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3465 Denmark AveINSPECTION RECORD y` CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , I r+ ri I I F; , + + N PERMIT SUBTYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: ., , still 0 114(i MhW (6-HAY CAR IWIVIN INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. I ,ARK'?: S f. W PLOP I Permit No. Permit Holder Date Telephone # ELECTRIC 015* PLUMBING HVAC Inspection Date Insp. FOOTINGS 12- -4-96 M$ L oftijeed G FOUND Xj7/y7 U4 FRAMING 7_7 'g7 m3 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ??1/42 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SITE ADDRESS J?164' &VM(,04 Unit # Permit # L B Sect./Sub. _?? y[_-lg INSPECTION INSPECTOR DATE COM ENTS op <t 0 4 Nr 1.A 49- A.-III .1-x--96 6 " u-G AA. AAA Al t ,? -,';1 -Q6 t.9 -43 -I6 `U _? w L r a ¢ Za**4 J'4P / o fiaA ze- -t3 `SIC s?roop? ak e , 7 /- d ?` -7-3-?7 ?, *##,,A*,gk%?Yta' CITY OF EAGM CASHIER: E DATEI WK/96 i 1r_RM"Im3t_ No! 347 TIMEn 11:1003 NaME:e A L M BL DRS FEW 9001 3465 MMr' RK AV 9, M. E6 r i1_)66 " D ) t1IER IN MANCY -CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 9 2 0 5 Date Issued 11/19/96 SITE ADDRESS: 3465 DENMARK AVE LOT: 1 BLOCK: 1 TOWN CENTRE 70 19TH DESCRIPTION: =' k g tii.: :;e 114 Ek;drt" ,: e'i so x its _ •.a 1 4,400 o?0-327 STORES fgJ ? C Q 4 ? _ wd W, REMARKS: S & W PLBR - FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units. 1 Subtotal c (6-BAY CAR WASH) -1-d'!ill Permit Type COMM. /IND. i,7._ctkt*§ °U, rk Type NEW ..w Cs Dacup???ps, B nstruatioJn yPe V-N ss CSC e VALUATION $1,937.25 $1,259.21 $155.00 $900.00 100 $4,251.46 arr glw 11 be, $310,000 CITY SAC S & W PERMIT S & W SURCHARGE TREATMENT PLANT ROAD UNIT PARK DEDICATION Total Fee $100.00 $100.00 $.50 $396.00 $1,476.30 13.420.00 $9,744.26 CONTRACTOR: OWNER: - RpPiicanL - A L M 28351315 MATTICE CRAIG 2100 BROWN AVE 3656 WOODTHRUSH CT WASECA MN 56093 EAGAN MN 55123 (612)452-2932 k n ?F -i 12 Y a • I hei=e by aelCitowle t, ha? 1tv's r?ad`;:Ytfs ?applatifl ?r:cE s ?haC°.the snfarvmataanis carltgrid ars?pZp tf3 ay t?}11zpble SeCet Mn,- Stati:teS- axr'd:-=city'-o.f tr-ag.an" Orit,rla?Ylce5' °"`'' - ; APPLICANT E E SIGNATURE ISsUED BI SIGNATURL' CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL)r 681-4675 The following are required with appropriate certification for all new construction: 2 each: architectural plans; mech. & also. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & fighting form; Special Inspections &.Testing Schedule Letter from MCANS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with so ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls: occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rateo corridors; plumbing fixtures; and parking. DATE: 1 01.5 q? WORK TYPE: ? NEW REMODEL DESCRIPTION OF WORK: ?) k B ?S.,4 C At2 W A\SH CONSTRUCTION COST: 3 /o' oOp .. TENANT NAME: SITE ADDRESS: 3y ?-?;- -I-) e 551 x3 STREET 91E. wN ccNY?e 70 LOT BLOCK SUBDKo . !.,. c-DxTx oN P.I.D. # PROPERTY Name: 1?PTTi c,C Cfzsala Phone 6!2-+5L' -2-932- OWNER S' FIRST Street Address- X3656 u?oo r?2LA.s" CouIII City: State: t?>v Zip: 55 1:k 3 CONTRACTOR Company: /7 G Phone #: ????3r'l3ir 4jr7-.C441) -0*7 Street Address- - f 0. 130 X /9l 2 too Q/zvwn? AUX. City: ?5- SC4 Zip: 5609'.F ARCHITECT/ Company: M ?-5 Phone #-,5D7-397-CPC51 ENGINEER j Name: combo SURP+2r?yPriit Registration Street Address-3 2 EL-LAM3 IVIC"rPSG712T no. :r3X t4Q6 City: i?l(??1KAi? State: MN. Zip: 56oc31 Sewer & water licensed plumber: I hereby acknowledge that I have read this application and state that the info n is correct and gee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 00 5 1996 Signature of Applicant: ?? T OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 18 CommAnd. WORK TYPE e57,'`31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) ;Ir-u UBC Occupancy Zoning # of Stories 1- Length //Y Depth So ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS <<I IOPP Planning Building w ? 21 Miscellaneous ? 35 Tenant Finish ? 37. Demolition MCNVS System Y, y- City Water Fire Sprinktered ti/P Census Code _ z SAC Code 30 Census Bldg. Census Unit / Engineering Variance Permit Fee Valuation: Surcharge Plan Review MCNVS SAC loop City SAC /00. 00 Water Conn. /V. 4. S/W Permit /Do. do SNV Surcharge .5a Treatment PI. 396.00 Road Unit 4 if 71o.30 Park Ded. 30 , vo Trails Ded. - -' Water Qual. -^ Other -^ Copies Total: 1144- 2 G % SAC SAC Units / Meter Size $ 3 ??? D aO Z, r y 9 = 9Y? 3o yYeO Nh ?? yr A(f ref i (AM -7 Community Development Department Building Inspections Division City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 (612) 681-4675 Fax: 6814694 TO: DALE SCHOEPPNER, SENIOR INSPECTOR DALE WEGLEITNER, FIRE MARSHAL RICK BRADLEY, ELECTRICAL INSPECTOR PAUL OLSON, SUPERITENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT DIANE DOWNS, UTILITY BILLING CLERK MIKE RIDLEY, SENIOR PLANNER ROD JOHNSON, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: (,/.?J/9-) RE: FINAL INSPECTION - (o - ,bay OAr War h The Protective Inspections Division will be performing a final inspection of .?116 ?fnmarlc /-JJe on If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. Senior Inspector WB/js final insp . comm bldgs city of eagan THOMAS EGAN Mayor PATRICIA AWADA BEA BLOMQUIST Au u t 1 1997 SANDRA A MASIN g s , THEODORE WACHTER Council Members THOMAS HEDGES City Administrator KmderCare Real Estate Corp. E J. VAN OVERBEKE 2400 Presidents Drive Qty Clerk Montgomery, AL 36102-2151 RE: Town Centre Car Wash, Lot 1, Block 1 Town Centre 70 19" Addition To whom it may concern: City staff conducted an inspection of the above property on July 31, 1997. The purpose of the inspection was to determine the status of the site improvements and compliance with the approved plans, relative to final inspection for a Certificate of Occupancy. Development of the site appears to have progressed according to the approved plans. However, as of the date of the inspection, the following items remain incomplete: a. Landscaping - The installation of landscaping has not been completed. Signage - The signage has not been'completed. C. Parking lot - The parking lot pavement has not been installed or striped.. These items should be completed by October 31, 1997. A follow-up inspection will be done on or after that date. Please send us a written response confirming your receipt of this letter and your intent to complete the above items in the specified time frame. Your cooperation in this matter is appreciated. If you have any questions, please do not hesitate to call me at 681-4698. Sincerely, J Ile Farnham Planner cc: -Building Project File MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY EAG 3830 PILOT N ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY EA3501 GCOACHMAN POINT EAGAN, MINNESOTA 5512?- 1 897 EAGAN MINNESOTA 55122 PHONE (612) 681-4000 PhONF (612) 681-4300 FAX (612) o81 1.6 1? Equal Opportunity/Affirmative Action Employer FAX (612) 681-4360 TDD (612) 454$535 FDD (612) 454-9535 J DeMarre, Havens & MatzdM 340 Airport Road ¦ South St. Paul, MN 55075 (612) 457-9662 ¦ Fax (612) 457-0864 28 October, 1996 Vgtc&S Mr. Joe$eelf City of Eagan Joe: Attached is the drawing of the tank layout for the reclaim system to be installed at Eagan Town Centre Car Wash. The system operates as follows: Wash water from the car wash is collected in pits in the bay. The respective pits are manifolded together and discharged into an approved flammable waste trap. Water from the trap overflows into "Pit 1", which in turn overflows into "Pit 2" of the system. After appropriate chemical treatment, the water in "Pit 2" is pumped through a filtration plant installed in the equipment room. Treated water is discharged from the filtration system into "Pit 3" 4. Periodic back wash water from the filtration system is returned to `Pit P' The treated water is used to wash vehicles and then is discharged into the in bay trench pits where the process begins anew. The system at Eagan Town Centre Car Wash is designed to operate with no sewer hook-up whatever. The only fresh water introduced to the system will be the result of replenishing that water lost to evaporation and drag-out. If you have any further questions, please call. Thank you for your cooperation. ?;c'kI. DeMarre President DeMarre, Havens & Matzdorff, Inc. s ORS-2460 WASTE WATER RECLAMATION PIT DESIGN 11 LEGEND A WASTEWATER INLET FROM WASH B HIGH LEVEL FLOAT/ALARM -o 1 C LOW LEVEL FLOAT/ALARM D 4" DIA. CROSSOVER PIPE E FRESH WATER REFILL LINE F BACKWASH RETURN LINE FROM FILTER D m T L7 G RO CONCENTRATE RETURN H LINE FROM OZONE GENERATOR I OZONE INJECTION SYSTEM J FEED TO FILTRATION SYSTEM K FEED PUMP TO FILTER L 4" CROSSOVER PIPE N HIGH LEVEL FLOAT/ALARM O LOW LEVEL FLOAT/ALARM P FILTERED WATER RETURN LINE Q FEED LINE TO EQUIPMENT R PUMP TO EQUIPMENT ORS2460.R1 1 N w 3/3 x -o rip] 10/28/96 3465 DENMARK AVENUE EAGAM MN. 55123 Ms. 7ufie Farnham, 452-2932 FAX (612) 452-2932 This letter will confirm That an underground irrigation system will be installed on the premises of Eagan Town Centre Car Wash and that a satisfactory plan must be submitted to the city of Eagan no later than March 1, 1997. Further it has been agreed that the city of Eagan shall have authorization to utilize the escrow fund to complete this project if necessary. Sincerely, /j Craig Mattice ?/L J. r, 14P f & P/667 RE ", CT- ? 3 , , ?C jAr'l Metropolitan Council Working for the Region, Planning for the Future Environmental Services October 22, 1996 Mr. Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voels: The Metropolitan Council Environmental Services Division determined SAC for the\Town Centre Car Washjto be located within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Minimum Charge It is the Council's understanding closed system. All of the water f there is no overflow or discharge System. If you have any questions, that this car wash or the car wash is to the Metropolitan call Jodi Edwards Sincerely, (?/ / ? X -nq?' y 4 Rogexr' W. Janzig / Planner, Municipal services section Wastewater Services Department RWJ:JLE 961022SN cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Bruce Matzdorff, DeMarre Havens & Matzdorff Lc? ti 1.00 is a completely reclaimed, and Disposal at 229-2113. 230 East Fifth Street St. Paul, Minnesota 55101-1633 (612) 222-8423 Fax 229-2183 TDD/TPY 229-3760 An Equ Opport lftj Employer 4 UFO - city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PU811C WWORKS/ENGINEERINGNTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: 10 /1 a/.? (r SUBJECT: PLAN REVIEW The _ preliminary construction plans for are in our plan review section for your review and comment. Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold-request form. ?- Comments: 3f I r° owk1 C=u-FR C 1 1 / ?? ?AaS r %t6s1 ? ? ? .y/ro ar ? l? G641 RI?/'r?S La?6?? Indicate any fees that are to be collected with the building permit: ?6• G?j Amount ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature Iv • a i- f( Date plen-rev.isw 11114196 Ms. Julie Famham Planner City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Julie: The brick to be used on the Town Centre Car Wash is brick type "Wellington EKS M0751" manufactured by OCHS Brick and Tile Company. Sincerely, Craig Mattice - '? C7 VA5 4 ?d " city of eagan b TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS!ENGINEERING/UTILITIESISTREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR CMIKE RIDLEY, SENIOR.PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER SENIOR INSPECTOR DATE: 1Dl l16-lR(f SUBJECT: PLAN REVIEW The _ preliminary construction plans for are in our plan review section for your review and comment. MEMO Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: ( 1 ra o w'JC- C??!"rEcz- ?'5-.z ?s45 rl- i- I -T-z> wm ? GV-- A1Tj;rL -70 LGT" , -bdAJ. Indicate any fees that are to be collected with the building permit: ? Yes No landscape security required ? Yes No water quality dedication IP Yes ?l No park dedication ? Yes ?c yy No trail dedication ? Yes No tree dedication ? Yes ? No Amount ob fi( frytc?w- cal S N' n Z Signature Date NL pwe .ro can r (^u, 4w (?vi "`?--?, u* cal erect r?? sdtd,?v k riv( ?vd1 " . VIAQ Pow {b Ind " f= city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERINGIUTILITIES/STREETS GENE VANOVERSEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: 10 /14;/'? (' SUBJECT: PLAN REVIEW The _ preliminary construction plans for are in our plan review section for your review and comment. MEMO Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the properr""hold -request.form. Comments: l :'-- 1(O °Wkt L?'Jr?2 L?t'+? r.?a45 I- i -10 WNr C?krFGrL -ro 1. 4"+ .40 6A1. Indicate any fees that are to be collected with the building permit: Amount ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Q ;r? ? ^^^^ ?/ Signature Date pt f .r city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS CGENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE sty ?pF,,? N- R OF FORESTRY FROM: ALE SCHOEPPNER SENIOR INSPEC DATE: 10 // 4/R (' SUBJECT: PLAN REVIEW i The - preliminary construction plans for are in our plan review section for your review and comment. Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the properr""hold"-request form. Comments: 4?- 1 /o i o w.yG C)= 1 t z sL ?? r? c ? s r?- &t) Indicate any fees that are to be collected with the building permit: ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No q4T ignature /i- Amount Date pl..r.v few - city of eagan MEMO TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS!ENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER 4R-tGG HOVE, SUPERVISOR OF FORESTRY - FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: 10 /1101 C- SUBJECT: PLAN REVIEW The _ preliminary construction plans for are in our plan review section for your review and comment. Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. if you are requesting that issuance of the building permd be held, please fill out the proper `hold"-request form. Comments: ? - I (. '10 w?/i= C>='`ITt=.rL ?`fi?_ !-I Tp w. !F C->=-NTt!Z -7 O LQT' /4'd KIN. Indicate any fees that are to be collected with the building permit: ? Yes ? No ? Yes ? No ? Yes ? No ? Yes El No ? Yes 2 No landscape security required water quality dedication park dedication trail dedication tree dedication ? Yes ? No Sig a re pkn .w Amount to --l1-q Date "ll, 1%. -?>qx .1 C?otgfp.•a / _ Xd. ak• u - city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERSEKE, FINANCE DIRECTOR RICH SRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: 10 /11;/.? L SUBJECT: PLAN REVIEW The _preliminary ?construction plans for are in our plan review section for your review and comment. Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any problems with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold-request forth. ?- Comments: + ? o ",A 1_1 0DW 2 '70 L4T+ Indicate any fees that are to be collected with the building permit: ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature Amount /D /' Date P'a 0 MEMO pr+aev.ew Permit # 77813 y Receipt #: / /2007 Site Address: 3456 DEMARK AVE Reason For Refund: JOB WAS CANCELLED TYPE OF REFUND Building Permit Base Fee 0801.4085 $ Construction Meter De Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ SAC (MCES) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ 532.00 Water Supply & Storage 6101.4680 $ Copies 0201.4230 $ Total $ 532.00 I declare undgr the penalties of law that this account, claim, or demand is just and that no part of it has been paid. J/]?G` _ July 17, 2007 #G-NATURE DATE SEITZ BROS. P L U M B I N G July 12, 2007 City of Eagan Building Inspections 3830 Pilot Knob Road Eagan, MN 55122 Attn: Peggy RE: Permit Number EA077813 Peggy, We are requesting reimbursement for the cost of one 1%" displacement meter. We returned the meter to the City of Eagan on July 11, 2007 as the job was cancelled. Thank you for your assistance, Troy A. Seitz ?9T0TT?D JUL 1 8 2007 8600 XYLON AVE N 4108 BROOKLYN PARK MN 55445 763-425-6700 PHONE 763-425-6636 FAX Nty of Eagan 630 Pilot Knob Rd agan, MN 55122 i51) 675-5675 'ww.ci.eagan.mn.us PERMIT 41 City of I Permit Type: Permit Number: Date Issued: Plumbing EA077813 05/17/2007 4te Address: 3456 Denmark Ave .ot: Block: Addition: ID: Ise: Town Center Car Wash )escription: .ub Type: Commercial Vork Type: Remodel )escription: Install 1-I/2" Meter and 1-I/2" RPZ Valve 4e ter Si Meter Tvoe Manufacturer Iomments: Final inspection required. S,-ial Nwnbar Remote Number Lin ize Nee Summary: PL - Permit Fee $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 1-1/2" displacement meter $532.00 6101.4509 Total: $582.50 V)%? k:A=? Contractor: - Applicant - Owner: Seitz Brothers 6600 Xylon Ave N 4108 Brooklyn Park, MN 55445 (763) 425-6700 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable f Minnesota Statutes and City of Eagan Ordinances. !r? Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ei.eagan.mn.us PERMIT * itJOH Site Address: 3466 Denmark Ave Lot: Block: Addition: PID: --- Use Town Center Car Wash Permit Type: Permit Number: Date Issued: Plumbing EA077813 05/17/2007 Description: Sub Type: Commercial Work Type: Remodel Description: Install 1-1/2" Meter and 1-1/2" RPZ Valve Meter Size Meter Tvne Manufacturer Scrial Numbcr Remote Number Line Size Comments: Final inspection required. Fee Summary: PL - Permit Fee 1-1/2" meter Total: l $582:50 0801.4087 9001.2195 6101.4509 ?,5???2F h j47 l s51Y?? i- 1-? a - Applicant - I Owner: Seitz Brothers 8600 Xylon Ave N #108 Brooklyn Park, MN 55445 (763) 425-6700 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature 1 issued By: Signature Report Name: City of Eagan Printed: 07/18/2007 Permit Comments Page: 1 Permit Comments EA077813 -1519 Central Pkwy 110 7/18/07 This permit was originally for 3456 Denmark Ave. (Town Center Car Wash). The job fell through so Seitz Bros. returned the meter that was issued on this permit (1 1/2" RPZ Valve) for $532.00. We issued a reimbursement for the meter. We did not reimburse them for the permit fee and state surcharge ($50.50) because they reused this permit for the address listed which was only for the $50.50 (1519 Central Pkwy.) -7 -7? 13 2007 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 X651-675-5675 Date ? / / D / 0 7 ijl M Site Address ,5 v L Ryuuio, Tenant Name T 1. lr CC?k \h)0[(, Former Tenant Name Property O r Telephone'. A 75b5' Contractor Address a J 'City ( tk (?A 1" State OQ Zip S 5 I.I G TA16phone # n (p2;it q2 - (01 0 D INA License N 121P ?M Expires: L -2-0 ,j? The Applicant is Owner Contractor Other Work Type New Bldg _ Mo Space _ Irrigation System"? _ Yes _ No Work in public r-o-w / easement? _RPZ _ PVB: _ New _ Repair/Rebuild _X Replace _ Remove .?r?I R sensors are required on irrigation systems Description of Work S Wt,? I-Nih_ 6 {L' N l_ ' t l l Z- -2- To inquire if Pressure Reducin Valve is required on ne service, call 651-675-5646 Meters -Call 651-675-5646 to verify that hydrostatic, cXtivity, teria tests passed pri or m nicking un meter. Irrigation Size & Type 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" mr eter $174.00 TJomestic Size & Type f Z Includes high demand devices? Yes Ne Flushometers _ Yes No d _ Yes _ No Permit Fee $50 50 minimum (inclVState harge) m Contract Valu e $ x 1% Permit Fee $ Meter(s) Required on all new buildings & boulevard ms $ Radio Meter Read $ e 5--O State Surcharge If permit fee is less than ,000, surcharge is $.50 If permit fee is more than ,000, surcharge is $.50 for each $1,000 owed. ___----- -------- -_------ ___---- __ Following fees apply when installing ew lawn irrigation system $ Water Permit Call the City's Engineering Department, 651-675-5646, for requited fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ J v o1 -? otal Fce I hereby apply for a Comm ial Plumbing Permit and acknowledge that the information is complete and accurate, that thew will be in conformance with me ordinances and codes of M95 City of Eagan and with the plumbing Codes; that I understand this is not a permit, but only an apphcatio for a permit, and work is not to : which requires a review and approval of plans. VZs start without a permit; that the %kork will be in accordance wit U lA vp\p i> f} qt Applicant's Frin rd Name MAY 1 4'2007 ASignature ?- Permit # 77813 3 Receipt #: ! 12007 Site Address: 3456 DEMARK AVE Reason For Refund: JOB WAS CANCELLED TYPE OF REFUND Building Permit Base Fee 0801.4085 $ Construction Meter De Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ SAC (MCES) 9220.2275 S SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ 532.00 Water Supply & Storage 6101.4680 $ Copies 0201.4230 $ Total $ 532.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. c? July 17, 2007 GNATURE DATE Report Name: City of Eagan Printed: 07/18/2007 Permit Comments Page: 1 Permit Comments l snm EA077813 - 1519 Central Pkwy is 7118/07 This permit was originally for3436 Denmark Ave. (Town Center Car Wash). The job fell through so Seitz Bros. returned the meter that was issued on this permit (1 1/2" RPZ Valve) for $532.00. We issued a reimbursement for the meter. We did not reimburse them for the permit fee and state surcharge ($50.50) because they reused this permit for the address listed which was only for the $50.50 (1519 Central Pkwy.) L / BL 1 OFFICE USE ONLY SUED. j!?, 70 /'? RECEIPT II /V 03 RECEIPT DATE 9 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-1675 Please complete for: • all commercial/industrial buildings. • mufti-family buildings when separate permits are IIM required for each dwelling unit • back8ow preventer to be installed in commercial areas or residential boulevards DATE' 9- ? V40Rr-7,4,- K TYPE: Constt X Add-On _ Repair DESCRIPTION OF WORK: '7 1 I ( 4.M.?tiN C . - IS WATER METER REQUIRED? L\ Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes L?, No INSTALLING METER? _ Yes _ No. NEW SERVICE? _ Yes - No WATER FLOW: GPM. Pressure Reducing Valve may be required H installing new service - contact City's Engineering Department at 6814646 FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25 00 or 1% of contract pdWhichever is greater. Minimum State Surcharge of $.50 due on all permits. C-7) CONTRACT PRICE: $_ 9.?? x 1% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 $ WATER PERMIT (new service only) 50.00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: V= $185.00, 2" TURBO = $846.00 = $ PERMIT FEE $ FIGURE SURCHARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT FEE DUE STATE SURCHARGE $ TOTAL $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to amply with all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: -t ?lL->S T??•h TENANT NAME: 1©ce-`' V? 01 E1 J""1"v STE. #: OWNER NAME: INSTALLER NAME TELEPHONEM-S-0D STREET ADDRESS: CITY: A lbA Cy STATE t -) I ?? `? 21P: OFFICE USE ONLY • REVERSE SIDE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE PRV Yes _ No Domestic i. Irrigation ? UTILITY CONNECTION IMPLIES TO NEW SERVICE ONLY) ff Building Inspector Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector If Licensed Plumber does not know GPMs. Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backnow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. If meter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes overthere. D10-citV of eagon Contract No: Project No: 96- C Submittal Date: CITY OF EAGAN SEWER & WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: /c A 616; Substantial Completion of Sewer & Water //??T2GL--COa k//T=/ Date of Occurrence STEP I: PERMISSION TO HOOK UP SANITARY SEWER WATER MAIN - Lines Lamped and Acceptable Properly Chlorinated & Flushed Deflection Mandrel Test Passed Entire System Pressure Tested Manhole Structures Properly Entire System Conductivity Tested Constructed (cstg. & cover, rings, All Valve Boxes Accessible, cone, 1 ft. sections, final rim straight & keyed setting, & build and invert) All Valves Opened or Closed as Approp. Infiltration Test Bacteria test completed SERVICES All Wye Locations confirmed All Curb Boxes Exposed, Set to Proper Grade & Marked w/Fence Post _ Required Service Risers Televised COMMENTS : O L {.?dz'9 f (/rte STEP II: FULL USE PERMIT (OCCUPANCY) - Lines Lamped & Acceptable CB Structures Properly Constructed (cstg & cover, rings, 1 ft. section, invert, final cstg. setting & build, DL-DR correctly set rings & cstg, set in full bed of mortar) Aprons, Dissipators & Rip Rap properly installed COMMENTS: RECOMMENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this considered I recommend that permission to hook up or permission for occupancy be granted as appropriate to the above indications. Signed Project In to Confirmed by: ? ??7 Public Works Department _ Material Tests Checked & Passed (Conc. compressive strength & Air Content, Bitum. Extact & gradation, gravel base gradation). Utility Structures & Lines Clear & Free of Debris & Gravel (Gate Valves keyed) WP5.IS&WPERM.FM ,-_-------------- ? ¢ 2 11 C11 ity of E aka aka Pe mit # 7 C J ? 3830 Pilot Knob Road Permit Fee: j Eagan MN 55122 !?-,2 i Phone: (651) 675-5675 Date Received: j I Fax: (651) 675-5694 Staff: 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 3- 9- Site Address: /)&n S6/2_3 Tenant: s, i (?A", Suite #: PROPERTY 6 ?? ' $LG$- 90/? r Gy Ph one: Y Name: / OWNER CONTRACTOR Namerthland Mechanical Contractor?icense#: 059225-PM 9001 Science Center Dri a New Hope MN 55428 : State: Zip: ?It Add ress: y Phone: 763-544-5100 Contact Person: TYPE OF New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL New Construction _ Modify Space Irrigation System (_ yes / no) ( RPZ / _ PVB) IF Rain sensors required on irrigation systems IF 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: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems _$ 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.a a $1,001-$2,000 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 TOTALFEES$ SOrSo I nereoy acwnowieage mai mis imormanon is cornpiere anu scow ere, wdL p m wum Will UM IF i wi nvn nm,w ..nI ....,..,.._....-- _.., _, __._ 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 requres a review and approval of plans Applicant's Printed Name Applicant's Signature '_` 2` t _ 4"' 53x4+. .'c° :. _-.}" :+, 1• 'J`P , P' ' "'ii4 rz^iz5'. t...> L*'.w te "= FOR f1FFlCE USE ? r}w ? -APPm?ae?. ? Da FtequtraddnspecNans ?_Under E;round Rough•In .AI'r Test 'Gas Test- Final' - = PRV RegUtTed°r Yes ° No ° - - - ayc v Cty For 0'fi e Used G iU Eakan I Permit#: y 34 1 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: j 1 1 Fax: (651) 675-5694 Staff: l W _ 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: 4/~ 2 Tenant: c z c Cr f~ieyr L C-r Suite PROPERTY Name: Zh)w e ct~~ry~' -z f; Phone: j~ci " 9®/Q OWNER CONTRACTOR Na erthland Mechanical ContractorsLicense#: 059225-PM 9001 Science Center Drive New Hope MN 55428 Address: City: State: Zip: Phone: 763-544-5100 Contact Person: TYPE OF _ New _ Replacement - Repair Rebuild - Modify Space - Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL New Construction _ Modify Space irrigation System (_yes / _ no) ( / RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ X11% = $ 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 $ 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. tP _ 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 'Q r For Office U`s 't f n 7 f City Ol njan Permit I J ~i1 I VV I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 , I Phone: (651) 675-5675 1 Date Received: I Fax: (651) 675-5694 I I j Staff: t-----------------1 t- 2009 COMMERCIAL PLUMBING PLUMBING PERMIT APPLICATION Date:.? d ZO _ Site Address: ~t (6 7 /0-en "1e V, /4 yc- Tenant: n" S h` Suite M PROPERTY Name: Phone: OWNER CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF New Replacement ,Repair Rebuild - Modify Space Work in R.O.W. WORK - - Description of work: f! U Q. G L e or V% le C-~<< <k~ PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2° turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up metes Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00 Avg. GPM High demand devices? -Yes No Flushometers 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 _ $ 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 $1,001-$2,000 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 $ 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 0,oyt p .5st ec K 2 x Applicant's Printed Name Applic t' ignature Date: _ r FOR OFFICE USE Approved By: Required Inspections: -Under Ground -Rough-In __Air Test __Gas Test Final PRV Required: Yes _ No Page 1 of 3 Use BLUE or BLACK Ink r For Office U S(v Permit L' s City of Ea Ed11 Permit Fee: 3830 Pilot Knob Road i I Eagan MN 55122 I Date Received: ( I Z - Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: L------------ -----I 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1. % oZ Site Address: v~%6,Sv®~~1/f~A1^~ G r2 , ~4gCt1r/, ~YlA/• ✓51-23 %23, Y Tenant Name: /r7cJn/ CP P2 Car (.c 'f (Tenant is: New / 4---"E'xisting) Suite Former Tenant: Name: Phone: PROPERTY OWNER Address/ City/ Zip: Z~gtA en e Applicant is: '__~Owner Contractor CQY C.J6~~ TYPE OF WORK Description of work: loaf FP'W I P" n, A_ ~-Da~ a+ %t,_lAl `SAP Construction Cost: Name: License CONTRACTOR Address: X -V 076 ' . City: /31}'LS, lyJ~ State: '471kl• Zip: JlS~4 Phone: 41,2_' Contact: P42 Sty~til,Fpati/ Email: U C7(~D Name: Registration ARCHITECT/ Address: City: ENGINEER State: Zip: Phone: Contact Person: Email: 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 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.aopherstateonecall.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. v x 6a,4 2 a, x Applicants Pri ted Name Applicant' i ature Page 1 of 3 U3 Zb9 John A. Dalsin & Son, Inc. 2830 South 20th Avenue Minneapolis, MN 55407 612-729-9334-Office 612-729-9330-Fax E-mail: dales@dalsin.com February 12, 2012 City of Eagan RE: 3465 Denmark roof repair To whom it may concern: On 12-8 and 12-9-12 we repaired the above shingle roof as follows: -Remove shingles, affected wood deck and insulation - remove debris. -Install new batt insulation. -Install new plywood with 10d nail insulation. -Install new shingle felt with roofing nails. -Install new shingles with roofing nails. Please call if we may be of assistance. Respectfully, John A. Dalsin & Son, Inc. 4k 440~~ Dale Swenson Senior Project Manager Invoice John A. Dalsin & Son, Inc. 2830 S. 20'h Avenue Number: 5037 Minneapolis, MN 55407-1298 612-729-9334 - Office r 612-729-9330 - Fax email: inquiries@dalsin.com BILL TO: JOB SITE. MSP Commercial Town Centre Car Wash 401 North Robert Street 3465 Denmark Avenue Suite 225 Eagan, MN 55123-2334 USA Saint Paul, MN 55101 Date: Customer Number: Job Number: Project Manager. 12/15/2011 54519 54942 Dale Swenson Description of Work Completed. j Billing#: Final Work Completed On: 12/09/2011 Repair shingles as needed. We added 3/a" plywood and underlayment as required and replaced shingles. Labor & Materials: 4,200.00 i Total Invoice Amount: $4,200.00 NET DUE ON RECEIPT PLEASE SEND REMITTANCE COPY WITH PAYMENT A finance charge of 1.5% 18% annual rate will be charged on any unpaid balance. .f QUESTIONS? Call (612) 729-9334. Original Invoice . , ' Use BLUE or BI,ACK Ink _� �^ForOffiCeUse w / I • ; P��,�#: 3 ii Clt of �a a� � . �� �-� � � � � Pertna Fee: I 3830 Pqot Knob Road � � Eagan MN 55122 � Date Received: � `/�r � � Phcne: (651) 675-5675 ��'��,�-�a,��...� � I Fax: (651j 675�694 ° �---� I staff: � I ,��1�� � � Li�i� �--------------_� -' � �' 2015 COMMERCIAL BUILDING PERMIT APPLICATION (��� �' � Date: �'/�' ��5 Sita Address: � S�S ��1�Nt tZ..K ��f • Tenant Name:T._�. ��ct2� C„► L�(ist,l (Tenarit Is: New/�Existing) Suite�: Forrner Tenant• � " � � � Name: ��Ec� - l.J ASlI L�-� Phone:�1 Z-��O� C7Gl'2'S PI'OpEf'�",O�W11�f, . Address/Ciiy/Zip: 11�t� �vc�s��Cst�p '�cL.�.► �rtG.p S�l�3 � ' � . Appiicant is: Owner �Contractor e1 Of W, � Description of work: '`Z�fZ,o�4 A 5�-h1�Q�.T S�t�t-�c.�.S fiY�P � ,, ork �� , : � • � Construction Cost: a. o c�c'� . � Name: � �.�A C�sT_�.uc��c�a _License#:T�.- 1e��4'�1'2— . ..�'; :�::�,3:,:�:: ::';.'I.� �'� Address: Isl SlL.V62 LhKE `Fa�11\ ci�y: ��.a '�wc���a ���.Cont'racto�r:'' . ,;� � � State: /l� l N _Zip;S�►�2 Pho�e: �.�t-3 4 0- �S 3(o ; . ,. . . � Contact: 1Ctt.�� 'l.� Email: 1GI,..fG �-/�/✓1A�1(+�t�S•�o t� . Name:_��,�(A Registration#: Architect/,En;ginee�; Adaress: city: . � � � , State: Zip: Phone: � . �. � � Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: �'NOTE:.�PIa��,'and suppo'rting docurnents�that:yo�sub"rni��re�onside.r.'real�o ti`e'.publi,c,info"rmat�on',�:Portions:�'of'�:'; . . ..,.. . '•�the�lnformetion•�ri►ay be<�assffed as.non-putilic rf you provide,'specfic,'reasons:ttiat'wou/d permit,;the�City;to�.��.. . � ' � conclude ti�at;die� .are.fiade:seerefs.;�:.,°,.�.:':• `. � ; . •� '. . CAI.L BEFORE YOU DIG. Call Gopher State One Call at(651)d54�0002 for protection against underground utility damage. Call 46 hou�s before you infend to dig to receive locates of underground utinttes_ www.aopherstateo ecali.ora I hereby acknowledge i�at this information is complete and accurate; that the work wili be in confotmance with �e ordinances and codes of the City of Eagan; that I understand this is not e 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 app�oved plan in the case of work which requires a review and approval of plans. x ���.� �.�. x Applicant's Printed Name Appl�cant's Slgneture Page 9 of 3 . � ( C2� �.rt m�� � � .✓+�` � • DO NOT WRITE B�LOW THIS LINE � � I �I SUB TYPES Foundation Public Facility Exterior Alteration-Apartments Commerelal i Industrlal Accessory Buildi�g _�xterior Alteration-Commercial � Apartments � Grsenhouse/Tent _ EXterlor Alteration-Publlc Facility Miscellaneous Antennae WORK TYPES Now Interior(mprovement 3iding � Demollsh 8uliding* � Addltlon _ Ezterior Improvement � Reroof � Oemolish Interior _ Alteration _ Repair _ Windows _ Demollsh Foundation „ RBplace _ Water Damage _ Flre Repair � Retaining Wall Salon Ownet Change "Demolltlon of entire building-give PCA handout to appllcant DESCRIPTION Valuetlon 4°c3 C Occupancy MCES System Plan Review �l� Code Edition SAC Units (25%_100°h�j Zoning City Wat�r Census Code Stories Booster Pump #of Units Square Feet PRV �of Buildings L�ngth Fire Sprinklers Type Of Construction � Width REQUIRED INSPECTIONS Footings(New Suilding) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) Final!No C.O.Required Foundation Othe�; Drain Tlle Pool: Footings AidGas TesM _Finai ✓Roof•_Decking _Insulation �ce 8 Water �inal Siding:_Stucco Lath _Stone Lath �Brick Framing ^ VI►mdows Fireplace:„_Rough In Air Test _Finai Retaining Wall Insulation Erosion Control Meter Size: Concrete En ance Apron Flnai C/0lnspection: Schedule Fire Marshal to be present: Yes o Reviewed By:[Vl�1,� � . Building Inspector Reviewed By: . Planning COMMERCIAL FEES Base Fee �1���-5� Wate�Quality Surcharge I�..�,aa Water Sampling Fee Plan Review ,_�� Water Supply 8 Storage(WAC) �ur_.Fc cer Storm Sewer Trunk City SAC Sewer Trunk . S&W Permit&Surcharg� Water Trunk Treatment Plant Street Lateral 1'�eatment Plant(Irrlgation) Street Park Dedlcation Water Lateral T�ail Dedlcation Other: � D r���. �5 Water Quality T01'AL Page 2 of 3