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1355 High Site DrTenant: City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 PERMIT TYPE • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed Meters Call (651) 675-5646 to verity that tests passed ior t r L For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: -- (A. Site Address: 1 14 k_ Use BLUE or BLACK Ink ji 60-0O Suite #: , PROPERTY , , OVVNER Name: 67 ) 0 Phone: _Celk 1 CONTRACTOR e. f-i` __c__A*.__AAes....A . J La__ License #: () C / Address: 9111-14.,,a,e__ City M "1 e..... State: "AiZip: , TYPE OF WORK New Replacement Repair _A:Rebuild Modify Space Work in R.O.W. Description of work: 14±ID 1) Wt./ (,1 )11 R P COMMERCIAL New Construction Modify Space Irrigation System ( yes / no) (CRPZ / PVB) by Public Works) u meter. Fire: 1 Flushometers _Yes No Domestic: Size & Type Avg. GPM ____ High demand devices? __Yes __No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) Required on ALL new buildings and boulevard irrigation systems 4 - if the Bermit Fee is less than $10,010, the surcharge is $5.00 - If the Permit fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-511,000 Permit Fee requires a $5.50 surcharge) ',Tarr ne Following fees apply when installing a new lawn irrigation system Water Permit Contact the City's Engineering Department (651) 675-5646, for required fee amounts. $ Treatment Plant OR Contract Value $ = Perrnit Fee $ Radio Meter Read Meter(s) State Surcharge X 1% Water Supply & Storage = $ S. 00 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Avvvy,g2pInfstq.teonegali.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Ogr-tici,).5 Applicant's Printed Name A 4 / d - 4 cant's ignature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: Yes No Page 1 of 3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: INGO 1502 Eagan, Mt1s55122 DATE: 6/24/74 Zb'ning R-6 No. of Units: 63 Owner ;-agh-Site Manor Bldg. 4 Address: Site Address: 1355 13ig S� t : brine Plumber: Wenzel Plumbing & Heating Meter No.: Connection Charge: Size: Account Deposit: pd Reader No.• Permit Fee: 10.00 agree to comply with the Village of Eagan Surcharge: .50 pd Ordinances. Misc. Charges: Total: _ By Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road Eagan, Mt.(55122 PERMIT NO Zoning; DATE: Owner: No. of Units: x Address: Site Address: r , . Plumber: ;; . x 1 a ge to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By: Surcharge: Misc. Charges: Date of Ins p.: Total: Insp.: Date Paid: FROM :American Mechanical *CV of 3830 Pao/Knob Road Eagan MN55122 Phone: (651) 6754675 Fax: ta51)%7Sr5894 FAX NO. :763 477 4085 Feb. 26 2016 06:52AM P2 RECEIVED FEB 2 6 2016 , u e Use BLUE or BLACK Ink For Office Nee f_37-7,6 Permit 10; 1P.sm!F�; (o1 11D • Date Received: Shift 14(1 1 "/) 2016 COMMERC1AL PLUMBING PERMIT APPLICATION ',site Add 1355 CithiliNierld S \11-- 0-\ 0 Please submit two (2) sets of plass with all commercial applications. ...,Dase:-2/124,12016 :Tamar& Smite ilk Property Name: Glen Ponds Phone: CofltractOr •:. Name: Americart•MeChanical License*: PC644184 Address: PO Box 205 cit: Loretto saw MN zi: 55357 phone: 612-750-0278 Ernad: pschurnachem@sol.corn lype 111fOrk ' , . • New Replacement Repair Rebuild Modify Space Work in R.O.W. . Descripson of work: install dewatering system lorelevator.groundweiter Pennit Type• COMMERCIAL New Construction Modify Space Irrigation System (____ yes I_ no) ( F2 / PUB) ____ • Rain sensors required on irrigation systems Atm. GPM (2" turbo required unless smaller size allowed byflobtic Wats) Maters Cat (651) 6755646 to verity that tests passed prior to pichino up meter. Domestic: Size & Type Feet 1 High•deinand devices? Yes No Roshometers Yes tio COMMERCIAL FEES $60.00 Permit Fee Contract value. S3000.00 x .01 Minimum (0 0 c' - S60.00 PVBIRPZ Permit Surcharge = Contract ff . the projecAr t atuatIon ...A $ Permit Fee (includes State Surcharge) CD Surcharge Value x $0.0005 tift:(I, t , 5-1) is over Stmillion. Please call for Sbarge 2..-. $ TOTAL. F. Following fees apply Contact the axis Engineering when installing a new.laten inigation sYstern $ water Permit Depanntent, (661) 6765646, for required feeamouras. $ Treatment Plant . $ Water Supply & Storage $ *Masamnm* = $ TOTAL FEE C41.4 efFoRE you DIG. Cal Gopher State One Call at (651) 461-oo2 ftworteectbe I hereby acknowledge that this information is complete and accurate; that the work wilt •Eagan; that 1 understand this is not a pamit baron* an application lora penall, accordance with the approved plan in the case of work which requires a review and xPaul. Schumacher Applicenrs Ptirtted Name • ons: Under Ground Rough -In Air Test Gas Test 1( Final s: Meter Size Radio Read 'Manometer Cianage. n� with the otdinancew end codes of the City of withal a pen* that ate mak wilt be •in Page 1 of 3 Dale Schoeppner From: Bjorklund, Gary (DU) <Gary.Bjorklund@state.mn.us> Sent: Monday, February 29, 2016 6:23 AM To: 'shanson@metroelevatorinc.com'; 'shanson@metroelevatorinc.com'; Dale Schoeppner; DU.Elevator.ETrakit Subject: Final Approval for Permit Work at 1355 High Site Dr, EAGAN METRO ELEVATOR INC: The ELV ALTERATION permit work has been completed and approved for the following project: Permit Number: ELV1512-00078 Project Na Site Locati en Pond Apts n: 1355 Hi:h Si - 1 AN The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices prior to allowing them to be placed into service. An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under the permit listed at the site above. The alteration is in compliance with the Department rules for elevators. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section 1 ti City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 • RECEIVED 30401 MS Use BLUE or BLACK Ink 4q-14 For Office Use �f Permit #: Permit Fee: Date Received: h it (D Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: Y/ — uso Site Address: _ /J 55--. fY t y .3f,• [J. Cel J Tenant Name: V eel t. i'4 (Tenant is: New / Existing) Suite #: Former Tenant: Type of Work Architect/Engineer Name: Ce)ftirn€4_ p * x. Address / City / Zip: "� Applicant is: Owner (�( Contractor Phone: gs 831• 0737 7546 / Xezr, e S Z. a /Vs 5-rf..1/ Description of work: taJrior. f 6 ,..j /P(.rL6.. Construction Cost: Co �J Name: a IA vvvaile Sew:az, License #: B 57C 42)3 Address: 72,ZS- J crr es );,,�. 5E4* (k City: Fet:4 ot tak State: / / Zip: 4.�'`r 1/7 Phone: 74-T- r5-7 - 777L? Contact: A Z Email: )e-brjo 'f cite S- I)a) :, L. `46A 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 submlt are considered to be public information. the information may be classified as nonpublic ifyyou provide specific reasons that�would pi iconchide that"theyare trade secrets. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 requ' s a resew and approval of plans. x �.!lil1.Gtr69 ,4491P Applicant's Printed Name Page 1 of 3 iJhga/36S, DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility Commercial / Industrial Accessory Building ✓Apartments Greenhouse / Tent Miscellaneous Antennae WORK TYPES New _.7 Interior Improvement _ Addition _Exterior Improvement Alteration Repair Replace _ Water Damage Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% ✓ ) Census Code # of Units # of Buildings Type of Construction ✓•/t /07o6(z' Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS — Footings (New Building) Footings (Deck) Footings (Addition) ✓ Foundation • itikr -- P.to ' /NG; V Drain Tile E Fe -C-1414 t, 0-01-1 ise t — Roof: _Decking _Insulation _Ice & Water —Final Framing — Fireplace: _Rough In _Air Test Final Insulation Meter Size: Exterior Alteration -Apartments _ Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair _ Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant R•z-- 26/S MBG MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers N/4 Sheetrock Final / C.O. Required / Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Le- , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality . de 2 . Tn 7G • 76 Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: / 9 7• Zo Page 2 of 3 Use BLUE or BLACK Ink 6...c For Office use Permit#: 1 4 ' 0'4.f CityofEaall Permit Fee. (2 46.Se . 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax: (651)675-5694 Staff: a /2017 COMMERCIAL? BUILDING PERMIT APPLICATION C / Date: / 7Site Address: ✓✓J Al` a 1 f 1 �Gt J/ Tenant Name: (Tenant is: New I Existing) Suite#: _ Former Tenant: Name: 6o/44i—ft- RVArit Phone: (WO?-';; —i?93 Property Owner Address/City/Zip: /%) 130X f Ali) 5151 e'-' ti € ,. ` Applicant is: Owner /Contractor 1-5 Type of Work Description of work:/ /l�� � tX �: L0rd/it Iot4 `frail Construction Cost: Name:,r/6 C//"Mif/KG / I7 /License#: �LPc7ot 1173 Contractor Address: /6'h�/ 5/G t!1. City: /1/10 L-d I&5 State:/A Zip: . f 7 Phone: �D l" /[.v -0210.02 Contact: Re4 Aerr- Email: 12t7 irr 12i/1G. 1O ry Name: Registration#: Architect/Engineer ; Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit am considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to t _ _ _ _ conclude that they are trade secrets. :" CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecalt,orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1 1 ,J �1'T x (g. Applicant's Pd ed Name A ''cant's Sig ture Page 1 of 3 ' /36c� 1hii iF b r DO NOT WRITE BELOW THIS LINE 14/ c)`i/ SUB TYPES _ Foundation _ Public Facility Exterior Alteration-Apartments __ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse I Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New Interior improvement _ Siding _ Demolish Building* _ Addition s Exterior improvement Reroof — Demolish Interior _ Alteration Repair _ Windows — Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation '`r 1.6fOccupancy r MCES System A',; ' Plan Review !Code Edition "'4`;:t itt£bpi': SAC Units {25%_100%_L J Zoning r City Water Census Code Stories Booster Pump i #of Units Square Feet PRV i #of Buildings Length Fire Sprinklers ipr Type of Construction yy • A Width REQUIRED INSPECTIONS Footings(New Building) Final I C.O.Required — Footings(Deck) 1- Final I No C.O.Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool: Footings Air/Gas Tests Final Drain Tile Siding:_Stucco Lath Stone Lath _Brick^EFIS Roof: Decking Insulation _lce&Water Final Retaining Wall Framing 30 Minutes 1 Hour Erosion Control Fireplace:_Rough In Air Test _Final Concrete Entrance Apron Insulation Meter Size: Sheetrock Electronic Plans Required Windows Final CIO Inspection:Schedule Fire Marshal to be present: Yes r No 1 Reviewed By: .Planning New Business to Eagan: Ai Reviewed By: _ I ii_ .; ,Building Inspector FEES Water Quality Base Fes .':' '* '' ' Storm Sewer Trunk Surcharge ' ' Sewer Trunk Plan Review ` k„ 1, Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Other: Treatment Plant(Irrigation) Park Dedication , Trail Dedication TOTAL: 1'Ii ' ` . Page 2 of 3 3t MAI -'dote ey - CC 4- k. -f\Y CI j e . 012.522- .34411. Use BLUE or BLACK Ink For Office U l�V i 160.Citj of Ea�l1 Parnit#: �3 b 3830 Pilot Knob Road Permit Fee: Eagatn:M(6 1j sr5.s67s RECEIVED Date Received: -. y 7 Fax:(651)675-5694 MAY 2 5 2017 Staff: 2017 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of planstwith all commercial applications. Date: 5•Q5.I I Site Address: X355q/I (Sit/.t/. DV.. Tenant: ,elr'' 1 'Pond. ` V _,_„r Suite 0:Resident/OwnerName: G b dmav44.. Phone: C162- 3 2... 0131 Address/City/Zip: 110'1 ( otd. A tc(JAL a00 Name: le.. Mahar);I&j1t r)i ol-) License#:_, '1to Contractor hew �- Address: 01 I'4J 2116 cS+ City: tu f ts State: N Zip: 12 Phone:(OM•52 •34�I �CLY Contact: . Email:Q,1 w tib.( i( -Conn New x Replacement _Additional _Alteration Demolition Type of Work Description of work: I la 1'ID T E b0 i t2.44. • NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City • Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _Furnace —New Construction Interior Improvement Permit Type —Air Conditioner _Install Piping _Processed _Air Exchanger Gas _Exterior WAG Unit Heat Pump _Under/Above ground Tank (_„Install f_Remove) Other RESIDENTIAL FEES $60,00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEESContract Value$ LtDI OW •00 Contract .01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ .°g° Permit Fee =$ Q0'13 Surcharge Surcharge=Contract Value x$0.0005 `L� If the project valuation Is over$1 million,please call for Surcharge =$ .0 4°5-$ TOTAL FEE 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�� caseofwork which requires a review and approval of plans. P�y\tLjiiicii ' ; , /J41 60 x . T 7c.«O /1r Applicant's Printed Name ASignature FOR OFFICE USE /� Required Inspections: Reviewed By: Date: Underground Rough In Air Test _Gas Service Test _In-floor Heat Final _HVAC Screening 'd 0170 'ON 1'V3INVH33W MVHAV1 A lC:Ol LlOZ 'SZ 'Abut * oakse 6,01 -for 0(e6GOr AM, wore.- 1p X2. 522`34"'-1 -�--.Use BLUR or BLACK Ink ... For Office Use C' ofEaton Permit#: /�y 3 4 °� '_ �� - - �'C1 Permit Fee: �l 3830 Pilot Knob Road Eagan MN 55122 JUN 1 D 2016 Date Received; 6 " i '" Phone:(651)675-5675 Fax:(651)675-5694 Staff: 7 J 2017 COMMERCIAL PLUMBING PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. S Date: 5.3o`t Site Address:, 5$ tkit , lb-. 1NV Tenant: '-'\1 570 h _Suite#: ProperryName: C-►o►d ►� Phone: i'-.) ' GI.J' • L1 31 Owner Name: Y— m t cast License#: fertkit#34 Contractor Address: *" /4 _,2116 5+ City: yylp 1 S State:mt4 zip: �A..544 12- Phone:D 12,• 522,- 31411 Email: 'Ab j+-.X.tori Type of Work New Replacementi —Repair Rebuild Modify Space _Work In R.O.W. Description of work:jA ,k (2) Warm. 6) Skera e 1 COMMERCIAL New Construction _Modify Space Irrigation System(___yes/_no)(_RPZ/—PV8) • Rain sensors required on irrigation systems Permit Type • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to oickina up meter, Domestic Size&Type Fire: 1 Avg,GPM High demand devices?Yes Ne Flushometers Yes_No COMMERCIAL FEES Contract Value$ Q rj 000,W x.01 $60.00 permit Fee Minimum ra$ 240.oo Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) 7.$ I 2. CC Surcharge Surcharge=Contract Value x$0.0005 =$ 2.52. 60 TOTAL FEE If the project valuation is over$1 million,please call for Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge $ TOTAL FEE • CALL BEFORE_YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. \ I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x"PCsf\lw ea— a no x J3,11-L Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By:_ _ Date: (7_'± 1' 7 Required Inspections: _Under Ground _,Rough-In _Air Test Gas Test Final PRY Required:_Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 l 'd 8 0S 'ON 1VO I NVHO3k )IMVHAVr WVO L :O l L10l 'Sl 'NH r