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 - _
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ik?? 1Y,4 A 1' ?
! q(
':*?
\
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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
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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
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EAGAN
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DATE _1- 30 .-0?---
BUILDING INSPECTIONS DEPT.,
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For Membership or Volunteer Information Cn11: 681-4660