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3912 Cedarvale Dr CITY OFEAGAN Remarks" ; /0--0/y0Q"079 -0 Addition Section 19 Lot Blk Parcel 10 9100 072 06 Owner - Street State EAGAN MN 55122 -?,-s7 - Cab Improvement Date P..$408.00 Annual Years Payment Receipt Date STREET SURF, I 97C, $71.44 10 STREET RESTOR. GRADING EE-MR TROVE 1972 16 32 25 PAID SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA A 1972 r6O $4.56 15 PAID STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC E15:2.50 1660 8-21-69 PARK ) EAGAN TOWNSHIP M 1048 BUILDING PERMIT. Owner p`-----.....!----9..--`"°< Eagan Township Address (present) jy. - Town Hall Builder Date lY.I .x Address f DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Permit lee Remarks ' LOCATION Street, Road or other Description of Location Ste. i0 Lot Block Addition or Tract. evs I ~O oigoo os/ D4 06<iT7 yo1`6J This permit does not authorise the use of streets, roads, alleys or PicTeVV tvalks nor does it give the owner of 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 RILE THE WORK IS IN PRO ESS. This is to certify, ~.-has permission to erect a-10 C upon the above described promise subjec too the provisions of the Building Ordinance for Eagan Township adopt April 11, 1955. {7 • y-.~ ///7 / ' . ..F-/.....L Per J.... :..x.!:1.5/............... Chairman of Tnwn Board - - Building Inspector OFFICE USE ONLY L 07,2d B~IL OL RECEIPT &O_ SUBD. _6~GC~.r9-r~•- I / RECEIPT DATE: -5Z0 9 l17 1997 PLUMBING PERMIT (COMMERCIAL), CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for: • all commercialtindustrial buildings. • mufti-family buildings when separate permits are= required for each dwelling unit. • backflow prevemer to be installed in commercial areas or residential boulevards DATE: -b WORK TYPE: - New Const. AV Add-On _ Repair DESCRIPTION OF WORK: >4~~~ /i ~C Ani~~ n.h0 lfie IS WATER METER REQUIRED? _ Yes x No. ARE FLUSHOMETERS TO BE INSTAULED? _ Yes :~L< No UNDERGROUND SPRINKLER SYSTEM INSTALLING METER? _ Yes X No. NEW SERVICE? _ Yes __y No WATER FLOW: GPM. Pressure Reducing Valve may be required if installing new service - contact City's Engineering Department at 661-4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract price, whichever is greater. Minimum State Surcharge of $.50 due on all permits. CONTRACT PRICE: S /.a 00. /lD x 1% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE S 25.00 = $ WATER PERMIT (new service only) 50.00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: 1" = $185.00, 2" TURBO = $846.00 $ C d~ PERMIT FEE $ FIGURE SURCHARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT FEE DUE STATE SURCHARGE $ Jrl TOTAL E I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. R is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/righ -of-way/easement. SITE ADDRESS: - - - 3712 CEDi9 rre/C- 1/ TENANT NAME: 6,f A J 7-;Q _ /,'A/ l ^ C, STE. III: OWNER NAME: n INSTALLER NAME: A/6 X, n >J 30 n) 1a m +1,+W TELEPHONE 9 2- STREET ADDRESS: 91 /S/Ow/T/ .fT. p CITY: Z/6 Al-,C- STATE: lJJnl ZIP: ~LqW% SIGNATURE OFFICE USE ONLY • REVERSE E OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE pg~( Yes _ No Domestic Irrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONr Yi REVIEWED BY '2 - - l~ Building Inspector Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector If Licensed Plumber does not know GPMs. Before sellina meter Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 581-4300 for water tum-on. If meter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. ---------m j For Office Use I t My of Eap 1 t 1 Permit Fee: © ~ 1 3830 Pilot Knob Road I 1 Eagan NIN 55122 y Date Received: j Phone: (651) 675-5675 t t Fax: (651) 675-5694 sr f 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: 9-4-0 9 site Address: 3T?, Cedgrt►/e i0/ae ,r Tenant Name: (Tenant is: New 1 Existing) Suite Former Tenant: PROPERTY OWNER Name: Da ko *4 Coon f y G 014 Phone: 651- 6 75 - W if 7 Address l City I Zip: *2 8 'T"4wn Ce4 ire Drr v le Applicant is: owner __X Contractor lr rt Q e199d ~r~~ i o 1t TYPE OF WORK Description of work: all; 1, Construction Cost CONTRACTOR Name: w l e kenA4d1e r XGC dfj5+9~~ ticerne # Address: 1365o Coon tx Ro4d y / city: Co 10 n 4 state: 14,V zilx. 03 Z Z 41 Phone: 41S 2 - 'Va 2,23) Contact Person: 00 /7 ARCHITECTI Name: Mel#SY4 Tqiohairn Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewedwater service: Phone MOTE. Plans and supporting umeoft # wt you submit are conskWed to o public h0ormadon. Portions of lire lnkmaition may be classifled as non-public If yyeuu prowde specific reasons OW would permit the City to conclude that #m 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 1 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 ae ce with the approved plan in the case of work which requires a review and approval of plans. ,Don wiekenhavser x la ~ Applicant's Printed Name Applicant's Signature Page 1 of 3 r For Office Use Permit City of Ea a~ d I Permit Fee: 1 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2009 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: 9-1 7 - 0 Fee: $50.50 City Sewer City Water Repair Disconnect Description Of Work: _ I 1 S cc i~ 0 t 6:C 1 t.' &Q F - (,b L A n C i Street Address for Proposed Work 6V& OWNER Name: ) is uL4 Phone: Address / City / Zip: Applicant is: Owner Contractor Licensed Pipelayer* Master Plumber Property Owner Name: In K lil ~1ALts&i2 Phone: - 2 7-0 Address/ City /Zip: t11 V'~ • `l ( 1i/1 E+ V~ J~`~ c~ c~• Pipelayer Training Certification Card or Master Plumber License I acknowledge that the information is complete and accurate and 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. Dd el t.4 er Applicant (Print Name) Applicant's Signature