 Applicant's Printed Name x Apollo 's Signature Page 1 of 3 • zo-3_6 P1 - DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review Public Facility Commercial / Industrial Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage rt}U Occupancy Code Edition (25% 100% ) -E Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water Framing Fireplace: _Rough In Air Test _Final ,& Insulation Meter Size: _ Accessory Building Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows _ Demolish Foundation \ Fire Repair _ Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System ? (2 b2/4/See SAC Units City Water Booster Pump PRV Fire Sprinklers XSheetrock..---- ---- al / C.O. Required final / No C.O. Requir-d Other: Pool: Footings Air/Gas Tests Final Final X, Siding: Stucco Lath _Stone Lath _Brick X Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: 5( Yes No Reviewed By: , Building Inspector Reviewed By: , Planning 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 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 443 Lafayette Road N. St. Paul, Minnesota 55155 www.dli.mn.gov 4/19/2012 MINNESOTA DEPARTMENT OF It 84 INDUSTRY i LeMay Lake Apts 3005 Eagandale PI Ste 114 Eagan, MN 55121 RE: Site: H ULIC PASS eMay Lake Apts 3035 Eagandale PI a ,-MN- 62-1—._ • 1 Dear Sir/Madam: RECEIVED APR Z32012 (651) 284-5005 1 -800 -DIAL -DLI TTY: (651) 297-4198 APPROVED FOR USE ER Elevator ID# ELV-17102 Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. Ari Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. NOTE: THIS APPROVAL APPLIES TO THE WATER DAMAGE REPAIRS. ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of the Minnesota State Building Code. Failure to maintain and perform the required tests may result in revocation of the annual operating permit. Operation of an elevator related device without a valid operating permit may result in an issuance of a "stop order" from the department and possible penalty of up to $10,000. For more information see our website at: http://www.dli.mn.gov/CCLD/Elevator.asp Sincerely, CON RUCTION ')9ES & LICENSING Sue Biagini State Elevator Inspector c: MINNESOTA ELEVATOR INC Dale Schoeppner, City of Eagan Building Official ElFormCE2 This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer For Office Use e i e f r Permit#: 76 6 -7 00 .. E fkG A N �� � e � r r.�• r., Permit Fee: . .. Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r Payment Recvd: Yes No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinainspectionsta.�.citvofeagan.com Plan Submittal:eplansc citvofeagan.com Plans: Electronic Paper 2020 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: — 161 "3 6 ()Site Address: 3 6as" f cej 1 f c Via CC Tenant: Suite#: prop,. e Owner Name: e.(-v)G Li/u_ 14 vkluk,fit S Phone: Name: 455'5 C (t c1 A to,111 S.tt,i Cc:,/ License#: -FA t { (9 Contractor Address: jd, CcV6CAI Ct.l( CI City: )(-) an -- State:44(.v Zip: 5-537 9 Phone: q3--().- Email: C '2(l' vs 6)Qs36 Gt u ill a C.47 ! c (ham` New Construction xAddition Modify Space Replacement Repair Rebuild Work in Right-Of-Way Description of work: 31 SA-60.1 t,?,(,V CC./ "�lpg' Irrigation System( yes/_no)( RPZ/ PVB) of Work, X• Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES U� -y. Contract Value$ t_`)'' I 1 x.015 $60.00 Permit Fee Minimum $ 0 y(. O Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) Surcharge=Contract Value x$0.0005 $ Surcharge If the project valuation is over$1 million, please call City for Surcharge $ (e0 C)V TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge =$ TOTAL FEE 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.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. • 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. L o 1(1 Actk - Applicant's Printed Name Applicant's Signature Page 1 of 4