The URL can be used to link to this page

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