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3545 Blue Cross Rd r MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date r`O / p2 / 05- Site Address- 3 S ts i ; u ~e C ro5S )2o 4~ Unit # Tenant Name (if applicable) 47o-y Cw C_ Previous Tenant Name MA Property Owner T~t `_Lo CrOsf Telephone # ( ) Contractor t4o1 4, _,SNed fiplPT41 Street Address ~ay !xrgn~ Ave- City s r' State Zip S S / / Telephone # T The Applicant is Owner I,"*" Contractor Other •fi Work Type 4/ ~T, 1/ New construction Underground Tank -Install -Re ove Interior Improvement Call for inspection during installation/removal o Processed Piping f ~f Nature of Work: yCf~!¢i ta~%an a~ 6l Pcy ~0, N lKq Permit Fee $50.50 Minimum Fee (includes State Surcharge) C~ Contract Value $ /9,7 (p -6 x .01% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ ~ g ~ ~ Total Fee I hereby apply for a Commercial Mechanical 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 Mechanical 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 with the approved plan in the case of work which requires a review and approval of plans. fq-zy cl4arYlbe~/~na~ Applicant's Printed Name Applicant's Signature Approved By: 17) - /3 _v , Inspector Date: '~I` "105 A ~89q3 p~ so 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address 7~ I l"',e 5 Unit # A cC, Previous Tenant Name Tenant Name (if applicable) 6(6S U.1 ~ C Property Owner 6 C _gS Telephone # ( ) Contractor o~ Q L ~R~ I Street Address 5 ~Hti Art City State C ` N Zip S I Telephone # Bond Expires: The Applicant is Owner L// Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ 000.0 x 1% _ $ Q • Permit Fee • If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 e~ fee $ l~ r7 Total Fee I hereby apply for a Commercial Mechanical 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 Mechanical 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 with the approved plan in the case of work which requires a review and approval of plans. Cev , 9 re q " " I 1~ Applicant's Printed Name Applicant's Signature I~l0 Approved By: , Inspector Date: L6-t- 3 Pk I B11'e 6-_ 9 ~i6 ~3, /7 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) - • Elec. Power & Lighting Form (1) not always'" • Meter size must be established • Meter size must be established • Meter size must be established-ff applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site. Plan (1) 1 1 • Soils Report (1) 1 • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination -call 651-602-1000 • • Fire Stopping Submittals. Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required Permit for new building or addition will not be processed without Emergency Response Site Plan. Date Construction Cost ! Qa, oao Site Address OLu'¢_ •s S %L 140 41&. SS(~"x,30 of Unit/Ste # Tenant Name Former Tenant Name Description of Work la.,a 40 r7C r1 f j , f-LLLa ry Property Owner v>~ C fL S S g~L~, ~i/~t~,c. 0 Q F r✓ Telephone # Contractor V041-vs - /.I - O" •.J G-r-S ? L-~-~i~~ Address -S-Z5- S. = 57r City e.t,..N ~•4LS State 6.4 fJ Zip Telephone # (Ci Il) ! F- 2-%4-4- T" c0_' 6r(2-?01 9f0 1'. 411-332-q-+ ',I Arch/En r -tkZ'~ g _J~~ Registration # 1471---, Address 4-- cL-t- ~'Io•~ S City e`^ 14 w040., I ) State ,.f Zip Telephone # 0) Z) t 44 - 4-st G Me, Clio Licensed plumber installing new sewerlwater service: Phone 431--) ~f T " 1 Lq6 I hereby apply for a Commercial Building 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 the State of MN Statutes; 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 r s a review and approval of plans. Applicant's Printed Name ant s Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building r ~ ❑ 14 Apartments X 27 Commercial/Industrial ❑ 32 Ext Alt Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon W rk Types -1 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~j 9oa" coo Occupancy MCES System Census Code Zoning City Water -7 - SAC Units 9 Stories Booster Pump Nbr. of Units V Sq. Ft. /Z'/' PRV T Nbr. of Bldgs I Length 14,e> Fire Sprinktered V Type of Const S.Q Width Required Inspections / Footings (new bldg) ✓ Insulation Footings (deck) ✓ Final/C.O. Footings (addition) _ Final/No C.O. ✓ Foundation _ Other _ Drain Tile Roof _ Ice Pr +Decking ✓Insul - Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding - Stucco _ Stone Fireplace _ R.I. Air Test - Final &N4-- Windows Approved By: S`G Planning Building Inspector Base Fee X73 • 7S-" Surcharge 0160 Plan Review r )•9 T MCES SAC Yo • •-U © i f r , ct v\eeS l City SAC 9 00 , s-~ C-1 Kk ~ ~ . Water Supply & Storage (WAC) SM Permit SAN Surcharge ' rO Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other LA/DSGt~-piN~- °f Total f , if Metropolitan Council Building communities that work 2004 SEP 1, G Environmental Services September 14, 2004y Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Blue Cross/Blue Shield Child Care Facility to be located within the City of Eagan. This project should be charged 9 SAC Units, as determined below. SAC Units Charges: Daycare 120 children @ 14 children/SAC Unit 8.57 or 9 If you have any questions, call me at 651-602-1113. Sincer , c/ Jodi . Edwards Staff Specialist Municipal Services Section JLE: (300) 040914S9 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Troy Stutz, Kraus-Anderson www.metrocouncii.org Metro Info Line 602-1888 230 East Fifth Street St. Paul, Minnesota 55101-1626 • (651) 602-1005 Fax 602-1138 TTY 291-0904 An Equal Opportunity Employer To~dt%) of eagan PAT GEAGAN September 7, 2004 Mayor KRAUS ANDERSON CONSTRUCTION CO. PEGGY CARLSON MR. TROY STUTZ CYNDEE FIELDS 525 S. 8TH STREET MIKE MAGUIRE MINNEAPOLIS MN 55404 MEG TILLEY RE: CHILDCARE FACILITY - BCBS Council Members - BLUE CROSS ROAD 354 Dear Mr. Stutz: THOMAS HEDGES We have completed our review of the construction documents submitted in pursuit of City Administrator obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: Municipal Center: V / 3830 Pilot Knob Road i • Please revise code data to include: a) The specific NFPA Sprinkler System used. Eagan, MN 55122-1897 b) The occupant loads for individual class rooms. Phone: 651.675.5000 c) The occupant load for the lobby. Fax: 651.675.5012 d) The plumbing fixture count. A TDD: 651.454.8535 ✓2. Supply details for handrails at trash enclosure stair and landing. ✓3. All toilet rooms shall comply with M.S.B.C. Chapter 1341.0405, Item K, ~ Sub item (1). Maintenance Facility: ✓4. All children's' toilet rooms shall comply with M.S.B.C. Chapter 1341.0448, 3501 Coachman Point Subpart 7, Item A-E. 5. Door clearances for toilet rooms shall comply with M.S.B.C. Chapter Eagan, MN 55122 1341.0442, Subpart 6. Phone: 651.675.5300 //6. Provide details for the accessible route to the play areas, M.S.B.C. Chapter Fax: 651.675.5360 1341.0403, Item B. ✓7. Provide detail 4E on sheet a5.4. TDD: 651.454.8535 If you have any questions, please feel free to contact me at 651-675-5683. www.cityofeagan.com Sincerely, I CSI THE LONE OAK TREE J. Craig Novaczyk Senior Inspector The symbol of strength and growth in our JCN/ld community cc: Kerry Brendilan, Architectural Alliance, 400 Clifton Ave S, Mpls MN 55403 &NIM city of eagan PAT GEAGAN April 13, 2005 Mayor PEGGY CARLSON Troy Stutz Kraus Anderson Construction Co. CYNDEE FIELDS 525 So. 8th St. MIKE MAGUIRE Minneapolis, Mn. 55404 MEG TILLEY Council Members RE: Child Care Facility - Blue Cross Blue Shield - Blue Cross Rd. 35-ly- THOMAS HEDGES Dear Mr. Stutz: City Administrator We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended Municipal Center: to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the 3830 Pilot Knob Road applicable codes and we are, therefore, requesting that the following items be addressed: Eagan, MN 55122-1897 Phone: 651.675.5000 ✓1. Toilet room 131, and the toilet room within room 133 shall comply with Chapter Fax: 651,675.5012 1341.0405, Item K, Subitem (1). (MSBC) TDD: 651.454.8535 v/2.~ The activity sinks in rooms 130 and 124 shall comply with the parallel approach portion of Chapter 1341. 0464. (MSBC) Maintenance Facility: V~ Document the actual number of children two and a half years and under that will 3501 Coachman Point be attending the Child Care Facility. Eagan, MN 55122 V/4. Do the gates for the fenced in area have locks? If so, designate the dispersal areas Phone: 651.675.5300 required in Section 1003.3.2.2. Fax: 651.675-5360 V15. Please provide details for accessing the roof hatch. TDD: 651.454.8535 I www.cityofeagan.com Sincerely, J. Craig Novaczyk Senior Inspector THE LONE OAK TREE cc: Kerry Brendilan, Architectural Alliance, 400 Clifton Ave S. Mpls, MN. 55403 The symbol of strength and growth in our community City of Eap ma TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, CITY PLANNER CAROL TUIVIINI, UTILITY BILLING CLERK TIM PAHR, ENGINEERING TECHNICIAN LEON WETLAND, CONSTRUCTION INSPECTOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR CRAIG NOVACZYK, SENIOR INSPECTOR OR MIKE LENCE, SENIOR INSPECTOR FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: OCTOBER 17, 2005 SUBJECT: FINAL INSPECTION FOR 3545 BLUE CROSS ROAD LEGAL: The Protective Inspections Division will be performing a final inspection at 3545 Blue Cross Road on October 31s`, 2005. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. CD/bldg insp/misc/final insp - comm bldgs N1EM0R:~~T P LT M TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: AUGUST 31, 2004 RE: PLAN REVIEW FOR BOBS CHILD CARE FACILITY BLUE CROSS ROAD 3:54 5 The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: myl e -✓,V Z~3 c 7-j/.e. i1-%. ~ t ee Gi fo ~~"b i f y C~ ' rra ya Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication Yes 1W No PRV Required QL 57-2-05 S4nature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 N1EMORANDVAI 4AZ 2-5- TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS 1 TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN O --A4-- CRAIG NOVACZYK, SENIOR INSPECTOR DATE: AUGUST 31, 2004 RE: PLAN REVIEW FOR BCBS CHILD CARE FACILITY -MR 5 BLUE CROSS ROAD A3-lgl- The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request foam. Comments: D#7 Z G y?rt r ,D / mil P/ I.t1 14 G ~ vi v✓ ~ Cot 4p- to t Indicate any fees that are to be collected with the building permit: ~ /1 ~q AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ N park dedication ❑ Yes ❑ N trail dedication ❑ Yes ❑ N tree dedication ❑ Yes ❑ N RV Required Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 r MEMORANDUM TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT Z-~ LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: AUGUST 31, 2004 RE: PLAN REVIEW FOR BCBS CHILD CARE FACILITY M35,BLUE CROSS ROAD 3s~s'The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: i Indicate any fees that are to be collected with the building permit: AMOUNT i ZONING? Yes ❑ No landscape security required ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes [ No park dedication ❑ Yes Q No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes El No PRV Required ` S'i'gnature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 I dty of eagan INCOMPLETE APPLICATION PAT GEAGAN Mayor November 9, 2004 PEGGY CARLSON CYNDEE FIELDS William Everson Blue Cross Blue Shield MN MIKE MAGUIRE PO Box 64560 MS E250 MEG TILLEY St. Paul MN 55164-0560 Council Members RE: Final Planned Development Application THOMAS HEDGES Dear Bill: City Administrator Thank you for submitting an application for Final Planned Development received by the City on November 4, 2004. We are pleased you have chosen to invest in the City of Eagan. I will be the planner coordinating the review of your application and am available to answer any questions you may have about the process. Municipal Center: 3830 Pilot Knob Road City staff, from various departments have completed a preliminary review of your application and determined that the following information must be submitted to complete Eagan, MN 55122-1897 the application: Phone: 651.675.5000 o Final Site Plan Fax: 651.675.5012 o Final Building Elevations TDD: 651.454.8535 o Final Utility and Street Plan o Final Landscape Plan Maintenance Facility: Four sets of folded full size plans and two sets reduced (8.5"x11") 3501 Coachman Point The City cannot proceed with review of your application until we receive the needed Eagan, MN 55122 information. If you have any questions regarding this matter, please call me at 651-675- Phone: 651.675.5300 5696. Fax: 651.675.5360 Sincerely, TDD: 651.454.8535 01 www.citpfeagan.com Sheila Cartney Planner THE LONE OAK TREE The symbol of strength and growth in our community city of czagan PAT GEAGAN Mayor March 31, 2005 PEGGY CARLSON Kraus-Anderson Construction Co. CYNDEE FIELDS Attn: Troy Stutz 525 South Eighth Street MACE MAGUIRE Minneapolis MN 55404 MEG TILLEY Council Members Re: Blue Cross Blue Shield Daycare THOMAS HEDGES City Administrator Dear Troy: It is our understanding that a permit for construction of the daycare was submitted Municipal center: last year and is now being reviewed upon your request. As the daycare is a 3830 Pilot Knob Road permitted use by way of a Preliminary Planned Development for the BCBS campus a Final Planned Development has to be applied for and approved. Eagan, MN 55122-1897 William Everson was notified of this and did apply for a Final Planned Phone: 651.675.5000 Development in November 2004 at such time his application was incomplete. In Fax: 651.675.5012 order to obtain a building permit a Final Planned Development agreement must be executed and recorded. For your reference, I have enclosed the letter to Mr. TDD: 651.454.8535 Everson regarding his initial application for Final Planned Development. Maintenance Facility: Please contact me at 651-675-5696 to discuss this matter as a construction permit 3501 Coachman Point will not be issued until this agreement is approved and executed. Eagan, MN 55122 Sincerely, I Phone: 651.675.530 ~Y y Fax: 651.675.5360 Sheila Cartney TDD: 651.454.8535 Planner wwwcityofeagan.com Enclosure THE LONE OAK TREE The symbol of strength and growth in our community MEN10RANDUi1I TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: AUGUST 31, 2004 RE: PLAN REVIEW FOR BCBS CHILD CARE FACILITY 3535 BLUE CROSS ROAD ..5585° The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments:u Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 i ARCHITECTURAL ALLIANCE MEMORANDUM 400 CLIFTON AVENUE SOUTH Date: April 25, 2005 MINNEAPOLIS, MINNESOTA 55403-3299 To: Dale Schoeppner TELEPHONE 1812)871-5703 Chief Building Official City of Eagan FAX (012) 871-7212 From: Ted MacLeod Comm No: 2004.057 L -6 K Re: REQUEST FOR MODIFICATION BLUE CROSS BLUE SHIELD - CHILD CARE FACILITY A7 S Eagan, Minnesota On behalf of Blue Cross Blue Shield of Minnesota, we are requesting that the local code official issue a Modification to the Code, pursuant to MSBC 1300.0110, Subpart 12. Specifically, we are requesting that two sets of grab bars not be installed, one each in the Toddlers and the Transition Classroom Support Areas. (Support Room 133 and Support 128 on the permit drawings filed with Craig Novaczyk, Senior Inspector, City of Eagan) The primary mission of the Blue Cross Blue Shield Facility is to aid the development and insure the safety of the children on site. The facility serves 130 children ages 6 weeks to 5 years. These children fall into three main categories, children in diapers, children in diapers learning to use toilet fixtures with adult assistance, and children learning to use toilet fixtures under their own power. As a review of the attached drawings indicates, we provide toilet fixtures that meet all accessibility requirements at all locations serving children and staff aged 36 months and over. We also provide all necessary clear areas at all fixtures. But the requirement of grab bars in the Toddlers and Transition support areas is not necessary, and could impact the life safety of the children in these classrooms. The children using the open toilets in these support areas are aged 12 months to 35 months. Children of this age cannot physically operate a wheel chair unassisted, nor can they use a toilet without assistance. All of the children, able bodied and less able bodied, using these toilets will be assisted by adults. We provide all the necessary clearances for ADA accessibility, but the requirement for grab bars is not necessary because adult assistance is required. We are requesting that the local code official grant a MEMORANDUM April 25, 2005 Page 2 of 2 modification to delete the grab bars in this area. This modification would not lessen the health, safety, fire safety, or structural integrity of the building. Installing grab bars would be impractical for two reasons. First, the support areas are designed with the diaper changing area facing out towards the classroom. This is a critical requirement for safety purposes. This allows the teacher to monitor other children while changing one child's diapers. Relocating the toilets to the outside comers, providing a comer for grab bar installation, would turn the teacher away from the class room impairing his or her ability to monitor other children. Second, adding a wing wall to support a grab bar significantly impairs movement through the support area. The intent of the fixtures in these areas is to accustom children to using toilets with adult supervision. As children age, they progress to using toilets under their own control and power. The Toilet Rooms in the Preschool classrooms provide individual toilet rooms that meet all MSBC accessibility requirements. The modification we request is consistent with the intent of the code. It would not impair the life safety requirements of the building, and requiring grab bars in these rooms would be impractical. Our request therefore meets all the criteria of MSBC Chapter 1300.0110, Subpart 12. The Blue Cross Blue Shield Child Care Facility was designed in conjunction with Wells Janousek Architects. Wells Janousek has specialized in the design of facilities for children for almost twenty years. Please see their letter dated April 18, 2005 in support of our request. Enclosures: Wells Janousek letter of support. Building Plan. Toddlers and Transition Support Area enlarged plans. Cc: Bill Everson Blue Cross Blue Shield of Minnesota Craig Novaczyk City of Eagan Lynne Meservey Bright Horizons Mike Wells Wells Janousek Architects Troy Stutz Kraus Anderson Carey Brendalen Architectural Alliance File AFR-19-2005 16:10 P.02 L 4 - , Wells, Janousek Architects, Pllc 251 O'Connor Ridge Blvd., Suite 246 Irving, Texas 75038 972.717.1900, fax 972.717.1500 April 18, 2005 Mr. Ted MacLeod Architectural Alliance 400 Clifton Avenue South Minneapolis, MN 55403-3299 RE: Child Care Facility Blue Cross Blue Shield, Eagan, MN Dear Ted, I am writing in support of your request for a modification regarding the toilets to be located in the toddler and transition rooms in the Blue Cross Blue Shield Child Care Facility. Our Early Childhood Studio has specialized in the design of facilities for children for almost twenty years, and our observations are based on our individual research and project history of approximately eighty such facilities For this age group, 12 months thru 35 months of age, the toilets in question are included to assist in the development of toilet training skills for children who are still in diapers. They are located inside the diaper changing station in order to give caregivers the option to choose either toileting or diapering, as dictated by the child's circumstances. Children will only have access to these toilets with the assistance of the caregivers. At this stage of development, there are no children who are independently accessing these toilets, whether able-bodied or physically disadvantaged. They simply do not have the physical skill, strength or coordination necessary to transfer from a wheelchair to the toilet Wthout adult assistance. The addition of grab bars and individual toilet rooms has been incorporated into the plan for children ages 3 years and older (Preschool). Please let us know if we can be of further assistance. Sincerely, Mike Wells, AIA Principal 13Lf3 Z C}1.1 Lp SaooAT RM I33 T•4 r' -~ovcz~ ~Ovp PaaP v ~ E1rtrS jv C R-1 TitPIL TV D. 1> L4---f "L ftmviMF-)*%EVT' Gt~1°icSS Raa~^ r:vR Gou'r2a v'S o00 P D~NLIC • 8 V I ewt, Td t o i ~ o p i i4Pct~/Gt- FVI- 0 o 1-4P / q / o S qJ~ I o I I P ~ o ~oo Lo414pvt- Pfivlp*s ALL i I ALL ,~C.~S l4iy~ ~ ~f3 h^vr T1+S cA+r~d'f P ~+yy r~tt 4- y Aee.r=164 F t Xtt A W) rvv ✓ T' C, ~'s't~4r/ CE TD1> A Gt, $ ,,n~a RT` ~t-''7-14•+3 ASAF-S IIA t7944-crc4Ni, hw't> t t~np A~ 2s s uPpo !~T A+ft. EA--. 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PoR-T- Lvgz-#,*13 R r S I t-AvRFlrcr i UM. /N-IFIJW l w~ pR'fP~ S ~-v1~ ifi,~N D F y t,PP o (~.1- ~t,t1R S t,oP O A-T (tin . 1 Z.B eP , i t'1 S Ste( RT S e ~c-6s c~tcc,~ c,~ Zoe , o S i PRE SCHOOL _ 30 124 "~rp,~ t- C'1~ ~ D o r/ S• t N~~ B-2-B-2 pN G17~5 I O r-oR lz / TO~LEt\ 0 a-a r;'A-4ztY4- ~ A-v L~- o E --3 - ~/,D( o ~ °o Tel 12(o lB-3-A/b'2 ~ -IO ° 1 RILL ~ -770 EAGAN r REVIEWED l ~ '-0- BY fv DATE t~ a f' BUILDINIG INSPEC TOU ,,,',S DEPT. ~C, rc cS c r+Ic,r, LA4 E o t. o v,'~ h-S ar ~..tN mN '1W N o S -1 c~a 5UPPORT 120 A-tL A-40 ~Q v \ 1. 1CA tJ 5-2=5=2 P11 • wE (Lc'Qv r_- 0 0 ~a b~ Mn~. _ ~ (SPA S V 1 t:w4 -tyro (-*-I Lt, TNP i I drw(~y nN~ I 07~ I ta, F /~-ec.~S yr~I (I I o ° o F:D ~~V T-' i I I I L N riffs P*R-~` V✓I L,L- ,4-0 1'r, E v b r t1-C S 4 E sUt~c.~eN1s~P, ~ITION Cantr_NTIhL~ e-"t2 WIN C-c- VP-A, L~ TRAN5ITI®N 1o ca vP P ° A%"r E3 -2 121 E3 -2 -E3 -2 n zoo 4, oS`7 ~y ~Le ccl 0 I 3o~y8 rARAtI,Cc.. I R-~► p ~ c.1~ 5 r u ~t M.r t~ v 15 LG~CZ. 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N.~t-L. 15 T5 N-P, TODDLER T®DDLI 1,34 132 5-2 -5-2 5-2 -E3= < RWL H H N k.. ~ pt-2 L~r ov1 l~st~ /.ar L /~'t~ R' L C~ ~ ~-Ptn~C. ~ Rte" ~ etc.-"hn ~'-wtS , e /-e s r s t-e-`e If y'f = ((-0 N T F1x q.2r.o~ COMMERCIAL MECHANICAL Permit Application City Of Eagan 3$30 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings - multi-family buildings when separate permits are not required for each dwelling unit hate V J ii ! os~ Site Street Addres s' w'Z_ c,"ss 2 A ,£*t4p unit #1 TenamtName (if applicable) zz- Q L d"s 5 c.ul~ s N~LP> Previous Tenant Name k . Property (Owner &=L~7c e-17-6" g~ v,f-' sasfl-Telephone 7 Contractor >ooD`f' r?rEelwlJ ~e.4cr 3 Street Address MrLt UA City , State -zips `T "efephone # 65)~ Bond Expires: _ . e _ r The Applicant is Owner, Contractor _ Other Fork Type . x New construction Install Rem, ove Underground Tank Interior Improvement Mule inspection daring installation or removal of tank _ Processed Piping Nature of Work: } Permit Fee S5o.5o "nimum Fee (includes stag Surcharg) Contract Value $ OL~ x 1% _ $ &U Permit Pee • If permit fee is $1,060 or, less, add $.50 $ y State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee ` $ Total Fee t s I hereby apply for a Commercial Mechanical 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 Mechanical 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 with the approved plan in the case of work which requires a review and approval of lens. ~C ~'b ru Aralf 4 Applicant's ted Name Applicant' Signature 1 G Approved By: , Inspector Date. i 6 x~~ d 0 50 2005 COMMERCIAL PLUMBING PERMIT APPLICATION P~ w~ C LUc k S C CITY OF EAGANfl532G 20(o28s 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date Site Address 14 S 011-e cl-6s Unit # Tenant Name 6 L 13 S C~ ldl f ~lC + Former Tenant Name Property Owner C Telephone # ( ) Contractor V U 0 L i Address i a city p~ State S~ 1 ell v t_1 Zip Telephone # S q a la License # Expires: The Applicant is Owner Contractor Other Work Type New Bldg _ Modify Tenant Space _ RPZ PVB _ New _ Repair/Rebuild _ Replace ^ Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are required on irrigation systems Description of Work To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 0pw u Domestic Size & Type Avg GPM S - S a Includes high demand devices? Yes _ No Flushometers - Yes -No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) n Contract Value $ 000 x 1% _ $ V O. 0 0 Permit Fee y , $ _T R f✓~ . oo Meter(s) Required on all new buildings & boulevard irrigation systems $ / 4// , 00 Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ S 0 State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee - - - - - - - Following fees apply only when installing new irrigation system $ Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amounts _ $ Treatment Plant $ Water Supply & Storage $ State Surcharge 0 Total Fee I hereby apply for a Commercial Plumbing 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 Plumbing 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 with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature r CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test Gas Test Rough In Final PLANS SUBMITTED APPROVED BY: o , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair , remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 displacement sm commercial turbine" Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation cyst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm. bldgs 25 irrigation. systems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm. bldgs 50 1 11 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very lg comm bldgs very lg comm bldgs 15-1000 4" turbine very lg irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 U 35 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 q 1 Sd Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date -7 / 16- / oY Site Address: 35-45 BLUE-, CROSS ROA Q Tenant / Building Name: OLus C2osS I[p A2.& FACILITY The Applicant is: Owner Contractor Other PROPERTY OWNER B L-U l'= Cen s S (3L-UF- S 4~ l 1_ i7 Address: City: State: Zip: CONTRACTOR fS 14 1 Ejp ri 9-l7 p~--n-,C---n h MN License C - D Address: -q 312 RoU&)D LA K1- RD, City: Aje UW tII L t- S State: jJ , Zip: Z Phone ESTIMATED COMPLETION DATE: - I l Q~'J FIRE PERMIT TYPE: Sprinkler System of heads Fire Pump _ Standpipe Other: WORK TYPE: /New Addition Alterations Remodel Other: DESCRIPTION OF WORK: f Commercial Residential Educational Other: Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ 25", 800 x .01 = $ 00 Permit Fee If Permit Fee is $1,000 or less, add $.50 $ S"C? State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ TOTAL FEE: $ 4/9 . JO I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be to 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 with the approved plan in the case of work which requires a review and approval of plans. r , T Lit,-~D lS Ro~~R. Q~ T Applicant's Printed Name pplicant's igna re DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Approv b . Date: t / 0 3-3 4 *5©,so 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date l 15- Site Address: 39 q5- 611 c C rc5 5 ~j o e~ Tenant / Building Name: 13(6 ~ Cy r` Oe c4r z 6,pi f _ r The Applicant is: Owner Contractor Other PROPERTY OWNER C S C `C~c ` th ~t Address: 39q S I?i C. s 9 C c, City: rG di A, State: /h/(/ Zip: 5-5-0-7-- CONTRACTOR lVo, 4 l ti „ 2 r,'(, 5.., S -ec w ,,-L6, MN License Address: 1f ~'eIs Vy• 77-r" 51', Al)- - City: r~ j'~> ~~`S State: AlA/ Zip: -675-y3S Phone 4: 95-823 ESTIMATED COMPLETION DATE: /0 I I o FIRE PERMIT TYPE: _ Sprinkler System of heads _ Fire Pump _ Standpipe Other: A61 / -1,02 •'f S~, ,~~r ~fs~ WORK TYPE: New _ Addition _ Alterations _ Remodel Other: DESCRIPTION OF WORK: V Commercial _ Residential Educational Other: 7, mo SEP 1 6 Please continue on reverse side By PERMIT FE. $50.50 Minimum Fee (inclu s State Surcharge) Contract Value $ 1.0,00, tJ d x .01 = $ J Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ TOTAL FEE: $ 570, S 0 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 with the approved plan in the case of work which requires a review and approval of plans. 1.e 1144 k so f Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE REQUIRED INS'PECTIONS' Hydrostatic Flow Alarm Drain Test Rough' In 'rip Pump Vest Central Station ~ Final Conditions of Issuance. Permit Approved b Date: / / r % 1 G{G 1 W ' t I I l./ i l I / s' &d5 j l - - - - - - - t \l s 1 - - $~N I Request Request Code Modification to Code ModficeBon to Delete Delete Grab Bars ~ Grab Bs -----------Enlke I _ . See Enlarged Sketch arged tch See 7T e a f ble 1 Rooms 1 Toddlers ; Back-Up i Trans tl i 8.10 Children: 1 Support Areas 1 6weeksto5 ; Support Areas s~,1 \ ti j ' - ` 1 1 years p 1 / i ` 1 - r v 1 I OpenSn L ,nz B 1 I 1 I 1 I P I 1 1 1 LJLJLJJ I f, \ J, ' 4S- • , I Toilet wl 1 I I\ I 1 I i Preschool L r , l grab 20 Children: ~ 3years to5years 1 =L='z • r y' \ . 1 I •7 1 TraIISIGIXI I ,J Toddlers L 1 1 28 Children: Accessi~eToietRooms 1 ;1 16 Children Accessible to 36 months 12 months to 18 months 0 Sappy 18 nrontlws and sink r 1 I _ • • • • o n~ 1 Open te8et and sink - I Open Ta 'let&Sink Area J , j.. 1. t Accessible i o Room { BUGGY BUGGY = i. r- /'11 Infants ; r 1 LL l\ I Y 16Chlldrel I y, - staff L- a " I I I _ Resource Preschool Presc!1001 I I ~ ~ 11 I 6 weeks to l2 months F r' , 20 Children: I , - t 1 ~1 f i No Toilets Infants 1 I - I 1 20 Children: ( y r y I Support 1 r~ 1 3years to5years 3years lo 5 years _ JL _ J _ Jr _ Areas I L i L I Accessible Toilet Rooms t J- l Accessible Toilet Rooms I -rr-~ _ F--IF- I I I I Director Staff 0 0 1 I Lounge El 0 El 0 11' e Program i i Entrance 16 Infants 6 weeks to 12 months 16 Toddlers 12 months to 18 months Request for Modification ~t 26 Transitions 18 to 36 months 60 Preschoolers 3 years to 5 years 8-10 Bade up 6 weeks to 5 years Proposed Blue Cross Blue Shield 130 ChtldrenTatal Child Care Facility r, _ L A I u r 3545 Blue Cross Road , f Eagan MN 55122 - "a; " 1 I. Not to Sale April 25, 2005 - - v I i I I I < > < C th h B c F= Zdo ~ ° 30" X 36" PRE-MANUFACTURED ROOF S" 3'-0" CLR HATCH W/ INTERGRAL CURB BUILT UP ROOFING SYSTEM W/ FLASHING AND METAL COUNTER FLASHING. L EXTEND FELTS MIN 3" ABOVE CANT. 00 ° TREATED WD BLOCKING AND CANT,TYP EACH SIDE v i r O M TU LIP TSTL B AND JSTS. ECTION ° SEE ST RAL 5X5X3/8 PTO STL ANGLE o ALL SIDES ° 3/4" PLYWOOD BLOCKING all 2'-6" CLR 8" BETWEEN STUDS, TYP CLIP ANGLE AND ANCHOR TO METAL STUD WALL o BLOCKING, TYP 0 5/8" GYP _ 3 5/8" MTL STUDS 5/8" GY BO. o n u a w ° 1/2" X 4" PTO STL PLATE I EACH SIDE. 16" CLR BETWEEN SIDES. a o JANITOR/ MECHANICAL ELECTRICAL I 119 ~ I18 w O 0 O 3/4" DIA X 16" PTO STEEL O RUNGS, TYP. 'CENTER ON OPENING ABOVE. O CLIP ANGLE PLATE TO CONIC SLAB. TYP EACH ° SIDE. I 0 TO CONC 848'-0" 4 a 1E ROOF HATCH LOOKING EAST 3/4•,1'-0' ~•a~ 4 rF. Use BLUE or BLACK Ink D ~ For Office Ube I [V(~V 1 Zoog j Permit City of Eap Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I staff: 2009 COMMERCIAL BUILDING PERMIT APPLICATION 45- Date: 11/13/09 site Address: 35X Blue Cross Road Tenant Name: (Tenant is: New / Existing) Suite Former Tenant: PROPERTY OWNER Name: Blue Cross Blue Shield Phone: 651-662-2542 Address/City/zip: 3535 Blue Cross Road, Eagan, MN 55164 Applicant is: Owner X Contractor TYPE OF WORK Description of work: Remodeling Construction Cost: $69,000.00 CONTRACTOR Name: C.F. Haglin & Sons, Inc. License#: N/A Address: 3939 West 69th Street City: Edina State: MN Zip: 55435 Phone: 952-920-6123 Contact Person: Gary Gunderson ARCHITECT / Name: Architectural Alliance Registration* 20915 ENGINEER Address: 4•00 Clifton South City: Minneapolis State: MN Zip: 55403 Phone: 612-874-4144 Contact Person: Jon Stone 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 maybe 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. herstateonecall/I rrg I hereby acknowledge that this information is complete and accurate; that the w k ill be in c for nce with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an • • or rmit d work is not to start without a permit; that the work will be in accordance with the approved plan in the cane of o wh h re ' a view and approval of plans. X Gary Gunderson X Applicant's Printed Name /~pplica Signature Page 1 of 3 t DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation - Public Facility _ Accessory Building - Apartments X Commercial / Industrial _ Exterior Alteration-Apartments Lodging - Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES - New _ Interior Improvement Siding _ Demolish Building* - Addition X Exterior Improvement Reroof Demolish Interior - Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 011DOO~ Occupancy MCES System Plan Review Code Edition 2b6 7 "se_ SAC Units 1J 6, (25%100% Zoning City Water ;7-- Census Code Stories Booster Pump # of Units O Square Feet PRV 4 # of Buildings ) Length Fire Sprinklers Type of Construction V g Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) v7 Final / No C.O. Required V Foundation HVAC Drain Tile Other: Roof: -Decking -Insulation -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Final C/O Inspection: Schedule Fire Marshal to be present: ✓ Yes No Reviewed By: Building Inspector Reviewed By: ffi2 Planning COMMERCIAL FEES Base Fee G'/ • Z Water Quality Surcharge 37 Water Supply & Storage (WAC) Plan Review 53 S • 7{. Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL /3 9 5 Page 2 of 3 , Receipt#: 72106 T653956 `2 Y TORRENS FEE $46.00 Recorded on: 11113/2009 09:00:01AM By: LAS, Z ~j c c. ✓ r t c- ~ + L,,s Certificate 98966 Deputy Return to: SEVERSON SHELDON DOUGHERTY ETAL 7300 WEST 147TH STREET STE 600 Joel T. Beckman Registrar of Title APPLE VALLEY, MN 55124 Dakota County, 1V4N 0 l ASSESSMENT DEFERRAL AGREEMENT This Assessment Deferral Agreement ("Agreement") is made this v ,,4day of iNuge 2009, by and between MONICA FOSS, a single person, (hereinafter "Landowner") and the CITY OF EAGAN, a Minnesota municipal corporation (hereinafter "City"). (Landowner and City are hereinafter collectively referred to as the "Parties"). WHEREAS, Landowner is the fee owner of property located in the City of Eagan, County of Dakota, State of Minnesota and legally described as: Lot Thirty nine (39) Block Two (2), in Egan's Carriage Hill, according to the plat thereof now on file and of record in the office of the Registrar of Titles in and for Dakota County, Minnesota. (the "Property"). WHEREAS, as part of City Public Improvement Project 905R (hereinafter the "Project"), the City assessed the Property for a trunk storm sewer assessment in the amount of $3,278.33. (the "Assessment"); and WHEREAS, the Landowner has requested that the City defer one-half of the Assessment until the Property is sold or until December 31, 2035, whichever occurs first; and WHEREAS, the City is willing to defer collection of one-half of the Assessment and to levy the balance of the Assessment upon the terms and conditions contained herein. Page 2/ASSESSMENT DEFERRAL AGREEMENT NOW, THEREFORE, in consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties hereby agree as follows: 1. IMMEDIATE ASSESSMENT. The sum of $1,639.17 is hereby assessed against the Property in accordance with the terms of the Assessment Roll adopted by the City on April 21, 2009. Said Assessment has already been paid by Landowner. 2. DEFERRED ASSESSMENT. The balance of $1,639.16 shall be the deferred assessment (hereinafter the "Deferred Assessment'). Pursuant to MINN. STAT. § 429.061, subd. 2, the Parties agree that the payment of the first installment of the Deferred Assessment, including interest thereon, shall be deferred until the Property is sold or until December 31, 2035, whichever occurs first, at which time the first installment of the Deferred Assessment shall become due and payable. The Deferred Assessment shall bear interest at the rate of six percent (6%) per annum as set forth in the Assessment Roll for the Project. When the first installment of the Deferred Assessment becomes due and payable, interest accrued on the Deferred Assessment from April 21, 2009 to December 31 of the year that the first installment of Deferred Assessment becomes due and payable shall be added to the original principal amounts of the Deferred Assessment, and the totals of those amounts shall become the "Principal Assessment Amounts Payable." The Principal Assessment Amounts Payable shall be divided for payment into five equal annual installments, or such lesser number of equal annual installments as is necessary for the last installment thereof to be payable not more than 30 years after the levy of the Deferred Assessment. The first installment of the Principal Assessment Amounts Payable, plus one year interest thereon until December 31 of the year in which the first installment is to be paid, shall be included in the first tax rolls completed after it becomes due and payable, and shall be paid in the same year as the taxes contained therein, and to each subsequent installment shall be added interest for one year on the remaining unpaid installments which shall be paid in a like manner.' The Parties agree that, notwithstanding anything in this Agreement to the contrary, the Deferred Assessment and all interest thereon must be paid in full no later than December 31, 2039. In the event the Deferred Assessment has not been paid prior to December 31, 2035, the Principal Assessment Amounts Payable shall be payable in three annual installments commencing January 1, 2036, together with interest thereon at the rate of six percent (6%) per annum and payable over the next five years. Page 3/ASSESSMENT DEFERRAL AGREEMENT 3. FORGIVENESS OF DEFERRED ASSESSMENT. Notwithstanding anything contained herein to the contrary, in the event that the Landowner sells the Property to Dakota County for park purposes prior to December 31, 2035, the Deferred Assessment, together with any accrued interest, shall be forgiven. 4. WAIVER. The Landowner hereby accepts the Assessment and hereby waives the right to object or appeal the Assessment pursuant to MINN. STAT. § 429.081 and further waives notice of hearing on this Agreement. 5. BINDING EFFECT. This Agreement shall be binding upon and inure to the benefit of the parties' heirs, successors and assigns and shall run with the land. Monica Foss CITY OF EAGAN: m By: Mike Maguit Its: Mayor By: ~ffk~ Maria etersen Its: Clerk STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this 2AA _ day of 1J11*' 9~M , 2009, by Monica Foss, a single person. THOMAS JOEL , CHOLKE Notary Pub 'c `t Notary Public-Minnesota my commission Expires Jan 31, 2011 F Page 4/ASSESSMENT DEFERRAL AGREEMENT STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) 11 The foregoing instrument was acknowledged before me this 54-~--day of ij6 J eon jpr , 2009, by Mike Maguire and Maria Petersen, the Mayor and Clerk of the City of Eagan, a Minnesota municipal corporation, on behalf of the municipal corporation. A~- otary P lic APPROVED AS TO FORM: - Vs- JUDY M. J:K1 City Attorney's Office ,.Ry PUBLIC- TA Dated: M 2-(O~ MY Gomrmsston Exppin 2010 L Public Works Department Dated: It - 3 61 THIS INSTRUMENT WAS DRAFTED BY: Severson, Sheldon, Dougherty & Molenda, P.A. 7300 West 147tI' Street, Suite 600 Apple Valley, MN 55124 (952) 432-3136 (RBB: 206-29133)