3850 Ballantrae Rd
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55121
PERMIT N0. 48
Mitsch um ng
The Board of Supervisors hereby grants toY
Hc,a;ttnL, Inc, of Osseo, `71nncsot 55369
a PIAMUINC Permit for
,y~,_ t (Owner) Bor.-Son Construction - Ballantrae A.partm
ba1..._ntrae load - Cowunity u IIgg - a 17an age o3a 3850 R52
at 3860-38C?. 3870- 87, 3880-3882, 3801-up0 ~8j1-;8i~icafidn3dated8h, 3831-3833-35
p fsu3n o pp Ballantrae Rd
2 7x.75
Fee Paid: $650,00_ ± 50 S/C Dated this 15tn day of July , 197
BuildI4Inspector
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: September 23, 1971 Number: 721
Ba antree Apartments
Billing Name: Bor-Son Bldg. Corp. Site Address:-850'-52 Ballantrae Road, Eagan
Owner: Bor-Son Bldg. Corp. Billing Address1550 E. 78th Street, Mpls. 55423
Plumber: Glende - Excavation ; Mitsch Blbg. - Pipe Work
Location of o nection Meter Size i Connection Chg.
r; Meter No .21 L Permit Fee 10.00 pd 9/23/71
b n n p /71
Meter Reading Meter Dep.
~~/VJ (J Meter Sealed: Yes_ Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple No. Units20 G U0
Commercial PAI nU: PL u't i iL'•_~u IYti RS'
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do t1m proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Bor-Son Blde. Cora.
Please notify the above office when ready for inspection and connection.
1
EAGAN TOWNSHIP
3795 Pilot Knob Road 1G
St. Paul, Minnesota 55111 + G
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: September 23, 1971 Number. 721
a antrae Apartments
Billing Name: Bor-Son Bldg. Corp. Site Addreas:3850 -~52)Ballantrae Road, Eagan
Owner: Bor-Son Bldg. Corp. Billing Address1550 E. 78th Street, Mpls. 55423
Plumber: Glende - Excavation ; Mitsch Blbg. - Pipe Work
Location of o ection Meter Size i Connection Chg.
.®a7at 7 i ff
Meter No-zZXZZ i S? Permit Fee 10.00 pd 9/23/71
Meter Reading _ Meter Dep.
rA~' "-~)U pd~3/71
Meter Sealed: Yea Add'1 Chg.
,NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple $o. Units201..;
Commercial
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Bor-Sou Bldg. Coro.
Please notify the above office when ready for inspection and connection.
MASTER CARD
LOCATION A AN E ~ri SJ O
4
OWNER Jl~ e C e
STRUCTURE AND w~
LAND USED AS D 'Jr UY ~O f~Q O.Q.
ssued To
Permit No. Issued Contractor Owner
BUILDING Z
PLUMBING C~
CESSPOOL -SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER • ay.
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING ♦ I I SEPTIC
FOUNDATION CESSPOOL
FRAMING a' TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING _ OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING +
r Ile I WELL ^ n
SANITARY SEWER /y1 •9,
b~ + I I,
Violations Noted
on Back
COMMENTS:
Use BLUE or BLACK Ink
r - - -
For Office Usee/j
Permit ~ I
t~ ~Il
City of Eatdfl 1 Permit Fee:
3830 Pilot Knob Road I 1
1
Eagan MN 55122
1 Date Received: I
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 /c , o dle 1 Staff: I
L-----------------I
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: O /_0 9 Site Address: 3850 c1t~N " p tT Z
Tenant Name: ` - (Tenant is: New / ..Exiting) Suite M
Former Tenant:
PROPERTY OWNER Name: t<1 2~-~- Pfv-Q1` ~ Phone: - -cf. - 0 6q `
Address / City / Zip: 3 eco • ~l~
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: S77 4Ob j=
CONTRACTOR Name: ~~~d-~-Q- ►~5~ • • License 703 ! 946
Address: 'ZSb \ rL~R .
City: State: (A 0 Zip: SS3
Phone: aSZ-9 -4 3 ~ Contact Person t4 vs
Name: Ulc.-tit ~ Registration 45-4f-70
ARCHITECT /
ENGINEER
Address: S23 I `L- • ~ t V 4--YL. 3
City: 1 i I~t-S State:-- M N Zip: ` SS Z t
Phone: 3-57 f, ZSOO Contact Person:
Licensed plumber installing new sewer/water service: N / A-- 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 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.4opherstateonecall.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 r ew and approval f plans.
X'sJ tl ~5 ~S -
Applicant's Printed Name III pplicant's Signature
4i i) t ®G 2009 IJ Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Accessory Building
Apartments X Commercial / Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Exterior Improvement Reroof _ Demolish Interior
_ Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage X Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 51 Opp a~ Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_SZ) Zoning City Water ✓
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) ✓ Sheetrgck
Footings (Deck) Final/ C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile ✓ Other: LA«&
Roof: -Decking -Insulation -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Final C/O Inspection: Schedule Fire Marshal to be present: V/ Yes No
Reviewed By:~ , Building Inspector Reviewed By: 6c Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge 2$ S77 Water Supply & Storage (WAC)
Plan Review 4 1 • Zoo Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL /20•
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
Per
x Ea~d non
mit 13 Clilt oy Of l j Permit Fee: U • I
3830 Pilot Knob Road 1
Eagan MN 55122 I Date Received: _ j
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
L -----------------I
2009 MECHANICAL PERMIT APPLICATION
Date: II/Z ~d Site Address: P3 S 13a 110 n +ra 2 JE
Tenant: Suite oZ
RESIDENT I OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: ~Kc~ f P -B(Pc .1-vl License
Address: L+ r7 J y o,4 i✓ L,'
City: au'? ✓ Stater-1- Zip: '5S 3 U
Phone: 7 (a 3 - q2 -I Contact Person: u c e- a O
TYPE OF WORK New J` Replacement Additional Alteration Demolition
Description of work: ire-
NOTE: Roof mounted and ground mounted mechanical equipment is r quired to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under /Above ground Tank C_ Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
~C Other u.~ V-etA I , Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information incomplete 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 ,3?11J C P- IL P S x Z~~
Applicant's Printed Name Applicant's Signatu e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: --Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
r
JUL-16-09 THU 01:17 PM PALANISAMI & ASSOC INC FAX NO. 7635339586 P, 01/04
12
PALANiSAMI &,ASSOCIATES, INC.
CONSOLTING r-NG+NEERS
~ul~] 3; 2_ Q09
Mr. Sandro 13eI-11,11'di / WLtt•MI Tt1mb0rge
Sentinel lbl at►agetnent- C'unpaA),
5215 Edina Indilstt ial .111 vd # 100
f diva W 5,5439
RE S: ,nirrg of F-Ixterior A'ood Deck - Eagan .w PAl job E( 08128
Gcntlemcm
This completion report is basrd on the periodic field obsServat.ioiis done by PAT engineers RS.
" landlan, Jobe Hareland during exterior decks strengthe ing work. (Rifer attached report on the
observations, discu.;sIon had duria),g file- work.)
As a final review of the completed work I mode field observations along with Warren
zumborgc of sentinol Mamigc:mont and I,4&r~tin Vietoris of Martin Joseph Construction. The
mainlo ame porxnal l3roparcd a list of units where t1le newly pot:red filler patio slab had gap
at the jtblo(Llre,.of Esxisbi)g patio slab. The conluctor agreed to install sealant over the gap- In
addition at two locations the newly }toured filler patio slab will be replaced.
As of July i0`r' thr, following wort, xmas non-(,ompleted.
I) The Tire caulk over the ~ ~tc~}rcd dcy wal.I juncture, with gamgc exterior wall,
2) The sealant over tho. wide gal-, botwma the filler slab find replacement of filler slab over two
Iot;azions,
Comractor had completed all work as per PAI direction except the abo-ve two items, Ma,rtiza
informed the above two hems would be completed by next week. Conti-actor's completed
work was strzuclurally acir:quate for sixongthe'nincy putpose.
!'alanlsa~ni • r1.ssacs.fte,4, Ine.
AttacIunent, PAI 1.iel.d Observation Report:,_
Copy to I. Mar.-Lin Victoris - Martin Joseph CODSU'LlOtioa, 2151 Hastings Avenue # 100,
Nowport ►vFN 55055
2. Tana Miklya City Ofl;nau, 3830 N161 Ki)ob Road Eagan MN.55122
{*U,~Ur38Af1,`Ok l2&RSP- f3aflcnEh•; Ary:erEnt~m)
6661 Internatimal Par kvv~y F Minna,ipoits Monesola 65426 (763) 533-9403 • FAX
7 -1 e n G r. • n ki C_.:...:t /-.r..__--.
JUL-16-09 THU 01:18 PM PALANISAMI & ASSOC INC FAX NO. 7635339586 P. 02104
DATE __-_..._....__---------•-I JOB NO.
June 18, 2009 ! 08 128
F04
P'ALANIS.AMI & ASSOCIATES, INC, CONSULTING, ENGINEERS-, Additional Sport to Balconies Ballentre Apt.
5661 International Parkway -~-OWNE__-__- -
Minneapolis, Mil 55428 CONTRACTOR Senti.nel Manaoernent
(763) 633-9403 Fax (763) 533-9586 E-mail (e:ng@palanisarni.c:om)
MElrtin Joseph I_)esigrt &
Construction
uC'n'tirt~a___... TEMP. oat AM
To Oat Sentinel Man, ernent _ P tF.St R r PM
5215 Edina Industrial Blvd- 100..
Edirta M.N 55139
_Ann:. Sandre,13crriardi/Wa> rpo Zmpbcrae;
Ftl~'/LD OBSERVATION REPORT
April 21, 2009 Observation by.16'-t andian )'AT
1. Field Observation to verify the c.orttn ctor's Pay Request # 1.
.2. Contractor had installed at 24 locations the s<<hoduled roinforcemcnls, Contractor had not installed the footing.
3. Approved tyre pay request for 80% for 24 )ocatitnns.
April 30, 2009 No held Ol)sery~iition Te]ele,)f>onic discussion with Michael Pasch
1. Michael Pasch contaoted me phone and explained the difficulty of exGavat!on near the Garage wall to install the Post
and the Kicker fi-ont tl-ie Deck.. He wanted to move the. new post inside the garage wall. To discuss this and finalize the
revised detail it was decided to have a combined observation with Warren, Martin Joseph construction a meeting was
schedulad on May .V"' ?009
11-lay 5, 2009 Qbseri,atioat iLY-, 1.!tx tXt3re[arid (qI' l'A] ;Presenf: 11fielraclW]'asch ot'1V1artin Joseph)
1. Dur_. to scbeduling conflict Pandiarz could not m;rke field observation. In lieu of Pandian John Hareland Engineer from
PAJ rnct Michael ar the job site; and crplore-d Ilie possibility of shifting the Post at garage wall. It was decided to verifj,
the wall condition aftor ren-io-vinn the drool rode and finalize tile detail subject to the approval by Sentinel Management.
2. Warren of Sentinel was informed for a corrrbiriod meeting at job site for making the fna.t decision.
M:r~I2, 2t~aR? C)1 scrmli.icln l;v„LoLl t T rel. jnd of I?AJ JX'reserrt: MJcILl! ) I'asch of Martin Joseph)
1. Warren informed I'Al any chance should not increase the cost. John 1-larcland Engineer from PAI met Michael at the
_job site. Micha, l exposed lhe• Carafe wall. 'l'ire new detail was discussed with Macheal and John Hareland sent the
re,5-ised detail to Martin Joseph. ( Refer Sli .ei Sal)
1 Martin Joseph agreed to follow the revised dc•udl «,ithout nr!y additional cost.
3. The. copy of the revised dk.tail was sent to tic (:Pty.
h!f J 9,x(109 _No field C )bser s,;itiorr 'C'c Ic~ylzotxi discpssioti with Toter MJkKa for•rn City of Eagan
1 Torn from city of E'a-Im cont.nctcd me and askc:cl to f:Sx the revised detail to be signed and sent to hire for approval
2. T'andian signed the sheet and st-ut the sheet to Cifv
JUL-16-09 THU 01.19 PM PALANISAMI & ASSOC INC FAX NO. 7635339586 P. 03/04
1, Discussed with city inspector for footing installation.
a) T'he lost load is small and hence rho post could be ofl'ce:ntered.
b) The lateral ties # 3 could be welded to the.. 3 . f? .4 vertical,
c) Th(; Trost footing shall be inlrpcndont of (lies patio slab. The city inspector informed me that inspection was
scheduled for June 4e.'' 3:00 T11\4
3uire 4, 20(}1 (~bscr~ afloat lif' 2 . X'arrrcijair of PAT PI-osent: Marhv Victor-is .C, CrewMembers of Mario Jose gib
1, Pield Obsorva.tlon to verify tyre footing hour for the 6x6 post alone; with the city Inspector. However the city had
inspecled earlier and footin¢ pour ~vos nearing completion. The top of sono tube form was at the bottom of patio slab.
'T'his shouid have raised to tyre top of patio slab. Ile-nce the 6:x6 post: could be 4" deep from the patio slab.
2. Marty informed me that Ccrnstone Mix 3067 3000 psi was used.
,itrE►e 9z 2009 Obsci tioi ii~j 1' dndtian.,of PAI 2:00 _I'M (Present: 'Warren Ziumber-Re of Sentinel Mike from
J~~irir(:it~ .Torcfr
1. Warren from Sentinel contactod rrre and had a. concern for the 2" thick 8" x18" wood gusset plate over the exterior wail.
In addition Sentinel had a concern on the wood frarning finish with some gap between the members and blocking. Also
non-continuation of the blocking above 1he new post for full width of the deck.
2. Made filed observation to verify the fainting and tyre wood gusset show up over the garage wall. Informed warren that at
this stare modifying the detail will be tong.h. The wood gusset would be a food moisture barrier.
3. Reviovvod thr, new post connecting hardware 1.o the sill plate at top and bottom; the wood gusset attachment to the new 3
2x6 post; the kicker connecting hn.rdrvsre,. ani•the new face. mount hanker below deck.
4. It was occossary that some addilional hardware will be required. The project Sup Michael Pasch was not at the job site.
Informed the crewmembcr Mik.e that .C'andinn will come back on June i V" to finalize the additional hardware items
5. The 3 2x6 post (In lieu of the 6x6 post inside the garage wall) - Connected with one A35Z connector at top and
bottom. The. contractor had to add wood bloc:kiug sit the base, top and two in the middle.
a) The new 2X4 ledger was cormooted Yvith A23Z at sonic corners only.
b) No ''/2" lag through bolts -.were used can the. kicker top
c) No
lirtte -II., 2O(Y9 Obser:>,rtiatl [ 4`t,.l'ar:F3r;irz of l'A1 .I AN. 01CL eat: A ichael Pasch of Martin Joseph)
1. Had a meeting with Michael and the following; wore decided?
a) The 3 - 2x6 post (In lieu of the 6x6 posy inside the garage wall) - Connected with one 1-50Z connector at top and
. bottorn. The contractor had to add wood blocking at the base, top and two in the middle
b) The Wood Gusset Platte; Will require 2 - thrtrugh bolt or GRK 3/8" x 8" Fong Screws. The preferable will be
informed after verifying the she u• values.
c) The Kicker.- Contractor h:id to add one I. 50Z and with ? - 3/8" x 8" bong GRK screw (As the Kicker location was
near the edge of the Wood Gusset one I. 50z was possible.
d) If through bolt is to be installed it has to go through tiie flashing over the end joist. Hence contractor had provided
BC 6OZ-post top it) lieu of the. 2 through bolt as detailed. Contractor shall add one LSOZ to the kicker and the joist
above..
e) Contractor had to install A" 3Z «t all F OLir Corners ofl.lre new joist.. This shall apply to first floor and second floor.
2. Michael agreed to install all the it.,ove.
3. Michael informed pie that the corner r,iea;e of tine patio slab will be poured and expansion material is provided around
the wood post.
2
JUL-16-09 THU 01:20 PM PALANISAMI & ASSOC INC FAX N0. 7635339586 P. 04/04
,Tune :15, 2(11}9 h?o field C)lss€ r vatic~it_l~rle~li~~ti iIi~ cussiori r~ itli ~~iclt~re! f',tsi;}i
MiohaEa was informed that the prefe.ra.l,;te connecting material between the 1-Vood gusset and the new post would be through
bolt.
Jmkc 17. 2009 b1 sev: .ti2) br~X~~i, l'ct.x!CILJt af.l--A 1UU rI~1(f'est.rit: Aficliacl Pasch of Martin Joseph)
1. Michael ,vas nearing coniplet.ion of t)rc wood blocking inside the ~f
r arrtge wall, at building 3811.
2. lie had installed tow GRK 3/8" x 8" long scrctivs in addition to 4 (3RK screws (Two at the Kicker end and txvo at the 1,50
and 6 - 3 screws over the wood gusset. I)ue to partial loading; from the deck this is adequate.
l
Copy to:
1. Marty Vje1or7S / Martin .1 osepl1 ~C Construetioil
2. Job File.
QNr;200SAII Dept04128 -k.Si'-CSa{rntre Ariattinrni !field Qix.;rvation 00I - 00IR091
3
Use BLUE or BLACK Ink
For Office Use , , t
.
I Permit
City ~ I
of EaRan
3630 Pilot Knob Road Permit Fee:
~L 1
Eagan MN 55122 I 1
Phone: (651) 675-5675 Date Received: I
Fax: (651) 675-5694 I
Staff:
j 2011 COMMERCIAL BUILDING' PERMIT APPLICATION
Date: 1 Z . JC Site Address: /J q
Tenant Name: /~,El1d +
r--°-- (Tenant is. New/
Existing) Suite
Former Tenant:
PROPERTY OWNER Name:. ]C"~
Phone: 952 83f tscy2
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK ' Description of work: y-- f
Construction Cost:
a f
CONTRACTOR Name:.
~,j License ;rte(
Address: _ 1931
I / City:
State: - Zip: Phone: / Z
Contact: / Email:
i 1
ARCHITECT/ Name: Registration ENGINEER
r
Address: City:
State:
J-j
Zip: Phone:
Contact Person: Email: i'rL~ln%O R~
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are `considered to be public information., Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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. a ecall.or
I hereby acknowledge that this information is complete ano 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
ermit; that the work will be in accordance with the approved plan in the case of work whierree `e s a review and approval of plans.
X
Applicants Printed Namee x
Applican ' ign~ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation 7 Commercial Facility _ Accessory Building
_ Apartments 7 Commercial / Industrial _ Exterior Alteration-Apartments
Lodging - Greenhouse /Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New - Interior Improvement Siding - Demolish Building'
Addition _/Exterior Improvement Reroof Demolish Interior
Alteration 1/ Repair T Windows _ Demolish Foundation
Replace Water Damage Fire Repair Retaining Wall
Salon Owner Change *Demolition of entire building- give PCA handout to applicant
DESCRIPTION 064'
Valuation/ Occupancy ~•Z MCES System A/A-
Plan Review Code Edition 2001 MSU- SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units 'Z Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V• Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) -y Final / C.O. Required
--V~Footings (Addition) Final / No C.O. Required
V Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
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: /
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: '~~"~G• , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 30q • ?s Water Quality
Surcharge ~1 • ew Water Supply & Storage (WAC)
Plan Review ? 7. Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication ,F~ 39~v
Water Quality TOTAL
Page 2 of 3
'r
Use BLUS or BLACK Ink
For Office Use
41 My Ealan I Permit ~L9 ~ I
1 Permit Fee: 07 G/
3830 Pilot Knob Road 1
Eagan MN 55122
Phone: (651) 675-5675 I Date Received: r 1
Fax: (651) 675-5694 I Staff: 1
- - - - - - - - - - - - - - - -
2012 COMMERCIAL BUILDING PERMIT APPLICATION
6v
Date: (2- j%-'Z:O I_ Site Address:
Tenant Name: INA t~ AT i~ IAr~rzz iu°~C (Tenant is: New / Existing) Suite
M1 ~ Q
s ~7 Former Tenant: _AJA
b
Z - ~ ~ -BOO 't
Name: "'7-/6%L'L. AJV MIr7yif 64, Phone: 015
PROPERTY OWNER Address / City / Zip: S z 15 C-81" 10o
i Applicant is: Owner 3`1
X Contractor
~C. PS 4-n A.-J eA I.S
TYPE OF WORK Description of work: t„ao /Vt'w $NAqf3 NL W
~ t
r'7-n~~, , Inc >
LLL
Construction Cost:
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Name: ~ 0C 4 004 C c3 t ck va`r[~i License AJ /A b~'NGCA
y
CONTRACTOR Address: 36SC;, ~~NiuAp -tS c,~ City: ~~~1 ✓vlys. ~
~
State:~~ Zip: 5 C y t.('7 Phone: a3 J 1- cl 5 3
ca?
1
Contact: i,, jC Qe'rAJa_1.,g Email: J'c tir' c- R x"c" k v
Name: ~TC d ~ecr t-v~ C~,~/~LSA 1T t l~~ Registration
ARCHITECT/ ' Address: Clot klvnit\ _"i-~4- Si+%e ZZOCity:
ENGINEER
State: el) Zip: S 5 N O 1 Phone: 61 Z' 1 34~ 9 0
'i
I ~1
Contact Person: AATY'r ~1✓1f~)P/i1i r Email: rduam r -Conn
Licensed plumber installing new sewer/water service: L/A
Phone M
n.~ omrt_,..,.. KF ~ _ _ ~ ~ ~ . ~e
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
1 conclude that they 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.gor>herstateonecall.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 requires a review and approval of plans.
X_ r./c> L, a S x
Applicant's Printed Name Applic is gnature
Page 1 of 3
v~ DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Public Facility _ Exterior Alteration-Apartments
Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial
✓Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
AZ New _ Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
VAIteration 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 _ _ Occupancy MCES System F
Plan eview Code Edition SAC Units ~~d.+?
(25% 100 / ) Zoning City Water
Cens s Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings - Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) VZFinal / No C.O. Required
Foundation Other:
Drain Tile / Pool: Footings -Air/Gas Tests -Final
Roof: -Decking Insulation/ -Ice & Water ~ Final Siding: -Stucco Lath -Stone Lath -Brick
r0 Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: V /Yes No
Reviewed By: L , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee ~2 -7--',Water Quality
Surcharge Water Supply & Storage (WAC)
Plan Reviews '-Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL
Page 2 of 3
11.0`
City of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
>f- CO\ "oar 1 14ncu'ew
CvecCii Cc ver,-.
(P1(Z.S22-'3gcc
Use BLUE or BLACK Ink
For Office Use
Permit #: _
Permit Fee:
Date Receved:
Staff
2013 MECHANICAL PERMIT APPLICATION
❑ PIe a submit two (2) sets of plans with all commercial applications. I7
Date: , I. 13 Site Address: .3S ,,_)O 752 �QQ
\t a \-kyo.DQ-
Tenant: Suite $f;
Resident/OwnerName:
0( a.n DVptfriL fin Phone: r_.3�
Address I City / Zip: 07 ' 0 1 / .. (z i t i ` tom h 'eN 1� 4
Contractor
Name: _ j LL 61,04 ChA/2/ l;7/ License #:
Address:4.534°1 I \l 2'" 5+ City: 1140S.State:
ha Zip: ,5-).14/ Z Phone: (Al2. 5ZZ • 3�I9q•
Contact: �ar-N Email:
Type of Work
— New�-,R/eplacement Additional Alteration Demolition/
,_ _
Description of work: 061 -en di . Shi'4 V
/Y(Q4a l 4-13" ,h -t -ADM -0I'I
NOTE; Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
—Furnace
COMMERCIAL
New Construction Interior Improvement
—Air Conditioner
_
Piping Processed
—Air Exchanger
—Install —
Gas Exterior HVAC Unit
_ Heat Pump
_
Under/Aboveground Tank (_Install /
___, other
— _Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit (includes 55.00
$5.00 State Surcharge)
State Surcharge)
= S TOTAL PEE
$100.00 Residential New (Includes
COMMERCIAL FEES
$55.00 Permit Fee Minimum
contract Value $ Ll(n) et) x .01
= S (0Q.°3 Permit Fee
570.00 Underground tank Installatlonlremoval
if contract value is LESS than $10,010, Surcharge $5.00
"If contract value is GREATER than 510.010. Surcharge = Contract
'"If the project valuation Is over S1 million. please call for SurchargeCps.
- S 5. CO Surcharge'
Value x 50.0005
cp
TOTAL FEE
I hereby acknoviedge that this information is complete and accurate, that the work will be in confo
Eagan, that I understand this is not a permit, but only an application for a permit, and work is not to sta
with tn approved plan in the case of work which requires a review and approval of plans.
x4l � Yo-/h�
Applicant' Printed Name
FOR OFFICE USE
Required Inspections:
x
ance with the ordinances and codes of the City of
without a permit; that thework will be in accordance
Applicant's mature
Reviewed By:
Underground Rough In _Air Test Gds Service Test In floor Heat
A
leiCilyofEaQail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
FaX (651) 675-5694
oraGor
.5aa Nog,
Use BLUE or BLACK Ink
For Office Use
Permit #, 12-Z°
Permit Fee:
date Received' 1 3
Starr:
2013 COMMERCIAL PLUMBING PERMIT APPLICATION
El Please submit two (2) sets of plans with all ercial applications. �,, V I
Date: () . I •' 3 Site Address: k_35/3 1 �� \ cxr -&Q-
Tenant:
Suite #:
Owner
Name: kbC 1( J'\ 0-0VPICra-f\brk• Phone: 11193.5Ef •Ci 3 R 3.
ContractorAddress:
Name: _� .
1 i., 1l.- fit - leets License #:
01 N .fine- t.S-1 City: /01°U State: MN Zip: .554412-
Phone: L12 I2 • 522 '3`-/ f•7 Email:
Type Of Work
New X Replacement Repair Rebuild/ Modify Space Work in R.O.W.
— _ _ _
Description of work: e X407,__11!f f11/e,V V
5 e t -f ' 1 'i -/ h j ha -lo pi iri ke
Permit Type
COMMERCIAL
Irrigation System
New Construction Modify Space
_
(_ yes / _ no) (__ RPZ 1_ PVB)
required on irrigation systems
(2" turbo required unless smaller size allowed by Public Works)
• Rain Sensors
• Avg GPM
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter,
Domestic: Size & Type
Avg- GPM High
Flre: 1
demand devices? _Yes _lo Flushometers _Yes _No
COMMERCIAL EESF
$55.00 Permit Fee Minimum
/ '
Contract Value 5 1 J � x .01
=5 O•dd Permit Fee
'If contract value is LESS than S10.010,
—If contract value Is GREATER than $10,010.
"'tithe project valuation is over $1 million,
Surcharge = 55.00 =S 5, CO Surcharge'
Surcharge = Contract Value x $0.0005j/,,
call for Surcharge = 5 (,(/• (1 TOTAL FEE
please
Following fees apply when installing a
Contact the City's Engineering Department. (651)
new fawn irrigation system 5 Water Permit
675-5846, for required fee amounts. $ Treatment Plant
S Water Supply & Storage
5 State Surcharge
= 5 TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate: mat the work will be in conform nce 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 n 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 plan
X , 'caGSL rn--hit
App 'cants...printed Name
FOR OFFICE USE
x
Applicant Signature
Approved By: � � Date:
2— r3
Required Inspections: _Under Ground Rough -In Air Test Gas Test Final PRV Required: _ Yes No
Page 1 of 3
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C�t �f Ea �� E ����r#: ,
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� P��,,::=e�: �'U�1- _ ,
3�3A PiEat Knab Road � �
��g�n NIN 55'�Z2 i t�ate Race�ved• �
Phone: (651� 673-3676 , ;
Fax; (6S1j 675-6894 � ,x��: �
�_______ ____.____�
2414 CUtUlO�lIE�2�f/�,L BUIL[3�NCa PERMIT .��PLICATIC3N
oac�:...�,SLZ. l� s��e�aaa��ss: 3�So --� S� „}�A�LANTRA�.�.�AD �
Te�a�tt Nam�._ B ENT I NAL MAa'A ��` �„LT,�" lTenar�t is: ^Jevv 1_x Existsng) Suiie#:�
�arrner�'ena nt:
; tVame:.��T,�-�TAL MA:VAGE��.Q..__.__�__— �'�`ane:9�2 $31 5002
�!'GpBCty' dvV'1�8t' .. Addreas. CiY I?i �i i 1 5 i9�'I�� r t r,
� Y P���� ...�.�T�.._BL. __.��._._,___.._.�
A fiC�nt is: J�vnes � C�nirsr,ior
i]escr6ptior�of work:IvfEW WINDJCAiS ,�'ATIO DOORw
7ype.oi!wor�C —
Constnu�tio�Cost: 7 5, 0 t}4.G C}
: Narcse:�,,,,,,i� A CONS;��„�,,._, License#.
Address; �8033 LINCt�LN TR_,�_,�_ ��sty: NORTH BRAI�CH
�:Oti'�f�C�Ci'::: . .,._...�
_ 5tate:,'.�,N° 7ip: 5 5 0 S,C,,,W �n�ne' 6 i 2 9 C 1 6 2 5 2
_ CrOti�BCt: �a'i°s�sl: fWc��''-t]±.^a:IL�''['T.C1C�K..(''(�j
-.—..�:
Nam�� NA RegEstra#ion#� ______� �
:Arct�itec�lEngineer adc��ess:��___�_,��_....._._.�j�v __
Stat�: Zip� _� ��;one�._
Co�taat Person: ��matl:
l.icensed plumber instal�ing new_sewer/water sarr�rice: F'hane#�
NOT'E:.Plans�nd supportFng ds�cuments tha!yr�u subrnit are cor��id�red tr�ba�ubd�c ia�fbr►a�afJarr. Portlans af
!he fnformatlo�rrray bs c/ass3!'ded-ars na�r-publr'c ef y��a provide speci�`dc reaso»s thst wa�uld perrraff tir� City ta ,
conctuc��t,�at ttrey�are�zrad�s�crsts. � I
CALL ��FC3RE YOU D1G. C�l;Gopher State One Ca!!ar(6B1).�54-0C!02 for�rotection agair:st ur��sr�groun�' utility damage,
CaEI�8 ha�ars b�fare you in;ensi to dig t�receiva�acates af und�raroun�uti��ties. wwvr.�o��erstate�ne�ai�,ora
: hereby ack:�awledge that thls inPmtmati�n is compt�te ana acc�rate; that t#^e worlc vrtll t�s ir, GQIlfUC7t1$�7Ct? W6t�1 ��1E1 4�Cf�1[idi1CBF BCfG1
codes vf tt�e City of Eagan;that i tandecs4as�d this�s nat a p�-�n�t, but�r!iy a� x�pplic�f�on for ra pwrm`st, �n�!tivork �s nt�t tca�t��R withcrJt a
p8rmi;;;h�t the work wil! be in acCpr�arr�e with�he ap�rove�d pia!�?n the cas�e,f work r•�hich requ;res a ravfe�v a�d apps�va6 of piarts.
x 1�rr A� ,�l l'�f� nt �� � r�c.� C�-f�2��-.
Appiicant'� f>rinted Name .` _T AppN `s Signature
�'ag e 1 ns 3
v
FWA CONSTRUCTION, INC.
Commercial Window Replacement & Concrete FqX TRANSMtTTAL
38033 Lincoln Trail
North Branch, Minnesota 55056
r .
.�� �
COMPANY: f ,
. � , �
ATTENTION: . �
DATE� � L
,
SUBJECT:
MESSAGE:
9
�
��oa ,�� �
� �'�� ���✓ll��„�ll�, �'� �� f' l� �� '�
PAGES, INCLUDING THIS COVER SHEET
FROM: FRED AHERNS
OUR PHONE: 612-961-6252
OUR FAX: 651-674-4950
Please call if this fax is not readable.
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Use BLUE or BLACK Ink �,
� ForOfficeUse---^-----� I
' j Permit#: � ����� IL.-�
Clt� of ���aIl � .�;�
� Pertnit Fee: �
3830 Pilot Knob Road '
Eagan MN 55122 - � Date Received: j
Phone:(651)675-5675 I I ,
Fax:(651)675-5694 I Staff: I
�M� �----------------� ,
. �
2015 RrE$I��ii'AL BUILDING PERMIT APPLICATION '
Date:_��l D�]5 Site Address: �l , �a , �$5�'�'3`t�52 ��a��u,►L'{'rtc.e � Unit#: I
Name: �j'eY1��v��.G r"�cq�' Phone: 15�-����S O D z �
Residentl ` �r r� �I
QWng� Address/City/Zip: �Z15 �iv�(x, .��• D��'� G�inCc., MI� ,
Applicant is: Owner �Contractor �',
Type Of Wot'k Description ofwork: .ZNS�� �n�} �r��-v QoecS `�' F'�r^^e
Construction Cost: � 5 ���-$� Multi-Famity Buikiing: (Yes�/No�
� _/� i
Company: �t`�-rGro���, Ti�G � �d I�S'� t 1�►G. Contact: L, pd'+n h�,i v�,� _
Contractor add�ess: (04 S� ����-�' �u.`�� c�ty: Co r�o ra v�
State:_�Zip: ��3 T� Phone: �)Z���I(Z Email: iAi1,t�n k-S� -�
License#: �J A Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 I#yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOT�;Plans and supportir�g docum,etti��at you submit a�cansfrl�red tzt be puSlic informatron. Portians of
the ir+formation may be c/ass�f'ied as nany�ublic�if'yau provide sp�cilrc reas�ns i�rat wouJd p�tit i�C.�ity i�o
conctude N►at th� a�frade secre�s. `,;
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. wnvw.qoqherstateonecal�.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.
Euterior work authorized by a building pertnit issued in accoMance with the Minnesota Stafie Building Code must be completed within 180
days of permit issuance.
x �` A�t�D 1� �6 I�V�C x
Applicant' Printed Name Appticarrt' Signature
Page 1 of 3
' � � ����= �- ��� -�- �����.����.� �.,�,
DO NOT WRITE BELOW THIS LINE ���`ZY�
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) E�cterior Alteration{Multi)
✓Multi _ Deck _ Porch(Screen/GazebolPergola) Misceilaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New �Interior Improvement _ Siding _ Demolish Building�
_ Addition _ Move Building Reroof Demolish Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION f��'��L �'Uum "'"'�7 �u
Valuation ZG�dDo `�' Occupancy R-•L MCES System t�, �
Plan Review o� Code Edition 2oo7N96C. SAC Units
_ Zoning T�• I City Water
Census Code Stories 3 Booster Pump
#of Units Square Feet PRV
#of Buildings � Length Fire Suppression Required
Type of Construction V•A� Width
REQUtRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) FinalJ C.O. Required
. Footings_(Addition)_ _ __ . _ f_FinaI/.NQ�.O._Requi�d __ ___ _ __
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucxo Lath Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock � Radon Control
_-- _ - - ---
ice Walls.. Fir+e Suppr�sion:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �'A�� .Building Inspector
RESIDENTIAL FEES �Z3 .7�
Base Fee 13 ,o0
Surcharge o.op
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL ¢,3(o -7S�
Page 2 of 3
For Office Use
Ø!Ø
Permit#:
E AG A N
(oa L° I
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections c(r7cityofeagan.com L
2018 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 07/19/2018 Site Address: 3850/3852 Ballantrae Road, Eagan, MN 55122
Tenant: Ballantrae Apartments suite#:
❑ Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components
Name: Sentinel Managment Company Phone: 952-831-5002
Property,Owner 5215 Edina Industrial Blvd, Suite 100, Edina MN 55439-3023
Address/City/Zip:
Applicant is: Owner X Contractor
Adding Magnetic door holders at fire stairwells. One Fire Alarm panel for all three address
Type of Work Description of work:
Construction Cost: Estimated Completion Date: 11/30/2018
Name: Armor Security, Inc. License#: TS000070
Contractor
Address: 2601 Stevens Avenue City. Minneapolis
State:
MN Zip: 55408 Phone: 612-8704142
Ginger Hohenstein gin er armorsecurit comContact: Email
New _Remodel
Work Type _Addition / Other: Adding Magnetic door holders at fire stairwells
✓ Alterations
_ E
DESCRIPTION OF WORK: Commercial ✓ Residential Educational
{
FEES Contract Value$5216.67 x.01
$60.00 Permit Fee Minimum
.$ 60 Permit Fee
Surcharge=Contract Value x$0.0005 =$ 2.61 Surcharge"
If the project valuation is over$1 million, please call for Surcharge 62.61
_$ 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
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I hereby apply for a Fire Alarm 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. g
Gin er F. Digitally signed by Ginger F.
Hohenstein
x Ginger F. Hohenstein xHohenstein Date:2018.07.19 14:48:16-05'00'
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: , ----''` Date: 7,-.2.9—kr
Required Inspections: Rough-In Final Fire Alarm Test