4116 Lexington Ave
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121
PHONE: 454-8100
'
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0 2S ?
BU
?.UINI
ni PERMIT Receipt#
To be used for Est Value Date
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewape Occupancy
MWCC System Zoning
Parcel No. OnSitewell _ (ActuaqConst
a Name ? Ciry Water _ (Allowable)
W
3 . ..
Address PRV Required # of Stories
? City ? Phone Booster Pump Length
Depth
p Name S.F.Total
,
?i Address FootprintS.F.
t- City Phone ApPROVALS FEES
? a
W
W
Name Engr./Assess. Permit
y?
?
Planner
Surcharge
_g Address
?uncil Plan Review
i W City Phone
Bldg. Off.
SAC, City ?
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee _ Road Unit
A Building Permit is issued to:.__ Treatment P1
on the express condition that all work shall be done in accordancewith all parks
applicable State ot Minnesota Statutes and City ot Eagan Ordinances.
Building Official TOTAL
Permit No. Permit Holder Date Talephone u
Plumbin9 ,
'0/!??: y7
H.V.A.C.
Electric
Softener
Inapection Date Insp. Comments
Footingsl
Footings II
Foundation
Framing a (
Roofing
Rough Plbg. ;; c e e - /?- l? ?? /
Rough Htg.
Isul. 4?2
Fireplace
Final Htg.
Final Plbg.
Bldg. Final 9 w
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Disp.
!
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
NTRACT PRICE PHONE: 454-8100
Site Address .!)? / Z (p ? t X, N o 710 ?
Lot Block .? SeciSub _
Hr (.Nl.Tov 14
r?
Name , H<^?
m Address ?0• A ? X 7,
c City IL,. C' ' 'rSe Phone ? n r
w'Sf il....
Name
3 Address 10(2, 130^ 7
O City Phone ? vx ? PN ? yi
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00)
J
FOR: CITY OF EAGAN
9LDG. TYPE WORK DESCFUPTION
Res. New '?
Mult. Add-on
Comm. Repair
Other r'
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_-Z?Wa1er Closet - $3.00 S ------'"
-Bath Tubs - $3.00
-97-1 avatory - $3.00
-Shower-$3.00
_Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
Laundry Tray - $3.00
?Floor Drains - $1.50
$Water Heater - $1.50
_Whirlpool - $3.00
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERM17)
-Softener - $5.00
-Well - S10.00
_Private Disp. - $70.00
_Rough Openings - $1.50 ?-9
FEE:
STATE S/C:
GRAND TOTAL•
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
, (612) 681-4675
' SITE ADDRESS: APPLICANT:
,
. , ? . ? . i ?•r+ .. t ? ? . , ? ?,. ?
?I + I ? i ? ?. i f u N li ? I 1 • , ? , 1 , t : ? t .? ? ?'.!', '+ ? ?Z ?l
fttl l l It I.N
H20 r>F,1
eq11A/y
PERMIT SUBTYPE: TYPE OF WORK:
A1 I"ERAi1pN ?
?•; o ? i: ,i; I;{ i'Itt.'Af tpN E?t IFI,
,
Pormtt No. PermH Holder Date TNephone A
SN1I
PLUMBING
HVAC
ELECTRIC
EIECTRIC
Inapectlon Date Insp. Comments
Footings I
FourMetion
Framirg _ S3
/
RooNng
Rough Plbg.
Rough Htp.
I&ll.
Fxeplace
Finel Htg.
OrsetTest
Final Plbg. Plbg. IrspecHOr - NotlTy Plurnber
Corut. Meter
EngrJPlan
Bldg. Final
V?
Deck Ftg.
Deck Final
Well
Pc Disp.
CITY OF EAGAN
3830 Pilot Knob Road , -4
Eagan, Minnesota 551 22-1 897 ?
(6 12) 681-4675
SITEADDRESS:
I fMtI 1tiN fi.Vk I
PERMIT SUBTYPE:
i i?? pt
I I ' ?, ? I IM1i',
f INAf
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
fii) ttt?1 wfi
N;'79A9
Ar,/iH/9f+
4 Bi 11r APPLICANT:
eit r 1 4 , r.i I h1f;
TYPE OF WORK:
Itt-'`iff? I F' l 1iiN
I+f F'A1tt
l UARA(iF
)
Permit No. Permit Holdar Date Telaphone f1
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ty
.?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
fIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
I
BLDG FINAi. ? ?/ L/(?? i -
-
/ ---
BSMT R.I. _
! ,
'
i -.
BSMT FINAL
DECK FfG
DECK FIN4L
' /
'
. _ I ?2f1 piw,? ENessae?
I I I I
CASH RECEIPT
. i ? CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
•
RriCE1YED ..
FROM
AMOUNT $ I
& DOLLARS
loo
? CASH Q CHECK
Fow 1(4
BY
'.? White-PaYera Copy
- ` Yellow-Posting Copy
Pink-File Copy
Thank You
1.
CITY OF EAGAN Permit No: I -:
3830 PilOt KnOb Road B/P ,? ? Dete:
P.O.Bqx-21199 No: 7?;-?? Date: I^-E--=7
Eagan, MN 55127
Owner. ? ?- _'..Ytnerg
? Site Address: 4116 ?x3nPto? Ar^ So I.a 31 ] exirQ[on ;:t11e ?
... 7 n
? nnwcc: -?;
Ci Ch ?i?' Zoning•
? 9' No. of Units:
? Acct. Dep:
Permit Fee: 1 F, I agree to comply wlth the Clty of Eagan
? Surcharge: y Ordinances.
I
? MiSC.: BY
L, SEWER SERVICE PERMIT
OF EAGAN Permit No:_
Pllot Knob Road Meter No: _
3Ox 71199 Reader No:
i, MN 55121
Date:
Size:
Date:
Conn. Chg: E:S •IIIQ.UDED Zoning: T'4
Acct Dep:_ I } APT CQMf gA No. of Units:
Permit Fee: _ IO OOpd
Surcharge: _ 50pd I agree to comply with the C8y ot Eagan
Tr. Plant Ordinances.
Meter.
Misc.: By
i
`------ _. - WATER SERVICE PERMIT
GTY OF EAGAN Permit No:
3830 Ptbt Knob Rpad B/P No: Dete: -?l_. t S R 7
P.O.Box21199;'• p? ;
?n, ?1?55121
Owner. ' Pat[nezs
Site Addresx 4116 Lea in ., c o, Ave S o I14 11 Plumber..Toe A_enge'' Bl Lexin ton F%ills --
ACTIVZTF
MWCC:
Finrr
City Chg: -'Rof?rp dI inu rall Ip?b?nin
?}?n? -
r Acct Dep: t??1ns: -,
Permit Fee: I+' GAS EfC.
mp?Y wlth 1hs C?y a?
Surcharge: %r??
9m
Mlsc.:
ey -
8E'HIER SERVICE PERMIT
CITY OF EqGAN Permit No:
3830 Pilot Knob Road Meter Date: 1'- F7
P.O. Boz 21199 .,: No: Size: Z? Roc
Eagan, MN 35121 Reader No: Date: 9_ fr
trmit wner. Z partners
e Address: 4116 L?xinor,n Aenue umber. Pnn. Chg: ±7::I:S Ii?C r
ct Dep: Tz? in9: Np• pflJnits:
Fee: Ca1 UFIli[fe?
charge: Plant fdQ:omply with the Ciry ot Eagan
Meter.
Misc.:
_za
WATER SE ICE PEFO?IT
. , CITY OF EAGAN N_ 14 3 0 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
---1 8 ? ?j ',-2
BUILDING PERMIT PHON E: 454-8100 Receipt # '?
To•be,sedtor HCTIVITY CTR Est.Value $10,000 Date 10,(? ?8-7 ,19
Site Address 4116 LEXINGTON AVE
Lot 4 elock 1 Sec/Sub. LEXINGTON HILLS
Parcel No.
s Name H& Z PARTNERS
Z Address P• 0. BOX 2997
o City LACROSSE, phone 608/784-5910
o Name SAME
?Q Address
i- City Phone
ww Name_
FW
Address
U
Q W Clty-
I herehy acknowledge ihat I have read this application and state that the
information is correct and agree to comply? h all applicabl tate of
Minnesota Statutes and f an O'n ces.
Signature of Permittee
A Building Permit is issued to: PA
on the express condition that all wo k shall 6e done in accordancewith all
applicable State ot Minnesota St tes and City of Bagar Ordinances.
BuildingOfficial
OFFICE USE ONLY
On Ske Sewage Occupancy
MWCC System _ Zoning
On Site Well _ (Actual) Const
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit $93.50
Planner Surcharge 5.00
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
TOTAL $y$•5u
IIII?I?II IIIIIIIIIII REQUEST FOR ELECTRICAL INSPECTION ?y
N Minnesota State Board of Electricity ??,? ?
1821 University Ave., Rm. S-128, St. Paul, MN 55104 ? ?0 2 3 9 0 1 5 1 * Phone (612) 642-0800 I7?A;e ??'?
Home Duplex Apt. Bldg. Ofher: New Addn
Commercial Industrial Fartn Remod r'A gepair
Air Cond. Hig. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by this requesl. Enter remarks in this space and on the back of the whife copy only.
yr,:f, 1?.11 -Pc" I c_, •«?x., 6 cC-- cCJ?der -I i -S
culcK Ae .
Calculate Inspecfion Fee - This Inspection Request wil) not be accepted withovt Ihe correct fee:
Olher Fee # Service Enhance Sae Fee # Circvils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Ltg./TraHic Sig. Above 200 Amps Above,100 Amps
Transformer/Generotor INSPECTOR'S USE ONLY TOTAL (
?
3
Sign/Outline Lig. Xfmr. ?6 •O -
?c=
Alarm/Remote Control
Swimming Pool
I hereb certi Ihat I in Ilafion descri d herein on the dotes sMkd
?rrigdtion BOOm Rough-In Date
S
ecial Ins
edion
p
p a
Investigative Fee I _ -
.%
THIS INSTALLATION MAY BE ORDERED ISCONNE ED IF NOT 06mPLETED WITHIN 18 MONTHS.
2 3 9- 015 15 ?FFI E USE ONLY This requesl vaid 18 months imm validaiion dak prinred in thi 6ox. ?
7?/9 40
,s4
PLEASE PRINT OR TYPE
Request Date
Rough-in inspecfion required? Yes ? No
Inspeclion Olher Than Rough-In: Q Ready Now Q Will Call
I (You mus} <all ihe inspector when ready) Dote Ready.
I, El licensed conhador 0 owner hereby request inspection of the above electrical work at:
Job Address (Sireel, Box, or Route No.) City Zip Code
(4"p- L,L, l,1 a
$ecfion No. Township Name or No. Ranga No. Fire Na Coenty
I?JC.F'C.')I'rt
Occupant Phone No.
? . ` r1 ` C%-x . 11 .5
Power Supplier
---------------- -- -- Addrass
Electriwl Conhacfor (Campony Nama) Conlratfor License No. Master Lia No. (Plant Elett. Only)
Wf1I j 'Z!' ? .Y?• C_ c
Mailing Addresa (Contmdor or Ovmer Pedorming Inslallation)
--
}`` ?
t•?..:.t- \, ?.
-,
7? ti5 m
o ?-5 rv
AuthodZed $ignature (Conlrodof or Owner <dorming InsMllafion) Phvne No.
4?) Y - t
E6-OOOOlA-10 6/95 STATE BOARD COPY • SEE INSTRUCTIONS ON BACK OF YELLOW COPY
REQUEST FOR ELECTRICAt INSPECTION . es-oooot-os
L: r?5 ?"O9
? See instructions tor completing this torm on back ol yellow copv.
Li 6-92 9 8 ?"7(" Below Work Covered by This Hequest
p Fee ServiceEntranceSize e Pee Fee.ders/SUbfeeders 4 Feu Circwts
? 0 to200Am s 0 to30Am s 0 to30An s
Above 200 Amps 31 to 100 Amps jp - 31 to 700 A s
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms ,?p PartiaL"Other Fee
L I I Signs ISpecial Inspection S D
Remarks - ---- ? SJ?? TOT
F
E
?
?+
G?17tis7uN ??Ad IPs??- ?
/
r
°r
Rough-fn
4
? t D11e 7
?4 ( I, the Electrical
Inspeclor,heroby
certify that the ahove
Final inspection has been
mede.
This request voltl 18 montha from ? _ ,ti
Thisrequestvoid?h?i//?{'?7 _ ???
18 months from
D 6 9 2 9 8..??!
Request Date Fire No. qouph-in InsUertion
;fWnuireA?
?ReaAY Now?Will Notify Inspec-
Z?7? Yes ?No [or Whr.n Ready
? licensed Electrical Contractor I bereby request inspection ot above
Owner eleCtrical wark installed at:
Stree[ Address. Boz or Route No. City
/f L i?X .a.? /7,v Ivig 9
ecUOn o. Townshiv Name or No. Range No. County
L F ?r?? h? .? ? !>.?0r.?
OccuGant (PRINT) ' Phone No.
6 . ? &('a . 5- 91
Power Supplier Address
//T[?Q
Electrical Contractor (Company Ndme) ' Conlrar.tor's Licr,nse No.
I?I F G i ? O S??"'
Mailinq Address (Contrdctor or Owner Making Instailationl
,' ? --?;
Authorized Si namre (Contractor/Owncr Making Installation) Phone Number
IJ ?0 r J 5 J
MINNES'OTA STqTE BOAND OF ECTHICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STq7E BOAR?
1827 Universitv Ave.. St. Peul, MN 55104 UNLESS PflOPEH INSPECTION FEE IS
o?.....a ia»i aa9.nann ENCLOSED.
?
-
? c7t.
>
J 19374
Reque vatel ? J ire o. Ro -in Inspection,
R red?
L `,
? Ready Now tA Will NOtity Inspettor
?? N?h
R
d
?
? I es ? No en
ea
y
IKicensed contractor I] owner hereby request inspection of above electrical work at:
Job dtlress J(Slreat, oz or Route No.) Ciry
Y/ e , "e `
Sedion No.
I I Township Name or tra
R I ange No.
I
Counry
D r-oTA
upanX
O t (PRi NT) [' 1 1 1 ( s l"J ?1 ? ?.?
X Ph
? S?-
Power Suppller
a/w-,,A r?-ez . AOdress
Electrical Contractor (COmpany Name) ContracloYS LiCense No.
Mailin Atl ess (Contraclor or Owner king Installation)
Autho?nzec /Sig2,p1ure (COntrecbnOwne ef - Installati Pho?n/e Number
? I
i
MINNESOTA STATE BOARD OF E RICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room 5-173 BE ACCEPTED ev THE STATE BOARD
7821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
J::l 9374
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for completing Ihis lorm on back of yellow copy.
"X" $elow Wbrk Covered by This Request
es-oooot?o
?_. ,???
??,?
'i!tr.i?t;v
e Add Rep. TypeotBuildfng AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (sUecifyj Contractor's Remarks: ,??aw ? ?- £ / /,
l`
Compute Inspection Fee Befow: (r C' ?
# 'Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 00 _ Amps
$igflS Inspedor's llse Only: ? TOTAL F-
Irrigation Booms J o
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee iv COMPLETED WITHIN 18 M HS. ?
I, the Electrical Insp tor, hereby Rough-in ^ Dat e
certify that the above inspection has
been made. F;oai oate, f? P?
/
OFFICE USE JNLY
Thi3 request voitl 18 months Irom
C'? n II Ctty Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why. Q
• 5tructural Plans (2) sets • Soils Report (1)
• Civil Plans (2) • Certificate of Survey (1)
• Certificate of Survey (1) • Structural Plans (2)
• Code Analysis (1) • Architectural Plans (2) sets
. Project Specs (1) •S HVAC units req'd. on bldg elev. / site plan
• Spec Insp & Testing Schedule (1) "" • Civil Plans (2)
• Soils Report (1) • Landscaping Plans (2)
• Meter size must be established • Code Analysis (1)
b • Energy Calculations (1) "
! • Emergency Response Site Plan (1)
1 • Spec. Insp. & Testing Schedule (t)
1 • Electric Power & Lighting Form (1)
d • ProjectSpecs (1)
L • Master Exit Plan (1)
• SAC determination - call 651-602-1000 • SAC determination - call 651-602-1 000 •
• Fire Stopping Submittals
• Fire Suppression/Alarm Form
• Meter size must be established
• Architectural Plans (2) sets
• CodeAnalysis (t) •'
• ProjectSpecs (1)
• KeyPlan (1)
• Master Exit Plan (7)
• Energy Calculations (1) not always"
• Elec. Power & Lighting Form (1) not aiways"
• Meter size must be established-if applicable
1
1
1
' y. •1
d'
SAC determination - call 651-602-1000 '
Call MN Dept of Heal[h at 651-201-4500 for details regarding food & beverage or lodging facilities.
Contact Building Inspections to see if it is required and for a sample.
•'?"` Permit for new building or addition wiU not be processed withoutEmergency Response Site Plan.
nate % / ?? & / 07
Cnnstruction Cost 6-7 (J oo
Site Address (J6 UnitlSte #
Tenant Name Former Tenant Name
Description of Work keko CY
Property Owner , Telephone # (qtv),5101
Appiicant is: _ Owner YContractor
9 Contact #: T 7XS
.
Contracttrr (
/ l ?(?"?'??---°- C??I? ?ry?? !'l/'
Address /? ?
State
' ?q,3
Zip-`,z? Telephone#(Z3
i6c ao::?-a&51o3
Arch/Engr
. Registration #
Address ,
_. .?
City
cro 9 c, 7M7 .
Staie
2007COMMERCIAL BUILDING rEUMiT arPLicATioN --? ? 2.y ('j a10
JL_, m
zip
i eiepnone FF k
Licensed plumber installing new sewer/water service: Phone #: (? I
hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work wi11 be in
mformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand tliis is not a permit, but only am
>plication 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
ork which requires a review and approval of plans.
pplicant's Printed Name ' ?`ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
0 14 Apartments
? 15 Lodging
? 25 Misceltaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
)i? 34 Replacement
0 26 Public Facility
>? 27 CommerciaUindustrial
? 28 Greenhouse
0 29 Antennae
? 35 Int Improvement ? 38
? 36 Move Bldg. ? 42
? 37 Demolish (81dg)' ? 43
•Demolition Building - Give PCA hand
Valuation 57160,0 Plan Rev 100% ? 25%
SAC units - G
Nbr, of Units
Nbr. of Bldgs
Fire Sprinklered
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
_ Driveway Apron
/ Roof Ice Pr _ Decking
V Framing
D 30
? 32
? 34
D 35
? 37
Demolish (Interior)
Demolish (Foundal
Reroof
?ut to applicant
Type of Const Ni 5 Width
Occupancy V MCES System
Accessory Building
Ext Alt-Apartments
Ext Alt-Commercial
Ext Alt-Public Facility
Nail Salon
? 44 Siding
ion) ? 45 Fire Repair
? 46 Windows/Doors
Zoning !r i City Water
Stories Booster Pump
Sq. Ft. PRV
Length Code Edition
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Sheetrock
FinaUC.O.
V/ FinaUNo C.O.
Other
_ Insul _ Fina] Pool Ftgs Air/Gas Tests Final
? Siding _ Stucco Lath _ Stone Lath _ Fina]
Windows
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes No
Approved By: Planning ? Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
S1W Permit
SNU Surcharge
Treatmeni Plant
Treatrnent Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
?..3g • LS
2$93b
4077.2L
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Z o, /
Sewer Trunk
Water Trunk
? .(
f
WOODS
?
?
A
¦
I 1 I ? ? ??
ui, io
.
.
\ j' G
y ?O o
oq9 ?'?
09? ?
0
GAS McD
I 1 + = FITNESS
ROOM
.
RECYCLING
.? corrrAnvERs
?c
'Y
GARBAGE
corrrAnvExs
0 , /\ .y?
L ARAGE
?
-7os`? 4 ??D ?o
2005 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PII.OT KNOB ROAD, EAGAN MN 55122
651-675-5675
, ,c
, Date ? / / '
I Site Address Unit #
Tenant Nameqi((,? ? Former Tenant Name
Property Owner Telephone # ( )
Contractor e Uir G Lo
Address ? c7 City 1?qn
State Ut ti Zip ?? Telephone #((a?X) 7 P -06?7'8
License # Egpires: ) e:;? ' 0 ?
The Applicant is _ Owner _ Contractor _ Other
RPZ _ PVB _ New _
New Bldg Modify Tenant Space
Work Type RepairBebuild _ Replace
_
_
_ Irrigation syst Work within public right of'-way/easement _ Yes ,<No
Rain sensors are reuired on irri ation s stems.
pJDescription af Woriz (/t Plaw!?r% nj 6a3 JOM
To inquire if Pressure Reducing Valve is required on new service, calt 651-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine up meter.
Irrigalion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disnlacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minrmum (includes State Surcharge)
Comract Value $ Cv x 1% _$ Permit Fee
g Meter(s)
Required on all new buildings & boulevazd imgation svstems $ Radio Meter Read
If permit fee is $1,000 or less, surcharge is $50 $ State Surcharge
If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Perntit Fee
--'-------'?
-------"'_--- - ----??-?-'?--??_?___----
Following fees apply only when installing new irrigation system $ Water Perntit
Call Jerry Wobschall at 651-675-5024 for required fee amounts
$
Treatrnent Plant
$ Water Supply & Storage
$ State Surcharge
-- - - - --- - ---- - --------------
------- - ------ - - - ----- - - ------ - ------------ - ---------------- - ------ - ------ - ----
$ --------
Tatal Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the inforntaUon is complete and accurate; tkiat the work e m
confomnauce with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that T under 'i no :a peccTnmit, ?6? ? an
ur i
application for a pemut, and work is not to start witt?out a permit that the urork ' e ccordance with aVi edjPl?n ua the c,?se i"aork
c equires as view and approval of plans. u
eWacttetc jFP 2 N Z00.7
i
Applicant's Printed Name ApplicanYs Signature ?' ?
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test yRough In _Y1 Final
PLANS SUBMITTED APPROVED BY: /7 19- Z -1- . BUII.DING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $141.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
. A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS RE UIItING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" inigation syst $ 735.00
displacement sm commercial turbine** Public Works
maximum
must approve
continuous
meter size
10
2-30 3/4" lawn irrigation $161.00 4-160 2" turbine Ig irrigation syst $ 931.00
maYimum displacement residential &
continuous sm commercial production lines
15
3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 units
maarimiun sm commercial &
continuous & lg comm bldgs
ZS irri tion stems
5-100 1-1/2" bldgs 25-64 units $424.00
maximum displacement &
continuous most comm bIdgs
50
METERS REQUIIiING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00
syst & productian very lg comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very tg comm bldgs very lg comm bldgs
15-1000 4" turbine very Ig irrigation $2,226.00
syst
& production lines
L;ommenrs
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, ca11651-675-5300.
cc: Maintenance Division Clerical Technician
January 2005
?o150
2005 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ?OO.o?
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
. CodeAnalysis (1) "
. Project Specs (1)
• Spec. insp. & Testing Schedule "
. Soils Report (1)
. Meter size must be established
1
1
1
L
1
L
• SAC determination - call 651-602-1 D00
Dept of Health at
• Architectural Plans
• Structural Plans
. Civil Plans
• Landscaping Plans
. Code Analysis
. Certificate of Survey
• Spec. Insp. & Testing Schedule
• Meter size must be established
(2) sets • Architectural Plans (2) sets
(2) • CodeAnalysis (1)
(2) • ProjectSpecs (1)
(2) . Key Plan (1)
(1) " • Master Exit Plan (1)
(1) • Energy Calculations (1) not always"
(1) •` • Elec. Power & Lighting Form (1) not always"
o Meter size must be established-if applicable
• Project Specs (1)
. Energy Calculations (1) "' y
• Electrlc Power & LigMing Form (1) " d
• Master Exit Plan (1) 1
• Emergency Response Site Plan (t)
• Soils Report (1) 1
• SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000
or lodging facilities.
•* Contact Building Inspections for sample and if required
*** Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date _?2_ / :2 / / ? Construction Cost -
Site Address fo L.-C cc( GP 57 _ Unit/Ste #
Tenant Name Former Tenant Name
Descri tion of Work L C ° ?
' S dt e-ia
Property Owner 'TU? ?? i f, 0 ?'? Telephone # ( ??=a ) r?. I d ?!? 2 1
Contractor 5 c--VL 6±riLf• or-\
Address _ D U _ Jf ;J le City jN?G=,y fo d?-
State 6/\ v, , 5 53&? Zip 3 6 Telephone #( gf `d-) -6, 9 a. g
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewer/water 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 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.
y
R'n-6 42 10
Applicant's Printed Name App icant's Signature
OFFICE USE ONLY
Sub Types
0 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments ,8' 27 Commercial/Industrial ? 32 Est Alt-Apartments
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Sa1on
Work Types
? 31 New .
? 35 Int Improvement ? 3B Demolish (Interior)
? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
...cr
Valuation JZ b ?`- Type of Const ?1 HIC- Width
Plan Rev 100%25% _ Occupancy ?• Z MCES System
Census Code Zoning City Water
SAC Units °- Stories Booster Pump
Nbr. of Units ( Sq. Ft PRV
Nbr. of Bldgs l Length Fire Sprinklered
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
_ Footings(deck) _ Insulation
Fooungs (addition) FinaUC.O.
_
Foundation ? FinaUNo C.O.
Drain Tile Other
_ Driveway Apron _ Pool _ Ftgs _ Air/Gas Tests _ Final
` ?toof _ Ice Pr _ Decking _ Insul _ Final _ Siding _ Stucco _ Stone
? Framing _ Windows
C
Approved By: Pianning
_9&&0__ Building Inspector
Base Fee
Suroharge
Plan Review
SAC-MCES
sAC-ciry
S/W Pertnit
S/W Suroharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedcation
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
rotal
7. z3?
7'O''d
Sewer Trunk
Water Trunk
? D(:) Po
(pi 3 -13
2005 COMIVIERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
?4,J?o;?
Dete 3 , 31 , D5
Site Address ? eX 1 ivkv e S Unit #
Tenant Name Le I ? ? ?" • Former Tenant Name
Property Owner ?k (qfPr-)+-1 0e, f{ p{- , Telephone #&i > 450,-Q3 i-q
Contractor 12DZ SerJ? ces
Address _3 LNL)ri.5 aM (1111 C 1J G City {?i4?r•[? L#I? E
State m t-} Zip..t?3aT Telephone #(?, ?-? L-?? ?
License# ??`g}`>M Expires: 12-31-Ob
The Appiicant is _ Owner _ Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB _ New Repair build Replace
_ Irrigation system Work within public right of-way/easement _ Yes _ o
Rain sensors are re uired on irriation s stems
Description of Work 12e. b u dd ( RP 2?a l ve-, Se.Yi a 14? b3 To inquire if Pressure Reducing Valve is required on ne service, call 651-675-5646
Meters - Ca11 65 1-675-5 300 to verify that hydrostaric, conductivity, and bacteria tests passed prior to picking up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" disrolacement $161.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ x 1% 5t?)•? Permit Fee
$ Mcter(s)
Required on all new buildings & boulevazd irrieation s, sms $ Radio Meter Read
If permit fe:e is $1,000 or less, surcharge is $.50 $ St3te $litC113tg0
If permit fee is over $1,000, surcharge is $SO per $1,000 otthe Permit Fee
-------------- ------------
Following fees apply only when installing new irrigation system $ Water Permit
Call Jeny Wobschall at 651-675-5024 forrequired fee amounts
$ TreatrnentPlant
$ Water Supply & Storage
$ State Surchazge
--------------------------------$ --------` --- -
? . 56 To 1 Fee
I? G, if? ti ; r:
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accuratc; ?thaf,tkie?woFk LFViPl'Jbe_in
conforniance 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 pemut, and work is not to start without a pernvt; that the work will be in accordance with the appro ed plan[Wthg. c0e74OFork
which requires a review and approval of plans.
?chac ( estr? ,
ApplicanYs Printed Name Applicant's Signature y'
CITY USE ONLY
REQUII2ED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough in _ Final
PLANS SUBMTTTED APPROVED BY: S P BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00
• RPZ's must be tested every year and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the City o£ Eagan.
• A minimum fee pernut per address is required for the following RPZ's: new, rebuild, reaair, remove.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS U5E PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" imgation syst $ 735.00
displacement sm commercial turbine** public Works
maxirmmuv
must approve
continuous meter size
10
2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00
maximum displacement residential &
continuous sm commercial production lines
15
3-50 1" displacement very lg res $296.00 1/4 to 160 2" cornpound bldgs over $ 1,849.00
bldg to 24 units 65 units
maXiinum sm commercial &
conrinuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $429.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bidgs & $3,563.00
syst & production very lg comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very lg comm bldgs very lg comm bldgs
15-1000 4" turbine very lg irrigation $2,226.00
syst
& production lines
i,ommencs
• To schedule inspection of the inside water line and backflow preventer, ca11651-6'75-5675.
• To arrange for water hun-on, ca11 65 1-675-5 3 00.
cc: Maintenance Division Clerical Technician January 2005
TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLETTNER, FIRE MARSHAL
DIRK HOUSE, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
GENE VANOVERBEKE, FINANCE DIRECTOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTaR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREET5 AND EQUIPMENT
PAUL HEUER, SYSTEM5 ANALYST
BOB KRIIIA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
nATE: December 11, zooo
RE: PLAN ItEVIEW
4116 LEXINGTON AVE S
L1-11, Bl - LEXINGTON HILL 1ST ADDITION
#5
The construction plans for Lexington Hills Apartment Storage Building are in our plan review
section for your review and comment.
Please return this form to mv attention with your signed comments and the date of review. If
you have any concerns 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 pernut
be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
landscape security required
water quality dedication
park dedication
trail dedication
tree dedication
Signature
Date
ZONINC?
CD/FORMS/PLAN REVIEW CRAIG N
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g uILo ING
Eagan, Minnesota 55122-1897 Permit Number: 027949
(612) 681-4675 Date Issued: 0 6/ 18 / 9 6
SITE ADDRESS:
4116 LEXINGTqN AVE
LOT: 4 BLOCK: 1
LEXINGTON HIL,LS 1ST
P.I.N.: 10-45025-040-91
DESCRIPTION:
V4',? (GARflGE)
?u?iidin'§,,permit Type
?18uz"ding ,USType
Census,_Cod.e
fl. ?
u ?.
?
??,---,
{ 5P e ?pY
r. ?^'f A.1?? ? mtx lh'
4;? .°? E x ?uq?ir'l
STORM DAMAGE
REPAIR
438 ALT. 6ARA6E
REMARKS:
?
?g
_2Ww Vir, 2-)s ?p
FEE SUMMARY:
t.vili 1 r1M,1 vrt: - Applicant - ST. LIC.VYVIVCFi:
ACI CONSTRUC7ION INC 15375555 2000984 BHAT7I TSTE ALLRH
3681 48TH AVE N 4116 LEXINGTON flVE
BROOKLYN CENTER MN 55429 EAGAN MN 55123
(612) 537-5555 (612)561-8975
I
` 7 her.eby; acknour.le£ePge' th?.t"- T°h?ue ,r?ea'd th3?
information. is;,correG=t and -a grae t_o c.ompl;
5tat ute s`_""and'C1ty "vof ?,z,?aga n OrciInances
_,.
APPLICANT/PERMITEE SIGNATURE I
qq4
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
[2gmodellReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated addRions
? 3 copies of tree preservation plan K lot plaHed after 7/1193
required: _ Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: -7 1 LOT ? BLOCK
L
CONSTRUCTION COST: Ll:?- SO
'l? fi e. 1 y L > ?t. s. , w.r 'n Dfl/// 4 6?
SUBD./P.I.D. #:
fr
Registration #:
-8f? J?k UJAL
PROPERTY Name: L C k 1'r1 q, 40 M 14.o// s Phone #: 57?
OWNER ""5'
Street Address: S' ? ? < < e k,'?r ?'dh A VC
CONTRACTOR
ARCHITECTI
ENGINEER
City: ?"q Gr ?'t State: )V In_ Zip: S-?" ? 2 3
Company: Phone #: S 3 7???s?'
Street Address: ?,?O? h411A I/ License #: ??? 2 dPO???f 4
ciry: /joP a P lc I y h L' e h4eeZ state: 172 ?1_ zip: S S`?'
Company: _
Name:
Street Address:
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
State:
d f/'
nt Pu
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
Phone #:
_ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-ptex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? . 32 Addition ar434 -Repair°-
R.c pa-4 cc
GENERAL INFORMATION
Const. (Actuat)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
. . ? ?.
? 11 Apt.lLodging ? 16 Basement Finish
? 12 Multi Repair/Rem. 0 17 Swim Pool
?13- Garage/Accessorq`g ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
?, ?.
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MCIWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?
O?
-1.-
v
Permit Fee
Surcharge
P{an Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
Cities Diaital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. . ? .. `.. '. ' ` ? . ' - . _ „ ... .?
PERMIT SUBTYPE: TYPE OF WORK:
?.:i? . •_ ;k??.? ..:
F
. ! J
L
CITY OF EAJGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
. . . . ? r,i .. , .. . .. .. ,.
DESCRIPTION:
' C
, i.
?-
? ??---
t ? , ( t l
REMARKS:
FEE SUMMARY:
?
CONTRACTOR: OWNER:
f,,,0 , 0
.?
T
, . ,.;? L-1 13;.i I..., C u S, q r{"1'.J 2;.?Y{-.
i
>
?`° ...i • Y'?, ,-y ?i `?, t?l"-t: ?.?i'ti f. .. _ ... . , .
APPLICANT/PE MI E SIGNATUR ISSUED Y: SIGNAT
;,TIVATE _
.RMIT
I
cirr oF EaGaN
1993 BUILDING PERMIT
681-4675
$43.q5
APPLI CE-?-iV
ce 9 l?
APR 0 6 1993
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, -
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of .
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date q_S Yal uati on of work g411
Site Address: kvG ???? i(o A //5 -L
STREET C ?? ??.? LG 1 SU1TE M
J
Tenant Name: (commercial only)
LOT __?_ BLOCK J_ SUBD..?P
r,K n P.I.D. 0
Descri tion of work: d.czd q X 9,
The applicant is: O Owner ? Contractor Z Other (Descrfbe) P? eR-f
Name X05e,"?o4 Go o,e.a-h'o a;? Phone 59?-93a-`r
Property A.?. Bhaf?r;Fg? MD T?
Owner Address /lalo0 lfi,NV /DO 53 Z
STREET StE #
City ,LoulS State IyIN Zip
Company ? Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ?p
?' ` ?. V '
?05????"? -
Signature of appl icant:
•
1 M J?I;i1??'+?.?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 Sf Addition
0 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
O 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
O 10 Multi. Add'1.
,?( 33 Alterations
? 34 Repair
I .. .
!!! ,. "? , •1t. ?
..
? 11 Apt./Lodging Basdftt Finish
,0 12 Multi. Misc. O 17 Swim Pool
[3 13 Garage/Accessory ? 18 Comn./Ind.
0 14 Fireplace ? 19 Comm./Ind. Misc.
0 15 Deck 0 20 Pubtic Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
lst F1. sq. ft.
8-2 2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
. Census Code ?/37
SAC Code
0
...--,?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard @CFinal ? Draintile O Fireplace
Permit Fee y3.o0 ytuati«+:
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
S )?d0-
,
? ? .
i2-
_?G°.u T iA !
.
: i. .. a
_.._ . . • ?
-?j ? r
_
?-_. . _ , ._._._', ..__.-- _• --..... __. ._.. _.__._ _ --
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., .?.._ `_ .. '_ . . . .??: . . , . . _ 1 ... _ . . ??? . R?oO//? ~ l?? ? I T - F.1 ? d _ ......; ?' ;;.-. ? . '? , -;?? . P'JG
CITY OF EAGAN
APPLICATION FOR PERMIT
.
SEWER AND/OR WATER CONNECTION
xxxxx:xxzxxxxxxr?zxxxxxxx?xxxxz?xxAF
. ?
*TOTF: PAYIKFF:NT OF FF.E AT TIME pF *
r,pPLIcpazoN noES NOT oONSriMM *
APpxovAr. oF PERMIT. *
INSrEcrioca oF sEWM AND/at WATEt
a r.ramrONS WIIL NOT BE SCHED-
ULED Z]NTIL PERNIIT HAS BEEN
APPROVF9. '
' --• '?********:************#******#******
. A1 ? (y P ease Print )
1) PROPERTY ADDRESS:'
LEGAL DESCRIPTION:
_`wpw? A &JC14., L YO
L L L,
_ Lot B ock Subdi isi
?? AGT/N>TY ?
?n or Tax Parcel ID
•?T?i?._
IF EXISTING SIRC'CIi.?RE, DATE OF ORIGINAL BUILDING PEf2M2T ISSLAIVC'E: "
PRFSENT ZOIVING/PROPOSID USE: - (Mon Year} •-
[? C0.'mERCId1L/RETAIL/0FFICE ? R-1 SINGLE FAMILY .
Q INL'STRIAL Q R-2 DL'PLEX (Ztwo C?nits)
[I INSTIZ[.]TIONAL/GOVaUqMEM ? R-3 ZOWNffiOC?SE (Three + Units) ( Units)
. [? R-4 APARTNEN'P/CODIDUMINIIIM ( Units )
2) ?
NAME: f-/ 'f ? dPAr'- fr-' 6. i2. f
ADDRESS: P. O. !Q O.C oL S' I? '
CITY, STATE, ZIP:_?-c,otS e +Nit • ? y6p/
PxoNE: 60 ? 7 ? S! ?9 /o
3) ' i: ?• , For City CTSe ..
NAME' r0 j- ?GNG
Plumbers License:
ADDRESS: P. o. ? o X 2. ,O$ 7 Active
CITY, STATE, ZIP: . ?pired
C?-o ss e w? 0/ Not recorded
PHONE: 6oF 7 F`7? S'S/ o_ MASTII2 LICQISE# b U 1/ ?,? /%I j
" Sta Initial
4) •a • i?• -
nAME:_f?
_ AoDREss: l3 qpx 2-9
CITY, STATE, ZIP: J- a Lo ?,-- o sr e- w id ?`ll o/ PHONE: 609'
.5) i? d.. , ?, : ? • ? ' ??
? CON[VECTION TO CITY SE,WEt Q CONNE..ZION TO CITY WATER ? O'I'HER ' : .
6) ?? • r PT-`ir•FnGE FiOLD APPROVED PERNffT FC)R PICK-UP BY ONE OF ABOVE _..--
[] PLEA.SE MAIL APPROVID PEf2MiT TO 1. 2. 31, 4, ABOVE
_ n n ri (Circle one)
:FOR-CITY USE ONLY
PERMIT # ISSUED
r
Pd w/Bldg. Permit
$
c
c
?.
FEES: "
$ /O SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/0[]TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ f$ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ S TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRUNK SEWER
$ $ LATERAL BE[VEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
C? Z3 TOTAL
RECEIPT RECE PT
DOES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES `IF YES, THEN A" PERMIT FOR WORK 6VITHIN PUBLIC
Q
NO ROADWAY" MLST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
. AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
1 - 1
APPROVED BY:
TITLE:
?
DATE : f(>. /,? `fl ? 7
i9z70
/Ya -? z
1987 BUILDING PERMIR APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS /
? ? ?
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCIILATIOAS
NOTE; ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME05iNER MIIST DESIGHJATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL UNITS FOR SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SQRVEY - CFiECK GTITH BLDG. DEPT.!
1 SET OF ENERGY CALCULATIONS
COLMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
To Be Used For: ACrwqY cE,?rClL Valuation:
lo, V°o . Date:
Site Address Ta ri A?b OFF'
Lot ? Bloek l On Site Sewage
M[dCC 5ystem ?
Parcel/Sub 4,6
- X/Av& To On Site Well
City Water ?
Owner J{ a? ?-- PA? j'Av (L,e.f
Address f-d. (f OX/ Z917
City/Zip Code ku.CratSe &v/ 5^`6' 0/
Phone (G5s 7S `'/S~/?? d I APPROVALS
Contractor Jj?L 'Z -19427- %'?A=` s
Address ?
City/Zip Code <
Phone
Arch. /Engr. s? r?=tiBR K kRe/f i7-EG
Address /J73 / .19i-00MLA- M14A tZD
City/Zip Code ?a ?reste wu -?- V6 ° `
Phone # ? D?- 7,F F a? 6 Y
Assessments
Water/Sewer
Police
Fire
Engr Planner
Council
Bldg Off
APC
Varianee
USE
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
? of Stories
Length
Depth
S.F. Total
Footprint S.F.
Fffi
Permit 50
6f 3 ?
Sureharge 5,
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
'
°I 8 5-
?
?
(
' - .. i 4
HAUGE, EIDE & KELLER, P.A.
? -qito.,eys at Xaw
TOw'h' CENTRE PROFESSIONAL BLDG., SUITE 200
? 1260 Y.4NKEE DOODLE ROAD
EAGAN, AfIKNESOTA 551.23
(612) 456-9000
June 17, 1987
TO: Tom Hedges
Tom Colbert
X Gene VanOverbeke
Dale Runkle
FROM: Paul Hauge
Kevin Eide
X Dave Keller
Lori Bellin
Debra Schmidt
y y _'
`r 1.
PAUL N. MAUGE
KEVIN W. EIDE
DAVID G. KELLER
LORI M. BEIIiN
DEBRA E. SCNMIDT
RE: Lots 1,4,7,8 and 11, Block 1, Lexington Hills First Addition
Project No. 478
Enclosed please find:
Development Contract
PUD Agreement
1 Easement Trail Easement,
Deed
Other
Action requested;
file.
Lexington South, Inc. to the City of Eagan
Please place this recorded document in your permanent
cc: Bruce Allen
. ,
TRAIL EASEMENT
>•
THIS INDENTURE made and entered into this /,S"-7~ day of y?j ,
1986, by and between LE%INGTDN SOUTH, INC., as Grantor, and the CITY OF EAGAN,
Dakota County, Minnesota, as Grantee. - °
WITNESSETH WAEREAS, said Grantor is the owner of the tracts of land in the
City of Eagan, Dakota County, Minnesota, legally described as follows:
Lots 1, 4, 7, 8 and 11, Block 1, Lexington Hills First Addition.
NOW THEREFQRE, the said Grantor in consideration of One ($1.00) Dollar and
other good and valuable consideration to it paid by Grantee, receipt whereof
is hereby acknowledged, hereby conveys, warrants and dedicates to said
Grantee, its heirs and assigns, for trail purposes, together with the
unrestricted right to improve the same, free and clear of all encumbrances,
the following described tracts of land:
A 10.00 foot wide perpetual easement
and across that part of Lots 1, 4,
First Addition, according to the
Minttesota, the Westerly line of sa
southwesterly lines of said lots and
right-of-way of County Road No. 43.
for street and trailway purposes ovex
7, 8 and 11, Block 1, Lexington Hills
recorded plat thereof, Dakota County,
id easement being the westerly or
being parallel with and adjoining the
The Grantor, for itself, its h,?irs, executors, administrators and assigns,
does covenant never to cut, damage, destroy or remove any tree or shrub or _
other natural, growth upon the hereinbefore described premises for the -
continuance of this easement, and does hereby grant and convey to the said
City of Eagan all grasses, shrubs, trees and natural growth now existing on
said lands or that may be hereafter planted or grown thereon.
The Grantor, for itself, its heirs, executors, administrators and assigns
does hereby release the said City of Eagan, its successors and assigns, from
all claima for any and all damages resulting to the lands through and across
Which the parcel of land hereby conveyed ia located by reason of the location,
grading, construction, maintenance, and use of a public trail over and upon
the premises hereby conveyed and from the usea incident thereto, and the said
City of Eagan shall have the right to use and remove all earth and other
materials lying within the parcel of land hereby conveyed and the right to
construct and maintain, upon the lands adjoining the parcel hereby conveyed,
such portable snow fences during such months as weather conditions make
necessary.
All stumps and other debris resulting from the clearing of the right-of-
way will be disposed of by Grantee by burning or otherwise, according to law.
The Grantee shall have the right to post such signs and poaters along said
trail as are deemed necessary and suitable to define the above lands and
locate them for public use.
, ? ..
. .. . i
J\
al
!I
?
iI
?
?
LEXINGTON HILLS
Street and Trailway Easement
EXHIBIT
F1RST
A 10.00 foot wide Perpetual Easemertt- forStreet and Trailway
purposes over and across that part of Lots 1,4,7,8 and 11,
Block 1, LEXINGTON HILLS FIRST ADDITION, according to the
recorded plat thereof, pakota County, Minnesota, the taesterly
line of said easement being the westerly or Southwesterly
lines oE said Lots and being parallel with and adjoining
the right-of-way of County Road No. 43.
t
w
ADDI T/ON
,
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IN WITNESS WHEREOF, said Grantor has hereunto set its hand anxbc?ge1ot the
day and year first above written. .
LEXINGTON SOUTH, INC.
By: ?
i t S :
sy:
Its:
STATE OF MINNESOTA)
) ss.
COUNTY OF ;q//,? ,-' )
On this 1S?4 day of ?pCA_J,,,(.,,cIs , 19ko+before me a Notary Public
within and for said County personally appeared Jp L
and to me personally nown, who,?,y being each y me
duly sworn that they are respectively the ??'?fl ?,a, ` and
•-" of the Corporation named in the foregoing instrument,
and that the seal affixed to said instrument is the corporate seal of said
corporation, and that said instrument was signed and sealed in behalf of said
corporation by authority of its Board of Directors and said ,?'j1V„ -C,,24Z j„L
and ---- acknowledged said instrument to be the 'free?act and
deed of the corporation.
(S EAL)
THIS DOCUMENT DRAFTED BY:
Hauge, Eide & Keller, P.A. +
1200 Yankee Doodle Road '
Water View Office Tower, Suite 303
Eagan, MN 55123
(612) 456-9000
- ? ?
?• - -- - ? .,...?. ,,.., :. _ : - . ?.sn:?? ar.?9ri?
, _._..
? ,_ •:?: j',;L1'. ?. J'Y'°{S'i „A
P:OTAHYFU31.li;-MINNESOTA
DAKOTA COUNTY
Y MY Commission Expi2s SdpL 1990
o?m?
EXEMPT FROM STATE DEED TAX STAMPS
Exempt from Dakota County Deed Tax
_ Ilmman
Oakota County Treesurer
COUNrV CO!vSERVATIdR?/
i lLw1o Un[n)a it)
DAKOTA CCUNTY TFFASUFER ik
? ??,g /, 5:74. /1?0 l --9"
0
FREDRIKSON & BYRON, P.A.
Attorneys At Law
Mazch 11, 1996
Ms. Kimberly Egge
Planning and Zoning Department
City of Eagan
Municipal Center
Eagan, MN
1100 International Cencre
900 Second Avenue South
Minneapolis, M[V 55402-3397
(612) 347-7000
rAX (612) 347J077
Direct Dial Aio.
(612) 347-7093
Re: Lexington Hill Apartments; Property Located at 4116 Lelcington Avenue South
Dear Ms. Egge:
• In January, 1993, you issued a zoning compliance letter for this property to facilitate the sale
of the property to the trustees of the A. W. Bhatti, M.D., S. C. Employee's Retirement
Trust. A copy of that letter is enclosed.
The trustees aze refinancing the property and their new lender, First UNUM Life Insurance
Company, is requiring a new zoning compliance letter.
I have prepared and enclose a form for your consideration wluch mimics the letter you
signed earlier. Please review this letter and if it is acceptable, have it signed and returned to
me at your earliest convenience.
If you have any questions or if you need further information, please call me.
Sincerely,
V ' L?'L'l
Mrs. Bonnie A. O'Malley
Paralegal
BAO/sms/5i49ao
Enclosure
0
? DAKOTA COUNTY NAME / DESCRIPTION AND DELINQUENT TAX RECORD
?
PAFCEL IDENTIFICATION DISTRICT: :A vA(\ C I T t School W PROPERTY pESCRIPTION
DIST
PLAT
LOT
BLK
Disirict
5
SEC Lor
rowH
BIOCK
qqNGE ,
q IJISIu'h 4;;it-4E4 iyc G IEXINv?LIrJ Hili:i ? j A? °
TfiANSFER OATE CRV. NO. LAST GRANTEE
1
J1 29 ?T JiViSICN
JIV L_XING7utv SGI:+i-i INC
J? ':1 ::7 1 J1 -1 4 LrXIh:iTLN SGUTH IPa?
tJ H c? Z i'TNI-.S
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--------------?
j ForOfficel'1se ? ?
? Permit #:
1
? Permit Fee:
I
I ?
? Date Received: ?
I ?
I ?
? Stafl: ?
I
_ J
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: SiteAddre'ss?:('?? ZEKlnr(,•M,,_j ,Ac-1iW s: Cj.N'`AU6 1
TenantName: Li?xfvCf-VAJ Wct5 (Tenantis: New/ K- Existing) Suiie#:
PROPERTYOWNER Name: A" Cu2?ltic- Phone: q 52 'Sqq 97
Address / City / Zip: (Dqd 1 C/Zr wt,-T/ Ft,.,y -r-- I o Z
Applicant is: _ Owner X. Contractor
TYPE OF WORK Description oi work: I? A??-
Construction Cost: 17?v??`
CONTRACTOR Name: G?A[.K?12 7tiv License#:
Address: Z;Z7,V C,4io+v 9,0
City: S? 19A?,- State: N`^J Zip:
Phone: &S( "ZJ I "O9(C) Contact Person: C/LlL 40 t2-7°
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered fo be public information. Portions of
the intormation may be classified as non-public if you provide specific reasons thaf would permit the City to
conclude that the are trade secrets.
I hereby acknowledge ihat this information is complete and accurate; lhat ihe work will be in conformance with ihe ordinances and codes ot the City of
Eagan; that I understand this is not a permit, but onty an application for a permit, and work is nol to start wilhout ermit; thal the work will be in
accordance with ihe approved plan in the case of work which requires a review and approval of plans. ??
X ?rLl. V ?eI N .f
Applicant's Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? New
? Addition
? Alteration
O Replacement
DESCRIPTION:
? Public Facility
9 Commercial/lndustrial
? Greenhouse
? Antennae
? Accessory Building
? Ext. Alteration-Apartments
? Ext. Alteration-Commercial
? Eut. Alteration-Public Facility
? Nail Salon
? Interior Improvement ? Siding ? Demolish Building*
? Move Building CR Reroof ? Demolish Interior
? Fire Repair ? Demolish Foundation
? Windows ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
Valuation q?Q"J6 i?k
Plan Review `
(25%=100% ?
Census Code
# of Units
# of Buildings ?
Type of Const.
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
widtn
Drain Tile
? Roof: _ Decking _ Insulation 1,/ Final _ IceMlater
Framing
Fireplace:_R.I. AirTest _Final
Insulation
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock Meter Size:
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Final C/O Inspec?tione: ASchedule Fire Marshal to be present. _ Yes
Reviewed By: ?'.??``r-- , Building Inspector
COMMERCIAL FEES:
Base Fee 177• a`O
No
Reviewed By:
Surcharge 4. S'O
Plan Review
SAC-MCES
SAGC ity
S/W Permit Financial Guarantee
SNV Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other
Water Quality
Water Supply 8 5torage (WAC) Total
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
i- -----
? Fo[Qffice;Uss --------,
?
o
C??
I Permit #: I
?
j P
it F
erm
ee:
I
I
? Date Received: ?
I
I
I Staff: ?
J
2008 GOMMERCIAL BUILDING PERMIT APPLICATION
t!/ lU
Date: ? Z o$ Site Address? 1EX(^JGTuA., /Qviz- S C.? C-5- ?-
Tenant Name: lrcxivl,?(y&J Wn(„S (Tenant is: New / k- Existing) Suite #:
PROPERTY OWNER Name: I&ACO2
, /tic- Phone: qSZ'S95' 0q97
-
Address /City/ Zip: l0q09 1T7 (i1/tl'j?? ? 102-
Applicant is: _ Owner 7r Contractor
TYPE OF WORK Description of work: Z?LAv-
Construction Cost: q (.1 `'" • ?
CONTRACTOR Name: 6?ALKCYL A>Z?g-f v G, License #: 14 2-1
`I
Address: 227ir CA10P ?p
City: s'S 194 ?t. State: ti"'? Zip: ssl/?
Phone:6sf 'ZSf ^09(O ContactPerson: CA iL 4e«7o3^('p'3tj?'
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewerlwater service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public informetion. Portions of
the !n/ormation may 6e classified as non-public if you provide specific reasons fhat would permit the Cfty to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes oi the City oi
Eagan; that I undarstand this is not a permit, but only an appticalion tor a permit, and xrork is not to start without ermit; that the work will be in
accordance with the approved plan in the case oi work which requires a review and approval of plans. _.,?
x ??G? (9 vl.v v
ApplicanYs Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
El Miscelianeous
WORK TYPES:
? Public Facility
? Commercial / Industrial
? Greenhouse
? Antennae
? Accessory Building
? 6ct. Alteration-Apartments
? Ext. Alteration-Commercial
? Ext. Alteration-Public Facility
? Nail Salon
0 New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Building 1< Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
4 CL-tl
Valuation Occupancy MCES System
Plan Review -? Code Edition SAC Units
(25% 1 100%? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drein Tile
? Roof: _ Decking _ Insulation V/Final tl/lcelWater
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Sheetrock Meter Size:
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _AirlGas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes
Reviewed By: ?J4,- , Building Inspector
COMMERCIAL FEES:
Base Fee j 77 •
surcharge 4. S'b
Plan Review
SAC-MCES
SAGCity
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total I l Fll..Yo
No
Reviewed By:
SewerTrunk
Water Trunk
Planning
Page 2 of 3
j ForOftice;tf'se/-2-/--------?
I Permit #: " ? ? t i
?
I f ?? I
i Pertnit Fee:
I
? Date Received: _
I
? Staff:
2008 COMMERCIAL BUILDING PERMIT APPLICATION
J
Date: SiteAddress?: `EXf^?6'? .? .IQv? s,
Tenant Name: l rcX1-u (, &.,) TT «.LS (Tenant is: New / k Existing) Suite #:
PROPERTY OWNER Name: I&ACv2 fIti ` Phone: 197
Address / City / Zip: lD q 0 9 C177 Wt ?,"( d2-
Applicant is: _ Owner ?C Contractor
TYPE OF WORK Description of work: CYN2-- G,?11 f
q lY
Construction Cost:
CONTRACTOR Name: G?ALICeYZ License #: `f ZZ`T
Address: ZZ7er/ Ci9aP ?
City: 1Q-7 194 ?.c, State: A^^-j Zip: SSl/`t
Phone:&s("25f -o 9(0 ContactPerson: C-/L( G teli-7o'y
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents thaf you submit are consldered to be public informafion. Portlpns of
the information may be classified as non-public if you provide specffic reasons that would permit the City to
conclude that the are trade secrefs.
I hereby acknowledge that this inlormation is complete and accurate; that the work will be in contormance 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 stari without ermit; that the work will be in
accordance with the approved plan in fhe case of work which requires a review and approval of plans. .,?
X 09mc Gu.N?
ApplicanYs Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? New
? Addition
? Alteration
? Replacement
? Public Facility
? Commercial /lndustrial
? Greenhouse
? Antennae
? Accessory Building
? Ext. Alteration-Apartments
? Ext. Alteration-Commercial
? 6ct Alteration-Public Facility
? Nail Salon
El Interior Improvement ? Siding ? Demolish Building*
? Move Building )< Reroof ? Demolish Interior
? Fire Repair ? Demolish Foundation
? Windows O Water Damage
• Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
?
Vaiuation 600 Occupancy
Plan Review Code Edition
(25% 100% Zoning
Census Code Stories
# of Units Square Feet
# of Buildings ? Length
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile ?
?Roof: _ Decking _ Insulation ?Final ?IceNNater
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock Meter Size:
Final/C.O.
FinallNo C.O.
HVAC
Other:
Pool: _Footings AidGas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Final C10 Inspection: Schedule Fire Marshal to be present.
Reviewed By: Building Inspector
COMMERCIAL FEES:
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SNV Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
/ 77•&0
4•
Yes _ No
Reviewed By: , Planning
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total # I d / • Sa)
Sewer Trunk
Water Trunk
Page 2 of 3
i- ---------------,
? ?otQ?ce;tlsa I
I PeR„it I
j Permit Fee: i
I
Date Received:
? Staff:
I
J
- - - - - - - - - - - - - -
2008 COMMERCIAL BUILDING PERMIT APPLICATION
,
Date: ? Z O? Site Address????El?ln.r??,?,? $, ?jAf?L•«' 7
Tenant Name: L.rcxlv67D,u f-t rctis (Tenani is: New / k- Existing) Suite #:
PROPERTYOWNER Name: 9-EAC02c- Phone: -I6Z'JyS?0Y97
Address / City / Zip: _ MoI CTr t0rJT ?& -t-- 102-
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: 6
Construction Cost:
CONTRACTOR Name: litJALKCIZ 4?FIvC? License#: yZZ?
Address: 'ZZ7V C,410i4 'Ove
City: S's A?[_ State: •v"-J Zip: sJ`?l?Y
Phone:?sf -2sr-o9,o ContactPerson: C/LiL 4p l2-'7o3-
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
IVOTE: Plans and supporting documenis that you submlt are consfdered to be publiainiormation. Portions of
the fnformalron may be classified as non-public if you provide specific reasons fhat would permit the City to
conclude thai !he are trade seerefs.
I hereby acknowledge Ihat this information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City oi
Eagan; that I understand this is not a permit, but only an applicalion tor a permit, and work is not to start without ermit; that ihe work will be in
accordance with [he approved plan in the case of work which requires a review and approval oT plans. ?J /?
x K7'ZE-
Applicani's Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments X Commercial ! Industrial ? Ext. Alteration-Apartrnents
? Lodging ? Greenhouse ? Ezk Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Pubiic Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building )4 Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
' Demolition (eMire building) - give PCA handout to applicant
DESCRIPTIDN:
Valuation ql b?p ? Occupancy MCES System
Plan Review Code Edition SAC Units
(25%=100% ? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile L
,, Roof: _ Decking _ Insulation vFinal _ Ice/Water
Framing
Fireplace:_R.I. _Air Test _Final
Insulation
Sheetrock Meter Size:
Final/C.O.
FinallNo C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Final C!O Inspection: Schedule Fire Marshal to be present. _ Yes
Reviewed By: C4e701?O , Building Inspector
COMMERCIAL FEES:
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
S/W Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply 8 Storage (WAC)
I1'/.DO
¢• S-0
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total '*' 1 0 l. gD
No
Reviewed By:
SewerTrunk
Water Trunk
Planning.
Page 2 of 3
j FarOi#iceUSe---------- ?
I ? ? I
I
I Permit #: C)
j Permit Fee:
I ?
? Date Received: ?
I ?
? Staff: ?
-----------------'
2008 COMMERCIAL BUILDING PERMIT APPLICATION
7 (,?I
Date: Z
o?f SiteAddres?S4?(0&-K(NG7iw AVIZ-
Tenant Name: zExVti6?(D,J ]f-1 icC5 (Tenant is: New / k- Existing) Suite #:
PROPERTY OWNER , bti` Phone: ?SZ'sys' U 4I97
Name: g?ACts2
-
Address/City /Zip: 10q09 ClT7' Wt?.'(?(,t/?
Applicant is: _ Owner X Contractor
TYPEOFWORK Description of work: j Sl?z- Grf f" l`-C=fL?vr
Construction Cost: q,
CONTRACTOR Name: GJALA'xYL License#: `f ZZ?
Address: Z-77 CA1VI0 /?0
Ciry: 5"7 f''A,C- State: N14-) Zip: ss1 1Y
Phone:&SlContactPerson: C/Ltt te(2•7o5-
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting doaumenfs that you submlt are considered to be pub/fc information. Portions of
the lnformation may be classifled as non-public if you provide speclffc reasons that would permit the City fo
conclude that the are trade secrets.
I hereby acknowledge that this informalion is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of
Eagan; that I understand this is not a permit, bul only an applicatfon tor a permit, and work is noi fo start without ermit; ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x grzc (7 vi N ?
ApplicanYs Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
? Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? Public Facility
X Commercial/lndustrial
? Greenhouse
? Antennae
? Accessory Building
? Ext. Alteration-Apartments
? Ext Alteration-Commercial
? Ext. Alteration-Public Facility
? Nail Salon
? New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 9? DOb ? Occupancy MCES System
Plan Review Code Edition SAC Units
(25%-100%=? Zoning CityWater
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ' Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) FinallNo C.O.
Foundation HVAC
Drain Tile Other:
?Roof: _ Decking _ Insulati / ?
on VFinal ?IceNVater Pool: _Footings _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes
Reviewed By: 4f/& , Building Inspector
COMMERC/AL FEES:
Base Fee ?? 7• a°"?
Surcharge
Plan Review
SAGMCES
SAGCity
SNV Permit
S/W Surcharge
Treatment Plant
Treatrnent Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (V11AC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
i?
No
Reviewed By:
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
---------------
j F6r0f(ice;U'se j
I Permit#: ???NI I
j Permit Fee: j
I I
? Date Received: ?
I ?
i Staff: ?
J
- ---- - - - - - - - - - - -
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 17- O$ Site Addr si:"'"
Tenani Name: IEXIV6'Un? f-F1141T (Tenant is:
G
New / k Existing) Suiie #:
PROPERTY OWNER Name: ??.?ICo2 , Jti?- Phone: LI??Z'J??15' v yq7
Address / City / Zip: _1p(ft r7 Wt.4't'??l/Y d Z
Applicant is: _ Owner 7r Contractor
TYPE OF WORK Description ot work:_
Construction Cost 9r dbb; '
CONTRACTOR Name: WALICeYL 4Ugi'jG? License#:
Address:
City: ?'? l''Avtr State: N"A-) Zip: ssl /?
Phone: &S( - ZSI -a 9td Contact Person: C-/L-iL 4e
ARCHITECT / Name: Registration #:
ENGINEER
Address:
CitY: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are consldered to be public information. Portions of
the fnformation may be classified as non•puhlic if you provide speclfic reaso»s that would permit the Cfty to
conclude that the are frade secrets.
I hereby acknowledge that this information is complefe and accurate; that the work wiil be in conformance with the ordinances and codes ot the City of
Eagan; thal I untlerstand this is not a permit, but only an application tor a permlt, and work is not to stert without ermit; that the work will be in
accordance with the approved plan in the case ot work which requires a review and approval of plans. /J ?
X /gME-
ApplicanYs Printed Name
Page 1 of 3
Da NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility El Accessory Building
? Apartments X Commercial / lndustrial 0 Ext Alteration-Apartments
? Lodging ? Greenhouse O Ext Aiteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building D( Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
* Demolition (entlre building) - give PCA handout to applicant
DESCRIPTION:
Valuation 61?400 ? Occupancy MCES System
Plan Review "-' Code Edition SAC Units
(25%= 100% ? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
? Roof: _ Decking _ Insulation ?Final ?IceNVater
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes
Reviewed By: ?` , Building Inspector
Sheetrock Meter Size:
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
COMMERCIAL FEES:
No
Reviewed By:
Base Fee 1 77• d'O
Surcharge ¢• 4'O
Plan Review
SAGMCES
SAGC ity
S/W Permit Financial Guarantee
S/W Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other
Water Quality
Water Supply & Storage (WAC) Total
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
-- ------------
,
? F.pr t,)fl+ce F1ss ?
I Permit #:
? Permit Fee: ?
I ?
? Date Received: ?
I ?
? Staff: ?
------------------'
2008 COMMERCIAL BUILRING PERMIT APPLICATION
Date: ? Z 41 c3$ `Site Address? LEXl?•.+(?7v?,, ,r'rc.? S, l7 ?L? /
Tenant Name: !_Extv6??u 1't,44s (Tenant is: New / K Existing) 3uite #:
PflOPERTY OWNER 0 Iti t Phone: 1 SZ 1 s55 ' U y97
Name: &i9CV2
-
Address / City! Zip: 6'L09 /TT lNC1T? ? f O2-
Applicant is: _ pwner X Contractor
TYPE OF WORK Description of work: 12-A'? ??- -14-"
Construction Cost: A L 4t'z' , ,.111
CONTRACTOR Name: WALK-ek 4z)g-/vc., License#: NZZ 1
Address: 'Z-Z7Y' CApa A
CitY `S`5 '04 "c- State: •v"'-) zip: sSW
Phone:?S("ZSI-Oq(CJ ContactPerson: E-/L (t- 4e
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: plans and supporting documents that you submit are consfdered to be pubJPe fn/prmafion. Portipns af
the InformaYfon may be classified as non-public it you provide specific reasons that would permit the Crty to
conclude thai the are trade secrets.
I hereby acknowledge that this information is complete end accurate; thai the work will be in conformance with the ordinances and codes of the City ot
Eagan; that I understand ihis is not a permit, but only an application for a permii, and work is not to starl without ermit; thai the work will be in
accordance with the approved plan in the case of work which requires a review and approval oi plans.
X eYGc
ApplicanYs Printed Name
Page 1 of 3
. --
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments ? Commercial ! Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building X Reroof ? Demolish Interior
? Alteration ? Fire Repair [I Demolish Foundation
? Replacement [I Windows ? Water Damage
• Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation CJ?606 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%=100% ? Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) FinallC.O.
Footings (addition) FinallNo C.O.
Foundation HVAC
Drain Tile ? Other:
V
/ l
? Roof: _ Decking _ Insula tion v
Final
IceNVater Pool: _Footings _Air/Gas Tests _Fina
Framing _ Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirT est _Final Windows
Insulation Retaining Wall
Final C/0 Inspection: Schedule Fire Marshal to be present. _ Yes _ No
Reviewed By: Building Inspector Reviewed By: , Planning
COMMERCIAL FEES:
Base Fee 177.00
Surcharge . ?O
Plan Review
SAC-MCES
SAGC ity
S/W Permit
S/W Surcharge
Treatrnent Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storege (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
Page 2 of 3
-----------
j ?or Ofki?e tts? j
I Permit#:
j PermilFee:
I 1
? Date Received: ?
I I
? Staff: ?
-----------------
J
2008 COMMERCIAL BUILDING PERMIT APPLICATION
oate: ?2 47 0S siteaaar????' lE?j?vGnw ,f?Y..? S,
Tenant Name: LrcXINA'7(},V drccs, (Tenant is: New / K- Existing) Suite #:
PROPERTY OWNER Name: JCcACo2
, rtiC- Phone: '752`6-ys' 0 q 97
-
Address / City / Zip: Udqo 9 4f1`T7' WtJT W[A* I:h 102-
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work:
r
Construction Cost: ?1 5-oa 500'IL-9
CONTRACTOR Name: 1?AtIC.CYL ???f'?C? License#:
Address:
City: `S'S 194 State: ti"'-) Zip:
Phone:& SZSI-OqlU ContactPerson: C11-I c- 4elL -7o(0'3
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting dpcuments fhat you submit are cons/dered to be publlc information. Portions of
the fnformaflon may be classified as tton-public it you provide specffic reasons that wouid permit the Cfry to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurale; that the work will be in conformance with the ordinances and codes of the City ot
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start withoul ermit; that the work will be in
accordance with ihe approved plan in the case ot work which requires a review and approval of plans.
X /-/Mc- GLA ?-,.j
ApplicanYs Printed Name
Page 1 ot 3
---------
j F.or C7t€ice t7ss j
I Permil#: I
I I
? Perrnit Fee:
I
Date Received:
? Staff:
J
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 7 Z o$ Site Addre's?? ?`EY-J'?G'TUti, AuC S,
Tenant Name: zrc'x IV (.7Ura.) 7T ftLS (Tenant is:
New / x- Existing) Suite #:
PROPERTY OWNER Name: 9Er4CV2
, ?A+C_ Phone: q-52 ',!M ' 0 Y97
Address / City / Zip: 6qLj9 (_ ITT WEy7A?& 't-- L d2-
"
Applicant is: ^ Owner x Contractor
TYPE OF WORK pescription of work: - u-A4-- -,- 4-> (S''IclIIr1G
Gonstruction Cost: l? F?"'' ?"r 1 5? = ? 1 U1 ??
CONTRACTOR Name: G?ALIC.tEYC 4zr=-f vC, License42-2-cl
Address: SZ-7V C/1toP !`N1
City: ?'S 194 ..t. State: ti`nJ Zip;
Phone:?Sf 'ZSI"O9iQ ContactPerson: C-/1.IC 4p (I --?o
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: 5tate: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are consfdered to be publicJntormation. Portions of
the fnformation may be classified as non-public if you provide specific reasons that would permit the City to
conclude that fhe are irade secreis.
I hereby acknowledge that this information is complete and accurate; Ihat the work will be in conformance with ihe ordinances and codes of the City oi
Eagan; that I understand this is not a permit, but only an application for a perrnil, and work is not to start without ermit; that the work will be in
accprdance with ihe approved plan in the case ot work which requires a review and approval of plans. _e",
X ,erz.E-
ApplicanYs Printed Name
Page 1 of 3
--------------,
i ?o?ot??a:us .. i
I Permit #: I
? Pertnit Fee: 63 ?C I
I I
? Date Received: ?
I ?
? Staff: ?
_J
2008 COMMERCIAL BUILDING PERMIT APPLICATION
I,? Lr
Date: SiteAdd'??is? ZEXrev6nw ,flc-<- S, izn-
Tenant Name: 1EtC1+v f,`TDwj WK5 (Tenanl Is: New /? Existing) Suite #:
PROPERTYOWNER Name: gE13Ccs2 L1tiC_ Phone: 95Z'?y`?' ?Yq7
Address / City / Zip: _(p q0 { C7T (OVcJT 10 2-
Applicant is: _ Owner ?C Contractor
TYPE OF WORK Description of work:
Construction Cost: UL>U, --' +
CONTRACTOR Name: G?ALIC.C?YC.. +???1 N c> License #: `f z'2'?
Address: _ *Z-27z¢ CwoP
Clty: S"S !''Avl- State: yZip: ssjl't
Phone: & Sf 'ZSI-Oqlo Contact Person: CA tL 4e
ARCHITECT / Name: Registration tt:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting dCCUmertts fhat you submlt are cOnsidered to be public informaEion. Poriiarts ot
the fniormat/on may be classified as nott public it you provide specific reasons that would permii the CIry to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurale; that the work will be in conformance with ihe ordinances and codes of ihe City ot
Eagan; that I understand this is not a permit, but only an application for a permit, and work is noi to start without ermit; ihat the work will he in
accordance with Ihe approved plan in the case of work which requires a review and approval of plans. -.e?
X gM4E- GtA"?
ApplicanYs Printed Name
Page 1 of 3
? Fiircf£,cet#se---------?
I O I
I Permit #: I
I j
1
j Permit Fee: ? j
I I
? Date Received: ?
I I
? Statf: ?
J
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 717-c3$ SiteAddreslsl:? 4EKln.rGv, ?Q,,z- $, fl?
Tenant Name: /_Exr0116'tiN dr445 (Tenant is: New / k- Existing) Suite #:
PROPERTY OWNER Name: AFAC02 ? ?tiC_ Phone: 0197
Address / City / Zip: 6 qQ 1 l_.1T7' wt.JT -.P-- L d2:-
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work:
Construction Cost:
-r
CONTRACTOR hlame: /.?ALK-?:YL ???l vC, License #: q2-2,`l
Address: ZZ-4 C/9v J?p
City: S'T `''A?tr State: y"v Zip:
Phone: 65'I'05-I-0910 ContactPerson: Cl)nL ev3V?
ARCHITECT / Name: Regisiration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the fnformaffon may be classi/ied as non pubiic if you provide spectfic reasons that would permit the Cfty to
conclude that the are trade seerets.
I hereby acknowledge that Ihis information is complete and accurete; that the work will be in contormance with the ordinances and codes of the City ot
Eagan; thal I understand this is not a permit, but only an application for a permii, and work is not to start without ermit; that the work will be in
accordance with the approved plan in the case ot work which requires a review and approval of plans. /?
X
AppiicanYs Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
5UB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments Commercial ! Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building IX Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
0 Replacement ? Windows ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
GI
Valuation `,l?? ?
Occupancy
MCES System
Plan Review Code Edition SAC Units
(25%=100% =? Zoning
Census Code Stories
# of Units Square Feet
# of Buildings ? Length
Type of Const. Width
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (new bidg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile / Other:
? Roof: _ Decking _ Insulation V/Final 6-1 IceNVater Pool: _Footings _Air/Gas Tests _Final
Framing ?
? Siding: _Stucco Lath _Stone Lath _Brick
Firepiace:_R.I. _AirTest _Final VVindows
Insulation Retaining Wall
Final C10 Inspection: Schedule Fire Marshal to be present. , Yes _ No
Reviewed By: (..K-N'6G' , Building Inspector Reviewed By: ,
COMMERCIAL FEES:
Base Fee I -17. 0-d
Surcharge tr6
Plan Review
SAC-MCES
SAC-City
SNV Permit
S!W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Suppty & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total ? , S''7j
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4116 Lexington Ave
Lot: 4 Block: 01 Addition: Lexington Hills 1st
PID:10- 45025- 040 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Permit expired
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
thout required inspections. 1 -16 -09 CE
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
B B Pension Prof Sharing #3
614 W Brown Deer Rd Ste 221
Bayside WI 53217
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Mechanical
EA083408
06/05/2008
ePermit
Use BLUE or BLACK Ink
r
For Office Use
I
Permit `
City of Ea
Rd~
I Permit Fee. ' V I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: -1
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L,1-61)!Z Site Address: Unit
Name: Phone:
Resident/// J
Owner Address (City /Zip: o k/~C/~ f~•y
Applicant is: Owner Contractor
Type of Work Description of work: Zy
oFG•~
Construction Cost: -5,0PC) Multi-Family Building: (Yes / No
Company:_ ~~~C~ ~l/=. Contact: LL /`C.--L-64
Contractor Address: !50~6 4tk City:
State: &6.1 Zip: S ~7 Phone: 3110
License #:IZrl .3.Z 7Y Lead Certificate Nit 7115
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan: '
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.oopherstateonecall.ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuanc .
X
x x L
Applican 's Printed Name Applicant's Signature
Page 1 of 3
05/30/2014 07:30 FAl 10001
Use BLUE or BLACK Ink
------------------I
II For Offics Use
Permit l ~-3
City of Ealu Ea a,6-0
Permit Fee.
3830 Pilot Knob Road R~~ t I
Eaganne: (51) 675-5675 Mph 3 0'I~~ gate Received;
Fax: (651) 673.5694 I Staff. t
L--------------- -
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: J-/// 6
Tenant Name: Z tN ) C t"01'1,~ 1 (Tenant Is: New I V'EE)isting) Suits#:
Former Tenant: rr L~
Name: ~'1 S U'T^L Phone:
Address / City / Zip: L k( N 6ra.sd
Applicant Is: Owner Contractor
Description of work: /R 60 A<d- O✓ Y\ ,cr d /'rte F-eAj GL--
Construction Cost:
Name: '1 010 L 1 /y0- f-xSVC- License M rl (~6 V6 9 b 7
Address: 1Z~ W ~/Le`?1C ~/yClty: V y 1-0 N
State: A4.e? Zip: _7171? Phone:
` 4t r G
L'1 /`~L ~7~✓ , C J
Contact: Email: t;/~ 1019
Name: Registration
Address: City:
State: Zip: Phone: .
Contact Person: Email:
Licensed plumber Installing i1= sewer/water service: Phone M
CALL BEFORE YQU DIG. Call Gopher State One Call at (561) 4540002 for protection against underground uNIN.y damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.oro
I hereby acknowledge that this information 13 complete and accurate; that the work WN be in conformance with the ordinances and
codes of the City of Eagan; that 1 understand this Is not a permit, but only an application for a permit, and work Is not to start without a
pemtft: fhe work WIN be In accordance with the approved plan In the case of work ch requires a review and approval of plena.
x
Ap nt's Printed Nome Appll is Signature
J71~ A.1✓f~~ Page 1 of 3
05/30/2014 07:30 FAX 10003
i
DO NOT WRITE BELOW THIS LINE
WS TYPES
_ Foundation _ Public Facility - Exterior Alteration-Apartments
Commercial I Industrial Accessory Building Exterior Altaratlon-Commercial
Apartments Greenhouse I Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennas
WORK TYPES
New Interior Improvement - Siding _ Demolish Building*
Addition Exterior Improvement Reroof - Demolish Interior
Alteration _ Repair Windows Demolish Foundation
Replace _ Water Damage - Fire Repair Retaining Wall
IK" Salon Owner Change "Delnolhlon of entire building - give PCA handout to applicant
~D,ESCRIeTON C.i✓MIMed .kfv~ Pea - Fewc
Valuation 15 sic Occupancy V MCES System
Plan Review DAt Code Edition 2ttb77 INS$G SAC Units
,i Zoning PD City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of construction Width
BEQUIREQ INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No G.O. Required
Foundation other:
Drain Tile Pool: -Footings AIr/Gas Tests Final
Roof: -Decking -Insulation -ice & Water -Final Siding: -,Stucco Lath -Stone Lath _,_-Brick
Framing Windows
Fireplace:-Rough In AlrTest -Final Retaining Wall
Insulation Erosion Control
Meter Sire:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: K , Building Inspector Reviewed By: , Planning
COMMERCI& FEES
Base Fee 40- e~ Water Quality
Surcharge - SD Water Sampling Fee
Plan Review Water Supply & Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit & Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant (irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL 40A-0
Page 2 of 3
06/16/2024 08:49 6516337722 ALLI�NCE MECHANICAL PAGE 02/02
Use B�.UE or BI..ACK Ink
_��_�_�_---------,
� For Office Uee �
�ity of Ea�a� .a�cE��EO � Pe�,�#: i���� �
, ►
J1J� � � ���,� � PsrmR Fee: I
3830 Pilat Knob Road � � ' �� I
Eagan MN 55122 �
Phone:(651)675-5675 i Oate Recelved: � �
Fax:(651}675-5694 �
� Stafl`: �
I
_________ _______J
2014 IVIECHANIGAL PERMIT APPLICATION
❑ P�ease submit two(2�sets of plans with all comme�cial applications.
Date: Site Address: ' .�D�•/
Tena�t:��/�C-��'�p�J°-�LLC�� /¢'pi9'Yl Tina�v i'S Suite�!:
Residen�/OWVner Nama: Phone:
Address/City/Zip;
Name: /� w����,�p�y�y��License#:f�$ L�O?�q,o2/
Contractor Address:���O,r,�� ,��' City: � .�'
State:��L Zip:�/ S Phone; �p.�/ �?3 -^ �,�3,�
Coniad:.�0�__/J,i4�'yTiN EmaiL• �
�C New Replacement Additionat Alterat�on Demol�tlon
Type of V1lork Description of work: f,�J�. DUCrL�S"OLT'/¢.�,�ryp�e�(,/NLc:FD�{ �GPL�'�,� Q�.
NOTE:Roof mounted end ground mountad mech�antcaf equfpment is required to be screened by City
Code. Please contact tha.Mechantcal Inspedor for iMormation orr permitted screening methads..
RESIAENTIAL COMMERCIAL
_Fumacs New COnStruCGOn _Interior Improvement
PeR1't�t Typ9 —Air Conditioner �Install Piping _Processed
�Alr Exchanger �Gas J' Exterior HVAC Unit
,.,,_Heat Pump _Under/Above ground Tank �Install/_Remcve)
Other
RESIDENTlAL FEES
$60.0�Minlmum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes 55.00 Staie Surcharge) _$ TOTAL FEE '
COMMERCIAL FEES Contraet value$ �'x.01
a55.00 Permit Fee Minimum '
570.00 Underground tank insEallatlonlremo+ral =$ �• q� Permit Fee
'If contract value is L�SS than$10,010,Surcharge=$5_OQ �'
"'If contraet value Is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ �' '� Surcharge'
"'If the project valuatlon�s over$1 million, please call for Surcharge =g 93_e_l TOTAL FEE
I heraby aoknowledge that this information is complete and accurate; that the work will be In confortnanee with the ordlnances and codes of t►�e City of
Eagan;that I understand thls Is not a permiC,but only an appllcatlon fnr a permit,end work Is not to start wlthout 2 permit;that the work will he in acoords�nce
wlth the approved plan in the case oF work uMich requi►es a revlew and approval of pta�s.
X �d� F�/R'1�iT/IV
ApplicanYs Pr�nted Name App' ant's Signature
FOR OFFICE USE � � `.� ��
Required Inspectlons- Reviewed By Date. (
Underground Rough In Air Test „�Gas Service Test. In�loor Heat Finaf HVAC Screening
e �`
. i: ,
Use BLUE or BLACK Ink
r------------------
I For Office Use �
� � Permit#: �� ( �u �
CltV of �a a� � . � � ��
" � � Permit Fee: ��s� � �
3830 Pilot Knob Road � � �
Eagan MN 55122 ��C����
I Date Received:� '
� Pnone: �ss�� s75-ss�s QPR 2 8 9t114 � � i
Fax: (651) 675-5694 j Staff: ' '/`� j
�-----------------� x���
2014 COMMERCIAL BUILDIN PE �Q� ��'
G RMIT APPLICATION �,
Date: T l�u � �� Site Address: r"'� ��� �--�k:Ih�j� a��- s ' �tCj�t�1, �� � �''�
J
1"�i�Pit Name: r--�--k i�`lc���l � C l S /�.P.I S. (Tenant is: New/ V Existing) Suite#:
�� Former Tenant: "
Name: c�(.�e'vt�-�z:.� �1,��5' " �,/�r��t;�apcs I��S LCG Phone: ��- �Z.�Y'�I"S`"i I
Property Owner '� �"`' L�s� L`'`�z .
Address/City/Zip: ]�-FC� 1�- �-i -�''�� S�{'• L��Sva � � �Cy' ��ZOZ
Applicant is: �Owner Contractor
Type of Work Description of work: ���:��vc�1=�c��n�� �Iu��uS�/��'� �''
Construction Cost: ��� D��-�
Name:_ � �� � License#: r3C.-`5�'��
Contractor Address: ��'�� !'1f►!�� N�- City: �Lyw+c�-TH
State: /�� Zip: ����f� Phone: �l�'��-� °`���'�
Contact:,/�ie17T ��iN5v:�•/ Email: �u�� GzC � '"inc�a-�f � GfJYVI
Name: ��-�,v� �,� �G�C�'�l Registration#:
Architect/Engineer Address:_ I 8C7S Ina�oS���e � �n� city: ,�t,r��e ccc��r'S
State: ��'1 Zip: j�'-�2-] Phone: Le �Z^ `'f g � � �� 7 7
Contact Person: �Gh �i-�U✓�'-�. Ematl:
Licensed plumber installing new sewer/water service: �hone#:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of '
the information may be classified as non-public if you provide specific reasons that would permit the City to
: conclude that the are tradesecrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X �i s� L�fi� X �. _
ApplicanYs Printed Name Applicant s Signature
Page 1 of 3
���� �°'L��`n �c� ��`� "� ',� �
DO NOT WRITE�ELOW THIS LINE � ��S�
SUB TYPES
Foundation Public Facility _ Exterior Alteration-Apartments
�Commercial/Industrial Accessory Building Exterior A�teration-Commercial
Apartments Greenhouse/Tent Exterior Atteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New �Interior Improvement Siding _ Demolish Building*
✓Addition Exterior Improvement Reroof _ Demolish Interior
_ Alteration _ Repair Windows _ Demolish Foundation
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION ,,,,� -/
Valuation /?D�6O0 '� Occupancy 8i s'�) � �3 MCES System "
Plan Review �- Code Edition 2007�1S6G SAC Units 0 �k��L..
(25%_100% �/ Zoning ='?��'^�,-=,� City Water
Census Code Stories Booster Pump
#of Units � Square Feet PRV �-
#of Buildings � Length Fire Sprinklers /r o
Type of Construction ✓'8 Width
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings (Deck) �Final/C.O.Required
�Footings(Addition) Final/No C.O. Required
Foundation ►� Other: f/,� ST1�OO/.A�G
Drain Tile Pool:_Footings _Air/Gas Tests _Final
Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath Brick
�Framing Windows
Fireplace:_Rough In _Air Test _Final Retaining Wall
�Insulation Erosion Control
Meter Size:
Final CIO Inspection: Schedule Fire Marshal to be present: Yes � No ���
,..._ .
Reviewed By: �' , Building Inspector Reviewed By: ..� , Planning
COMMERCIAL FEES
Base Fee f``?G��� Water Quality
Surcharge gs•� Water Supply 8� Storage (WAC)
Plan Review Q'S°�.$�j Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit& Surcharge Street Lateral
Treatment Plant Street
Treatment Plant(Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL �2��Z/.G�
Page 2 of 3
.,, XFINITY Connect Page 1 of 1 ����/
F � I1
XFINITY Connect danomara@comcast.net "
� +Font Size-
- RE:SAC Determination
From :Karon Cappaert<Karon.Cappaert@metc.state.mn.us> Wed,)un 04,2014 09:16 AM
Subject:RE: SAC Determination �''1 attachment
To:'danomara@comcast.neY <danomara@comcast.net>
Da n,
This is not a change of use sa will not need a determination.
For any future submit�als please send the email to the address listed on the bottam of
the application. We alsa require the entire application to be completed or it will be
rejected. Kelly no langer works in our department.
Thank you. ,
!Karon Gappaert
`SAC Pragrarn Technical Specialist � �CES Finance
karon.ca�paertC�metcstate.mn.us
P.651.6Q2.1118 � F.651.6b2.1030
'���390 t�orth Robert SEreet � St. P�ul, MN 'S5101 (
��"j ������,�`(",�,� S,4C Proaram website
� c� t.� � � i :
_...._ �..� .. ... _� . _ _ ._.__..,.. � . _w..�_.�_
From: danomara@comcast.net [mailto:danomara@comcast.net]
Sent: Wednesday, June 04, 2014 5:58 AM
To: Barnebey, Kelly; Cappaert, Karon
Cc: tklingen@reacor.com
Subject: SAC Determination
Hi Karon and Kelly,
Can I please get a SAC determination for a remodel of an existing community room for
an apartment complex?
Can you please tell me your turnaround time?
Thanks,
Dan O'Mara
O'Mara Architects, Inc.
612-481-3377 .
image001.png
', 5 KB
tvti�`I"RC�['(�LIT�I� '
c ca t� v ; i ;.
http://web.mail.comcast.nedzimbra/h/printmessage?id=488078&tz=America/Chicago&xim=1 6/9/2014
City at �ap
TO: Scott Peterson, Building Inspections
Jon Hohenstein, Community Development
Mike Ridley, Planning
Darrin Bramwell, Fire Marshal
Russ Matthys, Engineering
John Gorder, Engineering
Aaron Nelson, Engineering
Leon Weiland, Engineering
Jon Eaton, Utilities
Eric Macbeth, Maintenance
Gregg Hove, Maintenance
Lt. Mike Fineran, Police
FROM: Craig Novaczyk, Senior Building Inspector
DATE: June 2, 2014
#15
RE: Plan Review For: Addition to Club house @ Lexington Hills Apartment
4116 Lexington Ave
The plans are in our plan review section for your review and comment.
Please return this form to my attention with your signed comments within 7 days. Please
indicate any concerns you have with these plans and resolve these issues with the affected
parties. If you are requesting that issuance of the building permit be held, please submit the
proper "hold request" form to me.
Comments:
Indicate below any fees that are to be collected with the building permit.
❑ Yes Rr No Landscape Security Required
❑ Yes ❑ No Water Quality Dedication
❑ Yes No Park Dedication
❑ Yes 9f No Trail Dedication
❑ Yes ❑ No Tree Dedication
❑ NUL El o PRV Required
Signature /
Amount
Zoning:
Meter Size: i
Date
G:IBuilding InspectionslFORMSICommercial Bldgs Final & Plan Review Letters
41101b City
of Eaan
May 12, 2014
Dan O'Mara
Mike Maguire 1805 Hampshire Lane
Mayor Minneapolis, MN 55427
Paul Bakken RE: The Proposed Addition and Interior Remodeling at
Cyndee Fields 4116 Lexington Ave (Club House/Office)
Cary Hansen Dear Dan,
Meg Tilley
Council Members We have started our review of the construction documents submitted in pursuit of obtaining a
building permit for the above -referenced project. This review is not intended to be an exhaustive
and comprehensive report, Unless otherwise noted, all references are to the 2006 I.B.C. It is our
Dave Osberg goal that this review will help you in complying with the applicable codes.
City Administrator
1. The Code Analysis does not designate whether this building is a separated or non -
separated use. if non -separated, provide area calculations that support your
designation. If separated, provide the required listed & tested rated wall assemblies
that would be required.
2. Per Chapter 29 of the 2006 IBC, this space requires separate sex facilities. Both the
women's and men's toilet rooms shall be fully accessible per the Minnesota State
Accessibility Code (MSAC), Chapter 1341,
Municipal Center 3. Provide enlarged toiled room details that include all accessible fixture heights and clear
3830 Pilot Knob Road floor spaces.
4. Wall finishes shall be designated for both toilet rooms (Reference Section 1210 of the
Eagan, MN 55122 1810 2006 IBC for required wall finishes)
651.675.5000 phone 5. Provide elevation details for the kitchen counters that include accessible heights,
651.675.5012 fax accessible work space(s), and range or cooktop operable parts.
651.454.8535 TDD i 6. Designate the required clear floor spaces for the kitchen area.
7. The A-3 occupancy has an occupant load that exceeds 49. Two exits are required.
The required exit doors from the A-3 occupancy shall swing in the direction of egress
travel, and shall be equipped with panic hardware complying with Section 1008.1.9 of
Maintenance Facility the code.
8. Provide roof framing plan that specifies how many existing roof trussed are being
3501 Coachman Point modified by removing '/ of the truss. This roof framing plan shall detail how the new
Eagan, MN 55122 roof ties into the existing roof.
651.675.5300 phone 9. Provide engineered fixes for the existing altered engineered trusses.
10. Provide a detail that indicates the roof rafter to beam connectors. (for uplift)
651.675.5360 fax 11. Provide the structural plan sheet(s) that are referenced on the architectural plans.
651.454.8535 TDD 12. Verify that the existing thickened edge slab depicted on detail 4 on sheet a3, is
adequate for the point load being imposed on it.
13. A SAC determination from Met Council is required.
14. Plumbing and HVAC plans shall be submitted with their respective permit applications.
www.citycfeagan.com
Revise the proposed plans accordingly and resubmit them for review.
Thank you in advance for your attention to these items. If you have any questions concerning this
letter, please call me at (651) 675-5683.
The Lone Oak Tree
Sincerely,
The symbol of �7
strength and growth Craig Novaczyk
in our community. Senior Building Inspector
W.T. (Mao) McOaffe, P.E.
6600 75Yz Avenue North, Brooklyn Park, Mil 65426
(763) 660-7446
June 12, 2014
Mr. Dan O'Mara, Architect
1805 Hampshire Lane
Golden Valley MN 55427
Re: Structural Design
Lexington Hills Apartments Clubhouse
4116 Lexington Avenue South, Eagan, Minnesota
Reference DraNvings O'Mara Architects, lob 14-03
For Above, Sheets al, a2, a3 & S1, 4-24-14
WTM Job No. 3738.
Dear Mr. O'Mara,
This is to certify that I have investigated the above based on information supplied by you. The
drawings are OTS except the plate in section 7, 81 may be 114 inch rather than 1/2 inch shovm
.odd a vWical W at high point of trusses which remain. Use 3/4 inch thick plywood gussets
joints top chord & bottom chords with No. 8 1'l screws at 4 inches o -c 'with Franklin Tite-Bond
TTI glue at contact faces. Fasten the bottom chord of the out trusses to the LVL beam Nvith
Simpson Strong -Tie twist straps TS 12 or equal, at beach end. The point load on the thickened
edgo slab should have a now footing cut in, 3'x3'x12 inches thick with No. 5 bars eacIl way at 11
inches c -c, 3 inches clear at the bottom. Use a 4x6 Douglas Fir No. 3 or better, Use a Simpson
CBSQ46-SDS2 column base and a Simpson BC46Post Cap. 1 have reviewed Sheet S1 dated 4-
24-2, Revision 2, 6-3-14, with 8 clouded notes. This sheet is in keeping with the structural
design.
Codes used were, TBC -2006, Minn. SBC -2007, Snow load — 50 psf ground snow load,
Wind = 90 mph, exposure B.
In my opinion, the above is structurally satisfactory. Please feel free to contact me should you
have any questions.
Very truly yours,
W. T. McCalla, PE, SECB, FACT
Structural Engineer
I htroby ceaio &.at this pian, specification Or sport
was prepared by me or under my direct supervision
and that l am a duly Lioensed Prorossionat Engineer
under tho laws of tho Stato ofMinnosota.
W� Tj, A+t� alla
i?ate RegistratlonNo iC54Q
Fax Copy, Mr. Tom Kungen, REACOR, Project Manager
Structural Consultant
Bridges • 5traotural Concrete • aport Testimony
TO 3HGd '3'd `t7`lWOl°!IM 9PPLOS969L 01:ZZ tT@Z/ZZ/40
�L��n� � �� �! � Use BlUE or BLACK tnk
�---------- ---�
„��:� �� i Foe Office Use � ��Sl �' �
�� �A/ � � `� f
Clt� of�a�a� � Pe�,�t�: s �
� ��— �
AUG 1 $ 2014 � Permit Fee' (
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 �1(:-a�..s.__._.__. � Staff: �
Fax:(651)675-5694 I 1
`����������������J
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please su mit two(2)sets of plans with all commercial ap icatio s.
Date: '/ Site Address:
Tenant: Suite#:
Property
, (hyngr Name: ��f s � Phone:
, Name: � -` License#:�O 1 J�� ��)
COflttaGtOfi : Address:_�0���� City:I'��� State��Zip:��
Phone����?�—��?�Email: SG-�t � "l C!r' �6 l' CG�.
, Typ�Of Wo1'IC —New _Replacement _Repair _Rebuild �Modify Spa _Work in R.O.W.
� Description of vvork: �` G� � � � - ' '�- �' (l,p� ,�� �,S
COMM�RCIAL New Construction �Modiry Space
_Irriga�on System�yes/_no)(_RPZ 1^PVB)
• Rain sensors required on irrigation systems
Perrni 7 e
'� � • A .GPM 2°turbo re uired unless smaller size allowed b Public Works
� `K3 { Q Y }
Meters Cali(651)675-5646 to verity that tests passed prior to oickina up meter.
D�nestic:5ize S�Type Fire: 1
Avg.GPM High demand devices? Yes No Flushomete►s Yes No
COA9MERCtAt FEES Contract Value$���� __x.01
$55.00 Permit Fee Minimum _$
�� � Permit Fee
*if contract value is LESS than$10,010,Surcharge=$5.00 =$ J ^ Surcharge*
"*If contract value is 6REATEi2 than$1fl,010,Surcharge=Contract Value x$Q.fl00b
*`'"If the project valuation is over$1 miilion,piease cali for Surcharge °� �� TOTAL FEE ---
I _
Following fees appiy when installing a new lawn irrigation system $ Water Permit
Contact the City's Etigineering Department,{651)675-5fi46,for required fee amounts. $ Treatment Plant
. $ Water Supply&Storage
$ State Surcharge
- _$ ��� TOTAL FEE
CALL BEFORE YQU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiiity damage. \
1 hereby acknowledge that this information is compiete and accurate;that the wo�{c will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but onty an application for a permit, and wo is not to start without a pertnit; that the work wili be in
accord ce with the app oved plan in the case of wark which requires a review and approva I
� X �� /,'� � � X
ApplicanYs Printed Name A licant' Signa ure
�OR OFFICE USE Approved ey:' I�ate: �
Required Inspections: �Under Ground T�fiu�h-In �,Air 1'est Gas 7�st !�Final PRY Required:�Yes Na
Meter Related ltems: Metsr Size R�tli�r Read Manome#er ' 'Sta�fi:
Page i of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126540
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 4116 Lexington Ave
Lot:4 Block: 01 Addition: Lexington Hills 1st
PID:10-45025-01-040
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lexington Hills Minneapolis Llc
10500 8th St Ne Ste 301
Bellvue WA 98004
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
Us�BLUE or BLACK Ink
� For Office Use �
• j Permit#: 4����� I
Clt of �� a� � �-- �
� � � Permit Fee: �
3830 Pilot Knob Road � Date Received: �
Eagan MN 55122 � I
Pt�one: (651)675-5675 I Staff: �
Fax: (651)675-5694 �________________�
2014 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: �� jI Fee: $65.00
City Sewer City Water YJRepair Disconnect
Descriptinn Of Work:
ae �v�bsc�
Street Address for Proposed Work
Name: � �, G'� •��-� f Phone:
� �� �..
Owner l�formation Address�City�Zip:__ ��� � �j�''�t �
Applicant is: Owner �./ Contractor
Licensed Pipelayer Master Plumber �✓ Property Owner
Name: ' ��{l.? /���/� � hone: !�f 7�I,3'����!
Address/City/Zip: � � ✓ � ` K'/ h ��(� �
PipelayerTraining Certification Card#: or Master P um r License#: � �/�/ ID
I acknowledge that the information is complete and accurate and that the or ill be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is no rmit, but only an application for a permit, and work is
not to start without a permit.
�/�W �.� C/)
Applicant(Print Name ApplicanYs Signature
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.qopherstateonecall.org
Use BLUE or BLACK Ink
���s � G�� � For Office Use i
�l� U��� �� ��') C 6`�� j Permit#: f�c���f 7 I
� � ' "- � _ � I
i Permit Fee: �
3830 Pilot Knob Road �
Eagan MN 55122 I �
Phone:(651)675-5675 � Date Received: � �
Fax: (651)675-5694 x��� �; , , �;,, � � �����
� _�.� I Staff: ��
L----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: �� �� Site Address: �)1�!'1Q��'rl �1�� 9"'��.''� ���le 1='80n�'�'C1n AY-e So-
Tenant: Suite#:
� � �� � n�„��� ��� � ...�.� ..w.,.� .��.�K �� �.,� _ �
Resident/Owner y Name: Pnone: �
� Address/City/Zip: �
� ffi�� �.�,o ..� r� ,��. __ ,.��
� Name: �O�Yv>>� �-�-�y � �c,ol,�v,� License#:
� � Address: ��32 �Yy�QY� A`yF� ��.�- City: �a�� �
Cantractor �
� State:�� Zip: `��'�'� Phone: �o J t �" �d� ^��`�
� , e
ri� ^� 1..� 1 � '�r�, �
� Contact 1��la\ �4�JYN,r� Email: ► )OI'vY11i1�C�`�/lp►� CCirVIC�ii�Ul
�.������..�.�..n�� . ��� ,� �����...,��,,�� �. � �.� ,�, . __�___.._.,�t �,.�,�,�
� ������ New Replacement Additional Alteration Demolition i
� �
= TYpe of Work'' Description of work 1�n s}�11 �,Qoo ,,,��.t �D .�(�`�,' hprtC 1 n�#�1�s h 'o( � r��v(�
a � �
NOTE:Roof mounted'and ground mounted'mechanica!e�uipment is required ta 6e s�reen��City ':
Code; Please contact the Mechanical Inspector for informatio�4n permitteti screening methads. '
RESIDENTIAL � COMMERCIAL
_Furnace � New Construction Interior Improvement �
P�t'1111t Typ� � —Air Conditioner Install Piping Processed
'- N _Air Exchanger � /�, Gas Exterior HVAC Unit
� � _Heat Pump � _Under/Above ground Tank �Install/_Remove) �
� Other �
�." — ��.3�.�,,, . ..,....��..m�.m �
.��,�„� � ,. . ..���u����... ...� �..� .���,,���..� .� �r
� RESIDENT/AL FEES
';. $60.00 Minimum Add or afteration to an existing unit, includes State Surcharge
�
° $100.00 Residential New, includes State Surcharge =$ TOTAL FEE �
u�.�...��.��.�.���,_.. .,...� .�.���,.., _..__��..�..�
_� �.._�. _...,..�.� �
�,_ .,� �����n,,�,W�,���,.�� �_.��_._,.� ..._ ,...r... ,F.x,�.,�
= COMMERCIAL FEES Contract Value$ �� x.01 �
$60.00 Permit Fee Minimum, includes State Surcharge '
$70.00 Underground tank installation/removal = $ Permit Fee �
� *If contract value is GREATER than $2,010,Surcharge=Contract Value x$0.0005 - $ Surcharge" �
�If the project valuation is over$1 mtlhon, please call for Surcharge -$ TOTAL FEE �
�x.�,.��..m,�..��.�..�,���. .. , .
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 �� �� � X � � �
ApplicanYs Printed Name ApplicanYs Sig ature
FC1R OFFICE'USE �
Required Ins'pections: Reviewed By: � ' �� Da�Ce: �'� � � �
Underground Rough tn Air Test �Gas Service Test In-floor'Heat Final : HUAC Screening