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3169 Dodd Rd.4.4 a 10 91 #152755 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 :moo ,? o Dated-/ 05 / 05 Site Address 3169 Dodd Road Unit # Tenant Name Eagle Global Logistics Former Tenant Name Property Owner Eagle Global Logistics (Lee Ellis) Telephone # ( 651 ) 675-4012 Contractor NewMech Companies, Inc. Address 1633 Eustis Street City St. Paul State Minnesota Zip 55108 Telephone # (651 ) 645-0451 License # 005409PM Expires: 12/31/05 The Applicant is - Owner X Contractor Other Work Type _ New Bldg _ Modify Tenant Space X RPZ PVB _ New X Repair/Rebuild _ Replace - Irrigation system Work within public right of-way/easement Yes _ No Rain sensors are required on irrigation systems L4 ? ? ? " Description of Work Rebuild 1 RPZ, Serial #1204532 7 !i? ! 11 1 : I I To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 7 "// Orr S l? it , ." 1 ' u 1005 L Id u meter. lj Meters -Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed rior to Irrigation Size & Type Avg GPM 2" turbo req'd unless smallleer'size:allowy ePlublic Works Fire Size & Price 3/4" displacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes _ No Flushometers - Yes - No PRV Required _ Yes -No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ N/A x 1% _ $ 50.00 Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ 50 State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee Following fees apply only when installing new irrigation system $ Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge ------------------------------------------------------------------------------------------- ---------------------------------------------------------------------- $ 50.50 Total Fee 1 hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. p 'I Richard Poser Applicant's Printed Name Ap'plicant's Signature city of eagan MEMO TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENTIDESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: AUGUST 16, 2001 SUBJECT: FINAL INSPECTION FOR EAGLE GLOBAL LOGISTICS 3169 DODD ROAD ?- LEGAL: LOT 2 BLOCK I EAGAN POINTE The Protective Inspections Division will be performing a final inspection of 3169 Dodd Road on Friday, August 24, 2001. 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. CD/bldg insp/misc/final insp - Comm bldgs I ` CITY USE ONLY PERMIT #: RECEIPT DATE: - - O COMMERCIAL PLUMBING PERMIT APPLICATION CrrYOF EAem 3880 PEIAIT BNOB RD EAGM,1! N 55122 851-6814675 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED p t? oG ?JP ? ',?????k SLR Date: I lo WORK TYPE X New Bldg _ Add-on _ Repair _ RPZ _ PVB Irrigatidn system T^ ' Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works OF WORK To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter -hrrVMMr`-'-Size! c-Type Avg GPM Fire Size & Price yA" dis l?anenrm $149.00 3?y ?t Y-?- Domestic Size & Type )? Does this include high demand devices? _ Yes FLUSHOMETERS -Yes -No Site Address: '3>10 No Avg GPM PRV REQUIRED - Yes - No Tenant Name: , Ion V,? X flv.O'S W46it Was there a previous te?nant in this space? _ Y /S N. If Yes, Name: Installer Name: \ ?} N nn V?Um?(n,,, / Installer Address: City:( Telephone #: (Area Code) Telephone #: ? 1? 't _L (Area Code) State: Imo- Zip Code S FEES Contractprice $ Ljs-ooo x1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 92204509) Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Contract Fee $ 6-IN Meter(s) $ a R . 0 Radio Meter Read $ 1:? 3 _0 State Surcharge $ r.5 [) Total From Reverse New Service $ _ Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. 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 Cit during its normal operational and maintenance activities to the facilities constructed under this permit within City-ptwerty/rigpt--i?'e?esem t. CITY USE ONLY ffi__? REQUIRED INSPECTIONS: U.G. Air Test Gas Test _ Rough 3-z8-a i PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR IRRIGATION SYSTEM Service: - existing (if coming off domestic line) OR - new If "new service" contact Jerry Wobschall, Finance Consultant, to confirm adding, Water Permit & Surcharge $ 50.50 $ Water Supply & Storage $ 860.00 $ Water Treatment Plant Charge $516.00 per SAC unit $ Fees to be added to front side of application $ GENERAL INFORMATION Ci+y of Ear-3i, Can Receipt Lnt?, 7126/01 Time 'ril ced 4: 10: 2Y F'eCeiot iluroher 1J„41 =/'4" 1InE •1ETro N'r:TTOf it :j t'i ly TIC s:Fh lid'^i «u.4i4 1 s°.00 316'+ •'_llD5 f114, lot-al Receipt Acourit OV, Lker IULGRIiLLE • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 9220-4509) • Water meters include copperhom/srainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation cyst $ 727.00 sm commercial turbine*" **must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines is 3-50 1" displacement very Ig tea $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs - -- -- ---uri ations stems /5-100 1-1/2' bldgs 25-64 units $428.00 maximum displacement & ominuous most comet bldgs ) GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines very lg comm bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bidgs $5,711.00 very Ig comet bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and baclctlow preventer, call 651-681-4675. • To arrange for water tum-on, call 651-681-4300. ce; Kris Forster, Maintenance Division Clerical Technician Updated 1101 2000 BUILDING PP-RMIT APPLICATION (COMMERCIAL) Llg CITY OF EAGAN 651-681-4675 o ?aa -Reouirements # 9 ! C' a& L,-c,? 4 Foundation On New Construction Inferior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) •• • Code Analysis (1) " • Civil Plans (2 sets) • Project Specs 0 set) • Project Specs (1) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp, & Testing Schedule •• • Code Analysis (1) •• • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MC/ES - call • SAC determination letter from MCIES - call _ call 651 2:10 r F j? S r'a ? IJ ?i 651-602-1000 Insp & Testing Schedule Spec (1) '• • 651-602-1000 Energy Calculations (1) not aMreys" , , . l •• Project Specs (1) • Elec. Power & Lighting Form (1) not a ways 6 2001 I } MAR 1 +? Energy P r •' . ? &Lighting Form Electric owe (1) u Master Exit Plan • Soils Report (1) 1 Contact Bu ."n ectione tsamp]a Food & have ging facilities: Plan must be submitted to Minnesota Department of Heafth - call 651-215-0700 for details. DATE: 3-15-n1 WORKTYPE: x NEW -.REMODEL CONSTRUCTION COST?3,000,000 DESCRIPTION OF WORK: Construction of new Pre-cast Concrete industrial buildin TENANTNAME: Eagle Global Logistics SUITE: FORMER TENANT NAME: N/A SITEADDRESS: 3169 Dodd Road (EP Bldg A) LOTVBLOCK L SUED z"h-A)' PT- Name:Duke-Weeks Construction Phone#: 9( 52 ) 543-2900 PROPERTY Last First OWNER StreetAddress:1600 Utica Ave. South, #250 CONTRACTOR ARCHITECT/ ENGINEER City Minneapolis Company: Duke-Weeks Construction Phone#: ( 952 Street Address: 1600 Utica Ave. South, #250 City Minneapolis State: MN 10 Ju'5?XG' mo V\ Y"-- ATA Architects Street City Dennis Cronin 543-2900 Zip: 55416 Phone#: ( 513 _) 241-4422 Registration #: 2 6 4 3 9 /dress: 2 Garfield Place, Suite 300 Cincinnati State: Ohio State: M N Zip: 45202 vosor Goa ?? ?g X3(1 Sewer/water licensed plumber (if installing seuverlwater): Photffe #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all app'cab a State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: T t Zip: 5 5416 OFFICE USE ONLY BUILDING PERMIT SUBTYPE X 01 Foundation ? 26 Public Facility ? 32 Ext Alt - Apts. ? 14 Apartments ? 27 Commercial/Industrial ? 34 Ext Alt - Comm. ? 15 Lodging ? 28 Greenhouse ? 35 Ext Alt - PF ? 25 Miscellaneous ? 29 Antennae WORK TYPE ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 44 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 45 Fire Repair ? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 46 Windows/Doors GENERAL INFORMATION Census Code '07 Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units t Length O sq. ft. No. of Bldgs. i Width 20 o sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. 2E 0 0 City City Water UBC Occupancy fg, sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building CA" Engineering Variance VALUATIONA 3 000 i coo Permit Fee 12 2b .'1 < Surcharge l?2 b o , e-v Plan Review gT3?D • (a?j / MC/ES SAC 2'I to 00 % SAC too 04 City SAC o o B-o SAC Units Water Supply & Storage Meter Size S/W Permit to b . qo S/W Surcharge •15-O Treatment Plant I Z, 3 sa . e U Park Dedication 31,161 . 0 r, Trails Dedication 81058.66 Water Quality Other LA<NO sckPw, ? : 5X000. trQ Copies Total I 222. Metropolitan Council it lmproue regional competitiveness in a global economy Environmental Services March 23, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Eagle USA to be located within the City of Eagan. This project should be charged 24 SAC Units, as determined below. SAC Units Charges: Office 20,000 sq. ft. @ 2400 sq. ft./SAC Unit Warehouse 108,000 sq. ft. @ 7000 sq. ft./SAC Unit If you have any questions, call me at 602-1113. Sincerely, ?. Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (425) 01032358 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Brian Smith, Duke Construction w .metrocouncil.org 8.33 15.43 Total Charge: 23.76 or 24 j it M- It AR 2 6 2(101 lam,- ? I Metro Info Line 602-1888 230 East Fifth Street • SL Paul, Minnesota 55 10 1-1626 • (651)602-1005 • F"602-1138 • TN 229-3760 An Eq..[ OppoM ett, Ervplmer CITY USE ONLY PERMIT #: 14 U 1S- RECEIPT DATE: APPROVED BY: 6F 17-7-4-6( , INSPECTOR COMMERCUL M$CR NICAL PIRM1T APPLICATION CITY OF FAem A \ a _ - -. 3630 PILOT KNOB RD f ? ?I Fs4GM, MN 55122 : ( 1 tI 651-661-4675 ?1, J,'?'I Please complete for: all commercial/industrial buildings - J multi-family buildings when separate permits are not required for each dwelling unit DATE: -r1 J - (3I SITE ADDRESS: C)jj le'j OWNER NAME: pt><t? GotnS ?fl,c ?to PHONE #: Q5? 5q3- al -7 4 inrcEA CODE) --"" •'' ?-I?IIMPROVEMENTS ONLY): '-S WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: KC` \i s -e,- A4-0-cu o, vt t CS ADDRESS: -)3 a0 oX?C? 5 PHONE#: 6150- - -'s 22 (AREA CODE) CITY: ST (- p u S Iv ( STATE: ° ZIP: ?.b WORK TYPE: r-?New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: V U K-(7 VL a 5 r `Q/Vl S 0/) FI ?? Q -F(C-- CA 1 .y o IF a gam., When installing/removilig underground tank, call 65? 681-4675 for inspection by Fire Marshal and Plumbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ S3 , X63 ?x 1%= $ J S a (Base Fee) State surcharge a 3o calculate at $.50 for each $1,000 Base Fee TOTAL $? SIGN TURE OF PERT TTEE Updated 1101 CITY USE ONLY PERMIT #: 1? Lon `"l APPROVED BY: ?7 d I D /, INSPECTOR RECEIPT DATE: -I - I - d { COMMMCIAL MECRAMCAL PERMIT APPLICATION CITY OF FAeLAN 3830 PILOT KNOB RD FAGM, MN 5518E 651-6$1-4675 Frl? it JUL 66-Jl i? 7l-' Please complete for: all commercial/industrial buildingsL '- multi-family buildings when separate permits are not required for each dwelling unit DATE: / - 0 SITE ADDRESS: ',/'' t I pO d CA e td, OWNER NAME: )(J k4 Y`-le PHONE p? 5-o7-- #: 5-o7-- S y 3` E 9 0 6 (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): ?41 c? IR G I o F WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y _n N. NAME: INSTALLER: t7 8 fG 1 r`c ADDRESS: Co CO LJG?eC S7r`t? PHONE#: ??02 `/7 / lg?OX (AREA CODE) CITY: Ex C-d S I/d r STATE: 61 /y ZIP: .SS 33/ WORK TYPE: ? New construction Install U.G. Tank Interior Improvement Remove U.G. Tank - Processed Piping Specify Nature . 9- 10 J? 3 - K?G?ST ins JQJc4 nAi (S, When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation =?tminimum fee Contract price: $ Ll d, 600 x 1%= $ 1-160.60 (Base Fee) State surcharge • SO TOTAL $ 900,60 calculate at $.50 for each $1,000 SIGNATURE Updated 1/01 city of eagan PATRICIA. E. AWADA Mayor PAULBAKKEN PEGGY CARLSON CYNDEE FIELDS MEG TILLEY Council Members THOMAS HEDGES City Administrator Municipal Center: 3830 Pilot Knob Road Eagan, MN 55122-1897 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com THELONEOAKTREE The symbol of strength and growth in our community April 2, 2001 Mr Brian Smith Duke Weeks Construction 1600 Utica Avenue So #250 Minneapolis MN 55416 RE: 13169,& 3173 Dodd Road Dear Mr. Smith: On March 20, 2001, I sent a letter advising you of items that need to be submitted to the City prior to receiving approval for a building permit at the above-referenced project. Since that time our Utility Division has informed me that all water mains shall be D.I.P., not PVC, as currently stipulated on the plan. If you have any questions regarding the above requirement, please do not hesitate to contact me at 651-681-4683. Thank you. Sincerely, I?E,?? J. Craig "jNNovaczUyk Building Inspector JCN/js 1. i CITY USE ONLY PEW4T #:'J a RECEIPT DATE: COMMERCIAL PLUMBING PERMIT APPLICATION CITY OFEke" 8680 PILOT K11108 RD EAGM MN S518Y 651-6$1-4675 ?JNCQMPLETE APPLICAWNS WILL NOT BE PROCESSED Date: 1d? 1ZCt1? WORK TYPE _ New Bldg , Add-on _ Repair _ RPZ _ PVB • Irrigation system Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK 14 inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3X'-disylacer nt $149.00 Domestic Size & Type M Does this include high demand devices? -Yes _ No _ FLUSHOMETERS ?G Yes ?_?No PRV REQUIRED - Yes - No Site Address: Was there a previous tenant in this space? Y N. If Yes, Name: Installer Name: \"N r `Urr( 6)s r- V-( Tenant Name: ??U?? ??ty1LtS??? Telephone #: Installer Address: 15-1s- .- S--?` V\ S? City: State: ?11271) Zip Code S; 3 V3 FEES Contract price $ ? low x 1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 92204509) Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at cents per $1,000 contract fee. h rFI C d I Total From Reverse Contract Fee $ so r (1U Meter(s) Radio Meter Read $ State Surcharge OS-0 New Service WJJ p Total $ 9r) - S -0 I hereby edge that have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility 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. SIGNATURE OF P iAIvfIT Jul 9 ?001 CITY USE ONLY u u REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test Rough In R,? Final i-01 PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR (Area Code) Telephone#: 95L 935( 7300 (Area Code) TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: CRAIG NOVACZYK, BUILDING INSPECTOR DATE: MARCH 19, 2001 RE: 3169 DODD RD (EP BLDG A), EAGLE USA LOT 2, BL 1, EAGAN PT The plans are in our plan review section for your review and comment. #25 Please return this form to my attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues 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: hldicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ZONING?_ ? Yes ? No water quality dedication METER SIZE ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature Date CD/FORMS/PLAN REVIE W CRAIG N city of eagan PAFR1CIA E. AWADA Mayor March 20, 2001 PAUL BAKKEN PEGGY0MUSON Mr Brian Smith Duke Weeks Construction C'YNDEE FIELDS 1600 Utica Avenue So #250 MEGT1LLEV Minneapolis MN 55416 Council Mernbers RE: 3169 & 3173 Dodd Road THOMAS HEDGES Dear Mr. Smith: CiryAdmin;srramr We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are Municipal Center: to the 1997 U.B.C. It is our goal that this review will help you in complying with the 3830 Pilot Knob Road applicable codes. Eagan. MN 55122.1897 As indicated on the commercial building permit application, we will need the following items Phone: 651.681.4600 prior to issuing a building permit: Fax: 651,681.4612 • 1 set of energy calculations (heat loss calculations are not acceptable substitute) TDD: 651.454.8535 Letter from MC/WS indicating SAC determination (651-602-1000) Fire protection plan on an 8-1/2" x 11" sheet of paper and a floppy disk in Auto CAD dwg release 14 or dxf release 14. This will assist emergency personnel responding to the site. Maintenance Facility: An example is enclosed. _ 3501 Coachman Point Eagan, MN 55122 If you have any questions regarding the above requirements, please do not hesitate to contact me at 651-681-4683. Thank you. Phone; 651.681.4300 Fax: 651.681.4360 SinCeiely, t _ TDD: 651.454.3535/?//?/??V/j? ?f- J. Craig Novaczyk w ..c;tyofeagan.eorn Building Inspector JCN/j s THE LONE OAKTREE The symbol of strength and growth in our community L I '"`l to Name: Duke-Weeks Constructi Last First COMMERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) secs • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Cade Analysis (1) •" . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not aiways- • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always- • Meter size must be established . Meter size must be established • Meter size must be established - if applicable . Project Specs (1) 1 . Energy Calculations (1) •` 1 1 • Electric Power & Lighting Form (1) •• 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) •' 1 1 Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651.602.1000 call 651-602-1000 Contact building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE 5-11-01 WORKTYPE )(XNEW _ REMODEL CONSTRUCTION COST$ 3 2 4, 0 0 0 SITEADDRESS 3169 Dodd Road (EP Bldg A) TENANTNAME Eagle Global Logistics SUITE# N/A FORMER TENANT NAME None DESCRIPTION OF WORK Interior Office Buildout PROPERTY OWNER Phone#:( 952 1 543-2900 1600 Utica Ave. South, Suite 250 CONTRACTOR ARCHITECT! ENGINEER City Minneapolis Zip 55416 Company Duke-Weeks Construction Phone# ( 952 ) 543-2900 Street 1600 Utica Ave. South, Suite 250 City Minneapolis State M N State M N 7?S ?g ?j 1.L? MAY t 6 2001 Company ATA Architects Phone# -( 51 Name Dennis Cronin Registration # Street Address 2 Garfield Place, Suite 300 City Cincinnati Licensed plumber installing new sewertwater service: Phone #: Zip 45202 I hereby acknowledge that I have read this application, state that the information is cor ct, nd agree to c rfply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Updated 11( State 0 H OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous ? 26 Public Facility X27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 30 Accessory Bldg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ,;R' 35 Tenant Impr (Found) ? ? 42 Demolish 46 Windows/Doors ? 32 Addition ? 36 Move Bldg . ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 1(37 Zoning sq . ft. SAC Code 36 # of Stories / sq . ft. No. of Units 0 - Length 6qO sq . ft. No. of Bldgs. ? Width 200 sq . ft. Const. (Actual) 'E?.v/ Basement sq. ft. MC/ES System os (Allowable) 5A/ First Floor sq. ft. 12S--000 City Water Yes UBC Occupancy S-3/8 sq. ft. - Fire Sprinklered eS MISCELLANEOUS INSPECTIONS ? Gas Service Test $C Heating ? Insulation Plumbing ? Stucco/Stone APPROVALS Planning Building &,G G Engineering Variance VALUATION $ .321 000 Permit Fee aIa'-1y. IS 1 Surcharge Ua .0o Plan Review l? `-16 1 , SO MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total '312-) t, yS CITY USE ONLY PERMIT #: (a ?--? l RECEIPT DATE: COMMERCIAL PLUMBING PERMIT APPLICATION CrrYoF EASAN 3880 PILOT KNOB RD E*GAN, MN $5182 851-881-4875 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: T WORK TYPE '>C New Bldg _ Add-on _ Repair - RPZ _ PVB " Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size rmitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 34' displacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No y? PRV REQUIRED _ Yes _ No FLUSHOMETERS - Yees? -No Site Address: ?6//)(?-2Z,?,CJ Iw Tenant Name: Ea?jl i11 10 ?- ? Telephone #: (Area Codo) Was there a previous tenant in this space? _ Y ?j N.LIf Yes, Name: 2 hnstaller Name: I/t 5c)A, ?.y{I/? ? N(1 Telephone #: Q?,_1,79?320 (Area Code) Installer Address: •J - l,1 y1? City: State: m Zip Code JJ Z? FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ ©. v Meter(s) $ I? .y Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Radio Meter-Readl,, 2 fl- 115 I 14 Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharg?',, $ 50 cents per $1,000 contract fee. ``, 7 u I I P Total From Reverse New Service!' II ?1 $ Total LY- $_ .i-L I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused bythe City during its normal operational and maintenance activities to the facilities constructed under this peT> within City property/right-of-way/easement. SIGNATHR£ O"ERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final BUILDING INSPECTOR PLANS SUBMITTED APPROVED BY: 7 1 2-? r , Cy f~ t Use BLUE or BLACK Ink U ,Q I For Office Use Permit 01 33 My of Eap i - I Permit Fee: ~0&~ 3830 Pilot Knob Road .E <I i L) Eagan MN 55122 1 pate Received: t Phone: (651) 675-5675 I l Fax: (651) 675.5694 t staff. t t 1 L------- -----1 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: Site address: 3 / 6 f Dolop Tenant: e f 7- V4 Suite a Name: Phone: 4 i Address / City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost: Estimated Completion Date: f~ Name, k 7/1.: r /A tr2 C T/ "P t cense ~ 75 l' i s ds d_~ t 1"`_ 0 T Address: q=,~, e• i' ~ City: _ can ><a, AIN 55073 611--2-4 -L- 467e' State: Zip: Phone: Contact: Pr I 'A V0014 t tc%( Email: FIRE. PERMIT TYPE WORK TYPE T Sprinkler System of heads -j ? New _ Addition Fire Pump - Standpipe Alterations ` Remodel Other. Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES] ✓ $60.00 Minimum (includes State Surcharge) OR ContractValue$ -xi% -If the Permit Fee is less than $10,010, surcharge is $ 5.00 57S Permit Fee - if the Permit Fee is } $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,01~0-$ f 1,010 Permit Fee requires a $ 5.50 surcharge) _ $ Surcharge _ $____Go TOTAL FEE 314" Displacement Fire Meter - $231.00 = $ Fire Meter _ $ 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 8uildinolre 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?r?--7r-:--A. V0.Di_zXf144 - . j& 1, - Applicant's Printed Name Applicant's Signature ItW33 a 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,ora I;dR UEFI~E.USE) 's - 1 REQUIRED INSPECTIONS' Hydrostatic.': Flow Alarm Drain'Test Rough. 'In :,TripT antral Ste#lon?,: a) est~ •o l e: . ss ance'' y i t f., r k •t~' ry~`W' i~~btx~ x.~..ati . ..4 t-, ~7 t. `iN: :'ri~4". • ~:JML"°, t ~`-Yr. ':r: <;:i.x;,:t~.s,,. ,m.y .d.,'a^"Wr'•"+•:?ti~ri~wwi'i~r°S>,_,~;~ykV;?~ ' f~ i..°"ai~;,n,,':-i.; n , is af,~', may". .'it. ^S'i •:S' : eft" N a 'f ?„'~'"'•.«"f:: :,per ;:jrr hr} ? : ` ;.d . C. eJ:` :•;'n, , t,.. ~ t^ ~ i. ..7 arm t ft@W "~d.p i. a#e . y .i Sw.: G Y ~1• '''4.$ :3.o- -1~ f.~ i w Use BLUE or BLACK Ink For Office Use I ~ • W Permit#: ~ C I ~ Cit of Ealla b Permit Fee: SV/0 3830 Pilot Knob Road ~i Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 r Staff: 2012 COMMERCIAL 'BUILDING PERMIT APPLICATION I, Date: q _ d q - Z-- Site Address: I i cl Doe[ A QA, Tenant Name: V' ! (Tenant is: New/ Existing) Suite Former Tenant: Name: Pyo Dek f I v 5f- hone: q S d -1 y 7-//yO Address / City / Zip: 101/0c> U,t . x/30F,1; /Ylly SS 3S'~ .k Applicant is: Owner Contractor Description of work: ( OVIC,7 ru G/`; i7 0/l c T 6 iyeC S C Construction Cost: ~o o Name: Toe, ~ .ke %a License Address: I C12co Z vim- Al, 1 !~U City: PI yMoJt1,A r State: Zip: S S /y Phone: W X- - 27 -;(71D, Contact: C iA'~ ~~d %C1 Email: jp~ i e 19 b 4q t . Cbpi✓1 Registration Name: e✓i Address: a6` riak tiel Y G?cUCity: f~l!'!nla~~•3 State: 1 } _Zip: ~S 1~3 Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone 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.ciopherstateonecall.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 inn~ (accordance with the approved plan in the case of work which requires a review and approval of plans. X t Iatn l L'd hL x Applicant's Printed Name Applicant's Signature Page 1 of 3 ~'136 NOT WRITE BELOW THIS LINE 10 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 _ New Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration _ 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 7 A40 Occupancy MCES System Plan Review Code Edition ?&-7F46& SAC Units 146 C4f#Mu&S tN tas& of-otL, lb • (25%_ 100%-k Zoning - City Water ✓ Census Code Stories Booster Pump # of Units Square Feet 12 by PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / 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 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: 6' , Building Inspector Reviewed By: _,Planning COMMERCIAL FEES Base Fee (~7•S~ Water Quality Surcharge 3.50 Water Supply & Storage (WAC) Plan Review C(~• S$ 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 ,p• AA,,.~ Park Dedication Other: 661mrs `t~•66 Trail Dedication Water Quality TOTAL Z>i, ~8 Page 2 of 3 _Use BLUE or BLACK Ink L For Office Ube 40~ Permit City of Eagan I Upf I „ l 3830 Pilot Knob Road Permit FCC: l Eagan MN 55122 i ~~'IZ 1 Phone: (661) 675-5675 Date Received. Fax: (651) 675-5694 I Stalt___ _ _ _ _ _ _ I C LA 1 No 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial) applications. Date: 9 _,tkL HZ Site Address: (~o~ bra i lO~e~l Tenant: suite "`QWNER' Namo: Phone' Name:' SV f hf.15 !71/ n ~~tc~ License If Q 19,W6 S75' CONTRACTOR' Address: 6T 5v, k 101 City. t~~' BSc y' State'/ Zip: Phone- qSd-~(al -0IIy Email: ~t5 ( Ohl<►'~,~splu►~bin~ . Co _ ''TYPq:Or , New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. WORK a ' ►^t:6 C ~ca-+~ ~ o Description of work: r~(ctreci&•~. -1~ e~/ r,- COMMERCIAL New Construction Modify Space Irrigation System yea I X no) RPZ / _ f VB) Rein sensors retivired on irrigabun systems ;;.'PERMIT`;TY,PE Avg. GPM (2° turho required unless Smeller size allowed by Public Works) Meters Call (651) 675-5646 to verity that lasts passed prior lu_pic:king up mgt2r. . Domostlc: Size $ Type Fire: 1 Avg. GPM Nigh demand devices? Yoe No Flushometiam _Yoe No COMMERCIAL FEES: $60.00 Minimum (includes $5,00 State Surcharge) OR Contract Value X1% _ $ Permit Fee Required on ALL new buildings and boulevard irrigation ayatems $ Radio Meter Read $ Meter(s) 'If the project valuation is over $1 million, please call for the State Surcharge State Surcharge' Following foes apply when installing a new lawn irrigation system $ Water Permit Contact me City's Engineeiirig Department, (651) f75-5646, for required fee amounts $ Treatment Plant $ Water Supply R Storage State SufCtiarge _ TOTAL FEE CALL BEFORE YOU DIG, Call Oopher State Ono Call at (651) 464-0002 foe protection against underground utility dariago. Cell 48 hours before yourW~ intend to dig to wceive locates of underground utilities. www.aopb@rstateoneeall era 1 hereby acknowledge that thls Information is complete and accurate: that trio wvrk will ne in conformance with the ofdinances and codes of the City of Cagan; that I understand this ie not 9 permit, but only an application lur a permit, and work is riot to start with t a permit; that the work will t)e in accordnw with the 9pproved plan in the case of wurk which rectulres a review and approve) X_ 015/ '16 / Oe- -4-7 x Applicant's Printed Name Applicant's Signature FOR y 1[i"nm 01 r # ,l f H OFFICE USE'' 4 APRrovs~ 13y. taste n? . Raqulr>adln3pO u Cotis: Unde~:Cround " Fieughln r Alrect~GasTestl"; r101 r .,PRVRognirad„' Yes,No Page 1 of 3 ZiI'd V69S S1.6 TS9;ol 806S T92 2S6 JNIewnld SrlddllINI31S:wood 00:VT 2TO2-t72-d3S Use BLUE or BLACK Ink I S k i For Office Use xu I Permit 72- I City of Eanon I I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 I I Staff: 41W I----------------- 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 10- ff- of Tp Site Address: Tenant: rT Suite Name: Phone: RESIDENT / OWNER Address / City / Zip: s_= f R~~ x- w rm Name: P E~r~ License Lo;"t4 t) 500D Address: 212-10 <<rmin0J Rom City: I CONTRACTOR G 2 ~ r~~, State: \f~~~- 1460 'Paul Zip:\`JJ~IJ Phone: } Contact: (irk Email: 1 t)I(k Q11~[AI'DiY~t (/Y1(4 YlICI~1 • ~AYVI New Replacement Additional `Alteration Demolition TYPE OF WORK Description of work: ~Z b=? i (~l f(:laxk his D)?-r ~Ara n 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. RESIDENTIAL COMMERCIAL _ Furnace _ New Construction Interior Improvement PERMIT TYPE Air Conditioner _ Install Piping _ Processed s j _ Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under/ Above ground Tank Install / _ Remove) a Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value$_ $60.00 Minimum (includes State Surcharge) l 1 • Permit Fee *If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge* IO TOTAL FEE CALL BEFORE YOU DIG. Cali 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.ggpherstateonecall.orp 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 x Applicant's Printed Name A `cant's Sign ure rew FOR OFFICE USE Required Inspections: Reviewed By`. Date:, a 10f- Underground Y Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening _, , �� LC ��s � Use BLUE or BLACK Ink ----------------, � For Office Use I C�t Of�� Y � { 5 � � Permit#: 11�� I � � I I I Permit Fee:�/.,!o ' �� I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � � � Phone:(651)675-5675 Q�.�� Fax:(651)675-5694 � Staff: d1'S � ��J 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: � i� � `T� Site Address:�'�,�� .�`�"�.�� _ ,_..,, . -� Tenant: ,�..�-' T� �` �� < �� Suite#: Property �.- �,.. �- � �"�C;:� Phone:�:��1�� -l�� Owner •'-' Name: '' Name: Commercial Plumbing and Heating, In�. �icense#: PM059469 Contractor ; Address: 24428 Greenway Ave. c�cy: Forest Lake State:�p�Zip: 55025 ' Phone:_651-464-2988 Email:��_�`' � �� `�C_'. �I�C��I ' '�-.l`>�Yl Type Of WOPk —New _Replacement _Repair ►!Rebuild _Modify Space _Work in R.O.W. Description of work: COMMERCIAL _New Construction _Modify Space _Irrigation System�yes/_no)(�RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed orior to pickinct ua meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers Yes No COMMERCIAL FEES Contract Value$ �-'��'�� x.01 $55.00 Permit Fee Minimum �� /� _$ �--...`'� : C }l�� Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ � � �_.��,_� Surcharge" ' '`*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 � J � ***If the project valuation is over$1 million,please call for Surcharge -� �=�� ` �--�`� TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ � ~ TOTAL FEE CALL BEFGRE YOU DIG. Cal!Gopher State�ne Call at(651)454-Od02�or�rotection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans: � X ,r� � � ��,,' �� - �� . -,.� � �V'�-��1 �o� � ` X��(�1�l �L..A ;1I`��t� `f �\��...1 Applicant's Printed Name Applicant's Signature FOR OFFICE USE ' �4pproved By: Date: Required Inspections: _Under Ground , Rough-In _Air Test Gas Test _Final � PRV Requ�retl ,=�'es . t�o Meter Related Items: Meter'Size Ratlio Reatl' Staff: ' Page 1 of 3 CL-/CCI- -• Use BLUE or BLACK Ink For OPermi /41111' f7I5 Clay 01 a� Permit Fee: 1. ' 3830 Pilot Knob Road RECEIVED Eagan MN 55122 Date Received: i;" / 7 Phone: (651)675-5675 Fax: (651)675-5694 MAR 19 2017 Staff: TIME. _, 2017 COMMERCIAL PLUMBING PERMIT APPLICATION Please submit two (2)sets of plans with all commercial applications. Date: 03/28/2017 Site Address: 3169 DODD ROAD Tenant: CEVA Suite#: 100 CEVA 612-338-1696 Name: Phone: 1 Name: BLAYLOCK PLUMBING COMPANY License#: 063200 PM • 7731 4TH AVE S RICHFIELD MN . 55423 Address: City: State: Zip: y;> 612-869-7531 robin bla lockP g'lumbin com Phone: Email: @ y I i ., New Replacement Repair Rebuild ✓ Modify Space Work in R.O.W. ;.p, Description of work: REPLACE 8 LAVS ON EXISTING ROUGH-INS; PULL&RESET BREAK SINK aiie 'y COMMERCIAL New Construction X Modify Space Irrigation System( yes/ no)( RPZ/_PVB) n':= • Rain sensors required on irrigation systems 1 • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) r Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. z Domestic:Size&Type Fire: 1 w0') Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$5,800.00 x.01 $60.00 Permit Fee Minimum =$ 60.00 Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) =$ 2.90 Surcharge Surcharge= Contract Value x$0.0005 =$ 62.90 If the project valuation is over$1 million, please call for Surcharge TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ `Ik`% TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xRichard Blaylock `x : n40,0 �, . � Signature re Applicant's Printed Name Applic nt's Sg ; is vs? •e e'a ed • 3 ® i 8 n#e ® ® ..8 �" < tqr 5 ali B » .... . ,,,._,» , . . Page 1 of 3 16 ! Use BLUE or BLACK Ink For Office Use 1- ' Permit# /City of Eapii C' L Permit Fee: l 3830 Pilot Knob Road Eagan MN 55122 � Phone: (651) 675-5675 Date Received: I Fax: (651) 675-5694 Staff: Y"C 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3/3/17 Site Address: 3169 Dodd Road Tenant Name: Ceva (Tenant is: New/ X Existing) Suite#: 1 00 Former Tenant: XName: Liberty Property Trust Phone: 952-833-5256 Property-Owner 10301 W. 70th Street, Eden Prairie y Address/City/Zip: Applicant is: Owner X Contractor ' ' Description of work• Tenant Remodel Type of Work � : � Construction Cost: $113,930 , Name: Greiner Construction License#: 4.tAddress: � City: p 625 Marquette Avenue, Suite 840 Minneapolis Contractor ,~ MN Zip: 55402 612-225-6917 State: Phone: Kristin Lindstrom klindstrom@greinerconstruction.biz ,.,� ,,t Contact: Email: �, , Plan Force `_ Name: Registration#: 4931 West 35th Street St. Louis Park meer Architect/EngAddress: city: " MN 952-541 -9969 . .,k e-,., State: Zip: Phone: V4 i Contact Person: Weld Ransom Email: weld@planforce.com Licensed plumber installing new sewer/water service: Phone#: NOTE vPians and supporting,docu ents that ou submit ared considered to'be ub`iic information`.Portions®f ;',a ' � �.,,. a , a 4 � rr t rt� � ca a4 � r�'�'� ��`.xa� tF�,s'� ,_�,� .., .�' v .�;'i�.t<2rz �a.;,;. >a::�..:.. � ` �-'`�` the information may belclassif►ed a on p�.ublic;►f rou provi a speci is reasons�that would pyermit h Ci „to 111 , , ,; °,: E. _.,. � �t . conclude that=t ey,,are trade ecrets . .,_4 � . f ° t , 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.00phers.tateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Kristin Lindstrom x �1 Applicants Printed Name Applic is Signatu),)}'\cttTVL , Page 1 of 3 f 6 % Dodd r DO NOT WRITE BELOW THIS LINE /q/1/4D____ SUB TYPES foundation Public Facility Exterior Alteration—Apartments ✓` Commercial I Industrial Accessory Building _ Exterior Alteration—Commercial Apartments _ Greenhouse I Tent _ Exterior Alteration—Public Facility Miscellaneous Antennae WORK TYPES New ✓ Interior Improvement Siding Demolish Building* Addition Exterior Improvement Reroof Demolish Interior Alteration Repair Windows Demolish Foundation Replace Water Damage Fire Repair Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION t Valuation j/` Ip 0 ri , +'4 Occupancy l I MCES System •Plan Review %/ Code Edition 2.t7/.S 114 6G SAC Units Odds Uf*M66/At else 0L-ot.4 .LD (25% 100% V) Zoning ,,..-` City Water Census Code Stories / Booster Pump #of Units 0 Square Feet 1 2..8/0.00 . "-4' PRV #of Buildings ( Length Fire Sprinklers Type of Construction 7•3 Width REQUIRED INSPECTIONS Footings(New Building) /Final I C.O. Required Footings(Deck) ✓ Final I No C.O. Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath Brick EFIS Roof:_Decking Insulatiop Ice&Water Final Retaining Wall Framing 30 Minutes 1,7 1 Hour Erosion Control / Fireplace: Rough In Air Test Final Concrete Entrance Apron y Insulation /Meter Size: Sheetrock ✓ Electronic Plans Required Windows Final C/O Inspection ud le'Fire Marshal to be present: /Yes No Reviewed By: l.i" R , Planning New Business to Eagan: V 0 Reviewed By: Cg/e. , Building Inspector FEES / Water Quality Base Fee 1, (4 0 •7'� Storm Sewer Trunk Surcharge 57. 0-0 Sewer Trunk Plan Review 7 4/ .41 Water Trunk MCES SAC .-- Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant '..- Other: Treatment Plant(Irrigation) Park Dedication I� Trail Dedication TOTAL: 14' 1c.)7.z Page 2 of 3 Use BLUE or BLACK Ink ! % For Office Use • RECEIVED / 1 Permit#: `7Z-1 II('J/ City Of Eaiala {�. APR 1 4 2017 Permit Feer 3830 Pilot Knob Road Eagan MN 55122 Date Received: ii-1 it- 11 I1 Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 4/12/2017 Site Address: 3169 DODD RD. Tenant: CEVA Suite#: 100 t . 4 v Name: Phone: r ', mi ner , Address/City/Zip: , ;i Applicant is: Owner Contractor ,, . =` RELOCATE (3) HEADS 4w r - W Description of work: 550.00 05/31/17 r E Construction Cost Estimated Completion Date: � � � Name: ESCAPE FIRE PROTECTION License#: C-086 „ u rd Y Address: 3000 CENTERVILLE RD. City: LITTLE CANADA r ct r,, h: . MN 55117 651-771-8874 , �.: State: Zip: Phone: a ri 11, PV , Contact: BRIAN WEBER Email: BRIAN@ESCAPEFIRE.COM • FIRE PERMIT TYPE WORK TYPE 1 Sprinkler System (#of heads 1) New _Addition Fire Pump _Standpipe Alterations _Remodel Other: _Other: DESCRIPTION OF WORK: X Commercial —Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$550.00 x.01 Surcharge=Contract Value x$0.0005 =$ 60'00 Permit Fee If the project valuation is over$1 million,please call for Surcharge 0 28 =$ Surcharge $100.00 Residential New(includes State Surcharge) _$ 60.28 TOTAL FEE 3/4"Fire Meter-$290.00 =$ N/A Fire Meter _$N/A 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 case of work which requires a review and approval of plans. x BRIAN WEBER, PM x • ��..." Applicant's Printed Name Ap• 'cant's Signature 1 / / / g ,ATT, 1,L-.....,iL'.!-1,'..-:,'1N60M2MgWIMWIXJI!40MgPsgpg 'gVNMM%EMdMEAMMglggggTWW&IOM=gWianXE4NTraOfe4gkqigWMknVPt0t,iO6AfftgMORMIh 9 €' AFW 1r 'turn; . o 5 ""`` R,, i�F o TM y a, iii °?NadRtijiweifkiagVdttt- r t a v- b ci WSVNAtt r. :m `' ��' ''�:" �y _�-` ,�'' rail" r� ;. Conditions a 1.; ra sF � r t;a �'� ` 4 P D - - rn t� ,k a Rn 7' G ,-r .i >,a,.. �„ii .ai i ., vim„ ,i ir.i„re a.r b,.s � ,w � r d✓,m... � ...czv.+...i a. .gym... �o.� ,,,. r � �. 4a,i,/ �t r. ,., �mr io � ov.i...�✓ kr ,c. a... Use BLUE or BLACK Ink • Q(Y'4 ForOffice Use Permit#4/11 City of Eaaal V / Q 3830 Pilot Knob Road r✓" Permit Fee: lU Eagan MN 55122 Phone: (651)675-5675 Date Received: % ?,.' Fax:(651)675-5694 Staff: t2 J 2017 MECHANICAL PERMIT APPLICATION G 085 ❑ Please submit two (2)sets of plans with all commercial applications. Date: 7717 Site Address: 3169 DODD RD Tenant: CEVA Suite#: Name: Phone: Residettt/Owner Address/City/Zip: Name: MODERN HEATING &AIR CONDITIONING License#: N/A Contractor Address: 2318 FIRST ST NE City: MINNEAPOLIS State: MN Zip: 55418 Phone: 612-781-3358 Contact: CHAD GOOD Email: CGOOD@MODERNHTG.COM New Replacement Additional pi—Alteration Demolition Type of Work ; Description of work: /ti-t<„i ,tl. /c2 op__Gva2 5, S % 1 NOTE: Roof moues and ground mounted l hanl rlesq i! nt:i I iredto be r+ee d iy Code. Ple Ise contact the Mechanic sspecor for for a 4r per ted,sc i $ �S RESIDENTIAL COMMERCIAL ' ` Furnace New Construction DL Interior Improvement t ` Air Conditioner,. Install Piping Processed h.. „_ Air Exchanger as Exterior HVAC Unit Heat Pump Under/Above ground Tank l—Install/_Remove) Other RESIDENTIAL`FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 6,500.00 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 65.00 Permit Fee _$ 3.25 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, lease call for Surcharge 68.25 =$ TOTAL FEE P 9 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 a application for a permit,and work is not to start .' . : 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 CHAD GOOD x . r Applicant's Printed Name Applicant's Signature FOROF CEOSE ” ;4 �-1 "rll, , , ' Required Inspe ions: awtakill ed I ',rStiql �� Underground _ Ro>:ugh 1r AirTes Gas Service Test '' In- +o H Fi V ''+ .,, to 0,s___ Use BLUE or BLACK Ink 1** 110 t," For Office Use Cit, of Eaall Permit#: -( 3M 6OPermit Fee: .'--r5 3830 Pilot Knob Road Eagan MN 55122 "1 Date Received: 5-42 1' 7 Phone:(651)675-5675 Fax:(651)675-5694 7 J Staff: 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 5/22/2017 Site Address: 3169 DODD RD. Tenant: VACANCY REHAB suite#: 180 Name: Phone: -gr ' Address/City/Zip: r:i ,, ! Applicant is: Owner Contractor s n ' �v Description of work: ADD (9) HEADS TO OFFICE CEILING FROM WAREHOUSE SYSTEM ,y,a ypo,®_ , r ,, �� ,� 900.00 06/30/17 Construction Cost Estimated Completion Date: ,, ry ESCAPE FIRE PROTECTION C-086 -,- - ! Name. License#: :: 'A ' address: 3000 CENTERVILLE RD. city: LITTLE CANADA � , ' " 'rMN 55117 Phone: 651-771-8874r, State: Zip: ��i Contact: BRIAN WEBER Email: BRIAN@ESCAPEFIRE.COM FIRE PERMIT TYPE WORK TYPE 1 Sprinkler System (#of heads 1) _New _Addition Fire Pump _Standpipe ✓Alterations Remodel — Other: Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational FEES $60.00 Permit Fee MinimumContract Value$900.00 x.01 Surcharge=Contract Value x$0.0005 =$ 60.00 Permit Fee If the project valuation is over$1 million, please call for Surcharge _$ 0.45 Surcharge $100.00 Residential New(includes State Surcharge) =$ 60.45 TOTAL FEE 3/4"Fire Meter-$290.00 =$ N/A Fire Meter =$N/A 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 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. a BRIAN WEBER PM x x 7 C',T,i ` _ _-- Applicant's Printed Name Applicant's Signature • 3 0) Opt REQUIRED1NSPE ONS :: Axa Hydrostatic ,Flo 'Aiarm Digin Tett drip Pump Test Centrastation Fina{ ran kitiorns of Issuance:' S, Permit Reviewed by ,%tr Date. j Chf,c, Use BLUE or BLACK Ink For Office Use 0,411" C ( � V; 3I Permit#:City of EaR,ail Permit Fee: O) I 3830 Pilot Knob Road EZCEIVED r �o Eagan MN 55122 Date Received- Phone: (651)675-5675 MAY 2 3 2017 Staff: Fax: (651)675-5694 I I J 2017 COMMERCIAL PLUMBING PERMIT APPLICATION 10 Please submit two (2)sets of plans with all commercial applications. Date: MAY 23RD 2017Site Address: 3169 DODD RD Tenant: EAGAN VACANCY REHAB Suite#: 180 EAGAN POINT BUSINESS PARK Name: Phone: 4' ;- µ Name: BLAYLOCK PLUMBING CO License#: PM 063200 • . 7731 4TH AVE SO RICHFIELD MN 55423 :„ Address: City: State: Zip: 612-869-7531 DICK@BLAYLOCKPLUMBING.COM Phone: Email: New Replacement Repair Rebuild ✓ Modify Space Work in R.O.W. Description of work: RI AND INSTALL 3-TOILETS,1-URINAL,4-LAYS,2-FLOOR DRAINS,1-WATER COOLER,1-WATER HEATER 1-LNDRY TUB a COMMERCIAL New Construction X Modify Space Irrigation System Y ( yes/_Vno)(—RPZ/ PVB) • Rain sensors required on irrigation systems 1114',I'..;_ * • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ` Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes f No COMMERCIAL FEESContract Value$12,000.00 x.01 $60.00 Permit Fee Minimum120.00 $60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee _$ 6.00 Surcharge Surcharge=Contract Value x$0.0005 126.00 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE Following fees apply when installing a new lawn irrigation system $0.0 Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $0.0 Treatment Plant $0.0 Water Supply&Storage $0.0 State Surcharge _$ 126.00 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xRICHARD BLAYLOCK x M lit I4 Applicant's Printed Name Applicant's Si nature t' TM' Wtt litOt fifir® ) i44 s . . • • • s a :, • Y Page 1 of 3 Use BLUE or BLACK Ink ('/ C (l For Office Use Clt Ol �� 11 �� (Of)sPermit#: /�g�/�Y Permit Fee: t0; 3e' 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651)675-5675 Date Received: /� Fax:(651)675-5694 JUN 1 6 2017 Staff: ' T'' J 2017 MECHANICAL PERMIT APPLICATION G28209 ❑ Please submit/ two(2)sets of plans with all commercial applications. • Date: 6/7.3// ) Site Address: 3169 DODD RD Tenant: EAGAN POINT VACANCY Suite#: r a EMOMIN h !SIM ihsv tio Phone:' � kName: C/l ij(i 4/� a EMMNEEMElig {{I„ m _ u,€ Address/City/Zip: waldirfoussuntar : k;lillf ° ia (13 'r Name: MODERN HEATING &AIR CONDITIONING License#: N/A ��_ {blit ��i �i, �, " 2318 FIRST ST NE MINNEAPOLIS 111011101111,4,111,90:11.021.,ti �, � Address: City: l 1 MN 55418 612-781-3358 �r m ,' State: Zip: Phone: mozwaummiI ,t': tt 4.411"'?1(t,i,, a� ,t t CHAD GOOD I ata ,� ,{• Contact:AIR Email: CGOOD@MODERNHTG.COM Ii Iiiii "°" 4i§ ;; a 'rr' New Replacement Additional Alteration Demolition � �, Description of work: kji�it-) ( 74.Hirterj r As�-> tt , i '°-=�tf t -fit, -; - ',y� -s, n a#, a; ' ti �o- '? 4�; ' .3C p �*� tej�/ af:ra [ 9t 2, 111':',:,;',...47,E!6-(�s a-p {a 131 a S , ^a., ,:1"7:%':,:.-;74 S - a G s -pre ffit, i .::.fthiSVOIS �,hs avium .to a ,i ce``- s '�..4+d, i at 3ait"t+v_,a �3 os y4�3 �e:.j�{ie �a.,a s°< x� , 'Ye.. o¢ t d suwtixmmghrpumrstmvowd a _ RESIDENTIAL COMMERCIAL 102 i' Furnace ;,,,illbibr 4, x ;t New Construction Interior Improvement fikrIf i� , $ r Air Conditioner Install Piping Processed m,v _ri —Air Exchanger Gas Exterior HVAC Unit Heat Pump i _ i Under/Above ground Tank (_Install/ Remove) Cedirlitiiirtirn PellitiiimiimilliminintiE Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 750.00 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 60.00 Permit Fee _$ .38 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 60.38 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start 'hout 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 CHAD GOOD x Applicant's Printed Name Applicant's Signature tli a it> a ! X 4 ellaamt awl-. oar -ak aft r > .' } _. y ( y l � ai , > ntep lf i'i R,aj m aa . a - 1 B = 'E >€kiti .. -=- is " i a tl ,:- i _t r itea am enw- " v - , a= ,, i ,,L,-A7,!,,-,,.7,,.z,l : ,j = # -r_ Ek - -Mtilj : _ 'r , : - m a+ .}_ g i ;:1:44,,l.'-:,°:46,0,„,,, .. ay� r !f: - 88 t !1 ,; .- t t0 .. . Use BLUE or BLACK Ink �1(J For Office Use /1-7. r � ) (4 ' Cityof Eaafl Permit#: . (ft 3830 Pilot Knob Road l /7 MAPermit Fee: QJ ‘2- Eagan ��. MN 55122 5 Date Received: Phone: (651)675-5675 Fax: (651) 675-5694 Staff: 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5/19/17 Site Address: 3169 Dodd Road Tenant Name: Vacancy (Tenant is: New/ Existing) Suite#: 180 Former Tenant: Ceva Name: Liberty Property TrustPhone: 952-833-5256 Property Owner10301 West 70th Street, Eden Prairie, MN Address/City/Zip: Applicant is: Owner X Contractor Type Of Work Description of work: Convert warehouse space into a vacancy suite Construction Cost: $32,900 1 �� Name: Greiner Construction License#: Contractor Address: 625 Marquette Avenue, Suite 840 City: Minneapolis State: MN Zip: 55402 Phone: 612-225-6917 Contact: Kristin Lindstrom Email: klindstrom@greinerconstruction.biz Name: Plan Force Registration#: ArchitectlEngineer E Address: 4931 West 35th Street city: St. Louis Park State: MN Zip: Phone: 952-541-9969 Email: weld@planforcegroup.com Contact Person: Weld Ransom Licensed plumber installing new sewer/water service: Blaylock Plumbing phone#: 612-889-9425 NOTE•,Plans and supporting dacu rents that you submit are considered toTb public information.Portions on ,of " the informatimay be classified as non public if you provide specific reasons that would permit the City tai conclude that they ate trade secrets , ., . .,. . ..rit u , r,__ >A.<. 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 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 Kristin Lindstrom X Applicant's Printed NameApplicant's Sig .ture Page 1 of 3 Z/‘"• q A')dC-/ DO NOT WRITE BELOW THIS LINE /1-/:"" SUB TYPES Foundation _ Public Facility _ Exterior Alteration—Apartments _/Commercial I Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse I Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES / New ,z/Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration 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 .3/DD!?.o.d Occupancy 8, s MCES System Plan Review ✓ Code Edition 2015- MBG SAC Units ' 6L-IC (25% 100% ') Zoning ..J-—) City Water V Census Code Stories Booster Pump #of Units D Square Feet 2-31 ZI Z- PRV #of Buildings I Length Fire Sprinklers Type of Construction 7r'13 Width REQUIRED INSPECTIONS Footings New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control V Framing */ 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: Roof: Decking _Insulation Ice&Water _Final Meter Size: Siding:_Stucco Lath Stone Lath _Brick_EFIS Electronic As-Built Plans Required Windows Fireplace:_Rough In Air Test _Final / Final I C.O.Required Pool: Footings Air/Gas Tests _Final Final I No C.O. Required Final CIO Inspection: Scligclijle,fireSc Marshal to be present: '/Yes No Reviewed By: (,- , Planning New Business to Eagan: . VA L/MlUCif Reviewed By: , Building Inspector FEES Water Quality Base Fee III. a-0 Storm Sewer Trunk Surcharge 4r,5—a Sewer Trunk Plan Review 32.7. 3 S"-. Water Trunk MCES SAC 1 Street Lateral City SAC 7 • Street S&W Permit&Surcharge Water Lateral Treatment Plant -7 Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: g59. 0< Page 2 of 3 MCES USE:Letter Reference: 170605A5 Address ID:5024 Payment ID:402271 // /� Date of Determination:06/05/17 Determination Expiration:06/05/19 Gtings! Please see the determination below. Project Name: Office/Warehouse Project Address: 3169 Dodd Road Suite#/Campus: 180, Eagan Point Business Park City Name: Eagan Applicant: Kristin Lindstrom, Greiner Construction Special Notes: The Council understands this building has speculative warehouse. At the time the finishing permits are issued, if the use changes from its speculative use to a different use,the SAC assignment needs to be reviewed based on that change. Charge Calculation: Office: 4015 sq.ft. @ 2400 sq.ft./SAC= 1.67 Warehouse speculative: 18,851 sq. ft. @ 7000 sq.ft./SAC= 2.69 Total Charge: 4.36 Credit Calculation: Eagle USA (SAC 04/01) Office: 23,212 sq. ft. x 16% @`2400 sq. ft./SAC= 1.55 Warehouse: 23,212 sq. ft. x 84% @ 7000 sq.ft./SAC= 2.79 Tt. Credit: 4.34 Net SAC: 0.02 —or— O SAC Due 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 email me at: cory.mcculiough@metc.state.mn.us Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram tip Robes Street North ) St Pau!,t.i1N 55101-1805 .--ribrse 651.602.1000 I ax 651.60 .15 0 I TW€51 291.£ €3 rnetrocouncii.org MIIROPOLITAN brac tart ,�.1. l � r 1 c i i &-9- _ p [ )- c Use BLUE or BLACK Ink a. i .y For Office Us a 1 4,111 City of Eaaali Q JUL L 6 201/ ::::ee: : 3830 Pilot Knob Road Eagan MN 55122 Date Received: 17 Phone:(651)675-5675 Fax:(651)675-5694 Staff: J Z42017 COMMERCIAL PLUMBING PERMIT APPLICATION lease submit two(2)sets of plans with all commercial applications. Date: 7-)( - '17 Site Address: 9 16 ci Pod,d Rd Tenant: t' G-T Cabinetry L L C. Suite#: igU ;6,440.61.,! Name: Li Pro p rf y Tmks I Phone: 8'. -g3 3- ij a5 g mc,,,--i-e,„ Plumber— P1,4 0 , 74,6 Name: ee-Y\}i)ry P I V Wi b i )15 IYI C License#: PC Co '!'-I 3? I -- Cont Mac r Contractor � ", Address: 5 90 Ii0yota rc Ike- N City: Dakcfh(e- State: M.IV Zip: S7. -1.2.55 AVOMPORQUE Phone: t0 51 - (r, 53-°13` 0 Email: jbtc,,,..seer►r‘ e cen tury plumb(n J . het ✓ New Replacement —Repair —Rebuild —Modify Space Work in R.O.W. �Ot'l : — — � f — Description of work: U ►l • ..c stmt i St St Faueel'in 8 • C•o>v —V5 ex'Isti COMMERCIAL _New Construction )( Modify Space inf0.fe r he of Y` r,,:egternAkg: Irrigation System(_yes/_no)L .RPZ/ PVB) • Rain sensors required on irrigation systems Tot • 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 uo meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers_Yes No COMMERCIAL FEES Contract Value$ 1.4 0 OO x.01 ' $60.00 Permit Fee Minimum 06 $60.00 PVB/RPZ Permit(includes State Surcharge) =$ Permit Fee =$ 1 0 .50 Surcharge Surcharge=Contract Value x$0.0005 50 If the project valuation is over$1 million, please call for Surcharge =$ G 1" TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit I Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant 0 Pt $ Water Supply&Storage • $ State Surcharge =s 60 1 050 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x JeFFrey Glasev\a PIA 0(097(5 x ✓1 ''— Applicant's Printed Name Ap i t' Signature RequiiredInsl)ea#ons: 1,/rder round' h-ln Aid°Tst , ,Cas3 iia ESV cit :„ ,_., * �€1 i - =� M Page 1 of 3 Q (`AQ,L(4— ` C• l Use BLUE or BLACK Ink i �/�, (DFor Office Use Permit#: iy(1J6� it of £aall C . s RE�' � #, 1,1':-' Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)675-5675 JI_!! 2 7 1017 Date Received: -1147 Fax:(651)675-5694 Staff: J 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 7/24/2017 Site Address: 3169 DODD RD. Tenant: FGT CABINETRY Suite#: 180 est { , Name: Phone. w1 N, ewe Address/City/Zip: �,�4;d Applicant is: Owner Contractor 2 ype " Description of work: RELOCATE (3) HEADS " 375.00 9/04/17 7 Construction Cost Estimated Completion Date: k ' ., ESCAPE FIRE PROTECTION C-086 �„ Name: License#: onr �` , Address:3000 CENTERVILLE RD. city. LITTLE CANADA l" 71t State: M N Zip: 55117 Phone: 651-771-8874 -' BRIAN WEBER BRIAN@ESCAPEFIRE.COM . -° r Contact: Email: FIRE PERMIT TYPE WORK TYPE i ✓ Sprinkler System (#of heads 1) _New _Addition _Fire Pump _Standpipe i Alterations _Remodel Other: I Other: DESCRIPTION OF WORK: X Commercial _Residential _Educational FEES $60.00 Permit Fee Minimum Contract Value$375.00 x.01 Surcharge=Contract Value x$0.0005 =$ 60.00 Permit Fee If the project valuation is over$1 million, please call for Surcharge =$ 0. 9 Surcharge $100.00 Residential New(includes State Surcharge) _$ 60.19 TOTAL FEE 3/4"Fire Meter-$290.00 =$ N/A Fire Meter _$N/A TOTAL FEE **Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x BRIAN WEBER, PM x Applicants Printed Name nt's Signat re iz_7(7 S6 '(:., w 1 3UIRED 1N$PECTIONS Hydrostatic Flow alarm Drain T,�st Rough In ' — Trip Rump Test Central Station" �. F Foal ' Conditions of 1ssuancse: Ci _ 1,'}.lDate:JPermr ,t Reviewedb • Use BLUE or BLACK I k For Office Use 4111 City of Eaaafl Permit#: / ` - 7 Permit Fee: 4 3 -/ `,1 3830 Pilot Knob Road Eagan MN 55122 Date Received: / (i / Phone: (651)675-5675 RECEIVED Fax: (651)675-5694Staff: JUN 302017 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 6/30/17 Site Address: 3169 Dodd Road, Suite 180 Tenant Name: FGT Cabinetry (Tenant is: X New/ Existing) Suite#: 180 Former Tenant: Vacancy Liberty Property Trust Name: Phone: 952-833-5256 Property Owner. Address/city/zip: 10301 West 70th Street, Eden Prairie, MN Applicant is: Owner X Contractor Tenant buildout Type of; Work Description of work: Construction Cost: $68,455 Name: Greiner Construction License#: Contractor Address: 625 Marquette Avenue, Suite 840 City: Minneapolis State: MN Zip: 55402 Phone: 612-225-6917 Contact: Kristin Lindstrom Email: klindstrom@greinermn.com Name: Planforce Group, LLC Registration#: Architect/Engineer Address: 4931 West 35th Street, Suite 200 city: St. Louis Park MN 55416 952-512-9547 r„ State: Zip: Phone: Email: weld@planforcegroup.com Contact Person: Weld Ransom Licensed plumber installing new sewer/water service: Phone#: NOTE flans and supporting,documents that you submit are considered to be public information 4Portions,of the information maybe classified;as ton public►f you provide specific reasa tha would perms the Gray fo , :; conclud fl at their are.trade secrets .s r ..,, .. . ., 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.qopherstateonecall.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. )(Kristin Lindstrom Applicant's Printed Name App icant's S' natur Page 1 of 3 _ /� ego / / � . S,‘9 c G/f�� DO NOT WRITE BELOW THIS LINE /L/ 7 � SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments _e Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New x Interior Improvement Siding — Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration Repair Windows _ Demolish Foundation Replace Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building–give PCA handout to applicant DESCRIPTION p / Valuation # (�f 9� K5 Occupancy J/c'L MCES System Plan Reviewy� Code Edition 1S /2184- SAC Units e( l (25% 100% 'y) / Zoning . --l City Water Census Code — Stories 1 Booster Pump #of Units — Square Feet Z y 593 PRV — #of Buildings Length Fire Sprinklers Type of Construction /Q Width REQUIRED INSPECTIONS Footings New Building_Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall / ✓Vapor Barrier Erosion Control ✓ Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: Roof: Decking _Insulation _Ice&Water Final / Meter Size: Siding:_Stucco Lath Stone Lath Brick_EFIS ✓ Electronic As-Built Plans Required Windows Fireplace: Rough In Air Test _Final li Final/C.O. Required Pool: Footings Air/Gas Tests _Final Final/No C.O.Required Final CIO Inspectio 1a.-dule I - Marshal to be present: IYes No i 10 Reviewed By: -,,/////L► , Planning New Business to Eagan: VC S Reviewed By: ,Tifrrib , Building Inspector FEESWater Quality Z Base Fee �'y, Storm Sewer Trunk Surcharge 1/i. �-� Sewer Trunk Plan Review 4 53 S. Water Trunk -- MCES SAC Street Lateral City SAC _ Street S&W Permit&Surcharge Water Lateral — Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security — Park Dedication Other: SI q'/ Trail Dedication - TOTAL:de ?3 /T. Page 2 of 3 MCES USE:Letter Reference: 170720A2 Address ID:5024 Payment ID:402271 / / I 7 Date of Determination:07/20/17 Determination Expiration:07/20/19 Greetings! Please see the determination below. Project Name: FGT Cabinetry Project Address: 3169 Dodd Road Suite#/Campus: 180, Eagan Point Business Park City Name: Eagan Applicant: Kristin Lindstrom, Greiner Construction Special Notes: The original letter for this determination was dated 07/06/17 letter reference 170605A5. The City will be charged SAC as determined below, instead of the units previously assigned. The redetermination is based on new plans.The City will be charged no additional SAC Units for this project, as determined below. *The rules allow for this 1 net credit where SAC was actually paid to either be taken city-wide or left site-specific. Any net credits taken city-wide can only be taken if the project is reported to MCES at the time the permit is issued. Otherwise,the net credits remain site-specific. Charge Calculation: Office: 1071 sq.ft. @ 2400 sq.ft./SAC=0.45 Warehouse speculative: 21,715 sq.ft. @ 7000 sq.ft./SAC=3.10 Total Charge: 3.55 Credit Calculation: Eagle USA(SAC 04/01) Office: 23,212 sq.ft. x 16% @ 2400 sq.ft./SAC= 1.55 Warehouse: 23,212 sq.ft. x 84% @ 7000 sq.ft./SAC=2.79 Total Credit: 4.34 Net SAC: -0.79 —or— 0 SAC Due 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 email me at: cory.mccullough@metc.state.mn.us Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Robert Street North l St Paul. MN 55101 1805 Phone 651.602.1000 ! 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Site ite Address: 3169 DODD ROAD, EAGAN, MN 55121 Tenant: FGT CABINETRY Suite#: 180 -gsggggAi Phone:Name:gs: Jo '" - .Rdent/OWneriesi z Address/City/Zip: I, Ig i i�' � � Name: MODERN HEATING &AIR CONDITIONING License#: N/A �1 ,, ontractorl Address: 2318 FIRST ST NE City: MINNEAPOLIS �'n MN 55418 612-781-3358 8 4rgi n:! I State: Zip: Phone: dlq i� aid of,' 145'144111 �Id Contact: PAUL YORK Email: pyork@modernhtg.com ��k III New Replacement Additional Alteration Demolition LII �[' of Wor t fi " Description Of work: INSTALL NEW RTU AS PER PLAN �I 4�j g lel �N y`- a��l�i1991: ill " III k k try"E _ m dap'r:;l a�� ae �,,,, l - - -,,, E: Roofmou ed, ind groun auritemechanicale Yrp ent is requir_e€) ' be, a eenced by ity " °` I ii VLF- -ode llease contactthe'M anic 1 Inspec nform ti permutedscreeningmethods. P 1,, a�sr.aadr�r ,, ,,.Ai,,� q � lona „„,„L. ila s,try.,, a. a a X11 RESIDENTIAL COMMERCIAL � III � Furnace _New Construction Interior Improvement � `I�I i' _Air Conditioner _Install Piping Processed erm�t� �I Air Exchanger _Gas Exterior HVAC Unit a a �N w , �� „�IIl,� _Heat Pump Under/Above ground Tank ( Install/ Remove) �- rri o , "I1 ,,, ,`fir �o� Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 13,200.00 COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 132.00 Permit Fee =$ 6.60 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 138. 60 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not 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 PAUL YORK x Applicant's Printed Name A ant's/ at e pp pp g ,iv minif me ' � bow!'es log r a , Il l (i — I,141' illiirj,7W9-.;:c7i.7 O� ICE`_USE az � II� ,r :4 "lo ��l I ,I "', ,',..-1,...v.,�Il „ �I p�I ��I �� ill II ,:4:, ? € �I as 1��19 t.t hl j��"I� I) (lad '1I F Ir _ :- �� =�I guired Irtspe ions �; x �I� :� ,1'1'd� Revie�lued' �' E! s�lr ate �, ,.z.� III I� = , ��; 9- e7i"d dr E6° ,_ . :nde ro d ,,6 R tl h n y dx rTest ice til Iri fl at ea �d . m a I) t C S -,,X11:0; II VVIda„tl", i 1 -', _TX rd a 1 73 s , G a ! { a9 I 4 A�q R.�d 'U �E i ••7 1t s� ie��l :�" / Use BLUE or BLACK In c�� l For Office Use r1 41,ii!!!1.0 • Permit*: /L/LIQ�/ t ait 1 —� �/ i City f Permit Fee: /f_- /.�`' j 3030 Pilot Knob Road RECEIVED I -/ '/ Eagan MN 55122 Date Received: 0 I Phone:(851)675-,f'675 AUG ' �`` i buiidin tinspectiornst cityofeaaan.corn 7 2017 staff: .i i 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 8-16-17 site Address: Eagan Pointe, 3169 Dodd Rd, Eagan, MN 55121 Tenant Name: FGT Cabinetry, LLC (Tenant is: New/ Existing) Suits#: / t d. Former Tenant: PName: Liberty Property Limited Partnership Phone: 952-833-5251 Property owns 10301 W 70th St, Eden Prairie, MN 55344 Address!'City/Zip: Applicant is: 6 Owner Contractor ,..............10...... Description of work: Racking installation I c C (r2r k ,I- '-f-r-is'i e.k k,..-}% e,...,) Construction Cost: Name: t 1' License#: 42 Contractor Address. 6 City; State: Zip: Phone: ' Contact: Email*• Name: AK Material Handling Systems Registration#: 8630 Monticello Ln N Maple Grove ArchitectlEngineer Address. City: MN N 55369 763-49305015 State: Zip: Phone: Brian Koski bkoski@akequipment.com Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documentstitat you submit are considered to be public Information Portions offhe: information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. t You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(657)4544002 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 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. Mike Hartman(broker)on behalf of Wilson Jiang ~% x x gYr Applicant's Printed Name • -l cant's ger re Page 1 of 3 d ( gc • 6,Cf DO DO NOT WRITE BELOW THIS LINE /V z.-/ ' 7/ SUB TYPES_ _ FoundationPublic Facility Exterior Alteration-Apartments Commercial 1 Industrial ___ Accessory BuildingExterior Alteration-Commercial Apartments Greenhouse l Tent Exterior Alteration-Public Facility Miscellaneous _ Antennae ____ WORK TYPES New Interior Improvement SidingDemolish Building* __ Addition Exterior Improvement Reroof — Demolish Interior — Alteration 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 4'ca 7 6 7 Occupancy c`f MCES System Plan Review J Code Edition Gr)/5 h+1►EG SAC Units (25%_100% (1) Zoning City Water --- Census Code Stories Booster Pump #of Units Square Feet PRV --/ #of Buildings Length Fire Sprinklers Type of Construction 2T13 Width REQUIRED INSPECTIONS Footings_New Building_Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes X 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath Stone Lath Brick EFIS Electronic Set of Final Revised Plans Windows — — — Fireplace:_Rough In _Air Test _Final Final I C.O.Required Pool: Footings Air/Gas Tests _Final X. Final I No C.O.Required Final CIO Inspection:Schedule Fire Marshal to be present: % Yes No Reviewed By: Planning New Business to Eagan: Reviewed By: ,Building Inspector FEESWater Quality Base Fee Storm Sewer Trunk Surcharge I2,� S- Sewer Trunk Plan Review 54/'?> Water Trunk MCES SAC } Street Lateral City SAC Street S&W Permit&Surcharge '' Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) — Landscape Security ---- Park Dedication Other: Trail Dedication - TOTAL:1 `�bS Page 2 of 3 Use BLUE or BLACK Ink C � ,F,:. >. ;+ .- For Office Use/ 1 +<'��; i # �C Permit#: I / 1 �/ Ct «o#, ��2 JAN 0 2 4U1? Permit Fee: t/Oo- 00 TO �••^ .. ' 4 ,'��' Date Received: l`a- t $,ts» ° Staff: 3830 Pilot Knob Road I Eagan MN 55122 J Phone:(651)675-5675 I buildineinspections@cityofeaean.com CROSS CONNECTION CONTROL PROGRAM INSPECTIONS PERMIT APPLICATION Date: / `/zY/) /— Site Address: 3 / 6 I Abf i' I G� t / Tenant: La 9/S l L7 Suite#: �` t ,,;;Pi O rte/ "�1 ` Owner i a �* Name: f// eV'ty Pre Phone: Name: l ��'P 1�`/ � � 114. LI�iLicense#: Contractor o L C d 2 5,-9,1 —� q Address: 5, 7 City: State:1 ki2ip: l, �, ,h"Pa� _ , Phone:KZ0 3 "?2 reie Email:r kd IM VA d _.4 i tiAltAi t' '&1' 14/ tin � ��,i, -TIL New _Replacement _Repair r-,//.4Rebuild O ,k ork Description of work: yah �/ 2 P 2 a h Ft,/+ 1 ['7 / �v�G/1 RA,�� 1D� � lf ��« ;,�s , ii vacu u wt h iiia ev 610 l Cs 7' t/ - '' COMMERCIAL New Construction Modify Space .#` Irrigation System( yes/ no)( RPZ/ PVB) rmit T • Rain sensors required on irrigation systems �i i �� , • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) -_ Avg.GPM High demand devices?_Yes No Flushometers Yes_No COMMERCIAL FEES Contract Value$ � 00 x.01 $60.00 Permit Fee Minimum =$ $60.00 PVB/RPZ Permit(includes State Surcharge) y�� Permit Fee Surcharge=Contract Value x$0.0005 =$ (� Surcharge If the project valuation is over$1 million,please call for Surcharge =$ /' TOTAL FEE (� =$ 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 website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in confo nce with the ordinances and«•des of the City of Fagan;that I understand this is not a permit,but only an appl' tion for a permit,and work is not to start withou a permit;that the work will : accordance with the approved plan in the case of wo which requires a review nd approval of plans. X 112,Ci✓1L L WA.lN�O x Applicant's Printed Name Ap icant's Signature