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4220 Lexington Ave � , �� , , ti Use BLUE or BLACK Ink --------- � � For Office Use � �'a�rs� ; Cit of �a a� R��E��EO i Permit#: ` 5� ' Y � , ��. 3830 Pilot Knob Road �UN � � 1Q�� Permit Fee: � Eagan MN 55122 � Date Received: �"�'� � Phone: (651) 675-5675 Fax: (651)675-5694 � Staff: �7 � ---------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION �„ /' ,�� / Date: � ��! I � Site Address:__ `"t�2� �-P��Q'� %Cvf � � � ,, (� i . �� Tenant Name: vV u `i�,�z'z+n� (Tenant is: New/�Existing) Suite#: Former Tenant: Name: � ��cv�-�� G � ��ctC.�c� Phone: �G76�—� �� C�U( PCOpet"�/C1Wi"l��' Address/City/Zip: ��J� ci� ✓ c� �'P��r � L C'C�� Applicant is: Owner Contractor �N� : Typ� pf WOI`1( Description of work: ��-}-p�� !>n� �r � Construction Cost: �� 3 Name:�P;N,fjd A1'"�i�`(�'' License#: c G011tP��tOC Address: I D 0 t�w° 5� city: f�y/1�d� � State:��Zip: ��`�� Phone: / �D � "-ST�� a �� I Contact: � r- Q Email: IC G" eu er�— �. C.�yn I Name:�P�'� f�r,� -'��e�d ��"`�G+r1 Registration#: 2G Z�� ►1`C1iif�C�IEll�iri�@P �� Address: �.l � �<��SU� �� 5�,��C ��'U City: ��r� State: �L Zip: ��(�G � Phone: �I G— ��G '��2� ' Contact Person: ��i� � ��Zti�V Email: �� -- � ��i ZSu rv� �y_�uh Licensed plumber installing new sewerlwater service: Phone#: NOTE:Plans and supporting tl�cuments fhat you.submit ar�c�n�idered to'be ptr�lic iea�`orma#i�r�.'�ortians af ' the informatiQn may be class�fied as nbr�ypubti�if yt�u provide s�ecif�c reas€�ns that waulrl j�rmi�tl�e City to cwrtctude:fhat!he are�ra�le secrets. ; CALL BEFORE YOU DIG. Call Gopher State One Call at(657)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 wil ' conformance with the ' ances and codes of the City of Eagan; that I understand this is not a permit, but only an applicati for a p rmit, and work is t tart without a p�rmit;that the work will be in accordance with the approved plan in the case of wor hich req res a revi a ap oval of plans. x � G�� C � X , Applic t's Printed Name � ppli Ys Si age __...__. ,5 t� i ♦ i , �f a a� 0 l� X/.��'�� r I� S�s�f� DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Public Facility Exterior Alteration-Apartments �Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Aiteration-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 s 000 Occupancy � MCES System —� Plan Review ,� �±� Code Edition �( SAC Units ` Q ��f�� (25%_100°/a�) � Zoning _� City Water � Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O.Required Footings(Addition) ✓Final/No C.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 _Air Test _Final Retaining Wall -Irisulation Erosion Control Meter Size: ` Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ N�o �"'� �Y. ��;':� Reviewed By: ,��1cC. 'L.- , Building Inspector Reviewed By: � � , Planning COMMERCIAL FEES Base Fee a?fv�,Sr� Water Quality Surcharge ��"', S!� Water Sampling Fee Plan Review �'T�,-�� Water Supply 8�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� �n•S� Page 2 of 3 � Mike Maguire MAVOR Paul Bakken Cyndee Fields Meg Tilley COUNCIL MEMBEfiS Thomas Hedges CITY AOMINISTRATOR MUNICIPAL CEfRER 3830 Pilot Knob Foad Eagan, MN 55722-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD MAINTENANCE FACILITV 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol of strengih and growth in our community. September 5, 2008 John Trautz Reliance Development Company, L.L.P. 527 Marquette Avenue, Suite 1000 Minneapolis, MN 55402 Re: Landscape Deposit Walgreen's, 4220 L,exington Ave. Lot 1, Block 1, Lexington Pointe 13`h Addition Dear Mr. Trautz: Reliance Development submitted a landscape security deposit to the city in conjunction with the building permit for the facility 4220 Lexington Ave. in the Lexington Pointe 13`h Addition in 1999. After inspecting the site we found the landscaping to be in satisfactory condition. Consequently, the deposit can be released. The refund will be fonvarded to you under separate cover. While we are releasing the security deposit, please note that the property owner continues to be responsible for maintaining the health of all plantings on the property, and must replace any plants that die or are removed due to disease. If you have any questions, please call me at 651-675-5684 or Sarah Thomas at 651-675- 5696. ;Slnc rely, an Doherty?` Planning Department cc: Property Manager, Walgreen's, 4220 Lexington Ave., Eagan NIN 55123 Sazah Thomas, City Planner 2004 CONIMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 s S() .SZ? Date [ l'30l D y A Site Address Unit # Tenant Name bl//-L /?y.,e.eeN S Former Tenant Name Property Owner Telephone # ( ) Contractor 0-&'MOLtC?t,q2_ AL. (o £ _ Address /-/e- /J City State /Vl ,v Zip ANAA Telephone # (?( ) o Y- ag S?o a The Applicant is _ Owner Contractor _ Other Work Type _ New Bldg _ Add-on Repair RPZ _ PVB _ Irrigation system * * Rain sensors r uired. Jer Wobschall to caI ulate tees. Descriptioo of R'ork I k 5-rx}? je-P a tN r 1°i-r1?D- L1`43 To inquire if Pressure Reducing Valve is reqmred on new service, call 651-675-5646 Meters - Call 65I-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passcd prior to oickine uo meter. Irrigation Size & Type Ava GPM 2" tuxbo req'd unless smaller size allowed by Public Works Fire Size & Price 3!4" disolacemen2 $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _INo Permit Fee $50.50 minimum (inciudes State Surcharge) Conuact Value $ x 1%a =$ Base Fee $ Meter(s) Reauired on all new buildings & boulevard irrigation systems $ Radio Meter Read ff base fee is $1,000 or less, surcharge is 5.50 5 Stat0 $uiCh3l'gB If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply onl ! ? system $ Water Permit Contact Jeay Wobschall 7157 tbr1 qed fee unis ? $ Treatrnent Plant 0 C T p 5 2004 $ Water Supply & Storage $ State Surcharge ?„ ------------------------------ ------ --------------------------------------------------------------------- -------------------------- • ? $ Total Fee 1 hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work ww be m conformance with the ordinances and codes of [he Ciry of Eagan and with the Plumbing Codes; that i understartd this is not a permit, but only an application for a permit, and work is not to start without a pemut that [he work will be in ac ance with the approved plan in the case of work whuh ires a review and approval of plans. ?`'ApplicanYs Printed Name ApplicanYs Signature L t ( B ? CITY USE ONLY RECEIPT #: ((-1 1pl3 SUBD. (kAhn RECEIPT DATE j__ALq I APPROVED BY: , INSPECTOR PLUMBING PERMIT # J Ua 1999 PLUM$INH P£EiMIT (CQM1K£$CIAL) CITY OF EA&AN S$SO PILOT KNOS fiD E4flAN, MN 55122 (651) 681-4675 Please complete for: Date: all commercial/industrial buildings multi-family bmldings when sepazare bmlding permits are not required for each dwelling unit installanon of backtlow preventer m commercial areas or residential boulevazds Descrip[ion of Work: Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ To inquire if Pressure Reducing Valve is required on new service, ca11681-0I FEfS 1% of contract price or $30.00 minimum Contract Price: $ x 1% _ $ COMPLETE THIS AREA ONLY ff INSTALLING UNDERGROUND SPRINKLER SYSTEM BackOow Preventer Permit Fee - $ 30.00 $ --30• 0 G R'ater Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size Service: _ existing (if comine off domestic line) OR _ new If "neiv service" conract Jerrv Wobschal( Finmice Consultant to confirm arldine fees ja-: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 825.00 Water Treatment Plant Charge - $ 468.00 Pormil Faa Stare surcharge is calculated from Pemvt Fee ac right - State SurChaCge $ ..7 C_? $.50 for each Sl.ooo with a minimum of $.50 due Total Fee $ 3ej- ' ?T- 6 I hereby acknowledge that I have read this application, stare that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facilihes constructed under this pemut within Ciry property/right-of-wayleasement. sITSnDDxESS: ?/?e2? -< f,/t` / TENAN"T NAME: 6I/,4 G ? /c x?_16S/tJ 'S TELEPHONE #: KS/ - GS ZF - (AREA CODE) INSTALLERNAME: TELEPHONE#:]j (A A CODE) STREET ADDRESS: CITY: STA . ZIP: SIGNAT[JRE OF PERMITTEE CITY USE ONLY DObiESTIC METER SIZE COMPOUND TURBO PRV: Yes No • Contac[ Utiliry Billing Division for price: 651- 681-4631. IRRIGATION METER SIZE: • 2" turbo unless approval for smaller meter granted by Public Works. • Contact Utility Billing Division for price; 651-681-4631. PRIOR TO SELLING A METER: • Enter site address on Screen 301, Pemut Inquuy, to obtain sewer and water permit number. • On PIMS Screen 320, enter sewer and water peanit # to check that hydrostaric, conductiviry, and bacteria tests have been approved. If not, do not issue meter D4iscellaneous Information • Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the mside water line and backflow preventer, ca11 65 1-68 1-4675. • To schedule water tum-on, call 651-681-4300. CD/Permit forms/plbg permit (comm) 1999 CLAIM VOUCHER-REFUNDREQUEST ' CITY OF EAGAN MAKE CHECK PAYABLE TO: Century Plumbing ADDRESS: 444 Maple Street Mahtomedi, MN 55115 LOCATION: 4220 Lexington Ave (Walgreen's) RECEIPT #/DATE: 110626/6-9-99 REASON FOR REFLJND: Paid for Backflow Preventer twice TYPE OF REFUND: Electrical Pernut 3211-9001 Plumbing Permit 3212-9001 Mechanical Permit 3213-9001 Building Permit Fee 3210-9001 Plan Review Fee 3422-9001 SAC (MC/WS) 2275-9220 SAC (City) 3866-9379 SAC (Admin) 3446-9001 Water Connection 3865-9220 Sewer Permit 3743-9220 Water Permit 3713-9220 Account Deposit 2252-9220 Water Meter 3716-9220 Water Treatment 3868-9220 Surchazge 2155-9001 Utility Acct Ovetpayment 2250-9220 Curb Box Deposit Refund 2253-9220 Construction Meter Dep Refund 2254-9220 Water Usage Charge 371 I-9220 Other P.I.DJLEGAL: Lot 1, Bbck 1 Lexington Pt 13th VALUATION: PERMIT #: 36196 $ 30.00 $ $ TOTAL $ 30.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it hes been paid. C+\N?-1 • lL ?l?- i? SIGNATURE G/ 0 DATE L B _t SUBD. l-'ext. v,-9 1?n ln APPROVED BY:_ CITY USE ONLY RECEIPT #: 110(002(0 RECEIPT DATE &1919 9 INSPECTOR PLUMBING PERMIT # J(? 19 ? ? ] 999 PLUMSIN6 P£RMIT (COM1HEitCIRL) CITY OFEA&AN 3$80 PILOT KNOB fiD r)??`'v EAflAN.MN 5512E ?-?? (651)s81-as75 Please complete for: all commerciallindustrial buildings multi-family buildings when separate building pemtits aze not required for each dwelling unit mstallation of backflow preventer in commercial areas or residennal boulevards Date:1,P1499 Work Type: ?/New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ Description of Work: ??,? ?j?f??? To in u?r if Pressure ?cin Valve is re uired on ew service, calt 6814646. PEL:S oc 1°/a of contract price or S30.00 minimum Contract Price: $,? 70 0 0 x 1% ? COMPLETE THIS AREA ONLY IF INSTALLING LINDERGROLIND SPRINKLER SYSTEM Backtlon• Preventer Permit Fee - $ 3? R'ater Meter: 2" Turbo - $ 889.00 Service: _ existing (if coming off domestic line) /1 "new servrce° co_nlact Jeny Wobscha!!. Finance Co tan Water Pemut & Surcharge - $ 50.50 Water Supply & Storage - 825.00 Water Treatment Plant Charge - $ 468.00 $ 30 4rgl- plan applelGed for smaller s¢e $ _ new Permit ? Sfate surcharge is calculated from Permit Fee at right - $.50 for each $1.000 with a minimum of $.50 due DO State Surcharge $ Total Fee $ 300, SG I hereby acknowledge that I have read this application, state thet the information is coaect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility ro notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the Ciry during its normal opera[ional and maintenance acrivities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: TENANT NAME: TELEPHONE #: -/ (AREA CODE) INSTALLER NAME: CQiffl/7/TELEPHONE (AREA CODE) STREET ADDRESS CITY: E: ZIP: SrS//S ? 7 SIGNATURE OF PERMITTEE CITY USE ONLY DOb1ESTIC METER SIZE COMPOUND. TURBO PRV: Yes No • Contact Utiliry Billing Division for price: 651- 681-4631. IRRIGATION A'iETER SIZE: • 2" turbo unless approval for smaller meter granted by Pubiic Works. • Contac[ Utility Billing Division for price: 651-681-4631. PRIOR TO SELLING A METER: • Enter site address on Screen 301, Permit Inquiry, to obtain sewer and water permit number. • On PI.MS Screen 320, enter sewer and water permit # to check that hydrostatic, conductivity, and bacteria tests have been approved. If not, do not issue meter. Miscellaneous Information • Meter larger than 518" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To schedule water tum-on, call 651-681-4300. CD/Permit farms/plbg permi[ (comm) 1999 - ' CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Century Plumbing ADDRESS: 444 Maple Street Mahtomedi, MN 55115 LOCATION: RECEIPT #/DATE: REASON FOR REPUND: 4220 Lexington Ave (Walgreen's) 110626/69-99 Paid for Bacldiow Preveoter twice P.I.DJLEGAL: VALUAT[ON: PERMIT #: Lot 1, Block 1 Leiington Pt 13th 36196 TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ 30.00 Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ WaterTreatment 3868-9220 ? Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 S WaterUsageChazge 3711-9220 $ Other $ TOTAL $ 30.00 I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. SIGNATURE <./ F- " DATE r.,rrv or- EFl??AN tIABH:f.ER: S T'E.C1MINAL N0. 777 DA7F- 04/06/99 1 LME: SJq JR °58 zn: NAME'c CUPfMFRl:1:Al_ F'ARTNE:F'S T1Tl..E I._t..C 3625 9?28 4220 L.LX AVF 8.34-9.00 Tntal N<eceip+, Flmount; E+.34`.J.00 CRJ.C)i`.a,c £3 IJtE; '!:De NAN,r,Y 'MJkYF:kM9FFMXt.'?fYd?C1k?Y?C?4:At'a<5kW?'M}X'?F? iCY(Y($>X5K'?(?'ii,YiXYF.?C?:Y'n L't7Y r)!- EAr;AN f.:ACHII'r.fiu !i IEi:f'MINAL. NON 777 DATt.r 04!06/99 TIME:z 1.).°.JJ'.3i in: NAnc. r.orsni::rr.;zni_ PAKrMErs TzrLi_ i._i...c 3856 9375 020 L..EX AVE 22277..00 Total F'ecr,iprt Ama.lryi;a P,277.00 CR:I.n59i"J l.1Sl=f.' ILr, NAN.r,Y 14?C8(?R?FX(yF?X}k?F?%?X?M?k?F?nX?M''F.X?k?X<???(:KY6:?%K?Y•Ydk? ?F>X'Mhk?X7k CIl'Y OF [AGAN CA51i:I:E.R; S T'ERM7:NAI_. t:C)e i'i'i' DAi'G'., 04/06f99 'r'7:ME: Iti: NAMEn RI_I_:[FlN.r.f-_' DLVEi._OF•MENT GU U_F• 215S 9LY171 4(?2U I...EX f?I,IL-. Ox JO 3743 3220 422() l.f-=X AVE SI],.(]Ll 003 92^cL"' 4220 1._EX AVE 50.00 3866 93'l9 4220 I_E:X AtIE: 400.00 205 9001 4220 LI-X FlY[_ 462w;iU 3868 9220 4220 L.F..Y, (-tVF.: i.7c372,00 3422 9001 4220 LEX AVE 3.414.13 2275 .':ji'_2CI 4i'20 !_E:X FdvE 4 ,:1.5f3.t1C1 3446 9001 4220 I_EX AVE 42.00 2257 9001 4220 iFx AVE syn0o.on rR.I.L15930 ** CC1N1'TNUE I.1.^:+.[:R SX'ia NANCY *Sc f.:0N'1':I'NUE r.,nNl7:NUE C'I:7Y f3F EAGAPd CASN:I:FR: S TF_IiMSNFli. R"[]° i"r'i' 111TL: 04/0E,/99 'rT.hiL.: j.E:,cOi ai3 rW; NC,t1Ee 1CI=:1...]:Fltd(;E Uf::V[LOF'Nif-NT C'.0 I._LF' 321.p 9001 Ai?i?fJ L.EX AVE 59252.50 Tatal. Receipt Amoun+,i c.'.0470:1..63 Cfi 1.0`;930 USER ILi: NANCY YbY?X??k??FiX?k?kX?i?sk$t n1YW%k?XY:k$!?K?'M?X?kk???k?k?F?k?nskYF![>X?C? , . 1949 BUILDING PERMIT APPLICATION 3 SO ? q CITY OF EAGAN ? (651) 681-4675 Submit followinq to obtain necessarv Dermit (COMMERCIAL) ? ? • Foundation Onl New Construction Interior Im rovement structural pians (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 seLS) structural plans (2 sets) code analysis (1) *1 code analysis (1) ^ civil plans (2 sets) project specs 0 sep prqect specs (1) landswping plans (2 sets) Key Plan Spedal Inspechons 8 Testing Schedule " code analysis (1) " energy calculations (1) not always ^ soils repon (1) Eleclric Power & Lighting Porm (1) not always " SAC determmatlon letter from MGES - SAC determination letter from MC/ES - SAC detertnination letter from MCfES - call 602-1000 call 602-1000 rall 602-1000 Special Inspections B Testing Schedule (1) " project specs (1) energycalaiations (1) " Electric Power & Li htin Fortn t " " Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: 3l 1/9 ? WORK TYPE: X NEW _ REMODEL DESCRIPTION OF WORK: Co,,,s,ne?c-T-,d,,, oF i?&-., G?qt6Rti({?tls CONSTRUCTIONCOST: '92-S-i °Cz).C.PC> TENANTNAME: U?4 LC.4 Gr? s SITE ADDRESS: LR.c`..5 4 ; 'r3+?F? ?{ZZ[3 L-" ON C-- SUITE LOT ? BLOCK I SUBD. LeXt ti1Cs?'?N ?• ? I? P.I.D. # Name: ?'?lJW4?Ll..e. t"'Reck l?..?sor ? Phone#l: 4 1 2? ?1 Y3 PROPERTY Last First OWT;ER Street Address: S2 7 Ciry I'I,o Is - State: Mi.J Zip; SS lto Z 6eix Company: t3TS Co.+s?F?..? ?G?, Se4oa?w?pbone#: (611-) 3'?S-/ooo CONTRACTOR Sneet.Address: SZ7 City /'l,o ! S. State: M^? Zip: S?Yo Z ARCHITECT/ ENGINEER Company: K?C C??e L.1 4;&?? -r, c. Phone #: (?1'Z 3 Z 9- V ZcxD \ame: leo '.+n Id ?T?1 Tv A I A Registration 01S 6 131 o. G ?J yl "-7° StreetAddress: 3oo Ciry 1"Ipls Sewer & water licensed plumber (only if installing sewer & State: M^j Zip: SSYoI - 166t 6 5 I- 'n?53-?'r3Sc) ?I.A A a ,. ? I V e7/ . I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant /d2? /l. ?cJ?'??--- --- ' -- - - f ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foun'dation ?Z 18 Comm./lnd. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actuai) (Allowable) UBC Occupancy M• \4 t.] 1/r7- aasi Zoning D # of Stories Length I_ Width I I -jo- APPROVALS Planning 13 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq.ft. sq, ft. Footprint sq. ft. Building C? I20 ?- Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition Census Code SAC Code Census Unit Census Bidg. MC/ES System City Water Fire Sprinklered ? I Variance Permit Fee VALUATION: $q25r, a00, e o Surcharge ?6z, ,S- J ? ? 13 Plan Review 3 4 14• 1.5 ? MC/ES SAC lasc x4_ 4 260 , 00 % SAC f00a0 City SAC 100 XIt - ? ao , a a? SAC Units 4 Water Supply & Storage Meter Size SNV Permit )00, a o S/W Surcharge . So . Treatment Plant 1 g'rf C) Park Dedication 3y,9 dc) 3gc,?- q 3a? Trails Dedication - -a -?--I -1 0'6 9 3-7 S Water Quality ? J Other Sooo . 00 ?Lp-?kP/N? Copies •rotal ? ?aC)-1U1.?3 . ?., A? 4 4y q' t ('ITY OF EA *tLN ezun'R 4. WATER PERMIT RF_LEASE FOIZM PROJECT DE3CRIPTION: Tw 372-Y Contrnct No.: P[OJGCt NO.: ? A( Submittal Date: - Substantial Completion of Sewer & Water 'F? 91 k42ze IN PiFF? y PQ, Date of Occurrence WA"I'FR MA1N Lines Lamped and Acceptable Deflection Mandrel Test Passed Manhole Structures Properly Constructed (Cstg. & Cover, Rings, Cone, 1 ft. Sections, Final Rim Setting, & Build and Invert) Infiltrarion Test Lines Lamped & Acceptable CB Structures Properly Conswcted (Cstg & Cover, Rings, 1 ft. Secrion, Invert, Final Cstg. Setting & Build, DL-DR Correctly Set Rings & Cstg. Set in Full Bed of Mortaz) Aprons, Dissipaters & Rip Rap Properly Installed & Keyed All Valves Opened or Closed as Approp. Bacteria Test Completed Material Tests Checked & Passed (Conc. Compressive Strength & Air Content, Bitum. Extract & Gcadarion, Gravel Base Gradatiun). Utility Structures & Lines Clear & Free of Debris & Gravel (Gate Valves Keyed) COMMENTS: RF['OMMENDATION: 1 herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or excepnons are descnbed in my comments. With this considered, [ recommend that permission to hook up or permission for occupancy be granted as appropriate to the above indications. . Signed: o' c[Inspecto Contirmed by: Public Works e artment G.Forms3r.Lats/Sew3eWatPermitRelForm.duc 1^ Properly Chlorinated & Flushed Entire System Pressure Tested Entire System Conductivity Tested All Valve Boxes Accessible, Straight All Wye Locarions Confirmed All Curb Boxes Exposed, Set to Proper Grade & Marked with Fence Post Required Service Risers Televised CITY USE ONLY (?, Q' L? BL ? RECEIPT#: l I b?9 D SUBD. I? RECEIPT DATE: I 0'i7"11 APPROVED BY: INSPECTOR MECHANICAL PERMIT#: 83 30 3$30 PILOT KNOB ftD EAsM, Huv ssi as (651) 681-4675 Please complete for: all commercialfindustrial buildings multi-family buildings when separate permits are not required for each dweliing unit DATE: CONTRACT PRICE: If WORK T'YPE: ? New conshuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minunum Fee) _ Processed Piping (Minimum Fee) •*NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: I% of conuact price OR $30.00 minImum fee, whichever is greater. CONTRACT PRICE x 1°/a PERMIT FEE \ D - D O _J STATE SURCHARGE •65v $.5?1,000 of ?_'t fee due on all pecmits.) TOTAL SITE ADDRES (.- OWNER NAME: TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: 1999mECHll1VICAL P£RMIT (CO141MERC ;I?IL) ? CffY OF EAfim- aa0 PHONE #: (ARFA CODE) ADDRESS: PHONE#: 4ZI-5--- (AREA CODE) CI'TI': STATE: ZL- ZIP: SIGNATURE OF PERMITfEE ? ? • L BL CITY USE ONLY SUB . ? APPROVED BY: INSPECTOR RECEIPT #: • I ` d C) (o -,-,? RECEIPT DATE: MECHANICAL PERMIT #: 3 U04U r 1499 MEC£iRN1CAL PERMIT (COMbiERCIAL) CI1'Y Qf E4HAN S$SO PILOT KNO$ $D EAsAH, Mv 55122 (651)681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit BAir,. ? ' GZ ((? / COivTlit\CT ri2iCE: - 9 WORK TYPE: A NEW CONSTRUCTION _ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: }-?Tl,l',5 ' (a) I () A-op, ? -T Vb't haVl. (1), ci? `? (A) LA -Y'l a? CVjb-4-4v'01 FEES: 1% of contract price OR $30.00 minimum fee, whichever is gre ter. Processed piping - $30.00 CONTRACT PRICE x 1% o0-' PROCESSED PIPING ? PERMIT FEE STA7'E SURCHARGE ($.50 per $1,000 of uermit fee due on all permits.) TOTAL SITE ADDRESS: OWNER NAME: TENANTNAME (IMPROVEMENTS ONLY): 1NSTALLER: 11 PHONE #: (AREA CpDE) rnri r) !< ADDRESS: C ?5 ' ??L? aV G . NEPHONE #: (v i,? - 7?(D 'C0??7 ? ] (AREA CODE) CITY: ?j,C-? i ?ld % STjA?'E: ?? ZIP: ??( TO: PAT GEAGAN, CHIEF OF POLICE ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL PLUMBING INSPECTOR BILL ADAMS ELECTR[CALINSPECTOR PUBLIC WORKS/ ENGINEERINC DIVISION /UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: CRAIG NOVACZYK, BUILDING INSPECTOR DATE: MARCH 18,1999 RE: PLAN REVIEW: 4220 LEXINGTON AVE ? Ll, Bi, LEXINGTON PT #13 The _ preliminary X construction plans for WALGREENS aze in our plan review section for your review and comment. Please return this form to Dale Schoenaner 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 permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that aze to be collected with the building permit: #27 AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ZONING? ? Yes ? No tree dedication ? Yes ? No Signature Date CD/FORMS/PLAN REVIEW CRAIG N 4"t-- city of eagan MEMO TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK CfIARLIE BORASH, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: AUGUST 24,1999 SUBJECT: FINAL INSPECTION OF 4220 LEXINGTON AVE LEGAL: ? Ll, B1,LEXINGTON POINTE 13TH1 The Protective Inspections Division will be performing a final inspection of Walgreens on September 10, 1999. If you aze requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. /js CDPoIdg inspUfinal insp - comm bldgs Ma r. 5. 2009 11:16AM 11'? M Of baaIl 3830 Pil ot Knob R d Eagan MN 55122 Phone: (651) 6755675 Fax:(651)675-5694 612 827 8129 Norblom Plum6ing No.9452 P. 1 14.4K i ------- ___----- ; ? Permit#: ? i 1 Permit Fes: o ? I I ? ? Date Received: I i ? j 5taff: i L ---------------^-? 2009 COMMERCIAL PLUMBING PERM[T APPLICA710N Date: 54/0" 1 Site Address: `I 2IZO Tenant: V° ?1 7 RMJ Suits #: PROPERTY Name: Phone: OWNER CpNTRACTOit Name: " V ouq rw5 License #: N Zip: 5 s 17,? : State: m Rit Addr I?X?n??5Y1J?1/ s ? y c e s Phone: Contad Person: TYPE OF New Replac?ment _ Repair /? Rebuild w Modify Space _ WoAc in R.O.W. - WORK ` - Descripbion of work: RP? (ew?-010to rnacilira", PERMIT TYPE COMMERCIAL New Construction _ Modi(y Space InigatiOn System ?_ yes I_ no) (_ RPZ PVB) • Rain sensors required on irrigation 6y5tems • Avg. GPM _(2° tuftw tequifAd unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that lests passed prior to oickina uo meter. Domeslic: Size & Type Fire: Size & Price 314" meter 03.00 Avg. GPM High demand devices4 _Yes No Flushometers _Yeg _No COMMERCIAL FEES: $50.50 Minimum (includes State Sureharge) OR coMract value y x 1% _ $ 50 Xx Permd Fee Requiretl on ALL new buildings and bouleVBrd irrigation systams 4 =5 Raaio Meter Read - If Perrnrt Fee is loss Shan $1,000, surtlhange Is b 50 =$ Meter(s) - 11 Pert Fee is > $7,000, surchefye inCreeses by $ 50 fa aach $1.000 = $State SurChBrge $1,000 PERnd Fee (i.e. a$7,001-82,000 Pertnit Fee requires a$1.U0 surcharge). Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the Ciry's Engineermg Oepartment, (651) 675-5646, for requlred fee amourts. g TrealmentPlarvt g wacer suoay $ swrage g srate Surcherge TOTAL FEES E that I hereby acknowledge that this iMormation is complete and aca?rate; mat Ne work vrin be in confortnance wM the ordmances and codes af ihe Grty of Eagan, I uMerstantl lhis is not a pemid, 6ut only an application for a permit, antl work is wtto starl withovt a permR; that the worlewill be in accoidance wiih the spproved plan in the case of woM which requires a review and appraval af plans. x V gftz 1i' N6Y' im-yvt-i ApplicanYs Prirrteci Name li Ys Signature FOR OFFICE USE Approved By: I Datr. i, Required Inspecbions: Under Grountl _Rough-In Air Test ___Gas 7est _Final PRV Required: - Yes _ No IPaqe 1 of 3 �City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEN ED MAR '1 71114 Use BLUE or BLACK Ink For Office Use 2 / Permit #: i f/3� 5l Permit Fee: L V Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION beLovv Date: 9)1 ( 1 I / Y Tenant: Site Address: Suite #: J Resident/Owner Name: vva1 I L!L/r 6 Phone. 461 ) 1141, ld /,37 Address / City / Zip.s k f Contractor N or 2I . Pt rn,bi oC.�lS� Name: Licens.,ye^#,V/^(, Address: ZRo5 G�21r 'eLcL oCity: Is State: p:� Phone: 01N Zi".l5140g WI g.�7• Z4v33 Contact: 4%�� Email: L n f0 �j n o-'(/ tbrn.ptu rn,k21 New X Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RP i re..kC.�,� `Iii. apt � - ,._ Permit Type RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / _Lower Level) _ Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) / .o,, ( OD TOTAL FEES $ D (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. xeff-r--em1-• WorbU Applicant's Printed -Name Applicant's Signature - � Use BLUE or BLACK Ink t�� ----------------- �v� � ForOfficeUse I ��` I �l� �i n � �-�y � Permit#: �� 1�� 11��1! �:_ �`M.lJ' j J'_�� I � Permit Fee: l� � 3830 Pilot Knob Road � Eagan MN 55122 ��'r � � ��+ I Date Received: � Phone:(651)675-5675 I � Fax:(651)675-5694 � Staff: � L----------------� 2014 COMMERCIAL PLUMBING PERMIT APPLICATION `�Please submit two(2)sets of plans with all commercial applications. Date:_�"�7�l� Site Address: ��`'� ��4/i��,11 ,�'(7�.�� C� , Tenant: %��' �� Suite#: : ��'��l��i r ��11E.'� Name: � �� ,�,��,� Phone: �� I�� _�l�� - /1��/ v, � �� Name: SJC�I�'��t��,4C�L:��t/1;a�.� �� License#: ��5��-1 � 1 �t �t}t`��'t'3��C1�` /'' . ...._ Y` Address�� `�"[=� �� City:?� �%t'� State:%l�Zip: .S �� '� � '" ` � �„ � , c ,-- �` � �,° Phone: !�� S ' l�% Email. /� �I�t S'C�/l �l�t. �, � e� �'C'.� •iU�.�c�� .c.� ��`� � r �J� _New _Replacement _Repair _Rebuild �--Ailodify Space _Work in R.O.W. B�!��4C�f ; � �� Description of work: -� �� : � COMMERCIAL _New Construction �Modify Space ° � `` Irrigation System(_yes/12'�.no)(_RPZ/_PVB) �° — Rain sensors required on irrigation systems '� �� ; • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) w F �� Meters Call(651)675-5646 to verity that tests passed qrior to pioking uq meter. �� , : ��, Domestic:Size&Type Fire: 1 ��= Avg.GPM High demand devices?_Yes ��No Flushometers Yes `r�No COMMERCIAL FEES �/ /� "`' Contract Value$ T� c,�! x.01 $55.00 Permit Fee Minimum _$ �� Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ � Surcharge* "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 �**If the project valuation is over$1 million,please call for Surcharge -� �� TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ 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 lans � ' r�� - . X ��i�.��r�-z 5�� X. � Applicant's Printed Name ApplicanYs Signature ��1��}�� t � � !�V � �. � � � . � f � � � � � , �` - ; ��` ,� � ```` `� � �� . � ` � ��e�r�l��aeC��&�`�rz�� ,�� d'''�� `��-� :�t�`�� ' �..�- ` �� ?r�'A�� = � �� rr ,� , .. � . : ,,,,,,��.��, � E.�. � �, .�..�etr ,�*„ � Page 1 of 3 � � R ��,.-tw" __ Use BLUE or BLACK Ink �,;� � For Office Use I � ; 1�� ;� � �� O�� Permit#: � I � I /�vi 3830 Pilot Knob Road EC� �� Permit Fee: � V j Eagan MN 55122 � Phone:(651)675a675 �EP � � 2�� Date Received: � Fax:(651)675-5694 � j I Staff: � �-------------------' 2014 MECHANICAL PERMIT APPLICATION �-Piease submit two(2)sets of plans with all commercial applications. Date: c� '°� r7.lL�Site Address: �� l--r�(��?�> � �"t►�'�,, �; Tenant: � G f�� Suite#: � � � � � / � ��@��'t�!t�� Name: ��L'�1`,�i��fl:-�' Phone: �� I��'� �� ` a y� �� Address/City/Zip: � d , � < <; /-� � ( _/l�i�ao' �- � c� � Name: �UL<� � ��;kd�-f��z j C�/ License#: 3 L� t�� - � � � �� // �'/� � �,.,, � �O[1�!`�+��4C�� Address: ��.�� e�%'G�i'"��G=�,.r// �'� City: :�C-��1��' � �- `�� State:-�=�1�Zip:_�� Phone: ��S�c- � � !� ' � �� , p J / � �� Contact: ��?�c" � � ��,�d, � ! �/ Email: /Y)i l � _ l�i�,s� �i;��t �;�/1/�..C�art.1� C.C�� J � �� r � � '`�� New _Replacement Additional �Alteration Demolition � `. / (� � '�"�/��f�� Description of work ��! C�� r��S�' `(�r� lttl�v C v�s�.�l'� � � ��^" `�� " , �t��'��c+u;�d�tt �t�r�tics�r��d��r►ir�i��rl��t�r��r�a�� i�r; �� , �'��$��t��[��` ;�ir��fc�� i�►�� t��n�� „.,� .. a..; , .� _. ,...� ... „ .._..; , .. ��t ..� , , � �_.�. �.. w. r„ ,. .� . �.,, .w a.� . .�«... �.. _.� . � �� RESIDENTIAL COMMERCIAL � f Furnace New Construction �,..Interior Improvement � `K 3 - - -� � € Air Conditioner Install Piping Processed ��t`�1��,�� — — — �� _Air Exchanger Gas E�erior HVAC Unit p``y� �� Heat Pump ��, � _Under/Above ground Tank �Install/_Remove) �' � Other _�'� ,� , RES/DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE �r CX�y COMMERCIAL FEES Contract Value$ f�V� , x.01 $55.00 Permit Fee Minimum --- $70.00 Underground tank installation/removal =$ 5 � Permit Fee 'If contract value is LESS than$10,010,Surcharge=$5.00 =$ � Surcharge� "`If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 �"`If the project valuation is over$1 million,please call for Surcharge =$ �� TOTAL FEE 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�V'"G��'1�f G"� x_.��v�'.%l��L .J � ApplicanYs Printed Name Applicant's Signature • ��" �G��v�� ...�... � .,� x . ' ... , `- , � � ��-��..:. `` �::: �,,x,� ' ; �s .�. �� #��reS��ts�s� `_,. � ` v ��'�f��+�� '� � �� ,,;�:��e�� ±�'��t� � ��°�� `� f E � �'�� `� � . .,�..�.. .� ��t�- �.r,,.� ,..,,,� ,,,. ,,,�,.. _� .�..�� , ��`�� . �... ..,, . �., , ,,:, � For Office Use �j EAGAN i •i r Permit At: /-c ? / -7_s---•�•• •..� Permit Fee: 3� 7 5 U Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _Yes No (851)675-5875 I TDD: (651)454-8535 I FAX: (651)675-5694 — Email: buiidinainspectionsfacitvofeaaan.com LPlans: Electronic Paper Plan Submittal:eolansf�citvofeaaan.com — J 2020 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email,CD or flash drive Date; January 16, 20Ea site Address: 4220 Lexington Ave S Tenant: Walgreens T - _ ..... . Suite#:_ Name: CLAUDETTE C BIDGOOD LLC 847-315-4097 Owner Phone: Address/city/zip: 71605 Mirage Rd. Rancho Mirage, CA 92270 Name: AES Mechanical Services Group, Inc MB005982 License#: Address: 2171 AL Hwy 229 Tallassee Contractor city: State: AL Zip: 36078 Phone: 334-252-1003 Contact: Missy Harrison Email: missy@aesmech.com �New Replacement Additional Alteration Demolition Type of Work Description of work: Direct replacement 6-RTU's -same connection- no ductwork 'NOTE:Roof mounted and ground mounted mechanical;equipment is required to be screened by City . Code.,Please contact.the Mechanical Inspector for Information on'permitted screening methods. COMMERCIAL _ _New Construction Interior Improvement Permit Type Install Piping —,Processed —Gas 1 Exterior HVAC Unit —Under/Above ground Tank (/,Instal/,I Remove) COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value$25000.00 x.016 $75.00 Underground tank removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 -$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/sut,ribe. 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 n 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 Missy M. Harrison ,-' e f�, - , r, 4 Applicant's Printed Name I[ ure p nt's S nature FOR OFFICE USE f / Required Inspections: Reviewed By: D :} // Underground Rough,in ,; Air Test Gas Service Test In-floor N,eat Final HVAC Screening