3830 Pilot Knob Rd - Remodel 2018/2019 � o s
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For Office Use,C�Lf1,- �CC
L7r ✓ 1,�1-{^ Permit Fee: . i6--'0•/ 4,
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i-<t Cir, - Date Received: 41-//-1 4 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694I
Email: buildinginsoections@cityofeagan.corn Staff: /111140)7
Commercial Plan Submittal: eplansta'�cityofeagan.com APR 1 1 201P
af.
2018 MECHANICAL PERMIT APPLICATION ,t''Ai,
C Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
th
submittal, submitted via email, CD or flash drive
Date: 4/9/18 Site Address: 3830 Pilot Knob Road
Tenant: City of Eagan __ Suite#:
,�����_ _ � �_ ����_. _�Name: City of Eagan 651-675-5675
Resident/Owner Phone:
Address/City/Zip: 3830 Pilot Knob Road
Name: Bauernfeind Goedtel License#: MB003403
Contractor Address: 15760 Acorn Trail City: Faribault
State: MN Zip: 55021 Phone: 507-334-7951
Contact: Theron Kruger Theron.kruger@a becompanies.com
Email:
New ✓ Replacement Additional Alteration if Demolition
Type of Work Description of work: remodel HVAC system
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
I Air Exchanger Gas Exterior HVAC Unit
Heat Pump —Under/Above ground Tank ( Install/_Remove)
___t_
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 FEES
Contract Value$2,144,940.00 x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 $ Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ 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.citvofeagan.com/subscribe.
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 Theron Kruger x--- ""
Applicant's Printed Name Applicant's Signatu
FOR OFFICEpUSE Reviewed r ®i
Tired Ins ections By: Date: f 11,ft
Heat�Underground Rough In` Air Test Gas Service Test In-floor Heat Finah HVAC Screening
For Office Use I
,1 /..3,a_c k---C (17
.� /9 E I
CP70 j CC
Permit Fee
bio /��;'
Gate Received. ,
3830 PILOT KNOB ROAD! EAGAN, MN 55122-1810 i"<.C .�
I F 1
(651)675-5675 i TDD (651)454-8535 1 FAX (651)675-5694 A nn Staff: I
Plan Submittal. plansc cltyofeagan.com APR 1 0 2018 i�. ,._..._.._-",_ """°'" "'""'
2018 COMMERCIAL PLUMBING PERMIT APPLICATION 0°rr`` \,\'\�
CI Please submit two(2)sets of paper plans with an commercial applications as well as an electronic set of thestxti
A,
submittal,submitted via email,CD or flash drive
Date: 4/10/2018 Site Address: 3830 Pilot Knob Rd, Eagan, MN 55122
Tenant: City of Eagan
Suite#:
Property
l Owner I Nam , City of Eagan Phone.
ii Name. New Line Mechanical License##. PC660784
Contractor Address: 1527 Veil Dr NW City Byron State MN Zip: 55920
i Phone: 507-315-1995 Email: office@newlinemech.com
l Type of Work ,
New Replacement Repair Rebuild Z.Modify Space Work in R.O.W.
Description of work: Remodel and addition of City Hall and Police Department
COMMERCIAL New Construction x Modify Space
, I Irrigation System(_ yes r xW no)(✓ RPZ I PVB)
Permit T •Rain sensors required on-irrigation systems i
yp Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to verity that tests passed prior to picking up meter.
Domestic Size&Type Fire: 1 g
Avg.GPM High demand devices? Yes o horneters Yes
..-.�,-...::a:Ms_...- .. .. ... ........,....»»,. ww......mv,....mv. a..w,..., N
... : .:rraRw,w�mvu�w ma.nuFiusreexwFmra:.wvwm•:nmw,uu +uNo awi...ow.:nms:...u-...m.'arso _..reamrerereren w i
COMMERCIAL FEES Contract Value$800,000 x.01 '
$60,00 Permit Fee Minimum
$60.00 PVIRPZ Permit(includes State Surcharge) =$ .. Permit Fee
$ Surcharge
Surcharge=Contract Value x$0 0005
If the project valuation is over$1 million,please cel for Surcharge = TO AB FEE
i 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
i
State Surcharge )
$ 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
yysi_vwsllyoteaden.cornisubscribe,
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)464.0002 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 Chad Severson x
Applicant's Printed Name Applicant's Signature
L//FOR C1FFlCE USE Approved By: tate: r 1 / a' /
Required Inspections: Under Ground Rough-In ..„,,, tr Test J-Gas Test r Final PRy Required:—,Yes- No
Meter Related items: Meter Size Radio Read Manometer Staff:
..rte
Page 1 of 3
•
For Office Use "1--V
1
Permit#: � e 7� ' 1
Permit Fee:
/
C�/' I $GG f
Date Received: Q �/ /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r R, �- ,� 1
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56948 iEVED Staff: ''�� I
buildinginspections(a�cityofeagan.com L
FEB 212818
2018 COMMERCIAL BUILDING PERMIT APPLICATION
Date:21V41 It Site Address: JOD M*�,b fel 1 NIN 12.2
Tenant Name:C4 hi o F 6%044 (Tenant is: New/ Existing) Suite#:
Former Tenant:
OfW1 P' i CACI of Erjg1 Phone: 'k
,�� � Name:
• ht
-y /11` �1
Address/City/Zip:Vat) QjL� ��� M� c5�ZL
, Applicant is: x Owner Contractor
f Peri I 1jj�tS 1 coil Iiw't ?Lie*
l. �,P�i® Pr Description of work:
"Aar: � Construction Cost: 11185.5 'D.f
a
�
. —
,:i1"7_,:,_:_:,-,,,,:,,,t,,,/
g v,/,, Name: c-3 ,g-J Co.. �r ,�
tihtLicense#:
i
4 j/, Address: 23?So 4...0e/ 1,.d Jo City: tor-C:#6
�y/ -,;
�� ; ,,j State: �� Zip: SS3 Phone: mg' ZB��1/544
p K 1/ P rA C�GrGons� G.)r'
j � Contact: a., wG� Email: � �G�
�� ,
fr Name:10N 14(30 Registration#: 242�f
9
Archtt Z�t/En t e+er. Address: ._MI1 --City: .p, i4 .
State:%4 Zip: 6%01 Phone:("S'•Z2,4' 7115
Mc-� r S1 MS�r�r atom-Mt �
' �� • w Contact Person: Email: /� �,��.
Licensed plumber installing new sewer/water service: Phone#:
/i,: i /i; � � %% .ii s a s s
NOTE .ands ming documents that,you submit ar ®>1stdered to bef«b cif ,ion Portions of the informationmay be t
uprt, �r�s�y
classi, as non-public ou provide;specific r sons that would per ttthe� to/„."00,,,_,,,,,-:Aa-„,,,
that they are,trade cri ,,
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.cityofeagan.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.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 pla•-.
i
x L. ,�,,�
Applicants Printed Name Applrarirs ST-nature'is. r--
DO NOT WRITE BELOW
THISSJJNE 14e 791
SUB TYPES =�
lJfKt
Foundation Public Facility Exterior Alteration—Apartments
' X Commercial/Industrial Accessory Building Exterior Alteration—Commercial
Apartments Greenhouse/Tent Exterior Alteration—Public Facility
Miscellaneous Antennae
WORK TYPES
New Interior Improvement Siding Demolish Building*
XAddition 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
DESCRIPTIONitri
Valuation ' 953,YO 1) Occupancy � ��' t.'.3� MCES System
Plan Review `� Code Edition 7.dJS P L SAC Units .e, CX
(25%_100% 1) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers ✓
Type of Construction .9 Width
REpUIRED INSPECTIONS
VFootings-N.
ootings New Building Deck Addition Drain Tile
Foundation X Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes -X 1 Hour Steel Reinforcement
-( Insulation Street/Curb Cut Inspection
Sheetrock Other:
;< Roof: X Decking X Insulation Ice&Water .(Final Meter Size:
X Siding:_Stucco Lath _Stone Lath 1C Brick EFIS ) Electronic Set of Final Revised Plans
Windows
Fireplace: Rough In _Air Test _Final Final/C.O. Required
Pool:_Footings Air/Gas Tests _Final /Final/No C.O. Required
Final CIO Inspection: Schedule Fire Marshal to be present: 1/Yes No
Reviewed By: / , Planning New Business to Eagan:
/
Reviewed By: r;fir.....— - '"" , Building Inspector
FEES Water Quality
Base Fee Storm Sewer Trunk .--
Surcharge # �rq 91 .7-2: -Sewer Trunk
Plan Review Water Trunk
MCES SAC k 91 c'iD Street Lateral ---
City SAC Street
S&W Permit& Surcharge Water Lateral ,-----
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other: �j --7 /�
Trail Dedication TOTAL: (1 I - r • / C!
Page 2 of 3
MCES USE:Letter Reference: 180307B6 Address ID:5254 Payment ID:409780 /
Date of Determination: 03/07/18 Determination Expiration:03/07/20
Greetings!
Please see the determination below.
Project Name: Eagan City Hall & Police Department
Project Address: 3830 Pilot Knob Road
Suite#/Campus: N/A
City Name: Eagan
Applicant: Melissa Stein,Wold Architects& Engineers
Special Notes: None
Charge Calculation:
Office: 26235 sq.ft. @ 2400 sq.ft./SAC= 10.93
Meeting: 9646 sq.ft. @ 1650 sq.ft./SAC=5.85
Storage/Warehouse: 1595 sq.ft. @ 7000 sq.ft./SAC=0.23
Parking Garage: 40 fixture units @ 17 fixture units/SAC=2.35
Showers: 91 lockers @ 14 lockers/SAC= 6.50
Cells—Overnight: 5 inmates @ 3 inmates/SAC= 1.67
Cells—Holding: 1 inmates @ 14 inmates/SAC=0.07
Total Charge: 27.60
Credit Calculation:
Eagan City Hall (SAC 06/83, 10/94, 06/95, &07/08)=20.3
Police Station (SAC 12/77)-3800 Pilot Knob Road=3
Total Credit: 23.30
Net SAC: 4.30 —or— 4 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: cory.mccullough@metc.state.mn.us.
Thank you,
Cory McCullough
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street North I St. Paul,MN 55101-1805
Phone 651.602.1000 I Fax 651.602.1550 I TTY 651.291.0904 I metrocouncil.org METROPOLITAN
COUNCIL
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CC R2,7 ECIE'` Date Received: „:„, e
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 V ED
/
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: _4./
buildinoinsoections(a�citvofeagan.com MAY 2 5 2018 L f
2018 FIRE SUPPRESSION SYSTEMS
PERMIT APPLICATION
Date: /,1 V 1 Site Address: 2 � lr,-. /1 D R to ) �QQ`tt
Tenant: t PC)h L C(� i "L 1 Suite#:
❑ Requi ents: 2 complete sets of drawings and specifications, cut sheets on materials and components
!„ ,� Name: Phone:',i`AFa
'
PropertyIEC Address/City/Zip:
A..licant is: Owner Contractor
Type of work, �i� Description of work:' t �� 6 ea A . L. i L _ysS S
e,M :, Construction Cost: 00 Estimated Com.letion late: 1119 \'
t i Name: 1,U'( n y L wo Co, License#: -1-5bOa1P76
,I,';',,!,,''','; Address:1)D5 A L S City: 15 � e cA)
Contt'c'ctoP-
State: 1 r V1 Zip:,5 c�. Phone: Y '(01P3 i
'� 0,',• Contact: fk V _'_‘,/ `. Email: ! ,t V-- WW1
FIRE PERMIT TYPE WORK TYPE
_Sprinkler System(#of heads_) "; jNew _Addition
Fire Pump —Standpipe Alterations _Remodel
Other:
g " . AllAM ._A fi., CY'l Other.
�.n
DESCRIPTION OF WORK: -4., Commercial Residential Educational
FEES Z� D�
Contract Value$ J. x.01
$60.00 Permit Fee Minimum ,r
$ LV. GO Permit Fee
Surcharge=Contract Value x$0.0005
If ie project valuation is over$1 million, please call for Surcharge =$ I , 1L'4 Surcharge
$100.00 Residential New(includes State Surcharge) =$ l r LoL4 TOTAL FEE
3/4" Fire Meter-$290.00 =$ Fire Meter
=$ 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.citvofeactan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge 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 with the Minnesota Building/Fire Codes;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 w' the approved plan in the case of work
whic requires a review and approval of plans. /
x n� 1..1.41A/VA x 0 AA.A.A
0
Applicant's Printed Name App4 licant's Signature
ici q 7 1
FOR OFFICE USE { i',6 S yhIIm " l l°°11�"'11 i t�^ II gN� k�
,Grl a f" i lr,.h gl hiwu a{I1 i'i{IiGC ii N.' ' n Y
REQUIR D INSPEG71QN5 .'.....";.,,,,,,--v,10-,,,,,,.•,...-‘..,•..,.':itiyy , , ysogw,lk' y I-__ ' Ggp,iylj u: � ly{ t ,, a .,.
a(b k it TI'l�litih I., 6" i •
Hydrq$t tar r Flow Alar'rn ' tiQrai T , `-Rougt n �l'I��p ��
, II�Y„MIkr H -..--.;,:-..•0,...„, ,;_:-.,''.,
h �i� ra,a ', ,11i,, awl,
I iHiiu�C"" s" ,�.;•.."- � '�"�'" Illi� "� rt�u.l �Yhi i a } il,k
Trip.,-,--',', Pump„,,,,10,‘„,,,,. e"r�tral Staticin;lll v h a ,a F;
it'i „,„'„,,,..,-.,,.,-, k,..'„,,,—.
is„ �k n,k`r,�{ � ill,ti ,•..� IhN”, � is i `� 6ii ..i'•;"i iii ,-,,„,,4•,,',•',,, '„'
Conditions of Issu nce r.Iwil
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16111 i i ” il „,..,.„<„,„,,,,,,,,....,,,,,,,,,,..,.,,,,,.,:.
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li 2,',,,-,' NC' (y 17 i �i , 'jjr' ,� -'g- .' 'r"O�li 11
Permit Reviewed by '1 , s lu'h Biu
W I
C
ilb4g:
ik . # For Office Use_
Th
, k, i . ,, EA,10,
tt
%.6:4•6. .' 7.1
t„0 Permit#:
uECIIV
liA
4 � _ r Permit Fee: 411,
01T 26 201$
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: 0' "t r
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 I
Email: buildinginsoectionsecitvofeagan.com I Staff: 11(7
Commercial Plan Submittal:eplans(cr)citvofeaaan.com I :,
2018 MECHANICAL 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: 10/26/18 Site Address: 3830 Pilot Knob Road
Tenant: City of Eagan Suite#:
Resident/Owner
Name: City of Eagan Phone: 651-675-5675
Address/City/Zip: 3830 Pilot Knob Road
Name: Bauernfeind Goedtel License#: MB003403
Contractor
Address: 15760 Acorn Trail City: Faribault
State: MN Zip: 55021 Phone: 507-334-7951
Contact: Theron Kruger Email: Theron.kruger@bgcompanies.com
New Replacement Additional Alteration Demolition
Type of Work' Description of work: Temp Heat for Construction
NOTE:Roof mounted and ground mounted mechanical equipmentis required to be screened byyCity
Code. Please contact the Mechanical-Inspector forlinformation on permitted screening methods
RESIDENTIAL COMMERCIAL
_Furnace New Construction Interior Improvement
permit Type Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
-
Heat Pump Under/Above ground Tank ( Install/T 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 FEES
Contract Value$3882.63 x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =.$ 60 Permit Fee
_$ 1.94 Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ 100.77 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.citvofeagan.com/subscribe.
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 Theron Kruger x G--�,
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE .-, OP
Required Inspections: Reviewed By: `.'Date: ` L�
Underground „ Rough In Air Test ; Gas Service Test s In floor Heat Final ' HVAC Screening
For Office Use I
tit.1 ,, i a,` Permit#: �!(J
EAGAN ! .S
�.w »mss CEI t ) Permit Fee: 004.9
i 191-
JUN 14 2018 Date Received: 1, ""/y/ O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(a�cityofeacian.com L 7_,
2018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
Date: June 13, 2018 Site Address: 3830 Pilot Knob Road
Tenant: Eagan Police and City Hall ntC-rn4 1 40 / -e ,-,.../-
Tenant:
ses Suite#:
❑ Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components
rc
Name: City of Eagan Phone:
Property Owner Address/City/Zip:
Applicant is: Owner x Contractor
Type of Work
Description of work: Fire Protection for Existing and New Addition
Construction Cost: 169,110 Estimated Completion Date: October 2018
Name: Breth-Zenzen Fire Protection License#: C-126
'` Contractor
Address: 8053 Sterling Drive Suite 101 City: St. Joseph
State: MN Zip: 56374 Phone: (320)363-0900
Contact: Paul Secord . Email: paul@bzfire.com
FIRE PERMIT TYPE i WORK TYPE
1 Sprinkler System(#of heads ---7 _New 1 Addition
Fire Pump _Standpipe —Alterations ' .1 Remodel
Other: Other:
DESCRIPTION OF WORK: / Commercial Residential Educational
—
FEES ,.// 9 j �/ ()
Contract Valuex.01
$60.00 Permit Fee Minimum 60.00
_$ Permit Fee
Surcharge=Contract Value x$0.0005 84.56
If the project valuation is over$1 million, please call for Surcharge =$ Surcharge
$100.00 Residential New(includes State Surcharge) =$ TOTAL FEE
3/4"Fire Meter-$290.00 =$ 290.00 Fire Meter
_$ 2,125.6 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.citvofeagan.com/subscribe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete.•. accur •;tha the work will be i
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/F o•-s;th.1 and;'rstand this is not. ermit,but
only an application for a permit,and work is not to start without a permit;that the work will be in ar ord-• e with/ e ap/roved plan in the -se of work
which
P-AJL
iresa review and approval of plans.
S � x s
widki
Applicant's Printed Name Applicant's Signatu e
OOUI
FOR OFFICE USE
REQUIRED INSPECTIONS
�. 'Hydrostatic Flow Alarm Drain Test Rough in
. Trip Pump Test Central Station nal
Conditions of Issuance:
Permit Reviewed b • ~- Date: J J
Yr a
For Office Use I
/� I
Er)
� � i% i• � � E AG A Permit ��� 75 �� 1 ,14-
•...+ ��.R Permit Fee: pJAN 082019
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections citvofeaoan.com 1- J
2019 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 1/4/2019 Site Address: 3830 Pilot Knob Rd, Eagan ,MN 55122
Tenant: City of Eagan Suite#:
❑ Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
ut � is �: (651) 675-5000
w ` F City of Eagan Phone:
,,I4. Name:
SProperty O >ern,sAddress/City/zip: 3830 Pilot Knob Rd, Eagan ,MN 55122
xa
- ,rm Applicant is: Owner Contractor
1 9 1� Demo Exisitng FA sytem and Install net new FA System
a t -4� ' Description of work:
pe ofINork
, "6 1 Construction Cost: Estimated Completion Date: TB
D
-- ,�� � vseT
Cal-Tex Technologies TS-718300
mix ri License#:
1 ` _ i „ Name:
17001 Fish Point Rd SE Suite 104 Prior Lake
gP* �x -'" Address: City:
0Z Co tractor ,t
et MN 55372 Phone: (952) 447-1125
e �� ' " State: Zip:
s} r e - Andy Baumgart ''` andy.b@cal-textechnologies.com
, .x ,4x 0„a, „ Contact. Email:
fie ,
R _New _Remodel
� WorkType _Addition _Other:
x Alterations
,x _
DESCRIPTION OF WORK: Commercial _Residential _Educational
FEES Contract Value$79,700.00 x.01
$60.00 Permit Fee Minimum (i&.)oJve))ermit Fee
Surcharge=Contract Value x$0.0005 =$ 39.85 / Surcharge*
If the project valuation is over$1 million,please call for Surcharge
= 113 39,66 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.citvofeagan.com/subscribe.
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and acc : -•that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I derst.nd 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 th=approv-a plan in the case of • k which requires a review
and approval of plans. / /
xAndy Baumgartx / ...,-J�o_ V
Applicant's Printed Name Ap: ,''s Signator A111.1111111.' oof
FOR OFFICE USE Reviewed By Date
Required ins ections . . Rou h Inr,mx-,Ftiolyou7,..,:orgAlarmTestx r.,,., r ,._..li_ i, .. ,,a. . � ,,
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694
b u i Id i no i ns oectio nsacitvofe aq a n. co m
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
L
2019 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: 1 0/7/1 9
City Sewer City Water Repair ✓ Disconnect
Description Of Work: We are disconnecting 2 water services , North side of the Eagan City Hall -
See attached plan sheet
Street Address for Proposed work 3830 Pilot Knob Road - Eagan, MN 55122
Owner Information
Name: City of Eagan
Phone: 6 1••
79
Address City Zip: Pilot Knob Road - Eagan, MN 55122
Applicant is:
Licensed Pipelayer _
Name: New Look Contracting
Owner ✓ Contractor
Master Plumber Property Owner
Address city /zip: 14045 Northdale Blvd - Rogers, MN 55374
p LAY i
Pipelayer Training Certification Card #: PB645586
Lof
cknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is
t to start without a permit.
ark Kostreba
Phone: 763-241-1596
or Master Plumber License #:
plicant (Print Name)
Applicant's Signature
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.gopherstateonecall.org
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