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3800 Ballantrae Rd ~17-~ . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ;pu 1 Eagan, Minnesota 55122-1897 Date Issued: 10 (612) 681-4675 SITE ADDRESS: 4 ' I . N. i 10 3 MO -020- V APPLICANT: BLOCK, HALLANTRAE; RD IS( i+,' llis,>'3'Ii1 I NV + A.LANTRAN is? (612) 413- PERMIT SUBTYPE: TYPE OF WORK: It F;I'A T P INSPECTION TYPE DATE INSPTIR. • DATE INSPTR. 1"PHAMS : PER JOK VOGI,:' w, 1.ICRN.9 NG REQUIPRHENT FOR CONTRACT{~F1 L Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L- CITY OF EAGAN Remarks Addition Ballantrae 1St Lot 2 elk 2 Parcel 10 13300 020 02 Owner/-- ^ Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2 1 SB 1975 .2 10 Paid STREET RESTOR. 1009 13(,1.(,? - /06c/ GRADING SAN SEW TRUNK SEWER LATERAL 1 2 3 wATERMAIN 1 972 3 WATER LATERAL WATER AREA 3, STORM SEW TRK -1972 3 91 .0 3 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK l CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7 ~a G, 86LDMG PERMIT Receipt # I To be used for Est. Value Date ,19 Site Address .y * - , o OFFICE USE ONLY Lot I Block - Sec/Sub. f-Ai.LAN :'..A- On Site Sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) A (Allowable) u¢i Name rles 3 Address l K A Le Stories City Phone---2-3 1 -`i Depth S.F. Total p Name Footprint S.F. 0a Address 1 ' APPROVALS FEES I- City '=Phone 7 ` I Assessments Permit Water/Sewer Surcharge u lu Name Police Plan Review z Fire SAC, City x - Address Engr. SAC, MWCC `W City Phone Planner Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone 7f Plumbing H.V.AC. Electric Softener Inspection Date Insp. Comments Footings 1 Footings 11 Foundation Framing Roofing Ala Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Fig. Deck Frmg. Well Pr. Disp. CITY OF EAGAN NO- 1 4 1 4 2 n 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 77~~9 . To be used for REROOF Est. Value $20,990 Date SEPTEMBER 9 19 87 Site Address 3801 BALLANTRAE RD OFFICE USE ONLY Lot 1 Block I Sec/Sub. BALLANTRAE On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actual) a Name SENTINAL MANAGEMENT (Allowable) EDI INDUSTRIAL RD # of Stories 3 Address Length o City EDINA Phone 831-5002 Depth S.F. Total .o Name RAYCO CONST FootprintS.F. u< Address 3801 5TH ST NE APPROVALS FEES City COLUMBIA HTPhone 781-6092 Assessments Permit $170.50 ~Q Water/Sewer Surcharge -_10.50 - W w Name Police Plan Review tz Fire SAC, City x- Address u~ Engr. SAC, MWCC aw City Phone Planner ; Water Conn. Council Water Meter I hereby acknowledge t av r a atic an state Bldg. Off. Road Unit that the information is rrectan it II cable APC 'Treatment P1 State of Minnesota atutes n Or ces. Variance Parks Copies Signature of Perm TOTAL $181.00 A Building Permit is issued to.,- '0 CONST on the express condition that all work shall be done in accordance with all applicable tate of Minnesota Statutes and City of Eagan Ordinances. Building Official L EAGAN TOWNSHIP BUILDING PERMIT N? 2437 Owner :~Chf:.! ^ Eagan Township Address (present) F'..__~. Town Hall • Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cos! 'Permff Fee Remarks 6- -47 ` p LOCATION Sreet, Road or other Description of Location ( Lo! Block Addition or Tract T A14.9-.. 1 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. - THIS PERMIT MUST BE-KEPT ON THE- PREMISE WHILE THE WORK IS IN PROGRESS. This is to terrify, that .__has permission io' esaeti~eA s!-- on the above described premise subject to the provisions of the Building Ordinance for Eagan Prownship adopted April 11, 1955. __..._._..(-'---:..:`-"..^..r Per Chair an of Tnwn Board Buildin..Inspector 76 iU /33Go o/~ of T014N OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 PERMIT No. 48 Mitsch Ong r- The Board of Supervisors hereby grants toY drr.r#nF., In of +%sseo, 111~:.nesot;- 55369 a NATIBINC Permit for: _ (Owner) Bor.-Son Construction - Ballantrae Apartments 'r"0 b1i:.ztrae Road - Community ngg - 3 gg a 1177n agge Kttogagd- 3850-385? at3860-38t, 3r7n._^87 3830-3882. 80 u~sullat~8~o'$BiIicaEidn3dafed823, 3831-3II33-35 pp Ballantrae ?d Mluly 5, 571 Fee Paid: 5 .0 + 50 S/C Dated this 1.5til day of July , 197 Building Inspector ,I1 /U 'd3)() 016, a/ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55121 PERMIT N0. 48 Mitsch P um ing The Board of Supervisors hereby grants t0W3tN9*N*#3K Heating, Inc, of Osseo, Minnesota 55369 a PLUBBING Permit for: (Owner) Bor-Son Construction - Ballantrae Apartments 80 Ballantrae Road - Community Bu ng - 5 a an age oga 3850-3852 at3860-3862. 3870-3872, 3880-3882, 3801Pu80udnt~8t1o pp -1.8111 at13dn3da~ed813'ga831-385e Rd July 15, 1971 Fee Paid: $650.00 + .50 S/C Dated this 15th day of July , 197 1 Building Inspector EAGAN TOWNSHIP BUILDING PERMIT N? 2437 Owner Eagan Towns r hip Address ]present) < 78 - ' 5S'~ ' Town Hall Builder ~ S/7 Date DESCRIPTION Stories To Be Used Foorr_ Front Depth Height Est. Cost (Permit Fee Remarks r-,~V J~Q~cy - .Z~:fi'/.Soc~ /~.>'L-~ •r~f~ ~ ~+-e.~-<.~ D w.c.:-,~..~ LOCATION !reel, Road or other Description of Location Lot Block Addition os Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, .that .-.has permission to -w on / the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11, 1955. J ..............D`-..._..'".....~.`.'..............----.... Per .......__-----r+s-,--'-`----.......--.-.........-......-... Chair an of Town Board Building Inspector 7634948383 Nov 12 08 01:45p Stieg Mech 7634948383 p.1 STIEG MECHANICAL INC• 19520 STIEG ROAD 345 CANAL PARK DRIVE PLUMBING & MECHANICAL SERVICES 612-ROGER23-R-,822MN 55374 6 26 PHONE, ON DULUTH, 5302 ~ , MN 55802 753-494-8688 AFTER HOURS PHONE. 218-213-2351 763-494-8383 FAX biliglo Cacomcast-net City of Eagan Dept, of Inspections Att: Scott Peterson Re: Ballantrae Apts. 38M Ballantrae Rd.: Boiler Rooms Dear Scott, We have completed all required corrections per the plumbing, softener drains, combustion air, relief valves and discharge piping you made note of. The amount of combustion air required for each of the five rooms is 240 square inches. After modifications made by us, each room has 360 square inches, and will be adequate to service the existing heating and domestic hot water appliances- We also pulled the required permit for the water heater in the 08 Bid. Should you have any questions or concerns, please call anytime. 1 do not plan to call for a separate inspection of this work, as 1 know you will have to return to this site once Yale Mechanical completes the corrections on the new Boiler Plants. Thank You, t Bill Glowacki I City of EaLBY_~ ~ ZoaB , Permit fs 6 I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 ao Staff: St` -7 - O 3~3 A1r61 1-----------------J 2008 MECHANICAL, PERMIT APPLICATION ~1 ~ rcz~ Date: 0~41110 - Site Address: : [&00 R C~ A i7 Tenant: t?i /1[ t A nO 12-A E A PA S I1 lJ Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: it TAiF, I1~~C (~Rt~1SC License#: 1i l S Address: H 6l s C' A e p ✓ S C, City: lei DCrr11 4JL TC fJ State: 1) zip: SS` 13 1 Phone: Contact Person: J S 1 Lh~~. P TYPE OF WORK - New X Replacement Additional -Alteration Demolition Description of work: Bach roofceilted ~d ixrund mounted mechanacaU "~tfp~rs r~gW~~~dto ~~reenecLb#~ Cr#~Cczle P!e!a~e eonlact the, A9eehanrcal ~pect(tr arts of °!Planr~,rsforinfor~riatron~in rrrirRedscreenin rri"etlradsil¢ PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement DJ L., ( eI V IT S L' lr-~ -Air Conditioner _ Install Piping - Processed ON 13 AL.~ Air Exchanger -Gase~vt%rwl_ , Exterior HVAC Unit C; -'f-r. A _l - ' HVAC units must be screened Heat Pump _ Under / Above ground Tank Install / _ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ _TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ 1 CO Cc- _ x 1% $50.50 Minimum (includes State Surcharge) LCT UG Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. c~ - If Permit FFe is > $1,000, surcharge increases by $.50 for each = 1 State Surcharge $1.000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ I Cot . `30 TOTAL FEE 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 C 1-1-fo /q ty 0 k 1c 1i x C Applicant's Printed Name Ap icant's Signature ~11F4R=4f#(GEUSE ( RevlewedBy~y4I`tr,i"te S f t #:ary, It ~.r~i r `w yt! 071 a Required'In$pectlnns ilrrtli r GrOpnd Hough In` Alr Test" Gas Service 1 &t In f111eat,I F~r#al l , p ~m~ Q vhcvflC- ~osi-ErS~ PLsmP S i ; I71 2 ~1 at7 J~,-J T R L S r.) v) c~rD rr r 1 YY\ c PG l3 L~ LomvoC-, C LJETH c C~ v - v\f T c~ C~ + -oar T FN 3zc ~oss~i CL'ryl(5. S r~vE~.UZ A 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN U 651 681-4675 Requirements to building permit Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) " • Code Analysis (1) • Civil Plans (2 sets) • Project Specs (1 set) • Project Specs (1) . Landscaping Plans (2 sets) • Key Plan • Spec. Insp. & Testing Schedule . Code Analysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MC/ES - call . SAC determination letter from MC/ES - call call 651.602.1000 651.602-1000 651-602-1000 • Spec. Insp. & Testing Schedule (1) . Energy Calculations (1) not always" • Project Specs (1) . Elec. Power & Lighting Form (1) not always . Energy Calculations (1) • Electric Power & Lighting Form (1) . Master Exit Plan • Soils Report 1 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215 "In - -0700 for details. ~r~co-gg DATE: z-1 9 WORK TYPE: _ NEW - INDEIIJ DESCRIPTION OF WORKfl CONSTRUCTION COSTP-20) gob ao TENANT NAG: ~--o . SITE ADDRESS:0~~a At°~Ot cr~a~ SUITE LOT D_ BLOCK SLIBD. C..QQriFv__1 A n Q P.I.D. # Name: Phone 2 SON - wo PROPERTY Last yq~ First o ^ OWNER Street Address: A-irq ~~Lr ~e ~wb(un9~ues1~ City State:~.v~• Zip: CONTRACTOR Company: '1\ptT{ d fna ~ri . Phone \ `S I) } 33 -~3 q Street Address: 10 Q'-0_ ^ ~O'Z-Arel City State: Zip: 5S0 ZS-- ARCHITECT/ ENGINEER Company: Phone Name: Registration ' Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application, state that the information is correct, and agree to c ply w h all applicable State of Minnesota Statutes and City of Eagan Ordinances. O Signature of Applicant: L OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 28 Greenhouse ❑ 25 Miscellaneous ❑ 27 Commercial/Industrial ❑ 29 Antennae WORK TYPE ❑ 31 New ❑ 34 Repairs ❑ 37 Demolish Bldg. ❑ 43 Siding/Soffits/Facia ❑ 32 Addition ❑ 35 Tenant Impr ❑ 38 Demolish (Interior) ❑ 44 Windows/Doors ❑ 33 Alterations ❑ 36 Move Bldg. ❑ 42 Reroof ❑ 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) First Floor sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs. # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Fire Sprinklered APPROVALS , A Planning Building v Engineering Variance Permit Fee VALUATION: $ Surcharge 1 U . S Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 3 4 ^1 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan `n r 3830 Pilot Knob Road, Eagan Mn 55122 11 lJ 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-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) l 1 • Electric Power & Lighting Form (1) ! 1 • Master Exit Plan (1) l d • Emergency Response Site Plan (1) 1 • Soils Report (1) d • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602.1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. k" Contact Building Inspections for sample and if required when it states "not always". kkk Permit for new building or addition will not be processed without Emergency Response Site Plan. Date S 9 Construction Cost off, LIB, 0'0 Site Address -3060 -$cr 0 4 fl -I-y4° %4 ~ Unit/Ste # Tenant Name $ol l)q r-f rel a /4pq rf r1?e 4+S Former Tenant Name A r-O C% P_ 9 Description of Work Re - 4Roo Q"~ t$ ` if nqi R ~LJ +N T i>ct oa Property Owner CGetVt1Nek mgnq E 012.6 Telephone#( 9So 4 31- Sooo? 15W25' ECt'i-ICI s r I 1 1O'D E-di'7-4 MY .3,R Contractor ce i' fl-'i q S~ ~ /'SZ _ Address L4o2 /O d -Ta I r e--l" fie. N City -T-or-e-.+ L--iKe State -MA/ Zip sSod S Telephone # (6.-Z) y33 ~ S'q Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone M 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 NlN 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 requires a review and approval of plans. -Va,trtck CJE ISO h -fB ac ~2_- ~ h Q~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments 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 Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair O 33 Alteration ❑ 37 Demolish (Bldg)' >(143 Reroof ❑ 46 Windows/Doors ❑ 34 Replacem~efnt_ "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation fiVJ7R/ Occupancy V MCES System Aid Census Code 4&J Zoning City Water o SAC Units ..•r, Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const • 8 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 _ Windows Approved By: Planning ~~pp lw+~~~ Building Inspector - - - - - - - - - - - Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total CITY USE ONLY l / L BL PERMIT#: SUBD. La:_ 0, k YC? ~ RECEIPT#: APPROVED BY: L[ INSPECTOR RECEIPT DATE: C) J 8000 MECHANICAL EMIT (COMMERCIAL) CITY of EAGAN 3630 PILOT KNOB FW EAGAN, MN 5518E 3 , 0a 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: / Z - 8-00 WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: RyOIAtt fxi4E Ry-" o%? A{~aseas ~9 NC.u! Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. wi Underground tank removal/instatlation = minimum fee a Contract price: $ ~QQQ x 1% = $ 60,00 (Base Fee) State surcharge 3-a calculate at $.50 for each $1,000 Base Fee TOTAL $ 63,00 J,SO O\I eV~JCti~~W~ ,t KAY --C'-_ ? R SITE ADDRESS: 3 80 0 1A A) Y'2e 4 E jb OWNER NAME: PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): 3,4114AIA,9~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y k N. NAME: INSTALLER: Y'4LE ~nJ e , ADDRESS: /6V? G%dARD 406 Sv. PHONE#: 5;o 80 /G6/ (AREA CODE) CITY: t o o in T o *''U STATE: ANAJ ZIP: S SY3/ IGNATURE OF PERMITTEE SEC i I 7onn By PERMIT Liz $ ~s. CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 030913 (612) 681-4675 Date Issued: 10/02/97 SITE ADDRESS: 3800 BALLANTRAE RD LOT: 2 BLOCK: 2 BALLANTRAE 1ST P.I.N.: 10-13300-020-02 DESCRIPTION: REROOF GARAGES Building--Permit Type MULTI. (MISC.) Building VTor~ Type REPAIR f Census Code 434 ALT. RESIDENTIAL ki REMARKS: PER JOE VOELS - NO LICENSING REQUIREMENT FOR CONTRACTOR FEE SUMMARY: VALUATION $36,000 Base Fee $448.75 Surcharge $18.00 Total Fee $466.75 ji~ONTRACTOR: - Applicant - OWNER: ROOF MASTERS INC 14332359 SENTINEL MGHT CO 22104 JOLIET AVE N 5215 EDINA INDUSTRIAL BLV FOREST LAKE MN 55025 EDINA MN 55439 (612) 433-2359 I hereby. acknowledge that I- have rea& tkzi.s application and state that, the information is correct and agree to comply with all applicalsle,9'tate°bf°kin` Stbtutes° and`City of Eagan flrdiriance'a;i' fG - s APPLICANT/PERMITEE SIGNATURE - ISSU D Y: SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 Qom/ /3 CITY OF EAGAN I 3830 PILOT KNOB RD - 55122 681-"75 New Construction Requirements Remodel/Repair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan • 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: /O. 12 1 177 CONSTRUCTION COST: Colo DESCRIPTION OF WORK: FL.19-1- 'Ve r'oof's g S~EETADDRESS: 3e 0o a'~ 114q'~~q~ 38e1 3WIi- 38t3~. LOT BLOCK SUBD./P.I.D. PROPERTY Name: :5,eA)+;w4L 4- it 0. Phone OWNER RN$T Street Address: S12 /S £,Jnt/n X-Ndkslrf44 _AI en City: C d f A% q State: M Al Zip: SS 42~ CONTRACTOR Company: '`?e5n-l~ Mgs+ie Tt.?C Phone 3.;-- 3.59 Street Address: Axl a e/ Jo bi f- 9✓e h/ License city: Fj2ee 4- Lst /Ke- State: 14 Al Zip: .SJ'OZS ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required V000 BUILDING PERMIT APPLICATION (COMMERCIAL) r CITY OF EAGAN o q U 651-681-4675 Re uirements t ~ ) 305 g 5- Z,)-O c) C_ e~ X 2 S- U C~ Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2 sets) • Project Specs (1 set) • Code Analysis (1) " • Landscaping Plans (2 sets) • 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" 1 • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- I • Project Specs (1) 1 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Forth (1) 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) 1 1 1 1 • MC/ES SAC determination letter • MC/ES SAC determination letter MGES SAC determination letter call 651.602.1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food && beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215.0700 for details. DATE: ) WORK TYPE:'L NEW _ REMODEL CONSTRUCTION COST: Q, DESCRIPTION OF WORK: )c72 Qec* TENANT NAME:y1b Ill I 1 1Z2 d iiTi C' UI FORMER TENANT NAME: n SITE ADDRESS: ~30 J•711 L✓I T I tlZl H LOT a BLOCK SUBD ~)&Ct I"To-"- , Name: i I 1 tU +V YET 1f}C'1 F_f1~~_i~ l Phone#: PROPERTY Last First OWNER Street Address: 72;,` ~~l rl~ ~r}1~ ~5 1~ ~1 G'~L \)17 City Fn I H-z~, State: 1~4 Zip: 7` ) Company: W,2> r, 1110. Phone of a 914CI- IDLOC111P CONTRACTOR zn n Street Address:--I q 2~ r1 ke, 14, City I Pt-l C l~ ~ l -zzu-) _ State: v qt l Zip: ARCHITECT/ ENGINEER Company: C. L-X . Phone I `,c~~- r ~ Name: Registration Street Address: ;2~00 )CF - A0. ~t C City M.n(S State: J~1 Zip: Sewer/water licensed plumber (ifinstalling sewer/water): PhoneM I hereby acknowledge that I have read this application, state that the information is correct, and agr a to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r!I Signature of Applicant: .V OFFICE USE ONLY BUILDING PERMIT SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ;i[,-"~25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF WORK TYPE ,.q'31 New ❑ 34 Repair ❑ 37 Demolish Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 35 Tenant Impr ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 33 Alterations ❑ 36 Move Bldg. ❑ 42 Demolish (Found) ❑ 45 Fire Repair ❑ 46 Windows/Doors GENERAL INFORMATION Census Code y;? Zoning sq. ft. SAC Code to # of Stories sq. ft. No. of Units O Length _ sq• ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation ❑ Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION:$ 9 Ooo Permit Fee ~ Ca-l • --a ~ Surcharge - Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total S T=Az ?d y aV, ^r yf MASTER/ CARD • LOCATION ~Ja 4P/~ 0 J J- LA . /sTrd OWNER ez rZee F~-~7If! STRUCTURE AND LAND USED AS &MMu 411777 y Issued To Permit No. Issued Contractor Owner BUILDING- PLUMBING L► l~ ,r/1 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING (~,~do...cw GAS INSTALLING SANITARY SEWER OTHER SO~ ~ L,]'Jd ~_,1~ OTHER i Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING 00 rXM':&1C _ A l TILE FIELD FT. FINAL ~Il~ ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFI ELD S*~ PLUMBING WELL SANITARY SEWER Y y- -it cr% • ~ ~~ok~i NQ0 on COMMENTS: 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF -11 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND r / To Be Used~ or: 1 x Valuation: Zc :+p Date: Site Address OFFICE USE ONLY Lot C~' Block Erect Occupancy Remodel Zoning Parcel/Sub 1,JlLP LL n C4 &y-A Repair Type of Const Addition # of Stories Owner <fo. Move Length Demolish Depth Address c1 , Int.Impr. Sq Ft Install City/Zip Code T Phone APPROVALS FEES Contractor Assessments Permit 34(x. Water/Sewer ' Surcharge 35. Address ,Z'701 3 1 z So. Police Plan Review Fire SAC City/Zip Codes, /J7~/ ssYob Engr Water Conn Planner Water Meter Phone 7 7 - 7 3 Z 5 Council Road Unit Bldg Off/f ")Treatment P1 Arch./Engr. APC Parks Variance Copies 5 Address TOTAL r" 1 L ~(~EIJSE Z5. City/Zip Code <~~,h S 0 Phone # 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 22 1 SET OF ENERGY CALCULATIONS To Be Used For: ee k,i,nin WQ~I Valuattiiopn pQ© Date: ( /D g~ Site Address: 3 Boo ssUa~ ? /U- ' OFFICE USE ONLY Lot: c;~, Block Sect/Su rect Occupancy Remodel Zoning Parcehrll Repair ~C Type of Const Enlarge # of Stories Owner Move Length Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor&6~ti eotAl'~ J1Ilc Assessments Permit 313 Water/Sewer Surcharge 9,0 Address 360 Sou-iA (okAv{y P8 lg ~ curie ~85Police Plan Review FE5-(" o I„t7 (S, fah 5 (0 Fire SAC City/Zip Code ) U Engr Water Conn d/, r Planner Wat r Meter Phone 77 Council oad Unit ~ ((Bldg Off Parks Arch./Engr. 100.fa,Po_10-VIj'_can1 u/ ( 4YV APC Treatment PI -11 wo SDU~ cc of CC Variance Address /yy Jk.-fi' 1f8,~ TOTAL City/Zip Code ,,/I'S . 1' 4. Ssfc~~ Phone # 61a) ,57q -8 56 EAGAN TOWNSHIP I ~I 3795 Pilot Knob Road St. Paul, Minnesota 55111~V Telephone 454-5242 A PERMIT FOR WATER SERVICE CONNECTION ~J Date:Sentember 23. 1971 Number: 716 Ballantrae Community Building Billing Name:Bor-Son Blde. Coro. Site Address: 3800 Ballantrae Road. Eagan Owner: Bor-Son Bldg. Corp. Billing Address 1550 E. 78th St.,Mplls. 55423 Plumber:Glende - Excavation: Mitsch Plbg. - Pipe Work Location of Connection Meter Size/ 6 Connection Chg. Met~o-7ias7ooq Permit Fee 10.00 nd 9/23/71 pd 9/23/71 Meter Reading Meter Dep. .50 Meter Sealed: Yes Add'l Chg. NO Total Chg. V ~jf Inspected by ~Date Q f Building is a: Remarks: Residence _ Multiple No. Units IMPi OPERLr' IidS CALLED i,iEjD! . Commercial Industrial By: Other Community Bldg. for Chief Inspector -_Apartment Complex In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Bor-Son Bldg. Corp. Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road 1 St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: September 23, 1971 NUMBER 877 OWNER:Bor-Son Bldg. Corp. Address 3800 Ballantrae Road - Community Bldg. PLUMBER Glende 3 Mitsch TYPE OF PIPE uea..., r,rr Trnn DESCRIPTION OF BUIIDING Industrial Commercial Residential Multiple Dwelling No. of units Community Building for Apartment Complex Location of Connections: Connection Charge Permit Fee 10.00 pd 9/23/71 /C Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By. Bof-Son Bide. Corp. Please notify when ready for.inspection and connection and before any portion of the work is covered. T!NG ADDRESS 3~;00 Att LI N-!.I -tc As_-1~ iV1UNICIFALiTY L 'r^ i OCCUPANT Fb. i i : L!-t (Z 2 A-rM S - OWNER TYPE OF HEAT: ROOF ~ FA HW_STEAiYI UNl HTR. OTHER" r INFRA-RED MAKE MAKE Mad.] ~ CD Pq r,3 14Af,3 model Serial 144y1 1 3 S«ial INPUT a' LC FUEL INPUT FUEL - aJ} I"~ If00~00 . CONTROLS CONTROLS THERMOSTAT THERMOSTAT Valve DA Vulva Limit ~~hCc,tn] Limit Limit Se Ming I aQl Limit Selling Fan Setting IMR.L7 Fan Setting _ Pilot Type "t Sit PSUZ P'Q 1'2 I~ItZel T;,N Pilot Type Pilot Make Pilot Mck. Pilot Model Z Pilot Model Pilot Timing Pilot Timing L.W. Cat Off L.W. Cut Off Pua.ni C02 Pressure IO•L' Percent C02 p~ Pressure Input CFH Peneent 02 I Input CFH P•re.nt 02 Stock Tamp q,0 Percent CO Stock Tamp. - Percent CO ' Vent Six. -La Vent Six. KIND OF LINER SIZE KIND OF LINER SIZE Draft l-c7P(a1 I Tut Tag-tk Draft Tut Tag MAKE MAKE Mod•i Mad.l Serial Serial " INPUT FUEL I INPUT FUEL i CONTROLS CONTROLS -IERMOST.\ T TH'c .<MCSTi.T Valve Volvo Limit - Limit Limit Setting Limit Setting Fan Setting Fan Setting Pilot Typo Pilot Type Pilot Make Pilot Make Pilot Model Pilot Model Pilot Timing _ Pilot Timing L.W. Cat Off L.W. Cut Off Pressure Parcont C02 Pressure Percent CO2 Input CFH Percent 02- Input CFH Percent 02 Stack Tamp. Percent CO 'Stock Tamp. Percent CO Vent Six. Vent Six. KIND OF LINER SIZE KIND OF LINER SIZE Draft Test Tag Draft Test Tog agtzaa Date Tested j -(4 964-9 GIRARD A VENUESOUTH 9 MINNEAPOLIS, MINNESOTA 55471 Name of T aester Q ~ ~ e'UL INCORPORATED TEL(612)B644661 FAK'(612)664-0295 Job No. V Z l 2007 COMMERCIAL BUILDING PERNUT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. • Structural Plans (2) sets • Soils Report (1) • Architectural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) • Certificate of Survey (1) • Structural Plans (2) • Project Specs (1) • Code Analysis (1) • Architectural Plans (2) sets • Key Plan (1) • Project Specs (1) HVAC units req'd. on bldg elev. / site plan • Master Exit Plan (1) • Spec Insp & Testing Schedule (1) • Civil Plans (2) Energy Calculations (1) not always'` • Soils Report (1) • Landscaping Plans (2) Elec. Power & Lighting Form (1) not always- • Meter size must be established • Code Analysis (1) • Meter size must be established-if applicable 1 Energy Calculations (1)'- 1 • Emergency Response Site Plan (1) d l • Spec. Insp. &Testing Schedule (1) l • Electric Power & Lighting Form (1) 1 • Project Specs (1) 1 1 • Master Exit Plan (1) l • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination -call 651-602-1000 • Fire Stopping Submittals • Fire Suppression/Alarm Form • Meter size must be established Call MIN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. Contact Building Inspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date lP l l ~7 Construction Cost 3 5^a 00 Site Address 38oa a+tt c4 Unit/Ste # Tenant Name a v.-Zke"-R Former Tenant Name Description of Work y;Ke. Property Owner ///orA`tlt 4 Telephone # ( 7°i' e s✓ ~'s~° Applicant is: _ Owner ! Contractor Contact 40 Contractor Sig" . Addressdndw 14:go ~ tie City T~'mQti ~alP~ State Zip ~r614s Telephone # (6s;~J a~3 S" Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone 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 requires a review and approval of plans. / I ~ ~ C,1.4r;r,1< WeIS'C~ 2 (NQ.eQ.C1t~ Applicant's Printed Name Applicant's Signature 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS ~ FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 6G/v~ar= Valuation: O a Date: Jq'q Site Address dya/ OFFICE USE ONLY Lot f Block On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub On Site Well Type of Const _ City Water (Actual) Owner L /%qA g(E ~yyrs,: (Allowable) 11 of Stories Address Q,0/ e=. IvLo /y U✓j"l2i/a i~'~ Length Depth City/Zip Code Zd/ti9 ssy~s- S.F. Total jo a Z Footprint S.F. Phone , APPROVALS FEES Contractor /(/TJ~~'d C pAJjTj%JrT/o Assessments Permit So Water/Sewer Surcharge 44-0-0- Address ~dH/ ~r"fTili~~ Police Plan Review Q So Fire SAC, City City/Zip Code alu ri6i~a /bf j 5J--j y1 Engr SAC, MWCC 711 ~6 Planner Water Conn Phone o J` 2 Council Water Meter Bldg Off 9 8 Road Unit Arch./Engr. APC. Treatment P1 Variance Parks Address Copies City/Zip Code TOTAL -t x, , s 1d7~ Phone # EAGAN TOWNSHIP 3795 Pilot Knob Road (G St. Paul, Minnesota 55111 Telephone 454-5242 T PERMIT FOR WATER SERVICE CONNECTION Date: September 23, 1971 Number: 718 a- an rae Apartments Billing Name: Bor-Son Bldg. Corp. Site Address:/380103 Ballantrae Road Owner: Bor-Son Bldg. Corp. Billing Address 1550 E. 78th Street, Mpls. 55423 Plumber: Glende - Excavation; Mitsch Plbg. - Pipe Work Location of Connection Meter Size z Connection Chg. Redd Out 5249115 Meter No. 21184285 Permit Fee 10.00 d 9/23/71 .50 pd 9/23/71 Meter Reading Meter Dep. Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Multiple xxxx No. Unita24 f .;l Commercial i;~n,~r1•-,~„ Industrial By: Other Chief Inspect4-or In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and J regulations of Eagan Township, Dakota County, Minnesota. By: ni.~g, r..,-Ey 141%~ A~' ~ Please notify the above offYce when ready for inspection and connection. MASTER CARD • LOCATION ALL A,) T 0-,Rp .3 s-q 63 OWNER S h~ lie ✓ mod, STRUCTURE AND u .tG L LAND USED AS ArI~ Y P. S ~ ~ 7 GAQ~s• i Issued To Permit n No. Issued Contractor Owner BUILDING d7p✓, So A/ PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ~I • IU'~I .l CESSPOOL FRAMING , TILE FIELD FT. ton, FINAL ELECTRICAL DEPTH HEATING _ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ~it-A! 7 Violations Noted on Back COMMENTS: r For Office Use Permit c,~ CC% ~ 1 I City of Ea a~ I Permit Fee: . 3830 Pilot Knob Road I Eagan MN 55122 - I Date Received: I Phone: (651) 675-5675 I Fax: (651) 675-5694 j Staff: I L-----------------I 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: Lv ®q Site Address: V Tenant Name: (Tenant is: New / Existing) Suite PROPERTY OWNER Name: ft_-j7A/9,_ Phone: 5-00 Address/ City /Zip: J 4'd"A- 0? Applicant is: Owner V Contractor TYPE OF WORK Description of work: . coo Construction Cost: O 6 OU D CONTRACTOR Name: MlhZ?lA/ _0Sf& ~f St6►~F 6AS`License#: !5-yY'7 (as ! - 2 I 6 Address: 2L![Y !Ms n VCS ~ • ALL <V~ ~ 00 City: 0r'L?"1 State: Af Al. Zip: 695-1- / 9- 2 ig Phone: 7lo Contact Person: A'~ V l ~Td 2 G j ARCHITECT / Name: t-AeJ Is *m i •f 0hSo. M-A• Registration 9 8 ENGINEER Address: 51. (D 1 ~rhT7 ~.v,~5-L ~vCiv~ City: /n /~q/4~1-►4os-~S State: 44AI: Zip: Phone: 763-51-3 - W03 Contact Person: lyt71 A'A) Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 review and approval of plans. x V 7U i S ~J T7 x Applicant's Pr' ted Name ,9CS<!N t (pn y Appllfc is Si 4ff a -re n5- Y a Page 1 of3 3~ 1 DO NOT WRITE BELOW THIS LINE C~ l I SUB TYPES Foundation _ Public Facility _ Accessory Building { Apartments _ 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 _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change *Demolition of entire building -give PCA handout to applicant DESCRIPTION r?EXL- IV l~Pa'~ C~CtS7"i`ML-~ Valuation ~T i 060 Occupancy A 17, MCES System Plan Review- Code Edition /~'t 2®O SAC Units (25%_ 100%~ Zoning City Water Census Code Stories Booster Pump # of Units 34 Square Feet PRV # of Buildings g Length Fire Sprinklers Type of Construction • Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Decking -Insulation -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final J( Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test Final Windows Insulation Retaining Wall Meter Size: Final C/O Inspect n: Schedkile Fire Marshal to be present: Yes V /No Reviewed By , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 146. 7S' Water Quality Surcharge If. 010 Water Supply & Storage (WAC) Plan Review z o, 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 Page 2 of 3 dtitl U3 JI)J _ ~ ai :1~1{ ..........«w......•«..,+-...+a...• ~...,.....~..~..~.w-wwa w:igg kilt 'oov;a lal , .L r: 01 ~ ti vroslroun au ~ ftl:Yy9 Np ~'YNtQ$ IlV(lTi VVkt,INY'C`IVF1 QQOl: vacs -srs {ru%) vvtY[an s' sss Uvr.1 ~ Nl if r4M Y( Ib s~, 1 fv.LN3N4dTIVr1Y ; Vd,{,NV't"IVF3 e, res r,ld.,v.•:n 'v::on~w:,.~y, ns - it ~n rl nu +,annn 11+la,un.l Q 1d~~ (IA-1111 I ~'IYltIJI.6C1(lNI YNl(I~ Jf'3 a ruas•o'ni xma v wv , ,wu anv :*;?I*J{)~' @I] ,1 o:~ons::lrrvl rv9s: ^ x 1 N : vdflJRS A 11n1 An nlmin un un w '(13 d1.Ne11NI:C7VNVW 9:{IN1.I N$li s~alu_us "quatnsr::w a,unr{,u S ,uo~ra uo nouvouu3.a- 01 ~!•)lomof1S 7 VNta1.I,1eAS)Y 1;AA 1,1 wln/, 31v5t vm si:t awn xrniAJ ulfuvn,~ l.NA1't.? 13.D:dlbtCll. 0141 'suvioos%v >i1 INY1 hyllYJ. - _ - t7rl ~ - A la. (c~ o u~ f-a 'Q L1.9 ._3 Q U ~ I,~' CY (i3 ~.r L b'1 1~ IX wjf 1 al, - °x cn -C -(f au r`i 7 ..:J 1: ~ g ,a z . 1"il St y y av qua sv "?i i f~' II N'-, ,n iVL1 51 - " iS _r C to sl: Lei e9 's :;<<sti I `f tom: ~ V' G A f 1 CIL m Y I cn 14 11,j''~II'.llj I .IJj:3'((f,•:.<.lL,'i •II !1 ` - r. z .11"-,L I N (JNIN:l30 13AAI PAZ JO 306113014(1 01 3(1"11 -ilaj i lJ) T,,1 -,Oi (A11~JA 11114.{) „C.,6 1 v, "ddo S= =:1 Gil Uj U. Ca "I 1,1J ra" 1{,1to0, C.~ 1 I ~ II_ ~ j 1 GS 6 v, I I I} ! CI7 t7 01 It t~,l fl 1' f-5 f 1, La ~ eh o Q ~ ~ 11.1 ~r x `t.~1 raj r; ~ u r.,~:. • It Z N 1- i i f? I 1f•,?1 GY.: Y {t-Y i.D Y-7 . f1t5~! {"tom (.l ~ ,%1 L7 I ~~~qiJ ~_I { I_~ t...AJ f~ 1 s \ F1! J'~, 1- 1 C,l N F[l t , } hh. PR i{ N t M 'd 9996££9£9L 'ON XV. ONI OOSSV '8 IWVSINVIVd WV 0:01 Inn 60-61-AVW a ___Use BLUE or BLACK Ink For Office Use~ry f t • j Permits: / 6 / of Eapn I I Permit Fee: ` ®b 3830 Pilot Knob Road 1 1 1 Date Received: I Eagan MN 55122 I t Phone: (651) 675-5675 staff: Fax: (651) 675-5654 - - 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 1 Site Address: 3 8c n 4 e4 LL_~ 4 Tenant: 6 Tn A Suite #PROPERTY OWNER Name: ^ e:r- ri fe i cu- Phone: p S 9~1 I Name: &x` reyt ►'1E-i` cV9~1-ii -'l-~-A --"c License 6 6 O "3 /o CONTRACTOR Address: P° e , 4 @ K S°t ~ City: State: K/'JZip: Phone: 6s'3, D„;. Email: TYPE OF _ New _ Replacement -Reppair Rebuild - Modify Space -Work in R.O.W. WORK Description of work: "C"&.=Cy- 9 2 COMMERCIAL New Construction Modify Space - Irrigation System yes no) RPZ ! PVB) • Rain sensors required on irrigation systems PERMIT TYPE a 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 6 Type _ Fire: 1 Avg. GPM High demand devices? Yes ,_No Flushometers Yes -No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fge is less than $10,010, the surcharge is $5.00 Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010-$11,000 Permit Fee uires a $5.50 surcharge) $ State Surcharge 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 8 Storage $ State Surcharge = $ SS TOTAL FEE 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.oooherstateonecall.ora 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 no 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 ns. x c~ 142 &L x Applicanrs Printed Name Applicant' ignature FOR OFFICE USE Approved By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final PRV Required: Yes No Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I 1 Permit#: /®00:;L" co of Ea a~ E/,, I Permit Fee: / 3830 Pilot Knob Road I I Eagan MN 55122 1 I ! I Date Received: I Phone: (651) 675-5675 ri0V - 3 I I Fax: (651) 675-5694 j Staff: L------------- -I 2011 COMMERCIAL BUILDING PERMIT APPLICATION i 3 ~ ►T C Date: i ~ Site Address: . SCNO Tenant Name: _5AL.LAcAjMA46& A&PA42_r I (Tenant is: -New/ ~Zcisting) Suite Former Tenant: PROPERTY OWNER Name: s&jT1w$.1_ P-Gran 7": L L-C.. Phone: 15Z- 9331 6coz- Address / City/ Zip: S 2.1 5L~ lAl tl. ~Rt,~j . L~/t7 . 1~ rJ~ ~t~.,1~•~K~ ~.J ~3q Applicant is: Owner T Contractor TYPE OF WORK Description of work: f112-OOM F!j*Z 1"01L4A4mP4.12M 3~3~41,-DINe4 Construction Cosin `1.7,301ioo"~ CONTRACTOR Name: B &~t 5 ®f-l • Ca.'i"t4 OC., License Address: 154000 Z7'2`.&01V. t~04 City: State: MoJ, Zip: _2K.5 Phone: 7(e,3°~.~~?''~l 4 2A- Contact- IM 0,*7V& QCs Email: T14, t✓l z-1~4. Goat ARCHITECT I Name: hf°7T1*4U Sotz.T►~al*1 Registration " E ENGINEER p Address: 1 DI NA- 3'Mo 57-, 5", 2 ZOCity: /`''~1N~t~1~►11•Dl..l i State: 1 ~J Zip: 46,9_44 0 I Phone: & 12- - 4.3 ee ° Contact Person: WAr~ Qa Email: y~1~ G i"` fir s Licensed plumber installing new sewer/water service: Phone M 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 that theV 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.aopherstateonecall.oro 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 w hi Uir a review and approval of plans. X Ebm-&-s L~ , 1~~TjaG I2~13e x Applicant's Printed Name -r Aant's ure Page 1 of 3 6AIII14 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Accessory Building ~Apartments _ Commercial / Industrial xterior Alteration-Apartments Lodging - Greenhouse / Tent ~xterior Alteration-Commercial Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior lteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building - give PCA handout to applicant I DESCRIPTION Valuation 1 -31, 0600 Occupancy Al MCES System Plan Review Code Editions SAC Units ! b (25%-100%-) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width - REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) nal / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -lee & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes -/No Reviewed By: 1 Mil L , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 8G/. P75- Water Quality Surcharge 37, 86 Water Supply & Storage (WAC) Plan Review b0. J 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 . 8 Page 2 of 3 4nt Use BLUE or BLACK Ink ' - 7 For Ofnc e- Use I ~r lr f r'"_ (U-- j Permit City of Ea I Permit Fee: I 3830 Pilot Knob Road RECEIVED I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 DEC 1 1011 I Staff: - 2011 MECHANICAL PERMIT APPLICATION 3-re ~Ile, " -}Mc 4ze Date. Site Address. . ~ Tenant: Suite RESIDENT/ OWNER Name: i3,, Phone: 'Ifa 73)-576-OA Address/ City / Zip: 5 ~~~FS 5~44#m Y CONTRACTOR Name:NDane. Yt'1E'GH License Address: Z P Z 7 fO"K- S City: 8`J✓Y!'Sv~~l`c g ~4~ 12 State: Zip: `;i5337 Phone:: lrSa 1947 57 Contact: ~OLIrISt~ Email: TYPE OF WORK New J-1c Replacement Additional Alteration Demolition Description of work: 9,4:5 I,1hC. -/,o •eGGdy'~ld~i~.k +'~csi'tri~ Ct- 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 PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger X Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit 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 per t; 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~Y~`'~ `~yV1 w'S~►-~• ~ga OZ3 7 Applicant's 17FFInted Name A'~'7)3 Applicant's Signatur FOR OFFICE USE Review By: _:!!57 Date: /24 Required Inspections: -Under Ground Rough In Air Test Gas Service Test In-floor Heat-Final Exterior HVAC Screening Inspection _ _ _ -Use _BLUE or BLACK Ink For Office Use I Permit ®-O~jW Ut of Eaefl l~l, i l - I Permit Fee: ✓ 3830 Pilot Knob Road RECEIVED Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I 12 I 171 Fax: (651) 675-5694 DEC 2011 j Staff: - - - - - - - - - - - - - - - - - - 2011 MECHANICAL PERMIT APPLICATION Date: ! 2'-$ ^J( $ite-Address: 64 » a04.~ T. Tenant: Suite # Name: Phone: Address / City / Zip: ` Name: /I.WK0Ic ~ 5+~~~JC License J 0.1 Address. 12~lo lZ7et City: ::A State: Zip: 337 Phone: N S~ti Email: Contact: CAP✓c,5 34"A h u New Replacement Additional Alteration Demolition Description of work: - A. 3 /'1 s 3"YA~e`~si Lors~ ur'i>~ G~ w y ~ 7 yr ~ RESIDENTIAL COMMERCIAL Furnace N New Construction Interior Improvement _ Air Conditioner Install Piping Processed f . 3 ^a~ -Air Exchanger Gas Exterior HVAC Unit sL - Heat Pump -Under /Above ground Tank Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: rr~ll$75.00 Underground tank installation/removal OR Contract Value $ ~OVV ff)x 1 % $55.00 Minimum (includes State Surcharge) ,g - 00 Permit Fee - If the Perm' Fee is less than $10,010, surcharge is $ 5.00 Surcharge -If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) 3~5 TOTAL FEE 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.aooherstateonecall.ora 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; th ork will be in accordance with t pproved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Qo iy f ;k M3 Applicant's Signature `ra 5g~tieduy #ea~. tlttciergrountf Rtwgh In Air Teat &WgeMm =$oor beat 1 art it _y 1 Use BLUE or BLACK Ink ~~h}r ell ( I For Office Use I I 1 7 Permit ~Z G I City o! Eapfl I Permit Fee: V 3830 Pilot Knob Road 1 ~~~~`Vpc~ i Date Received: Eag an MN 55122 c. Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 JAN 13 2912 L-----------------I 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date:, 3~) Site Address: Tenant: l 1 C 4~ l Suite PROPERTY OWNER Name: Phone: Name: i JOSON T pbUM 61A6 License 67y LI CONTRACTOR 3 r_ Address: ! S I ~ ~ City: U5 State. h^Zip. S-y3 Phone: C1 ~3 ' 73 Email: J&Unit- (e k/Q50A.) TYPE OF -New,,'- Replacement --fiepair _Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: (Ze (/ACS " l e "S (ip U$ 7i l<-s ,3p;A6 >fiy„C x -fo►~ COMMERCIAL New Construction _ Modify Space Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems PERMIT TYPE . 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 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ A200. x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge 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 $ State Surcharge = $ TOTAL FEE 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.ora 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 pl v►N-yob x x K/ Applicant's Printed Name Applicant's Signa FOR OFFICE USE Approved By: Date: f I Required Inspections: Under Ground ~-Rough-ln Air Test Gas Test Final PRV Required: ^ Yes No Page 1 of 3 T ____U_s_e_B_LUE or BLACK Ink For Office Use j Permit / V ~/(/J City of Eapn Permit Fee: ~C/ D~ I 3830 Pilot Knob Road Date Received: Eagan MN 55122 Phone: (651) 675-5675 Staff: j Fax: (651) 675-56941 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3 S-00 Tenant: ~~Ca ~4ti ✓QC °~^fr"l Suite PROPERTY g~I(ati ~fq C Ae, a SRC OWNER S Name: Phone: i Name: D t'itV c P&XCIC4 License e6 E CONTRACTOR Address: City: I"1-!e` State~~Zip: De 41' Phone: S~Email: i I~Yi a TYPE OF New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. WORK : I~ r C X/011 i Description of work: jy=i /L 9L t l rGj COMMERCIAL New Construction - Modify Space Irrigation System yes / _ no) RPZ / (DPVB) • Rain sensors required on irrigation systems PERMIT TYPE • 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. (tl~ v?~1l Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers -Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010-$11,000 Permit Fee re uires a $5.50 surchar e $ State Surcharge 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 $ State Surcharge L _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pr tection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.brg 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 ppllan' in the case of work which requires a review and approval offpplans. ; Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: ' U Required Inspections: Under Ground -Rough-In _Air Test -Gas Test ~inal PRV Required: - Yes No Page 1 of 3 Use BLUE or BLACK Ink For Office Use • j Permits: l Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694 Staff. _ 1/JC I I - - - - - - - - - - - - - - - - 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date' Site Address 200 Av //-*rt /`:o e Tenant Name: (Tenant is: New / Existing) Sulte Former Tenant' Name: 5C'i1 n e /v~~ 0t!5; erli es Phone: . Address /City / Zip: rr-~ Applicant is: Owner Contractor f~X~~st, 5i G[ Description of work: AoPlVld,:^e la--141 4e& Construction Cost: CICaC~' Name: ~~y.t s~oEn e )f t~i~ r- S'Ti~ cT.c n -License _3 9 6 r':;,~.`-" Address: Ai M Wazc City: State: ~ zip; Phone: ~ x.. r. 1l,a ..n,, n µi f Contact: H K71 f, t n : Email / i / EZ 4' ~ aitr:4:1 E ~rri Name: Registration M /1 /r Address: City: State: Zip; Phone: eu'" Email: ::i~`;:;:'' r~•~-";lF,~.. • ar, Contact Person: Licensed plumber Installing now sewer/water service: Phone ,.r..:,,:.s~r•;; -nr~-,>'s7•[., ~ sal.~R,3~` '1u~.r•,Fr7 Vii. CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.stopherstateonecall.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 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 worts which re utres a review and p I of plans. i Applicant's Printed Name Ap 1 ntfs signature Page 1 of 3 Report uROe LINGIOBSERVATION REPORT Irerracon Service Date: 10/30/12 3535 Hoffman Road East Report Date: 10/31/12 White Bear Lake, MN 55110-5376 651-770-1500 Client Project Rochon Corporation Ballantrae Apartments Attn: Nick Reynolds Exterior Renovations 3650 Annapolis Lane N 3800 Ballantrae Road Suite 101 Eagan, MN 55122 Plymouth, MN 55447 Project Number: 41121041 Service Requested By: Steve with Rochon Observed Location(s): See Attached Plan Equipment Used: The above-referenced area was proofrolled with a fully-loaded tri-axle dump truck. The equipment made several passes in a parallel pattern. Subgrade Description: The subgrade was reviewed and consisted of Sandy Clay. Elevation: Based on conversations with Steve with Rochon the subgrade was at an elevation of approximately 14 inches below finished grade. Summary: Based on our observations, the subgrade soils appeared firm and stable except at noted on the Attached Plan where the soils appeared to soft during the application of compactive efforts. Results were reported to Steve with Rochon at the completion of today's activities. Services: Site visit as requested to perform proofroll observations on subgrade of parking lot area. Terracon Rep.: Stephen J. Klein Reported To: Steve P. w/ Rochon Contractor: Report Distribution: (1) Rochon Corporation, Emailed (1) City of Eagan, Emailed (1) Rochon Corporation, Emailed (1) Sentinel Apartments, Emailed Reviewed By: Andrew T. Schmid, P.E. Department Manager I-Professional The tests were performed in general accordance with applicable ASTM, AASHTO, or DOT test methods. This report is exclusively for the use of the client indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to the actual samples tested at the location(s) referenced and are not necessarily indicative of the properties of other apparently similar or identical materials. a.F0007, 9-28-10, Rev.t Page 1 of 1 Use BLUE or BLACK Ink r_____________ ----� • I For Office Use / � � ' ( ��2d� � Clty of Ea��� � Permit#: � , i °(7"— i 3830 Pilot Knob Road � Permit Fee:� � I Eagan MN 55122 j Date Received: I Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � � � �-----------------I 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please sub it two (2) sets of plans with all commercial applications. Date: ,f� Site Address:�D�U /�'�i �` ���✓' ,�� � Tenant: Suite#: �� Property 3 p`1`��.�.Y�� ��Q� ,���.�5 Phone: �01 a - s�1 � so�7� OWner Name: ,�" r ' � � Name: t�" � � •�� �'` License#: / � C.1 �� � Contractor y��� - l�� �„�', v �G l� � 1��r� p 5�`�� Address:� Cit :� � - State: Zi : � Phone: � � ' Email: �%J�"� � -� --✓1-� Type of Work �New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: � �2\G a� � Ul� COMMERCIAL New Construction _Modify Space . �Irrigation System(�yes/_no)(�RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter. Domestic:Size&Type Fire: 1 Avg.GPM �]S High demand devices?_Yes�( No Flushometers_Yes No COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum _$ Permit Fee "If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" "`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """`If the project valuation is over$1 million, please call for Surcharge -� TOTAL FEE 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 $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in con rmance with the rdinances and codes of the City of Eagan; that I u derstand this is not a permit, but only an application for a permit, and work � ot s rt with t a permit; that the work will be in accordance wit the approved plan in the case of work which requires a review and approval of la s. t=. X f�"�,i,"�� �� �/� _ X y t =� / Applica Ys Printed Name Applican s ' nature FOR OFFICE USE : Approved By: ; Date: Requi[ed Inspections: Under Ground �Rough-In _Air Test Gas Test �Final ' PRV Required: Yes No Meter Relate�i Items: Meter Size �1�^ Radio Read Manometer Staff: ��,�o�a �r��. Page 1 of 3 Use BLUE or BLACK Ink � 2014 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY (if appiicable) Date: FOR OFFICE USE ONLY PRV required Property Owner: ' City R-O-W Permit Address: Phone Number: County R-0-W Per'mif Plumber: Contact Name: Plumbing Permit SEWER WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC @$100/unit Water supply storage MCES SAC @$2,485/unit Receipt#: , Date: Receipt#: , Date: Treatment Plant @$828/unit Permit Fee $60.00 Permit Fee $60.00 State Surcharge $5.00 State Surcharge $5.00 TOTAL: "`P�umbing Permit Required—water meter to be acquired with building permit TOTAL: SEWER &WATER Sewer Service Water Service Sewer lateral charge Water lateral charge Sewer trunk Water trunk City SAC MCES SAC Receipt# , Date Water supply&storage Receipt# , Date Treatment plant Permit Fee $120.00 Stafe Surcharge $5.00 'Plumbing Permit Required—water meter to be acquired with building permit TOTAL: Number of SAC units is determined by the Metropolitan Council Environmental Services (659) 602-1000. Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past. 1-5 SAC units 1,780.00 per SAC unit �---------------- 6-10 SAC units 8,900.00 plus 445.00 per SAC unit over 5 � For Office Use � 11+SAC units 11,130.00 plus 178.00 per SAC unit over 10 � � � Permit#: � I � I iPermit Fee: � I � � Date Received: � � I I � Staff: � _________________J Cc: City of Eagan Finance Department Page 2 of 3