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4150 Lexington Ave Use BLUE or BLACK Ink ForOfFcellse --_-----1 I - City of Ealan i Permit `r~ I Permit Fee: :5L6' 60 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I 1 .r J 3 2010 COMMERCIAL P UMBING PERMIT APPLICATION Date 1/0 Si A dress: / Tenant: Suite PROPERTY ~J OWNER Name: ! Phone: J/ 5J CONTRACTOR Name: I rvx b h~License Address: 10 YO 4f City: Sta te~ Zip~~_ Phone(J Email: /K TYPE OF _ New Repl cemen - Repair Rebuild Modify Space Work in R.O.W. P WORK Description of work: JLg&jj) r t~ PERMIT TYPE COMMERCIAL New Construction _ Modify Space Irrigation System yes no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2° turbo required unless smaller size allowed by Public Works) - Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers Yes -„_No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ w P X1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Eft I111 Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). I State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 575.5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge ~ Imo. I TOTAL FEES $ 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.aogherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this i not a RoqnIt, but only an application for a permit, and work is not to start wi it that =will be in accordance with the approved plan in h requires a review and approval of plans. 7 / J~vx x M!gt)l x Applica n1 d Na Appl cant's Signature :equired R OFFICE USE Approved By: Date: Inspections: -Under Ground Rough-in Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 {?'?•WM, N.. .,•:-:- .. .v.A..n . .....i .. +Yy?i..M'?'h' rti..iT.:....?.n . A .'»+'. ....V.M[? .4..:._, .?.i'Mr11P9e9. ..... _ . . .. ` . . . • . PEfiMIT # '•• " 7. PLUMBING PERMIT RECEIPT N CITY OF EAGAN • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Addiess T f , Lot?Z_Block S c/Sub ? . m Name m Address c City phone Name c Address p City ? Phone / ?6 -1 N T/ FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & 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 P,RICE GOES BEYOND $1,000.00) 2, SIGNATURE OF R ITTEE FOR: CITY OF EAGAN ' BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL -Water Closet - $3.00 $ _Bath Tubs - $3.00 _Lavatory - $300 _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 PERMIn -SoRener - $5.00 -Well - $10.00 Private Disp. - $10.04 _Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: 2.".i.•: _ f ?. .. . . ... .. .-i PERMIT # -.- , ' . ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE L/,` CONTRACT PFtICE J PHONE: 454-8100 Site AddKess " ? BLDG. TYPE WORK DESCRIPTION Lot 1 Block Sec/Sub ? / ? Res. New ? Name ? 7 . ,, ? Mult ? Add-on ? w Address f? - ?, Comm. Repair ! c City 1, ?1_ i.? _?phone Other i 1 FEES ? Name L' RES HVAC 0 100 M BTU 2 I . - -$ 4.00 c Address ? ADDITIONAL 50 M 8TU - 6.00 ? 3 p Ciry L 1l? C;2i?:, •. < Phone I (RES. HVAC INCLUDES A/C ON NEW I CONSTRUCTION) i I GAS OUTLETS (MINIMUM - 7 PER PERMIn - 1.50 EA. y ', TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ' Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler 4 :4 PI M BTU $ TOWNHOUSE & CONDOS - RES. RATE APPLJES MINIMUM RESIDENTIAL FEE A ADD O - LL - N 8 ' Unit Heater M BTU $ REMODELS - 12.00 '. Air Cond. ' M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 Vent CFM . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ BEYOND $1,000) ' Other S ` FEE: ? S/C: SIGN< ± t. TOTAL• 1 ? FOR: EAGAN t& . ° • CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILW?IG PERMIT PHONE: 454•8100 Receipt # ? To be used .for Est Value Date ,19 Site Address Lot Block Sec/Sub. Parcel No. c Name W 3 Address ? City Phone • , p Name ?` Address ra- CityPhone_ F W Name address f W City Phone 1 that I have read this State of Minnesota Statutes end Ciry of Eag Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all Building Official and OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Conffi City Water _ (Actuaq (Allowable) T_ # ot Stories Length _r_ Depth S.F. Total Footprint S.F. APPRQVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police Plan Review Fire SAC, City Engc _ SAC, MWCC Planner WaterConn. Council _ Water Meter Bldg. Ofi. _ Road Unit APC TreatmeM P1 I Variance , _ _ Parks Copies TOTAL i on the express condition that nnesota StatWes and City of Eagan Ordinances. , Permit No. Permlt Holder Dab Tslophone • Plulnbing H.V.A.C. 4 &ic Electric c?- Softener ` inspection Date Insp. ComU'uts Footings I a y - Footings II Foundation Framing cPA Roofing i?- Rough PIbg. Rough Htg. Isul. Vkllfo ' ,Q A.o.- C?O,., 00Le-7-4r?- Fireplace e 0 1,7 - oy Td-e,? - . Final Ht9• /K$L y fP? is fPAio tIS 97 Final Plbg. 1,?.- , f a A/ ?• ? 6 ? f?i K? Bldg. Final WQ r A7 • C@rt.OCC. ^ _ 47 G, Temp. LP Deck Ftg. ? Deck Frmg. Well Pr. Disp. Of EAGAN Pllot Knob Road Box 21199 in, MN 55121 ng: ;.1{ Br , ?1 5 Z Partners to eomply wRh the CNy of Eagan of Insp.: `- CITY OF EAGAN Permit Na 3830 Pilot Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 _ Date: _ Size: _ Date: ' I 6--9- 37 ? 1 lt; .!?50,:)Opci .`(; Conn. Chg: Zoning: Acct. Dep: No. of Units: 14 Permit Fee: • ' P`" I Surcharge: ' F° 1 agree to comply wlth the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By SEWER SERVICE PERMIT PERMIT NO.: l9 E? DATE: -? 41 ? No. of Units: 24 Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: WATER SERVICE PERMIT REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os ' See instruc[ions for comDleting this form on 6ack of yellow copy. 7?5MI "X" Below Work Covered by This Request Add I I Reo.- 'Type ot BuilAing Appliancns Wired Equipment Wired Home Fange Ternporary Service Duplax Water Heater LiqhtinU Fixtures Commercial Bldy. Furnace Silo Unloader Industrial Bldy. Air Conditioner - Bulk Milk Tank Farm [her per,i y Olher (SUor,ify) ompute M Fee Service Entrance Size N Fee Faede,s/5ubfeeders k Fee Circuits "73 U to 200 Am s 0 to 30 Am s E! 0 tn 30 Am )s Above 200 qmps 31 to 100 Amps Zp - 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_AmPs Transformers Irrigation Booms ,SD Partial•"Other Fee Signs Special inspection S ,gC? TOTAL F?O?/,?? Rema?ks I(J, S4 ? r RouBh-in 11 ?e/ % I, the Electr ? Inspeclor, hereby th tif h b Ffnal r D t y at t cer e a ove inSDeCtion has been made. ThiarepuestvofGlBmonthafrom V%4.-* °"y inis request void 18 month5 ffom W ow o.? '•>FD 8 51 RequeSt-Oa.te_,_. 4 _/ . ?l ? FireNo. ? Rouph-in Insuection Required? V ?fleady Now?Will Notify. Inspec- aYes ?No tor When Ready ce??sna ueccnca, i.omraCLOr I hefeby request inspecffon Ot eboVe Owner electrical work installed at: Streee qddress, 8ox or Route No. Cfty 411s0 LF 1.v ?- .J ?'r? ection o. 7ownship Name or No. Range No. County x a3 lcLi ?Ts- 4?G ? 3 !?.¢Ko r7?- Occupant (PRINT) Phone No. .77,0 . //f ?+? s a 46a8 - cW- Power SupVlier Address .f e Electrical Contractor (Company Name) Contractor's License No. /????r' r? D a V-3 Mailing Address (Contraclor or Owner Making Instailationl 0?Z116' &;o .v 4- ?du7l? vi?Z/ Authorized Sfgna re (Contractor/Owner Mak. g Installation) Phone Number gjd -3SSs MINNESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE 80AflD 1821 Universitv Ave.. St. Peul. MN 66104 UNLESS PROPER INSPECTION FEE IS PhOne(612)642-OB00 ENCLOSED. 2G. liNIT --M.D. CITY OF EAGAN r,,{-o 13329 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 6 BUILDING PERMIT Receipt# A. To be used for APT/GAR Est.Value $500,000 Date MARCH 10 ,1987 Site Address 4150 LEXINGTON AVE OFFICE USE ONLY LEXINGTON HILLS 1 Lot 9 Block 1 Sec/Sub on site sewage _ occupancy R1 . MWCC System _ Zoning p1) POfCeI No. On Site Well _ Type of Const V 1 HR City Water _ (ACtual) Name H& Z PARTNERS (Allowable) W z P.O. BOX 2997 Address # of Stories Lengtn 183 o City LACROSSE phone 608/784-5910 Depth 56 S.F. Total on n , p Name SAME Footprint S.F. o o ? ?Q Address APPROVALS FEES ? City Phone Assessments _ Permit 1 703. WaterySewer Surcharge 250.01 W Name JERRY SATERBAK p Police _ Plan Review ??.1 7 j ~Z N751 BLOOMER MILL RD Address Fire Engc _ SAC,Clb SAC, MWCC 0 : 1 y?U 10 }Q80.0' aW City LACROSSE Phone 608/788-2764 Plflnner _ _ WaterConn. lO,nA?.O Council Water Meter I hereby acknowledge that I have read this app ation and ste[e Bldg. Off. _ Road Unit .0 thattheinformationiscorrectandagreetocomp with all applica APC _ TreatmentPt 1,49 .0 State of Minnesota Statute C? o f rdinances. Variance _ Parks N/A Signature of Permittee Copies TOTAL ?• 2 A Building Permit is issued to: & Z PA NE on the express condition that all work shall be done in accordance with all applicabl?e S te of M i n neso Statut es and City of Eagan Ordinances. o ' I Building Official - ? P' b., q -3-7 I 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date 6 / J t / dWS Site Address 4i-cZ Ley-i +-5 ?1f C S, Unit # Tenant Name Lc St 1 fl) r? i S PrDM i"tTYIe X-?`Former Tenant Name Property Owner ?,?c ? n?lv? 1-E?11s -?-?. f ?° SbD t? Telephone #( I?? )?'rJc? - D?J I 3 e 02 'vv es Contractor i Address 40 - ?? M LA ('_ ? City State Y-?lV-? Zip?.?v Telephone#(?j ?? License # YY\ Expires: ? ? 31-D 5 The Applicant is _ Owner _ Contractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB _ New Repa' /Rebuil _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ o Rain sensors are re uired on irri ation s stems Description of Work p e V Ll I )L( 0- 1-'2- VL2 l VC4 (J [t)-C(? To inquire if Yressure Reducing Valve is required on new service, ca11 65 1-675-5 646 Meters - Ca11 6 5 1-675-5 300 to verify that hydrostaric, conductivity, and bacteria tests passed prior to uickin a up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement 5161.00 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% _ $ Pernut Fee $ Meter(s ) Required on all new buildings & boulevard irri ation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ State Surchazge [f permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee ? - -----'--------- -?'-?'----??'- ----------"------ -?- Following fees apply only when installing new'irrigatiou'system $ Water Per[nit Call Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge -------------------?-------- ------------------------------------------------------------------- - -------------------------- ; ? ^ ?7v - -- ---------- II i'Fe T t $ o a e I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate;' that thel\?vo?k?OvilNbe)in confom?ance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is ?not a pemut, but only an application for a pemvt, and work is not to start without a pernvt; that the work will be in accordance with the approv&plan in the case of work which requires a review and approval of plans. ? ?`?(1 ?Chcte? l?eS? t?c?a?r? Applicant's Printed Name Applicant's Signature .,? 'la.ry ...? r "t, ' it? ° a 'F5 j? '??n fN a *' .w ., + e t ? • t ? ' t ^ Z , . ^' Y CITYU9EONL PERNIIT#• ,;RECEIRTTDATE:' :4•, .?..._ _ .._.. ',''Ftl: Ji32:.?na`:7 tj0 r:T-:L, „Y:' ?1VU'[LtLN?G f?¦ AI"LlVliTIVA . , . . ' . . ..., ? .. , . .. Ila?I4V?'? LiWiii?.'N ' . L 1;{ ? ? ? 6 dO?/ :MVa.OY ? VkGMIiNW122 ' .. esi-e8l-4e75 Date: .WORK 1'YPE... New Bldg . Add-on . _ Repair . . RPZ ?. _ PVB ' Irripation system . • Must compiete reveise side of application also. Required meter size is 2" turbo unless smallcr size permitted by Public Works DESCRIPTION OF WORK R1'" Z 1 C.S? To inQuire if Pressure Reducin Valve is r?uired on new serviC?. ca11651-681-4646 _> .,: . ._.., ? _. .:-g?: . . . .. . -.-l,.?q?.? ... _., rs?s.ate? ?.. _..METERS -,Call 651-681-4300 to_yerify that hydrostatic, conducrivity, and bacteria tests gassed arlor to oicWne un meter, ? ; Irrigation ; Size & Type Avg GPM . .,.. .. ' Fire' Sizel Type Avg GPM Domestic . Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS ; ` sli6naaress: _ Yes _ No PRV REQUIRED _ Yes _ No :?- A?e ?S. ?. Tenaat Name: 1--:ex? 6G40i1 t`? t li S ,Was?diere a provious tenant in ttris space? _ Y_ N. Installer Name• 14A/Q60/j ., ? Installer Address: ?15 VCoS 1? j City: 4 U C.i i `5 10<51-k State: ` /7? Zip Code J??Y cV6 ? FEES Contract prlce $ a 1% ($50.00 minlmum) ? Coutraet Fee S ?? • ?? Meter(s) $ Required on all new buildiugs'&.boalevard irrigation systems (Acct # 92204509) _ Radio Meter Read $ " Siitcltarge: '$.5016Iinunua?.` If "contract fee exceeds $1,000, calculate at - ' State Surcharge S 50 cents per $1,000 contract fee. ToteJ Fmm Reverse New Service $ ' Total s , I hereby ecknowledge thst I have read this application, state that the infomiation is correct, and agree to comply with all applicable City of Eagan ordinsnces, It is the applicanYs respansibility W notifythe property owner that the City of Eagan assumes no liability for anydamages caused by the City ° dwing its normat operational and maintenance activities to the facilides consuvcted under this permit within Ciry properryfright-of-way/easement. .. . _ - . - . ?d y ,,,•" ,.?,,,° .', ;/°U' .!/?i<,?' ,F'? ? SIGNATURE OF PERMITTEE ._..,.,... ., ..._.. .. REQUIItED INSPECTIONS: _ U.G. PLAIVSiSUBMITTED ' CITY USE ONLY _ Air Test _ Cras Test . APPROVED BY: Rough In _ Final BUILDING INSPECPOR Telephone #: ?D V-? sa - 03 ?3 (AreaCode) If Yes, Name: r ?. P/i?tTelephofie#: 9,56-2 - gc;zo ' 02 (fl 90 (nrea Code) / . .. CITY USE ONLY PERMIT #: ` I 1 (o 6 ? _ No Date: C;") • C9 O' c) I WORK 7'YPE New Bldg Add-on _ Repair x RPZ _ PVB Irrigation system ' Must complete reverse side of application also. Required metcr size is 2" turUo unless smaller size permiited by Public Works DESCRIPTION OF WORK To inquire if Pressure Redncing Valve is required on new service, caU 651-6814646 METERS - Ca11651-681-4300 to verify that hydrostaric, conductivity, and bacteria tests passed nrior to nictdna uu meter Irrigation Size & Type Fire Size & Type P.UM?? ? AMMATIOR C1T1lOF EAGfkN 58.90 P&d1' HROB RD $i4H1kR. lalY'SS'188 6$1-"1-4875 INr'QMPLETE APPL/CATIONS WILL NOT BE PROCESSED Domestic Size 8c Type Does this include high demand devices? _ Yes FLUSHOMETERS _ Yes _ No Site Address: y I EC L e x' ^ ,:O d RECEIPT DATE: '4 ' C) Avg GPM Avg GPM Avg GPM PRV REQUIRED A -4 e, S . Yes No Tenant Name: LeX ,? r-,q'1-O n Telephone #: CoS - y S a- C) 3 ? 3 (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Installer Name: C Telephone 9 S oZ - q a O- al,0 (nres Code) InstallerAddress: State: m? Zip Code S Sy oZ ?v (-,p +S p K City: -S'_ u- FEES Contract price $ 1,5<100 x 1% ($50.00 minimum) Contract Fee $ `r? • o c) Required on all new buildings 8c boulevard irrigation systems Swcharge: $.50 Minimum. If contrsct fee exceeds $1,000, calculate at 50 cents per $1,000 contract Fee. Total From Reverse Meter(s) $ Rsdio Meter Read $ State Surc6arge New Service S ,S 0 $ Total $ `rd • `56 I hereby aclmowledge that I have read this application, state that the informarion is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Ea sumes no liabiliry for any damages caused by the City during its nocmal operational and maintenance activities to the facilities constructed und this p it within C?typroperty/right-of-wayleasement. SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR C.LTY f')f" EA(,AN L'ASHTE:fi: JS T'rRNTNAL NOt 758 Dr,rE;, 07l26/39 T:F.MEn 10:30:20 TD„ t:fiifiE; 1'UF' GIJN;, .l'tdGe 32:1.0 9001. 41.50 LE.X7:N[:,TON 97.25 205 9001 4•l50 L_EXINGTON %?oUC} 7ota:l Re.r.eipt Amour7t: 9925 CR:1.14 ?;3Q U'.af-_:R TDA JAN 1999 BUILDING PERMIT APPLICATION (COMMERCIAI.) \?3 CITY OF EAGAN 651 681-4675 Reauirements to buildina oermit IN1R-<- Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • ArchitecWral Plans (2 sets) • Architecturel Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) " • Code Malysis (1) •• . Civil Plans (2 sets) . Projed Specs , (1 set) • Project Specs (1) • Landswping Plans (2 sets) • Key Plan. • Spec. Insp. & TesGng Schedule " • Code Analysis (1) " • Master Exft Plan • SAC detertnination lefler from MC/ES - • SAC determination letter from MC/ES - call • SAC determination letter from MC/ES - call ca11651-602-7000 651-602-1000 651-602-1000 • Spec. Insp. & Testing Schedule (1) " • Energy Calwlations (1) not always " • Project Specs (1) • Elec. Power 8 Lighting Fortn (1) not aMays ° • Energy CalculaUons (1) " • ElecUic Power 8 LighGng Fortn (1) " • Master Exit Plan • Soils Re ort 1 " Contact Buiiding Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. LOATE: WORK TYPE: -!L NEW _ REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: Z25 00• 0-0 TENANT NAME: SITE ADDRESS: "f I ?U (? LOT ` BLOCK ? SUBD. PROPERTY OWNER CONTR.ACTOR ARCHITECT/ ENGINEER Last Street Address: SUITE #: 1 ?I I S? P.I.D. # Corlia-ct lorn I-i?e/o I I u L Phone #: 0343 First fKI RG? Irm AM City I Al(?,? ? State: I D 1? Zip: J5' 01- ? Company: Phone #: 3qb - O 6(l( ) StreetAddress: 4V l L`2((> I \,X')f 'I 1 l/11 l( jLf'y Dil Ur:f ( City ?()an,( ??n State: ?o. Zip: ?C??? Company: Name: Street Address: Phone #: Registration #: ? , ?: --- - ` Ciry State: ? ". Zip: j JUL L JJJ1 Sewer 8 water licensed plumber (onlv ff instailina sewer 8 water): ay-acKnowledge that I have read this application, state that the information is coand agree to comply with all appticable State e? COg--and-City of Eagan Ordinances. JUL 21 1999 Signature of Applicant: 1986 BQILDING PERFIIT APPLIC9TIOH - CITY OF EAGAN HOTE: ALL CONTRACTOHS MOST BE LICENSED iIITB THE CITY OF EAGAN 3IAGLE FANIII.Y DfiELLIlqGS ' .._ . ., : .... INCLQDE 2 SETS OF PLANSO3 CERTIFICATES OF SIIAVEY, '1 SET OF ENERGY CALCOLATIONS . MDLTIPLE DiiELLINGS - RESIDENTIAL RE6iTAL IINITS Z-¢ FOB SALE IIIdIZS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAI. INCLUDE 2 SETS OF ARCHITECTORAL & STRIICTORAL PLANS, 1 SET OF SPECIFICATIONS AND i SET OF . ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be IIsed,For: -Va],uation: 3ite Address q-I 'rj0 OFFICE DJ t.ot q siock ( . Parcel/Sub LEx . N ILLS ? ST - Joe B Hengel & Donald Zietlow OWner D/B/A H& Z Partners Address p0 BpX 2997 " 1"t,;..._.-.•. i. Gity/2ip CodeLa Crosse Wi 54601 ' Phone 608 784 5910 • Contractor & Z Partners D B A ..... . . " ' -B Construction , . ?Address p(1 Rnx 9997 Citq/Zip Code La Crosse Wi 54601 Pdone F,(lR 784 5910 Arch./Engr. _ J? Saterbak 6ddress N751 Bloomer Mill Rd Date:" _ ' . • ' ? . Erect ? Remodel _ Repair _ Addition _ Move _ Demolish _ Int.Impr. _ Install Oecupancy R•( Zoning FC) Type of Const SZ I Ht-7 # of Stories ?,_ Length I 8 3 Depth SG Sq Ft Zo, Soo ' Ciby/Zip Code La Q?osse Wi 54601 '` . ;.. • ? . i :'f .. . . _... _ ? Phone 0 F,OR 78A 2764. ? ' ,? ... . . ?.. .. . ? . _.. .a^ r 1 ?.? -... -a•. .-... r ... . . ' . .. . _ . ..,. . ..,..w..kp. . . ' ? . . ' . .... . . . . . . . . , . . ... . ?. HOTE: ADDflESSES FOR CORNER LOTS - CONTRACTOR/HOMEOTaNER MUST DESIGNA?Ei1HZCH ADDRSSS IS DESIRID. NO CHANGFS iTILL BE ALLOAED ONCE BQILDING PERMI? IS ISSIIED. •' '" ? .`. __ .., ^ s^ ' .= .•_ '.: . ' _ ?? ' ..:.?. r ? a.4?ta??,ta?.._?'J ?'??? i fi : ......-....• .:-: ...-..?.c. .....,-?-.. ,..?-.3.....'' ....... ?-.. -... ...?.w ..-?..-•-.Y :$locx/5ubaiv -x_r..___--__-__-_-_____ ? . , P ease Print) ? ? 1) PROPERTY ADDRESS: 4,4 -';;-D L;x ) 1? 4a7'G,A1 A LEGAL DESCRIPTION: Ci *IOTF: PAYMFTTP OF FEE AT TI1yE pF APPLIcATIoN noFS Nar CONSTIzvrE APPROVAL OF PERMIT. INSP1=ort oF sENM AND/oR WA7ER rr , r.ramlONS W,IIy NOT BE SCHED-- tIM vrrru. PmrIT HAs $? APPxovm. ax Yarce IF EXISTING STRC'CILiRE, DATE OF ORIGINAL BLTILDING PERMiT ISSL'1NCE: ' Mon Year PRESEDTr 7ADIING/PROPOSID L?SE: Q Ca4AMCIAL/RErA2L/0FFICE [7 INIDL'STRIAL El INSTITCMONAL/GOVERIJMENT ? R-1 SINGLE FAMILY ? R-2 DDPLEX (7tvo L?nits) ? R-3 ZOWNiOUSE (Three + Units) ( L?nits) ? R-4 APARTMENT/CObIDOMI1VIUM Units } 2) ? NANIE: Jj r-,u L-- ADDRESS: ? 0 ?u _.I%x 9 9 7 . CITY. STATE. ZIP: PHONE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 3) • r ?• N11ME: ADDRESS: P,& CITY. STATE, ZIP: ? ? . e V???5. PxorrE: 6v9 74!j :s 21&rAsTERLxmasE#6 '?)L Active E?Spired Not recorded st?f' In?tiai 4 ) _ ADDRESS: ?P 130V Z?a9g7 . cizy, srAZE, ziP: PHONE:_ •5) ?? ?- • ?• : a • o. ^ a?t _n CONNEC.'TION 7C3 CITY SEWER fZ CONNDCTION TO CITY WATER ? 0'IZiER_ 6) ?? • r q PLF.A.SE HOLD APPROVID PERMIT FOR PICK-UP BY OIVE OF ABQVE --- •--- -- ? PLEA.SE APPROVID PERMIT 70 1, 2, 3. a, AIXpVE . F (Circle ore) 7) -)k ? a/,-., ,s% dI rifGuin (r -C?---. F'OR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ lCiS?' SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SLRCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ? ACCOUNT DEPOSIT - SEWER $ $ ? ACCOUNT DEPOSIT - WATER c $ wAc I$' ? c.,D $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRIINK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ TOTAL . ??. ?/C ? .. ?.? ??e o 1 RECEIPT RECEIPT DO ES LTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SL BJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: Au?c.-,.Le? TITLE: DATE: u/ l /? 7 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 :t so -s? Date 6e Site Address Unit # Tenant Name Former Tenant Name Property Owner 5c?(11e' Telephone # ( ) Contractor a- , Address "a- City Lz a('.?/1. State Zip Telephone #('J?5b ?C.?.`? The Applicant is _ Owner Contractor Other Work Type _ New Bldg Add-on _ Repair RPZ PVB irrigation system * " Jer Wobschall to calculate fces. Re uired metcr size is 2" W rbo unless smaller size ermitted bv Public Works Description of Work ?'Pwf;-,Lp d- CLi?D j ?y j oetl,(,?,-y-% rv'p-t"?. To inquire if Pressure Reducing alve is require on new service, ca11 651-675-5 646 Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed nrior to uickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 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% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevazd irriqation svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surc6arge is $.50 per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $. Water Pemut Contact Jerry Wobschall at 651-675-5024 for required fee amounts I ? $ Treatment Plant $ , Water Supply & Storage $ " - ;State Surcharge ---------------------------------------------------------------------- - ---- - ---------------z------------ $ --------------------------------- Total Fee 1 hereby apply ior a Commercial Plumbing 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 with the Plumbing Codes; that I understand this is not a pemtit, but only an applicarion 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. _ p(L:.I 12cL.5CF4-'r' ""-, Applicant's Printed Name ApplicanYs Signature --------------- ? Por,af??ce tlse ? I Permit #: ??? ! 0 I ? Permit Fee: I I ? Date Received: I ? ? Statf: ? - J 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: ? Z tj o?f Site Address? ZEKf nj(,, ,/Qc,,? .S, Tenant Name: exr-u6iU,J 4Ls. (Tenant is: New! k Existing) Suite#: PROPERTY OWNER Name: ec.4Cci2 , 1^. c- Phone: -( ?5Z `,!?95 ' V y97 Address ! City / Zip: le q Ll 1 C TT WtJT?? 0 2-- Applicant is: _ Owner Tc Contractor TYPE OF WORK Description oi work: _ "' ???`? '?•? 4? ? cS?C?i V1G Construction Cost: cc, CONTRACTOR Name: GtJALKCYL 4Z)FI-jC5 License#: yz'2-?J Address: City: State: A"? Zip: Srsl/? Phone:?s("ZSr"Oq`o ContactPerson:_ C-A (t 4re 1- 701 ARCHITECT / Name: Registration #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumher installing new sewer/water service: Phone #: NOTE: Plans and supporting documents fhat you subm/t are consldered to be public information. Portinns of the information may be classified as non•public if you provide specific reasans that would permit the City to conclude that the are trade secrefs. I hereby acknowfedge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes ot the City of Eagan; Ihat I understand this is not a permit, but only an application tor a permlt, and work is not lo siart without ermit; ihat the work wifl be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. X grcE- ApplicanYs Printed Name Page 1 of 3 Use BLUE or BLACK Ink For Office Use Ol City f n Permit ~y 477 I of Evan I ~y I Permit Fee: l-~1> I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: ~1156 I A5 ~Ii; So Unit Name: ~ceri7-:> 114, r Phone: '76~?' 1V3F- 31/. Resident/Owner Address/ City/ Zip: Tl// ! .-z, icy '4, 60 Applicant is: Owner -9- Contractor Type of Work Description of work: r0~ Construction Cost: 3 °v Multi-Family Building: (Yes / No Company: ~7KgeA ~44Contact: /3-vl kr04 Address: 51E4 g~, 6 6cc-k Ski, r PhA-~- City: Zt-6 Contractor State: Zip: ~5Y0 7( Phone: / ~r~ slag License _ Iec .5-8 7 Lead Certificate _ A191` If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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 maybe 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case 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 issuance. rV x 41- p "Cant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Mk �-----------------� � For OfRce Use � �� Permit#: „! �� /[ � I � �� , . � , � � � � Permit Fee: �� ! 3630 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:{651) 675-5675 , . . i s��: � ,. Fax: (651}67�-568d ------------------, 2015 RESIDENTIAL PLUMBING PERMIT APPLICATtON Q�te: �' t�Site Ad ess: t� X( � �'� � Tenant• LY; n �l� � Suite#: ��Wl1��' ', Name: ` �� "t 1 �(�� Phone: ��rt� �(.�'�� : Address 1 City 1 Zip: � �� (,�� `�:� 1e' � �.�1�.J �""-� . (�/ � � Name: � ��cense#: t`"C_.L��,��1.�' �#�+�" Address: ' :�;' .� � CitY. � 't� — 1�� ; State:-��Zip: Phone: 11 ��J-��' (�--`� , ..' � �."'� � � Cantad: � Email: � i.J�'' �r �"• !�.=� lVew _Replacement __,_Repair Rebuiid Modiiy Space Work in R.O.W. �!�t'��i1� , — — — ! Description of work: 1!� �� /b�L(.=C � tij REStDENTIAL Water Heater �� Water$oftener � Lawn Irrigatian{_RPZ! PVB) �� Add Plumbin Fi�ures �I Septic System 9 (i Main 1_Lawer�.eve!) � _New Weter Tumaround Abandonment RESIDENTIAL FEES: �60.00 Water Heater, Water Softener, or Water Heater and Saftener(inciudes$5.00 State Surcharge) $60A0 Lawn )rrigation{inciudes$5AU minimum State Surcharge) $Sfl.00 Add Plumbing Fiactures,Septic Svstem Abandonment.Water Tumaround*(inciudes$5,0o State Surcharge) '`Water Turnaround(add$Z00.00 if a 5/8"meter is required) $115.00 Septic System New($10.(}0 per as buift)(includes Caunty fee and$5.00 State Surcharge) %� TOTAL FEES$ �Dv GALL BEFt1RE YOU DIG. Call Gopher St�te One Call at(651j 454-0002 for protection against underground utiiity damage. Cail 48 hours before you intend to dig ta receive locates af underground utilities. Univw.gophers#ateoneeail.orc� I hereby acknowledge that this infarmation is comptete and ac�urate;that the wurk wiil be in conformance uvith the ordinances and codes of the Gity of Eagan; that! understand this is not a permit, but onfy an appficat+an for a permit, and rk is not to start without a permit; that the wak wiM be in accordance with the approved plan in tF�e cass of worit which requires a review snd approv of plans. x �� Vllllv � � �� L� X �K , Appiicant's Printed Name App a t s Signature ��"#1'�t��U� i�ul�t�d$�:. ` �'� �t+�qt�i�1��i+�� .f�ici�r��ii,� .;..,�,,;,�.��-!� = ifi�r't"`�s� ..�..:��F`��t: ,,�..�.F�`t�l , lGliet��rR�a}�clvli�eri�s: 1�T�'��r,�� #��..f��d,�,,;; t�lar�a�rr�� t�f�