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~
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PERMIT
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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
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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