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760 Yankee Doodle Rd �J at& AT&T Services,Inc tReal l Network Estate Administration 575 Morosgo Drive,(12F East Tower) Atlanta Georgia 30324 FA#:10102818 SITE NAME:MPLSMN3192 MARKET NAME:ND/SD/NE/MN/IA AGREEMENT ID: 103175 Via Certified Mail—Return Receipt Request Number 7014 2120 0003 5347 7503 March 31,2016 City of Eagan Attn: Public Works Director 3830 Pilot Knob Road Eagan,MN 55123 RE: Notice of Intent to Extend Lease-Reservoir Lease Agreement dated July 06,2006 by and between New Cingular Wireless PCS,LLC (Lessee) and The City of Eagan,a Minnesota municipal corporation (Lessor); Site Name: MPLSMN3192; Site ID: 10102818; Site Location 760 Yankee Doodle Road, Eagan,Minnesota,55426. Subject: Notice of Intent to Extend Lease Term for Site: MPLSMN3192 Dear Lessor: Please accept this letter as written notification that New Cingular Wireless PCS,LLC is extending the term of this Lease for an additional 5 years term from July 06,2016 through July 05,2021. Should you have any questions regarding the above,please contact me on our toll-free number, 877-231- 5447. To expedite processing of your request,please reference the site name as found on the subject line of this letter on all communications. Sincerely, Macau Clawrence Rose New Cingular Wireless,Network Real Estate Administration Network Lease Specialist cc: Real Estate Manager CR Renewal Notice 7Ro 1pKs TiT�xr(iE DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Apartments Lodging Miscellaneous Public Facility Commercial / Industrial greenhouse /Tent Antennae WORK TYPES New — Interior Improvement Addition Exterior Improvement Alteration _ Repair Replace _ Water Damage Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% t/ Census Code # of Units # of Buildings Type of Construction $,000 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Drain Tile Roof: _Decking _Insulation Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Accessory Building Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair _ Demolish Building* _ Demolish Interior _ Demolish Foundation Salon Owner Change 'Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock /Final / C.O. Required V Final / No C.O. Required Other. Pool: _Footings Air/Gas Tests _^Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: P 'No Building inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality . so Water Supply S Storage (WAC) o5". 45, Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other TOTAL Page 2 of 3 CITY OF EAGAN Remarks ~!~Y f~~~ ~ r. ~~1i~-~--+'~-J ~ G 7~~; ~ Addition Section 13 ~ot eik Parcel 10 01 0~ 0 050 25 Ow~er ~ ~ " ' ' street state EAGAN MN 55123 . ~ _ ; - , . - Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF, STREET RESTOR. GRADING SAN SEW TRUNK ~ ~ 1'j Q~ 'Z P a. SEWER LATERAL WATERMAIN WATER ~ATERAL WATER RREA 'I 2 ~ O. O 72.03 Q STaRM SEW TRK STORM SEW LAT CURB 8i GUTTER SIDEWALK STREET LIGHT WATER CONN. BUI~DING PER. SAC PARK l ~i- i °'t~ i City of Ea~a~ ; Permit# T~~p ~ I ~ I Permit Fee: ~v ~ 3830 Pilot Knob Road i Eagan MN 55122 I ~ate Received: ~ Phone:~657)675-5675 ~ ~ Fax: (651) 675-5694 j Stan: ~ I ~1 S~ ya~ k~z. pood ~d • 2008 COMMERCIAL ~`3UILDING PERMIT APPLICATIO Date: II 'd S Site Address: K G s ~ ~ nJ~ Tenant Name: ~ Q~ `e 3 ' ~ ~e (Tenant is: _ New / ~Existing) Suite s -~6 PROPERTY OWNER Name: ~ rh F~~ G~i~ Phone: /S~ - 6 7 s- 5~2-oD Address I City / Zip: ~S 7~~ c.~c-x:..L`I M 9 iV .1~.~~ p,, Applicant is: _ Owner Contractor . TYPE OF WORK Description of work: `~~"rl°!~x/~9 t~~A c~%/t'l,~,~ir U„ ~1F.~( L+_.~ 1~`-~ ti,~ ~rcir.s P~' ~ ConstructionCost: 5 db. , p s, CONTRACTOR Name: ~c3 (~J~~~`< ~~rs 1 Li'~enSe7k: ~x'~ '`g~ 7.3~? Address: /d ~`1 S ~ s'~-! S- 5:.2 / n~ti City: ~'%-~~~c.4i'o/is State: Zip: S i~~DZ. Phone: .3 7 ~ ~ ~ ~ ~ / Contad Person: / - / ~ ~StJ~~rv~ 4^~- ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewerlwater service: Phone " IVOTE:,Plans~ and serppw#rng;documenfs thaf ynu submit are consi,dered td-be pub~;cinformatTon.<<Parfio»s of' i~ the rnforiiTat~on may de c~1'~`sstNed as non pablic:`if you proV)de speci~c reasr3ns thaf wqufd ~rerrA"it the ~+tyto` ~ ~nI(~~>!~~k'i~~~,~. _ eonctude~ftiatthe ar~trade$e~refs.E~ -n ~~r~~- = e~~- I hereby acknowledge that this information is complete and accurate; thal the work will 6e in confortnance with the ordinances and codes of the City of Eagan; that I underst2nd this is not a permit, but only an application for a pertnit, 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 lans. X /"'~,/CY ~G/'/`Fl"'C.v X ApplicanYs Printed Name A plicanYs Signature ~~~~o~~~ JUL 1 1 2008 Page 1 of 3 ` DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Building ? Apartments ? Commercial / Industrial ? Eut. Alteretion-Apartments ? Lodging ? Greenhouse ? 6ct. Alteretion-Commercial ? Miscellaneous ~ Antennae ? Ext. Alteration-Public Facility ? NailSalon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ~Alteration ? Fire Repair ? ~emolish Foundation ? Replacement ? Windows ? Water Damage ' ~emolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Jr00 Occupancy MCES System Plan Review ? Code Edition • SAC Units ~ (25%_100%~ Zoning CityWater Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) SheeVOCk Meter Size: Footings (deck) FinallC.O. Footings {addition) ~FinallNo C.O. ~ Foundation HVAC Drain Tile Other: Roof: _ oecking _ Insulation _ Final _ IcenNater Pool: _Footings Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Reviewed By: Building Inspector Reviewed By: ` ' . Planning COMMERCIAL FEES: Base Fee 30 • o0 Surcharge ~ • g'p Plan Review yq • ~o SAC-MCES SAGCity S!W Permit Financial Guarantee SNV Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality Water Supply & Storage (WAC) Total ~ J~O •~5 ~ Page 2 of 3 COMMERCIAL ~ , ~ _ ~ -y , 2002 BUILDING PERMIT APPLICATION ~ ~ CITY OF EAGAN ~ I ~ ~ ~ (o ~ r-7 ~ ~ 651-681-4675 ~ I Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • CivilPtans (2) . SWcturelPlans (2) • CodeAnalysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • Project5pecs (1) • CodeAnalysis (1)" . LandscapingPlans (2) . KeyPlan (1) • ProjectSpecs (1) . CodeAnalysis (1) • MasterEzitPlan (1) . Spec. Insp. & Testing Schedule " • CerUficate of Survey (1) . Energy Calculations (1) not always"" • Soils Report (1) . Spec. Insp. & TesBng Schedule (1) " • Elec. Power & Lighting Form (7) notalways"' • Meter size must be established • Meter size must be established • Meter size must be established - if applirable • PrqectSpecs (1) 1 • EoergyCalculaUOns (1) " ~ ~ M ~ ~ 1 . Electric Power & Lighting Form (1) " D~~b ~J u y • MasterExitPlan (1) 1 ~UN 2 O ZOO~ . Fire Protection Plan (1)" ~W d • SoilsReport (1) d • MC/ES SAC determination letter . MGES SAC determinaUOn letter • MClES SAC dete ination letter rall 651-602-1000 call 651-602-1000 call 651-602-7000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: - l l- 02 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST:~ l oo, o00 SITEADDRESS: ~3f r yA~ilk' - '~oo~~ F zea'~, ~qr n~.] Mnl 55 lzl TENANT NAME: V&21zo,~/ W I~~.LE SS SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK A~o~T~~ oF Arv~u,vAS -ra sai<-nN6 TANk P~-ALCMEMr oF PeE-Fa8 13 v ~~t-p1 n76 Name: ~,l?`~ OF 6AC~Ar1 (To^^ S?RV~/£~ Phone#:( ~o~l )(n€i~- ~1~.87 PROPERTY Last Fust ca~/~r OWNER SheetAddress: _ PI~-~ o ~fl~0 D LS" City: f:'fK~P.N State: Mn.1 ~lp: ~ 9y O Z~~~ a. Company: ~~L~~N ~ Phone#: `1 D 2g CONTRACTOR StreetAddress: ~ R 73 VA LL V I E~J ?2o~4O Ctity: E iJEnl P2~ ~ 2~ ~ State: ~`^/J zip: 553 y y ARCHITECT/ ENGINEER Company: L7t S 1 Cn n) 1 Phone ( 95 Z ) `rQ q aq 9 Name: ~op, 'pAy I S Registration 12 '`l 2 7 ' Street Address: 9 9)~ Vfx i i F~t V ~ E~.1 2o~aD City: EDEN F~RA~Q.IE State: M^~ Zip: 55344 Licensed plumber Installing new sewer/water service: n,jfl~ Phone I hereby acknowledge fhat I have read this application, state that the information is-correct, a agree, /tof~ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ ~jf Signature of Applicant: ~ _ ' , ~ ~N~~J ~,'rl-I~i 9S2,4Q3.42b~ated 1l02 OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~ 27 CommerciallIndustrial ? 32 Ext Alt - 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 (Foundation) ? 46 Windows/Doors G 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ~ Zoning sq. fr. SAC Code ~Q # of Stories ~ sq. ft. No. of Units Length ~ sq. ft. No. of Bldgs. I Width ~ sq. ft. Const. (Actua]) V~~ Basement sq. ft. MC/ES System ~ (Allowable) V•~ First Floor sq. ft. ~ City Water 0 UBC Occupancy S•~ sq. ft. Fire Sprinklered MISCELLANEOUS IN5PECTIONS ? Gas Service Test ? Heating ? Insularion q Plumbing ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance VALUATION $ I 66 , O DO ~ Permit Fee ak~j .Z~ Surcharge 56 • o a Plan Review (pQ'`j `t' MC/ES SAC t`I~ C~ % SAC ~ G o City SAC ~ b SAC Units ~ Water Supply & Storage f~ Meter Size S/W Permit o S/W Surcharge b Treatment Plant b Park Dedication b Trails Dedication U Water Quality U Other D Copies Total 'f ~ ~og ~-J ~ , ~ ~(~'J15~ Cr'Kc yfl~i }~hc-c ~ ~~1 ~ , ~ ~ ~ ~ I tP1s~t 1~ ~J .i-~~ e 6?2-6~0 -ow~ r,~ zoob COMMER IAL BUILDING PERMIT APPLICATION City Of Eagan ~t1u~ 3830 Pilot Knob Road, Eagan Mn 55122 I~~V /~1~ e~ Telephone # 651-675-5675 FAX # 651-6755694" ~ ~~t~ e . . Structural Plarrs e (2) sets • Architectural Plans • (2) sets . Nchkectural Poans (2) sets . Clvil Plans (2) . Strudurel Phans (2) . Coda Malysis (1) . Certficate of Survay (i) . Crvil Plans (2) . Praject Specs (i) . Code Anatysis (1) . Lsndscaping Plans (2) . Key Pian (7) . Projed Specs (1) . Code Anatysis (1) ° . Master ExN Plan (1) . Spac. Insp. & Testing Schedule " . Cert~cate of 3urvey (1) • Energy Calculations (1j nM ahvays" . Soils Report (1) . Spec. Insp. 8 Tes[ing SMadule (1) " . Elec. Power & Li~Ming Fortn (i) not ahaays° . Meter siza must 6e establishe~7 . Metersize must be esteblished • Metar size must be established-~7 appliceble J . Project5pacs (1) - ~ ~ • EnarqyCakulations -(1)" ~ ) ) . Elactric Power 8 LipMing Form "(7) " ) ~ . Master Exit Plen (1) J ) . Emergency Response SRe Plan (1) ) ) • Soils Report (1) ~ • SAC determinatlon - wll 851•802-1000 • SAC defermination - call &51~02-1000 • SAG de[erminatbn - rall e51-602-1000 • Fire Stopping SubmiHals • Fire Su ressioNAlartn Poans Call MN Dept of Healt6 at 651-215-0700 for datails regazding faad & beverege or lodging faa"lities. " Coniact Building Inspections for sample and if ~equired ~ Pe~mit for new budding or addition will not be processed wiihout Emergetwy Response Site Plan. Date / r~ U{7 C/o~n ructioeCost Z~~~~ ~~/I~/~~~ SiteAddress ~/d A~~~ yd~~ r,~ w~'~'~ ~ nit/Ste # TenantName (~Tr1y~l~Ol~ (/l~~(L~~~'j FormerTenantName Descri tionofWork 1'~~f~ 1 7'O~ ~ Oh r~ ~I~Q~~ 6~aM t~l . r o~ ~~c ~ ,N~ r7~~' N Property Owner C l 1 ~ ~ 6hN Telephone # ( ) ~~u • ~V~ 7'~ ~K 1A~ C w4 E~ Applicaotis: _~7O~w~ne`r Coatractor Coetact#: (p~2.) 67U~U~G~ Contractar 17~G~" ~ (~l~t~~(~ W f'~~~ naare55 1 ~•2h2 S a~*~ A~c N~ r'-~cIFCZ~ I c~~y /~a ~(t State \ Zip S3 6 Telephone iY! "G 6Ci~ ~ ArchfEegr ~Y~ ~ 1~~7µ~c?d-r~ul~FMg x~sr,~eooa Zrsl~dl ~ 4a126 aaaresg a~ G~~ O.~C~~~ M!J c~ty State Zip Telephooeti( ) 'rdu7~~$'b~~'i` 65?- ~y~- ~ Licensed plumber insqlling new seweNwatei servlce: NQ Phone I hereby apply for a Commercial Building Peimit and acknowledge that the information is complete and accurate; thet the work will be in conformAnce with the orduu~nces and codes of the City of Eagan and the SSate of MN SffiNtes; I understand this is noi a pemut, but only an application for a peimit, and work is not to s[art without a permit; that the work will be in accordance with the approved plan in the case of work wlrich requires a review and appraval of plans. _ JV ' ~ ApplicanYs Printed Name ~ ~~s Q pplicanYs Signatu~e oEC 1 a 2ooF ~"l ~ S ` ' DO NOT WRITE BEIAW THIS LINE Sub Types ? Ol Foundation ? 26 Puhlic Facility ? 30 Accessory Building ? 14 Apartmenu ~ 27 CommerciaUlndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 EaR Alt~ommercial ? 25 Miscellaneous ? 29 Antennae ? 35 E~ct Ak-Public Facility ? 37 Nail Salon wark TyPeB ~ 31 New ? 35 Int Improvement 0 38 Demolish (IMerior) O 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ~ 43 Reroof ? 46 WindowslDoors ? 34 R0p18cert1eM 'Demolition (ErAire Bltlp only) -Give PCA ha~dout to applicant e~t+ Valuadon ~ g r~O Type of Const Width Plan Rev 10095 ? 2546 _ Oxupancy V MCES System SAC Units v Zoning City Water Nbr. of Units ~ Stories Booster Pump Nbr. of Bldgs ~ ~ Sq. Ft. PRV length Fire Sprinldered - R~quiredInspections N~u,, gLDC - p - - p, Footings u~eplace _ R.I. Air Test Final _ Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock Foundation FinallC.O. Drain Tile J~ FinallNo C.O. _ Driveway Apron _ O[her _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool F[gs Air/Gas Tests Fmsl _ Fiaming _ Siding _ Stucco Lath _ S[one Lath _Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: ~ Planning Building Inspector Base Fee ~ • 2 Y - - Surcharge Plan Review 'z$~ • T / SAC-MCES SAC-City SNV Permit S!W Surcharge Treatrnent PWnt Financial Guarantee Tr~tment Plant (Irrigadon) Srorm Sewer Trunk Park Dedi~bon Sewer Laterel Seu~rer Trunk Trail 0edicaGm Street Water quality Weter Laterel Weter Tn~nk Water Suppy & Storage (WAC) Ofher Tolal . ~o~a . . . . , s- En.gir:ecrs G .qrrGi[crts . . . . . . . . . ` 6 ASSOCInIES iA. • • • . . . . . . December 19, 2006 ' Tom Zimmertnann Terra Consulting Group, LTD , b00 Busse Hi~hway Park Ridge, IL 60068 K4A Project No. 0612A7 RE: Cingular lluckwood "I'rails & Hwy 43 Site Retaining Wall Dear Tom: This purpose of this letter is to clarify a specitic aspect of the retaining wall faundalion system design, which I completed for the development of the Cingular Duckwood Trails & Nwy 43 site (MPL3MI~'3192A) in Ea~1n, Minuesota. One of the primttl'y design challen~es was providin~ adeyuale protec[ion against the formation of frosc imder the equipment shelter foundntion. 'I'he 21103 Minnesnta $tate [3uilding Code (MSBC) provision 1303.1600 requires 3'-G" of vertical and horizontal protrction frnm ex~~sed conditions in order to protect f'rom frost formation under a foundatio~i svstea~. Givcn the proposetl Iacation of the Cingular equipment sheiter, and the restrictions on locatipn of thc n:wining w~ll struclure due to an adjacent utility easement, it was required that tlie proposed shelter f'oundation hc placed wi[hin npproximately I S" from thc back tase of the retaining wall. Since this hnrizantal clearanct; fmm an exposeci surface does not meet the MSBC requircmcnts, our rccommcnded metliod of frost proteclion was to specify that all nati~e soil exca~atcd durinp die N•all con~truction to be replaced with free-draining granular material. In combination with Uie sloped weep holes we specified to be placed in the retaining wall, this back611 recommendation eliminates [he possi6ility af frost formation. Since a froe-draining ~ranular material woold not include ihe finq moisturc trxpping, particulate inate:rials Iha[ a common fill material would include, any moisture that pcrcolates into the soi) would yuickly escape and dr~in, ihus protecting againsi Ihe formatinn pf s-tructurc-dnmaging frost. Please feel free to call with any other questions ar nced for clarificalions coi3cerning the Duckwood Trails si[c. Sincerety, ~~y~~ /y//) /~j ~CAi~1,OR flEiOH'tYYAS PIFJqtf~ 8r /I //J__w.__~. C~f: . ~ MEGJ{WmERMY0~C~5lIP64VISICNAND DUIUTN . l_SL'~"s-- ni11f1AMAO11L~l1~P~7dK 227West9stStreet3uiteZ00 Christopher A. Gardner, f'E ~~uih, Minnesou 55802 Structural En meer MwNESOq4 Ph 218J2)318I 6' ~t~ ~j~iS~p~rA.(~r~qW Fax218.727.1216 l.e++~--~~ C SU4EPIDR ~ffi et•ry.r6m.r,r. ~Y~9~?- 916NammorWAVem,e CC: projecT tile Superiar, Wiscon~in 5a88o vn ~is.sez.oaaa Fnx 71i.3§23338 An Eq»nl Opyon,xr,dy €mplayer NvAV,kreQ~ojdtd.[Am 9529039277 OSl22/2003 13:13 FA% 9529039277 Chris Davis Constr ~sr f~ 001 _ _ -D ~ ~~X~-~~ia/[~E._ - . . . . . _ - _ . --~5"~t'~~~/?~f'F~'7_3~~' ----~~.~~~_--~lGf~n_1----_-___--.. - -~:~-'-oF~7~s --~/'.....~~J2.~~n~ . . _ _ _ Gvr~~c~ ss c~:~ ~~7- T~~ ~Es~L%~ ~ - - . _ ~'E7Zn~~T __~B_~~_2.._7_(~J_, ~ - - - - _ _ _ - , - - - ~ - - - 4 - - ~f~-l~~-Aa11S- - - _~_---~-i~~_~=_ - . - ~ 1~~~-- - - - ~ .T~~L • T~1 S - - - _C~~1~. ~ - - , , C~NCRETE STREIVGTH R~POR7' Q~c~~,~~,~~. ~ ~ Project and LocalfOn:.Eaulpment Sfiallars. Various Loratbns lu esota ta00o zlstAVenue Marth N ArehiEacUEnginaer: P~o S]ne oi Edina amnneepoua. nau esoa~ ~ N C3911B181 CotdraCfOr: Ph (783) 656•1868 0 COlld'8hB C~A1~Of: Fax (JBS) B6B-0720 ~ w OwnerlDevebper. ~ W GME atNumAar. 960 auP~ w,wr. wuc - cuenuuriweuu~wtttr: are ros ~ ~ ~ SLWEP N ~ o~ MUIM9tBNOTP~118710BEb (^tl~k • SPEqfI6OA9eGONTEYTfx1: IN NEWflR~81PEN01HAT30011Y& 8000 `p OAlEOABf . BLUNP41~dQ7 ]EL1'fiRHTtRtE Iv OATE BEFORE AFT~ ~h7B A6E C1L1Mf~ WIKIAI1~~Im O BEIMMOER REC6MPD IOCATIONOFCONCRE?EP HAENf PlA81N.72FA PLASi4C~A AW% YIXl°FI NRtF) 7WE 7MIIX~ IEEfEO (4Y~1 1~1 {~J ~RIE86NF ~BSYA1 ' 3 W m ro 18A 7/11Po3 pOO11 4 78 ~fi 12:28 915 7I16 7 20A 171700 796p C ~ ~ 19B TN4/03 Mp~ Tia &E ~ 28 299 1463Up ~Ap Y C ~ ~ ~ i~ ~ ~ ~ ~.8 137300 4l6D Y C ~ 16~ Tlro a!8 ras baf Bndero wbc ~gg Y ~ R pY µ ~C,prOK ~p~: ~ asnw c at alendem preatlce Ior f~dalu~ a~,d curmg canuem reu apscanana N ma FFShI Juy 'i 8, 2~3 ~c ASTM C 90 Blandard ieat Method For Comprwshe StrenplR af CypiW~bal ConcreEe Tesl Specimena ~ ABTiNC94 BYndeNBpecifln8onirnRSWy-A61KCancrab . nsianc~x sm~drewenwadtoru~nw~tmmaarcanront~or~t,~~yaco~ee Auguat B, 2003 ASTMCi~9 8te~dard7eetRdNl~fa8hoqpofHydraWiaC~msnlConaelo ~ o A8ilA C 1T2 SEardaM Waqlce ror Srmq6p Fwshy L76~sd ConorNS ~ m AS'Tbl C 173 ~enda~d Teat MsOwd tor Afr C:ontant af FrmMy s7bmd CanwL by the VoWnrtric Metlrod . y A87M C 251 ~enda~d 7asi Malhod ta Nr Con[ant oi FreaHy MNmd Condeb Dy tl~e Prueure IMB~ad ~ P.87M C 1~4 81~~rd ieat MeThod tor Tanparaturo at Fretliy M1Apqd por~d Cxnent Conaete W + Teat~rnenewarom#byOMEConeullenb,Uro. Tat e~6nene were nW rast tg QdE Carrouliants • No olAer MlaTma9on la areilffile + Teetapsdmeneraerecaatin8'z12"~~retcvoesaxitonelareao}7Ap7f~unlesao~Cwiee~aEad TO: 7ypes M PmoOura a6TN c3a ~ • Mtr.CMtsDavk-De~pnOneWEAne ~ , • Mr, J1m Aep- Veiimn kMaleas t J . r E • Mr. Crelp Namcqk- CBb of Ea~n j; E . • / ' t RY~ F. &hml&, PE, ~ ~ a...w~nm...~ra... sr., e.~...r SenlorPraj9ctE71piireer ~j ' s~ m a w u . e1 ~ 0 ~ o ~ CONCRETE STRENGTH RE~'ORT omeca,.~i~nm,i~~. ~ Proj~t and Locatlon: Eauioment S Qke~ Various Locations Mlnnesots 740ao 2f st avenus No~th N ~ ~ ArchltecNEngineer: Des~n one ot Edina Mln~reepo9s, MIJ 55447 r OsneralConhectae an. paa>sse-~e5e ~ w Concrete Contractnr. F~ pas~ sss~orzo ~ OWnBdD9VelOpel" w OME Pro~ed Number: ~Q@ ~ ~ Ava xure . . ,m~o voa a ar~c~ieo ~ ae ~ ~ (N~): 4 BPECIPIEOAIflCOIftENf(MJ: B xBOn . 4000 ptl ~ ro m M7E GAB7 8lU61P fMtl~) TBAI'ERITURE - y"~ W DATE B~ORE AFTER Q47E AOB -CYLWf. MA%LOhD{0~ Rj Cp BET NUMBCR RECflVEO PlA6I1CRER PLAB7IC~R AIfl % MIX PFI AG1Q Fl TMAE IAUCK Y TEBTEU I~») Sbe) rom) ~B Y • ~ v v 20A 7/1~103 Foumlefion Wall 4 6.6 82 ~ 1:16 274 7122 7 29.t 108800 aB80 C 20B iMB/03 MlnTrenquWty ~ &12 28 28.3 147900 8230 Y~ D ~ ~ 8H2 28~ 28.1 158700 6810 Y C 20Q ~ Z n ca y ^~7 F+• Tha ~a s 2B reo Ive 6420 Y c~ C Deie it~poA Preperatl: . ASTM C 8S ShndaN Precdce Tor Makhp end Curhg Cancrete Te& Spedmene In the Field July 22, 2003 ~ ASTM C 38 S~ntltld Teat N~MOd for CompresBHe Stra~pth W Cylhqriml Conaele TBeI Specirtiem AS1M C BI SEeMaM Specdflcatlon Inr Reedy-M& Concaeta - ~ e nsn~ c,ae sarw.~ T~ r~u,~a ro~ u~u vv~~c, ~+a a, n~ cama~ ~o~~~~ m co~ Auguet 12, aoos ~ ASTM C 143 Standertl Teat Matl~od for Slump of }lydraulb Cemant Conerete ~y ASTM C t72 Sfendwd Practka tor 3amp9rg Freahy Mized Conc~e6s ~ A6iTd C 179 3tendaN Teet Mtathed fu A3r ConleM o( Frea~ly Mlxed~Concra~e by the Volumetrk Method ~ ^~s AS77d C 231 Stendard Teat AAethod TorAlr ConmM m F~eehy Mucad Conaem hy the Proeswa Method qg7M 0 9084 Standerd 7est AAethaO tor TempereWro of Freshry AA6cad PoNa~ Cemon~ Conae~ ~ + Tnl epsdmens wore ceat by GME Couwttenta, Ina ~ Tut sPeetrnens were nd uet b~l tiME Caneullante • NO olher In(omtatlon~ b eVB~leda ~ Teet spedmana wme caat M e• x 12" molda ~t uaes-sedlonal eroe of 18.27' In' unbes othe~wiae noted. bs 70: , TYPas af Fracture ASTM C39 • Mc ChAe Davb- Des~n O~s of Ea~re I i I ~ • Mlf. Jlm AsP- Wrlmn WUabu " ~ . ~nr.croqNovaark-cuyoreapan ~ ~i : i , ~ ~ ~ ~ on F. Sehm~d4 P.E. ~ _ N e.~.aw wn c-. ro m.- ~ ar.~.. Sanbr ProjeN Engf~reer. ~ w CONCRETE STRENGTH REPORT a~c,,,~„i~,,,~,,~„~. ° Project and Localion: Fqy~ma~t Shslters Vario~a Locatlons Mlnne6ofm faaoD 2tstAvanue Nonn ArchiteCtlEngineer: ~61yn one of Edina Mm~respdis, ua 5544i GBll6fdl CiOR~BCW~: Ph. (783) 899-1858 ~ o Conae~ Contractor. Fax pH31659~072D ~ Owner/Devebper. " GME Arojecl Num~ar: 9606 p PUNf: Y~8 W 'zJ ~ ' SPEC~FIE~ . ~ ~ BLUMP t~k 9iECIF1~AIRCONT@N7~11~: ~ 4000 psi emn ro OF7ECP8T 6LUb1P~iwnl TEMP[RRTI#!E ~ o pp~ ' BEFORE AFTEft OATE AOE CYLWf. NUXLOFO{16r W BEiNUMBEfl RECHNED PfABTICQER VSASTC¢FA AV1% MLCPF) A1Rj F~ TWE 7RUq(/ 7EBTEO ImYS1 l~l lara~l COMPNEBBIVE P/186YlN • tD V v 2fA 7f24/IXi Fbor8lab 7f31 7 29.2 84800 99~ E ~ ~ 21 B~ 7/28A3 ~ MIn Trenquldly BY21 28 28.9 132200 46~ Y C ~ 21C B@1 28 28.2 ~920BW 4ZT0 Y C ~n d 7 7he a 28 Cant rasal+re st of Iln ~ 4478 Y oats Report Propared: ~ w q87~q C 9'I 3tendaA PtaUlm fo~ Making end Curing Conaeie Test Spedmens in the Ffoid AugUBt 5, 2003 r. qSTM C 99 StendeN Test MNhod far CampreoNve 3lrsnptA d Cy1lnWicel Conaete Test Specurena ASTM C 94 ~andeN Spedllcetlon for ReadY-Mk Concrata n 0 ASfM C 198 Stendend Ta! AAed~od kr UNl Weight, Ykld & Air Cartent (Orevimeldc) M Concrote Au~uBf 21, 2003 ~ A87M C 143 Slandare Tmt MeNiod for Slump of HydraWic CemeM Conerele ~ " n ~s~a c nz Standard Practlm for Samplinp Fre~3y Mfxed Concnte g[ ASTM C 179 S1mWmd Test Method fw Alr CoMom Of Freahly AAhc~d Concete 6y tlis VdumeYic Mefhod ~ A87M C 231 SimM~d Test M~Iwd for Atr ContaM of Preshy Mbcsd Conaete hy Me P~aewre Method ASTM C 1084 Standerd Teal MeUwd far TempxeWre of Froehfy M6cod PoNend CemeM Conc~ete ~ TeslspaWwne were east by GME ConauBenb, Lx. • TeN spedmena xnre nM cest by ~ME ConsutlaMS - No other IMOnnatMn le avedabb ~ 7ap epeclmena wara ceat In B" z 1 Y molds nel crws-eectlonal erea aP 2827 k~i un~ MAen~fae r~otad. p196 Ta: , Typas of Freolure ASTM C9B ~ Mr. Chds DaWs- Deagn Oro of Ed6ie ~ j ~ ~ ~ AAr. Jbn Aef~ Vodwn VWielms ~t,, ~ ~ ~ . • Mr. Creip Nova~yk -Cky of Eegan ~ ~ i I Ryen F. SchmWl, P.E. L~1 . ' . , o~ . ~.~e q. o... p s.« aw.~.. Ssnlor Project Enplnear f3 08/22/2003 13:15 FAX 9528039277 Chris Davls Constr Mar f~ 005 • ~ Construction Engineering Laboratory, tnc. ~i 56&1 Intemationaf Parkway ~ Minneapolis, MN 55428 PHONE: {612) 533-9534 ~ FAX: (612) 533-9586 a ; _ :;F[EED: REPOR'F s7 _ ` Project: Iv{,~~ Tra~v i~ ~'R-~ -~eY V2r'~5cv~ W~~^eMF55 Date: 1 2~ 2A~~ J RepoR to: ~fl B Co,15`~'r 4^c"FCh Tnc , Project No: Y r Address: C/ 2¢C~ j-p r~ ~ O D!r (ra 2}J . Report No: A/~c~C.~ ~SV'OVf~. I?~ i~ 5'~7 ~ Present at Site: ~ vq./r , A,-I-Th : 5~r~,;~ El~~z~~~~ ~ s~t~n NNNfiA 3iiE TOi.LL9~L1Ae~fi•iMIN EPII ' _ AMIPM AlNPM MOl1RS S •F B"stab ~1¢c 8 0~ MI~FAGQ pA(tqAq [-0ylpyplTqplTK TNERCONDITONS / /MN ~ovaets ~ 12 r~uFS s~ s ~ P. clo~ct.~~ i=rO.~ wa tk s J LI-X'~~C ~ ~ 1 Informatian of field tests, verifications completed, approvaf given, T 8@ ~ f ~ or work done. Locations and elevations fumis~tied ar~ approximate. ?tir1 FZ~~3A~z Y~rz1~rT~li ~o `CV DGCO O~'JQYI~Y,~s ~l% ~/tG~ r . . 4~~5tA~ w~ ~ @ t2 oc; T~r g~2 ~2r 1aee~ehT a S Skew~~ co-, c{,~e~uJ.~~ S 3 Wa S Jr' ~r 7~G~G p G/ w e~J^ n 07C~ dr~C e/~G!? ~ (.,.or2GY~T~ 5 ~flel'~~ ~O_r"TOr'rr'iCG $cQ S~GU'o ~ F O h t~ I. f; G. d E/' 'T. 3 s~~ ` e s e r a~{ ~ ~.~-to~ 5 we~e o`t~ !7e P. ~~1 u,~E r aS3 CoPY fD~ ~i i~ ~ i7V List: - Report By~, ~-vt , a,r-/~-(. T~ Nt ~~?.R~; E'T'T ~Fy~ ~~~x;~~( , !~s~o~r'(` r ~.L 08/22/2003.13 16 FA%.9529039217 Chrls Davls Constr Msr ~006 ~ GME Jo6 No GME GONSUI.TANTS, INC. ~ ~ Y~~ ~ 'seotechnicel • Maeerials • Environmancal . Job Name ~ / ?4 , u. ~ vlinneapolis, MN Croshy, MN - Chicago, IL ` - . ~ 763)~55&'1859 - . [2487 546-6371 (709] 434'1071 ~ ~ ~ r ~ ntemational Falls, MN - Janesville, WI ~ . ~ . . . . ~ ~ ~ LocetiOO ~~~C.. a'r/dI7 218) 283-2958 j608) 752-8050 ~ - ~ ~ ~ _ ~ ~ . ~ ~ ~ ~ . ~ 7uluch. MN~-: Menomonie. WI - . . ~ . . • ~ . . - . .2181 722-4323 - --[7757 235-8844. . . . . . . . - . - ~ ~ . DAILY FIELD REPORT Td '7 ~ ~ C~ S ~ ~ ~ TIME: AM/PM/DATE: . / I ~ /0•.~ . . ~ . U/ ' ~ D ~Sr . ' ~ WEATHER: ~ IO u d y ~ Cocation of Work-~ ~ C ~ I ~ . . . . . . - F~cavadon Base Soil: - - ~ ~ Type of Fill [Qnsite pa~tadl: /O cvA .s4~ u-,- 5"i - ~ ~ . . Elevation of Base Sail: . ~ - O~ ~ - Elevetiort of Fil Plecement: . 6-$ ~ ~ - Fnished Elevation: - ~9 ~ ~p ~a,.n o f ~e af. w ~ C6 L° r C_ UC ~~ci F/1 S~ 1 CS / S O/1 ~ / I I~P C C ~ 'C.~cJ I I I ! / + C3~ Q-~£ ~ OM atG~t~O/1 t!1 Q?C43' L`I~ e! t ~ 2' a~'B r Wrx'F~et Towe,r Nbk~~~ - _ - - - _ gl d~ , 3 2 3" ' ! { ~ _ _ ~ Fallow-up Report Required? YES ? RIO ? 1 ~ plane and Spedfications: By: 810NEp: W DATE: / / pate• Did You Observe Mything Unexpected? z~ 08/22/2003 13 16 FAX 9529039277 Chris Davis Constr:.MBr _ , ~J007_ a mn, ..z~i~ - , GME;~ ~ONSULTANTS, 'INC. ~ Job No. ~C^~ ~ ~ .ientachnical • Matariels • EnriranmenEal ~ ~ Ninneepofis.~MN ~ . Croaby, MN - - - -Chicago, Il . ~Juh Name / I[!1 ~/~4 ~ 763) 559=1~859 ~ t (218] 548-6371. (7Q8J 43a1077 . ~ ~ ~ nternational Fslls, MN Janesville, WI ~ ~ ~ - ~ - ~ ~ 4' 218) 283-2958 (609] 752-BOSD . ~ ~ . _ ~ - - ~ceGOn ~ _ ]uluth. MN~- - ~ - Menomonie, WI ~ ~ ~ ~ ~ ~ - . ~ ~ . ~ ~ 2181 722-4323 ~ ~ p15} 235-8844 . - ~ . . ~ . ~ . ~ - _ ~ ~ DAILY FIELR REPORT TO ~ - CVt I". S _ ~ . ~ TIME: - ~ AM/PM/OAlE: / ,L.J C SI -~i/1 I ~ WEATHER: . . Locadon af Work: ~ ~ V ~ ~ ~ ~ . . ~ ~ Excavatian 8ase Soil: Sq d S C R. ~ . Tyye of Fill (OnsiCe/Imported7: - ~ ~ ElevaGOn of Base Soil: . ~ ~ C~ G Lr Elevatiort of Fdl Placement: . ~ ~ ~ ~ Finished Elevation: B~ - 5~~ a • ~ 5a.' G u fS C Yi S• ~ ? G~ ~ S / L~/ 4 ~Mtl ?C / f O ~ CL H~ l / ~ LJ ( C~I 6 f • O~ f e G~ .G . ~ ~ ' n . a/ /LJ~i'~ i: ~ l a 6 a. f-e .4v.r~ ~ O Gd~~ GiC//A e TC IClCrrl `P C i~I ~CJ .Sc+., i . ~ ~ ~ i.~ , ~ . , ~r o ~ p , ~ o A.~ . Wa.}e~ Toc.,e~ ~ Ws~~ 1 Q`1 Q Sc p e.ns; 'fer t ' ~ ~ 2 3 O ~ ~ ~ ~ ~ ,r J Follow-up Report Required? YES NO ? Plans and Specifications: By: SIGNEO: ~~(y~,~ ~ATE: / / oace: , Did You Observe Mything Unerz{fected? ~ 2roa 1 s 08/22/2003,13 17.FA% 9529039277 Chris Davis Constr MSr f~ 008 DA{LY FIELD REPORT r,ME Job No. cI~OS GME CONSULTANTS, IIIIC. . ~ob Name Mn! T~-F~ u; l~#-~ ~ ~ Geotechnicel •~,Meteriels • Environmence~ . : ~ . ~ . ~ ~ ~ ~ ~ ~ ~ ~ 14000 2't st Avenue No. . . . , . . ~ . - ~ ~ ~ Minneapolis, MN 55447 ; ~ . LOCation - ~'V ~ - . . . p63] 559-1859 ~ . . ~ ~ . Fax [7631 559-0~20 ~ . ~ . . ~ - ~ ~ . Yd ; _ . . . - ~ ll~ritin U~2. TIME:/2:00-AM/~~~; DATE S OT _ . - 'I' • Weather: ~ ~`"-'7 ~ Subject: S^~~,~ .Z.zi ec'f~o MESSAGE. e.-~ar.-~e ` , u.e.. It o 3~~~~Low a,~en Z.~... c r~ r .l:r 5 N S ~ v P[ cA~ T~"^ K. f~t ( tu erC 'fes~7'e~ ~/0 YI: S 1i~Ii .i¢_ ~ ~w~- ~I r~ ~ 2cC ~'fz5 4.-. 7C~ ~~'5~~.,~( t,.. J,1 ~ ~ . cr. /b / i I65 , '`-J _ ~ . J. ~ ~ ~ _ _ ~ a;r.; ~ r t'." ? SIGNE DATE ~J F~ O . c~ws Ic ~c ! c?uo~ ~ ; _ . _ - r _ _ _ . . . _ _ . . s COMMERCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sefs • Architecturel Plans (2) sefs • Architectural Plans (2) sefs • Civil Plans (2) • Structural Plans (2) • Code Analysis {1) " • Certificate of Survey (t ) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Prqed Specs (1) • Code Malysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (t ) • Spec. Insp. & TesGng Schetlule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be esta6lished-if applicahle 1 • ProjectSpecs (1) y • EnergyCalculations (1) " 1 d • Electric Power & Lighting Form (1) " 1 y • MasterExitPlan (1) 1 d • Emergency Response Site Plan (1) d 1 • SoilsReport (1) 1 • SAC detertnination - call 651-602-100D • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodgiug facilities. Contac[ Building Inspections for sample and if required when it states "no[ always". Permit £or new 6uilding or addi[ian will not be processed withou[ Emergency Response Site Plan. Date 5 / IS / fl3 Construction Cost ~ 00~ Si[eAddress 760 YaaKF~ oooo~ waa , ~k~ka , MN s5izi UniUSte # TenantName ~yE¢~~onl ~-J~RE~ESS FormerTenantName DescriptionofWork ~,.~c~ai~n~c~~n~ oc A~TBr.r.~hs a ec~~~r.~.aT SHE~-rea AND FoJ^~DAT~oN FeR. `~F.fi~7.o..1 Jia2i.E.~S Property Owner O~ ~ R(~ Telephone C~."75 ~~C 7~ Contractor ~ES~C~~ ~ Address 9973 ~ql.i,~''~ Ji~~ ~2.epD City EOEnS PRA12~r State MrJ Zip SSRy~{ Telephone#(952) 9o3-9z94 Arch/Engr ~SlC~nl 1 - ~op, nqviS~ AiA Registration# I2.W Z~ Address Rq73 VaC.LE`T V~Ew F--~<4t~ City FoEN ff~'RAIR-~ State M n7 Zip SS 3 H`I Telephone Tsz ) 40 3- 9 2 9 9 Licensed plumber installing new sewer/water service: N/ A Phone I hereby apply for a Commercial Building Permit and aclrnowledge 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 pernut, 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. ~ JoNATHAN ~pRTIW(~ ~ 2. 903. 2GZ Applicant's Printed Name Applic t's Signa " City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i Use BLUE or BLACK Ink Fir w*,!� Permit #: 7.1 •Permit Fee: /V. 34," /-13--D-0/0 Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: 01- \ 0 Site Address: l G Q Y(n1 k e e. d Cc< < 2 R cI Tenant Name: Ver t i Z O v� (Tenant is: New / )T Existing) Suite #: Former Tenant: PROPERTY OWNER Name: i '1- t/ Q 4 6ck5o.r Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: S i rn 3 0 v 1- ( 01) 4w-0 loov S per Construction Cost: 11 y, G 0 d °� 4 e c 0,r �' a^ ^ °` l CONTRACTOR Name: V j n ( 1 (1 C. License #: Address: \ go, cf Fo/C t ✓ 2 , City: 1-70r-() L-A tr.e State: 4/ Zip: S S 0 S Phone: (CS)) q y) — 6 �n Contact: l t i k 14.fiM A Email: 1`1/1 4S Al A 0 V' i \ f a - I t- Co ARCHITECT / ENGINEER Name: e.S'iT, 1 Registration #: ) H a 7 Address: 0 q 7 3 UA 11 e), V i>°w eOa d City: Ede, PJ'a State: il() ylJ zip: ss- 3 `1 Phone: (�1,Sr),) 9 0 3- 9 x 7 6 Contact Person: (, o Ci y n.e'5 6 -el -1-e r Email: C b o e -e r 6 ('L ci . wit Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered tobe publi he information may be classified as non-public if you provide specific reasons a conclude that they are trade secrets. information. Portions of would permit the. 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.aoaherstateonecall.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 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. C6c , `D. Soel ker Applicant's anted Name x �sL L. �� " ►'i Applicant's'atur- Page 1 of 3 "7oVit2 SUB TYPES Foundation Apartments Dcy„),., 0-40 NOT WRITE BELOW THIS LINE Public Facility Commercial / Industrial Lodging Greenhouse l Tent Miscellaneous Antennae WORK TYPES New Addition Alteration ✓Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓ ) Census Code # of Units # of Buildings Type of Construction Interior Improvement Exterior Improvement Repair Water Damage REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Final Accessory Building Exterior Alteration -Apartments _ Exterior Alteration -Commercial _ Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair _ Demolish Building* _ Demolish Interior Demolish Foundation Salon Owner Change g (7 *Demolition of entire building - give PCA handout to applicant goo? µS Q MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock VFinal / C.O. Required inal / No C.O. Required Other: _ Pool: _Footings _Air/Gas Tests _Final _ Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: , Building Inspector �/ 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 ID„,.0ZS` 0 el. It Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL /7a J% Page 2 of 3 Date: CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / 62 C 5e Permit Fee: q5 CJ Date Received_ .%i Staff: 2014 COMMERCIAL BUILDING PERMIT APPLICATION 9- Zd -44 Site Address: Tenant Name: 4.-.-ATS-1 180 to t¢.I?c 4.0rtr. 1kAeJ t.JevteY-Tv,ikterrr (Tenant is: New / )t- Existing) Suite At Former Tenant: Property Owner Name: CAS air i V1 Phone: Address / City / Zip: 393e) t?' .t i k r iv45, Wt Eate % MN 66 i t o Applicant is: Owner , ')d Contractor Type of Work _+ r11 _�tt ' . tAt D Description of work: Dtw•o V Fill. N ` .JY'1 vtaa c. ett' Construction Cost: 6 gi leo ma o 4 1 e,u C Contractor Name: Mitt C;,,TNUX� l -16M License #: i Address: 1 SS3® COM1Yi Q 14E City: - �\EA �p y - t• c • b+a -191 - State: MN Zip:ri 11-3a Phone: D: �O a ai '� iWMOld f_ � Contact: iZekQt p+ io)0414gEemail: r r 'Li c Architect/Engineer II Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing gmy 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 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work wig 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 -, te Applicant's Printed N I Appiicnt.'s Signature Page 1 of 3 , , � �.k.�-� ��,C� � a��8 �� i a0 NOT WRITE BELUW THIS LIRtE SUB TYPES _ Faunda�an _ Public Facitity _ E�erior A{teration-Apartmsnts � Commercial/Industriat _ Accessory Buikiit�g _ Exterior Altcfation-Commercial _ Apart�nts � Greershause/Tenf ` Exte�ior Alterat3on-Pablic Facility _ Mlscellaneous _ Antennae woRx nr�Es / _ Ne�► _ Interiar improver�nt _ Siding V Demolish Bulfdi�g" _ AddlEion Exterior improve�nt Reroof �emolish Interior _ Alteration � Repair + Windows _ Demolish Foundation ^ Replace _ Water Dama�e y Fire Repalr _ Retaining Wali _ Saton Qwner Change 'Demolition of erttire building-give PCA fiandout to tq�pitcsnt pESCRiPTIt}N Valuatlo� �Ld�T� �'G— �ccupancy V MCES Systern Pian Review b 'E Code Edition �7 W!S$L SAC Unita ( _ ...� Zoning City Water Census Code Stodes Booster Pump �of Units � Square Feet PRY #of Bueidings � Len�th Fire Sprtnklers Type ot Constructfan �/'13 Width REQUiRE01NSPECTIONB �ootings�New Building) Sfiaetrock Faatings{Deck) Pinat t C.O.iteguired Footings{Additionj FInaE 1 No C.O.Req�ire Foundation ✓Other: �O�1JD Fi�CL. ��.DL �M6P�RYkC,� D�ain Tite Pool:_Footings _AirlGas Tests �Finai Root:_Qeeking �Insulation ^Ice 8 Water _Final S�ding:_Stucca Lath _S#one Lath �Brick Framtng Weadows Fi�eplace:_Rough In �Air Test _Fina{ Retaining Wal1 Insulation Eresion ConEral Mcier Size: Finai C/O tnspection: Schedule Fire Marshal to be present: Yes � No Revie�nred By: �/�� , Building Inspector Reviewed By: 1V 0'c Ptann[ng COMO�IERCIAL FEES Basg Fee q�.D-b Water Quality Surcharge 1�1�L0• Water Sampling Fee Plan Review 0•db Water Supply 8 Storage(WACj MCES SAG Stwm Sewer Trunk City SAG Sswer Trunk S8W Permit�Surcharge Water 7runk T�eatment Pta�t Street Lateral 7rearEment Pfar�t(Irrigation) Street Par1c Dedicatian Htater Lateral Traii Dedication Other: Water Quaiity Tpfp� ��.OD Fage 2 of 3