1580 Century Pt
Use BLUE or BLACK Ink
I
AUG 0 2 RECD I Permit ~ q o- d/a
I I
City I
of L
J Permit Fee:
I
3830 Pilot Knob Road
Eagan M N 55122 I Date Received:
Phone: (651) 675-5675 I Staff: /r
Fax: (651) 675-5694 L----------------
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: I ® Site Address: Jv.,t-/ - P
Tenant: ( £r Suite
PROPERTY
OWNER Name: Phone: ~p5 4CJ
CONTRACTOR Name: ILl,oV',~~ji,1~1q-jn~icense
Address: amity: R)a ne- State: Zip: 55
Phone: Lg_,Oc y l , -7L) ~ Email:
TYPE OF -New _Replacement -Repair 4 Rebuild _ Modify Space _ Work in R.O.W.
WORK Description of work:
COMMERCIAL
PERMIT TYPE _ New Construction _ Modify Space
Irrigation System yes / _ no) ( RPZ / PVB)
• Rain sensors required on irrigation ystems
• 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:
$50.50 Minimum (includes State Surcharge) OR Contract value $ X1%
= $ J ' t✓ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
- If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 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 $ ,55.00
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
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.
I F- 'A~~ ) , . -
--M ii, 18kaAwaJA J) J
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
CITY OF EAPAN
3830 Pilot K'hob Road WATER SERVICE PERMIT
P. O.tox 21199 PERMIT NO.:
Eagan, I` IN 55121 DATE:
Zoning:. No. of Units:
Owner:
Address:
Site Address:
Plumber: c
Meter No.: Connection Charge:
Size: Acoount Deposit:
Reader No.: Permit Fee:
1 agree to amply Milli the City of Eapa Surcharge:
orawans. Misc. Chorges:
Total:
5 ' ~S
By Doh Paid: 12
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O' Box 21199 PERMIT NO.:
Eagan,-MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address: _
Site Address: i rend::.-V j ~i-U ✓ ,
Plumber. ?rc h n ;
1 some to amply whir the CRY of Sagan Connection Charge:
Onnawaeee. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
CITY OF EAGAN 10 8 6 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 p
PHONE: 4548100
BUILDING PERMIT Receipt #
To be wed for
ll;I dL Ilt t•r . Value } 1' Date 19
Site Address Erect ❑ Occupancy
Lot Block %c/Sub. r Remodel ❑ Zoning b
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
Y Move ❑ Length
Name Demolish ❑ Depth
2
z Address - , Int Impr. ❑ Sq. Ft.
1
City Phone Install ❑ I
`S -'R l it "1 n Approvals Fees
Name
i
Address ~RI. RP Assessment Permit 20 F6
uI- City Phone `i 5 4 ' ` ri .1. Water & Sew. Surcharge - I • ~I
U
Police Plan Review /U
,2IATV;S I NC
{
~uW Name Fire SAC
Address 1 Eng. Water Conn. i
<W City Phone " Planner Water Meter I~ r
Council Road Unit 1 v . U 0
1 hereby acknowledge that 1 have read this application and state that Bldg, Off. " 2 " Tr. PI. 9 6. 0 0
the information is correct and agree to comply with all applicable APC r i; • ( o
State of Minnesota Statutes and City of Eagan Ordinances. Parks
Var. Date Copies
Signature of Permittea ~ ~ q
~iY.. Total
A Building Permit Is issued to: ' . on the express condition thor
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Data Telephone it
Plumbing (Q U (J 1 -c I C -
HNA.C. S jUl - 6' ) '
Electric, Y ! GS crz~
8 X150 ~ wl 1 NO. OC)
SO}tMle'
Inspection Date Insp. Other
Footings I q
Footings 11
Foundation Framing G~ Y7 v pr f r J- Z-5>5
RooHng
Rough Plbg. t 40 -22--Y'S a-6
Rough Htg. 1 s j t S~ wf _j'
Insul.
Fireplace
Final Htg.
Final Plbg. ~J
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
I
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date ` 2. Installation Cost y
3. Job Address Lot Blk. Tract
4. wner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
s' Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454.8100
Receipt MECHANICAL PENMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered splices S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost': - "
3. Job Address Lot Blk. Tract
4, Owner
5. Contractor Phone
S. Address
7. City State Zip
8. Building Type: Residential ❑ Commercial D Institutional ❑
9. Work Description: New Q Add ❑ Auer ❑ Repair ❑
10. Describe Fuel Type
11. No• Equipment BTUT M. Ea. Nq Equipment
Forced Air 1'.. Air Handling:
Mfg.
Boilers +
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gat, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4548100
INSPECTION RECORD T~ ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: "
(612) 681-4675
SITE ADDRESS: till APPLICANT:
it ! w
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRI Q 93 O1D
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Hig.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.JPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF~RAGAN WATER SERVICE PERMIT
3830, Pilot Knob Road
P. O, Box 21199
Eagan, MN 55121
Zoning - N,Quo~ Owner: Ir ~.~'a w
Address L► . X:l: • . L~ ! H. U - t: C.
Site Address:
FU TiCA. &0 Q T sA %
t
Plum
r No.' 14,6 -2 Connection Charge:
SI ~~~ou.~e.► Account Deposit:
derv 74 C _ „ .
Permit Fee:
1 eone ro an pig whh !be Ci y of 1"p, Surcharge:
OnOMnae. Misc. Chorges:
Total:
B - Dote Paid: t "
Oate of
IC ~'1 D DO
Insp.- Insp.: 1!2
/2 -.s- 5 S
CITY OF EAGAN Remarks `T-
Addition CENTURY ADDITION Lot 1 Blk Parcel 10 16940 010 02
Owner Street 1580 Century Point State Eagan, MN 55121
Improvement PDate Amount Annual Years Payment Receipt Date
STREET SURF. STREET RESTOR. 71 XWStreet 1007 6 1232.78 123.28 10
SAN SEW TRUNK 1968 r Z
SEWER LATERAL '
WATERMAIN 1985 1155.96 77,06 15 11 95_ g(,, rOO9906 11-14-84
WATER LATERA r8Q f
WATER AREA
STORM SEW TRK 1985 2249.32 149.95 15 2249-32 C009906 11-14-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 0 II)CI 185
WATER CONN. .
500 00
BUILDING PER. 10863
SAC 525.00
PARK
This request v~id T n 1 V J 95
FB W L t 6 G tad 436
Requeat D e Fire No. RougRin Inspection
[]Ready N_X=1 l Notify Inspeo-
[]No Q Yes Nn Y/han Reatlv
Li eneed Ele trical Contractor 1 hereby request inspection of above
Qwner electrical work installed at:
Street Address, Bo or Route No. City
lS 8,o e ~
Section No. Township Name No. Range NO. County
14
O c~upanl (PRINT) Phone No.
S L M-
Power Supplier gtldr
C
Elect 'cal etor (Com hY Name) - Contractors License No.
b d
ding Ad res. (Co tractor rrer Making Ins ilation)
Au ize Sig r ontrac Owner Makin I ranl Phone Nomber
_ Cl
SO A STATE BOARD OF ELEC 1 IlY THIS INSPECTION REQUEST WILL NOT
rig9s-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE 95
Phone (612) 297-2111 ENCLOSED.
5/ _ REQUEST FOR ELECTRICAL INSPECTION E11'000107'04
pp `P h 7n~ D ► See inshue[ions for corrmletirg this form on back of Yellow copY-
~f {J 2 $ -X- Below WorAj~overed by This Request
65
R Tvpeofeuildinu Appliances wired Eeuiperent wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Hearin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm other peer v t r ther other
pection Fee Below
# Fee Service Entrance Site # Fee Feeders/Subleadere # Fee Circuits
0 to 200 Amps 0 to 30 Amps 00 0 to 30 Am
00 Above 20 gmps 31 to 100 Amps 31 to 100 Amps
Swimming Pool _ Above 100 Amos Above I00_Amps
Transformers rrigation Boers Partial.'Other Fee
Signs Special Inspection $ TOTAL ~FEf_
Remarks y
4-
Rough-in Date _ ,the Etectriul~
Q Irrspecfor, hereby
es " that are above
Final - Data n rtsirection has been
1 ~oZ m.
This reeuest void 18 months InKh
This request void ~l 55)
18 months from ( G 4-7) J
B4 4
Requ [ to Fire No. Rnuph-in Ins rtion
I Ngtify. 1nsDec-
1G Repuiretl? Ready N-
O Yes o or When Ready
i cea
El Owne sed Electrical Contractor 1 hereby request inspection of above
r electrical work installed at:
Street Address, Box or to No. City
1
ection O. Township Na. or No. Range No. y
I fb~ ~
Oc nt (PRINTI Phone No.
N F~
Power upplier Q Atldr
Elect, a ctor teompaw N Cougtu,wr's License No.
c 387 l=am`
or to Address (Contract or king Instailation)
N
Author, Signature 1 wr/Owner Making Insm nl rle b _
MIN A STATE BOARD OF ELECTRICITY THIS IN/SPECTIOGN, BG7E0~UEST WILL NOT
G ' s-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Ph.. 16121 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ER-00001-04
p "see instrrrcms fw mtrtpWolelirgthis fmbyon peck of yellow copy. G~
. . ..Xti Below rk Coveredor Ibis Request l n - K
04 496S
Hdd 41ep. Type of Bui Ming Appliances Wired Equipment Wired
Horne Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peO Other (Snecify)
other peciiy Other Othor
Compute Inspection Fee Below
# Fee Service Entrance Size # Fee Feeders/Subfeedem # Fee Circuits
0 to 200 Amps 0 to 30 Am 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100 An1ps Above I00_Amps
Transtormers Irrigation Boons Partial:'Other Fee
Signs Special Inspection 0
TOTAL EE-,
Bemar + I
r7U _ 7 . j ~O(-li
Bough-in /r- Date
1• the Electrical
Inspector, hereby
y that the above
Final r D pec[ion has been
made.
Tug request void to months tram ' V
'a yya~
oo
Request al. _ Fire b> I Rough in Inspect
Required'+ body Now ❑ Will Notify Inspector
Z G Yes No When Ready?
I icen ed. r or ] owner hereby request inspection of above electrical work at:
Job roe . ox or R e No.) City
1vT
SeClion No, Township Name or No, Range No. C
Occuo nt (PRINT) `A7~' Phone No
J "/Z/ 7
Pewer Supplier Address
Elech, tractor (Compan N m Contra ors License No.
16
M ng Address (Contractor or Ow r Making ion)
Uthonzeh Signature IComr F, n along Insiallahonl ,one Nu Oar
MINNE ARO OF EL THIS INSPECTION REQUEST WILL NOT
Or -Midway Bldg, - Room S-173 BE ACCEPTED BY THE STATE BOARD
21 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
2 REQUEST FOR ELECTRICAL INSPECTION ~ ES 00001.p
I Ill See instructions for completing this form on back of yellow copy. '%I
6540 X" Below ftrk Covered by This Request , d `
AR Typeof Building ew dd Appliances Wired EquipmenlWired
some, Range Temporary Service
Duplex Water Heater Electric Heating
Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other lspecily) Contractor's*rnarks'
~,c /i2E ~IZEIVt ~~0~'1 /E,e_
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _ Amps
Signs Inspectors Use Only:
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final or 1, oats
been made.
OFFICE USE ONLY
This request void 18 months from
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date / Zc~0S
Site Address lS$O (°g,•IJ_FUl2 y fot NT Unit #
Tenant Name J S XL rc►ITS faW,S Former Tenant Name
Property Owner $ KL~ /7?~,C1/ $ ~o~/ r Telephone # (6~/) Ski / ~s
Contractor Lr1zA1z4eL PL& Awnw.
Address ITC) ALUAPOLP, 'RD City E414/fAJ
State AfA/ Zip Telephone # S') YS 2 - / S 65
License # Sol( P ,4-L Expires: 12 d 6le
The Applicant is Owner Contractor Other
New Repair/Rebuild _ Replace
Work Type _ New Bldg _ Modify Tenant Space RPZ PVB
jZ
_ Irrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are required on irrigation systems
Description of Work
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed orior to oickina on meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" displacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes - No
Flushometers _ Yes _ No PRV Required _ Yes -No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ k(O tS3 x 1% _ $ 50 Permit Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
If permit fee is $1,000 or less, surcharge is $.50 $ S O State Surcharge
If permit fee is over $1,000, surcharge is $50 per $1,000 of the Permit Fee
Following fees apply only when installing new irrigation system $ A Water Permit
Call Jerry Wobschall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
[7
$ To1tal-Fee n r?
1
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate.at the' workl i111bb5m 11
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this;is~notlaJ~ert{}it, but only an I
application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan m these~6t7Tyork
which requires a review and approval of plans.
Applicant's Printed Name App cant's Signature I
CITY USE ONLY
l
PERMIT I RECEIPT DATE:
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY of EAam
3830 PILOT KNOB RD
EAGM, MN 85122
881-681-4675
INCOMPLETE APPLICATIONS WJLL NOT BE PROCESSED
Date:- 1 '0Y
WORK TYPE _ New Bldg _ Add-on RepairCRPZ _ PVB Irrigation system
" Jerry Wobschall to calculate fees. Required meter size is 2" turbo nu less smaller size pertttitted by Public Works
DESCRIPTION OF WORK %,L Wjrj, I 1 J' Z 4 -1 lam] I
To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646
METERS -Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" displacement $152.00
Domestic Size & Type Avg GPM
Does this include high demand dcvices? _ Yes _ No
FLUSHOMETERS _ Yes $ No Q PRV REQUIRED _ Yes No
Site Address: 15D
~ (~Q
Tenant Name:
K Lt C 75K So nI S tkN~^ Tlep~ e~ 6
(Area Code)
Was there a previous tenant in this space? _ Y N. If Yes, Name: ~
Installer Name: VyCTw'-Etlt✓UJe C.9t Telephone _ 452-15'&!L
(Area Code)
Installer Addre"_ss:11 l
City: f{1V State: Zip Code z36/7'Z
FEES Contract price $ x 1% ($50.00 min) Plbg Permit $
Meter(s) $
Required on all new buildings & boulevard irrigation systems Radio Meter Read $
Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State Surcharge $ - C-D
50 cents per $1,000 base.
Sub TotabTotal $
-
Supplementary fees for new irrigation system: Water Permit $ 50.00
Contact Jerry Wobschall at (651) 681-4624 regarding fees Treatment Plant $ 540.00
- , Water Supply & Storage $
I i
( {j State Surcharge $
AUG 9 i _ 1 ! Total $
1 It I hereby aclmowledge'that Ihave read this application, state that the information is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicant's responsibility tenon fythe-property owner that the City of Eagan assumes no liability for any damages canned by the City
during its normal operational and maintenance activities to the facilities constructed u d this p it wi in City property/right-of-way/easement.
ATURE OF PERMITTEE
PERMIT rk1\1 0 7
CITYOFEAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 021038
(612) 681-4675 Date Issued: 06103/93
SITE ADDRESS:
1580 CENTURY PT
LOT: 1 BLOCK: 2
CENTURY ADD
P.I.N.: 10-16940-010-02
DESCRIPTION:
f°
B.ulldin'gs, Permit Type COMM. /IND. MISC.
Building Work Type ALTERATION
~ fI
REMARKS:
FEE SUMMARY-
VALUATION $50,000
Base Fee $414.50 COPIES $5.00
Plan Review $269.43 Total Fee $713.93
Surcharge $25.00
Subtotal $708.93
CONTRACTOR: - Applicant - ST. LIC. OWNER:
SONNEK CONSTRUCTION 24543081 0001077 KLECATSKY BROS INVESTMENTS
2391 PAGEL RD 414 MARIE AVE
MENDOTA HEIGHTS MN 55120 5 ST PAUL MN 55075
(612) 454-3081 (612)451-1551
I hereby acknowledge that I have read this application and state that the`
information is correct and agree to comply with all applicalxle State of Mtt+,.,
Statutes and City of Eagan Ordinances.
APPLICANT/PERM EE E ISSUED BYAIGNATVNV
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021038
Eagan, Minnesota 55123 Date Issued: 06/03/93
(612) 681-4675
SITE ADDRESS: LOT: 1 BLOCK: 2 APPLICANT:
1580 CENTURY PT SONNEK CONSTRUCTION
CENTURY ADD (612) 454-3081
PERMIT SUBTYPE: TYPE OF WORK:
COMM. IND. MISC. ALTERATION
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
WALLBOARD FINAL
F-.
REACTIVATE _ CITY OF EAGAN IRECEIV
PEf-iIT 4- ' 1993 BUIII.DING PERMI? %P`5.-`L Al Z 9 X993
a~ 0 3S.*~ 681,4675~ ~ ~3
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date April / L993 Valuation of work $50,000
Site Address: 1580 Century Point
STREET SUITE N
Tenant Name: (commercial only) Joseph S. Klecatsky & Sons Funeral Home
l BLACK 2 TSUBD-Century Addition P.1.D•
Description of work: Installation of Crematory
The applicant is: 0 Owner ❑ Contractor ❑ Other coe.c,rlx>
Name Klecatsky Brothers Investments Phone 451r-/1551
Property LAST FIRST 7a. k4ec"k j NJ ~~~~ga
Owner Address 414 Marie Avenue
STREET STE /
City South St. Paul State MN. Zip 55075
Sonnek Construction Phone 454-3081
Company
Contractor Address 2391 Pagel Road License # 0001077 Exp.
City Mendota Heights State MN Zip 55120
Company Industrial Engineering & Equipmen-Phone 1-800-327-2831
Architect/
Engineer Name Paul F. Rahill Registration #
Address P.O. Box 547796
32854-7796
City Orlando Florida State FL. Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 01 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14`Fireplace 1x19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump .
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code_
Depth On-site sewage SAC Code,
APPROVALS
Planning Building Assessments
Engineering. Variance
VEOUIRED INSPECTIONS
❑ Footing ❑ Framing ❑ Insulation
JFWa boar ❑ Draintile ❑ Fireplace
Permit Fee y1 SO vatmtian: $ 5 OO J
Surcharge a5.00
Plan Review 269 , 143
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies S of
Other
Total:
SAC %
SAC Units
I
200 Hoeg IMURTI INHIBITORS.
LP-Ges Hose Assemblies (MXM -Continued INHIBITORS, C
FAIRVIEW FITTINGS St MFG LTD, ONTARIO CANADA MH10840 (N) These product an Inlsndad to be applied
M9 W 5C4 In MN611Y desl9md metal MAUlnars which
Mbhing eon olon has eat been InyeeaosMd.
M B STURGIS INC, MARYLAND HEIGHTS MO 03043 MH11BB4 (N) ,ed9amd.
MARSHALL BRASS CO. MARSHALL Ml 49008 MM12871 IN) Ugwlldeinmining ttaerefwpened"att the
the schedule In which
ROCCO INDUSTRIES INC, MARIETTA GA 30067 MH13468 (N) Ether rams
el"Ime
WEATHERHEAD DIV DANA CORP, FORT WAYNE IN MH11259 (N) Alcohol lathyll
46825 Keresem 100 F flesh)
Panama 0'1
Yong UndaMrnan- Ubdratorms. Inc,Y matt
LOOK FOR CLAS8IFICt
The Classification Meeting of underwriter
INCINERATORS (NCQZ) under Is the method Provided p e 94 m e.
udder he he vary meand Follow-Up
CL"MZD BY UNOE
The following on foOM"-0umt Inclnanron or volts bumo,o set nquMng Mid MftNteon. They AS TO F
are Intended for use memo of buildings when connected to an sppropdrto shimmy or Venting " (TRA02 NAM111.
tem. Wood Incinerators are dlyldod Into Three OMPS: CemmanlaMnduaMd Typo. optimistic Typo. P[AfA["iDR Mn
and Special Type es described haruhof. DUB CL
Ellatmelt featuna which are t Pori of Slated InafneWare haw been reviewed for deMermlty with
the Laboratories- nwlrommt- The breach timua wppiying an i orwho 9r anowa be in accordance
with the National Eleatrial Coda. KENDALL REFINING CO, DIV OF
Inelmrefon ahoum IN Imtel4d with the clearances m eombwdbm corutraeeam and an the kind BRADFORD PA 16701
of flooring opeclAsd an the Imimreror and In a room that M large compared to the alts df the Inch,
orator, "Kendall CML' "Kendall CM6200,' Sprat
Incinammfli am compmble to solid fuel burning stoves and fumeseA Transform came should be or., Attar nwvroon of propelling. the oar
axeni"d to o"W OvMilling especially with rapidly burning mater4N won as gleese, paper, wood, in temporal: w fire Mwrd.
ate., and also to contain am pence al tonsa safely. 'Ha7o,ds of the Vommad "amino, hew
INCINERATORS, SPECIAL TYPE (NEGT)
These an olllKomelned Iminsrawra of apeclal "pea Intended for Installation and use Only as IN I
specmed In the IndMduel Ile9nga. They ahail be o"nalmd to f oia,nnay approPriata fat use with
low-hoe appliances do Somalia" for "Domtsac Typo InalmnmN" In the Standard of the National Then pNduats are tmaded far use wi•
rim Frotactien Aal"It0" tar ins Installation of bgin/nfors, NFPA Nd. 82 or as specified M the
Siftings and on pro linnMtor, aPOntinepwly.
The Dealt nendord wood to iny,dgats Products M this corollary 6 Will, 'RHldential tndifre. Theo liquidt hew 6666 64611fi/d it la
corr. Ins.-1 method far elanlfiation of fin hazer,
The Uatmo Mark of Undswman kdbortarlee Inc on the product Is the ooh "triad proymed by to the Mascot In which
UL to Identify pndvlts manafacturod under ac Usfing and Follo Vp SOMew The Usting Mark for knot ""a
thew product) Includes tM name and/or symbol of Underwriters UbOnsWNa Ina. Igo Illustrated in O,atine
tht introduction at Mh MremorA together with she word "Ust d", a e"Irol number, and the follow Alcohol (ethyl,
lag product frost "BPodMI Type Incinerator". Karowno (100 F fiolhl
Paraffin 011
ALL CREMATORY CORP, CLEVELAND OH 44139 MP3101 (8) The basic standard used m uwena0ste at
Flammability of UcuidC.
Commercial type. Madelo 4,170 1. •1701.1 cwmamrryy lumw,. May be metalled with also,,"-,
to adjacent consuvotian of not lea than 1 an. Imm eldea, 24 In, from too. SO IM from back and 4 LOOK FOR CLASSIFIC.
in. from shammy wationl supplied with lunacies. Fmdr undo, furnaces shall be npngdmbuaabm. The Cmaeff cedon Marking of Underwdtr
leftist N ins only method provided by Und
CRAWFORD EQUIPMENT S, ENGINEERING CO, MH14506 (R) under INClaomostic old PONDSVUeor
ORLANDO FL 32808 As To I
Oa hired ammsmry furless. Model, C400P, C.1000, C-1000H. G1000f, ynth Or without ad4 rm ADF HNMp'
Henri suffix lament end/u numbers. May be Installed With Ol,renost to Ad1eaehe construction of
not law than 16 in. from mace, 16 In. Iram top. 15 IN from book anti 10 In from chimney notions
supplied with furnsoao. Flier under fvrnwt shall be ny, i mbuglPN• - EASTMAN KODAK CD, DAYT01
`INDUSTRIAL EQUIPMENT 11, ENGINEERING CO INC, MH14647 (R) 'Admerk Fat Slack Ink". CMlwd e0 to
i (closed cvcl 12.9 C 155 R
ORLANDO FL 32804 1 "Repmnlahment Mud". Clawed 110 to 7C
Ont find answers" fumton, Model IW-PFO,.SPP. FT.-Pat. IaCwp cup) 12.9 a lee F}
May be Innamed with oloommaa xo adjacent "astned" of rive lost than 45 In, tram front, b In.j- Raclanlabmeni . Cwwd as m 70 weirs
Fl" awl 14.4 C W0
Iram old,. 4 In, from m it IN from back snd S In. 1nm ohimnsy apxtau tu0plild wfm fwnae,.
brook Ink M' Ciawed 00 ro 70
,
r "ear furnace hall be mmapmbwdble. Nb@6 euol t0.0 C fop Fri.
AFi stdis r 2027 Paw Buck Inc.' Clessea I
REBEARCH PRODUCTS/BLANKENSHIP CO, DALLAS TX MM7761 (N) point fathomed oar 112.0 C `57 Fl.
76220 Admo,s 202 AePlenlshmsot Ink." Can
Madam C64V. MT, TA-N electric toilets. May be annawd an commutable floor with claenmn to fifth paint telpesd eupl 12.1 C t55 Fl.
adjacent construction of not less than 12 in. From aid,. 0 In from n,, and to In. from chimney _
connector.
Moeols TAN, CFV electric tollna, May be Installed w "mbwtibm floor with cm,mm, m sdta• OESTETNER CORP, OREENWICI
dent eon m tripe of not lots than 12 In from ciao, 12 IN from rest. old 16 In. (mm him a" pen -4100 Ink Sleek'. Circled 0 to 10 boo r
femur. '6100 Ina 9luw'. Cisact4 O to 10 W. h,
Modem CNVl1 pmo identified a Cerafres. CRT. MT.VS ar MT.7), TBN4 TM1VII electric wllets. May •5100 Ink Snwn . CLeeed 010 10 m--
.
04 installed on cvmbu"bia floor with orsaranCea m eajassla aanatnctaon of oat mea than 4 in. "5100 Ink Oran'. Classed 0 to 10 Was
from Idea, 4 In from no,, and 14 In. fmm animal, danneamr. "6100 Ink Rod". Clawed 0 to 10 lea he
LOOK FOR MARK ON PRODUCT LOOK FOR
I
ale CITY OF EAGAN N°_ 10863
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100 ° a
BUILDING PERMIT Receipt #
To be aced for FUNERAL HOME Value $410,000 Date AUGUST 26 1y85
Site Address 1580 CENTURY POINT Erect Occupancy B2
1 2 c CENTURY ADD Remodel ❑ Zoning NB
Lot Block ec/Sub.
Pa Repair 11 Type of Const. Parcel No.
Addition El No. Stories 1
KLECATSKY BROS INVESTMENT Move ❑ Length 101
w Name 414 MARIE Demolish ❑ Depth 54
Address InL Imps ❑ Sq. Ft.
b
City S.ST PAULphone 451'1551 Install 0 9,700
Name SONNEK CONSTRUCTION CO Approvals Fees
o
Address 2391 PAGEL RD Assessment Permit 0
city ST PAUL Phone 454-3081 Water & Sew. Surcharge 205.00
G= POPE ASSOCIATES INC Police Plan Review 604.00
.a, Name Fire SAC 1.575.00
uZ Address 533 ST CLAIR Eng. waterconn. N/A
<W City ST PAUL Phone 291-8854 Planner Water Meter N/A
Council Roadtlnit 1.126.00
1 hereby acknowledge that I have read this application d state that Bldg. Off. 8/26/85 Tr. PL 396.00
the information is correc a d agree to comply wi h all applicable APC Parks 2, 340.00
State of Minnesoto Sto to and Cty q gan i lances.
T~ Ver. Date Copies
Signoture of Permitt " A
A Building Permit Is Issued SONNEK C NSTRU ION INC on the etxpresssco di454tha; 0
1 all work shall be done in ccordance with all ap~plab~le 'State Minne tw~o--Statutes and City of Eagan Ordinances.
Building Official / (L 4 L r2r1~'1 1)
I V5
v
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY OR
1 SET OF ENERGY CALCULATIONS u`1alr.c
To Be Used For:'F0h~r L 9anl~Valuation: o-cr %0-t- Date: 4041. f'i
15ga " f
Site Address: C< '44 < ti ~h, OFFICE USE ONLY
Lot: ( Block Z Sect/Sub Erect Occupancy E>-2-
Remodel Zoning N 6
Parcel # Repair Type of Const Q Q
Addition p of Stories I
Owner ~vc `Move Length 101
Demolish Depth ~R
Address <~c,ejlO.aLInt.Impr. Sq Ft 9100
H y,P - Install
City/Zip ,tCode F. k A
Phone s:. S / - 15S ~ APPROVALS FEES
Contractor 1%K~e S~euc~r'ok . aa~alt- sessments Permit IZOS °o
/Sewer Surcharge ZoS. °
Address ~23r{ ~6Lo f ( Police Plan Review (ooq.
T 1,, Fire jSAC
City/Zip Code Engr Water Conn tit/!a
Planner Water Meter Nlpr
Phone 6 1 ~ - ~S 308 Council-f.-Air'-M'
ouncil -2C• Road Unit 1-zt,
Bldg Off ..2~ Treatment Pl 3q~, p
Arch./Engr. hU A- 5 5 ac-' I a4c(3-c4pC Parks 234o,
Variance Copies
Address 3 3 C L< I il TOTAL 1454=
City/Zip Code S1 ~c, 'rS(Q'L
Phone, # 2- 9 ( -
• rn I T I
( aCD, coo 4 33
3 ( of 00J 31 c7 7-
2 . S = 15
12o g 120 ~
• 5~~ 2C~-'~2C~E
41o x Z~~ ZnS
- P~A~2ar~E~r
X04 coq
l lob . -L::
3xS2S= ISIS
f~ /a
C~ ' 2CD (l2(0
84or
r Qom'%5
- 2 3 4 0 23 40
04 1, 58, 5zD(D
f
2/84
CITY OF EAGAN
Ipu APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROP=-- ADDRESS:
LEG.aL DES=-TICN: G(y t ( /3l/C C~/£He7 2- ~~at/~"7Zo.,
(iot/BlccK/SL divisicn or Tax Parcel I.D. N='-er)
} IF E}S`~ STP=- RE, DAl_, OF C: IGi^.IAL u IlDL.G I1 IS~~r~C
❑ R-1 Si:Gi.c, FP"ASLY
❑ R-2 DUPLE : (T,.%o UNITS)
❑ R-3 TC•:t~CUSE (T-I=-= T- TITS) ( LNI 5)
❑❑~a-4 APy,=IR]T/cc.,ma.mjM-~l ( UNITS)
C Ci•P~:ClAL/REi'AII✓CF:'IC
[3 ~7%MUS-IRIAL
❑ NSTI TE-TIC L L/GOVE: NL%ar r
2) A7,PLI:__:T (PLEASE PRI.W)
NA2•"F : l n s h~~s~c !L /ice s ~ ~ 1
ADDRESS:
PF.ONE: `
3) PLL:I y^E? (PLEASE P t41)
NAME: CUIZ /~2 h' ~ L~< FOR CITY USE ONLY
PDC_tiESS: 3Cr p p V &2,f PLYER$ LICENSE:
Active
CITY, STATE, zip: pir
PHONE: f Record
PLUMBER LICENSE k
C
a r
4) OC--LPPN'i/C;;~?ER (PLEASE PRINT) tn ic
ff l cf77`5 fcv /-~rl~f$~l /7 4f '~-Zr
ADDRESS:
CITY, STATE, zip:
PHONE:
5) INDICATE WHICH PER:•IIT BEI1G REQuEsTED:
CO:xYE(TICN TO CITY SaiER
CO:Ex:IIGN Ta CITY WATER
❑ 0-11M (PLEA.' DESCRIBE)
6) ZDICAM. O..c:
PTA` E f?OLD APPROVED PERMIT FOR PICFC-UP BY ONE OF ABOVE
IJ t U~ "AIL APPROVED PER`LIT TO 1, 2,(5 4 ABOVE
(Circle one)
7) SIG:aTL-RE• -
- DATE: to
4D, to .41
!wv+~aw,wr.,ri.r atramasne.rasr,a ansssssa:awi.t:wc+~a ryr`as 1W r:far
F O R C I T Y U S E O N L Y
PERMIT ISSUED
FEES: $ SE;•iER PER 1TT (INCLUDE SURCHARGE)
$ /C,Sc WATER PERD4IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ S--'.-;ER TAP
ACCOUNT DEPOSIT - WATER
$ fS~s u W,
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSbIENT
$ LATERAL BENEFIT/TRUNK SE---'T---R
$ LATERAL BENEFIT/TRUNK WATER
$ l~, v
WATER TREATPiENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
l
DATE:
an MUM u'um wrw
sn we+RSalum wqp ~mww2*40 moo~ww wpw Raww ■aswwr
r
}`~:,eo-,,.raxs._..y ,.y::xy.: e'•:;r,::x:-::«.:>:«.;: ~::..;:,r :w.c ...a.... s. a.::.. c, ..x av: ::as xs:•:<,:,,>,,;ewoa:,:s:x:,<,:<,.a::
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: /ao /93 CONTRACT PRICE: $ ~2=_ C90 ~W
NEW BUILDING
X INTERIOR IMPROVEMENT
WORK CRIPTION: Install Gas Piping for Crematory
FEES
1% OF 9RN7RAg FEE $ • Bfl
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF WgM FEE.
TOTAL $ D•s O
SITE ADDRESS: 1580 Century Point Eagan, M". 55121
OWNER NAME: Klecatsky Brothers Investments 451-1551
TELEPHONE
TENANT NAMES: (IMPROVE/MENIS ONLJoseph S. Y-tecatsky & Sons Funeral Home
INSTALLER: ~ (.J`OY1
ADDRESS: 'Z CW4
CITY: STATE: w ZIP CODE: 6550 7,S_
TELEPHONE ~f S7~ ~~~I
SIGNATURE OF PERMITTEE CITY INSPECTOR
~UNiAI_ Hc*IS Z
G~L.iTU2Y ~fl~ i 71 ohf
~-2
2~~~ Io[ = z~z°
22 x 8 (9 3~
s 9roS
G3r~. ~ = aZ~~
4 v~~ d8b~
x-7 30
TYPE ot, CorJS i:. _
~N
BAST L S,o~
5 C-e. ALL ~10C- 2 ~ 6 axe = I, C9OCD-)
~n~r~~-Q 5~11/LE
I~,Z 11
1
l
ENERGY CALCULATIONS
FOR
SOUTHERN WEST FUNERAL HOMES, INC.
Total allowable roof "U" Value = .06 x 5074.75 S.f. = 304.48
Total allowable wall "U" Value = .23 x 3533. s.f• 1817.07
Total allowable building "U" Value =
Roof R U
Exterior air film .17
Shingles .44
5/8" plywood .93
1/2" fiberglass insul 37.56
5/8" gypsum board 45
Interior air film .61
40.16
126.36
"U" =..0249 x 5074.7 s.f. _
Wall Types
Glazing 150.35
242 s.f. x .62 =
Insulated O.H.Doors 58.05
135 s.f. x .43 =
4
Insulated Wood Doors 20.58
42. s.f. x .49
Insulated Metal Doors 42.0
105 s.f. x .40 =
Brick faced wall 7
Exterior air film 1
•17
4" Face Brick
25/32" Built Rite 2,06
Sheathing 18.78
F 6" Batt insulation
z 6 mil poly vapor barrier neg.. 56
5/8" gypsum board 68`
Interior air film 22,36
30.88
.0447 x 691 s.f. _
Energy Calculations, Page 2
Southern West Funeral Home, Inc.
R U
Stucco faced wall
Exterior air film .17
3/4" stucco .15
25/32" Built Rite
Sheathing 2.06
6" Batt insulation 18.78
6 mil poly vapor barrier neg.
5/8" gypsum board .56
Interior air film .68
22.4
"U" .0446 x 2317.5 s.f. = 103.36
Total actual wall "U" = 405.22
Total actual roof "U" = 126.36
Total actual envelop "U" Value = 531.58
7q3~ -D 6-;~)
2007 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date Z7 1•~r~ i d i
~py IA L'`tf 110 Unit #
Site Address X1
Tenant Name SVAIJ k U s Former Tenant Name
Property Owner ()It'I I lC 1 nf1P 121 y)~ Telephone # (Ia9) 454-q4n
Contractor t)i u~ 111-0~1--r -I ne-
Address`'fV 152 Lane City _
State Zi Telephone#(?&3) 3L9) -`4~R
License # 4V5 R PM Expires: 12AI D-L
The Applicant is Owner Contractor Other
Work Type New Bldg Modify Space _ Irrigation System** _ Yes _ No Work in public r-o-w / easement?
_
~RPZ _ PVB: _ New & Repair/Rebuild _ Replace _ Remove
,,--rr,, Rain sensors are required on irrigation _systems~j p
Description of Work11/n~~~ 1~ 2 Pej&I~ot - QIIGfetrZGl14fy T °"A",f t al Z 645 4~
To inquire if Pressure Reducing Valve is required on new service, cal 651-675-5646
Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $174.00
Domestic Size & Type Avg GPM - Includes high demand devices? - Yes _ No
Flushometers - Yes - No PRV Required _ Yes No
Permit Fee $50.50 minimum (includes State Surcharge) .
Contract Value $ a 7 fla x 1% Permit Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
$ State Surcharge
If permit fee is less than $1,000, surcharge is S.50
If pemtit fee is more than $1,000, surcharge is $.50 for each $1,000 owed.
Following fees apply when installing 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
$ -56 . ~Xb Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to
start without a permit; that the work will be in accordance with the approved plan in the cas vork which requires a revie and approval of plans.
Mir.mf~t~SPS -
Applicant's Printe Name Applicant's Signature
Use BLUE or BLACK Ink
•
For Office Use I
city of Eap I Permit
I
I Permit Fee: CJ I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 , L it
I I
Fax: (651) 675-5694 I Staff:
- - - - - - - - - - - - - - - - - J
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: r 1/2012- Site Address 444
tenant: LlXl l'7 ~VYI~' C c s SuiteM
PROPERTY (Q5~ - 45- 1 - 1 SJ
' OWNER Name~Ol.:~~1.i°JlrY1 ~I~X1e~r-A.( ~~~G Phone:
Name: kCrnD DVJY1 ~t I.lMVI YAA YC- License* CONTRACTOR Address: 13 0 25 i2a4I l A Air- City: at-l~t!~ Stater Zip:~~
Phone: ?&3'-Z55•10'9&0 Email:
TYPE OF _ New _ Replacement _ Repair 2~'Rebuild - Modify Space _ Work in R.O.W.
WORK
Description of work:
COMMERCIAL _ New Construction Modify Space
_ Irrigation System yes / _ no) X RPZ / _ PVB)~
PERMIT TYPE 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:
$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ X1%
_ $ (n0. 00 Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant q
$ Water Supply & Storage
$ State Surcharge
. , , . _ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X ~k%&AaeA ,
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:
Requires! Inspections: -Under Ground Rough-In Air Test -Gas "test Final PRV Required: - Yes No
Page 1 of 3
*.
City of EaQafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 2 8 zpu
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 312 7 J 14 Site Address: /5g0 CENrt'R °% Pr
Tenant Name: KL E C 4 TS KKY FUNfRi9 L NO/YE (Tenant is: New / /Existing) Suite #:
Former Tenant:
Name: Tan KLEC47-5-Ky Phone: 4.54 - 76.0
Address / City / Zip: 158'O C 'ivruR/ Pr, Efl GAN, NA/ 55/22.
Applicant is: Owner V Contractor
Description of work: REMODEL PREFERs9TloN Rit ADD ll 4M' rN CaftER
Construction Cos,: 400445
Name: B Nu Cq .Z -NC
Address: 43) ARIES Cr
State: /IN Zip: 55/ 23
License #: CR 630437
City: LAGAN
Phone: Co i; — 38F- 76/0
Contact: BRUCE' COLON Email: bcolon 43t2 y5f • Com
Name: A/1/9 /9 Registration #:
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone #:
Plans ands
CO
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x BRUCE COLON/
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
,/ Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100% V)
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
5-1060
7~
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation
raming
Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_Ice & Water Final
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
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
y
/®S A L..}0ev
Sheetrock
Final / C.O. Required
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 /No
Reviewed By: L, L , Building Inspector
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
los7d
7, _co
Water Quality
Water Sampling Fee
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL, 45; S8
Page 2of3
Us-e- or BLACK Ink
h
For Office Use _ {
I Permit 70Y
-City of EaRait Permit Fee; _ o .
3$30 Pilot Knob Road RECEIVED
Eagan MN 55122 I i
Date Received.
Phone: (651) 675-5675 MAY 16 ?01~ I I
Fax: (651) 675-569 t staff
-2014 COMMERCIAL PLUMBING PERMIT APPLICATION
C:
Q Pease submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant: 't Suite
Property ILI
Owner Phone:
Name: 01 e' h, i License
Contractor Address: ~ .fig City: }-0-o i b-4 -4 _ state zip~_)-)- -Y
Phone776' `~a ~s` :j Email: l;l Y1C "t:C L~ r l t~ i~tr~. 1 Ct tE c'
Type of Work New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work: i.°~ COMMERCIAL New Construction Modify Space
Irrigation System ( yes / no) RPZ 1 _ PVB)
Rain sensors required on irrigation systems
$rrrtlt ~~/ie • 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 mete t.
Domestic: Size & Type _ Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers -Yes _No
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$ 't Permit Fee
C;r>
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 C C
`""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, (659) 675-5646.. for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
I hereby acknowledge that this information is complete and accurate; that the work will be in 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
acQiamUnce
.C with the approve lam in 1h
e af.WQQkLlvh requires a review and approval of plans
Applic nt's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date: S `
Required Inspections' -Under Ground __Rough-In Air Test _Gas Test Final PRV Required: _ Yes No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 1 of 3
FROM TOTAL REFRIGERATION SYSTEMS,INC (MON)JUN 2 2014 12:bb/SI.12:b4/IV0 025 0 040a r
Use BLUE or BLACK Ink
For Office Use
~f I
City of Eajan I Permit u~ I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 i Staff: I
I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
yC
Date: Site Address: 15"50 CanA1hM P01 r\
Tenant: Suite ate:
Regl etr~ 8l' Name: enr,4:s ki~V;_; nkge l +1C 'Y1f . Phone: 65 y~/- /SSA
Address /City/Zip: ) $D C ii ~(n nrll n SJC) r
- -
r Name: I r7Ar, ~Q~f t G Q ~c~-~1cln License
,
Address:`~lcli~ S: G~v~Cofr~ City: 54 PGr....l
Contolr
` - SSbIT I y S~ ' 21014
Slate: p8n Zip: Phone: 6S
Contact: Email:
New Replacement Additional Alteration Demolition
'51 +
TyQeNr~c Description of work: re ~~Y'«2 e j ace-e Su
'KE
Y.. Y
RESIDENTIAL COMMERCIAL
= Furnace New Construction Interior Improvement
P#~. 1 Air Conditioner _ Install Piping _ Processed
s Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank l- Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ x .01
$55.00 Permit Fee Minimum
$70.00 Underground tank installationiremoval Permit Fee
`If contract value is LESS than $10,010, Surcharge = $5.00 -5 .lam 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 60 , 00 TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit, but only an application for a permit, and work is not ! w, eut~ pe it; 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 (ter.. r c J~ e(i1 Vlc1 x
Applicant' rinted Name Applica rs a
FOR OFFICE USE
v Reviewed
Required'i rftpec_, dorm,
Underground _ RougFt_ In Air Test Cad Semce Test; Iri-floor Fte3it : Frrtaf _ _ ° FiVAG ScreeMng_.. .
06/04/2018 MON 12: 06 FAX Ark Management 0002/003
4 1
For Office Use G /
► r Permit!!: � /U1-3 7
CC
E AG A N Pefmit Fee:
b
'►� �� � (1113 Staff:
3830 PILOT KNOB ROAD EAGAN,MN 65122-1810 i r 4 1
( JUN 0 4 2018 I Payment Recvd: _Yeslo �
(651)676-5676 I TDD:(651)454.85351 FAX:(651)676-6694
Email:buildinoinsoectionst citvofeaaan.com I Plans:_Electronic _Paper 1
Plan Submittal:eplans@dtyofeacan.com I_ ,
2018 COMMERCIAL PLUMBING PERMIT APPLICATION
0 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive p Date: li 1I5 SiteAddress: ` v(� `0R.)IV\+
Tenant: ,��JJJ Suite#:
Property
Owlter Neme �W 169 •1-�t7✓GS t,4 1- V31)- a' R-0
_ Phone:
Name: dG'. ' e.a. A I &A,.L n J1...,rl icense#: CPC•(34))11.)
Contractor Address: 6�"L ) (,trvkWV MAX Y ty NAAS ku p•e State:A.4 Zip: '.+r'5`'4 z43
Phone: La Ia-2.b s-agar Email:0 6 rytn441A.tkAiAliribli444,Co.tV
Type of Work New _.Replacement _Repair _Rebuild _ModifySpace _Work In R.O.W.
Description of work: I.V1.2k'u I I " W#J+c all°I R P'z * Cf.✓h"i
COMMERCIAL New Construction —Modify Space
.Irrigation System(,g yes!_no)(&RPZ I_PVB)
•
• Rein sensors required on irrigation systems
.Permit Type • Avg.GPM (2"turbo required unitise smaller size allowed by Public Works)
Meters Call(651)675.5646 to verily that tests passed prior to olcklno un meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices?_Yee_No Fiushometers_Yee_No
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$80,00 PVBIRPZ Permit(includes Stale Surcharge) =$ Q Permit Fee
Surcherge=Contract Value x$0.0005 - Surcharge
If the project valuation le over$1 million,please cell for Surcharge =$ 1! 0 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 lee amounts. $ Treatment Plant
$ Water Supply&Storage
-- _......__...._ _....._...._..._ _ . $ Stale Surcharge
=$ TOTAL FEE
You may subscribe to remise an electronic natlaastlon from the City of proposed ordinances by signing up for an email update on the City's winks el
www,cItvcreaaan.cemleubscribe,
CALL BEFORE YOU OIQ. Call Gopher Stale One Collet(551)454.0002 forprolectIon against underground utility damage.
I hereby acknowledge that this Information is complete end accurate;that the work will be In conformance with the ordinances and codes of the Gly of Eagan;that I undereland lhle le not a
pond.but only en application for a permit,and watt la net to alert without a Dent that the work will be In accordance with the approved plan In the case of work which t vires a review
end approval of plane,
x Ka+1. w 11( 1 Lo vim x112 (4)Oa/ ,
Applicant's Printed Name Appli an s Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: _Under Ground _Rough-In Air Teet _Gee Test _Final PRV Required:_Yee No
Meter Related Items: Meter Size Radio Read Manometer Staff:
Page 101'3
I-.
For Office Use nn
i� z • , Permit#:
E AGA N
Permit Fee:
Date Received: 51 /20 19
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Q't_�
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: LJ
buildinginspectionst citvofeagan.com
2019-RESIDENT-IALpr1BUILDING PERMIT APPLICATION
Y)
Date:= .c• /9 Site Address: /&4 `� 6-44- y ?O/� Unit#:
Name:• 7607 X'l./-ecCL/S Ly Phone:
Resident/ / -'�I
Owner Address/City/Zip: 'O & f2L TGA , e:/TLJ
�57/ / f 2/
Applicant is: Owner A Contractor
Type of Work Description of work: 1e, (17/-
6-` �)—
Construction Cost: / / ` ). Multi-Family Building: (Yes /No )
Company: 14/9-LO (�O'►,td GSL' L(1Zc LLQ_ Contact: l'Zat66(
ContractorAddress: (/IA) ttICI-'``LI - 1. (
et v '� City: LJ j
State:/)/1A/ `
� i �' 1 .''� Email: //�Li! i. ( � �a I/i ..Viz(`'.-; t/4(i-'/lir�l {C '
� Zip: � ��` �Phone: ., J
License#: '1 i�, /✓ 14- / Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents-that you submit are considered to be public information. Portions of the information may be
classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets.
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.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X AY/ ., it-- ALA/71'C X
Applicant's Printed Name plicant's Signature