3515 Federal Dr
Use BLUE or BLACK Ink
For Office Use
` ~ I 1
Permit
City of Eajan
I Permit Fee: J`".S. I
3830 Pilot Knob Road I
Eagan MN 55122 + Date Received:
Phone: (651) 675-5675 'JUL 13 FLV I
Fax: (651) 675-5694 1 Staff-----------------
2010 COMMERCIAL PLUMB_IfN~G' PERMIT APPLICATION
Date: Site Address: 't>51 S 1`P L I Y "
Tenant: Affx-k~ Suite
PROPERTY L05/- / ~t~~ _/93 /
Phone: [1tC)
OWNER Name:f (L Aff
CONTRACTOR Name: bo ~k-J" 9-,Y- V) S t T;46 - License
Address: ~GL-ti QJ'S City:State: M"4ip: S S~
Phone: -wcl - V -;`9 " Email: GZs' l b I Y✓1/t `
TYPE OF New 10 Replacement _ Repair ! Rebuild _ Modify Space _Work in R.O.W.
WORK Description of work: hC, 0 In SW
PERMIT TYPE COMMERCIAL
_ 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 $ X1%
_ $ _Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s)
- if the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(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~
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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. g
xY l~ 1 x ,
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final PRV Required: T Yes No
Page 1 of 3
- CITY OF EAGAN - ' `
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for ??- Est. Value Date 14 ,19
Site Address ' -' ' Og
Sec/Sub. ?? imL ? 1 H 3RJ
Parcel No.
rc Name •
; Address
O Cifv oti....e
CONST
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site weil Type of Const
City Water _ (Actual)
(Allowable)
# of Storfes
Length
Depth
S.F. Total
Footprint S.F.
,
i
< W I CitY Phone - ''''
I hereby acknowledge thet I have read this application and state
that the information is Correct and agree to comply with ali applicable
State of Minnesote Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
FEES
Permit
Plan Review
SAG City
SAC, MWCC
WaterConn.
Water Meter
Road Unit
7reatment P7
TOTAL
on the express condition that
Minnesota Statutes end City of Eagan Ordinances.
?'?--
I
?.? • - ??
Permit No. Permit Holder Date Telophons 7t
Plumbin
g - i
H.V.AG
Electric
Softener
Inspection Date Insp. Comments
Footirigs I
Footings II
Foundation
Framing .,r1- ? ?9• 4-?-d7 ?
Roofing
Rough Plbg.
Rough Htg.
Isul. f d ? Y . ?•
Fireplace
Finai Htg.
FIrt81 Plbg. , ?y Q a'
Bldg. Final N G?f, l
Cert.Occ. , ?? . E .
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
. CITY OF EAGAN -
3630 Pilox Knab Road, P.O. Box 21 •199, Eagan, MN 55121 ?
PH O N E: 454-8100
BUILDING PERMIT Receipt ? ---
To be used for Est. Value Date ` ,19 '
Site Address OFFICE USE ONLY
Lot ' Block Sec/Sub. . On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel Na On Site well _ Type of Const
City Water _ (ActuaQ
c Name (Allowable)
Z * of Stories
3 Address Length
0 City Phone Depth
S.F. Total
, p Name Footprint S.F.
z.t Address APPROVALS FEES
? City PhOne Assessments _ Permit
c
t Water/Sewer Surcharge
mj W Name Police _ Plan Review
z o Address Fire _ SAC. Ciry
c? Z
i W
City PhOne Engr. _
Planner _ SAC, MWCC
Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the information is correct and agree to compry with all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parka
Signeture of Permittee Copies
TOTAL
A Building Permit is issued to: -- ' on the express condition that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinancea
Building Official
Varmit No. Psrmft Holder Date Telephone 0
Plumbing
N.V.A.C.
Electric
Softener
Inspection Oate Insp. Comments
Footings I
Footings II
Foundation
Freming
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP ,
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
/; r
C.o
_ /
d d Y J r 6 MECHANICAL AFiMIT ' ._. .._... ..
- CITY OF EAGAN RECEIPT #
3830 PILOT KNOB HOAD, EAGAN, MN 55122 DATE: ! 1 J.? ? 1
Site Address _
Lot /
f
? m Name _
? Address
city -
i
I
? Name _
c Address
p CitY -
Phone
TYPE OF WORK
Forced Air ? L J M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent " CRM? '-
Gas Piping Outlets # 1
e-
FEE:
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Oes. New
Mult ? Add-on
Comm. Repair
Other
FEES .1
RES. HVAC 0-100 M BTU -$24.00 ?
ADDITIONAL 50 M BTU - 6.00 ?
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - ?
1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 _
STATE SSlFtCHARGEaPE44-PEFiNfIT - ° - . - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
.
SIGNATURE OF PERMITTEE
CITY OF EAGAN 1'
PERMIT #
PLUMBING PERMIT RECEIPT # 227/ Q
CITY OF EAGAN t/
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?"'
PHONE: 454-8100
Site Address _
lot ?._
? Name _
? Address
c City ?
Name _
; Address
0 C'tY -
Phone
FEES
' COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
j TOWNHOUSE & CONDO - RES. RATE APPUES
i MINIMUM - RESIDENTIAL FEE - $12.00
? MINIMUM - COMM/IND FEE - $20.00
' STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
-rw [ BLDG. TYPE WORK I
Block ? SeciSub Res. New _
' r Mult. Add-on
D ' f / omm. 1?c Repair
Qther
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
N FIXTURES TOTAL
Water Closet - $3.00 S ?a • 6-4
Bath Tubs - $3.00
?Lavator
- $3
00
f ?+
?`'d
y
. •
, Shower - $3.00 ? ? • ?
:7-Kltchen Sink - $3.00
_-4-Urinal/ Bidet - $3.00 .?? • ?`U
Laundry Tray - $3.00
--7 Fl
D
i
$1
50
:L v
`?
ra
ns -
.
oor •
-/-Water Heater - $1.50 ?• ,? L)
Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?• ? ?
(MINIMUM - 1 PER PERMI'n
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ? ol-V
STATE S/C: S-U
GRAND TOTAL• ? ?-07?
•'? _
. ?, . .
.
(Ijerfif iratt of (IOrrupanry
Citp of eagan
gc#rwrbnmt Lif Iuilbing imprrttan
This Certificate issued pursuant to the requiremenu ojSection 306 ojthe Unijorm Building
Code certifying thar at the time oJissuance this structure ?r+as in compliance with 1he various
ordinances ojlhe City regulating building construction or use. For the joUawing:
ux a.ucarioa COMMi.T NITY i: elft. Rmw xo. t:s
Occum-Y T?Pw A-3 Zooing district 1i- 4 7?pc Cop.
own" of BulWg :' pCON Fi Ti' BuildinBAddmB a - r?,?•, , , L,OCallty
?!,,.cEMaER i i . 19871
Build* OfficW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No: ' Date:
3830 PiIM Knob Road Meter Na: 37°Z q ? Size: f`? O[
P.Q. Box 21199 Reader No: 6? Date:
Eagan, MN 55121
Plumber. - ' or 'Teehanical
Conn. Chg: `i: r. OOpd -er
Acct Oep: Pefore i i ies C'?"
C?1qM??fit
Permit Fee: c
Surcharge: agito c?mpfy wRh the City of Eagan
Tr. Plant • ? ??Cni IIDC???
Meter.
Misc.:
WATER SERVICE PERM
P-- -17W'Ilm
CITY OF EAGAN Permit NoL' '' ' Date: 11- 18-g Z
_3830 Pkot Knob Rasd B/P No: LL 1 Date: >-1?-? ?_-
= rp.O.B6 21199 • ,
° Eegan, MN 53121
Owner. oti :30a
Site Address: 3515 Feder3l nr. ive Ll B1 Roval Oak C'r II I
Acct. Dep: TELEPHONE • FLEcTRic.
Permit Fee: ? I°a'?`"?' G°mPlr with the City of Eagan
Surcharge: ??Wes-
Misc.: gy
SEWER SERVICE PERMIT
1
CITY OF EAGAN N°_ 13 6 4 0
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHON E. 454-8100
BUILDING PERMIT Receipt # -) 3 (J-1
7obeusedfor SWIMMING POOL Est.Value $25,000
Date MAY 19
1987
SiteAddress 3515 FEDERAL DRIVE
Lot 1 81ock 1 Sec/Sub. ROYAL OAK CIR
Parcel No.
olName ROYAL OAK CIRCLE APTS I
Address
City Phone
Name POOLS INC
0
?a Address 229 W 60TH ST
?, City MPLS Phone 861-2820 (ERIC S)
Ciry
I herehy acknowledge that I have read this application and state
that the information Is conect and agree to comply with all apDlicable
State of Minnesota Statutefs a!?d City of Ea9a rdinancea
Signature of Permittee G-?,-. ? ? -
A Building Permlt is issued to: INNtNOJUN POOLS INC
all work shall be done in accordance with all applica e State of I
Building Official
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
Ciry Water _ (ACWaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Foo[print S.F.
APPROVALS FEES
Asaessments _ Permit 198.50
Water/Sewer _ Surcharge 12.50
Police _ Plan Review 44 _"J ti
Fire _ SA0.Cily
Engc _ SAC, MWCC
Planner _ WeterCOnn.
Council _ WaterMeter
BIdg.Oft _ Road Unit
APC _ Treatment P7
Variance _ Parks
Copies
TOTAL ?
b
on the expiess condition that
Statutes and City of Eagan Ordinances.
CITY OF EAGAN N2 13 6 4 6
3830 Pilot.Kno6 Road, P.O. Box 21•199, Eagan, MN 55121
PHON E: 454-87 00
BUILDING PERMIT Receipt#
To be usedfor COMMIiN1TY BLDG Est. Value $45,000 Date MAY 19 ,1987
SiteAddress 3515 FEDERAL DRIVE
Lot 1 Block 1 Sec/Sub. ROYAL OAK CIR 3RI
Parcel No.
a Name ASP CONSTRUCTION
z Address 1445 1ST AVE NO
o City FARGO,N.D. phone
,o Name BOR-SON CONST
?Q Addrass 2001 KILLESREW DR
? City MPLS Phone 854-8444 (TONY C.)
f¢
Fw Name CARLSON MJORUD ARCH
'x? Address 1000 SHELARD PKWY
aw City MPLS phone 546-3337
I hereby aCknowletlge that I have read this application and stata
Ihat the Information is correct and agree to complywith all applicable
State of Minnesota Statute nd Cit f rdi nces.
Signature of Permitte ? ? ..•wR?
A Building Permit is issued to: BOR-SON
all work shali be done in accordance with all applic7tble State of 1
OFFICE USE ONLY
OnSiteSewage Occupancy
MWCCSystem ? Zoning
On Site Well Type of Const
CiryWater X (ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessmen}S
Water/Sewer
Police
Fire
Engr.
Planner
Council
BId9. Off.
APC
Variance
FEES
A-3
R-4
Vn
AIN
1
55
'
SAME
_ Permit 302.50
_ Surcharge 92 - 50
_ Plan Review 7 51 _ 25
_ snc.crtr tno.np
_ SAC,MWCC N/A
_ WaterConn. 525.00
_ WeterMeter /d
_ Road Unit 309 . np
_ Treatment P7 7 Rfl _ flQ
_ Parks
Copies
TOTAL
1 58 .25
_ on the express condition that
s and Ciry of Eagan Ordinances.
Building Official
Ad,
i//f?o REQUEST FOR ELECTRICAL INSPECTION EB?j-000/01-06
/ See insvuctions for completirg this form on betk ot vellow copy.
W1' 582 "X" Below Woik Covered by 7his Request
Ney, AAtl Reo. Tvpe oi Buileing aaoliancae Wired Equiumem WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fiahires
? Apt.Building Dryer Bectri<Heatm
Commercial Bldy. Furnace Silo Unlonder
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm omr, aerJ v omer i5nenivl
t ,r Succity 01her 01hcr
Eompu[e Inspection Fee Below
p Fae ServiceEnVaneeSize tt Fee Fextlars/SUbfeeders a Fea Giecwts
0 to 200 Am ps 0 to 30 Am s :? 0 tn 30 Am s
? Above 200 Am )s 31 ta 100 Ainps O 31 to 700 A s
Swimming Pool Above 100_Ainps Above 700_Amjs
Transtormers Irrigation Booms 5*0 Partial"O er ReR
Signs SpecialinsUection S
ae?..?.ks ? .., _
i TOTA FEEPA?
a
7?/
. e
flough-in Dgte??? ?ha Ele - I
V?• ?nspector, ?eraby
certify that the above Final D??rte inspection has beBn I
? ?l L ?,?7 ?.?eaa.
Thb reaueal volC 18 moniM Iro.
'7s.za6i
F-'-"°""`° `•°`?••°°' °°••°°`•°• I herebV request inspection oi above
? Ov(ner electrical work installed at:
Sveet Addres , Box or Noute No. Ci
'?
Q /? Z Au+
ecu o. Township Name or o. Range No. C nty
JO D ?
OccupuyilPRlNt)
?A Phone No.
AN
Po r Svp ' r / ,[
?{
.
?
? Addre s
?
o
)
?
??
(?k';c_
?
YL
ih;n b?
Electrical CoMractor IC?/p-mpany Namel
1 ??
- Con? r.lor's Liconse No.
?
C..
}Y-
@GI?I
Mailing AdJress (Cmhactor or Owner Makin InslailatioN '
Authorized Sign re IICOnha Owner Maki nB ?ns Ilalionl PhO/ne Numb`,er „?
W ' 6 ? ?
MINNESO/C STATE BOAPO OF ELECTflICITY?/ TMIS INSPECTION NEQUEST WILL NOT
riBBS-Midway Bldg. - Room N-191 • BE ACCEPTED BV THE STqTE e0AN0
C
1821 Universixv Ave.. St. Paul. MN 56104 VNLE55 PNOPEH INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION y. ee-ooooi-oa
, See instructions tor compleling this form on back ot vellow copy. y7
.13415 3? "X" Below Woik Covered by 7his Request
Pymq AAtl Ileo. ' 1'yoe o1 Builaing qppl;ances M1irod Equipment wireJ
Nome ange Teinporary Service
Duplex Water Heater iyhtiny fixlures
Apt. Building Dryer ElectriG Heatin
Commercial Bldg. Furnace Silo Unloader
InAustrial BIAg. Air Conditioner Bulk Milk Tenk
Farm othnr svec. v 1S Olnov ISpecifv?.?i
$?c1 thcr L Othcr
'Qvi
Compute lnspecuon Fee'Below-?
M Fae ServiceEntreneeSixe k Fee Fexder5/5ubleetlers N Fxe Circuies
,s 0 to 200 qm s 0 to 30 Am s ?. 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amns Ahove 100_Am s
Transtormers Irrigation f3ooms Partia6'Other Fee
Signs Speciatinspection
5 c?
Pertarks ? .?? 70TAL F
^Y? / .rrl
r ?r
floueh-in ( ?nte ?j I.MeEIacVical
Inspectar, Irereby
certify Ihet the a4ova
Final ( G?r " sDaction hes been
q?o? de.
ttiin reauost vo1E 18 montlre tm.
TAfs Jwquest void
18 rtwmhs Irom
D 1341
719/F17 97
5 .!_ / /
Na ues??Jate?'^ ? fire'No.
j flouph-in InsVaction
Requrt ?
ORendy Now ill Notil, InsDer.-
7 et ?NO [or When Feady
11L1censed Elec[rical ConVactor 1 hemby reqaest inspection oi above
Q Owner electrical work installed at
SVeet AdOress, Boa or PoWe No. City
?F L
A
A
'an o. .
TownsM1ip Nflmebr
4a118e No.
Counly
D k .4
OccuVantlPqlNTI Phone No.
Pow¢r Sup0lier Atltlress
L ? " ?C Co-OP F PyxfiN6 T y I AIIZ
Elecvical Contracmr IComVany Namel Cnnhacnor' s License No.
?Ep ELEn,Tk r ?, z N
IGailinA A.ddress ICOntrec[or or Owner Maki p Inslallationl
>i S ?PWEAI? s?a
Au[? $ignalur ConV tor Owne,r Makinp Insu?llatiunl Phone Num bar
MINNESOTA STATE AflO OF ELECTRICITV THIS INSPECTION qEQUEST WILL NOT
GrigBS-Midwey Bld - Noom N•797 BE ACCEPTED BV THE STATE BOARD
1821 Universitv e.. St Pxui, MN 55104 UNLESS PPOPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED. ,
ee-ooooi.oa
il.
Ca/aCe/rf'7 REQUEST FOR ELECTRICAL INSPECTION
. :?- ? See instructions tor camPletin9 this form on beck of ?????
Yellow copy.
4 41914 "X" 8elow Work Covered by This Request
N ARcl flep.. TVDe ol BuilEing Appliances Wired Equiumenl Wired ?
Home Range Temporary Service
ee
Mi
p Fae Service EntranceSixe !J Fee Fenders/5vbfeedeis k Fee Cirouits
0 to 200 qm s 0 to 30 qm 5 0 tn 30 Am
Above 200 qmps 37 to 100 Amps 31 to 100 Am s
Swinvning Pool Above 100-Am s Above 100_Amps
Transiormers Irtigation Booms Partial-'Other Fee
L I iSigns f I ]Special Inspection
Rem3rks ? TOTA E
'?r. "? )
Final
cerlify that the abov
inspection has been
made.
Thia request vola
Thiq reQUest void
18 mon[hs from .
41914
RenqSSt t]ate ire No. RouPh-in Insnec[ion
I ? -?il ? ?jl? Re uired ? ?Aeatly Nuw ffill Inspec-
T ? O? e? ¢s No tor When Feady
EJ'Cicensed Electncal ConVactor - I hareby request insPection oi a4ove
? Owner elactricel work installed at:
Stree[ Atl ress, Box ar R te No.
?
? City
/ ? /
• Q
enwn o. Township Name or No. anBe o. Count
4J
??../
Occupa (PRINT)
apl Phoiie No.
Power SuvPI, - dress
EI rical ConVacmr (Company Neme) ?- Convar,tor's LicenseylNo.
?
Mailin0 Addre ICOnlract r or Owner Making InslailatioM
AuMorizetl Signawre ( ntr ctor Owne, Makine Installa ioN Pho Number
?
MINNESOTA STATE BOAPD OF ELECTqICITY THIS INSPECTION NEQUEST WILL NOT
Gri09s-Mitlway Bltle. - Noom N•197 eE ACCEPTED BV THE STATE 9ppqD
1821 Universilv A".. St. Peul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone 18121 297-2111 ENClOSED.
aY?xf%i:xxx???Rwx>xxxxxxax???+x<xwxe>?
1 " f
.*NOTE: PAYMf2Tf OF f£E AT TIME OF
; nrrr.icaTTON oo?s Nar coN- ;
; srizcrre nerxaaew oe reU-uT. ;
; iNSeECTIaa oe sEWER nen/Ot wt,TEat ?.
? IIISTALiATiQ1S WII,L NOT BE crcnR.Fn t
[7[711L PF.RKIIT HAS BEQd APPRCNID.
dtV ?ats?x?w?itore?rstai+te+?:sr+:ax++++a+:
oF ecigan
(PLEASE PRINT ?
1) PROPERTY ADDRESS: .57 i,FY;AT, DFSCRIPTION; . .?.p.? `. . . . ?. . . -? . . . . . . . .
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDI[QG PERNLiT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
COMMEEE2CIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q . INSTITUTIONAI;/GOVERDIIMENT
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
I=j R-1 SINGL,E FAMILY
? R-2 DLPLEX ('Itao L'nits)
? R-3 TOWMOUSE (Three +.Onits) ( Units}
? R-4 APARTMENT/CONDOMINILM/nf Onits)
. . . . . . . . . . . . . . . . . . _ ? ??.;rr?rn . .C? cC'.?i . I -
2) NP.ME :
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
/For City Ose
3) NAME: Pl rLicense:
ADDRESS: Zb CJ .?--O- Active
F.xpired
CITY, STATE, ZIP:
PHONE:
/MASTEEt LICENSE # Not recorded
St Initia
4)
NAME:
ADDRESS:
5) s a •a?• •''e i ae
a CONNECTION TO CITY SEWII2 Q CONNECTION T+0 CITY WATER 0 OTIER
6)
// / 7- cP-7
****?*******:?*+******?****+?*??;? **+**:?*****?*********?**+*****,?******,r*******?*******+*,?,?***?*+***,?
* *
* THE GOLD COPY OF 7HE PERNIIT WILL BE SEDTf DIRFX.:TLY 'PD PUBLIC WORKS 2+0 FACILITATE METER PICK-UP. *
? PLEASE AISAW 74O WORKING DAYS FpR PROCFSSING. SOMEONE FROM TfJE CITY WILL CONTACi' YOU IF THE2E *
* ARE ANY PROBI,IIM. *
??*****:*******?+r***,t**?*?**??**+t*****,t+????*??**:*?***?**??*?*?**?++****?*,t*?,e**+****,r****?+**,t***y
CITY, STATE, ZIP:
PHONE:
_ FOR :CITY USE ONLY
PERMIT # ISSUED
?;7-2 aSl-
Pd w/Bldq. Permit
FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ IG-S J WATER PERMIT (INCLUDE SURCHARGE)
$
$
i-) i?
/WATER
METER/COPPERHORN/OOTSIDE READER
$ $
S $
$ $ -
`?-
$
s -
$
$ $
$ $
$ $
$ ?? u G G $
$ $ ?jG , C-7J
S 7'
_ 7-5 .:,; L) ,?(?-
RECEIPT RECEIPT
WATER TAP (INCLUDE CORPORA`PION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENSFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER: ?/X,??(''?? .I?? ??s • --r?,??-?
TOTAL ?
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q , ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: «r?`-TITLE:
DATE : a
l
U 1? l ? ?n ( ?? Y?Q COMMERCIAL
C0 yc?- ? C?-C C 1 v cXs_2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
-t C? 9 . a??
?-
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectu2l Plans (2) seGS • Architectural Plans (2) sets
• Civil Plans (2) • Struc[ural Plans (2) • Coda Analysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpea (t)
• CodeAnalysis (i) " • LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Pian (7)
• Spec. Insp. & Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always*"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power 8 Lighting Porm (1) not always"
• Meter size must be established • Meter size must be established • Meter size must he established - if applicable
• ProjectSpecs (1)
L • EnergyCalculations (1) " 1
1 . Electric Power & Lighfing Form (1)
l • Master Exit Plan (1)
1
y • Emergency Response Site Plan (1)
'"'
1
1 • SoilsReport (1) 1
• MGES SAC determination ietter • MC/ES SAC determination letter • MGES SAC deterrriination letter
w11651-602-1000 ra11651-602-1000 ca11651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
** Contad Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: I0-oZI-Qc7 WORKTYPE: X NEW _ REMODEL CONSTRUCTIONCOST: 'zOf30.00
SITEADDRESS: 35 I S 1-edercLl 1I26ue ?/?4?1I1j? 1?71v •55/0?0?
TENANT NAME: ?OLI ? 4L
P)14ILS
?
d'IS
A
SUITE #: O??iQE
FORMERTENANTNAME,i FAPPLICABLEC bn4t'tCk : MW" RIAet LPS1'{fl$$'1o?3(v
DESCRIPTION OF WORK Iloxanx li' lp ?AUw 5foma?.. S
nnr?FF
,
, ..
Name: ?. ?,?,1I?..°5{dNYI+lnC.A-nOPf +ICS Phone#:(3ia ) (oIDC1' ~I1nSU-
PROPERTY last First
OWNER
StreetAddress: )e?0 50 Ril)Qr"5iC? ?InZA
c,ri: L' ?,', e-n cAp srare: _m L zip: (0e)100 p
Company: &cL119fA&il.AY1C'A'i(Y).>Phone#: ((051 ?W"3MP
CONTRACTOR "'
StreetAddress: ?r'Jp Y)C3 ?. ? .
City: N A t3?'P {-pil State: mn ?, Zip: 55o3 i
ARCHITECT/
ENGINEER Company:
Name:
Streat Address:
City:
Licensed plumber installing new sewer/water
U?JI {J V LVVL ,
State: ? Zip: I
Phone#_'(?-. =J
I hereby acknowledge that I have read this application, state that the information is orre, d agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica :
llpdated 7l02
Phone #:
OFFICE USE OR1LY
SUBTYPE
? Ol Foundation ? 26 Public Faciliry 30 Accessory Bldg.
? 14 Aparhnents ? 27 CommerciallInd ustri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
,K 31 New p 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 328 Zoning ?, •4 sq. ft. _
SAC Code # of Stories sq. ft. _
No. of Units Length 20? sq. ft. _
No. of Bldgs. 1 Width 1 L? sq. ft.
Const. (Actual)
V•
Basement sq, ft. _
MClES 5ystem -
(Allowable) -t4 First Floor sq. ft. 120 City Water
UBC Occupancy sq. ft. Fire Sprinklered ?
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating [I Insularion F] Plumbing p Stucco/Stone
APPROVALS
Planning Building L/^ Engineering
VALUATION $
Permit Fee .
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Variance
&A.)
Aed--
Total
TO: ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT
BOB KRIHA, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLETTNER, FIIiE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JAMIE VERBRUGGE, ASSISTAPIT CITY ADMINISTRATOR
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: CRAIG NOVACZYK, SENIOR INSPECTOR
DATE: OCTOBER 29, 2002
RE: PLAN REVIEW - 3515 FEDERAL DR (STORAGE SHED)
ROYAL OAKS APTS
The plans are in our plan review section for your review and comment.
FILE M
Please return this form to mv attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that aze to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes
? Yes
? No tree dedicafion
? No PRV Required
5igiature
ZONING?_
METER SIZE
Date
CD/PORMSBLDG INSP/PLAN REVIEW CRAIG N REVISED 9-02
L ?I g
susD. f?nu aA
APPROVED
r?l
CITY USE ONLY
INSPECTOR
REcErnr #: 3
RECEIPTDAT-E
PLLIMBING PERMIT # r 9 (G??
PLUMBING PERMIT (CONMERCIAL)
CITY OF EAGAN
3830 PILOT IQJOS RD
EP+GAN, !•IIT 55122
651-681-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate building permits are not required for each dwelling uni[
iastallation of bacldlow preventer in commercial areas or residential boulevazds
Date: `;?-7 ? OC> VVork Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ
DescripHon of Work: Mp nI C f Q `7 ? ? ? } v- 1? p C +P v,S
To ioquire if Pressure Reduci¢g Vatve is required on new service, ca116S1-4646.
EEE3
i% of contract price or $30A0 minimum i,onfract Price: s_?I S? 3?--Vp o("C? 1% _ $ L-{ ?"j 3. L-ll7
IF iNSTALLING
Base Fee -
Water Meter: 2" Turbo - $897.00 unless plan approveA for smaller CIzP
1-1/2" Turbo - $ 726.00
Service: _ existing (if coming off domestic line) OR _ new
SPRINXLER SYSTEM
If "new servrce". contact Jerrv Wobschall. Frnarrce Consultant to confl'rm addrn2 fees for
Water Permit & Surchazge - $ 50.50
Water Supply & Stomge - $ 840.00
Water Treatment Plant Chazge - $ 492.00
cc: Dian¢Downs, UUlityBiUing -undergrnvndsprink[erpermi7s
$ 30.00
$
$
$
Stste Surchazee
$.50 minimum; calculate at $.50 for each $1,000 Base Fee
Base Fee S ?-1 s 3.,--1 C?
State Surcharge $ 0 ?5_0
Total Fee $ L-I .?i .? .. Q ()
I hereby acknowledge that I have read Utis application, state that the information is conect, and agee [o comply with all applicable City of Eagan
ordinances. It is the a}iplicant's responsibility to no[ify the properiy owner that the City of Eagan assumes no liability for any damages caused by [he
CiTy during its nortnal operational md mnintenance activities to the facilities wnsiruc[ed under Uils permit within City property/dgh[-of-way/easement
SITEADDRESS: -2, c', I?, 1-Prlcv-r. V ,/O
TENANT NAME: R(lu C, 4()6` AiMg::Lyn Gvti? TELEPHONE #: ( U? 5 l) -L'&__24 n
(AREA CODE)
INSTALLER NAME: Frne w,n-t i-l Ac ?-)ct y-) ics t ? TELEPHONE #: ( ln _-_S k ? l e?I 1-SSS7?
(AREA COD6)
STREETADDRESS: L_, (A (x)e?t ( r. I t ) yv!? -?A JPV?0,Q
CIT1':
MAR 0 8 2000
SIGCdA TURE OF PERMITT'EE
/3 6 t/o
1987 BUILDING PERMIT 9PPLICATION - CITY OF SAGAN
SINGLE F9MILY DWELLINGS
ffiCLUDE 2 SEPS OF PLANSt 3
.:
OF SQBVSY, 1 SST OF ENERGY CALCOLATIOHS
HOTE: ADDRESSES FOR COBNER LOTS - CONTRACTOR/HOMEOiiHER MDST DESIGHAYS AHICH ADDRESS
IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MOLTIPLS DWELLINGS - RffiIDEN?IAL
INCLUDE 2 SETS OF PLANS, CER'
t SET OF ENERGY CALCOLATIONS
COPRlBRCIAL
RENTAL [TliITS FOR SALE IIIITS
: OF SDRVSY - CHECB WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANASCAPE HOND
To Be Used For:SLVimm,?y roo/ Valuation:Ar?J,C__?__ pp Date: Mi9',?k
Site Address SFedP.e?/ D2itnr_ ?' ? OFFICS USE ON?.Y ?j
Lot ? Block On Site Sewag
MWCC System
Parcel/Sub? ?Ac- ?L?(R• 3?D On Site Well
pZ0YO1-? +4K c?RCes P ?- City Water
Owner ; ni- cQ? sF 80R-Sn.J GON37Ra[TAN
Address
City/Zip Code
Phone
Contractor T?/S 1??
Addrese ?aq W E o?' s;-
City/Zip Code
?
Phone
Arch./Engr. CAR1sa,J ?rs+SOKuo A-?¢aA.
.
Address
City/Zip Code
9PPROVALS
e Occupancy
Zoning
_ Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FSBS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
?
Permit 1?18_ 3
Sureharge 12.5'
Plan Review qq . 25
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
13 6 V46
7987 BOILDING PERMIT 9PPLICATION - CTfY OF EAGAN
SINGLE FAMILY DWELLINGS
IHCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SiTftOEY, 1 SST OF ENERGY CALCQLATIONS
NOTE: 9DDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER HIIST DESIGHATB WHICH ADDRBSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE EDILDING PfiRMIT IS ISSQSD.
MQLTIPLE DWELLINGS - RFSIDENTIAL RENTAL DFdITS FOR SALE ONIITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECK iiITH BLDG. DfiPT.,
1 SET OF ENERGY CALCULATIONS
COLMRMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Crx?MuN?r?{ htl=-
To Be Used For: gLDU 1
oYA L
Site Address 3515 FEOERP..L 5DP-.
nf-S.OOO Date: qS -$-$7
Lot ? Block (
Parcel/Sub ?17?'P-L C7E 4' C(4G[.C
Owner AS'? CoAs0+*4/}eR
Address 14-9-C- I CA"?S•X)O.
City/Zip Code 5 6, /1? • QAlk• .S'el0"2.
?
Phone
Contractor f?pQSDa ( 8Ni?.
Address 2-pD/ /?G°dLLEdaO?v ?ll.
City/Zip Code /9'l/°c S, 5 9-4 2-0
Phone nrv- ryf/t/ (T Ny ?
Arch./Engr. CARL.tam /NJn-tke /MRe,h
Address /Odo SW6rCAR.d / A?wA
City/Zip Code ?*APcS, A.? Ss 4tG
Phone ll f'fYG - ? ) 7'7
On Site Sewage` Occupancy A•3
MWCC System ? Zoning (Z•4
On Site Well Type of Const
City Water (Actual) ??!
(Allowable) 7L N
0l of Stories ?
Length SS
Depth Sq-
S.F. Total 255o
Footprint S.F. 25,So
APPROVAI.S FEdS
Assessments
Permit So
30 Z. -
Water/Sewer Surcharge ZZ '93r
Police Plan Review I 511 ZS
Fire SAC, City ? oa-
Engr SAC, MWCC N/A
Planner Water Conn 5Z5,
•Council Water Meter NfA
Bldg Off Road Unit '30Z,
APC Treatment P1 ?e?o-
Variance Parks N/A
Copies
TOTAL JS33?
S
`
4- S,ocn
22. -
?
3oz. =
22. S?'
2,S
IS1 -
CI ? I x ind = I oo
, WaC- ?
' ?0? ?NrT \ 14 ??t? = 435c?o ?. 33?
? I PG
1 So K I = ( ??
FA-C-?z
3pZ
I 80
N /,&-
/I i, Ae/' 4;?2 02a.k Q?t&
lEf0 T0: TOM COLBERT, DIRECTOR OF POBLIC WOR&S
dIH ST[TRH, PI,ANNING DEPARTHENT
BILL AgINS, ELECTRICAL IHSPECTOE
CRAIG BNODSEN, ENGINEERING TECH
FHOM: DOOG REZD, BIIILDING INSPECfIOHS DEPR
DATE: ?f The Protective Inspections Department will be performing a final inspection
for occupancy of &XvA on
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 contaet the construetion 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)
?-----------------
i???? '
? Permit
I
Permit Fee: ?/JLy/s.
I _yT_ I
I
I ?
I Date Received: - ?
? I
j Stafr: I
?----- I
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 711/1jog .,, Site
Tenant Name: (Tenant is: _ New J_ Existing) Suite #:
PROPERTYOWNER Name: AVN*'C,EY 4-;k. 6$7lfj7 Phone:
Address 1 City / Zip: / ?Z ^f A?&*dC(/ t-9'J, S4117r
i
?
Applicant is: _ Owner ' Contractor
TYPE OF WORK Description of work: 4*&1ME'uT ?Ll?G S
Construction Cost: l?? Q6 d
CONTRACTOR Name: A 4I J 0 T A 7 e - 40F License #: pa.3S
Address: z/d/ 0:?-L UO/y .5% • .
City: ?IAl/A4*04'/4!S State:hlA/ ZiP: ssyay
Phone: (0I Z-7 ZI - Contact Person: '&RwI« 00'qC-Y&
ARCHITECT / Name: AJIAI Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewerlwater service: Phone #:
ans?and?[rppo?r?%gdacn7en?thatqolTSUb"mrt?areconsrdered obepubJrcJnformadp????P?ofne;i
?e
rn
torrtafto
n ntay?r?
?
ouJd
erm
i th?"e Crfy
Y
assif ? as no
ubl?e-?
asons
tha
ou
nwdes
er
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e
?
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t,
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?rv
p
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o???h
n p
y
pr
p
-
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.l
?
Ai?
?
?
conctude
fhe ?ie;rade
fi?at
e
refs
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a
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.
_
,
,?
s
.^
,?
, ?
,
c
I hereby acknowledge that this informafion is complete and accurate; that the work will be in conformance wRh 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 rase of work which requires a review and approval of plans. i A
X '.7F2 CGEx/Q(sW"c X ?
ApplicanYs Printed Name App' Ys Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation
* Apartments
? Lodging
? Miscellaneous
WORK TYPES:
? New
? Addition
?J Alteration
Replacement
(
DESCRIPTION: ?
Valuation Q
Plan Review
(25°/a_ 'I OO%
Census Code
# of Units
# of Buildings
Type of Const.
? Public Facility ? Accessory Building
? Commercial / lndustrial ? Ext. Alteration-Apartrnents
? Greenhouse ? Ext Alterafion-Commercial
? Antennae ? E#. Alteration-Public Facility
? Nail Salon
? Interior Improvement ? Siding ? Demolish Building`
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Demolish Foundation
? Windows ? Water Damage
' Demolition (entire building) - give PCA handout ta applicant
Occupancy MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
? Roof: _ Decking _ Insulation ? FinalIceNVater Pool: _Footings _Air/Gas Tests _Final
Framing _
Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.L _AirTest _Final Windows
Insulation Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present
Reviewed By: Building Inspector
COMMERCIAL FEES:
Base Fee
Surcharge
Plan Review
SAGMCES
SAC-City
Yes No
Reviewed By:
? ?? ??r-ZIV'
S/W Permit Financial Guarantee
S/W Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other
Water Quality
Water Supply & Storage (WAC) Total
Sewer Trunk
Water Trunk
Planning
Page 2 of 3
�' C�� ��Y �,�� � ���' Us�BLUE or BLACK Ink
��� _�a ��� ,----------- -;
i Fo�arflo@ us@ .�,s� I i
�6p Ol LU�UlI I Pemiit#:
I u� i
� Partnit Fee: i
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I SE�. I
�ax:(651)675�684
-----------------�
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Ple se submit two(2)sets of plans with all commercial applications.
Date: �' (v' '� Site Address: ��� d` ,�t ���� ��
Tena�t• ��� �[�.�5 Suite#:
Property �
OWn�1' Name: � Phone: _..
Name: �� License#:
C011tfelCtOf Address� " '� �� City: State-�1 I IV ZiP�s.d.Ltl�
�
Phone: Email: �
Type of Work --New ,Replacement _Repair �Rebuild _Modify Space _Work in R.O.W.
Desc�iption of work: � Z �
COMMERCIAL _New Conswctlon Modify Space
, _Irrigation System(r yes!�no)L RPZ/�PVB)
• Rain aensora required on irtigatlon systems
Permit Type • qvg.GPM (Z"turbo required unle5s smallErsize allowed by Pub6c Works)
Me6ers Cal)(851)675-5646 to vedfy lhat tests passed do�to ic' meter.
Domeatic:Slze 8�Type ��� �
Avg.GPM Hlgh demand devicss9 Yes^Nd Flushomat�rs Yes_,No
COMMERC/AL FEES Contract Val�e$ �� x.01
�60.00 Permit Fee Minimum,includes State Surcharge =$ ��.� Permit Fee
"If contract value is GREATER than$2,070,Surcharge=Contract Value x$0.0005 a$ Surcharge*
If the project valuatlon is ova��1 milllon,please call for Surcharge
=$ QD• TOTAL FEE
Following fees appiy when installing a n�w lawn irrigation systeln S Water Pertnit
Contact the City's Engineermg Oepartment,(6S1)675-5646,for required fee amounts. $ Treatment PIaM
$ Water Supply 8�3tonge
$ State Surcharge
-$ TOTAL FEE
CALI_ EFORE YOU D1C. Call Gophar State One Call at(681)454-0002 for proteotion against underground uGiily damage. 1
1 hereby actcnowledge that this infortnation is complete and axurdte;lhat the woHC wril be in confortnanca wilh Ehe ordinances and codes of the Ciry ot
Eagan; that I unde►sEand this is not a pennit, but only an applicaGon for a permit, and work is not to start without a permit; that the work will be in
aeeordance with the approved plan in the c;ase of Work which requires a review and approva plans.
x���'C G�- �iJl I V
Applicant's P�nted Name Applican�'s Signature
FOfi OFFICE USE Approved By: Date:
Required InspecHons: _Under Ground _Rough-In Air Test Gas 7est _Flnal PRV Required:�Yes_No
Meter Related Items: Mefer Size Radio Read Manometer Staff:
Page 1 of 3
l 'd Cl8Z 'ON 1b�INdH�3W �MdHhd� Wd��� l �LOZ '8l '���
City otEaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 1 61016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
V C`
Date Received:
Staff:
2016 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: ? C I E-- 3` l_. 1 'k'J e
Tenant Name:
Property Owner
Type of Work
Contractor
(Tenant is: New / Existing) Suite #:
...,.Former Tenant:
Name: .rt N6 P,(1n i
Address / City / Zip: 0 6
Applicant is: Owner
Description of work:
-ek kukek
Phone: - 5cl 1'21 Co
Contractor
o F" t `moi) Rti
Construction Cost: �G
i IN-CUt`ivv'vflam?
i
Name: C w 1\1 t=.tel`ice-i..
�Cnse #:
Address: City:
State: Zip: Phone:
Contact: Email:
Name:
dress: wt)
D'PA
tJ
Registration #: t 5 2j 0
City: H 1 N+`'N f-bt,.vS ?'(�
State: RINI Zip: C Phone: 7 k'3 3 7 7k'(
i�(;5il N Co 2— SO (— `-f 391
Contact Person �t3F�' ,. �1 Email: _ p Z J r.1 -'c16 t
Licensed plumber installing new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of_
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets..„_o,nw^
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wor,ich requires a review and approval of plans.
x
Applicant's Printed Name
e
x
Applicant's Signature
Page 1 of 3
.35 IC 1-(dt�c,. l�
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
V Commercial / Industrial
Apartments
Miscellaneous
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
WORK TYPES
New /Interior Improvement
Addition /Exterior Improvement
Alteration Repair
Replace Water Damage
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
Iso ipav
(25% 100%
Census Code
# of Units D
# of Buildings 1
Type of Construction V' 8
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation Ice & Water
/raming
Fireplace: /Rough In'Air Test ✓ Final
%/ Insulation
Meter Size:
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building - give PCA handout to applicant
2o/ s' w/B C
-L4
MCES System
SAC Units
City Water
Booster Pump
ZSL / PRV
Fire Sprinklers
i Sheetrock
Final / C.O. Required
/ /Lt./reg.-
Final / No C.O. Required
Other:
Pool: _Footings Air/Gas Tests ^_Final
Final t/ Siding: Stucco Lath _Stone Lath _Brick
%/Windows
Retaining Wall
Erosion Control
Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes 1/ No
Reviewed By: C14.
, Building Inspector
Reviewed By:
, Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
/9Sr; . 7(
/ 2S. s -e'
.1/.6
2M33". a -o
110.
10.
$1;2.ra
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL: `i B// - /T
Page 2 of 3
MCES USE: Letter Reference: 160504A9 Address ID: 704570 Payment ID: 392748
Date of Determination: 05/04/16
Greetings!
Please see the determination below.
Project Name: Royal Oaks Apartments
Project Address: 3515 Federal Drive
Suite #/Campus: na
City Name: Eagan
Applicant: Terry Cook
Determination Expiration: 05/04/18
Special Notes: MCES has been unable to verify SAC credits for the previous use at this site. It is the City's
responsibility to substantiate any SAC credits available. Those credits should be used to offset any charges and
reported to MCES on the monthly report
Charge Calculation:
Office: 186 sq. ft. @ 2400 sq. ft. / SAC = 0.08 or Min 1
Total Charge: 0.08
Credit Calculation:
none
Total Credit: none
Net SAC: 0.08 or minimum — or — 1 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be
made. If you have any questions email me at: karon.cappaert@metc.state.mn.us.
Thank you,
Karon Cappaert
Administrative Specialist
Please visit our SAC website by going to:
http://www.metrocouncil.org/Wastewater-Water/Funding-Finance/Rates-Charges/Sewer-Availability-Charge.aspx
390 Robert Street North I St. Paul, MN 55101-1805
Phone 651.602.1000 Fax 651.602.1550 TTY 651.291.0904 i metrocouncil.org
An Ec ,nf Cpportunity Employer
METROPOLITAN
COUNCIL
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Inspections for
Craig Novaczyk
Daily Notes:
City of Eagan
Daily Schedule Report
13 (,,zr-
Sched Date: Wednesday 05/04/2016
Print Date: 05/03/2016 at 3:12 pm
End Time:
*********
7:30 am Sched Type:
*** APPOINTMENT *********'
Subject: In Office (SB)
Location:
Address:
Sched Comments: No Schedule Comments found
Misc-Inspection
****
Results:
Start Time:
Subject:
Location:
Address:
Sched Comments:
7:30 am End Time: 10:30 am Sched Type: Plan Review
************** APPOINTMENT **************
Plan review
No Schedule Comments found
Results:
Start Time:
Contractor:
Permit Number:
Permit Type:
Issued Date:
Property ID:
Sub Type:
Work Type:
Inspection Type:
Subject:
Sched Comments:
Inspection Results:
Site On Hold:
10:30 am End Time: 11:30 am`'
RIM Construction
EA135470
Building
03/18/2016
10-22550-00-010
Commercial/Industrial
New
Footings 694" • A rD 8 r D
Exact Time - Building : Footings / EA135470
Footings ag
Tim 612-363-1899
Sched Type; Exact Time
Contractor Ph: (952) 837-8600
Owner: Eagan Woods I LLC
Owner Ph:
Use: Summit Orthopedics
Permit Desc:
—4
Address: 2620 Eagan Woods Dr
Results:
*** Meet Contractor ***
Date Inspection Type Result Inspector
05/03/2016 Foundation Partial Inspection Craig Novaczyk
Water proofing on west foundation wall between Grids .5 and 5.5
05/02/2016 Foundation Partial Inspection Tom Miklya
Foundation Elevator walls between 6 -6.9. Foundation walls Grid G 6.9-8. Foundation wall Grid B between G -F.
04/29/2016 Foundation Partial Inspection Dale Schoeppner
Perimeter Ftgs. & pads East side grid 8, A to E, & 2 -8 F -D
04/27/2016 Footings Partial Inspection Mike Lence
Perimeter figs @ Grids 8, A to F and Grid A, 2 to 8. 5 F3 pads @ Grid C, 3-7.
04/26/2016 Foundation Partial Inspection Mike Lence
Grid G, 2 to 5.
04/20/2016 Footings Partial Inspection Mike Lence
Perimeter figs @ Grids E.5 to G both end grids 1&8. The elevator and Stair A pads and figs. Pads F3 and F4 @ Gric
to 7,D to F. If
le)(15 — 24x2gel- Cu )krvs
los W �lN�h 44 Q2'5 Vim?". *_+(4(24 OS
Time: 12:30 pm' Sched Type: Non -Working
*********** APPOINTMENT **************
2 V\ii MAI -C7 44 4', a al✓
No Site Holds found
Start Time:
Subject:
Location;
Address:
Sched Comments:
11:30 am End
**
Lunch (SB)
No Schedule Comments found
32�X3-
rtiveT 44;
Page 1 of 20
Results:
4 Indic,
City of Ea an
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
flb Cdlc-cam
—Please submit two (2) sets of plans with all commercial applications.
Date: 04/21/2016 Site Address: 3515 Federal Drive, Eagan MN 55122
Tenant: Royal Oaks
Use BLUE or BLACK Ink
For Office Us
Permit #: i 3`c 1
157"
_
Permit Fee:
Date Received:
Staff:
Avis.IA
flln�
CA
1v
2016 COMMERCIAL PLUMBING PERMIT APPLICATION
tp
Suite #:
Phone: (952) 893-1216
Name: Bruce Nelson Plumbing and Heating Service, Inc. License #: PC644013
Address: 1272 South Point Douglas Road
City: Saint Paul
Phone: 651-738-9354 Email: mrohrer@brucenelsonph.com
State: MN Zip: 55119
New _ Replacement Repair Rebuild I( Modify Space Work in R.O.W.
Description of work: New Men's & Womens Bathrooms, Kitchenette Sink, Water Cooler & Water Heater
COMMERCIAL _ New Construction X 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 X. -No Flushometers _Yes kNo
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$60.00 PVB/RPZ Permit (includes State Surcharge)
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ 15,000.00
= $ 150.00
= $ 7.50
_ $ 157.50
x .01
Permit Fee
Surcharge
TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ 157.50
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
TOTAL FEE
x Mike Rohrer
Applicant's Printed Name
AplSlicant's Sign
Page 1 of 3
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
x/087
/2) 50
Use BLUE or BLACK Ink
For Office uz
Permit #:
Permit Fee: /
Date Received:
Staff:
2016 MECHANICAL PERMIT APPLICATION
❑ Please,submit two (2) sets of plans with all commercial applications.
Date: Q�f /�
Tenant: /l� � Q�'�klw
Resident/Owner Name:
y Oft14,0 0idi
Address / City / ip: � � k7tcegAUX
Site Address:
d SY,
Suite #:
J
Phone:
Name: -014 - .a fl Alk License #:
Address: [d C�h %Y1 v City: TraLa
State: MK Zip: Sar? C Phone: IL! S--7
Contact: [&+ i) e- Email: bi d ovi/ o / ` `
New ,�R�epllacement Additional Alteration Demolition
Description of work: I „I (V k �� c��� C
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by
Code. Please contact the Mechanical Inspector for information on permitted screening metho
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction — Interior Improvement
/ Install Piping
Gas
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ TOTAL FEE
VV
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ /6v • x .01
= $ 1 30, d) Permit Fee
= $ , •v Surcharge
=$ 13
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n• to start without a permit; that the work will be in accordance
with the approved plan in the case /of work which requires�a review and approval of plans.
ina% C /' e S
Applicant's Printed Name
FOR OFFICE USE
Required Inspections.
Underground _. Rough
x
Applicant's Signature
Reviewed By:
Gas Service Test In -floor Heat
Final
AC.Screenin
6
City of Eagan
PERMIT
IP1' City of Eaan
Permit Type: Building
Permit Number: EA136845
Date Issued: 06/02/2016
Permit Category: ePermit
Site Address: 3515 Federal Dr
Lot: 1 Block: 01 Addition: Royal Oak Circle 3rd
PID: 10-64702-01-010
Use:
Description:
Sub Type: Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
- Applicant -
Owner:
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