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3810 Alder Lane Use BLUE or BLACK Ink For Office Use City of Eajan Permit I I 3830 Pilot Knob Road I Permit Fee: • 4 Eagan MN 55122 Date Received: I Phone: (651) 675-5675 j I Fax: (651) 675-5694 I -Staff: I 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: f Site Address: ?10 4111,, Tenant: 1k, e 1W, S o e- e- (fO 0% A, 11A A '-C S O Suite PROPERTY 1 OWNER Name: 7 M S Phone: (p sr/ - 779- Z Yl b CONTRACTOR Name: )qS td G i`da~~L C~ a~ License D S / y r Address: 0. l~ p w 2 3 7 City: et StaterZip: Phone: r/ U 0 Email: odify Space Work in R.O.W. TYPE OF _ New _ Replacement _ Repair _ Rebuild M X WORK Description of work: 1 a Q X.V 1 PERMIT TYPE COMMERCIAL New Construction X Modify Space Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • 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: $55.00 Minimum (includes State Surcharge) OR Contract Value $ oZ 7 IS- 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 $10,010411,000 Permit Fee requires a $5.50 surcharge) _ $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 551. do 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 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 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 1) Q/N Ze -Id /t.rV- X Applicant's Printed Name Applicant's Signature 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 - For Office Use I j Permit* I Permit Fee: I;S S City of Ealan 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Staff' Fax: (651) 675-5694 010 qqM ~CIAL PLUMBING PERMIT APPLICATION Date: Site Address: 6 Z7/( Tenant: w c Suite M PROPERTY OWNER Name: Phone: CONTRACTOR Name: ne_0 7A,,^/4icense 0 6'3jc'3.Z fin Address: S-IoCity: jL1 l s~nL o 4IL 6tate:,byZip:' Phone: Email: TYPE OF - New _ Replacement - Repair _ ebuild _ Modify Space _ Work in R.O.W. WORK Description of work: P Z Asa tN 1 t COMMERCIAL PERMIT TYPE _ New Construction ~ ~ _ Modify Space Irrigation System yes / _ no) LAAPZ PVB) • Rain sensors required on irrigation systems • 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: $55.00 Minimum (includes State Surcharge) OR Contract Value $ x 1 % = $ 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 Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 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 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 re uires a review and approval of plans. X c X Applicant's Printed ame Ap ca s Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test anal PRV Required: _ Yes No Page 1 of 3 La's i ~ 1 o c~. CSZQUA it J 0 v f- k COMMERCIAL BUILDING Permit Application City Of Eagan 0_0~Q-I~b t a 3 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 1 4. 0 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 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • 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. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 12 ! 18 / 2003 Construction Cost $5,000 Site Address 3810 Alder Lane Unit/Ste # Tenant Name Keystone Communities Former Tenant Name NA Description of Work Marketing Model (Temporary) Property Owner City of Eagan Telephone # ( ) Contractor Weis Builders, Inc. Address 7645 1,Yndale Avenue South City Minneapolis State Minnesota zip 55423 Telephone # ( 612) 243-5000 Arch/Engr Tushie Montgomery Architects Registration # 23560 Address 7645 Lyndale Avenue South, Suite 100 City Minneapolis State Minnesota zip 55423 Telep e # ( f1 3b~ I i ll DEC 1. 9 2003 I1; Licensed plumber installing new sewertwater service: NA -ip#~one #:r By I hereby apply for a Commercial Building Permit and acknowledge that the 1 ortnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Patrick Schei Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility L"_ 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. w ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon Work Types 121' 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation S oOO Occupancy 10 MC/ES System Census Code 3 2$ s{~c~4uxl Zoning Cr~ City Water SAC Units Stories Booster Pump Nbr_ of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered _s Type of Const V R Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing - Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ✓ Framing - Siding _ Stucco _ Stone Fireplace - R.I. -Air Test -Final - Windows (new/replacement) Insulation _ Retaining Wall %6e_ Approved By ~r^ Building Inspector Base Fee I l I- Z S Surcharge 2. SU Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total } SO I UI),q :a E ii ptiun sa ¢z sTx - iii 0{ 4t6 aqt t' a v o_i ~:*=-•p I 3t#f~ ~ t~aait~tl ~+&a~ +1'tt E g~.. TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #25 DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN CORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: MIKE LENCE, SENIOR INSPECTOR DATE: JULY 25, 2003 RE: PLAN REVIEW FOR KEYSTONE COMMUN~TIES (SENIOR HOUSING) DER LANE I ~Y v LOT I BLOCK 2 CEDAR GROVE PARKWAY ADDITION 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: 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 /MIKE LENCE REVISED 4-03 'Ilk!I G 4~ 114 7 t rtH (§@:7 fl„ 0 RA l 441 Jill! ij493.~aIP d37A13A' d{II~lII7 {iaIt Ali Mx ilWtliignt Ct (IIaT+'S! iililo-x h 3i lPI fjli I _ " t l tfi5(~`ll~~gfl'~ j ~(rihla3~,(( u~ .ioll{l(((lii~ im( ~ti6'l(i(I117Ul(1(S~iiHli~lll( TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #25 DAVE BENNETT, UTILITY 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, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM: MIKE LENCE, SENIOR INSPECTOR DATE: JULY 25, 2003 11 RE: PLAN REVIEW FOR KEYSTONE COMMUNITIES (SENIOR HOUSING) 7 ALDERLANE ~,Y l c.~ LOT I BLOCK 2 CEDAR GROVE PARKWAY ADDITION 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: ~JS7 C, c-kLq 02 le ce -S 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 0 No PRV Required SP $ -1 6,:? Signature 11 Date CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE REV ISED 4-03 Citu of Eagan C3:h R'?-Dint LXI Recelot 03te 'E. •4 ••-°A Receipt Number ° 5b~7 PERMIT SUMMARY DATA HER-REFUND REQUEST (effective 11/1/03) CITY OF EAGAN 0201.402' 6° 901 18 ,CK PAYABLE TO: KEYSTONE COMMUNITIES, LLC PERMIT SUMMARY DAT ti ADDRESS: 5200 WILSON ROAD, SUITE 150 9379.4681 '11100.00 EDINA MN 55424 PERMIT _IUMMARY DATA ATTN: MIKE LEWIS 4001.2257 5.800.00 PERMIT SUMMARY C•ATA !11-6-03 VALUATION: $11,000,000.00 0720.4222 28,654.96 PERMIT SUMMARY DATA tPAYMENT 9001.2250 1,894.24 PERMIT SUMMARY DATA ^^•a )e posit 9220.2252 $ 'ermit Base Fee 0801.4085 $ ion Meter De Refund 9220.2254 $ Deposit Refund 9220.2253 $ •ession Petnut 0801.4096 $ Lent 9001.2250 $ 1,099.24 t :w Fee 0720.4222 $ Pemut 0801.4087 $ (WS) 9220.2275 $ 9379.4681 $ in) 0801.4246 $ nit 6201.4532 $ 9001.2195 $ Plant 6101.4685 $ Wt 6101.4507 $ 6r 6101.4509 $ Water Supply & Storage 6101.4680 $ Other $ 1,099.24 declare under / g plties of law that this account, claim, or demand is just and that no part of it has been paid. 11-6-03 SIGNATURE DATE it ffl MUS _ =1 TO: DAVE BENNETT, UTILITY CONSTRUCTION INSPECTOR FILE Q 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, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER FROM. MIKE LENCE, SENIOR INSPECTOR DATE: DECEMBER 19, 2003 RE: PLAN REVIEW FOR TEMPORARY SALES BUILDING FOR KEYSTONE 3810 ALDER LANE LOT 1 BLOCK 2 CEDAR GROVE PARKWAY 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: 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 /MIKE LENCE REVISED M3 61 o ck- a Q V() V -e, P~ ui COMMERCIAL BUILDING Permit Application City Of Eagan , p 3830 Pilot Knob Road, Eagan Mn 55122 3-03 a Telephone # 651-675-5675 FAX # 651-675-5694 -7`7 '_W ,1- (,a Foundation Only New Buildin 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) l • Energy Calculations (1) l • Electric Power & Lighting Form (1) " d l • Master Exit Plan (1) S l • Emergency Response Site Plan (1) L • Soils Report (1) 1 • 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. " Contact Building inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 7 18 / 03 Construction Cost $11 million Site Acidre Alder Lane -:3!9 ® Unit/Ste # Tenant Name Keystone Communities Former Tenant Name Description of Work Four-Story Senior Apartment Building Property Owner Keystone Cimmunities 11 j~ l Telephone # (952 ) 836-2790 n n"1 1 ti Contractor Weis Builders I Address 7645 Lyndale Ave. S., Suit .500 City Minneapolis State Minnesota p 55423 Telephone # ( 612) 243-5000 Arch/Engr Tushie-Montgomery & Associates- Inc. Registration # 23560 _ Address 7645 Lyndale Ave. S., Suite 100 City Minneapolis State Minnesota Zip 55423 Telephone # ( 612) 861-9636 Gxsa ~i ~F.~r GAIc ~a Licensed plumber installing new sewer/water service: Phone `I( 53 ) y 0 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. Patrick Schei Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ; Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. 5~ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon k Types 731 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 1)1000, 000 Occupancyl! 1 _?-2,S I MC/ES System _ Census Code b S Zoning C CID City Water Y -P-5 SAC Units 7 ` n.e 4 c:~ Stories If Booster Pump Nbr. of Units )a9 Sq. Ft. 1011309 PRV Nbr. of Bldgs Length Fire Sprinklered S Type of Const SFriw'sx6 SR t` An~wk:~. Width REQUIRED INSPECTIONS ✓ Footings (new bldg) Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other / Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ✓ Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement) ✓ Insulation _ Retaining Wall ~l I Approved By Mike ~en~y , Building Inspector Base Fee l0 , ?S Surcharge J;$n0.00 q! Plan Review a~~3 3 C) MC/ES SAC 1~ Q~t 3S'0• DO ' City SAC - 'f00.00 Water Supply & Storage 00 - 1.,)A, T-aW- _5,tjo?1,~ 7S x 90~ SAN Permit 100.00 SAN Surcharge -5-0 Treatment Plant -4 2 3AD.00 _-1~ f i tbR =rri .a ~o~/ Park Dedication 69{,00 p6~ck 1 y eDA L-jA,/ Trails Dedication 4~ 76,9,D0 caw k ajxie41y~ I0 Water Quality I V r v a~ CA ~t Oe°°Y Copies wa r Other -o-rita~ ce~+~~t rm ISaJIa'% 6~ r, g tJf'. Per aF-L<tn~Qsc<tP s Rr~ 1k4 ~'~rm. ~~~.vcf '~~~n ~ goo, Gad J,~' e . Dd3io? ~ a3a b,s a . rm tfe~F /a~P~G/ 0463 SY- iS~= 5~35Y@~?6,30 ~3,so6.ln li✓n~ ~'7~5 DiSj~or>L ~0 03$.ao Gee q7~~~~,~ /O6 3 as ~o 7r9~ ono t~a~ 1 /Sa? /t 7 ~llk S~V~i r ~ T' ~ GPI Gr f -L W c•+tv S ~'~'r F 561^,j C r?'s l 9 74 . ,ycc s -~S~ ~ 1 Department of Administration STATE OF MINNESOTA ELEVATOR ENSPEC TIC)N REPORT Dw:PARTME`rT OF ADAII:lISTRA'rION f)LILDEiGCODES.kNDSfXNM.RDSDIVISION. EI.EN.aIORSAFET1 SECTM 409 Nitro Square Building, St. Paul, lug q:I01.,WJI 4'oicc: 695 296 3639- FaY. 65:.'9--19-3 11 V !DD: Coln Odcm 65IYr' =355 or C.maror !.tine rata 890 62--3'19 SITE: Kdt.6r3n" m agt{n »1 -4Gd`W!'7i1=ruJ 381 A cie,' L ane., ca_ ut. }d\ ;51.'.2 Eltwator 11 SUBJECT: H%l6rrLdc Na s. nvi PHONE: CON TA, T. Inspection Data: arrclousCs insp^ ted: > Building: 14eight 51:: my t•onstruclioo omhlristion f)Fletxt6137a: _>r•Y:tevi'nit:;; E.levl:nll#: 2 F:levalor:+.l,tr• Lcluldl;:T tfBlt.ys: F,ltvator T pe: °assarg r Litt 1lethot3. J } nsa:-{u: R:xe Fret: i Rr,a ir:cnes:: 1 I. nh Coatro): ?.iicr<l)r:, e=„ r Speed: 150 ;%,Landings: # Openings: 5 Rated l.ond: 3e00 Code C oninzents: _ T!I"rI.S ItiSPD;C'TION': y~ REINSPFCTION: DATE: / I Rule 44: Coallmnts: V• [ r 74, _q)l1rovalStvun,: 'A pprovaIImuding!rete[plot'dacumenlartonY".Fjdngthztcorrecttsnx ivtrc camp1 .etad. Date: InsT'ectar: kpproied: Operating i erm3t rssu¢d: T Date: In;pecPar: _ .f i j /P ;r v i1:5p Ctlo^. and 4-?p(o '4i i, F,'n ed Oli d.2 {_Zi3?:11L9 n?i i cT :(Jirt, tr Lh.' ~.[4L`iv'riCl.l Stlitl!25, C hP.?),@T 191: `-'Nil Construction l'::eOntv:Construction Date: Estimated Fleal InxpeGion_-,•-_____ Inspector: NotAnurov-xh CondltiotildAprwww1'`: Dale: l'ustaector: p "NOT , C.Otil)i .-fON 1L TIPROI' i5 BASED LPON %[EETL`G ALL THE CODE CO?IRLCTi0:145 r,[STEO YE iLDW F..:1 I E7 N FR OF C01AF* S': BE RECEIVED SL'T_T[IIN T HIR.TI' i34) DAYS O II SPF, C'f TON, UFate: aCM: Ccpiem DepaRment of Administration El~b,','~\'T~➢R L~3a'I~•C'Tfl-~.ti f~EF1J~l.C nrr-aRri(~a; ok A;, tIk1~;5i ~L3rto:~ (II.ILDINGCODES NDS'(,V DARDSDVVISION-11101E1`AFOR +-ICEri SGf"L(C -108 Zlttro Squaw _ 2ull.L^In, St Paul. %IN 55101-2181 Volca: 4:1 296 7639: FAA: 651 29- tY'i UY W n 1%4:t Cities 65179' 5353 or Grent v ))h - - seta 507 1--3529 .SITE: S:~~r<n,l 01 aR_r i 0 dI i dnr, 's4d71 til: iii 22 Ec,(PYa1dP I{l#-iOU~?P 1O1-VI SiP.iccr: CO\3%CT: ln_pcrZlsn Data: - c- - = c erer;ous(s In+~lcrec: X: 3Tdldtng: Height i l tali ionstruc2ion mrula', ,n - 9I301sic,ags: _ #Elo,Unlrs: ElevUnIt 1 Eiei•ator "Mr: Slf-hT1dI.:T 48ldg%- I EL'-taSor T},1c: P < : <i LIr. ;+?ethod: H:. dmiOic Rise Pe<l: 'It Rise Indies: e N I'nil Control: N IICroPMCCSC(lr Speed: 11 0 # Landings: # G,tening3: S Rr.tei Lac: t;pt? i` Code Col"I'li nts: _ I'.ITL),L IN;SPtX'.I IG'N: REMPECTIO\: D.MTt : i Rul: Conutlc_Iis: d t rr u i A.hitrusal `„fain;.: pElPOral Mending recelllt of dacum-mtatton cer0ying ill°t corrections SRC- _ cirri rornyleied. Date: In;nctto.: _ ~T _ Approved: =O lera:vjv•t Permit Issued: Date: _ Ins vctc;: „ c y _P,aaaC^G and t,7. ,nval i5 1'an:C C f th.: "_fltl'T23".len:; -a tIth V, L(Ic 1`T. 'BT IS? 3`'. S110P; ^ Iy Ccastrac um i ,P On(c: Construrt(on Date: Esrho ted : lnai lrwget ecn-___ . Not AUorov.'ed:I 10-16:11onalAnnroval~: Datc: :af>neria;: "NOTE: CO NDI .1PPROV \i. IS RASED UPON ?IELTISG ALL i HF CODE r'ORRF.CT[O:OS LIS"I t3 ?1SPti(TVa\' ^..Ot A I I'1TT T OT ro%u,T 1.x\cE `.lt"ST BE RCC I-y',Er %N7TI-iT- Tlitlr"' °Oi DAVS OF /::IIA Metropolitan Council I" Building communities that work Environmental Services June 2611 2003 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 Keystone Communities of Eagan to be located within the City of Eagan. This project should be charged 74 SAC Units, as determined below. SAC Units Charges: Elderly Housing (w/washers) 46 - 1 bdrm x 1.5 people/unit = 69 people 66 - 2 bdrm x 2.0 people/unit = 132 people 201 people @ 3 people/SAC Unit 67.00 2 - 3 bdrm x I SAC/unit 2.00 Memory Care 15 beds @ 3 beds/SAC Unit 5.00 Total Charge: 74.00 If you have any questions, call me at 651-602-1113. Since ely, . off. Csc Jodi . Edwards Staff Specialist Municipal Services Section JLE: (210)x' 03062652 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Gary Fischer, Tushie Montgomery Architects ":A www.metrocouncil.orgMetro Info Line 602-1888 230 East Fifth Street • St. Paul, Minnesota 55101-1626 • (651) 602-1005 Fax 6024138 TTY 291-0904 Am Equal Opportunity Employer 3 8!0 [s,rr, Templelnland nn FLETCHER WALLBOARD PLANT u JUN 2 1 2004 June 18, 2004 gy Q Weis Builders Keystone of Eagan project This letter is in regard to the Temple gypsum sheathing installed on this job. This product is manufactured as an exterior sheathing and is a water resistant product. As such it is designed to withstand normal weather conditions for a period of about 30 days, or more in good weather conditions before Mother Nature begins to adversely affect it. After 30 days this product may show some natural discoloration and heavy amounts of water may cause paper delamination. It is apparent, and unfortunate, that during the construction of this project your area has received an abnormal amount of rainfall, which has begun to cause some paper delamination. We recommend that the sheathing be allowed to dry completely and suggest that once the sheathing is dried that the product be covered with a house wrap to prevent future discoloration and paper delamination. If this product is allowed to dry completely before being sealed up with other materials such as exterior siding, insulation, etc., the potential future growth of mold will be prevented. I wish you success throughout the remainder of this project and if you have further questions please do not hesitate to call me at 580-549-7163 or your Temple sales rep. Sincerely, Mike Moore Technical Services Manager Temple4nland FLETCHER WALLBOARD PLANT June 18, 2004 Weif Builders Keystone of Eagan project As you are aware, mold is a very controversial topic these days in many areas of our everyday lives. Mold has been present since the beginning of time and has been alsubject of control since then. Mold and the problems related to it are currently being addressed aggressively by building product manufacturers and contractors in our industry. Since the construction of buildings occurs over a substantial period of time it is often difficult if not impossible to schedule and build under consistently ideal weather conditions. This is the case in regard to the Temple gypsum sheathing installed on this job. This product is manufactured as a water resistant product and as such is designed to withstand normal weather conditions for a period of about thirty days before Mother Nature begins to adversely affect it. It is apparent, and unfortunate, that during. the construction of this project your area has received an abnormal amount of rainfall, which has begun to cause some paper delamination. Since mold needs food, air, and moisture to grow, removal of any one of these will prevent the growth of mold. If this product is allowed to dry completely before being sealed up with other materials such as exterior siding, insulation, etc., the future growth of mold will be prevented. I wish you success throughout the remainder of this project and if you have further questions please do not hesitate to call me at 580-549-7163 or your Temple sales rep. 11 Sincerely, ILI Mike Moore Tech nical.Serv_ices Manager-N" SUN 2 8 2004 , , JUM.23.2004 2:54PM FLETCHER GYPSUM M0.450 P.G13 Tempfefnland 1FLETcHER WALLBOARD PLANT June 23, 2004 To, Those involved with the following project Weif Builders Keystone of Fagan project There is no written industry specification for moisture content of gypsum wallboard. The use of hand held moisture meters has become popular in the past several years for checking various construction materials, including gypsum wallboard. The use of these meters has been shown to vary considerably, depending on the brand of meter, weather conditions during use, material being tested, and various other factors. Therefore, the gypsum industry does not advocate.the use of these devices for checking moisture content of gypsum wallboard. I am enclosing a copy of the most reliable procedure for checking free moisture content of gypsum wallboard, or any construction material. This is a weight loss procedure and even so, the results from this test are not applicable to any written standard: "This means the results are what they are and cannot be correlated to any written standard. However, the use of this procedure and hand held moisture meters together can enable one to draw a correlation between the two, which means after several tests of each method, one could somewhat gage one to the other. Caution would be required to ensure the continued reliability of the hand held meter. Hopefully this information is of value to you. If you need further information, feel free to call me at 580-548-7163. Sincerely, Mike Moore Technical Services Manager I JUN.23.2004 2`55PM FLETCHER GYPSUM N0.460 P.3i3 I FLETCHER WALLBOARD PLANT WI Bx]IXMeMOR 1M1 Tnppli4dJ TaQ0YPQ1] A-41 Onality Assurance Method Determination of Free Moisture in G sum Board OBJECTIVE: To determine the percent, by weight, of "free", or unbound, moisture in gypsum board. CAUTION: If the drying temperature gets too high, it is very easy to remove all of the five moisture and then begin removing the bound water. This will give an inflated free moisture content. EQUIPMENT: 1. A scale that will weigh the board sample to three significant digits. 2. A "forced air" oven. PROCEDURE: I . Heat oven to 45 3 degrees C (108-118 F). 2. Cut as large a `vet" board sample as can comfortably be placed in the oven. 3. Weigh the sample to 3-place accuracy. 4. Dry the board to constant weight. Typically can be done in two hours in the QC lab oven. 5. Weigh the dry board to 3-place accuracy. RESULTS: The percent free moisture is the result of the calculation below: 100 X (Wet Weight - DryWei& Dry Weight Record the results to the nearest 0.1 percent. (Nearest percent is inadequate resolution for gypsum board moisture. As the board nem the ideal degree of dryness, an error of as little as Ys percent can be significant.) Jan. 1999 UN. 28. 2004 3I17PM 612 243 Sala 6122435010 N0. 708 P. 1/2 Weis Builders, Inc. 7645 Lyndale Avenue South - Minneapolis, MN 55423.612-243.5000 • Fax- 612,243.5010 Suilding relationships since 1939 FACSIMILE CO'V'ER SHEET DATE: 6/28/04 # OF PAGES: 2 (including cover sheet) 'T'O: Mike Lencel Senior Inspector COMPANY: City of Eagan FAX: 651-675-5694 FROM: Patrick Sc ei--' SUBJECT: Keystone of Eagan Eagan, MN ATTACTIED: Temple-Inland Letter (Exterior Gypsum Sheathing) COMMEN'T'S: Mike, Attached, is the letter you requested from the manufacture of the exterior gypsum sheathing regarding the integrity of their wallboard currently installed on this project. If you find the letter acceptable, we would like to proceed with the building wrap immediately to prevent any future weathering. Please call me at 612490-3078 to 11 confirm. Pat COPY: Gary Fischer- TMA 612-861-9632 Cal Young- Weis Builders 651-454-5644 File Fonnrev 09126/02 .UN.28.2004 31i17PM 6122435010 N0.708 P. 2/2 AvnpWnbnd FLEX CHER WALLBOARD PLANT June 28, 2004 Weis Builders Keystone of Eagan project Temple's exterior gypsum sheathing is a gypsum wallboard product manufactured for application to the exterior of buildings during the construction process. It is designed to provide fire protection, shear value, and serve as a temporary weather barrier until permanent exterior cladding is installed. This product is also designed to be exposed to normal weather conditions for a period of thirty days. It is common for this material to be subjected to direct moisture from rainfall with no adverse effect on its performance. However, under excessive and repeated moisture contact the paper may begin to delaminate from the weather side of the product. This product will still serve its intended purpose as stated above if it is dried out and deemed to maintain structural integrity at the time of application of the permanent exterior cladding, a decision which must be made on each jobsite, since the product at this time is long since beyond the control of Temple. I wish you success throughout the remainder of this project and if you have further questions please do not hesitate to call me at 580-549-7163 or your Temple sales rep. Sincerely, Mike Moore Technical Services Manager II Temple-Inland Forest Products Corporation PO Drawer N Diboll, Tx 75941 Temp/ a ATemple-In/ann Company July 1, 2004 Weis Builders 7645 Lyndale Avenue Minneapolis, MN 5542 AVIN Mr. Pat Schei REF: Project - Keystmte (a Hagan, Minneapolis, MN BUIlder - Weis Pluilders Regarding - Exterior Uypsum Sheathing Dcar Mr. Schei, Upon inspection by Randy Smith, the Temple-Inland exterior;;yp.um sheathing installed on the above referenced job was found to be to good condition and will meet or exceed its intended use. Sincerely, o Michael Latham II Product Manager - Gypsum Cc: Randy Smith it TOUR SHINS INI 31JR31 Z9CL 9Z6 009 T YU SC;CT !1HZ t0: T0; L0 JAN-18-2006 08:55 TUSHIE MONTGOMERY 612 861 9632 P.02i02 UE:^22-~i9 2!3:26 -U : E h~:?G]I { S12 6:01 9622 32 82 r 5pesial &lspeetor ftaftl Report To City or GeuWyaf:___ VA%Ai Address: City, Zip Codt: Am Final pm1edR€port Pra)Mt ritsaze bCr once GD MUNITIES C GA.. W---., ml, To Whom it may =1rcBrta. T'ais is to nerd ry tl:at I psrPormcd special tmspeetion on the follovring poniors of the work at Vt 3yave address w$i: h roquirad ial AW40116 inspection, aqd Whims l'%W aaployed to kap=; y hl PEer rI oil ~ej~ t2i4 mnI Ike ( S . IA -ZW-N-eA-T A ls'lvr.I~' W Q?V A-4-70U714 WtE 5~ .d. i3^s upon my JW on~I obselvaboI and Wntten reports of Us work, it is my jUdg rent that the inspected *0--k um s Prformr-, to t><a•best of my lmow)edge. in a=rdsace with ;he app'mved plans, sp ifi uione, end the applirobl- wo-I= whip provisions of The IssrW=riorgf D.UJI&ng Code. 'lrc+ry truty trs. (J" . • !6•ob sl Ir -p s Sigmrvre) (Date} "amc-) Numb C-) 6G: t~.llaIIt/C]WS1bY ~rlifeotlE;,~ n:h: C'?3)Qt lL7disrn5, -~~l !roY:-;.- ifear: A-~_r. 11 f: c n-. TOTAL P.02 W22 9 2007 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan V V - 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 Ij (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) " l • Emergency Response Site Plan (1) l • Spec. Insp. &Testing Schedule (1) 1• • Electric Power & Lighting Form (1) 1 l • Project Specs ♦ .r (1) 1 . l • 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 MN Dept of Health at 651-2014500 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 ~Cs / / y Construction Cost ~J J 12 , Site Address l q l~2 ~7 z-y S k ov\-e / uit/Ste bttil `h1CwlC J Tenant Name Former Tenant Name ~ -c, 5t~e ~'vl.✓ P Sf~vQ e evu /l J 1 J~ ~ / SSA Description of Work < < EY J V C~A Property Owner 1N\,l Z L- Telephone # (J) 6 -7 4~{ t 1 Applicant is: _ Owner 1 Contractor Contact D C) Contractor ' Address K City State U~~ V Telephone # f~)7 /h-) Arch/Engr r L ` ~ Registration # Address City AUU 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 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 iU-beimacmftdance wtlhthe approved plan in the case of work which requires a review and approval of plans. r/ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 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 13 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair L r"/33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition Building - Give PCA handout to applicant Valuation 33~ I-M 0 Type of Const ! W Width Plan Rev 100% ✓ 25%_ Occupancy !2-2- MCES System SAC Units Zoning R-~ City Water Nbr. of Units Stories Booster Pump Nbr. of Bldgs Sq. Ft. PRV Fire Sprinklered ~{-S Length Code Edition Required Inspections - Footings (new bldg) Fireplace - R.I. - Air Test _ Final - Footings (deck) Insulation - Footings (addition) -V/Sheetrock Foundation _ Final/C.O. Drain Tile ~'Final/No C.O. - Driveway Apron _ Other - Roof _ Ice Pr - Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _Stucco Lath -Stone Lath -Final Windows Final CIO Inspection: Schedule Fire Marshal to~bee present. _ Yes ✓ No Approved By: Planning 1r Yi l- Building Inspector Base Fee !j~Qq 'fs Surcharge Plan Review SAC-MCES SAC-City SIW Permit SM Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total" 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 l~ 3 a a ~7 651-675-5675 Date/ ,ZG /~F CG / Site Address 'A 1 J vi - I_Aiil e. Unit # Tenant Name KP kI e 7i-,1 Q 2g 4;1l-yjAtt) Former Tenant Name Property Owner y _ p nn to t r t g I ~/~r P s' Telephone # ( ) Contractor S5,MC, pH (L!) tr e r N A .+J, C L-- Address (25-2 631~y ~ L( !?c)- City State /21 A.) Zip SS• Telephone # (TS_2~ SI eC The Applicant is Owner Contractor Other Work Type New Bldg _ Add-on _ Repair _ RPZ _ PVB _ Irrigation system s Jer Wobschall to calculate liices. Required meter size is 2"/turbounless smaller size permitted b Public Works Description of Work 7616/1v4 /ul t t tI 4( CA W Illy DLCD/t To inquire if Pressure Redu ing Valve is required on new service, call 51675.5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed Prior to nicking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type ii Co" ~~06\1_44PM Includes high demand devices? _ Yes _ No Flushometers _ Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ 4~?Q 3 a cJ x 1% _ $ (o yC J?0 t S'a Base Fee $ A'61_ 6 3 Meter(s) Required on all new buildings & boulevard irrigation systems $ 141 - 0 C) Radio Meter Read if base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee t Following fees apply only when installing new irri nsysiem Water Permit Contact Jerry Wobschall at 651-675-5024 for required F arp lu t3 R? ",V L j = I Treatment Plant I J Water Supply & Storage $ ; State Surcharge $ q 13 ~ ' 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 ordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Primed Name Applicant' ignature CITY USE ONLY REQUIRED INSPECTIONS: U.G. Air Test Gas Test Rough In Final PLANS SUBMITTED APPROVED BY: 1 2 Z . BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst $ 788.00 displacement sm commercial mtDine f ° must receive maximum continuous approval 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine lg irrigation cyst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg tea $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum am commercial & Contmuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most Comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 cyst & production very Ig comm bldgs lines _ 1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00 Lvery omm bldgs very Ig comm bldgs 15-1000 turbine rigation $2,384.00 ction lines Comme nts • 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 Updated 9103 2`-1 co City 01 t3!ai! carh Bac?iut RarFi[:t nat? 2/02004 __kt Nwber- 6Ua3E FERMIT FEE SUMMARY "u'cW4085 NI N:) PERMIT FEE SUMMARY [722,4211 163.31 :HII FEE SUMMARY 221.21SN 12.,21 PER'IT FEE SuMMAR'Y 19;321.4085 .2: PERMIT FEE SUMMARY' 9021.2155 ,ail PER[ T FEE WHO" 6101.4509 30.24, PERMIT FEE SUhMAR? 1.401.02 6iV11,4NL PERMIT FEE SUMMAQ 0801,4087 E0.00 ?ERMIT FEE SUMMARY 0=yn=? 6,58°,32 FERMIT FEE SUMMARY CO 61u:i.4J' 1h N. PERMIT FEE SUMMARY 9001.219} 4.J, PEROT FEE NONNRY ygc.RM :1, - 68`_ PERMIT FEE SUMMARY 1101.4507 SON PERMIT FEE SUMMAR'Y OWN 61[1.46.52 PERMIT FEE SUMMARY Total R<•.?iot Amount 24Z.13 103556 1102o46 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 .,e-; 30 Telephone # 651-675-5675 1; Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date J_ / - lL Site Street Address X iC~ /rl ~1L►La Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner/~ Telephone # ( ) Contractor A SSU~ ,D M£CA~✓ (CA Street Address QS q- M ` C.W 9 [ZO City _"E J C State 1 (~K S61'pr Zip ~ Telephone# S Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank - Install -Remove **see below Interior Improvement _ Install Piping -Processed -Gas \ Nature of Work: V emu ' C 2 c J~ _ w rr,,. ~L lz, **When installing/removing underground tank, call for inspection by Fire Marsf;al`And Plumbing Inspector 1 _ n' r i r`. Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) IJAN 3 0 2004 I~ or Contract Value $ x I% = $ y]~n .00 mit Fee L'_v-- • If permit fee is $1,000 or less, add $.50 $ _ 5 v State Surcharge If pernit fee is over $1,000, add $.50 for ~y\ every $1,000 Pe rmitfee $ Total Fee 1 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 his is not a permit, but only an application for a permit, and work is not to start without a rm. that the work will be in accordant with the approved plan in the case of work which requires a review and approval of p s /W tu"r svc. Mz# Applican s Printed Name' is Signature Approved By: p Z Z T Inspector Date: ,1 ~r city of eagan MEMO TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK TIM PAHR, ENGINEERING TECHNICIAN LEON WEILAND, CONSTRUCTION INSPECTOR CONSTRUCTION SUPERVISOR 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 FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: OCTOBER 5, 2004 SUBJECT: FINAL INSPECTION FO_R_ KEYSTONE SENIOR HOUSING 3810 ALDER LANE LEGAL: LOT I BLOCK 2 CEDAR GROVE PARKWAY The Protective Inspections Division will be performing a final inspection at 3810 Alder Lane on Monday, November 1, 2004. 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. ITO Q 2004 COMMERCIAL PLUMBING PERMIT APPLICATION o- di CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 51-675-5675 Date 1~/~t Site Address 5 ~j C D4~ ~i +V Unit # Tenant Name 2t4 q Former Tenant Name Property Owner Telephone # Contractor Sso A l'o ( ) M C i {4t 14t ' Address I 7zj4125n/_ City L F State zd~ Zip Telephone#(?S~) /7iirS-Slo~ The Applicant is Owner 14- Contractor Other Work Type New Bldg _ Add-on _ Repair _ RPZ _ PVB Irrigation system * Rain sensors required. Wobschall to calculate fees. Description of Work (t G}rn o ✓ /lf ~i/ To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. irrigation Size & Type b Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Et; Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flushometers _ Yes ~'-kVo PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) p s 0 Contract Value $ x 1% _ $ J 0 Base Fee ~ n $ 788 ou Meter(s) i P9 Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ ' S v State Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee m ~W Fallowing fees apply only when installing new irrigation system $ `Y J^' • ~U Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant r/°~~ bar r.^ g $ Water Supply & Storage "t) ItA pr ~ $ ' State Surcharge ~JIW--- /6* ~ W $ 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 worWin ce wit e a pro ed plan in the case of work whhich rreguireesareviiiewand approval of plans. A&Hcant's Printed Name e 2004 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 r nn Date ) / 0 I U L, l~J U D Site Address: 3 c61 j J c r 1 r,, h JUN 3 2004 By Tenant / Building Name: FA-leflf7 The Applicant is: Owner Contractor Other PROPERTY OWNER c y5 7~ c ri o ~l Eci c, ~1 , Address: 3/ b A U, , v' r' a ti City: gc,rc h State: /YlZip: >~Sy3S i CONTRACTOR /-V 11&c, n I Err i tis, 2 4,N1N License No. Address: tfyy5" W, 77 t= S #t 125- City: /1'J,`i s<po /,'5 State: /U zip: Phone 9S - 8 f D°/ ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: Sprinkler System of heads Fire Pump _ Standpipe ✓ Other: tt 0 L 30y W z Ll. ~r.,, cam, WORK TYPE: New Addition _ Alterations _ Remodel Other: DESCRIPTION OF WORK: ( Commercial Residential _ Educational Other: Please continue on reverse side PERMIT FEE: $5050 Minimum Fee (includes State Surcharge) Contract Value $ Z 6~ x .01% Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ , SO State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 314" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ J~D • 5© 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE NY '~Tf+ F Nh±S~ k 'tS ~ L t-Y ( ~ N L „ s2" I3I a 7 i r~ ~ ' 11 x`4' .'A~ i f $ k ' iu v= ~ ~ P'# 1•~ a7 gg E { ' t ffif n) i .i ~I t ~ 16,'x. 't.~`i~ ! , p . s t y i~ t E~ i16nir1 ti du qj <ff U 01 M1 101 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone it 651-675-5675 , 3 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date a/ l l 700 Site Strefet Address 3~Vo l¢C~li~ Unit # Tenant Name (if applicable) Gl~Y64w c Previous Tenant Name Property Owner Telephone # ( ) Contractor - < d /J9rcd / SG .I~~~s^ Street Address 7 f s~ City State 1sr i Zip ss379 Telephone# ( ^sJ) 5Y5 5ipy Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove "see below _ Interior Improvement _ Install Piping -Processed -Gas Nature of Work: S s </i /~lf 5isftsys "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal 550.50 Minimum (inctudes State surcharge) or Contract Value $ 3 7c2, 0 cv c, x lord = $ 9~0O . d Permit Fee • If gmit fee is $1,000 or less, add $.50 $ State Surcharge If en rmit fee is over $1,000, add $.50 for every $1,000 permit fee $ 1 O 3. O O 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. Applicant's Printed Name Applicants'Stgnature by" 0 5 2004 i y - 1 Approved By: $ l e Inspector Date: 1t=s-11 BY __..a FIRE SUPPRESSION SYSTEMS J 1 Permit Application City Of Eagan a C{ a . 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date 02/ZZ-/ Site Address: ,3rq I n A LIjEF L A, I f Tenant / Building Name: KF r!5 M IQ r-- co M M U R 171 e ,S O-r- F kr-i Aft The Applicant is: _ Owner 4 Contractor Other PROPERTY OWNER J<t= YSTn1NV- Cnhit QAItTIr- I,L~. LEI~}IST~ Address: 52,C)() k_/ /Lep I.I UAnI, Su !nom .15 City: ED I WA State: --a 0 . Zip: CONTRACTOR .5 KYGINr=:- r-E 1?gLITECrWM License No. 0 008 Address: _JQQpO 73RD ~1E M, #10$ City: HAPtr- Gf0Q>_ State: 9V Zip: 2i 3[nR Phone 763- qZ y ~ ESTIMATED COMPLETION DATE: l 3 1 / Zoo e- FIRE PERMIT TYPE: _x Sprinkler System of heads / Fire Pump X Standpipe Other: WORK TYPE: X New _ Addition Alterations Remodel 7~ Other: DESCRIPTION OF WORK: Commercial _ Residential Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ Z WI'60t).no x .01% _ $ 2fI (6.00 Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ r. 00 State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter $ $ 156.00 TOTAL FEE: $ q-531 oa 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 pen-nit; that the work will be in accordance with the approved plan in the case of work which requires areview ~agnd /approval of plans. et✓!c F- 7 ~l Ic- i l ~"l r Applicant's Printed Name App icaa Signature Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS Underground Pipe - Hydrostatic Flow Alarm Drain Test Trip - Pump Test Central Station Final Conditions of Issuance: Permit Approved by: Date: / / SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 12101/2004 PROPERTY ID: 10-16720-010-02 $/AN ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CO 103389 STK W/PERMIT '03 2003 00 0.0000 66300.00 0.00 0.00 PP 103390.STRM SWR TRK W/PR 2003 00 0.0000 2326.52 0.00 0.00 PP 103395 WTK W/PERMIT '03 2003 00 0.0000 70035.00 0.00 0.00 PP 103459 SS W/PERMIT '03 2003 00 D.D000 0.00 0.00 PP 10P800 CEDARVALE AREA IN 0000 00 0.0000 84596.00 0.00 PN SUMMARY OF LEVIED 0.00 0.00 0.00 2004 P&I CERT. SUMMARY OF DEFER. 0.00 SUMMARY OF CLOSED 175623.50 PENDING ESTIMATE 84596.00 ~I ar ~ lAn ~ - Pry aJ ~ePr y W rr~1 /.S yogi 71-0'-•syri y5~ tn~~rv~ C'o~l~r ~le- 14 0?00,!5 - la mo~~l. ({'j~{'~'1,i7~ C?O~S.. /'ilk i1~~2~✓~ ~Cncr~,rt~. a~~ry~ ~a~~ 933$r JJean ~a h P✓t J f ~«'t ~en~ 1~0., UdP~f~ QQ2,2 Date 09/08/2004 Page L Permit Inspections Entry Comments Identification: EA062176 - 3810 Alder Lane Comments: *4-30-04 CN-Partial Frmg* Approval given to method of ftmg where bathroom & dryer vents ipenetrate wall plates. *5-25-04 CN-Partial Frmg* Add vapor barrier & fire stopping to all dead space lids in units 420-432. ,Inspect dead spaces at insulation inspection. DONE *6-1-04 CN-Partial Insul* -Fire stop between top plates at double walls between units -Fire sstop mech shaft adjacent dead space ceilings between units 420 & 422. Flash & roof around roof hatch above unit 422 **Check these corrections at next scheduled inspection:** *6-1-04 CN-Partial Frmg units 320-332* -Add vapor barrier & fire stopping to all dead space lids in units 320-332. -Fire stop dead space lid in exercise rm. -Fire stop holes in plates where dryer vent was abandoned in trash rm wall. *6-8 -04 CN-Partial frmg* Inspect corrections dated 6-1-04 (3rd fl) iFFire stop dead spaces at ceiling level in units, 231, 229, 228, 226, 221, & 2nd fl storage rm. II Fire stop abandoned vent cut out in trash rm 2nd fl. -Fire caulk all low voltage & phone wire penetrations thru plates. Fire stop all double walls at ceiling level (plmg walls). L Get 2nd fl elec R/I i~I**OK to insulate exterior walls in units 218-232 after elec r.i.** *6-9-04 CN-Frmg* lrFire stop dead space & dryer vent in unit 226. iI**Ok to insulate units 218-232. l 6-24-04 CN-Sheetrock* ii Grease shaft at 3rd fl has angle iron supports that penetrate shaft. *7-1-04 ML-Mtg with Fletcher Wallboard Plant Rep* -To look at condition of gypsum board on 1 st & 2nd fl of 2nd wing under const. Product showed paper covering on multiple sheets was delaminating as a result of substantial rainfall. City requested letter verifying gypsum wallboard in its present condition will still do job for which it was intended. 7-7-04 CN-Partial Frmg* iiColumns & beams in 1st fl memory care wing are individually wrapped for 1-hr protection. *8-3-04 CN-Frmg-Units 300-311* IIFire stop dead space in unit 311. DONE -Fire stop all double walls at ceiling levels. Fire caulk all low voltage & communications wire penetrations-done. -Fire caulk all penetrations above corridor fang. Fire stop dead space in units 306 & 307. DONE Fire stop dead spaces adjacent to showers in units 300 & 301. ~IIFix frmg at back wall of closet in unit 300. DONE TFire stop shafts created by frmg bumpout at east end of stairwell #5 (every floor level). **OK to insulate exterior walls in units 300-311 **OK to install ceiling netting in Units 300-311 livnesota DEPARTMENT OF ADMINISTRATION November 24, 2004 APPROVED FOR USE Keystone Communities 5200 Wilson Rd, Ste.150 Edina MN 55424 RE: Hydraulic Passenger - Elevator ID# -10676PT04-01 Site: Keystone of Eagan, #2 3810 Alder Lane Eagan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME Al7.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely BUILDING CODES AND STANDARDS Jim Weaver State Elevator Inspector qw/kad (CE-2) Schoeppner, Dale R., BO, City of Eagan Schindler Elevator Corp. Weis Builders I ElFormCE2 Building Codes and Standards, 408 Metro Square Bldg., 121 7th Place E, St. Paul, MN 55101-2181 P: 651.296.4639 1 F: 651.297.1973 I TTY: 651.627.3529 and ask for 296.9929 www buildingcodes.admin.state.mn.us DEPARTMENT OF ADMINISTRATION November 24, 2004 APPROVED FOR USE Keystone Communities 5200 Wilson Rd, Ste.150 Edina MN 55424 RE: Hydraulic Passenger - Elevator ID# -10675PT04-01 Site: Keystone of Eagan, #1 3810 Alder Lane Eagan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely,) BUILDING CODES AND STANDARDS Jlm Weaver State Elevator Inspector qw/kad (CE-2) Schoeppner, Dale R., BO, City of Eagan Schindler Elevator Corp. Weis Builders ElFormCE2 Building Codes and Standards, 408 Metro Square Bldg., 121 7th Place E, St. Paul, MN 55101-2181 P: 651.296.46391 F: 651.297.19731 TTY:,651.627.3529 and ask for 296.9929 www.buildingcodes.admin.state.mn.us COMMERCIAL BUILDING Permit Application ' City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 a 1 -J Telephone 4 651-675-5675 FAX # 651-675-5694 1~ 4 Lf 5 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 l~ • Project Specs (1) l • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) l 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) l • 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. Contact Building Inspections for sample and if required when it states "not always" Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 7 18 / 03 Construction Cost $11 million Site Addre Alder Lane - 3g [ ® Unit/Ste # Tenant Name Keystone Communities Former Tenant Name Description of Work Four-Story Senior Apartment Building Property Owner Keystone Citmnunities T,e;ephone#(952 ) 836-2790 Contractor Weis Builders. Inc. Address 7645 Lyndale Ave. S., Suit 0300 City Minneapolis L.:-.----- . State Minnesota Zip 55423 Telephone # ( 612) 243-5000 i I I Arch/Engr Tushie-Montgomery & Associates; Inc. Registration# 23560 Address 7645 Lyndale Ave. S., Suite 100 City Minneapolis State Minnesota zip 55423 Telephone # ( 612) 861-9636 Gx.a ~t ~1.Gr Licensed plumber installing new sewerlwater 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 i\l\ 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 plansii Patrick Schei Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. / 14 Apartments ❑ 27 Commercial/lndustrial ❑ 32 Ext Alt - Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt - Comm. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon 7311 Types 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 11,000,000 OccupancyZ(-R2,5I MC/ES System 14 tS Census Code ±71?` Zoning C ~D City Water Y'-'5 SAC Units u „c; ~ Stories 4_ Booster Pump Nbr. of Units I a9 Sq. Ft, i G 11309 PRV Nbr. of Bidgs cl~ ^ Length Fire Sprinklered ~S Type of Const ~ Se.:wkle4- P, Width TA t' PRwk:w9Jaji REQUIRED (INSPECTIONS Footings (new bldg) / Final/C.O. Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _f Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone / Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall y I Approved By Building Inspector Base Fee l0 is Surcharge ~~n0.00 Plan Review -S-/ a . 6 n! MC/ES SAC 11a qy gs-0.00 City SAC 71 Zh00. 00 Water Supply & Storage p0 t75 r gOSW S/W Permit 100,00 L; p l S/W Surcharge _SO ww Q f Treatment Plant 42 30b.D0 S % I -pop- =r IV r Ocv ~ 3ev✓Y Park Dedication 694,00 I1q cl 6f FDA Warne Trails Dedication 768.04 Water Quality Copies Other -uriL," eo^Ae k;wt l5a/l o~~1~1 is S°cc fie - ,t--- L A„cI2 S CA P t 3 t KEYSTONE COMMUNITIES OF EAGAN rSPEO EAGAN, MINNESOTA WWANSREGTtOIC EQtfLE~ TUSHIE-MONTGOMERY & ASSOCIATES, INC. SECTION 01420 PAGE 1 OF 2 SPECIAL STRUCTURAL TESTING AND INSPECTION SCHEDULE Project Name:--~~ystone Communities_of Eagan- Project No. 2D2082A Location: Eagan, Minnesota Permit No. SPECIAL INSPECTION SCHEDULE _ Type of R~ Report Assigned Specification Section Article Description (2) Inspector Frequency Firm (4) _ 3 03200 3.4 Concrete Reinforcement, SER As Specified PAI Conc. Footing Relnf. Placement 2 04220 8 'CMU Reinforcement - Y SER y As Specified PAi Structural Masonry/ Wall 2 Reinforcement PAl 06100 1.9 Wood Framing !Trusses r SER As Specified _ _ TE71NG_S~Ji R1_ - 02220 3.7 Sup-grads Testing 7.A. As Specified 02220 3.78 8acicflll Materials Tasting T.A. As Specified tl3300 1.4 Mix Design - T.A,~ Prior to Concrete pours 03300 3.7,1.3 Concreie Cylinder Testing, - T.A. As Specified f slump & Air Entrainment 04100 3:10 _ MnrtarTestin - .T.A. AsSpeeified 04220 1!9A-_ CMU 7asting _ T_A As Specified 05100 3.5 Steel Canriection Testing- T.A. As specified 01410 - Acoustic Testing T.A. -Wall Notes: This schedule to be fillet) out and included in the project specification. Information, which is unavailable at that time, shall be tilled out,when applying for building permit. (1) Building Oliciat will provide Permit Number. (2) Use descriptions per I.B.G. Chapter 17. (3) Special Inspector -•'T'echnical,Special Inspector -Structural (4) Firm contracted to perform services. o,~eo; KEYSTONE COMMUNITIES OF EAGAN SPECIAL. STRUCTURAL TESTING EAGAN, MINNESOTA AND INSPECTION SCHEDULE 01420 TUSHIE-MONTGOMERY & ASSOCIATES, INC. SECTION PAGE2 OF 2 OF ACKNOWLEDGEMENTS Each appropriate repre must sign boIOW: Owner: Firm: Keystone Communities Date: 7 Z 03 Contractor Firm: Weis Builders, Inc. Date: Architect: Firm: Tushie-Montgomery & Date: `1°iL a3 5-2 SER: Firm: Palanisami & Associates, Date: Inc. SI-S: Firm: - Date: 7A: Firm: Date: Sl=r: Firm: ^ Date: TA: Firm: Date: SI•T: Firm: Date: F: Firm: Date: F: Firm: Date: '"The individual names of all prospective special inspectors and the work they intend to observe shall be identified on the reverse side of this form if necessary. LEGEND: SER = Struclural Engineer of SI-T = Special Inspector - Record Technical 7A = Testing Agent 51-S = Special Inspector - Structural F = Fabricator Accepled for the Building Department: BY - r - - D ate - END OF SPECIAL STRUCTURAL TESTING AND INSPECTION SCHEDULE SECTION 051401 r City of Eajan Pe mit# ZS~ I I I Permit Fee 3830 Pilot Knob Road Eagan MN 55122 I Date Received: 9- Phone: (651)675-5675 Fax: (651) 675-5694 staff: 1 L-----------------I 2008 COMMERCIAL BUILDING PERMIT APP C[i_TdION~ Date: I~ld('//~ Site Address: 3810 Aide, t G"~ Tenant Name: Ileysj,-t P",. (Tenant is: _ New / Existing) Suite PROPERTY OWNER Name: e (s4o^ ro Phone: 1.>,1- 3 7q- Address/City /Zip:` ~~oa Ilsu^ Y?d ~d , 'mM Applicant is: Owner k Contractor TYPE OF WORK Description of work: s rte ~pl ro elm Pe~ Construction Cost: 9i I a O 3 CONTRACTOR Name: 61 0 & v Res on s t License ) / 0 0 V d Address: Y gpD 41 ~~ro✓ U, 6 S I - -755 City: pu a l ' State: k Zip: S~ / O S 3 g 5 Phone: Contact Person: J} , J~ / D~ n 04- ARCHITECT ( Name: Registration ENGINEER Address: City: State: Zip Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE- Plans a»dsupportiny' docume"n'ts That you submrt are considered td be public:rnformaUon; Porirpris-of the mfni matrlon may be c(asstfred asnon-public tf you prowde gpeafrc reasons that would pennq tfie Cr, z I concludeahat fire are xiade secrefs.~ 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva of plans. ,t x ~eo~~ ~QNh~~✓ x U ✓I//J Applicant's Printed Name pplicant's Signature J 11 Sr_ P i J 200fl UU Page 1 of 3 r DO NOT WRITE BELOW THIS LINE SUB TYPES: ❑ Foundation ❑ Public Facility ❑ Accessory Building 29 Apartments fd' Commercial / Industrial ❑ Ext. Alteration-Apartments ❑ Lodging ❑ Greenhouse ❑ Ext. Alteration-Commercial ❑ Miscellaneous ❑ Antennae ❑ Ext. Alteration-Public Facility ❑ Nail Salon WORK TYPES: ❑ New ❑ interior Improvement ❑ Siding ❑ Demolish Building* ❑ Addition Cl Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Demolish Foundation V9 Replacement ❑ Windows W Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: p Valuation p tQ.06 Occupancy MCES System Plan Review (.1 6 Code Edition ~gI~G SAC Units (25% 100%6- Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. V Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation _ Final - Icenaater Pool: -Footings _Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _Air Test -Final Windows YC Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. -Yes ✓No Reviewed By: Building Inspector Reviewed By: Planning COMMERCIAL FEES: Base Fee x'1'1.00 Surcharge 5p Plan Review d .60 SAC-MCES SAC-City SAN Permit Financial Guarantee SAN Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality Water Supply & Storage (WAC) Total 'IaT i 81 s~ Page 2 of 3 Use BLUE or BLACK Ink r For Office Use I Permit#: t of EaEd~ 1 7 I Permit Fee: 3830 Pilot Knob Road I 1 Eagan IIlIN 55122 I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: 1 1-----------------1 I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Dater 0 -7-1-13 3 Site Address:39 (y ~UI`ae-✓ L -K)Q Tenant Name: C h-~~tuh~7y' (Tenant is: New/ X Existing) Suite Former Tenant: Name: e Phone: F(,27-W98 Property Owner Address / City / Zip: T r to SS~4 Applicant is: Owner Contractor Description of work: t"c~l rq ~ C,nd ~eS► ~/h~ Sys. Type of Work Construction Cost: ' (Co oco. Name: ~Y Qct~ n vh 1?>t,, ~f~eF S License ;e- 0314 g~ Contractor Address "A LJ J. i tck (e- 6, City: _L 6 State: hn Zip:CSCM7~ Phone: Contact: It a Email , FP, Ira -67 Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: 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 conclude that tha 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.gopherstateonecall.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 f it, 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 w ch re res a review and approval of plans. L x x Applicant's Printed Name Applicant's Signature Page 1 of 3 411° City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 1 k ?Q14 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3/14/04 Site Address: 38 to We( Las e. Tenant Name: Most (.1441 $ (*War) ktyy5t"OV L - (Tenant is: New / Cow(nr►uatt-i'C) Former Tenant: Name: Mae— (,j,,si5 J Existing) Suite #: Address / City / Zip: 4'0 1 Iv - 3r44 Applicant is: Owner Contractor Phone: 612-861- 4493 stow iso M:w.ea,Qoks S g go( Description of work: Di y 040 Littir jiiln Sul*P°o• i ftov r Construction Cost: tir 90, LPN 92 Name: 6 r4a- Naotk€nv $1/401c trs. Address: 1141q BucJ k.H ck State: M jV Zip: $$p/'j License #: City: Z,ttiu Geos rk',kr" Phone: 451 -4'_31t Contact: (jak, { l,a►•k. Email: I'1aK-b .�A�i�gM4• 16 Cot"‘ Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting doc the information may he classifie e you submit are considered e pu flit tic if you provide specific reasons that ie 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.gopherstateonecall.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 appli ion 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 which requires a review and approval of plans. I� x a`K- l.7i\ v1/4.0N- Applicant's Printed Name x, Applicant's Signature Page 1 of 3 SUB TYPES Foundation !Commercial / Industrial 1 Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change 'kIo I DO NOT WRITE BELOW THIS LINE Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair ✓ Water Damage DESCRIPTION Valuation OX' ._--- Plan Review Census Code # of Units # of Buildings Type of Construction , ItdE V'4 REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) _ Foundation Drain Tile _ Roof: _Decking —Insulation —Ice & Water —Final Framing Fireplace: —Rough In Air Test Final s/ Insulation Meter Size: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System ii007MSSL- SAC Units City Water AMMO ooster Pump PRV Fire Sprinklers Y Sheetrock final / C.O. Required V Final / No C.O. Required Other: Pool: —Footings —Air/Gas Tests _Final Siding: Stucco Lath —Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: , Building Inspector No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Sampling Fee Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTA4 L Page 2 of 3 Use BLUE or BLACK Ink For Office Use I My of Eajan RECEIVED LJ I Permit#: I 3830 Pilot Knob Road MAR 17 2o14 I Permit Fee: Eagan MN 55122 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: l -----------------J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Plea a submit two (2) sets of plans with all commercial japplications. Date:.' Site Address: ,N !D A I der" to Tenant: Suite Property Owner Name Phone: Name: f 1 v _ . " C ense e, 1Dg5 y ,72 Contractor Address-.PVbZ~ 6 City: (?)A State: O t 0 Phone: Email: C&--~ M 1-1 Of Work New Replacement _Repair -Rebuild _ Modify Space ^ Work in R.O.W. Type Ii0-c ~nrac tvc f11I" ~i~ c, Ycr, + a aa~a~.lvt ,II& nar Description of "rk: FI< I I - v 4 t COMMERCIAL _ New Construction X Modify Space _ Irrigation System yes / X, 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 Contract Value $ ~t>14). O€J 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 (du ~pJ 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 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. AAi X, ka-S,I(A- nl:~~ Applicant's Printed Name App rWs Signature FOR OFFICE USE Approved By: ~2 Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test Final - PRV Required: _ Yes _ No Meter Related Items: Meter Size Radio Read Staff: Page 1 of 3 Master Plumbing Services, LLC Estimate P.O. Box 2451 Inver Grove Heights, MN 55076 Date Estimate # 2/27/2014 825 Name / Address Great Northern Builders, LLC 9419 Buckley Ct Inver Grove Heights, MN 55077 Project 3810 Alder Ln Description Qty Cost Total # 110 1,800.00 1,800.00 1. Uninstall and re-install dishwasher #111 1. Uninstall and re-install dishwasher #112 1. Remove baseboard heat and re-install after repair 2. Remove then re-set toilet after repair #113 1. Uninstall and re-install dishwasher #114 1. Uninstall kitchen sink and faucet, dishwasher, lav and toilet and then re-install 2. Remove baseboard heat and re-install after repair Materials needed to complete the work listed above. 110.00 110.00 Permit fee required by the City and time for Inspection. 400.00 400.00 Total $2,310.00 Customer Signature Use BLUE or BLACK fnk iForE?ificeUac —�---��—�I , -� ��g � C�� 4f�� E ��,�t#. � � � ' -�-�.�- ' i .. �, � Permit Fee: � 3830 Piiot Knab Road ' " � - j Eagan MN 55122 � Date Received: � Phane:(651)675-5675 ! S�: i Fax:{851)B75-5694 -----_.. 2014 CtaMMERCIAL PLUMBING PERMIT APPLICA'i'14N ❑ Please s bmit two(2}sets of pians with afi com erci 1 applications. a��. � � ��#8 Add��: � � 1 ��-� L�-�n e Tenant• su[te#: ��;.�t'�CQ�C�I � �C �� l � Phone: �� l�� Q1ii�!'1�!' Plame: Name: 1 � �r �-� ��/�- IEJ Ui�hse#:� � _.-- �J i s S�e Z� ___j_�'-- �fi3�'i�� ,: Address: '"l l t /i`- �.� City: � p�� : Phone:�� '��'`"�`[ l�l � Email: ( �"1 � . �-� C �Z ti2�-Lv�� _(Vew Reptacement _Repair v Rebuild _,Modify Space ._.Woek in R,O.W. �� , � ". '•� �1, r� 1 ` "� t, �'` ►1 : Description of work:� �� W�✓�'l ( 5� Vv �v�� (N f�155`J ' COMMERCIAL _Naw Construct►on Modify Space � �� _lmgation System(`yes/`no)(„RPZ!_„PVB) ! e Rain serisors required on irrigation systems p'@�'f�'��}3P. s Avg.GPM (2'turbo requir�l unless smailer�ze allowed by Public Worksj Meters CaN(651)675-5646 to verity that tests passed orior to aicidna ua meter. Damestic:Size&Type Fire: 1 Avp.CPHI Hinh demand devlces? Yss_No Fluahometers Yes No COMMERCIAL FEES Contract Value$ � ��x.fl'� $55.04 Permit Fee Minimum =� � ` c�C� psrmit Fee "ff contract vatue is LESS than$10,010,Surcharge=$5A0 =$ Surcharge* **If contract vaiue is GREATER than$10,01 Q Surcharge=Contract Vaiue x$U.fl005 � TOTAL FEE � '**If the project valuation is over$1 miliion,please cafi for Surcharge I Foilcwing fees apply when instatling a new lawn irNgation system $ Water Permit Contact the City's Erx,�ineering Departmer�t,(651)675-5646,for required fee amouMs. $ Treatrn�t Plard $ Water Supply&Stot�age $ Surcharge _� Tora�F�E G,�LL BEFORE YOU QIG. Call Gopher State Oae Cali at(851)454-D002 for protedion against underground utility dama�. 1 1 hereby adcnowiedge that this ir�form�ion is completa and accurate;that#he woric wi b in conformance writh the a�dirtances e C�h+� Eagan;that I unrterstand this is not a permit,but onty an ap�ication for a permit, d is n�to without a permit;that the work wili tre in scoordance vvith the epprov plsn in the case af woric which r�quires a review and approv f a s. �� f �� x � 0��1�� IJ L� x ' � Applicar�Ys Printed Name Appli ' Sig at re 1F�7i��IC�t!� �r�o�ec��r: 0�:,_,;_..�....�.. ftst�t�h�d��z `�s. ,_;�....L�ns�er E�rc�e�rt�i _..�,,,€��r�-tn ,.�..Air�'e�t .�.�,.�'C�t ,,.;.._��rt�- #R1l F�equ�rt�:,_�,,,."�'�,�:,;,�t`� ` �i�'14�lat�sf i�t�; �'.r �fer�;�w,,,:,,,.,.»..,,,� R�i�!1'�a�;._,_,�, f�an�trfe��sr,�,�,4, ;' �ta�'f: , ..... � _ Page 1 of 3 ��--�-� ,, , ��s�- t� � �� o �..�� t�� A �' . . �� . �� . . . � .. . . .. . . . � . . . �. � ... ` ~ . ' Use 81.UE ar BLAGK ink ''� /� ��l.r i � � ,._....:...___��______�___ � F-} � _ � i�Por tNttcs��„_Z_ � t � / y'� � , �1�� 0�� ? p��„�� 2 J �� Y � . I Fam:t Fes''6=!'�� / 3830 Pilot Knab Road � Eagan hIIN 55122 . � PhDne:(651}875-5B75 e tAata Receiued: ; fax:{6S1}675-589d j Starc; j ��..:�_____�_____�_i 2015 CC}�AMERCIAL BUILDING` PERMIT APPLICATI9N r��: :�t��1�1,�� s;�a�a�s: ��" � "L�L�I'1 . TenanY Name: a°'°-�_j��. _.7e��t�� lY?f#�nt is:�Naw t,�Er�isti�} Suife i�: . J � / FormerTananL• � � � � � ,�:...'- � :<s ..:._ .. . . ... . . . : ._. % Name: � ` Phon�e; � : Address f Ciiy f Zip: �' '' - �. � � g��` ApplicanY is' � 6wner� �Contraaor �� "�� . � ��p tS�scriPtion otwork: f �_�� ' r"� ,CI� ConsUuction Cc�t: e��` a�°" � Name: � �'.-_�H,�'" lacerrse#; ,��.f" .�r'��i�� Address��i G,�r d_�� f"��City:�� ,d`�� Sfatc�: �� Zep: �t��!'-�g Phorae ��'� ' "�,t l �` �� .I`.OtitBC�:��'} ��`�E�1S';fL�t�� iii23�:�� L.- .��% eg �,r.��. . Name��"�L�r 7 Ftagistration#; I � ,v� . ys�' � �'�Address. ��L�'�.,l�� . �ty: . ,,�� Sfate: x'`f<� �,: i�,,�i p'�-� Phane ��' �.�' �"�'r,�.�� ' � �CbtrCect Petsdn.(:n �� '' Email: =;�; _�1-q: _ -��-�� (.feerised piumber Pnst��ing e�w sexrertwat�.v sed�t Phone#: . „� , h�r � GALL BEFORE YOU DtG. cai�Gopi3er srats�re can as{sst}as4-@ooz tar pratscliw,�t undsrgss«md utiiity damsge.' Cal!+13 hours before you intentl m c�g tc�rar�eive locates of uader�rou�d u!�#ties.veww.go�tars#at�ttc�ec�!l,�g ' I hereGy acknciwiedge that this ii�forma#ic}n is comaete erni aavrate;&�at She w�wk w31k be in oc�nfa�ms�ce ndfh;tltie oedinances and codes oi the City of Esgan:that 1 undetstand this is no{a permii,trut aniy an app6catian ftu a permtt. u,rotk is nOt tp 8tart w'tfhqut a . � . perm"ti;that Ehe worfs wt31 tae in acrnrda�e with the approve�}plan in the case'Z�f wotk which �res e ar�t€ vai of plans. � � , �'f x""�`(�'$'f��id"`t��i`t�`C fwfl' x�'�it.s. �?"u-'�`��.�� . . . ��aFiNicam's pdrtfed 1#arc� . .. . � ...q,ppi9�anYs Signafnre. .� . .. _ � � P�ge'1 Qf� . � � `�/� ��.�� 2_ �t�ir��= , ,, DO NOT WRITE BELOW THIS LINE �c� �j' ��.� � Sl��?fiYPES Foundation _ Public Facility _ Exterior Alteration-Apartments ✓Commercial/industrial T Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscel laneous Antennae WORK TYPES _ New ✓ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change '�Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation I ��bO0 � Occupancy Z' � � �-'�- MCES System `� Plan Review ✓ Code Edition �b'�MSI3G SAC Units /�� (25%_100%� Zoning -�^r�� City Water Census Code Stories Booster Pump #of Units � Square Feet PRV / #of Buildings � Length Fire Sprinklers �— Type of Construction TL •� Width REQUIRED INSPECTIONS Footings(New Building) � Sheetrock Footings(Deck) Final/C.O. Required Footings(Addition) �Final/No C.O. Required Foundation ✓ Other: fY� ST�PP/N`� Drain Tile Pool:_Footings _Air/Gas Tests TFinal Roof: Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath Stone Lath Brick �Framing Windows �Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present:�Yes No Reviewed By: , Building Inspector Reviewed By: T" • , Planning , COMMERCIAL FEES I Base Fee /91 .'�S Water Quality Surcharge 3, o a Water Sampling Fee Plan Review J 2�. G� Water Supply&Storage(WAC) MCES SAC 2 S.� Storm Sewer Trunk City SAC /Qo • a-�' Sewer Trunk S&W Permit 8� Surcharge Water Trunk Treatment Plant ��3 •ro Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL� 3 i�`�y• 8� Page 2 of 3 �� December 31, 2014 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Keystone Communities of Eagan to be located at 3810 Alder Lane within the City of Eagan. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Assisted Living with common laundry 4 residents @ 3 residents/SAC 1.33 Total Charges: 1.33 or 1 The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at deborah.baukniqht(a�metc.state.mn,us. Sincerely, �� Deborah Bauknight SAC Program Technical Specialist DB:db:141231A2 Determination expiration: 12/31/2016 cc: Gary Turpening, Architecture Direct(email) Amy Griffin, City of Eagan (email) File, MCES �,� �;�..--� �,..,_,.;.�- •� -..- . � :� • • - . .1 1 1 1 . . •1 1 . • 1•t� - • • • • ��,�}��„�� • •�� - G E3 [1 hI G [ l • • Use BLUE or BLAGK Ink C�C� !/C'CC�/(/('� j For Office Use ---------� . No p lans ; P�,�#: /�/(0 9� � Clt of E� �� ; . /� � � � � Perrnit Fee: �fd-�� I 3830 Pilot Knob Road F ;o��,��;,z e:.� � �I Eagan MN 55122 'V ` � Date Received:� v��) ; Phone:(651)675-5675 �� ; F ax:(6 51)6 7 5-5 6 9 4 � Staff:�� .��.'-...��..��J 2015 FIRE SUPPRESSION SYSTEMS PERMtT APPLICATION* Date: S Site Address: I�JC- Tenant: ��-� • C.t lI�n Suite#: Name: 1�� Phone:��>' �� Pf0�1'�y OW11@t Address/City/Zip: �,�C�4-'��,��' L�(IV'G. Applicant is: Owner � Contractor . � T �Of WOt'k Description of work: n� I" �I�� 'n 1 � � �� Yp- � /� - - Construction Cost: � Estimated Completion Date: (��Xb��S ��. Name l� t 6 License#: .� . GOI1tfaG#OI' Address: �� ► City: �� !(J�.� State: `' ,�Zip: �3� Phone: � �-.3� a Conta • e. U�:.d��mai1. Cl' i��L. CO»� FtRE PERMIT TYPE WORK TYPE �,Sprinkler System(#of heads� New _Addition Fire Pump ____Standpipe �Alterations �Remodel Othec Other. DESCRIPTION OF WORK: _Commercial ,�Residential/�S_Educational FEES $55.00 Permit Fee Minimum Contract Value$ � �� x.01 "If contract value is LE5S than$10,010, Surcharge=$5.00 �''�'C� ""If contract value is GREATER than$10,010, Surcharge=Contract Vatue x$0.0005 -� � �`-�_permit Fee '""`If the project valuation is over$1 million, please call tor Surcharge =� (�� Surcharge" i $100.00 Residential New(includes$5.00 State Surcharge) _$ �� TOTA�FEE I 3/4"Displacement Fire Meter-$270.00 =$ Fire Meter _$ TOTAL FEE "Requirements:2 complete sets of drawings and�pecifcations,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and adcnowledge that the information is comple4e and accurate;that the woric will be in conforrnance with the ordi�ances and codes of the City of Eagan and with the Minnesota$uilding/Fire Codes;that 1 urxierstand this is not a pertnit,but only an application for a pertnit,and work is not to start without a permit;that the will be in accoNance with the approved plan in the case of work which requires a review and approval of plans. ' !�L L:C�.[J`�, l Applicant' rirrted Name ApplicanYs Signature . ' ��/� � �Ic� �:�- � �/�� FOR OFFICE USE REQUIRED INSPECT{4NS Hydrostatic Flow Alarm E3rain Test Rough in ' Trip Pump Test Gentral Station � Finai Conditions of Issuance: Permit Reviewed by: Date: �!�/ /� • For CC,payment,please call 763-585-5177 )(2 il,0 9//91'2-45 For Office Use Permit#: /179V-J EAGANPermit Fee: ic:: * E.-0 RECIEYF' Date Received: ----> 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 ---R2._ (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 la,,, Staff: buildinninspectionscitvofeadan com nA T 1 8 2018 L 2018 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 5/18/2018 Site Address: 3810 Adler Lane New Prospective Senior Living Tenant: Suite#: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: Phone: Property Owner Address/City/Zip: Applicant is: Owner Contractor Description of work: Type of Work Repairing attic pipe Construction Cost: 5592 Estimated Comitetion Date: 6/29/2018 Name: SimplexGrinnell License C015 #: Address: 2605 Fernbrook Lane N, Suite T City: Plymouth Contractor MN 55447 763-585-5177 State: Zip: Phone: Contact: Alyssa Fredrickson Email: alyssa.fredrickson@jci.corn FIRE PERMIT TYPE WORK TYPE I Sprinkler System (#of heads ) New Addition Fire Pump Standpipe Alterations _Remodel _ Other: I Other:Repairing pipe DESCRIPTION OF WORK: 1 Commercial Residential Educational FEES Contract Value$5592 x.01 $60.00 Permit Fee Minimum =$ 55,92 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge 7--$ 2.80 Surcharge $100.00 Residential New(includes State Surcharge) TOTAL FEE 3/4" Fire Meter-$290.00 =$ Fire Meter =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fre 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 q 'ordanc- ith it approved plan in the case of work which requires a review and approval of plans. x Alyssa Fredrickson , ... x Applicant's Printed Name Appli•`.n Signature i tiQ FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final • Conditions of Issuance: • Permit Reviewed by: Date: S.—I • 2 / PERMIT City of Eagan Permit Type:Building Permit Number:EA173229 Date Issued:11/03/2021 Permit Category:ePermit Site Address: 3810 Alder Lane Lot:1 Block: 02 Addition: Cedar Grove Parkway PID:10-16720-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: 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. Contractor:Owner:- Applicant - Keystone Communities Of Eagan Llc 4500 Dorr St Toledo OH 43615 Principles Building & Remodeling Llc 7287 153rd St W P O Box 241477 St Paul MN 55124 (651) 340-5057 Applicant/Permitee: Signature Issued By: Signature