3351 Coachman Rd't --I (? ---I lo
COMMERCIAL
BUII.DING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
i o -1-a-oJ
Foundation Onf New Construction Interior Im rovement
• SWCtural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sels
. Civil Plans (2) • StrucWral Plans (2) • Code Analysis (i)
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (t) . Landscaping Plans (2) • Key Plan (t)
• Prqect Specs (1) . Code Analysis (1) " • Master Exit Plan (t)
• Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing 5chedule (1) • Elec. Power & Lighhng Form (i) notalways"
• Meter size must be established • Meter size must be established • Meter size must be esta6lished - if applicable
. Project Specs (1)
1 • EnergyCalculaUOns (1)
1 • Electric Powef & Lighting Form (7)
i . Master Exit Plan (1) !
1 . Fire Protection Plan
"
(t)
1
! . SoilsRepart (1) 1
• MGES SAC determination letter . MGES SAC detertnination letter • MGES SAC determination letter
call 651-602-1000 call 651-602-7000 call 651-602-1000
" Contact Building Inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE WORKTYPE NEW X REMODEL CONSTRUCTIONCOST/// 7O P. D c3
? -
81TE ADDRESS???itl?rn/
TENANT NAME
FORMER TENANT NAME
DESCRIPTION OF WORK ??T?/???' ,??.??iF???
Name: /Z/-` P,/ 10?!/7
PROPERTY Last First
OWNER /
StreetAddress ?7 7':?? 'r 7 _ C"?j(sri
SUITE #
Phone#:
CONTRACTOR
ARCffiTECT/
ENGINEER
City State Zip -"
Company?nlQfT/ e'"lone fi fog - 4?Z3
SheetAddress: v
City ?,State /?? I? Zip
/ iJ 1
Company Phone # L_
Name Registration #
Street Address
City
State
Licensed plumher installina new sewer/water service: Phone #:
Zip
I hereby acknowledge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant: ?
Updated 1101
?A R3, 3 L 1?
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
? I?FsU G-??-
?
l -?- - 10 _ o
Foundation Onl New ConsWction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . StrucWral Plans (2) • Code Malysis (1)
. Certifiqte of Survey (1) . Civil Plans (2) • ProJect Specs (1)
• CodeAnalysis (1)" . LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) • CodeMalysis (1) " • Master EAt Plan (1)
• Spec.lnsp.&TestingSchedule'* • CertificateofSurvey (1) • EnergyCalculations (1)notalways"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Povsr & Lighting Form (1) not always"
• Meter siae must be established • Meter size must be established • Meter si2e must be established - If applipble
• ProJectSpecs (1)
1 • EnergyCaiculafions (1) " !
1 • Electric PoHer & Lighting Fortn (1)
1 • Master Ept Plan (1) 1
d . FireProtectionPlan (1)" 1
1 • SoilsReport (1) d
• MGES SAC detertnination letter . MClES SAC determinatlon letter • MClES SAC determinadon tetter
rall 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 Z 7 D /
SITE ADDRESS 33,5
TENANT NAME
FORMER TENANT NAME
DESCRIPTION OF WORK
WORKTYPE _ NEW
?
CONSTRUCTION COST ?
SUITE #
Name: ZA-?-nL 16?4?? A/La?`_'Phone#: ?( 5 t ) 4:5¢ -5-76 $7
PROPERTY Last ?-First ?
OWNER /
StreetAddress S.j 5 /
City
0
State d6f/? zip
e'
ComPanY Phone# (7 ?6 3
CON'I'RACTOR
5treet Address: ? W
CiTy
State , '?-l' Zip
i
ARCHITECT/ 1
ENGINEER Company_ ?? Phone # ( ? )
Name Registrarion # i? IZ_L ? i?d? I
Street Address
i
City State Zip
Licensed plumber installina new sewer/water servlce: Phone #: ?)
I here6y acknowledge that I have read this application, state that the information is corre? r e to rq ply with aIl applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New ?
? 32 Addition ?
? 33 Alterations ?
? 34 Replacement ?
? 26 Public Facility ? 30 Accessory Bldg.
? 27 Commercial/lndustrial ? 32 Ext Alt -Apts.
? 28 Greenhouse ? 34 Ext Ait - Comm.
? 29 Antennae ? 35 Ext Ait - PF
? 37 Nail Salon
35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
36 Move Bldg ? 43 Reroof ? 47 Repair
37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
38 Demolish (Int) )9(, 45 Fire Repair
GENERAL INFORMATION
Census Code 4 157
SAC Code Q
No. of Units ?
No. of Bldgs.
Const. (Actual) V - I I-rQ-
(Allowable) V - I rrr?..
UBC Occupancy R - I
Zoning
# of Stories
Length
Width
Basement sq. R.
First Floor sq. ft.
sq. ft.
MI5CELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Pertnit Fee
Surcharge
Plan Review
MC/ES 5AC
City SAC
Water Supply & 5torage
S/W Permit
S/W 5urcharge
Treatment Plant
sq. ft.
sq. ft.
sq.ft.
sq.ft.
MC/ES System
City Water
Fire Sprinklered
? Insulation ? Plumbing ? Stucco/Stone
Building I..WPCV?-, Engineering Variance _
VALUATION $ Z7fS ? 0 D
1 12.?0
% SAC
SAC Units
Meter Size
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
? ?'S0 (1. DS
7&00?
zons COMMERCIAL PLUMBING rExMrr nrrLrcnTioN
CITY OF EAGAN
3830 P[LOT KNOB ROAD, EAGAN MN 55122
651-675-5675
16-0.`,
Date5? / bW
{
Site Address ? RC?A (YlQ_,(1 O? llnit #
Ten9nt Name Former Tenant Name
4
Property Ocraer TelepLone # (z6l ) r.?. S? `Q 5-
Contrador
Address .C?V • 3X?7? ISJ? l1( City
1? 1?1.5
State P8 0 Z7p5f5qJ9_ Telepfiooe#((Dj? (D?j? g'ild
License # q 12:;01 ? (Yi Eapires: 443 "I,
T6c Applicant is _ Chvirer _ -?_ ConArac:tor _ Other
WorkType NewBidg
ModifySpace
IrrigaNooSvstem'• Yes No Workinpublicro-w/ea.sement?
_
_
4RPZ _ PVB: 1- New _ Repair/Rebuild _ Replace _ Remave
Rain sensors are
required d oa ir ' ation s stems
^
e-
+
Desrriptioa of Work Q?W(1
7c S
To mquve d'Pres.sate Redacmg Valve is reyuued on new semce, ca1I651G75-5G4G
MCtCLS - C81l 6$1-67$-5300 f9 VC[t& S?t hYdIOSf2I1C, L9fidiiCTl411Y, 3tiQ t)BCIC[t8 f¢S1S j13SFEd O1'1" lD DiCklt¢ YD WCtCT,
Irrigation Stze &T}pe Avg GPM 2" iuriw req'd tmless stnaller size altowed by Public Works
Fire Size & I3ioe 3/q^ meter 167.00
i)omestic Size & Type Avg GPM lncludes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fce $50.50 n»rrinnou (indudes State Surdharge) ????? C? ? I! 11
ContsactValue $ a l°fo tio1r 9. .Q, )Ililn PermitFee
$ Meter(s)
Required un atl ep?w buildings & lxiulevard irriuauon svstems $ Radio Melet Read
$ State Sim:llrarge
If umuil fee is hxs lkae SS.WB, snrc6arge is $.50
(f mmmil fce is more ihm 51,8011, mreharge is $.50 fnr eaeb S1,900 owed.
Fdlo.ring fees app1Y when ioatailing mw lawn irrigation s?csfem $ Watei Pean»t
GII the l'ity's Engmeer'sg ?epaMienk 651b75-564fi, far rcquired Fee amountx
$ Treaiment Plant
$ Water Supply & Storage
$ SEate Siao[arge
$ ,':T0 . y Total Fee
1 hemhy apply for a Commeai.ial Plum6mg Rxmi[ and nefaowledp Iha[ the infomfation ie campkie anJ accurate: tha[ dw woi1??c?n""wi33 be in ?vnfmmance rpil6 the
oidinancen and cedes of ihe Ci[y of Eagan and with e Plumbm$ Cod?: tlut 7 ?mdeiwpnd this is not a pemeA, Fut only an appli?-a far a pc?mit, ie aot fo 20 n
s withoi8 a?tl,a[ wark wiil M1cry? auwm witL the approved pim in iFa case of79 ltivh rcQuaus a mie? nd vaI oFp
?21 „ _ ?
f i:?'r
Appli t's ntedNamo A ca '. SMnatare
v ol 2007COMMERCIAL BUILDING rExnzrr arrr.icnTiorr `' 2? 1 - 5
< < City Of Eagan /1h??
3830 Pilot Knob Road, Eagan Mn 55122 ?-
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why.
• Structural Plans (2) sets
. Civil Plans (2)
• Certifcate of Survey (t)
• CodeAnalysis (1) °
. ProjectSpecs (1)
• Spec Insp 8 Testing Schedule (t) "
• SoilsReport (1)
. Meter size must be established
1
1
1
1
1
1
• SAC determination - call 651-602-1000
• Soils Report (1)
• CertiFlcate of Survey (1)
• Structurel Plans (2)
• Architectural Plans (2) sets
• HVAC units req'd. on bldg elev. / sde plan
Civil Plans (2)
Landscaping Plans (2)
• CodeAnalysis (1) "
. EnergyCalculations (1)
• Emergency Response Sde Plan (1)
• Spec. Insp. & Testing Schedule (1) "
• Electric Power & Lighling Form (1) "
. ProjedSpecs (1)
• Master Exit Plan (1)
• SAC delermination - cail 657-602-1 000
• Fire Stopping Submitlals
• Fire SuppressionlAlartn Form
. Meter size must be established
• Architecturel Plans (2) sets
• CodeAnalysis (1)
• ProjectSpecs (1)
. KeyPlan (1)
. Master Exit Plan (1)
• Energy Calculations (1) not always•`
• Elec. Power 8 Lighting Fortn (1) not always"
• Meter size must be established-4f applicable
• SACdetermination-ca11 6 51-60 2•1000
Call MN Dept of Heaith at 651-201-4500 for details reeazdinp food & bevera¢e or
** Contact Building Inspec[ions W see if it is required and for a sample.
•** Permi[ for new building or addition will not be processed without Emergency Response Site Plan.
Date
?,. / 3 / / 6-1- Construction Cost ?i wo' CC)
_
Site Address UnidSte #
TenantName? na%&L- ? rormer'PenantName
Description of Work ?g- C] Lca 6?
Property Owner 0 rr 1, rl? Telephone # 0?6-4
Applicant is: ntractor Contact
wner V ?,o
O
Contractor ?
n
1..? ??z ( .(?? ? •
Address ?? ) ? ? y
Al?'? • /V City L-Cei?Q- ?l?
J ?2
?
State ? Zip ?6--6b#J Telephone #QIA51) 96-2- 7
`
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewer/water service: Phone #:
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be m
conForrnance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an
application for a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans. rl? I
ApplicanYs Print Name Applicant's ' ature
DO NOT WRITE BELOW THIS LINE
Su6 Types
? 01 Foundation
? 14 Apartments
? 15 Lodging
,f' 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 26 Public Facility
? 27 CommerciaUindustrial
? 28 Greenhouse
? 29 Antennae
D ec?_ _? e0WlR
? 35 Int Improvement ? 38
? 36 Move Bldg. ? 42
? 37 Demolish (Bldg)• ? 43
`Demolition Building - Give PCA handValuation -/, oOO. o 0
Plan Rev 100% 25%
SAC Units
N6r. of Units
Nbr. af Bldgs
Fire Sprinklered
Required InspecHons
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Dmin Tile
_ Driveway Apron
_ RooF Ice Pr _ Decking
_ Framing
Accessory Building
Ext Alt-Apar[ments
Ext Alt-Commercial
Ext Alt-Public Facility
Nail Salon
? 44 Siding
ion) ? 45 Fire Repair
? 46 WindowslDoors
Type of Const Width
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length, Cade Edition
Insul Final
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
_ Sheetrack
FinallC.O.
? FinaVNo C.O.
Other
? 30
? 32
? 34
? 35
? 37
Demolish (Interior)
Demolish (Foundal
Reroof
)ut to applicant
Pool Ftgs AidGas Tests Final
Siding _ Stucco Lath _ Stone Lath _ Final
W indows
Final C!O Inspection: Schedule Fire Marshal to be present. _ Yes _ No
Approved By: Planning D "`--Suilding Inspector
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
SIW Permit
SIW Surcharge
TreaMent Plant
Treatment Piant (Irrigation)
Park Dedication
Trail Dedica6on
Water Quality
Water Supply & Storage (WAC)
Financiai Guarantee
Storm Sewer Trunk
Sewer Lateral
SVeet
Water Laterai
Other
Total
Sewer Trunk
Water TNnk
EAGAN TOWNSHIP
• Pa 1, Minnesota ota55111
St. Paul,
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Number:
lunc 14 1Y71 �;� :,:i
Date: ,1 ,,:,. �
FosrxdtSa til Site Address:
Billing Name: Address
Billing
Owner:
Plumber:
Meter Size_ Connection Chg•� - -
Location of Connection
Meter Nom Permit
Mater Reading______ Reading_ Mete
Meter Sealed: Sealed: Yea__ Add' 1
Total Chg•!
Inspected by
Date
Re earke :
Building is a:
iil'E;i l `jiI FEE FOR
Multiple "" No, unite >' IMPROPERLY INSTALLED METERS.
Commercial
Industrial By: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tle proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County,
By:
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
NUMBER sr,o
f DAT& tun¢ 14, 1971
OWNER: 'Foxrie A t. bldg. 4 Address
a3�1 C.,actiuun = t:i F's:4u
ninon 1, et: YLw utyin�, • . atatinTYPE OF pIPE Case iron
DESCRIPTION OF BUIIDING
® Multiple Dwelling No. of units
Industrial
Location of Connections: Connection
Permit Fee 10.41
Street Repairs
Total
Inspected by:�
Date
Remarks
By Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed workinoaccordance with
th the rules and
regulations of Eagan Township, Dakota
By
li ege L,rac il iaublu„ . I1euU ins;
C:oun :.a;: iviu. i IL
Please notify when ready
for inspection and connection and before any portion
of the work is covered.
uec. y. tUl i Y:UoIM
ofB
3830 Pilot Knob Road
Eagan MN 56122
Phone: (861) 675-5675
Fax; (851) 8754884
No. VIM r. ti/t3
Use BLUE or BLACK Ink
Por Offho
entyl( I U V T2
Permit Fees
Des Reoalved; I 11112
axe
112011 COMMERCIAL PL1 IMBING PERMIT APPLICATION
Osie: 17.4 q :I 1 Sits Address: . 1 iiujura o,
Tenant
Suite tet
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done: (asp ''1 -fl ( Email:
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'�.'i�`� '
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_ New ��y��ry�i��
� �� ..e/////1���a� .✓QW � Modify Space � _Work In R.O.W.Ej///'�
thtulet
%
-1!,;<" v :,,. i
•
IPA, GRA
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,
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tM CA ERC/AL Now Oonstrud on Modify Space
,
-- _ IrripMion System yes i_ no) (_ RPZ I...,.,. PVS)
a Rata seniors required an
a GPM irrigation systems
• vg. (2 turbo required unless grader Me Wowed by Pubic Works)
Mears Ca1(651) 875-5845 to vegr that dna odor to
passed ire ue meterr,
Domestic: Slee & Type Fire: 1
Avg. GPM High demand devices? tree Yo Flushometen Yes r_No
CORCL4L FEES;
$55.08 Minimum ('atdudes
Required on
Nate wog El h Ma
• Mlle
a S10,010411400 is
State 8urr:harge) OR Contact yndue $ x 1%
= 5 Permit Fee
AU. new Mange and bookstall Irrigation systems 3 5 Radio Mater Read
than 510.010, the sumps is 58.00 $ Pkder(a)
0 OPe1O, the
stFee r cnar e a $� as& O bre ► 51,000 Poem* Fee
$ State Surdtarge
Fofowlng tees **when
Canted the City's En tens
installing a new lawn Initiation system $ Water p
Department, (65'46754K for implied the amounts. 8 Treatment Plant
$ Wafer Supply & Stange
S Stele Machina
= g TOTAL FEE
CAt.L t3EFQ 5 YQlJ D1G, Cel Goph,ratata One Can at (06144M4002 for protection against tatdargtowid u6Uty chump. Cel 48 hours afore you
intend to dig to reatve locates of unnwgsaund unties. yesggeggginglgaza
I hereby acknowledge that title ktfonnaron is omelets and accurate; that the work wS be In conk: mance with the ontirtanaa and codes of the Chy of
Eagan; that 1 undo td win 1a net a pernth, old only erramtlicetkm 1sr a gemma, and work h not to start without a permit: that ere work will be In
eccadan�ar s the appro ptan in the can 0 work wtNcn requires a maw and approval of pia.
col
Applicants Printed game
Page 1 of 3
- aw
" Use BLUE or BLACK Ink
� �----------------�
I For Office Use, �
�• p � ��'��y�°� �
7+ O� P(� (�� � Permit#: �
lby 1�Q�Q I J�I
� Permit Fee: ` �
3830 Pilot Knob Road I �� i
Eagan MN 55122 � �
Phone: (651) 675-5675 i Date Received: i
Fax: (651) 675-5694 j Staff: j
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ ���•,.,� � �`��_�` 1(1`1��� 1�-LX3--6;�
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: *�i �- �.�' el' hone: _l��� ,t�tJ�� ���
Pro ert Owner ,�, _/,�, /
p y Address/City/Zip: �C,�-C'-+' �✓Y1dt..� � �l(�7 'L...C< ' /�Il.� -�..� /�
Applicant is: Owner Contractor
Type of WOr'k Description ofwork:�l��ip ]�pAQ ��'�L.�g�cWJ�IJT�
� %� od
Construction Cost: Oc 8, � �
f � t,�
Name: �M�1 IZE �D�lZ S ��-+A 5 S License#: � �d C ��
:Contractor ; Address: 3y/5 �. ��� S�. city: 1'�► r�N�'i¢f�Li 5
state: �"1 � zip: ,�j,�j7��o Phone: (�/a ' �'�9- y�d-3
Contact: 2 - Emai�: �bb CJ Fw1��2C Lb�2�►�D GG..95S� �d
Name: Registration#:
Architect/Engineer ' Address: city:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans andsupporting documents that y,ou submit are`considered.to be public information. Portions of
the information may be classified as non;-public if you provide specific reasons that would permit fhe City to
I, . .
,
conclude,that the` are frade secrets.
CALL BEFORE YOU DIG. CaU Gopher State One Call at(651)454-0002 for protection against underground utility damage.
I Call 48 hours before ou intend to di to receive locates of under round utilities. www. o herstateonecall.or
Y
9
9 9 q p
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 whic requires a review and approval of plans.
X 6 �7 g r�i� X� '
Applicant's Printed me ApplicanYs Signatu
Page 1 of 3
Use BLUE or BLACK Ink
. r----------------�
I For Office Us � I
• � ��� �� � I
Permit#:
Clt of �a �� � � � � ��,a� �
Y � � Permit Fee: I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �
/n� �----------------�
W r�a v�2!L�r L`�
2015 - �CL BUILDING PERMIT APPLICATION
Date: O�- /�-- l5 SiteAddress:�35� _ CowcNrN+a,� J�o( _ Unit#: /0�
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' �� z ' `��� Name: Phone:
=�:�Resident/ .:
'" .� �Owner° , �4 Address/City/Zip:
� ��
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�� , � � _ ' Applicant is: Owner �_Contractor
��..��� :- �F
�. �� � � Description ofwork: W: N p,,�,,� �����cc,,a,f,.,�T
�T�_.ype of Wor,° ,
� Construction Cost. �ay.v�o.°~-"'� Multi-Family Building:(Yes /No )
� � � ��t ��
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�¢_��,�-�� ��-�. : Company: Ennp;rZ� �oa�Z s C��.��s Contact�bcrz.T
���������
�'�'������-,.a � Address: 3`/IS G . a�� s�. City: IM;�►.���.�a�; �
� �Contractor��:
�����������
'� �`' �` ��., �; State:Mv,l z�p: 55yoi� Phone: !d�•�a.4-'Iao3 Email:
� =-
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— �� License#: ��DO Lead Certificate#:���'��f 9(„8 5a
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
� , � :_ � � � .� ��.�- -� - � ,,. �,�
�NOTE P/ans antl supporfing documen"ts�that you sutint�t are considered,to be pubhc�informatior� Por.tions of�
�r,� ����-.���� � �-�-��..��.���a�� °- � ��.�,��'- _ ��.
���he rnform�at.�,ron�m�ay be�c►�a�i�fr�„e�d as non p�u�c�yo.�u p�r�o�v�de spec�fic�.r.easons that=would:perrriit�the�Cif}r fo_ �
z� ����,���-.��� �����.��'rnnrlUde:thet�they��re�trade�secrets: . , �- _ r, .:�
CALL BEFORE YOU DIG. Call Gopher State One Cail 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.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.
Exterior work authorized by a building permit issued in accordance with the Mi ota State Building Code must be completed within 180
days of permit issuance.
�o b�,�i e 1C� x � ��l�p
Applicant's Printed ame Applicant's Signature
Page 1 of 3
City of Ea
3830 Pilot Knob Road
Eagan MN 55122 ^.
Phone: (651) 675-5175
Fax: (651) 675-5694
j
RECEIVED►
AUG 222016
Use BLUE or BLACK Ink
For Office Use
Permit #:
gS �s a
Permit Fee:
la/. E
Date Received:
Staff:
1
2016 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: I) 2S I IC Site Address: ' v + Cie -A man i?oaci
Tenant: CJ,\L
Suite #:
Name\C--h5�.. f\ i Phone:
Address / City / Zip: eC !0 ab/SOf 4 # i Sr ALL/ ,nAl 55119
Applicant is: Owner Contractor
Description of work:--�-f\S-VcL ` - Z c t cu' Q.�1
Construction Cost: Estimated Completion Date:
Name: F({C-�r;l' t ,'r -e d" Stat. _1.✓�t✓,
Address:'/9a-/ Lb e oC Vas( < / City:—InGSA.f"q(:+s
State: MAI Zip: 6S0'7'7 Phone: Coel -1150 - 03S J
License #: F lek_MoO S $
ContactROtoQi/4i-& Stt (A)
New
Addition
Alterations
Email: Hoe€e.TA EF6FYI/J• e/Arvl
Remodel
$'. Other: :ftp
DESCRIPTION OF WORK: Commercial
Residential
Educational
FEES
$60.00 Permit Fee Minimum
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ 2, 00 x .01
=$
=$
=$
(00f 00 Permit Fee
1.75" Surcharge*
TOTAL FEE
**Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota 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 CLMitll�j W �S
Applicant's Printed Na e
x
Applicant's Signature
01/26/17 THU 13:47 FAX 6517741007 FOREMOST MECH ljfj002
Use BLUE or BLACK Ink
r CJ_ _
*City �i j� For Office Use 'J�
of Eaton Permit#: �9-6- �✓
3830 Pilot Knob Road
Permit Fee: C9‘,1/ 6 0
Eagan MN 55122
Phone:(651)675-5675 Date Received:
Fax:(651)675-5694
Staff:
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit1two(2)sets of plans with all commercial applications.
Date: 1 c Iaok 1 Site Address: 3 51 CC)CL.CVYMOS\ OCLCD
Tenant: y r t,, Suite#: '
esidellt<OWrler Name:..,.. SXY^\C�lge,.. C s�"e,�C�J .,.,...,..,.. »�.....,.. Phone: (obi_.,9:94- 57(L3< „.4
I,
Address(City/Zip: 33 C)_l CO 0.C1r‘�1c-e (Z0 CLOt -
Name:Hc.au\\lair, epro License#: C() cNN 1 V
:.. '. . .. Address: 1- i t1 11..)� c E city: '.1.ap1-ebJO(xi
contractor : n C�
Li
State: t'',0 Zip: SS 1()°3 Phone: t 0 61"09&- 0 laL/
Contact F0,99 - Email ��1 GL3 i eN1 lt-J M C3br S. ('o
New /Replacement Additional Alteration Demolition
Y.
Type:of Work ::' = Description of work:
NOTE:Roof mounted and ground mounted mechanical equipment Is-requiredc ito , screened by City
Code. Please contact the Mechanical Inspector forinformation on-perrnitted' Hing methods. .. .1
RESIDENTIAL i COMMERCIAL
Furnace New Constructi n Interior Improv ent '
Air Conditioner Install Piping Pro
Permit Type — — —
—Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank ( Install/ Remove)
t ��.,X) —
v Other L:. "r-
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge t,)/
$100.00 Residential New,includes State Surcharge =$, 0,, CI TOTAL FEE
COMMERCIAL FEES Contract Value$ vD( x.01
$60.00 Permit Fee Minimum :;
x
$75.00 Underground tank installation/removal,includes State Surcharge =$ /"k(/ ' 0 Permit Fee x
0
Surcharge=Contract Value x$0.0005 =$ ` Surcharge
/
? If the project valuation is over$1 million,please call for Surcharge =$ c�'j L7” Q oTOTAL 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. ,,
Applicantinted Name plicantt .:Signature ,,
s'Pl
FOR OFFICE USE
Required Inspections Reviewed By:.. bate
Underground :'.:..Rough in'` Air Test Gas Service Test'" In-floor Heat : r('' Final:': :.::.HVAC'Screenin
o i
For Office Use ,I �/�
Permit#: /ssyo D ' �t
. • • f I '
,,,,,,..t 1 ir-
.., , ::t :
iFeeq 0'
E AGA N
��
I I
i� ::ssaaaas..M====sas1
Payment Recvd: Yes _No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 .ITLECEIVEll 7"" 1
651 675-5675 TDD: 651 454-8535 FAX: (651)675-5694; I
( ) ( ) i t'MY 1 4 2019 i, I Plans: Electronic Paper 1
Plan Submittal:eolans(a�cityofeagan.com L___ ,,
ti
2019 COMMERCIAL BUILINI T APPLICATION
s
3 r /1 4/ Sfa I
cO
Date: '-:-/t).--1�_- Site Address:L3s� C�ch rNan 1Zvad 4�
Tenant Name: ► Y Wale.G� �-�n (Tenant Is: New/ X Existing) Suite#:
J Former Tenant:
rx
Name: NAM) Z [. .)4I&k f 1d'� Phone:
Property Owner - Address/City/Zip: .2)/40 W(iso(,At,e*'7 S�;/64,4 Ay ST/PT
a: Applicant is: Owner K Contractor
pp 1
Dscription of work: Re-RDOT See 1+ Clad SGop2
Type of Work
Construction Cost: -77 0 7
r Name:, t✓iCnn�,�VS'rn License#: eL3 2 35-11D
,7 f
City: �
Address: 301 Chelsea loc..LJAnther
Contractory
State: M/U Zip: 5T5-362 Phone: 703-3/IV'o.236/
'°"- Contact: O)5N'n t e55e_ Email: aLSA; h e A11 elcntp�lstrit.n.
F.,_,---,r_.
4 ,
-,,,:t � ,, -.-",, Name:
i ,� �, Registration#:
Arch�itect/Engineery
Address: City:
State: Zip: Phone:
i -- Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans a su q
4_77 ..„
# pp' ligg documents that you$ubmlt are cposh:Wed to be public information. Portions of th lr�format/ori maybe
classified as non-public rf"�ou.pro vide specific reasons that kciYid permit the city tom conclude_that they:'are trade secrets ,
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.citvofeaaan.comisubscribe.
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.aooherstateonecall.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 aooroved Dlan in the case of work which requires a review and approval of plans.
x S t () Hesse
x `-r-r---41-----
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES 3 <S/ COnChM6/1 / / yeb
__ Foundation _ Public Facility _ Exterior Alteration-Apartments
Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_V 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 18.60e,-et. Occupancy (Z• ,Z- MCES System WA-
Plan Review Code Edition 2e t(S M&.. SAC Units
(25%_100%_) r-- Zoning r-•4 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings I Length Fire Sprinklers
Type of Construction V •A- 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 Street/Curb Cut Inspection
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 V Final/No C.O. Required
Final CIO Inspection: Schedule Fire Marshal to be present: Yes 1No•
I I
Reviewed By: , Planning New Business to Eagan: FJ a
Reviewed By: CP G- , Building Inspector
FEES Water Quality
Base Fee $9 I .7S Storm Sewer Trunk
Surcharge 3/.do-v. Sewer Trunk
Plan Review O..ar.,9 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: C{Ja .ic
Page 2 of 3