4151 Knob Dr
CASH RECEIPT
' CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
1
DATE 19
weceIveo
FROM
AMOUNT $ El
? CASH
iOF
& DOLLARS
?oo
? CHECK
FUNO I CODfi I AMOUNT
Thank You
BY
Whita-Peyers
Vellow-Postii
Pink-File Col
s r,? CITY OF EAGAN ;3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 ?
BUILDING PERMIT Receipt#
To be used for • • Est. Value `Date ,19 ?
Site Address
Lot elock ' Sec/Sub. ' LL PCtut'. P
Parcel No.
m Name
W
= Address
o
City Phone
. •:<i . . .
a o Name
o Q Address '
UP City Phone `•' ?' ? 'r
W=lName
Address
¢ City Phone
sW
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.
Signature of Permittee
A Building Permit is issued la on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Sta[utes and City of Eagan Ordinances.
Building Official
OFFIC E USE ONLY
,pn Site Sewage Occupancy
MWCC System _ Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit HOlder Date Telaphone u
Plumbing
?
H.V.A.C.
Electric eJ ?-
Softener
Inspeetion Dets Insp. CommentS
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ,? '??9/s? u•?P-??,. ?'. r. ?6. W.
Rough Htg.
Isul.
Fireplace
Final Htg. /g
Final Plbg.
Bldg. Final
Cert.Occ. ,--
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp. -
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address
Lot Block Sec/Sub.
Parcel No.
a Name
W
3 Address
° City Phone
a o Name
? Q Address
P City Phone
¢
yVj W Name
Address
e W City Phone
I hereby acknowledge tnat I have read this application and state ihat the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature ot Permittee
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 City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
OFFIC E USE ONLY
On Stte Sewage _ Occupancy
MWCC System _ Zoning
On Site Wel1 _ (ACtual) Conat
Ciry Water (Allowable)
PRV Required ik of Storfes
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit
Planner Surcharge
Council Pian Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Parmit Holdsr Date Tslophone X
Plumbing
H.V.A.C.
Electric ?i 55 Y-
Softener
Inapactfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final L
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
f
CITY OF EAGAN
.---3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for
i'4:PROVE2iCi+1 Est. Value 17+ti-? Date s?9f i,l ,19
Site Address 41 i7 F,NUB Jk
lot Bbck Y Sec/Sub. KAUB KILL TkOY TK
ParcelNO.
a Name 'MB iliLi, :'iiOFt:S5LQ11AL PARK
= Address '+LSI i4`iOL' Dl:
° City EkC4-N Phone 452-1561 (Bfl 37IPK1°t)
$AM
I hereby acknowledge that I ha
i
f
ti
i
r ve read this application and state that the
n
orma
on
s correct and ag ee to comply with all applicable State of
Minnesota Statutes and Cify o f Eagan Ordinances.
SignatuFeof Permitfee -- ---- .-___ .-. ____----.-__. -{`-
A Building Permit is issued to:
-'!".EJv
:ti: ? S„:''•:is ?.$5?n?r,AL 1
on the ezpress condition that al l work shall be done in accordance with all
applicable Stale o( Minnesota Statutes and City of Eagan Ordinances.
Building Official
OF FICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem Zoning
On Site Well (Actual) Const
City Water _ (Alloweble)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total 1 . ULC
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner _ Surcharge S
Council Plan Review
Bldg. Of1. _ SAC, City
Variance SAC, MWCC
Water Conn.
Water Me[er
Road Unit
Treatment P1
Parks
?
TOTAL
Permit No. Permit Holtlsr Date Talephone #
Plumbing
H.V.A.C.
Elecfric
Softener
Inspection Date Insp. Commenta
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
DeCk Ftg.
Deck Final .
Well
Pr. Disp.
, y
Blt1LDINC PERMIT
ro
$252,OOQ
?J.s? J
85
Site Address 4151 KNOB DRIVE Erect LJ" QCCUpancy B Z
Lot 6 Block Sec/Sub. xN HILL OF Remodel Q Zoning PD
PA
Parcel No RK Repair ? Type of Const Vtl
. Addition ? No. Stories Z
¢ KNOB HILL ENTERPRTZES Move ? Length -_??
= Name
4194 KNOB CIR Demolish ? Depth??.
3
° Address
I'?',E;Atv
452-1561 Int.lm r
P ? ? S Ft
4? -'Gfi$
CiN
Phone Install ? o
Name E. BARLOW & 50N5 CONST Approvals
Address 5AME Assessment
City Phone Water & Sew.
Name PER DAt3LSTRUM Police
Fi7e
Address 5AM?' Ena.??
Phone
Receipt # r",' % ? -
Permit • 00
Surcharg??00
Plan Review?' SQ '
cer 17=- 0 U
I Water
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe -TUT97$ 396 .(!U
information is correct and agree to comply with all applicable State of Bldg. Off. Tr. PI. ?r?Ti G
Minnesota Statutes and City? t Eagan Ordinances. APC Perks °
??
Signature of Permittee Var. Date Copies
I Total ''$ U
A Building Permit is issued to: P' • BARL(1$J & SOidS COtlST on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ?
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
WrmN No. PermN Noldw Date Tdaphorro p I
JI?
? awmbmn (iL v.-) y /7-i
Z ?
? 1?IZbIg 1d
Dlap.
,
. • PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN /,
y`?` nG
3830 PILOT KN08 R OAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE : 454-8100
Site Address / gLD(',, TypE WORK DESCRIPTION
Lot ? Block ? Sec/Sub
l!Nt?C3 Hi (, o pw FESS14w?t c /114- ?
? Name L)R ?/T G Res. New
m
?
Address 9
V KE TN1A00 7ea Mult Add-on
?
?
cityE?N PW
AiR?E Phone ?-09s Comm.
Repair
Other
Name E, d A?CCO? / O?JS ? L FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City t 17AE AA ? Phone SZ '156 / ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
M BTU GAS OUTLETS 1.50 EA.
COMM/INO FEE - 1% OF CONTRACT FEEJ 1-u S. 00
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - SO
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL• I 1
-Z, 01 `>
-- _ -? FOR: CITY OF EAGAN
_--
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbeied spaces
Type or Print /egibly
i. Date 2. Installation Cost _
3. Job Address ? Lot Blk.
4. Owner
?
Permit No. "
Fee '
S/C ?
,Tot
Tract _ I
5. Contractor %: 7'Fl-!' ' t Phone
6. Address
7. City State 2ip
8. Building Type: Residential ? Commercial '? Institutional ?
9. Work Description: New G7 Add O Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs Septic Tank
Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
' I
• • PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site
Lot.
y Name
? Addre
c City _
Phone
? Name
; Addre
O Cih' -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
PERMIT # ' 6,
RECEIPT #
DATE: IS
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-on ?
Comm. .? Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 5
_Bath Tubs - $3.00
_Lavatory - $3.00
-Shower - $3.00
% Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
_Laundry Tray - $3.00
_Floor Drains - $1.50
_Water Heater - $1.50
Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 7 PER PERMIT)
-Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
SIGNATURE OF PERMITTEE, FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: -, -
,?.?. _ ? ... .
PEFMIT 1t
? PLUMBING PERMIT RECEIPT k Y,t? f'
CITY OF EAGAN
3830 PILOT KNOB R040, EAGAN, MN 55122 DATE: /.-? '1?7
NTRACT PRICE: PHONE: 454-8100
Site Address
? Name
m Address
c Ciry "
Name
c Address
p Ciry / ;/, , Phone
?-
? BLDG. TYPE WOHK DESCRIPTION
?Sec/Sub Res. New
< `. . - Mult. Add-on
Comm. - Repair
Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(AQD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE
-?2
CITY OF EAGAN
- COMPLETE THE
NO. FIXTURES TOTAL
_Water Closet - $3.00 $
_Bath Tubs - $3.00
..
?L_lkuatery-- $3.00 frrr?101
Shower - $3.00
'9? Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
Laundry Tray - $3.00
1 Floor Drains - $t50
Water Heater - $1.50
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
_Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
Rough Openings - $1.50
FEE: /
? 'STATE S/C: 'sd
?' GRAND TOTAL: r'
.
.,_•... ,
(Irr#i#irtttr o# COrrupttnry
Citp of eagan
Erpur2mmt of NutIbittg Jns,prrtimi
This Certificate issued pursuant to the requirements oJSection 306 of the Uniform Building
Code cemfying thar a1 the ame of issuance this structure was in campliance with the various
ordinances ojthe City regulating building construction or use. For the following:
Uu Claaifice6oe - Bldg. Pomit No. OccuP%wY n'Pe ... . Zoning Dislna - Type Com1.
Owna of Budding .. ... r'.Address
Building Addrm - Locality
. ' •? t;?a?
i)ate: a ?iftl . ?
Building O@'wiet
POST IN A CONSPICUOUS PLACE
?-.
(Irrtifirttt.e o# (Orrupttnry
Citp of (tagan
EP}iMttlttPttY Af Ig1tiIhittg lttS}1Pttl0it
This Certificate issued pursunnt to the requirements of Section 306 of the Uniform Building
Code certifying that at the dme of issuance rhis structure was in compliance with the various
ordinances ojthe City reguladng building construction or use. For the following:
u, cL,,jrKari, NT mde. eerniit rb.
Occupancy 7ype Zoning Dietrict Type Camt.
owcer ot ewleing ' - :?!`:' pddrm ^ 1{) E. ?C?"'t 1'.t4l•? - - ?-?
Building Addrm I.ocItGry .
Dal•:
Mding olficial
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN SEN?ER SERVICE PERMIT
3830 Pibt K-iob Road
P. O. @ox 27198 PERMIT NO.: _
Eagan, MN 55121 DATE:
Zantnp: No. of Units:
Ownsr. - -
Addrcu: -
? ?-• r<a:nb i !..,• ? '? ;,,
Site Address: -
Piumber. `.c.,.
1 qn? Ie 400010110 wNr 1M pqr ef Eqsm Connecttan C]wrpe:
OrNaneN. Amount Deposit:
Permit Fee:
Surtiwrpe:
By Mise. Glnrpse
Dote of Insp.: Total:
Irnp.: DaN Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Ka2b Road
P. O. 3ox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp:. No. of Units:
Owner:
Add
m
ra
:J`, ?'';' L.. •_ ' '
$Ms /dlrcss:
Plumbsr: `'„• t?`+ _ --
AAeftr No.: Connectian Charye:
Size: Acoount Deposlt:
Readsr Np.: Pertnit Fea:
1 qrM te eewily wkh lbe qry of f+PE $urcha?ge:
Orll?enaM. AAisc. CFwrpes:
Total:
gy Dote Poid:
Oate of Inap.: Intp.:
CITY OF EAGAN WATER SERVIC? PERMIT
3830 Pilot Knob Road
` P.0.3ax:21199 PERMIT NO.:
Eapan, MN 55121 DI?TE: ? '? ?
Zonirg: _ No. of Units:
pwner. ?.ariow Lidrs.
Addmss: - , ? h ,? i 1 ; ? -
Site /lddrcss: ':nob I'rive _ .« Fl 7110flumber. ?'an ipal 'IMC Y ;';
MsNr No.• ' ;?? ??n?gcsiq??s.
st?: 5 Be o "e?°k?
,;
Reader No.: ?T? ? ?A?1iP`kee• ' '' '
1 q?w M aw?oyr whl? Hw c?w? ?e ??
OrliMna?. ?AtiK. Cho?aes: : ° r., I, , p. '
Totul:
By & Daft Paid:
Dote of Irnp.: Insp.:
°?i ?o
w
CITY OF EAGAN Remarks
Addition KNOB HILL PROFESSIONAL PARK Lot 6 eik 1 Parcel 10 42600 060 01
Owner
street 4151 Knob Drive state_ Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN (9-79 1985 $97.07 $9.7-lU 10
WATER LATERAL
WATER AREA 878 1985 1318.98 131,91861 LO
NK 198 772.59 77.205 10
STORM SEW TRK qH
STORM SEW LAT 1981 ' LS
CURB & GUTTER
SIDEWALK
STREET LIGHT
RoaCt ni $280.00 57699 11 20 85
WATER CONN. 500.00 11 °
BUILDING PER, 1 $
SAC 525.00
PAAK
?AL OFFICE
CITY OF EAGAN N°_ 14538
3830 Pilot Knob Road, P.O. Box ?,1-1 99; Eagan, MN 55121
BUILDING PERMIT PH ON E: 454-8100
Receipt n??P?
# 7?
To be used for INT. IMPR. Est. Value $58,000 Date DECEMSER 31 19 87
Site Address _
Lot 6 Biock
Parcel No.
1
Sec/Sub. KNOB HILL PROF.
;IName K.H.P.P. I
= Address SAME
0 City Phone 452-1561
Name GENUINE CONST INC
0
?Q Address 910 E 90TH ST
? City BLMGTN Phone 459-5388
yVjW Name RIISSELL ZENK ARCH.
Hz Address 2001 IiNIVERSITY AVE SE
Q W City MPLS Phone 623-1800
I hereby acknowledge [hat I have read this application nd state that the
information is correct and agree to compn?with al?able ??e of
Minnesota Statutes and City o?gan Or0ry6es.
Signature of Permittee /,ct,/,
A Building Permit is issued to: GENUINE CONST ZNC
on the express condition that all workshall be done in accordance with all
applicable State ot Minnesta tatutes and Ci y f E.agan Ordinances.
Building Official
?
4151 KNOB DRIVE
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System _ Zoning
On Site Well (Actuaq Conat
Ciry Water (Allowable)
PRV Required # of Stories
Booster Pump _ Length
Depth
S.F.Total
Footprint S.F.
APPROVALS FEES
?356.50
Engr./Assess. Permit
29.00
Planner Surcharge
Council Plan Review 178.25
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
7reatment P1
Parks
$563.75
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, nnN 55121N_ 11318
BUILDING PERMIT PHONE:4544100
Receipt a
Tobeusedtor OFFICE BLDG Est.value $252,000 Date NOVEMBER 19 ,1985
SiteAddress 4151 KNOB DRIVE Erect ? Occupancy B2
Lot 6 Block 1 KNOB HILL PROF Remodel ? Zoning PD
Sec/Sub.
Parcel No. PARK Repair ? Type of Consc Vt1
Addition ? No. Stories 2
W Name KNOB HILL ENTERPRIZES Move ? Length6.2
4194 KNOB CIR Demolish ? Depth
o Address Int. Impr. ? Sq. Ft
City EAGAN Phone 452-1561 Instau ? 7?688
x. Approvals Fees
o Name E. BARLOW & SONS CONST
Assessment Permit 813.00
? ? Address SAME
~ City Phone Water & Sew. Surcharge 126 . 00
406 50
? W Name PER DAHLSTROM Foece _
:
SAME
1
?= Address En9,
< W Ciry Phone Planner
Council _
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off
information is correct and agree to comply with all applicable State of
Minnesota Statutes and ' of Eagan rdinances APC-
Plan Review
SAC 1,575.00
Water Conn. N/A
Water Meter N/A
Road Unit_ 588. 00
Tr. PI.- 396`. 00
Parks 1r 151. 00
Signawre ot Permittee ??'?"". bwM? `??1?-Var. Date I Copies
Total $5, 055.50
A Building Permit is issued to: E. BARLOW
all work shall be done in accordance with all aoolicable
SONS CONST
of
on the express condition that
and City of Eagan Ordinances.
Building Official ?
. t?3j . .
KIRK DAHLSTROM CONST. CITY OF EAGAN
iV° 1504A
3830 P11ot Knob Road, P.Q. Box 21 •199, Eagan, MN 55121
-
BUILDING PERMIT I PHONE:454-8100 Receipt # ? J 4 2 ? ?(U
7obeusedfor INT. IAiPROVEMEVWValue $6,000 Date MAY 20, ,1988
SiteAddress 4151 KNOB DRIVE
Lot 6 Block
Parcel No.
1
Sec/Sub. KNOB HILL PROF.
a Name KNOB HILL PROFESSIONAL PARK
W
; AddreSs
-- 452-1561
° City GAN Phone
?
0 Name SAME
? Q Address
? City Phone
¢
w W
Name
SAME
W
i g Address
Q w City Phone
I hereby acknowledge that I have r his lication and state that he
information is correct and agree t mpl? ith all applicable Statib of
Minnesota Statutes and City of Or nces.
Signature of Permittee
A Building Permit is issued to: Ed Dlliln,
on the express condition that all workshall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official B.p1Z4eLl? l('yl
'? y..
OFFICE USE ONLY
On Site Sewage Occupancy B-2
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 74.00
Planner Surcharge 3.00
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Wa[er Meter
Road Unit
7reatment P1
Parks
TOTAL 77.00
SUITE 102 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 15595
PH ON E: 454-8100
BUILDING PERMIT . f Receipt # o?
To be used for TENANT
IMPROVEMENT Est. Value $7,000 Date SEPT 12 ,1 g 88
Site Address 4151 KNOB DR
Lot 6 Block 1 Sec/Sub.IINOB HILL PROF PK
Parcel No.
QlName KNOB HILL PROFESSIONAL PARK I
Address 4151 KNOB DR
City EAGAN Phone 452-1561 (ED DUNN)
o Name_
?Q Address
? City_
V¢
?y W Name
_? Address
Q W City Phone
I hereby acknowledge that I e re th application and state that the
information is Correct and ee ply with all applicable St te of
Minnesota Statutes and n es.
Signature of Permitte
A euildin9 Permit is issued to: KNOB HILL PROFES-SIQNAj,__]
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eaqan Ordinances.
Building OfficialAvj,?t_L__.____
?
OFFICE USE ONLY
On Site Sewege _ Occupancy B-2
MWCC System _ Zoning
On Site Well (Actuaq Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump _ Leng}h
Depth
S.F. Total 1 9020
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 82.00
Planner Surcharge 3.50
Council _ Plan Review
Bldg. OH. _ SAG City
Variance _ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL _8S.SO
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa
See instructions for completine this torm on back of yeliow copy. 773 ?
o X" Below Work Covered by This Request
fNe4Addj Rep.1 Type oi Buildin0 Appliancas Wired - Equipment Wired ?
Duplex Water Heater Lightin,y Fixtures
t-ominercial 81tlg. rumace ano unioaaer
Industrial Bldg. Air Conditioner Bulk Milk Tanl<
Fafrit Other Specify Other (Sper,ify)
t ier SUcCify Other Other
m m?nt o In rnartinn Fao Ralnw -
M Fee Sarvice Entrenca5ize it Fee Feeders/5ubfeeders b Fee Circuits
r 'k,d& U to 200 Amps 0 to 30 Am s `. CG 0 tn 30 Am s
Above 200 q?npy 31 to 100 Amps 31 to 100 qm 5
Swimming Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms ..'? Partial:'Other Fee
bigns apeciaiinspecuon -y
S a ?r TOTAL,?.j
Re?rks
/ . ; .ed
Rough-in
th Electric
Inspe reby
certify that .he above
Final D@te inspeetion has been
made.
1019 fBG119S1 VOIO 16 mOnlf15 imm
This request void lz? s• /r-7ti
18 months irom " «
-Q Q 7 7 7 3 7 9- 2
Rar6*st.Date?
° Fire No. RouBh-in hisDection
flequirud?
?RP.ady Now ?Will Nolity, InsPec-
IRVes ?No tor When Ready
2] Licensed Electrical Contrac[or I here6y request inspectionof above
? Owner electrical work installed at: v
Stree[ AAdress, Box or Route No. CitY
4151 Knob Drive Eagan
ecUon o. Township Name or No.
Fange No. -
CountY
k/
I Dakota 4h
??
Occupant(PRINTI Phune No.
Barlow & Sons Construction 452-1561 ? ? -
Power Suppl ier Address
DEA Farmington, MN
Electrical Comractor ICompany Name) Cuntrar,tor's Lice nse No.
Corrigan Electric Company 0 39549 8
Mailing Address lContrar.tor or Owner Makinp Instailationl
P.O. Box 475, Rosemount, MN 55068
Aut r zed Signa[ure (Contr tor/Owner Making Ins[allation) Phone Number
. .?Z aAA,, 423-1131
MINNESOTq STATE JAARD OF ELECTRIY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 81dg. - Room N-791 gE ACCEP7ED BV THE STA7E BDARD
7821 University Ave., St. Paul, MN 551 4 . UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED. _
REQUEST FOR ELECTRICAL INSPECTION W: ee-ooooi-oa
, See instructions for completing this torm on back ot yellow copy.
AMl?
p nqqU 3 -"X" BeJow Work Covered by This Request
Nev? 4dd Rep. Type ot Buildfng ApOliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer - Etectric Heatin
Commercial Bldg. Furnace Si!o Unloader
Industrial Bldg. AirConditinner Bulk Miik Tank
Fafm ther peci v Oth¢+r (SPecify)
t r.r SVeci y Other Other
Compute lnspectron Fee Below
R Fee ServicO EntrenCeSize. k Fee feaders/Subfeeders b Fee Circuits
U to 200 Am s 0 to 30 Am s Ud Vd,OC 0 to 30 Am s
' S'' Above 2002L.1-qm s 31 to 100 Amps 31 to 100 Am s
Swimming Pool ? J'gF t Above 10042n:-Amps Above 100_Am s
Transformers Irrigation Boorcis Partial-'Other Fee
Signs Special Inspection
$
TOTA
Rem»rks ` t
_ w f 3. L E?
FouBh-in Date I, the Ela
P .C?ia40 Inspector, hereby
Vi certity that the nbove
Final 0 '??7 inspection has been
f ? made.
This reauest voitl 18 months from
This request void S' I ?$ lg
1 6 a O / 7
months }rom p
OU 0 9 9 5? i,
Request Datr ? Pire No.
. flough-in Insvection
Required?
EjReady NowiaWill Notity InsPec-
4-30-86 layes ?rvo tor when tteady
OLicensed ElecVical Contractor I hereby request inspection of e6ove ? Owner electrical work installed at:
Street Address, Boz or Route No. . City
4151 Knob Drive Eagan
, ection o.
Township Name or No.
Rapge No.
Counly
I I Dakota
Occupant (PRINT) Phone No.
Barlow & Sons Construction 452-1511
PoWer $Uppllef AddreSS
D.E.A Farmington, MN
Eleccrical Contractor (Company Name) Coniractor's License No.
Corrigan Electric Company 0 39549 8
Mailing AdJress (Con[ractor or Owner Making Instailation)
P.O. Box 475, Rosemount, MN 55068
Auth ri ed Signamre (Contre tor/Owner Making Installationl Phone Number
423-1131
MINNESOTA STATE BURD OF ELECTRIC?1- 1' THIS INSPECTION HEQUEST WILL NOT
Griggs-Midway 81dg. - Room N-797 BE ACCEPTED BY THE STqTE BOARD
1821 University Ave., St. Paul, MN 551 a`-) UNLE55 VROPER INSPECTION FEE IS
Phone (612) 297-2171 ENCLOSED.
REQUEST.F_OR ELECTRICAL INSPECTION .r. ee-ooooi-os
? Sae instructions 1or comvleting this form on back o1 yellow copy.
'"X'" Below Work Covered by lhis Request
E`?9128
New, Add Rep. . ?Type ot BuilAinB Appliancea Wirsd Equipment Wired
Home Range Temporary Service
Duplex Water Heater Llyhtin,y Fixtures
Apt. 6uildinc? Dryer Electric HeaUn
Commerciai Bldy. Fumace Silo Unloader
lndustrial Bldg. Air Conditioner Bulk Miik Tank
Farm . ? Otner Peci v cner ISn,aclrvl
t ,r ucufy iher . Othe;r .
ompute /nspection Fee Below
k Fee ServlCeEntranceSize H Fee Fexders/5ublexders # FPe Circuitg
0 ro200Am s Oto30Am s ? Otn30Am s
Above 200 qmps 37 to 100 Amps \ 37 [0 100 Am ?
Swinvning Pool Above 100_Amps Above 100_AmNS
Transrormers Irngation Boorr?s , 50 Partial•'OtherFee
Signs Speciallnspection p $ 70TA
Remrirks l.. 30
" L /
?
t?
/YRJ1-tl" 7 Z3 VA
RouQh-in D• y?
I, the Electrical
' Inspector, he/e6y
Certi}
[hat the a6
v
Finel
Date y
o
9
inspection has been
/`
meda.
This repuesl roi0 78 monlM Irom
This reques[ void
18 months Irom
E 39128
°">'
LAequest Date
?y
?
y Fira No. Rough-in Insw ctinn
R`es uired?
?Ready Now;? Will No11ty Inspec-
'?/•
v ,?JYes ?No tor When Readv
Licensed Electncal Con[rector I hereby revuest inspection of above
?
Owner electrical work instelled ar.
Street Address. Box or Route No. Ciry
Sd4 ?Ua , ?
ecUO?? o. TownshiD Name or No. Range No. Coun[y
it;r 411 D gk'c
- OccupantlPRINTI
"
?
j
` Phone No,
lLG
'
,
oFlSS/a••i/?G
?.¢K yS? -/5 t9
Power SuDPlier Address
Elecvical Contractor iCompany Name) Contractor's License No.
/yi,5? srp e2 f2 F' T.ie /c.. 04/n 741f -3
Mailing Address (Contractor or Owner Making InstailatioN
,1 1/4 .L?!f-T_J D !-?L.--
Authorized Signamre (Contrautor/Owner MakVng Inscallation) Phone Number
, w
.
MINIfESOTA STATE BOAND Of'ELECTRICITY THIS INSPECTION HEQUEST WIIL NOT
Griggs-Midwey Bldg. - Room N•197 BE ACCEPTED BY THE STqTE BOARD
1821 Universitv Ave._ St. Paui, MN 55104 UNLFSS PROPER INSPECTION FEE IS
4/0//B9 REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os
? ?: 1 See instructions tor completing this form on beck of yeliow copy. ?,y-l 9 9
G~ 4?9 5 . i? "X" Below Work Covered by 7his Request
Nam, AAd ReD. Tyye0) BuilOing Appliances Wired Equiumenl WireA
Home Range Temporary Service
Duplex Water Heater Lightiny FixtUres
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bidg. Afr Conditioner Bulk Milk Tank
Farm oine, SPeci v Other tsm-ciry1
thpr Specify Other Other
Comuute lnsnection Fee Below
q Fee Service En[ranCeSiza h Fee FexderslSuhfeeders # Fee Circuits
Oto200Am s Dto30Am s Otn30Am s
Above 200 qmps, 31 to 100 Amps 31 to 700 A
Swimming Pool Above 100_Amps Above 100_Arnps
Transiormers Irrigation Booms PartiaL Other Fee
I I I Signs I I ISpecial Inspection !5 ??p I TOTi4L pEE ??
fl ¢rru? r kS ?
rto m oP e ? ? o-? ? ' .. , i v•
Rough-in I, the lectri
. Inspector, ereby
c ity that the ahove
Final ^/ ? f e ?nspection has been
? mede.
ThIE request voitl 18 months
This request void C/?//pC/ ? ?
18 months from ?l ?J ??
E 419 5 l'o ? " z?c? %
Request Date '-
? Fir No. Rough•in Insper,ti
Required? ?
E]Ready Now ?71 Will NotifY Inspec-
^
? ,19Ves ?No lor When Ready
?
,icensed Electricai Contractor I hereby request inspection of ebova
wner electrical work installed e1:
Street Address, Boz or Route No. City
151
E
v
ecuon o
. Township ame or No. Range No. Counly
/Gt
OccuUant (PqINT) Phone No,
c g /// tG 2d /
_ /O?i¢C li?K
Power Supplier
?? Address
-
Electrical Contractor (Company Name) Contrar,tor's Licrnse No.
~ ,e- AQ -7 flk 3
Mailinq Address (Contractor or Owner Making Instailation)
a s16
Authorized Signature (Contra tor Owner Making nstallation) Phone Number
"U -
MINNESOTA STATE BOARD OF ELEUHICITY THIS INSPEC710N REQUES7 WILL NOT
Griggs-Midway Bldg• - Noom N•191 BE ACCEPTED BV THE STqTE 80AND
1827 Universitv Ave.. St. Paul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Phnnn If.191 R49-oRnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
go& ?'°C'/?
See instructions forcomvleting this torm on back of yellow covv. /
p?o `? n?? ""X" Below Work Covered by This Request
Neiii, Add flep. Type ot Buildine APPIianCes Wired EquiVment Wlred
Home Range Temporary Service
Duplex Water He ter Lightiny Fixtures
Apt. Building Dryer Bectric Heatin
Commercial Bldg. Fumace Silo UnloaJer
Industrial Bldg. Air Conditioner Bulk Milk Tank ^
Fafm Other ueci yl OihP.r (SUecify)
t Pr SV«ifV Other O1hLr razjorS
ompute lnspect/on Fee
M Fee Service EntrenceSize q Fea Fneders/SuMeeders k Fee . Circails
0 to200Am s 0 to30Am s . 0 to30Am s
Above 200 qmps, 31 to 100 Arnps 31 to 100 Am s
Swimming Pool Above 100_Ani s Above 100_AmPS
Transiormers Irrigation Boorns Partial-"Other Fee,
Signs Special Inspection
5
TO AL
Remarks hns9A {")\ / ?? .•? r` ' ?
t%G.~ f IJ r w• / - %y1°7 /A / 1\,
Rough-in ?,q1e -
•
? ?`?
??/ I, the Elec
r
Ins
et
r
h
b
- ?? pe
o
,
e
y
e
tif
th
t th
b
Fina?
??/1eJ?JC Cer
y
a
e a
ove
inspection has baen
s o?J/ ?O made.
This requesl Yoltl 18 months Irom
This request void 9 //. v/5o
8 months trom a
? 085064
Reque?UD
?j Fire o. Rough-in Inspe ton
Renuired? Headv Now ?^lill Notifv, Inspec-
t
Wh
°
v or
en Ready
?Yes ?NO
Licensed Electrical Contractor 1 hereby requestinspection of above
? Owner electncal work installed at:
Strer.t Address, Bo nr`Route No.
? ' ? Ci ?
A
ecUOn u. Township Name or o. Range No. Couniy
p?leP r?-
OccupantlPRINTI s ? Phone No.
Power SuPPlie,r _
NJ/+ Address
?j
Elec , . cal Contractor ICOmpany Na e?/ Contractor' . c e No?
ail' ddre-s (Cuntractor or Own m 9 Instail vb n1
I
ll?
'
U
V
Authorize SiBnamre IContr ctor?Owner Making Ins[allatian) Phone er
?L
1 4-3 3 'AFS4fO7p STkE BOP{AO OF ELECTRIC47 THISTNSPECTION flEQUEST WILL NOT
Griggs-Midway 91dg. - Room N•197 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 297•2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON . ee-oooot •os
? III, See instructions for completing this form on back of yeliow covv.
D. ?5220 "X" Be/ow Work Covered by lhis ftequest
AAd Rep. Type of euildinq pppliancee Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater .Lightiny Fixtures
Apt. 8uilding Dryer Electrii: Heatin
}?. Commercial Bldg_ Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiner PecifY OihE,, Isne.,.fyl
t er Succify Othcr Other
(.Ompute lnspection fee Be(ow
p Fee ServiceEnlrenCeSiae fl Fee Fexders/Subteeders # Fee Circuits
0 to Z00 Amps 0 to 30 Am ps *
6iL
- 0 to 30 Am s
Above 200 qmps 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 700_Am s
Transformers Irrigation Booms Partial•-
Signs Special Inspection S
?p
Remfliks /Q TO AL F6Fih . d
??J
Rouph•in Date
I, the Elactncal
Inspector, hera6y
th
tit
t th
h
Final
•
Pite ) (
! -
J 1 car
y
a
e a
ove
inspection has been
d
/ ma
e.
fhis requesl voiU 18 months irom
This request void
08 months from
D 35220
I- Octs 6, 1987
QCLicensed Elecvical Conlractor
? Owner
el .caaress, Box or Pouta No.
4151 Knob Drive, Suite #203
7on o. TownshiD Name or No.
? ?n-?.D
:Ueyfionu?Ready Now?,Will Notify Inspec-
?N? [or When Ready
I hereby request insDection o1 ebove
electrical work installed at:
cit„
Eagan
nBe No. r.,.?,.,..
Occupant IPRINTI DdkOt3
B3YIOW ct $0115 1 Phone No,
CMoore & Associates) 452-1561
POWP.I Cinnl:...
El ectrical Contractor ICompany Name)
Corrigan ?.'']eCtT1C Contrar,tor's License No.
Company 039544 8
Mailing qddress (Contractor or pwner Makintl Instailation)
P,O, Box 475? Rosemount, MN 55068
Au h r zed SienaWre ontract r Owner Making Installationl
? ? Phone Number
A,
MINNESp7q "??-?"'1151
STqTE BO RD OF ELECTRICIT THIS INSPECTION REQUEST
Griggs•Midway Bld9. - qoom N-197 WILL NOT
gE qCCEPTEO 8Y THE SiATE BOARD
1021 Universitv Ave., St. Paul, MN 551D0
Phone (612) 642-0800 UNLESS PROPER INSPECTION FEE IS
ENCLOSEO.
,iiREDUEST FOR ELECTRICAL INSPECTION
? See mslmctions 1or Completing ihis torm ar back ot yellow copy.
"X" Below Work Covered by This Request
EB-00007-08
ew Add Rep. TypeotBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specily; Coniractor's Femarks:
Move s itches.
Compute lnspection Fee Below: wire x-ray mac?iine mn office/
# Other Fee k Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _ Amps
SignS Inspector's Use Oniy. TOTAL
Irrigation Booms ?. ? 30.50
Special Inspectfon
Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector hereby Rou9n-io a oaie
certify that the above inspection has
been made. Final Date ' 012
?-
OFFICE USE ONLY
This request voitl 18 months irOm
? 5 2 5 01.G?
Request Date Fire No. Rough-in Inspe n
Required? s?
L4neatly Now ? Will Nolify Inspector
n
Z? 7/72. XYes ? No When Ready?
IX licensed confractor ? owner hereby request inspection of above electrical work at:
Jo6 Address (Sireet. Box or Route No.l City
4151 Knob Dr. Ea an
Sectian No. Township Name or No. Range N0. County
Occupant(PRINT) phone No.
Ashly Kornovich Constrution
Power Supplier Address
Electrical Contractor (Company Name) Gonirector§ License No.
Lein Heating and Electric Inc. 042468-6
Maihng Aatlress 1Contractor or Owner Making Installatlon)
6525 E. 170th St. Prior Lake, Mn. 55372
Auth S7gnaWre IC niraclovOwne aking 6?g[a on)L,? Phone Number
contractor 447-2490
MINNESOTA STATE BOARD OF ELECTRICITY ? . THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bltlg. - Room 5473 , 8E ACCEPfEO BY THE STATE BOARD
7821 University Ave.. SL Paul. MN 55104 '- UNLESS PROPER WSPECTION FEE IS
Phane (672) 692-0800 ENCLOSEO.
t
City of Eakan
3830 Pilot Knob Road ?
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 COMMERCI
Date: 'q l8 OP) Site Address:
------------ ?
Permit#:
permit Fee:
i
I Date Recei d: ?t 1 D? I
i ?
?
j Staff: I
L-- --------------I
L BUILDING PERMIT
Q :7/z.
?t/IESS?G? S- 7-7?
riaN
Tenant Naaye:\ D? • B??T ,??Qde/A/? (Tenant is/.- New 1 ? Existing) Suite #: /D 1
PROPERTY OWNE Name: B?FSNT ?-/1'v?-? ?? ,f Nt- Phone: G/ Z• G 76 •$'pT]
Ad ss i City i Zip: /S E/1'4iI17v?
'4
MN. SS/ZZ
Applicant i• ? Owner _ Con ctor
TYPE OF WORK Description ofwor •/IVM2/OL-- E"XP11-AIS/CAl Of 0A*-C SU L?L4N/G
c?A
i
- 3 0 B
Construct
on Cos .
CONTRACTOR Name: 5/Z47'0-dLT10A1 License
Address:
City: Lb State: 1111%f Zip: 5S357
,. ?
?aJ ?.'?
Lo
Ll :?o
t t R
Ph
? C
s?l
1?,?
erson:
,
on
on .
ARCHITECT/ Name: Registration#: ZZ`Z7S'
ENGINEER
A
ZFj,5 CSt ?? Zip: 1`f'
P/ Z• 371. 9 Z 33 Contact Person: ?0'aw'rs
?
Licensed plumber insiag new sewer/water service: Phone #:
i
?NOTE• Plans,a?id :
upporting documents??haf?ALz sd c?nsrdered;ta be publrc
format?on ?ortiohs of: °'
`? the rnf?rmat?on ay, be clas'sr?ied as nor?puWIa syt,? va5t` e spec?ficE'?easons?fh?at w' ltl p°ermit !Y fo
? ? conct??dQt?t. ?:, e,?Y?ale . n'?? ?
. I hereby acknowledge that this information is complete.andaFiat tKe.work
will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but orrl?t an r fpi a- permit, and work is not to start without a permit; that the work will be in
accordance wi ie apprt ed plan in the case of worlea iepiew and approval of plans.
x x
Applic nt's Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
/
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments J? Commercial ! Indust rial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial '
? Miscellaneous 0 Antennae ? Ext. Alteration-Pubiic Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement 0 Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows O Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 4xo.zDQp ? Occupancy 8 MCES System
Plan Review ? Code Edition 2044 SAC Units
(25%_ 100% Zoning p? City Water
Census Code SYories Booster Pump
# of Units V Square Feet PRV
# of Buildings ? Length Fire Sprinklers
Type of Const. ?B Width
REQUIRED INSPECTIONS
Footings (new bldg) ? Sheetrock
i Footings (deck) FinallC.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: _ Decking _ Insulation _ Final _ Ice/Water Pool: _Footings _Air/Gas Tests _Final
% Framing Siding: _Stucco Lath _Stone Lath _Brick
V Fireplace: -"'RJ. ? AirTest `/Finai Windows "
Insulation Retaining Wall
Final CIO Inspection: Schedule Fire Marshal to be present . V/Yes _ No
Reviewed By: Ckf1Ap--
--------------------------
---------- , Building Inspector
--------------------------------------- Reviewed By: Planning
---------------------------------------------------------------------------------
----
COMMERCIAL FEES:
Base Fee Z SS L. 7 S
Surcharge / 7 .?. m O
Plan Review /(i G l. S?j
SAC-MCES
SAGCity
S/W Permit Financial G uarantee
SNV Surcharge Storm Sewer Trunk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedication Water Lateral
Trail Dedication Other Water Trunk
Water Quality
Water Supply & Storage (WAC)
Total ?J
Page 2 of 3
? .' •
?
.
III
u
ii
Council
Environmental Services
March 28, 2008
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined 5AC for the Oral
Surgery Care to be located at 4151 Knob Drive wiYhin the City of Eagan.
This project should be charged no additional SAC Units, as determined below.
SAC Units
Charges:
Clinic
28 f.u. @ 17 f.u:/SAC Unit 1.65
Credits:
Office (11/85)
' 3765 sq. ft. @ 2400 sq. ft./SAC Unit 1.57
Net Charge: 0.08 or 0
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substanYiate 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, call me at 651-
602-1118.
Sincerely,
,
/Yl Z?k
? I o
Karon Cappaert
SAC Technician
Environmental Services Division
KC:kb: 080328A5 . . . • _ D ? '[?, ? ?
cc: Jessie Nye, MCES MAR ?? 200$ D
Peggy Fleck, Eagan
L. Richazd Etshokin, Karkela Construction
BY ...?..--
www. metrocouncil. org
390 Robert Street North • St. Paul, MN 55101-1805 •(651) 602-1005 • Faac (651) 602-1477 • TTY (651) 291-0904
Fln Equa! Opportunity Emp7oyer
Sep 03 08 09:07p
612 67@ 5077
Oral Surgery Care
Brent Florine
4151 Knob Drive #101
Eagan, MN 55122
September 3, 2008
Building Permits
City of Ea gan
Eagan, MN 55122
To whom it may concern:
612-670-5077
?
p.1
The contractor listed on the permit (Loren Kjersten and Seacon
Canstruction) for the project at 4151 Knab Drive is no longer involved in the
project.
Tlze new contractor is Carlson-LaVine Inc_ and the Senior Project Manager
is Gerald Petschen. There have been no structural changes to the original
plan.
Please make the appropriate changes to the building permit_ Feel free fo call
me at 612-670-5077 witli any questions.
Sincerely,
? ??
B ent Florine
'TP' City of Eapfl iia
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-5694
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I
' ?io?0 7
? Pertnit #: ?
I Permit Fee: ??/ U%?A? ?• I
?
'o_?t??c?
I Date Received: ? I
j Staff:
L -----------------?
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Z L Site Address: ??SL V-Nt, l/?
Tenant Name: (Tenant is: New 1X1 Existing) Suite #: J()?'?
PROPERTY OWNER Name: 16fZF?71 fl?C21Zi.J Phone:
Address / City / Zip: 4 ?,G % [Z-,-36y3 p(7Z
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: Pf7. i TYi'L ?1?lC?lz
Construction Cost:
CONTRACTOR Name: License#:
C67 0-,W.T ' Address: 216S 7"% 1Z( O6IZ ab
"p ft-
City: l?t'PSFaa1 I L-t-T State: ot?_ Zip: ISS t l ?
Phone:IaSj -323 --Oo(o Z Contact Person•
ARCHITECT / Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
'?INOTE:':Plans and suppor#ing=documents thaf you submit are considered to be°public informatPortrons of
the informafeon may;be classified as non-public if you provide`spec&c' ?reason§ that wou/d permit the Crty'
conclvdeethat th? are frade secre"ts -
I hereby acknowledge that this information is complete and'accurate; that the work will be in confortnance 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 f plans
ApplicanY Printed Name Ap ica 's i ature
n????Y\ [?
?
S_P 0 3 2008 D
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments ? Commercial ! Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext Alteration-Commercial
? Miscellaneous ? Antennae ? Ext Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building ? Reroof ? Demolish Interior
;kil-,Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition 5AC Units
(25%_ 1 DO% ? Zoning City Water
Census Code 5tories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
? Footings (deck) FinallC.O.
Footings (addition) Final/No C .O.
? Foundation HVAC
Drein Tile Other:
? Roof: _ Decking _ Insulation _ Final _ IceANater Pool: _Footings _Air/Gas Tests _Final
Framing Siding: _ Stucco Lath _Stone Lath _Bridc
Fireplace:_ft.l. _ AirTest _Final Windows
Insulation Retaining Wall
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes _ No
Reviewed By:
-------------------------------- , Building Inspector
-----------------
------------------
-
------------- Reviewed By: , Planning
-----------------------------------------------------
COMMERCIAL FEES: -
-
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
S/W Permit Financial Guarantee
SN1! Surcharge Storm Sewer T runk
Treatment Plant Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedication Water Lateraf
Trail Dedication Other Water Trunk
Water Quality
Water Supply & Storage (WAC) Total
Page 2 of 3
COMMERCIAL BUILDING PERMIT APPLICATION REQUIIREMENTS:
Foundation Oniv New Building
? 2 sets of Structural Plans ? 1 Soils Report
? 2 sets of Civil Plans ? 1 Certificate of Survey
? 1 Certificate of Survey ? 2 sets of Structural Plans
? 1 Code Analysis ** ? 2 sets of Architectural Plans
? 1 Project Specs o HVAC units required on building elevation /
? 1 Special Inspection & Testing Schedule site plan
? 2 sets of Civil Plans
1 Soils Report
?
? Meter size must be established - if applicable ? 2 sets of Landscaping Plans
o SAC determination -call (651) 602-1000 ? 1 Code Analysis ""
?
1 Energy Calculations
? 1 Emergency Response Site Plan
Interior Improvement ? 1 Special Inspection & Testing Schedule
? 2 sets of Architectural Plans ? 1 Electric Power & Lighting Form
? 1 Code Analysis ? 1 Project Specs
? 1 Project Specs ? 1 Master Exit Plan
? 1 Key Plan ? Fire Stopping Submittals
? 1 Master Exit Plan ? Fire Suppression / Alarm Form
? 1 Energy Calculations ? Meter Size must be established
? Electric Power & Lighting Forms ? Met Council SAC Determination (651) 602-1000)
? Meter size must be established - if applicable
? Met Council SAC Determination (ssi) 602-1000)
* Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities.
" Contact Building Inspections to see if it is required and for a sample.
""" Permit for new building or addition will not be processed without Emergency Response Site Plan.
Page 3 of 3
,
Brent Florine
4151 Knob Drive #101
Eagan, MN 55122
September 3, 2008
Building Permits
City of Eagan
Eagan, MN 55122
To whom it may concern:
The contractor listed on the permit (Loren Kjersten and Beacon
Construction) for the project at 4151 Knob Drive is no longer involved in the
project.
The new contractor is Cazlson-LaVine Inc. and the Senior Project Manager
is Gerald Petschen. There have been no structural changes to the original
plan.
Please make the appropriate changes to the building pernut. Feel free to call
me at 612-670-5077 with any questions.
Sincerely,
; ?
r ?
B ent Florine
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA082907
Eagan, MN 55122 ? Date Issued: 05/22/2008
(651) 675-5675 of ERIgR
www.ci.eagan.mn.us
Site Address: 4151 Knob Dr
Lot: 6 Block: 1 Addition: Knob Hill Professional Park
PID: 10-42600-060-01
Use: Dr. Brent Florine
Description:
Sub Type: Commercial/Industrial Construction Type: V-B
Work Type: Int [mpr
Description: Interior expansion of oral surgery clinic
Census Code: - Occupancy: B
Zoning: PD
Square Feet: 0
Comments: Contractor switched from Beacon to Carlson-LaVine on September 4, 2008 per letter from Dr. Brent Florine.
Fee Summary:
V aluation: 350,000.00
Contractor:
Cazlson LaVine
2965 Partridge Rd
Roseville MN 55113
(651) 638-9600
BL - Base Fee $2,556.75 0801.4085
Plan Review $1,661.89 0720.4222
Surcharge - Based on Valuation $175.00 9001.2195
Total:
- Applicant -
$4,393.64
Owner:
Brent Florine
4151 Knob Dr
Eagan MN 55122
I hereby acknowledge that 1 have read this application and state that the informalion is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Oni New Construction Interior Im rovement
• Structural Plans (2) sels • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structurel Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (t)
• CodeAnalysis (1) . LandscapingPlans (2) • KeyPlan (7)
• Project Specs (1) • Code Analysis (1) • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always"
• SoilsRepoA (i) • Spec.Insp.& Testing5chedule (1)" • EIec.POwer&LightingForm (1)no[always"
. Meter size must be established . Meter size must be established • Meter size must be established - if applicable
• Project5pecs (1)
l • EnergyCalculations (i) " 1
d • Elec[ric Power & lighting Form (7)
1 . Master Exit Plan (7) d
1 • Emergency Response Site Plan (1)
1 • Soils RepoR (1) 1
• MClES SAC determination letter . MClES SAC determination letter • MGES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
ruuu a ueveraye or ioaging racmnes - sunmlt plan to MN Uepartment ot Healttl. CJalt tib1-21 b-U /UU tor aetails.
Co^k.c. °ui;ding Inspecticns for sample.
"t Permit for new buildings or additions wiil not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: o?I q --0 ? WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST. ? 700, ao
51TE ADDRESS: 2?1S &,,,,5?r
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
SUITE #:
Name: 74t49-??o A-VL n, ? y-• v Phone #: (?( )?'?-gSf?
PROPERTY Last ?First
OWNER
Stree[ Address:
CONTRACTOR
ARCHITECT/
ENGINEER
Licensed plumber instaliing new sewerlwater service:
S57u'7
Phone #: ( )
Registration !#:
State: Zip:
Phone #: ( 1
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ali applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: r1iA..sa A- 4??. &n40&4!!y
Updated 7/02
e
City: State:
Company:
N
?Z??: ? S
? n .
AuG 16 2002
iJ
Phone #1
( Ca,$"7 ) ,? ? ;
Street Address: 33G o, v ,e,?O .
City: ? pales State: ? Zip
Company: _
Name:
Street Addcess:
Ciry: _
OFFICE USE ONLY
SUBTYPE
i 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
i 14 Apartments ? 27 CommerciaUIndustri al ? 32 Ext Alt - Apts.
7 15 Lodging . ? 28 Greenhouse ? 34 Ext Alt - Comm.
j
25
Miscellaneous
? 29 Antennae
?
35
Ext Alt - PF
? 37 Nail Salon
WORK TYPE
31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
7 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of Stories
LN0. of Units Length
Vo. of Bldgs. Width
Const. (Actual) Basement sq. ft.
(Allowable) First Floor sq. ft.
UBC Occupancy sq. ft.
MISCELLANEOUS INSPECTIONS
?Gas Service Test ? Hearing
APPROVALS
Planning
Building
? Insulation
Engineering
sq. ft.
sq. ft.
sy. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
Q Plumbing ? Stucco/Stone
Variance
.s
'ermit Fee
3urcharge
?lan Review
MC/ES SAC
3ity SAC
Nater 5upply & Storage
3/V1! Permit
31W Surcharge
Treatment Plant
'ark Dedication
rraiis Dedication
Nater Quality
Dther
;opies
rotal
VALUATION $ ao
7. sv
7r
% SAC
SAC Units
Meter Size
, 29-202 7:22PM FROM DR BRENT FLURINE 651 688 3415
?.
BEFOR7' ROOFINGS S1DIN? INC0
P. i
COMMERCIAC RESIDfNT1,4L
I .` ? ROOFING, INSULATIOH
° ' ?- SIDING, SOFftt b FASCIA
VINYI REPLAGEMEN7 WINpOWS
1U.UMINUM SELF-STORING WfMDOWS
-
.1
.
?.,
GUT7ERS & DOWNSPOUTS, DOORS
336 WESt WATER STREET
ST. PAUL, MN 55707
Phone (651) 227-o8s8
? Fax (951) 227-0808
Minn. Lic. 00002099
7 SUSMITTED TD }09 NAME
DR BRENT FLORINE
STAEET JO8 LOCATION
4151 KWO8 DRIiIE
CITY, 5T4TE 2I9 CODE
EkGAN, Mw 55122
PHONE QATE JQePHONE DATE OFPlANS
651-688-8592 Jut 26 2002
..? ..?.." .. ........... _._....._...._._ ._.._ __........__ . _...
Tearoff r f
finy carpentry work not stated xili be extra.
App1y WeaLner-watch up 5' at bass vf roof with SAinqle-fe]ts over remainder of area.
Install new air vents, new sait stacks and new gaiv. me#al valteys.
App1y 4wens Corning 40 yr, warranLy 4akridge Chateau 6reen Shingles, naiied.
Price inclucfes Bldg PermiL.
LA80R ANa MATERIAL.......... $14,700.00
NOTE: Window and skylighi5 are N07 intluded in this bid.
Stan Hurley wall replace deckirtg once we remove shingles and instalt skylights.
We Propvse HEREBY Tp FuAwISH MATEPonLAND LABOR -- COMPLETE IM ACC9RbwuCE WiT#1 A80V£ SAECIFiCATipr75, FDR THE SUM OF:
Fourteen Thousand Sevwn Hundrad and ne/100__________
NE7 DIJE UFON COMPLETIQN
D96LAA5 f
n SlA , 7Q0. 04
1988 BUILDIRG PEqMIT APPLICATION - CITY OF EAGAN ?
YyLk?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORJHOMEOWNER MUST DESIGNATE WFIICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURUEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COt?RC2AL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
TeNA?'r iMppovEmiwr -
To Be Used For: Valuation: Date: - -'
Site Address44j?
Lot .(-:D_ Block ? Pareel/Sub
k)qOg lL PROGESSION
Owner o„ .,,.
Address
City/Zip Code
z Z-
Phone DuQH)
Contractor ?
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code ?
Phone lk
7/? OFF
?.t,,?,,, ?-
On site sewage_
MWCC system
On site well
(.City water _
PRV required
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
CE
Occupancy B-Z
Zoning
Actual Const
Allowable
ld of stories
Length
Depth
S.F. Total /020
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
8Z. ob
3 0:5,O
-93" $l)
-rENANr,, 3, A, -10HNSoF,
?
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IS04 q 7
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SIJRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL -s- .-_ t- tn - ?"i dl-
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?IIk1C L%A314, sri?w=;!?s ?*-k1`?'j?':Ar?-,+?ts!
To Be Used For: I? ? e Valuation:
Site Address???j/ x26r/--0 Lot 4 Hlock ?
Parcel/SubIlklaa 4J/46 /fPOF•
Owner
.
Address
.
City/Zip Code 16??G?fti
Phone -?.5 Z /?
Contraetor ? -
Address ?ZI151
?/Q6 ?'? •
City/Zip Codee?? c6¢,f/
Phone Z
Areh./Engr.
Address VI-5-1 '1c-.v60 ?'Cf
City/Zip Code?f???'? ?J f z- ?-
Phone #
Date:
On site sewage, Occupancy
MWCC system ? Zoning
On site well _ Actual Const
City water , Allowable
PRV required _ # of stories
Hooster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPAOYALS FEES
Engr/Assess Permit r1q.°`'
Planner Surcharge .°°
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC ?
Water Conn
Water Meter
Road Unit
Treatment Pl
Parks
Copies
TOTAL
za- ??
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: 0??C657 Valuation•
Site Address: Z115-1 x;t?e,)/g ?•?i L''&5 OFFICE
Lot : (v
Parcel 41
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
Block / Sect/Sub
Remodel
/G?.? Repair _
Enlarge
Owner ?j?O4 Move _
Demolish
Occupancy B•Z
Zoning (?p
Type of Const V1?1
IF of Stories 'z-
Length (02
Address Grade SqFt ? gg
p
City/Zip Code c?°9c??9.? /y??1???- 5/_? -----------------
Phone ?a -- - /Su / APPROVALS
Contractor u SEn?s ?e?SAssessments _ Permit 013.
Water/Sewer Surcharge 12(0
Address &i'OP@.4L Police Plan Review
Fire ? SAC 1515,
City/Zip Code ?? G?^?-? ?"%i.?a.. ?s/.?,?r // ?aWater Conn N/A
Planner, Water Meter
Phone Council ad Unit
/ Bldg Off ?' arks 1151,
Arch./Engr. APC J? Treatment Pl 7-1(0,
Variance
Address ?/?51 1r/lIl•°? GS, TOTAL
City/Zip Code
Phone # -2 ^/? d?
Date:
USE ONLY
I
j
? P?eM?T
'
< -•
loo, c-co 433 .
( 52, oe? I 52 x Z.S = 3?0
5( 3 ?l3
' Sc-? ?zcc ?x?c? ?
2?2,.000 2 S 2 x, S ` I L? l 2f6
' VLiw QUEMLEW
o l 3 = 2` 4b (? ? ckjG. 9=
• S!-?G
?lo?g i G4oU '?i,2 0? 3? Szs ? I'?75 IS?S
. ? ? 8>4c)
0 4? 1 t S I
t
1151
ryA?-
-
?x ?32' 39& ??'6
---------------
GA
422.0
(a?0 Ia
?
1 y,
F
Z ?
Ix a q
? I
l W •!
g
M
k N ,
?
67•
'?P SE
; BUi?O/,yr,'
? ? ..
02 o y?3 62.p ^m(? o
p
1 y
'F'q
6 ?p/uq
wot¢rmain
i
?
S f ?
?
7 t wti?
.?V4L??V a .
?'? i i 3a? Q b
?. ?_, hy?f/ N? oO•? ?
?
S jss/o9? PJ
?z
611 h1q1, r
0 Denotes Iron Monument
° Denotes Wood Stake
X000.0 Denotes Existing Elevation
(000.0) Denotes Proposed Elevation
-*- Denotes Direction of Surface Drainage
?
O? PR tw V
.??
10
SO /
Proposed Top of Foundation ElevatlonSee Archiftclfs
Proposed Garage Floor Elevation= S??,Q P?Qn
Proposed Lowest Floor Elevation=
BM - TNH befwec n Lofs 54(6, 8/K 1- E1PVOll'or7 = 9 31.42 ff
I hereby certify Mai this is a true and correct representation of a survey of the boundaries of:
Lot 6, Block 1, KNOB HILL PROFESSIONAL PAP.K, Dako,ta County, Minnesota.
And of the location of all buildings, i( any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the location of the stakes as set for a proposed building. As surveyed
by me or under my direct supervision this 5 th day of Novembe r plg 85 ,
/ GI.CM' u.?Vte.! ?•?_
Paul A. John
Land Surveyor, Minn. Reg. No. 10938
i`'- 60' CERTIFICATE OF SURVEY
?K ?,?E
McCOMBS-KNUTSON ASSOCIATES, INC. for
235 //
CONIYUII?EFNOLIt ^ ana IWTCNINtONp MIN11EtpTA NMIAS
`?' ?'?'3 F??7TT3 DUNN REAL ESTATE
. ?.
EXTERIOR EtNELCPE AVERAGE "U' COM?UTATIOPI
OFJiVER
SITE ADDRESS
CONTRACTOR DATL PHO!'IE
Determine Vrorking square tootage of.each.
,
.
?Ii£3.i2
73 ¦
l. Total exposed wall area sq. Pt, a ?
2. Total roof/ceil:ng area .... 400o sq. Pt. X„4,?6
04
Total exposed wall area above Ploo'r = f-101a4
a. Total wall vrindow area ................. ?18
b
Total door
r
a :
.
.,
e
a
...............
....... 82
c.. Total s1131ng glass area
d. Total fireplace prall area
e. Total wall frariing.. area (average 10%)... 4 B/P
'
i
. Total net wall area above tloor ........ 38?
S. Total risr, joist area ...................
..=_
Total exposed foundation area a --
_..?.....r
h. Z'otal foundation e:indaw area .......... ?
1. Totsl net foundation axea above grade .
Determine 'V: value of each wall sepnent.
a: .418 x nUr. ri5 = 230 „
b, 82 X nUr, .13 s 11
C. - X nU:i s
_ D. _ g uUsf
e. q8& g .22 n l°'7 " .
f• 38la4 g uU" ,04l0 ¦ 178
' ¦ ..
f; • - X nZJ••
h. - x oUl. ? -----
r
1 • ? X liUll
3.............................................Tota1 ? 521?
If item #3 is the same as, or less than item ql, you have met the:
lntent of ZBC 6006(c)2. •
r
? • v ? . . ..
i:
Total exposed roof/ceiling area = ?200
?. Total skylifiht area .................. 32 .
k. Total roof/ceiling fraar.ing 2rea (average 10? -
1. Total net insulated roof/ceilinC area ....... 4 lla8
Determine "U' value for each roof/ceiling se=,,ent.
J. 32 X ,,U,t , .5lv = 18
k. x Ue;
1. 41<OP X"U'- .D2?j a 95 '
. 4 ............ 3
.............................Total = 11
If total of t,'4 is the same as, or less than f2, you have met the
intent of 5BC 6006(c)1.
Alternate Buiiditig Envelope Desif,n
To utilize ihe total envelope systen r.5et::od, the values established
by the sun of items #3 and 04 shall not be greater than the sum,of
itens ril and 92.
? 1. 535 + 2. 109 = (v4l+ '
3. 52? + 4. (13 = lv39
' ?? . .
1987 B[1ILDING PERMIT APPLICATI?N - CITY VSM"3-
F EAGAN
SINGLE FAMILY DWELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SST OF ENERGY C9LCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HaME0ti1NER MUST DESZGNATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMTT IS ISSDED.
MULTIPLE DiiELLINGS - RFSIDENTIAI. RENTAL [TtdITS FOR SALE IINITS
INCLUDE 2 SETS OF PLANSp CEATIFICATE OF SIIRVEY - CHECg i1ITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCAITECTURAL & STR[TCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address OFFI,
Lot ? Block
Parcel/Sub
Owner ?-??
Address _ y 1,S L NO 6 v F-.
City/Zip Code Z
Phone `T 5z ' /? 1
Contractor ? e y? (?l N {? ?,?, /NC ,
Address
City/Zip Code ff[oh,?, „NGJonl '?S?/? U
Phone Q ? ?/ -70 ??jf 'fd??/-?j?0
Arch./Engr. Rus42_?l 2?°nk 4A-Lh .
Address ?00/ '?/?nrvPi?Sfi'?f /??Te $E
City/Zip Code
Phone # ???j -' a l?0
?? 000
? Valuation:
? On Site Sewage _
ry? ¢? MWCC System
6? ??? ??? On Site Well `
City Water ?
APPROY9LS
0
Date : I :I
Occupancy _ 6-4
Zoning
Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEB.S
Assessments Permit
Water/Sewer Sureharge
Poliee Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
?Couneil Water Meter
Bldg Off Z Zt Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL
f..
s i r • Zj*jtj 11 • i W OkOl 5W411 iaQ , D, . , 5.
• ?• s • a• ? ? ? • ? • ? a?. M- ? • ?I? ? 1 1 1 ?i ? • ;
• I / •
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER ADID/OR WATER CONNECTION
1) PROPE2TY ADDRFSS : ???' I rr10 e?> iw.
l
T,F[;AT• DFSQ2IPTION: . /
(Lot Block Subdivision or Tax Parcel I. . Number)
IF EXISTING STRC'CTC'RE, DATE OF ORIGINAL BUILDING PERMIT ISSC'ANC'E:
(Month Yearj
PRESENT ZONING/PROPOSID OSE: R-1 SINGLE FAMILY
R-2 DL'PLEX (Two L'nits)
R-3 'POWNHODSE (Three + L'nits ) ( L'nits )
R-4 APARTMENI'/CONDOMINItiM ( L'nits )
CONIIY4ERCIAL/RETAIL/OFFICE
INIDL'STRIAL
INST ITUTIONAL/GOVERDIMEN'I'
Z) ,... .
NAME: E . T3A2c-or1J ? SowJS
ADDRESS: {COO 003 (f/(2GLE
CITY, STAT'E, ZIP: eja6pq,,_j, 9ti
PHONE:
3) • r ?• -
NAME:
ADDRESS=: `
CITY, STATE, ZIP:
PHONE: ?
MASTER LICEIVSE'
4 ) • r i?•
NAME : ?
ADDRESS:
?W
CITY, STATE. ZIP:
For City t'se
Plumkers -'censE
ctive
KRecorc
O St PHONE:
5) 10 ' r • ?' ? • y• ?? - - - - - - - -
? COiVNECTION TO CITY SEWER ? CONNECTION 'IC) CITY FIATER
p OTHIIR (Please Describe)
6) i? • i
? PLF-A.SE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE
? E MAIL APPROVID PERMIT 'IO 1, 2, Q, 4, ABOVE
(Circle one) ?
7) i
= .r
F 0 R C I T Y U S E O N L Y '
PERyIIT ° I55UED
FEES: $ /(? S U SE>:c.°?
, ?yR?1rT SU'D(-:i?RGc.)
S /vSU WATER PERr'lIT (INCLUDE SliRCHARGL)
?
$ WATER METER/COPPF'RHOR?V/OUTSID" REi,DER
$ WATER TAP (INCLUDE CORPORATZQN STOP)
$ SEWER TAp
$
$
_-
- - ACC:OliNT DEPOSIT - i•iATER
$ .. WAC
$ A7S^, u SAC
$ TRli`1K t4AT°R ASSESS:`E::T
$ TRli?1K SESIER ASS :SS::E`iT
$ LrITERaL BENEFIT/TRL"IK SE::_R
$ LATERAL BENEFIT/TRU..K t9AT°R
$
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ s v?3` .S U AN10L'11T PAID j REC°I?T n 5?G?f
?/ S v 5
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERh]IT FOR ;90RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? LVO ENGZNEERING DIVISION. LIST AS rl CONDI-
TION.
SUBJECT TO THE.FOI,LOWING CONDITIONS:
APPROVED HY:
TITLE:
DAT° :
?3-.(dB ?ILL ?FrI?C? 11l48?
L? s3 1 1<NOS Nlu-
P?er-
' G?.GuflP.rlc.?{
S-Z
' ?3UILDIti?C7 SfZj-'-
(e,z XG2 = '?>Z>44 x 2 ? ???8
• T`( Pc? o F ?? sr2.u c-7?o6.1
SL?S I c-,
I?i S. B,OC?x Z= I?oo? ? o?
? ??u P? ? L o A(?
• G?-I 7S
2 fLeQ 1 (D.
I VP-,LU a, Ti o t,-(
-I(q8b Y.- 38.9a ' 299 (o78
' LOT P?-GP%
I I'- )K, Z 5? = 2b 7 8 4 ? 43s coc7?7 _• 7 ,acee-s
L-Crr CovaaCao
?7$¢4' ' 2?7c°>4?" ?• ?'7
MEMO T0: JAY
TOM
DAL
KEN
JOE
BERTHE, POLICE DEPT.
COLBERT, DIRECTOR OF PUBLIC WORKS
RUNKLE, PLANNZNG DEPT.
VRAA, PARKS & RECREATZON DEPT.
CONNOLLY, WATER DEPT".?
_ ---- .r
FROM: DALE PETER50N, DEPARTMENT OF PROTECTIVE INSPECTIONS
DATE: 1I-15.85
The preliminary
construction ?
plans for KKio6 NILL C?FFl?E ??ca.
are in our plan review section for your review and comments.
Please return this form to Steve Hanson with your initialed comments and the
date of review. Failure to return form to 5teve Within five (5) days will be
considered your approval.
Thank you.
/JS
D
K A I" L A
CONSTRUCTION
Request for Action
Date: 4/10/2008
To: City of Eagan
Mike Lence
Building Inspections
3830 Pliot Knob Rd
Eagan, MN 55122
From:
Richard Etshokin ?
l/
Re:
Oral Surgery Care
Brent L. Florine
4151 Knob Dr., Suite 101
Eagan, MN 55122
Subject: Return of Building Permit Application and related Plans
When I applied for the building permit on the above referenced project, I was advised by the Florine's
and project architect that I was the contractor on this project. I am, along with Karkela Construction,
listed on the architectural plans as the contractor.
At this time, Florine's have broken off communication with me about how to proceed with with
commencement of the project and scheduling a meeting to discuss budgets. Via two reliable sources, I
have been advised that Florine's are now soliciting bids for additional contractors.
Since there is now a gray area on Florine's continuing to work with me, I am requesting the return of my
construction permit application and related sets of plans. If and when Florine's make a decision to have
me continue working on their behalf, I will resubmit these documents for the permit application and
review process.
Thank you for your understanding in this matter.
3280 Gorham Avenue I St. Louis Park, MN 55426 1 t:952.922.5512 I f:952.922.5906 I www.karkela.com
2006 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
DateC7g .
Site Address 4/U/ /;'nab Aroye un;c #
Tenant Name L2 4-`1 f y C!Ei re Former Tenant Name
Property Owner
Telephone # ( )
Contractor __bAlCefh M/dhqn'Ci.t
Address !?75 !7lann/!n L,.L Ltbl City?'?
State - 4w Zip Telephone # ( )
License # Sr
J 9 S Expires: Oa 303?
The Applicunt is _ Owner Contractor Other
Worlc Type _ New Bldg _X Modify Space Irrigation System** Yes No
_ RPZ _ PVB: New _ RepaidRebuild Replace
Rain sensors are required on irri¢atinn sv.crpmc
Description otWork
on new service, call 65
Work m public r-o-w / easement?
_ Remove
Meters - Call 651-675-5300 [o verify that hydros[atic, wnductivity, and bacteria tests passed prior to nickine ua meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $167.00
Domestic Size & Type
Flushometers Yes
No
Avg GPM Includes high demand devices? _ Yes _ No
PRV Required Yes No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ ? vOQ x 1%
Required on all new buildings & boulevazd irrieation svs[ems
Following fees apply when installing new lawn irrigation system
Call [he City's Engineering Depardnenl, 651fi71;5u4' ?jred+?__ff
pL? 9 ? uu?
? JUN 0 6 2008
- $ 1 7 0 Permit Fee
$ Meter(s)
$ Radio Meter Read
$ o SO State Surcharge
If oermit fee is less than 51,000, surcharge is $.50
If pennit fee Is more than $1,000, surcharge is 5.50 for cach $1,000 owed.
'--'---^----'?--"'?
$ --'-----'---^----°''---
Water Permit ' Y
$ Treatment Plant
$ Water Supply & Storage
$ ?
State Surchazge
Total Fee
C)
1 hereby apply for a Commercial Plumbing Per ' n is complete and accurare; that the work will be in conformance with Ihe
urdinances and codes of the Cfry of Eagan and with the Plumbing Codes; that [ understand this is not a permit, 6ut only an application for a permit, and work is not ro
start without a permit; tliat the work will be in accordance with the approved plan in [he case of work which requires a review and approval o Isns.
?aV? RqS?`,e? ?.SZ-
Ap hctnt's Printed Name ApplicanPs Signat re
gE4C2'tDINSPECI'IONS; ? U.G.
41NS SOBMITTED
CITY USE ONLY
1,/Air Test _ Gas Test _?(Rough In -4v-' Final
APPROVED BY: 6c g
,BUILD[NGINSPECTOR
Gen 4MInformation
. 17-24 Meter Read (required on all new buildings. Boulevard irrigation systems
.
K re a radio read -$141.00
A p? must be tested every ye? ?d rebuilt every fve years. Test results should mbeay ma reiledquito Paul Heuer at the Ci
. ?imum fee permit per address is required for the following RpZ's; new, rebuild, re air, remove.
W?4meters include copper horn/strainer, remote wire, and touch-pad meter. Ty°{ ??gan.
GPM METERS USE
1-20
5/8" PRICE
GPnT
METERS
displacement residential $130.00 4-120 1-1/2"
maximum or
small commercial turbine**
continuous
10
2-30
my?imutn Y4"
isplacement
lawn irrigation
residentia(
$167.00
4-160
2" turbine
cantinuous
15
3-50
t displacement or
small commercial
large residential
bldg to 24 units $210.00 1/4 to 160 2" compound
maximum small commercial
continuous &
25 irri ation s stems
5•100
magimum 1-I/2"
lisplacement 25-64 unit bldgs $515.00
&
continuous most comm bldgs I
50
USE PRICE
irrigation syst $ 827.00
Public Worky
must approve
meter size
large irrigation
system &
production lines
bld----_
65 units
&
large comm bldgs
GPM ME?? USE
5•350
3 turbiRe
very large irrigation PRICE
GPM METERS
USE
system & production $1,394.00
6-500 4" compound
+300 unit bldgs
lines & very large
1/2-320 3" Caml)Pund
+200 unit bldgs
$2 516
00 comm. bldgs
very Iarge .
' 10-1000 6" compound +400 unit bldgs
comm bldgs very large
15-1000 4" turbine
very large comm bldgs
$2,495.00
irrigation systems
& production lines
Comments
,
• Toschedule inspection of the inside water line and backflow preventer
T0 arran
e f
ll
g
or water turn-on, ca11 65 1 , ca
651-675
-675-5200. -5675.
cc: Utiliry Division Systems qnalyst .
1,962.00
PR[CE
$3,864.00
January 2006
4 k Clty Qf Eap
3830 Pilot Knob Road
i -- ----------,
? r4C) PWca?t1? ?
I %-
I Permit #: e'I/J v n ?
I T ?
j Permit Fee: -? V I
I ?
Eagan MN 55122
Phone: (651) 675-5675 ? Date Received: j
Fax: (651) 675-5694 I ?
? Statf: ?
I
- J
2008 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: o Site Address: l11??b ?t ? VQ
Tenant: 6QW S U1llilQsrr ?C&S f- Suite #:
PROPERTY Name: Phone:
OWNER
CONTRACTOR Name: t)at&a. tlie\A,n;, -i.,\ License #: S1.3,,G v r.'? w\
Address:sSZrj 1J?3 ?M??nv?@?a?nQCity: ? ?v State:MY1 Zip:551p3
Phone: Contact Person:
TYPE OF New Replacement _ Repair _ Rebuild 1 Modify Space Work in R.O.W.
- - -
WORK ?
,
Description of work: s c ;,,? ' $r [7? dpAeq
PERMIT TYPE COMMERC/AL
_ New Conslruction _ Modify Space
_ Irrigation System C_ 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 tesis passed prior to pickina uo meter.
Domestic: Size d Type Fire: Size & Price 3/4" m er 183.00
Avg. GPM High demand devices? _Yes No Flushometers _Yes _No
COMMERC/AL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value 0ox 1°k
- $ SC)i Permit Fee
Required on ALL new buildings and boulevard irrigation systems -) _$ Radio Meter Read
- If Perrnit Fee is less than $1,000, surcharge is $50 =$ Meter(s)
- If Permit Fee is >$1.000, surcharge Increases by $.50 lor each $1,000 `?
? 7?? State Surcharge
$1
000 P
it F
i
$
$1
001
2
000 P
i
F
i
0
h
,
erm
ee (
.e. a
?
,
-$
,
erm
t
ee requ
res a$1.0
surc
arge). _
Following fees apply when installing a new lawn irrigation system. $ water Permit
Call the City's Engineering Department, (651) 675-5646, lor required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $
i nereoy acnnoKneoge mai mis mrormauon is compieie ano accura[e; mai me worK wm oe m cornormance wiai uro uiuulallccs d-lu wu=- -- 111_ ?Rr .. ?aya??, •????
1 understand this is not a permit, but only an application for a permit, and work is not to start without a ertniY, that the work will be in a ordance with the approved
plan in the case of work which requires a review and approval of plans.
X c./?i?? LJ
Applicant's Pnnted Name A canYs Sig tur
-FO,R•OFFICE USE -, : . . Approved; By:, Date; ...
Requiretl Inspections Under'Ground ' Rough=ln Air Test :_Gas Test _FinaF „_ , PRV Required: - Yes _ No =
?..
:
3830
Eagan
Phone
Fax:(
Date:
City of Eanon
Pilot Knob Road
MN 55122
:(651)675-5675
651) 675-5694
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:
Address / Ciry / Zip:
CONTRACTOR Name: ?74?? A m G" License #:
Address: S' 77 79 lr.n
l ?N1't )A k*v? ANJ J?- NJ
_
City: ? f_A4 L-- State: Zip: s7S )a-?,
Phone: ?0 5 975 Contact Person: ZJE716?
TYPE OF WORK -New _ Replacement _Additional Alteration Demolition
Description of work:
NOTE: Both roo/ mounted and ground mounted mechanicaf equfpment is required to
be screened by City Code. Please contact the Mechanica! lnspector or one of the
Planners for informatlon on ermitted screenin methods.
RESIDENTIAL COM49ERCfAL
PERMIT TYPE New Construction ',J Interior Improvement
Furnace _
Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
" HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ Install ! Remove)
OIher 'When installing/removing lank(s), call for inspection hy Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifB r@paif (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value z:0 x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$7,DOU, surcharge increases by $.50 for each =$ State SurCh2rge
$1,000 Permit Fee (i.e, a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
1 hereby acknowledge that this information is complete and accurate; that the work will be in contormance witn tne orainances ana cooes or ine uiry oi izayall, ulat
I understand this is not a permit, bui only an applicatlon for a permit, and work is not to starl without a permit; ihat the work will be in accordance wi[h ihe approved
plan in the case of work which requires a review and approval of plans. ?
X `D • ?? " X
Applicant's Printed Name AppnYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground _ Rough In '_Air Test _Gas Service Test _In-floor Heat _Final
-------------,
? For Office.Use I
? Permit #: C)
?
? ?? I
? Permit Fee: ?,?(/ r ol-D j
j Date Received:
I
? Staff:
_ _ _ _ _ J
2008 MECHANICAL PERMIT APPLICATION
Site Address:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4151 Knob Dr
Lot: 6 Block: 1 Addition: Knob Hill Professional Park
PID:10- 42600 - 060 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: Exp
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
e- Fireplace
Gas Fireplace (new)
ed Permit - Closed w/o Requ
Chimney /flue must be inspected prio
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
ed Inspections. Sent letter to homeowner 1 -14 -09 pf
o concealing. Smoke detectors are required in all sleeping rooms prio
Owner:
Brent Florin
4151 Knob Dr
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083409
06/05/2008
ePermit
o final
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State