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3080 Eagandale Pl?T .fit ry INSPECTION RECORD CITI? OF EAGAN PERMIT TYPE: ' 1" ` f" N`' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 b Date Issued: (612) 681-4675 SITE ADDRESS: 1 ,, , , , fit „! t ; APPLICANT: WWI t A0AH11M t 1•1 I Af,ANIiA1 1 1 1 MA r 1 f+t 1. !, 1 H PERMIT SUBTYPE: 1 x111 111,1 1 M W; F z; L i A Y t 01( CAI 1 (r, 1.1) i i 1 @'1 4$ TYPE OF WORK: fit,.( N l t' 1 ION NN 1j r4N FARM 1'41.10FAlt 7I J1 Permit No. Penult Holder Date Telephone # ELECT ,S/?9a7a Jo?o? 9? G.G.'" 7? lv 5 /00 PLUMB '1 i 9 $G HVAC Inspection Date Insp. Comments FOOTINGS 7/i/Q6 FOUND FRAMING 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 Z?S?g, 7 BSMT R.I. BSMT FINAL DECK FTG a IN "CITY OF EAGAN 3830 Pilot Knob Road P Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1 1 } f Its kff I riF-I,r,nt i ! l min, 1 a1 t fIt PERMIT SUBTYPE: !ip;rt ; IlI; ON RECORD PERMIT TYPE: Permit Number: Date Issued: is t? t i t? t Nt? 0H/;'0/96 APPLICANT: t r, l_ 1-1!- 014 TYPE OF WORK: N1 l1 ( MN FARPI WIRE All) lit SC 1d 11' 1. 1 ON INSPECTION DATE INSPTR. • TYPE DATE INSPTR. 1 t '?MIk4h iinl iNi, I Il! :} 1 1 ?iSd I tIi j1 1 i'; l Itit 1:? 111,11 Ifl Ilt , I IPi:ti I I It , I I I'1 r? 1 l l l, I I J 1'; I Permit No. Permit Holder Date Telephone # ECTRI E L &J $ wov -- // PLUMBING HVAC ??y 9G $ 9,?,? O Inspection to Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING _Z- 0,. GAS SVC TEST r CO?/? ?/ L INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG _ C FINAL HTG 30 ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECD: F!%AL I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? I I ! fsl pit i i %t,ANI.1At U I FM11YI•!` r, f II ?' 4i ;4? PERMIT SUBTYPE: TYPE OF WORK: 11F;flyIIII ON [10 1 F FI Il NIi 02%4'.1614 If HAN1 FIN1 Ft J MN FARM 111111 t- AU ) INSPECTION DATE iNSPTR. INSPECTION TYPE DATE INSPTR. ?lii,il frd {'i i 1, Permit No. Permit Holder Data Telephone # ELECTRIC a /9 ?4 PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SITE ADDRESS Unit #(///?? Permit #Q?r??? a' L B Sect./Sub. S? INSPECTION INSPECTOR DATE COMMENTS L 9 7_ gG 7b_? k? ?? u6 1 f' z L ?' F INSPECTION INSPECTOR DATE COMMENTS rr [ le " 6' all < 1, /: J-17 9G <. 4 a i // [' [ [ " [ G e rot CL is/ e[ it ?j 1Z /cS r 0 v r G Ga p-3 /J y c Lu G. l 1- 6 1 l 13 c- O j _ ?Fnic,) - L--E Yv-, a Lr k.-a CITY USE ONLY PERMIT #: RECEIPT DATE: YOOE COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGM 3630 PILOT KNOB RD EAGM, MN 55122 651-681-4875 INCOMPLETE APPLICATIONS W1 LL NOT WE PROCESSED Date: February 26, 2002 ?- -4-C) WORK TYPE _ New Bldg _ Add-on Repair x RPZ _ PVB _ • Irrigation system • Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK rebuild (2) RPZ' 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 3/4" displacement $152.00 Domestic Size & Type _ Does this include high demand devices? Yes _ No Avg GPM FLUSHOMETERS -Yes -No PRV REQUIRED - Yes - No Site Address: 20E0 FagandalP Plar•p Tenant Name: Farm Bureau Life Insurance Telephone#: 651/905-2101- (Area Code) Was there a previous tenant in this space? _ Y _ N. If Yes, Name: Installer Name: Northland Mechanical Contractoelklephone#: 763/544-5100 (Area Code) Installer Address: 2900 Nevada Av No City: New Hope MN State: Zip Code 55427 FEES Contractprice S 50.00 x1% ($50.00 min) Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Plbg Permit Meter(s) Radio Meter Read State Surcharge Sub Total/Total Supplementary fees for new irrigation system: Contact Jerry Wobschall at (651) 681-4624 regarding fees MAR 0 1 2002 $ 50.00 $ .50 $ 50.50 Water Permit $ 50.00 Treatment Plant $ 540.00 Water Supply & Storage $ State Surcharge . - . S Total $ try I here c mow a ge 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 City during its normal operational and maintenance activities to the facilities constructed under this ?permit within City prop/ert?y/right-of--way/easement. SIGNATLWE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: 2,e 3 y I - ?? , BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 92204509) • Water meters include copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00 am commercial turbine" "'must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine ig irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sin commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backilow preventer, call 651-681-4675. • To arrange for water tum-on, call 651-681-4300. CC' Kris Forster, Maintenance Division Clerical Technician Updated 10101 AMA :J,' xl O:ClY Cirr is ACIIAN 9 ,-: -- ,. ,.. 41 B 1, 0, FCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22529-011-01 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 9 2 6 9 Date Issued: 11/25/96 3080 EAGANDALE PL LOT: 11 BLOCK: 1 EAGANDALE LEMAY LAKE 5TH DESCRIPTION: (MN FARM BUREAU) Buildl, g, Permit Type COMM./IND. MISC. Building W'o,rk Type TENANT FINISH Census Code 437 ALT. NONRES. i r l 4 yl 7 r?l v?NiFfa t,v REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee a VALUATION $2,812.25 $1,827.96 $242.50 $4,882.71 $485,000 CONTRACTOR: - Applicant - OWNER: TAYLOR BALL 23730330 FARM BUREAU LIFE INSURANCE 6000 WESTERN PKWY 200W 5400 UNIVERSITY AVE W DES MOINES IA 50266 W DES MOINES IA 50266 (612) 515-0330 (515)225-5400 I hereby acknowledge that I have read this a$Splication-and state that the information is correct and agree to comply with all applicable State of Mn.' Statutes and City of Eagan Ordinances. APPLE A T/PERMITEE SIGNATURE ISSUED BV?SIGNATURE k CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) jLqlGq 681-4675 CA 'j Xt The following are required with appropriate certification for all new construction: 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainageferosion control plan; utility plan _ 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MCNVS (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 sq. 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 rated corridors; plumbing fixtures; and parking. DATE: //- //f` WORK TYPE: k- NEW REMODEL DESCRIPTION OF WORK: &&: JZ Al-,, i y-n - yr 1- CONSTRUCTION COST: TENANT NAME: A nf7e soda ?o Ym Fca C?? 1,t SITE ADDRESS: 30 YD r14- g° At /t? /0?Q - m,?? nda(9 ,TE. LOTO// BLOCK SUBD , m P.I.D. # PROPERTY Name:6-7,- xr7 l3u r?NU ;> ?s r Phone #: Sts OWNER `"" MST Street Address- L loo 71n1't_»s L{ A,r ? H 4 , City: w 5rt / s M?: t State: Ck _ Zip: CONTRACTOR Company: x ?Iyk- RPhone #:/ x? ? - 3 7 3 Street Address, (0 O° V 0 f ,I._+ if Q6r/, w a? +• % ?° a u GtJ City: (,] //o /y/d >7 >u> Zip: S'o ARCHITECT/ Company: ?l e) F( ) X Je e,Phone #: S f ?- 2 H5%_ 7/G7 ENGINEER r ?o u 5' Name: RA MaAi f wu. Registration # -2 StreetAddress;7aa 11?4 h'2 /?7/z?r City: I? n d7l0; no State.476 u> c? Zip: <S ° ° Sewer & water licensed plumber. 5, ? _ rl a tf? /ir d , LL. f1??'-A c--Gtr 7` 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. Signature of Applicant: ? Sin i,-61 try/or L?? li BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ?y 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. Building Engineering 4 k ? 21 Miscellaneous 35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance y37 _ 0 Permit Fee Valuation: Surcharge Plan Review MC/WS SAC City SAC Water Conn. SMI Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size $ S L) JW,V F9FM 6"jtg4k .iF ? K fFCft/.v ?P ? O ftR ,{( R I?V o/I I?yW ?pv 6? of 1u ? * ? ???s'' SSA , )P?,? ?. F w ;, 1 . 7 ?%?RoK?kX??<YFWYF?k ik3XYF?YFX?%c1??YF.??C?C??rXh?YFX???kS;??X?W%'?YF CITY OF EAGAN CASNTERg S T'ERMINA!_ NO;: 39 DATE: OWO/96 TIME:. 1.3x.350:1. ID- NAME r, TAYLOR. BALL C:ONST MG1'T 32:LO 9001 30£10 EAGANDALE QW205 3422 9001 3080 EAGANDALE: 4 930.46 21 ;; 9001 3080 E:AGANDALE. 740.00 Total Receipt Amounta H97300 CRO63139 USER 1% NANCY ?kX<?kYFYFYF?k7k?X 7kYXHF?KYF%kYF:IC?akYFN:kc?k??kX??:kYFMYF %kYF>#?K7k??KNC CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 8 5 3 3 Date Issued: 08/20/96 -?C SITE ADDRESS: P.I.N.: 10-22529-011-01 3080 EAGANDALE PL LOT: 11 BLOCK: 1 EAGANDALE LEMAY LAKE 5TH DESCRIPTION: (MN FARM Building. Permit Type tBuilding Work Type UBC Occupancy,, Construction Type Zoning Buil,oing ;Length Building Width( 'h Building -,stories -'$quare F&et, ,„, BUREAU) COMM./IND. NEW B III-N PD 104 296 2' 22,887 324 OFFICE/BANK t V 1 Ir t Gd F??I? vt x REMARKS: FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $6,662.25 $4,330.46 $740.00 $11,732.71 $1,600,000 CONTRACTOR: - Applicant - OWNER: TAYLOR BALL 23730330 FARM BUREAU LIFE INS CO 6000 WESTERN PKWY 20OW 5400 UNIVERSITY AVE W DES MOINES IA 50266 W DES MOINES IA 50266 (612) 515-0330 (515)225-5400 I hereby acknowledge that I have r'ead' this information is correct and agree to comply Statutes and City of Eagan Ordinances. AIrFCI NT/PERMITEE SIGNATURE application and state that 'the with all applicable State of Mn. ISSUED BY: I CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL)?? 681-4675 The following are required with appropriate certification for all n= construction: 2 each: architectural plans; mech. & elec. plans; Tire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion carte plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MCNWS (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 sc ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls: occupancy bads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rate= corridors; plumbing factures; and parking. DATE: June 10. 1996 WORK TYPE: Y NEW REM90EL DESCRIPTION OF WORK: Single story office i dine (2 0 s_f• It - CONSTRUCTION COST: $2,000,000 TENANT NAME: "= c R SITE ADDRESS: 3080 Eagandale Place ..a „F. Eagandale LOT C' 1 ! BLOCK 1 SUBD. LeMav Lake P.I.D. # 5th Addition PROPERTY Name: Farm Bureau Life Insurance Company Phone #: 515/ 25-54nn OWNER uar FMSr Street Address* 5400 University Avenue -- City: West Des Moines State: IA Zip: 5n? CONTRACTOR Company: Taylor Ball Phone #:1-Rnn-373-n33n Street Address* 6000 Westown Parkway, Suite 20OW City: West Des Moines. IA _•_ Zip: sn-)rr ARCHITECT/ Company: Brooks Borg Skiles Phone #• 51 5 /?44-7167 ENGINEER Name: Bob Mathieu Registration # *)'inns Street Address* 700 Hubbell Rld City: Des Moines State: IA Zip: -;nine _ Sewer& water licensed plumber. Site - F.M.Frattalone/Ru ld;ng - Northland Mechanical Contractors hereby acknowledge that I have read this application and state that the information is correct and agree to comply with al; applicable State of Minnesota Statutes and City of Eagan Ordinances. `I Signature of Applicant: Douglas- Ohde Taylor `Ball OFFICE USE ONLY BUILDING PERMIT TYPE -G X01 Foundation ? 19 Comm./Ind. Misc. ? 21 Miscellaneous ?18 Comm./Ind. ? 20 Public Facility WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 1Il- Basement sq. ft. y9 MC/WS System (Allowable) -N First Floor sq. ft. ZZ, 8,07 City Water UBC Occupancy S z so. ft. /. sa <o Fire Sprinklered -_ frT- /10 Zoning sq. ft. Census Code # of Stories a sq. ft. SAC Code ?e Length 01n, sq* ft. Census Bldg. f Depth Zy? f Footprint sq. ft. Z z, &f7 nCr?' Census Unit ? APPROVALS Planning Building Engineering Variance Permit Fee lv. (alo2. ZS Valuation: $ 600, pop Surcharge 75 0, o0 5, oiz. zs 7. 0 y i ? ? . / 33 Plan Rev ew _ ? sa o.- y (, ooeyx /i0o 00 MCNVS SAS City SAC Water Conn. S/W Permit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual_? Other Copies Total: (o(Pir 2. ss- x.Gs c £ 1 ?o?Lt r 11,7-72-71 v/F,y,?. Pt?tvuiT % SAC SAC Units Meter Size CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22529-011-01 PERMIT eeo59r,;% Z/ WSW 5 PERMIT TYPE: Permit Number: Date Issued: 3080 EAGANDALE PL LOT: 11 BLOCK: 1 EAGANDALE LEMAY LAKE 5TH C05993(v 9&D5F937 BUILDING 028062 07/01/96 DESCRIPTION: MN FARM BUREAU Permit Type FOUNDATION o rk Type NEW d 7 324 OFFICE/BANK a' is -,.,? eY Mw a ?x 0- JF $600 Asa I .? I'M ?.J REMARKS: FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC SAC Units Subtotal $2,387.25 $1,551.71 $200.00 $7,200.00 100 8 $11,338.96 $400,000 CITY SAC S&W PERMIT S&W SURCHARGE TREATMENT PLANT ROAD UNIT PARK DEDICATION TRAIL DEDICATION WATER QUALITY Total Fee OWNER: FARM BUREAU LIFE INSURANCE 5400 UNIVERSITY AVE W DES MOINES IA 50266 (515)225-5400 CONTRACTOR: - Applicant - TAYLOR BALL 23730330 6000 WESTERN PKWY 200W W DES MOINES IA 50266 (612) 373-0330 K I tTer`eb' , ow infor L $800.00 $100.00 $.50 $3,168.00 $10,347.05 Z $24,000.00 $7,040.00 X $8,075.007/ $64,669.51 a x i..+ q a low) kv,11 M.1- ISSUED B SIGNATURE \ 1011 n !? J CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) 681-4675 The following are required with appropriate certification for all nm construction: • 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan • f each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule • Letter from MCMlS (phone #222-6423) Indicating SAC determination • Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. 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, travef paths & all rated corridors; plumbing fixtures; and parking. DATE: June 10. 1996 WORK TYPE: X NEW _ REM EL DESCRIPTION OF WORK: Single story office building (24.000 .f.) ANN V. .20 : 4100s000 CONSTRUCTION COST: 82,000,000 TENANT NAME: M;nnannta Farm R„raa„ SITE ADDRESS: 3080 Eagandale Place Eagandale LOT 0 1 BLOCK 1 SUBD. LeMay Lake P.I.D. # 5th Addition PROPERTY Name: Farm Bureau Life Insurance Company Phone #: 515/225-S400 • OWNER ' T "w.T Street Address. 5400 University Avenue City: West Des Moines State: IA Zip: sn2FA CONTRACTOR Company: Taylor Ball Phone #: 1-800-373-0330 Street Address- 6000 Westown Parkway, Suite 200W City: West Des Moines. IA Zip: sn?rr2 ARCHITECT/ Company: Brooks Borg Skiles Phone #- 515 /244-71 67 ENGINEER Name: Bob Mathieu Registration M 9'3(101 StreetAddress• 700 Hubbell Bldg. City: Des Moines State: IA Zip: sn3ng Sewer& water licensed plumber: Site - F. M. rattalone/ B,;1rling - Northland Mechanical Contractors 6 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. Signature of Applicant: Dougla i Ohde Taylor al OFFICE USE ONLY BUILDING PERMIT TYPE e01 Foundation ? 19 Comm./Ind. Misc. ? 18 Comm./Ind. ? 20 Public Facility WORK TYPE ,,o"--31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition Const. (Actual) Basement sq. ft. MCNVS System c?- (Allowable) First Floor sq. ft. City Water UBC Occupancy _ sq. . ft. Fire Sprinklered £s Zoning ___ __..... sq. ft. _ Census Code 3 Z ?/ # of Stories sq. ft. SAC Code 30 - Length sq. ft. Census Bldg. - Depth Footprint sq. ft. Census Unit - - APPROVALS Planning Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Building Engineering Z, 387, 2s Valuation Zp o.oo . lr SSJ.7J- - ?jj 7o-v oo Iva ,r G /QO. pD . so 3.?GS,a? -^--3968 3y7.aS .--_ /, Z9Sx 7.99 7- y oao_._o- 7, p?10.o0 Water Qual. e2l. DZS ao Other Copies - Total: 9 s/ % SAC SAC Units Meter Size Variance $ y0®, 601D .6% I -- 0 r 1 LJ LOT-/L, BLOCK RL SUBD c ? RECEIPT II 5 Y DATE '7/.&19 (/ 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Area/address to be irrigated: Commercial Residential (boulevards) Existing residential Installewyct(l Owner I--] Street address: City, state & zip code: Owner Name Street address: City, state & zip code: Plumber IK GPM ,50 GPM l f? Phone #: '-S C/ 57QC_) Phone #: Irrigation contractor, if different than installer: ? Telephone #: 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 City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Applicant's signature Approved by: PRV ? Yes ? No W service Meter Size of ` & Cost ?aa _ Fe due: Calculated L J Title Date: ?Yes No b?T?G7eiL' a-y?-? C' K L PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit i$ required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water-permit fee only if new service is installed. - ^4 $300.00 per tap if installed by City.-_ Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 per connection - WAr. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on anew service. f n w service lines are not required, one check maybe written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. OFFICE USE ONLY L BL L SUBD. 1996 PLUMBING PERMIT (C( CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT M DATE: .7 CIA `? Please complete for: • all commercialfindustrial buildings. muffi-family buildings when separate permits are not required for each dwelling unit. DATE: - ??- r7 LL_ CONTRACT PRICE: WORK TYPE: .K- NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? Y YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER43 TO BE INSTALLED? -2?, YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM?k- YES - NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: 3 TENANT NAME: OWNER N INSTALEEI S'O ??10 sa ADD`REESS ? PHONE #: -5 S1 Y '5--t/0 0 SIGNATURE: METER SIZE: -7 a 2 ?i OFFICE USE ONLY DATE: 7 ZZ. 9C INSPECTOR: STE. # STAT ZIP: ?ssYa r- APPLICANT j CITY USE ONLY L Br I RECEIPT #: 91'? SUED. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercialtindustrial buildings. ? multi-family buildings when separate permits are IIQt required for each dwelling unit. 0-0 DATE: to 1q /% CONTRACT PRICE: 4 15-2 00( WORK TYPE: X NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: $25.00 minimum fee grr 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State asurcharge-04?504pe?F'$?1,00000 of6i i fee ue on=all permits. CONTRACT PRICE x 1%TF7 • 575• ?v PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: _ o-- /ov rp'. OWNER NAME: Aj',0&5ct&. /1 a4 '1 &reagt TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: ol'q I CITY: / U2+cl 140 STATE: MIV ZIP: 55qV PHONE #: S`I3-s3oO SIGNATURE: SIGNATURTE: OF PERMITTEE CITY INSPECTOR MATHIEU NELSON ANDERSON SWANSON STIMMEL BRMKSgBQNG SKILES TRANSMITTAL TO: City of Eagan DATE: 2/21/97 3830 Pilot Knob Road PROJECT: Minnesota Farm Bureau Center Eagan, Minnesota 55122-1897 ATTN: Mr. Joe Voels PROJECT #: 4182 WE ARE ? CONTRACTOR ¦ BY MAIL ? FOR YOUR ACTION SENDING SUBMITFALS ? 13Y UPS O FOR YOUR APPROVAL YOU THE DRAWINGS El BY OVERNIGHT DE LIVERY ? FOR YOUR REVIEW FOLLOWING: ANUAI,. ? BY MESSENGER El FOR YOUR RECORDS D REPORT/MESSAGE ? BY FAX ¦ FOR YOUR USE QUANTITY: DESCRIPTION: 1 Sheet 11.2 Ground Floor Plan - Lighting. 1 Sheet 113 Mechanical Level Plan -Power and Lighting 1 Lighting Fixture Schedule P'T Copy of letter of intent for reference I ummahon Budget Ca cu ation orms fHTI. ?? Z j 6'wcb/j caul!5 1Y,?9G REMARKS: COPIES: BY: Roger T. Otis SIGNATURE: 700 HUBBELL BUILDING DES MOINES, IOWA 50309 515 244-7167 515 244-3813 FAX BBSAEONETINS.NET Illumination Budget Calculation Summary Building Address: Minnesota Fann Bureau Center 3080 Eaganoale Place Eagan. Minnesota 55121 Designer Name or Firm: Brooks Borg skiles- Des Moines, Iowa Phone: (515) 244-7167 Please Type or Print This worksheet is intended to determine compliance with Minnesota Energy Code Part 7670.0800 using the prescriptive Interior Power Allowance method. Summary of Sheets SHEET NO. Column A (Allowable Watts) Column 8 (Total Wattage) 30,157 27,626 2 8,355 5,131 Total A 38,513 Total B 32,757 If Total B< Total A, then the building is in compliance. I hereby certify that to the best of my knowledge, I have designed this illumination system to conform with the requirements of the Minnesota State Energy Code. Designer PE #24263 INTERIOR LIGHTING POWER ALLOWANCE Prescriptive Procedure Sheet # 1 of INTERIOR SPACES Allowable Illumination Budget Installed Illumination Room or Area Description (Room # or function) Room Area ft2 ULPA• Allowable Wafts Fixture Type (Luminaire Make and Model) No. of Fixtures Watts per fixture" Total Wattage Office Building (Ground Floor) 22,330 X 1.27 = 28,359 F1 COLUMBIA P4-243G-49363-2-3EB 184 1X 87 = 16,008 Office Building (Mechanical Level) 1,416 X 1.27 = 1,798 F2 PRESCOLITE CFR826-492-12ONP 143 1X 55 = 7,865 X = 0 F3 COLUMBIA CS240-EB8120 291 X 58 = 1,682 X - 0 F4 COLUMBIA FSS24-EB8-120 19 X 58 = 1,102 X = 0 F6 PRESCOLITE EDS 12 X 30 = 360 X = 0 F7 VISA CB5120-1 QF26-WB 15 X 30 = 450 X = 0 F8 LOUIS POULSEN SXS-750 2 X 10 = 20 X - 0 F9 COLUMBIA CS140 2 X 58 = 116 X = 0 E1 PRESCOLITE PEX-L-3R-EN-SING 14 X 1.5 = 21 X = 0 E1 PRESCOLITE PEX-L-3R-EN-DOU 1 X 1.5 = 2 X = 0 X = X - 0 X = X = 0 x = X = 0 x = X - 0 x = X = o x = X = 0 x = X = o x = x = o x = x = o x = x - o x - X = o x = X - o x - X = o x - X = o x = X = o x - X = 0 x = X = o x = x = 0 x - x = 0 x - 'from table on back of summary sheet. Total A 30,157 "Including ballast total from Total B 27,626 mfgr's literature EXTERIOR LIGHTING POWER ALLOWANCE Prescriptive Procedure Sheet At 2 of EXTERIOR SPACES Allowable Illumination Budget Installed Illumination Door or Area Description Linear Feet or Area (ft) ULP,- or ULPn Allowable Watts Ixture ype (Luminaire Make and Model) No. o Fixtures Watts per fixture" ota Wattage DOOR 101A with canopy 128 X 4 = 512 F10 HALO M700-74OS-1705 BA X - - DOOR 103A 2.83 X 25 = 71 Not Used X - DOOR 109A with canopy 69 X 4 = 276 F10 HALO M700-7405-1705 BA X - DOOR 1108 2.83 X 25 = 71 SL3 HOLOPHANE WL2K150 1 X 210 = 210 DOOR 115A 6 X 20 = 120 SL3 HOLOPHANE WL2K150 1 X 210 = 210 DOOR 116 3 X 25 = 75 Not Used X - - DOOR 117 3 X 25 = 75 Not Used X - DOOR 118C 3 X 25 = 75 F5 LOUIS POULSEN ORVV-MAX-458-NATURA 1 X 129 = 129 DOOR 118D 3 x 25 = 75 F5 LOUIS POULSEN ORW-MAX-458-NATURA 1 X 129 = 129 DOOR 119 3 X 25 = 75 Not Used X - DOOR 120A 3 X 25 = 75 Not Used X - DOOR 121 6 X 20 = 120 SL3 HOLOPHANE WL2K150 1 X 210 = 210 PATIO 776 X 0.1 = 78 SL2 LOUIS POULSEN ORB 604 GREY 2 X 115 = 230 SIDEWALKS 1869 X 0.1 = 187 SL2 LOUIS POULSEN ORB 604 GREY 11. X 115 = 1,265 PARKING 30812 X 0.12 = 3,697 SO KIM 1A/AR41400HPS208/DB 6 X 458 = 2,748 DRIVEWAYS 27740 X 01 = 2,774 Not Used X - SIGN LIGHTING EXEMPTED X - SL-4 X - X - X - X - X - x X X X x x x - x x - x X - x - x x x x x x x x x - x - 'from table on back of summary sheet. Total A ,i 8,355 -Including ballast total from Total B =i 5,131 mfgrs literature MATHIEU NELSON SOUTH ANDERSON SWANSON ° BR®KS BONG SKILES June 14, 1996 Mr. Joe Voels City of Eagan 3830 Piolt Knob Road Eagan, Minnesota 55122-1897 Re: Minnesota Farm Bureau Center BBS Project No. 4182 Dear Mr. Voels Regarding our telephone conversation concerning the lighting power budget for the Farm Bureau Center in Eagan, construction of the building is planned as a design/build project and a building permit is desired as soon as possible. Tenant spaces in the building have not been determined to date. In lieu of the lighting budget forms at this time we are stating that the design and construction of the building will meet the applicable regulations of Minnesota Rules Chapter 7670, June 1994. The appropriate lighting power budget forms, lighting layout and lighting fixture schedule will be forwarded to you as soon as the design is complete. Please let me know if you have questions. Sincerely, BROOKS BORG SKILES Roger T. Otis P.E. #24263 cc: Brett Mendenhall LIGHTING FIXTURE SCHEDULE ------ ------ FIXT-# ------ ------------------- ------------------- LAMPS ------------------- -- --------------- -- --------------- MOUNTING -- --------------- - -------------------------- - -------------------------- MANUFACTURER - --------------------------- ---- ---------------------------------- ---- ---------------------------------- CATALOG NUMBER --- ---------------------------------- --- -------- --- -------- NOTES --- -------- ------ F1 ------------------- 3-T8 F032 -- --------------- RECESSED - --------------------------- COLUMBIA --- ---------------------------------- P4-243 G-49363-2-120-ELECTRONIC --- -------- 1,3 F2 2-26 W QUAD RECESSED PRESCOLITE CFR826-492-120 F3 2-T8 F032 CHAIN COLUMBIA CS 240 ELECTRONIC 120 CS48 3 F4 2-T8 PER SECTION COVE H.E. WILLIAMS SERIES 74 2,3 F5 1-100W HPS WALL BRACKET POULSEN ORW-MAX-458-NATURAL F6 2 -6V 11 W WALL PRESCOLITE EDS F7 1-26 W QUAD WALL VISA CB5120-1QF26-WB F8 1/5W/CF WALL LOUIS POULSEN SXS-750-WHITE F9 1-T8 F032 WALL H.E. WILLIAMS 7520-ELECTRONIC F10 1-100 W MH RECESSED PRESCOLITE 1290MHFE-992-DAMP LOCATION SL1 1-250 HIPS 40' POLE KIM 1A/SINGLE/AR4/400HPS 208 VOLTS SL2 1-250 HIPS BOLLARD POULSEN ORB-604-GREY 4 SL3 1-150W HPS WALL HOLOPHANE WL3K-150 HP SL4 1-400W MH GROUND KIM AFL9/400MH208/DB-P/A-31 E1 LED CEILING PRESCOLITE PEX 1-3-EN SINGLE FACE E2 ------ ------ LED ------------------- ------------------- CEILING -- --------------- -- --------------- PRESCOLITE - --------------------------- - --------------------------- PEX L3-EN DOUBLE FACE --- ---------------------------------- --- ---------------------------------- --- -------- --- -------- NOTES 1 RETURN AIR. 2 LENGTHS AS REQUIRED TO FILL COVE LENGTH. 3 ELECTRONIC BALLAST 4 FIXTURE ONLY. MOUNT ON CUSTOMER'S CONCRETE BOLLARD. MEMO - city of eagan 411,131,- 4An da je Le,ra;? fake 5 i TO: DALE SCHOEPPNER, SENIOR INSPECTOR DALE WEGLEITNER, FIRE DEPARTMENT RICK BRADLEY, ELECTRICAL INSPECTOR PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT DIANE DOWNS, UTILITY BILLING CLERK MIKE RIDLEY, SENIOR PLANNER BOB KRIHA, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: /??!??SCo SUBJECT: FINAL INSPECTION - MN Parm---8uregU The Protective Inspections Department will be performing a final inspection of ace on 0/-Af-96 A Certificate of Occupancy will be issued following our approval. 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-FMAST Contract No: Project No: 9/,rP? S --? city of aagcl Submittal Date: 7- 3- iG. CM OF EACAN SEWER & WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: c Substantial Completion of Sewer & Water SANITARY SEWER Lines Lamped and Acceptable Deflection Mandrel Test Passed Manhole Structures Properly Constructed (cstg. & cover, rings, cone, 1 ft. sections, final rim setting, & build and invert) Infiltration Test SERVICES Date of Occurrence WATER MAIN Properly Chlorinated & Flushed - Entire System Pressure Tested Entire System Conductivity Tested All Valve Boxes Accessible, straight & keyed All Valves Opened or Closed as Approp: - Bacteria test completed All Wye Locations confirmed All Curb Boxes Exposed, Set to Proper Grade & Marked w/Fence Post _ Required Service Risers Telexvised COMMENTS' 1'. j lam" c;: ta/Z f>•?s/<-L/ STEP II: FULL USE PERMIT (OCCUPANCY) STORM SEWER Lines Lamped & Acceptable -_ CB Structures Properly Constructed (cstg & cover, rings, I 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' Material Tests Checked & Passed (Conc. compressive strength & Air Content, Bitum. Extacc & gradation, gravel base gradation). Utility Structures & Lines Clear & Free of Debris & Gravel (Cate Valves keyed) 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 oc_pancy be granted as appropriate to the above indications. '4;?" Signed Confirmed by: ect Public Work{ Depar WPS.7S&WPERM.FM MEMO TO: DIANE DOWNS - UTILITY BILLING CLERK FROM: CRAIG KNUDSEN, ENGINEERING TECHNICIAN DATE: OCTOBER 1, 1996 SUBJECT: STREET LIGHT ENERGY COSTS-, LOT 1, BLOCK 1, EAGANDALE LE-MAY LAKE 5TH ADDITION%3080 EAGANDALE PLACE; 1 have computed the street light energy costs for Loti, Block 1 Eagandale Lemay Lake 5th Addition. Based on 8 acres multiplied by the 1996 rate of $4.35 for non-continuous lights, the rate is $34.80 per quarter. Please start to bill this account with the next utility billing. CK/cb STREETLIGHTS 12/95.STRTLITE. FRM/CB ¦ CITY OF EAGAN CASHIER: S TERMINAL NO: 71 PATE: 07/30/96 TIME" 14:48:42 ?G ID NAME: NORTHLAND MECHANICAL CONT INC u y 82 2.00 ? ??.? 3716 92:20 3080 EAGANDALE 395.00 ` Vi6 9280 3080 EAGANDALE e5.00 3212 9001 3080 EAI:;ANIlALE 0.50 27.55 9001. 3060 EAGANDALE 1 1,242.50 To1;a'.L Receipt Amo??rit: CRO62525 USER ID: NANCY / :k**!4:*:k:K***:k**:K:k:k**kc*:K?#%***%****:k?***:k* LOT _ BLOCK _ SUED. RECEIPT ;,'DATE 1 -1 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: / - /9- q,(,- Commercial Area/address to be irrigated: Installe?(l -rte Owner ? Street address: City, state & zip Owner Street address:. City, state & zip code: Phone #: Irrigation contractor, if different than installer: Telephone #: I hereby acknowledge that I have read this application, state 'that the information is correct, and agree. to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Applicant's signature Title Approved by: Date: PRV ? Ye?s? ? No Naow service ? Yes ? No Meter Size of & Cost Fees due: 077 50 Calculated 13y -- Plumber F? GPM 60 Phone #: y 57PC) Residential (boulevards) GPM Existing residential d \a1G?g0 ,? Serial # (p ?i hip # UoS(a -7& Permit #0 az' II Address: W Zo Lam- ?00(7, 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES Signature n 0 Vm -,??jq& Serial # _4s 100'q EZ?La. Ugb37 ?V! Chip# 3 ?5$? Permit # OoZ? ?s? I !1 Address: 2{?/ f-?pry n Id i??iyr+ 1 AGREE TO COMPLY WITH CITY OF EAGAN M PPIV 515 244 3813 JUN-17-1996 09:58 BROOKS,BORG & SKILES 515 244 3813 P.04zW MAl'R IE, N El$ON SOUTH dNOSRepN A Warv'ON BRODKSnBORG SKILES MINNESOTA FARM BUREAU CENTER CODE SUMMARY I. Applicable Codes A. Uniform Building Code (1994 Addition) B. Minnesota Building Code C. Eagan City Ordinances II. Uniform Building Code Analysis A. Chapter 3. Occupancy Classification 1. Group B - Business: All Areas B. Chapter 4 - Special Use & Occupancy 1. Not Applicable C. Chapter 5 - General Building Limitations 1. Section_50-1-Location on Property a.;! Requitcd` Setbacks 1) 30' Along Eagandale Place 2) 50' Along 135E 3) Vanes along Lemay Lake shoreline J 4) 10' Along adjacent property to West b. Promo gsco distance to Property Lines 1) 153' Along Eagandale Place 2) 92' Along 135E 0, le 3) 130' Closest Point to Lemay Lake Shoreline 4) 59' Along adjacent property to West c. Fire Resistance of Exterior Walls: Type 111-N Construction (Table 5A) 1) Exterior Beating Walls: 2-Hr Non-Combustible 2) Exterior Non-Bearing Walls: NR-N/C (All walls over 40' from Property Line) 3) Openings: NR (All openings greater than 10' from Property Line) 2. Section 504-Allowable Floor Areas a. Table 5B (2-Story Type 111-N Construction) 1) Allowable Area: 12,000 Sq. Ft. 1 I Story 2) Multi-Story Building Increase = 2 xTablc 5B = 24,000 Sq. Ft. BBS-4182 June 14, 1996 Page 1 vol. clueeFl? eu li.oiNa OEF. pOIN Ci. IOVIA SC1(?il i15 /ta lf , 515 i,a-Jfi?] ILR HU F4 ryETiN?, 11 ET 515 244 3813 JUN-17-1996 09:58 BROOKS,BORG & SKILES 3. Section 505-Allowable Area Increases a. Separation on all sides 515 244 3813 P.05/07 1) Closest approach to Setback: 42'atI3SE Side 2) 42'-20'= 22' Access yard x 5%u pcr foot = 110%n Additional Area (100% Maximum Allowed) c) 24,000 Sq. Ft. + 100% Increase = 48,000 Sq. Ft- (24,000 Sq. Ft Footprint) b. Proposed Building Areas 1) Lower Level Gross Area= 22,886.50 Sq. Ft. (Footprint) 2) Upper Level Gross Area = 1,505.75 Sq. Ft. (All Mechanical Equipment) 3) Total Building Area = 24,392.25 Sq. Ft. D. Chapter 6 • Types of Construction 1. Table 6A Requirements a. Bearing Walls-Exterior b. Scaring Walls-Interior a Non-Bearing Walls-Exterior 4 Hr Reduces to 214r by Table 5A (Separation from Property Line) None 4 Hr Reduces to NR-N/C From Table 5A (Greater than 40' Separation from Property Line) d. Structural Frame e. Partitions-Permanent f. Shaft Enclosures 8. Floors and Floor / Ceilings h. Roofs and Roof Ceilings i. Exterior Doors and Windows None None 1-Hr None None None (Due to Separation from Property Line) E. Chapter 10 - Exit Requirements 1. Section 1002 -Occupant Loads a. Due to speculative office use, specific exit paths and loads will be determined and dealt with as each tenant office space is developed in the future. General loads based on common use areas and future tenant spaces are as follows: 1) Common Areas at "Center of Building" 1882.84 Sq. Ft. a) Occupant Load Factor: 100 (Others) Ia. Occupant Load: 18.8 People 2) Common Areas at South end of Building 1400.00 Sq. Ft. a) Occupant Load Factor: 100 (Others) la. Occupant Load: 14 People 3) Tenant Office Space 16 4296.17 Sq. Ft. a) Occupant Load Factor 100 (Office) la. Occupant Load: 42.9 People 4) Tenant Office Space 17 4557.18 Sq. Ft. a) Occupant Load Factor 100 (Office) Ia. Occupant Load: 45.5 Pcople 5) Tenant Office Space 18 3366.56 Sq. Ft. a) Occupant Load Factor 100 (Office) I a- Occupant Load: 33.6 People 6) Tenant Office Space 19 7243.02 Sq. Ft. a) Occupant Load Factor 100 (Office) la. Occupant Load: 72.4 People 7) Second Story Mechanical Spaces 150515 Sq. Ft. a) Occupant Load Factor 300 (Mechanical Equip. Rm.) la. Occupant Load:5 People BBS-4182 June 14, 1996 Page 2 515 244 3813 JUN-17-1996 09:58 BROOKS.BORG 8 SKILES 515 244 3813 P.06i07 2. Section 1003 - Exits Required a. Lower Level 1) All spaces have an occupant load of greater than 30 People (Common Areas provide exit path for Tenant Areas) 2) Exits required for each space: 2 3) Exits provided from each space: 2 b. Upper level 1) Exits Required: 1 2) Exits Provided: 1 c. Total Number of possible exit doors provided? I l d. Total possible exit capacity of building exits: 396" /2=1980 People 1) More complete exit path diagrams and calculations will be submitted with each tenant space improvement c. Maximum travel distance: less than 150- (One-Ralf the maximum diagonal of the entire building is 130) 3. Section 1006 - Stairs a- Stairway to second story may be a ship's ladder (Section 1006.1) 4. Section 1020 - Special Hazards a. Largest piece of fuel fired equipment (Boiler) does not exceed 400,000 BTU/H input b. Boiler Room is under 500 Sq. Ft. F. Chapter 29 - Plumbing Fixtures 1. Requirements based on UBC Table A-29-A 2. Number of building occupants based on exiting loads: 200 +/- 3. Number of fixtures required @100 Men & 100 Women: 4 Toilets each 2 Lavatories each 4. Number of fixtures provided: 6 Each for Men and Women 5. Capacity provided by proposed design: 205 Men and 205 Women G. Site and Parking Issues: 1. See site plan submittal drawings as prepared for development agreement. BBS-4182 June 14, 1996 Page 3 515 244 3813 JUN-17-1996 09:58 BROOKS,BORG & SKILES 515 244 3813 P.03i07 MA74IEL NFLSON SOV7H ANNLggeN SWANSeN §"KSaBORG SKtLES Facsrnzn>E TO: City of Eagan DATE: June 14, 1996 3830 Pilot Knob Road PROJECT: Minnesota Farm Bureau Center Eagan, Minnesota 55122-1897 ATTN: Mr. Joe Voels, Cousiruction Analyst PFAX ROJECT #. 4182 (612) 681-#### # PAGES: 6 MESSAGE: Dear Mr. Voels Please find enclosed a copy of our Code Analysis for the captioned project, along with a letter from our Electrical Engineer regarding the lighting loads on the building. Also included is a draft of a letter addressing the special inspections required for the project- The original will be forwarded to you once the various parties have signed the document, A schedule will be developed after a testing agency is secured. It is my understanding that the General Contractor has requested a footing and foundation permit in order to begin work on the site. If you require any further information before that permit can be issued please contact either myself or Mr. Jim Miller at our office. The plans previously submitted will be revised and resubmitted to more completely describe the project as T'm sure you will require before a full building permit can be issued. In the mean time, we would like to request that the present drawings be treated as a "preliminary" submission for the purpose of establishing a dialog between your department and our office. Thank you for your time and consideration in these matters. COPIES: Pile Doug Ohde, Taylor-Ball BY: Brett A. Mendenhall, AIA SIGNATURE: Ja ll I?uea CL aw LOI N.: IFS MOIN ET._ 10'//? 50i 511 ,Cp.'/IUJ 4135AF yo N ETIN S. N F, 1 0* - city of eagan TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL RICAL INSPECTOR PUBLIC WORKSIENGINEERING/UTILITIES/STREETS ?GENEVANO(VfERBEKE,FINANCE DIRECTOR ) RICH BRASCH, WATER RESOURCES COORDINATO MIKE RIDLEYIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY MEMO FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: /IZ/f??0 /aT • I QLOGt ?I X .41; 1"44 LtMAy SUBJECT: PLAN REVIEW G /? LA*t s A The -preliminary construction plans for M AI /-'- M A&Xj .4 & efArrtje. 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. p / Comments: G nt 40a,/G -/ilo?J??e/fir Ghc i `??? G?/1?1? e2f vi e- p?.l/ co /dot //''q, V,2- 96 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 L- is-ao Signature Date • v?en+oV.lew JUN-21-1996 Metr Working fc 612 229 2083 07:45 FROM METRO WASTE CONTROL politan Council the Region, Punning for the Future February 15, 1996 Mr. Joe Voels Construcitiorb Axalyst City of 3830 P1 of Knob Road Eagan, MN 55122 Dear Mr. Voels: TO 9681469411 P.01 Post-it' Fax Note 7671 out. a ( pw t * To From Co.mepl. Go. Phooe k Phone % n - l I /3, { Il? Fax M Fax Y The Metropolitan Council Environmental Services Division determined SAC for the Minnesota Farm Bureau center to be located within the City of Eagan. This project should be charged 8 SAC Units, as determined below. Charges: Office 7472 sq. €t. @ 2400 sq. €t./SAC Unit Training/Conference 2600 sq. ft. @ 1650 sq. ft./SAC Unit Insurance Agency 1680 sq. ft. @ 2400 sq. ft./SAC Unit Lease Space 5806 sq. ft. @ 2400 sq. ft./SAC Unit Total Charge: If you have any questions, call Jodi Edwards at 229-2113. Sincerely,, Rogd* W. Janzlg Planner, Municipal Services Section Wastewater Services Department RWJ:JLE 960215S5 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Jim Miller, Brooks Borg Skiles SAC Units 3.11 1.58 0.70 2.42 7.81 or 8 230 East Fifth Street St. Paul. Mtnaesota 55101-1633 (612) 222-8423 Fax 229-2183 T'DD/= 229.3760 An Fg-'opp- Uy£SnploW' TOTAL P.01 MEMO city of eagan TO: PAT GEAGAN, CHIEF OF POLICE / JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL RICAL INSPECTOR PUBLIC WORKSfENGINEERINGlUTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATO MIKE RIDLEYIDLEY, SENIOR PLANNER / GREGG HOVE, SUPERVISOR OF FORESTRY FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: /IZ-/fee /Or - I QLOCk -I ?AI?AN+4LtALCMAf? SUBJECT: PLAN REVIEW C? n LAkt/Js ^ab• The _ preliminary Construction plans for ?1??iq?/V1 /? L/lQtqu 4 ?NT??+ 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: Q-? iheerrl5 5ee P9?Y Zl S 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 Amoun Signature Date v planrav.Nw MATHIEU - NELSON ?- SOUTH ANDERSON SWANSON 13 BRCUKSRBORG SKILES June 14, 1996 Mr. Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Re: Farm Bureau Center Project No. 4182 Dear Mr. Voels: Farm Bureau Center Project will require the following special inspections: 1. Special grading, excavation, and filling. 2. Concrete - Taking test specimens and placing of reinforced concrete. 3. Botts and Inserts in Concrete - Furing installation of bolts and inserts and placing of concrete around same, 4. Welding - For all structural welding. 5. High Strength Bolting - During all bolt installations and tightening operations. 6. Masonry - Placement of reinforcement, inspection of grout spaces, and during all grouting operations. Either the Architect or Owner will arrange with an outside testing agency to see that the above list is performed. BROOKS BORG SKILES ARCHITECTS ENGINEERS ?J,AA FARM BUREAU TAYLOR BALL CENTER >00 HUBBELL 9UII.DIAG DES rd DINES, IOK'A 54309 515 244 7167 515 244-3819 FAY. UESAE ANETINS_ NET 01/10/2007 10:29 FAS 5152Z(iUSS9 FAR61 BUREAU 2007 COMMERCIAL PLUNIBLNG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN !VIN 55122 641-Aa74-4675 1l?UU5 Date 3 / 14. 07 11 Site Address 3080 Fagand la a PlarP Farrar, tau Sri1) t Unit# Tenant Name Minnesota Farm Bureau Former Tenant Name Property Owner Telephone # ( ) Contractor Northland Mechanical Contractors, Inc. Address 9001 Science Center Drive City New Hope MN 55428 i State Zip Telephone#(763) 544-5100 License# 3957PM Expires: 12/31/07 .The Applicant is Owller x Contractor Other Work Type _ New Bldg _ Modify Space _ Irrigation System" -Yes -No Work in public r-o-w / easement? x_ RFZ _ PV$: _ New J Repair/Rcbuild _ Replace _ Remove Rain sensors are required on irrigation systems Description of Work Rebuild & test (2) RPZ's S/N 47 790 & 44g11R4 'to inq„ire if Pressure Reducing valve is required on new service, call 651.675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests paused prior to pieklne uo meter. La igation Sim & Typo Avg OPM 2" turbo req'd unless smaller size allowed by Public Works Fire. Size & Price 3/4" meter 5174.00 Domestic SiZe & Typc Avg GPM Includes high demand devices? -Yes-No Flushometers -.Yes No PRV Required ^ Yes -No Permit Fee $50.50 mirsimum (includes State Surcharge) Contract Value S x t%s - $ 50.00 PcruutF= $ Meter(s) Required on all trim buildings & boulevard irrigation systems $ Radio Mewr Road $ .50 State Surcharge i Tf nera.it Fen is lase tban 5"1,000, sta'rhvrga is 5.50 If crmit t' Is more than $1,000, sarcharge is $50 for each $1,000 owed. Following Ices apply when installing new lawn irrigation system Y? $ _---Water Permit Call the City's Engineering Oeparlment, 651-615-5646. for required fee amounts S Treatment Plant $ Water Supply & Storage $ State Surcharge S 50.50 Total Fee a... a...,....f...ai 1... :.• e,.?G..mance with the 1 hereby apply for a C;omincrotal Flianbtag ve t ;ma acimowwage rnat me mib mauun is uv, yp c ...u w.?......?. ,....• ..- - - __ _. ur.liimuvca and ccdav of taw City of Eagan and with the Plumbing rndea; rhnl t nndctwtand Otis i5 not a per, nt only an application for a permit, and work i4 not to start without a permit; that the wwk will be in a rdance with the approved plan in the ease of work WMic t r ua a,?eylew and approval of plans. Mel Simmons Applicant's Printed Name A N32mdredj 19529331688 JUN/19/2008/THU 09:38 AM CARRIER f City of Bapfl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FAX No.19529331688 /fob r U` (P , 3v a Q_QLOO ' P. 001/001 --- I I I I Pernik*: I Permit F9e: / Oo j I 1 ' pate Recehred: I I Stall: 1 2008 MECHANICAL PERMIT APPLICA Date: Tenant: Suite #: RESIDENT / OWNER Name: FAr_W% Dr ozz--AA Phone: `7v 'ZZrn ?iZ? CY JfVE !7465 0 d ?1 tMI A I Address/ City /Zip: CONTRACTOR Name: 160%t_ ?0a7tN?L5 C=! License #: Address: 4_20ZO 0a lstr" ST94!50? ,? 1A zip: !3Fez a Lou i S j2/?1- State: 0 City: s r ? ? j? Phone: 7) - 7 ?J3 ` ?.30t.? Contact Person: C. ta?`^r97G O? TYPE OF WORK New -Replacement Additional Alteration -Demolition p L IAA &r Z 7- c i o G ail 4 J - Des riptloi , f:work: /1? ! 2?' ? ND7E Eath rag??mPu?(-?d'a??9?ayndJnountett.methanrcrgt^e9p/P11Ye?1(?rs>ur?eh'i"#?k ' Hre 1° Ibe°5areenenl by Clty Done Please contact the Menhaxftralnspec7or{or?oneroi " :inaElfoa[s.. „ xpA xa a.. Plhr7rfars torJritoriitatton on'eniff ei -abr ien/n RESIDENTIAL COMMERCIAL PERMIT TYPE Now Construction _ Interior Improvement Furnace Processed Air Conditioner Install Piping ? Gas _ it Air Exchanger screened ' •'WVgC units must Heat Pump _ Under / Above ground Tank I_ Install / _ Remove) Other "When installing/removing tank(s), call for inspection by Fire _ Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: 4491 $70.50 Underground tank installation/removal OR contract value $ /0i 0:1 !7/°? $50.50 Minimum (includes State Surcharge) p° rrTmnft - If Perml F g is less than $1,000, surcharge Is $-S0. - If P m Epp is > $1,000, surcharge increases by $.50 for each $ arge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge)- $ ?Q TOTAL FEE I hereby acknowledge that this information is complete And accurate; that the work wilt be in conformance with the artlinanee9 and codes Ct the uity or Cagan; mac I understand this is not a permit, but only an application for a permll, 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 egAlC je Pyier ! x Applicanrs Primed Name Appll nvs Signetu w . D Site Address: -3b G? Use BLUE or BLACK Ink For Office Use /1 I I It Eajan Permit D 7 J0 b1 ty of I 1 -O I Permit Fee: ~ 3830 Pilot Knob Road RECEIVED I I I Date Received: Eagan M N 55122 Phone: (651) 675-5675 FEB 2 2 2012 staff: Fax: (651) 675-5694 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 2-21-2012 Site Address: 3080 Eagandale Place Tenant: Farm Bureau Life Insurance Suite PROPERTY OWNER Name: FBL Financial Group Phone: 515-371-3428 Name: Northland Mechanical Contractors, Inc. License#: PC643880 CONTRACTOR Address: 9001 Science Center Drive City: New Hope State: MN Zip: 55428 Phone: 763-544-5100 Email: TYPE OF _ New _ Replacement - Repair x Rebuild - Modify Space - Work in R.O.W. WORK Description of work: Rebuild (1) RPZ - SIN 473790 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 prior to picking up meter.` Domestic: Size & Type Firer 1 Avg. GPM High demand devices? -Yes No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% = $ 60.00 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,000 Permit Fee re uires a $5.50 surchar e $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ 60.00 TOTAL FEE l CALL BEFORE YOU DIG. Cali Gopher State One Call at (551) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or 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 Michael Tieva x A,~W Applicant's Printed Name Applicant's Signatu FOR OFFICE USE Approved By: Date: Required Inspections: ,Under Ground -Rough-In -Air Test Gas Test -Final PRV Required, - Yes _ No Work Order # 42339 Page 1 of 3 Use BLUE or BLACK Ink j~ I-----------------, / I For Office Use ~7 / I 1, 4+- w I IC-3, U' ~L / d I I CItV of Evan Permit ~ 00 I Permit Fee: I 3830 Pilot Knob Road I I Date Received: Eagan MN 55122 r I I Phone: (651) 675-5675 RE(-,, I/.D I Staff: j Fax: (651) 675-5694 FEB 'l 4 2012 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 2-21-2012 Site Address: 3080 Eagandale Place Tenant: Farm Bureau Life Insurance Suite PROPERTY OWNER Name: FBL Financial Group Phone: 515-371-3428 Name: Northland Mechanical Contractors, Inc. License#: PC643880 CONTRACTOR Address: 9001 Science Center Drive City: New Hope State: MN Zip: 55428 Phone: 763-544-5100 Email.' TYPE OF _ New x Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: RPZ Replacement for failed RPZ - SIN 449984 - Lawn Irrigati 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 prior to picking up meter. Domestic: Size &Type Fire: 1 - Avg. GPM High demand devices? Yes No Flushometers _Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% $ 60.00 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010411,000 Permit Fee requires a $5.50 surchar e $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge _ $ 60.00 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or 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 Michael Tieva x ! 1 Applicant's Printed Name Applicant's Signat FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground -Rough-In _Air Test Gas Test Final PRV Required: _ Yes No Work Order # 42556 Page 1 of 3 06l01l2015 11:16 DerCon Construction Services Inc �A�7639513019 P.001l002 L ---- Use BLUE or BLACK Ink � j Fo�Of�lce use j � Clt 0� ��p�Il � Pe��t#: i�ir �� � � � a j permlt Fee: �� �" �� I 3830 Pllot Knob Road / �. Eagan MN 35722 � Date Received: [✓ _/�S j Phone: (6S1)675-5675 � i � Fax: (ss1)675-669a _ ' .i�,.;; ; ' , . . � staff: � -----------------� 2015 COMMERCIAL BUILDING PERMIT APPLICATION o.�: �-a � $��A�d�9: g r� Tsnant Name: �L�� �u�ea u (Teeant Is: New/,�Existing) Suite#: ' Former Tena�t; � ; ' N�me:�U,� M �ta�QQ U► ��d1la 1'� _ iL1 � Phone��� �v`~ 0707�' �v��� ;Pro�pe,rty.OvVll'eT >'., Address/Ciry/ZIpS� w1,1�Q fS��L T7V�_ � �9� I�•�� (� Jv ,�j � r � Applicant is• Owner Co�treotor SH/NG� Type;of'.Work,:��,�';' �escription of work; � � � .� Construction Cost��� ' Name:�JC r�� l:D�1 ��,,1 J 0� �r�iC�._License#: �� ��,�� ��. . —�� —r. COt1tfaC�O��,�� .. Address:���Jo� �6�GyTP ��,�City: 17 n Uov�1� �;,';,".. � ^� . State:�2ip:�'�_ Phone:„_�.�.�"5� �� ��,� . � � ;� Contact: r L Emaii: 'l�1� . C �•. Name: Registration#: Architect�Eng�i�eer.'. Address: City: • , State: Zip: Phone: • :.. Contact Person: Email: Licensed plumber instaili�g�sewe�/water service: Pho�e#: NOTE P/ans>and•:su ocfin°:;d. ...;,......,:.,., .r....,... �„.,.,..,.,,..,,.,.,,..���,� • , ... . . ,..._... , • PP. •,�•�,.ocum�,ts,,;td'a,t,yQrr„�dbm�t�rs�'�:E.o�i��de�ed.€.�o>p:�;�PNtilrcear�i"f,ori►iatio'n::��,P'ortlons.of � :..,�; ,...,...;� .� .� �..;. „ ,,.�,,.;�x.,•�.,,.,. .: �.. :. • ;:,;.:v ...r,s,:..� , .,., � .Y� ,a .�v,.... .h•..�.�r:rg!.,:c:r. • :•'f��.. , V 'll � 'kw•. Ure ir►foFrnabon,,may tie;cla�iied•�as;�n.on�putil,i;c�.?r��';o�u,rpn�vide,sp,�c�c;riieasons:,rhat;wpui"'d;.;p�em►it the.City to ' . .�, . ' :.:%�. +Y,.,.ga�: :'.o:r; :ry�•.:r°5 :.4:.},. ,:.w::+ t�1.Y e:?��;' ;•..s;,!;t , . .;•eo�cl"['i'da:�:that:;fhl��.;�a�sAt�ade,;'se,ciefs:;,;.:::s,�.':'�'::.::;:.:'�">�?,;:':'.:•�.. CALL BEFORE YOU DIG. Call Gophe�State One Call at(661)46d-0002 for protecKlon agalnst underground udlity demege. Call 48 hours before you intend to dig to receive locates of under9round utilities. www.00cherstateonecall.orq I heieby acknowledge that this informatio� is complete and accurate; �►at the work will be in conform�nce wlth the ordin�nees and codes of the City of Eagan;that I under8tand this is not a permit,but only a�appiication for a pe�mit, and work is not to start without e permit;that the work wiil be in accordance with the approved plan in the case of wor whlch requlres a review�nd approval of plans. x !...���.,�► �r�L���_ x � Applicant'a Printad Nama Ap ant'e Slgnature ��D�07 � 01 7l0— (D�l� Page 1 af 3 06101/2015 11:17 DerCon Construction Services Inc �A�763 9513019 P.002l002 . � , � � ��� ���'� ""�DO OT WRITE BELOW TH13 LINE ���` � � $t,lB TYPES Found�tlon _ Publlc Facllity Exterlor Alteratio�Apertmente ✓Commerclal/Indusvtal _ Accessory 8uliding _ Exbe�ior AlteretlorrCommer�lal _ Apartments _ Greenhouse/'Tent _ Exterior Alteratloh-Publlc Facllity , Mlecellaneous _ Antennae WORK TYP63 _ Naw InteHor lmprovamant 8iding Demolleh Bullding" _ Addition _ Exterlor Improvement � Reroof Demollsh I�rlor _ Alteration _ Repalr _ Windowe _ Demolish Foundatioa _ Replace _ Wate�Detriage ` Fire Repair _ Reteining Wall _ Salon Owne�Change •Demolitlon of eMire bullding—giva PCA haadout to appllcanr. �ESCRIPTION Valuation 3z OFO � Occupancy MCES Syatem � � Plan Revlew oN� Code Edlt�on 2�d7H5�3� SAC iJnits (25%_100°r6� /�6 � 2onl�p Clty Water Cenaua Code Storiea Booster Pump �of Unita Square Feet PRV #of Buifdinga _� I.sn�th Fire 3prinklers 7ype of Construetlon yy�d� . RE�UIRED INSPECTION� Footings(New Building) 3heetrock Footinps(peck) �inal/C,O.Requlred Footings(Addltlon) Final/No C,O.Requlred Foundation Other Dreln Tile Pool:_Footings Alr/Gas Tests _Fi�al ✓ Roof:_Dedcing _Insulatlon `�lce&Water �Final Siding:_Stucca Leth ,_Stone Lath _Brick Framin9 Windows Flrepla¢e:_Rough In Air Test _Flnal Retalnine Wall Insuiation Eroslon Gontrol Metsr Size: Conerete Entrancs Aproe Flnal C/O Inspectlon:Schedule'Fire Marshal fo be present: Yea ✓ No Revlewed By:��6 .Bulldln9 Inspector Reviewed By: � � Plenning COMMERCIAL�EE3 Base Fee $B_2 S� Water�uellty Surcharge �L �"''�' Water Sampling Fee Plan Review �• � Water Suppiy S Storag�(WAC) MCES 8AC Storm Sewer T�unk City SAC Sewer Trunk 38�W Permlt&3urcharge Water Trunk Treatment Plant Street Lateral • Treatment Plant prrigatlon) Street Park Dedication Wate�LaEeral . Trall Dedlcatlon Other. Water Quallty TOTAL �.54�y� Pag�2 of 3 .