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
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