3359 Coachman Rd
0912812010 12:04 MC QUILLAN BROS. (FAIt)6512929614 P.0011001
Use BLUE or BLACK Ink
City of Ea a] S% I
3830 Pilot Knob Raad V~ '0J i ennlt Fee:
Eagan IVI ~05 675-6675 ' Date Received: ZI-1-
Phone:
Fax: (1551) $75.6694 1 stair
2010 MECHANICAL PERMIT APPLICATION
Daft: 9128/10 Site address: 3359 Coachman Rd.
Tenant Suite
RESIDENT / OWNER Name; H & Val J. Rothschild Phone: 612-581-4521
Address / City / Zip: 2040 VIAlson Ave. 07 St. Paul, MN. 55119
CONTRACTOR Name: McQuillan Bros. Plbg. 4 ji1 g. License #
Address: 688 Hague Ave. City: St. Paul
state: MN Zip: 55104 Phone, 651-2$20124
Contact: TOW WOIf Email: todd@mcqulllanbroo.com
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: Replace the e4sting boilers
NQTE Roof rnqcntnaL~thar' sd ~Irtd mund:rnourited meci nl p~l:aquiprltgrtt ~s }utrbd t4 be argeriod; by City
`;,.:Cod®:: Please c Mechartleal [repeater for~fnforrhatiori on pars!nltEed„ncr~vning'methods. .
PERMIT TYPE RESIDENTIAL COMMERCIAL
_ Fumaoe New Construution Z- interior improvement
_ Air Conditioner _ Install Piping Processed
- Air F%changer -Gas _ Exterior HVAC Unit
Host Pump Under / Above ground Tank L_ Install Remove)
-Other when Installing/removing tank(s), call for inspection by Fire
- Marshal and Plumbin Ina or
RE'SID007AL FEES.
$55.00 Minimum Add-on or alteration to an existing unit (Includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES.
$75.00 Underground tank installation/removal OR Contract value $,_21.2§0; 00 x1%
$66.00 Minimum (includes State Surcharge) = $ 212.50 Permit Fee
- If the ?312FM Is Tess than $10,010, surcharge is s 5.00
- If the Permit Fee Is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee 5.00 Surcharge
(I.a, a $10,010411,010 Permit Fee requires s $ 5.50 surcharge) 217.50
$ TOTAL FEE
CALL BEFORE YOU DIG, Cell Gopher Starts one call at (001) 454.0002 for protection against underground utility damage. Gall 48 hours
before you Intend tv dig to raaedre locates of underground utilities, w".qQpMrst&tDonscsII,ora
I hereby acknowledge that this intbanstion Is Complete and accurate; that the work will be in conformance with the ordinances and nodes of the City of
Erman; that f understand this is not a permit, but only an application fora permit, antza'a" k Is not to with a permit; that the work will be M accordance
with the approved plan In the case of work which requites a review and approvat s
All t)
x Timothy McQuillan
Applicanfe Printed Name Applicants Signs re
`77 7
FOR OFFICE USE , Rivlevood ay !eats;
Requlrod lnspsCtlons: -Under Ground,. Stough In Atr Test _Qa8 Service Test n40.0 He t.
-~L Ek6rlor i1VAC Sci'eenlrt Ins ectlon
?-
?-
1- U f-
`? ? L--i ?
BUII.DIPIG PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
!o- 1--.)L -6 /
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sefs • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Malysis (1) " . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Anatysis (t) " • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule " • Certificate of Survey (t) • Energy Calwlatlons (1) not always"
• SoilsReport (1) . Spec.Insp.BTestingSchedule (1)" • EIec.Power&LightingFOrtn (1)notalways"
• Meter size must be established . Meter size must be established • Meter size must be esfablished - if applicable
. PrqectSpecs (1)
L • EnergyCalculations (1) " 1
1 • Electric Power 8 Lighting Form (1) " 1
1 • Master Exit Plan (1) 1
1 • Fire Protectlon Plan (1)" 1
1 • Soils Report (1) 1
• MC/ES SAC de[ermination letter . MC/ES SAC determinatlon 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 Heaith - call 651-215-0700 for details.
DATE 6'/ WORK TYPE _ NEW Z REMODEL CONSTRUCTION COSTc( / sS ddr4'G
SITE
%1 /I?A? ! 1 ? /
TENANT NAME SUITE #
FORMER TENANT NAME
DESCRIPTION OF WORK
/7/ ?f
Name: %hone#: C 9
PROPERTY Last First
OWNER
SheetAddress
City State Zip
Company?C?!0/'??"? ?Phone#
CONTRACTOR ?i
Street Address:
City /I// .? ? state zip
ARCHITECT/ I /
ENGINEER Company Phone # ( )
Name Registration #
Street Address
City • State Zip
Licensed plumber Installina new sewer/water service: Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Updated 1101
T?4r
03/2fqj??008 14.16 FAX
RAYCO CONSTRUCTION
• .. 1 i.
C?ty af Eaian
3830 Pilot Knob Rosd
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 673-5894
IM 002/006
I -----------?
I Pertnhlk ???(L?7 I
j Permil Fea: / I I
i
? Date Reeeived: ?
i i
? stan: i
-------------
2008 CDMMERCIAL BUILDiNG PERMIT APPLICATION
Date: 3/a-!o(08 SlteAddross: 335?'L CoachYYWnRoacl
Tenarrt Name: FoX R:'01 qe E, c?t-a .tt- S (Tsnan is: _____ rvew i?E)dstlrg) suite s:
PROPERTYOWNER Name: Ik.o?.t?d ?A.1 ?crfhSC,'?i10? Pnone: 65t-aaa-SSSy
8040`W ?5Q'i htRn17e, *"1 .SF. po..v-J, MN 5SIV9
Addrecs / City / 2ip:
APPlicant I5: _ Owner _ Conhactor
TYPE OF WORK Description of woAc: 'rear oCF roaF C, en-/ire? bu:ild'i nq And r ep 10.c{,
FR] rY\c?Y,w?tca.klY?Yterte?3SyS1??M
US' ?p C?R 7
Conshuction Cost: fl 9b, m'?I 2• oC
CAN7RACTpR Name- IZ0.VG6 C41S}-rVG'KC-%, T-i''t• License#: 395to
,q?ress. a 11 54-- Rn}1)arAy Pw-'i-way
C;h,: Mint'eGpoljS State: MN Zp: SsHI$
Phone: (A Ia. 3 b fe- y4dal Contact Person: }}hd V N2'q-
ARCHITECT / Name: Registration u:
ENGINEER
Address: _
City: Stete: Zip:
Phone: Gontact Person:
Llcensed plumber Installiny am sewedwater servlce: Phorke g:
theln? r?t?a loridinay be c?iioctY,??Dn pu?Hy?p ovlde ?s???,?8 th
n e? C?"n ta
} Pe!m dy
ia',?iYolrld ?n
t ?
•',r ??546'OIIC1UdC j7Bt. u y? r ,, • :?; ?..
,.,w - GM dm ?f6dB 56C? •i <,: ?.:: r?
f hsraby acknovAedgO thal this Irrtormatlon Is nomda[e aM aocurata; Mat Me work +MA ba in confortnarxx wfth the adlnancas antl codes oi Iha Gry M
Eagan; ihal I untlerstarid tlus Is na a perml; but only an epplication fa e permlt, arW vrork Is rwt m statt wlthou[ a psmih; that the wak wlll ba In
accoidance w11h tha approvBtl plan in the case af worlc vfilch re9ulras a reWaw aM epproval d plene.
x Moniua. e11iS
ApPIIcaM's Printad Name
AppltcenYa Slgnature
Page t of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments k!r Commercial / Industrial ? Ext. Alteration-Apartments '
? Lodging ? Greenhouse ? Ext. Alteretion-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Impravement ? Siding ? Demolish Building', -
? Addition ? Move Building "0 Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
• Demolitlon (entire building) - give PCA handout to applieant
DESCRIPTION:
Valuation 7 000 a,& Occupancy MCES System
Plan Review D. 4-O Code Edition 'LO 0(. SAC Units
° _ /VONE Zoning City Water
Census Code Stories Booster Pump
# of Units C) Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) SheeVock Footings (deck) Final/C.O.
Footings (addition) v/ Final/No C.O.
Foundation HVAC
Drein Tile ./ Other:
Roof:/J?EF ?Final ? /NSUL JLDtZ--X1-&JyPool: _Footings _Air/Gas Tests _Final
Freming Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes V No
Reviewed By: Building Inspector . Reviewed By: . Planning
COMMERCIAL FEES:
Base Fee
Surcharge
Plan Review
SAC-MCES
SAC-City
SMl Permit Financial Guarantee
SIW Surcharge Storm Sewer Trunk
TreaUnent Plant Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedicatiori Water Lateral
Trail Dedication Other Water Trunk
Water Quality
Water Supply 8 Storage (WAC) Total
Page 2 of 3
Nov 18 07 03:15p Pete Hermann 6517145113 p2 . ?
S?q, r/,-7!7
? 200'7 ? CoNG tNCYCCrq- ( 1 BUILDING PERNIIT APPLfCATION
City Of Eagan (?>
3830 PiEot Knob Road, Eagan MPI 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Naw Conswctbn ReauQemenCs
3:egiatered srte surveys show6g sq j.aF bG sq. ft dhous%and 4raofed aress
(20'K MaDjmum Id cnuadge aawed)
1 Sds Repart'rf OroPosed building is b 6e plxoed ort?sWrbetl sal
2 mples of pan shoaing beam S windas azes: pared fnmd tlesgn. elc
t 9e[dEnergyCalaAa6orm
3 mples o( Trae Preserva5on Plan if lot plalted aker 71153
ram jd9; Detai opsm si+«am sbea (a,udhps .fth sa+ess was)
Minnagasoo mechanirai venWa9m tam
RoIXde'Renar R,yryuirencnls
2 cOpies of obn shoa66 to06ngs, heans, jaistS
1 sat oiEnergy Cakulatims for healed aAdiSrns
1 sim survey fa addYas 8 dedis
Add'a'rm -lnd:cale ilonsite sept'csYsLn+
OVCB USB OII?Y
CBROt..NN9YReW _Y _N
5ois RgppR _ Y _ N
TreaPreaPlanReod ?Y _N,
Trea Pres Aepuied _ Y _N
On-&te SepUc Syaten _' Y_ ' N
Plans arP considered ou6lic information unless vou state theV are trade secret and the reason.
Date / ? Construction Cost I ? d Zk3 /r - --
Site Address ?3J
S ? -ob <
AescriptionofWork IcefL?t-t=- ga.{GJL EnuI5??i' Agr 4&6'
T.P
?' f Ll
Multi-Family Bldg _ Y _ N FirepFace(s) _ 0 _ i ? 2
Property Owner F-0 ? -j G5 ; 9T E S TdepLoae # (,697)
?
Contractor Bp
°
t
z , ?` ?U
.,
-
°
-
Address ?
?f?101? City
State LakP ? • Zip Telep4one#(?j ?z).
N??2
COMPLETE TlfIS AREA ONLY IF CONSTRUCTING A NEMIf BUILDING
Energy Cotle Category ` Minnesota Rules 7670 Cateaorv 1 ? Minncsota Rulc 7692
(4 su6misslon type) Residential YentiEafion Category 1 Workshee[ New Energy Code Worksheei
Submitted Submitted
• Energy Ernelope Calcukitions Su6mitled
In the Inst 12 monihs, has the City of Eagan issued a permit for o similar plan based on a master plan?
- Y _ N If yes, dafe ar,d address of masfer plarc
L'icensed Plumber
Mechanicaf Conhactor
Sewer/Water Conhactor
Telephone # (
7elephone # f
Telephone # (
aqplv for a Residential Buildina Permii and acknowied¢e Ehat the informazion is comoEete and accurat
e;
that the work will be in conformance wi[h the ordinances and codes of the City of Eagan and the State of MN
Statutes; Iunderstand this is not a permit, but only an application for a permit, and work is not to start without a
pecmit; that the work will be in accordance Nuith the approved ptan in 21ie case of work which requires a review and
arovat ofplans. ^ ?11
AppIicanYs Printed Name Appiicant's Si awre
DO NOT WRITE BELOW THIS LINE
Su6 Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addi6on
? 33 Alteration
?' 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
W 18 Deck
? 19 Lower Level
D05Gfipt1011: Water Damage _ Yes
Valuation 15/ Pwa --do Occupancy
Plan Review _ 100% or _ 25%
Census Code u 3 N Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
? 25 Miscellaneous
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUII2ED INSPECTIONS
Shee[rock
Final/C.O.
? Final/No C.O.
HVAC
Other
Pool F[gs AidGas Tests Final
Siding _ Stucw La[h _ Stone Lath _Brick
W indows
_ Retaining Wall
Approved By: ?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
}2 -Ll
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroaf ? 46 Wndows/Daors
"Demolition (Entire 81dg) - Give PCA handout to applicant
May 02 06 01:18p PORT R WELDIHG InC. 763-428-7654
-0 ? 2006 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 P1ot Knob Road, Eagan Mn 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
• Stmdural Plans (2) f
• Civil Plans (2)
. CeNffcateof5urvey (1)
. CodeAnalysls (7)
. ProjedSpecs (7)
• Spec. Insp. 8 Tesling Schedule
. SoilsRaport 0?
• Metar slze must be establlahetl
1
1
1
1
. SACdetertnination-ca1185l-602-1000
xis • wauteuurai rwia
. Strudurel Plans (2)
• Gvil Plam (2)
. Landsrrping Plans (2)
• CodeMatysis (7) "
• Certificateofsurvey (3)
. Spec. Insp. & Testing Schedlde (t) '•
• Meter dze must be estaDlfslietl
• ProjeGSpacs (1)
. Energy Cabulatfons (1) ••
• EJectric Power & Lightlng Form (1) "
. Master Exn Plan (1)
. Emergeney Response Site Plan (1) «•
. SoilsReport (1)
. SAC determinadon - catl 651-602-7000
. Fire Stopping Submitlais
p.2
*9q . 25
• ArchRecWral Pians (2) sets
. Cotlel4nalyeis (1) ••
. PtoJeetSpecs (1)
. KeY Plan (7)
• Masler Exk Plen (7)
• Energy CaicWatlons_ (1) not always,•
• Elee. Power & LigMing Form (1) rwt aMlays *1*
• Meter size must be eSablished-If appllcaWe, i
1
I „'-?i J 2
1
1
. SAC datermination - call 861-802-1000
Call MN Dept ofHealth st 651-215-0700 far details rogarding food & beverege or lodgiog facibties.
'• C:onlact Huilding lnspecGona for sampte and if required
Pcrmit for nrew building or additiou wilt not be processed withoui Emergency Responae Site Plan
naft 5 ??- iaoo "
cooscrud;ooco8c 4 0 ooo, o(>
f* K,td* estaf?e
Sice Address 336q ConLil ,S
>-nQ y, t2 d,r)-td ??1 L1 UnEtBU # ?
Tenaot Name Former Tenant Name
(bac Ie ?'la?ck
w
1
Descripiioa of Work 1?¢ ar le l
lf uAr4 rt
? harY] ra; l s o? se ? a? '
? PropertyOwner C ?`Y1I Telennone#c6 sl> aaa-SSSik
i ?
Applicantis: Uwner v, Contractor cootaaa: ( 71,3 ) i-FaB?71as-4
Comractor Th Y+ Y4 -W21C? iria 'rnr
Address 4-700 L?o oYi .xusrl Dv' City m I ??6n'{..A
State m N Zip y?J? 3?3 „ Tdephone #('% L 7j) ?,8 -l b S3
..?
Arch/Eogr Registratioo #
Address City
State Zip Telephone # ( )
Licensed plum6er installing new sewerhvater service: Phone #. ?)
l IerebY appty for a Commercial Building Pernvt and aclnowledge tiiat tLe iufomiation is rnmple[e and accurate; tnat tne woec ww ue in
confomiance with the ordinances aM cades of the City of Eagan and tLe State oF MN Stamtes; I wdetstand this is not a permit, bm only an
application for a pemut, aod work is nat to staxt wilLout a permit; that the worlc will be in accordance with the appmved plan in the case of
work which iequines a ievicw and appmval of plans.
i?a.c? uel rn?, c?Ct?o??-?}?,l?c.e.- ?CLc??.-??-?,w? Vice, ??
pplic t's Printed Name T>?e SidL_ n+ ppli t's Si re nJ_
-- - - a
dlk -1q -{.lkt L'*' 2Y1c -
. DO NOT WRI7'E BELOW THIS LINE ?? ?j? c?
Sub Types
q Ol Foundation
? 26 Public Facility
? 30
Accessory Building
O 14 Apartments ? 27 CommerciaUIndustrial ?,Z 32 Ext Alt-Apartmems
0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
C 25 Miscellaneous n 29 Antennae Q 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
O 31 New ?
35 Int Improvement ? 38
Demolish (Interior)
? 44 Siding
0 32 Addition O 36 Move Bldg. ' ? 42 Demolish (Foundati on) ? 45 Fire Repair
p 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
NK 34 Replacement 'Demolition (Entire Bldg oniy) • Give PCA handout to appl'rcant
Valuatlon aod Type of Const Wdth
Plan Rev 100%- 25% ?- Occupancy MCES System
Water
Cit ?J
SAC Units Zoning y
Nbr. of Units Stories - Booster Pump 1
Nbr. of Bldgs Sq. Ft. ? - PRV
Length Fire Sprinklered ?-
Required Inspections
_ Faorings (new bidg)
_ Foorings(deck)
_ Footings (addition)
Foundation
Diain Tile
Driveway Apron
_ Roof _ Ice Pr _ Decking _ Insul _ Final
r F[aming
Siding _ SWCCO Lath _ Stone Lath _ Final
Windows
Final C/O Inspectio?n1:r Schedule Fire Marshal to be present. _ Yes _'---No
Approved By: Planning rhl- Building Inspector
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
SIW Pertnit
SIUV Surcharge
Treatrnent Plant
Treatment PIaM (Irrigatlon)
Park DedicaUon
Trail Dedcation
Water Quality
Water Supply & Storage (WAC)
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Shestrock
FinaVC.O.
? FinaUNo C.O.
Other
pool Ftgs _ Air/Gas Tests Finsl
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
ToTal
Sewer Trunk
Water Trunk
& ooq)
2006 COMMERCIAL PLUMBING rExMrr AreLicnTrox
CITX OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-6755675
,5T -676
Date_?_/?/ o?
Site Addresx ' Unit #
Tenanf 3Vame ? Former Tenant Name
PruperlyOwner Telephoue#W) ?'5y,151?s
Contractor
Address City
SEate Mn 7rp 15!5?W Telephooe # ((,Sj) Ig S ?j 10-2 '7 /?O
License #! ?9 -2?P m Eapires: C;
1'he Appticaot is _ Owner Contractor _ Olher
Work Type New Blclg _ Modify Space _ Irrigation SWstem• • Yes No Woik m public r-o-w / easemenY?
? RPZ _ PVB: I New _ RepaidRebuild _ Replace _ Remoce
Itain sensors/a?re r uired on ir ' ation s stems
Description of Wor& 1 1L ? I 1? L k k-q-
To mquirc A' Pren.sum Reducmg Vilve ia required on aew service, ca11651675S64b
Meters - Call 651-675-5300 to verify that hydrostaric, conductiviry, and bacieria tests paxsed prior to oickum un meter.
Imgation Sae & Type Avg GPM 2" hubo req'd uuileas smaller sizs allrnr•ed by Public Wodcs
Fire Size &. PCiCe 3?4" metcr 167.00
Domestic Size & Type Avg CPM Includes high demand devices? _ Yes _ No
Flushnmeters _ Yes _ No PRV Required _ Yes _ No
Permit Fce $50.50 rxbi9nnmi ('urcludes State Surchmrge)
Cnntract Value $ CO x 1°h = $ FemitFee
$ Meter(s)
Required un ell mw buildings & boulevani imsauon svstems $ Redio Me[er Read
$ Stafe Surchazgc
[f pe?it fee is Iess lhan Si,OBO, mnharge ix 5.50
If oefmit{ee is mare thm S1.00q mrcharge is $.59 tar enc6 SI,000 owed.
Fdlowing fees apply when instalGag mw laan'urigation sys4rm ? ater Pennit
Call tlte City's Evgvmaring DepaAment, 651-675-5646, t'or required Fec amomin
NOV 2?4 40?: 1'reatmen[Plant
S Water Supply & S[orage
$ Stafe SuacNarge
Total Fce
i haeby appiy for a Commenial Numbmg Pennit and admowledge that tlw infortnation is complete and a¢tuale: Wat IAe wwk will be in confamaoce w l6 the
and ?des of tl?e City oF Eagan md widt tlre Plumbing Cnden; tliat I imdaelnd tltis ia pmm?4 bu[ only ppfi n Lm a petmi4 wo ?a b
;Apph.- t a pea?oit; fh the w will be io ?z wi 16e approved pIm m the case of w id? roquvva a of p
./?
?Prin tedName Appti I,&ignaUire
MAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: J unv 14, 1971 Number: 64
Billing Name: Ferxridze Apt. B1d,-. 5 Site Address: t.'A c,, cl,,:,: n 551_1
Owner: ,,,r„F, Billing Address
Plumbers rst Y~u,ohi.n.~ Ife=,t:rF:Location of Connection Meter Size Connection Chg.
Meter No. :rt 1 z~r114 Permit Fee A o i. u[1 a c/ I4/ 71
Meter Readin& _ Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by / lJ
Date g
Building is a: Remarks:
Residence
Multiple rx No, units 4 $2.5.60 ICE-1,12PEi T iO l FFE FOR
Comsercial IMPROPERLY INSTALLED METERS.
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
3795 Pilot Knob Road
3t. Paul, Minnesota 55111
Telephone 454.5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: June 14, 1971
NUMBER viol
OWNER: Fuxuidpe Apt. E1 5 Address 3334 Coe e;a;: a c;i; sd,
PLUMBERLer~ urst P1umbinp S EI-alin~TYPB OF PIPE a.t iru❑
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of unite
Location of Connections:
Connection Charge
Permit Pee i+t
Street Repairs
Total
Inspected by: V
Date
Remarks'
Sy
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
BY
tut~iwr~t i•1waLing :i Iteat~.rb
Coon Mu:n.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
uec. y. LUlt Y:voH10
Cit7OfEIIll
3530 Pilot Knob Road
Eapan MN 58122
Phone: (0111)1576-5676
Fax; (e51) e75.6554
No. U4M r. tliif
Use BLUE or BLACK Ink
For Office Use
haat 1o' 22
Permit Fie: LD"'
Date waved: 11,11.1:1?
Mat
1
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Oath: 12-1'4- l l Ns Address: 33 C J rr,ain
Tenant
swot /07
Phone: s1-�-1/ - 5_
otc
aid Stste 1� zip:,' /Y/
New _ Replaawrant RepaP .4Rebuild _ Modify Space _Work In R.O.W.
Dacriptlon of work:
COMl1EERCAAL — New Claalt LlIon �.... Modiy Space
Irdga01on %gamL. yes /_ no) L RAZ 1 Imo)
• Rain sensors required cm irription systems
• Avg. GPM (2 turbo required unless smaller size allowed by Pubes Worts)
Meters Cat {651) 075-5146 to verity that tests passed odor to t iiip UD meter.
Domestic: SFte & Typo Fire: 1
Ave. GPM Nigh demand devices? Yes No Flushometens
COMA/FRC/AL FEES;
$03.00 iy(plmum (includes State Sun barge) OR Contract Value $ x 1%
Required on ALL new build - _
Pernik Meterbuildings systems Reed
M the t'.>lolJig Is tea than $10,010. the surcharge is WOO $ mss)
• Cho BEM Flf i >310.010, the stfdter5s hays ss by $.50 for each 51,000 Ferret Fee $ Sia Surdtarge
a. a $10,010411,000 Pent( Fee requires a $6.I01urgl p gs)
Following flees apply when Installing a new lawn lrrigstlon system $ Water Perna
Contact the City's Erglpeering Deparmsnt, (851) 675-0848, for required the amounts. _ Tressnant Plant
5 WaterSiqPIY & Storage
5 _ Stets Eltathahle
TOTAL FEE _
CALL t3EFGRE YOU Dtci. Cap Gopturr8tate One Catt at (951)4540002 for protection against tmdapround may dem ge. Cee 48 hours before you
intend to die to receive locates of underground utilities. yluw.eoshaa1otecnfloa)tsrrq
1 hereby adahowtedgs that thb ktfarmadan is couplete and acme; that the s ori will be In conformance wet the ordinances and codes of the Clty of
&Oen; that t t Id Wa m rota permit 0td orgy anaP00300a kr a perms, and work is not to start wshout a pandit; that ere work will be in
scoordapprovedAion in the case of worts which regulfss a endow and epomwl of
Applicant's Printed I dame
V)
Page 1 of 3
, �S
� Use BLUE or BLACK Ink
r________________^
I For Office Use �
� � Permit#: � �� ��� I
CltV of �� a� � �] ,� �
u � I Permit Fee: � 6 O �
3 8 3 0 Pi lo t Kno b Roa d 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: �g-�Site Address: ����__d_,.1,�.��� �\t,� ) ���
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: �i�11�1 GK�( �L'�l(�� ��nLLt.�' ���11A�-.:a►l�-�-Phone: �� l - �-1��I� ���
Property Owner �Y/�;�. -�
Address/City/Zip: 3�ft�7 �'x-C�'ln'�Gt,t1 �C (�7, c.`'-� GQ..� � /�� `j /�/
Applicant is: Owner Contractor
Type Of Work Description of work: 1'M��� 0 �OO� �,�DLACEMbNrT�
Construction Cost:� p.00
Name: �MPi R.�- �ooR s �LwSS License#:
Contractor
Address: 3y l5 � . o��'� S'� . City: M�h1�16M1}�o�-�S
state: MN z�p: 55�tob Phone: Cp I a -�aq- �oa3
Contact: t� Email: l�obL� Q En+�pi R,� Dt�i2 �9ab (�Gw55.CaM
! Name: Registration#: �
ArchitectlEngineer ` Address: city:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:Plans and supporting documents that you submit are`cansidered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons'that would permit the City to
: conc/ude th�t the` are trade secre#s.
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.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 x L� � _
ApplicanYs Printed ame Applicant's Signatur
Page 1 of 3
Use BLUE or BLACK Ink
r————————————————�
I For Office Use I
i �--a ��' i
Clty of �a�a� � Permit#: �
� � �, �� ;
� Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
/; I I
�c]r7 v�!C���t`� -----------------�
2015 -k'�"�-L BUILDING PERMIT APPLICATION
Date: oa- l�- l5 Site Address: �J�9 C owc►1 w�w,�i 1201 _ Unit#: /D'�
�._
���'` �;�
� Phone:
- Name:
�#_�Resident/� ;
'� Ownet' _ � Address/Ciry/Zip:
_ ; .�� . �
� � �
;�� �, - � Applicant is: Owner �_Contractor
�.- �x� _` .,-�_ .
����..- � � Description of work: W: N p���„� ���,�,c��,.i,�,,7T'
T.,ype of Work�;
�� � .'�.�. Construction Cost:�p�`�, OOa. �� Multi-Family Building:(Yes /No )
� � ,q —
� �bc R.T
E -=�-� �_;. �g��- = Company: E.,.nn.2.� �oo�Z s C��.��s Contact:
��� ��
��
�"` ° ��=: Address: 3`/!S"' �• . o��'� 5-�-• City: �"►:v.l►.��,.+�ol.; �
�
� Contractor �,
�- � ��� ���
s'�°`�` �� ��`��l State:Mv.l z�p: 55y�� Phone: !da •�a.9-�"Iao3 Email:
�: �
ey.�. -h: � x�: ' _
_ - ==�= License#: �,�Da Lead Certificate#:_�i`��'�'�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:
'�YNOTE P`l�an�a�"�suPportingx doc�ments that°you su�,��t are cons`idered`to��be��public informat�on Port�ons of�
�'�` ��-� ���-��-�� �����rs�,-,� _
the�nformat►on may be classifred as�non publ�c�f you p�ov� e spec�fic�reason,s t/ia�would per�rn�tsthe`Cify to =
������^��� ���` � . ���`,�°�=� -���� � _
�,�: -��;.-������.������._��, F���;�concluale,fhat they ar.e,�tratle secrets; � -,,;_� ,� __. : � :�. r _g _.
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.poqherstateonecal�.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.
Ezterior 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.
7� �.o�� 12Z 2 1�,� x �1' ����N
ApplicanYs Printed ame ApplicanYs Signature
Page 1 of 3
02/14/17 TUE 11:35 FAX 6517741007 FOREMOST MECH II 002
Use BLUE or BLACK Ink
r
For Office Use
4°1' R c v Permit#: /�ivQ
BCttyof a s! 10
. (--
FEB 1 4 2017 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: g'/y/7
Phone:(651)675-5675
Fax:(651)675-5694 7
`Staff:
2017 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial�,� applications.
Date: 'r 11—, 1JIR/II7 Site Address: 3369 C)O man .3o4
Tenant: FOXY"t d AQQfP�1'l} :..�..:.. :._..... .....m.-� .,....w,...�,,
Suite#•
. Property. .,,. . ., _.. '�YY1 (�W Li'57(06
'• Owner Name:.
�Oh'1(t cQge 2S�S (¢5 5
Phone-
z; p
,. Name: �I CQui\,�an RN-0s License#: PCADS 1U'I OE '
-7 PIN
�- Q
Contractor f t 1 11 '\tom• , D E City 1--1 �Ptltle�o' State:f'^," Zip:( 51O 1
I no
t, I
Phone (obi i aha 0(V-1 EmailMet e irsn cocci bw corn
New Replacement _Repair —Rebuild Modify Space Work in R.O.W. LIFl
Type of Work — ✓— — ,
,An�,,� {
I w
lac,'
11 Ic� r�
w �h
of work: U� ii
Description 1 "'
p
d
/Modify Space
COMMERCIAL New Construction K
t _Irrigation System( yes I_no)(_RPZ/_PVB)
• Rain sensors required on irrigation systems
Permit Type li. • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
) _Meters Call(651)675-5646 to verily that tests passed prior to picking uo meter.
E Domestic:Size&Type Fire: 1 K
Avg.GPM High demand devices?—Yes No Flushometers Yes No
; COMMERCIAL FEES Contract Value$W( 00 x.01 .p
<: $60.00 Permit Fee Minimum =$ Stf-0..) Permit Fee
$60.00 PVBIRPZ Permit(includes State Surcharge)
• =$ Li.ao Surcharge
Surcharge=Contract Value x$0.0005
re
If the project valuation is over$1 million,please call for Surcharge
=$ p 0 . aC) 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 e
$ State Surcharge
J =$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. t
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.
Applicant's Printed Name ApplicabitV Signature
FOR-OFFICE:USE .: ApprovedBy: :::`.:: :.::: ,:P,: :: ..::: Date: :...: I:q: . / ::7
Required•Inspections: : Under"Ground_: Rou g h-ln` ::::.Air Test:: i Gas:Test;; :Final : PRV::Requiired:_Yes es•No' .:
Meter Related:items: Meter.Size.:.. :::._: :Radio Read Manometer Staff: :.
Page 1 of 3