The URL can be used to link to this page

3513 Federal Dr Use BLUE or BLACK Ink - - City of Eajan I Permit # C I - I I Permit Fee: 3830 Pilot Knob Road REC -fiu r) I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 7 ~Oll I Staff: Fax: (651) 675-5694 G 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: ~1C • J Site Address: 35 Tenant: `20!ACL CO-V-t S Suite M PROPERTY , OWNER Name\~n Phone: CONTRACTOR Nam License Address: -1 Al r)0-- City: State: Mtj Zip: _C L) 2 Phone: ~12.s22-l9g Email TYPE OF _ New _ Replacement - Repair Rebuild _ Modify Space - Work in R.O.W. WORK Description of work: 9ebV,;j1-e P,02- 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: ~~--hh $55.00 Minimum (includes State Surcharge) OR Contract value $ ~ of X1% = $_,5D•60 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 P-5.,00 (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 $ 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.oogherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be i4confo ance with the o rdinances 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 staa permit; that the work will be in accordance with the approved pla n te case work which requires a review and approval of plans. x Applic 's rinted Name At'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 SITE ADDRESS Unit # Permit B ? Sect/Sub. X-7 ? IMSPECTIOM DATE IN8PECTOR OTHER FRJIMIN6 -7-s--tr? C-T. 3? ?.r r Fs. ROU6H PL86. ROU6H HT6. IM8UL 7?/J%l? . 3 r aJ? RREPLACE flruu IIrs. FINAL PLBG. UNIT FINAL CERT/OCC INSPECTION DATE INSPECTOR COMMENTS . .+ CITY OF EAGAN Q e? ,?n ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERIhiT 3 3 t 1, PHONE: 454-8100 - U , f? ? . I I T Receipt # To be wed tor A'"?' -BL>>G- Es t. Value $1, 151, 0 UQ6ate DECF:MBE Site Address ' 5 L? ?' c:D? ?il:', -3i, I VE 41 / EreCt L' OCCUpanCy Lot - Block 1 Sec/Sub. RO Y AL OAK C I R Remodel ? Zoning- Parcel No. 2;V D ADD Repair ? Type of Coi Addition ? No. Stories a Name -c?)'?'tLt:, ?}A.C `, iA L TD PARTNERSHIlove ? Length- 3 F ti0 1ST AV Demolish ? Depth- Addre ° City . , ss 701/235-4031 Int. Impr_ ? Phone Install ? Sq. Fr 40 13 o Name - S(?id COr1ST Approvals = ?< Addre ss ' ? i t` ILLF•B1iHW Assessmen t City Phone 854-84 44 Water & Sew. ?¢ ? W Name- _z ? a Address ? W CiN ? ARCA Fire I hereby acknowledge that I have read this applica information is correct and agree to compiy with ?J pp ?j Minnesota Statutes and Ciri of Eaaan?Otdinane.?. .?1 /%1 i Signature 17 ,,, 86 FLOOxs) Fees Permit $ 3,060.50 Surcharge 560.00 Plan Reviev? t 530.25 ? SAC 18,975.00 Water Co? ?2 0 0. 0 0 Water Meter '`? A Road Unit 7,656.00 Tr. PI. 5,148.00 COpie I29 ? Total , ' `' A Building Permit is issued to: °"?-°Vi• `'•`"r? 1 on the express condi6on that all work shall be done in accordance with ail applicable State of Minnesota STatuies and Ciry of Eagan Ordinances. Building Official Planner Council tion and state that the gldg. Off.l2/l7/8i a a licable S e of PwmR No. Parmk Nolda Dda TNsphorw N Plumbiny ' 3? M.Y:A.C. C/ ,? , ? ?? %?G•??7 electdc '/• ? i ?2?/ ? ?'??7 - linpeetlon Dee Imp. ComrtMnb FooUngs I Footlnys II FoundaNOn Fnminy -3rd jrlcs ( 3?. /+' • 7 / ? /J /? ???i1?/ L'- ? Rooflng Rouqh Plby. "1 ?? -? ?d • ?S ? //?o . Rouyh H19• Ingul. 3^'? fl#W Finplace -,,P 7 ? Final FNq. ? Final Pibp. - ? &dy. Final Cerl. OcC. /0 oz_ i 7 C-? ! ?-?o Deek Fty. Deek Frnp. w.ll 2 y-07- P..? Pr. DbP• z y- 1? " ?'??? ., ;. MECHANICAL PERMIT CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 IACT PRICE: PHONE! 454.111e0 PERMIT # RECEIPT # DATE Site Address JS U f4?"A-' II BLDG. TYpE Name SEDGWICK HTG. & AIR CONQ. C0. Res' m ? Address 8910 WENTWORTH AVE. S0. Mult Comm. c City APOLIS , jj&1;5420 ahw _ Nekne c Addre p3 CitY - TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU VeM. ? CFM Gas Piping Outlets # Other FEE A* r /s'r 5 S/C: TOTAL• , ,> rt 44_?-A ?•a-.:-? -- ? WORK DESCRIPTION New U' 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 - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONQ $1,000.00) i ? f. SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN r 9 # ?1 PERMIT / , • , , , MECHANICAL PERMIT 7 RECEIPT # ? ' ` CITY OF EAGAN ?. OQ Q r 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -S -7 CONTRACT PRICE: PHONE: 454-8100 Site Address ? " BLDG. TYPE WORK D ION Lot Block , x= Sec/Sub ? Res. New Name z Muft Add-on kl? m Comm. l Repair ? Address c City Phone ? ?h? " j FEES ? Name le RES HVAC 0 00 M BTU 2 00 c Addres •. . 4. -1 -$ ADDITIONAL 50 M B7U - 6.00 O City Phone ? - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUT M ' LETS {MINI UM - 1 PER PERMI T) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air BTU U 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 g (ADD $.50 5/C IF PERMIT PRICE GOES Gas PiPin9 Outlets # ? BEYOND $1,000) Other FEE: ? S/C: SIGNATURE OF,PERMITTEE ? TOTAL: . `- J j FOR: CITY OF EAGAN .y??s =' 87 ?. ?l. ?'.?..?.?/.???.. . ?`? ?????`a-C? •. y-.?-?? ?. ?( . u--? ,?„? ? ??, ?Q',??-?2 C ?`?c. ? ?`-- ?3 - ?> ? •7`? ? ?S/ ? .//I `?' ?---?` - c?,?,?,,?.a;? :?-1?„?,a?? 6 , CONTRACT I Site Address Lot ? Name• m Addre: c City _{ Name c Addre: 3 0 Ciry - ' PERMIT # a C ?2 ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN pb Q 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f3 PHONE: 454-8100 Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT, BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RE5IDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES I FOR: CITY OF EAGAN L BLDG. TYPE WORK DESCRIPTION Res. New ? Mult. Add-on Comm. X Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL s Water Closet - $3.00 $ Bath Tubs - $3.00 ?y Lavatory - $3.00 iShower - $3.00 -3-3-Kitchen 5ink - $3.00 Urinal/Bidet - S3.00 -,LLaundry Tray - $3.00 -)_Floor Drains - $1.50 ? Watar Haator _ Itl ?ifl _ JVJ}CflCI - y:J.VU Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: %???' ? 4 i r- ir ? f (gtr#tfirtttt af (Igrrupanry Citp of eagari appal'trilPttf Df llitlbmg JwPt#1Dtt This Certiftate rssued pursuanl to the requlrements of Section 306 of the Uniform Buildrng Code certifying thnt at the time of issuance this structure wns in canpliance with the Parious ordinances of the City regulating building construction or use. For the fo!lowing.• u,e ahsafimfion e*. Perniit rb. oa,?P.nc?, ryM Fc-1 /9° 1 zo?ng [?rwc R4 'type comn i' + riR 11EN 5P' Mlding Addrcss . _ . _ ., , _?, ..... _ . Lacawry .... ? .... ? ?, ?.... ... _ . .. __ . .._,? cxMW 2,1987 , POST IN A C4NSPICUOUS PLACE ' OF EAGAN Permit No:_ ? Pilot Knob Road Meter No: _ Box 21199 Reader No: m, MN 55121 Chg: Fee: Misc : B Y WATER SERVICE PERMIT 1 _ _ --- - -- -- _ 7 3830 Pilol Knob Road SEWER SERVICE PERMIT PO. Box 21199 PERMIT NO.: _ 6 1? Eagan, MN 55121 77__.h_q? Zoning: f 4 DATE: ? Owner. Bar--Sort/F.o aI O No. of Units: 33 aic Address: ? Plumber. j'Qq3 Z''i'OSt, Inc - - = a? ? Z-'O-69278 ? a9ree to com ?y 3, 300. OOp? ply with the of Eagan Connection Charge: -1 5? h7_5 [ Ordrnances. Account Deposit: Permit Fee: Surcharge: Snr,? ? Misc. Charges: Dete of Insp.: Total: InSp" Date Paid: + Date: 4._F_,_>7 Sixe: Date: (>ak rive L2 JZ Rov.^? 4a=: ?'r TI e. Zoning: rl+ No. of Units: , I agree to comply with the City of Eagan Ordinances. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N- ?12989 PHONE: 454-8100 BUILDING PERcMIT 33 UNIT Receipt # ?4 7obeusedfor APT. BLDG. EstValue $1, 151, 00(bate DECEMBER 17 19 86 SiteAddress 3513 FEDERAL DRIVE Erect 3b Occupancy R-1/B-1 Lot Z Block 2 Sec/Sub. ROYAL OAK CIR Remodel ? Zoning R-4 Parcel No ZND ADD Repair ? Type of Const. Ni 1 HR, T 7N . Addition ? No. Stories ? ??INK a Name ROYAL OAK CIR LTD PARTNERSHIlAove ? Length 1b5 W z a Address 1445 1ST AVE Demolish NO lnt.Impc ? ? Depth 96 Sq.Ft. 4 0, 2 Q 0 FLOORS) city FARGO phone 701/ 235-4031 Install ? 400 (GARAGE) 13 , a Name BOR-SON CONST APProvi $¢ nddress 2001 KILLEBBHFi Assessment ? Ciry MPLS phone 854-844q Water&Sew. 0 Ww Name_ CARLSON, MJORUD ARCH zo ; nddress 4915 W 35TH ST a W Ciry MPLS phone 922-6677 I hereby acknowledge that I have read this appllcation and state that the information is correct and agree to com ly with all ap li able State of Minnesota Statutes and C'ty6?Eaga -di Signature oi Permitte ? A Building Permit is issued to: OR-SON CONST all work shall be done in accortlance with all applicablbF,Wtate of Minne 6 Police _ Fire Eng. Planner_ Council- Bldg. Off. 12 APC Var. Date- Permit $ 3.060.50 Surcharge 560.00 Plan Revie4. 530.25 SAC 18, 975.00 Water CoAr? • 2 0 0. 0 0 Water Meter N A Road Unit 7• 656 . 00 Tr. PI. 5. 148.00 Copies rotal 50, 129.75 on the express condition that and Ciry of Eagan Ordinances. Building 7V 7 REUUEST FOR ELECTflICAL INSPECTION ee-ooooi-oe ? J C Ii, See Instruetionn lar eompletim thie form on Wek o} yellow eopy. H?1 rY %4';? Q 1? G', "X" Below Work Covered by 7his Request r y m e.1iaina ilk p Fas Servica EntreneaSize p Fee Faedare/8ubleeden # Fee Circuite 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am Above 200 37 to 700 Ainps ,$ / 31 to tU0 A Swinvnin Pool Above 100_Am s Abov 100 Am s Trensiormer5 rn ation Booms Pa tial-'Ot or Fe SVec ia l I V VBn-11. I, tha Elecfrical Inepactor, hereby - certity thel tha nbovs Finel inspseNOn hae besn ?„ msde. REQUEST FOR ELECTRICAL INSPECTION ?eje-looooi-os 3/f(lI ? Sea imtraetions lor completirW this fwm on beck qf yBllow co0v. /d_T7(/ C- q7 7,? Below Work Covered by This Request 9'a a 9 9 i ?- ? jNw4j ada Rep.[_ Type oi BuiltlinB ACCliontea Wired ' Equiument Wired I Ik Milk k Fee SBl.ieeEntrene9Size tl Fee Feaders/5ubleedars C Fae Circuits U to 200 Am s 0 to 30 qm s ? I?t9 0 to 30 Am Above 20 mps 3 9•e0 31 co 100 Amps p 01D0. 31 to 100 Amps Swimmin Pool I ?Pj h?' O9 Above 1004W qm s A6ove 700_Am s Transiormers Irrigation Booms .,`> Partial•'Other F Signs SUecial Inspection "'? emvrks . ?5??, TOTAI ???? .f) ? / f flouph-in D 1, the Eleeirical ? Inspectaq heraby carti?y thet the abova Final 1e inspection has bean maAe. rms reouest +oIa 18 momhre+ran This rnquesl vold S?7/fC7 18 mpnths trom C,81Q.3 3 6,? ?--? a5? ?l'?-. ? Rnqueat Deta ' fire NA. ReQU1hred7 napection [3qeatly Now []Will Notity Inscec- .? ?yea ?No Ior When PeadY 9116-ensed Eleetrical Contractor . I haroby rsQUaet Inspection of above ? Owner eleaVicel work instsllad et: SlreBt ACdress, Boz or le o. City p ?e1d M'?vv G a d eclion o. owna iD eme or No. anpe o. punty Q ? Occupant IPPINTI Phone No. /° d `k C -- Power uPDlier .4tltlress Contrnmor's Liconse No. Electricel Lonvector ICo uany Nema) h?rBSr ?leva?6/a? 03q 87 7 Mailinp Ad?ress ?Coritractor or Owner Makinp Instaile ionl tor OwM1er Mnkinp Installati) Aut?u iz d Sienamra 17onlre Phone Number - -? f?s`- 3a60 MINNESOTA BTATE BOARD OF ELECTRICITY TNIS INSPECTION REGUEBT WILL NOT Grippa-Mitlway Bldp. - Room N-781 BE ACCEPTE6 BY TME STATE 60ARD 1821 Uniwreltv Ava.. 8t. Psul. MN 66104 UNLESS PROPEN INSPECTION FEE IS on- ratli aan.oxeo ENCLOSED. This repuest void monMstrom 5?/3?87 Q?'[?a>2 La?. . So s/e 92281 ,c a a.-52 / ?-? 7 0' 7?35'S Hequest Date . Fire No. ion liRough-iretl?n InsVect equi nsper Beady Nuw Q W,II NotifY I ? p • ?'s?'O 7 ?yes ?Nu . tor When qeadv 2 licensed Electricel Contrflctor I hareby request insoaction ot ebove ? Owner elecVieal work instelled at: $ ve et Address. Boz ar floute No. City O n / u'Lf -I,/ ecL o. Township Name or No. flanBe No. County ,?fTf?oTf? Oc/c/uDant (PRINT) fSOeAG 0.4,11 <-7ix&4? Phone No. Power Supplier Address DIW4iA ,E/Ee7;1F:e /r'J?V Electrff al Co?n actor ICompany Namel ' Comrector's License No. /? ED ?Y/tJE? C?GET2iC . LN?- OS?O Mailing AtlJress (COniractor or Owner Meking Instailation) a? a3 /6 ? Ae nue .5-e ,? Authoriz ature ( nhe r O ner Making Installation) Phone Number a/d'- a36- osoa._ MINNESOTA STATE 56ARE) OF ELECTNICITV THIS INSPECTION REQUEST WILL NOT Gripps-Midwey Blde. - poom N-191 BE ACCEPTED BY THE STATE BOAND 1627 Universitv Ave.. Sf. Peul, MN 56704 UNLESS PROPEN INSPECTION FEE IS Phonel8lD 642-0800 _ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-o-os , See instructions tor comoletin9 this torm on back or yellow coOV. ~• 7/ oo?o?(F'' 6 pi 9 CD 41114 "x' Belaw Wbrk Covered by This Request ry' AAd Hap. Type ot BuilEing Aoolcances WireE Equiumenn WireA tina Fi l,ommerCial Bltly. ? 1 Fumace Silo Unloader ? 1 Industrial Bldg. Air Condrti0ner Bulk Milk Tank ? p Fee ServiceEnhenceSize tt Fee feaaers/5ubfeeders d Fe,e Ctrcults U to 200 qm s 0 to 30 Am s 0 tn 30 Am s Above 200 qmps. 31 to 700 Ainps 31 to 100 Am s Swimming Pool Above 100_Amps Ahove 100_P,mPs Transiormers Irrigation eooms Partial: Other Fee aigns 5peaai inspection 5?/ P/ 70?p,? FEE k?.?.r? ? - -- - - - - J - i ,. il ?`?? T? -ni 6? //." /f+ I f •SI? ? / I. tha ElecVical I pectar. heraby n s cerlity that ihe bove Final ? i__i ?• ( insDection has been / V . i ': ?8d0. -?- /.?, (O repuest voi0 TMS repuest voiE i//?//p? 7B nwnths fwm '? O D 41114 z,z.??u:?., lG 3 / Beaues? Uate Fire No. J HouAh in i?soer.tion Nepwretl? 0 Featly Nuw Q Wiil Notity Insoec- (:1 Yes 0 Nn tor When Ready ? Llcensed Eleclrical Contr.wtor 1 hereby request insDection ot ebove ? Owner electrical wark installed et: 1117 Street Address, Box Route No. ? ? ? ectma- o. Township Name or No. Range o. C ? tv Q Occ pnntlPfllNT) u Phone No. ? J lJGh,fG/! GU/JJT Power Supplier Adtlress EI c ical Cofyrac^or ICOmpany Namel Cuntrar,tor's lfcense No. s ? 1yC..C!/L! ??G.C ?• ? ? Z-. ailine AdJresS ICOnVactor or Owner MakinA Installationl ?t-4 Auth d Signat e(Co rac r Owner Making Installatiunl. Phone Number a1d- .2-1G- 0a76Z MINNf50TA STATE OARD OF ELECTqICITV THIS INSPECTION REQUEST WILL NOT GriB9s•Midway BI g. - Poom N-191 gE ACCEPTED BY THE STATE 80AHD 1821 Univarsitv Ave.. 5[. Peul, MN 55104 UNLE55 PROPEX INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION xi z;xiixixxxnxinnRSixxi?? *AT?': PAYMhTTT OF FEE AT TIlM pP' „ ArPracrazoN noFS Ncyr corsriTum APPxovar. oF PERMIT. ? ? iNSrncizort oF sEWEt arm/oit WATEt ; INSLAi7ASIO1V5 FTII,L UTOT BF. $CHID- ? k UI.F.D C1NiZL PIItMIT HAS BM ? r AppROVID. ? - xyr,rnxxxanrx?r?r?nexx.arx?r:arar?rix:?rzar.,.ieae P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING STRLY'IL'RE, DATE OF ORIGINAL MIILpING pgtMlT ISSL'ANCE: ' ; PRESENP 7ANING/PROPOSID L'SE: (Mn Year) ? COf1ERCIAL/REPAIL/0FFICE Q IDIDC.'STRIAL n INSTIZL;TIONAi,/COVIItNAENT n R-1 SZNGLE FAMILY ' ? R-2 DC'PLEX (1wo L?nits) ? R-3 TOWNII-IOUSE (Three + Units) ( C?nits) ? R-9 APAR'IMEDPr/CObIDOMINIOM ( -?_-? Units) 2) NAME: r,?DREss: CITY. STATE, 2IP:_.? mi h s? • ?? ?? ? PAONE: I 3) u i: ?• NAb1E: AADRFSS: CITY, S"fATE. ZIP' PHONE: MASTII2 LICQVSE# -- -- 4) •a• ! • ta?• NAME: _ ADDRESS: CITY, STATE, ZIP: PHONE: Plwnbers License: Active Etpired Not recorded St Initlal .5) ? r? t a: •?• : a a? - a? 1:311'?ONNF'.CTION 2U CITY SEWER G2,-'CpNNE)[.TION TO CITY WATER Q 61= '. . - r ?,-?,A -LP BY ONE OF AB()VE PLEASE MAIL APPROVID pERP1IT TO 1, 2, 3, 4, ABOVE . ' ? (Circle one) _ 6) u • • r n PLFASE HOLD ApPROVfD PERMIT FC)R PICK ? ---- -- -- -- FOR CITY USE ONLY PERMIT # ISSL'ED /3 .. Pd w/Bldg. Permit FEES: $ $ /O • S? SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT ( INCLUDE S['RCHARGE) $ --?- $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ' ACCODNT DEPOSIT - SEWER $ $ - -- ACCOONT DEPOSIT - WATER < 1 ?cS c, D 0 $ ? wac s $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER 4'$ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 3 71 32 j" U (? $ ci i' TOTAL - ? ?z 7f 72 16 07 RECEIPT RECEIPT' DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT EOR WORK WITHIN POBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS ION . . A CONDIT SUBJECT TO THE FOLLOWING CbNDITI0N5: APPROVED BY: ,CX.-t-???1? /( /d?? l?o TITLE: DATE : y / ?p /f 7 ?- i ' IB - CITY OF SAGAA HOTE: ALL CANT&ACrOES M[TST BE LICENSBD fiITH THE CITY OF EAG9N SINGLE F6MIILY DiIELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS AI[R.TIPLS DiiE[.t.INGS - RBSIDBNTIAL $ER'P9L II6ITS FOB SALS ONIYS INCLUDE 2 SETS OF PLANS, CBE 1 SET OF ENERGY CALCULATIONS COMAfERCIAI. OF SDRYSIf - CHECB iIITH BLDG. DSPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: A'?. gL.OCj, Valuation: 1,151,000 Date: l?' LT -B?o Site Address 3513 f?_=bE(Z/aL De Lot 2 slock 2 Z?',° Pareel/Sub Owner QDe i(-DAh CrA- CTV Yiia??;O6k.b1i,P Address / y ys j _Ar_A ,* A,6 City/Zip Code E ii2 l., O Phone 3_. ?j$-''i?f 3? Contractor Address _2n,'91 /(74AEdA0kW ?, City/Zip Code Phone QSV- .T Areh./Engr. C,4243ew,r /LlTekuD A" Address y ` /s &/. -35-T_A" $7 City/Zip Code-?We 5 Phone # 9 Z?- -6677 OFFICE DSB ORI.Y Erect ? Oceupancy Remodel Zoning Repair _ Type of Const Addition # of Stories _ Move Length Demolish Depth Int.Impr. _ Sq Ft Install _ APPROY9L4 FEES Assessments Permit Water/Sewer Sureharge Police Plan Review Fire s"SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off Treatment P1 APC Parks Variance Copies 1'OTAL. AOTE: ADDRES3ES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEE MIIST DSSIGBATE WHICH ADDRESS IS DESIRED. 80 CHAPGFS WILL HE ALLOiIED ONCE BOILDIAG PERMIT IS IS3QED. A EEHIBIT "E" ` AGREEMENT ROYAL OAK CIRCLE 2ND ADDITION TtIIS AGREEMENT, entered into thia 19th day of November, 1985, by and between ROYAL DAK CIRCLE LIMITE? PARTNERSBIP, a Minnesota Limited Partnership, and the CITY OF EAGAN, hereinafter referred [o as "Eagan". WHEREAS, Royal Oak Circle Limited Partnerehip owns in fee simple [he following deacri6ed real estate: Outlot G, Royal Oak CircLe lst Addition and Lot Two (2), Slock Ttao (2), Royal Oak Circle 2nd Addition, Dakota County, Minnesota. WHEREAS, Royal Oak Circle Limited Partnership ia desirous of obtaining certain approval for development of said parcel by the Planning Commisaion and [he City Council of the City of Eagan pursuant to plana and specifications submiited to Eagan, and WHEREAS, the City of Eagan desirea that the above deacribed two lota be taxed and assessed jointly and aeverally for all of the real estate taxea and apecial asaessments, if any, and Eagan also desires the same uae limitationa for both parcels to be conatrued jointly. NOW THEREFORE, for good and valuable coneideration, the parties hereto agree ae followa: That Outlot G, Royal Oak Circle lat Addition and Lot 2, Block 2, Royal Oak Circle 2nd Addition, Dakota County, Minneaota, vill be asaeased for all real estate taxea and improvementa and that both parcela will be jointly and severally reaponeible for all real eatate taxea and special asseasmente, if anq, vhich may now be due or 6ecome due and that said two lota will be asseeaed and taxed as one, and that the taxea and asaesamenta for Outlo[ G, Y Royal Oak Circle !st Addition, shall act as a lien upon ana be enforceable againat Lot 2, Block 2, Royal Oak Circle 2ntl Aaaition. That Ou[LO[ G, Royal Oak Circle lst Addition ana Lo[ 2, Block 2, Royal Oak Circle 2na Aadition, Dakota County, Minnesota, will not be separatea at any future Cime. That Outlot G, Royal Oak Circle lst ACaition ana Lot Two (2), Block Two (2), Royal Oak Circle 2na Aaaition ahall be consiaerea one parcel ana shall no[ be sold or conveyea as separa[e parcels withou[ the wri[ten consent of the Ci[y of Eagan. - That this Agreement may be recoraea with the Dakota County Recoraer ana [he parties will execute all aocuments necessary to record [his Agreement. Datea: Attest: ts Clerk CITY OF EAGAN BY: Ita Mayor ROYAL OAK CIRCLE LIMITED PARTNERSHIP By: ROYAL OAK CIRCLE, INC. General Partner BY : Ci t?+v [S By: I"',? c s r.av4A6t j%j- STATE OF MINNES6TA) ) ss. COUNTY OF DAKOTA ) On this day of November, 1985, before me a Notary Public within and for said County, personally appearea SEATTA BLOMQUIST and E. J. VanOVERBEKE to me personally knovn, who being each by me auly sworn, each aid say that they are reapectively [he Mayor and Clerk of the CITY OF EAGAN, the municipality namea in the foregoing instrument, ana that the seal affixea to saic instrument was aignea and sealea in behalf of said municipality by authority of its City Council ana said Mayor ana Clerk acknowleagea saia instrument to be the free act and deed of said municipality. (S E A L) ,Uoi?hlJ? r?o1? . STATE OF P4d-NNES&T ) ss. COUNTY OF On this k? day of /?,?;) m,f?• r , 1985 before me Notary Public wi[h'n and for sa?a County, personally appearea ??/?P? and ??ol!,tnn;? _ ?to me personally known, who, being each by me auly sworn to be [he lyft??»tl%?of the General Partners of the Limitea Partnership nameC in the foregoing instrumen[, ana tha[ saiA instrument was si,g_nea on behalf of said General Partner of [h Limited Partnerahip by saia ?=`?h?r..? \ ana -?and they ack wi ea saia instrument to be the free act and aeed of Ety?"?imite?9rshi- i i (S E A L) THIS DOCUMENT DRAFTED BY: Hauge, Eiae b Keller, P.A. 3908 Sibley Memorial Aighway Eagan, MN 55122 (612) 454-4224 ary-rvoiic • ;DAUESCHMIDTi Notary Public, CASS COUNiY; N. PtAlS.,,, My Commission Expires JAN. 15: ? 955:;+;1;?„ A. NO STATE ?EED TAX STAMPS DUE HEREON EXHIBIT "E° - PAGE i -nF I ""''? ? ? i =?•%.5 ., . ? ROYAL OAK CIRCLE iST ADDITION A: f?' ? ? ?.?,s:' a• .ts,,,': - w.:. . ?.rnvrr N;7ri,VYi? tr?-nyp. rtr"?.k? 1 . ,;, ?J:7,v -- ? " '? Z ourcor F ourr.or , e. ourmr r... ' , µ . 'j ??AVY??i ;: , . I, • ?? ..?.???n . ? ?? ?/ ti,Y' ;t' ;4 .•. •: ?? • • n ?? ? ...... W7YOT? ` (i?, 4' 4 I . ? h [ .; , •[w:' :? ' ..i?ti .?.... " . . • '. 1? ??.'t ? . o(/tLot ? ? ? • 1 ' •T WTLOT ?? ? 7 p. ?1 ' :iJ'::. °i'r •?? ?i ^ I?'. 1.? ?t . .. . ??; XM1W OUTLOT I OUTLOT ? . . ? - . ?C . . '- ' _ y?iv ?M.i?MMtl•• r ra •u 1,' •.? I ? ??S I . ???? . . ?.. N w ? i L..?..J .. :?• ' ??? ? - ?.°?'.'??. w. u?w ? ? ?? u?..a.a ?.?,?• •rtua ? ?.?': "' _ ?• ? 1nOlF7 IANC .vwnru...w?u:. . . . ????? ? i i^G:.•.'1' =nOi.??• ? L? ? '? . ---- - JAMES R. HILL, IHC. ax¢cr :.ar 2 Sxaers ,:„ ,? . EXHIBIT °E" DAK CIRCLE 2N ? '?-,s.. ? , R.,l ? E; hF`7.'. ? / S e R 4 E Y :i ?. ! i 4 .o ?: ,. :i ?V D .. :) D, 7' i(i ,. I i S?`.'ij???• SI:?;;Y Arl ' +` • ,?p4'`? .?,• ' 1 • ?. JM• ??G?? • •'?' 4 ?? ?? ?/ i ? . ^g ; ' I ; 1 ' I ' • , ?!I o- , c,I . M ,'J' I _41f'tlJCJ' r?? e ? D'I?y ? ???, ? ?ra?? • ?I? ????yn't //ds'?G Nh -s ?( NO >/I.6 A•/OMObO' I?..?x. JBB.O . ___ ? S` ?I / R?-e2-5f ). , c' I r.n.aoroo'oo°4 C- f t •? ?• ??;. .f.o•tobr'w L. ^2 . L• w - °, C' C N . ? g : ? ?.:•:.•: ?:??- : k :? O 11?19(q'? ' ;?? ? ? . nea? ' "- ' c• ,.- I n e ?'r'rFf' '?i ? -e ? n n-roroaco' ao.n c: sesof}Yc ?' s ?_. ? z <^) I ?? `? loyj,`' ''^ ?l ory ? cl,I J!l) y? •i •' ' _ ? q `.. . :?1 ?. . e-sorool00bo• '? - ?.?., • ??' - 1 L ?i J C?I I: I.. I.'. L'. , 1y ? .x B9'39'19" M• ? - - - -t `? = a? ? . ;t...... Ta ^} '8 u? a` . .. w a. • - . s ` . 1: . .. 3 R., ^ ^ I ,,, r' ,- 1. 0 7' ?•[; 7' ., w '[ f ? xy? ! ? Y t i ? 1 R yO I `?I . ., .. a m •"' C r I 0 M I T ?r ?? _,y,?.3• : ???? -- ` ...... r ...... ? ? ? ? ? aw u ` 516.1 , 5 89'38'M' E ( e ???, „_• ? „• ?.? I iaxua.? s[r ..o w.rto n ' I I ?.ie. ro. uxs? . annf tw? ia.uan rew ' rer ?m swcw i, mru aw cuar ew . I ? Aowrwx u Asswm ro n?v[ • . suxs w koadtYr ' PAGE 2 OF JAMES R. HILL, INC SXEET 2 OF 2 SMEETO Ln_j CONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS A& C- SPRINKLER & WATER SPRAVABOVEGROUND PIPING (Fill Out Separate Certificate For Each Riser) PROCEOURE UPON COMPLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE BV THE GONTHACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPqESENTATIVE. ALL DEFECTS SHALL BE CORREGTED AND SVSTEM LEFT IN SERVIGE BEFORE CONTRACTOR'S MEN FINALIY LEAVE THE JOB. A CERTIFICATE SHALL BE FILLED OUT NND SIGNED BY BOTH i2EPRE5ENTATIVES. COPIES SHALL BE PREPAHEO FOR APPROVING AVTHORITIES, OWNERS AND CONTRACTOR. IT IS VNDE135TOOO THE OWNER'S REPRESENTATIVE'S SIGNATURE IN ND WHV PREJ- VOICES ANV CLAIM AGAINST CONTRACTOR FOR FAULTV MATERIAL, POOP WORKMANSHIF, OR FAILURE TO COMPLV WITH AP- PROVING AUTHORITV'S REQUIREMENTS OR LOCAI. OROINANCES. PROPERTV NAME ?ATE FhYAj- OAK &SS 1 p -7 P(30PER7V ADDRESS ? ACCEPTED BV APPHOVING AUTHORITV('S) NAMES . AODRE55 PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS: VES NO ? _ EQUIPMENT USEO IS APPROVED YES IY NO ? IF NO,STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION . OF CONTROL VALVES ANO CAHE OF THIS NEW EQVIPMENT? YES Nf NO ? IF YES, GIVE NAME. IF NO, EXPLAIN, INSTRUC- - TIONS NAVE COPIES OF APPROPRIATE INSTftUCT10N5 AND CARE AND MAINTENANCE ? ' CHARTS AND NFPA 13A BEEN LEFT ON PREMISES? YES ld NO 0 IF VES, C.IVE NAME. IF NO. EXPLAIN. HYOROSTATIC: HyArostatic tests shall Ee mado at nat less than 200 P51 (13.0 bars) tor two hourz ot 50 P51 (3.4 bars) above static preysure In excess of 150 PSI (10.3 bars). DHferantial Ery-pipa valve clappers shall be left open tlurinq test to TEST Prevant Gamage. All aDOVegrountl piping leakaga zhall be stappatl. DESCRIP- TION PNEUMATIC: Establish 40 PSI (2.8 bars) air prezsure antl measure tlrop whi<h shall not exceetl 142 PSI (0.1 bars) in 24 hours. Test pressure tanks ai normal water leval anC air pressure antl measure air pressure tlrop which shall not exceetl 142 P51 (0.1 bars) in 24 hours. TESTS MYDROSTATIC: ALL PIPING. PNEUMATIC: ORV PIPING DRAIN REQUIRED EQVIPMENT OPERATION: ALI, SERVES BLDGS: LOCATION MAKE MOOEL SIZE QUANTITV TEMPERATURE RATING SPRINKLERS OR F - ? IO svanv N022LES MATERIAL AND KINO CONFORMS TO G1S4 bF ?Aid STANDARD PIPE AND IF NONE, EXPLAIN FITTINGS A L A R M D E V 1 C E MAXIMVM TIME TO OVERATE TNROUGH TEST PIPE ALARM VALVE TYPE MAKE MOOEL. MIN. SEC. OR FLOW INDICATOR T"v WFD FoRM 55 AG, REVISEO APRIL 1979 PRINTED IN U.S.A. FOR NAS & FCA, ING., P.O. BOX 739, MT. KISCO, N.Y. 30545 . OPERATINC TEST RESULTS: TIME TO TRIP TIP TIME WATER - ALARM MAKE MODEL SER. THROVGH TESTPIPE WATER AIR PpINT REACHEO OPERATE? DRV Np WITHOVT W1TH pRE55. PRE55. AIR 7E5T pROPERIY Q. O. D. Q. O. D. PRE55. OUTLET ( P1PE MIN. SEC. MIN. SEC. P.S.I. P.S.I. P.S.I. MIN. SEC. YES , NO VALVES IF NO, EXPLAIN ? OVERATION PNEUMATIC O EIECTRIC ? HVDRAULIC ? PIPINGSVPERVISED: YES ? NO ? DETECTING MEDIA SUPERVISED: YES ? NO ? OOESVAIVEOPERATEFROMTHEMANUALTRIOqND/ORREMOTECONTROLSTATIONS? YES ? N0 ? DELUGE & IS THERE AN ACCESSIBLE FACILITV IN EACM CIftCV1T FOR TESTING7 YES O NO ? IF NO, EXPLAIN PREACTION VALVES Does Eacn Circult Operata Doez each Circuit Operate Mazimum Time To MAKE MODEL Supefvi5ion LosS P.leIm7 Valve Release? " Operace Reiease: YES NO YES NO MIN. SEC. NA ALL PIPING HVDROSTATICALLY TESTED AT Zrlo PSI FOR Z HOVNS DRV PIPING PNEUMATICALLY TESTED: YES ? , NO O EQUIPMENT OPERATES PROPERLY= YES ? NO ? TESTS IF NO.STATE REASON ORAIN TEST: READING OF GAGE LOCATED RESIDUAL PRESSUHE WITH VALVE IN NEAR WATER SUPPLY TEST PIPE: TEST PIPE OPEN WIDE ? STATIC PRESSURE P51 P5I NUMBER USED LOCATIDNS NUMBER REMOVED TEST BIANKS WELDEDPIVING • ' YES E!f fV0 ? IF VES:.. 00 VOU CERTIFV AS THE SPRINKLER CONTRqCTOR TMAT WELDING PROCEDURES COMPLV WITH THE REQUIRE• MENTS OF AWS 030.9, LEVEL AR-3? YES {1I NO ? WELDING DO YOU CEf3TIFV THAT THE WELDING WAS PERFORMED BV WElDERS QUALIFIEO IN COMPL_I/iNGE WITH THE REQUIREMENTS OF AWS DI0.9, LEVEL AR-3? YES B NO O DO VOU CERTIFV TNqT WELDING WAS CARRIED OVT INCOMPLIANCE WITN A DOCUMENTEU QUALITY CON- TROL PROCEDVRE TO INSVRE TMAT ALL DISCS ARE RETRIEVED, THAT OPENINGS iN PIVING ARE SMOOTN. THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL [AMETERS OF PIPING ARE NOT PENETRATEDP , YES NO ? DqTE LEFT IN SERVICE WITH ALL CONTROL VALVES OVEN: . R EMAR KS NAME OF SPRINKLER CONTRHCTOR ' t-.1 Y C fOR PROPERTY OWNER (SIGNED) TITLE SIGNATURES FOR SPRINKLER CONTRACTOR ($IGNED) TESTS WITNESSED BV TITLE OATE - 7- - . AODITIONAL EXPLANATIONS AND NOTES -- ?, ?2, 13 a, 6" &0?eL al"J ro- MEZfO T0: TOH COLHERT, DIRECTOR OF PQ6LIC HORBS JIH ST[TE?H, PLANNING DEPARTMENT BILL AgINS, II.ECTRICAL INSPECTOR CRAIG %U QDSEN, ENGINEERING TECH FROH: DOOG REID, BUILDING INSPECfIOHS DEPT DATE: /0?//71S'-7 The Protective Inspections Department will be performing a final inspection for occupaney of??ap-t?? JA2,TjJ, on ? y?¢a?4irQ? ?u?G? /???i! ? 35 03, 09, I 3, I S, 17, i 9, e2 ; aa 3 Please return within 48 hours With your approval or denial. Failure of response wlthin 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) (SIGNATURE & DATE) , I2006 COMMERCIAL PLUMBING rExmnT arpLrcaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?? 60 Date '7 /QG Site Address 3 S I FocJer ) p(" Unit # Tenant Name ? C) a,Y- Rarmer Tenant Name Property Owner Ro??) Telephone # ((?'51 co$? C? Contractor 6p,', I btoc4 6)1 eGfld6 Cd J Address y ? ?j ? (,,c.? • ??`? ?-? City E?d1 dl a State (_n 0 Zip SS?-135 Telephone # ffG4 83 S - B$ ) n License #-Zy o L> P m Expires: i a l31 IQOCXo The Applicant is _ Owner ? Contractor _ Other Work Type New Bldg ._ Modify Space _ Irrigation System** Yes No Work in pu6lic r-o-w / easement? 1 RPZ _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irriQation s stems Description of Work =•nS4'z?) 11 PiC? LJ o(N bo ? ? er -?ee?? . 3In AOi-l'1 SS To inquire if Pressure Reducing Valve is required on new service, ca11 6 5 1-675-5 64 6 Mete[5 - Call 651-675-5300 to veriTy fhat hydrostatic, conductivity, and bacteria tests passed prior to pickine up mefer. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size 8z Price 3/4" meter 167.00 Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 mininsum (includes State Surcharge) ContractValue $ q SC),cln x 1% _$ fS0. 0O PermitFee $ Meter(s) Required on ail new buildings & boulevazd irriaation svstems ' $ Radio Meter Read $ 1 rjC:) State Surcharge - If pennit fee is less than $I,000, surcharge is $.50 If pennit fee is more than $1,006, surcharge is $.50 for each $I,000 owed. "?"""'_`" __-""'-""""'__'"'"' ""'""'"'_'-.'""'r""""""'_"_"'__""'"'- ___'_________'_""""""""""""' ""' - """" ' Follawing fees apply when insta[ling new lawn irrigation systemr? $ Water Permit Call the City's Engineenng Department, 651675-5t'tr T?fp$ap8eu ?1? ? « ? $ TreatmentPlant JUL 3 1?nnn $ Water Supply & Storage $ State Surcharge $ Total Fee f hereby apply for s Commercia] Plum6ing Permit and acknowledge Uiat the information is complete and accurate; fh9t the work wilf be in confomtance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I underStand fhis is not a permit, but only sn application for a permit, and work is not to staR without a pertnih triaf the work wiil be in accordance with the approved plan in the ork which tequqes a review and approval of plans, a 'D n ApplicanYs Printed Name App(icant's Signature ?J '?tCoSb? ? 2007 COMMERCIAL BUILDING rExMiT nrPLlcnTrox Ciry Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Pians are considered public information unless you state they are trade secret and why. . Civil Plans (2) • CertificateotSurvey (7) . Code Analysis (t) ' • ProjectSpecs (1) . Spec Insp 8 Testing Schedule (1) " . Sails RepoA . (7) . Meter size must be established • SAC delertnination - calt 651-602-7000 • CerlificateofSurvey (1) • Siructurel Plans (2) • Architectural Plans (2) sets • HVAC unils req'd. on bldg elev. / site plan . Civil Pians (2) • Landscaping PWns (2) • Code Malysis (7) ^ • EnergyCalculations (7)" • Emergency Response Sile Plan (1) • Spec.Insp.STestingSchedule (1) " . ElecUicPOwer&LightingFortn (1) •' . ProjeU Specs (1) . Master Exit Plan (1) • SAC determination - ca11 6 51-60 2-1 0 00 . Fire Stopping Submittals . Fire SuppressioNNartn Fortn • Meter size must be esta6lished • Architectural Plans (2) sets • CodeAnalysis (t) ^ • PrqeclSpecs (1) . KeyPlan (1) . MasterExilPlan (1) • Energy Calculations (1) not always° • Elec. Power & LighUng Fortn (1) not always" . Meter size must be esta6iished-if applicable 1 1 J 1 ? • SACdetermination-ca11657-fi02-1000 Call MN Dep[ of Healfh at 65I-2014500 for details regazding food & beverage or lodging facilities. " Contact Building [nspections to see if it is requiced and for a sample. Pemtit for new building or addiHan will not be processed without Emergency Response Site Plan. Date /0/ U / 67 SiteAddress 3513 rtaran% TenantName ?R?t? Aa. GYO?c.t Construction Cost ???0 6•Qi O UnitlSte # Former Tenant Name Description of Work PropertyOwner dervno2sc,wa Coc.d?qt1M„2 ?StinIL Telephone#(97'4 Z18 -/328 Applicantis: Owner ?C ContraMOr Contact#: ((,IQ ) ?aC- 594 / Contractor ?r1c Address N y 07 3cc ( Av's !Zn Sur r.? -32-0 City Fl..si o•-t State I X Zip '1Q'14I(B Telephone#( Si¢) 2G Y-I2G'-? Arch/Engr Address State Zip Registration # City Telephone # ( ) Licensed plumber insWlling 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 [vIId Statutes; [ understand this is not a permit, but onty an application for a permit, and work is not to staR without a pertnit; [hat the work will be in accordance with the approved plan in the cue of work which requires a review and approval of plans. I /LY/Fa1Y9Zipt . ApplicanYs Printed Name Appll' Ys Signature '- DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Founda[ion ? 26 Puhlic Facility ? 30 Accessory Building ? 14 Apartments .Lr27 Commercial/lndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous . ? 29 Antennae ? 35 Ext Alt-Public Faciliry ? 37 Nail Salon W ork Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' U?43 Reroof ? 46 Windows/Doors ? 34 R2placement •DemalWon Building - Give PCA handout to applicant uO Valuation 5, !F00 Type of Const Width . Plan Rev 100%=-4596, IV O Occupancy MCES System SAC Units Zoning City Water Nbr. of Units Stories Booster Pump Nbr. of Bldgs Sq. Ft. PRV Fire Sprinklered Length Required Inspections _ Footings (new bldg) Fireplace _ R.I. _ Air Test _ Final _ Footings (deck) _ Insulation _ Footings(addition) _ Sheetrock Foundation FinaUC.O. Drain Tile Final/No C.O. Driveway Apron Other ? v Fi l / T ? Roof Ice Pr _ Decking _ Insul Final _ Pool F[gs na Air Gas ests _ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes _ No Approved By: Planning l/l/i B uilding Inspector Base Fee Surcharge Plan Review SAC-MCES SAGCity S!W Permit SIW Surcharge Treatment Plant Treatrnent Plant (Irrigation) Park Dedication Treil Dedication Wffier Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral SVeet Water Lateral OMer Total Sewer Trunk Water Trunk RUG=86-2008 09:10 From: City of EaAan 3830 Pllot Knob Road Eagan MN 55722 Phone: (651) 675-5675 Fax:(G51) 875-5Fg4 6127214236 To:651 675 5694 P.4/5 ?---rr__- - - - - - - --i i foc.4tfico".IJ6e i ' ?d ? dOC7 i I Punnil p: _....,_... . ? ? I I ? Pann11 Fee. __.._... .. _- l ? ou+e Rxaived:_ / 11??, ? ? i i . ? , s?alf: c , ---------- ------' 2008 COMMERCIAL BUILDING PERMIT APPLICATION Data: !jn?Q9' Site Address: 3S/ 3 64 ?Xwc 6,? i tk- Tenont Neme: (Tanant Is; _ Naw i?zlstinp) Sulte Vt PRdPERTYOWNHR Name _.,...PNNq[.cC Royi- Phono _ A?cmca wAY Su? Ze, Q?G? M? / G Adtlross / Ciry / Zip: App(icanl is: _ Qwnar )(ConlracWr TYPE OF WORK Description Of work: /?nPrnOr _._. Construdion Cosk _ CONTRACTOR Namq: AL.Lr./Gjv)IE7@ IQOd'` Licanse a: r6'3O5- __....__- adatas5 Zio? E. ZGW ST • Cily: MIUu6'?f?.,5 Zip: Phono: (jij I -Z?-?. ?=JS conract Porson: JGFZ C'L0-4tr?i4......._._ ARCNITECT / Neme -Ajl'L_ Rogistration 1f: ENGINEEW Addross: Gity: Stalo:.-- Zip: .._.._. Phono Contact Parson: Llcenaed plumber installing pM sewodwater servlce: Phone X: NOTE: Plena and supponlnq abcu{sents that you submlt are ccnsldered ro be p+rb!!c /n/ormaNon. Por(lonb ol t/ie Inlormaflon mey be clesatffed as nart puWlo fl'you provlda speylt/c maaons fhat i?uld permh'the Clty to conc/ude that t are trade secrers. I hero6y acknowledgo \hot thia infwmation ic comploto and axuralo; thnt Iho work will ba in r,onfwmanca wllh Iho ortlinaneea and rAdoB Dt tl» Cily N eaaen: mAr i urMereland fhio iu nol a permiL but only oa applicelion iw a pormA, 6nd woek i6 nOt 10 L1aH wilhaN a pofmil: thGl Iho w01'k wlIl he in m=rdAnGO with th0 9(1Qf0v0d PI}n tn IF19 C&fiB Ot wofK which reqturee d revl6w 9M 9pFwuvdl 01 plpnb. % '=- J"' x AppilcenYS Prlntad Name Ap%li Slgnature Page 1 of 3 WESTERN I IMONEY IN7ECRATEDPAYMENT SY57EMS INC • ISSUER ? UNION 011DER , . GreenwoatlNilage,Colorado 08-346493788 ?.. . _ ,_ ; PAY E(ACTLY . . . . . . , . . . PAY TO T1fE l OROER OF f ?ir? h ? m ??(????y J;YhfiE?1T FOROCC e. # pn e e servlcn maN ol We#em Unqn Hdyigc Inclpayede al WNIa faryp Bmx GrenO Junclmn 4znlpM N A GmJ Jurclm CdaaW i• lfl D i nna n".. "-' ? ?"'+?•+?+•. vuun74L34'17 fOCI CII' __i.L 'uf t3y:n uvPt .._._ 7k __: ' Ja4, A. _e. _0«`5 6;>.re;Cit. "li?,;i?eP ;;;+?';. ., _ - .:.._= i IcGERr_ 2.4: #?'_1 . i1AYCiiR: Wn;_G',101, , 011,016 F.yi,6JV? ' _;:7`t'I_HRi_ 1f!':Pt,".l:_:, io4'ul ,.:=aip; 47:iinuf1?. .7,5t1! '1lc3 ,.L0, City of Eagan Cash Receipt Receipt Date 5/19/2009 Receipt Number 150150 1221.4216 50.00 DAYCARE INSPECTION Total Receipt Amount 50.00 110249 8:22:50 PERMIT City of Eagan * , Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA151347 Eagan,MN 55122 E AG A N Date Issued: 08/20/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 3513 Federal Dr Lot: 2 Block: 02 Addition: Royal Oak Circle 2nd PID: 10-64701-02-020 Use: New Challenges Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Shannon Olson 651-454-0161 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 PERMIT City of Eagan , , Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA151869 Eagan, MN 55122 -= EAGAN Date Issued: 09/17/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 3513 Federal Dr 102 Lot: 2 Block: 02 Addition: Royal Oak Circle 2nd PID: 10-64701-02-020 Use: New Challenges Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Shannon 651-454-0161 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 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rdt Permit Number: EA154725 Eagan,MN 55122 '"' "'' Date Issued: 04/09/2019 (651)675-5675 www.ci.eagan.mn.us Site Address: 3513 Federal Dr 203 Lot: 2 Block: 02 Addition: Royal Oak Circle 2nd PID: 10-64701-02-020 Use: New Challenges Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: New Challenges 651-454-0161 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: - Applicant - Royal Oaks Apartments LLC 8500 Normandale Lake Blvd Ste 7 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