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3225 Denmark AveCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3225 Denmark Ave Lot: 2 Block: 2 Addition: Olson Burger PID:10- 54200- 020 -02 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 PERMIT City of Eaan e- Fireplace Construction Type: Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. CHRISTA WEGWART BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 Applicant/Permitee: Signature - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Owner: % Dennis Bauer Postal Credit Union 8499 Tamarack Rd Woodbury MN 55125 Issued By: Signature Building EA086886 10/14/2008 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State 411 City of Eajan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 j P, avo ?l LS p, ? ? L'I T II JUN 1 0 2008 6N?-? scli-W ---------, For Office Use 1 I I I Permit #: I I I Permit Fee: /1/7' ? I (? I ? Date Received: (O ???- I I I Staff: ----------------- I CIAL BUILDING PERMIT APPLICATION 2008 COMMER c1q-11i7l -7 Date: G- to • os Site Address: 3225 DEn,?narzK AvE Tenant Name: T?D-.5,r- G¢EarT UNtc?r (Tenant is: )e New/ . Existing) Suite #: PROPERTY OWNER Name: r F7ncn P.oyEES Camel r QuxaPhone: / 51.-f-TO. :7crx» Address / City / Zip: 84"1°1 T a .? .,e r, 1=CD-f5ug ?i?°Y71 L5 Applicant is: -Owner K Contractor TYPE OF WORK Description of work: Construction Cost: I M8 I S 1o<ooa=" 29$r I1 ?ru+p CONTRACTOR Name:_l "F5 SME F o T-%Z0 loti License#: Address: 1410 Sy• °-j -'-,r City: twdT ?vL_ State: MO Zip: FfJ11? Phone: 05I 4f38 . re;+55 Contact Person: L\r.dr)gs t K1AUf_A4TDv4 ARCHITECT/ Name:(?2r r m,wnoe•r lUF_ T;kst6AJ C-0V UP Registration: 'Zo l l l ENGINEER Address: 100 Po¢tuANfl Ave. f?6. Sr aar-m too City: N)?wtr?G-s?pb?ts State: MQ _Zip: E51e)40 l I-StLIGE? Phone: &A2.3n • 3(654 Contact Person: QA. irn V..)t rE ILL cf? LkI1 jq? h11 1' L?7/v 3 - 3a - T? l G eilwa ervice: 1? inq w Licensed plu r ial Sys ?- v considered to be public information. Portions of NOTE: Plans arid supporting documents that you submit are the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wil be in accordance with the approved plan in the case of work which requires a review and approval of plans. x >r-`Np2Ew op";C' +Tbwl X Applicant's Printed Name AppB ant's Signature ea ? 7 r Acr Cl Page 1 of 3 np DO NOT WRITE BELOW THIS LINE SUB TYPES: RK Foundation ? Apartments ? Lodging ? Miscellaneous WORK TYPES: la' New ? Addition ? Alteration ? Replacement ? Public Facility ? Accessory Building ? Commercial / Industrial ? Ext. Alteration-Apartments ? Greenhouse ? Ext. Alteration-Commercial ? Antennae ? Ext. Aiteratton-Public Facility ? Nall Salon ? Interior Improvement ? Siding ? Demolish Building' ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Demolish Foundation ? Windows ? Water Damage . Demolition (entire building) - give PCA handout to applicant Valuation ' X0,060 Plan Review (25%_ 100% Census Code # of Units # of Buildings / Type of Const. V REQUIRED INSPECTIONS Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: _ Decking _ Insulation _ Final _ IceiWater Framing Fireplace:_R.I. _AirTest -Final Insulation R ZW7 SBG 3700 MCES System SAC Units Ctty Water Booster Pump PRV Fire Sprinlders N£? vr- Sheetrock Meter Size: _ Final/C.O. Final/No C.O. _ HVAC _ Other Pool: -Footings -Air/Gas Tests -Final _ Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes Reviewed By: C W41 . Building Inspector --------------------------------------------------------------------------------- COMMERCIAL FEES: Base Fee ?` vO Surcharge Plan Review 1? f0? SAC-MCES /B L S, a.a+ SAC-City SM Permit IOV.a+i Financial Guarantee S/W Surcharge O. re-, Storm Sewer Trunk Treatment Plant 010. a4.1 Sewer Lateral Treatment Plant (Irrigation) 410. M Street Park Dedication 'f IF N Water Lateral Trail Dedication /, fG . 04 Other Water Quality Water Supply & Storage (WAC) Total -No Reviewed By: P,rm b Planning 7t 5,06 La bSeA,Pav(?- Sewer Trunk Water Trunk ? 9 Page 2 of 3 Jy Metropolitan Council u Environmental Services July 1, 2008 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Postal Credit Union to be located at 3225 Denmark Avenue within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Office 2341 sq. ft. @ 2400 sq. ft./SAC Unit 0.98 or 1 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1378. Sincerely, Jessie Nye SAC Coordinator Environmental Services Division JN:kb: 080701133 cc: File, MCES Peggy Fleck, Eagan JUL 0 2 2008 Andrew Naughton, James Steele Construction rmw.metrocouncil org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 Fax (651) 602-1477 TTY (651) 291-0904 Nr Equa! Opportaviy EmPloryer City of Ealan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 JUL 1 2008 2008 COMMERCIAL BUILDING PERMIT (5LD(,EMIT of jL`?) -------.- --, For Office Use (? I I Permit#:s I I Permit Fee: I Date Recei ed: ?? S d Staff I C i1Z7V APPLICATION Datej tlt_Y 1q , 24,55 Site Address: ,3225 CV-,j t AvE Tenant Name: ?srsaL C-01 ,^r (_ )#. =14 (Tenant is: ?ew / Existing) Suite #: PROPERTY OWNER Name: !Es-, r n, -r Ujj> NPhone: ( I. ?.8?1 1"7 Address/City/Zip: &A99 anv rrcc,? V=im, c,.'bor ,rzyy Mr1 5517 Applicant is: - Owner ? Contractor TYPE OF WORK Description of work: APPkbX. 3 50x:? sF r4ew cgc-0,r tiwiloN - Pau&nkw4& on?4l" r ?uNAA'rlls*+, F'OO TPY S, tTrt? Construction Cost 4050reoo - / 01000 = s i Vwoschp .,ce ?kc u ,a CONTRACTOR Name: -JAM05 5reE CC5"51924->cxtou License #: Address: 1.416 SyLVM., ST City: Sr_ mix- State: KA KI Zip: SS'l l Phone: 051 Ae (o-+-W Contact Person: At'jo2e-w ra0 ARCHITECT / Name: 60Lr --0aoV 1 vc tc?e t 6;b P Registration #: ?A 11 l ENGINEER Address: /oo rj r) t ur> Sn5TE IC)O City: Mran.lcapo?rS State:MiQ Zip: f540l Phone: 612. 352. 3LS4 ContactPerson: C7o yr ? 1. ?t lT Licensed plumber installing new sewer/water service:JULI N Ja..SOrJ CCry" Phone #: -7 (o3. 37,3 .2900 NOTE., Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x?lw>r7 X t I?M_]?n tTOnl Applicant's Printed Name Applicant's Signature Page 1 of 3 al ?t DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Building ? Apartments >( Commercial / industrial ? Ext. Alteration-Apartments ? Lodging ? Greenhouse ? Ext. Alteration-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon WORK TYPES: X New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage • Demolition (entire building)-give PCA handout to applicant DESCRIPTION- ? ? Valuation 020, Coo u. Occupancy MCES System Plan Review ? Code Edition U07 MS f , SAC Units PA ro (25% 1000/6 Zoning City Water ? Census Code Stories Booster Pump # of Units Square Feet .3i0 PRV # of Buildings Length Fire Sprinklers Type of Const. V- Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) ? Final/C.O. _ Footings (addition) FIna1/No C.O. _ Foundation HVAC _ Drain Tile Other: _ ? Roof: _ Decking _ Insulation _ Final _ Ice/Water Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows /Insulation Retaining Wall ? Final C/O Inspection: Schedule Fire Marshal to be present. Yes -No Reviewed By: C l? Building Inspector Reviewed By: PIP Planning COMMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAC-City SAW Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) 61036.75- + Ali_ 07VE=f_ fEIE?s Ale_A?al PAD `JO . oU tV f7W 7-T1& )/F llT 3 wit ?3.8y Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Sewer Trunk Water Lateral Other Water Trunk Total ? /e, ?Jlkg, i/ Page 2 of 3 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651)675.5694 For Office U ----j--__--j - Permit #: T?Le I l l.r Permd Fee: N?D I Date Received: ? I I I Stag: 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: < Sae Address: _9n:,,5 1 ?x??lAY4 Qh 44k Tenant: y?05 d CiR?•D/? IJU/O r?/ ,?'?,.' ?,/ ?.? Suite #: PROPERTY Name' c' t i Jc ? OWNER CONTRACTOR Name:f/if/jTrt? Wit[>ss /01AWli[?.Lttice. #: 60 4 9 ?,f Sf'S 9t NF City: _. g.4.a.1" Er State: ? Zp: ?u of z/ Address: / Phone-Aaz 9LtSO Contact Person: C6 TYPE OF V-' New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R-O.W. WORK Description of work: PERMIT TYPE COMMERCIAL i fy Space New Con uctlon _ Mod - Irrigation System C_AfFes / _ no) (_ RPZ PVB) • Rain sensorsr?pfired on irrigation systems • Avg. GPM /=J? (2" turbo required unless smaller size allowed by Public Works) 75- 6 to verity that tests passed prior to picking up meter. Meters Call (651) 6 > Domestic: Size & Type/ oG Fire: Size & Price 314" meter 183.00 Avg. GPM ,f,`_ High demand devices? _Yes "o Rushometers[-,Yes No COMMERCIAL FEES: $50.50 Minimum Includes State Surcharge) OR contract Value x1% = $. .51-e -0- Permit Fee Required on ALL new buildings and boulevard Irrigation systems 4 = $ /-5-3 - Radio Meter Read - If Permit Fee is fees Man $1,000. surcharge is $50 = $ 5?06 Meter(s) - If Permit Fgff is > $1,000, surcharge increases by $.50 for each $1,000 Dc, state surcharge $1,000 Pernh Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). Following fees apply when installing a new lawn Irrigation system. $ Water Permit Call the City's Engineanng Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ r I hereby acknowledge that this information is complete and accurate; that the work wit be in comormance wren I understand this is not a permit, but only an application for a penna, and work is not to start whhoul16permtt: tl plan in the case of work which requires a review and approval of plans. Xa94 ,V-- Applicant's Printed Name Applican S n FOR OFFICE USE Approved By: _ Required Inspections: Under Ground Rough-In /Air Test PRY Required: _ Yes -No ? I C I I :\r? l V\ I ?S IJ v ? I I SEP 0 4 20Q8 I ano cones w me t ny w magan, nwr I be in accordance wdh the approved m l Gas Test JFinal Page 1 of 3 City of Eapn 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.5694 -----------------, For Office Use I D? , I J 1 SFP 0 4 zon Pend#: ??1E ?1? ? Permit Fee: L/f%d - ? 1 I I 1 Date Received: g_ / 1 I Staff: C _ f° J 2008 MECHANICAL PERMIT APPLICATION Date: site Address: .V??maR? J rG Tenant: PO S ¢h eQ : T fid Suite RESIDENT / OWNER Name: /IJiD? Phone: Address / City / Zip: CONTRACTOR ^IQ'? Name: I Jij if O S 7-4 e#602&4? n a a p: 6 O 4/-!F o w A g Address:,5 21 gv Y City: egA4e'a2 g State Zip: ",I/ y ?BrJ -F'030 ?R ??? r P erson: Contact Phone TYPE OF WORK _kZNew -Replacement -Additional -Alteration Demolition Description of work; i? NOTE: Both root mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector or one of the Planners for information on permitted screens methods. RESIDENTIAL % COMMERCIAL 1 PERMIT TYPE 100. Construction _ Interior improvement ?1- Furnace Air Conditioner ? nstall Piping _ Processed Exterior HVAC Unit Gas Air Exchanger H P _ _ HVAC units must be screened eat ump Under / Above ground Tank (_ Install / _ Remove) Otter " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge) $ -TOTAL FEE COMMERCIAL FEES: o $70.50 Underground tank installation/removal OR Contract value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - ff Permit ? is less than $1,000, surcharge is $.50. D State surcharge -5 $ , e - If Permit Fee is> $1,000, surcharge increases by $50 for each = $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE 1 hereby acknowledge that this information is complele and accurate; mat tree wom mij min comor,amx mu, um ulw,w, wr ? ,..o....r ... ?ona•. I understand this is not a permit, but only an application for a permit, and work is not to start without a permit amt the wo 'll he in accordance wvth the approved plan in the rase of work which requires a review and approval of plans. X-C `d eq? trf??dQTlP/C ?' x Ly/- 7 a lure Applicam'e Pirinted Name Ic ^ FOR OFFICE USE Reviewed Date: Required Inspections: -Under Ground Rough In -Air Test Gas Service Test -In-floor Heat City of Earn DATE: TO: ENGINEERING DEPT 3830 PILOT KNOB RD EAGAN MN 55122 FROM: -J Z RE: -bPCG f ITEM(S): DESCRIPTION: ? fl;l?rla k )IS PURPOSE: REMARKS: Review & Return Return/Reply To Sender Other ( remarks) ?G,pC G:FORMS/Cransmittal As Requested For Your Information DECLARATION OF COVENENTS This Declaration of Covenants ("Declaration') is made this day by St. Paul Postal Employees Credit Union d/b/a Postal Credit Union, a state chartered credit union under the laws of Minnesota ("Declarant'). Whereas, Declarant is the fee title holder of real property legally described as follows: Lot 2, Block 2, Olson Burger Addition, according to the recorded plat thereof, Dakota County, Minnesota (the "Property"); and Whereas, Declarant and the City of Eagan, a Minnesota municipal corporation ("City") entered into that certain Final Planned Development Agreement dated April 1, 2008, for the development of Lot 2, Block 2, Olson Burger Addition (the "PD Agreement'); and Whereas, Exhibit A of the PD Agreement requires Developer to follow and complete the Landscape Plan & Details prepared by Paul Kangas, MN License No. 26017, dated June 27, 2008 (the "Landscape Plan") to satisfy water quality requirements and to ensure low impact development; and Whereas, Declarant desires to establish covenants regarding maintenance of the infiltration basins; Now, Therefore, Declarant hereby declares as follows: I . Declarant hereby declares that there shall be covenants for maintenance of the infiltration basins within Lot 2, Block 2, Olson Burger Addition attached hereto and depicted on the Landscape Plan attached hereto as Exhibit A. 2. Maintenance of the infiltration basins shall include a monthly inspection and, if necessary, removal of litter and debris, and replacement of mulch, vegetation, and eroded areas to ensure establishment of healthy plant life. It shall also include an annual inspection and certification by a qualified individual that the infiltration basins are functioning in accordance with the approved plans. If, as a result of an inspection by a qualified individual or City staff, the infiltration basins are determined not to be functioning as originally designed and intended, the Developer agrees to restore the infiltration basins to function as designed and intended. The Developer further agrees not to use the infiltration basins for snow storage and to inform its snow removal contractors of this prohibition. 3. The Developer shall be solely responsible for maintenance of the infiltration basins and shall bear all costs of such maintenance. If Developer does not undertake the necessary maintenance within thirty (30) days of notification by the City, or within thirty (30) days provide the City with a schedule for undertaking the necessary maintenance, the City may undertake such maintenance, and the Developer shall reimburse the City for the costs incurred by the City in connection with performing such maintenance within thirty (30) days after receipt of an invoice therefore, and if the Developer does not timely reimburse the City, then the City may recover its costs by levying a special assessment against the Property. The Developer, on behalf of itself and its successors and assigns, hereby acknowledges the benefit of such maintenance to the property and waives any statutory right which it may have to contest any such assessment by the City. 4. Notwithstanding anything herein to the contrary, no amendment, release or termination of any of the provisions of this Declaration shall be effective or may be filed of record unless the City of Eagan consents to the amendment, release or termination. Such consent must be evidenced by a resolution duly approved by the City Council, or successor body, unless the City Attorney for the City approves in writing an alternative format to evidence that consent. Declarant, on behalf of Declarant and its successors and assigns, expressly acknowledges and agrees that the City has no obligation whatsoever to approve or act upon any proposed amendment, release or termination, and may withhold or delay consent for any reason or no reason whatsoever, or may condition consent upon such terms as the City deems desirable, it being the City's absolute right and prerogative to insist that the terms of this Declaration remain in effect and unaltered and to permit amendment, release or termination only at such times and under such circumstances, if any, as the City deems desirable in the exercise of its unfettered discretion. Declarant, on behalf of Declarant and its successors and assigns, further agrees and covenants, consistent with this acknowledgement, not to institute any legal proceedings against the City of Eagan on the grounds that the City failed to respond appropriately to a proposed amendment, release or termination, and to indemnify the City of Eagan against any expense, including litigation costs, which the City incurs as a result of any violation by that party of this covenant. The City may, at any time, give up the right to approval granted hereunder, said action to be evidenced by City Council resolution or other format approved by the City Attorney. Notwithstanding anything herein to the contrary, the infiltration basins shall not be deemed dedicated to the public or otherwise public land, and the City of Eagan shall have no obligation and no right, not otherwise existing, independent of this agreement, under the ordinances, statutes and other laws under which the City operates, to maintain or administer the infiltration basins. 5. The covenants and rights created hereunder shall constitute covenants running with the land. St. Paul Postal Employees Credit Union, d/b/a Postal Credit Union, a state chartered credit union under the laws of Minnesota Dated: /,/??/ do, R (? w(C'`/ V By: TF'oytir?E' S 5 -/W01740W J Its: S Uf -/?71C ?CX?ri ?i 5?ca /7CC?(// STATE OF MINNESOTA ) COUNTY OFJ / I2 C? t m The foregoing instrume t was acknowledged before me thisc?&Aday of 2008, by S'-S th S of St. Paul Posta Employees Credit Union, d/b/a Postal Credit Union, a sta e chartered credit union under the laws of Minnesota, on behalf of the credit union. ;tea Notary lic THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147 Street, Suite 600 Apple Valley, MN 55124 (952) 953-8832 MDK (206-25193) EFleischhaaer LIC - M INNESOTA MMON ,IAN.3 , 2010 rJ. G:PROJECT AND CONTRACT INFO/08-11P-FHnEltraBon Bade Areenamt 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule • Soils Report (1) • Meter size must be established 1 1 l 1 1 1 • SAC determination -call 651-602-1 000 f7d.` • Architectural Plans (2) sets • Architectural Plans (2) sets • Structural Plans (2) • Code Analysis (1) • Civil Plans (2) • Project Specs (1) • Landscaping Plans (2) • Key Plan (1) • Code Analysis (1) "" • Master Exit Plan (1) • Certificate of Survey (1) • Energy Calculations (1) not always" • Spec. Insp. & Testing Schedule (1) "" • Elec. Power & Lighting Form (1) not always- • Meter size must be established • Meter size must be established-if applicable • Project Specs (1) • Energy Calculations (1) " 4 • Electric Power & Lighting Form (1) " I • Master Exit Plan (1) d • Emergency Response Site Plan (1) • Soils Report (1) d • SAC detennination -call 651-602-1 000 • SAC determination -call 651-602-1000 1 I . rno aIV III ouwnmms I I Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date LJ Construction Cost Site Address 323) Ac/-I Unit/Ste # Tenant Name ) l r[ P45 S t Z ? r/ Former Tenant Name /t)0/,)C Description of Wo rk ? o X 3J A? nl? Property Owner nni? \ 1? S l In \ 1 z N Telephone # ((G? )y? t -jj / r ? Contractor Address 3255 1Jl ?d (t? A\.? City ??t[YI State Zip 5?/7 Z Telephone # ((0_9) 2' 33 5 Arch)Engr Registration # Address City F F State Zip Telephone # ( 11 ` ' lLD L APR 15 2005 Li Licensed plumber i nstalling new sewer/water service: Phone #: r,.. I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N4N Statutes; I understand this is not a permit, but only an application for a permit, an work is not to start without a permit; that the work will be in accordance with the approved plan in the case of w r which requires a review and approval of plans. U?Cz-o c Applicant's Printed Name Applicant' Signature Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging X 25 Miscellaneous Tz7vr Wo rk Types X 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement OFFICE USE ONLY ? 26 Public Facility ? 30 Accessory Building ? 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon ?%VO ? 35 Int Improvement ? 38 Demolish (interior) ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 37 Demolish (Bldg)' ? 43 Reroof "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation FIe- F-M Occupancy _ Census Code 32j Zoning _ SAC Units 0 Stories _ Nbr. of Units Sq. Ft. _ Nbr. of Bldgs Length _ Type of Const Width _ Required Inspections Footings (new bldg) Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof _ Ice Pr - Decking Insul _Final Framing Fireplace _ R.I. -Air Test -Final Approved By: Planning Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 70• " MCES System City Water Booster Pump PRV Fire Sprinklered Insulation Final/C.O. Final/No C.O. Other ? 44 Siding ? 45 Fire Repair ? 46 Windows/Doors Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco - Stone Windows Building Inspector 3;ka$ L*n1nAQ4 Ave i)?i ?0 LARSON INSURANCE CLAIM The City Council recently received an e-mail from Candice Larson, 3757 Denmark Trail West, regarding a claim for damages resulting from a sewer back up in her home related to activities at Cascade Bay. On Monday, September 10, Director of Administrative Services VanOverbeke, City Clerk/Administrative Services Coordinator Petersen, LMCIT Property Claims Specialist Carol Kelly, and LMCIT Claims Supervisor Mark Johnson met with Ms. Larson and one of her vendors, Tami Konald. Outstanding issues regarding the claim were discussed, additional explanation about the insurance process was provided, and a final settlement was reached. As of this date, a release has been forwarded to Ms. Larson and she has indicated that she will sign it. Upon return of that document to the LMCIT, a final settlement check will be issued. It appears that in addition to the frustration and inconvenience that is experienced in these unfortunate situations, there were some reasonable misunderstandings involved and obviously, communication could have been better. The necessary modifications have been put in place at Cascade Bay to prevent this sort of occurrence in the future. Staff and LMCIT representatives continue to make every effort to get insurance claims settled in a timely and fair manner for all parties. REQUEST FOR ASSESSMENT DEFERRAL REQUEST State "Green Acres" law permits deferral of property taxes and special assessments for certain agricultural or specialized use property (such as a nursery or a greenhouse). The result of "Green Acres" property tax status is that the property is classified as agricultural and taxed accordingly. Special assessments are deferred with interest until the property is reclassified. When assessments are deferred in this manner, the City assumes the obligation to make bond debt service payments from other taxpayers and/or other revenues. Dakota County is the governmental agency responsible for determining eligibility for Green Acres status and the City has not taken an active role in eligibility determinations other then to occasionally inquire about a particular parcel and its status. City records have been carrying eight parcels with five different owners in Green Acres status with a total of $1,390,522.72 in receivables. Through calls from the property owners, the City has become aware that two of the parcels have lost their Green Acres status and deferred assessments are now due. The first owner, Heide Schicla, 4420 Dodd Road ($46,713.04), appears to be eligible for a Senior Citizen deferment and has been advised that, if she will agree to a reassessment, a Senior Citizen deferment will be processed for consideration by the City Council. Assuming the eligibility criteria are all met, those applications are typically consent actions. The second owner, Carl Olson, 3225 Denmark ($103,724.94), does not meet eligibility requirements for consideration for a Senior Citizen deferment and has written a letter to the Mayor enclosed on page' asking for City Council consideration of a general deferment. It has not been the City's past practice to defer assessments for investors and developers in the situations described by Mr. Olson. However, in the event the City Council desires to have formal consideration of this request, staff is asking for direction to have the matter placed on a City Council Agenda. Staff will inform Mr. Olson either way. Mr. Olson references a pay-off amount of $124,236.54 in his letter; the assessment total is $103,724.94 and ad valorem taxes over which the City has no control total $20,511.60. 3 The property across 35E also under the same ownership with a deferred assessment balance of $24,997.06 does not appear to have been removed from Green Acres status by the County. Enclosed on pages fl__ through l are location maps for the three parcels. NEWSPAPER ARTICLES Enclosed on pages ? I AL tthroughc?O are copies of newspaper articles which recently appeared in local papers. Thomas L. Hedges City Administrator 40" City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ---------, For Office Use I I 37C 0 I Permit I / I j Permit Fee: 50 11 Date Received: I I I Staff: 2008 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 1 G/ 13/f7 V Site Address: 'I 3 7 D e0+ r"Gr k la?61ua ?? N S? Tenant: ?o 4 f (q I if ll ed ; 'F V ?t r'& ?l Suite #: PROPERTY OWNER Name: ?es s -fwl L r e d a V 5 ion Phone: Address/ City/ Zip: Z 1) 4 D e ?1 W a r l< Av[yC-o?paei M N S ?) \l Applicant is: -Owner ? Contractor TYPE OF WORK Description of work: Construction Cost: Estimated Completion Date: CONTRACTOR Name: CUmm f Y ?e _P")rfeh&A License Address:') '75 Ame "a )P 10 ( ?t ta Ci State: A0 Zip: fl.5163 u ty: Phone: lasil- wo Contact Person: FIRE PERMIT TYPE Sprinkler System (# of heads WORK TYPE _XNew n c9N ! V n - Fire Pump _ Addition -Alterations ?WWW'j u OCT 15 2008 Standpipe _ Remodel Other: Other: DESCRIPTION OF WORK: Commercial _ Residential _ Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ )1, 1__ 0 _ x1% _ $ I 1 .0 0 Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. = $ , 5O State Surcharge - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.oo surcharge). $ ) )1 . ' 0 TOTAL FEE FDisplacement Fire Meter - $183.00 $ 43.00 Fire Meter $ ?°I `J • rJ G TOTAL FEE 'Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the rase of work which requires a review and approval of plans. 11 x ,A fore h. r-c;+re" x avj 17 P Applicant's Printed Name Appllgfidklb gnature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Drain Test I Rough In Pump Test Central Station 74- Final Permit Reviewed b-V-U kXI iJI/SL JC9? Date: /C) 1 o? C) 1 0 2008 MECHANICAL PERMIT l ___________I For Office Use I I ryry 7? /? O ?J ? I I Permit If. I ((??;f'??n I Permit Fee: ? 2 I Date Rec 'ved• 1'o ' 0e) I Staff, APPLICATION Date: l1/ f^j o y Site Address: ``i Z 2 b 4F, a 2 kt? V?V (1*) Tenant: '?'o Q 1. C 2Iey I-j' ?? t rp. I-,) Suite #: RESIDENT/OWNER Name: po SEAL LyL-ZV Ir VNtvn?Phone: Address / City / Zip: TJ Z2 S r}C1.? irn A License #: N CONTRACTOR ame: Address: S 1 S 1?\ r.) N '? }? $? ?! b\f ?t W City: ?rr P?JL State_.Zip 5,_54')3 Phone r? t-7- y? L Contact Person-ZyqE:??- "ell it.. TYPE OF WORK cement Additional -Alteration Demolition a New Reepl ? ( :l `1 f k wor : Description o NOTE: Both roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction Interior Improvement Furnace _ Install Piping Processed Air Conditioner _ Air Exchanger Gas Exterior HVAC Unit ' HVAC units must be screened Heat Pump _ Under / Above ground Tank (_ Install ! _ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ `a b too X1% $50.50 Minimum (includes State Surcharge) =$ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - It Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE I hereby acknowiedge that this information is complete and accurate, that the work will be in conformance wnn the ordinances anti codes of the City m Eagan; mar I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Na a Applicant' ignature ^ FOR OFFICE USE r? Reviewed By: Date: 1?1 r 1 f-'= Required Inspections: Under Ground S Rough in jAir Test lGas Service Test -in-floor Heat Final U 4 2008 COMMERCIAL PLUMBING PERMIT Date: Site Address: 2? Tenant: ----------------- I Fri o?(tGt'.?1se I Permit#: 7,'S??0 sI I Permit Fee: t / ` e r) I I I I I I Date Received: I I I Staff: L ---------I PLICATION Suite #: PROPERTY OWNER Name: Phone: CONTRACTOR I N? License#: (%7 r0l City: lf?%i? State/lZip Address. Phone. 76,7s / 0o ' ?0 C ntact Person: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE COMMERCIAL / New Construction _ Modify Space '/ -k/ ,? Irrigation System I yes I no) ( RPZ I PVB) / / - _ _ - se I y Rain nsors required on irrigatio systems x/'SiCI? • Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675 r,,,lll((( -5 64 CC to ve yyy that ilests passed on r to picking L IQ ` , / {{{ ??r // //11 Domestic. Size & Type ??- ?"'?Fi :: Sizmeter 1$ 83.00 Avg. GPM High dem nd devices Yes No Flushometers-Yes _No PRV Required Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% = $ 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 = $ h l CN?r Ll? Metpr(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 - $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge) = $ y J! J State Surcharge Following fees apply when installing a new lawn irrigation system. $ `49? L7 Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. ?$ -0- Treatment Plant A' -$ ' -C- Water Supply & Storage 0 $ 1 nl; 6 State Surcharge TOTAL FEES $ 6'? 0 - G I hereby acknowledge that this information is complete and accurate; that the work will be in conforms is not a permit, but only an application for a permit, and work is not to start without a permit, that the requires a review and approval of plans Applicant's Pl Name ordinances and codes of the City of Eagan, that I understand this in accordance wj;Ohe apVpved plan in the case of work which ?U4 r%YCL?aJ) FOR OFFICE-USE Approved By t Date Required Inspectwns.,?° Under Ground Roush In .r, ?'_ AIC'TsL",ll tGas:Test Final Page 1 of 3 Page 1 of 1 _j Peggy Fleck From: Linda Dralle Sent: Monday, November 03, 2008 3:50 PM To: Barbara Kalstabakken; Connie Edwards; Peggy Fleck; Scott Peterson; Leon Weiland Subject: Irrigation meters We have sized the following irrigation meters: Thanks, Linda lision located at 3425 Washington Dr V Displacement UC do DraIUe c[tu of eagaw - ?ttUL tCes 3419 coochmn ROGld E2eal MN 5,5122 (651) oy5-5200 LdraLLeCc(tUofe,neo .covx //- /y'-1) r Y) ?nL CO i? C /4 0 f r i? '06?IL 11/14/2008 CONTRACTORS MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING PROCEDURE: Jpon completion or work, inspection and tests shall be made by the contractor's representative and witnessed by an owners representative. All defects shall 1e left in service before contractor's personnel finally leave the job. k cisrtff ate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood he owner's representative's signature in no way prejudices any claim for faulty material, poor workmanship, or failure to comply with approving authority's PROPERTY NAME: :Postat'Credit-Union-- JDATE: PROPERTY ADDRESS: 3225 Denmark Avenue ACCEPTED BY APPROVING AUTHORITIES ( NAMES) - City of Eagan PLANS ADDRESS INSTALLATION CONFORMS TO ACCEPTED PLANS EQUIPMENT USED IS APPROVED IF NO, EXPLAIN DEVIATIONS IIIIIIII YES ` YES ? NO NO NSTRUCTIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND DARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO, EXPLAIN - YES [] NO HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES 1 SYSTEM COMPONENTS INSTRUCTIONS 2 CARE AND MAINTENANCE INSTRUCTIONS 3 NFPA 13A YES ' YES ? YES ? YES ? NO . NO NO NO LOCATION OF SYSTEM SUPPLIES BUILDINGS ENTIRE BUILDING DESCRIPTION TYPE MODEL YEAR ORIFICE SIZE TEMPERATURE QUANTITY Rshable Pend G4A 2008 112" 155 De 35 Reliable Upr F1FR 2008 1/2' 155D 4 SPRINKLERS 39 TOTAL PIPE 6 FITTINGS ALL MAIN PIPING (2-172'-0') DYNAFLOW W/GROOVED FITTINGS. ALL LINE PIPING ALLIED XL THREADABLE LIGHTWALL WICAST IRON FITTINGS ALARM VALVE ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION ORFLOW LOCATION TYPE MAKE MODEL MINUTES SECONDS INDICATOR DRY VALVE C O D MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO TIME TO TRIP ^ THROUGH TEST CONNECTION WATER PRESSURE AIR PRESSURE TRIP POINT AIR PRESSURE TIME WATER REACHED TEST OUTLET' ALARM OPERATED PROPERLY MINUTES SECONDS PSI PSI PSI MINUTES SECONDS YES NO DRY PIPE OPERATING WITHOUT DOD TEST WITH COG IF NO, EXPLAIN ^ MEASURED FROM THE TIME THE INSPECTORS TEST CONNECTION IS OPENED OPERATION PNEUMATIC E3 ELECTRIC :3 YDRAULIC PIPING SUPERVISED Q YES Q NO DETECTING MEDIA SUPERVISED Q YES Q NO DELUGE 8 PREATION DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS Q YES Q NO VALVES IS THERE AN ACCESSIBLE FACILITY IN EACH CURCUIT FOR TESTING IF NO EXPLAIN Q YES Q NO MAKE MODEL DOES EACH CURCUIT OPERATE DOES EACH CIRCUIT MAXIMUMTIME TO OPERATE ' SUPERVISION LOSS ALARM OPERATE VALVE RELEASE RELEASE ' YES NO YES NO MINUTES SECONDS I HYDROSTATIC: HYDROSTATIC TEST SHALL BE MAOE AT NOT LESS THAN 200 PSI 113E RARI FOR TWO HOURS OR 5D PSI (34 BAR) ABOVE STATIC PRESSURE IN EXCESS OF 1504S1(10 2 BAR) FOR TWO HOURS DIFFERENTIAL DRY-PIPE VALVE CLAPPERS SHALL BE LEFT OPEN DURING TEST TO TEST PREVENT DAMAGE All ABOVEGROUND PIPING LEAKAGE SHALL BE STOPPED DESCRIPTION PNEUMATIC: ESTABLISH 40 PSI (2 TBAR) AIR PRESSURE AND MEASURE DROP WHICH SHALL NOT EXCEED 1-112 PSI (0.1 BAR) IN 24 HOURS. TESTPRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE AND MEASURE AIR PRESSURE DROP WHICH SHALL NOT EXCEED 1-1/2 PSI (01 BAR) IN 24 HOURS ALL PIPING HYDROSTATICALLY TESTED AT ( 1 PSI FOR HRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED Q YES ENO I?•?. EQUIPMENT OPERATES PROPERLY / ES Q NO ' TESTS DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS. SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATES, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS' W YES Q NO - DRAIN TEST REAPING OF GAUGE LOCATED NEAR WATER SUPPLY TEST PIPE. RESIDUAL PRESSURE WIT VALVE IN TEST PIPE OPEN WIDE STATIC PRESSURE ? PSI - PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFOR CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO 85S Q YES Q NO OTHER EXPLAIN FLUSHED BY INSTALLATER OF UNDERGROUND Q YES Q NO ' SPRINKLER PIPING BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING YES Q NO IF YES.. . DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY 4EMS ONO WITH THE REQUIREMENTS OF AT LEAST AWS DIOS, LEVEL AR-3 WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED 23"VES ONO IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 0109, LEVEL AR-3 • DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A ES Q NO DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER ' WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED. CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS 'YES, Q NO (DISKS) (DISKS) ARE RETRIEVED HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA NAMEPLATES YES Q NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN NAME OF SPRINKLER CONTRACTOR: SUMMIT FIRE PROTECTION SIGNATURES TEST WITNESSED BY FOR P OPERTY OUyNE (SIGN TITLE DATE S 22? UMMIT 11 4 - FOR SPRI LER CON TO (SIGNED) TITLE DATE, r - ?E?z [ u/,ata9r? _ - L C _ i j Use BLUE or BLACK Ink � For Office Use � • , � � G I /► J �5 � Permit#: ��0�� Clt� of �a}J aIl �� a � . � /��= � a � Permit Fee: �v 3830 Pilot Knob Road �� Eagan MN 55122 � I � Date Received: � Phone:(651)675-5675 � I Fax:(651)675-5694 � � � Staff: I �-----------------� 2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: � I� SiteAddress: �� I��m[�� A`(� � �a��Zt Tenant: Suite#: Name: Phone: Address/City/Zip: Applicant is: Owner Contractor � C6 �GC� �5 0�e '/ u � Description of wo : _�_ Construction Cost: � � �� Estimated Completion Date: ', Name:l� � ur�� I� � 1 l 1 � .�1�� License#: � S�ISGZ'?`�..L_ I Address:y� �� ,�'� Y1_.\ l �� i y: S� • `J��u ' State:��Zip:��21p Phone: l�J J�' '--1,l,�j� ��` Contact: � � � �� New Remodel Addition Other: Afterations DESCRIPTION OF WORK: �Commercial Residential Educational FEES Contract Value$Z O � x.01 $55.00 Permit Fee Minimum -$ 22 „ (`�J Permit Fee �If contract value is LESS than$10,010,Surcharge=$5.00 *"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 -$ , � Surcharge* "`"`*If the project valuation is over$1 million, please call for Surcharge _$ � ' TOTAL FEE "Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used 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 BuildinglFire 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. X �� X 4 ApplicanYs Printed Name App ant's Si nature