1100 Cliff Rd
Use BLUE or BLACK Ink
-
Foxu-G~ffrte las2---------
1 t~rmit
• of E30fl OR 292010 >
ID-V~ II
3830 Pilot Knob Road t - `
Eagan MN 55122 Date ived:
I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: 7
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: lW lic5 Site Address: MOO G L+FF Ac(. eA&A V M A/
Tenant Name: Q A ko'r A i(-ou ,2M~ PAzkS (Tenant is:. New/ )-(Existing) Suite
Former Tenant:
PROPERTY OWNER Name: Oflkcr-r^ Cc>u ^rry PA2k,5 Phone: 6S1r y38' 7a
Address/Cdy/Zox 1 ygS.S 6,4c vie- JqYAe Appe.c VAILtcZ MAI
Applicant is: -K-Owner Contractor
TYPE OF WORK Description of work: kjcQSk- ,~T,NF02MR'('IONAL ~ ,y,~~ s/GN A~'~j
Construction Cost: ~y6 oZ
CONTRACTOR Name_ License
Addm '
Siam Zip:.
Contact: Email:
ARCHITECT / Name: Registration
ENGINEER
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE. Plans and supporting documents that ycwu snu mJtare tonn&iidered to be d ~ annation. Portions of
the information may be classified as non-public yau,p vise 4p eciirc nea mu Ont t lid permit the City to
conclude tit the arse trade mwrets.
CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of urnderground.utilities. wyww 0rq
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 pnd a royal of plans.
x 0J61V/V13 i2e)E2M07- N x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
y
DO NOT WRITE BELOW THIS LINE < 74
t`
SUB TYPES
_ Foundation _ Public Facility _ Accessory BLMding
_ Apartments _ Commercial i Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae _ Exterior Alteration-Public Facility
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Exterior Improvement Reroof _ Demolish Interior
_ Alteration _ Repair Windows _ Demolish Foundation
_ Replace _ Water Damage Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Sheetrock
Footings (Rooic) Final / C.O. Required
Footings (Addition) ✓ Final / No C.O. Required
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 Wail
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: -Yes c/No
Reviewed By: Mike- Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Supply & Storage (WAC)
Plan Review Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC VMater Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL
Page 2 of 3
CITY OF EAGAN
Addition 'geC
Street
Lot alk
State
? Improvement I Date I Amount I Annual I Years I Pavment I Receiat I Date
GRADING
SAN SEW TRUNK
WATERMAIN
WATER LATE
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
I (612) 681-4675
i SITE ADDRESS:
iv - 03500- oio -a8'
i PERMIT SUBTYPE:
1. ; ,1 ii ttY
INSPECTION RECORD
PERMIT TYPE
Permit Number:
5Date Issued:
p J 0 0 ~' d/O
APPLICANT:
:1 :. I I ;; 11 1 Iiii, i
xpl .. q+, .lt1t/ F,
TYPE OF WORK:
i'IF'_; CIt 1p ! 100
N.'A4N+i.
c1 N 1 1,1/ 94
AlI li 1 I 1 11 N
({'AJrt F'!1v t 1 t. 1 (iN )
INSPECTION „ • .•
1!F'.l11 Jl) T1?1V I:'i,t{i,it Ita f'1 i;?i
;?rtii,tt i hl il (?, ! i si?ii !'i (•i?
I rai? i 11 1+? A i
?____--- ---- -------- ------ ---- --------------------- ?
Permit No. Permit Holder Dete Telephone #
S/W
PLUMBIhG Lzlle d G
HVAC y 1f / 9
ELECTRIC QI(J3?O? , 9 •?'J?
ELECTRIC
Inapectlon Date Insp. Commsnts
Footings i ?D /Q
7L 7
Foundation
Freming
Roofing
Roug, Plbg 9-V w 6 l1 l?
Rough Htg.
l5ul.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Conet. Meter
EngrJPlan
Bldg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
r ^ ^ ^ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (612) 681-4675
SITE ADDRESS: APPLICANT:
? PERMIT SUBTYPE: TYPE OF WORK:
tit iii1T INo, I I I ; INAi
kl MARM,'-. : ( 11fi1 I ANf} L Af; F )
+ll I 1 i? i M?#
i: •1!,'.'?.
+lFu
flfllflNC>N Ntt!'.)
'F . .
I ;}
.. ... c
Pertnh No. Permlt Ho1Cer Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapeetlon Dete Inap. Comments
FOOTINGS
FdUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ?
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
/
EAGAN TOWNSHIP
BUILDING PERMIT
.... ?.._....... .
. .................
:. .........°' --
Ownax .... ..............-------...`."O?'"
Addrass (Pzesen!) •---.? ?d...-... W, ......
Builder ....
Addrasc ..
N° 2533
Eagan Township
Town Hall
Dela ...... ....................
Stories To Be Used For Fron2 Daplh Heigh! Esi. Cos! Permi! Fee Remarks
LOCATION
3treef. Aoad or OfhaL DOSeriDfion of LoceSion I Lo! I Slock I AtlCl3ion os TieM 6/
4-4U L N?ii r?e- , I o/b I4-
5
This permit does not au2horize !he use of slreels, roeda, alleys or stdewalks aor doea it give the oaner or 6is ageo!
!he righf fo ereate any si2uafion w6ich is a nuisance or which psesenfs a hasard !o ihe heellh, safelp, eonvenience end
ganeral weltare !o aayone in !he communiip.
THIS PEAMIT MUST BE' nRE"P?T" OyN-?THE PREMISE WHILE THE WORK IS IN PAOGRESB.
Thls is !o cerrifY. 2hat... J. r...-r..:-_-?9.'r.?'. .......... hae permissioa !o ereat a.J2................ _upoa
!he above deseribed premise subjeef !o !he provisQons of !he Building Ordinanee fos Eagaa Township adopled April 11,
1955.
t2?.^..7....... !.1.........._.
"- ".........-" ..................."'...............
................. ...........:..........-?.:--!`?".^..............._. Per ---.._..?
. .Chairman of Tnw° n Board ? Suildin4 IasPeclos
A
F-iii / ./
ILOI .
0 3650?/
Request -ate Fre No Roug'-In Inspection Requiretl
(YOU usl call mspector when reatly)
?? ?; Yes ? No j a
Inspeclmn OlnerThan RougRin
E] Ready Now ED Will NobN Inspector
pate Reatl
IZIicensed contracfor ?owner hereby request inspection of above electrical work at:
Job AtltlreSS (Street, Bax or Roule No ) CitY
1 ?FF a EA(?
Section No. Township Name or No Range No Counry
l! PM ^VVZ''A
Occopant(pRINT) ^
vl?% Phone N.
PawerSUpplier Address
Electncal onthaclor(Company Na Cantractors license N.
?l ?. Liam ??. D. c l
Mailing Atltlresa (ConUaztor or Owner Makmg Inatallatlon)
3'Ll0 P alk t, tLmll ' NL+S. 550s
Aulhori etl Si Wre (COnlract er Making Inslallalion)
? hone Number
l
-
`
50
0ll -
1-
T7 &D
l SiwiE 60ARO OF ELECTHICITV
Griggs•Midwey BItlB. - Aedm 5-128
1821 University pve., SL Paul, MN 55104
Phone (612) 842.Og00
0003 ?50 ? QUEST FOR ELECTRICAL INSPECTION
See InsVUdions for complebng ihis form on back oi yellow copy
"X" Be/ow Work Covered by This Request
THIS MSPECTION REOUEST WILL NOT
6E AGCEPTED 6V THE STATE 90ARD
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED
me
EB-00001?-99
Ne Add Rep. Type of 8widing Appllances Wlred Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt 8uilding Dryer Load Management
Comm.llndustnal Furnace Other (Specify)
Farm Air Conditioner
Otne? (specBy) Conttec[or's Femerks
F¢!
l
k
?1
'?
?
r
1?e
.
PcR.
c tVF..?
WIR.?V? 6
Compufe Inspection Fee Belaw:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ?$ s a 0 to 100 Am s N °O
Transformers Above 200-Amps ABOVe 100 -Amps
Si ns insPactors usa omy E? TOTAL .SO•
Irrigation Booms
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY RDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WIT 19 MO TH .
I, the Electrical Inspeclor, here6y Date
Roughin , ? ??
certlfy that the above inspection has F?nai
been made.
OFFICE Il5E ONLY
This request vatl 18 monlhs irom
I --------------
I F.`rOKce;Use I
?
I , a
? Permit# I
I
I I
I Permd Fee: ?
I ?
I ?
I Date Received: ?
I ?
I
j Staff: I
L - - - - - - - - - - - - - - - - - I
2008 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
FOR OFFICE USE ONLY
o
Dafe:
PropertyOwner. u ? ?? 74L
7 Ye,? PRV required
.
Address: 1/00 C-l1q Phone Number. Vo City R-O-W Permit
Plumber. Contact Name: 1irLnnl 5 iyo County R-O-W Permit
SEWER WATER '
4" Serv?er Service $1,589.00 1" Water Service ?gQ;6Sg:99-
Sewer lateral charge @$28.30/ ff Water laterel charge @$36.00/ ff ay?z yq?
Sewer trunk @$1,150/ connection Water trunk @$2,500 1 acre 2 C 61,290 32.
City SAC @$1001unit Water supply storage @$3?839-/-acrQ 4z 2 3p "'
MCES SAC @$1,825/ u' Receipt Oate:
it
$690 I
Pl
t
Receipt #: , Da\: un
x
an
@
Treatment
Septic abandonm ?
? $50.00 Permit Fee $50.00
Permit Fee
?--_ _$50.00 State Surcharge $0.50
StateS a?ge 'PlumbingPermitRequi2d-watermetertobe /
acqwred with building permit TOTAL'?j/ 11• !50
TOTAL:
SEWER & INATER
4" Sewer S.ervice
" $1,589.00 -
Water Servio?
1
Sewer lateral chargei $28.30/ff $2,660.00
Water lateral charge @ $28:601ff 153
Sewer trunk @ $7,1501connect?-
Water trunk @ $1,2001connection ?\
City SAC
MCES S
C
?
P
Recei t # , Date /'\
C(l ??'
Water supply 8 storage oD
/
Receipt # , Date
Treatment plant Septic a6andonment $50.00
F
Permit
ee
State Surcharge $100.00
$0.50
'PlumbingPermi[R uired-watermetertobe
i[ TOTAL:
h b
i
i
i
ng perm
acquired w
t
u
Number of SAC unifs is determined by the Metropolitan Council Environmenfal Services (651) 602-7uuU.
ce
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
1-5 SAC units $1,475lSAC und
6-10 SAC units $370 ! SAC unit
11+ SAC units $150 ! SAC Unit
M
2008 COMMERCIAL PLU BIW PEF
Date: Site Address:
?2G_iE2J'+'luf ? 0-!?
Tenant:
?-----------------
? FoC;dffce'U'se
I I
? Permit#. I
I I
? Permit Fee: ?
I I
I I
I Date Received: I
I I
j Staff: j
L_________________I
?tc( L fl l? ?1 C-.-
-YFi7.? G-Fisi-7a?-?o?s3
PROPERTY
OWNER Name:
Phone:
CONTRACTOR Name: License
Address: City: State: _ Zip:
Phone: Contact Person:
TYPE OF
WORK New Replacement _ Repair _ Rebuild Modify Space
- - - - Work in R.O.W.
Description of work:
PERMIT TYPE COMMERC/AL
_ New Construction _ Modify Space
_ Irrigation System L- 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 pickinq uo meter
Domestic: Size & Type Fire: Size & Price 3!4" meter 1$83.00
Avg. GPM High demand devices? Yes No
Flushometers Yes No PRV Required Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR contract vaiue $ x 1°/,
= 8 permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = 8 / -5? Radio Meter Read
- If Permil Fee is less than $1,000, surcharge is $.50 = $ 0 77 0 0 Meter(s)
- If Permit Fee is >$1,000, surcharge increases by $ 50 for each $1,000 `
1
`
??
$
,000 PertnR Fee (i.e. a$7,001-$2,000 Permit Fee requires a$1 00 surcharge). _$
- State Surcharge
Following fees apply when instaliing a new lawn irrigation system. $ Water Pennit
Call the City's Engineering Department, (657) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES S ,5
j=p??r a??Ppvw6?y= 61ai unn nuvnnauun is wmprece ano accurare; mal tne wonc wni oe in conrormance witn tne orainances ana coaes of ihe city of Eagan; that I understand this
is nol a permit, but only an applicahon for a permit, and work is not to start without a pertnit; that Ihe work will be in accordance with the approved plan in ihe case of work wh¢h
reqwres a review and approval of plans
ApplicanYs Printed Name
ApplicanYs Signature
,. -... _
FOR OFFICE USE. : Approved By Date r
, Reqmred Inspections;," Under Ground . Rough In - ,' Air7est ?' t Gas;Test z - Final: "; Page 1 of 3
2008 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date: FOR OFFICE USE ONLY.
Property Owner: _ PRV required ?,
Address:
Phone Numbe
r: _ City R-O-W_ Permit
, .
Plumber: Contact Name: _ County R-O-W Permit
SEWER . : . WATER ._ , . . .
4" Sewer Service $7,589.00 1" Water Service $2,660.00
Sewer lateral charge @$28.30/ ff Water lateral charge @$36.00 / ff
Sewer trunk @$1,1501 connection Water trunk @$2,500/ acre
City SAC @$100/unit Water supply storage @$3,930/ acre
MCES SAC @$1,825/ unit Receipt #: , Date:
Receipt #: , Date: Treatment Plant @$690 / unit
Septic abandonment $50.00 Permit Fee $50.00
Permit Fee $50.00 State Surcharge
$0.50
State Surcharge $0.50 'P/umbing Permit Required - water meter to be
acquired with bwldrng permit TOTAL:
TOTAL:
- > .. . . _ . - . - :. , . _ . . , _ , . .
, .,. .. . . ;.. .,
SEWER & WATER-:'
- _ . .. , . ?
4" Sewer Service $1,589.00
1" WaterService $2,660.00
Sewer lateral charge @ $28.30Iff
Water lateral charge @ $28.60/ff
Sewer trunk @ $1,150/connection
Water trunk @ $7,200/connection
City SAC
MCES SAC
Receipt # , Date
Water supply 8 storage
Receipt # , Date
Treatment plant
Septic abandonment $50.00
Permit Fee $100.00
Sta[e Surcharge $0.50
"Plumbing Permit Required - wafer meter to be
acquired with burlding permit TOTAL:
rvumper or SHC unirs is aeterminetl by the Metropolitan Council Environmenta/ Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
1-5 SAC units $1,540/ SAC unit
-----------------
6-10 SAC units $3851 SAC unit r
?
11+ SAC units ? ForOfice Use
$155 / SAC Unit
? Permit#: ?
I I
? Permit Fee: ?
I I
I I
I Date Received: I
I I
j Staff: j
L - - - - - - - - - - - - - - - - - I
Cc: City of Eagan Finance Department
Page 2 of 3
. 4- / ??
? Pernut #:
Receipt Date:
CITY OF EAGAN
2003 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTiNG COMfVIERCIAL PEaOPErZTY
/? '
Address I 1 O 0 ?` Q,,.Q e(3O-?J skx
PropertyOwner ?)a-vClk-c.. 00\-k-A?,. ?U 1-1
Telephone #: L-( - t} (o ? 2?
Plumber y3 7- V
Date of Inquiry:
Contact Name:
5ewer
8" Sewer Service
Lateral charge Q $24.00/ff
Trunk @ $2,010/acre
City SAC @ $100/unit
MC/ES SAC @ $1,275/unit
Receipt # , Da _
Septic abandonment
Pertnit Fee
State Surcharge
F
?
$ 1 34 . 6" Water Service
City 1-inanced _ _
Lateral charge @ $30.55/ff ? asl?urd?
Trunk @ $2,115/acre A G IOJ.?z"'/ v
Water supply & storage @ 53330fseae d6e 90sI g10, a
Treatment plant @$564/SAC unit,C a J?y
Permit Fee 50.00
50.00 State Surcharge .50
50.00
so
1?? 4J\J?4Y/`V.YVLnLYI? ?? 1,
?RcJi d
$ Total $?
Separate plumbmg permit required
Sewer and Water
8" Sewer Service
6" Water Service
Sewer lateral charge @ $24.00/ff
Water lateral charge @ $30.55/ff
Sewer trunk @ $2,010/acre
Water tnmk @ $2,115/acre
City SAC @ $100/unit
Base SAC @ $1,275iunit
Receipt # e
Water supply & st ge @ $3,330/acre
Treatment pl $564/SAC unit
Septic ab onment
Surchazge
? Total
Separate plumbing permit required
Number of SAC units is determined by t):e Metrop
$ 1340.00
2.250.00
50.00
100.00
.50
$
Environmental Services /651-602-1
OFI-ICE USE ONI.Y
?PRV required
R-O-W Permit: Gty NCountyXo
t:npaid
Permtt 1=ees
o-0
ob
cc: Carolyn Krech, Finance Departrnent
Permit #; Receipt Date:
CITY OF EAGAN
2002 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
-1? EXISTING RESIDENTIAL PROPERTY
/
? /
/? OFFICE USE ONLY
Address /
o
on G.c o. l
c
Property Owner Oa f5 0 7'0. eo,? f?y Yai &d PRV required
_
Telephone #
_ City _ County R-O-W Petmit
Plumber
Date of Inquiry
Sewer Water
Lateral chazge .35/ff $ Lateral chazge @ $23.60/ff 100?} . ?° \?0
$ ?5?o
Trunk @ $945/connec Trunk @ $985/connecqon 98'S
.?'? ?
City SAC 100.00 Water supply & storage 880.00 ?
MC/ES SAC 1,200.00 Receipt # , Date
Receipt # , Date Treatment plant ' 540.00
Septic abando ent 50.00 Permit Fee 50.00
Permit Fee 00 State Surcharge _50
State S charge _50 Plumbing permit required - water
muer to be acquired with plbg permit
Total $ Total $ y$ l S. S?
?--
Sewer an d Water
/
Sew ateral charge @ $23.35/ff
Water latero charge @ $23.60/ff i?
SeweruvnkI@A945/connecrion
Water hunk @ $98 connection
City SAC 1?•?0
MC/ES SAC 1,200.00
Receipt # , Date
Water supply & storage 880.00
Receipt # , Date
Treatment plant 540.00
Septic abandonment 50.00
Permit Fee 100.00
State Surcharge .50
Total $ ?
Plumbing pcrmit roquin;d
wutcr mvIOr to tx: ncquir:d with plbg lLTnit
cc: Carolyn Krech, Finance Department
Page 1 of 1
Jerry Wobschall
From: Russ Matthys
Sent: Tuesday, June 04, 2002 3:56 PM
To: Jerry Wobschall
Cc: Tom Colbert
Subject: Dakota County Parks Request to Connect to City Water - Holland Lake Shelter
Jerry,
As part of the Cliff Road upgrade, a water service was stubbed out to Lebanon Hills Regional Park in the area
of the Holland Lake shelter. I believe it was a 1.5" line, but you should probably check the plans to make sure.
Dakota County Parks has requested connection to this water service stub.
Please calculate the associated connection charges and prepare an assessment waiver for the County's
approval and payment in order to allow the connection to our water system. We should probably discuss
before sending to the County. The contact person at the County Parks Department is:
Craig Johnson
Dakota County Pazks
8500127th Street E.
Hastings, MN 55033
9?[ss
(,sr- y37-Ys&o
CJ'Gr ^? L J?/?olT PV'? OCLT6i I Oh /???
4/4
Qi710?nT c? ?D?Iin
1 p le.aj -4? ? t
Q ?,Gr QJOJ/lOri..J ?0?/GJ-l Gc??/ / D
ny 0
? o T
'/
?'? .C ?C ! Z?- a
Y3a7
J 'ev' 1
a s ti"h l
6/7/2002
l
CITY USE ONLY
PS.RMI; # _l RECEIPT DAT'E: ? - ? ? - C)
COMbIEtCIAL PLUMSINH PEPJIIT APPLICATiOF
LA- ? crrroFEnsM
n G 36so ruar xAOS itn
1J L ? O BR8AF.31F881EE
S eg1-691-4873
-? c-? o h 3? _
INCOMPLETE APPUCA110NS WILL NOT BE PROCESSED
Date: 4/16/01
WORK TYPE New Bldg Add-on X Repair RPZ PVB • irrigation system
• Must complete reverse side of applicauon also. Requ'ved meter size is 2" turbo unless smaller size permitted 6y Public Works
DESCRIP7'IONOFWORK F& P after fire, per nlan & spec
To inquire if Pressure Reducing Valve is required on new service, ca11 65 1-681-4646
METERS - Ca11651-681-4300 to verify that hydrostatie, conductivity, and bacteria tests passed prior to niclrina un meter
Irrigation Size & Type
Fire Size & Price 3/4" disulacement
Domestic Size 8c Type
Does this include high demand devices?
FLUSHOMETERS
Site Address:
_ Yes _ No
1100 CLIFF ROAD
Avg GPM
$149.00
Avg GPM
PRV REQUIRED
Tenant Name: HOLLAND LAKE PAP,K SHELTEft Telephone #:
Was,there a previous tenant in this space7 _ Y_ N. If Ycs, Name:
Installer Name:
STATE MECHANICAL INC.
_ Yes _ No
(Area Code)
Telephone #: 651-463-8220
(nrea Code)
Installer Address: 5050 W 220TH 5T
City: FlIRMTNGTON Statc: MN Zip Code 55024
FEES Contract price $ 5,000 x 1% ($50.00 minimum)
Required on all new buiidings & boulevard irrigation systems (Acct # 92204509)
Surcharge: $.50 Minimum. [f contract fee exceeds $1,OOQ calculate at
50 cents per $1,000 contract fee.
Total From Reverse
I hereby aclcnowledge that I have read this applicacion, state that the ii
ordinances. It is the applicanYs responsibiliry to notify the property ownE
during its noanal operarional and maintenance activiries to the facilities
Contract Fee S 50.00
Meter(s) $
Radio Meter Read $
State Surcharge 3
New Service $
Total S 5 ' v v
eomet, and agree to comply with all applicable Ciry of Eagan
gf Eagan assumes no liabiliry foc any damages caused by the City
I I I v
CITY USE ONLY ' 11 uu
REQUIRED INSPECTIONS: _ U.G. _ Air Test Gas Test _ Rough In _ Final
? 4
-16-0( RY- . - -
PLANS SUBMITTED APPROVED BY: Leq BUiLDING INSPECTOR
Yes No
IRRIGATION SYSTEM (CONT)
Service: _ existing (iF coming off domestic line) OR _ new
If'bewservice", contactJerry Wobscha/l, Finance Consultant, to confrrm addingjeesfor:
Water Pernilt & Surcharge - $ 50.50 $
Water Supply & Storage - $ 860.00 $
Water Treatment Plant Chazgc - $516.00 per SAC unit $
Fees to be added to front side of application $
GENERAL INFORMATION
• Radio Meter Read (rcquired on ali new builditigs & Uoulevard irrigation systems- $153.00 (Acct Code N 9220-4509)
• Water meters include copperhom/suainer, remote wire, and touch-pad meter
- ?
GPM METERS USE PRICE GPM METERS USE PRICE
I-20 5/8"displacement residential $115.00 4-120 1-1/2" irrigaaonsyst $ 727.00
sm commercia] turbine'* `•must receive
maximum approval from
continuous Public Works
10
230 3/4" displacement lawn imgation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00
manimum residential &
continuous sm commercial production lines
15
3-50 1" displacement very ]g res $194.00 1/4 to 160 2" compound bldgs over $ 1,157.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & ]g comm bldgs
25 im ation s stems
5-100 1-1/2" bldgs 25-64 units $428.00
maximum displacement &
continuous most comm bldgs
50
METERS FO I iN . 0.DAY V N. NOT[CF P 10R TO PI K iP
GPM METERS USE PR[CE GPM METERS USE PRICE
5-350 3" hubine very Ig irrigation syst $1,184.00 6-500 4" compound +300 unit bidgs & $3,476.00
& production Iines very lg comm bldgs
1/2320 3" compound +Zpp unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4° turbine very ]g ireigation syst $2,132.00
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, call 651-681-4675.
• To arrange for water turn-on, ca11 65 1-68 1-4300.
ec: Kns Foester, Maintenence Division Clerical TecMician Updated I/01
651 463 8244
APR-(6-2001MN) IZ;II STATE MECHANICAL INC (PAX)651 463 8244 URDI1i'002
SYASE 166LECHAIOIICAL, INC.
5050 W. 220th St. • Farmington, MN 55024-9625
Phone: (5511 453-8220
Fax: (851) 463-8244
'ACSIMILE TRANSA?fl'TAL COVFR STJEET
D,TE: LI ?6 ? ?I
DELIVER TO:
ATT'ENTlON.
PHOiNE NO:
IAXNO: 94
PAGES: Z--- RNCLUDING COVER LL-TTERI
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I MECHANICAL ALTERNA3'E KEY NOTES I
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Minnesota 55122-1897
Eagan,
. ¢t? y
•?
?:of e?iqan ; 681-4600
1
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ity/AHIrmaGve Action Employer
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RECEIVED
Date•
,
.
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' SEP 0 8 1995
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i?t? ?LATlLOCAtIOfJ: AMOUNT
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;
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ITE - Customer YELLOW - Remlttance PINK - Department
TOTAL DUE UPON RECEIPT - ?oaGOLD - Flnance
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?
PERMIT
CITY OF EAGAIV PERMIT TYPE:
3830 Pilot Knob Road B U I LO I P! G
Eagan, Minnesota 55122-1897 Permit Number: 029526
(612) 681-4675 Date Issued: 05/13/97
SITE ADDRESS:
itoe cLr.Fe ao
LO1': 10 EiLOCK: 23
SFClION 36
DESCRIPTION:
(LEaANoN wxl_Ls)
c•rmit Typo rr:r,l?
?P-F I, T Ype FtEW
434 RESIDENTIAL
_ _N,, "
- -
- -
_
-
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6,F; ?
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- E? ?'ee TM.R 4Ni
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REMARKS:
(HOLLAND LAKE)
FEE SUMMARY:
Base Fee
Surcl-iarge
7otal Fee
CONTRACTOR:
?. ...___.? ?.
$50 .50
' I her?by -- Xi' 41
??-
St;??ut??
-APPLICANTiPEflMITEE SIGNATURE
OWNER: - Applicant -
DAKO7A COUNTY PAF2KS
8508 127TH ST E
HASTSNGS Mh! 55033
(612)438--4560
.'ha 9;40??*?w?`3.'?',`J..??I`Ir?i?,'f'€?.
hfM'e?.,, ;
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?
ISSUED : S N URE
??-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERM(T APPLICATION (RESIDENTIAL)
681-4675
-'ff 1) .J U
Cr,QU I-24
? 3 mqisterod sile surveys ? 2 eopks of plan 13,1 I; ,? tp
4 4 copks of plana (Mdutle Wom 6 w'nWow s@es; pound }nd. detipn; etc.) ? 2 tke surveys (exterior oddittons 8 tleds) ???o
?
? 1 snerpy ealcvlatlons ? 1 energy oakulations for heated additions p, •;
?3 copies ot tree proiarvMbn pNn M lot plopsd aRer 7/1/93 ..... .,??
rs4WmA: ?Yes ? i:b ? DATE: CONSTRUCTION COST: 2S , OG1C?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 010 BLOCK 1? SUBD.IP.I.D. 9210 - 4X
' dol '?
PROPERTY Name: Phone #: +'>g'4Cy(0o
OVMER u., ?.
. Z
Street Address• 'O? ? ? LIT' 1-16
City: Ha4it,%c+I C,_ State: ??- Zip•
CON7RACTOR Company: Phone #:
Street Address: ??,t'?? lvusi ?L c nse #-
City: State: Zip•
ARCHITECT/ Company: !SQUCc'-)vc,0- 7-?vcU.abkS Phone #- $
ENGINEER
Name: ? l&+n. isiV-P- Registration #• ? 'L'?? `?
Stree± Q, rqreec. --(4F8 ?Atts2
City: U!;ak5 State: Zip: ?1
S2wer & water licensed plumber: Penalty applies when address change and lot
change are roquested once pertNt ia issued. r
1 hereby admowiedge Mat I have read this appBeaBon and state that the iniortnatlon is correct and agree to eomply with ali
lapplipble State of Minnesots Statutes and City of Eagan O?dinances.
, Signature ot Applicant: v
OFFICE USE ONLY
CeffiCates oi Survey Received
_ Yes
_ No
? No
Tree Preservetion Plan Received Yes
CITY OF EAGAN PERMIT ?-.31y /i
? yry
383U Pi?ot Knob Road PERMIT TYPE: 8 U I ? o5?' I N
Eagan, Min nesota 55123 Permit Number: 0 2 4 4 0 4
(612) 681-4675 Date Issued: 0 8/ 19 / 9 4
SITE ADDRESS:
1100 CLIFF RD
DESCRIPTION:
(PARK PAVIlLION)
Building,Permit Type PUBIIC FACILTTY
Building Work Type ApDITION
/Construction Type V-N
? L
i ?
?
,
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? C?s?:?U?
?.
REMARKS:
FEE SUMMARY:
VALUA7ION $90,000
Base Fee $.00 FEES WAIVED $.00
Surcharge $45.00 Total Fee $45.00
Total Fee $45.00
CONTRACTOR: - Flpplicant -
NORTHFIELD CONST 26458975
1600 RIVERVIEW LN
NORTHFIELD MN 55057
(fr42') 645-8975
?
OWNER:
DAKOTA COUNTY
1590 HWY 55
HASTINGS
(612)438-4533
MN 55033
I hereby acknowledge that I have read this application and state thet the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANTlPERMITEE SIGNATURE
? ISSUEDBr sl NA U I rn,d
I
.14404
cinr oF EaGaN
1994 BUILDING PERMIT APPLICATION
681-4675
?IZZ.°0
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
. . calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
04.60.td by specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date g/Z 0, Valuation of work
Site Address:_ c /il'f
?
STREET 8U[TE M
Tenant Name: (commercial only) Gkn,iv
IAT SIACR SIIBD. P.I.D.
k
Descri tion of xork:
The applicant is:' ? Owner Contractor ? OtI12T' (Deseribe)
Name ?Da?o4-ti Coc,„f ?., Phone ?l3?-`r'S33
Property LAST RST
Owner 1
'
?
S
Address
5
w ? S
qo
STREE STE M
City State An Zip 5-5033
eompany 1SI0?4ti;1"eA C?enc-I-MU?l-c?r, Phone S07-6y5 SA9
C011t1'aCtOf Address UOD Qlvr.vwew IanP License 8/dR3 Exp3-31-9
City No?ikfie1A State „& Zip !=S"/
Company CLdis 08kiri4 S'??-a'?-l.t? Phone 41Z-9y1-qp'ZZ-
ArchitecU
Engineer ,
Name • Registration #
Address7520 M4r9tt ?4tf
City rutvi pl-a.?l4j_ State _'Ny ?Zip ?
Sewer & water licensed plumber Scwu..- NhcR ScI,.nj`fz ? 2275 . Processing time for
sewer & water permits is two days once area has been approved. ?b '60?yo5'7 PJI
I
I hereby acknawiedge 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:
?
?
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?
?
?
b
F
t
.
?
r
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Mist.
OFFICE USE ONLY
- ! - -.
O 16 Basement Finish
O 17 Swim Pool
13 18 Comm./Ind.
? 19 Comm./Ind. Misc.
020 Public Facility
O 21 Miscellaneous
O 06 Duplex .
? 07 4-Plex .
? OS 8-Plex
? 09 12-Plex
? 30 Multi. Add'1.
? WORKTYPE
y
t ,$] 31 New ? 33 Alterations ? 35 Tenant Finish
"•O 32 Addition O 34 Repair ? 36 Move
? GENERAL INFORMATION
< Const. (Actual
` (Allowable? ii
` UBC Occupancy
Zoning
? S uf Storles
` Length
Depth
y APPROVALS
Planning
Engineering
. REQUIRED INSPECTIONS
' fl.Site
? Mallboard ?
3
?
?
0 37 Deroolish
Basement sq. ft. MWCC System
lst Ft, sq. ft. tity Water
2nd Fl. sq. ft. PRV Required
Sq. Ft. total Booster PumP
Footprint Sq. ft. Fire Sprinkler
On-site well , Census Code
On-site sewage ' SAC'Code
. Census Bldg
Census Unit
Building " Assessments
Yariance
?
EY Final O 11 Apt./Lodging
El Footi ng
? 12 Multi. kisc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
,k7 Framing
? Draintile: ?
30
?
? Insulation
? Fireplace
Permit Fee
Svrchargs
Plan Review
License
MWCC SAC
City SAC
Mater Conn. `_-
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Traits Ded.
Copies ?. . ; . -
Other --
Total:
SAC 7d
SAC Units
wturt4m: 8 ? ( -`? 777,
. . . .. _ . _. .... ;?. ?_...,->.-.. ?.,. ._ . _._.... ._ _
6? Gh -!??
00
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
? ,,3??y 3y
,-? akk"O--?, (t - L-oI
Foundation Onl New Construction Interior Im rovemen;
• SWCtural Plans (2) sets • Architecturel Plans (2) sets • Architeclural Plans (2) seEs
• Civil Plans (2) • SWCtu21 Plans (2) • Code Anaiysis (1) "
. Certificate ot Survey (t) • Civil Plans (2) • Prqect Specs (1)
• Code Malysis (1) " • Landscaping PWns (2) • Key Plan (1)
. Project Specs (1) • Code Malysis (1) " • Master Exit Plan (1)
• 5pec. Insp. & Testing Schedule " • Certifipte of Survey (1) • Energy CalculaGons (t) nocaiways'-
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) notalways"
• Meter size must be established • Meter size must be established • Meter size must 6e established - if appliwble
• ProjectSpecs (1)
1 • EnergyCalculaUons (1)
1 • ElecUic Power & Lighting Form
'•
(1)
1
1 • htaster Exit Plan (1) 1
1 • Fire ProteGion Plan (1) ^ 1
! • Soils Report (1) 1
• MGES SAC determination letter • MCfES SAC detertnination letter • MC/ES SAC determination letter
ca11651-602-1000 p11651-602•1000 ca11651-602-1000
" Contact Building Inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - ca11 6 51-21 5-0700 for details.
DATE
SITE
3-Z]-01
?
TENANT NAME fiu kn trA outl+-? Pa?'?5 ae 1,11
FORMER TENANT NAME
DESCRIPTION OF WORK
? ? U 6
Name: T6 h Vl S O l/i G r? 1? 5 Phone#: (,? r I )?'I 3? ' L(" 6(I ?
PROPERT'Y Last Fust
OWNER _ , . A n _
Sneet
Ciry
C) o I D-1 1'v Sl- ?_
State M /v Zip <?6^0
?
Company eap-(cOS 6 ON STrUC'ri'Oo C 0 Phone# (,6f I ? L1 m ^OOz ?
CONTRACTOR ? ?O ? o ?
SheetAddress: ? ?a S F
City w. ,5 T gc, U ? State A4 4 Zip SS ? I?
ARCHITECT/ ?
ENGINEER cornpany C I U 1'.S , Sfi teOt'4e/}' Phone #(6f32 I 1l
_I Y22
Name Lira ? y L I (/ t' S Registration # TO ?
ShcetAddress 25-2-o Ac„l-ker PlG c < 0 r I (/t
City f J C41 YKja Y'< State ??f ??? ZiP 5?3-t!?J - C'1q T)
Licensed plumber instaliina new sewerfwatar service: A Phone #: (_1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compty with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? j?
?? ?
Updaled 1/f
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New
ZI 32 Addition
? 33 Alterations
? 34 Replacement
AY 26 Public Facility
? 27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Naii Salon
? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
? 36 Move Bldg ? 43 Reroof u 47 Repair
? 37 Demolish (Bldg) p 44 Siding ? 48 Authorization
? 38 Demolish (Int) )W 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units ?
No. of Bldgs. Const. (Actual)
(Allowable)
UBC Occupancy -?
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
l'ilfi Engineering
sq.ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
Ciry Water
Fire Sprinklered
? Plumbing 0 Stucco/Stone
Variance
Permit Fee ?1 -rj
Surcharge 3 ?
Plan Review rj? 3 O
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quaiity
Other
Copies
VALUATION $ ` 1.3 0 6 U. d v
% SAC
SAC Units
Meter Size
Totai 13 L,q. 3 ?4
CITY USE ONLY
PERMIT #: 07j RECEIPT DATE:
_?b-a(
APPROVED BY: , INSPECTOR
COMMERCUE. MECIIANICAL, PERMIT APPIICATION
CiTY oF EAsAN
S$SO PILOT KNOB itD
EAsM, Mx 55isE
651-681-4675
- 1--l-C)/
Please complete for: all commercial/industrial buildings
multi-family 6uildings when separate permits are not required for each dwelling unit
DATE: 4/10/01
SITE ADDRESS: 1100 CLIFF ROAD
OWNERNAME: CITY OF EAGAN
PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: STATE MECHe1NICAL INC.
ADDRESS: 5050 W 220TH ST
PHONE#:651 _ 463-8220
(AREA CODE)
CTTy: FARMINGTON
STATE: MN ZIP:55024
WORK TYPE: New conshuction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNatureofWo:k: P' &°R afte-r fire, per alan & spec
When inst¢Iling/removing underground tank, call 651-681-4675 for insgectian by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallarion = rxununum fee
Contract price: $ 13 000 x 1%_$ eYJ , o-G (Base Fee)
State surcharge ,410 calculate at $.50 fo e ch?$1=?ilQ?Base,Eee-
i7i
ToTai. 6?o E? APR 1 6 20?1 IDI?
Updated 1/Ol
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: _ /a /,v 7,1 q / CONTRACT PRICE: $ /.? 7Sd, d-n-)
? NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF ?CON'1' ?Ai?"•I' FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
STTE
OWNER
TENANT NAME: (tMPROVEMEtsTs oivt;Y)
TELEPHONE #:
/ ? ? ?-'
?
SIG ATURE OF P RMTI?'s ^ CTTY INSPECTOR
FEES 5 0
$ /a
$25.00
$25.00
$.50 FOR EACH $1,000 OF PERM FEE.
$ /a8 ? ... ..
PA-14
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY: STATE: 5?W, ZIP CODE:
TELEPHONE #: 3
x
?`',.^,°':? :>_
.$?
?.:.:_?b. a ?.s?:MK`"?:n•'E? ? ?' .. .
. :
.,,?y°.a? ? `6.aq ?'ia.?4$.'r&"i3-?' as ` a.q"' ?'?°^•:,????s ?? r y .,.. ? > a??.:?? :
?:>r&. ? ..??rV?w??. r >:?cA.<.3;€;r ?£m •.. . ?::?N.;?: ? ?" ?;fi?&'?,>'i;. ?? x?. 4^.? `? ' '?$ ?'i?`"?,. ? . ?"` ^. ? " :. ??? S
.. ?
a3,.aY? ?{.k et",. £?2'Y???S.'g, <$?'?•.?s? f%E:°?`h3?' ' ?,:??.. .?>?.'::?.?
7T
PLEASE COMPLETE FOR ALL COMMERCIAI,INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTTON
ADD ON
REPAIlt
WORK DESCRIPTION:
corrrRacr riucE: $ X-t-)
FE& 1% OF CONTRACf FER"
STATE SURCHARGE: $SO FOR EACH $1,000 OF µ?!?, FEE.
MIIVIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADI
TENANT NAME:
OWNER NAME:
INSTALI:
00
$ 1.3Jr
$ /,35. 5 0
ADDRESS: /YD 3 16)
CITY: Gf// go?I STATE: ZII' CODE: S?049? ?
PHONE#:
FOR: ),-? /
CITY OF EAG
1 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
Ee1GAN MN 55122
(612) 6814675
I For Office Use
j)• n E Permit
Cit of Ead
3830 Pilot Knob Road I Permit Fee: ~6/10• ~56 1
I
Eagan MN 55122~~h tIC~~~~ j
Phone: (651) 675-5675 Date Received: I
Fax: (651) 675-5694
Staff: I
fr1 S i-----------------1
2009 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
Date: ~690G1 {~l~S 1 6• f%~i~1L FOR OFFICE USE ONLY
n PRV required
1~5 6 5~~
Property Owner: l~?14
l0o City R-O-W Permit
Address: t Phone Number: lr~ 71y7a
- -707, - (5
Plumber: Contact Name: C i 6v~ a -County R-O-W Permit
SEWER WATER
Sew Service Water Service -
Sewer ral charge Water lateral charge l 325 F27
Sewer t
runk Water trunk City SAC @ $100 it Water supply storageMCES SAC @ $2,000 u Receipt , Date:
Receipt e: Treatment Plant @ $735 unit x 2 O°
70
Septic abandonmen $ 50.00 Permit Fee $ 50.00
Permit Fee $ 50.00 State Surcharge $ 0.50
State Sure ge $ 0.50 "Plumbing Permit Required - water meter to be ~~~vv}}
acquired with building permit TOTAL-hrjs i
TOTAL: ,
SEWER & WATER
Sewer ervice
Water S rvice
Sewer lat al charge
Water latera harge
Sewer trunk
Water trunk
City SAC
MCES SAC
Receipt # Da
Water supply & rage
Receipt # Date
Treatme plant
Sep' abandonment 50.00
P rmit Fee $ 00.00
State Surcharge $0.,50
"Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
Cc: City of Eagan Finance Department
- - - - - - - - - -
f For Office Use
a City of La no Permit I
3830 Pilot Knob Road I Permit Fee: Q&
Eagan MN 55122
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694
7~-
Tb717 C S Tk- I6-12M 6 C - 6 ,lj/- 70 7 staff:
2009 COMMERCIAL0[6( PLU_MBI G PERMIT APPLICATION ~j
Date: -0 Side Addr ss:
- C J 1 Lf l S 1&11,917d
Tenant: E
Suite
PROPERTY
OWNER Name: Phone:
r.
CONTRACTOR Name: License
Address: /100 -T III( 12J 4 City: z'M4 n State: Zip: Spa
r,-71c- C-( Phone: 4 'X/Contact Person: 6~L
TYPE OF New Replacement -Repair _Rebuild - Modify Space -Work in R.O.W.
WORK -
Description of work:
PERMIT TYPE 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 allo d by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size &Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? Yes No Flushometers _Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value x1%
QPermit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ / 00 Radio Meter Read
V(D
Meter(s)
- If Permit Fee is less than $1,000, surcharge is $.50 $ 1~
- If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ y State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ / State Surcharge
TOTAL FEES $ C~ w
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina 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 ; that the w II be in a rdance with the approved
plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name ::'Applicants I ature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In "-A r Test _Gas Test Final
PRV Required: _ Yes -No
Page 1 of 3
}
2009 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
Date: FOR OFFICE USE ONLY
PRV required
Property Owner: -
Address: Phone Number: City R-O-W Permit
-
Plumber. Contact Name: - County R-0-1N Permit
SEWER WATER
Sewer Service Water Service
Sewer lateral charge Water lateral charge
Sewer trunk Water trunk
City SAC @ $100 / unit Water supply storage
MCES SAC @ $2,000 / unit Receipt Date:
Receipt , Date: Treatment Plant @ $7351 unit
Septic abandonment $ 50.00 Permit Fee $ 50.00
Permit Fee $ 50.00 State Surcharge $ 0.50
State Surcharge $ 0.50 "Plumbing Permit Required - water meter to be
TOTAL: acquired with building permit TOTAL:
SEWER & WATER
Sewer Service
Water Service
Sewer lateral charge
Water lateral charge
Sewer trunk
Water trunk
City SAC
MCES SAC
Receipt # Date
Water supply & storage
Receipt # Date
Treatment plant
Septic abandonment $ 50.00
Permit Fee $ 100.00
State Surcharge $ 0.50
"Plumbing Permit Required - water meter to be
acquired with building permit TOTAL:
Number of SAC units is determined by the Metropolitan Council Environmental Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past.
1-5 SAC units $ 1,635 / SAC unit
6-10 SAC units $ 410 /SAC unit i For Office Use
11+ SAC units $ 465 / SAC Unit I I
Permit
I
I
Permit Fee:
I
I
Date Received:
I
j Staff:
L-----------------i
Cc: City of Eagan Finance Department
Page 2 of 3
City of Eagan
Cash Receipt
Receipt Date 1/29/2010
Receipt Number 157176
17.00
1" METER FOR 1100CLIFF RD
6101.4509 17.00
DAKOTA COUNTY PARKS, LEBANON H
Total Receipt Amount 17.00
110249 8:32:54
r- -
Jan-25. 2011 12:21PM Champion Plumbing 1-651-365-1332 No-2481 P. 4
- Use BLUE or BLACK Ink
Fo O#gce [)sa
1 Permll
City of Ea a~
I ~s-d~ l
3830 Pilot Knob Road Permit Fee; i
Eagan MN 55122 I bate Received:
1
Phone. (657) 675-5675
I
Staff: I
Fax: 651 675_5694
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Rate, 2. 1" It Site Address: b _ G I i _ d ►v/
Tenant: U X. t Cawr A/? / J~ Suite M
PROPERTY ~1
OWNER Name: R/ to Pq ed w1 Phone:
CONTRACTOR Name: j c w llti, C License 1.1 ~d v j
Address: 4]~J Cily: Stale Zi :t 1
p
Phone: rN Email; G14r f f C31A r'ai .1
TYPE OF New & Replacement -Repair _Rebuild - Modify Space Work in R.O.W.
WORK r~~
Description of work: 4t,>z 1I W
PERMIT TYPE COMMERCIAL
New Construction ~ Modify Space
- Irrigation System L_ yes ! _ no) RPZ PVB)
• Raln sensors required on irrigation syslems
'Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651} 675-5646 to verity that tests passed Rrlor to 2jLddno up_meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers _Yes _No
COMMERCIAL FEES.
$55.00 Mihimgm (includes Stale Surcharge) OR Contract Value 3L- yQ X1%
$ I Y° - Permitl=ee
Required on ALL new buildings and boulevard irrigation systems 4 = S /`'J Radio Meter Read
- If the Permit Fea is leas than 518,010, the surcharge Is $5-00 n $ ~ - - Meter(s)
-If the Perini Fee is ? $110,010, the surcharge increases by $.5o for each $1,008 permit Fee
(I-e. a $10,010-$11,000 Permit Fee requires a $$,So surcharge) es u a State Surcharge
Following fees apply when installing a new lawn irrigation system. water Permit
Call the City's Engineering Department, (661) 676-5646, for requlred fee amounts.
$ Treatment Plant
5 Water Supply & Storage
$ Slate Surcharge
TOTAL FEES # U-" ► S 4!
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.gopherstateonecaLQ!'a
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
unden;tand this is not a permit, but only an application for a permit, and work is nol to start without a permit; that the wark will be In accordance with the approved
plan in the case ofywork which requires a review and approval of plans.
x U rLilrt X
Applicant's Printed Name Applicant's Slgnature
E USE
FOR OFFIC _
Approved By; _
Date:
,
Required inspections:. `Under a round Rou h In - "Air Test Gas Test t: PkV Rey ulred: 'Yes' No'
Page 1 of 3
%e (i) Yom' Use BLUE or BLACK Ink
��'" For Office Use / �or;l�
Permit* j7U
,N,s,-,
r��57
City ofLL1010.
� Permit Fee: /"'
3830 Pilot Knob Road ,9.'f 7
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspectionsacitvofeagan.com Staff:
—7 J
2017 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 8/9/2017site Address: 1100 Cliff Road, Eagan, MN 55123
Tenant Name: Dakota County(Holland Lake Trailhead) (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: Dakota County Parks Phone: 952-891-7112 a,1,0,-)
rt
Prope�t er 14955 Galaxie Avenue, Apple Valley, MN 55124. "
Address/City/Zip::
Applicant is: V Owner Contractor
.yy Description of work: Build enclosure area for residential organics drop-off site
Type 4of o R
35
e.6))
Construction Cost i D oa
Cement work will be contracted(undecided);construction will be done by Dakota County staff
Name: License#: ) /
Address: s SS Gal k�/ dL City: ft C'"/Itiy
State: M� Zip: .SS l Z y Phone: 9 S 2-e4/- ?i/2.
Contact: 1-01,1,‘ Lx .-e-- Email: fo4%v a 6?,)(v►er�60. ciwLa , bh',. 1.,..5
Name: N/A Registration#:
Architet�Engineer, Address: City:
State: Zip: Phone: .
Contact Person: Email:
Licensed plumber installing new sewer/water service: N/A Phone#:
NOTE Plans and tuPOotting dents that,'sib,ilit ar4tanstliefedtobe public� i . moons of the '
t�rmat Mak be s d bio you p r s C t ��
are trai a secrefs
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www.citvofeaoan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
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.
Di0itaNy agned by John Finer
John Exner John Exner.-------)---,�s
X x Date:201708.09 09:5500-0500
Applicant's Printed Name Applicant's Signature
i' i� Page 1 of 3
. co .
// c C1,
`t, "� DO NOT WRITE BELOW THIS LINE /61-. 7 -t/ )
SUB TYPES
Foundation _ Public Facility _ Exterior Alteration-Apartments
X Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial
_ Apartments Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES 410-c•sL ,tk.42+51,---6
New _ Interior Improvement Siding — Demolish Building*
T Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
Replace _ Water Damage Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 3$1000 Occupancy u MCES System
Plan Review / J Code Edition ZeiS Ace.. SAC Units
(25% 100% Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Z2'rj Width
REQUIRED INSPECTIONS
)l 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 Electronic Plans Required
Windows
Final C/O Inspection: c J le Fire Marshal to be present: Yes ' No
Reviewed By: , Building Inspector Reviewed By: _ , Planning
COMMERCIAL FEES Water Quality
Base Fee # SZo s" Storm Sewer Trunk
Surcharge ;1 £t" Sewer Trunk J
Plan Review 33e. Water Trunk
MCES SAC Street Lateral
City SAC — Street j
S&W Permit&Surcharge - Water Lateral
Treatment Plant Other: J
Treatment Plant(Irrigation) !
Park Dedication
3
Trail Dedication — TOTAL: L
Page 2 of 3
. • ?of .?
COUNTY4,4A•44
Dakota County Environmental Resources
14955 Galaxie Avenue • Apple Valley MN 55124
Phone 952.891.7557 • Fax 952.891.7588 • www.dakotacounty.us
MEMORANDUM
DATE: August 9, 2017
TO: Mike Grannes, Senior Building Inspector, City of Eagan
FROM: John Exner, Environmental Specialist, Dakota County
SUBJECT: Building Permit Application for a Dumpster Enclosure (Residential Organics Dropsite)
Dakota County is seeking a permit from the City of Eagan to construct a dumpster enclosure and operate an
organics drop-off location at Holland Lake Trailhead located inside Lebanon Hills Park. The address of the
proposed location is 1100 Cliff Road, Eagan (just east of the intersection of Cliff Road and Lexington Ave).
The enclosure will be four (4) sided and will sit atop a concrete pad. The south facing long-side of the
enclosure is locked and will be accessible by the county's trash hauler. There will also be a residential access
door on the east side of the structure (this door will also be locked, participants of the program will be provided
with the access code upon registering for the program).
This building project will consist of the following steps:
1. Remove existing asphalt from parking lot area where the enclosure is proposed and replace with
concrete. This work will be contracted out; the county has not yet selected a contractor(I can notify
you of the contractor once the RFQ process is complete.)
2. Once the concrete is in place, County Parks staff will construct the enclosure. I have attached a picture
of the county's existing organics dropsite located in Thompson Park in West St. Paul. The specs and
appearance of this proposal will be very similar.
Enclosed for your review, please note the following documents:
1. 2017 Commercial Building Permit Application;
2. A zoomed-out proposed locational map;
3. A zoomed-in proposed location map;
4. An 11"x17" map of the proposed enclosure. The proposed enclosure is approximately 26'x14.5'.
5. A picture of Dakota County's existing organics dropsite enclosure at Thompson County Park in West
St. Paul (the proposed specs are identical).
Please contact me at 952-891-7112 or john.exner(a�co.dakota.mn.us if you required additional information or
have any follow up questions.