3509 Federal Dr
Use BLUE or BLACK Ink
of T Ealan I Permit
-
City ,
RECEIVED I Permit Fee: 00
3830 Pilot Knob Road I ,
2011 I Date Received:
Eagan MN 55122
JUN 17
Phone: (651) 675-5675 I I
I
Fax: (651) 675-5694 l Staff-------
ff 2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: t~'' I I Site Address: tel. ~edeva.~
Tenant: Suite
PROPERTY
OWNER Name: 1 Cl,ha(!~Q Phone:
CONTRACTOR Nam l~ A= nutljlan i CAQ License
Address: A` In+ N 2(* 5"t - City: MPIS State: MN Zip: 555412
Phone:lld I2 • CJZZ • aJnq Email
TYPE OF -New _Replacement _Repair _XRebuild _ Modify Space _ Work in R.O.W.
WORK IC IZ~Z
Description of work:
COMMERCIAL 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 $ a5c) X1%
= $ r-50. 00 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
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) _ $ 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 $ S • DU
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.gop.herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in confo ante 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 with t a permit; that the work will be in accordance with the approved
plan i the case of work which requires a review and approval of plans.
X S X
Applican ' Printed Name Ap cant's Signature
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
GITY OF EAGAN
N2 12988
3830 PWt,Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BWLDING PERMIT -,
:•.+ 7. q' Receipt # ' ?
, - 7
To be used for ??r f? • 3a!-D?? • ' Est. Value $'1,151 ,Ot?U Date ? -?C?'i•iB't,?; .LI 19 t-_6
Site Address J:' Erect ? Occupancy f` -1 ?H'-•?-
.? {.ot -i Biock "- 2-i" ' Sec>Sub. iZOY.yL OAK CI:2 Remodel ? Zoning R-A.
Parcel No. ?iVU ADD Repair ?
, Addition ? Type of Const V 1 1HR, IZIq
No. Stories 3 512RINIC
¢ Name 'ZQY,iL OAK f;T?2 f.TD PARTiJLRSHMe C7 Length
i Demolish ?
o Address - T P?F+1 ' NO
? Depth
40
fl?0 s FLOORS ?
Int Impr.
City ; Phone 7U1f2?5-4031 Instau ? ,
Sq. Ft.
13,400 (GAiZA,GE)
o Name CO:'dST Approva ls Fees
? a Address i: i 11L:IIi2?W D?2 Assessment
4
8444
?
? Permit $ 3,0 G U. 50
-
City
- Phone 85
Water&Sew. Surcharge 560.00
?.,,. Police
l , 53 U. 2?
Plan Review
.?M.70RUD ARCH Fire
F Name
W SAC 18•975.00
_? Rddress Yt 35TH ST
o?
En ?3 200.00
Water Con
?
Z
922-6677
ty
Ci Phone Planner
Water Meter 1
Council Road Unit 7,656.00
I hereby acknowledge that l have read this appl ication and state that the j 2/
Off
B?dg j 7/$(j j
. 1148.00
PI
Tr
.
.
information is correct and agree to comply with all applicable 5tate of .
.
N/A
Minnesota Statutes and City of Eagan Ordinances. .^ APC Parks
Signature of Permitt?. / Var. Date Copie ? 50
• 7 5
? ,,
L ,
Total
_ T
A Building Permit is issued to: ? s O.2 T
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 Official
? - - - - - --- - - -- - -- ?
?? I
I - + PermN Mo. + Psrmlf Holdw I Dete I TNephoee N 1
40
Qate
IPr. Disp. 11 1 11 11 `t 7-aY •j-? C,?- I
r• ? ?+`. !.- ' ? ,, .
,
? . , t? . , y PERMIT # // ;. .
' •
? ' •` . MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CON'TRACT PRICE: <<I oI yO ? PHONE: 454-8100
Site Address 'z gLpG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
m Name D.
_ C(?
(.
r77 Mult ? Add-on
? Address C
R
epair
omm.
c City ie
W Other
? Name FEES
3 Address .y. = LAI, RES. HVAC 0-100 M BTU - $24.00
p City _.:.; 4 Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
? M BTU GAS OUTLETS -
COMM/IND FEE - 196 OF CONTRACT FEE 1.50 EA.
? Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
? Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
? Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $30 S/C IF PERMIT PRICE GOES
i Vent CFM gEyOND $1,000.00)
Gas Piping Outlgts # ?
j Other
j ?
?;.,? ? .:<-? ??,?•
,,
FEE ?
. S/C,
.? . SlGNATURE OF PERMITTEE
/! r f ^ l
TOTAL• ly1
, FOR: CITY OF EAGAN
J
' PERMIT # ?%' 17 d'
MEGHANICAL PERMIT
CITY OF EAGAN RECEIPT #
? I ? f
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7
)
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot ? Block '
SeclSub BLDG. TYPE WORK D RIPTION
h Res. New
?
°
' Name ult Add-on
?
- Comm
Repair
Address - ?
?
c
Ciiy
Phone Other
FEES
Name RES
HVAC 0
100 M BT
c .
-
U -$24.00
Address ' -%./ ADDITIONAL 50 M BTU - 6.00
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
AS O
M
M
'
G
UTLETS (
INI
UM - 1 PER PERMI
n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
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 OuNets # B
E
Y ND $1 00)
Other
FEE: - ??
SlC: SIGNATU E OF P MITTEE
TOTAL: '
FOR: CITY OF EAGAN
_. .? ,w ,, ? .. . .. i ._,,. . , , :. . ? ,. -?, , _ •k- .
PERMIT # 22?1 Zi
. , PLUMBING PERMIT RECEIPT # f qj?v
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: ?
CONTRACT PRICE: 7?t ???' PHONE:454-8100
Site Address 1° L
Lot ! Block ? Sec/Sub
? Name ? ? A'v
? Address ?-
c Ciry 1 h1; fLF'(bd?`Phone L"U
? Name ? 10)'j .5
c Rddress ? L ? ,ew D
p City p,o r,-. i n41J 'phone
FEES
COMM/IND FEE - 1% OF CONTRRCT 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 PRlCE GOES
BEYOND $1,000.00)
?_.
SIGNATURE OF PER EE
FOR: CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
Res. New -.,c-
Mult. Add-on
Comm. \"r_ Repair .
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: "
NO FIXTURES TOTAI
_IaWater Closet - $3.00 $
?Bath Tubs - $3.00
?Lavatory - $3.00
Shower - $3.00
-32-Kitchen Sink - $3.00
UrinallBidet - $3.00
1 Laundry Tray - $3.00
s Floor Drains - $1.50
_;LWater Heater - $1.50
Whlrlpool - $3.00
`zGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Prfvate Disp. - $10.00
Rough Openings - $1.50
FEE: ?G
STATE S/C: .•S D •'??
GRAND TOTAL: ' ? ? ? ??
aa .1 • F
(Itrti#trafe of Orruvanry
Citp of (eagan
lor,prariuw af Imiaimg jwrrtinn
This Cerlifrcate issued pursuant to the requitementr of Section 306 of the Uniform Building
Code certifying that a1 the time af issuance thrs slructare was in compliance with the varrous
ordinances ojthe City reguluting building canstruction or use. For the jollowing:
usc CLm6atioe ,- Blag. Itrmit No.
ppcaPaocy 7yp? Zoomg pikria " -' '?ya ?.' ,-`'.t
Owner a(Bw7ding e T 71pddre,
BtuldingAddrpe - ??ity ?, id?L C?1Pt7 C,
pue: OCIOM 28. L4i"
Bwlding Official '
POST IN A CONSPICUOUS PU4CE
CITY OF EAGAN l ???~?'""'"T"•_. _? - -
3830 Pffot Knob paad Permit Na
Meter No: Dat? 4-- 6- g 7
P O. Box 211 gg Sixe:
Eagan, MN 55121 R?der No:
Date;
Site
Conn. Chg: 1} 200, 00
Acct Dep:
Permit Fee: 10, 00 d
Surcharge;
Tr. Plant 5 148 00 _
Meter. _
Zoning: r ;
No. of Units:
I agres to comply with the Clty of Eagan ?
Ordinancea. ?
L ?? Oy
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilof Knob Road SEWER SERVICE PERMIT
P.O. Box 21199
Eagen, MN 55121 PERMIT NO.: 9 i'; °
No. of Unlts;
...ti. ,
?agrge tO COmply wfth the Chy ol Esgan Connection Charge: -i S,300. ? opa
Ordlnances,
Account Deposit: _
Permit Fee: -------
By Surcharge:
Date of Insp.; Misc. Charges:
Total:
insp.: ,
Data Paid:
SITE ADDRESS &sO 9 - 1'n,0 _ Y , Unit # Permit # ?? 9s",F
B ? Sect/Sub.
INSPECTION DATE INSPECTOR OTHER
FRAMINB
ROU6N PLBB.
ROUBN NTB.
IMSUL -?
HREPLACE
FlNAL NTB.
HNAL PLBB.
UNIT FINAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
?? '
CITY OF EAGAN I?1 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v 12988
PHONE d56_9100 / /> >
BUILDING PERMIT 33 UNIT Receipt#
To be used for APT. BLDG. Est. Value $1 ,151 , 000 oate DECEMBER 7 1986
SiteAddress 3509 FEDERAL DR Erect IN Occupancy R-1/B-1
Lot 1 Block 2 Sec/Sub. ROYAL OAK CIR Remodel ? Zoning R-d
2ND ADD
Parcel No Repair ? Type of Const. V 1 1 HR , T TN
. Addition ? No. Stories 3 SPRINK
? Name ROYAL OAK CIR LTD PARTNERSH"ve ? Length 1 g
i
Demolish ? 6
Depth
Address 1445 1ST AVF Nn Int.lmpr. ? Ft 40.200 (3 FLOORS)
Sq
o City F.A(:AN phone 201/ 35-40 1 Install ? .
13,400 (GARAGE)
o Name BOR-SON CON T Approvals Fees
i
$¢ Address Z001 Kill .BR .W DR Assessment Permit $ 3,060.50
" ciry MPLS pnone 854-8444 water&Sew. Surcharge 560.00
Police Pian Reviewl, 530.25
¢
?w Name CARLSON, MJORUD ARCH Fire SAC 1$,975.00
?? nddress 4915 W 35TH ST Eng WaterCon?3,200.00
a`W ciry MPLS phone 922-6677 .
Planner WaterMeter N A
I hereby acknowledge that I have read th is application and state that the
information is correct and agree to mply with all ap Nicable State of
Minnesota StaWtes and _ f E n Ordi "?. ?
Signature of Permitt?
A Building Permit is issued to: B R-SON CONST
all work shall be done in accordance with all apD?cable State of Min ese
Council
Bldg. On12/17/86
APC
Var.
RoadUnit 7•656.00
Tr.PI. 5,148.00
Parks N/A
Copies
Total $50,129.75
on the express condition that
and Ciry oi Eagan Ordinances.
Building
Thia rnqueat wld
18 monthe from
C _80337 ga.
ReqWnt Dete- Fire No. ?equiretl7 ?s?ection ??edy Nuw Q WIII Nmi}y. InsOec-
.? ?Yes ?No lor When Raudy
MIL cnnsed Elecirical Contrqctor I heraby raqueH IntDSetion of abovo
? Owner sleatrlcel work Installsd at: -
Sireet Addrees, Box or R ute No. CiiY
??0 9 ?ra
ection o. owne ip eme or o. enpe o. Counly /
(
OccupnntlPqlNTI P?one No.
N E?-
Power 5 ppliar - Addreas
Electricel Conlrector (COjmpeny Neme)! / Contruclorb Licnnse No.
?I7yIhPCafd ?/FUd-fa b3 2
Mellinp Atldresa ICont ector or Ownet Mek np Ingtailet onl
S ? a a a--
,1o
4
n
Autho ize Si natur
ract w er Makin Instelletian)
st (C nt r O
Pnane Number
_Sd7,? ,S- obd
MINN66TA STATE BOARD OF ELEC?ITY THIS INBPECTION REQUEST WILL NOT
Orlppa•MIAweV eldp. - Room N•781 BE ACCEPTED BY TME STATE BOARD
7827 Unlversitv Ave.. Bt. Paul. MN 86109 UNLE&S PROPEN INSPEC710N FEE IS
Phene 18121 892-0800 ENCLOSEO.
51710-7 REQUEST FOR ELECTRICAL INSPECTION ee.ooooi-os
Ii, See Instruelfons lor comDletinp :hla form on 6eak o1 vallow eopy. 73??5S
C _ 0'3 "%" Below Work Covered by 7his Request H purs-
AAd Rop• ? Typs ol Bulltllnp Apptlontaa Wlres EqulNmsnt Wired
Home flange Temparary Sorvice
Duplex Water Heater Li htin Fixtures
Apt. 8uilding Dryer Electric Hentin
ommercial Bldg. Fumace Silo Unloeder
Industrial BIA . Air Conditianer Bulk Milk T&nk
F8fR1 t nr Peci y t flr ISper,ify! E
I 9r 79-po-7 Y 1 Or Othor
ompute ns ection Fee Below
p Fee ServleaEntraneeSlse a Fee Feedsrs/8ubteeaars p Fee Cireuf[s
U to 200 Am s D to 30 qm s 0 tn 30 Am
Above 2_qmps 31 to 100 Amps 1 to 100 Am s
Swinvnin Pool
i
; Above 100_Am s Abov 100 Am
'
Transformers rn atian Booms P&rtial-'Oth
r Fe
a
igns pecial Inspection g ?
.
70 AL FEE
4-
e merks
/'J/, If I ,
/ I
Rouph-in n?a I, ths Eleetrlcel
a Insosator, hareby
i Final ?j pR ? eertify Ihet Ine nbow
izI ?..D.CtIDn lua been
t .??/.? mede.
TMO roouwt volE 16 months Iram
This requesl void
18 months fmm O O
D 41103 /9
n -7 (p 7 /
(?ic . ,? J ??• </? °`-?
Henuesi Daie ' Fire No. rcoupn-'n .ns.ecuo??
Repwretl? C]Ready Now Will Notify nspeo-
.r-_rlves ?NO tor whenPeaav
?LiCensed ElecVical Convactor I hareby requesliasPaction oi above
Melecirical wnrk installed et:
Owner
Street Address. Box or Foure No.
??O
City
c
ecUO?? o?
Towns?ip Name or No.
Ranae No. Coun
Ds?-f"? r?
Occ pant (PflINT)
c
GT ri ?7
Th t
r Phone No.
.
.
l,S
o ?S U r/ 2 a
Power SupOlier Address
,r
r? -;7
?
EI Irical Conva ior IComDanY Numel
cal /l?UC? s License No.
CoMrdrmr
Mailin9.4dJress IConhactor or Owner MakinB ??stailatioN
a'J.i??? ?? T //e i? LS" o o'i? Ji e./.t- ?/? 2
Aut?o?5?9??[ur Contra?f[o wner Making Installa?ion) Phnne Num?er h
U '
' ceT WI11 N(1T
MINNESOTp STATE 80D OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD
Gri09s-Midwey Bldg., Aoom N-791 UNLE55 PNOPEP INSPECTION FEE IS
1621 Universitv Ave.. St. Peul. MN 65104 ENCLOSED.
Phone 1612) 642-0800
ECTI ? ; SQUESTuFOR E LECT R?ICALg INSPo m onOteck ot va11ow .euv. EB-00001-06
D•4 xM3 'X" Selow Work Covered by 7his Request
HAd FeO. Type of 9uiltling Appliantes Wired Equipmant Wired
Home Range Ternporary Service
Duplex Water Heater Liyhtiny Pixhires
Apt. BuilAing Dryer Electnc HeaUn
Commercial 81dy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk T&nk
Farm OtneF oecifv Cther Ispoc,iyl
1 .r Snecify Other plh.r
Compu[e Inspection Fee Below
M Fae ServiceEmrenceSize H Fea Fenders/Subfeeders p Fee Circuits
0 to 200 Am 5 0 to 30 qm s 0 to 30 Am s
A6ove 200 qinpy 31 to 100 Amps 31 to 100 q s
Swimming Poal Above 100-Arnps Above 100_Amps
Transformers Irrlgation Booms Partial.'Other
Signs ? Sp cial Ins ection /
5 7
Ferryrk/V ?
./l _ .// . • / ,f,( _
?6 ?l. 0TAL F
/?/?? /
-.-.a/-?L„?/ai
RouBh-in Date
I,the Elactn
AR Inspector, hereby
carti?y that the above
Final ?7 inspection has
bean
n
.G maaa.
thie repuest voltl 10 montM from
This reouest void?/??/?.J
18 months Irom
D 41113
Remrest Uate
I Fir'e Np.
I NouPh-in Insuer.tion
fleQUi,ed?
E]ReaEy Now Q Will Nolify. Inspec-
?Yes ?No tor When Ready
p <!¢ensetl Elec[rical Contractor I hereby request inspaction ol abova
? Owner elecvical work installe0 ar112
Street AdCress, Box or Foute No. - v
7
'
"
9 .e?AA'W ^
-• y%
SW
ecuon o. Township Name or No. qange No. C ny
a4, e
Accupent (PqINT) Phone Nn.
-e OhSG/J GU/2 Jr
'fbwer SuoPlier Address
EI - ical ConVayp?r IComuanv Nay? ) CoMracmr's License No.
.?- fS?i.?,<.? C?Lc.?.• o
Mailinq AdJress IConvac[or or Owner Making Instailationl
':?
2
Auffior' fBnatw ? on ctor Owner MakinH Installntionl Phone Number
• y b-o?-o2
MINNESOTA STATE BOAPO OF EIECTHICITY THIS INSPECTION HEQUEST WILL NOT
Grig9s-Midwey Bldp. - Noom N-191 BE ACCEPTEO BY THE STqTE BOARD
1821 Unive,sitv Ava.. St Peul, MN 55106 UNLESS Pfl07EX INSPECTION FEE IS
Phone(6121642-0800 ENCLOSED.
,?//,?/1,? 7 REQUEST FOR ELECTRICAL INSPECTION ee-ooooio-oQs
1 Sea insLUCtions br cample[ing this form on back of yellow copy.
D- 41113 "X" §e1oW Work Covered by 7his Request
New Ade nao. Tvae ol suHaine ppolinncna Wi.ae En.iu.amt wired
Home Range Temporary Service
DUPIY.k Water Heater Lightiny Fixhues
Apt. BuilAinq Dryer Electric HeaLn
Commercial Bldy. Fumace Silo Unbader
InAustrial Bldg. Air ConditiOner Bulk Milk Tank
Farm ome, oei:i y -in«,. (soac:fv)
t,r SV??? Y Ot er Orher
Cntnpute lnspec[ion Fee Below
p Fea ServiceEntrencaSize H Fee Faetlers?Sabiexders N Fne Circuits
U to 200 qm s 0 to 30 Am s 0 m 30 Am
Above 200 qmp5 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 700_Amps Above 100_AmUs
Transiormers Irrigation &ooms PartialOther Fee
Signs Special Inspection g?
Gi TOTA
F
rks ?
L
EE
??(• ?/
flough-in / .,_-
,; ate 1,the Elecfricel
Insaac,o.. he.aby
certity that the abova
Final "
_. ?. ?
I
Um
/p../'??
inspection has baen
nyaae. ?
TMn rapuest voitl 18 monUie lrom ( -/??,/
?T
Thimonths i,om itl 7 ?..?.i 70
? 92280 ??`31?7 5 ? , ?.? .?v?
,G/, I.4. ??-..1a? [?,? C'e.i?. .?`nQ GG
Aequest Oate
q (??
7
°-
? - Fire No. pouah-in Inspection
ReOwredi
?Feady Nuw DWill Notitv Insuec-
m
Wh
H
O
o ?Ves ?NO r
en
eedy
ErUcensetl Electncal Contractor 1 hereby reques< inspection of above
? Owner electricel work installed et:
S
vedt Address, Box or Home No. Ciiy
Q
6' ?e2- ?J?D9 ?EDc.eaG ?2iJc? L'ffc?/+^?
ecU o• Tawnship Name or No. Nange o. Cowny
D-41-5-16 i<Y
Occupant (PHINT)
e Phone Nn.
'
'qyAC dA? 2L'I,E
Pow
e
r Sup
0lier Adtlress
?
"
?
r
'J?A/f0%A G/EET/1/C ??2/l7/N ?ON , l,"N
Elactri al Cont actor ICompanv Namal Contrar.mr's lfcense No.
. EO
MailinB Address (COntractor w Owner Makine lnstailation)
?3a,3 / rH u U
Auffiori or? wner
ff
r
i?-
MINNESOTA STATE B RD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Grippe-MiAway 81dg. - Room N-791 BE ACCEPTED BY THE STqTE BOARD
1821 4nivereitv Ave.. 5t. Peul, MN 56106 UNLESS PROPER INSPECTION FEE IS
Phone 16121 644-0800 ENCLOSED.
,l;// G ?'7 REQUEST FOR ELECTRICAI INSPECTION es-ooooi/-?os
/ 3 n ? See instruoiions foPcomOletiny lhis fwm an back oi. yellow copv ?W? "'
/ ?
"'R" Below Work Covered by This Request 7' ? S
Ne4 AAd Rao. Tvae ot 8uilCing AoDliences Wired Equiumant Wired
Home ' Range $Bulk mporary Service
Duplex Water Heater ghtinFixtures
Apt. BuilAing Dryer ectnc Heaun
Commercial Bldg. Furnace lo Unloader
Industrial BIA1l Afr Conditioner Milk Tenk
p Fea ServiceEntrancaSixe p Fee Feadars/SubieeCera # Fee Clrcuits
U to 200 qm s 0 to 30 qm s ? fS? 0 tn 30 Am s
p Above 20 mpy 3 31 to 700 Ainps aAO• 31 to 100 Amps
Swimming Pool a .to Above 1004704?Am s Above 700_Am '
Transrormers rngation Booms ., Pertial-'Other Fee
I' L .1 Signs ISUecial Inspection ?S`r
??rtarks ?7 TOTAL F
r,4/-ur7
""d"-"' I, the Elecuical
• ? u Insoactor. Aereby
r rortily thet the »bove
IFi^al /_f 4,14 insoection hes been
AA11 mede. I
vole 78 monlhe Irom
:
?
?
?
3 5o q
379 57 6 S7
o8a ??qd?
-------
,5.5 I3 ?e." 6? •
.3 7 g 576 5?
o So b ?9 Q6
? kOA
7
37 g 376 55
0 806 ?? l9
q,? ?
oo-, r
?
378 574,s? "
q 935
?4? b .
,3 5a1
07 8 -?; 7? 5 ?
0 ?06 4 747
,'•' ? ? ?
1986 HOII.DING PERlQT APPLICATION - CITY OF SAGAN
NOTE: ALL CDNTRACT09S MOST BS LICBNSSD iiITH THS CITY OF 66G9N
SIBGLE FApIILY DiIELLING3
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOLTIPLS DiiSLLIAGS - EBSIDENTIAL
INCLUDE 2 SETS OE PLANS, CER
1 SET OE BNERGY CALCULATIONS
RENTAL UNITS FOE SAL6 ONITS
OF SIIRO6Y - CHECB BITH BLDG. DEPT.9
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: APT• f3LbC7. Valuation:
Site Address 3509 FEDfaRpI.. DP,
r.ot I siock Z 2,?
Pareel/Sub pqrtNuciC jf?,4-0Q
Owner 4?&c nA+t G& C 74 AA7'40k. st,4 ?
Address /yVS-- f4?E' Nb
City/Zip Code ?Ate!;2v
Phone 701- 2-3S
Contraetor ?jD?Z.Se? C?b?s?
Address 2-00(
City/Zip Code llk{aL s_
Phone V j -y - r7 ZZ
Arch./Engr.C"iy%Rui
Address W 3$ Z?e57
City/Zip Code _/wGS
Phone # 9 Zz -&G 77
15 1, 000 Date: JJ L S- - PL
Erect ? Occupancy KI 6i
Remodel Zoning R d
Repair _ Type oF ConstZZIH?
Addition # of Stories 3
_
Move _ Length 1(0117
Demolish Depth q(?
Int.Impr. _ Sq Ft(Ft2s.1-3) ?
Iqstall 13,4X>
APPEOVAI.4 FEES
Assessments
Permit ?
=(,o -
Water/Sewer Surcharge Sfoo.
Police Plan Review 1$30. zs
Fire xSAC I'I?qlS,
Engr Water Conn 13LLO.
Planner Water Meter
Coune3l Road IInit "IG,Sfo
Bldg Off Treatment Pl _ 5I ,+j5_
APC Parks t4p
Variance Copies
YOTAi.
p.AuK.
NOTS: ADDRESSSS FOR CORNER LO?S - CONTRACTOR/HOMEOiiAER MDST DESIGNATE {iSICH ADDRESS
13 DESIRED. NO CHANGFS WILL BE ALLpi1ED ONCB BIIILDZNG PERMI'I IS ISSIIED.
CiTY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
F*TOTF: PAYMFsRP OF FEE AT TIME pF
F APPLscrTIoN DOEs Wm corsriUM
? APPROVAL OF PERNIIT.
` nNsPncriorr oF sEVM Anro/Cx MM
; rnR+rar.r,nmroNS WIId. N(YP BE SCHED-
: [LID UNTIZL PII2NIIT AAS BEQN
: APPR0M.
1) PROPERTY ADDRESS: 35- Q c I ._
LEGAL DESCRIPTION: ,@ Q{ ' ••-
Lot Block Subdivision or Tax Parcel ID
IF EXISTII'G ?'"TRCCIS7RE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE:
;
.
PRFSENP ZONING/pROPOSID C?SE: (mon Year)
? CQn7ERCIAL/RETFIIL/OFFICE
0 IDIDL'STRIpi,
Q INSTI7-'TIONAL/GOVERNMgS7T
2) NAPE.
ADDRESS;
CITY, STILTE, ZIP:
PAONE:
0 R-1 SINGLE FArIILY
? R-2 DCPLEX (7wo Units)
? R-3 7UWDIIiOUSE (Three + L7nits ) ( IInits )
R-4 APARTYNENT/COAIDDMINIDNI Uhits)
`
• 3) ' ?: ?• - IVAI„E._ For City Use .
Plimibers License:
?ADDRFSS: Active
i CI17, STATE, ZIP: Expired
. Not recorded
PHONE: MASTER LICETISE#
St?Intial
¢) **_*Dywujr0!,LL iag - . , ; . a °.
rAME; L ? a o D?, s s:c? o J CITY. STATE, 2IP: PHONE:- ? ? ? p J
5) ? r• Mr• • 21• : a • a. - ?i
BCON[gX..TION 7U CITY SE,'WER Gj/CpNN1rTION M C2TY WATII2
0 OTBER .
6) jffu • ? -
r
NoU P-
PLEASE HOLD APPROVID pIIPMT FC)R PICK-UP BY ONE OF AHOVE
PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, IBpVE
. (Circle one)
TOR CITY USE 4NLY
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ /O -,S ?
$ $
$ ?? $
$ $
$ $
$ $ ?
$
?
g? b$/?, ,n.flD $
$ l?'97S ov s
$ $
$ $
--$ $ _
$ $
$ $
SEWER PERMIT (INCLDDE SLRCHARGE)
WATER PERMIT (INCLDDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLCDE CORPORATION STOP)
SEWER TAP
ACCOONT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
$_ .J 7, 3Z 3.6o $ TOTAL
. / "7-/? ?
RECEIPT ? RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CbNDITI0N5:
APPROVED BY:
TITLE:
DATE : ! ? IP,7
? CONTRAC70 TERIAL & TEST CERTiFICATE
?
PARTS A& C- SPRINKLER-& WA1eFi SPRP,V ABOVEGROUNO PiPING (Fill Out SePerate Certificate For Each. Hiserl
PROCEDURE -
IFISPECTION ANDTE5T5 SHAI_L BE MADE 9Y THE CONTqACTOft'S REVRESENTATIVE ANO WITNESSED 8Y
UGON COMVLETION OF WORK
'
,
S MEN
AN'OWNE(3'S HEPRESENTATIVE.ALf. OEFE4'r5 SHALL HE CORRECTED AND SVSTEM LEFT IN SENVICE BEFORE CONTfiAGTOR
FINAIW LEA^/@ THE JOB.
ACERTIFICATE SHpLL BE'FILIED OUT'ANQ 51GNE0'OV'BOTH REVqESENTATIVES: COVIESSHALL'0E`PfiEVAREbFOR AGPROVING
OWNERS:\ND:GONTRACT0f3: 'ITAS VNO7A5T00O THE'OWNER'S FEPFESENTATIVE'S SIGNATUR@ IN NO WAV GFEJ-
At1TNOAITtES
'
,
COMVI..V.WITM APp
'UOICES ANY-CtAIM'AGf.iNST'CONT0.ACTOR'FOH`FHUL7Y'MATERIAC, POOP-WORKMANSNIROH:FAILURE:TO
PROVING AUl'HORITY'S REOUIREMENTS OR LOCAI OROINANCES. -
PqOPERTY NAME OATE
_?QY?S2? Aars - ° z8 F3?
PROPERTV AODAE55
? -2- q 16rJE2AL ?? -
ACCEPTEti e`/ APPqOVING AUTHOf11TV(•S) NAMES ,
tS
AOORE55
? "L.ANS
? INSTAILATIOH CONFORMS TO ACCEPTEO PlANS: `/ES NO G
NO O
EQUIPMENT ViF_O IS APPROVEp VES .
? IF ND.STATE DHVIATIONS
_-
HAS PERSOfY IN CHARGE 9P FIRE EQUIPMEN7 BEEN INSTRUCTED AS TO LOCATION
OF CONTROL VALV£5 ANO CARi: OF THIS NEW EQVIPMENT7 YES Nd 0
IF YES, GIVE NAME IF NO, EX41_411V; .,, . .
N
INSTRUG -
-- -
??
?
7
V
TIONS HAV E COPIES OG APPNOPRIAT6 INST(iUCTIONS AND CAHE AND MAINTENHNCE /
NO ?
VES W
CHAATS ANO NPPA 17A BEEN LEFT ON. PREMISE57
' Ip YES, GIVE NAME IF NO, E%RLi111V. . . - ' . .
MVOFOSTATICr HydrosSatlt tes0f sP,:;31 DO mI dL nat Issf thin 200 P91 (13•6 Difsi IW two hOUta oI 50 P5f (3A barf)
.. aoove aiatle ornsure In excws of 150 P51 (10.3 bcss). oiftetentlat 6ry•Ptps vNw c1aPOMS u+alf M tntt oMn Quriny tst t4
TE$T Prewnt dama9a All etrw"roued Rt:•fn9 Ieaka9o shall W atoPPOd. "
DESCHP-
TION I`NEUMATIG Ezbblbb 40 P5I (2•8 bsrs) alr Or4ssuio anC mufute CrOV 'Mhi« 3hi1f nat exceeri 1N PSI (0•1 bar4) M 34
I+oun. Tatt Drassure tank$ at normsf ::3t- r Invel an0 air Presfun and masfun alr pnssure OroR Wbl<h sYall mt oxceM 14a
. P51 (0.1 ban) in 29 howf. -
FiVOROSTATIC: AlL PIPING.
TESTS PNEIJMHTf: ORV PIPING ORAIN
PEQUIRED EOUIPMERl OPERATIONi ALI.
?
SEfiVES OLSSGS: ?--
LOCATION
MAKE MODE4 SIZE' DUANTITV TEMVEAA7UAE AP.TINC
1
SPRINKL£RS
7
OF L? Lti
X?]sas ,
f X y- t- , ?? , 6 -
SPRAV .
_ /-----
NOZZI_ES
MA7ERIAL ANO KIND :OMFDRMS TO ? I?- A6 L(+atil STANOAP.D
PIPE ANO iF NONE, EXPLAI:J
FITTINGS .
? A L A R M O E V IC-. - MAXlMUMTIME 70 OPERATE THFIOVGH 7EST PIPE
SEC
ALAftM VALVE TYPE MAY.E MOOEL MiN. .
_
jI OR FLOW
V • ??
I INOICATOR
K.11n. rv.v. 10549
FORM 85 AC. REVISEO AvRlt. aviy ?••n•7c•+ ?i•••..•.••• •?-••.•r•? •- .-..•..._.• .". _
- OAERATI NG 7EST AESULTS:
TIME TO 7NIP TIP TIME WATER AViFM
MAKE MODEL SER THROUGH TEST GIVE WATER AIR ppINT PEACMEO OPERATEO
ORY .
N? WITHOVT WITH PqE55. PRE55. pRAIR E55
TEST TIEF
OU
PRO?ERL`? '
. , a. o. o. a. o. o. .
PtPE M1N. SEC. MIN. SEC. P.S.1. P.S.B. 0.5.1. MiN. SEC. YES NO ,
VqLVES
I
IF NO, EXPIAIN
I OVERATION PNEUMATIC 0 EIECTRIC ? HYORAULIC ?
? PIVING SVPEBVISED: YES O- NO ? DETECTIN6 MEOIA SuPEliV15E0: YES ? NO ,
?OESVAIVEOPERATEFROMTHEMANUALTRIPANO/OR0.EMOTECONTFOLSTATIONST YES ? NO
DELUGE
IS THERE AN ACCE5519LE FAC1LITY IN EACH CIRCUIT FOR TESTIN6T YES C3 No
&
IF NO. EXPl.A1N
PREACTION ..
VA W ES - Does Eacn ClrcWt opnaSe Ooas each Circuit Opents Maximum Time ??,
[e Release
r
O
MpOEL - Su rvision Lost Alarm7 VaWe Felease? ,
e
a
MAKE YES NO YES
NO
MIN.
SEC
ALL PIPINQ MVOHOSTATICALLV TESTED AT Z-00 -75I FON ? HOURS
0
ORV PIPING PNEUMATICALLV TESTEOi YES ? NO
Q NO (3
' EQUIPMENT OPERATES PROPERL`/: . YES
IF NO. STATE REASON
TESTS
NESIOUAL PRESSU0.E WITH VAIVE
OHAIN TEST: 0.EAOIN6 OF CAGE LOCATED
' TEST PIPE OPEN WIOQ
NEAN WATER SUPiLr TEST PIGE:
P51
? STATIC PnE55UpE PSI
NUMBER VSEO LOCATIONS NVMBER PEMOVED
TEST BLANKS - ,
YES NO ?
. WELOEUPIPINO . .
. .
IR YES... .
R
EOO F,
V WVATME
00 VOV CERTIFY AS TME SPqINKLER CONTRACTOR THA7 WEIOING PROCEOURES COM E
.
- O
r
?
MENT9 OF AWS 010.9. LEVEL A0.•3T
V THAT TNE wEIOW(i wA5 PERFORMEO BY WELDERS QUALIPIEG 1N COMPL NCE WITH TN
'
WELOING DO 1
OU CEf3TIF
YES NO ?
REQUIqEMENTS OF AWS 010.9, LEVEL. AR37 .
. pINO WAS CA0.RIHD OUT IN COM7l1ANCE WITM AOOCVMENTEO QUNLtTY COt'
OO YOU CERTIFY TNAT WHI
Tr
.
PROCEOUftE 70 INSURE THAT ALL OISCS A0.E HE?FIEVED. THAT OPENINOS IN PIVtNG yRE SMOO
TNOI
G
.
THAT SLA(3 ArvD OTMER WELDINQ RESIDUE AFE REMOVEO. ANO 7HAT TME INTERNAL?p1 FIMETEf15
E NO Q
i1PIN6 ARE NOT PENETRATEOT ' YES
OATE I,EFT IN SERVICE WITii ALL CONTROL VALVES OPENx
FEMARKS
NAME OF SPNINKIER CONTRACTOR
L -
FOA PROPERTV OWNEN (516NE0) TITLE
SIGNATURES
F'Ofi SGRiNKLER CONTRACTON ($IGNEO)
TE5T5 w1TNE55E0 9V ?.i/ ??U EJ ?iC ?/ [.?' TITLE OATE 7-7-1
AODITIONAL EXPI,ANP710N5 AND NOTES
7/
A-° _
!4?10 T0: TOM COLBERT, DIRECTOR OF PDBLIC WOASS
JIIM STORli, PLANNING DEPARTlfENT
HILL AgINS, II.ECTRICAL IHSPECTOE
CRAIG SNUASEN, FNGIHEERING TECH
FROM: DOIIG REID, BIIILDING IHSPECPIOHS DEPT
DATE: /0117/9?'f
The Proteetive Inspections Department wtll be performing a final inspection
f o r o c c u p a n c y o n
7 y?leoLa?ra.Q ?ru?v?C?
/???zl??? 35 03, 04, i 3, l5, 17, i 9, e2 ; a 3
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It will be
each departments responsibility to contact the construction firm with
necessary requirements before final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
APPROVAL: DENIAL:
(SIGNATURE & DATE) (SIGNATUAE & DATE)
CqSH RECEIPT j
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
oqre / -/7 19
wecelvEV 1 A
AMOUN7 $ 76a I o0
& ? 6 LL3 g
..,
? CASH ?--CfiECK
.oR
. „
' V2 7 5 6 7 9 White-PaYen CoOY
Vellaw-Postin9 coPY
Pink-File Copy
?l
?
3 S o 9,?? aP 4-+ -
3s / 3 A .
? g5 s' a g 6?, 7 J
?, ? . ?F o a I ? ? 5S ?
Thank Y9u BY /p ???
106a8/
2004 CONLVIERCIAL PLUiMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
`J0 -SD
Date Ll
Site Address 3 S(7?'"( FF- iae ZA- +-- D r ? Unit #
Tenant Name F-04It 1- QN'1-5 f t-? T Former Tenant Name
Property Owner Ru4m? C)?? 5 Telephone #( )
Coutractor ND 2Tj-} ujz- nt??l A4 gC--N'
Address a S' CA 1'no2F-- S+ N 19- S'T'- c,ty 5 -f - 1P/tO ?-
State Zip ?/ 1 Telephone #(CP5 f ) 37 U
The Applicant is _ Owner Contractor _ Other
R'ork Type New Bldg Add-on ?Repair RPZ PVB _ Irrigation system *
" Rain sensors rc uired. Aer Wobschall to calculate fees.
Description of Work ? ( R IE_ p- ? ?? k Q-,
To inquire if Pressure Reducing Valve is required on new service, caI1651-675-5646
Meters - Call 651-675-5300 ro verify that hydrostatiq conductivity, and bacteria tests passed prior to oickine u o meter.
Irrigation Size & Type Avg GPM 2" nubo req'd unless small er size allowed by Public Works
Fire Size & Price 3/4" disnlacement $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)
Conhact Value $ x 1% = S Base Fee
$ Meter(s)
Required on all new buildings & boulevard irtication systems $ Radio Meter Read
If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge
If 6aze fee is over $1,000, surcharge is $.50 per $1,000 of [he Base Fee
?
Following fees apply only when instaliing new irrigation system ? w $ Water Permit
ComactJrnyWobsehall at651fi75-5024forrequiredfee 0,70 J ^ ? o T ?
Treatrnent Plant
S EP 2 0 2004 Water Supply & Storage
State Surcharge
----------- ----------------------------
-------------------------------------------------------- -------------
? • ? ?
-------------------------------------
Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the infortnarion is complete and accurate; that the work will be in
conformance with the ordinances and codes of [he City of Eagan and wi[h the Plumbing Codes; that I understand this is not a permit, but only an
application for a permit, d work is not to start without a pemut; that [he work will be in accordance with the approved plan in the case of work
which r ires a review d approval of plans.
?/(Jf G_L._f .? d
ApplicanYs P' ed Namc ApplicanPs Signamre
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: 3 e 9-'1 ?( , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00
• RPZ's must be rebuilt every five yeazs. A minimum fee permit per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter.
METERS REpUIRING A 4-HOUR ADVANCE NOTICF. PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-I/2" irrigation syst $ 788.00
displacement sm commercia] turbine** roust receive
maximum
approvxl
continuous
10 from Public
Works °
2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00
maximum displacement residential &
contimrous sm commercial production lines
IS
3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00
bldg to 24 uni[s 65 uniu
maximum sm commercial &
concinuous & Ig comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $488.00
maximum displacement &
continuous most comm bldgs
50
MF.TERS REOUIRINC 30-DAY ADVANCE NOTICF. PRIOR TO PiCK UP
GPM ]NETBRS USE PR[CE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs 3c $3,749.00
syst & prodnction very (g comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00
very Ig comm bldgs vcry Ig comm bldgs
15-I000 d" turbine vcry Ig irrigation $2,384.00
syst
& production lines
Comments
• To schedule inspection ofthe inside water line and backflow preventer, call 651-675-5675.
• To azrange for water turn-on, call 651-675-5300.
ec: Main[enance Division Clerical Technician Updated 5/04
?Llaa y t S
Z004 COMMERCIAL BUILDING PERMIT APPLICATION
City OfEagan ?
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
• Structural Plans (2) sets • Archkectural Plans (2) sets • Architectural Plans (Z) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (t)
. Project Specs (1) • Code Anah/sis (1) " • Master Exit Plan (t)
• Spec. Insp. & Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always°
• Meter size must be established . Meter size must be established • Mefer size must be established-H applicable
1 . PmjectSpecs (1)
d . EnergyCalculations (1)
1 • Electric Power 8 Lighting Fortn (1)
1 • Master Exit Plan (1) 1
d • Emergency Response Site Plan (1)
1 . Soils Report (1) 1
• SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC detertnination - call 651-602-1000
Call MN Dcpt of Health at 651-215-0700 for details regarding food & beverage or lodging facilities.
** Contact I3uilding Inspections for sample and if required when it states "not always".
**• Permi[ for new building or addition will nol be processed wi[hou[ Emergency Response Site Plan.
s
&
0`-/ )
oac
/
l
Date ?
Construction Cost
Site Address 3 5 oc( F?.,&e,?t 0v i Ue- UniUSte #
?
Tenant Name Former Tenant Name
Description of Work A5 per PiGin$ -+ SGoiOL.
PropertyGwner !`CS igc? r"ti A Telephone #(6Sl ) 6gFl' 683 (?
Contractor ?tku? t`'L'"^ CO""l p ?'-? I c 1
Address ?6SkJ ffu-pSAi-L 4v2. S , ?"(UV City
State MN Zip Telephone q(qS4)"?°1.?
Arch/Engr J -? pLT-22.`c Registration # cc 71 3
Address ¢Co it? f?'3% F3s'Ctp 'l?GEs ,9"`s-G cih, 3e-vCc-l..c'
State Zip Telepho f!%S -7 "r-?
Licensed plumber installing new sewer/water service: P e#:
[k3y 1
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
SL'a? M .Hd1 t,-
Applicant's Printed Name ApplicanPs Signature
OFFICE USE ONLY
Sub Types
C 01 Foundation
'te-14 Apardnents
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
C 26 Public Facility ? 30 Accessory Building
I ? 32 Ext Alt-Apartments
? 28 Greenhouse ? 34 Ext Alt-Commercial
? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) X 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Vaiuation 1-715-f 0 00 !!?
Census Code ie/3 yp S
SAC Units - ? '-'
Nbr. of Units .3
Nbr. of Bldgs ?
Type of Const v ' A,
Occupancy MCES System ?
Zoning f " 'T City Water ?
Stories 8ooster Pump
Sq. Ft. PRV T
Length FireSprinklered No
Width
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice Pr _ Decking _ Insul
V/ Framing
_ Fueplace _ R.I. _ Air Test _ Final
? Insulation
V-'Final/C.O.
FinaUNo C.O.
Other
Final _ Pool Ftgs Air/Gas Tests _ Fina]
_ Siding _ Stucco _ Stone
_ Windows
Approved By: Planning C6R'`(TBuilding Inspector
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
s'I
(P (P'a'?? 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc commercial/indus[rial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
1;;?
a Ibfl.?
Date-I _/ .2 /-P-Y
Site Street Address 3589 Unit # G'
Tenant Name (if applicable) Previous Tenant Name
Property Owner ?
0 Telep6one #( Qsy, ) 9,'I?e - i!757
Contractor
Sheet Address ?,?
CitY
State 2?'jn/ Zip SS?aZ Telephone# (6S1 ) oagg- 9.0v
Bond #: Expires:
The Applicant I ? Contractor _ Other
y
}
`
WorkTYPe
?D
? 2?04
?
SEP
New Cons tion Underground Tank _ Install _Remove *"see below
Interior Imp ovement Install Piping _Processed _Gas
n
Nature of Work: 8? S'%? ?_ Y,..Ak 6G-a-i
"When installing/removing underground lank, cafl for inspection by Fire Marshaf and Plumbing Inspector
P¢Pml[ F¢¢S: $70.50 Underground [ank installa[iDn/removal
$50.50 Minimum (includes State Surcharge) $,
or
ContractValue $ /a,AcoD
x 1% _ $ /dd. PermitFee
• If ep rmit fee is $1,000 or less, add $.50 oc,
? $ ?Sqtate Suroharge
If pe rmit fee is over $1,000, add $.50 for
l F
/G6 y ot
every $1,000 oe rmit fee a
ee
$
I hereby;apply for a Commercial Mechanical 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 Mechanical Codes; 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.
?IF f(2 TA 0 ElZ 'D,,? `7;,•. ,
Applicant's Printed Name Applicant'S Signature
JI1-
Approved By: Inspec[or Date:
10A
2006 COMMERCIAL PLUMBING rERMIT nrrLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN 1VIN 55122
651-675-5675
Date 7 / ,25 /OG ?
Site Address 3,5CD9 Fcroi t--e-a I C)lr Unit #
Tenant Name ay- Former Tenant Name
Property Owner ?_? ) paL Telephone # (r?51 ) ?$$ r ?ogJ? ro
?
Contractor I bC?r4 fn eCbdo' Ccg) C'On4r-dc4OCS
Address S) Lc> '-7G-`-k '?"j+- Gity7-:- (A ! Ll d
State (n Iv Zip 5E5 Lj_-? S Telephone # ff.S4 $.3 S - 3 3) n
License #Ry 0 0 P jYl Expires: i a l31 I a-OOro
The Applicant is _ pwner ? Conhactor _ Other
Work Type New Bldg._ Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement?
lRP2 _ PVB: New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are re uired on irriation s stems
Description of Work =-1'??4,:;l I ! AD e W R PZ or ?o? ?e?-tE? 5?Y1 /ab?-{Hi^Iq
To inquim if Pressure Reducing Valve is required on new service, ca11651-675-5646
Meters - Call 651-675-5300 to verify that hydrosTa[ic, cond.ucRvity, and bacteria tests passed prior to oickin¢ up meter.
Irrigation Siu & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Siae & Price 3/4" meter 167.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.$0 minimum (includes State Surcharge)
Convact Value $ y SC) dc?' x 1% = $ ?i0 . 00 Permit Fee
$ Meter(s)
Required on all new buildings & boulevazd irrieation svstems ' $ Radio Meter Read
$ i State Surcharge
If oerrttit £ee is Iess than SI,000, surCharge is $.50
- If nennit fec is more than $1,000, surc6arge is 5.50 for each 57,000 owed.
- ----------------------- - C ______ _
Following fees apply when installing new lawn irngation system a Water Petmit
Call the City's Engineering Departnent, 651-675-5646, for required fee amounts ?
? ? ? n n11 ? $ Treahnent Plant
n $ Water Supply & Storage
IJ U JuL 31 ?nnF $ State Surcharge
$ SQ Total Fee
I hcreby apply for a Commercial Plumbing Pe2nit and acknowledge that the information is complete and aaurate; that the work will be in wnfirmance with the
ordinances and codes of the CiTy of Eagan and with the Plumbing Codes; that I understand fhis is no[ a pennit, but only en application for a permit, and work is not m
start without a pemit that the work will be in accordance with the appioved plan in the case of work which rcquires a Feview aod approvat of ptans.
P?-}-rn ?? a O r m a
ApplicanYsPrintedName ApplicanYsSignamre
5 -qCo `5O1
lu‘Asot°'
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(851) 675-5675 I MD: (651) 454-8535 I FAX: (651) 675-5694
Email: buildinainsnecti0nstalcitvofeagan.com
Plan Submittal: eolansec1tyofeaaan.com
Permit #:
Permit Fee:
Staff.
Payment Recvd: Yes No
Plans: _ Electronic Paper
2020 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: 6-30-20 Site Address: 3509 Federal Drive
Tenant Royal Oaks
Suite #:
Or 147
Name: Phone:
Name: D&D Anderson Heating & Plumbing, Inc. License #: PC001498
Address: 5075 305th Lane NW city: Cambridge
Phone:763-444-5383 Email: ddand@mninter.net
New Construction Addition Modify Space
✓ Replacement Repair Rebuild Work in Right -Of -Way
Description of work: Replace existing water softener with new unit
state: MN zip: 55008
Inigation System ( yes l no) L_ RPZ 1 PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meter Required — Call Utilities at (651) 675-5200 to verity tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Average GPM High demand devices? _Yes No Fluehometers Yes _No
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit (includes State Surcharge)
Surcharge = Contract Value x 50,0005
If the project valuation Is over $1 milfon, please call City for Surcharge
The following fees may apply when Installing a new lawn irrigation system or
connecting a new water service.
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts.
Contract Value $ 4016.00
$ 60.24
$ 2.01
$ 62.25
x.015
Permit Fee
Surcharge
TOTAL FEE
$ Water Permit
$ Treatment Plant
$ Meter Fee
$ Radio Read
$ State Surcharge
_ $62.25 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.cltvofeaoan,conmleubscrtbe.
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 of plans.
XDale Anderson
Applicant's Printed Name
Applicant's Signature
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