4391 Lexington AveY OF EAGAN Remarks l` 9?/1
Addition T O 26 Lot0? elk_??Parcel in n26nn 21.L
/Ow?ner v ./ ? A Street State
V,.ll?-?e"
Improvement Qate Amount Annual Years Payment Rece' Date
STREET SUFiF. . L- .,,
STREET RESTOR.
GRADING JC 5
SAN SEW TRUNK S?
SEWER LATERAL S77 7 , 2 -,,2S 493,,
a . ?. - • ?
WATERMAIN
NATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDIN ER.
SAC
J?AR
? • ? ; ,?_' ! ti ?? ?`v.c. J??2??'
XA- IAJ.p?.? c? . oo4
CITY OF EAGAN Remarks
Addition KENSINGTON PLACE
Owner Street
04 a
stace Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING li?4
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STOFiM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
OwnerW2 a Laaaf7 Street
Loi 015 Blk
State EAGAN M4V 55123
Improvement Date I Amount ' Annual I Years I Payment ' Receipt _ I Date
STREET SURF,
STREET RESTOR
GRADING
SAN SEW TRUNK
SEWER LATERAI
WATERMAIN
WATER LATERA
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
CITY OF EAGAN
,4ddition SECTION 26 Lot 014 e1k
Owner ?% ?4 t _ Street
? Lf O
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. - ? ?
SAC
PARK
' . . PERMIT #
4
L{ PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
' ?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -
CONTRACT PRICE PHONE 454-8100
Site Addren IL `? ' , I BIDG. TYPE WORK DESCRIPTION
Lot - Block ? Sec/Sub -y =
Res. New ?
m Name Muit Add-on
? Address ( " ? Comm. Repair
c City =- L Phone ` i Other
? Name _
3 Address
O Ciiy -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
NO. FIXTURES
-3_Water Closet - $3.00
Bath Tubs - $3.00
_?a_Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
? Urinal/Bidet - $3.00
Laundry Tray - $3.00
J, Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_Rough Openings - $1.50
FEE
STATE S10.
40(f' ' GRAND TOTAL•
TOTAL
S
?
FOR: CITY OF EAC,AN
'? ?T - ? CITY OF EAGAN N2 '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . 12449
PHONE: 454-8100
$82,000
Site Address 4391 LLX I NG'1'ON AVE
Lot `215 Block 30_Sec/Sub. SEC't' 2 G
Parcel No. 10"02600-015-30
¢
W
2
3
0
Phone
UQ
WW
?- W
-2
x
00
a=
t W
Receipt #
Date 5T A. 13
Erect 11 Occupancy A3
Remodel ? Zoning p 1'
Repair ? Type of Const ?ti-_
Addition ? No. Stories
Move ? Length d V
Demolish ? Depth 3 ?
Int Impr. ? Sq. Ft
Install ?
Approvals Feea
Assessment Permit `J /A
Water & Sew . Surcharge $-'4-1•0,
Police Plan Reviewa°I "
Fire
E SAC -? `' 7 5 • u
'j A
W
t
C
ng.
Planner er
onn.
a
Water Meter?
/A
Council Road Unit '
iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off?? Tr. PI. 171
information is correct and agree to comply with all applicable State of N R
Minnesota 5tatutes and Cityof Eagan Ordinances. APC Parks
?? _ 3 , , ,• ? ?? ?' Var. Date Copies
Signature of Permittee - -,y ?'`?_-I ? Total U
A Building Permit is issued to: h.L. ta . COUST Pr)CT I i7 V on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
I I PermN No. I Pwmit Nolder I Date I Tebphone M I
Li
Plbq.
Htq.
iffidg. Fx? JrI,?k y'I l.t1 PL- r.,e ?
?ca??. o?. ' ? - - -- -?i Z'- - - - - - - ?
Ftp.
Frmy.
Dhp.
A ?• •, .
' .
. • , , 6 , ?-
CONTRACT PRICE
Site Address,, ,! ,,)=it iiill ?'artc :
Lot Block - :
-
? Name
? Addrl
c City _
? Name _
c Address
O CttY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
aner
FEE
S/C:
TOTAL:
BLDG
TYPE WORK DESCRIPTION
i - .
R
N
es.
ew
Mult Add-on
C
R
i
_ , omm.
epa
r
h
O
t
er
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PEFiMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SlGNATURE OF PERMRTEE
PERMIT #
MECHANICAL PERMIT RECEIPT #
cirY oF E?c,Arr
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Phone
Phone
11Q,OOOM BTU
M BTU
M BTU
M BTU
CFM
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 21199
Eagan, MN 55121
Zaniny:
Uwner: - - '' • ^ ?
/lddress:
?' aL'
Sit! Add?Eas: -
Plumber. ?/ :
Nbter No.• 3 70 /??' e--
Sise: 08" Ract
Reoder No.:
1 yme ie emPh? wilb 60 Citp of
?IMUOM. ?1
BY
D+ate of I .
IF EAGANI
ilot Knob Road
ox 21199
MN 55121
C•4 f.. -f '
AddfESS:
.,?. *41b ,h» c? ?
?ah.?... : AJ t; = gefate diZ??ng
ZELF.PH4N?,4
SEWER SERVl CE PERMR
10 9 41?
PERAAIT Nf?.:
DATE:
No. af Units:
1Glisc. Chorom
Totoi:
Dote Pald: _
. i
?
. ?I
J
`
.
.
i
WATER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Units:
'+391 I.e::'.;ototi lwe.
U1 -_1 "t' . Sec 26 T2,
Dote Paid:
I nsp.:
CITY QF EAGAN SEWER SERVECE PERMn,
3830 Pilot Knob Road
P. Q. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE; ?- r
Zoninp: No. of Unlts:
Ownar. ? ? .
Address:
SitQ AddrlSS: ;'P r (r
PltlIYlbQI' -,• ?? n ?
- -- - - ?
I pM f0 a01M* wm The C*y of ywA
adiN11CM.
By
Dcte of Irup.:
CITY OF EAGAN
3$30 Pilot Knob Road
P. O. Box 21199
Eagan, N4N 55121
Ioninp: _
Owner:
Address:
Site Addreaa;
PlUfl1blC ' . _, . Meter No..
Sixe; _
Reader Na.:
1 prN !o eeaPlp wp6 tie City of Erwn
Ordiwroom
By
Date of Irup.:
C4I1MCtlOf1 ChOfgl:
AccotR1t Qepadt;
PfRI'1it F!!:
SUI'Ch0rge:
Misc. Chorpes:
Totol:
Dora Paid:
WATER SERVICE PERMff
PERMIT NO.:
DATE:
- No. of Units:
",.i•E'.
'i
Connettion Chcrge:
+,CCOUM DeposiY:
Permit Fee:
Surtharge:
Misc. Charyes:
Totol:
Date Paid:
CITY OF EAGAN TO PAY SAC CITY OF EAGAN A' p
& SURCHARGE. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'Y -
PHONE: 454-8100
BUILDING PERMIT GOAT HILL Receiptp
7obeusedfor PARK SHELTER Est.value $$Zr000 pate_
12449
AUGUST 13 19 86
I
SiteAddress 4391 LEXINGTON AVE ol? Erect ? Occupancy A3
Lot 01$ Block 30-Sec/Sub. ' T 2 Remodel ? Zoning PF
ParcelNO. 10-02600-015-30 41 Repair ? TypeoiConst l7_p
- Add'( ? N Stori
w
3
0
a
? U
UQ
?
ion o. es
Name CITY OF EAGAN Move ? Length dq
Address 3830 PILOT KNOB RD Demolish ? oepth3r
Int. Impr. ? Sq. Ft
city EAGAN phone 454-8100 I„$taii ?
A.L.M. CONSTRUCTION Aoorovala Fees
Name
Address P• O. BOX 191
City WASECA phone 507/835-1310
1- a SCHWARZ-WEBER ARCHITECTS
F w Name
?? Address 1511 EXCELSIOR AVE E
sw Ciry HOPKII?one 36-9818
I hereby acknowledge that I have read th is application and state that the
information is correct and agree to comply with all applicable State of
Minnesola Statutes and Cof Eagan inance? s.
L1
Signa[ure of Permitte l`"•"??
A euilding Permit is issued to: A. L. M. CONSTRUCTION
all work shall be done in accordance with all applicable State ot Mi so
Building OHiclal
Assessment _
Water & Sew.
Police -
Fire
Planner
Council
BIdg.Off. $/11/86
var.
Permit
Surcharge - 41 D
Plan RevievN?A
SAC $475.00
Water Conn. N/A
water Meter N/A
Road Unit N A
Tr. PI. N/A
Parks N/A
Copies
rotal $516.00
on Me express condition that
Statutes a d Ci of Eagan Ordinances.
This repuest wid /Q
18 momhs from
C 64816 3 30
40 - c,? l.ce --o i.s -3?
se?-L-I' • ;? 4
C- ?1?o
"v cl)
Request Date
?
f /'L?/f?f Fra No. Roueh-in Inspecvon
ReQU?red? ?,/
?Mes ?,?NO
?fleatly Now Q Will NoLfy InsOec-
tor When?eadY
0license Meoncal ConVactor 1 hereby request inapecbon oi abova l 1\
? Owner G.+ZCi l electrical work inslalled at I I
Street A ress, eoz o Nome No. Qtv
ecU n o. nship Name or No. Ranee o. C un y
Oc t(PHI 1?? Phope No. -
`?'?jC. ({Jq ? YC??
?
Power $uOVlier Address •
Etec i al C racmr Company m ? ? j
2L1C1 C'm/,tr/ac/tor's Lmense No.
?T/ ?! ? [?' -•?'
Madine Address (Conv cror Own ekfng I taila onl
.?so a ?
Aut?or"z d S?e^ature 1 on r ? , II ' n) Phone N? blr
MINNESOTA STATE BOARD OF EL,Ep'fNICITY THIS INSPECTION NEQUEST 11?ILL NOT
Gripps-Midwey BIdB• - poom N-L9'f BE ACCEPTED BY THE STATE 80AHD
1821 Universitv Ava.. St. Peul, MN 65104 UNLESS PPOPEN INSPECTION FEE IS
Phone (6121 642-0800 ENCLOSED.
This re.ques[ voitl
18 npnths /rom '
,C -3.=7812 ?ars,6 -3o,???-a? ?3 V`_T,
Nequest Date Fire No. po?gh-in InsVection
8eowred?
oReady NurcgJd+N•NOiify, Inspec-
P' ? ?eS ?NO tor When Reatlv
.j;j?ensed Electncal Con« actor I hereby request inspection ol above _.(rL " `t" C?Q
? Owner elecvical work inslalled aC ?
CtCi,
5[ree[ Atldress. Box or Rome N. Q
ecimn o. Townshi0 B or No. RanBe o. Coum
Occ pa [(PRIN )
a Phone No.
Pow upDlier Atldrn" . ? ?
d-_ _
??
Elec r al Contracto? IT
y Name) C lract
icense No.
? ?
?
/
Mai AdJres ICOnvactor or Owne'r Ma^king ns
'I`atl
y??
(n)
'
?
/TL
?
?
-
_
!? `
[
S.?U
Au raed iBna re ICOntractodOwner MakinB lnstallafionl Phone Number
` 151?1
MINNESOTA STqTE BOAP F ELECTpICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey BI N•191 BE ACCEPTED BY THE STATE BOAND
1827 UmversrtV Ave.. St. Peul, MN 56104 UNLESS PqOPEB INSPECTION FEE IS
on....- txlai 297-1111 ENCLOSED.
004 031
(e a11 9s
REQUEST FOR ELECTRICAL INSPECTION
10- Sea instmctions tor completing this krm on Oack oi yellow copy,
„X" Below Worl: Govered by This Request
Ne Add fier Type of Building Appliances Wired Equipment Wfred"'
Home Range Temporery Servica
Du lex Water Heater ElecMc Heatin
Apt. Building Dryer Loed Mana ement
xx Comm./Industrial Fumace Other (Specify)
Feim Air Conditioner
Other (epecify) CoMractor's Remarks.
Replace service at ball field.
Compute lnspection Fee Below:
# Other Fee # Service Entrance Siza Fee # Circuks/Feeders Fee
Swimmin Pool 0 to 200 Amps 4 0 to 100 Am s 1 96.0
Transformers Above 200 bUU Amps Above 100 Am s
Si ns inevectors use onir G
i 7p7qL .5
Irrigation Booms e
?? ? 143.50
S ecial Ins ection /
Alarm/Communication 7NIS INS7ALLATON MAY CONNECTED IF NOT
Other Fee COMPLETED WITNIN 78 Mb 5.
I, the Electrical Inspector, hereby
tif
ih
h
b
i
h R°ugh-in " D e
cer
y
ova
at t
e a
nspection
as
been made. F??ai ei /r?
p
OFFICE USE ONLV
TNS request wiC 18 montha Iram
o $(e ?Op? V Q.p JOB: #?123?5?
1 413
Reque Date
6/20/95 Fire No Rough-In Inepedlon Rapulretl Ine ecaon Other Tfien Raugh-In
(You must call inspector whan ready) Reatly Now ? Will Notify Inspactor
[] yes XE) No Data Reetl
IJ? licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streei, Box ar rWtbxington between Diffley
GOAT PARK -and Kilderness Run c"Y
Fagan
Sedion No Towns ip ame or No. Renge No. County
Dakota
Occupant(PRINT) Phona No.
City of Eagan
Power Suppher AtlOress
Dakota Electric Farmington
Electncal Conlraclor (COmpany Name) Contradors Licansa No
HILITE ELEC,TRIC, INC. 040445
MaAmg Atltlreas (COntrador or Owner Making InstallaLOn)
1953 hawnee Road Eagan, MN 55122
Authonze i naWre (COntrac or ner Ma ' Installation) Phone Numbar
452-8886
MINNkSOTA STATE 80AqD OF ELECTpICITV THIS INSPECTION REQUEST WILL NOT
Qriggs-Mltlwey 61tlg. - Neem S148 BE ACCEPTED BY THE STATE BOhRD
1827 Univaratly Ave., St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phene(612) 842•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-uuou,.io
? ? ,,: o
.,? Sea Instmcqons for completmg lhis form on back of Yellow copy. ?
? " X" Below Work Covered by 7hls Request gS r63
HAtl Pep. Typa a1 Bwldmg ApoliancAS Wired Eqvipment Wved
Home Range Temporary Service
Duplex Water Heater LighLnp FixtLnes
Apt BuilAing Dryei Electric Heatin-
Commercial 81dg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk PAilk Tank
Farm tn«i aeci y ,tne, Isnec:ivl
ther SpurrtY Oih<:r Oihcr
Comnute Inspection Fee Below
.p Fee Service Entranca5iie b Fee Faxders/Subfeetleus H Fee Circuns
0 to 200 qmps 5 1 ja jO 0 to 30 Am s U to 30 An! s
'7 Above 200 q??E?y W 31 ta 100 Ainps 31 to 100 Am s-
Swinming Pool Above 100-Amps Above 100-AmPy
Transrormers Irrigation &wrt?s ,5 O Partial, Other Fee
Signs Special Inspection $ t1/s0 TOTAL
flemarks
0{k4r
a
E
K FEE
oy
»v6
.
OL
PouOh-in I
t e ElecVical/
? ,
Insoector,-heroby
Final
te certdy thxt the above
inspection hes bean
made.
ThIarepueslvo1019mon-
Thisrepuestvoid G././jrY/t ?D O^?_A?, ?D? ?/ ?O /dy/4?
18 months from ?Jl(/"(
6 ?
07927-8 l D-4!!o Go-O!O -00
- I ? y .5
?
Requesl Date Fire No. Rough-m InsVeUOn
Fepwretl?
? a? N ill Nntify
Inspec-
Q
IU ??- (J ? ?Yes ? No _
tor When PeatlY
&ticeased Electnwl Contractor I hereby raquest inspection of above
? Owner elecawal work mstalled et.
Street AtlAress, eox or Houte No. City
G0AT,c+1Gt. P.a,e,e RJ
eclinn o. TownshiD Name or No. Ranye No. CountY
4fikar,¢
OccuoantlPRINTI PhnnF No.
C, o c?yLa.?J
Po r Supulier Adtlruss
.f_,sP
Electncel Contractor ICompany Name) Cartrer.tor's Licrtnse No.
P?vPCCs €aEcT
MatlmA Address IContractor or Ownet Mabnp Inslailatio
c
?7 e Fd?
?
?A
,,se .
?
T
Authonzetl Sign:iture (Contractor/Owner Makmg Instail2tionl Phiine Numher
4 a x,, aP4C., 6'" aa 7 -7 ?</
MINNESOTA STATE BOA0.0 OVEIECTRICITY THIS INSPECTION NEQUEST WILL NOT
Gri9gs-Midwav Bide. - Room N-191 eE ACCEPTED BV THE STATE epqqD 1821 UnivereitY Ave.. St Peul, MN 55104 l1NLE5S PflOPEH INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
?/?'?j// REQUEST FOR ELECTRICAL INSPECTION ee-oouoi.oa
' Sae instructiens tor wmple4ne this form on back of Vellow copy. yr
?l?' 1 l
??
3 0 i'? 2 7 6 '"X` 8elow Work Covered by This Request 1.
Novi Add Heo. Type ol Bwltling Apotiances Wved Equipmenl WireA
Home Runge Tem{wiary Service
Duplex Water Heater Lighnny Fiztures
Apt. BuilAing Dryer Electnc HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Av Conditioner Bulk Milk Tank
Fann Inet ( nat i v Offie, ISnar.:fvi
MF.r Sueufy O[her Other
Compute lnspection Fee Below
k Fee ServiceEnirenceSae tl Fee fenders/Subtee.tlers k Pee Gremts
0 to 200 Am s 0 to 30 qm s 0 to 30 Ant>s
! 3oZ.
20
Above 0 qmps
i A-t:5 31 to 100 qmps 31 to 100 qm s
Swimmin
g Pool Above 100_nmps Above 100_Amps
Trensiormers Irngation Booms O Paruab'Other Fee
Signs Special Inspection
$
"
TOTAL
Rema.ks 77 sd FEE,
? Ut '
Roueh-in ?-- -
1, che Elactncel
? % Inspec[or. hereby
Final
?-a^
?/+fe`Y,? nily Nnt the above
insVection has baen
' 1 hd mada.
Thisrequeslvoidl8monllisirom ??„ ?^l
b??y .
?/Va
' rl
Thrs requesl void
18 nonths Imm l(J (
B 0792A
•
lD-02la?-c?15--3 ! ??' ?S- b?5
`o- 416eoo - v rv
Reques't ?ate
F?re
No.
Rouph-in InsUt!ction
fleQwred?
?ReaAy ow ?11 Nouty Inspec-
?r
??'cZa. ? 87 ?Yes ?No tar When ReaAy
Ly Lir.ensed Electncal Contractor I hereby repuest inspection ot above
? Owner '>0 ^ electricel work mstalled at.
Stree[ AdAress, te o Crtv
G'vA N/LL ARk
ecuan o. Township Name or No. Fange No. County
0 R kOT4
Occupant (PHINT)
C
, Or ( Phone No.
.
!< G/1
Power $apVlEer Address '
4) 5 p
EIr.clnr.al ConVactor (COmpany Name) Coniructor's Lmnnse No.
?c vo<c' S E ??G i4 - Y o$ a a
MailinB Address ICOntractor or Owner Makine Instailationl
,P 77 e F llmo!`t PQul.. i"Y6A.! ,43-CD7
Authoraed SiBnamre (Convaclor/Owner Making InstallnuoN Phono Number
G? C? c M) a?. 7? 7 i/
MINNESOTA STqTE BOAPD OF ELECTHIVITY THIS INSPECTIDN REQUEST WILL NOT
C,ieBS-MiAwnY Bldg. - Noom N-191 gE ACCEPTEO BY THE STATE BpqRD
UNIESS PflOPEN INSPECTION FEE IS
1921 Umversity Ave.. 5L Paul, MN 56104
Phone (6121 297-2111 ENCLOSED.
?-7 2007 COMMERCIAL MECHANICAL rExMiT nrrLrcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/indushial buildings e0410
..???lr,_f?milv hn{idfna c whrn crnararrirc arP nnr rrniureA fnr each dwellin2 unit
-5?
s Cd?L!_ ? ??'?n jc-
? ?
..""'" '..... """"' ' "
Date
V l 6 !
/ / _""__
?3,q/
-
-- ?
r/
Z
Site Street Address 0 ('T I LL ?? ?
? Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor Dlit '1" -F ?i j/LG ?/? H'/ `i?
StreetAddress ?Ur .1? ?h Ci[?Q>t?v?L?JLC.N?
State ZJ2?vlY v Telephone # y„5'1 ) y?3
f!/
Bond #: /J
Expires:
TNe Applicant is _ Owner ? Contractor _ Other
Work Type
New Construction ? Interior Improvement _ Install Piping _ Processed _ Gas
Under/Above ground Tank Install Remove
When mstalling/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Aj?y
Namre of W or21./AA li j,!
0 D?1-
P¢fRli[ FeeS E70.50 Underground tank installanon/remova
$50.50 Mininuuu (includes State Surcharge)
or
ContractValue $
x 1% _ $ PermitFee
$ State Surchazge
To calcula[e surcharge
If Permit Fee is less [han $7,000, surcharge is 50 cents.
If Permit Fee is >$1,000, surcharge increases by $.50
for each $1,000 Permit Fee (i.e. a£1,001-52,000 Permit
Fee requires a $1.00 surcharge).
$ Total Fee
?L.. .._.i:?.n..nu ?rI
I hereby acknowledge that this information is complete ana accurate; tnat me worx wiu oe m coiuof„?a??ce w..?= .... ................- ......
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a pemvt,
and work is not ro start without a pernut; that the work will be in accotdanc with [he appro plan in the case of work which
re uires a review and prov 1 of plans.
?
pp cant's Printed Name Ap ica s ig ture
Approved By: ,Inspector
Required Inspections: - U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final
oF
3795 PILOT KN08 ROAD, P,O BOX 27199
EAGAN, MINNESOTA 55121
PHONE (612) 454-8100
October 12, 1983
MR JAMES CURRY
JIM-BAR INVESTMENT COMPANY
4817 UPPER TERRACE
EDINA MN 55435
Re: Project 330 (Lexi
Parcel No. 010-29
BEA BLOMQUIST
MaYOr
THOMAS EGAN
JAMES A SMITH
JERRV THOMAS
THEODOREWACHTER
Cwnctl Nlembers
THOMAS HEDGES
Gry Atlminrstrmor
EUGENE VAN OVERBEKE
Ciry Qelk
o. 1
?
As per the request of the purchasers of the above referenced proper-
ty from you, a supplemental agreement is being prepared to construct
a storm sewer lead and a sanitary sewer lead under Lexington Avenue
to service Parcels 010-29 and 015-30 west of Lexington Avenue.
Before this supplemental agreement will be approved, you will have
to assure the City that you agree to having the additional costs for
these stubs assessed as a part of the above referenced project, and
furthermore, waive any rights you may have to a public hearing or any
other items related to the assessment procedure. Your signature on
the space provided at the bottom of this letter will serve as your
acknowledgment and agreement of the above.
The assessable costs resulting in the addition of the storm sewer
and sanitary sewer stubs are included in the following table. These
costs are based on estimated quantities with an estimated 27% over-
head amount applied to the total.
STOR4 SEWER AMOUNT
Verify existing water main - L.S. $ 200.00
Manhole - 1 each 3,000.00
Manhole overdepth - 8 L.F. @$60.00/L.F. 480.00
15" R.C.P. (12-14' deep) - 70' at $28.95/foot 2,026.50
SUBTOTAL $5,706.50
SANITARY SEWER
8" PVC (14-16' deep) 115 L.F. @$20.25/L.F. 2,328.75
Outside drop - 6 L.F. @$190/L.F. 1,140.00
Mobilization - L.S. 1,200.00
SUBTOTAL $4,668.75
TOTAL CONSTRUCTION COSTS . . . . . . . . . . . . . . . $10,375.25
27% OVERHEAD . . . . . . . . . . . . . . . . . . . . . 2,801.32
GRAND TOTAL ASSESSABLE COSTS . . . . . . . . . . . . . $131.176.57
?
THE LONE OAK TREE. THE SYM80L OF STRENGTH AND GROWiH IN OUR COMMUNIN
Mr James Curry
Project 330 (Lexington Avenue) Supplemental Agreement No. 1
October 12, 1983
Page two
Please sign and date this letter and return it to my attention if this
is acceptable to you. Your prompt attention to this matter will be
greatly appreciated by your purchaser and the City since the contract-
or is in the process of installing the gravel base.
Sincerely,
Richard M. Hefti, P.E.
Assistant City Engineer
Date:
James Curry
RMA/jach
cc - Ann Goers, Special Assessment Clerk
Jerry Bourdon, Consulting Engineer
Mark Ravich, Tomark Development Co.
?
?
.
? ??? •e• ? •
I/We hereby request of the City Council, City oi' Lagan, titinnesota, Reapportion-
ment of pending special assessments for Project #345 on oronerty owned by me/us
and legally described as follows:
_ CANTGRBURY FORGST, all lots and Ulocks
HEASSESSMENT to 6e spread over the following 1ega1 descriptions:
Parceh-10 02600 015 30 <<,-,,5:7 r
KIND OF IMPROVEMENT PfiNDING A1-IOUNT
A. Street $10,824.86
1•__Storm Sewer lateral _ 492024
C•___?torm Sewer. Trimk 15 532.62
D.
- •-- ??- - ? - ? - , . . - -' -------- ?.. .- ---------'-- '-- ?- '--
E.
----•----- - •--. - .. _ _. ..._ . ._? _
I/WF, hereby waive notice of any and all hearings necessary for the reapportion-
ment or reassessment of said assessments and further waive my/our right to appeal
the reapportionment or reassessment under Minnesota Sta[utes 429,071.
I[ is further understood that this request sha11 be reviewed by the City Council
of [he Ci[y oE Eagan or its agent and I/WE will be given reasonable notice as
to whether this reques[ is approved or modified.
The undersigned agrees to pay all administrative costs incurred and billed 6y
the City in such reassessments. The undersigned is/are all of the persons who
have an interest in the property affected by the reassessment, including fee
title ......Lract for deeu noiciers or optionees.
The undersigned agrees that this waiver shall run with the affected land and
bind the heirs, successors and assigns of such land. 3,r„ }{5SOCi0.{`e-5
JIM-BAR INVESTMENT COMPANY
DATED: n?tnher ??_ 1952 by
Svend Petersen, S. Petersen Cons'tauctid'n°,?nc:'
XAII /President
1 REQIIEST accepted by_I
Pt? DATED: //-
? l
E
REQUEST referred to City Council for Action: DATED: November 9, 1982
CITY COUNCIL ACTION: Approved9r
Aporoved as Kodified
Denied
R%<l007y{-Certt6uu d Aeknowkd?eeset-Hy CoryonHae
,
,p
?r
YNe-A?i? Co.. YivoeapoXa, 1t'??
_.8S1411 ..................................... ?j
Cmc?N o/ ........._HIIdNEPIN ? ??? ?.?.!'??L./ 82
. .. . ......................................... Or? tku..../. .............dab o' .... ......... ., 59...........,
before me, a.......... NotarY.. Rxblic ............................. ................. ........ aoithire and for said County peraanalEy appeared
.................S,v„end...Peter.sen ....................... ..?`
............ . a'51?.................. _..... _...... ..................................................._..................................
to me perrona2ly knourn, mho, bainif each hy me duEy rworn ........................... did say thal 6hay ars nvpeetivaly
tlie ................. _............ _........... ....._............ Prceident 7??eY........... ................................... ............. ......................... .._........................
.. af
5.....P..et.er.aen...G.amstr.uct.?,ot?,..Z= . oo
the r8oratton = LA the
f07'EQOCng LAttTiG1r1.E71.t,
and !h¢t said initrument was sipned arul iealed in behaiJ of +aid eorporatian by authority of ita Boa.rd
Directors Svend Petersen .???:
o?........_. _ .............................. ......................and said ...................................... ..._.._..... ___.......... _........ _............. _...... .........__.._.........
._.
.
_. _._........... .... Y,,,,.? ................... aaknowfedpyZ said {natrumeryt,#p be Ehe f nat and 4fed of iaid
= LENERYrINNESO?A
?1 1 MpTARY PUBLIC • M _..._.....?''°-^?.'.S?.e ?- ..••_.-........._........ `..... ... _ .. . ?.... .. .._...._.._.....
t4 CARVER CaV? ?
EJ?D? "°"?" / IW X,µ?.?,? PabZie .............. _........ ......_....._.......... ........ Cou ......__.
fOmmlNIM /L?( . ......_ .... ....... ..... ...... _
aty cmnm.;..ion axPir ......... ......... _.._ .................... _......................... Ys.............
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THIS INSTRUMENT DRAFTED BY:
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122
M
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C '"?\ I
S. ?7
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27zTE OP !YTNIvESOTA) .
COLPTY SS.
OF :uN??EPIN)
+?he f egoing was acYnowlecge? heto,-e me this ?
-? , ?!/day o_
or ? _??im-Bar -s --- -- .982, bp James A. Curry ?: c t
? 1n ?
the
?- e?nen? Co,?an , a ,,?_ ? ?'resin
Managing General Partner of LexinytoneSouthcp?p?ration
?
general partnersh?p, on behalf oi the partnershlPiates, a t•iSnaesota
DIANE E. LENERTZ ?
NOTARY PUBLfC - MINNESOTA NO ?dT P
? CARVER COUN7Y
} My Commisaion Expiree Feb. 28, 7867
M+?++r
uPpC/sra
•btnuutbaq 30 quiod atp oq
,4@a3 DO'£S q4zou az)craL[} :Yjb1S acR 3o aurj -4s-,)r, acn oq -4aa3 £5'TL6
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cp zou acR crq 40a3 05' OLT' T 30 ?DUI?qs?P p autZ Iein-30--4ybtz pres
anoqe aq4 uo c174nos 00uac4 :ancranV uo'4butS:al 3o auzZ nILM-30-W6tz
4sam aclq oq 4a33 T8'956 :4se3 sa}nuitu 95 saa.zliOp (g c(4nos aouacp
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se pac7zjosap e}asauura 'n-4unoD eqo>[eQ '?Z abugu 'LZ d?ZISut'01
'gZ uoiqoas io w aqq 3o aLR Pu-e ?-IikLS aq, ;o ?ai aLiq 30 ??
413c4 '4d?3x-I '27osauuz4,T 'I4uno? e4o?f2a 'EZ abue2l 'LZ azusur?Ql.
'9Z uot}3aS 30 jymlv OLP 30 =iS ??qq 30 6/£M aqL :uoi4diaDsaQ Zp5,yT
0£-5i0-009Z0-OT '%1. T-O-7Md '
???4 v?
1986 BOILDING PEtMTt 9PPLIC9TIOg - CITY OF EAGAN
NOYS: 9LL COPTRACTORS MOST BS LICENSED NITH THE CITY OF EIGAN
SIAGLE FAlIIL.Y DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLINGS - RSSIDENTIAL RENTAI. ilNiTS FOE SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICaTE OF SQR9SY - CHECg iiITH HLDG. DEPT.9
1 SET OF BNERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?NILL SZ ?
To Be Used For: ?
?7FH2 Valuation: Date•°10?°d(o
Site Address 4?.? ] L.F'IC(.? OFFICE DSE ONLY
Lot Block Ereet ? Occupancy A.5
Remodel Zoning PF
Parcel/Sub 10 OZ/op(] D! S ? Repair _ Type of Const Q"
Addition A of Stories
('a'j'?p?
r--2??l
Owner i Move _ Length 49
_
0 ? Demolish Depth 3'7
Address Int.impr. _ Sq Ft
Install
City/Zip Code
Phone APPROVAIS FEFS
Contraetor CLQ S"QI?T?ON Assessments Permit N?h.
` ? Water/Sewer Surcharge 41, -
Address Police Plan Review N/Al
Fire SAC 47 S.
City/Zip Code Engr Water Conn U A
Planner Water Meter .iA
Yhone Council Road Unit N/A
Bldg OFf Treatment P1 N/A
Arch./Engr. r--? ?1SQ APC Parke u ?
Varianee Copies
Address TOTAL
City/Zip Code
Phone #
cs er^
£ayd?
NOTE: ADDHESSES EOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MQST DESIGNATS AHICH ADDRESS
ZS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PEAMIY IS ISSDfiD.
5u eu-?aaoE
82, o0o x. o00s ' 41 q I,
?j,o, c
f e 4-?S7 4-7 s
,
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTE: PAYMgqr OF FEE AT TIME pF
APPLICMON DOES NOr CONSMTUTE
APPROVAL OF PIItNIIT.
nvsrrxzzorr oF sEWM r,rm/CR W,TEa
INSTArrMpNS wII,L NpT BE 5(HED--
UI.ID ONPIL PEFtMIT HAS BF.FSI
APPROVID.
P ease Print)
1) PROPERTY ADDRESS: GQ?4:
LEGAL DESCRIPTION!bw* n IS -
4 se-e- ?>? , Ta'7 1 t1a3
vision or Tax Parcel I,
IF EXISTING STRC'LZURE, DATE OF ORIGINAL BL'ILDING PERMLT ISSL`ANCE: '
(Nbn Year)
PRESENP ZONING/pROPOSID t!SE:
? corMEacIAL/TMPSL/oFFzcs
IPIDL'STRIAL
? INST27L'TIONAL/GOVERNAg1NT
C] R-1 SINGLE FAMILY
? R-2 DL'PLEX (7wo Cfiits)
? R-3 40WDII-IOOSE (Three + Units) ( C?nits)
? R-4 APARTME,'NT/CONDOMINIUM ( Units)
--
2)
NAME:-
ADDRESS:
CITY, STATE. ZIP:_?.?I
PAONE: -.?;IOD
3) u?: ?'• NANE: f?Y I.'S?? A AA For City Dse
?• Plumbers License:
ADDRESS: t?{ W lPP7L?Q t7? V-k)E7- Active
E?cpired
? CITY, STATE, ZIP: tAL-a!?&i ?AAKNot recorded
PHONE:-MASTER LICENSE# Statt Initial
4) ?a• • ? i?+- /?,??
NAME:!? L1 DF ?'`?F _ 1.? `•
. P,oDREss: ?-?p ?, #? 2 •
CITY, STATE, ZIP: '
PHONE: •
-5J ?? ..• ? ? a• • ?• : ? • y. - ??
?CONNEcrrorr To ciTsr sEwEa ? wrNFx-rioN To ciz^r wATER, p arHm .
6) '? ..•'. Q PLF.ASE AOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABOVE --- --
? PLF.ASE MAIL APPROVED PERMIT T+D 1, 2, 3, 4, AHOt7E
(Circle one) '
7) r r. •.
•i • . .• .... ..... "__ . .
?.' ? •... . . . ? . ? ? ?'???i?a?7??'I3r??3T?i? h`1!
I/k'e hereby request of the City Council, City of Fagan, Minnesota, Reapportion-
ment of pending speciai assessments for Project n345 on oronerty owned by me/us
and legally described as follows:
CANTERBURY FOREST, all lots and blocks
REASSESSMENT to 6e spread over the following 1ega1 clescripeions:
/Parcel 10 02000 015 30?
KIND OF IMPROVEMENT PENDING AMOUNT
H. Street
B•_ Storm SPwPr iateral
C• Storm Sewer Trunk
D.
E.
t . -----
$10,824.86
$4920.24
_$15,532.62
I/41E hereby waive no[ice of any and a11 hearings necessary for the reappor[ion-
ment or reassessment of said assessments and further waive my/our right to appeal
the reapportionmen[ or reassessmen[ under Minnesota Statutes 429.071.
I[ is further understood [hat this request shall be revieved by rhe City Council
of the Ci[y of •Eagan or its agent and I/WE wi11 be given reasonable notice as
to whe[her this request is approved or modified.
The undersigned agrees to pay all administrative cos[s -incurred and billed 6y
the City in such reassessments. The undersigned is/are all of [he persons who
have an in[erest in the property affec[ed by the reassessment, inciuding fee
title owners, contrac[ for deed holders or op[ionees.
The undersigned agrees [hat this vaiver sha11 run with the affecGed land and
bind the heirs, successors and assigns of such land. I
DATED:?l?t?r ?9 7982
. A. r.y, ?Lex' ' o _ th Assia!?ates
.
.
vend Petersen, S. Petersen Cons n; Inc.
REQUEST accepted by DATED:
F
REQUESY referred to City Council for Action: DATE?: November 9. 1982
CITY COUNCIL ACTION: ppproved 9-ht?e
Approved as Hodified
Ms t Wfy(-f<nlf?av d Ackm?i?d??s-.S? (s'mr?dw
STATE OF MINPiESOTP)
COUNTY OF HEN*IEPIN)
SS.
`? h f re oing was acknowledged before me this `"-'day of
( ,ayh? , 1982, by James A. Curry, the President
of Jim-Bar Investment Ccmpany, a Minnesota corporation, the
Managing General Partner of Lexington South Associates, a Minnesota
general partnership, on behalf of the partnership.
- .
;k DIANE ? LENER7Z -
NpTARYPUBLIC•MINNESOTA NOtclry Pub ic
CARVER COUNTY
My Cqmmlq{on E. iplrM FeE. RB, 19M
Denied
city oE ea
3795 PILOT NNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
DATE:,Tarch 9, 1983
BEA BLOM9Uf5T
Mw«
THOMASEGAN
JAMES A $MITH
JERRY TFIOMAS
THEOOORE WACHTER
Carc+ Membe,s
(HOMAS HEDGES
Gry Aamnstrara
EUGENE VAN OVERBEKE
ON Giah
SPECIAL ASSESSMENT SEAACH
THE FIRST NAT'L BK OF ST. PAUL RE: _
c/o JERRY TABOLICH 10-02600 015-30?
332 MIIdPiESOTA ST -'- ?
5T. PAUL IV 55102
Enclosed herein is the search which you requested made on the above described property.
...
------ -- -.••r--•?.••?••? ..u., U???,?,????g vrigiiiai xmounz balance uue
SEWER LAT 15 yrs 1981 19,168.85 15,335•09
WATERMAIV 15 yrs 1981 16,048.47 12,838.80
. SAN SEW TRK• 15 Yrs 1981 9720.00 7776.00
WATER AREA 15 Yrs 1981 9720.00 7776.00
GRADING 15 Yrs 1981 11,414.99 9132.02
''SEWER LAT 15 yrs 1981 12,092.27 10,278.44
STREET 15 Yrs 1981 3593.07 3054.12
SEWER LAT 15 Yrs 1982 8151.85 7064.95 ,.
WATER LAT 15 yrs 1982 6034.10 5229•56
I further certify that ac cording to the records of said office, the following improve-
ments are contemplated or pending after having been approved, a nd are noia in the process
of planning or complet ion . '
Kind of Improvement pp proximate date o Completion Approeimate cost
STREET SU1,1MER 1983 10,824.86
STM SEW LAT SUfMSER 1983 4920.24
STP4 SEW TRIC surRMER 1983 15,532.62
STREET FALL 1984 67,916.00
STM SEF7 FALL 1984 82,389.00
WAIV &TREET SUTMAER 1933 18.00 per front ft.
Neither the City of Eagan nor its employees guarantces tlie accuracy of the aliove in-
formation which was requested Uy the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness tliereof. In consideration
for the supplying of the indicated information in t}ic above form, and for all other
consideration of any nature whatsoever, any claim against the City or its employees
rising there from is hereby expressly waived. Levicd assessments to be paid to the
County Treasurer at Hastings, hLN, 55033
Very truly yours,
???? THE LONE OAK TREE...THE SYM80l ANp GROWiH W OUR COMMUrpTy ?
dtv oF
3745 PILOT KNOB ROAO. P.D. BOX 21199
EAGAN, MINNESOTA 55721
PHONE (612) 454-8100
DATE: July 28, 1983
DAKOPA C'OUNPY ABSTRALT C0.
1250 Highway #55
Hastings, MN 55033
SPECIAL ASSESShIENT SEARCH
BEA BLOM9UIST
Maya
THOMASEGAN
JAMES A SMIiH
lERRV THOMAS
THEODORE WACHIER
CooncJ Memben
7HOMA5 HEDGES
CJY AtlminYhOfp
E1IGENE VAN OVERBEKE
Gtv Ciert
RE: Section 26, Parcel # 10 02600 015 30
Enclosed herein is the searcli which you requested made on the above described property.
Kind of Im rovement Runs Beginnino Original Amount Balance Due
Street 15 yrs 1981 $3593.07 $2874.45
Street 10 yrs 1984 $8782.65 $8782.65
Gracling 15 yrs 1981 $11,414,99 $9131,99
Sewer Iateral 15 yrs 1981 $12,092.27 $9673.82
Sewer Tnuilc 15 yrs 1981 $9720.00 $7776,00
Sewer Iateral 15 yrs 1982 $8151.85 $7064.95
Sewer Lateral 15 yrs 1981 $19,168.85 $15,335.09
Waterniain 15 yrs 1981 $16,048,47 $12,838.77
I further certify tliat according to the records of said office, the following improve-
ments are contemplated or pending after having Ueen approved, and are notia in the process
of planning or completion. '
Kind of Improvement Approximate date of Completion Approrimate cost
D]ONE
WAIVER:
Neitlier the City of Eagan nor its employees guarantees ttie accuracy of the aUove in-
formation whicli was requested by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness thereof. In considerltion
for the supplying of the indicated information in the above form, and for all other
consideration of any nature whatsocvcr, any claim against the City or its employces
rising there from is ttereby expressly waived. Levied assessments to be paid to the
County Trcasurer at Hastings, M . 55033
Very Lruly you ,
THE LONE OAK TREE.. . THE SYMBOL AND GROWTH IN OUR COMMUNITY
ltv oF
3795 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (572) 454-8100
DATE
July 28, 1983
DAKUPA CWNPY ABSTRACT Cp, SPECIAL ASSESSMENT SEARCH
RE: Section 26, 10 02600 015 30
BEA BLOM9W51
Moyw
THOMASEGAN
lAMES A SMITH
JERRV iHOMAS
iHEODORE WACHTER
CovrcJ Memp¢rs
iNOMAS HEDGES
Gty Atlmvvshafor
EUGENE VAN OvERBEKE
Ptr Clerk
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs Beginning Original Amount " Balance Due
Water area 15 yrs 1981 $9720.00 $7776.00
Water Iat 15 yrs 1982 $6034.10 $5229.46
Storm Sewer Drai.nage 10 yrs 1984 $3945.82 $3945.82
Storm Sewer Lat. 10 yrs 1984 $7990.20 $7990,20
I further certify that according to the records of said office, tlie following improve-
ments are contemplated or pending after having Ueen approved, and are now in the process
of planning or completion. '
Kind af Improvement Approximate date of Completion Approeimate cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above in-
formation which was requested by the person or persons indicated. Nor does the City
or its employees assume any liaUility for the correctness thereof. In consideration
for the supplyirtg of 2he indicated information in tlie above forrrt, and for all other
consideration of any nature whatsoever, any claim against the City ar its employees
rising there from is 3iereby expressly iaaived. Levied assessments ta be paid to the
County Treasurer at Hastings, M!V. 55033
Verly you s,
\ THE LONE OAK TREE. ..THE SYMBOL AND GROWTH IN OUR COMMUNIN
?- 1`s l:7 7D C% EICTERIOS ENYEIAPB THERMAL 1'gANSM1TfANCE PA(, k I oF L
s E cr a (P srexnexn woassHssr
IC:-c??cc,. ?C) ?
? Site Address ? DA?" N l l.l. PAIZK S?-iflal?c Owner G17'( oF fA6At?4
Contractor Phone Date ? 71k&
Bulding 'lype ( ) "Al" Residentisl ( ) *AZ" 3 stories ( ) "B" Other
Assembly (See 9ourcebook 9ectlon 9200,
Thermel Characteristics ot Materials) Area (A)
(39• Pt.) p-Yatue U: A
tnsu]ated nrea 3 ov
Pmminff Area Z Z ?
? Skylights.
? Other (deseribe)
V i Totals / 3 2 Z ••••••
2 Av e II-Vaiue (UxN/(A) from T3ne 1 '?'••' f> ev •""'
S R II-Value {from teble) ••?••• s.a••s
fimuatea area
Framinff Area 0 :30,9O
windows S,
Doors 9a. Z
a ii#n+-aoist-?s
?
3
o
?
n
n
4 Totals q? .sssss Z Z$.?1
5 Av e U-Value (IIaA3 ,U from Une 4 • ?•• •• Z s•• a s s
8 Required U-Value (from table) ss r* r• s? w r s s
If Line 2 is greater thsn Line 3, or Line 5 greater than Line 69 complete the following
to determine reduction of IIxA needed to meet eode.
? 7 Area (Line 1) + Area (I3ne 4)+ _
? 8 II a A(Line 1) + IIxA (Line 4) + _ • s s. ¦ s
? 9 Area (Line 1) a U-Value (Line 3) a = . s s s¦ s
m 10 Area (Line 4) a U-Value (Line 8 a - ¦ s s s• s
?
11
B et Line 9+ Line SO ar?ss?
m
Y 12 Actusl (Line 8) - Budget (Line 111-_
?
It Line 12 is greater than 0, adjust assemblies to reduce Line 8 to be less than or equsl to
Line 11.
?Y ?r
rl S l.A _ Ass gm ? _
tdwcrLDO) aus s?r cr rhlckness u.
SflW?LFPPst?`?at?? - ?--
? BoiLpiNLi
li h . „ 1
?2'r
5'' ? cl
%z "
b
a
?z
?D
Cyqmi(.._TIL-( o,.)
Siool I..tol_ r_YO. Rrl. i510
tO
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rn
I -2vr„ <'njns AoJ[, //d,LA I
11 vr.. GT)nc ?v /le11D, (A s?v I eO, g(v I
'•o 6. G .
lAstembly U-ValW (EIItei` OA Y$. 1) aauw.rr ..-.eau. ......o. .... 'e' ' 4
EXTERIOR ENVELOPE i10RKSHEET H04-2
SSTEAIOH BNYEIAPE THERMAL TEANSMIITANCE
srsxnAnn woBSSeEEr
PAG 9- L o F '--
? Site Address (aDAT +41 ??D%9IC_ &t5t11rrkpL Owner G1'ry q-- fbcG10-1
Contractor Phone Dete S 7 ?
guflding 'type ( ) "Al" Residential ( ) "A2° S stories ( ) "B" Other
i
mbly (See Sourcebook 3ection 9200,
Thermel CheraMeristies ot Materiels) Aree (A)
(Sq. Ft.) U-Value U a A
lnsulated Area
--------
Framlrm Area
SkYlightS,
` Other (describe)
m
e
:
n
.
U
1
Totals
2 Aver e II-Value (UxA)/(A) from Line 1 *?*??• •s+?+s
S Re uired II-Value (from table) s•ssss ••ss.•
lnsulated Atea
Framinz Area
Windows
Doors
?
m
3
v
? ..
?
n
n
4 Totals •"•' •
5 Aver e II-Yelue (UxA)/(A) from Line 4 "•*" •'•"•
6 Re ired U-Value (fmm table) s?ss?r •s?sss
It Line 2 is greater than Line 3, or Line 5 greater then Line 6, complete the following
to determine reduction ot IIxA needed to meet code.
? 7 Area (Line 1) + Area (Line 4) + -
t
?
8
O x A(Line 1) + OaA (Line 4) + =
ss:sas
a 9 Area (Line 1) a II-Value (Line 3) a = •"?"
d 10 Area (Line 4) a II-Value (Line 6) x
Budet Line 9+ Line 10
Actual (Line B) - Budget (Line 111
ine 12 is greater than 0, adjust assemblies to reduce Line 8 to be less than or equal to
rlAn
e 11.
WAs-L ?`(PE *.5 ,
? Y " , oz -
da?
wt;. L' O ? (a" ?? o Z co STVns l?''o,?- lo,?
:TUm PKI?,?t Nc., ? yt, ? Z ? WZ
Y
n I?
ZO
LI
) _ , I 9"t10
4
,
U ,
II
•- - ?? 11
?ly u-Valw (Eatar on Pg. z) p.O3 aa?u?r •+-•?••• ••.•••?• _.. .?. - , u
EXTERIOR t:+vVE'IiDPE iIORKSFEET H04-2
o?
d
Multi-Year Energy Consumption Analysis ? 0 4 l? ? 0 lo °
April 5, 1991
Organization Name: Eagan, City Of Organization ID:
Building Name : Park Bldg-Goat Hill Building ID .
--------------------------------------------------------------------------
Energy Use Data
Normal Heating Degree Days: 8114
Reported Weather Fuel Elec Total Fuel Elec Total
Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost
83-84
84-85
85-86
86-87
87-88 1405 1.086 153 50 203 736 1651 2387
88-89 1405 1.037 165 51 216 706 1769 2475
89-90 1405 1.092 149 45 194 697 1581 2278
--------------------------------------------------------------------------
----- MBtu per SqFt -----
State Your Change From
Normalized Energy Usage Building Average Usage First Year
-Mbtu per-Square-Foot- - Year- Type - -(S) - - - - (X) - - - - - Usage-- -
1 ----?----- ---- ---- -----------60 -- X 83-84 REC 114.03
X 84-85 REC 131.06
S 85-86 REC 107.42
S 86-87 REC 138.23
87-88 REC 96.77 153.85
S 88-89 REC 88.41 158.08 +2.759'0
S 89-90 REC 95.79 147.83 -3.91%
S S
80 -- I 5
-----------------------
I I I I I 1 1
83 84 85 86 87 88 89
84 85 86 87 88 89 90
1316 County : Dakota
1316011 Current Building Type: REC
--------------------------------------------------
Projected Annual Costs
at 1987-1988 Consumption Levels
---- Fuel --- ---- Elec --- --- Total ---
Proj. Saved Proj. Saved Proj. Saved
686 -20 1734 -35 2420 -55
712 15 1757 176 2468 190
--
----------------
-- $/SqFt -- ----------- ------- -------------
Your State
Cost Average
-(X)- - -(S)- -
------ - -Cost-per-
------- Square-
------ Foot
-----
X -- 1.77
0.92 X
i.v x
1.09
1.33
S
1.70 0.77
1.76 0.72 S
1.62 0.77 5
S
S S S
-----------------------
I I I I I 1 1
83 84 85 86 87 88 89
84 85 86 87 88 89 90
-- 0.72
Multi-Year Energy Consumption Analysis
April 19, 1990
Organization Name: Eagan, City Of Organization ID:
Building Name : Park Bldg-6oat Hill Pa Building ID .
-------------------------------------------------------------------------•
Energy Use Data
Normal Heating Degree Days: 8114
Reported Weather Fuel Elec Total Fuel Elec Total
Year Sqft Factor MMbtu MMbtu MMbtu Cost Cost Cost
82-83
83-84
84-85
85-86
86-87
87-88 1405 1.086 153 50 203 736 1651 2387
88-89 1405 1.037
---------------------------
165
--------
51
----
--
216
--
706
1769 I
2475
- ----- -------
----- M --------
Btu per ----------
SqFt -----
State Your C hange From
Normalized Energy Usage Bu ilding Average Usage First Year
Mbtu per Square
----------------- Foot
------ Year
----- Type
- (S) (X) Usage
160 --
X --- ------- -------- ----------
82_83 REC N/A
X
83-84 REC 114.03
S 84-85 REC 131.06
S 85-86 REC 107.42
86-87 REC 138.23
S 87-88 REC 96.77 153.85
S 88-89 REC 88.41 158.08 +2.75%
S
80 -
S
-----------------------
I I I I I 1 1
82 83 84 85 86 87 88
83 84 85 86 87 88 89
!o oz6oo 0l5 31
Ib ¢f?oo orn o0
1316 County : Dakota
1316011 Current Building Type: REC
--------------------------------------------------
I Projected Annual Costs
at 1987-1988 Consumption Levels
---- Fuel --- ---- Elec --- --- Total ---
Proj. Saved Proj. Saved Proj. Saved
686 -20 1734 -35 2420 -55
-------------------------------------------------
-- $/Sqft --
Your 3tate
Cost Average
(X) (S) Cost per Square Foot
------------ -----------------------
N/A X X -- 1.77
0.92
1.17
1.09 S
1.33
1.70 0.77 S
1.76 0.72 S
S
S. S
----
-? ? ? ? ----------------- -
? ? ?
82 83 84 85 86 87 88
83 84 85 86 87 88 89
-- 0.72
?i351
.
. Civil Plans
. Certifcate ot Survey
. Code Analysis
. Project Specs
. Spec. Insp. & Testing Schedule "
. Sals Report
. Mefer size must be established
1
1
d
l
l
1
2005 COMMERCIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
(2) sets
(2)
(i)
??? ..
(1)
• SACdetermination-ca11651-fi02-7000
• Architectural Plans (2) sets
. Structural Plans (2)
. Civil Plans (2)
• Landscaping Plans (2)
. CodeAnalysis (i) "
• Cedificate of Survey (i)
. Spec. Insp. & Testing Schedule (1) "
. Metet size must be established
. Project5pecs (1)
. Energy Calculations
"
(1)
. Electric Power& Lighting Form (1) "
• Master Exit Plan (1)
• Emergency Response Site Plan (7)
• Solis Report (1)
. SAC determination - call 657-602-7 D00
. Fire StoDoina Submittals
$0.5a
JG6"',W a/5/OS
• Architectural Plans (2) sets
• CodeAnatysis (t) "
• ProjectSpecs (7)
• KeyPlan (1)
• Master Exft Plan (1)
• Energy Calculations (1) not always"
• Elee. Power & Lighting Form (1) not always"
• Meter size must be established-if applica6le
1
1
1
i
d
• SACdetermination-ca11 6 51-602-1 00D
Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or loaging taaunes.
Contact Building Inspections for sample and if required
Peimit for new building or addition will not be processed without Emergency Response Site Plan.
lt"?-t>?Ino Q- OI??-31
Date <:?l ?_ I?? Construction Cost }?? ?O d
Site Address A?Z-04T A/T t_ Unit/Ste #
Tenant Name J 0 /U Former Tenant Name
?D
Description of Work u,?-('SUT- D1G?
.
Property Owner Telephone #
Contractor
Address
State City
Zip Telephone # ( )
Arcb/Engr
Address
State Registration #
citY
Zip Telephone # ( )
Licensed piumber installing new sewedwater service. Phone #: { )
I hereby apply for a Commercial Building 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a permit and wdr''r5-nat-to-star?rovitkaut a
permit; t t the work will be in accordance with the approv lan in the c e of work which requixes a?_'eview? and
approval o lans. L! ? 2005
aa*n
L Applica 's Printed Name plicant's ,? Signature
OFFICE USE ONLY
Sub Types
? Ol Foundation
? 14 Aparnnems
0 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
,Rr_?33 Alteretion
? 34 Replacement
Valuation
Plan Rev 100%_ 25%
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Required Inspections
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
_ Foundarion
Drain Tile
_ Driveway Apron
,,fff'?26 Public Facility
? 27 CommerciaUindustrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Building
? 32 Ext Ak-Apardnexrts
? 34 Ext Alt-Commercial
? 35 Exd Alt-Puhlic Facility
? 37 Nail Sa1on
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 12eroof ? 46 WindowslDoors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Type of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Fireplace _ RI. _ Air Test _ Final
_ Insulazion
FinallC.O.
? FinallNo C.O.
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding _ Stucco _ Stone
Roof Ice Pr _ Decking _ Insul _ Final
? Framing
Approved By:
Base Fee
Suroharge
Plan Review
SAC-MCES
SAGCity
SlUV Pertnit
SNV Surcharge
Treatment Plant
Treatment Plant (Irriga6on)
Park Dedication
Trail Dedcation
Water Quality
Water Supply & Storage (WAC)
Windows
Planning Cgft_b' Building Inspector
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
.
�t��RbIM����"+� 1���'fr,�`�`�1��`f�3�"
, � � Otfice Use Only
'' . LicensE�Trak# BLE-
Return completed certificate to:
Minnesota Department of Labor and Industry
CCLD-Building Plan Review
443 Lafayette Road North Minnesot�� Bleacher Safety Act
St. Paul, MN 55155-4342
Phone:(651)284-5061 Certificate of Compliance
www.dli.mn.gov
In accordance with Minnesota Statutes 3266.112, Bleacher Safety,this certification is required to be completed for each
applicable bleacher structure and submitted to the Commissioner. Note: This certificate is not required for bleachers 55
inches above grade and lower without guardrails.
Facility Information
Name of facility where bleacher is located (e.g. Sunnyside Elementary, Hogan f=ields, Lincoln Fairgrounds, etc.)
OA�' Q P k
Address of Bleacher City or Townshi�� State Zip Code
`�391 Le �n. on � E h Mtf Ss'�a�
Owner Information
Owner
C� �F �
Owners ddress City or Townshi�� State Zip Code
�8.3a ��"t�f' ��6 � Ea �� /1/�it! 5s��a
Contact PersonlAgent for Owner Phone No. email
.Da�e �� � (�5(- 6�15-�6 �'9' dsck �+a�r�c�fyd'�*�+ cow�
Certifiers Information
I hereby certify that the bleacher(s) have been inspected and found to be in compliance with Minnesota
Statute 3266.112 and that I am:
C�'Minnesota Certified Building Official (cert.#or N/A Q ),
� Minnesota Licensed Design Professional Qicense#or N/A ), or
❑ Designee responsible for buildings and grounds for the school district or nonpublic school
�This is a new certificate This is a renewal of an existing certificate for bleacher no.
Certifiers Printed Name Phone No.
���.a L�� Gsr-��s�676
Certifiers Signature Date
a���wcc_ �l a a-�is
Description of Bleacher
Length: Heig ht: No.of Rows
�Indoors 1QO�utdoors an ls� I� ��� �Qt ��r � �D
/ Rf�
City Owned �County Owned �Public School �State Owned �Privately Owned
Room or field where installed Set#(e.g. 1 of 4)
�-o�f ��� �i s�(�,U -�;� � l �
This material can be made available in different forms.To request,call 1-800-il42-5354(DIAL-DLI).
BCS 13 2014
326B.112 BLEACHER SAFETY.
Subdivision 1.Definitions.
(a) For purposes of this section, the following terms have the meanings given.
(b)"Place of public accommodation"means a public or privately owned sports or entertainment arena, gymnasium, auditorium,
stadium, hall, special event center in a public park, or other facility for public assembly.
(c)"Bleacher" refers to any tiered or stepped seating facility,whether temporary or permanent, used in a place of public
accommodation for the seating of its occupants.
Subd.2.Application.
All places of public accommodation must comply with the provisions of this section.
Subd. 3.Safety requirements.
In places of public accommodation using bleacher seating, all bleachers or bleacher open spaces over 55 inches above grade or the
floor below, and all bleacher guardrails if any part of the guardrail is over 30 inches above grade or the floor below must conform to the
following safety requirements:
(1)the open space between bleacher footboards, seats, and guardrails must not exr,eed four inches, unless approved safety nets are
installed, except that retractable bleachers already in place as of January 1, 2001, may have open spaces not exceeding nine inches and
any bleachers owned by the University of Minnesota, the Minnesota State Colleges and Universities, or a private college or university may
have open spaces not exceeding nine inches;
(2) bleachers must have vertical perimeter guardrails with no more than four-inch rail spacing between vertical rails or other
approved guardrails that address climbability and are designed to prevent accidents; and
(3)the state building official shall determine whether the safety nets and guardrail climbability meet the requirements of the alternate
design section of the State Building Code.All new bleachers manufactured, installed, sold, or distributed after January 1, 2001, must
comply with the State Building Code in effect and this subdivision.
Subd.4.Enforcement.
(a)A statutory or home rule charter city that does not have in effect an ordinance aciopting the State Building Code is responsible for
enforcement in the city of the code's requirements for bleacher safety. In all other areas where there is no ordinance in effect adopting the
State Building Coc+e, the county is responsible for enforcement of the code's requirements for bleacher safety.
(b)Municipalities that have not adopted the code may enforce the code requiremenls for bleacher safety by either entering into a
joint powers agreement for enforcement with another municipality that has adopted the cocie or contracting for enforcement with a qualified
and certified building official or state licensed design professional to enforce the code.
(c)Municipalities, school districts, organizations, individuals, and other persons operating or owning places of public accommodation
with bleachers that are subject to the safety requirements in subdivision 3 shall provide a:>igned certification of compliance to the
commissioner by January 1, 2002. For bleachers subject to the exception in subdivision 3, clause(1), entities covered by this paragraph
must have on file a bleacher safety management plan and amortization schedule. The certification shall be prepared by a qualified and
certified building official or state licensed design professional and shall certify that the bleaachers have been inspected and are in
compliance with the requirements of this section and are structurally sound. For bleachers owned by a school district or nonpublic school,
the person the district or nonpublic school designates to be responsible for buildings and clrounds may make the certification.
Subd. 5.Noncomplying bleachers prohibited.
The commissioner, in addition to other remedies provided for violations of this chapter, shall forbid use of bleachers not in
compliance with this section.
Subd.6.Periodic inspections.
Bleacher footboards and guardrails must be reinspected at least every five years and a structural inspection must be made at least
every ten years. Inspections may be completed in the same manner as provided in subdivision 4. This section does not preclude a
municipal authority from establishing additional reinspections under the State Building Cocle.
CERTIFIER'S CHECKLIST
The open space between bleacher footboards,seats,and guardrails do not exceed:
l� Four(4)inches,
r1A f� 9 inches between footboards and seats if retractabie bleachers in existence as of January 1,2001",
Nh � 9 inches between footboards and seats if bleachers used in state or private colleges or universities`,or
F1A ❑ Approved safety nets are installed instead.
*Entities utiiizing the nine(9)inch exemption as permitted above must have on file a bleeicher safety management plan and amortization
schedufe.
The bleachers have vertical perimeter guardrails with:
C-7�/ No more than 4-inch spacing between rails,
L�l 2"nominal chain link fencing of at least 11 gauge,or
J�(A ❑ Other approved guardrails are used that address climbability and are designed to prevent accidents.
C� The bleachers are structurally sound
(i.e.,no broken,badly deteriorated or disconnected brackets,no rotten or missing board;�)
Use BLUE or BLACK Ink
�----------------,
� For Office Use �
��� ���� {y� j Permit#: /��/G� � i
� ��� I
3830 Pilot Knob Road i Permit Fee: �� �
Ea an MN 55122 �
9 I Date Received: �
Phone: (651)675-5675 I �
Fax:(651)675-5694 L Staff________ �
_�____J
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 6 - �- /�i Site Address: � / � itJ.6�f/ O�J'v'� �y`,
Tenant: s r' O/� 6Avf/ ' 7/ � /7�/ Suite#:
.����� ��
�;�'O � .
4 S�� /, /
�� p�,;�� � Name: -- C!��/ ��' �96��C.i Phone: f�S�� b 7� �ec�
WENZEL-PLYMOUTH PLUMBING, LLC '
1959 SHAWNEE ROAD, SUITE #130 -��cense#: �/�l D�/��.��j
�� t�a a�� EAGAN MN 55122
� � ��,
� � '� � ��� �� � _��ry: State: Zip: j
� �e�� � �F , cmichels@wppmn.com �
���_� � �� ��k� ` ' 651-452-1565 Emai�: 'I
�F
� ��� � ��� _ ___ _Replacement Repair �Rebuild _Modify Space Work in R.O.W. II
;��0 IY�Or� ; • _ _
�'��'� ��� Description of work:
°� . :
�'sx
"�, r� ' COMMERCIAL New Construction Modify Space
� ������� `�� 9 Y �Y )�RPZ/ PVB)
���� _Irri ation S stem es/_no _
���� � � �� • Rain sensors required on irrigation systems
� P�ermit��/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 aickinq uo meter.
�z�,� ��'�����,�� ,��' Domestic:Size&Type Fire: 1
��;�
���������� ��� Avg.GPM High demand devices?_Yes No Flushometers Yes No
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
_$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ 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 amounts. $ 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. 1
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_ _ ��•E'L f�iGLi /s X
Applicant's Printed Name Applicant's Signature
-.� � � � �� �� � �� � x ��
�-:, .� �����'� � '�°
�Oi=FICE��1���"�� , e ��``�'� �������°�Uate�`���;����,���� `�� �
�
��` � ���� _ �- � �� '" �� � � �'� `�����
equ� ed�lt��pe,ct�ons � �, ; :�. ., 3. � : �, �� -� � ���� � � ���$�����
�' ��������''�`�'�; ' �� � r x S'�� � � st Fi a � � Y� equl�retl ;��Yes�;��►��.�� `
�Me#�r� e�ted 1 ems e e i �;.,. . � =_ �� �, ����� ������� ��" °
R � � ..Y. � ad� � Ma om�e z. t�ff������-� �������%�_�_��� �
:�i.���s,'�'�.h,=+�.,�..,3.,t2�-r�..�_,.�.xN.� ..�.�`_ �" ��� �` �a+ a.�, �
_ .,• , ,� ���;;.,��.z _ �� ���,��:..�,.�.s��°��.�'cz„�.�..�,, w ��,:�t;.�..���_, _.._�,_:_. ...N�,�; '��'a�
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