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City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use!
io12
,c
Permit #: "
Permit Fee:
Date Received: 6 i'n' 12 -
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATION
//
Date: ! /�') O''!'- Site Address: b/73 4/ -el (aft 5i utlf i
Tenant Name: rCUci.v� CL LO l
14-c_
(Tenant is: New /
Former Tenant:
Existing) Suite #:
PROPERTY OWNER
Name: �kvl ��
£citCanb C LL- C- Phone: ("0- - Sita/ -5-63?
Address / City / Zip: 5t tt"I -36(i 4t / S tde,s+ &2 5 t
Applicant is:
Owner Contractor
TYPE OF WORK
p o hi -j
Description of work: .�n�'eYi ,r r � Gt .
Construction Cost: 4-31/ aei 7
CONTRACTOR
Name: ( ret -i , t -s �t�► fYvtC'✓ ru �.
Address: (le6D L-4 67re ,G
State: J1 • fV Zip: 710
Contact:
&vzfrl`t Vc z.)
ARCHITECT/
ENGINEER
Phone:
License #:
City: S4-1-7
4951--71 - yS-
Email:_,l°0Yt'TVQ-Td"L+"ic/I.sCOX/S1('GLC b -ccvi
Name:1 S i'1 t .g . Ak1714 ° 7 Registration #:
Address: 7(9 /S jii jIld{ IC AV?_ ,S.7L 1& City: minkitarolf3
State: 44 Zip: t1f03 Phone: (pi?-" '( ("'%(a,3(P
Contact Person: Da v. Rf, iit.) _ r� Email: U(v' h4.,(C l -11(i 'C- - C6'lt -
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 the City 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x f VatiO 1) x 1/411A.c.)
Applicant's Printed Name Applicant's Signature
Page 1 of 3
13 W sCx7
DO NOT WRITE BELOW THISLINE
SUB TYPES
Foundation Public Facility
7' Commercial / Industrial Accessory Building
Apartments Greenhouse / Tent
Miscellaneous Antennae
WORK TYPES /
New ✓ Interior Improvement
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% ✓ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Exterior Improvement
Repair
_ Water. Damage
It/ 600
t
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking Insulation Ice & Water Final
✓ Framing
Fireplace: Rough In _Air Test _Final
Insulation
Meter Size:
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: , Building Inspector
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
rZ•Z
Zoo? MSBL
MCES System
SAC Units 0 • IIID GM -iWI. . /A/ USE
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
✓ Final / C.O. Required
Final / No C.O. Required
✓ Other: Flit 57,PP/14/
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Yes • No
Reviewed By: , Planning
COMMERCIAL FEES
Base Fee S% 'ALI--
Surcharge
Surcharge 20 • o0
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL 151. B
Page 2 of 3
4111'
City o[Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use i ®�
Permit #: �U(
Permit Fee: / 00 0,11
Date Received: 11-D1-17
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATIONDate: /1/1"-;46-±D- Site Address: (Arid/715‘ J C (41/(1- g 6 / (?-7(1
Tenant Name: rCUcco (Tenant is: New / Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: C.ccy6Lrt 6C- .?f L LC- Phone: - 96/-5-69?
Address / City / Zip: 5LL(k -3 6 0 / S W� 5- - S1H
Applicant is:
Owner Contractor
TYPE OF WORK
Description of work:
Construction Cost: 41~ AS -0i /70
Name: FIS&7Git.s G23-6 c'7Y4r1‘, License #:
Address:
3 '0 L4gore, L
State: /v r rV Zip: Mi0
Contact:V Ct/Z
City: S Pck ,
Phone: S-1--7 7 S-
Email: "1Yt�ii-ver'chsce�rth r cii t�C lA
Name: t. 5l1 i Cl / r ts7L>< e.j kte Registration #:
Address: 1,� y li L tk' tl?_ ,�c` /4.1-12 City: M/frikte .f >13
State: /4 a Zip:
Phone: 6,12-w(,. ( (r) 3(e,
Contact Person: r& I,Aq Email: at`tet +141 ft_krii(:fiPC (M? -
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 reasonsthat would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
/
x ! 2/1� ,.i% x f �Ul/ >-1/Li.)
Applicant's Printed Name Applicant's Signature
Page 1 of 3
%-(0( - ?171 W Q s c_43) S�u r /
DO NOT WRITE BELOW THIS LINE l O 0 p� 2-A
SUB TYPES
/Foundation
/ Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
_ Interior Improvement
✓Exterior Improvement
Repair
Water Damage
DESCRIPTION
Valuation 51 000
Plan Review
(25% / 100%_)
Census Code
#of Units /(2
# of Buildings
Type of Construction 1/ • 6
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _✓Decking
/ Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Insulation Ice & Water 4inal
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By:
Building Inspector
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
Zsa% MSaG
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
_Final / C.O. Required
✓Final / No C.O. Required
Ails,
Other:
/ Pool: Footings Air/Gs Tests Final
% Siding: Stucco Lath ✓Stone Lath Brick
✓Windows
Retaining Wall
Erosion Control
Yes No
Reviewed By: , Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
1.Bf tdf Water Quality
SC.ry Water Supply & Storage (WAC)
s-. 5-t.
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL' loco. 3
Page 2 of 3
Use BLUE or LACK Ink
For Office Use 1
, , I 1
I Permit
non,
City of Ea
V 0
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: 651 675-5675
Fax: (651) 675-5694 Staff:--- - - - - - - - - J
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date. 3/6/2013 Site Address: t 3 Wescott Square
Tenant: Eagan Gables Suite
Resident/Owner Name: Eagan Gables, LLC Phone: 612-961-5039
Address / City/ Zip: 4015 West 65th Street, Ste 309, Edina MN 55435
Name: Erickson PHC License PC643399
Address: 1471 92nd Lane NE City: Blaine
Contractor
State: MN Zip: 55449 Phone: 763-783-4545
Contact: Jennifer Email: jcarison@iheartedckson.com
Type of Work - New X Replacement _Repair Rebuild -Modify Space Work 'n R.O.W.
Description of work: Water Heater Toilet Lav Kitchen sink Dishwasher and Dis os I
RESIDENTIAL
X Water Heater
Water Softener
Permit Type Lawn Irrigation RPZ PVB)
Add Plumbing Fixtures Main Lo er Level)
Septic System
New. Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ -
CALL .00
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utilit damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cod s 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 approva plans. n
X Jennifer Carlson X-
Applicant's Printed Name Ap is 's Signatur
FOR OFFICE USE Reviewed By: -5 Date. 1 13
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
_Use_BLUE or BLACK Ink
~ For Office Use ----_---j
i
t Permit 'i O 30
"Y U Eapn I U %0
3830 Pilot Knob Road Permit Fee: i
Eagan MN 55122 I
Phone: (651) 675-5675 I Date Received: 18113
Fax: (651) 675-5694
I i
Staff: i
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 3/6/2013 Site Address: i_7 3 Wescott Square
Tenant: Eagan Gables Suite
9 1 Name: Eagan Gables, LLC Phone: 612-961-503
Resident/Owner
Address /City/Zip: 4015 West 65th Street Ste 309, Edina MN 55435
Name: Erickson PHC License MB005261
Address: 1471 92nd Lane NE City: Blaine
Contractor
State: MN Zip: 555449 Phone: 763-783-4545
Contact: Jennifer Email: jcarlson@ihearterickson.com
New X Replacement Additional Alteration De olition
Type of Work Description of work: Replace furnace, replace AC and dryer vent
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
X Furnace New Construction Interior Impro menu
Permit Type X Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/ Above ground Tank C Install R move)
x other dryer vent
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fin; repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 65.00 TOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal Contract Value $ x1%
$55.00 Minimum = $ Per it Fee
*If, the project valuation is over $1 million, please call for Surcharge = $ 5.005 rcharge*
= $ TO AL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 118 hours before
you intend to dig to receive locates of underground' utilities. www.gouherstateonecall.om
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and des 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 ill be in accordance
with the approved plan in the case of work which requires a review and approval of plan/s.
x Jennifer Carlson x'L
Applicanrs Printed Name Applic is Signature
FOR OFFICE USE Q
Required Inspections: Reviewed By: ate:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVA Screening
, •,
� For OHice Use v • j
Clt of Ea �� I Permit#: ��°'�' t
� � � ; � ��� ;
� Perrni[Fee• �
� 383�Pilot Knob Road I I
Eagan MN 55122
Phone:(651)675-5675 � DaEe Received: �
° Fax:(651) 675-5694 I I
� � 5tatt: �
p ������_����__�___J
Z
2014 SEWER AND INATER CONNECTION AND AVAILABILlTY CHARGES
EXISTING COMMERCIAL PROPERTY
Date: (�_�- !�' FOR`OFFICE{1SE'fl1ilLV .::::':°':'':'';':-:'
�.'PE3�V:�reg�i,red:::.:=�..�,.:'::' ::_: ::_ . ..
,;
Propeirty Owner; . . , . '
g �p� �--- So�
�:�ity:�R;�1-1A1=;Per�ii;;`:::;;=:::.: .,��:;�.>;
Address: 7 �7 UV C�5 C � � 1 Phone Number: aW���ll��� ` ` �
,_L'`c�u�tyA.fl,?If1f.Perzntt ° :
(� ��t'� �,�r � -� _�- - - =- �� � f�;:�;:;;;::;:;_::<,;_:=:=;::;:�:::::.�`°,
Plumber. Q��Q�I� rTT► ,� �� 'Co'Ti'EactName:_�C1�('.IC.� -_-3z1.[iRt6ir1�'�errtitl�'�`.�;:=:�':_'':!:':�=.;�':�;
_., _
:.:
- ,. �
.. ..:: >.,z; ._::, . . ;�E?W ER � ._., _ � ��TE�, ;
- ,_..- �..
_ ...... .:..._,.
Sewer Service Water Service �
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC C�$100/unit Water Sampling Fee
MCES SAC G� $2,485/unil Watet supply storage
Receipt t�: ,Date: Receipt#: ,Date:
Permit Fee $60.00 Treatment Plani C� $828Junit
State Surcharge $5.00 Permit Fee $gp,Op
TOTAL: State Surci�arge $S,pp
"Plumbing Permit Required-water meter fo be
�._ _
at�qui�ed wifh building permit TOTA L:
_ -• .�- : �::.�s:
,:'_ ._ ,;, . _ -:. ,;. = = S��1:�3�t�IfIT�ER ;. , � _.___ ,
. . .. . . . .. . ... . . .::
Sewer Servfce
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water tru nk
Water Sampling Fee
City SAC
MCES SAC
Receipt!� , Date
Water supply&storage
Receipf# , Date
Treatment plant
Permit Fee $120.00
State Surcharge $5.00
'Plumbi�g Permit Raquireo'-water mete�to b�
�
acQuired with building permit TOTAL:
d
� Number of SAC units is determined by the Metropotitan Council Environmental Services{6S1)602-1000.
0
�
CALL BEFORE YOU DfG. Cali Gopher State One Call at (651)454-U002 for profection against underground utility damage.
� Calf 48 h�urs before you i�tend to dig to receive locates of underground utifities. www.qopherstateonecall.orq
0
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!^.. f'`:�.. ..t C........ G:.......... fl.......-�....�.r.�
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PARROl�' CONTRACTIfVG, lNC.
�30090 STATE HV1lY 93
�HENDERSON, MN 56044
(507} 248-9697 Office
r;5Q7) 248-9655 FAX
o��arro#t@frontiernet.net
z
FAX
TO: Amy
FROM� Marcia
SUBJECT: Irrigation Service
DATE: 6-9-?4
NUMBEi� OF PAGES (incluc��ng cover page): 3
Good Af�ernoon Amy,
Following is the application for fhe irrigafion line that we will be stubbing into the
irrigation area at 873 Westcoft Sq. Our portion of the work will consist of the wet
tap of the main in the street and stubbing app�oxirnately 10'-15' beyond fhe rigt�t
of way and bring up to 1' above grade. Arteka is supplying the right of way
permif a�d bond. I've spoken with Dave Westerrnayer in Engineering and he will
be inspecting the right of way portion of�he irr�gation service. The city has the
irrigation �fan that was sUbmi�ted by Arteka.
Thank yau,
Marcia
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11aa�'��'' Use BLUE or BLACK Ink
1
), ,4. e1 1101S 7 Ndf Fbr Office Use I
` � City of �� �� I
°JA -J :3�`
Permit ���� � �
3830 Pilot Knob Road Permit Fee: t�C - ?(''.)
Eagan MN 55122
Date Received: I
Phone: (651) 675-5675 I
Fax:(651) 675-5694 Staff: i
I
J
I-101—
22015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: i— IO111" ! q, Site Address: �( 43 C/1� k ct, •
Tenant: ( UL.5 T / -( d"flo.vv,MAJ,....SV-a-3
of Ate"
• �- �� � ` "' Suite#:
r
� ,, - Name: � �,(I 4.-
, .,
/
� d 1�"z r I '� �� r :Pone i0
° "�t,t i- ,�1, � j€ Address/City I Zip: I e_,C,p
�' ', i v. ,�` Jt Name: 'Hilbert Corrtpan'Inc dba Culligan Water License*. WC6413 76
?P�l ' ' �kfil `� s'`kj 18.01 50t St East Inver Grove Hgts.A� •�f. Address: City: g
4 tS.
'.�, r i�''p;M ire`
r5 , ,' � r't state:: Mn Zip;fikafg, k55077 Phone' 651-451-2241' .
. �'n'h ¢'1 � William R Milbert
I.' , it, ,,t,�I. Contact:
Email
,� 1;,,,V1 lit w')(4 {r f ^
>A
1101,000..;,,' o ,1 —New r Replacement Repair _Rebuild Modify Space _Work in R.O.W.
-I��Ct '�N;�t}`'j" le Description of work:
w
• i�rtr`fit`1.1; 't `,, ,. RESIDENTIAL
r t } .f4 E 4s m ,4a Water Heater
`xi r i11:Vgli+ I Water Softener
4, ,,, t x, _Lawn Irrigation(_RPZ/_PVB)
° % ,",e,
e > G° tai Septic•K ,) �}�t s p System Add Plumbing Fixtures Main/ Lower Level)
1 ` eZ, /sf G�`1NY 1•P-,'
,�? , (�Iryt�T�P .` New Water Turnaround
'1'4 ;�bsittt'At', ;girt,:
-. ' r., '�, ,1- .o, Kt _Abandonment
RESIDENTIAL FEES: •
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and $5.00 State Surcharge) /
TOTAL FEES$ ( , O O
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'Iocates of underground utilities: www.000herstateonecall.org
I hereby acknowledge that this information Is complete and accurate;that the work will bein 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
ac ordancer it the Approved pIn. case'• work whl. requires a review and ap. ova of la s.
X p9fry ,i( i 4 0
x -/IL(l-f,c--..---
Applicant's Printed Name Applicant's Signature
1',l'4?,-.h,- `{3.).Ji S`4.f eta is �f, rei'.' ri+ N1-,,:t v.. i -,r s,N,,r..<.0-a,7 'tif,: 3„ n{iy'p'Mr75E0$0,,;1,',1,,*,-,, .ti Y,t.c',- ' .- �."tRz 21`,`4,,i, £
i '-- t,- tt'r`5 X444A},j[.i•+ v1x~'r� 5.t' „",,A,,4011,'
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