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3517 Federal Dr Use BLUE or BLACK Ink I j Permit C 76 0 l City of Eap o~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 R~CIFli/EL' Date Received: l Phone: (651) 675-5675 I staff: j Fax: (651) 675-5694 JUN 1 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: cc Tenant: k Suite PROPERTY OWNER Name-Pky)nGl,t LL Phone: CONTRACTOR Nam C~ License Address: hlt" 5t city: rn ~5 State: i nt-J Zip: 555412. Phone: 2•522 Email: TYPE OF -New _Replacement _-nRepair ~ _k Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: ~kJl.~.l, CX 1' Z COMMERCIAL PERMIT TYPE _ New Construction _ Modify Space _ Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes No Flushometers Yes No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ a50 X1% = $ SO. 00 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If the Perini 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) _ $ F5, 00 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 $ 515• DO 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.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conf rmance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora permit, and work is not to start with ut 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. xCVW C1r1 A- ,C, , x Applica s Printed Name Appl ant'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 I i / SITE ADDRESS SS! 7 ?xa. Unit # ? Permft L ? B ? Sect.ISub. fi(1•?c? (_?1.? f IuY,G?.C? f-a?? ? INSPECTION DATE l INSPECTOR I OTNER FRAMINB ROU6H PL98. ROU6H NTB. INSUL RREPLACE FINAL HTB. FlNAL PL88. UNR NNAL ' CERT/OCC '? INSPECTION DATE INSPECTOR COMMENTS CASH RECEIPT -? _-?CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 18 RtGE1VBD 4 FROM AMOUNT $ DOLLARS 1 oo White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You 4 BY BLDG. PERMIT ti0. / ?` r 01-3210 01-34?2 01-3445 O1-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 2Q-3743 79-3866 11-3855 Bldg. Permi*_ Plan Check Surch./Adm. SAC/Adm. SurchargE Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL UG d ? ? i G4Z /? -- ,? ? ; -. , CITY OF EAGAN i " . S .:....? W 3830 Pibt Knob Road, P O. Box 21-199, Eagan, MN 55121 n ?- 129i? J1 PHONE:454-8100 •-;? 7 BUILDING PERMFT 33 UN I T Receipt# «7 / ry-- -' To be used tor '' "'L' i3uLG Est. Value $1115110100 Date DECF.ff,BER 17 19 $ 6 Site Address 3517 Lot ? Block 3 Parcel No. W Name ?20YAL OAR 3 Address 1445 ].ST , o _ ^a0 E^n a ,o c0i i Q ? ?a W W H = V 0 c _ t W RIVE Erect ff OYAL OAK CIR Remodel ? ND AD17 Repair ? Addition ? LTU PA.4'PVERSEi IjimOVe 11 0 Demolish ? 235-4031 In! Impr. InStal, ? ? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all a licable State of Minnesota Statutes and Ciofifaga rdin , Signature ot Permittee ?? BOR-SOrd CONST Occupancy R-I/B-1 Zoning R-4 Type of Const V 1HR p I IN No. Stories 1.......6 165 Sq. FLOORS)l Assessment Permit $ 3,060.50 Water & Sew. Surcharge 560.00 Police Plan Reviewl, 530.25 Fire SAC 18,975.00 Eng. Water ConX.3 f 200. 00 Planner Water Meter N/A Council Road Unit 7,656.00 Bldg. Off. 12/17/ 8 Tr. PI. 5,148.00 APC Parks Var. Date Copies 54,129.75 Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State,of Minnesota Statutes and Gity of-Eagan Ordinances. Building Official r.t? _ 16 Pormit No. Permlt NWMr Dab TNsphone N Plqmbinq UCl?lJ ? ?r ???= 31Y -2 H_V: ... FT/,CO lc? Elecvic Gc ?-15 7 r y914-,L-,;x -'M-o"7 .?/8 -7 " ImpseUon DaM Inap. i 5. CommMb Foodnysl Footinys 11 Foundation Fnminp ??.g'J ?Q• RooNny ' y- ? ? /? ? Rauyh Plby. G?/ . ,? Rouph Hty. Iowl. 47 8-a-kl a-. !1 _ .S Flnplacm a - G Final Htq. '11 r0 Flnal Plbq. - .,tj' Bldy. Final c.d. oCC. /? ri-Q7 .91J??? ., Deck Fip. Dack Frmp. War Pr. Disp. 7 -)fY7 , ? ;i •(t?J , YtFSMI I S m z + / ` . • ' • ' MECHANICAL PERMIT `?r RECEIPT # -= CITY OF EAGAN b' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ' 00Q CONTRACT PRICE: PHONE: 454-8100 I? Site Address " Lot ? Block .?- Sec/Sub BLDG. TYPE WORK DErS?RIPTION R N ew es. ? Name Mult Add-on E m Address Comm. Repair c City Phone mher FEE3 ? Name RES HVAC 0 100 M BTU $24 00 . - . - c Address , ADDITIONAL 50 M BTU - 6.00 ' p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW ? CONSTRUCTION) GAS OUTLETS MINIMUM PER P RM T ( - 1 E I ) - 1.50 EA. TYPE OF WORK CaMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler ? C1?QGIA BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU R REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 ? Vent STATE SURCHARGE PEFi PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other . ? FEE 1 .?.-?i S/C: SIGNAT RE O ERMITTEE ? TOTAL• - FOR: CITY OF EAGAN N ., r? : . , :' ? . PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: NTRACT PRICE J '/ ? PHONE: 454-8100 , rvame _ ? Address c City _ ? Name c Addre p City - TYPE OF WORK T Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE 5,C: TOTAL• , . ' :;-v BLDG.TYPE Res. Mult ? Comm. Other WORK DESCRIPTION New W:.f 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 - 72.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMMlIND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER RERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) , • 1 • °-=8.?nlLJ/_t?.l SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN , , • PERMIT ti -7 PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: C% >NTRACT PRICE: 7? DC)C) PHONE: 454-8100 Site Address -3 S Lot Block ? Sec iSub ?":? ? - J? m Name a ) DR 1? ?G c ?A n?? p L i Ib? ? Address - c City nT ?- e G p1) ? Pr Phone ? Name R 3 Address - C L p _ City 31- rfln, ? t,e7bh Phone 'Z& 1 FEES COMM/IND FEE - 1% OF CONTFiACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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 PRICE GOES BEYOND $1,000.00) i ) i3-C.. SIGNATURE OF ERMI EE FOR: CITY OF EAGAN BLDG. TYPE WORK DE CRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAI yWater Closet - $3.00 S Bath Tubs - $3.00 ?Lavatory - $3.00 Shower - $3.00 ?2__K0chen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 T-Floor Drains - $1.50 _,;I-Water Heater - $1.50 Whirlpool - $300 _-;L.L,as Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 -7;) b • 0 0 FEE: STATE S/C: GRAND TOTAL: ?- ? .? . (CtrtifiratP nf Mrrupttnry Citp of (tagan igPpartnlpttt uf llt'tld'mg .Itt,spptt'tnri This Certifrcate issued pursuant to the requirements of Section 306 of the Uniform Building Code cerafying thar at the time of rssuance this structure was in compliance with lhe various ordinances oj rhe City regulaling buiJding construction or use. For the following.• useclassismuon APT . BMg. Ptrmit No. 12991 Oww?-Y NPX I{-I/,b : zoning Distrin' P-4 ?const.V IHR, IIN ?? ?;;17 ?t2AL IIEi.T'v`E ?ty LZ, B3, F1'3YAL OAK CMU ?1ND Due: - - - - - POST IN A CONSPICUOUS PLACE F'CITY OF EAGAN ? 3830 Pilot Knob Rom P.O. Box 21199 Eayan, MN 55121 Owner. BOr ; Site Address.??5 o?.....?-- .oVa Permit No: Meter Na Fieader No: Osk D w 4 _:?.^--?r . .. ? Sixe: Date: Conn. Chg: 13, 20Q: ()Qpd Zoning: R4 Acct Dep: ' No. of Units: 33 Permit Fee: p Surcharge: Tr Plant 'uPd 1 agres to comply wRh tha Cit of E • I? sgan . Meter. Ordinances. Misc.: Br WATER SERVICE PERMIT CITY OF EAGAN SEWER SERVICE P MIT 3830 PNot Knob Road 97 ER P.O. Box 21199 PERMIT NO.: b5 ? Eagan, MN 551?? DATE: Zoning: or _, on .opa . wo. of Units: A? Owner. Addrees• Site Plun I apree to compy wlth Ihe qty of Eagan Ordinances. ? By Date of Insp; ? Insp.: i. ConnecUon Charge: 15,675.001A Account Deposlt: Permit Fee; • P Surcharge: • n ? Misc. Charges: Total: ? Dare PWd: ? CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np - 12 9 9jL PHONE: 454-81 00 -7 BUILDING PERMJT 33 UNIT ? ?/ Receipt# (,Q 2 7o be used tor APT BLDG Est Value $1, 151, 0 0 0 pate DECEMBER 17 198 6 SiteAddress 3517 FEDERAL DRIVE Erect ?`J' Occupancy R-1/B-1 Lot Z Block 3 Sec/Sub. ROYAL OAK CIR Remodel ? Zoning R-4 Parcel No ZND ADD Repair ? Type oi Consl V 114R, T TN . Addition ? No.Stories SRRINK ? Name ROYAL OAK CIR LTD PARTNERSH 165 IPAove ? Length W z 1445 Add 1ST AVE NO oemolisn ? Depth QF o ress Int. Impr. ? Sq. Ft. a ?_T,--_ ? ? (? FLOORS ) Ciry FARGO phone 701/235-4031 Install ? 13.400 (GARAGE) o Name BOR-SON CONST Approvale Fees , $Q Address 2001 KILLEBREW DR Assessment Permit $ 3,060.50 ? city P9PLS phone 854-8444 Water&Sew. Surcharge 560.00 ? Q Police Plan Reviewl . 530.25 8i Name CARL SON MJORUD ARCH Fire SAC 18.975.00 ?? nddress 4915 W 35TH ST Eng. WaterConk3 , 2 0 0 =00 sw ciry MPLS phone 922-6677 Planner WaterMeter N/A I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with I applicable State of Minnesota Statutes and of E an Or ' q e. G? Signature of Permi A Building Permit is issued to: OR-SON CONST all work shall be done in accoidance with all applicable Council Bldg. Off. 12/17/8 Var. Date Minnesota Road Unit 7- 656 _ 00 Tr. PI. 5,148.00 Copies Totat $50,129.75 on the express condition that Building Oflicial AA==A /1 ? .? ques? voitl 18 mpnths from ? .?.//rY7 ? D .41111 „-- 7.? 71 Renueat Dace ' Fire NoP Poueh- inInspect Required? ?Reatly Now Q Will Nn?ily Inspec- Cl Yas ?NO tor Whgn Reatly B'[icemsed ElecVical Conlractor 1 herebv lequest insDection of above ? Owner electrical work installe0 aL Streat Adtlross, Bor or Rouce No. n C .3S17 ecLOn o. Township Name or No. flanee No. Co y 4? P Occupanc (PRINT) Phone No. 'Oo..so'P o jr Power Supolier Adaress EI ical Cnnvact (COmpany Name) Concrar.mr'S Li?;ense No. [ ! kL Mailing Address ICOncractnr or Ownur MakinO Insmllationl .z ? '5 S. 199,4-1• Autho a[ure nhac r O er Making Instailalionl Phone Number ' l?-- a?36-o5:-oz.. MINNESOTA STATE BDRflU OF ELECT0.ICITV THIS INSPECTION FEQUEST WILL NOT Grigga-Mitlway Blde. - poom N-197 BE ACCEPTED BV THE STATE BDAND 1821 Universitv Ava.. St Ppui, MN 55104 UNLE55 PROPEH INSPECTION FEE IS Phone 16121 642-0800 ENClOSED. 111$'1Z 7 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe ! 1 See instructions Fot_.qomolefing lhis lorm on back ol Yellow copy. D:41 T11 "x' Be/ow Work Covered by 7his Request AAd Nap. Type ol Buildine? AoPlmncea Wired Equiument Wired ? T I Home Range Temoorarv Service ex Air Condit t?? i? , 0 p Fee ServiceEMronceSize tt Fae Fexdars/5ubleeders N Fee Circults U to 200 Am 5 0 to 30 qm s 0 tn 30 Am s A6ove 200 qinps 31 to 100 Amps 37 to 700 A s Swimming Pool qbove 100_Amps Above 100_Amps Transiormers Irrigation Booms Pdrtial-'Other Fee I ' -Isjrecial'Inspect;o, I ? ?•,Z/I TOTAL FEE CG the ElecVicnl =-, ?-??j?-?? ? s ??7-?' Insoecm.. nemev ? certiiY that.the.above Final J?imspec[on hes been 'w TMa requeat voitl This rnque5t void al/?/)5 ? 78 monms r,om 1` C 1'3248 RenutshiYdta., ' im No: flovph-i n Insoer.lion Required? fleatly Now Q Wiil NotitY Inspec- ? ?? Elyas ONO lor When Ready <censed Elechical ConVactor 1 heraby request insDection of ebove ? Owner electrical work installed at: Sireet AdAress, eo or R ute No. Cciy eclwn o. wnship Name or No. flanye No. Counly Ocit r ( O C2 Occu ' c (PPINT) ? Phone No. CJ a Ol N l- Power Su plier Adtlress Elec«ical Convacto ICOmpany Nemel / Camractor's License No. 4i f9hP_SO d ?/C?//d G, `9 7 MailinB .4ddress IContrac[or or Owner Making Instailationl ? Auth iz Sipna re Conha tor?0 nc r MakinB ns[al ation Phone Number Sa` ? S-.?6d " THIS INSPECTION PEQUEST WILL NOT MINNESOTA STATE 90AND Of E Y Grip9s-Midway eitlg. - Room N•191 BE ACCEPTED 0V TME STATE BOARD 1821 University Ave., St. Peul. MN 56100 UNLESS PNOPEH INSPECTION FEE IS Phnna 18121 297-2711 ENCIOSED. RECrUEST FOR ELECTRICAL INSPECTION EB-W001-04 / See inslruciions lor comoleting this form on back oi yellow copv. 13248 x" 8elow Wak Covered by Ihrs Request 1 AAtl NeDType ol Buibing AoOlioncea Wired EquiVmenl WireA Home Range Temporary Service Duplex Water Heater LiGhtiny Fiztures fv) p Fee Service Entrenea5iie k Fee Feeders/Subfeeders N Foe Gircuits 0 to 200 Amps 0 ro 30 Am s a to 30 Arn s Above 200 qmpy I 31 to 100 qmps 3 , 101 00 A s Swimming Pool Above 100-Amps 1 Above 100_/?mps Transtormers Irrigation Booms Par iaLOt r Fee Signs 77ppecial Inspection 'S Sv ? r. TOTAL " - I Ihe EI vical Inspector, e?aby car?ily that the abave Final X2 /? ' f?? nspec[ion has been This revuest void momhs irom py?. ZLu-- . SO S?L' 9 2 2 7 8 ?a. '143 'OL?j ?_? ?2 ;5 /SJ6, c?'i Request Date r ° Fire,NO. Nouph-in InsDecUOn Nepu red? ?Ready Now Q Will Nntity InsPec- ? o2 ?YOS ?NO lor When peady 01-1censed Electrical Contrnctor 1 hareby request inepectian ot ebova ? Owner electricel work installed at: Sveet Address, Boz or Route No. ` / Ciry f&d z` • - 351 ? Co6e,4z D2lvE 646?a.4 ecuon I Townshi0 Name or No. ange o. Counry '? I , R , I, Occup/x/n?j IPRINTI /? ?/? DA'T ??.QCJ.ICi Phone No. Power Sup0lier Adtlress ?ury ; ,!J'IN Electr?ij al ConV ctor ?COmpany Name) Contractor"s License No. ff?D (J£?P ,E??eT/Lc , y?re• O D Mailing Address IContrector or Owner Making Instailationl a,-03 /6 7,V venu,ff Auffiorized (Contr ctor r Making Instailation) Phone Number ?i?- a3G - o.so MINNESOTA STATE BOA OF ELECTflICITV THIS INSPECTION 0.EQUEST WILL NOT 6ripea-Midwey Blde. - Noom N•191 BE ACCEPTED BY THE STqTE BOARD 7827 Univsreitv Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone 16121 662-OBOO ENCLOSED. ' REQUEST FOR ELECTRICAI INSPECTION ?eYa-ooooi-oe ? See instrvttiona for compleliop this form on back oi yellowcopy. D C "X" Be/ow Work Covered by This Request AAtl Rep. TvOe ol BuilOine APplinneea Wirod EauiPment Wiretl Home Range Temporary Service Duplex Water Heater Ligh[iny Fizmres Apt. Building Dryer Electric He2hn Commercial Bldg. Purnace $ilo Unloader I ndustrial Bldg. Air Conditioner Buik Miik Tenk Farm tner aeu v ther IsOecifvl 1C ?• t nr ucu v Ot or Othe? C dFa Compute lnspection Fee Below p Fee. SarvieeEntr8nca5ixe k Fee • Fexdars/Subfeaders k. Fee Circuits 0 to 200 qm s 0 to 30 qm s .3 1 41Ye 10 tn 30 Am s ,a-r Above 20 .Mm?y 31 to 700 Amps .44p, 31 to 100 A s Swinunin Pool .aa Above 100_Amps Above 100_Am s Transformers Irrigation Booms ,,SC P&rtial/Other Fee Signs Speciallnspection TOTAL emerks 6 ? i ? ?-- Nouph-in Dat? C? I, lhe Elecvical t InsDecbr, herBby I Finel certi/y thet the above , ins0ection has been maea. Thie reouent vo1018 moniM irom RECORD OF COMPLAZNT DATE: (O -ZSc Q COMPLAINT TAKEN BY: ..,pE mL.,QC}-IAK ?a,d 3 ? eN7? I.J, NAME: OR I N JJ C 1 T L I " ADDRESS: 3S I`1 P?7C-'DE'kqL -Dp,, A pT -;e30.S PHONE N0. •__ t?? -Z - 2-77 2 ?t WO ?- ??-------- ----------- COMPLAINT: -PpYA I._ CAK?^ _t1Rl"._rj, C16ArLtkoTTe S'MOIGE FQ4NI IST FLWt2_._APT GOMe? ?'hl,QOUGH 'TN/RP F(.ooQ B A'T'i-V Ex r+ausT fi.aN, 3R-0 fL0c>jZ 7=AN Y? STNFF6b '17?wEt-? ?N DU?.i , Tr'NAN7 si"?c.L Snr1Et`S. sm oc, ACTION TAKEN:_ ffC-?3.?crL? _•? ?/i4f/G ? ?l EZ? /N.S/?C?c?•?_ ----- CONIMENTS: --- -- ---- ----- TYPE OF BUILDZNG: -- ------------ LEGAL DESCRIPTION: T'D SIGNED: ------ ------ t-t- a 61 o c?l-3 - ........?..,.. , ?,,;?,?; ., 1999 BUII.DING PERMIT APPLICATION (COMMERCIAL) ?---? ?? l--' -? CTTY OF EAGAN 651 681-4675 PC) - SWCtural Plans (2 sets) . Civil PWr.s (2 sets) . Code Analysis (7) " . Projed Specs (1) • Spec Irsp. 8 Tesung SCieCule " • SAC detertniraticn lerter frcm MGES - ca11 651-602-1000 . Q aj- C,i t C'4 a vi Af(31itECLJ21 PIanS (2 sets) Strudiral Plans (2 sets) Civd PIanS (2 sets) Landscaping Plans (2 sets) CoCeAnalysis (1) - SAC defertrtinatian letter from MC/ES - call 651 -602-1000 Spec.In5p.6Tesmf9Stfiedule ('I) ° Rqea3pea (1) Energy CakuWdons (1) " . F fj) « . Ardiitedural Plans (2 sets) . Code Nialy5+5 (1) '? . prpjed Spea (7 seQ . Key P1an . Master Erit Plan • SAC determination letter Bcm MGES - call 651-602-1000 . Energy Calailations (t) rwt ahvays •• . Dec Power & ligt+ting Fwm (1) notalv`ays _ I ?ecvx Poher 8 Lu3hhng ortn I . htaster 5d1 Ptan Scils ReOoit (?) ^ Contact Buiiding Inspections for sampie Food 8 Ceverage or lodging lacilities: Ptan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: 15 WORK TYPE: _ NEW REMODEL ?-- -1. _ft55r04?-*1l0J ? DESCRIPTION OF WORK: ?'GZ;F H?+ CONSTRUCTION COST: TENANT NAME: Mt? 55 1ZZ surrE #: 3ffE ADDRESS: _ f LOTBLOCK 1 SUBD. kYDL-ORK Cir-Lr- p.i.D.# Name: EQLLITY Phone#: 3IZ?DG?-?CLCOZ - PxJPERTY Last First OWti'ER '? ,?I Saeet Address: I ZfJ ?fFt ? Ciry Srau: IL Zip: 60&0(_o Company! Phone #: me, '5e-4'' ? ?44 COl.'TR -? CTOR ss«<Aaaress: 185 4764q-6415i .415-Wr-- s111rE luo - csty tfR-Nt1"+4.M sra«: M I zip: 400411 -3433 ARCHITECT/ ENeuN EF- z company: C Phone #: ?DI L- 338 -CcCo?I Name: ??wG?-'.- Registradon #: StrectAddress: ZIq Nion4 ?o --vmr, -etirrit- ?vi ciry }1 IJ I.? LK smce: M4 zip: 56 q'd I' 145.¢ er 8 water licensed plumber (onlv if instailina sewer 8 water): ra? eby acknowiedge that I have read this application, state Ihat the infortnation is yotrect, and agre?vly ail applicable State f Minnesota SWtutes and City of Eagan Ordinances. ^• ) 0 S?gnature of Applican . / ? OFFICE USE ONLY SUBTYPE ? 01 Foundation ,0 14 Apartments ? 15 Lodging ? 25 Misceilaneous WORK TYPE 0 31 New ZI 32 Addition ? 33 Alterations ? 34 Replacement ? 26 Public Facility ? 27 Commercial/industrial ? 28 Greenhouse ? 29 Antennae Fy/P ?n-;/^ _ ?!?ferr'?r ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 36 Move Bldg ? 43 Reroof -aV'- 47 Repair ? 37 Demolish (Bldg) 0 44 Siding ? 48 Authorization ? 38 Demoiish (Int) P( 45 Fire Repair GENERAL INFORMATION Census Code SAC Code 3" No. of Units 33 No, of Bldgs. ? Const. (Actual) 1/ / iFR (Allowable) V/ 8 2 UBC Occupancy 4Z - / Zoning P b sq. ft # of Stories 3 sq. ft. Length ILS sq.ft. VVidth ?(. sq.ft. Basement sq. ft. MC/ES System ? First Floor sq. ft. City Water ??- sq. ft. Fire Sprinklered ? MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Qualiry Other Copies Total -:!g ? Insulation ? 30 Accessory Bidg. ? 32 Ext Alt - Apts. ? 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon ? Plumbing ? Stucco/Stone Building t) S) Engineering Variance VALUATION $ % SAC SAC Units Meter Size 3'? `?1 5- O 1999 BIIII.DING PERMIT APPLICATION (COMMERCL9L) C1TY OF EAGAN C) 651 681-4b75 1 (o ' irmm?n4c }n hnililinn ncrtnif :?X i S C¢Jua ra,' Foundation Onf New Construction Interior Im rovement - SWdural Plans (2 5et5) • MdhifecUral PIaRS (2 sets) • ArChifectia-al PIanS (2 5ets) . Civil Ptans (l sets) • StrutWralPlaris (Z sets) • Code Analysis (1) " . Code Malysis (7) " . Gvil Plans (2 sels) . Project SPecs (1 set) . Projed SPecs (1) • Landscaping Plans Cl setsS • KeY Plan . Spec. Insp. 8 Testing Sdiedule " . Code Matysis ' (t) " • Master Edt Plan . SAC detevnina6on letter fram MGES - - SAC deWrti"vmtion leaer fram MGES - a0 • SAC detertnination letter from MGES - all ca11657-602-7000 651-602-1000 651-M-1000 . spec. insp. a restnq smedwe (1) " • ener9y Caia,iaeons (t) na aivrays _ , prpject Specs (1) . Flec Paxer & Ughtin9 Form (7) rot ahrays " . EnertJy C21IXd3tlOn5 (7) ^ . . . Electric Pwaer 8 Ligh6ng Fortn -(1) " - . . Master Exit Plan . . . Sals Report 1 " Contact Bulding Inspections for sampie Food & beverage or lodging faciliGes: Plan must be submitted to Minneso7a Department of Health. Calt 651-215-0700 for detaiis. DATE: 15 N?IE.MeEr- Z676;0 WORK TYPE: _ NEW ? REMODEL DESCRIPTION OF WORK: CONSTRUCTIONCOST_ X670?P41;?- TENANTNAME: ECI'?-IrYgESIDEI`?TjPcL SITE ADDRESS: ---J ?i" (? ?-o?1 Mg 55 1ZZ SUITE LOTJ,_ BLOCK I SUBD. FOY,G-OAK G'KCCrr- P.I.D.# 10'(o'f7-0Z-"0(6-01 Name: EatJ.ITY r-F'SIDEATIAL Pbone #: 31 -?o?? -7Cu'nZ - PxJPEitTY L,ass Firsc O W:^rER Steet Address_ I Z?J `?LLHi WEF-9 PE- nA '-'-A %I'fr,- *60 ciry ?t11G?Go i Sase: I L z;p: 66'g0Cv Company: Phone #: 64e? -"4- I I44 CONTRACTOR stmnAaaress: IS5 aLaalr I?K $lll? Ing Ciry ?iIR-P?1 ?+M State: M ? ZiP: ARCHITECT/ ENGINEER coaipany: C M?aiTF C`?il? i'P4? • PLone #: (ol L- 3'?J' ¢j -(y(y'?`I Name: ??wGr- 6l-.E?r-5 Regishation#: StrectAddress: Ziq t4ovn4 &D ciry 1/li?J&'&.YdLK smte: Mrg . zip: 55401-1454 er & water licensed plumber (oniv if instaltina sewer 8 waterl: I iioo eby acknowledge that I have read this applicetion, state that the information is ?ortect, and agreePlY wr? all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applica . ? . . . . ° ;.r.:: Oil- .- +l + i?•:?F.S'P:t? :,? ?{? . ,.,: :: ,?r,:4< ?r r1?f`'?lk'1??:':. 'OFFI(CE, USE ONLY,?, ? *;? ?`w? ;;?•, BUILDING PERMIT SUBTYPE ????q" 01 Foundation ? ? 26.' Public F ?y acility ,' ,? ? ; ? 30« A,a c . ces ? sory Bldg 14 Apartments ? ? 27 Commercial/lndustrial 32??Exf'Alt - Apts ? 15 Lod gin g ? 28 Gr e n h o u s e ? 34 E x t A l t - C o m m. '' ? 25 Miscellaneous .. ? 29 Antennae ? , 3541'Ext'AIt = PF WORK TYPE ? 31 New ?G 34 Repair. ? [3 37.Demolish,Bldg. ?:43 Reroof , ? 32 Addition ; ? 35 Tenant Impr fo i 38'?:Demolish`(Intedor) ? 44 Siding ? 33 Alteratwns ? 36 Move Bldg ?42 .Demolish (Found) ?.? ? •,'45 ,Fire Repair ?;• ?? `" .ss <„ e` F • '+." . %? ? ° 46 WIfldOW5ID00fS c, GENERAL INFORMATION <, „•..,; ,? ?. ,? ,; Census Code SAC Code ? Zonin9 P ..,'.sq. ft. # of Stones , No. of Units '' ??_ • sq ft `?.?,?. ks Length aF ? , ?et A sq ft , .a.c??, No. of Bldgs. Wldth,,-1. ? , .? Z?2 ft Sq Const. (Actuai) i???1 h w Basement sq ft E' ?' ?? T ? h MC/ES System (Allowable) "?: First,Floor s 4 jan?T a?u? ? City Water's?? UBC Occupancy ? ?r :• ' sq?`ft 1FA?Spnnklered eG 1 ? ? +i 'y ?''f ??.u?r? : 3.a E- ii MISCELLANEOUS INSPECTIONS ? Gas Service Test '? Heating' OI"n?sulation s?.?. ? YPlumbmgiO Stucco/Stone;'?,? a +A APPROVALS ' . ?' ` `} r"" • . ? a ° . . `? . . 5,7,F.. , ..,w... .. .?.-.}h w T+:-(?"'T,Ni ? }qi1 .. i rqYrr'x • ???;. Planning Building Engmeenng Variance 77, 443?ii?V??Y^ k, uVALUATION Permit Fee rJgW,.;?. ? 77777 ? 1 . < *??t sy-? ,,,p+ O -i O . ? L1?s??"?r? •.?t?4 k?`' i ". ' $` :. ' ? ,k-?.a ?" ? -i. Surcharge . ?? , r? *???>?? 1 ??:? ., '?'• ? ?` Plan Review MC/ES SAC % SAC'? City SAC • , ;'*?? ; `. ` ? " ?.`?SAC Units ? ? ,. F 1 , ? ?? n? Water Supply 8 Storage 'a ?Meter?S¢e'?? S/W Permit 60 ft S/VI/ Surcharge Tr@8fR1@nt PlBnt C??i?? f? 4 ! ? 3r Park Detiication r M ,?r Trails Dedication ° '?` ? .,, • N? ?f ? ? - ?' r ?` ? ? i • WaterQuality :?. Othef Copies . ??. k Total w+ \:? ?M y ?[?- '. S , f?'' ` 6 kay?.', ?r?'.yc.k t .? r'?.n ?y?•?'' 4 .4??SL ? l i '? } 71< '?at dis • Po t r .:r` . .. . '.? May 25 01 09:07a . ' . tNRECON ROYAL OHKS RPARTMEN7S 3517 FEDERAL AR1VE EA6AN, MN., 55122 USA 651.688.9325 651.688.9413 FAX COVER SHEET p. 1 [] v?q?t [] Rep1yASAP 11 Pleaseromment 11 Pleaserevlew ? fwYowinlwmaBon DeparUnent of Administration July 17, 2001 Equity Residential 3515 Federal Dr. Eagan MN 55122 RE: Hydraulic Passenger - Elevator ID# 01-07116AL01-01 Site: Royal Oak Apartments 3517 Federal Dr. Eagan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve eievators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined if ineets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILD G CODES AND STANDARDS 144 #0 " C- `` John P. Roche State Elevatorlnspector. jpr/kad (CE-2) c: Schoeppner, Dale R., B0, City of Eagan Minnesota Elevator, Inc. Inrecon LLC ElFormCE2 Building Codes and Standards Division, 408 Metro Squure Building, I? I 7th Place East, St. Paul. MN 55 101-2 1 8 1 Voica 651.296_4639, Fax: 651.297.1973; TTY: 1.800.637.3529 and ask for 296.9929 February 1, 2001 A KAUFFMAN ASSOCIATES - Ms. Lori Zierden Administrative Assistant Dakota County Housing and Redevelopment Authority 2496 145th St. West Rosemount, MN 55068 Re: Roval Oaks Aoartments Dear Ms. Zierden: 19675 Midway RnaJ, 5uite # 100 .4JJison, Texas 75001-9966 Faz (972) 960A507 ['hune (972) 960-9500 In accordance with Section 4(d)(e) of the First Amended Regulatory Agreement dated December l, 1986, enclosed is the most recent listing of units either occupied by or treated as occupied by Lower-Income tenants. Also included are copies of the Income Certifications for all new Lower-Income tenants, and the Certificate of Continuing Program Compliance. Roof work has begun on the fire units. Note: Total units at the proper[y es listed at 198, which rejlects the loss of 33 fire units. Sincerely, ??IA.l?1*A'J?''? U?f Carole Kauffman Authorized Representative CK/ep cc: Merrill Lynch/Ed Brailey (w/encl.) City of Eagan, Mn./Attn. - City Clerk (w/letter only, at request of City) Harry Demos/Equity Residential Properties (letter & report only) Equity Residential PropeRies/Monica Murphy (letter & report only) S` PruriJing Compliancc & Rcporting Scrvicc> Grt bnc tu Mudcrnte Inc"mc Il"nieing. CERTIFICATION OF CONPINUING PROGRAM COMPLIANCE ROYAL OAKS APARTMENTS Witnesseth that on this lst day of February 2001 , the undersigned, having borrowed certain funds from The City of Eagan, Minnesota (the "Issuer") in association with the [ssuer's Multifamily Housing Revenue Bonds (Roya! Oak Circle Project) Series 1985, for the purpose of refunding a multifamilyhousing project located in Eagan, Minnesofa (the "Project'l does hereby certify that during the preceding month (i) such Project was continually in compliance with the Regulatory Agreement dated as of December 1, 1986 among the undersigned Developer, the Issuer and Capital Realty Investors Tax Exempt Fund Limited Partnership (the "Lender'), and (ii) 22 % of the units in the Project were occupied by Low or Moderate Income Tenants (minimum of 20% required) or are curtently vacant and being held available for such occuoancy and have baen so held coetinueusly since the date z Low or Moderate Income Tenant vacated such unit, as set forth below. List names of Low or Moderate Income Tenants who commenced or terminated occupancy during the preceding month. Commenced Occupancv_ Tcrminatcd Occunancv (See attached) (See attached) Attached is a separate sheet listing the [otal apartrnents in the Project and which units are occupied by Low or Moderate Income Tenants. Thc representations set forth herein are teuc and correct to the best of the undersigncd's knowledge and belief. CRICO OF ROYAL OAKS LIMITED PARTNERSHIP, A Minnesota limited partncrship By: ERP Operating Limited Parmership, an Illinois Limited oarrnership, iis general partner By: Equity Residential Properties Trust, a Maryland Real estate investment tcust, its general partner Bv: Altemate Management Resource, Inc. A Texas corporation d/b/a Kauffman Associates Its Authorized Reve By: Carole Kauffinan, Presid . BOND PROGRAM REPORT Month Januarv Year 2001 Property: Roya) Oaks Project #: RO Location:- Eagan, Minnesota Number of Units: 231 Submitted By: Eqwtv Residential Februarv I, 2001 Date Reeonciliation of Lower-Income Units: Total of Lower-Income Units Last Month : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Number of Deletions this month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ ] Number of Additions this month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total of Lower-Income units this month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SO 1. LOWER-INCOME TENAMTS The following units have been designated as "Lower-Income" units: 1.03-107 - Hebb 2.03-110 - Notch 3.03-202 - Caele 4.03-204 - Alstom 5.03-206 - BiiPu 6.03-207 - Ericksnn 7.03-301 - Luzr 8.03-307 - Tollackson 9.03-309 - Michael 10.09-104 - Peter 71. U9-108 - Denote/Cf rla 12.09-110 - Randle 13.09-207 - Murray 74.09-301 - Schotilrz 15. 13-102 - Dalv e/Tre k 16. 13-104 - Baur/Svennin 17. 13-109 - Krauc 18. 13-205 - Cogar 12 .:3-2C?' - Ryar? 20. 13-208 - V"uez 27. 13-209 - Woodward 22. 13-303 - Hopkins/Parn 21 _ 19-1 10 - DeAn 24. 19-202 - Carvl 25. _19-204 - Pete on 26. 19-207 - Keathlev 27. 19-208 - Nordin 28. 29. 19-306 19-309 - Nguyen/Sang - Shannon 30. 19-310 - riggs 37. 21-102 - W zva? 32. 21-106 - Oldfield 33. 21-108 - Linder 34. 21-109 - Thomas 35. z1-202 - Deshrajij 36. _21-206 - P[acek 37. 21-207 - WhipI?? 38. 21-211 _ - Lemke/Schult 'sa. 2i-302 - Weisenbe::k 40. 23-101 - Rocheford 41. 23-104 - Martin 61 42. 23-107 - Gange 62 _ 43. 23-109 - Delettera 63 44. 23-111 - Tahir gq 45. 23-201 - Harvey 65 46. 23-205 - N A gg 47. 23-207 - Guidera et al 67 48. 23-208 - Fitz erald 68 49. 23-301 - Shanks gg 50. 23-308 - Shioman . 70 51 57 60. 77 The changes from the previous report refleded in the above listing are: DELETIONS 1._13-102 - Oberg 21._ 7 27 11 31 33 1 17 18 37 ADDITIONS 1._13-102 - Dalvg /Tresk 21 5. 7 27 9. 10. 11 13. 14. 15. 16. 17. 31 32 33 37 40 4 ?2r 43 i, &`? &.;4& A'"? lMO TD: TOH COLBERT, DIRECTOR OF POBLIC WOR%S JIH ST[TRH, PLANNING DEPARTHENT BILL AgINS, II.ECfRICAL IHSPECTOR CRAIG BNIIASEN, FZdGINEERING T6CH FROM: DOIIG REZD, SOILDING INSPECTIONS DEPT D6TE: 1411719?7 The Protective Inspections Department will be performing a final inspection for occupancy ofQ t,J.(?,P 43, . on 03 D9, I S, l7, ? 9, 2; e73 yy?(¢?rlLQ ?i+wrrC-- Please return xithin 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 construetion firm with necessary requirements before final inspeetion and notifying the Building Znspections Department when all requirements have been taken care of. Thank-you. DR/js APPROVAL: DENIAL: (SIGNATURE & DATE) (SIGNATURE & DATE) CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINN?SOTA 55122 DATE v ? Ii / 18? n¢eewen iRdA AMOU $ &__DOLLARS ? CASH MCHECK Foa a ,i?lome.?c-LJ rn-??a S??r,-,;,?# s g??y g??S g?9 S Fl1Np COpE AMOUNT Thank You BY NO _• v62L White-PaYerc CoPY Yellow-POSting CoOY ._..Pink-File CopV ?`. ? ???D 35/ 7 ?--e J e l7 3 9a- 6a? ?a ?rP.g. ?7 7' ? 3d ? ? (° 6 /D j ' / ? A0, ? ? ?l A, 39a.6 26 6 l v7?63olo 7 ? 14 R, 0 37 a?o ah (? 41- Q7 P 631do ?D CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION :*RYPF: PAYMFTTP' OF FF.E AT TIlM pg : APPLIGITION DOES NOT ODNM1V1E APPROVAL OF PF•RNIIT. INSPDC.TION OF SETWR ADID/OR WATEt ; TISSPAT.TATTQN$ WiT,i, NOj` BS $(:E]FD- tn.m orrru. PERMIT Hhs sEav ArrxovEO. , trlease Yrint) 1) PROPERTY ADDRESS: S •- LEGAL DESCRIPTION: ?? •? _ Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING SiRCCiL'RE, DATE OF ORIGINAL HLILDID]G PERMiT ISSL'ANCE: ' ? PRFSENr ZONING/PROPOSID L'SE: (Mon Year) q corMERcIAu./xErrsL/oFFzcE Q INIIJC'STRIAL n INSTITL'TZONAL/GOVERN42iT 2) ff?w. a NAME: ADDRFSS: CITY. S"fpTE, 2IP: PFIONE: 3) u i.?• - NAME: ADDRESS: i CITY. STATE, ZIP: PHONE: 4) •a. ? • i i31• . NP.P7E: dYZ 5 t ADDRESS: Z OCJ I `i / zz ?i.+-..?? ' Q'1'7C. STATE, ZIP: rxorE:_ S s y- 8 yv'v •5) ? ?• i r: • a• : ? • . - ?. [D"CONDIDCrION T0 CITY SE4M ,0?CpNNECTION 10 CITY WATER ? pTEIER '. - - 1 6) ?? • • . r 7) rf1/? , . For City Ose . Plumbers License: Active Fbcpired Not recorded MASTEEt LI(ENSE# Sta 7nitia1 PLFASE HOLD ApPROVfD PERMIT FOR PICK-C?P BY ONE OF ABl7VE PLEASE MAIL ApPROVID PERMIT 70 1, 2, 3, 4, ABpVE (Circle one) ? R-1 SIIVGLE FAMILY Q R-2 DC'PLEX (Ztvo Units) ? R-3 70WNEi0DSE (Three + Units) ( Lfiits) ? R-4 APARTriffNP/CODIDOMINILTS (,3 ? Units ) T '1> FOR CITY USE ONLY PERMIT.# ISSUED ?T • Pd w/Bldg. Permit FEES: • $ $ /O- S Ut SEWER PERMIT (INCLODE SDRCHARGE) $ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCODNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER ? G?$ I??•(? L) C) $ WAC $ 7 S " S SAC $ $ TRLNK WATER ASSESSMENT - $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BE[VEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRLNK WATER S ? fl??CSD $ R RC S WATE TREATMENT PLANT U HARGE $ $ OTHER: $ .3 Z-3 'v C7 $ TOTAL _ l r?3 71 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: , DATE: ? /(p ?R17 2 F/ 1986 BOILDING PERMIT APPLICATIOH - CITY OF EAGAN HOYE: ALL CANTRACrORS MOST BE LICE9SBD WITH THS CITY OF EAGAN SIBGLE FAMIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS (lOLTIPLE DWEI.LINGS - HESIDENfIAL INCLUDE 2 SETS OF PLANS, CE1C 1 SET OF &NERGY CALCULATIONS C014QBCIer" RSNTAL ONTTS FOR SALE ONITS OF SORV6Y - CHECg FTITH BLDG. DSPT., INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS, 1 SES OF SPECIFICATIONS AND 1"SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To Be Used For: Aler. Dl-PLA. Valuation: 1, Is fi000 Date: 11-2.5--?(. 3511 Site Address 40" i t?faL DR. Lot 2 Block 13 ZtLp Parcel/Sub PDy,di. A4 Oi.¢tln 0,40D • Owner jr 0,,OL 49,4h C/e LTD %Aay?tlfli` Address ?yys /fT .6 Aj?g I `' /(/[7 City/Zip Code ?/?CL.?O T-T- ehone 781-z 3S- y03/ Contractor -,SOn, C?NS7 Address P4- City/Zip Code 11y"'19z5 Phone y -E?IW Mch./Engr. CA/LCSe,., ",0ku10 y4oe'r. Address 355?'S7 Erect Remodel Repair Addition Move Demolish Int.Impr. Install Oceupancy Zoning Type oP Const # of Stories Length Depth Sq Ft ArPxovALs Fess Assessments Permit Water/Sewer Surcharge Police Plan Review F1re vSAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off i Treatment P1 APC Parks Variance Copies iOTAL City/21p Code Phone U 4,Z2-. % NOTfi: ADDRES9SS FOH COHSE@ LOi3 - CONTHSCTORIHOMEOiiNER MOST DESIGHITB SiHICH 9DDRSSS IS DfiSIM. 80 WAHGffi YIId. BE ALLOiiED ONCS BUILDING PERMIT IS ISSIIED. L:)- BL :??' CITY USE ONLY PERMIT#: SU130. 1??j, CO Cl? C t J C Q i a-? APPROVED BY: INSPECTOR RECEIPT#: RECEIPT DATE: I -?- ? -o 0 2000 MECHAN1Ci4L PEfiM1T (COMM£{iCIi4L) C[TY 0F f A&!kN S$SO PILOT KNOB RD EAHAN, b1N 551 SE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit < DATE: I WORK T'YPE: New construction Install U.G. Tank ? Interior Improvement _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, cafl 651-681-4675 for inspectian by fere marshal and plumbing iiispector. Description of work: Fees: 1% of conhact price OR $30.00 minimum fee, whiclr6 Underground tank removaUinstallauon = minimum fee is greacer. (Base Fee) Contract puce: $? z 1%_$a?G ' OC? State surchazge S?TE ADDRESS: - 50 OWNER NAME: TENANC NAME (IMPROVEMENTS ONL1): calculate at $.50 for each $1,000 Base Fee WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: !F-(") cQ M Q C` 1' 1 Q C\ , C Q_I ADDRESS:J,SQO' 'I?S_(:?h1"'1 U Q. 1'f- PHONE #: -7(93 - 7 y1151' lllSO6 CI11': ? t? c?QJ STATE: A." '??Ip: 5 S"b 1 ( r rC,:t . `S N.A F J? oEC?o s ??o?o D , L _ BL _ SUBD. APPROVED BY: u4 cmr use oNLv 'I PERMIT#: 1'?" ?1 IR '?!) RECEIPT#: INSPECTOR RECEIPTDATE: 4 Wo __?o I ?UVU MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE;: J I a 3 WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping R'hen installing/removing underground tank, ca11 651-681-4675 jor inspection by fue matsha[ and plumbing inspector. Description of wotk: Fees: 1% af contract price OR $30.00 minimum fee, whichever is greater. Underground tanlc removaUinstaltation = minimum fee Contractprice: $ c ? x]%=$ [)?. State surchazge TOTAL SIT'E ADDRESS: OWNERNAME: TENANT NAME (IMPROVEMENTS ONL1): (Base Fee) Gdd,& ?M???i r calculate az$.50 for each $1,000 Base Fee WAS THERE A PREVIOUS ?TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDREss: 3a&j lafhOM1414, CITl': PHONE#: 61s? (AREA CODE) OF PERMITTEE ? CITY USE ONLY PERMIT #: RECEIPT DATE: COMIK£itCIAL PLUAS9INH PERMiT AP'PL[CATION GfIYOF $A8liP S$50 rOAT IIFOB RD $AeM, IRa 881 ES e51-681-4e75 INCOMPf.ETE APPLfCAAONS WlLL NOT BE PROCESSFD Date: ? ! as 1 c)) WORK TYPE New Bldg Add-on Repair RPZ PVB ' Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unleas smaller size permitted by Public Works DESCRiPTION OF WORK ?{>Q To inquire if Pressure educing Valve is required on new service, call 651-6814646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickfua uo meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM FNo DomesucSize & Type Avg GPM Does this include high demand devices? Yes No U ?[J?j FLUSHOMETERS _ Yes _ No PRV REQUIRED Yes . N z 9 1 ?? 1 Site Address: ? ? 1-7 e- 'r0. ( Z:) y- Tenant Name:-RCS ?1 G, i ? Q{<,-s Telephone #: (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Installer Name: K k e, Telephone #: QS &- C?&O ' OZ (9 6('?) , Installer Address: 3 ' f ry oa ? 1. lf (Mea Code) City: FEES ?,d u\ ? p _ K s State: rn 0 Zip Code S Cv Li?.? Contract nrice E b0 x t°/ (.050.00 minimuml Contract Fee $ 60.00 Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse Meter(s) $ Radio Meter Read $ State Surcharge $ _1=9rc?' S ? New Service $ Total $ s?-e5`215/ , 5C I hereby aclmowledge that I have read this applicauon, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notify the property owner t6at the Ciry of Eagan umes no liability for any damages caused bythe City during its nomal operational and maimenance activides to the faciliries constructed under s pe 't within Cil,,?property/righi.of-way/easement. OF CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ A'v Test Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR CITY USE ONLY PERMIT #: ??. L RECEIPT DA1'E: ?Z` -- 0 I COM6IMC1lkL PLUMSINH PEiibIIT APPIICATIOF Cl1'1toF £AsAN 5890 PdUl' HFOB IiD 8l,8AR. I!N SSI $S 651-8$1-487$ INCOMPLF?_F APPLICAAONS WILL NOT BE PltOCESSED Date: '? / ? / WORK 1'YPE New Bldg Add-on Repair RPZ PVB • Irrigation system • Must complete reverse side of applica4on also. Required meter size is 2" turbo unless smaller size pcrmitted by Public Works DESCRIPTTONOF WORK l'? - d-e i To inquire if Pressure Reducing Valve is required on new service, ca11 6 51-6 8 1-4646 METERS - Ca11 65 1-68 1-43 00 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickina uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes °?o PRV REQUIRED Sitc Address: Zi.v Yes _ No Tenant Name: Telephone #: 6 S? b ,Ff -lo ,K3 /, (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Installer Name: Jy7?99 /11`aGS'i J44-? Cca-` Telephone #: 74 3- ° t ' (Area Code) InstallerAddress:l"l5-°Zd SK7v? . City: /FUy .0'5 State: /v[ /.,.,_ Zip Code FEES Contract price $ ZF&oQ x 1% ($50.00 minimum) Contract Fee S 12U(0'100 Meter(s) $ Requ'ved on all new buildings & boulevard irrigaUon systems (Acct # 9220-4509) Radio Meter Read $ Surcharge: $.50 Minimum. If onc tract fee exceeds $1,000, calculate at State Surcharge S 50 cents per $1,000 contract fee. Total From Reverse New Service $ Total s 1 I hereby aclmowledge that I have read this application, state that the infomiation is correct, and agree to com ly with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to norify the property owner that the Ci su il for any damages caused by the Ctiry during its normal operational and maintenance activities to the faciliries construc u' r this ithin ' y •operty/right-of-way/easement. AT OF PERM TEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Test Gas Test )1' Rough In ? Final +-z9-or PLANS SUBMITTED APPROVED BY: /? , BUILDING INSPECTOR UNITED ASSOCIATION of ioumeymen and Apprentices of the Plumbing and Pipe Fiaing Industry of [he Uoired Stares and Canada Founded 1889 UA Loc°al Union: Letreis should be wnfined m anesubjea Subjecr. ST. PALTL PLUMBERS LOCAL 34 411 MAIN STREET RM. 215 ST. PAUL, MN. 55102 DALESCHOEPPNER ASSISTANT CHIEF BUILDING OFFICIAL 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 5 5 1 22-1 897 DEAR DALE: p r JANUAAY 31, 2001 I WOULD LTKE TO THANK YOU FOR YOUR QUICK RESPONSE TO MY COMPLAINT ON JANUARY 26, 2001. AS I TOLD YOU I WITNESSED ONE (1) MAN DO[NG PLUMBING WOI2K ON THE ROYAL OAKS APARTMENTS AT 3517 FEDERAL DRIVE. HB ADMITTED HE DID NOT HAVE A PLUMBING LICENSE. I ALSO HAD A CONVERSATION WITH A TIM CORDLE FROM INRECON INSURANCE RECONSTRUCTION EXPLAINING MY COMPLAINT. I HAVE A CONCERN THAT INRECON DOESN'T HAVE A CLEAR VIEW OF MINNESOTA CODES AND PROCEDURES. I AM SLJRE THAT THE C[TY OF EAGAN WILL INSURE THE SAPETY AND HEALTH OF THE1R CITIZENS. I KNOW THROUGH EXPERIENCE THAT WHAT I 5AW WAS A VIOLATION OF MINNESOTA CODES AND COULD BE PROSECUTED. I APPRECIATE YOUR CONCERN FOR YOUR CITY, AGAIN THANK YOU. SINCERELY, ? wj__? DOUG GALE BUSINESS MANAGER PLUMBERS LOCAL 34 Mattin J. Maddaloni Genernlv.eridene Thomne H. Pemhell Cenrruf Serrrtrrrydrrruunr C. Randal Gardner .4rsin¢nt GennaL Pre.ri<fen? ?.?, city oF eegen f'AIRICIA E. AWADA Mayor I'.4UL BAKKFN PEGGY C'AHLSON CYNDEE FIELDS MEG'1'IL1.EY Council ;vlembees THONG15 HEDGES Ciry Aclministrator Municipxl Center: 3830 Piloc Knob Road Eagan, MN 55122-1897 Phone: 651.631.4C>00 F:ix: 651.681.4612 TDD: 651.454.3535 April 5, 2001 MR. TIM CORDLE INRECON 3517 FEDERAL DRIVE EAGAN, MN 55122 RE: ROYAL OAKS APARTMEPIT ? 3517 FEDERAI. DRIVE ? Dear Tim: As you know, the above referenced project experienced major fire damage on October 10, 2000. Due to the extreme amount of damage, it was evident that certain building components would need to be upgraded to meet curcent building codes and standards. , These changes were necessary based on improvements in the codes since the original ; construction, or if problems with the original details were identified. Following are the most notable issues: l. The entire building was required to be sprinkled per the Uniform Building Code Section 904.2.9. 2. An elevator lobby is required per U.B.C. Section 10043.4.5. Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phonr. 65 L6S 1.4300 Fac: 651.681.4360 "['DD: 651.454.8535 ?.cityofeagan.com THE LONEOAKTREE Tlie symlA ufsrrengrch and gruwrh in utu cummuniry 3. Soffit venting detail was changed and approved as an altemate to U.B.C. Section 709.3.1. 4. A deep seal trap was requested on the disaster pans for the washing machines. Standard traps are more subject to drying out and exposing the occupants to sewer gases due to infrequent use. See Minnesota Plumbing Code Section 4715.0950. [f you have any questions or concerns do not hesitate to contact me at 651-681-4699. Sincerely, ? c,Q. Dale Schoeppner Actina, Building Official DS/jb cc: Building Inspectors ?Al?w 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 t (?C) a) Date / / ? /Q? ^ Site Address 1? FE'p C r d Unit # Tenant Name (? c?c.e a I 0 aK Rdrmer Tenant Name Propertydwner R0??J (-j-a L Rp+S Telephone#(C'51 ) C$$'Gg,`??(Q:' Contractor Address `t L-1 S ) (.?] • 7c-'j?-k ?-{- City ? (A1 n d. Sfate fn 0 Zip 55y35 Telephone#(CTS4 $35-3$)n License #?? y C>o P f11 Expires: I o?2 I3 lIQOG`a The Applicant is _ Owner ? Contractor _ Other Work Type New Bldg ._ Modify Space _ Irrigafion System** Yes No Work in public r-o-w / easement? 1 RP2 _ PVB: New _ Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irriQation s sfems Description of Work =.n?-?-a 1 J ? G(.?J 1\ P Cr [? n?, ?ec? ?t°?? .s/n Aoyg55 To inquire if Pressure Reducing Valve is requved on new service, w11 6 5 1-675-5 646 Meters - Call 651-675-5300 to verify that hydrostatiq conductiviry, and bacteria tests passed prior to oickine uo meter. Irrigation Size & Type • Avg GPM 2" turbo req'd unless smaller size a(lowed by Public Works Fire Size & Price 3/4" meter 167.00 Domestic Size & Type Avg GPM Includes hig6 demand devices? _ Yes _ No Rlushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $5050 minimum (includes State Surcharge) ContractValue $ y5c) x 1% _$ f::j0. <??D PermitFee $ ? Meter(s) Required on all new buildings & boulevazd irrieation svstems ' $ Radio Meter Read $ i 50 State Surchazge If ?etmit fee is lus than $I,000, surcharge is ES0 If oetmit fee is more thxn $I,000, surcharge is $.50 for each SI,000 owed. """"'-""""^"'""""'"""""""""""""""'""'_"""'_""_""_-__"""'""'""_"-_'___"'_""_'_""""__"'_'_""""""'"'"'""" Following fees apply when instailing new lawn irrigatio Wate[ Peimit Call the City's Engineering Departrnent, 65}-5?75{?4?r?u??mollr? TreatmentPlant ? ? ?UL 3 $ Water Supply & Storage $ State Surcharge $ Total Fee I hereby apply for a Commercisl Plumbing Pemit and adaowledge tliat the information is complete and accurate; tha[ the wotk will be in wnfoanance with the ordinances and codes of the City of Eagan and with tlie Plumbing Codes; that I understand this is not a pcvnit but only an application for a permit, and work is mt to start without a pennit; thaE [he work will be in accordance witk the appioved plan in the cue of work which requires a review aud approval of plans. ApplicanPs Printed Name ApplicanYs Signature S 'QGsb1 f' ? ??S7J S7 2007COMMERCIAL BUILDING rERMiT arrLtcaTiorr Ciry OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. • Strudurel Ptans (2) sets • Givil Plans (2) • CertifcateofSurvey (t) - • CodeAnalysis ^ (1) . ProjectSpecs (i) • Spec Insp & Testing Schedule (i) " . Soils Report . (i) • Meter size must be established . SAC determinaUon - ca11 6 51-60 2-1 0 00 • Soils Report (7) • CertfiwteofSurvey (i) • Structural Plans (2) • Nchitectu2l Plans (2) sets • HVAC units req d. on bidg eiev. / siie plan . Civil Plans (2) . Landscaping Plans (2) • Code Malysis (1) ° • EnergyCalculations (1)" • Emergency Response Sile Plan (1) . Spec.Insp.BTestingSchedule (1)" • ElecUic Power & L'ghting Form (7) " • Project5pecs (7) • MasterEuitPlan (1) • SAC determinatlon - call 651-602-1 000 • Fire Stopping Submittals . Fire Suppression/Alartn Form • Meter size must be established . Architectural Plans (2) sets • CodeAnalysis (7) " • ProjectSpecs (t) . Key Plan (1) • Master Fxit Plan (1) • Energy Calalalions (1) not always° • Elec. Power& Lighling Form (1) not always"' • Meter size must be established-'rf applicable . SAC determination - ra11 6 51-602-1 000 Cal1 MN Dept oY Health at 651-2U1-4501.1 tor de[ails regarding foad & beverage or loaging Tacfli[ Contact Building tnspecfions to see if it is required and for a sample. pertnit £or new building or additian will not be processed withou[ Emergency Response Site Plan. Date 10 / v / 07 SiteAddress 39- 77 ~COCRAL ?iZ Tenant Name Re,o,v<.- b.o ConstruMian Cost 'g rSZ! 1. o 0 Unit/Ste # Former Tenant Name Description of Work a6„F lZa2,0n02 f-nd.+. STOMC ? ??n6c: Property Owner t?dr.nv. LSV?a 61Lt3Lf+L1+, .ZrxutS Telephone#(77'$ 7-+9 -/3Z8 Applicantis: Owner X Contractor ?d c 1 Contractor C?17L..<1o Contact#: (41t 4 ) ?vt- 5-14 I Address yy0'7 State I X 3cc CAve5 Izn Sorr.? 32.G Zip ?f7 q10 City Fl..svo-? Telephone #( 7+2) ZG Y- `j"Z 6Y Arch/Engr Address State Zip Registration # City Telephoue # ( ) Licensed pium6er installing new sewer/water service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge [hat 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 [vN 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. . ApplicanYs Printed Name Appl Ys Signature DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ,8?27 Commercial/Industrial ? 32 Eut Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types 0 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)• ,lZ' 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemoltUon Bullding - Give PCA handout to applieant Valuation 53lap O. _C?eJ ?- Type of Const Width ? Plan Rev 100%_ 25%_ Occupancy MCES System SAC Units Zoning City Water Nbr. of Units Stories 8ooster Pump Nbr. of Bldgs Sq. Ft. PRV Fire Sprinklered Length . Required Inspections _ Footings (new bldg) Fireplace R.I. _ A?ir Test _ Fina] _ Footings (deck) _ Insulation T _ Footings (addition) _ Sheetrock Foundation FinaUC.O. Drain Tile FinaUNo C.O. Driveway Apron Other _5,? Roof ?Ice Pr _ Decking _ Insul I/ Final _ Pool Ftgs AidGas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final CIO Inspection: Schedule Fire Marshal to be present. Yes _ No _ Approved By: Planning U15k, Building Inspector ---------------- --------------------------------------- Base Fee Surcharge Plan Review SAGMCES sac-ciry Sr4V Pertnit S/VJ Surcharge Treatment Plant Financial Guarantee TreatmentPlant(Irriga6on) ' Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Waterouality Water Lateral WaterTrunk Wffier Supply & Srorage (WAC) Other Total PERMIT City of Eagan t , , , Permit Type: Building 3830 Pilot Knob Rd �• �o f _`, Permit Number: EA150089 Eagan, MN 55122 Date Issued: 06/20/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 3517 Federal Dr 111 Lot: 2 Block: 03 Addition: Royal Oak Circle 2nd PID: 10-64701-03-020 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Shannon 651-454-0161 ext.101 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. S::::) / Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan % 4 , , Permit Type: Building 3830 Pilot Knob Rd ` * Permit Number: EA150090 %.as r® ,'. Eagan, MN 55122 - > Date Issued: 06/20/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 3517 Federal Dr 206 Lot: 2 Block: 03 Addition: Royal Oak Circle 2nd PID: 10-64701-03-020 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Adult Foster Care Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Shannon 651-454-0161 ext.101 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. vt 1 I 7 cli ::::) Applicant/Permitee: Signature Issued By: Signature For Office Use : fEG 1s� 11 � � � o Permit#: ,,,,,,4„:44. #0,000 ac,_ AN Permit Fee: LJ Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 Payment Recvd: Yes No Email: buildinninspections(c citvofeaoan.com Plan Submittal: eplanst citvofeadan.com L Plans:_Electronic _Paper J 2019 COMMERCIAL MECHANICAL 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 j Date: Site Address: 6�1 -Cr-C D^1 c_ Vmo (?L C,4<b Tenant: Suite#: Owner Name: Phone: • Address/City/Zip: Name: /pi) �ef � j�' to (\C� 1.Le License#: Contractor Address: D J)< • j City: K 1:�;,y_. State: y IA Zip: `) Phone: LP 576 3—i& C �� y_- 1 1 Contact: G 11 '7 1` Email: T 1`�'C\''\-L) �0Vlob,C \ New V Replacement Additional Alteration Demolition Type of Work Description of work: sr 'l-e--r I NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. COMMERCIAL New Construction Interior Improvement Permit Type Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install/ Remove) COMMERCIAL FEES , r $60.00 Permit Fee Minimum Contract Value$ �f' � x.015 $75.00 Underground tank removal, includes State Surcharge =$ Permit Fee I Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE You maysubscribe to receive an electronic notification n from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeapan.com/subscribe. 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. 1111 X C)� V— �� X N �_�� • Applicant's Printed Name Applicant's Signature FOR OFFICE USE ,- Required Inspections: Reviewed By: -' s, Date: S Underground Rough In Air Test Gas Service Test In-floor Heat ` Final HVAC Screening