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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 Page 1 of 4 1 (,)-2-rs Page 2 of 4