3530 Lexington Ave
Use BLUE or BLACK Ink
r I
For Office Use
of EaE iWity n Permit#:
!l!, i___5_ -
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:
INFLOW & INFILTRATI PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant:
2 ) - Suite
Name: Phone:
RESIDENT / OWNER
Address / City / Zip: OP n,~~/~~~~
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: 41C
DESCRIPTION /
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaclan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case o ork which requires a review and approval of plans.
x x `
App scant' Printed Name Applicant's lt± re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
, CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT 4a Receipt#
To be used for Est. Value Date ,19
SiteAdd?ess 3530 & 3536 LEX
Lot Block Sec/Sub.
Parcel No.
PAKKSIllE
c Name , . ,,.
; Address
° CityPhone '
¢
p Name
?? Address
? City Phone
?ja . ?..bSOC
y? W Name
W
? i
On Site Sewage .?r Occupency
MWCC System _ Zoning
On Site Well Type of Conat
City Weter _ (ACtuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprin! S.F.
APPROVALS
Assessments
Water/Sewer
POlICB
Fire
Engr.
Planner
Council
FEES
Permit
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ WeterConn.
_ Water Meter
_ Road Unit
_ Treatment P1
I
I hereby acknowledge that I have read this application and state Bldg. Oft
thattheinformationisconectandagreetocomplywithallapplicable APC
State of Minnesota Statutes and City of Eagan Ordinances Variance
Signature of Permittee
?
A Buitding Permit is issued to: ?
all work shall be done in accordance with all applicable State of Minnesota Statu
Buildina Offinial
AVE
TOTAI
I
_ on the express condition that
and City of Eagan Ordinances.
Psrmit No. Permit Holdar Date Talephons fF
Plumb'+ng
:
H.V.AC.
?/ ,
/!v ??
!Ur «.? ?kt c eLL'?4 u?L"' I U(8?7- ?'>%?a /? - C.a_L(c e(
Elactric
Softener
Inapection Date Insp. Comments
Footings I
i
/ .7
Footin9s II ?
Foundation
Framing 7 7v
Roofing
Rough Plbg.
Rough Htg.
lgul.
-.?.
a-?'-e 7
Firepiace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
'^l ` ? Y :I( ?'b . . . _. .. _ -. "_"' .. ; . , .. . . ?.......... ?.« . . p. . . _. - . _.
?
PERMIT #
PLUMBING PERMIT
RECEIPT #
' "
•
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
, CONTRACT PRICE: PHONE: 454-8100
Site Address ^ Cs?oa?} BLDG. TYPE WORK DE$CRIPTION
}
LotBloCk ? Sec/Sub
, Res. New
> Mult Add-on
m Name Comm. Repair
m Address^ ' P c Other
c City r av...,; iie Phone 469-49SE, RES
PLBG
ONLY
COMPLETE THE FOLLOWING:
.
-
.
NO. FIXTURES TOTAL
Name -Water Closet - $3.00 $
m
c
..
Address'. ? ? Gs..
-
-
-
RF _Bath Tubs - $3.00
; r
sv
z
cz-
? _Lavatory - $3.00
O City j;...._,,..? Phone ? ??fl?Q Shower - $3
00
_
.
-Ki?chen Sink - $3.00
FEES -yUrinaliBidet - $3.00
COMM/IND FEE - 1% Of CONTRACT FEE ''"-yLaundry Tray -$3.00
APT. BIDGS - COMM RATE APPLIES _Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES !Y-Water Heater -$?.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES -Softener -$5.00
BEYOND $1,000.00) -Well - $10.00
_Private Disp. - $10.00
Rough Openings - $1.50 . ?
SIGNATURE OF PERMI E
F
FEE:
/ STATES/C:
FOR: CITY OF EAGAN GRAND TOTAL:
_ ,.a._._..,.._ .?_... _ _ _ _. . J
.j;PERMIT # l?? S
- • MECHOICAL RWRMIT RECEIPT # ! s{ l??
• • . CITY OF EAGAN
.-D 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
TRACT PRICE: PHONE: 454-6100
? Site Address _
' Lot
? Name _
m Address
c City
Name _
c Address
0 City
-
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping OuUets #
Other
M BTU
M BTU
M BTU
? M BTU
CFM
FEE:
S/C:
TOTAL•
?-II BLDG. TYPE
I .i
Mult. _
Comm
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES
HVAC 0-100 M BTU $24
00
. -
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. R.4TE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
- (ADD $.50 S/C IF PERMIT PRICE GOES
' BEYOND $1,000)
/
L'
'
4
am.?
' SG SIGNATURE OF PERMITTEE
?. ?
?? ;? - FOR: CITY OF EAGAN
CITY OF EAGAN Permit No:? Date:
3830 ,filot Knob Road B/p No: ]6.1??,...R _ Date:
P.O. Box 21199
Eagan, MN 55121
Owner. rygtaf :+n S AnaeC
SiteAddress: 3u? L?xL -ton Ave So L2 Bl Pe,r'?'sic?e
Plumber. MAT-vPr ne intz/S at- "'ech
MWCC: 8,400.00ue Zoning•
1, 600. QOFd
City Chg:
No. of Units:
Acct Dep: I agree to comply wNh the CNy oi Eagan
Permit Fee: t`? t?llt?c Ordinancea.
Surcharge: {nr•_? ?
Misc.: By
SEWER SERVICE PERMIT
Conn.Chg: 3_400.00rci Zoning:
Acct Dep: No. of Units:
Permit Fee: 1 :' _ 'ltlp ? _
Surcharge: I agree to comply wHh the City ol Eagan
Tr. Plant ? Ordinances.
Meter.
Misc.: BY
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date: 1?= 7
3830 PNot Knob Road Meter No: Size:
P.O. Boz 21199 Reader No: Date:
Eagan, MN 55721
REQUEST FOR ELECTRICAL INSPECTION t"-"°--
/
/
? See instruclions ior completing this torm on back ot yellow copy. 17/
c` 504?2 6 "X" Below Work Covered by 7his Request
NwAl Add Pep. 'Tvoe of BuilAing 1 ADPlianeea Wired Equipment Wired
Duplex Water Heater Lfghtfn,y Fixtures
Apt. Building Dryer Electric Heatui
Commerciai Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner 8iilk Milk Tank
Farm OthNr Peci y -iher (SPr.r.i}y)
t r.r ueci(v Other Other
nnrr
p Fee Service Entrance5ize p Fee feeders/5u6feeders ee Circuits
0 to200Am s 0 to30qm s Oto30Am
Above 200 qmpy ' 31 to 100 qmps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms E tial,"Other Fee
JI?ID ' 1 'aNc?iai n?aNc?.?wu
l
?
I Rou0h-in
1, the Elec ical POOF
in5uec,a,. n
lyt
(e? '?? • ? certify ihat the above
Final DVenQ 4- fnspection has 6een
? AL L mede.
Thls reVuest vold 18 months
This request vofd ?
18 rtqnths }rom
,?-?. ?:?;?? ,
C60926
??5f °-D
RequBst Uate FireNO. RouA -in InsUection R q red? []Ready Nuw Will Nolify, Inspec•
i es ? No hen Ready
licensed EIeC[rical CoMraCtor 1 hereby re0uest insOBCtion of above
LJ-Owner electrical work installed at:
Street Address, Box or Route N City
ecLOn o._ Township Name or No. RyhGC, No. ount
?
Occup nt (PRINT) Phone No.
?
f
A L
? ? !
Power S pli r j Address
Electrical CoMractor ( mpany Na 1 Contractor?s Lic nse No.
/
/
Mailing ddress oncractor wner Making Instac/ation)
f
;
Authorized Sature ICon act r/Owner Makina Installation)
V Ph
Nu ?her
A? ?
MINNESOTq STpTE BOAHD OF ELECTqICITY
Griggs-Mid:vay Bidg. - Noom N-191
1821 Universitv Ave.. St. Peul, MN 55104
ownnn If.191 Ra2(1pOD
THIS INSPECTION REQUEST WlLl NOT
BE ACCEPTED BY THE STqTE BOARD
UNLESS PflOPEB INSPECTION FEE IS
ENCLOSED.
RENTAL ITNITS CITY OF EAGAN N° 14005
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
PHONE: 454-8100 ?1
BUILDING PERMIT 16-tiNIT Receipt# ! To
To be useb for APT. BLDG. Est. Value $488, 500 Date AIiGUST 4 19 87
Site Addeess
Lot 2 E
Parcel No.-
3530 LEXINGTON AVE
OFFICE USE ONLY
On Site Sewage Occupancy
-R-
MWCCSystem Zoning
On Site Well Type of Const
City Water X (Actual)
(Allowable)
# ot Stories
Length
Depth
S.F. Total
Footprint S.F.
1 Sec/Sub. PARKSIDE
, Name POINT OF LEXINGTON PARTNERSHIP
= Address 14661 CHICAGO AVE SO
3
City B'VILLE Phone 432-8240
U I Name SAME I
o Address
? City Phone
?W Name JAMES COOPERMAN & assoc
Wi
Address SHELARD TOWER, 600 S CTY RD 18
_ 0
Q W City MPLS phone 545-0409
APPROVALS
Assassments
Water/Sewer
Police
Fira
Engr.
Planner
Council
I hereby acknowledge that I have read this application and state Bidg. Off.
thattheinformationiscorrectandagreetocomplywithallapplicable I APC
State of Minnesota Statutes and o gan Ordinances. variance
Signature of Permittee
A Building Permit is issued to: POINT 0 LEXINGTON PARTNERSHIP
all work shall be done in accordance with all? I cable State M' nesota tatu
Building Official ??
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Copies
roraL
$ 1,669.00
?Z44: 25
R34.50
7-Tnn-o0
g,ann_n0
8,400, 0
4.880.00
9'RRn_nQ
$ ,07-7 S
_ on the express conditfon that
and City of Eagan Ordinancea
F °
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
-3 C) -a. . a S--
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • CodeAnalysis (1)
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule * . Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be esta6lished • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
l • EnergyCalculations (1) •' 1
1 • Electric Power & Lighting Form (t)
1 • Master Exit Plan (1) y
1 • Fire Protection Plan (1)'" 4
l • Soils Report (1) 1
• MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Contact Building inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of alth.
DATE: C -1 ?I??? WORKTYPE: _ NEW _ REMODEL
SITE ADDRESS:
TENANT NAME:
FORMER TENANT NAME, IF APpLICABLE:
14
Call 651-215-0700 for details.
CONSTRUCTION COS r:?17 6511
SUITE
DESCRIPTION OF WORK tf!/??f?//`f/>i-/ ??'?/f[y???7
Name: Phone #: ( 0//?) ! ( v r ?/ ?
PROPERTY Last First
OWNER
Street Address:
CONTRACTOR
ARCHITECT/
ENGINEER
City: .34
Company
?
Street Address:?
ciry: s'-??? ?
Company:
Name:
Street Address:
City:
State: Zip: - 33 1/7
Licensed plumber installing new sewerlwater service:
, &/-fa3
Phone #:
I hereby acknowledge that I have read this appiication, state that the information is c ct, and 3Qree to com? with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:?/
? Updated 1102
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion ? 26 Pablic Facility 0 30 Accessory Bldg.
IJ 14 Apartments ? 27 Commercial/Industri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition 0 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of Stories
No. of Units Length
No. of Bldgs. Width
Const. (Actual) Basement sq. ft.
(Allowable) First Floor sq. ft.
U$C Occupancy sq, ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
Engineering
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinltlered
? Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Gopies
VALUATION $
% SAC
SAC Units
Meter Size
Total
q?prc) 0 C?5
.. ?
1987 HDILDING PERMIT 9PFLIC6TION - CITY OF EAGAN
¢, .
..
SINGLE FAMILY QWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIT1iVEY, 1 SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTdNER MQST DESIGRATE WHICH•ADDRESS
IS DE.SIRED. NO CHANGES HILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSDED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL QAiITS 16 FOR SALE UNITS N/A
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg FTITH BLDG. DEPT.P
1 SET OF ENERGY CALCULATIONS
COh44EERCIAL •
INCLUDE 2 SETS OF ARCHITECTORAL & STRUCTURAL PLANSt
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BDND
To Be Used For: Rental Apartments Valuation: 4$8,500.00 Date: July 7, 1987
Site Address " 3530 A\/E?. OFFICE U5E ONLY I
Lot 2 Bloek 1
Parcel/Sub Parkside
Owner Point of LexinQton Partnership
Address 14661 Chicago Ave. S
City/Zip Code Burnsville, MN 55337
Phone 432-8240
Contractor Point of Lexington
Address 14661 Chicaeo Ave. S
CityJZip Code Burnsville, MI7 55337
Phone 432-8240
Arch./Engr. James Cooperman & Assoc.
Address Shelard Tower,600 S Cv Rd 18
City/Zip Code Minneapolis, MN 55426
Phone # 545-0409
On Site Sewage_
MWCC System _
On Site Well
City Llater _
9PPROVALS
Assessments '
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Oecupancy
Zoning
Type of Gonst
(Aetual)
(Allowable)
# of Stories,
Length
Depth
S.F. Total
Footprint S.F.
FEFS
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT9L
I
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTE: PA)WTfs QF EES AT TIME OF *
APPLICATIoN DOES NCIr oONSTITUTE *
APPROVAL OF PII001IT. ?
?
INSPDCTION OF SEtiM ADID/Ct WA'LEE2 *
IIVSTAI.LATIONS V1II1, NOT BE SCEffD- *
ULED UNTPIL PEFtMIT HAS BEM *
APPROVED.
?
*
*
.xwwwxxwwwxxxwxxw?.xx?;W=?wwxx.. ?xxx
P ease Print
1) PROPERTY ADDRESS : T »
-LEGAL DESCRIPTION: '-
Lot B ock Subdivision or Tax Parce ID )
i .
IF E}QSTING STRC'CTVRE, DATE OF ORIGINAL BL?ILDING PERMIT ISSOANCE: :
(Nbn ear}
PRFSII? ZOIVING/PROPOSID I!SE:
Q CONMMCIAL/RETAIL/OFFICE ? R-1 52NGLE FAMILY '
Q INIDt'STRIAL ? R-2 DT-IPLEX (ltvo C?nits)
[I INSTIZ[)TIONAL/GOVERNME'NT ? R-3 TOWMOLSE (Three + Units) ( Units)
R-4 APARTTENT/COAIDOMIIVIUM ( Units )
2, ?
IVAME:
ADDRESS:
CITY. STATE, ZIP: -'.., .
PHONE: ; .
3) • i: ?• NAME. For City Lse .,
Plumbers License:
Ve
ADDRFSS: ACtired
Expi
CITY, STATE, ZIP: .. 4:'.:. e Not recorded
PHONE: MASTII2 LICENSE# Staft 7lutial
f
4) •• • 1?+•
NAME: ' . , L'
ADDRESS:
CITY, STATE. ZIP:
PHOIVE:
'5? '' M? • ?• : ? • • ?u
n CONNDCTION TO CITY SEWER ? CONN!7CTION RO CITY WATER OTHER '
6) '? ' •' Q PLE.ASE HOLD APPROVEU PEE2NIIT F'OR PICK-t'P BY ONE OF ABOVE _---° ---
? PLEASE MAIL APPROVID PERMIT TO 11 2 3, 41 ABpVE .
"„_ „ • ( rcle one )
7)
. fOR .-CITY USE ONLY
PERMIT # ISSUED . A
`
.
;7 "
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ??i•.SZ' WATER PERMIT (INCLLDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP,(INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ ?G?1(?Z,•?' • c, $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
,$ ? , ?d D' $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
rD 0-o $ 4 I , O Z' TOTAL
,
WG 71
RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: Ih??,_,.ti
i.<
TITLE:
DATE : I e /f •3 /,7 7
,