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4669 Manor DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , ITt:trl,?i; i!- V9i'?!S 1 NE E. PERMIT SUBTYPE: . .,, SPECTIi PERMIT TYPE: Permit Number: Date Issued: APPLICANT: ( h,11 i ti?14f- :<?ii'?k1 TYPE OF WORK: O1°',1: h 11'1 tlM i)?, E,I I Ori 0 i ! f ti / t;1 Va E F? (11111 / i ARM t'liVY 1 1 t:l"P'iAkY? ;: 1t00 t'INt; PermR No. Permk Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FDOTINGS FOUND 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 Permit a: ??- (a Receipt Date: _ ?j C) + CITY OF EAGAN 1 O/02004 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES - n ? EXISTING COMMERCIAL PROPERTY -J C"-7 Q (e.?3 Z J W? C'?_ ? ? Address '-A ?v ?, O? ? o, v\,, o Property Owner C-1 +?- Telephone #: Plumber -- ;,.?x 0?&(),- vv,S Date of Inquiry: V3 O/C7 q Contact Name: OFFICE USE ONLY PRV required _YFh R-O-W Permit: CityCounty Unpaid Pernut Fees City Financed Sewer Water \ 8" Se Service $ 1.380.00 6" Water Service Lateral ch e@$24.60/ff Lateral charge @$3130/ff ? Trunk @ $2,0 acre Trunk @ $2,165/acre ? City SAC @$10 it Water supply & storage @$3,415/acre MCES SAC @$1,35 it Treahnent plant @$588/SAC unit Receipt # , D Pern ut Fee Septic abandonment 50.00 State Surcharge Pernut Fee 50.00 State Surchazge .50 Total / -R \ I I Total and " Sewer Service 6" Service Sewer la charge @ $24.60/ff Water lateral c e @ $3130/ff Sewer trunk @ $2,0 e W ater trunk @ $2,165/ac City SAC @ $100/unit MCES SAC @ $1,3 unit Separate plumbing permit required Receipt # Date N Water suppl storage @ $3,415/acre Treatme plant @ $588/SAC unit it Fee Surchazge Total Separate plumhing pernut required Number 50.00 $ $ 50.00 .50 Council Enviror:meiztal Services (651-602-1 cc: Cazolyn Krech, Finance Department 2004 CONIMERCIAL PLUMBI1i TG PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 , _ 5v ot- I D,(b ? Date ?/3U / ? p?- _ ?2 Cl ?( W'? Site Address C r K.:I"- ? Unit # Tenant Vame ,e y/lormer Tenaut Name 17 Property Owner /? U ` G Telephone #?s/) ???? OO? Contractor ? Address Z /y Z°r, f clJGr t City State Zi U Telephone #Vf/? y / The Applicant is _ Owner Contractor Oiher Work Type _ New Bldg Add-on _ Repair RPZ _ PVB _ Irrigation system * • Rain sensors r uired. Jer Wobachall to celwlate fees ?, ? ("d R / Description of Work ss ?c 6 / / WG eJ?. / C? To inquire if Pressure Reducmg V e is tequired on new service, call 651-675-5646 CD Meters - CaII 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed oNor to aickin¢ ua meter. Irrigarion Size & Type Avg GPM 2" hubo req'd unless smaller size allowed by Public Works Fire Size & Frice 3/4" dis lacement 155 00 __1, Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No F7ushometers _ Yes _ No PRV Required _ Yes No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% =$ 5 v. v? Base Fee $ 111i? Meter(s) Required on all new buildings & boulevard irrieation svstems $ ? Radio Meter Read If base fee is $1,000 or less, surcharge is $.54 $ -]`-? $t2t0 $i1IC}lazg0 ]f base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee Following fees apply oniy when installing new irrigation system $ +? ?Y Water Pemut?? Contact Jerry Wobschall a[ 651-675-5024 for required fee amoun[s NC) Cy'.0?Y?A e_?i G Treatment Plant $ Water Supply & Storage SEP 3 0 1004 1, '$ StateSurcLazge L: By $ Total Fee I hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be m conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan m the case of work whi requues a revie and approval of plans. ?s,?v `ti f '00l.2 rljez?_ ApphcanPs Pnnted Name ApplicanPs Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMiTTED APPROVED BY: 416 9-3 0-0 /, BUILDING INSPECTOR General Information . Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 . RPZ's must be rebuilt every five yeazs. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS RFOUIRING A 4-HOUR AUVANCF, NOTICF. PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irriga6on syst $ 788•00 displacement sm commercial turbine'* must receive maximum approval continuous 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00 maacimwn displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 I/4 to 160 2" compound bldgs over $ 1,880.00 bidg to 24 units 65 units maximum sm commercial & crnrtinuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 MF.TERS RF,QUIRING 34-DAY ADVANCE NOTICE PRIOR TO PICK UP GPIVI M6TER5 USE PRICE GPM MF.TERS USE PRICE 5-350 3" turbine veiy Ig inrigatinn 511338.00 6-500 4" campound +300 miit hidgs & $3,749A0 syst & production very Ig comm 61dgs lines If2-320 3" compuund +300 nnit bldgs $2,407.00 10-1000 6" componnd +400 unit blUgs $6,124.00 vcry Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,384.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 5/04 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING PermitNumber: 026908 Date Issued: 01 / 18 / 9 6 SITE ADDRESS: 4669 MANOR DR LOT: BLOCK: MANOR LAKE DESCRIPTION: Y} i 1'd i n g' ,4.p e Onsus Gcide (HOLZ FARM rmit Type rJ< Type ?. =?ra z PARK) PUBLSC FACTLITY REPAIR 437 ALT. NONRES. ?.?,a i, :?? ?z fiiS? 36 m{ 'ai? rtd? ' 4 Iu §IJGb REMARKS: ROOFIN6 S4 ''*r'y? i^ sin' F?` a S x FEE SUMMARY: Base Pee 5urcharge Total Fee VALUATIDN $.00 $5.00 $5.00 $10,000 CONTRACTOR: - ,qppiicant - OWNER: HORI20N ROOFING 2$909900 CSTY QF EAGAN 1333 LARC ZNDUSTRIAL BLVD 3501 COACHMAN RD BURNSVILLE MN 55337 EAGAN MN 55122 (612) 890-3900 (612)681--4656 ? T hei^eby aCRhawledge that,-`T hzrve?reacf tihis appii6:aCian az1d s???`? tkiat'tkx? informati4.n is carrect amd,;agr$e;"to c?rm'p.?y withl r?3c.a.Na1t-at0 b f MiS..'. . SGatutes and. Cit,y ss-f Eac?an OMd3rianoes'. G APPLICANT/PERMITEE SIGNATURE ?lr?'a ?- --?TS'?UEDB SI ATUF i CITY OF EAGAN -0-00 3830 PILOT KNOB RD - 55122 (riol 1995 BUILDING PERMIT APPLICATION (;Ofldd.42-14 681-4675 CDmm.:.r:!Id ? 3 registered afte surveys ? 2 aopies of plan ? 2 copies of plana (inGude beam 8 windaw saes; poured Md. design; etc.) ? 2 sile surveys (exterior edditions & decks) ? t energy celculetfons ? 1 energy wlculations tor heated additiom ? 3 copiea W tree preservation pian if lot platted after 717193 requlred: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: a-/Gco?- STREET ADDRESS: ?6&t? rn LOT BLOCK, SUBD./P.I.D. #: u PROPERTY Name: &A?---`-?.?a,?? Qy? a?none #: ? 1-6 ?,b owNeR StreetAddress' ?a?'`?Q'"O ? City: !4 &/yl State: Zip: z, c;' Co1dTRACTOR Company: ?IaK?-j Phone #: --Lq0' 3 qOo Street Address: ra V4 License #.°?12795 City: State: ? Zip• 5?33? ARCHITECT/ Company: Phone #.- ENGINEER iVame: Registration #' StrPet Address, City: State: Zip: Sewer 8 water licensed plumber change are requested once permit is issued. Penally applies when address change and lot 1 hereby acknowledge that I have read this applicatian and state that the intormati -is eorrect and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: 61 OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 SF Dwefiing ? 07 4-plex 0 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 = plex WORK TYPE 0 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of 5tories Length Depth RPPRQ`JALS Planning a 11 Apt./Lodging ? 0 12 Multi RepaidRem. ? 0 13 Garage/Accessory o 0 14 Firepiace ? 0 15 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee L,re Surcharge Plan Review License MCNVS SAC Gi;, SAC Water Conn. Water Meter Acct. Deposit S/W Permft S/UV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ a, 6 Z a,Q0 ,... ,,,. ,.,, . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. _e13 7 SAC Code _ 30 Census Bldg ,L Census Unit o % 5AC 5AC Units y .•y, . . _ .. , _ ., Contract No.: I Project No.: Submittal Date: S CITY OF EAGAN SEWER 6 WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: !Muw2 L/a-Lf IS-T /a7.+nIT!/a?V Su6stantial Completion of Sewer 6 Water 1j/p?'y/'fj8 Date of Occ rence STEP I: PERMISSION TO HOOK UP SANITARY SEWER WATER MAIN .l Lines Lamped and Acceptable ? Deflection Mandrel Test Passed ` Manhole Structures Properly Constructed (cstg. & cover, rings, cone, 1 ft.sections, final rim se[ting, fi build and invert) V/ Infiltration Test (}117- ?fiSr SERVICES vll? Properly Chlorinated 6 Flushed ? Entire System Pressure Tested 7 Entire System Conductivity Tested All Valve Boxes Accessihle, ?, Straight S keyed All Valves Opened or Closed as Approp. V70 All Hydrants Set to Proper Grade f All Wye Locations Confirmed -z All Cu:b Boxes Exposed, Set to Proper Grade 6 Marked w/Fence Poet COMMENTS: STEP II: FULL USE PERMIT (OCCUPANCY) STORM SWER STREETS ? Lines Lamped & Acceptable ?? Material Tests Checked 6 Passed ? CB Structures Properly Canstructed(cstg & (Conc. compressive strength 5 Air cover, rings, 1 Ft, section, invert, final Content, Sieum. Extact & gradation, cstg. setting & build, DL-DR correctly set gravel base gradation). ? rings & cstg. set in full bed of mortar) ? Utility Structures fi Lines Clear & Free Aprons, Dissipators & Rip Rap properly install of Debris fi Gravel (Gate Valves keyed) COMMENTS: RECOP44CNDATION: I herein verify that the tests and inspections indicated above have been sucessfully completed. Any deviations or exceptions are described in my comments. With this considered I recommend that permission to hook up or permissio for ccupa y be granted as appropriate to the above indications. Signed Confirmea CYR??ct ¢?or r ? White - City Pink - Project File rubil.e' worKs 8104 ?w - Inspector 'N 'yu--k O ? ci - pa? /' C, ? Contrac[ No.: Project No.: ZO Submittal Date: /0 Zo 0 CITY OF EAGAN SEWER 6 WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: (VL/}k62 L44A E2'2?-Tr' S Substantial Completion of Sewer S Water ?pfjE}?j ? ? ?ate of Occ rence STEP I: PERMISSION TO ki00K UP SANITARY SEWER ? Lines Lamped and Acceptable ? ?eflection Mandrel Test Passed :z Manhole Structures Properly Constructed (catg. & cover, rings, cone, 1 ft.sections, /final rim setting, 6 build and invert) Infiltration Test /}lR Tf'91T SERVICES WATER MAIN Properly Chlorinated 6 Flushed ? Entire System Pressure Tested 7? Entire System Conductivity Tested ? All Valve Boxes Accessible, /Straight 6 keyed ?All Valves Opened or Closed as Approp. _ All Hydrants Set to Proper Grade ,of All Wye Locations Confirmed _4,e!f- All Curb Boxes Exposed, Set to Proper Grade 6 Marked w/Fence Post COMMENTS: STEP II: FULL USE PERMIT (OCCUPANCY) STORM SWER , typA/E aIJ p2WY?T _ Lines Lamped & Acceptable _ _ CS Structurea Properly Constructed(cstg & cover, rings, 1 Ft. section, invert, final cstg. setting & build, DL-DR correctly set rings 6 cstg. set in full bed of mortar) _ Aprons, Dissipators 6 Rip Rap properly inatall STREETS -NuNE oN T&S PKLA4 ?T Material Tests Checked 5 Passed (Conc. compressive atrength & Air Content, Bitum. Extact 5 gradation, gravel base gradation). Utility Structures & Linea Clear 6 Free of Debris fi Gravel (Gate Valves keyed) COMMENTS: 64, FTJ2 EFOUILVp #- rVLL OGCVPAVL`;" RECO[RIENDATION: I herein verify that the tests and inspections indicated above have been sucessfully completed. Any deviations or exceptions are described in my coffiente. With this considered I recommend that permission to hook up or p?rmissio for occupan be gra?ed ae appropriate to the above indications. Si ned White - City Pink - Project File w - 04 Inspector c 81 . : . . . ..... i... ? .. . .. . , I ? .. J.,. .? ?... .' .. ':: . ,:. - ' . . .... _ . " " _ . i..l..?..>+,'.`p - _ .. ; .a ik?? 1Y,4 A 1' ? ! q( ':*? \ .' ? Contract No.: Sf3-9 Project No.: -rjZ0 Submittal Date: /O Zo $ CITY OF EAGAN SEWER 6 WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: (qAt4U2 Li9lLE dnrffiA=re Substantial Completion of Sewer 6 Water iUfJt}?'j p ' Date of Occ rence STEP I: PERMISSION TO ki00K UP SANITARY SEWER ? Lines Lamped and Acceptable ? Deflection Mandrel Test Passed ? Manhole Structures Properly Constructed (cstg. 6 cover, rings, cone, 1 ft.sections, /final rim setting, 5 build and invett) Infiltration Test /}flt YfyT SF.RVICES WATER MAIN v,' Properly Chlorinated S Fluahed ? Entire System Pressure Tested v Entire System Conductivity Tested ? All Valve Boxes Accessible, Straight & keyed ?All Valves Opened or Closed as Approp. _ All Hydrants Set to Proper Grade f All Wye Locations Confirmed _4Z AL1 Curb Boxes Exposed, Set to Proper Grade 6 Marked w/Fence Post COMMF.NTS : STEP II: FULL USE PEEtMIT (OCCUPANCY) STORM SWER ? yuolE v?J ibHS PKo.I f c,7 Linea Lamped 6 Acceptable _ CB Structures Properly Constructed(cstg & cover, rings, 1 Ft, section, invert, final cstg. setting & build, DL-DR correctly set rings b cstg. set in full bed of mortar) Aprons, Dissipators 6 Rip Rap properly install -/.? _ V `]' J- STREETS -NUArE vN Tlt'S PRrA Ef T Material Tests Checked S Passed (Conc. compressive strength & Air Content, Bitum. Extact 5 gradation, gravel base gradation). Utility Structures S Lines Clear & Free of Debris & Gravel (Gate Valves keyed) COMMENTS: 64, F:,O2 unvk-uP #' r-vLL oc.c vPaVC'Y _ RECOMMENDATION: I herein verify that the tests and inspections indicated above have been sucessfully completed. Any deviations or exceptions are described in my commente. With this considered I recommend that permission to hook up or permissio for occupanc be granted as appropriate to the above indications. Signed ject r Confirme b 'y? White - City Pink - Project File W - Inspector I 8104c ? r . ; O b sa l e-?e' MA NOR L AKE UTATZES ??•.? n?c6C4 E/?s ` fi 1 i a.. t ? !'/M N1,4 iwn" Se? 3F, 7wA77, kJ•' 2.i \\NNY•:?'Jl'£ ? /650 7 j 1 '? I - i / T77v 7 3j ^ ( ? P v en ? M c? ? ? I ^ry i ? N C, ?V ? NB9•200? E?? b M ?? p ? -/600 - ? ? y 900, 4' lp 00 y b b ? e Ob y 1G " Q 2? a?? 5G l L4 51 ? 0 ¢r- ? - ? rrB.F 'x? sz ?-•?rsi _NOnA bx a16e NW114 0/ Jhe NE114 Sec. 36, T.rp 27, Rqe73 M Bs•2I"4)"[ - - -/67695-- s?s? io?vo 1 04K07A \`\ Ne?s q °/PSO•• \ - +?sw ?ilroac 41 qj?9 Qoieoeo,.. ??esz ?? ' I;y IF•ns. 1we. e?. ?? 1- ? q wc 4 3 .;la 2 ? IL -50 Sa__ ?-- Nel•3t'IO"w ? I ? I i / 1 0 i \ 1p 1 i PS ? 2/p ?E fh i d ' _N B9•i%4 f ' I COUN7Y,.90` Co Rd No 32 /CLIf.F HOADI "? g D' ?? _ ?3p,a3? 4iB9BB ? o ' ? a oo _ a. zaaa -- - i °e ? W I O ,a=sn5z' ti, : l alno ry ? ? e o 5 )R OR rtiIw1E avE ? C? y ?O T5S63 y35E3 3S'00 ?'? ?O °'-. ?_SbdYS?p. l ..x?,. ? L, p•'??p D'P ?5 O 96CJY, 9600? /029..- .???rv?? r?e°p?? ' ?Y , wc.s?"$? la6?" /9.6.°1' e ,r?f • / ' I r ? j / ?????. ay". q ? nes•zr?Ye ,, ?^ h L-"_KaSOrB"w R q?'`n"°I0R02 ?b ? ? ? 0 7S JB53/ 1ea?e_ p o-/ .s?_J 17 . r, ebj?n n9M.? ? / FZJ ^' ? • 6fy; ?m : o ?i ' ?fj? ? F2 ? 9 a.? - 436?. , LANf .?.1292:. O . ? - , ? ? • ,E 7:l 1 c ?'?:a5'[ 1b35 ? 117.,? a Sv „o scait .,n .-__.rrct n? 2 b / ya ' `? o , ?P n ry? / Secnon 36 7ownsh1o 27 N RUnOe 23 W ? q N n',M1PN? F O u T L. D or ? -. _ _30000---- -- U'( - oo?•? L 1 i ? : '' cf "•? . w • . ,31 I i : h ya.o° PARK ° h+'P pry ° oP 2 I 3 6^? ? o ai 6 ? I9e00 NB9•3lST ' ? SouM bne oJ hAe NW l/4 al mr NE //4 . ' Sec 36. 7r0 27. Aqe 23 PHTF.RS, PRlCE & SAMSON LAND SURVEYORS, LTD. n sa•v? o [ ourLor F 0 ep ti e ?•,? '4,1r? cro,nav? an? ?idny msemeros ai. sno.n ;'.h/ /A?3 ? I f. L' ' Be//y 5/eel ?n w,ol?. Wiiess JIN?/. ae inJ:p/e0 onC oo?mmop ?M M1/es, ano /O /ee? .n *.O'n pnp ?•'Y'/ 00/o.ninp .vte? /.nes. os z9am w I?e Dlo? Wolvr EieroGOn Ar o/ L11Or 3l, 19°l•Bt?? /NGVD-/9291 . ?• Deronr /auna mooomero, : n m role+ 1/P ,..cn Or rJ ,n: o.?r mano en? sn ona RGO Oy Mlnlit5p0 Re91)I/pl.Jn MOn?aBY'l IA[ Nor)lr /:ne N Me ?.rr/MPS' Ow//G/ O/ M[ ?:i/n[aai J?erxr a oss?mm ?. /w.r a.ye?inq N N B?'la'J??f I ; ¦ SNEET 2 OF 2 SHEETS Nn ria rve i.v I ? SNl/Vi I Sf //G NO SCALE • ? ? Y ' ? C?A.'?'? G f J,? c1 o I lv CONIMERCIAL i -3 i -01 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 1?1 56 ov Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architecturel Plans (2) sets • Architectural Plans (2) sels • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " . Certifcate of Survey (t) • Civil Plans (2) • Project Specs (1) • Code Malysis (7) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certiflcate of Survey (1) • Energy Calculations (1) not always" • Sods Report (t) • Spec. Insp. & Teshng Schedule (t) " • Elec. Power & Lighting Form (1) nol always"' • Meter size must be established • Meter size must be established • Meter size must be established - if appliqble • ProjectSpecs (1) b • EnergyCalculations (1)" L d • Electric Power & Ligh6ng Form (1) 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1)" 1 1 • Soils Report (1) 1 . MClES SAC determination letter • MClES SAC decermination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE - - 0 WORK TYPE NEW _ REMODEL CONSTRUCTION COST ?? s yoZ SITEADDRESS °Z TENANT NAME IVI) L Z rl"P2/7J SUITE # FORMER TENANT NAME l C; L-l `l ?--I ? DESCRIPTION OF WORK h7AVGHI4/6 Sf?E? Name: PROPERTY Last OW;VER Sheet Address_ Ciry State Zip Company ZbSTC-,,e /.3Lt.LGl7-ZLV? Z/1/C, Phone# (-bC 3/S CONTRACTOR //// ? y? Sheet Address: 56 a Y? Ciry LE9TfiF' Aoelqldl,7'E State yl7/iJ Zip `Ss-3S y ARCHITLCf/ ENG[iVEER Company Z ES7-,E1e /,jGt?Gl7.Z? S^/C. Phone# L_ Name Registration # Street Address City Sta[e Licensed plumber installinst new sewer/water service: Phone #: Zip I hereby acknowledge that I have read this application, 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: gLj-el Updated 1101 Phone#:(_? SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE PO1e X 31 New ? ? 32 Addition ? ? 33 Alterations ? ? 34 Replacement ? OFFICE USE ONLY ? . ? 26 Public Facility ? 30 Accessory Bldg. ? 27 Commercial/In dus trial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Fou nd) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof ? 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code -- No. of Units 1 No. af Bldgs. I Const. (Actual) 5, r) (Allowable) UBC Occupancy - 1 Zoning ? sq. ft. # of Stories 1 sq. ft. Length 31, . S sq. ft. Width 19 sq. ft. Basement sq. ft. MC/ES System First Floor sq. ft. 57 City Water sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation C"lb? Engineering ? ? Plumbing ? Stucco/Stone Variance Permit Fee surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ ?(d ?t0 G 6 ? % SAC SAC Units Meter Size Total $,C> 0 TO: KENT THERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMIIVISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SOPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR dOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: CRAIG NOVACZYK, BUILDING INSPECTOR DATE: JANUARY 19, 2001 RE: PLAN REVIEW - HOLZ FARM OUT BUILDING The plans are in our plan review section for your review and comment. FILE M Please return this form to mv attention with your signed comments and the date of review. If you have any concems with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that aze to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes „E]? No water quality dedication ZONING? METER SIZE ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ??Yes ? No Signaiiire f/3d1b / Date '?T CD/FORMS/PLAN REVIEW CRAIG N - uoLZ ?Ale'#, skEo s?PE = ?8'xs6' Lom, aLrdi4rsot+ = q12.6 NoRo"AL 91S,5 14r6H trRTaRa5vSL S 4dEo EL-FV?4rZ,sN e 916 sNEo 0ts7'4aec F,eoiK LAkgr = 7? ' EAGAN v???? ? ?EV?I L??.J.__,J BY rPkt DATE _1- 30 .-0?--- BUILDING INSPECTIONS DEPT., ?-,?- Holz Farm Mcip ?.` •?• ? , qVIV P p5, ?} Rr n??s Snr? . ? ?poaSE ?'DuT HO?.SE ? ? ? snokE ItxsE jr-1 ?? o?M??vrt'??Ceo?a T? , SSD?GE ? a; %?'' tN tP ?? ?yJ ? ? erro ?r- ?.?1 Ww?sr ' cR 8 M i lll/W cll Iakse . • t NFuJ ?MU1tNilvE SNEO 6pANARY CNINE SNEO F Lqk E For Membership or Volunteer Information Cn11: 681-4660