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3916 Valley View Dr S41° City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 srs• ',i k.; cff (I Use BLUE or BLACK Ink Per qQ Permit #: q6, Permit Fee: B 3'19.015 Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: &- )`/'" 1/ Site Address: 35/6 3 ? L0 144 l/r. S. Tenant Name: (Tenant is: New / .A'Existing) Suite #: Former Tenant: PROPERTY OWNER Name: 1/, Pe, ''Ale 14,1,... c, 446 Phone: ‘.5-/- '9'5* - O2f C Fies., Address / City / Zip: ? 7 V i/-140/. ki.r„;,i D r kcis,,,...A. I9 ° 5-5-/' .. j Applicant is: Owner Contractor TYPE OF WORK Description of work: /(Y:ka4,e F•,t,s . ' p 15,11:As fe,4e � �' 44 k ,C-' s,471•1 y Construction Cost: 2C, 000 CONTRACTOR Name: 4/L,.1 De,,,np,,. %ei elsTtk, A; ,Inc: License#: 3 56s Address: R %r? 7 Co ,,d Ii % City: ler fcc,416 State: /t'y Zip: 3 V7fr 5 Phone: 6;./02 ” .2.1/--- X79/ �d Contact: Deivt41 ^ 1 Email: etet4.e 1 p aI%n de,. r.% , 6...0 ,---A. ARCHITECT / ENGINEER Name: Registration #: City: y: 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 information: Portions of the information may be classified as non public if you provide specific reasons that would permit the4City�to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call 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.Ool herstateonecall.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 an royal of plans. xAuie( /OKS'tS;1I-- Applicant's 'Applicant's Printed Name x Ap. 'cants Signature Page 1 of 3 Aug 25 11 02:57p Bruce Nelson Plumbing & H .416. CityofEaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 l ls4,'1Ihi 1- 2011 COMMERCIAL PERMIT APPLICATION 6517312804 p.12 Use BLUE or BLACK Ink T C/ For Office Use Petit it 00763 Permit Fee: Date Received: stir. Date: • 1 Site Address: I 1 L b 1 Tenant Names 1 A iA 1 I \* 1-' VY S . (Tenant is: _ New / ✓ Existing) Suite #: Former Tenant PROPERTY OWNER Name: kk \-\? )11\ L j‘pli,(im Lfl Phone:• d , o Address 1 City / Zip: Le 1 l A 1 i fl 0,81n ! R' 1. W�.{, lait ' \ � 'Pt1. (,Ll 1 1 1 n 1�L J . Applicant is ✓ Contractor TYPE OF WORK {Owner Description of work: 1LP ? ` ( k_ht) ,, 1 Construction Cost CONTRACTOR 3) Name) kt 0 lc\ St kc p Qt-clt, Qt-ck tElfl License* b-5-,----314.3) Address:‘ a --)A . C"C> QL.I i.iS City. 1/4-)- PU,ul.X- State: 1-\ Zip: ‘1 1 Phone: R-� t -(1'A—.6)352--t Contact:\ l`1Cl.iilNi f\ Email: 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 publli9 information. Portions of the information may be classified as non-public if you provide specific reasons fhaf would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (659) 454-0002 for protection against underground utility damage. Call 48 !tours before you intend to dig to receive locates of underground utilities. www.copherstateoneca1l.orc I hereby acknowledge that this information is complete anc accurate: that the work will be in conformance with the ordinances and :odes of the City of Eagan; that 1 understar.d this is not a permit, but only an application for a permit, and work is not to start without a ermit thatrthe work will be in accordance with the approved plan in the e of work uires a view ar • - -pt tut of Tans. Y/`����� pplicanlis �� N \ 1 Applicants Printed Name liSignature Page 1 of 3 I~Li 2005 COMMERCIAL BUILDING PERMIT APPLICATION Ciry Of Eagan Ck `^,0- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . d. . • • . . Interior p . - • Strudural Plans (2) sels . Architectural Plans (2) sets . Architectural Plans (2) sets • Civil Plans (2) . SWCtural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Projed Specs (i) • Code Anaysis (1) • Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) . CodeAnalysis (1) " • MaslerExitPlan (1) • Spec. Insp. 8 Testing Schedule " • CeAifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be established • Meter size musl be established • Meter size must be established-if applicable ! • ProjectSpecs (1) 1 • EnergyCalculations (1) " 1 1 • Electnc Power 8 Lighting Fortn (1) " 1 ! • Masler Exit Plan (1) 1 1 • Emergency Response Sile Plan (1) 1 • Soils Report (1) 1 • SACdetermination-ca11657b02-1000 • SACdetertninalion-ca11 651-60 2-1 0 0 0 • SACdetermination-ca11 6 51-6 0 2-1 000 • Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 for details rcgarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required Permi[ for new building or addition will not be processed without Emergency Response Si[e Plan. Date 1p o f Construction Cost 3 f' o 0 0. Site Address Unit/Ste # Tenan[ Name Former Tenant Name I .,..d~ Description of Work G~,'4otw , Property Owner „O N Telephone # 25-V r^ Contractor Address 69~d tr• ~~Isf- City State 211 Zip S~7>y Telephoneti(6/<) 9'60 -yyg Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 0 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ? 27 Commercialflndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Wark Types ? 31 New ? 35 Inl Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EnUre Bldg only) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width Required Inspections _ Footings (new bldg) _ Insulation _ Footings(deck) _ Final/C.O. _ Footings (addition) _ Final/No C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Building Inspector - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total b-1-31~1106f /0 -e~3S7S6 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 . . o . . . . • Structurel Plans (2) sets • Architectural Plans • (z) sets • Architectural Plans (2) sets • Civil Plans (2) • Slrudural Plans (2) • Code Analysis (1) " • CeAificate of Survey (1) . Croil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec.' Insp. & Testing Schedule " • Certifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (7) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Me1er size must be established • Meter size must be established • Meter size must be established-if applicable 1 • Projea Specs (i) 1 • EnergyCalculations (1) " 1 1 • Electric Power 8 Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • SoilsReport (1) r- • SACdetermination-ca11 6 51-60 2-1 00 0 . SACdetermination-ca11651-602-1000 • SACdetermination-ca1165 802-1BBO.t__ . Fire Sfo in Submitlals !i • Call MN Dept of Health at 651-215-0700 for details regardmg food & beverage or Iodging facilities. Contac[ 6uilding Inspections for sample and if required rvi' 2 I1 Permit for new building or addition will not be processed without Emergency Response Site Plan. ' 4 z~~~ J 1 f, Date 3 vs ~n Construction Cost SiteAddress Uoit/Ste # Tenant Name Former Tenant Name Zl~ Description of Work ' ~c.Q ~ /10 er1.CL ~ ~ Property Owner 7~9 Telephone #(6S) Contractor ~ 1'x~TLt Address /Zfj' J/ ~4L~ /(JO City State MAi Zip Telephone 4 (7a SZ -7' ~7 ~ Arch/Engr Efi?~ 5~bV-~ E2`+'lfi+4ae4~ Registration#A. Address SOO ~-du~5'~ ~ City ~l~f,0:44 State 14) zip S5 1r7 Telephone#(=,/2~- Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. Ak,4 aot Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public FaciliTy Fvl 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial ~ 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae O 35 Ext Alt-Public Facility O 37 Nail Salon W ork Types ? 31 New ? 35 Int Impravement ? 38 Demolish (Inte(or) 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair [~'/33' Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 14~S00 Occupancy u MCES System - Census Code 439 Zoning City Water _ SAC Units - Stones - Booster Pump Nbr of Units - Sq. Ft - PRV ~ Nbr. of Bldgs Length - Fire Sprinklered ~ Type of Const Ize Width - Required Inspections _ Footings (new bldg) _ Insulation Footings (deck) Final/C.O. , Footings (addi[ion) ? Final/No C.O. Founda[ion 0[her Drain 'Cile Roof Ice Pr Decking _ Insul ~ Final Pool _ Ftgs Air/Gas Tests _ Final ? Framing ? Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Building Inspector Base Fee a~ q. as Surcharge g Sv Plan Review as% ~y9.81 MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 30 • 5,6 . . . ' . . . . , . . . <K . ' . . ' . . . , . . . ~ ' 4X`6=32~140' VIEW POINTE . ~ 1 . APAICf1[Eti'P AND GARAGE DEfAdS ~ CJjcy~ " . - y . . ~ . ~ . , \ ~ . . . . . ' . _ . . ' APARTMENTS a oq b. . G ~owsarn ' I ~ •a~~e~ll ~ - 1 raw.~v~e . ~ ~ !~'~me ~ ~ /~MnTaYi~rrn . ' . . . ~ ~F- ~ . , . ' - . ~ . . , ~ . i ~ I i . . . . . , ~ . - ~ ' .+ma.o ' ~Th • 1 . ~ i . . i i i ' • ' l9' . ~ m~/ ' ! I v ~ - . r ^ ' ~ ' . . . ' f~. ~xeaMn• v~R9~~~' dim~s~YnutliFmY~ . saol.eue..........o.~n - ~ . . x 2 -<P. ' . • ' 4 . . m,. vei,. 12~91P IPm Qlf AT EA91N3 COIQICN ' N 91~ IP AID Q![ AT Ltll1W 001a11CN ~100W1~(1Vf AT E]~IM Cd1O1f1011 I I Y~ . u NfOE?~~TEl~INOWOIIIOM . . NS IVl~~ L~liu!s13 3oT ~~W~iAWATEI~IMOCpID1i1N rr+..~mrrs~ . . u: V+cra us ~v+• a . . . ....1.~.r.~ ~w.~ ~ ~rl~/~ • . ~s . _ 9 . ' - ' w Y~ ~v:.~.•~~ EAGAIV ~ ~ ~E"VIIIEWE D , . . . ~ - ~ . . . . - ,y3•3a - as . i 6Ui i INSPECTIONS DEPT iVG ^ ~ Llr ~ ~ . . ~ _ - j . . . . . , . . ~ . , . . . . . . . . . ~ r _T, PERMIT sEr ,r~,,,,e„ ' . ' . ~ .~.~c.K ~ . . , ~JANUARY3.2005 i . ~ . ~ ~ . ~ . . . . . i i~ ~ . . . , ' . . . aouiu~ ~ ' . . . . . . .mm.~.d r : 1_ . . . . . . . . . . . ~ . ' - ~ . . . , . . . ' - - , _ . . Z . . . . . _ ~ . . ~ . ~ ~ . . ' rm 77; 9. . rv~mr>~ _ .'~P~ouo ' . . I. . ~ . , ~ . . •urmar $(y .5p . . . Yw'xP . • I • . ~ . . 1 ~ . . . ' ' . . \~YEUIIW' O!K dwl~ . . •RYC~~~ ~ ~ 1 1 ~R T q 1 ' I. . ` ~ ~ iN36T~ ! . . . . ' . ~ + . . . . . • • . • ~Il(aADP ,~m~~ B•p . ' I . . . • . . . ~ ~ ' . ' ' . ~ .1:~~~ _ ' ` 11 II s . , . ' ~ , Qe~~A~`T. ' ' • . . I I ~ ~ - lJ . ~ LJ . . I /alPAaiu osi,~ ~ ' sQnn~HO oerw . . . na.r , ~nr•.iw ~a . `wJivs~a lacrr-' (1~rK ' A1.2 , . . . . . _ . , ~ . _ . , . . . : . i , ! , Ulf3 46 &,13# ~'.3s7,S-6 r 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 o . • • ding Interior Improvement • Structural Plans (2) sets • Architedurel Plans (2) sets • Architedural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certdicate ot Survey (1) . Civil Plans (2) • Project Specs (1) • Code Anatysis (1) " . Landscaping Plans (2) • Key Plan (1) • Projed5pecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " . Certificate of Survey (t) • Energy Calculations (t) not always" • Soils RepoA (1) . Spec. Insp. 8 Testing Schedule (1) " . Elec. Power 8 Lighting Fortn (1) not always" • Meter size must be established • Meter siza must be established • Meler size must be eslablished-R applicable 1 • ProjectSpecs (1) 1 • Energy Calculations (t) " 1 1 • Electric Power & Lighting Fortn (1) " 1 ! • Master Exft Plan (1) 1 1 • Emergency Rasponse Site Plan (1) 1__ 1 • Soils Report (1) 1 • SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 . SAC dete rmination - call 651-602-1000 • Fire Sto in Submittals • Call MN Dept of Health at 651-215-0700 for details regarding tood & beverage or lodging facilities. y ~t Contact Building Inspections for sample and if required ' '005 • Permit for new building or addition will not be processed without Emergency Response Site Plan. " ~J - ~ Date LS / a S Construction Cost ~6 . soa Site Address 610,4 l k ~f S` UoiUSte # Tenant Name Former Tenant Name Description ot Work S. /6 Z. Property Owner d;y~ Telephone # IL s/ Contractor li nt.~a/.s.~ Address /LqZ( ~'~J _ /c~coc.t A!'d City ~ scace !M A1 zip SSLA/a Telephone #(-j6_3 s-7 z-~ 7a 3 Arch/Engr T6Z¢de S/•r+.a~ Registration# /73$$ Address ~ LGY.ae Ce.~a...ct02.. Ydc.~< City APe" State /11A.J ZipSrj4 l5 Telephone#l6Iz) =J3C7- SS69 Licensed plumber installing new sewer/water service: Phone I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. 94t'h8 Z14 ~ 4ad~~ Applicant's Printed Name ApplicanPs Signature Sub Types OFFICE USE ONLY ' ? 01 Foundation ? 26 Public Facility v 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial Gl 32 Ext Alt-Apartments J 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial El 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) b/'~44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 9' 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroo( ? 46 Windows/Doors ? 34 Replacement 'Demolition (EnUre Bltlg only) - Give PCA handout to appllcant Valuation 1(,1500 Occupancy LL MCES System - CensusCode 'k3 8 Zoning CityWater SAC Units Stories ~ Booster Pump - Nbr. of Units Sq. Fl. - PRV ~ Nbr. of Bldgs Length ~ Fire Sprinklered - Type of Const Y~ Width Required Inspections _ Footings (new bldg) _ Insulation _ Footings (deck) Final/C.O. _ Footings (addition) ~ FinalMo C.O. Foundation Other Drain Tile Roof Ice Pr Decking _ Insul _ Final Pool _ Ftgs AidGas Tests _ Final ? Framing ? Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning ML Building Inspector - - - - - - - - - - - - - - - - - - - - - Base Fee a 79.as Surcharge g.~ Plan Review 25-0/, MCES SAC Ciry SAC Water Supply & Storage (WAC) SM/ Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other rotai 337 5~6 ~x$ 3 ~ . . ~ . . ~ Mem~M' eNU~ceRuce DEL~s VIEW POINTE . ~ ~ APARTMENTS , . . ~ m i. . ~ . . ' ~ ' . . . . ~~r~ a . • r~ `'~r . . . uc... G, . ~G wwu.sor. ' ! . , ~ s ' ' ~w~lrai~mr' . " rtrt4w~r . ~mmKwene . . ~ ¦ ~wcf . . . . . . ~i~ C ~ 1 . . . . . , y~ ~ 1611AYM ~ I.v T cm~o " . m~mmv° ~ ~ ~ . r . . E' . . ~ . . ~ . 11% • ~I¢m h ' '~~~OO y . , . twwu _1 ; . . . * aerwna . . I ~ 1 ~ ! 9 c J I - - ~ : , . . 2. ~~•a I~ . n ~;ama.e........e„. n.n. . ~ ~%Z~."`. ~fr~ , ^ ~ ~~....e ' _ ~ ~ ~ ^ ~ ~ . ~ . . ~ . - . .•7 = o „ I " ~wra~ noar ~r ommo mmiw , .~eup iv iun aur Ar fm'no~arma ~ nea w uo au~'~T msna oQmn~u+ n oov+r~art ~r Emrra marw o~swnw ~r ~mo caanw " ,••.•~.•••••r-~ ell:..l'7 ~li y] 14+•I7 a5' ~13 ~F.i'i S3il ~..+w~~r.~~..vw.,, . ~ . . . . . ~P ' - ' <8 . . . . ' . . . . . . _ ' . • i . *"~f~°~' , :e~.:._.~ ,.,.~~~mr ~ ~ . . . ~ . . . ~ . . ~ _ ~ . . -r.v.e ew ' , . . . . . . . , . asy . ,,.m~ . EAC.7/4N . ~V9 EWED By L..... ~.v ~ . . DATE ~3•3°'os- . . BUILDING INSPECTI0IVS JEPT. ~ ~ I • ,,.~,~.a. . Ca -1 ~ ~ , wz noor.owui~ oumiu~ a~s~m . . . . , . ~ - _ ~ Qoer~~r ouuae e eul a~se oerk ' ~ . . ' . . PERMIT . . . . . . . EI2 IVI. ~T . AI3 • uui - ' , . . - . . . 5ET ~JANUARY 3. 2005 um ~ ' . ~ . J ~ " ' ~ . ~ . . ~ . . . ~ . . . ~ .a.~..,u....e `-~n.. . . ' . ~:e~• n . ~@ _ ' IuINXfIS~eM 4 ~ ~ ' ' . . 4C~lIl~a9i ~u ~ . . ' . . ~6IT4V. ' . ~ . . . / ~cw• ~ ~ " . . . . . ~+muxrwx. . . . ~ . . . . . ' . . ~ , ~ , L~d. . ' . ~ ' . . . Q.~"~~1.. - , r,~, •e ' ! . . , . . : . . i ~T . . . e.n....n . . ~ar~r ~ ~ . ` ' . . . . weu. . i. ~ ' . . . . ~ ~ . ~ ~ ' . . . minm. . ~ . . . r ' t . . . . . . ~ . ~ . . . ' ' . . . . . . ~ w7°°„ ~ - . 11 11 II 11 . £ , ' . . . ~ ~ _ . ' . . . . . . . . . . . . . . ~ . . ~ . lJ ~ LJ. I ~ ~ .ul ~ . . `JIWMi OEf/~L ' - . .~.N3f1VR~ ~ dlf Ai EITJIMO G4MON ~ ' ~1 ~KI"J ~ . . . ~ i 1 ' ~ - ~ Ci,d10 8 ECl10N . . ' _ . I A IT; 9 ee~ ^ A1.2 , . ~ - - . ~ ~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -s - S . . e ~ - . • Structurel Plans (2) sets . ArchAectural Plans • (2) sets . Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Anatysis (i) " • Certificate of Survey (1) • Civil Pians (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (i) • Spec. Insp. & Testing Schedule (1) " . Elec. Power 8 Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable d . Prqect5pecs (1) 1 • EnergyCalculations (1) 1 • Electric Power & LighUng Form (1) 1 • Master Exit Plan ' (1) 1 1 • Emergency Response Sde Plan (1) • 1 1 . Soils Report (1) d . SAC determination - call 657-602-1000 • SAC determination - call 651-602-1000 . SAC determination - call 651-602-1000 • Fire Sto in Submirials Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ' Con[act Buddmg Inspections for sample and if required Permi[ for new building or addition will not be processed with'ou[ Emergency Response Site Plan Date Constru/ct~~Jpn Co~s+t ~ ~ Site Address t~ YC-~~ J. UniUSte # 03 d-? Tenant Name - 3 Q Former Tenant Name ~ Gf I ~o Description of Work /'t,/J ~au ~~a-r~ ,f ~ ~~1~'~,C4~c? ~~~-t~G~ , Property Owner Telephone # A71:1-1 i . Contractor Address ~ / 2 y ~Qw City State Zip A/V Telephone # (C6-6 -fI dy Arch/Engr /y • Registration k Address City State Zip Telephone )a n r. I-1 F~!11(1 1~1AR U 9 ZG05 Licensed plumber installing new sewerlwater service: Phone I ) I hereby apply for a Commercial Building Permit and acknowledge that the info iationi"s c`omplete an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ' 77/~ s Applicant's Prin ed Name pplicant's Sig ure OFFICE USE ONLY Sub Types ? Ol Foundation 0 26 Public Facility ? 30 Aceessory Building ? 14 Apartments Z-' 27 CommerciaUlndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext AIt-Commercial u 25 Miscellaneous O 29 Antennae ? 35 Ext Alt-Public Facility ~ 1' ? 37 Nail Salon Work Types Y'C~-- ,0' 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant ~ Valuation ~1 Occupancy P, ' y MCES System Census Code 43 -7 Zoning tz "City Water SAC Units Stories Booster Pump Nbr. of Units z Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const 5: Width Required Inspections Footings (new bldg) _ Insulation ? Footings (deck) Final/C.O. _ Footings (addition) ? FinalMo C.O. Foundation _ Other Drain Tile Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Stucco _ S[one _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows Approved By: Planning 4-ML--Building Inspector Base Fee 9 ? • 2 `r Surcharge 2 . o v Plan Review o. e o MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quaiity Copies Water Trunk Sewer Trunk Other Total 99 . LS~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~1; 0, 9 Telephone # 651-675-5675 FAX # 651-675-5694 lo . ~ D . • Structural Plans (2) sets • Architedural Plans • (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Siructural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • ProjedSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (7) • Spec. Insp & Testing Schedule " • Certifcate of Survey (7) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. 8 Testing Schedule ' (i) " • Elec. Power 8 Lighting Form (1) not always" . Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjeclSpecs (1) 1 • Energy Calculations . (1) " 1 , 1 • Electric Power & Lighting Form (1) " 1 1 • Master Exit Plan • (1) 1 • Emergency Response Siie,Plan (1) 1 • Soils Reporf (1) 1 . SAC detennination - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determinalion - call 651-602-1000 • Fire Sto in Submiltals Call MN Dept of Health at 65I-215-0700 (or details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required Permrt for new building or addition will not be processed without Emergency Response Site Plan. Date 0- Construction Cost d Site Address Unit/Ste k A Tenant Name ~ Former Tenant Name Description of Work csu a ---eooe~ Gv 6ow Property Owner /oq 1170'/tt.~ Telephone # ( ) 22'~ Contractor Address 11L City ~ State / AN Zip Telephone # ( y~ s ysy Arch/Engr Registration # Address City r{p-.--~~ ~1 State Zip Telephone # ( ) II I:~ ~ ' ' ~ ~ ~11. f~nA1 u > ?005 ~ Ll~~ ~ J Licensed plumber installing new sewer/water service: Phone ~ I hereby apply for a Commercial Building 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 the State of MN Statutes; 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 dase of wark which requires a review and approval of plans. / .y % Applicant's Print d Name_ Applicant's ` gnature ~ OFFICE USE ONLY Sub Types rJ O] Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ,,~,27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous O 29 Antennae ? 35 Ext Alt-Public Facility ~ 1~ . 0 37 Nail Salon Wor Types VL4iF~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplBCement 'Demolition (Entire Bldg only) - Give PCA handout to applicant yb Valuation 4006, Occupancy ' Z MCES System Census Code ~ 37 Zoning 4 City Water SAC Units Stories ~s 3 Booster Pump Nbr. of Units 'd Z Sq. Ft. PRV Nbr. of Bldgs ( Length Fire Sprinklered Type of Const Y- 8 Width Required Inspections Footings (new bldg) Insulation ? Footings(deck) Final/C.O. _ Footings (addition) ~ FinalMo C.O. Founda[ion _ Other Drain Tile Roof Ice Pr _ Decking _]nsul _ Final _ Pool _ Ft-s _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning Building Inspector Base Fee 97 • v~ Surcharge Z• o d Plan Review o, e o MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other 7otal 9 4 • Z ~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ C~ ~ . aS . . • - ~ . . . • Struclurel Plans (2) sets • Architecturel Plans • (2) sets • Architectural Plans (2) sets . CivilPlans (2) . StructuralPlans (2) • CodeAnalysis (1)" • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) . CodeAnalysis (t) " . LandscapingPlans (2) • KeyPlan (1) . Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Teshng Schedule " • CertiTicate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always" . Meler size must be established • Meter size musf be esta6lished • Meter size must be established-if applicable 1 • Project Specs (1) 1 • EnergyCalculations (1) l • Electric Power & Lighfing Form (7) 1 • Master Exit Plan (1) 11 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • SAC determination - ca11651-602-1000 • SAC determination - ca11651-602-1000 • SAC detertnination - call 657-602-1000 • Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Con[act Building Inspections for sample and if required Permi[ (or new building or addition will not be processed without Emergency Response Site Plan. Date onstruction Cost 0 Site Address (e!LGs~ <5 Unit/Ste # 2-~ Tenant Name 3!~l tFormer Tenant Name Description of Work Z-f ~S' ~a-~~r !?f O~-~Q /Y~-~'~ Property Owner k Telephone ) Z~ ~ 7 Contractor ~ Address ~ /v( City State Zip gV Tclephone # Arch/Engr N / A' Registration # Address City State Zip Telephone # ( iviArt ~ 2 2005 U Licensed plumber installing new sewerlwater service: Phone ~ F„ I hereby apply for a Commercial Building Permit and acknowledge that the informat'ron is comp e e an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 lan in the case of work which requires a review and approval of plans. ~ L1r/~.~'-~t9 Applicant's Pri ed Name Applicant' Signatu e OFFICE USE ONLY Sub Types ? O1 Foundation ? 26 Public Facility ? 30 Accessory Building p 14 Apartments ? 27 Commercial/Industrial ? 32 Ext AIt-Apartments ? 15 Lodging ? 28 Greenhouse 0 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Faciliry ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replatement 'Demolition (Entire Bldg only) - Give PCA handout to applicant ~ Valuation DDO ~ Occupancy Z• 2 MCES System Census Code 43? Zoning • 4 City Water SAC Units Stories 3 Booster Pump Nbr. of Units Z Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const Width Required Inspections Footings (new bldg) _ Insulation ? Footings (deck) Final/C.O. _ Footings (addition) v- FinalMo C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tes[s _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTes[ _ Final _ Windows Approved By: Planning (...Wbr~ Building Inspector Base Fee 17. 2,5':' Surcharge 7.0 ° Plan Review & • MCES SAC City SAC Water Supply & Storage (WAC) SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total: ~g • Z~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 -~5- ~~b Telephone # 651-675-5675 FAX # 651-675-5694 . . • ~ . . . . • StrucWrel Plans (2) sets • Architectural Plans • (2) sets • Architedural Plans (2) sets . Civil Plans (2) . Structural Plans (2) • Code Anaysis (t) " • Certificate of Survey (1) . Civil Plans (2) • Prqect Specs (t) • CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule ° • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be estabiished • Meter size must be established-if applicable 1 • ProjectSpecs (1) 1 . EnergyCalculations (1) 1 • EleClric Power 6 Lighting Form (i) 1 • Master Exit Plan (1) 1 • Emergency Response Site Plan (1) d • Soils Report (1) 1 • SAC determinalion - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 . Fire Sto in Submittals Call MN Dept of Heal[h at 651-215-0700 for de[ails regarding food & beverage or lodging facilities. " Comact Building Inspections for sample and if required Permit for new building or addition will not be processed witliout Emergency Response Si[e Plan. Date Construct~i/oJn Cost i ~ Site Address LC~ ~ - Unit/Ste # 2-0 6 Tenant Name ~J~ ~,~92 A Former Tenant Name Description of Work /e_,Q cTl Property Owner L/ Telephone ) 2 Z~ J7'L'2-7 Contractor Address City ow-~ State ,O*w Zip VTJ ey Telephone # Arch/Engr Registration # 2 1l Address ~ Ci[y i- - I State Zip Telephone#( )n r, I Licensed plumber installing new sewer/water service: Phone #Ie(~_--- / I hereby apply for a Commercial Building 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 the State of MN Statutes; 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. pA plicant's Print d Name Applicant's Sig ture OFFICE USE ONLY Sub Types ? 0 1 Foundation ? 26 Public Facility 0 30 Accessory Building C 14 Apartments ,K 27 CommerciaVlndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility Det4 ? 37 Nail Salon Work Types fd'_31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteretion O 37 Demolish (Bldg)' 0 43 Rerooi ? 46 Windows/Doors ? 34 ReplaCemenl 'Demolition (Endre Bldg only) - Give PCA handout to applicant o~+ Valuation croo ~ Occupancy V_ .71 MCES System Census Code 43~1 Zoning City Water SAC Unils Slories ° Boosler Pump Nbr. of Units Z Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const Width Required Inspections _ Footings (new bldg) _ Insulation 16_~ootings (deck) Final/C.O. _ Footings (addition) ~ Final/No C.O. Founda[ion _ Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Stucco _ Srone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Ptanning A' ~`Building Inspector Base Fee q7 • 7'Sr Surcharge Z ' 0 ° Plan Review v• o 0 MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total q 4 ' Z~ COMMERCIAL BUII.DING PERMIT APPLICATION CITY OF EAGAN U~ 651-681-4675 co- i K- I Foundation Onl New Construction Interior Im rovemen; • SWCtural Plans (2) seis • Architectural Plans (2) sets • Architectural Ptans (2) se~s • Civil Plans (2) . SWCtu2i Plans (2) . Code Analysis - (t) • Certificate of Survey (t) • Civil Plans (2) . Projecl Specs (1) • Code Malysis (1) " . Landsraping Plans (2) • Key Plan (t) . Project Specs (1) • Code Malysis (1) ^ • Master Euit Plan (1) • Spec. Insp. 8 Testing Schedule " • CeAifiwte of Survey (1) • Energy Calwlaoons (1) noc aiways" • Soils Report (1) Spec. Insp. & Testing Schedule (1) • Elec. Power 8 Lighting Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) ! • • EnergyCalwlations (1) 1 1 • Electric Power & Lighling Form (1) 1 1 • MasterExitPlan (1) 1 1 • Fire Protection Plan (1) ~ 1 • SoilsReport (7) 1 • MGES SAC determinahon letter . MGES SAC determination letter . MGES SAC determination letter call 651-602-1000 pll 651-602•1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - catl 651-215-0700 for details. DATE WORK TYPE NEW REMODEL CONSTRUCTION COST 3 C9o ~ ~ SITEADDRESS TENANT NAME SUITE # 3o FORMER TENANT NAME DESCRIPTION OF WORK ~ 9L-)[ I p,~AfG( Nazne: 1J 06( !AJ I uIA'l 4~j Phone#: PROPERTY Last First OWNER l~eG? ~~Z StreetAddress City ~J" A-Al State Zip CompanY /altl P) Phone# ( 763 ) S ~ -7 Z CONTRAC70R - n SneetAddress:_JL7Z~ 4 af, CII)' r ^ l l1 /'VL 0', ' --I eSS2IC ZIp ARCHITECT/ ENGINEER Company Phonc # ( ) Name Regishation # Sueet Address City State Zip Licensed plumber installina new sewer/water service: Phone L I hereby acknowledge that I have read this application, state that the information is correand agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updatetl V( OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. 0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors El 32 Addition ? 36 Move Bldg ? 43 Reroof u 47 nepair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding 0 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Qualiry Other Copies Total ~e . ~ 9 asa ia EAGHId TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: Februarv 2. 1970 NUMBER 556 OWNER:Car-Bor-Nel Address Minneaoolis Valley View Apartments 3920 Valley View Drive PLUMBER Mitach Plumbing TYPE OF PIPE cast iron DESCRIPTION OF BUIIAING Industrial Commercial Residential Multiple Dwelling No, of units xx 2$ Location of Connectiona: Connection Charge Permit Fee 7•50 pd 2/2/70 Street Repairs Total Iaspected by; Date Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan To[•mship, Dakota County, Minnesota By. Mitsch Plumbina Osseo, Minn. Please notify when ready for inspection and connection and before any portion of the work is covered. p 4'n ~o EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERtUT FOR WATER SERVICE CONNECTION Date• February 2, 1970 Number: 406 Billing Name; Valley View Apartments Site Address: 3920 Valley View Drive OWnei: Car-Ror-Nal Billing Addreas Minnoapnlia Plumber; Mitsch Plumbing Location of Connection Meter Sizei a- Connection Chg. Meter No." ~~le Permit Fee 7.50 Pd 2/2/1970 Meter Reading Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarka; Residence iiultiple X n'o. Units 2 Commercial Industrial gy; Other Chief Inspector In conaideration of the isaue and delivery to me of the above permit, I hereby agree to do the propoaed work in accordance with the rules and regulationa of Sagan Township, Dakota C-1ty, Minnesota. By: 7Mitsch Plwnbing Osseo, Minn. Please ttotify the above office when ready for inepection and connection. COMMERCIAL BUILDING PERMIT APPLICATION ~ D CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • SVucWral Plans (2) sets . Architecw2l Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Slruclural Plans (2) • Code Malysis (7) " • Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • CodeAnalysis (t) . LandscapingPlans (2) . KeyPlan (1) . ProjectSpea (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • CerGficate of Survey (1) . Energy Calwlatlons (1) not always" • Soils Report (1) . Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be established • Meter size must be established - if applicable • PrajectSpecs (1) 1 • EnergyCalculations (7) ! . Eledric Power & Lighting Fortn (1) 1 . Master Exit Plan (1) 1 . Fire Protectlon Plan (1) " 1 1 • SoilsReport (1) 1 • MC/ES SAC determinaGon letter . MCfES SAC determination letter . MGES SAC determination letter call 651$02-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE Z C9 I WORKTYPE NEW t4Z1M ODEL CONSTRUCTION OST ~~00 ~ SITEADDRESS TENANT NAME SUITE # FORMER TENANT NAME DESCRIPTION OF WORK _ . . ~ , Name: ~one#:(JrSg -/7/ ~ PROPERTI' Last F'ust OWNER Street Address ~ ld) ~ City State~ Zip Company Phone # ( / lo J ) 17-,2 ~ CONTRACTOR / Sheet Address: Ciry State /'a:,~ Zip ARCHITECT/ ENGINEER Company Phone # ( ) Name Registration I Street Address II I`i ~ ° I City State Zip«. _ -J Licensed plumber installina new sewerfwater servica: Phone I hereby acknowledge that I have read this application, state that the infortnation is corr ct, and agree G,~~to complapplicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: ~ (~L~ OFFICE USE ONLY SUBTYPE 19 01 Foundation ? 26 Public Facilily ? 30 Accessory Bldg. 14 Apartments ? 27 Commercial/lndustrial ? 32 ExtAlt - Apts. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition O 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 71 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENE~L INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bidgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building T Z Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply 8 Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total COMMERCIAL BUILDING PERMIT APPLICATION L CITY OF EAGAN ~ ~ ~t 651-681-4675 Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architecturel Plans (2) sets • Architec[ural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (i) " • Certifcate of Survey (1) . Civil Plans (2) • Project Specs (7) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Malysis (1) " • Master Exit Plan (1) • Spec. Insp. & TesGng Schedufe " . Certificate of Survey (1) . Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Tes6ng Schedule (1) " • Elec. Power & Lighhng Fortn (1) not always" • Meter siza must be established . Meter size must be established • Meter size must be esfablished - if applicable • Projec[ Specs (1) ! • EnergyCalculations (1)'" 1 1 • Electric Power & LighGng Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) 1 1 • SoilsReport (7) 1 . MClES SAC determination letter . MGES SAC determinaNOn letter • MC/ES SAC determinalion letter call 651 -602-7000 call 651-602-1000 call 651 E02-1000 Contact Building Inspections for sample Food 8 beverar X-1 in9 facilities: Plan must 6e submitted to Minnesota DepaAment of Health - call 651-275-0700 for details. ~ DATE / ~ / Z 3(WORK NEW ~!REMODEL CONSTRUCTION COST P~~ SITEADDRESS TENANT NAME SUITE # FORMER TENANT NAME 0-~ DESCRIPTION OF WORK Q« 3c)~ Name: PROPERTY v Last First- ~ OWNER Street Addre City State Zip Company-y~n\~~/~~! CONTRACTOR Street Ad ss; City State - Zip ARCHITECT/ ENGINEER Company Phone# i~ Name Registrahon # Street Address ~"y - City State Zip Licensed plumber installina new sewer/water service: Phone ( I hereby acknowledge that I have read this application, state that the information is corre nd agree to comply with =aIlp State of Minnesota Statutes and City of Eagan Ordinances. Signature of P.pplicant: ~X/~-C OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ~ 14 Apartments ? 27 Commercial/industrial ? 32 ExtAlt - Apts. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Aiterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair + ~RAs ~ G ~ E INFORMATION Census Code ~ Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building _TZ Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MGES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Koob Road, Eagan Mn 55122 L-15~ Telephone # 651-675-5675 FAX # 651-675-5694 `t_ . . • • . . Interior Improvement • Structural Plans (2) sets • ArchiteGural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Analysis (1) " • CeAificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (i) " . Landscaping Plans (2) • Key Plan (1) . ProjeCiSpecs (1) . CodeAnalysis (1) " . Master Exit Plan (1) . Spec. Insp. & Testing Schedule " • Certifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec Insp & Testing Schedule (1) . Elec. Power & Lighting Fortn (1) not always" • Meter size must be established . Meter size musl be established • Meter size must be established-if applicable 1 • ProjectSpecs (7) 1 . EnergyCalculations (1) 1 l • Eleciric Power 8 Lighhng Form (1) ^ 1 ' 1 • Master Exit Plan (1) 1 1 . Emergency Response Site Plan (1)'•• 1 1 • Soils Report (1) 1 • SAC delermination - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 . Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact I3uilding Inspections for sample md if required «rr permit for new building or addition will not be processed without Emcrgency Response Site Plan. Da[e ,(~)Z Z Construction Cost I l O. v`tlV Si[e Address 3`z, Z~ 1/ 1'ew op 5j7m_G9 Unit/Ste # Tenant Name Former Tenant Name Description of Work "w6~ PropertyOwner ~I~v Up~'?~ ~ i~Ppi1'N~+~-'~ C,t-e- Telephone#(~-7 Contractor Address ~l D°1 V~0-CQ.f~-, ?i 4.~ l7 2, 75o-~ City ei State Y,0 rJ Zip SSi `z 2 Telephone Arch/Engr Registration # Address City State Zip Telephone # ( ) ~i ~l f2 (o r'-+ n rn ~(a) Lsuu~ Licensed plumber installing new sewer/water service: Phone I)F~G I II I J IU I hereby apply for a Commercial Building Permit and acknowledge that the information,is complete and accurte; that the work will be in conformance with the ordinances and codes of the City of Eagyan-and=Yhe=State_of IvIN Statutes; 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. Ari,~ LA), Applicant's inted Name plicanPs Signature OFFICE USE ONLY Sub Types C O] Foundation C 26 Public Facility G 30 Accessory Building ? 14 Apartmen[s X 27 Commercial/Industrial ? 32 Ex[ AI[-Apartments ? 15 Lodging ? 28 Greenhouse El 34 Ext Alt-Commercial D 25 Miscellaneous El 29 Antennae : 35 Ext Alt-Public Facility El 37 Nail Salon Work Types ? 31 New 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replatement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 000 ~ Occupancy A.,2" MCES System ~ Census Code 4"37 Zoning City Water SAC Units Stories Booster Pump Nbr. of Unils Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const ~ • ~ Width Required Inspections _ Footings (new bldg) Insulation _ Footings(deck) ~ FinaVC.O. _ Footings (addition) _ FinalMo C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Swcco _ Srone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning 6WLli-Building Inspector L79• 7-sr Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 287•7S 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date 1 ~~SJ Site Address ~q -~92( ) ~ l ~ Unit # Tenant Name Former Tenant Name Property Owner Telephone #o,-1 Coutractor 1 m L1 Address o~ b\ UCl City State , 1 _ l, ` Zip Telephone # L#F~( ) The Applicant is _ Owner _ Contractor Other Work Type _ New Bldg _ Add-on Repair RPZ PVB _ trrigatiun s,ystem * = Jem Wuhschall in calculate (ers. Rr uireA meter li<e is nurbo unlrss smaller size ennittcd bv Pnblic N'orls Description of Work__a;~1 _~b lw vu+ To inqmre if Pressure Reducing Valve is required on new service, call 651675-5646 Meters - Ca11 65 1-675-5 3 00 ro venfy that hydrostatic, conductiviry, and bacteria tests passed orior to nickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disolacement $155.00 Domesric Size & Type Avg GYM Includes IiiQh demand devices? _ 1'es _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _ $ Base Fee $ Meter(s) RequireA on all new buildings & boulevard irtieation svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.SD $ $[8tB $lltCtlaige If base fee is over $1,000, surcharge is SSO per $1,000 of the Base Fee Following fees apply only when installing new irrigatlon system $ Water Pecmit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treaunent Plant $ Water Supply & Storage $ State Sutcharge ----------------~-------~---------I-------------------------------------------- $ [JL ~ ~ \J Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the mformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemtit, but only an application for a pemvt, 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 plaris. W~W L ApphcanPs Printed Name ApplicanPs Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/svainey remore wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-I/2" irrigation syst 8 788.00 displacement sm commercial turbine•• must receive maximum continuous approval 10 from Public Works 2-30 3/4" lawn irrigation $ I55.00 4-160 2" turbine Ig irrigation syst $ 992.00 manimum displacemen[ residential & continuous sm commercial production lines IS 3-50 1" displacemen[ very Ig res $200.00 I/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 uniu 65 uniu maaimwn sm commercial & coniinuous & Ig comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 uniu $488.00 masimum displacement & continuous most comm bldgs SQ METERS REOUIRINC 30-DAY ADVANCE NOTICE PRIOR'CO PICK UP GPM METERS USE PRICE CPM METERS USE PRICE 5_350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs lincs I/2-320 3" compound +200 unit bldgs S2A07.00 10-1000 G" componnd +400 unit bldgs 56,124.00 verv Ic comm bldgs ver}• Ig comm bidgs 15_(0(10 3^ turbine very Ig irrisation $2.384.00 svst S produc[ion lines Comments . To schedule inspection of the inside wacer line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, ca11651-675-5300. cc: Maintcnantt Division Cledcal Tcchnician Updaied 8/03