Loading...
1400 Corporate Center CurCITY OF EAGAN Remarks ? - AdditioAGANDALE OFFICE PARK 2ND Lot 1 Rik 2 Parcel 10 22531 010 02 Owner Street 1400 Corporate Center ve Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 50$? 508..61 2 ?, lO STREET RESTOR. ?-9 5 , 505. V 10 GRADING sew wat ats 3,480.94 348,09 SAN SEW TRUNK 1968 42 30 SEWER LATERAL wat area ss s trk 19 $ 6 1 1.83 20 236.70 WATERMAIN _ WATER LATERAL 976-51 43=82 i 20 WATER AREA 1977 192.21 1 .S 1 641.67 -132.08-- STORM SEW TRK , STORM SEW LAT 19 ?I, ? 1 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 7 ? SITE ADDRESS AyOD 43!W• L? ?• Unit # Permit # L / B Sect./Sub. t ' INSPECTIDN INSPECTOR DATE COMMENTS ,ve,e,/?? S?v? * _ ?o . ?At` G k N /r t - A,M , ?? - - 92 awe a.-. /,. 9 a-9 7 ? ?_ INSPECTION RECORD Q.TY OF EAGAN PERIUIIT TYPE: . = 3830 Pilot Knob Road , Permit.Number: , , . Eagan, Minnesota 55122-1897 Date Issd6d: - (612) 681-4675 SITE ADDRESS: APPLICANT: ORP»FiATF CIPa . ,ij#i+itiE t tri f [[:I P AFrK 2N(1 alf?: ....i PERMIT SUBTYPE: TYPE OF WORK: , INSPECTION D. .. . , .?, . . ? .?, .. ? ? ?, ?, .i? s?? , Permft No. Psrmk Holder Date Telephone # 'EtECTRIC PLUMBING HVAC Inspection Dato Insp. Commants FOOl1NGS 7- 30 FOUND FRAMING 17/ a2G/j's/ 7% ?/?f1f 7 ? ROOFING ROUGH PLUMBING ? PLBd AIR TEST d ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FfiYAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPEC' ` CITY OF EAGAN ? 3830 Pilot Knob Road j Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: • , ! ? ? i;'1 . , ,.i ! 1 Ei ,<<Aarani r r.Ir FrCt? PARec . NO PERMIT SUBTYPE: Uf `;f'ft C}r I TlyN c:i? r ? i'? ? ??, I:'r'If•/•?Y ,? . ? r i'NANT FtNrSH t Cl f: t: .. '3 U I 1' f.. 1.00 INSPECTION .. • DA ? . F L _ N RECORD PERMIT TYPE: Permit Number: Date issued: APPLICANT: ( f, ? . ? i(i. lll? }?- TYPE OF WORK: PermR No. Pertnit Holda Oate TNephone t ELECTRIC PLUMBING 9 ?j'7 .5?00 HVAC InspecUon Date Insp. Comments 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 OECK FINAL INSPECTION RECORD ! CITY OF EAGAN PERMIT TYPE: 4' t1 i' I "'; I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?` •' (612) 681-4675 . SITE ADDRESS: APPLICANT: 1 I_t' hik fi 4.1.11; , t I WL , i+ i PERMIT SUBTYPE: TYPE OF WORK: ,. nwr F c?I " Ei INSPECTION .. . .• ? ? Parmit No. Pertnk Holder Date Teiephone il ELECTRIC PIUMBING HVAC Inspection Date Insp. Comments FOOTI NGS FOUND FRAMING G ROOFING ROUGH PLUMBING PLSG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL Af/9? [ r.c? BSMT R.I. BSMT FINAL DECK FTG DECK FINAL . _ INSPECTION RECORD CITY OF EAGAN PERNIIT TYPE: 3830 Pilot Knob Road Permit Number: '}; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: ? r? 4 „ E '+ ? ,?' APPLICANT: lf3:a-n?tAt t I t ld 11 !c iiifi. : - r: : I,,; r+, ,,r?t?i?r?? : ++t i ICu PARK ;lND r. 3; 12) 066 --4632 PERMIT SUBTYPE: TYPE OF WORK: ,., ? , , . ?: .??i ? ?r???;?t INSPECTION D. ON TYPE DA , •.?f#?1?: { i.i ? .. , ... ... . ?. . ? ... . . . .. . . ? Permit No. Permit Holder Date Telephone # CTRIC / U Vi9-e f P4 7 - HVAC Inspection Date Insp. mments FOOTINGS FOUND FRAMING 7-q'7 I+il(3 /.L4t.4u. :..? ej/t ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL ?0?? ?f;' 44 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? CITY OF EAGAN 3830 Pilpt Knob Road Eagan, Minnesdta 55122-1897 (612) 681-4675 PERMITTYPE: gulLorNG Permit Number: 031256 Date Issued: 12 / 15 j 9 7 SITE ADDRESS: 1400 CORPORATE CENTER CUR LOT: 1 BLOCK: 2 EAGANDALE OFFICE PARK 2ND p.I.N.: 10-22531-010-02 DESCRIPTION: (OCE- SUITE 100) &Lilding•,yermit Type COMM./IND. MISC. Bullding Wnrk Type TENANT FINISH f' Census" CQde=" "'437 A'LT. NONRES. . e? e .t.? m .. I ?L'.r' F? L h? wn ':l ` s li 5 PERMIT ? Y ,? 1. t`?s+,'. ';::,d? m,? ? ?,?_.?2 Sas.r w L3 ?L'''.1 t,i c?. REMARKS: A SEPARATE PERMZT IS REQUIRED FOR ANY PLUMBTNG OR ELECTRICAL WORK FEE SUMMARY: VALUATION I Base Fee Plan Review Surcharge 7ota1 Fee $581.00 $377.65 $25.50 $984.15 $51,000 CONTRACTOR: - ppplicant - OWNER: RYAN CON6T INC, R J 28664632 ROSEVILLE PROPERTIES 6511 CEDAR AVE S 2575 FAIRVIEW AVE MINNEAPOLXS MN 55423 R05EVILLE MN 55113 (612) 866-4632 (612)633-6312 ? S he,reby aeknnwl'ed"ge-that I:hawe read-;this. aPP,liaa.t.i,qrt and, sEdte ChraC'Cho i.ntor.metian is. cny r'ect' and ;agree to' co5npry`-with- ar=1 a pplicabl e Stateqf 5tetutgs-and City of Eagan Or_dinances;,.; ? . . ._ ? .,...,_ _ . ? APPLICANT/ RMITEE SIGNATURE ISSUED BV: SIPNATUhV? y6 zqo If • MECHANICAL (COMMERCIAL) . Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: commercial/industrial buildings multi-family buildings when separate permits aze not required for each dwelling unit Date 3 11,2 / 03 Site Address hVW W2rJt)(ritlTFi t,?,rWfe'UL al ?Li/c: - Unit #%()7E /O b ? A+tl2TK•l.4AE5tdW M aTCI !A t. Tenant Name (if applicable) FlWqyuta d 4/bQt/x,t2( i Previous Tenant Name Property Owner Telephone # ( ) Con[ractor /4l 2 ?.u?A ('Z( c?d? 1 rti (? /'4 C f 0 G14T c? StreetAddress &f21Pz 8to 7-(-_tnc,.JSrae o, t?' City 57 State ?/( N Zip / Uy Telephone #(GS/ The Applicant is _ Owner ? Contractor _ Other Work Type New construction Underground Tank _Install _Remove Interior Improvement Call for inspection during installationlremoval of tank Y _ Processed Piping NatureofWork:?e?/2isYJf9GT rYlg7r.e6 /J/?I ??? ?1 ? ZUSE?2.5 Zo ?/7/fiGGU ICl?C1cJG/?C.r?lrU Permit Fee $50.50 Minimurn Fee (includes Sta[e Surcharge) l _ $ 150.0 - DPermit Fee % Contract Value $ x .O . If permit fee is $1,000 or less, add $.SO Z:> $ • s? State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Peanit Fee I , ,Total-. Fee g : 7 ? I M1 C03 AP I . I hereby apply for a Commercial Mechanical Permit and acknowledge that the informahon i$,complete and accurate;Lthat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mec?hanical Codes; that I unders nd this is not a permit, but only an application for a permit, and work is not to start without a permit; ?ihe work?rill_Ue- ance with the approved plan in the case of work which requires a review and approval of plans. ' M Toti«, ?Vtrt-rrNQws Applicant's Printed Name Approved By: 4 ' Inspector X/-tlJ& & 2 t;; ? Applicant's Date: 111-7/63 a61 b,-roo sa so FIRE SUPPRESSION SYSTEMS Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau Mu 55122 =J ? Telephone # 651-675-5675 FAX # 651-675-5674 -? ? 0,? , Requiremenu: 2 complete sets of drawings and specifications cut sheets on materials and co onents to be used Date 04 ? 21. ? 03 Site Address: 1.400 Corporate Center Gtiive Suite 1.00 Tenant / Building Name: Pbrthwestern t1itual Financial Pdet4rork 1 M ' The Applicant is: _ Owner x Contractor _ Other " PROPERTY OWNER Painey Groiip ? Address: 1.47(0 28ttt Ave Pd #30 City: Plymoiith State: h?'1 Zip: 55447 CONTRACTOR Rlield Fire Protection MN License No. C014 Address: 7340 Idashington Avenue S Clty; Flden Prairie State: Ptinnesota :; Zip: 55344 Phone 952-941-701.0 ESTIMATED COMPLETION DATE: 05 / 1.6 / 03 FTRE PERMIT TYPE: x Sprinkler System (# of heads ].3 Fire Puxnp _ Standpipe Other: WORKTYPE: New Addition X Alterations Remodel Other: DESCRIPTION OF WORK: X Commercial Residential _ Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: ContractValue $ ].320.00 x .01°/a = $ 06- PermitFee • If Permit Fee is $1,000 or less, add $.50 => $ State Surcharge If Permit Fee is over $1,000, add $30 per $1,000 Permit Fee ?f 3/4" Displacement Fire Meter - $156.00 $ TOTAL FEE: $50.50 Minimum Fee (includes State Surcharge) $ I hereby apply for a Fire Suppression System pernut 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 pernut, and work is not to start without a permit; that the work wilEbi cor dance with the approved plan in the case of work which requires a review and approval of plans. Richard I,. Pease aAl Applicant's Printed Name Applicant's Signature 04/2]./03 Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS _ Hydrostatic Flow Alarm Drain Test ?Ro U9 ti? n _ Trip _ Pump Test _ Central Station ? Final Conditions of Issuance: Permit Approved by: Date: / / ? / ?_ ??-l- i f?) 1 o c?c a-' t7CJIA -;?r-'4 COMMERCIALBUILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 GQ?Dg 3- ?g'?3 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Arohitectu2l Plans (2) sets • Civil Plans (2) . Struclural Plans (2) • Code Malysis (1) " • Certifirate of Survey (1) • Civil Plans (2) • Project 5pecs (1) • Code Malysis (1) " . Landsraping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " . Certifipte of Survey (7) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be esta6lished • Meter size must be established-'rf applicable d . ProjectSpecs (t) d • EnergyCalculations (1) d • Eleclric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site, Plan (1)'"' 1 , 1 • SoilsReport (1) 1 • SAC detertnination - call 651-602-1000 . SAC determinaUon - call 651-602-1 000 SAC detertnination - call 651-602-1000 Cal] MDI Dept of Health at 651-215-0700 for details regazding food & beverage or lodging i'acilitfes. •' Contact Building Inspections for sample and if required when it states "not always". *'• Pertnit for new building or addition will not be processed without Emergency Response Site Plan. Date -L Construcfion Cost ?? S BOG? Q o Si[e Address I y(?j'o r v {r_ h4c, C,dyt,,_ Unit/Ste # ? O(? Tenant Nsme F,h AklaQ I Former Tenant Name Description of Work aky;0- Rt1i' Property Owner oSt,vilIe. PS Telephone #( 6 S I)63 Q- O g L y Contractor _ The `hL.,( ?yrdt., ,?i Address )Q' 7(7[? Z 5244, A'tw. ? z g3o City /p/Yh,. State +t0 =t--4±? Zip SS 4y7 Telep6one#(7(o3) SS7-621.( Arch/Engr Registration# ' -710 o Address it 3db City-? / I? hhte ? Rj,? State M N Zip -s-g_Q!?' ? Telephone #( . , ? . Licensed plumber installing new sewerMrater service: Phone #; ? _ I hereby apply for a Commercial Building Permit and acknowledge that the i ation is_ - accurate; that the work will be in conformance with the ordinances and codes of thei y?"o` Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?? ?? PtA Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ol Foundation FI 26 Public Facility D 30 Accessory Bldg. ? 14 Apartments K27 Commercial/Industria] ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous G 29 Antennae E. 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New K 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Afteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant 04 Valuation Klwo? Occupancy ? MC/ES System / ? Census Code fl57 Zoning City Water ? SAC Units ^ D? Stories Booster Pump Nbr. of Units d Sq. Ft. PRV ? Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) ? FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Foorings (addition) ? Plumbing _ Foundation ? HVAC Drain Tile Other ? Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector -------------------------- ------------- --- Base Fee --------------------------------------- 49 2. ZS ------------------ -°------------------------ ------- -------------------------- Surcharge l7 Plan Review ZQ . MC/ES SAC City SAC Water Supply & Storage Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? SS3d-"1 JG??.300? • CITY USE ONLY PERMIT #: i-i-Ot ? I? RECEIPT DATE: APPROVED BY: 6 P y~ Z?? INSPECTOR 1-{-2-9 -G:?_ 2002 COMbIEftCbAi, M£CHANICAL PER41I"u" APPLICAT101V CI'fY OF EAfiAN 3$80 P1LOT KNOB itD ED ERfi?kIV,1NN 551 S2 s5i-s61-as75 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for DATE: G STfEADDRESS: /'%!JO o 2d7J1LATE C1`/C _AQV? T 2 ? 0 T ? jCi APR 2 6 2002 !!? S? OWNERNAME: L0564;4 PHONE#: (<s/ - 6rf3?r7?,?S? TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y XN. NAME: INSTALLER: STREET ADDRESS: rtA 17W crrx: sTaTE: //w zip: 35622 TELErxorrE WORK TYPE: New construcrion _ Install U.G. Tank ? IntenorImprovement _ Remove U.G.Tank _ Processed Piping SpecifyNature of Work:6?? -,4 l'??, /91v.?.rG ??*,?? When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and 6 Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee ?Contractprice: $ 1;2-SDe) xl%=$ ?.25 (Bas ee) State surcharge ca culate at $.50 for each $1,000 Base Fee TOTAL $ 1,25' c) SIGNAT'URE OF PERMITTEE Updated 1/02 7997 BUILDING PERMIT APPLICATION (COMMERCIAL) L4(0 CITY OF EAGAN 681-4675 co? The follawing are required with appropriata certifieation for all new construdlon. • 2 each: archkecturel plens; mech. 8 elec. plans; fire sprinkler plans; structural plans; ske plens; landscaping plans; gredingldrainagelerosion wntrol plen, utiliry plan ? t each: set of specifications; aet of energy celculations; electrical power 8 lighting fortn; Speciel Inspections 8 Testinp Schedule • Letter hom MCMIS (phone #222-8423) indicating SAC determination • Code anatysis indicating: codes used; occupancy Wassffications; setbadcs: meximum ellowable area as per Building and City Codes along wkfi sq. 8. per floor; type ot construction (synopsis ot construdion components) 8 any occupancy or area separation walls; i• SOIL'S oocupancy bads; exil synopsis wkh a diagram indiceting exding bads from oaeh room or erea, travel paths 8 all rated REPORT corridors; plumbing fixtures; and parking. DATE: [,?/o)l H7 DESCRIPTION OF WORK: TCN.oAeT i.W P,pavE.m E,?f WORK TYPE: 1 NEw _ REMODEL CONSTRUCTION COST: CXJD TENANT NAME: OC e SITE ADDRESS: 1400 CORPo Rq7-t CE A/T'EiP C v?VE LOT-L- BLOCKSUBD. bQ ufl?? ? 11,CP4mP.I.D.# 3 PROPERTY OWNER CONTRACTOR Name: ?OXEVIL1.E (p,ZofEki-rfs Phone#: 633-6)11) i,as* owai Street Address: 3 S 7S FA?R v?c`i.,? i1 v City: RoJZVI«l? State: M?v Zip: SS 1(3 Company: RJ" RY-9N CoNJ1R1'cn0,v phone #: 866' q6)a Street Address: 6 S 1 I CE AAR A v J City: RICHfrC-tO Zip; SSI( J? Company: B D h? rovN(" Phone #: 293- q6a 6 Name: TI« 8/f<<0V^'T Registration#: Street Address: y S! U w. ?7 ? n_ .nEfot City: LOlMA State: /'N Z;p: S S 43S Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informaGon is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature oi Applicant: ARCHITECT/ ENGINEER OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 18 Comm./Ind. WORK TYPE 0 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning r?- 19 Comm.llnd. Misc. 0 20 Public Facility ? 33 Afterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq, ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering , 0 21 Miscellaneous o? 35 Tenant Finish ? 37 Demolition MCNVS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance O Permit Fee Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size ? Valuation: $ s/, Oo-o I I Z/I??'j 7 • 73 k. /?YNN ,/r1 • HQbvt c . v!w Ta OCL 'W ?NiY ' Ni.?s S'°cu ??2i A CePit2 ?'1?' Go. Tc fsw ?5M•7?/.o2ocn?.,ecr ?.... .. . a ?AGN?NLf AKS- ?t?tY GA?L d l ? ? V u f e o 7q.?ue <!P A Ler oP 2ea,.- • A , 4 i?/.,?? •z,. ` J?=s. ?ir?i?' ? • ), ? , . _ _ .•e+± /?Eeq, L?OC,,..? a.?rc r ?f [GSC.a a.cc e? " . _ . . , Td ? G?iL?c. hn,2 5Now?4T T<.,? E 3? Y Paovc? ?.A Tr <'?- £k/'uyt.?rL'? f{+rJ 4 k(N%' ?i'f ? £l'?yK Dccs. Ic?AS ?? 1997 BUILDING PERMIT APPLICATION (COMMERCIAL) 36e 9`f'y 76 CITY OF EAGAN 681-4675 The Tollowing are required with eppropriate certificetion for all DM eonstructlon: • 2 each. archRecturel plans; mech. 8 elec. plans; flre sprinkler plans; atruGUral plens; aRe plans; landscepinp plens; gradingPorefnege/erosion tontrol plan; utilHy plan • t eaeh: set of epecificationa; set ot energy calculetiona; electrical power & Ilghting fortn; Special Inspediona 8 Testinp Sehedule ? Leder from MCANS (phone #222-8423) in0iadng SAC tlatertnination ? Code analysis indiwting: coCes used; oaupanq dassiflcations; setbadcs; maximum ellowable area as per Building and Cily Codes along wifh sq. @. per floor; type of consWaion (6ynopsis ot construdion eompanents) & any occupency or erea separetion walls; xcupancy beds; extt synopsis wkh a diagrem indicating exftinp loads frwn eaeh room or area, travel paths 8 all roted corriEOra; plumbing Bxtures; and perking. DATE: DESCRIPTION OF WORK: Name: ?- ? ?3 12C?2LJgl ?LPhone #: 6S? StreetAddress:7-s? /?????"-? _ REMODEL CONSTRUCTIONCOST: ?L12 00 0 TENANTNAME: sP?c' ?e'4?/?"eafF?EP?A=r?ee ac??,, SITE ADDRESS: /'-&2 Po/zATC, C£k7r-2 Cwz(/f- ' .,a. .,.. LOT ? BLOCK 2 SUBD. ?AC.pN9AG? OFF/c£ P.I.D. # PROPERTY OWNER CONTRACTOR ARCHRECTI ENGINEER / Clty: ? .S2 r/iA Company: Street WORK TYPE: '9.'- New T :/?7 ?4141 Zip: SZL-6C- phone #: ?. City: Zip: Company: %,- N Phone #: Name: aI ? ? - Registration #: Street Address: City: ?1 0?/ 'v&l State: Zip: ? 8 water licensed plumber (only 'rf installing sewer & water): 1 hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. is Corcect)od agree to comply with all Signature of OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 19 Comm./Ind. Misc. ? 21 Miscellaneous ? 18 Comm./Ind. ? 20 Public Facil ity WORK TYPE ,eF 31 New ? 33 Alterations o 35 Tenant Finish ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) -0-?S! Basement sq. ft. Nr9 MC/WS System - (Allowable) ?•.Y First Floor sq. ft. 19,691 City Water =;Z7 UBC Occupancy I? 2"- sq. ft. zzl &;?55 Fire Sprinklered f-k r_ Zoning 09•a sq. ft. Census Code 3yy # of Stories z sq. ft. SAC Code 30_ Length 1s3 sq. ft. Census Bldg. i Depth 19.1 Footprint sq. ft. iz, loy9 Census Unit ! APPROVALS Planning Building Engineering Variance PermitFee 5,837.zs' ? Valuation: $ 500,0o0 ? Surcharge / zo, on Plan Review 3,79Y. zi Z , 2-s-Or pD X 2 7s? MC/?NSSAC 7?do.n ScS.fd STv'1O t" c3?.°eo ?c.ooo`?, City SAC goo..e s rc? S; 837. Ls Water Conn. &d SNV Permit ioo, ov S/W Surcharge . ro TreatmentPl. 3.3&0.ac BryyO Road Unit Nv9 Park Ded. 7, 7/z, ob Trails Ded. 2. izo, so n/?/' Water Qual. Other S,?oo ? ? ?/Y `?S?/' / Copies , rotal: % sAc SAC Units Meter Size r- (J? PERMIT - ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLozNc Permit Number: 0 2 9 6 7 0 Date Issued: 07/1$/9 7 SITE ADDRESS: 1400 CORPORATE CENTER CUR LOT: 1 BLOCK: 2 EAGANDALE OFFICE PARK 2ND P.I.N.: 10-22531-010-02 DESCRIPTION: B,arildfri`q PermiC Type .Building, Wnrk Type UBC Occupanc$rt. Coristi°uction"f`ype . ZOlFIflg ?euilding Length, ) ` Buildin9 WtdCh : 6uzlding _ato,r-'ies =- "?.Qwarg Feq.t - C'et`IS"U?, C9SIe_-i ,?-- ?n COMM./IND. NEW B II-N PD 153 83 2 12,699 324 OFFICE/BANK FxJ ? ?s f7.-s, 4^? 1.i?N??,r??;"a`3rrl REMARKS: S & W PLBR - FEE SUMMARY: Base Fee Plan Review Surcharge 5AC 5AC $ SAC Units Subtotal VALUATION $5,837.25 $3,794.21 $62@.00 $7,600.00 100 8 $17,851.46 $1,300,000 CITY SAC 5 & W PERMIT S & W SURCHARGE TREATMENT PLANT PARK DEDIGATION TRAIL DEDICATION LANDSCAPING GUAR Tntal Fee $800.00 $100.00 $.50 $3,360.00 $7,712.00 $2,120.80 $5.000.00 $36,944.76 CONTRACTOR: - Applicant - OWNER: RYAN CONST INC,,R J 28664632 EAGAN PRQPERTIES L.L.C. 6511 CEDAR AVE S 2575 FAIRVIEW AVE MTNNEAPtlLIS MN 55423 ROSEVILLE MN 55113 (612) 866-4632 (612)633-6312 I he, e. .,actcnowledge"that,-l?riave'?rea-d=tYiis,:aprp.tication--aeid 4tste` tfiat,'Che" _ info a ion is cArrect. a,nd a;gree?-to: co.mp3y,,,,,with, a?.l .apg.l}c?,k11e $.ta?e ?Qfg MD. Statu " and City Qf 'Eegan'Ordinancgs: . , , ? - • - _ _... _ .._ -- - O'/.?' ?n ?.?i.11_ APPLICANT/PERMITEE SIGNATURE ISS D SI ATUFIE A_ CIT.-Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22531-010-02 DESCRIPTION: PERMIT 'PERMITTYPE: BurLoxNG Permit Number: 0 3 0 9 7 4 Date Issued: 10 / 2 2/ 9 7 1400 CORPORATE CENTER CUR L07: 1 BLOCK: 2 EAGANDALE OFFICE PARK 2ND (MORT6AGE ONE) puilding?P,Iermit Type COMM.JIND. MISC. Building WmnklpType TENANT FINISH Ceqsits Code 437 4L7. NONRES. ( ,. . ? t N r ?`?',?`, ??.._"It P" " "'? f„ REMARKS: FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee I! i $724.75 $471.09 $37.00 $1,232.84 $74,000 CONTRACTOR: - qpplicant - OWNER: RYAN CDNST INC,'R J 28664632 EAGAN PROPERTIES LLP 6511 CEDAR AVE S 2575 FAIRVIEW FlVE MINNEAPOLIS MN 55423 ROSEVILLE MN 55113 (612) 866-4632 (612)633-6312 I I eby "acknawledge" th'at,I' have read this applicaCion and s'tate'tHatµthe ` in matton= is correetsan,d?agre'e-to eom'pl=y,.with a1& &-pp2itab3e°5tatv -mf'.Mn,. ? 3tat es and City o . Eagan 'Llr,dina0eeo• , _? „•.., . ?ms.; .. . .. - p - - ?t, ?/' ? ? APPLICANT/PERMIT E SIGNATUR ISSl1ED BYSIGNATURE J 1997 BUILDING PERMIT APPLICATION (COMMERCIAL) 30q44 CITY OF EAGAN 881-4675 ', O-L? The tollowing are required with appropriate cartificetion tor ell D= oonstruction: • 2 each: archkedurel plans; meeh. & alec. plans; firo sprinkler plana; struGuwi plane; ake plans; lendswping plans; greding/drainege/erosion control plan; utillty plan . • 1 each: aet of apeafiations; set of energy calwletions; eledrical power & lighting form; Special Inspectiona S Teetlnp Schedule • Lelter irom MCANS (phone q222-8423) indicating SAC detertninatlon • Code enatysis indiwting: mdes used; occupenq dasaifiptiona; setEadcs; maximum allowable area as per Building and Clry Codes alonp wkh sq, ft. per floor; type of construdion (synopsis of eonstruction wmponenffi) 8 eny occupanq or erea separation walls; 1a SOIL'S occupency loads: exit synopsis with a diagram indtceting exRinp loads (rom each room or erea, travel paths 8 ali rated REPORT co^i1oro; plumbing fiRUres; and perkinp. DATE: I D/ 7Z p7 DESCRIPTION OF WORK: fBwcd-w.r 1 N ??,. ? .. , y6? _ ? ? ??. CONSTRUCTION COST: r TENANT NAME: _ Phone #: SITEADDRESS: i400 CU,f/p,fAl'E CFIVTEAP C v,PvLt LOT-L- BLOCKSUBD. P,??mr P U.NX1tA°6, hA7 d?(4?.P.I.D.# PROPERTY OWNER CONTRACTOR Name: l' AGA,v pR6PE•P7 i P? LL,P Phone #: 6 3 3' 6 3l a W, .,n. Street Address: 2 S? S F""LlE w'Ivt City: yi vhvrc.Lt State: M^," Zip: S S? l3 Company: R TleYAN CUNJr,PvtT IUN Phone #: 866 - 46?.) Street Address: 6511 C EAA.P A v. J- City: Af cyrF1ELP Z;P: 9.5v3 Company: _ Name: Street Address: City: Sewer 8 water licensed plumber (oniy if installing sewer & water): State: Zip: 1 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 Ciry of Eagan Ordinances. Registration #: QN WORK TYPE: _ZNEW _ REMODEL W COMH FIPCIA [ dLO(r Signature of Applicant: _V S0 WL' ARCHRECT/ ENGINEER OFFICE USE ONLY ? • +? ? `?? BUILDING PERMIT TYPE ? 01 Foundation 9 Comm./lnd. Misc. ? 21 Misceilaneous n 18 Comm./Ind. ? 20 Public Facility WORK TYPE ? 31 New ? 33 Afterations ? Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. Census Code ?/47 # of Stories sq. ft. SAC Code ?r, Length sq. ft. Census Bldg. Depth Footprint s. Census Unit a APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/V1l Surcharge . z Treatment PI. " Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units ''"?"?• «....,_, Meter Size PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: Permrt Number: Buz?prN? 030789 Date Issued: 10/ 0 7/ 9 7 SITE ADDRESS: 1400 CORPORATE CENTER CUR LOT: 1 BLOCK: 2 EAGANDALE OFFICE PARK 2ND P.I.N.: 10-22531-010-02 DESCRIPTION: NW MUTUAL ermit Type h &r,k Type REMARKS: FEE SUMMARY: LxFE CQMM./IND. MTSC. TENANT FSNISH 437 AL7. NONRES. iB'"':' ??w, =2's ?'?'e s ?Caim v #y ?o ? ? .? i?Ko ? VALUATION Base Fee $1,237.25 Plan Review $804.21 Surcharge $85.00 Total Fee $2,126.46 $170,@00 CONTRACTOR: - Applicant - OWNER: RYAN CONST INC,'R J 28664632 EA6AN PROPERTIES LLP 6541 CEDAR AVE S 2575 FAIRVIEW AVE MINNEAPOLIS MN 55423 ROSEVILLE MN 55113 (6,12) 866-4632 (612)633-6312 . J,Yie?-?fi?ekn ti_on 1 A?TEE SIGNATURE I 1997 BUILDING PERMIT APPLICATION 1517, MMERCIAL) tld6- L?? ? ? ? ?IC? CITY OF EAGAN q•qw ( 6814675 The rollowing ri required wkh appropriaffi certfieation for all n$w conshudion: • Yeach: architecturel plans; mech. 3 elec. plens; fire sprinkler plans; shucturel plens; site plans, landswping plana; grading/drainage/erosion eontrcl plan; utility plan ? 1 each: set ot specKcations; xt of energy calwlations; elechical power 61igMing fortn: Special Inspections & Teating Sehedule • Letter from MGWS (phone #222-8423) indiwting SAC datermination • Code anelysis indicating: codes used; oceupanq Gassfications; setbadcs; mauimum allowable area as per Buikling and City Codea along wilh sq. R. per floor, tyDe oT construction (synopsis af construction components) 6 eny oceupency or area aeparation walls; 1OSOIL'S oecupancy bads; ezk synopsis wkh a diagram indicating exiUng bads irom eaeh room or area, travel paths & ell rated REPORT corridois; plumbing foctures; and parking. DATE: 9/a/q7 WORK TYPE: L NEW _ REMODEL DESCRIPTION OF WORK: 7E'Vq'vf Fl-vi.nrEp ,lPr}tF CONSTRUCTION COST: TENANT NAME: N6RYk wESrB-l.1 /" vrVAL L I P E SITEADDRESS: «/?poR,+TE CEAvTEQ «RVE 6AG4ni..N,? LOT? BLOCK? SUBD. OY??1,CQ, 1?6,,,?nI/A. P.I.D.# PROPERTY Name: EA(rAni PAop6RTi6J ll/O Phone633 OWNER w' I...* Street Address: 2S75 FAlR?161? .9 vE City: Kv.rE ViLt E State: ?-A' Zip: S S r ?? CONTRACTOR Company: V? T Ry,qN (uNfltvrr(um, r?< phone#: 866'463a J6Hiv J,vydF? StreetAddress: 911 <<nA/( AV' 'r city: J?IcNFt6L,p zip: SS4a3 ARCHITECTI Company: ?IV H A/tc HrTFC f.t Phone #: 411- y 43 3 ENGINEER Name: 9vrNN kvrsa"" Registration#: Street Address: ? 300 w 1 y 71" ..!' T. JT E So Lf SSI>Y City: AiPLC- vALLFY State: Zip: Sewer 8 water licensed plumber (only if installing sewer & water): 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: C?cc, OFFICE USE ONLY BUILDiNG PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind woR?c nrPe a 31 New 0 32 Addition GENERAL INFORMATION da"19 Comm./ind. Misc. 0 20 Public Facility • 0 33 Alterationg£ ? 34 Repair ? 21 Miscellaneous . ?iQ/x?D^?TAG ?X?T ?ls?a ?, Tis P?afECr ?- 35 Tenant Finish ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code Z117 7 # of Stories sq. ft. SAC Code 20 Length sq. ft. Census Bidg. / Depth Footprint sq. ft. Census Unit ? APPROVALS Planning Building Engineering Variance PermitFee a Valuation: $ /70?t) oa ? Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit y S/W Surcharge Treatment PI . ' 7 /D?`` ?y9N ? . Road Unit ? • c • ? - ??s ?. GK • 3 . Park Ded. Trails Ded. ? g X/Or- VIF? WaterQual. Other ^ Copies a. ?,.iQoo.ass Ci?Atcr? ? ?' ?` ,± ? •?• _.? ? . ? i ? ? M * ? ? TOtai: a? ? ti = % SAC = e a??l?/,?r?w ? ie,?rcb Czm r?,,.'•? SAC Units ?, ?•?o? k4''47 Z! QAf[? 404401i'r Meter Size 2 6a04•Ao /r o,.....?. ?.e- ..._. C R ? ?uNl fas ln.??N ? ?' *'? JrNw 9ryy k?A? cJ ? N/NI'?bEJ t ?M[ep• Pc,enr - vt?srr?uFSS?rn...r V CITY USE ONLY L ? BL ? SUBO. (f?...? RECEIPT#: o D3o2S RECEIPT DATE: ql-2-1r' J 1997 M£CHANICikL PERMIT (COMb1EitC1i4L) CI1'Y Of EAfiAN 3$30 PILOT KNOS RD EA6,4N, MN 55122 (612)681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?- a-11 CONTRACT PRICE: 8.?, o 0 0 WORK TYPE: ? NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: :5-- Ec.Ec-:c-_ H-EazE,ej' FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL 8Sa . °= , s'-? 8-b ($.50 per $1,000 of permit fee due on all permits.) '[..q 'rs -r.o ..J PrtP2-o k 9 - q - 9 '1 SIT'E ADDRESS: Ec?o+LZ O WNER NAME: -?,-1 PHONE #: g?? -? 6? a TENANT NAME (IMrROVEMEtv'rs oNLY): INSTALLER: ADDRESS: P- o. PHONE #: CITY p G- ?'- STATE: ZIP: Sr3'+ S C-t4?j A, dn-x?? a W SIGNATURE OF PERMITTEE CITY INSPECTOR L q OFFICE USE ONLY ? BL oc?8 SUBD-_( ?? RECEIPT #: O v C?5 RECEIPT DATE: F 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 9830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Pkesa complete for: • all commerciaVindustnal Euildings. • muKi-family buildings when aeparete permits are p,gt required Tor eech dwelling unk. • backflow preventer to be inetalled in commerGal areas or resltlential boukvaMs DATE: q/ 06-&7 WORK TYPE: Y New Const. _ Add-0n _ Repair DESCRIPTION OF WORK: IS WATER METER REQUIRED9 I.? Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes ? No UNDERGROUND SPRINKLER 5Y3TEM INSTALLING METER? : Yes _ No. NEW SERVICE? _ Yea _ No WATER FLOW. GPM. Pressure Reducing Valve may be requiretl if installing new Service - contact Cily's Engineering Department at 6813646. FAILURE TO PROVIDE THE ABOVE INPORMATION WILL RESULT IN A DEIAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contred price, whichever is greater. Mlnimum State Surcharge of $.50 due on all partnits. CONTRACT PRICE: $ 4oa O. Do x t% _ $ COMPLETE THIS AREA ONLY IF INSTALLING UNDER6ROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 = $ WATER PERMIT (new service only) 50.00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: 1" = $185.00 , 2" TURBO =$846.00 PERMITFEE D io FIGURE SURCFIARGE AT 60 CENTS FOR EVERY $7,000 OF pERM1T FEE DUE STATE SURCHARGE $ .7 -7 ( / 2l TOTAL $ vOD P S^'D I Mreby acknowbdge that I have read this eppiication, stete that the iMOrtnation is toneU, antl egree to compy wiUM all epplicable Ciry of Eagan ordinances. N re the epplicanPs rosponsibility to notily the property owner that the Ctty of Eagan essumes no liability for eny damages ceused by the Cily durin8 iLS normat operationel and maintenance activkies to the fatilities eonetruded under this permit within City property/right-of-wey/easement. SITEADDRESS' r-fi1 O ` r,.? ?Q Q,- 15;-t `A1 Ya ? TENANT NAME: S7E. # : OWNER NAME: INSTALLER NAME: TELEPHONE q: Is-I oD STREETADDRESS: NarQehallK CITY: C?B `L STATE: 94/V ZIp: S' APPLICANTS SIGNATURE OFFICE USE ONLV • qEVEpSE 810E OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE Domestic / irrigation pBY _ Yes _ No UTILITY CONNECTION (APPLIES TO NEW SERVIGE ONLYI $ ---?11 Building Inspector To detertnine meter size 7,7 Date • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 ta obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber doea not know GPMs. Check PIMS Screen 320 for aooroval of inspection resutts. No meter will be sold before all sewer and water inspections are complete on a eew service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miseellaneous Infortnation The installer is to contact Building Inspections at 681-4675 for inspeCtion of the inside water line and backflow preventer. The Public Works Department may be reached at 661 -4300 for water tum-on. If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes overthere. OFFICE USE ONLY x ? - ? ?, d RECEIPT#: g 3oZ I (/ a SUBD. RECEIPT DATE: t J-a?'?'11 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 ? (872)6814675 . Please complete for . ail commerdaUndustrial buiWings. • multi-famiry bulldings when separete pertnits are = required tor each dwelling un8. • bedcNOw provenler to ba inffielletl in eommereial areas or residenhal Doulevards , Dj°`TE: WORK TYPE: ? Naw Const. _ Add-On _ Repair DESCRIPTION OF WORKIS WATER METER REQUIRED? _ Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED7 _ Yes _ No i INSTALLING METER? _'?/ Yes _ No NEW SERVICE? 3/ Yes No WATER fLOW: ? GPM. Pressure Reducing Valve may be required if installing new service - contact City's Engineering Depertment at 681-I646. „ ( Pl FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF MET.ER ISSUANCE Z- ?"z""V V FEES (0 Minimum fee of $25.00 or 1°h of conirect price, whichever is greater. Mlnimum State Surcharge of $.50 due on all permds. CONTRACT PRICE: S x i% = 1 $ -- COMPLETE THIS AREA ONLY IP INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKPLOW PREVENTER FEE a 25.00 = $ Z S? WATER PERMIT (new service only) 50.00 = $ WAC (new aervice only - per connection) 780.00 $ WATER TREATMENT (new eervice only - per connection) 420.00 S CITY INSTALLED TAP 300.00 = ` S METER: 1" = $185.00 , 2" TURBO 5646.00 = $ Tl vO PERMIT FEE FI6URE SURCNARGE AT 60 CENTS FOR EVERY $1,000 OF PERMIT FEE DIIE 5TATE SURCHARGE 707AL $ i heroby arknowledge that I have roed this epplication, atate Mat the infortnation is cortect, and agree to compry with all applicable Gity of Eagan ortlinances k is lhe applipM's responafbility to notify the property owner that the City of Eagan assumes no liebilily for arry demagea cauaed by the Ciry durin8 its normal operetional end maintenance activitias to tAe faalrties construded under thia pertnit within City propertylright-of-way/easement. SITEADDRESS: ? ? uv-vt, ,ENANT NAME: 5TE..: OWNERNAME: INSTALLER NAME. TE1I.EPHONE #: K Y'SJL W STREETADDRESS?? CITY: S? STATEP?VI?-? ZIP: ^S oFFIce uae oNLr - REVEnae sIoe / L / BL OFFICE USE ONLY RECEIPT `f SUBD. C _ fGM ?? RECEIPT DATE: 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KN08 RD EAGAN, MN 55122 (872) 681-4675 Pbase compbte Por. . all commerciaVindustrial buildinps. 11 • mutti-family Duiltlings when aeparete pertnits are nq? requ4red for each tfwelling unit. • Cadcflow preventer to be instelled in eommerual aroas or resideMial 6oulevards ' DATE: Iv( 0?? / WORK TYPE: _ New Const. V Add-On _ Repair DESCRIPTION OF WORK. IS WATER METER REQUIRED? _ Yes _ No. ARE FIUSMOMETERS TO BE INSTALLED? _ Yes _ No SINDERGROUNU SPRINKLER SYSTEM " INSTALLING METER? _ Ves _ No. NEW SERVICE7 _ Yes _ No WATER FLOW: GPM. Presaure Reducing Valva may be required H inatalling new service • contad Cky's Engineering Department at 681-4646 PAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER 13SUANCE FEES Minimum fee of $25.00 or t°k oT contreC pnce, whichever Is greatec Minimum Stete Surcharge of $ 50 due on ell pertnits. CONTRACT PRICE: $ 150 a f CJ C) x 1°h = S 25,06- 11 COMPLETE THIS AREA ONLY IF INS7ALLING UNDERGROl1ND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 E WATER PERMIT (new service onty) 50.00 = $ WAC (new service only - per connedipn) 780.00 $ WATER TREATMENT (new service only - per connection) 420.00 S CITY INSTALLED TAP 300.00 = S METER: 1" = E785.00 , 2" TURBO = $846.00 $ PERMIT FEE y U V FIGURE SURCNAR6E A750 CENT$ FOR EVERY $1,000 OF PERMIT FEE DIIE STATE SURGHARGE I $ I 5D TOTAL S /ig l 51D I Aereby adcnowledge that I have read this applicetion, state that the IMormatlon is cortect and agroe to compy wkh all applicable Cily oT Eegen ordinances It is fhe applicaM's iesponsibility to notily the pioparty owner thffi the Clry of Eapan assumes no tiablliry tor arry damag9s caused by the Cily during its normat operational and maintenance aGivkies to the hcilitl e s wn trud e d und er ihis pertnk w il hi n Ciry a property/right-of-way/easement. ? ? ?? ? ? , ,? / SITE ADDRESS: ?"1 0 O I/?YJ1?(Xl ? G1?1'(? 0.tM ? J ? ? ? .f-Ul t(.( VV6 TENANT NAME: Y/0 ,C3 6L44- L a& ) ` OC 6 STE. # : /0 ? OWNER NAME: 'T&t&tkt )V?? ? *, ? INSTALLERNAME: '1`.'?4? TELEPHONEa: `'t QV STREET ADDRESS (1,51 A/ua?? Ckc4_6 r4 CITY: STATE: ? ZIP. ? Ok?? b(.AGw4L7_ APPIICANTS SIGNATURE OFFICE USE ONL1' • qEVERBE &DE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE P6X _ Yes _ No Domestic Irrigation i iTn !T! rONNECTION (APPLIFg rO NEW 5ERVICE ONLYI REVIEWED BY '6? Building Inspector Date To determine meter slze • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumhing Inspector if Licensed Plumber does not know GPMs. ,?efore s fell na me,?gl Check PIMS Screen 320 for ap roval of inspection results. No meter will be sold before all sewer and water inspections are complete on anow service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and fonvard copy W Utility Billing Clerk. Enter meter size, type, receipt#, date & amount paid on PIMS Screen 110. Copy of receipt should be 9iven to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building 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. If ineter is over 518, call Public Works and let them know so they can tell you if they have one in stock before plumber goes overthere. " CITY USE ONLY L ? BL ? SUBD(2? RECEIPT#: RECEIPT DATE: 1997 M£CiiANICAL PEfiMIT (CObIMERCIi4L) CITY dF EAfii4N S$SO PILOT KNOB RD ERHikN, MN 55188 (61E) 6$1-4675 ? ? Please complete for: all commerciaVindustrial buildings multi-famiiy buildings when separate permits are not required for each dwelling unit DATE: l 1- a`E -9 "1 CONTRACT PRICE: I l, o ao .°- WORK TYPE: _ NEW CONSTRUCTION _Z INTERIOR IMPROVEMENT DESCRIPTION OF WORK: jE,.?,j.q-"-c- j,,,; Lj 14 FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1°/a Ij° •rn- ? g ? m- a''''` - 3 rS S ?A.PG'N+rC. ? ?V O R??V N A?. PROCESSED PIPING - PERMITFEE STATE SURCHARGE , Sb ($.50 per $ 1,000 ofcemiit fee due on all permits.) TOTAL I l o . ?-a SITEADDRESS: 1`{'D0 ?'a/LP?a.srrE CZ'e-, 02. OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): ? 3 A 5 INSTALLER: ?SSoc.?FSr?.o ?YI,G?-NArvtCAV?.Nc, ADDRESS: C• c,. 6?,?e QJ7 PHONE #: (0-f S' r I o0 CITY: a6°-K-?fescs STATE: fnr- ZIP: SS?'1 g 0 Q,?,Y:? ? d..z? _ y,? SIGNATURE OF PERMITTEE CTTY INSPECTOR Ab?' MEMO ' city of eagan TO: DALE SCHOEPPNER, SEIVIOR INSPECTOR DALE WEGLEITNER, FII2E MARSHAI, PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT NIIKE RIDLEY, SEIVIOR PLANNER DIANE DOWNS, UTII.ITY BII..LING CLERK ROD JOHNSON, iT7n.tnFS FROM: BII,L BRUESTLE, SEIVIOR INSPECTOR DAT'E: NOVEMBER 13,1997 SUBJECT: FiNAL INSPECTION OF Ll, B2, EAGANDALE OFFICE i'pARK- The Protective Inspections Division will be perfornung a final inspection of 1400 Corporate Center Curve on November 28, 1997. 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. /js CD/Fbldg insp//£mal insp - comm bldgs LA I , I'}DO Corpord e Cen?er CurUe PROJECT DESCRIPTION: Contract No: Pro,ject No: 7 s`3 - D Submittal Date: 3'-97 CITY OF EAGAN SEWER & WATER PERMIT RELEASE FORM Substantial Completion of Sever b Water Date of Occurrence STEP Z: PERMISSION TO HOOK UP _ Lines Lamped and Accaptable _ Deflection Mandrel Test Passed _ Manhole Structures Properly Constxucted (cstg. & cover, rings, cone, 1 ft. sections, final rim setting, & build and invert) _ Infiltration Test SERVICES _ Properly Chlorinated & Flushed _ Entire System Pressure Tested _ Entire System Conductivity Tested _ All Valve Boxes Accessible, straight 6 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 Serv3ce Risers Te evised COMMENTS: U'. ? i`Y iL STEP II: EUI.L USE PERMIT (OCCI7PANCY) STORM SEWER _ Lines Lamped & Acceptable _ CB Structures Properly Constructed (cstg & cover, rings, 1 ft. section, imert, final cstg. setting 6 build, DL-DR correctly set rings 6 cstg. set in full bed of mortar) _ Aprons, Dissipators & Rip Rap properly installed COtR4ENTS : STREETS _ Material Tests Checked & Passed (Conc. compressive atrength & Air Content, Bitum. Extact & gradation, gravel base gradation). _ Utility Structures & Lines Clear & Free of Debris & Gravel (Gate Valves keyed) RECOMMENDATION: I herein veri£y that the tasts and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. With this considered I recommend that permission to hook up or permission for occupancy be granted as appropriate to the above indications. Signed Project I?sp ctor Confirmad by: / ? Public Works epartment QkAl"?ES0-- Department of Administration January 8,1998 J.B.L. Companies 1380 Corporate Center Drive Eagan, MN 55125 RE: Hydraulic Passenger - Elevator ID# 97-04023PT97-01 Site: E"agandale Poinf ? -940&Cvrpc»rate?Cejife7 Ci?ive Eagan; 55123 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS 'Oo' ? /1 °'? Matt H. Piper State Efevator inspector mhp/rkr (CE-2) c: Reid, Douglas Michael, BO, City of Eagan Laperquist Corporation Lan Construction ElFormCE2 Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181 Voice: b 12296.4639; Fax: 612297.1973; TTY: 1.800.6273529 and ask for 296.4639 ? Metropolitan Council Working for the Region, Planning for the Fufure EnvironmentaI Seruices March 5, 1997 Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voets: -4 ycj (,-7o l-2 E.9L?.?+•??R+-E v?F?cfi PA2k Z•s» The Metropolitan Council Environmental Services Division has determined SAC for the Eagandale Point,to be located within the City of Eagan. This project should be charged 8 SAC Units, as determined below. The Council understands this building is speculative office. Charges: Office 20088 sq. ft. @ 2400 sq. ft./SAC Unit SAC Units 8.37 or 8 When the finishing permits are issued, the SAC assignment should be reviewed based on actual usage. If you have haue questions, call me at 229-2113. Sincerely, Jodi . Edwards & ffl& Staff Specialist Municipal Services Section JLE: 97030554 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Kerry Gullickson, LAN Construction Inc. 230 East P7kh Sh-eet St. Paul, Minnesota 55 ] O1-1633 (612) 222-8423 Fax 229-2183 TDD/7'R 229-3760 An Equul OPPartunUy F,mpfoyer _ city of eagan ? s 'rg ? t4 ? ? `AS N??t ?? ?`? y, °'"??' ?`a?'?,,, pVAA?G ay106.?p4 ? ? ?nA 0,4,??i5 h s. ti ?a, lbp5 t -fv a ?r? MEMO lo , TO: PAT GEAGAN, CNIEF OF POLlCE JON HOHENSTEIN, ASSISTANT TO THE C1TY ADMINISTRATOR DALE WEGlE1TNER, FiRE MARSHAL ELECTRICALINSPECTOR ? PUBLIC WORKS/ENGINEERINGIUTILITIESISTREETS ? GENE VANOVERBEKE. FiNANCE DIRECTOR RICH BRASCN, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY Lof FROM: DALE SCHOEPPNER, SENIOR INSPECTOR DATE: 3/314 '7' < ? _/ / g44K_Z ??9N?1? BfF/cE SUBJECT: PLAN REVIEW ` The _ preliminary a construction plans for -rA4ANL19GC /'O /NT L JO? \ are in our plan review section for yaur review and comment. L/Z `,?RY QFF«1 $r?4? ? Please notify ihe Pratective Inspeclions Division it yau have any reason that these plans should no[ be approved and resolve any problems wifh the affected parties. If you are requesting that issuance of the building pertnit be held, please fill out the proper "hold" request form. Comments: 9I` - nr - djl 1 I/t? ?l L??S yi1'J??d97- " ? Indicate any fees that are to be colleded with the building pertnit: Amoun ? Yes ? No landscape secunty required _ ? Yes ? No water quality dedication ? Yes ? No park dedicatian ? Yes ? No traii dedication ? Yes ? No hee dedication ? Yes ? No /? Signature 3-1-3-97 Oate plaMw iaw ?J _ city of eagan ? Y y a; r4Spf 1aa?So ?ysf? 4 - (L ? ? f f v r•' t,,; ?? ? a,,.`S? ? e ?? ('.G? ?`.? ? ?? o,?• ?? ?, '?eA ?,A 0•? ? ?LG?oµNo? ?e4. ???i ?PS ?o aL?r? MEMO lo', i TO: PAT GEAGAN, CHIEF OF POLlCE JON HOHENSTElN, ASSISTANT TO THE CITY ADMINISTRATOR ? DALE WEGLEiTNER, F1RE MARSHAL ELECTRICALINSPECTOR PUBLlC WORKSlENGINEERINGlUTILITIESlSTREETS GENE VANOVERBEKE, PINANCE DIRECTOR RICH BRASCti, WATER RESOURCES COORDINATOR .MIKE RIDLEY, SENIORPCANNER GREGG HOVE, SUPE}2VISOR OF FORESTRY L. r - / , g",k - z FROM: DALE SCt10EPPNER, SENIOR INSPECTOR DATE: 3/3(1 7 ? A?,9,??qGt OfF/CC ?P,qQ? SUBJECT: PLAN REVIEW The _ preliminary a construction plans for rA4,4NLL94£ /'O //VT tJa? 1 are in our plan review section for your review and comment /Z ??R r afFKi $t.dli? J Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and resolve any prohlems with the affected parties. if you are requesting that issuance of the buiiding permd be held, please filI out the proper 'hold' request fortn. Comments: 1-1!7 9=13 Indicate any fees that are to he collected with the building pertnit: k" Yes ? No ? Yes ? No LtY Yes ? No M/Yes ? No landscape securiry required water qualiry dedication park dedication Vail dedication Ama n wlam.00 ?p ? . ?id ? Yes ? No tree dedication ? Yes ? No 0 Signature Date ojen..r iew I 0; - 4- ` 1165-,6101 al6, s.?1 ????•?1 ? `???'•`?°o s12?? ? 0 oz -?,`7 1'L• 00 1997 BUILDING PERMIT APPLICATiON (COMMERCIAL) 369 yy ?? U? CITY OF EAGAN 681 -4675 The following are require0 wdh appropriate eertifiption for atl new wnstruction: ? 2 each: archdecturat plans; mech. 8 ekc. plans; fim sprinkler plans; atructurol plans; site plans; landswping plans; grading/drainage/erosion eontroi plan; utility plan ? 1 eaeh: set of specficationn; set of energy calwlations; electrical power 8 lighting fortn; Special tnspections 8 Teating Sehedule • Letter from MCMfS (phone 0222-8423) indicating SAC deMrmination ? Code anarysis mdiwting: codes used; occupanq deasficetions; sefbacks; maximum allowable area aa per Building and City Codes along with sq. R. pet floor; type af construction (synopsis of conetruGion eomponents) & any occupanry or area separation walls; oecupancy loads; exit aynopais with a diagram indicaGng exiting bads trom eaeh room or aroa, travet paths S all reted eortitlow; plumDing tocturea; anC parking. ?, ?, i; DATE: / ?? WORK TYPE: ? NEW _ REMODEL DESCRIPTION OF WORK: ?+/ ?f? U?!/ C`L- C- vl'? f? T ( Z STd?2 r"-L_ ( -4G?.?aA?cQaL?rricc d?a(, CONSTRUCTION COST: •3 02 <30 J TENANT NAME: SITE ADDRESS: ?! -I DO 1_'4/L po,Q,g-rE, CF_14rt2 Cu?ZvE_ / +w* m' LOT 1 BLOCK 2 SUBD. OiF/cl? - P.I.D. # PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER j 61T FJI`, JL;il l JUL 07 997 City: Al(v.:sr' ; /- ?? ? Name: ? d? ??? r? ? r'? .L.? , , k , (`Phone #: Street Address: 7J` / Z`-) Company: Street Add c;ty : /C/? - r State: Zip: ro,v 5 Phone #: , d'?,?,% Company: ev// Name: Street Address: City: ? O?D 1 / 'A ?i/ %V/ State: Seuvar & water licensed plumber (only if installing sewer 8 water): ? ? I I hereby acknowledge that-I have read this application and state that the infqrmation is correct a'd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ;7?i%`,? Signature of Applicafif-? ?4 '7v _ zip: I r Phone #: Registration #: ?' OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation D 19 Comm./lnd. Misc. ? 21 Miscellaneous -fi? 18 Comm./lnd. ? 20 Public Facil ity WORK TYPE ,#- 31 New ? 33 Alterations o 35 Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. k.9 MC/WS System ?L (Allowable) -0•,v First Floor sq. ft. /2,/vg9 City Water ? UBC Occupancy _LT z"= sq. ft. 49, 4?99 Fire Sprinklered ??r Zonin9 ?•D sq. ft. Census Code 3z Y # of 5tories 2. sq. ft. SAC Code 30 Length fS3 sq. ft. Census Bldg. i Depth 87 Footprint sq. ft. iz, /of9 Census Unit ! APPROVALS Planning Building Engineering Variance Permit Fee 5,837. zS valuation: $ Surcharge / zo, oo S- o?Z, zs +- ?y«? K z•?s? Plan Review 3f'7'r'Y. zi MClW55AC 7640.rs o'eSSO STV'QO >" ?3?.?eo F•ooo`?, City SAC Soo.•? x 837• zs x Water Conn. NfA S/W Permit ioo.,a S/W Surcharge . ro Treatment PI. Road Unit ,v/y Park Ded. 7iz.a& Trails Ded. 2, izo.go P??G? Water Qual. Other So,,o = .i'iYf / 1 Copies ?? Total: 3G 9 Y,7G ? 12,1-JA???? ?i % SAC 'I SAC Units Meter Size C. LAMPERT ARCHITECTS azseeas P.ea ... .--------- .... --------------------------- ........._.----------------- ----------- _ _'_" I'JN-30-97 ttON 15;07 RJ RYAN COFLSTRIJCTION INC FAX N0. 6128660390 P. 02 3PECIAL INSPECTION AND TESTIN(3 SCHEDt1LE fro 6e wW M aaeadenceweh 41 '6UaeHnxMr Bpe^.ki hrpwtlonaM Teplnd) ProleclNama ' - ... ? EAPAUDAI F onTUT ProJat 8tr??ras• 1400 Corporate Center Curve Pwmlt CIry.3mw Eagan, DiN SPECIAL INBPECTION SC HEDIILE Specrykedon flapon Ihdartl s.eum ?raa? D?? TypaofFm? F eRueneY Flrm 1701.5 4.2 REINFORCINO STEEL SI ? PEAIODIC AET 1701.5 6 HIQH SSRENOTFF BOLT 31 ? PERIODIC AET i ? SpsolNcetlon s.n?en A?ua1. 1701.5 1 1701.5 19 '1'E8TiN6 $CHEDUIE oeaerryabn CONCHETE FpUNDATION ORAOINO AND BACKfl1.LINQ i aet/100 cy ? WHicell/ - connnuous M.Iprpd Rnn ACKNOWCEDQEMENTB (Eaofi eppoyrlala nprqeMmhs moet elpn holq"' dwnar. ?^ Fhm: m (,? LC ^ Oem: ? .r ? Contred r. ArcMect: Fpm: q J HVF.N oata: 4 Frm sea: G ,Je q ' F? "?'?ST/?<f- oue: 6- • 81: "? ? /, Fltm: m6Bie%V K? uG?i?.vG 0°tx 6,*1f • SI: rkl Flrm: Detr. F1rm:? ?F ? Dato: ` Tk Fhm: pam, Rfnl. OotY: -' . F. Flm noa latlend: 3EN - 91rucUUalE?0lnaardAwwd fA . TeatlnpApent NepoK TypaotPFm Frequoncy SI - Spodd InoprNar F - Fa6deWt ?ccwplediw/heBUI1dInODePeMnW bY - Doe; 06/30/97 at 09:33AM R.J. RYAN CONSTRUCTION, INC. JOB CARD ACTIVITY FROM 06/01/97 TO 06/30/97 JOB ID DESCRIPTION TRX DATE PAYEE/RECEIVED FROM REF NO. TRX AMOUNT ---------- ------------------------- -------- --- ------ TOTAL FOR 225-H0038 225-H0059 PRINTING 06/03/97 COPY EQUIPMENT, INC. 06/16/97 COPY EQUIPMENT, INC. TOTAL FOR 225-H0059 225-H0060 DELIVERY SERV 06/23/97 ACTION MESSENGER, INC TOTAL FOR 225-H0060 225-H0079 06/10/97 06/10/97 06/17/97 06/17/97 06/26/97 06/26/97 SUPERINTENDENT TIME Adjustment - EXPENSES PD Adjustment - HOURS ACTUAL Adjuetment - EXPENSES PD Adjustment - HOURS ACTUAL Adjustment - EXPENSES PD Adjustment - HOURS ACTUAL TOTAL FOR 225-H0079 Page 14 LINE 11 536.84- 0.00 32269 EXP 46.19- 0.00 32296 EXP --- 63.82- --- 0.00 ------- ---- iio.oi- --------- 0.00 32331 EXP - 9.15- 0.00 -- ---------- ---- 9.15- --------- 0.00 ADJ 90.00- 0.00 ADJ 0.00 2.00 ADJ 45.00- 0.00 ADJ 0.00 1.00 ADJ 90.00- 0.00 ADJ 0.00 2.00 *** TOTAL FOR GROUP 225- *** 225.00- 5.00 ------------- ------------- 881.00- 5.00 226-MTW60 DELIVERY SERV 06/10/97 ACTION MESSENGER, INC. 32277 EXP 10.45- 0.00 TOTAL FOR 226-MTW60 --- ---------- ---- 10.45- --------- 0.00 226-MTW72 PERMITS/FEES 06/27/97 CITY OF BLAINE 32371 EXP 35.00- 0.00 TOTAL FOR 226-MTW72 --- ---------- ---- 35.00- --------- 0.00 226-MTW73 INSURANCE 06/03/97 COBB STRECKER DUMPHY, INC 32268 EXP 191.50- 0.00 TOTAL FOR 226-MTW73 --- ---------- ---- 191.50- --------- 0.00 226-MTW79 SUPERINTENDENT TIME 06/26/97 Adjustment - EXPENSES PD ADJ 180.00- 0.00 06/26/97 Adjustment - HOURS ACTUAL ADJ 0.00 4.00 TOTAL FOR 226-MTW79 --- ---------- ---- 180.00- --------- 4.00 226-MTW89 CARPENTRY TIME 06/26/97 Adjustment - EXPENSES PD ADJ 190.00- 0.00 06/26/97 Adjustment - HOURS ACTUAL ADJ 0.00 5.00 /,,?07. &9 1 a7 a? 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . Crvil Plans (2) • CeNficate of Survey (1) . CodeAnalysis (1) • Projed Specs (1) . Spec. Insp & Testing Schedule • Soils Report (1) . Mefer size must 6e established • SAC delermination -call 657-602-1000 at sets • Arthiteclural Plans (2) sel • Structural Plans (2) • Civil Plans (2) ' • Landscaping Plans (2) • Cotle Analysis (1) . CertifcateofSurvey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established • ProjectSpecs (1) • EnergyCalculations (1) ° • EleCtnc Power & Lighhng Fortn (7) ° . Master 6cit Plan (1) . Emergency Response Site Plan (1) . Soils Report (1) • SAC determmation - call 651-602-1000 • Fire Stopping Submittals • Fire SuooressionlAlarm Plans -0700 for details reeardine foad & beverase or lodei? . Architeclural Plans (2) seLS • CodeAnalysis (1) " • Projec[Specs (1) . Key Plan (1) • Master Exit Plan (1) • EnergyCalculations (i)notalways" • Elec. Pawer & Lighling Form (1) not always"' . Meter size must be esta6lishetl-if applicable 1 ? ? ) 1 • SACdete?minatfon,?calh651=8021000' ?L I Con[ac[ Building Inspechons for sample and if required *** Permit for new building or addition will no[ be processed without 6mergency Response Site Plan. ?'I I N t? 1 f Date 6?/'?_ / 0 G ?? -- - -o--O- Construction Cost o (? SiteAddress (L?bB G0 n?o?a,7-p t_ (:•-r A?- W*- Unit/Ste If , Tenant Name N01? ?k1aC5122.nSd&1T.aJWL i'yri?pY.ssitFormer Tenant Name `a F-F!Jr,& Description of Work 4c-7-f! OPki,:%AV Ct-' r Property Owner Telephone#(?S ?) 1u ?K - C??`' Applican[ is: _ Owner ?_Contractor Contact #: (aia ) S t -7' ? ?t !R" Contractor q e? Address ?7.Oa agT''? AkvE N City SCate W Zip SSk`fl Telephone#(13) SS7• Fi`lll Arch/Engr G'? 7vFt-- 7Gi P-e Registration # t I Address .{??! City ???-?• State /t_1 /•%. Zip Telephone#(6?a ) a'??'ra`? ( Licensed plumber installing new sewedwater service' Phone #: ( )? 1 hereby apply for a Commercial Building Permit and acknowledge that the information is compte[e and accurate; that me work wui be m conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is no[ a permit, but only an application for a permit, and work is not to start without a pennit; that the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. ? e? c, v_?:- 6 0 C>_ti 7 Ro 5 AppficanYs Printed Name Applicant's ' ure DO NOT WRI1'L BELOW THIS LINE Sub Types ? 01 Founda[ion ? 26 Public Facility ? 30 Accessory Building ? 14 Apar(ments 2'?27 Commercial/Industrial L 32 Ext Alt-Apartments u IS Lodging ? 28 Greenhouse 7 34 ExtAlt-Commercial n 25 Miscellaneous L 29 Antennae ? 35 ExtAl[-PublicFacility ? 37 Nail Salon Work Types ? 31 New 'er, 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement •Demolition (Entire Bidp only) - Give PCA handout to applicant Valuation TypeofConst Wdth Plan Rev 100°/a ? 25% Occupancy MCES System SAC Units - O ^ Zoning ? City Water ? Nbr of Units ? Stories Booster Pump Nbr. of Bldgs ? Sq. Ft. 370391 PRV ? Length Fire Sprinklered Required Inspections _ Footings (new bidg) _ Fireplace _ R.I. _ Air Tes[ _ Final _ FooAngs (deck) _ Insulation _ Footings (addition) Sheetrock ? Foundation FinaUC.O. Drain Tile FinaUNo C.O. Driveway Apron Other Roof Ice Pr Pool Ftgs Insul Final Decking Air/Gas Tests Final I./ Framing _ _ _ _ Siding _ Stucco La th _ Stone Lath _ Final Windows ? Final Cf0 Inspection: Sch Yes _ No edule Fire Marshal to be present. W- ?r ?? ?t ? Approved By: 1 ?AGd Building Inspector Planning \ Base Fee Surcharge Plan Review SAC-MCES SAGCity SMI Permit SNV Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedicafion Water Quality Water Supply & Storage (WAC) 113 •?? . u.e 50 Financial Guarantee Stortn Sewer Trunk Sewer Lateral Street Water Lateral Other Total "/ t67. (01 Sewer Trunk Water Trunk City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 zEcei\JE-‘) MIa3%1p11 Use BLUE or BLACK Ink For Office Use Permit #: I " :q Permit Fee: Cl �✓ Date Received: Staff: —3-3012 6–C 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: mc -11A . \\-1D, Site Address: r\19 00 CN-- 190 rQ,L( Ce y\) -cc C 0 T,.k Tenant:CkTh e(iL\ PROPERTY OWNER Name: Address / City / Zip: Applicant is: Owner )6 Contractor Description of work: Construction Cost: Phone: Suite #: f t\oc oNt- N Z S S -or re r''oc� c l Estimated Completion Date: U` 13 1 Name: `JCatft �:(( Pfa�ec\--.On CONTRACTOR Address: '10g0 C c� err- i 1 k (-. State: r_ 'A) Zip: 5S- 11-7 Contact: LVA (40hN r Email: f) efr-,P e-5 I FIRE PERMIT TYPE 1 X Sprinkler System (# of heads 'Jr ) Phone: License #: C ' �o J- 4 CcQdo 5 1-771 City: Fire Pump Other: Standpipe WORK TYPE New Alterations Other: Addition )0 Remodel DESCRIPTION OF WORK: Commercial 1 FEES I$60.00 Minimum (includes State Surcharge) If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) 1 Residential OR 1 3/4" Displacement Fire Meter - $231.00 Educational ac Contract Value $ c) x 1% _$ CCL,--- =$ e-- oG = $ +� J _$ _$ S .PLP Permit Fee Surcharge TOTAL FEE Fire Meter TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota 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 i cor.. nce with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Nariye licant's Signat l LIDO Cor for,. 103 GALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Dcein Test Pump Test ' Central Station Rough In Final City of Eaau P6LE,v�-�/ 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 RECEIVED Fax: (651) 675-5694 MAR 292012 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: '' 2 /- / 2- \Site Address: \1400 C (prat_ C.. \-t ( •�vr�� � Tenant: KeC.\ Es rc2te. E Ct Vi\-; e5 r L Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 01912— Date Received: (' ✓ �— Staff: Suite #: Name: Phone: Name: \ O&j2,��� \v,,w�ZTh License #: Qbr n Address: PCS yv%L Zy,Q City: \0,3 €4 State:(`n,rA Zip: SS 3y1 Phone: (r1b3) 491 -LIS -%7 Email:_______________e _ New Replacement Description of work: Repair Rebuild )C Modify Space _ Work in R.O.W. c{'r .-AV iea1) 41"7t. COMMERCIAL New Construction X Modify Space Irrigation System (_ yes / _ no) (_ RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed alor to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers _Yes COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 2)800 = $ Permit Fee $ Radio Meter Read $ Meter(s) $ State Surcharge Required on ALL new buildings and boulevard irrigation systems -i - If the Permit Fee is less than $10,010, the surcharge is $5.00 - 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 requires a $5.50 surcharge) x 1% Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 1110/ City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 2 6 2012 Use BLUE or BLACK Ink For Office Use. Permit #: /11(-S-55( Permit Fee: / 9f -5,/g" Date Received: Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: S— 240-1 Site Address: Tenant Name:{-' EsTMv- i q -O O Cop—POI-ATV Cesu -- EOM IT 1 E -S (Tenant is: New / Existing) Suite #: Former Tenant: • PROPERTY OWNER TYPE OF WORK CONTRACTOR ARCHITECT/. ENGINEER Name: CuiLVE I"Poipeil—Tits Phone: 651 SES/ 41oo Address / City / Zip: fj3't) 0 Coil.E Applicant is: Owner Contractor Description of work: T 1 Construction Cost: Name: poo Go N s c.*t Address: License #: j/no Mt�I5°fit- He-1c•HTs City:M�A�r- State: NUJ Zip: 55120 Phone: GS! — 6r ( Contact: 1 eA-ert..1 TH,004aC Name: To1/4 -- Email: _4% 14/1e14.‘'�S r �'� • tso ""% Address: Its E - 24.114 s -r- Registration #: ;tat tt• Cty: (4-11NN! Pc•aS t L 17 ®) - $' -L -1-S State: M N Zip: S S 4°1 Phone: Contact Person: 0°11 1\1..31' S"IV Email: n S LILA Q t tett.-. ao .•� Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that. you: submit are consid mi to tfe public informals the information may be classified as non-pubi/d if you provlr c fic rears that:would conclude that they ate trade SeC CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq 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 applic tion for a permit, and wo is not to start without a permit; Lthe work will be in accordance with the approved plan in the casefQ_wo which requires a w d approval of plans. x `j' o v^01 -S Applicant's Printed Name x Applican 's Signature Page 1 of 3 yeo o Au ' DO NOT WRITE BELOW THIS LINE /696_ SUB TYPES j Foundation _ Public Facility ✓ Commercial / Industrial _ Accessory Building _ Apartments _ Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% V Census Code #of Units # of Buildings Type of Construction I_v Interior Improvement _ Exterior Improvement Repair Water Damage 47, o c') 0 REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant / •F 2- 30 45"-- Drain Tile Roof: _Decking _Insulation Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: MCES System SAC Units 0/i10 a#30v4.0 OF USE o - City Water V/ Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Final C/O Inspection: Schedule Fire Marshal to be present: Yes /No Reviewed By: ai"i„ , Building Inspector Reviewed By: , Planning OCC. LA COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality GO .5-0 �•Sa 4zz . t8 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL /J d 7 r• /o Page 2 of 3 44A Metropolitan Council AA AA April 5, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Real Estate Equities to be located at 1400. Corporate Center Curve, Suite 100 within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Office 2106 sq. ft, @ 2400 sq. ft./SAC Unit 0.88 Meeting Room 271 sq. ft. @ 1650 sq. ft./SAC Unit 0.16 Total Charge: 1.04 Credits: Office (Look -Back Period — paid 7/97) 2990 sq. ft. @ 2400 sq. ft./SAC Unit 1.2 Net Charge: 0 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerel ron Cappaert SAC Technician Environmental Services Division KC:kb: 120405A6 Determination expiration: April 5, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Aarnn Watley, RJ Ryan (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer 41110/1° City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECENE OR 1.6 1011 Use BLUE or BLACK Ink For Office Use Permit #: `lam' Jj : 6 2 Permit Fee: q ' -04 Date Received: t"- �" ®1 Staff: J 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3 —142 Z— Site Address: Tenant Name: Pu L P T 0csv ^ (Tenant is: New / Y Existing) Suite #: 1 f° C.o ft -POO -ATE. CEINTe- C4 vQ-1 E /- \ in ^ v i it. ARCHITECT/ ENGINEER Former Tenant: Name: CL4--vv— 1 P-o6ll=T"t6S LI -C - Phone: (,St --4 f-ttco Address / City / Zip: o c" ' M- C�"V.4CTek C - E Applicant is: Owner � Contractor I ST PLDOK-Q.16arct E EtISTI a 4C' 3 o.--CpRA-Ido /L Pia's H €—S Description of work: � Construction Cost: TQ b 3E5 a4-0 = A .JTCJ R -J a-NkrJ Name: �-� P -i trt-3 C01''° sr -14 G17°N License #: Address: Iic:*c. 4-tE LGJtT3 I`0 City: e"n Th 1-t etc,H T-3 State: 1"114 Zip: 'S.% 12C' Phone: EoS ( S65 7c, 0 0 1-X4 ` Contact: Te. -e -N1 Email: J 1-11-t A s rJ r a •ti • c 0 Name: 2,t !r , Jt j o 4N G Registration #: FP -E — S City: ► 04Address: oo P- tw State: MO Zip: S S 35 Phone: 75 2- T/3 002-1> NN46 trg-ll.iCA Q °� r't`t1;CIA @ 1t/4"441.C1)°%1Contact Person: �" ev't' Email:. Licensed plumber installing new sewer/water service: Phone #: NOTE: Pian the Informs and s ng ctocu ass ed t you submit are: con i Olio if you pry - 'e that they are 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 h the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appli ion for a per it, and work not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires an approval of plans. 'AAA -5 Applicants Printed Kame x Applicant's Signature Page 1 of 3 /77co Ce a (t{--:. 4 .. C .0 6 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation ✓ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% 1 Census Code # of Units # of Buildings Type of Construction _ Public Facility Accessory Building Greenhouse / Tent Antennae /Interior Improvement Exterior Improvement Repair Water Damage _ Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding _ Demolish Building* Reroof _ Demolish Interior Windows Demolish Foundation Fire Repair _ Retaining Wall *Demolition of entire building give PCA handout to applicant 3S/ oa6'*4" U r REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: !Decking _Insulation _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Zeo7 ms&c. MCES System SAC Units O0"14 ebw v c- BP WSJ AC- Bet. L. City Water ` ✓ Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Cir/ , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 552•1ST 11 ..`o 351. Zq Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL ef 3 /• Page 2 of 3 4,1/1' City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: LA �k Ce_ce, krIS r L Use BLUE or BLACK Ink For Office Use Permit #: /d Permit Fee: G � Date Received: O 12 - Staff: Z Staff: .1.‹) 2012 COMMERCIAL PLUMBING PERMIT APPLICATION 1 LAM C %I CT -- to .kye . Site Address: 'i'-6(� Name: Phone: Name: \)(5`23.5�t `t'TM t ?\u �,lr15 License #: Pc coo .MCD Address: z?` 0 7 • (�> o x o q a City: /9%70 l/6 -X-- State: if /1 Zip: J �q( Phone: -76-3"' ?7- `1 77Email: New X Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: 'C -C.9\ 4 C -Q - ; \.�� �; X_`>A re_S COMMERCIAL New Construction )( Modify Space Irrigation System (_ yes / _ no) (_ RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: �o $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ W, J0 , x 1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems - $ 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 requires a $5.50 surcharge) $ 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 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 "-▪ €A) e- Y\ SS Applicant's Printed Name x Applicant's Signature Page 1 of 3 City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 0 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: %-17 -�✓ Site Address: /10 ( 1 - ( 17CJL, O't i/ _' Tenant: Tig(--crkVt CONTRACT PERMIT Name: Phone: Suite #: Name: 1/2(I/7/1 112 L2icense #: Address: 61e City: /0/ellreic. l L�✓�f�/ S3// Phone: 7,3-tic/7- / --/7/7 Email: VC,6-c r. ca New _ Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: /CLaa -Cin int h'.'u g?z '- C u ) COMMERCIAL New Construction k Modify Space Irrigation System (_ yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ =$ Cr°.o Required on ALL new buildings and boulevard irrigation systems -3 - If the Permit Fee is less than $10,010, the surcharge is $5.00 - 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 reuires a $5.50 surchar.e Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. ((GM CO x 1% Permit Fee $ Radio Meter Read $ Meter(s) $ State Surcharge $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge 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.ciopherstateonecall.oro 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 071 loss Applicants Printed Name x Applicants Signature Page 1 of 3 C!tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: j -i3 y 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: — /S' /3 Site Address: /7 ao C 7,406o Th CE'Nr-e— C4.*v Tenant Name: tNr bm40-rfr.sc-. (Tenant is: New / Existing) Suite #: j +t Former Tenant: Property Owner Name: /q. f o Cut it*--v-re LLL Phone: "Si • tSy —`41 00 Address / City / Zip: 134c° c..+esthz.t 4-7 c e Jri 4- Applicant is: Owner 74 -Contractor VSr1,1 Type of Work Description of work: T 6,441-rr ' + K l La " o'^T Construction Cost: iv 9 •N O S Contractor Name: Rte? R -Y cop sris44c.rt o#1 Address: Architect/Engineer License #: //00 ME40t4 (4E1(4 1-475 gone City: ii46)+i6o7$ /7E1411 tS State: Mr✓ Zip: �� I leo Phone: GS c 44S 7p • ) Contact: Te -e ) 1;4- rutA0 Email: j f+• x^11$ Q rj r.14 vi • e ory 1�4STE' J' /w .t DA- Desk a Name: N� Registration #: Address: City: State: Zip: Phone: i.!2 2 -To 3436 Contact Person: T+"a k 4STC CE Email: 4M "11.445 @ GoN't Gari f Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in confor ance 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, d work is not to start without a permit; that the work will be in accordance with the approved plan in the c.'.L ork whic -quer- r view and approval of plans. x �.1 -14-'/M 1( T}°6" M Applicant's Printed Name x Applicant's Signature Page 1 of 3 L(c C��Oo-�.h COY Cofve_ ti 0 DO NOT WRITE BELOW THIS LINE SUB TYPES foundation Public Facility _ Exterior Alteration-Apartments V Commercial / Industrial Accessory Building _ Exterior Alteration -Commercial Apartments Greenhouse / Tent Exterior Alteration -Public Facility Miscellaneous Antennae [l 009 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 Tt/ d40 ii!Occupancy B MCES System Plan Review ✓ Code Edition ZED?MS BG SAC Units 0/Ped X7ilstIL. (25% 100% Zoningb City Water ✓ Census Code Stories Booster Pump # of Units D Square Feet AUX ' 5,1,6 PRV # of Buildings / Length SOX 4c) Fire Sprinklers Type of Construction 7r. 5 Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: Footings _Air/Gas Tests _Final Roof: _Decking Insulation _Ice & Water _Final Siding: _Stucco Lath _Stone Lath _Brick Framing Windows Fireplace: _Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: V Yes No Reviewed By: L % , Building Inspector Reviewed By: l , Planning COMMERCIAL FEES Base Fee 83/.75" Water Quality Surcharge 3S•00 Water Supply & Storage (WAC) Plan Review 51o. Gyt Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL /%•31 Page 2 of 3 Craig Novaczyk !10011 From: Jeremy Thomas [jthomas@rjryan.com] Sent: Monday, April 22, 2013 8:26 AM To: Craig Novaczyk Subject: FW: Intermart Inc. 1400 Corporate Center Curve Good Morning Craig, please see below, no SAC necessary. Please confirm when permit is available for pick up. Thank you very much! Jeremy Thomas, LEED AP j Senior Project Manager R.J. Ryan Construction, Inc j Commercial Design and Construction 1100 Mendota Heights Road j Mendota Heights, MN 55120 Direct: 651-365-7009 Fax: 651-681-0235 1 www.rirvan.com From: Cappaert, Karon[mailto:Karon.Cappaert@metc.state.mn.usl Sent: Saturday, April 20, 2013 3:47 PM To: 'Dale Schoeppner' Cc: 'agriffin@cityofeagan.com'; 'jthomas@rjryan.com'; Goble, Kristi Subject: Intermart Inc. 1400 Corporate Center Curve Dale, The above referenced submittal is not necessary because it is not a change of use or size. Please keep this email for your records METROPOLITAN C v U N C 1 1. Karon Cappaert SAC Program Technical Specialist 1 MCES Finance karon.cappaert(c�metc.state.mn.us P. 651.602.1118 1 F. 651.602.1030 390 North Robert Street 1 St. Paul, MN 1 55101 1 1 SAC Program Website City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 0061 Permit Fee: Date Received: Staff: 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: '4 ' ,S Site Address: °C/ Z)e C ro C Q Atr CL3`.ue._ Tenant: `J\ f r'N,G,r Suite #: Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: (`do(.ct.,Ite._ 3 \-\ s 514,0..kk ; Cc Construction Cost:5O L4 -- -Cat —13 � Estimated Completion Date: Name: CCJtck.; f t� Contract r Address: SCD- C.- tf FIRE PERMIT TYPE X, Sprinkler System (# of heads ) Fire Pump Standpipe Other: DESCRIPTION OF WORK: FEES $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge WORK TYPE New Addition Alterations Remodel Other: Commercial 3/4" Displacement Fire Meter $231.00 Residential Educational OR Contract Value $ x 1% _ $ Permit Fee = $ Surcharge = $ IQC-1 � TOTAL FEE =$ =$ Fire Meter TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which regquires`a review and approval of plans. x<^t\--(-1yrs. Applicant's Printed Na n s Signatur [ FOR OFFICE IJSE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station � Final Conditions of Issuance: J13-0844 MRT $60.00 City of Ental 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: L \ b ` (O I Permit Fee: Go. 00 Date Received: 4 Jdi),) Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 04/19/13 Site Address: 1400 Corporate Center Curve Tenant: Intermart, Inc. Name: Phone: Suite #: Address / City / Zip: Name: Yale Mechanical License #: MB004822 Address: 220 West 81st Street City: Minneapolis State: MN Zip: 55420 Phone: 952-884-1661 Contact: Mike Thienes Email: canderson@yalemech.com New Replacement Additional X Alteration Demolition Description of work: HVAC for tenant improvement ou eas€ RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other �urit �chancal Ins 0:2W rifo New Construction Install Piping Gas ,ion on permits COMMERCIAL X eninc cL J Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value $ 4,000 x 1% $55.00 Minimum = $ 55.00 Permit Fee *If the project valuation is over $1 million, please call for Surcharge = $ 5.00 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.ciopherstateonecall.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 vyithout 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. �j 1 Applicant's Signature x Chad Anderson Applicant's Printed Name , Use BLUE or BLACK Ink -----------------, � � For Office Use I �3� ' �lt 0��� �Il i Permit#: I , ry i 3830 Pi�t Knob�ad � i Permit Fee: ,��°`� �`�` � Eagan MN 55122 � Date Received: '�7� �� � Phone:(651)675-5675 �.` � ';`°x � � ! �� I Fax:(651)675-5694 � Q. � Staff: � �/ /f/�� � `. C � _���_�����__�����J 4~��t K r� '1��� 2015 COMMERCIAL PL�MBING PERMIT APPLICATION ❑ Piease submit two(2)sets of plans with all commercial applications. Date: rt I 1 Site Address: ��l,J`�' l_�Y 1/VY� _ l� � �Y � � Tenant: ��'l:��l��Vl� ��'�l V V� IJI.���� Suite#: Property 5����-�Vr"fY�U �� Phone: OVH11e� Name: Name: v� �L.W �' l.�'ti1�.[�V� License#: 1' v U�'��I V lJ Contractor Address:� � r v�1✓� • �I�i'City: IW '�� State:�Yl� Zip:c/v�� � � � Phone:�7�S �����G��.S EmaiL• Type Of WOf k —New _Replacement _Repair _Rebuild �Modify Space T Work in R.O.W. Description of work: COMMERCIAL �ew Construction qllodify Space ^Irrigation System(_yes! no)(_RPZ/_PVB) • Rain sensors required on irrigation systems P@17T11t T�/p@ . Avg.GPM (2°turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to pickina up meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERCIAL FEES Corrtract Value$ �J�I���x.01 $55.00 Permit Fee Minimum _��Z,C� Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ ��!,�a �� Surcharge* ""`If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 !,, """If the project valuation is over$1 million, please call for Surcharge -$� �°" � TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amourrts. $ Treatment Plant $ Water Supply&Stbrage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnft, 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�� t(� ���.����.1�' ` x Applicant' Printe ame Applic nYs gna re FOR OFFICE USE Approved By: Qate: �%�l j ' Required Inspections: �Under Ground �ough-In �ir Test Gas Test Final PRV Required: '_Yes_No Meter Relatecf Items: Meter Size ` Radio Read Manometer Staff: Page 1 of 3 Use BWE or BLACK Ink , � V.�j �� r----------------� i For Office Use � I � � Permit#: �'J� j i City of Ea��� ��`� �, ; �� � 3830 Pilot Knob Road ,� i Permit Fee: � Eagan MN 55122 �`� �,` � � ' Phone: (651)675-5675 �u �,� � Date Received: I '� Fax: (651)675-5694 `� � I � ', � � � Staff: I �-----------------� I 2 MECHANICAL PERMIT APPLICATION �..2lease submit two (2)sets of plans with all commercial applications. Date: '� �J� Site Address: �!�� ����<'"/,t�✓`�d'�'""i, ��"���-'` 4 �'�( Tenant: .1 vt ls7�`t.r y- (�,�`�e��G�`� Suite#: G'"�°,rJ' /°f'iv .�,�''� Name: Phone: Address/City/Zip: Name:���iJ^�� �c �-°� License#: Address: "/ J ��`<.(G/`- ��/' City: � ao"-,, y�.�`�.�,yyd �/ � State; /�---- Zip:�� �� Phone: `�`��'° �'�� ��/ Contact: ✓ "'�����C1�"�".� EmaiL• � New Replacement Additional Alteration Demolition = Description of work: �/j�- /�i�S �✓ �G�^�'S , ,;�. RESIDENTIAL COMMERCIAL _Furnace New Construction �Interior Improvement _Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Fire repair(replace burned out appliances,ductwork,etc.)(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value$ 7 � B�� x 1% $55.00 Minimum =$ �C�o G�t� Permit Fee *If the project valuation is over$1 million, please call for Surcharge ` O`��urcharge` _$ � G/ �� 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.gopherstateonecall.ora 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�w�l!••be in accordance with the approved plan in the case of work which requires a review and approval of plans. X �s�� � `t,/�/'��'" x Applican s Printed Name ApplicanYs Signature , � _ �., � a Use BLUE or BLACK Ink �-----------------���l��j For Office Use � � � � Permit#: �� �� I CltV of E� �� � . �/ � � � ����� u � � Permit Fee: -7 . � 3830 Pilot Knob Road Eagan MN 55122 i �� -J� I Phone: (651) 675-5675 � Date Received: � Fax: (651) 675-5694 i i � Staff: � 2015 COMMERCIAL BUILDING PERMIT APPLICATION �ate: 1/13/15 s�te naa�ess: 1400 Corporate Center Curve Tenant Name: SUmmit OI'thOpediCS (Tenant is: X New/ Existing) Suite#: TB� Former Tenant: NOII@ - She�� SpaCe , Name: Summit Orthopedics - Bill Frommlet phone: 651-968-5201 Property Owner 710 Commerce Drive, Suite 200 / Woodbury, MN /55125 �� Address/City/Zip: �,, Applicant is: Owner X Contractor � Description of work: BUI�d OUt Of @XIStICIg Sh@II SpaC@ f0Y Il@W teClaflt. �ype of V1rUrk �" � Construction Cost: $75���29 � Name: RJM COI1St1'UCtIOn License#: ���4n�ractar�� : address: �01 Washington Avenue N, #600 c;ty: Minneapolis state: M N Zip: 55401 Phone: 952-837-8600 ' cor,ta�t: Curtis Sell Email: CUCtIS.sell�a rjmconstruction.com Name: POp@ ACCfllt@CtS Registration#: ArchitectlEngineer Aadress: 1295 Bandana Blvd N, Suite 200 ��ty. St. Paul State: MN Zip; 55108 phone: 651-642-9200 Contact Person: Dellt011 MaCk Ema�i: dmack�popearch.com Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and serpporfrng�fa�cumen;ts#hat yor�sub►t�if are consider�d Eo be p��i�►��n�t'`„��ee� ��rtEO�►�a�; � „ ��he infor►natiQ�may 6e eE�ss'rf'real as ndn-pu�jl�c if you.provide sp�c��rc�#n5`�a�roy'�r�a1�Ce�t�#�t�'��t�l t� ;� '�� ��, �on�l,utl�that�he ��e"��ade 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;tha e work will be in accordance with the approved plan in the case of work which r ires a review and approval of plans. X �,Z�"'"i � S�L C. X , Applicant's Printed Name Applica ' ' nature Page 1 of 3 . , �� = f��� ��'�'��1�'k= L�/�. �(�,�G��.. DO NOT WRIITE BELOW THIS LINE /������� SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments �/ Commercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES � New ✓ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �5��dG0. � Occupancy 8 MCES System ✓ Plan Review ✓ Code Edition `LQb7 MSrBL SAC Units pl L�7'r'�- (25%_100%� Zoning -� City Water ✓ Census Code Stories � Booster Pump #of Units O Square Feet PRV #of Buildings / Length Fire Sprinklers � Type of Construction �'•13 Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) � Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓ Framing Windows Fireplace:_Rough In _Air Test Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: � Yes No ` Reviewed By: �`'��' , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee �Q,7�/.7 S� Water Quality Surcharge 37s. SD Water Sampling Fee Plan Review �jOG 2 •G Water Supply 8 Storage (WAC) MCES 8AC Storm Sewer Trunk City SAC Sewer Trunk S8�W Permit�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL�$!¢9'.89 Page 2 of 3 � /�� s�`� Dale Schoeppner February 2, 2015 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan,MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for �, the wastewater capacity demand for Summit Orthopedics to be located at 1400 Corporate Center Curve within I the City of Eagan. The City will be charged no SAC Units for this project, as determined below. *The rules allow for this 1 net credit where SAC was actually paid to either be taken city-wide or left site-specific. Any net credits taken city- wide can only be taken if the project is reported to MCES at the time the permit is issued. Otherwise, the net credits remain site-specific. SAC Units Charges: Clinic 37 fixture units @ 17 fixture units/SAC 2.18 Credits: Office (SAC Paid 7/97) 6746 sq. ft. @ 2400 sq. ft. /SAC 2.81 Net Credit: -0.63 or-1* The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at karon.caaaaertCc�metc.state,mn.us. Sincerely, � - It;�� Karon Cappaert SAC Program Technical Specialist KC: an: 15020262 (4986, 382700) Determination expiration: 02/02/2017 cc: Curtis Sell, RJM Construction Amy Griffin, City of Eagan File, MCES ,____.----�" •� -..- . � � :� • • - . .� ��� . . �.� � • �•�� - . . . . METROPOLITAN , C O U N G I L � . �e�a •• - . �C� . ��wt rT � (2q�}- Curt�s Sell Jr. � From: Jili McClintic <jmcclintic@summitortho.com> Sent: Wednesday, March 04, 2015 8:35 AM To: Curtis Sell Jr. �c: Biil Frommelt Subject: Fwd: Shielding response Summit Ortho-MN Occupational Health, radiographic room Attachments: ATTOOOOl.htm;ATT00002.htm;ATT00003.htm FYI Jill Sent from my iPhone. Please excuse any spelling or grammatical errors. Begin forwarded message: From:"Smith, Lisa.A(MDH)°<lisa.a.smith@state.mn.us> To:"Jill McClintic"<imcclinticC@summitortho.com>, "tonv@midwestphvsics.com" <tonv@midwestphysics.com> Subject:Shielding response Summit Ortho-MN Occupational Health,radiographic room Registration Number: NEW Dear Ms.Jill McClintic: The Minnesota Department of Health (MDH) has received the attached shielding plan. MDH will be sending electronic responses for shielding plan submissions from this point forward. Your submitted shielding plan has met the requirements of 4732.0360.The shielding plan must be permanently maintained onsite at your facility and available for MDH review. You are responsible for the safe use of your x-ray equipment and ensuring compliance with the shielding requirements of 4732.0355 through 4732.0370 and the dose limits of 4732.0410 through 4732.0430. If you have any questions,please contact Radiation Control,X-ray Unit at(651)201-4545 or Craig Verke �i at(651)201-4533. I Sincerely, 1 ; �� � �' Midwest �`�" Medical Physics February i l th,2015 Jill McClinric Summit Orthopedics 710 Commerce Drive Suite 200 Woodbury,MN 55125 Subject: Radiation Shielding Recommendations for Radiography Room Location: Summit Orthopedics—Eagan: 1380 Corporate Center Curve Suite 200,Eagan,MN 55121 References: NCRP Reports 49,35,91, 116 and 147 Minn.Department of Health-Chapter 4732 Ionizing Radiation Rules/Regulations XRAYBARR—Shielding calculation software by Doug Simpkin,PhD Dear Jill, I have reviewed the architectural drawings that were sent to me for the new radiography room at Summit Orthopedics—Eagan. Summaries of my recommendations as well as my calculations are included in this report.I have shaded the baniers with lead requirements in red and blue on the attached floor plan layout so please print in color if distributing to construction crews or submitting to the State via hardcopy. Should you have any questions interpreting this report please do not hesitate to call. Performed by: � �P y � � ���� 9 x ..,._.:w:�__ ._.__.____.--_ i. . �_ �"°r _. __- -_.-___... . . . . . . . .. � �,.,�,� ,,� , < ay Cal Schmidt,MS Medical Physicist MN DOH Service Provider#: MNSP1252 Reviewed and submitted by, �� ° �'�'" Tony D.Murphy,MS DABR Medical Physicist MN DOH Service Provider#:MNSP0001 **Any modifications to the planned room equipment, equipment location,or wall design may require a review by a qualified medical physicist and possibly an updated shielding plan Tony Murphy,MS DABR ABR Certified Medical Physicist tony@midwestphysics.com 612-961-1232 Recommended Shieldin�Thickness for Walls,Doors, and Floor/Ceilin� X-Ray Room 2128 Minimum Shielding Wall Designation Area Shielded Comments Thickness West Wall Corridor 1/64"Pb West Door Corridor 1/64"Pb South Wall CRT(2127) 1/64"Pb East Wall Corridor 1/32"Pb North Wall Patient Toilet(2129) 1/64"Pb Control Wall Control Area 1/64"Pb Control Window Control Area 1/64"(0.4mm)Pb Minimum 350 sq. inches Ceiling Roof No Shielding required Floor 1 S`Floar Occupant 1.5"Concrete Required 4"Concrete present . . _. _ __ - _ _ _ _. Tony Murphy,MS DABR ABR Certified Meclical Physicist tony(g),r►:idwestphysics.com 612-961-1232 Please note the following additional details and/or assumptions for my calculations: � 1. The following equipment has been selected for use in the new x-ray rooms. If the equipment in these rooms is ever replaced with a unit of greater capabilities (higher kW,mA,mAs,or greater HU x-ray tube),then the shielding far this room will need to be re-evaluated. Quantum Dual Detector Digital Radiography System 65kW Generator Max kV.• 1 SOkV, Max mA: 800 2. A workload of 60 patients per week was used in all areas. This is approximated as 111 mA- min/wk at the table and 36 mA-min/wk at the upright bucky. The site estimated 20 patients per week,but 60 was used to be conservative. 3. Any Pb shielding that is required in the room must extend from the finished floor to a minimum height of 7 feet. 4. There should be no voids or cracks in the shielding. Generally,it is desirable to have shielding material"overlap"by 1/2 inch at all seams or junction points. 5. Cutouts through the shielding material(e.g. outlets,special conduits,etc.)need to be covered by overlapping shielding material equal in specification to that of the wall. This includes the walls where drywall only is specified. A layer of lead may be used in the back of the junction boxes if this is easier. Please contact me if this is not clear. 6. Generally,leaded sheet rock is recommended. However, lead foil may be used,but it should be fastened in such a manner as to prevent"cold-flow"in the future. When fastening lead foil to a surface,it is NOT necessary to use"lead cover-tabs"that are folded over the screws. A metal screw which directly penetrates lead foil does NOT need to be covered by any other lead foil and is sufficient to provide appropriate radiation shielding. 7. Oaerator Booth Desi�n: A summary of the key MDH requirements for Operators Control Booth area is presented here. See 4732.0355 Subp 4. for complete details. • >7.5 sq ft of floor space • Control wall must be at least 7 feet high • X-ray exposure button must be at least 39 inches from edge of control booth • Viewing window must be at least 350 square inches(typically 18"x24"is recommended) • Operators expected viewing position should be at least 18"from edge of booth , I Tony Murphy,MS DABR ABR Certifred Medical Physicist tony(�midwestphysics.com 612-961-1232 1. Minnesota Chapter 4732 requires all x-ray rooms built since Feb 2008 to have a Placard indicating the shielding in the room: "Chanter 4732.0360 Saib,n. 7. Permanent placard. A permanent placard must be mounted in the room speci ing the amount and tYpe of shielding in all walls,nartitions, and if occupied, spaces above or below the floor and ceiling. If mounting the information is not practical, a re�istrant maypost a notice in the room that describes the [shieldin�l document and states where it may be examined." I have an example of a Shielding Placard that can be mounted to satisfy this requirement. Yours may be different in wording than this based on where you plan to keep the shielding plan for future reference. Your sign should state something similar ��� to: �:> _ ! "Shielding Plan for this room located �`= : �:.�i�l� <�����(� ��,'�� in the Regulatory Manual" �t'��C3�'1"t'1��1t��"1 �.,.G►�d��1� �#, or other location depending on where � „ , �. , �� :� �� ��� ' ` you plan to keep the plan. � ���IC��C?��/ ,' ?�� ` "`: ; , '�tet�ul�tt�r�� Manu�tt :'#, � 1 �� �� ���� � ������� � �� , ��� �<. .a,w,ti ,', , ,�. :,,,� . ., . .., ,..., .. �,�,. Example shielding placard per MN DOH 4732.0360 Subp.7 2. Post-construction radiation evaluation: Chapter 4732.0360 Subp.6C requires that a Post-construction or Post-installation radiation evaluation survey be performed. Please contact me as soon as the x-ray equipment installation is scheduled so that this survey can be made before any public use of the unit begins. This will verify that the new shielding has been placed properly and that the existing shielding is sufficient. 3. Disclaimer: The shielding recommendations of this report will meet the conditions stated in ; the report. Assumptions have been made regarding existing building materials in the x-ray �, room walls and should be approved by the owner before accepting this plan. Signiftcantly higher workloads may result in higher amounts of radiation outside of the room(s). This report is not intended to replace a thorough review of Minnesota Department of Health Chapter 4732 x-ray rules. Key points in these rules have been highlighted in this report, but there may be other elements of the x-ray compliance rules not related to shielding that are not covered here and are the responsibility of the applicant. � �`S � � � �,., ',, � � I , ;`� r� a �,p "G � � � �` O y'�, y� r ,_ � � °u ' ` mrn � ( � w �- � , -�. � , � � ,,C � Q1. _ „ : ,� ^+w t 'A" cs �p . � "4 � � � � n� � � � W �? o � � � � � �' �. ua � r� .� �.` � � �� ,� � M � as P1 _ �, 3 �'� '_� �. �a G = +' ti �^' �. =. ���. � ,��, '�' Z � a `�.�� �� � z, ,, * �'-� . O �p � ,C �w .. .. .... .:.....�:...: .._...� ... 6 b . ^�.� � . ...� . �.'�� ...3. ( .�.7d � O � j' � .-� �.. it ...� �� y �,'D � � (. � � 4 RE\! ti rn m � `i�j 8 ` u' � e �� 'i °�� ��� �� �i i u� �, cu �'�� S fl�1 y 1`�fl �" � . C C h? �x .._ 2 RE11 - : � ��"4* _.� f ! � �, � r.� ,� m �, s�-s a�a� * �`" _ �'"-s xrsw _ _� a o �;' �,c� �� hi 5'-4 7�$° . � _ _ 9`3�r ���"7M+r c� _ � �_,.�,�.�""�"""""-- - ��11 �T Radiation Shielding Specifications Institution: Summit Ortho Eagan Room: 2128 Date: 02-10-2015 -------------------------------------------------------------------------------- X-ray Tube information: Tube: Table Workload Spectrum: Rad Rm: floor/other barriers Total Workload = 111.05 mAmin/wk (60.00 patients/wk) kV mAmin kV mAmin kV mAmin kV mAmin 25 0 65 4.20E0 105 9.06E-2 145 0 30 0 70 2.31E1 110 3.31E-2 150 0 35 0 75 2.43E1 115 2.21E-1 40 8.28E-3 80 2.52E1 120 1.12E0 45 4.26E-2 85 1.49E1 125 2.08E-2 50 1.02E-1 90 9.72E0 130 7.50E-3 55 6.24E-1 95 1.09E0 135 0 60 5.35E0 100 8.76E-1 140 0 Tube: Wall Workload Spectrum: Chest Wall: Radiog Rm Total Workload = 36.06 mAmin/wk (60.01 patients/wk) kV mAmin kV mAmin kV mAmin kV mAmin 25 0 65 2.05E0 105 1.18E-1 145 0 30 0 70 4.35E0 110 5.95E-1 150 0 35 0 75 5.72E0 115 2.24E0 40 0 80 8.40E0 120 3.07E0 45 0 85 3.97E0 125 2.89E0 50 4.07E-1 90 8.46E-1 130 1.03E-1 55 2.74E-2 95 2.11E-1 135 4.64E-1 60 5.38E-1 100 5.30E-2 140 0 ----------------------------------------------------------------------- ----------------------------------------------------------------------- Barrier: South Wall, Occupancy factor=l (Uncontrolled area, permitted dose=l mSv/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ------------------------------------------------------------------ Table 111.1 0.02 Grid& 7.40 7.40 7.40 90 1000 1.00 Wall 36.1 0.00 10.50 10.50 10.50 90 1535 1.83 Required shielding: ------------------------------------------------- Lead: 0.393 mm = 1 / 64.7 inches Concrete: 32.6 mm = 1.28 inches Gypsum: 105 mm = 4.12 inches Stee L• 2.74 mm = 0.108 inches Glass: 40.1 mm = 1.58 inches Wood: 369 mm = 14.5 inches (T-weighted Unshielded Dose= 0.3811 m5v/wk) ----------------------------------------------------------------------- Barrier: East Wall, Occupancy factor=.2 (Uncontrolled area, permitted dose=l mSv/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ----------------------------------------------------------------- Table 111.1 0.09 Grid& 8.00 8.00 8.00 90 1000 1.00 Wall 36.1 1.00 Grid& 9.00 3.00 9.00 90 1535 1.83 Required shielding: ------------------------------------------------ Lead: 0.793 mm = 1 / 32.0 inches Concrete: 62.7 mm = 2.47 inches Gypsum: 202 mm = 7.94 inches Steel: 7.45 mm = 0.293 inches Gtass: 70.8 mm = 2.79 inches Wood: 453 mm = 17.8 inches (T-weighted Unshielded Dose= 0.5052 m5v/wk) ----------------------------------------------------------------------- ----------------------------------------------------------------------- Barrier: North Wall, Occupancy factor=.05 (Uncontrolled area, permitted dose=l mSv/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ------------------------------------------------------------------ Table 111.1 0.00 14.00 14.00 14.00 90 1000 1.00 Watl 36.1 0.00 11.00 11.00 11.00 90 1535 1.83 Required shielding: ------------------------------------------------- Lead: 0 mm = 0 inches Concrete: 0 mm = 0 inches Gypsum: 0 mm = 0 inches Steel: 0 mm = 0 inches Glass: 0 mm = 0 inches Wood: 0 mm = 0 inches (T-weighted Unshielded Dose= 5.225E-3 m5v/wk) ----------------------------------------------------------------------- ----------------------------------------------------------------------- Barrier: Control Wall, Occupancy factor=l (Uncontrolled area, permitted dose=l mSv/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ------------------------------------------------------------------ Table 111.1 0.00 14.00 14.00 14.00 90 1000 1.00 Wall 36.1 0.00 11.00 11.00 11.00 90 1535 1.83 Required shielding: ------------------------------------------------- Lead: 0.127 mm = 5.016E-3 inches Concrete: 13.1 mm = 0.517 inches Gypsum: 38.7 mm = 1.52 inches Steel: 0.821 mm = 0.0323 inches Glass: 16.0 mm = 0.630 inches Wood: 208 mm = 8.18 inches (T-weighted Unshielded Dose= 0.1045 m5v/wk) ----------------------------------------------------------------------- ----------------------------------------------------------------------- Barrier: West Wall, Occupancy factor=.2 (Uncontrolled area, permitted dose=l m5v/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ------------------------------------------------------------------ Table 111.1 0.02 Grid& 9.50 9.50 9.50 90 1000 1.00 Wall 36.1 0.00 10.50 16.50 10.50 90 1535 1.83 Required shielding: ------------------------------------------------- Lead: 0.0557mm = 2.192E-3 inches Concrete: 5.99 mm = 0.236 inches Gypsum: 17.1 mm = 0.672 inches Steel: 0.359 mm = 0.0141 inches Glass: 7.24 mm = 0.285 inches Wood: 98.9 mm = 3.89 inches (T-weighted Unshielded Dose= 0.04527 m5v/wk) ----------------------------------------------------------------------- ----------------------------------------------------------------------- Barrier: Floor, Occupancy factor=l (Uncontrolled area, permitted dose=l mSv/yr) X-ray Tot W Image Recep Distances (Feet) Scatt Field @ dist Tube (mAmin) U Atten? pri sec leak Angle (cm2) (m) ------------------------------------------------------------------ Table 111.1 0.90 Table 9.00 9.00 9.00 90 1000 1.00 Wall 36.1 0.00 9.00 9.00 9.00 90 1535 1.83 Required shielding: ------------------------------------------------ Lead: 0.475 mm = 1 / 53.5 inches Concrete: 36.2 mm = 1.42 inches Gypsum: 104 mm = 4.09 inches Steel: 3.85 mm = 0.152 inches Glass: 38.1 mm = 1.50 inches Wood: 273 mm = 10.7 inches (T-weighted Unshielded Dose= 0.1561 m5v/wk) ----------------------------------------------------------------------- ----------------------------------------------------------------------- ` '� Use BLUE or BLACK Ink ---------� � For Office Use � • � ��C��! � I Clt a� �a � � Permit#: I � � � � � Permit Fee: � � � I 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 j Fax: (651)675-5694 � Staff: � � I . �__�__��___�_�__�J 2015 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: �`1+'� '" �t� Site Address: /�7�� ���� ��� «� Tenant: �GtMr�t,�I`�' ��"r�'�'���r�� Suite#: �� � `'� � / .> � ' �,,,: ���"�� ' Name: �i'�GTr���/ /�`Tn�AR�S Phone: C�s� `/"�=�7�7 � � \ �C��t'�� � �!� � � � "� � /� :� �� � ��-� Address/City/Zip: ��� (,e��f�A� �iOi�L. �.�/"�' E� , � . � ��� ` ��� Applicant is: Owner Contractor � � �. � ��� � �c'ELvt rN� 0�2 A9� .5 �.;f�.-1�-r�S A-s� �s2 T_..�' U�t�:57i� �: �;� � ��� Description ofwork: A �' � ,� ` it/J �°�X�iL-.yN .�r _ 4j � '� '' � �, � Construction Cost: �`���' Estimated Completion Date: �+L �/S ��, : /�' � : � �.: Name: ���t^�—l'������7"i� License#: ��� � ��' �� � Address: ������Y �i�l� ���T City: C.+�� ���" ���:� �s'I ��''��/�v� � 2 3 � �� �� � State: � Zip: '�l�� Phone: � � � ✓ ` �........�� .._...: Contact: �� �a�� EmaiL ���2l�4����t-�+��M��W/� a�n. � FIRE PERMIT TYPE WORK TYPE � �Sprinkler System(#of heads� _New _Addition � _Fire Pump _Standpipe �Alterations _Remodel Other: Other: DESCRIPTION OF WORK: �Commercial _Residential _Educational � � FEES � � � �� $55.00 Permit Fee Minimum Contract Value$ ���• `�d x.01 *If contract value is LESS than$10,010,Surcharge=$5.00 gc� �J *`I f c o n t r a c t v a l u e i s G R E A T E R t h a n$1 0,0 1 0, S u r c h a r g e=C o n t r a c t V a l u e x$0.0 0 05 -$ Permit Fee � *"*If the project valuation is over$1 million, please call for Surcharge =$ >:�C3 Surcharge" � $100.00 Residential New(inGudes$5.00 State Surcharge) _$ 7T d� TOTAL FEE � � 3/4" Displacement Fire Meter-$270.00 =$ Fire Meter � _$ �K.�d TOTAL FEE �..,�,....� *Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but anly 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 (J�C �%If�2�� x � Applicant°s Printed Name AppiicanYs Signat re . - � r7 1 iy�� t�� �r :��n� -� ���E� l��s` 7 �F�?��3F�t�E_t,�� � �� �� �� ���, � � °�� � � ��� � � � �,� � �` „:. ���; � �a �� `��� � ��,� �, � � FtE�1��G�I(���'E ,.:.�� S����� � ��t �� �« '� ��: °� � � � ��`� �s� ����,� '�� '�� � �� �� �����' ��t�tf��� �� �� ��Alarr� � ��7"��� � �»,' ,�»„� !� ; � � , "� � y ��, � f. ���' �� �� s�� �� ' ��(�������', ��r i���' �_ . �� �'�.r ��St �'� �� �i������� �' ���'�,��� �a � � �� Z� �� ��� � � �� - "-� � : r� x c� � � ��,� �' °��, \ �r w�e.y CD)'YCII�tOCtS��SS �; t �� � g„'� `�y ��, �s�,'�; ` � � „� �� <� � � .� � �`� � � �3 �� ���. � � �� � �� � ; � �"�� _ ' k � . , . ...ri, :. . ,. .i ...r......'' �,��rr,,.�:�. ......,F.� ,..,....'. ._, .>.., ......,,. , .......�.,,,�� . . .� ;" :. \ . � ' k� `�'" 'a � ..-: ,r : ' �i '���'�'�i, �,M �' � � ��� :� . ^�3� � , ��x , � � �� �� �TR y ., s � ,�' ; �.� ... , v �£ � 3 � t� 5�'� �` �. ,�i : � � i � k� : . � ,�� � .,y ' .,,� ��� � va ��?��� �� a�� � � � Perrn�t�evE��+d 1��`�� ` � ,,,�.,� �. '��� a ��t� ���!�!�„��� t t �� ; y ��� � �� � � ��� � � � ,, � �� ���..t..E,. \,���.�'i...�', � -. : ,'���`� � ��r ' i�: .��r \ k`� ."���. i, �,� � . , � Use BLUE or BLACK Ink � For Office Use j . � a �� � Clt of EaD�Il � I'ermit#: I 1 � b � Permit Fee: � �� � j 3830 Pilot Knob Road Eagan MN 55122 � Date Received: c�' /�'' � � Phone: (651) 675-5675 Fax: (651) 675-5694 j j Staff: �---------------���� 2012 COMMERCIAL BUILDING PERMIT APPLICATION �� ,,� �> �ate: 2l�$��5 Site Address: 1400 Corporate Center Curve- Eagan, MN 55120 � ��� Tenant Name: FaCtOt'y MOtOt' PartS (Tenant is: New/ X Existing) Suite#: Former Tenant: FaCtOCy MOtOt' PaCtS Name: Factory Motor Parts Phone: (651) 454-4100 PR�PERTY OWNER Address i cicy i zip: �400 Corporate Center Curve-Eagan, MN 55120 Applicant is Owner X Contractor 'rYPE oF woRtc �escr�pt�on otwork: Restroom refresh (New finishes and replace plumbing fixtures) Construction Cost: $55,000 Name: R.Ja Ryan Construction, (NC. License#: NIA cUNT�,4c'roR ` Aaa�ess: 1100 Mendota Heights Road c;ry: Mendota Heights ' state: MN zip: 55120 Phone: (651)-365-7014 contact: Aaron Waller (PM) Ema;i: awaller�a rjryan.com ►vame: BDH & Young Registration#: (LlCetlSe #: 44121) �►RCHiTECT� aaaress: 7001 France Avenue S. c�cy: Edina ��ENGINEER � � � state: MN zip: 55435 Phone: 952-345-8328 (,�[S2� 8�3 - ���.0 D�R-tiK �..t� dLtla.a�J 6�hue u •uw� _�....;,, �r,., �� � Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting alocument$that you submit are considered to be pu�iic inforrnatio,n, Pc�rtions t�f the informativn may be classified a�nr�n-public if yau proyide specific reasans#ha#wot�ltl permit the Ci#�r#4 concfude thaf the are#ra�le sscrets. i CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Aaron Waller X �L� ApplicanYs Printed Name Applicant's Signature Page 1 of 3 . . 1l /�� y�� �:"�o,-°G, 7 � 1..� �.��'� c�r J�R_ � 1�-��5� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments ✓Commercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New ✓ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation '�j5�806 � Occupancy � MCES System � Plan Review ✓ Code Edition �LOd",7MSPSG- SAC Units OI��C,� 1��,�p�pLG.LOA�A (25%_100%� Zoning � City Water ✓ Census Code Stories 2 Booster Pump #of Units n Square Feet PRV � #of Buildings ? Length Fire Sprinklers Type of Construction �•� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) � Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes " No Reviewed By: �!'��° , Building Inspector Reviewed By: - , Planning COMMERCIAL FEES Base Fee 7 (q- Z� Water Quality Surcharge Z-�� � Water Supply 8�Storage(WAC) Plan Review ¢�, •S"I Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit 8�Surcharge Street Lateral Treatment Plant Street Treatment Plant(Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL� � Z1.f-•Z.b Page 2 of 3 03106/2015 14:50 Steinkraus Plumbing ffAX�523615908 P.0011004 Use BLUE or BLACK Ink . � __�_---�---, -,jC�` � ForOfflcsUse I ' f��°�� , i Permit#:��Cl �C,�� (I ,� C�ty Of �a�aIl � Y ti G' I Permit Fee: �� �� � 3830 Pilof Knob Road �`��.r � 1 � Eagan MN 55122 � � j` �` � Date Received: `"� �� � Phone; (651)675-&67& � � Staff: ��"� j Fax:(651)675-5694 ------------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Pleas�submit two (2)sets of plans with all commercial appllcations. Date:,�[(,2%„(;�__ SiteAddress: ��dO CorQ��a� �en�ec �.crv� Tenant: �����aorn. C2�bc���' 4� ��oar Suite tt: �P'roRerty�;:� ' ` / Name: Phone; ;�'OWr�ei�: � { Name: J�e+�1��,�,1.5 �IWV�h�3 . YcaL, License#: �Jrg�O�� ;,Col7tcacto,�:''I.: � `�e l I City: �GC5le4 State: '� Zip: ��� Address: �C� � 5 S'�� S:t� 0 � N/� � � � Phone: ���L� ��� �12g Email: J�SO�l��' ` 1 �o ` � ', '." New Replacement Repair Rebuild �Modify Space Work in R,O.W. ;Type;of Work — — i-—1 �1 — — DescHptlon oFwork: �J'e A'�l*�.C1�f.L� S�A�e'� �::i;1,:,;::;;:�.};;;,;,;;;.';;.;� COMMERC/AL _New Construction „�C Modify Space Irrigation Systsm(_yes/_no)�RPZ/_PVB) . �":: ' `�;;`1;'�"�"":``'�: . Rain sensors required on irrigaUOn systems . . . .,.,.. ::,, '�,�`Perm'It:Type<<?' . Avg.GPM (2"lurbo requlred unless smaAer slze allowEd by Puhllc Works) MAtars Call(651)675-564610 verlly that tests passed prior w pickina un meter. DomesUc:Slze&Type Flre: 1 �. Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No . ... .... ... .. .. ..... COMMERCIAL FEES �� Contract Value$�,��(� X.01 $55.00 Permit Fee Minimum _$ Permit�ee 'If Contract value is L�SS than$10,010,Surohargc=$5.00 =$ SurCharge* ""If contracf value is GREA7ER than$1�,010,Surcharge=Contract Value x$0.0005 "*IFthe project valuation is over$1 million, please call for Surcharge °$ TOTAL FEE Following fees apply when instalHng a new lawn irrlgallon system $ Water Pe�mit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ 7reatment Plant $ water Supply&Storage $ Slate SurCharge =$ TOTAL FEE CALL BEFORE YOU DIG_ Call Gophar Stats One Call a!(651)454-0002 for proteCtion against underground utlllty damage. \ 1 hereby acknowledge that this information is complete and accurate;that the work wiN be in conFormance wifh the ordinances and codes of fhe City of Eagan; that I understand this is not a permif, but only an application for a permit, and work is not to sta�t without a permit; fhat the work will be in accordance wifh the approved plan in the Cdse of work whiCh requifes a review and approval of plpns. � ' x �asen S�eti��t�c�u,s Applicant's printed Name A i ant's Signature FOR�FFICE USE ' . Approved By ' pate: � Required Ipspecfions „�Under Ground Rough ln. �1irTast G.as Test ��Final PRV RequiCed:,_,_,Yes,_,_,No ; ,... � . . .. ; . . , ,. .. :. IV'leterRelated.ltems: � MeterSize'." Radio.Read. Manomete�. Staff: Page 1 of 3 Use BLUE or BLACK Ink �-------------- --� � For Office Use - � I I � Clt of �� a� I Permit#: � � � ' � �� � � Permit Fee: � I 3830 Pilot Knob Road I � Eagan MN 55122 � Date Received: j Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff: � I � ��____�________�_J 2015 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: �•� '2�"� �� SiteAddress: ,`'tOU �O��POfc�'C. �-'�'r-� �,ild`1�.— i SS �Z1 Tenant: ��`e`�`^ °fi ���'�'E�;LS Suite#: Name: �u�nr��'�" ��'°�`�'`°" Phone: � � � � Address/City/Zip: ��L� Ce�c�ser���1-c.. C�--e-�-r' C.:a��'�- Applicant is: Owner � Contractor Ty��#f V1rONc Description of work: R=i'2� ��Pr 12-►-�, U P��f'� - Construction Cost: �Y`�°� Estimated Completion Date: ���' 'S Name: �� S� License#. � ���a�� GEf�#c�Gtor address: 23b c� -re.�c,�c�',�� �� �;ty. S�- . P,��.— ; State: A`^ '� Zip: s""S9�`� Phone: (o a Z -Z�`� - �3�� Contact: C°'��� ���5 � Email: �v'�i�e._;s r.Q Qe5'. . c;C New Remodel ��TYPe Addition �Other: '���'1 cr,'�' 43�i 1 cQ oi �' _ — � Alterations DESCRIPTION OF WORK: �Commercial Residential Educational FEES Contract Value$ j � �� x.01 c� $55.00 Permit Fee Minimum �'� Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 -$ cr.> "*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ � ` Surcharge"` *""If the project valuation is over$1 million, please call for Surcharge _$ �L • 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. A :n / ` X -t'� )����5 �- X G�� _-- Applicant's Printed Name Applicant's Signa re FOR�FFICE USE R�viewed�y: . Date: r '' Required Inspections: Rough-In Final Fire AIa�Tesf City of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r' For Office Use Permit #: / ! / /1-7q ‘q Date Received: Permit Fee: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 8/29/16 Site Address: 1400 Corporate Center Curve, Eagan, MN 55121 Tenant Name: Summit Orthopedics (Tenant is: New / X Existing) Suite #: Former Tenant: Property Owner Name: Jamison Young Phone: 651-968-5870 Address / City /zip: 710 Commerce Drive, Suite 200, Woodbury, MN 55125 Applicant is: Owner )( Contractor Type of Work Description of work: Interior improvements to Waiting Room and Fitness Area. Construction Cost: 100,000 Contractor Name: RJM Construction License #: Address: 701 Washington Ave. N City: Minneapolis State: MN Zip: 55401 Phone: 952-837-8600 Contact: Curtis Sell Email: curtis.sell@rjmconstruction.com Architect/Engineer Name: Pope Architects Registration #: 1295 Bandana Boulevad N, Suite 200 St. Paul Address: City: State: MN Zip: 55108 Phone: 651-789-1640 Contact Person: Denton Mack Email: dmack@popearch.com Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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 per 't, 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 r ires a review and approval of plans. xCurtis Sell Applicant's Printed Name x Y --/OO �Db/Z�tli Gtk 0 NOT WRITE BELOW THIS LINE SUB TYPES Foundation / Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% `) Census Code # of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 1 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Decking Insulation Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: "'` , Building Inspector Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding _ Demolish Building* Reroof Demolish Interior Windows Fire Repair Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant Sheetrock MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers v Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron Yes No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: Page 2 of 3 MCES USE: Letter Reference: 160923A2 Address ID: 4986 Payment ID: 396343 /39/6/ Date of Determination: 09/23/16 Greetings! Please see the determination below. Determination Expiration: 09/23/18 Project Name: Summit Orthopedics Project Address: 1400 Corporate Center Curve Suite #/Campus: N/A City Name: Eagan Applicant: Curt Sell, RJM Construction Special Notes: None Charge Calculation: Clinic: 73.00 fixture units @ 17 fixture units / SAC = 4.29 Total Charge: 4.29 Credit Calculation: Summit Orthopedics (SAC 02/15) = 2.18 Eagandale Point (SAC 07/97) Office: 4907 sq. ft. @ 2400 sq. ft. / SAC = 2.04 Total Credit: 4.22 Net SAC: 0.07 —or— O SAC Due The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at: cory.mccullough@metc.state.mn.us. Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/Wastewater-Water/Funding-Finance/Rates-Charges/Sewer-Availability-Charge.aspx 390 Robert Street 'North St. Raul, MN 55101 1805 Phone 651:602.1000 I Fax 651.602 1550 Ar ET/a, p arttrrrty: Emrrhver, MN OCCUPATIONAL HEALTH WORK SIMULATION TENANT c Z 2 4 I -w Z w W Q 2 oD W o 0 U 2 1- 0 � � O U 0 0 � CODE DATA SHEET INDEX ( ( LOCATION MAP 0 0 ƒ 0 0 0 a \ 0 } City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OCT 212016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: f0- Date Received: Staff: !T/ J 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 0- 19 I LR Site Address: Hoc) Corpora -4- e- ` Q C un_i4_ "e Tenant: SUt 1N�IN�I 1 ©r ) [� 4- Suite #: j- ACI J' l r Property Owner Name: CjAAMA. Phone: Address / City / Zip: Applicant is: Owner j Contractor Type of Work Construction Cost: �a_� Estimated Completion Date: NOV�Q Contractor 0-075 Name:Summit Fire Protection License#: 575 Minnehaha Ave WSt. Paul Address: City: MN 55103 State: Zip: 55103 Phone: 651-251-1880 Contact: �ittY�.h.L[ �, Email: FIRE PERMIT TYPE Sprinkler System (# of heads Re)— 1 WORK TYPE New _ Addition Fire Pump Alterations _ Remodel — _Standpipe Other: Other: DESCRIPTION OF WORK: )G Commercial Residential_ Educational FEES $60.00 Permit Fee Minimum Contract Value $ 01)1/00 x .01 Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) 9) a = $ 4ezu 40Permit Fee = $ .10 Surcharge . _ $ I„p � • � TOTAL FEE 3/4" Fire Meter - $280.00 = $ Fire Meter = $ TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be use I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name x ! W Applicants Signature FAR OFFICE USE Flow Alarm Drain Test Rough In Pump Test Central Station RH 16-1848 *City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ti 3 2016 Use BLUE or BLACK Ink For Office Use r Permit #: / 7 g C/. Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 10/26/16 Site Address: 1400 Corporate Center Curve Tenant: Summit Orthopedics - MN Occupational HealthWork Suite #: ResldentlOwnel Name: Phone: Address / City / Zip: Name: Yale Mechanical LLC License #: MB004822 Address: 220 West 81st Street City: Bloomington State: MN Zip: 55420 Phone: 952-884-1661 Contact: Ryan Horner Email: accounting@yalemech.com New X Replacement Additional Alteration Demolition Description of work: Install Duct mounted diffuser for open ceiling. RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction X Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank (_ Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ 8,100 x .01 = $ 81.00 Permit Fee = $ 4.05 Surcharge = $ 85.05 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforman Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with the approved plan in the case of work which requires a review and approval of plans. x Ryan Hnrnar Applicant's Printed Name x Apply ant's ` gnature e ordinances and codes of the City of ermit; that the work will be in accordance FOR OFFICE USE Required lnspectrans: Underground Ro Use BLUE or BLACK Ink For Office Use 4!4'f. :::::ee: Cit of Ea an q ip 7.51 3830 Pilot Knob Road Eagan MN 55122 S //- `� Phone: (651)675-5675 Date Received: Fax: (651) 675-5694 Staff: 0-11( 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 11-04-16 Site Address: 1400 Corporate Center Curve Tenant Name: Real Estate Equities Development, LLC (Tenant is: X 120 New/ Existing) Suite#: Former Tenant: empty Name: 1400 Curve, LLC Phone: 651-405-7705 Property Owner 1380 Corporate Center Curve, Suite 200, Eagan, MN 55121 Address/City/Zip: Applicant is: Owner Contractor _X— Architect Type of Work Description of work: Tenant improvement interior remodel for offices 131-4-7Construction Cost: TBD (1/ SDC Name: TBD 6/6 ® CON571WG77 License#: SiG 9ors Boo Gv/rS/1/�IGTa c� kt' �C,I Address: city: MALS • Contractor C ZL# Liz_-741'3 /ZO$ State: HA-1 Zip: S3—Va� Phone: G/Z `332- -g6$O Contact: (/!/(/ UIVb4 U(ST Email: V//1.1I/1 „6.eg bj .-1.C6/r, Name: Real Estate Equities Architecture, LLC Registration#: 46818 Architect/Engineer Address: 1400 Corporate Center Curve, Suite 100 city. Eagan State: MN Zip: 55121 Phone: 651-760-8311 Contact Person: Christopher Goring Email: cgoring@reearchitecture.com Licensed plumber installing new sewer/water service: n/a Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Christopher Goring x *fig, Applicant's Printed Name Applicants ign re Page 1 of 3 ' 1'fU0 Cor(da% aceh74er (U" e g/L/650 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Public Facility Exterior Alteration—Apartments _✓Commercial/Industrial _ Accessory Building _ Exterior Alteration—Commercial _ Apartments _ Greenhouse/Tent Exterior Alteration—Public Facility Miscellaneous Antennae WORK TYPES New /Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION / Valuation (;I 00 0 Occupancy /3 MCES System ✓ Plan Review ✓ Code Edition 7-0 IS MBG SAC Units 0/L' (25%_100% 4' Zoning T> City Water ✓ Census Code Stories I Booster Pump #of Units r0 Square Feet // ,2 9Z- PRV #of Buildings I Length 3D Fire Sprinklers Type of Construction 1L' 8 Width r REQUIRED INSPECTIONS Footings(New Building) ✓Final/C.O. Required Footings(Deck) Final/No C.O. Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool:_Footings Air/Gas Tests _Final Drain Tile Siding:_Stucco Lath _Stone Lath _Brick_EFIS Roof:_Decking Insulation _Ice&Water Final Retaining Wall Framing 30 Minutes 1 Hour Erosion Control Fireplace:_Rough In Air Test _Final Concrete Entrance Apron Insulation /Meter Size: Sheetrock V Electronic Plans Required Windows Final CIO Inspection: Schedule Fire Marshal to be present Yes No �i f. Reviewed By: el4fla, , Building Inspector Reviewed By: `— , Planning COMMERCIAL FEES Water Quality Base Fee 7 V. 2 S� Storm Sewer Trunk Surcharge 7-e " °`� Sewer Trunk Plan Review 373 ' 7--C Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Other: Treatment Plant(Irrigation) Park Dedication (I, Trail Dedication TOTAL: 947• S/ Page 2 of 3 MCES USE:Letter Reference: 161213A5 Address ID:4986 Payment ID:397907 Date of Determination: 12/13/16 Determination Expiration: 12/13/18 Greetings! Please see the determination below. Project Name: Real Estate Equities Development Project Address: 1400 Corporate Center Curve Suite#/Campus: 120 City Name: Eagan Applicant: Christopher Goring, Real Estate Equities Architecture Special Notes: None Charge Calculation: Office 1038 sq.ft. @ 2400 sq.ft./SAC=0.43 Meeting: 190 sq.ft. @ 1650 sq.ft./SAC=0.12 Total Charge: 0.55 Credit Calculation: Eagandale Point(SAC 07/97): 1282 sq.ft. @ 2400 sq.ft./SAC=0.53 Total Credit: 0.53 Net SAC: 0.02 —or— 0 SAC Due The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be made. If you have any questions email me at: karon.cappaert@metc.state.mn.us. Thank you, Karon Cappaert Administrative Specialist Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Robert Street North St. Paul, MN 55101 1805 Phone 651.602 1000 Fax 651.602.1550 I TTY 651 291 0904 I metracouncil.org METROPOLITAN o Ericl Opporrcrn%1y Ernic er C O U N C I L r C -U'� C Use BLUE or BLACK Ink 1,6L For Office Use i IA Permit#: Q SCity ofEaRallRECEIVED C) = Permit Fee: 3830 Pilot Knob Road DEC �j Eagan MN 55122 E1 9 2016 Date Received: la-/` -//_ Phone:(651)675-5675 Fax: (651)675-5694 Staff: J 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date:VZ[(La 1 l 4 Site Address: 14 O« Cnv-porcJe Ce.iA Ctx.v VC. 1 Tenant: cVUL `2.0 f Suite#: 1 $ Name: Phone: 1 Property Owner Address/City/Zip: Applicant is: Owner Contractor a,. ' Description of work: Rcbcic.�-k-c 4 S j ruVl, , S Type of Work 1 Construction Cost: 5(,x:) Estimated Completion Date: t5t1 ' Name: - r License#: CO O aAddress:-appal GV-k-ar h 61. . got. City:LL 4-4-1Cis .cac1 c4. I Contractor ' —f State: / < < Zip:�j5j to Phone: ��L' `�I 'Rdn 7y s , -1-1-TC44.0 0 P.tli A ' J . .► 'r A F a FIRE PERMIT TYPE WORK TYPE k'Sprinkler System(#of heads( _New —Addition j _Fire Pump _Standpipe )Alterations Remodel Other: Other: DESCRIPTION OF WORK: x,Commercial Residential Educational FEES $60.00 Permit Fee Minimum Contract Value$ 504"• x.01 Surcharge=Contract Value x$0.0005 =$ Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ Surcharge $100.00 Residential New(includes State Surcharge) =$ TOTAL FEE 3/4"Fire Meter-$280.00 =$ Fire Meter -$ �0Ov TOTAL FEE t **Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x � �.t cal. aopi)i.-.1„ x ' Applicar tj Printed Name App icant's Snatu /,� 1.1-1( 1-Str-3 FOR OFFICE USE I REQUIRED INSPECTIONS, Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: 11 Permit Reviewed by: G Date: /02 / / 4 , Use BLUE or BLACK Ink C9 ? oi For Office Use RECEIVED ' Permit#: /L/0- 1 City of EagAll Ch -d ,d1 ,� _s0 3830 Eagan'lot MN 55122 Phone: DEC'2 7�016 `fie f G Permit Fee: Phone: (651)675-5675cil ( v,/if_. e,,4 t Date Received: 74' Fax: (651)675-5694 Staff: J 2016 MECHANICAL PERMIT APPLICATION 4 ,Please submit two(2)sets of plans with all commercial applications. �/� Date: /Z'12s / Site Address: 1 `-i bC4.E.41.2_ 1� C'�,r arc f ft,T 1 p Tenant: Suite : • r r e � 5- '? 66- 3 i s Resident/Owner Name: G I �:S u. {-ice Phone: C� I- Address/City/Zip: / 1 C-crp<b•—a ,,." � C.>.v s ✓ S'v..--1-e.... 1 Name: J Cl (Ln /vs 14,-CA,-1 41,1 L,,( / . C"-- License#: p Address: '-1 (6 r it.',.. I I.Q y (Z-o .� City: e- 'Q pin,. ir• ,mss. Contractor State: //Iv-' Zip: f-.,2 Lt-'1 Phone: 9.r Z-- 9 3 ct - 3 9 9 cl Contact: (} '; • DIFFUSER AND GRILLE TEST Date: 1/5/2017 1 i+ a 6 ( p, (..24-r 'c" +r.- , Job Name: Real Estate Equities System: meeting room zone Required Final Room No. Outlet Type Outlet Size VEL CFM VEL CFM )b(P �0� ;rte 1�"� o 31C7 DIFFUSER AND GRILLE TEST Date: 1/5/2017 Job Name: Real Estate Equities System: Perimeter zone Required Final Room No. Outlet Type Outlet Size VEL CFM VEL CFM 0 ( L;nem ,c.b 2,c)o Z(a 10 Z, 1-1/4n.2_,-r 2 ; `(<-6 190 1v3 Lnom( r«c _r Z k 190 DIFFUSER AND GRILLE TEST Date: 1/5/2017 Job Name: Real Estate Equities System: Interior zone Required Final Room No. Outlet Type Outlet Size VEL CFM VEL CFM 1c557 ,a i %,r-v a' /\S-6 13 ° 1 0 1 t o ‘,4-1, [6'4(.6 / "---0 / VO 1o7 1G � _ n tO'th /SO / r ( 0-1 Ly l4Th'• 104 /‘-;O / 1O EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionst citvofeagan.com Date: Tenant: ilEC -.:4317.• SEP 2 3 2019 BY: For Office Use Permit #: 158033 Permit Fee: La to Bo Date Received: 917-3 G-✓ 1 1 I Staff: L CC 141- rnes ie. `az; 2019 COMMERCIAL FIRE ALARM PERMIT APPLICATION V.z. 3//9 Site Address: /`%O 10 0 ef.= 4,v My � 727 e y /197 Aye Suite #: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Property Owner Name: I /49719.e /`3/7 75 Phone: �S/� '5/05- 270,'r Address / City / Zip: Applicant is: X /`V 640.47, C veva �643"✓ //41/ 5542/ Owner Contractor Type of Work Description of work: Construction Cost: 11/°44 i' 12/7 7-," *411 1. 3141/ ..%49-77/' !! s-3loD 9 85 Estimated Completion Date: A19/3///9 Contractor Name: 5i'z%tlz- 3/ c--e--1--'.er7r/ License #: Address: 13 ' 5 24' A4 A/ City: /`��`��7/ State: WA/ Zip: 5b--1/421 Phone: Contact: /67C./ / 7 Email: ie—L/. /a0,4 S /A/C . COM Work Type X New Remodel Addition _ Other: /MD.rn S /7,-/--• 577' 7744/ _ XAlterations _ DESCRIPTION OF WORK: X Commercial_ Residential _ Educational FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please = $ Surcharge* call for Surcharge QQ $ � �Q 1 - U O TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. Applicant's Printed Name FOR OFFICE USE Required Inspections: Rough -In Reviewed By: Final Fire Alarm Test