3503 Federal Dr
Use BLUE or BLACK Ink
~ 'iir7lill I
I
Permit
City of Eajan I :
3830 Pilot Knob Road RECEIVED Permit Fee:
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 JUN 17 2011 1 I
Fax: (651) 675-5694 I Staff:
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 3~3 Eft-I-a.2
Tenant: 1W (AcLt'~ ~S Suite
PROPERTY
q 16-
OWNER Name: P) nrXLt_U Phone: IL
CONTRACTOR Name License 0(03q" Q - Rk' /,;7 ' 314
Address: 2_N-75-1- City: I')') ( State: MK) Zip:,%t4) 2
Phone: 1V 12_ X5:ZZ• 3414-l"1 Email
TYPE OF - New _ Replacement _ Repair &ebuild - Modify Space - Work in R.O.W.
WORK ^n
Description of work:
COMMERCIAL
PERMIT TYPE _ 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:
$55.00 Minimum (includes State Surcharge) OR Contract value $ A50 X1%
= $ • Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee MM
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) _ $ 5• W State Surcharge
Following fees apply when installing a new lawn irrigation system. $ water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
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.gor)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in confolipamnit; e 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 withothat the work will be in accordance with the approved
plan i the+c, se of work which requires a review and approval of plans.
x V 1 V 4t4~~f x I A ~ Applica 's Printed Name Applic nt's ignature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: _ Yes No
Page 1 of 3
3830 Pilot Knob R d! P.O. Bo 2GA 9, Eagan, MN 55121 128D5
4.? .
PHONE:454-8100
BUILDINQ PERMIT Receipt #
To be used for F'OUPIDA'I'ION Est Value Date N OV&19f3r;R 10 , 1g t56
SiteAddress 3503 FEDERAL DtiIVE Erect 13C Occupancy
lot 1 Block Z Sec/Sub. ROXAL OAK C I. kC 1,EM'emodel ? Zoning
Parcel No 1ST ADU Repair ? Type of Const.
. Addition ? No. Stories
a Name FOYAL OAK CI12 LTD PAF'I'NER5HIVpe El Length
= 1445 1ST AVE eV0 Demolish ? Depth
;
0 Address
Cih, F?ZGU Phone 701/235-4031 Int.lmPr
Install ?
? S Ff
Q
W W Name CARLSOti, YJ4RUD ARCH
_; Address 4 915 N' 3 5T'Fi ST
i W City MPLS Phone 922-6677
Assessment
Water & Sew.
Police
Fire
Planner
Permit "i? • ?"
Surcharge
Plan Review
SAC
Water Conn.
Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. 11 /1 O/ 6rr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of EagaA Ordinances. APC Parks
Signature of Permittee Var. Date Copies -
?-
-7 Total
A Building Permit is issued to: 3OR-SUN CONSTRUCTION on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building
I I Pwmi1 No. I PermR Holdor I Dats I TNephon* N I
Final
Oec.
Fty.
Frmp.
f. . . _ -z -- . . . ' . .. - . . , . .. , . . . .
.-. ,. ,.f. CITY OF EAGAN ,?d ????r3
3830 PibtKnob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100
BUILDI RMIT 3_? : Receipt # ` '?•J
To be uaed 1or " . :,?? • Est. Value '' 1. j ~ t ,i! 0';Date
Site Address ? ' `? y ` ? ' ? ? ?•' j)R I VE
Erect IN
Occupancy
? ???YAL ?'`-? ? •
Lot Block Sec/Sub. Remodel ? Zonin
9
ParcelNo. ;.,."?' s;:i:; Repair ? TypeofConst
Addition ? No. Stories
Q Name r ?ftve ? Length I
_ • . • . r.
o Address Demolish ?
I
t
I
? Depth ,
F?
S
Ph
Cit n
.
mpr.
?3 q.
i %' 1
0 s)
:'
y
one Install .
,.
I
o Name '-- ' 4. i+ APprova la Fees
;i:. :' I : T ?t
? 4c Address
Asse5sment : , i.0
Permit
Ciry ' Phone - '?y ? ? ? "' ? `'' `' • "^ ?
Water 8 Sew. 00
Surcharge ? `' `? •
P
li i
i
Pi
R
a
?
N
o
ce
an
ev
ew
i;
W
ame
~ Address ' ' ' - ?
_? Fire SAC
+ ? ?? ? • ?% ?
k-+
C
?
¢W 92Z--v677
< City Phone Eng.
Pl Water
on
r Meter f
W
t
anner
Couneil a
e
Road Unit '? r:5`, •`'{j ?
I hereby acknowledge that I have read this application and state that the ?/ :
Off
Bldg
Tr
PI
information is correct and agree to comply with all a plicable State of .
. .
.
Minnesota Statutes and City oi Eag Ordin es/' ? APC Park3
Var. Date Copies
Signature of Permitt Total
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all appticable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Official
PermN No. Permit Hdder Data Tolophons N
E+IuMpbinq
H.KA.C. J-?
Eleclric ?c?t?7 / l ti°JY .?k.c,?• '?`,???/ '?,? ?? . CC
<'. l i!'('' 12c) O AZe /C
S0f1MN
Inspecdon DaN linp- Commenb
FooUnqs I i,0/i9/i4 lA' i2IS7 w,8
FooNnQs 11
Faundatbn
Fnmioy 191g7 15-
RooNny
Rouyh Plbp. _ J
Rouph FHg. J
Insul.
Firtplace
Final Hip. e J 3?
Final Piby.
Bidy. Finel ?
Cert.Occ. ?
./??? '
- - o
Deck Rq.
Deck F?mp.
WNI
Pr. Dlsp.
.11e- t
d tu,? ? J
[,i Swi G11 ? ptc?prs Ofc-
fs T C_ ?C- . n p"? ?u: ?J:-? I-12•b'7 ?I?.
?".' .
PERMIT #
• - • , MECHANICAL PERMIT
? RECEIPT #
CITY OF EAGAN
???
/ -7
? ?
" 3830 PILO T KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: ' PHONE: 454-8100
$ite Address ? gLpG, npE WORK D?SCRIPTION
Lot 1 Block
_ I'- , 7r Sec/Sub Res.
New ?-
?
Name . ult
Add-on
Address o- Comm. Repair
c City Phone
ig
a Oaher
FEES
Name RES
$24
00
HVAC 0
100 M BTU
? .
-
.
-
c Addres ? ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
?- CONSTRUCTION)
50 EA
GAS OUTLETS
MINIMUM
1 PER PERMI
- 1
.
.
-
n
(
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air BTU APT BLDGS. - COMM. RATE APPLIES
Boiler % ?
T?OG BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - AlL ADD-ON &
I Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ?
PERMIT PRICE GOES
A
/
Gas Piping OuUets # - ? 000)
BEYOND $1
Other ?
FEE
, '
S/C: SIGNATU F PERMITTEE
TOTAL: V
FOR: CITY OF EAGAN
- • 3830
wrr oo?re. . I ! i/.. -
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
r KNOB ROAD, EAGAN, MN 55121 DATE
Site Address BLDG. TYPE
Lot Block Sec/Sub
novVICIN . Res.
m Name ? . Muit ?
?
? Address oLia, MN 66420 Comm.
c Cidy ? Other
Name ,44A6 fi:.r C4
?
c Address
p; City
TYPE OF WORK
Forced Air ?-??' 7 }• M BTU
Boiler M BTU
Unft Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
?/.?G1'3t
G?•GrE. ~?.? .:- FEE
t*111 ? S/C:
?'G TOTAL•
WORK DESCRIPTION
i
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MtNIMUM - COMMIIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Jz!!~? SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PLUMBING PERMIT RECEI
CITY OF EAGAN
N, MN 55122 DATE:
0 aG 3830 PILOT KPHONE: 454- 800
CONTRACT PRICE:
Site Address ' ?
Lot ?_. Block Sec/Sub
I. i
y Name +
?o Address ' ? ?-
c CityAU P one k
? Name
# Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAI FEE - $12.00
MINIMUM - COMM/IND FEE - $20.04
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATU E OF PE EE
; FOR: CITY OF EAGAN
i
f#
)T #
BLDG. TYPE WORK DE?fON
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
ath Tubs - $3.00
iKitchen ater Closet - $300 $
avatory - $3.00
hower - $3.00
Sink - $3.00
Urinal/Bidet - $3.00
_2
--Laundry Tray - $3.00
_'.?.Floor Drains - $1.50
?Water Heater - $1,50
Whirlpool - $3.00
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
SITE ADDRESS Unit # Permit #Z?? 985
L Z B ? Sect/Sub.
INSPECTION DATE IN8PECTOR OTHER
FRAMINB 4) , _ ? ?f-1V - _y7- O
ROUBN Pld6.
ROUBH NT6.
INSUL s-s-?? - ro f c? v (...vzi. ?-
FlREPLACE
HNAL HT6.
FINAL PLBB.
UNR FlNAL
CERT/OCC
CONDITIONAL- LANDSCAPING INCOMPLETE
?' +, •?
- (tertifirate of Mrruvanry
(Citp of (Eagan
Brpartm,Pnt af guning lns.ppnina
This Certificate issued pursuant to 1l?e requiremenu of Sectron 306 of tke Uniforne Buifding
Code cernfytng tlrat ar the time of issuance this slructure was in co?npliance wiih the variaus
ordinances of the City regu(aring building canstruction or use. For the following:
use ClWffiation 33 UNIT APT BL,DG ????t No 12985
,i-1/B-1 R-4 'i IHR IIN SPRINP,
OocnP?y TYP? ??
?? ATtAL (lP,i{ CIlt L7) :'P'i'N ,rym ?
1445 ] S'T AVE.N .
F94
o? oc euaai? Mdrew ,
1T?i?I.. Ix? P r? L l, B 1, AtJYiAI. (3EL?: CII? 17
BuMag Addres ?bty
Dm: JU? Y 24, 1987
Bu"e OfficiiJ
POST IN A CONSPICUOUS PLACE
CfTY OF EAGAN WATER SERYlCE PERMIT
3830 Pilot Knob Road
P.O. Box 21189 PERMIT NO.: P.294
Eagan, MN 55121 DATE: 11- 24-Pr,
Ioning: ?'!R No. of Units: 33.1Tni*c:
Owner:
Address:
Site Addess: B
Plumber. Nova-rrost
-
Meter No.: Connection Charge: 13.200, 0pd ?
Size:
Reader No.:
I agree to comply witb the City o} Eagan
Ordinances.
BY
Date af Insp.:
Account Deposit:
Permit Fee: ZQ • 00 r-L
Surcharge: - ?ope s
Misc. Charges: 5, 142 _OOpd TP
Total:
Date Paid:
I CITY OF EAGAN
? 3830 Pibt Knob Road
P.O. Box 21199
' Esgan, MN 5§.1,21
Zoning: Qr_Son Foyal Oaks
i Owner.
; Address:
r ve
? e .era
Site Address:
Plumber. : ova-. o
..- 17 --; " 59733
1 agree to comply wkh ths City af Eagan
? Ordlnances.
i
iBy
Date oi Insp.:
Insp.;
SEWER SERVICE PERMIT
n? ? r
PERMIT NO.:
DATE:
No. of Units: 3"'Jr? i t s
. r ?. T',Oy3l n3i:5 Cr I3t
30n .0On:'
Connection Charge: 15 • 67 5•001!d.
Account Deposit:
Permit Fee: 10• 00Dd
SllfChflrgA: 5')', ?T
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN Remarks Df??). ? 16.J.bV
Addition Royal OaK: t,i.rcle Lot 1 Bik 1 Parcel 10-64700-0 0-01
Owner Street 3503 FedEral Drive scate EaQan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 124 1970 P n 016 0 - - 4
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA U ri r p a r c e - - -
STORMSEWTRK 732 1983 Pd unde arcel 0160 -010-04 84 020-06
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Np - 12865
, 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100
BUILDING PERMIT
Rece ipt s l 4 D LS
7o be used for FOUNDATION Est value Date NOVEMBER 10 , 1986
SiteAddress 3503 FEDERAL DRIVE Erect IN Occupancy
Lat 1 Block 1 Sec/Sub. ROYAL OAK CIRCLMemodel ? Zoning
1 ST ADD Repair
Parcel No ? Type af Const
.
Addition ? No. Stories
W Name ROYAL OAK CIR LTD PARTNERSHft°Ve ? Length
; Address 1445 ZST "E NO Demolish
I
t
l ? Depth
Ft
? S
° n
.
mpr.
FARGO 701/235-4031
City Phone Install q.
?
o Name BOR-SON CONST Approvals
2001 KILLEBREW DR
,°? ? Address Assessment
? ciry MPLS phone 854-8444 WaterBSew.
F W Name CARLSON, MJORUD ARCH
Aadress 4915 W 35TH ST
iw ciry MPLS phone 922-6677
Police
Fire -
Eng. _
Planner
Council
Fees
Permit
Surcharge
Plan Review
SAC
Water Conn.
Water Meter
Road Unit_
Iherebyacknowledgethatlhavereadthisapplicationandsiatethatthe BIdg.Off. 11/10/8 Tr.PI.
information is correct and agiee to comply with all applicable State of
Minnesota Statutes and Ci of Ea R Ordinanc 7 APC Pafks
,?+ f Var. Date Copies
SignatureotPermit[- P +??r? T$15.00
A Building Permit is issued t Bo OR-SONCONSTRUCTION on the express condition that
all work shall be done in accordance with all applicable Sta"f MinnesotW5tatnjes and Ciry of Eagan Ordinances
Building
CITY OF EAGAN C
N2 12985
3830 Pilof Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT 33
'UNIT Receiptk ?
7obeusedfor APT. BLDG. Est.Value $1,151, OOODate DECEMBER 17 ,1986
SiteAddress 3503 FEDERAL DRIVE Erect pg Occupancy R-1/B-1
Lot 1 Block 1 Sec/Sub. ROYAI., OAK CIR Remodel ? Zoning R-a
1 T D
Parcel No Repair ? Type of Const 14 1 v?T T*T
. Addition ? No. Stories NK
s Name ROYAL OAK CIR LTD PARTNERSH lWVa ? Length_16s
3 Address 1445 1ST AVE NO Demolish ? DepM
96
F
? S
o Int.lmpr.
t.
4.
ciry FARGO phone 701/235-4031 Install 03 FL00;2S 40,200 SQ. F
o Name BOR-SON CONST Approvals Fees
$0
nddress 2001 KILLEBREW DR
Assessment
PermitS 3.060.50
? City r4PLS phone 854-8444 (TONY C.) Water&Sew. Surcharge 560.00
?? Police
- •
Plan Review1530.25
? W Name C?LSON, MJORUD ARCH Fire SAC 18, 975. 00
?? nddress 4915 iV 35TH ST Eng WaterConb3 200.00
aw piry MPLS phone 922-6677 .
Planner WaterMeter N/A
Council Road Unit 7,656 _ 00
Iherebyacknowledgethatlhavereadthisapplicationantlstatethatthe gldg.Off. 12/17/$ Tr.PI. 5,148_00
inioimation is correct and agree to comply with all pplicable State of
APC N/A
P
k
Minnesota Statutes and Ci oi EaOrdi ar
s
i?? Var. Date Copies $50, 129.75
Signature of Permitte Total
A euilding Permit is issued to: BOR-SON CONST on the express condition that
all work shall be done in accordance with all agpljpryble State of Mi n so and City of Eagan Ordinances.
Building OHicial
This reqve5[ voiC `?j'/7/6: 7
18 nwnths from
C 13246
7ra?o1 aS aS
.°.. ... . ?_..
Reatly Now Will Notity, InsPec-
E]
oYes o N. lor When Reatly
?_ icensetl Electri[al ConVactor I hemby request inspection oi ebova
? Own¢r elecvicel work installed at
Street Adtlress,BOx or Raute No. Ciry
r-
603 /in-. I
ci d h
ecvon o. TownshiD Name or No. flanye No. COUnIy
/
d/r0
OccupanI IPRINT) Phone No.
Power Su plier
? AAdress
Electncal Contractor ICOmpany Name Conhxcmi's Liccnse No.
/'linhese?a ???va ?o? h? o3 7
ilinB AdJrass ICon[racIor or Owner Making Instail?tionl
/
d f0 S
A
ure (C nVac or/Own r Making Installation) Phone Number
? so?- a s- ?o?d
MINN 7q STpTE BOAHD OF ELEC THIS INSPECTIDN REQUEST WILL NOT
Griggs•Mitlway Bltlg. - Noom N-181 BE ACCEPIED BY TNE STATE BOARO
1821 University qve.. Sc Paul, MN 56104 UNIESS PPOPEN INSPECTION FEE IS
ENCLOSED.
Phone I612I Z97-z1 11
? REQUEST FOR ELECTRICAL INSPECTION EB7-OUqW1-09
I!, See insvuctions lor completing this torm on back ol Vellow coOY.
v ?J?X SS
413 2 4 6 "X' BeloW Work Covered by This Request
kdd Rep. TvVe of Building ApOliancea Wind Equipmant Wired
Home Range Temporary Service
Duplex Wa[er Heater Liyhtiny Fixtures
Apt. Building Dryer Elec[ric Heatin
Commercial Bldg. furnace Silo Unloader,
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm invr ul l l .?Gab O
t e ueufy Othe, Oihi;r
Compute /nspection Fee Below
p Fee ServicaEMrancaSize d Fee Feaders/5ubfexders b Fee Circuits
0 to200Am s 0 to30qm s 0 tn30Am
Above 200 qmpy. 31 to 700 qmps 4!0
: 31 to 100 Am s
Swimming Pool Above 100-Amps - Above 100_Amps
Transformers Irrigation &el PartiaL" iher F e
Signs Special Inspection ?s°
5 •
TOT
--
Ferrerks /.$ S-g E
i?
Roueh-in Date
I
1. t Elacv'
Inspector, hereby
certify thet the above
Final D'yte/??
?j inypection has been
meda.
mis repuest volA 18 monihs irom
REQUEST' FOR ELEC7RICAL INSPECTI011t !EJ'eq-oooo}i-os
SBB ine[lVCli0A5 tOI COmplBlimq lhib fqm On bBCk Of YBIIOw Copy.
-Iq "X" Below Wak Covered by 7his Request
AAd Rap. Tvue ol Builaino . Geotiancea Wirwd Equiuman[ Wiretl I
I I I I Duolex 1 I Water Heatwr 1 XI Liohtinu Fiztures I
lo
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Falm ther peci v 7her ISnapitvl 44- kl-4.2?1
1 er ueci v ther v Oinur v.e.- L?
p Fae ServiceEntrenceSrse p Fee Feeders/SUbfeadere k Fea Gircuits
Oto200qm s 0 to30qm s 6 3 Jsi9 Otn30Am s
, p p Above 220L m s ,? 9: 31 to 100 qmps O s000. 31 to 100 AmPs
Swinmin Pool ?rv A6ove 100?Am s Above 100---AM '
Transiormers rrigation Booms ? SO ?artial-`Other
aigns special inspection
emm.4s ?S'??, TOTAL E?,..p
1
?f the Electrical
? K IngOectoq herebV
certify ihat the above
?Final ir,spection hesbeen
meda.
raqueat vo101B montM
This request voitl
months /mm
9 2 2-7 9za /j/. gela?
7a? ;? ?TJ
99
?i53?.o0
Nnquest ate
p
? /Fire No. RouBh-in Inspecfian
Nepuiretl?
?Aeatly Nuw Q Will Notify Inspec-
k
Wh
R
?yes ONo r
en
eatly
gLicensetl Elechical Contrnctor 1 hereby request inspection ot ebova
? Owner electrical work instelled at:
Streei Address, Box or Rouie No. City
&Y'l '°`.3 3s as o?c .D2, O?'- Eg6„a-.,J ,74,-L-4
actio o. Townshio Name or No. Range No. County
?/
/¢/5 6/F?
OccuDa.t (PRINT)
ROPAG D/+e G?i2e% Phone No.
Power SupPlier Address
DA?jO,-Al Z=I?fG%P-/C /
Elecvical C/o?ntraclor (GOmpany Namel Contractor's License No.
_ GZ? , T/C).E2 , yNG
MailinB Address IComractor or Owner MakinO Insiailationl
..23a3 G rfl vE cnerlcRO
Authorize ure ICont od0 er M kinB Installation) Phone NumOer
?3.?-a36- oso?
MINNESOTA STATE BOAX6 OF ELECTqICITY THIS INSPECTION REQUE57 WILL NOT
GriBBa-Midway Bldg. - Room N•197 BE ACCEPTEU BY THE STATE BOARD
1821 Univeraitv Ave.. St. Peul, MN 56104 UNLESS PROVER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION . Es-oooai-as
0 See instructions lor compl¢ting this form on bnck ot vellow coOY? L ?a C;
?4 8 g
Dr'?f11:1 2 "'R"' Below WorkCavered by 7hrs Request
Hdn Neo. Tvoe ol Bwlding Apatiancee Wiree Enuiument wired
Home Ranye Ternporary Service
Duplex Water Heater Liqhtiny Flxtwes
Ix- Apt. 8uildinq Dryer Elertric Heaun
Commercial Bidy. Furnace Silo Unlonder
InduStrial Bidg. Air Conditioner Bulk Milk Tenk
Farm otnrr oec,iv oine, (Snec?ivl
[ e 5ueci y Nor otniir
nmpute lnspectian Fee Below
# Pee Service Entrence5ize n Fea Fanders/Subierdars p Fna Cir?uits
0 to 200 qm s 0 to 30 qmps 0 m 30 Am. s
Above 200 qmps 31 to 700 Amps 31 to 100 Am s
Swimming Pool qbove 100-Amps Above 100_Amp?
Transiormers Irrigation Boorc,s ? Partial.'Other Fee
Signs Special Inspection S
y
rks _
i
6
TOTAL FEE
-7
Q? . /
1-04
Rough-in
4
?
1
, the ElecVical
7
d ?n,
Final
Dste car[iiy tha? the above
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.
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D
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LYClcensed ElecVical Convacmr I hareby repuest ins0action ol above
? Owner elechicnl work installad at
Street AdAr7ess, Boz or Foule No. C' /??
ecuon o. Township Name or No. anBe No. C un
C
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cu Phone No.
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Power $upplier Address
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Aut?or- e ?Bna[ure ICo acto Owne Making Ins[allatioN Phone Number
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MINNESOTA STATE BOARb OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 91dg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 lJniversitv Ave.. SL Peul, MN 55704 UNLESS PNOPEX INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
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APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
*XYPF': PAYMF'NT OF M AT TSME OF
ArPLscATIoN DoES Nom CONs-rzTUTE
APPROVAL OF PERNIIT.
iNSPnc-TzoN oF sENM Arm/oR wATER
rusrar.ramrONS WILS, NCYl' SE S(HED-
UI,ID UNTII, PERMIT AAS BF.EN
APPROVID.
. P ease Print
' 1) PROpERTY ADpRESS: R.4
LEGAL DESCRIPTION: •-
. Lot Block Sub ivision or Tax Parcel ID )
IF EXISTING STRCCiLiRE, DATE OF ORIGINAL BOILDING pERI,LTT ISSL'ANCE: '
?
(MOn Year
PRFSE[?fl' ZANIAIG/PROPOSED CTSE:
CONP'MCIAL/RE'!'AIL/OFFICE
? IDIDL'STRIAI,
INSTIZL'TIONAL/GOVERIA?,ZU
? R-1 SINGLE FAMILY
? R-2 D[;PLEX (ZWo Units)
? R-3 TOWWOL?SE (Three + Units) ( [fiits)
I s?Y R-4 APARTME[Pp/COAIDOMINIOM Units)
ti?l
NAP?:? ? ^ _ ??r.y .?-
ADnREss:
CITY. STATE, ZIPz
PHONE:_ .?--
2) 'r, a
3) u r.?•
- NAME:
ADDRESS:
i CITY, STATE, ZIP:
PHONE:
MASTER LICQdSE#
4) •• •:.? •.? i?m
NAME:
ADDRESS:
CITY. STATE, ZIP:
PHONE:
?
Activa
Ecpired
Not recorded
ta Inita.al
5) ?? v ? ? a• •?• :n ? ??-
? NNNFX.TION TO CITY SEWER ? CON[gX..TION TO CITY WATER C] OTHER ' - . .
6) n . - ?
r n u• •311
[] PLEA,SE HOLD APPRpVID pERMIT FOR PICK-UP BY ONE OF AB(7VE
"J?!r PLEASE MAZL APPROVID PERMIT 'DD 1, (?) 3r 4. ABpVE
_ (Circle one)
I /;--a-3-k<?
FOR CITY USE ONLY
PERMIT # ISSCIED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
S $
SEWER PERMIT (INCLUDE SORCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLPDE CORPORATION STOP)
SEWER TAP
$ $ ^ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
b
O $ wAc
$? $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$_ c v $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ 4?f-:Jof3•L?C3
?- TOTAL
?'?
RECEIPT RECEIPT
DOES OTILITY CONNEC TION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
ED YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" M[7ST SE
DIVISION
LIST ISSCED BY THE ENGINEERING
A5 A CONDITION
. .
SDBJECT TO THE FOLLOWING CbND2TION5:
APPROVED BY:
TITLE:
DATE :
1986 B[TII,DING PEIiLiIT 6PPLICATIOH - CITY OF SAGAN
BOYS: AI.L CANTRACTOHS MQST BS LICENSED iiTTH 'PHB CITY OF EAGAN
SI9GLE FA4IILY DWEI.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY? 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiE[.LIAGS - EESIDSNTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COHIiERCter"
RENTAL IIBITS 2 3/ FOR SALS QNITS
OF SQR9EY - CHECB FiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?nuNA.
To Be Used For:? :-; aluation:
35c?3
Site Address FFOeA.a1 ;)A . ,.,e ? OFFICE
Lot I Block I
Parcel/Sub ?pyA? 0,44 ?IKGt? 0r
Owner Roypt OAk Cj2clE LTD. PAATNfMNiO
Address /y45 /0'
.4vE A,uy
I SSytA
City/Zip Code FqR6o , No• PA?ns
Phone '701- 239-- 5/p8 /
Contractor f?oz-??J ?e.vs7n.rcns?+
Address 200/ K,eu6/ttw T>,Qlyt
City/Zip Code OIO45,1#..- SSqz-V
Phone _TSy- Xyyi?
Meh./Engr. CA2LSe?,PJoRui /12c.1
Address W67 SS?'"?ST.
City/Zip Code ^icS, -47ti 55111b
Phone 4t 9ZZ - 6-677
Date: ?A & - p (e
Erect ? Occupaney
Remodel Zoning
Repair _ Type of Const
Addition S of Stories
`
Move _ Length
Demolish _ Depth
Int.impr. Sq Ft
Install
APPAOVAL4 FEFS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
iOTAL
11J ,
NOTB: ADDRES56S FOR CORNER LOTS - CONTRACTOR/HOMEOWNEB MDST DESZGNATE WHICH ADDRESS
13 DESIRED. NO CHANGES HILL BE_ALLOHED ONCE BDILDING PERMIY IS ISSOfiD.
3 3
?
1986 Bt12LD2NG PE[i?IIT 6PPLICATIOH - CITY OF EAGA9
NOYS: ALL COPTRACIORS MOSf BE LICffiISSD iiITH THE CITY OF EAGAA
SIHGLE FAlIILY DiIELI.IeTGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DiiEI,LINGS - RBSIDSNTIAL RENTAL ONITS ? FOE SAG6 ONITS
INCLUDE 2 SETS OF PLANS? CER
1 SET OF ENERGY CALCULATIONS
COMRCIAL
OF SUE9EY - CHECB UITH BLDG. DEPT.,
INCLUDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2v000 LANDSCAPE BOND
To Be Used For: A-P-J. NLD(a. Valuation: J, 1'rJ 1r0Od Date: 11-Z5',F&
Site Address 3Sd3 )?W6r14-C DQ , I OFFICS USS ONLY
Lot t Bloek I
9
Pareel/Sub Ray.sc D?k el.tcc6 ??l+A
Owner Wa VAL gµh 014 GTp ,e7,{ryyyjQ
Address / Nyy y4d'410 Np
City/Zip Code 2 .O
Phone _ 7D / - Z35 - L
Contractor C_?57
address /huEdm;V {?2•
City/Zip Code /NOLS,
Phone K 5 4/ -
Arch. /Engr. (2- dRL-soa , kJDR ka A ra-C h
ry'.
Address 'A l S LI). 35?
City/Zip Code 1;4,04S,
Phone 4I 9 ZZ ^ ('iG77
Ereet ? Occupaney
Remodel 2oning Q•
Repair Type of Const HR 110-
Addition fl of Stories 3
Move _ Length I(n5
Demolish Depth 94P
Int.Impr. Sq Ft (fu20-3)4o,2ao
_
Install _ (jtas.enL*) I 3 400
APPaovALs Fses
Assessments Permit 30(a0 ,
Water/Sewer Surcharge Sw.
!Police Plan Review IS'x0.zs
Fi.re
? ,XSAC I g91 S.
Fngr
- Water Conn 13 ZCO.
Planner Water Meter
? u q
Council Road Unit "1C,SCo.
Bldg Off Treatment P1 15146.
APC Parks N1x
Varianee Copies _
YOTAL
?A
HOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOPIEOiiNER MDST DESIGNATE WHICH ADDRESS
IS DESIRSD. NO CHANGFS TiiILL HE ALLOWED ONCE BDILDING PBRMLT IS ISSIIED.
? PGI2MiT
I ,o51,?U
, . .
, .'
? 4-3Z>
IDSI x 2.S = 2(02?7 =°
?-----
? 3b ?o So
Su?cN?e.c,C
? t Cooo 4 x
?
l
3o60• 2-
S?-o
?CpO. J? _ 2= ?S3n zS I 5 30. zs
• -?2A L
-7 5
q-co x 33 ' 13,2oc? 13, Zoo
• RAA?P
Z32 x 33 = -7co5G
?TPG
1S? x 3j = 5? 4 8 5148
OF
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
May 13, 1987
MR JOHN STRACHOTA, AIA
CARLSON MJORUD ARCHITECTURE LTD
1000 SHELARD PKWY
MINNEAPOLIS, MN 55426
RE: HOYAL 09H CIRCLE APTS.
Dear Mr. Strachota:
BFA BLOMQUIST
Mvor
THOMAS EGAN
JAMES A. SMITH
VIC ELLISON
iHEODORE WACHTER
CouncilMembers
THOMAS HEDGES
Clty Pdminisfrofor
EUGENE VAN OVERBEKE
ciN aerk
In reference to your letter dated April 29> 1987 coneerning the door frame
label, this department will accept this label.
If I can be of further assistanee, please contact me.
Sineerely,
Steve Hanson
Construetion Analyst
SH/js
n
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH !WD GROWTH IN OUR COMMUNIIY
toq ILA ?
Carlson Mjorud Architecture Ltd.
April 29, 1987
Mr. Steve Hanson
Construction Analyst
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, Minnesota 55121
1000 Shelard Parkway
Minneapalis, Minnesota 55426
612/5463337
RE: Royai Oak Circle Apartments
Dear Mr. Hanson,
On April 28, 1987 during a field inspection of the Royal Oak Circle project, I
observed that the door frames carried the followinq label:
Redi Frame
One Hour
7 SGA
Fire Door Frame
ASTME 152
Tested By
Applied Research
Laboratories
Lab No. 23856
Frame Construction
Certified By
The H.C. Nutting Co.
Mfg By
Slimfold Mfg Co. inc.
Dothan, A L 36307
We request that you render a decision on whether the City of Eagan will recog-
nize the aforesaid certifying company as meeting UBC mandated fire ratings as
identified on our architectural drawings. Thank you for your attention to this
matter.
Very Truly Yours,
CARLSON MJORUD ARCHITECTURE LTD.
,
John Strachota, AIA
JS:kb
cc: Tony Christensen
Angelo Percich
Lynn Weber
Juj Q?? 6;j?? &.'?-- &'eL /`P"
lIFZ90 T0: TOH COLBERT, DIRECTOR OF PDBLIC WOASS
JIIi STORIi, PLAE(pZNG DEPARTMENT
BILL AKINS, II,ECfRICAL INSPECTOR
CRAZG %NQDSEi1, ENGINEERING TECH
FROH: DOOG REID, BIIILDING INSPECtIOHS DEP2
DATE: /"1117/k?f'
The Protective Inspections Department will be performing a Pinal inspection
for occupancy of (?"y ? ot?? a12L on
0, 09, I 3, i S, l7, /9, -2; a3 ?y?leo?2?ra?
353
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It uill be
each departments responsibility to contact the construetion firm with
necessary requirements before Pinal inspection and notiFying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/,js
APPROVAL: DENIAL:
(SIGNATURE & DATE) (SIGNATDRE & DATE)
2006 COMMERCIAL PLUMBING PExn2rT apPr,icaTrorr
CITY OR EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date ' ! / 25 /gG
5ite Address 3p5? ? F-.'UIef"d j pr- Unit #
Tenant Name 1\ p?.P d I ?ar_ An C._-5 Former Tenant Name
PrapertyOwner ROSR(5) ?'j7R-L j4p+,5 Telephone#(CSI
Contractor b??c4 00 e(_-bdn,'r'a)
Aaaress `-1'-1 S) (.v 5+- Ciry _(=.d i n a
state fY1 0 ziP 55?-1?5 Telephone#?v~:?
License #->,y v0 P m Expires: i a l3 I IQOOG
The Applicant is _.Owner ? ContracWr _ Other
Work Type New Bldg ,_ Modify Space _ Irrigation System*' Yes No Work in public r-o-w / easement?
?RPZ _ PVB: New _ RepairBebuild _ Replace _ Remove
Rain seusors are re uired on irriQation s stems
Description of Work Zn??., 4c? 1) Pi eLJ R f Z, Ov'1 hO; 4?oed 51n nD`A79`i
To inquire if Pressure Reducing VaJve is required on new servicg call 651-675-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conducrivity, and bacteria tests passed prior to pickine uo mefer.
Irrigation Size & Type • Avg GPM 2" turbo req'd unless smaller size allowed by Pablic Works
Fire Size & Price 3/4" meter 167.00
Domestic Size & Type Avg GPM Indudes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ s-j sc), 0,0 x 1°/o = $ tS0 (2>C:> PermitFee
$ Meter(s)
Required on all new 6uildings & boulevard ini4ation svstems ' $ Radio Meter Read
$ I rjc) State Surchazge
If nermit fee is less than $1,000, surcharge is $.50
If nermit fee is more than $1,000, surcharge is $.5O for each $1,000 owed.
" " " _ ' _ _ _ ' _ ' _ ' "' _ " " "' _ _ ' _ ' _ " " " " "' " " _ " " _ _ _ " " " " _ " "' - " " "
' ' ' ' " "' ' "' ' ' "' ' - ' _ ' _ ' _ _ " "' ' _ ' ' ' ' _ ' ' ' ' _ ' ' _ ' ' ' _ ' ' _ _ _ _ _ ' ' ' ' ' ' _ ' ' ' ' ' ' _ ' ' ' ' _ "
FuRowing fees apply when installing new lawn irrigation system ?? $ Watei Pe[mit
Ca(I the City's Engineering Department, 651-675-564or¢'?tD
? U $ Treatment Plant
11J)
'n? 3 1 Zp06 $ Water Sapply& Storage
11 ll ?UL
$ State Surcharge
$ ?jO . ? Total Fee
[ hereby appfy for a Commercial Plumbing Permi[ and acknowledge that 4ie infotmation is wmplete and accurate; that the work wil] be in confo=mance with the
ordinances and codes of the City of Eagan and wifh the Plumbing Codes; thai I under5tand this is no[ a petmit, but only an application for a perttiit, and work is not to
start without a permih, that the work will be in accordance with the appioved plan in the case of work which requires a mview and approval of plans.
Pd--?n ?? a O rm tan
ApplicanYs PrintedName ApplicanYs Signature
5 -9?'507
-.^ .. - -
g???? ? `7?
2007 COMMERCIAL BUILDING PERMIT APPLICATION ?I
City 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.
. Strucfural Plans (2) sets
. Civil Plans (2)
• CeNficate of Survey (i) -
• CodeAnalysis (t) "
• ProjectSpecs (1)
• Spec Insp & Testing Schedule (1) "
• Sails RepoM1 . (1)
• Meter size must be esia6lished
)
)
J
J
J
1
• SAC delermination - call 651-602-1000
Call MN Dept ?
Contact Buildii
'r* Permit {or new
at
or
tions to see if it is required and for a sample.
or addition ivi11 not be processed without Emergency R.esponse Site Plan.
Date/0/ 67
Site Address 3j v 3 r?;
TenantName Construction Cost Af1I . o v
h?. ?, ?'J"-L Unif/Ste #
FormerTenantName
DescriptionofWork R?_r
PropertyOwner der.n<2 sc,? Telephane#(771 2-18 -/328
Applicantis: Owner X
Contractor ??r.c o .L-• ContraMOr Contact#: (4)2 ) 7aS- 594 / /?ev.,., .?wa.raL
- Crx-c ??..?? ? o ?-I
Address y07
State ? X 3cc (f+vc?s IZt) S<. ,rr '3ZG City Fl..17 sr.<
Zip 7$l ?II?B Tetephone #( S'rc ) 24 %- g2
Arch/Engr
Address
State Registration #
City
Zip Telephone # ( )
Licensed plumber installing new sewer/water service: Phone #:
I hereby appty 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 IvfN Statutes; [ understand this is not a permit, but only an
application for a permit, and work is not to staR without a permit; that the work will be in accordance with the apptoved plan in the case of
work which requires a review and approval of plans. .
?7r,vis-? iSrtZTot
Applicant's Printed Name
. Soils Report (1)
• Certifcaleof5urvey (1J
• Structural Plans (2)
• Architectural Plans (2) sels
. HVAC units req'd. on bld9 elev. / site plan
• Civil Pians (2)
. Landscaping Plans (2)
• CodeMalysis (1) "
• Energy Calculations (1) "
• Emergency Response Site Pian (1)
• Spec. Insp. & Tesiing Schedule (1) "
. EleUric Power & Lighting Form (7) "
. ProjectSpecs (7)
• Mas[er Exit Plan (1)
. SAC determination - rall 651-602-7 000
. Fire Sfopping Submittals
• Fire SuppressionlAlartn Form
Appli' t's Signature
• Architedural Plans (2) uts
• CadeMalysis (1) •'
• ProjedSpecs (1)
• KeyPlan (1)
• Master Exit Plan (1)
• Energy Calcula6ons (1) rrot ahvays°
• Elec. Power & Lighting Form (1) not ahvays"'
• Meter size musi 6e esla6lished-if applicable
)
)
1
1
?
• SACdetermination-q11651-602-1000
facilities.
?? ,
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments ?- 27 Commercial/Industrial ? 32 Ext Alt Apartments
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolitfon Building - Give PCA hantlout to applicant
5 etl7
36(
Valuadon Type of Const Width
Plan Rev 100% -= 25% = ? s Occupancy MCES System
SAC Units Zoning City Water
Nbr. of Units Stories Boaster Pump
Nbr. of Bidgs Sq. Ft. PRV
Fire Sprinklered Length
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
_ Footings (deck) _ Insulation .
_ Footings (addition) Sheetrock
Foundation _
Final/C.O.
Drain Tile Final/No C.O.
Driveway Apron
/ Other
s/ Roof ?Ice Pr _ Decking _ Insul V
Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
W indows
Final CIO Inspection: Schedule Fire M arshal to be present. _ Yes _ No
Approved By: Planning Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIYV Pertnit
SNV Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedicffiion
Trail Dediration
water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Starm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Ofher
Total
Sewer Trunk
Water Trunk
,. ?
41,11/
Citi of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 I Z lin
Permit Fee: / 140
Date Received: 'J 3/13
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Pleas sub
sub it two (2) sets of plans with all commercial app ' ations.
�
Date: )/201--r Site Address: c.35---0 /- 3 �/ c; !/�
Tenant: - Suite #:
Resident/Owner
(
-'wt`Q-,t Phone: 6s/ - 6 (! d F/ 8-36
Name ‘9 V %dam
2 n
/
y / Zip: 33 / S_ d2 i 1 OrAito c} i Ai✓lJ
Address City
Contractor
Name: t fZe. Tl-%'vG-- ( Adz-- License #:
Address: "9/115—efle �GY w City: E���1
State: Zip: 557 t Z--- Phone: g5/— —1 5 --Cr _
Contact:
Email: reu W elAZ‘elSSLtJ is ' CO"" 4
Type of Work
New Replacement Additional Alteratio Demolition
Description of work: 3 BO • lQ_rs e co
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.
Permit Type
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under/Above ground Tank (_ Install / Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration
to an existing unit (includes $5.00
(includes $5.00 State Surcharge)
State Surcharge)
_ $ TOTAL FEE
$100.00 Residential New
COMMERCIAL FEES
$55.00 Permit Fee Minimum
Contract Value $ Ai , ea) x .01
= $ /� U ' Permit Fee
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract
***If the project valuation is over $1 million, please call for Surcharge
= $ ‘ " -CL) Surcharge"
Value x $0.0005 ��� ��
) _ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will b- in co
Eagan; that I understand this is not a permit, but only an application for a permit, and work
with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name 6/2— 363 - Z 0 Z
not
ce wit a or
ithou . per
finances and codes of the City of
that the work will be in accordance
Ap cant's Signatu
FOR OFFICE USE
Required Inspections:
Reviewed By:
Date: t
_ Underground Rough In Air Test Gas Service Test In -floor Heat 4" Final HVAC Screening
PERMIT
City of Eagan , Permit Type: Building
3830 Pilot Knob Rd " ' E Permit Number: EA148818
Eagan, MN 55122 Date Issued: 04/24/2018
(651)675-5675
www.ci.eagan.mn.us
Site Address: 3503 Federal Dr 307
Lot: I Block: 01 Addition: Royal Oak Circle
PID: 10-64700-01-010
Use: REM River Bluffs
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: Day Care Inspection
Description: Adult Foster Care
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Beth Henderson 952-237-2307
Fee Summary: Day Care Inspection $50.00 1221.4216
Total: $50.00
Contractor: Owner: - Applicant -
Royal Oaks Apartments LLC
8000 Norman Center Dr STE 830
Bloomington MN 55437
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.
Applicant/Permitee: Signature Issued By: Signature
.111/1
(rpt�i( f.' (.yC I / wr r ! For Office Use /C
r T(!C 1 C (--e-,,,c V�. ,.,p1-) Permit#: LiY
t.sy , -
y .. . = EAGAN
Permit Fee,,
DEG 16 2019
-- I Staff;
I I
383)) PILOT KNOB ROAD I EAGAN, MN 55122-1810 P ayrrara Kecv(1 Yes No
1651)675-56751 TDD. (651)454-8535 l FAX: (651) ?5-5694
Email: buildinginsocctionsLc'tcilvofeanan.om i Pars _Electronic _ Prpri
Plan Submittal:c_T ons@ cityofeactan.corn I ———
_ 2019 COMMERCIAL PLUMBING 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: 12-16-19 Site Address: 3503 Federal Drive
Tenant: Royal Oaks Suite#:
I Property
Owner Name Phone: l
4
Name D&D Anderson Heating & Plumbing_ Inc.L,icet se PC001498
Contractor Address: 5075 305th Lane NW Cambridet! Zip: 55008StMN
Phone 763-444-5383 Emad, ddand@mninter.net
New Construction Addition Modify Space
Replacement Repair Rebuild Work in Right-Of-Way
1 Description of work: Replace existino water softener with new -
Type of Work Irrigation System(_y=es:_1 0)t_RPZ i ___PV43)
• Rain seasons required on irrgation systems
• Avy.(,PM 12"turbo required r.lints,miller size allowed by Pohl a;'NOrkS,
I Meter Required---C;rll Ut,,titles at(651',675-5'100 to verity tests I,tasseci pncrr L. j'o; ,,
, r, n titer,
i, Domestic.Size&Type. Fire: 1
I
Average ORM High demand devices? Yes No FTushometers Yes_No
COMMERCIAL FEES �_� —m_ _ .__ __ ___ �e_.�-_._.
i Contract Value S4016.00 _x.015
$60.00 Permit Fee Minimum s 60.2.4 Permit Fee
$60.00 PVB/RPZ Permit(includes State Surcharge) ---
$ 2-01Surcharge
Surcharge==Contract Value x$9.0005
c02.25 —j
It the protect valuation is over$1 trillion,please call City for Surrhargc? s __., TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service-
$ Treatment Plant
Contact the City's Ergineerng Department,(651,)615-56th,'or reguire,t'ee amorin's.
S- Meter Fee
S Radio Read
I
$ State Surcnarye
____. -
I62.25
-$62. TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on tlx:City's website at
www.cityofearta n,com esubscrIbe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage.
i hereby acknowledge that this>ntor;nation is complete and accr;rate;that the work will he in conformance with the ordinances'and codes of the City el lagan;'hart i
,ndor;tar,d the;is riot a permit,but only an apralicatton for a permit,and e,irnk is not to start without i perr',ii that tie work will bes in,e,cuudar•,ce with tic approved
plan in the recce rtf mirk%%via rerlufres a review and approval cd pians.
1
x x v4 ' r'G , , ,, i V
Applicant's Printed Name Appel ant's Signature
l
r Parte 1 of 4