3590 Blue Cross Rd CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MW bS121
Owner:
Site Address:
•
Plumber:
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the ity of Eagan
Tr. Plant Ordinances.
Meter: J s1 ��
Misc.: B y / �
WATER SERVICE PERMIT l `"
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
~
For Office Use ~
1 Permit i n345 I
City of Eajan
S ~V~GT
3830 Pilot Knob Road Permit Fee: 51
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I
Eagan MN 55122 I 1/0 h
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-6694 1 j
1 Staff: ~ I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: O d Site Address: 35El& 13L,06 Ce-OS S RO A6
Tenant Name: S'kNHit,- P&424- PA41L4 y,f (Tenant is: New / X Existing) Suite
Former Tenant:
Name: L E21 or- E✓} Phone:
Property Owner
g Address /City 1 Zip: 3e 30 LOT If:..fOlS t2c7A1 aq&h,f 5-5-1 c3c3
Applicant is: Owner ✓ Contractor
Type of Work Description of work: t?9MQV ,S' r,PeSL~S UN LdeST-SQ /11);) P+bGECild. r'1S'V t 1d J
Construction Cost:
9 OD, 00
- ' C License C 3
Name:
-TAcKSon~ -6 $5acd r
S L-t. 12S L044 8
Address: rI & 3Q k W Y (p 5 l(C City: fie-12)L-ej
Contractor
State: 14 tf Zip: 5S-%43 c9 Phone: 0/c3 -aaa -O 8r/S
Contact: 31i.e 4PA&c:L414 Email D4Le&.46,4 i Qm4 L.6ot't
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
_ Contact Person: Email:
Licensed plumber installing new sewertwater 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 the 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.Qoaherstateonecall.org
1 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 rk which r s a revieyr and approval of plans.
x t ln- -y e):(6,rc..gtj& x
Applicants Printed Name Applicant's ig atu
Page 1 of 3
&/3 t~
Dale Engelking 612-222-0875
Customer Nance: Paul Graham - Park Operations City of Eagan
Address: Skyhill Park 3590 Blue Cross Road
Scope of Work: West Side of Roof and Ridge Cap
• Tear off allshingle and felt underlayment on the west side of the building and all of the ridge cap on the
entire roof
• Install. Winter Guard ice & water shield per building code requirements.
• Installation of 15 lb felt underlayment.
• Installation of Shingles, match the existing as well as possible. 41i4rrx L,.tv
• Installation of Ridge cap on the entire building ;I lM ,oov S
• Shingles will be nailed not stapled.
• Price includes all disposal, crane, portable toilet, insurance, permit, and delivery fees.
• Clean all trash and debris upon completion of job.
Bid Total: $1,900.00
(One thousand nine hundred & 00/100)
THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS,
THIS PROPOSAL INCLUDES STANDARD CONTRACTOR'S LIABILITY INSURANCE.
SUBMITTED BY: ' DATE:[ 3
ale E
ACCEPTED BY -
SIGNATURE: DATE:
Jackson & Associates LLC, 7636 Hwy 65 Ne Fridley MN, 55432 5-so"K -s
Thank Yore! f~~ rrOr ~
1
k , \ \ n iq i I ,—
For Office Use
',I n;/1 0 Permit#: 10 I . LI
/-5//9 �
• i 'Vrci 64
•� •� �� •� �L, 11('.' L{.S Permit Fee: 0 1'
_ EAGAN illr
ECEI�/� Staff: $.41
EI) I—
Payment Recvd: Yes
3830
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-85351 FAX: (651)675-5 EB Q l) 2Q`Q Plans: Electronic Paper I
Plan Submittal:eplansecitvofeagan.com
2020 COMMERCIAL BUILDI IT APPLICATION
Date: 02/04/2020 Site Address: 3590 Blue Cross Road
Tenant Name: City of Eagan jo,arks (Tenant is: New/ 1 Existing) Suite#:
Segh'' lI / �� Former Tenant:
Name: City of Eagan Phone: 651-675-5318
Property Owner Address/City/Zip: 3501 Coachman Pt
Applicant is: ✓ Owner Contractor
Type of work r�
Description of work: Remodel
Construction Cost:Name: $250,000 License#: �
City of Eagan - I 1 g `
l� '
_ .
3501 Coachman Pt Eagan
Contractor Address: City:
/
MN 55122 651-675-5318 (D
State: Zip: Phone:
Paul WatryContact: Email: t rycit ofea an.com
. wa
Name: JAL Architects LTD Registration#:
Architect/Engineer
Address: 750 Mainstreet#414 City: Hopkins
State: MN Zip: 55343 Phone: 952-201-6076
Contact Person: Andre LaTondresse Email: jalarch@gmail.com
Licensed plumber installing new sewer/water service: Phone#:
NOTE:plans and supporting documents that`yyou submit are considered to be public Information. Portions of the Information maybe
classified as non-public if you provide specific reasons that would pennit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.cioaherstateonecall.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 nota 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 appro of plans.
X Paul Watry x r) , k3 "k)S
Applicant's Printed Name Applicant's Signature
_ ZsDO NOT WRITE BELOW THIS LINE L.5___2.. ),6,
SUB TYPES C
90 g/1/1( Qiie(,.s a
Foundation
Public Facility _ Exterior Alteration Apartments
—
✓Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility
Miscellaneous Antennae
—
WORK TYPES
New _V Interior Improvement Siding _ Demolish Building*
Addition _ 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 25t,9OOw•oOccupancy A•3 MCES System
Plan Review ./ Code Edition ZOIS"MBC- SAC Units 6/a, CH ►� IN VSEr oft 4a Le,
(25%_100%) Zoning f City Water ///// V
Census Code Stories I Booster Pump
#of Units 0 Square Feet ZiZ I Z PRV
#of Buildings t Length Fire Sprinklers 0
Type of Construction V•B Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier / Erosion Control
N/ Framing 30 Minutes ✓ 1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock / Other:
Roof:_Decking _Insulation _/Ice&Water 1" Final Meter Size:
Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans
Windows
Fireplace:_Rough In _Air Test _Final Final/C.O.Required
Pool:_Footings Air s Tests Final v' Final I No C.O.Required
Final C/O Inspection: Sc ule Fire Marshal to be present: ' Yes V No
/
Reviewed By: 0-e-411
/�l Planning New Business to Eagan: 6
Reviewed By: £ t i ' , Building Inspector
FEES
CAI/ ?pvJ � — MOC. =lity
Base Fee 0. 64) Storm Sewer Trunk
Surcharge I Z 5 .0-49 Sewer Trunk
Plan Review 0 • Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: I4 ZS• t•-
Page 2 of 3
MCES USE:Letter Reference: 200324A5 Address ID:4863 Payment ID:431996 j6-9 '9X
Date of Determination: 03/24/20 Determination Expiration: 03/24/22
Greetings!
Please see the determination below.
Project Name: Sky Hill Park
Project Address: 3590 Blue Cross Road
Suite#/Campus: N/A
City Name: Eagan
Applicant: Paul Watry,City of Eagan
Special Notes: The project is required to be reported with your normal SAC Activity Report if a permit is issued.
Charge Calculation:
Fixture Units: 33 fixture units @ 17 fixture units/SAC = 1.94
Total Charge: 1.94
Credit Calculation:
Eagan Park Shelter (Non-Conforming GSF 06/87)
Fixture Units: 30 fixture units @ 17 fixture units/SAC= 1.76
Total Credit: 1�7
Net SAC: 0.18 = o SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be
made. If you have any questions email me at: jessica.nve@metc.state.mn.us.
Thank you,
Jessie Nye
Manager, SAC Program
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street NorthI St. Paul MN 55101-1805
Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 j metrocouncil.org ME:°I"R.OPC)LI IAN
COUNCIL
An Equal Opportunity Employer
. For Office Use
11 Ir • ,.,.„V"IVPermit#:
%:‘,..
� �•�• ti1AR Q 5 1°2.1Permit Fee:
�� Staff:
,—
1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _Yes No
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinoinspections(a�cityofeagan.com Plans: Electronic Paper
Plan Submittal:eplans(a�cityofeagan.com L
2020 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive
Date: 2-28-2020site Address: 3590 blue cross RD Eagan MN 55122
Tenant: Skti 11 l I f ( - - Suite#:
Property
Owner Name: City of eaganPhone: 651 675-5676
Name: Wenzel Plymouth PlumbingLicense#: PC642717
ContractorAddress: 1959 Shawnee rd suite 120 City. Eagan State: mn Zip: 55122
Phone: 651 319 4136 Email: kjohnson@wppmn.com
New Construction Addition ✓ Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
Description of work: relocate bath room groups at sky hill park
Type of Work Irrigation System( yes/_no)( RPZ/ PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers_Yes_No
COMMERCIAL FEES 19000
Contract Value$ x.015
$60.00 Permit Fee Minimum $ 285
$60.00 PVB/RPZ Permit(includes State Surcharge) Permit Fee
$ 9.50 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call City for Surcharge $ 295.5 TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
_$295.5 TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeaoan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility dama.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance wi;the ordin- -s 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- pe ithat th- -' will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
xKyle Johnson x
Applicant's Printed Name App ic./''s S'a0'ature
/ Page 1 of 4
/ 607/
FOR OFFICE USE
Approved By: Date: /'9 .
Required Inspections: Under Ground r./Rough-In Air Test _Gas Test Final i) PRV d:_Yes--
Require No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 2 of 4