2745 Hwy 55TERRACE Mt?TEL . .
CITY QF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-81UD , BUILDING PERMIT Receipt # ' -
r.cNMRCZAr.
To be used for kgNfpDEL Est. Value $10, 000 Date MAY 1 , 199 1
Site Address 2745 RWY SS
Lot _I. Block _29 Sec/Sub.
W Name J
? Address ?
0 Cjty E
? Q Name L
o'J Address i
U? City FOR
?
W W Name
?? AddfQSS -
<W city
t hereby acknowlege
inlormation is correcl
Phone
this application and state that the
>mply with all applicable State of
Signature o( Permilee ' ` S / anee4?-Ir-
A Building Permit is issued to: 1'kOY KNIX191
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buikling Official
OFFICE U5E ONLY
Occupancy R-1 FEES _
2aning _
(Actual) Cons! _ Bldg. Permit
(Allowable) - Surcharge S•?
# ot Stories _
LengM _ Plan Review
DePth - SAC, City 1 00• 00
S.F. rotai - snc, rncwcc 650.00
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
City Water _ Acct. Deposit
PRV Required _ S/W Permit
Booster Pump - S/W Suroharge
Treatment PI 276.00
APPHOVALS Road Unit
Planner - Park Ded.
Council ? 2.00
81dg.OH. _ Copies
i
V 1
150.00
ar
ance ,
- TOTAL
Permk No. Pormit Holder Date Te{sphone #
WATER
SEWER
PLuMewc
Kv.tic.
ELECTRIC
Inspsction Date Insp. Comments
Footings I
Foundation
Framing 7
Rooling
Rough Plbg.
Rough Htg.
isui. ? c? w r t,...?? ? - co ., ?? << 6• f?
Fireplace
a-s,8 S • ? ?' ? Q/? ? ' ?
Final Htg.
Orstat Test
Final Plbg. ? Pibg. Inspector - Notify Plumber
Const. Meter
Engr.JPlan
Bldg. Finai
Dedc Ftg.
Dedc Final
Well
Pr_ Disp.
--------------
INSPECTIUN RECORD ?C°ntr°' "°. 0484
CITY OF EAGAN PERMIT TYPE: ou ???? ?"a
3830 Pilot Knob Road / Permit Number: •oob 1$
Eagan, Minnesota 55123 '?]G /W. Date Issued: OR/41 /92 (612) 681-4675
SITE ADDRESS: i oT : i VLVCtc t zq APPLICANT: ' 2746 HNY s5 ThGHEMY pE7ER
SECTIUN : (612) 770-2793 ,
PERM4T;pp?iW, Ey,, TYPE OF WORK: AL.rFRAtYom
Cif 'yo t? IPT70N FiRF REPAIR
INSPECTION ., •
fRAMlflki IN'="Ui AIION
FtMAt
I
i
Rf_#IARKS: ftECE.ipT i ?IRE I:t NA1R
'i
J
Parmft No. Permk Holtler Dste Telephone i
S/VV
PLUMBINQ
-dg
86
HVAC
ELECTRtC
ELECTRIC
Inupwtlon Date Inap. Comrnonts
FOOtings I
Foundation
Freming
Roofing
ROUgh Plbg.
Rou9h Ht9• '
IauL
FlroplaCe
Final Htg.
OrBfllTest
Flnel Plbg. PIb9. Ir?specxor - NotllY Plumber
Conat. Meter
ErprJPlan .
Bldp. Final Z y 4$???
Dedc Ftg_
Deck Flnal
Well
Pr. Olsp.
STATE OF MINNESOTA
Department of Public Safety Date:
State Fire Marshal Division
Time:
EXIT INTERVIEW
/e 60 2,60 610 -;?-9
Name: Phone:
- r • i ???lj ` r . .. _ •
Address:
-? 1 y s ` /?r...y .: s _' ?'c. •i ?. ,? a ? ? .?. S -S ? -2 ?
L r" .,'? „f ti; . ,, ?? ? y_ . . ?
In accordance with the provisions of Minnesota Statute 299F.011, Minnesota Uniform Fire Code, inspection of
the above premises was completed and the following violations and/or deficiencies were noted requiring corrective
Code Violation Summary Deficiency and Corrective Action
44" L4 f Ga '104ii//i 4a/ Lv "t
7
/ G
,?"• ?:?. • ,, i` /j? r ?j,'?-??
, doss
uA:-c fo r Tis .'r
«4',04:r- .00 C?,
_ 4AP c%.r y,????,?fr ? ?'
?
. . ,, ..
• NOTE • Signatures indicate receipt of copies
For further assistance please Owner/Representative
contact the Fire Inspector at ,
the following number:
Fire Chief/Representative Fire Inspector, Fire Marshal Division
?.?' ? :.' : •' _
Distribution: White - Owner/Representatlve; Canary - Fire Chief/Representative;
PS-06057-02 Pink - Division Office; Gold - State Fire Inspector
I 00 ZOOOada?
? STATE OF MINNESOTA
Department of Public Safety Date:
State Fire Marshal Division
Time:
EXIT INTERVIEW
7 /3
r
1/
In accordance with the provisions of Minnesota Statute 299F.011, Minnesota
the above premises was completed and the following violations and/or deficienc
action:
Phone:
/ 2 7'5 "`/ • 42
n Fire Code, inspection of
noted requiring corrective
- Code Violation Summary Deficiency and Corrective Action
i?7, f L•iJ 6c 1' ? !!i u?v s.r. i. r3? ? r.r?c. .''
.-: . ? ?Q C i ?• jy ???rJ ??? ?
/
, " ?Pt T/f? /ls?,? ?is???:+?'.. ..., . / )J?.,l10?- ta,.,....t d . . . -
r
..'j >d 14 c.
. •? N„ / /?
?
?.
'op
{ ,r3/.lf ?/e??? . • ? • .. ?f ,--
..
/.,7r/ ?/?fr
?- Aelo, rx ,? ? .? yv? . ?
• ^s R ! ? X '000 NJ k 1 s'
/
?
l" u Ij At
0 NOTE • Signatures indicate receipt of copies
For further assistance please Owner/Representative
contact the Fire Inspector at
h
f
ll
i
e
t
o
ow
ng number:
Fire Chief/Representative Fire Inspector, Fire Marshal Division
Distribution: White - Owner/Representative; Canary - Fire Chief/Representative;
PS06057-02 Pink - Division Office; Gold - State Fire Inspector
CITY OF EAGAN
Addition - Section
/ SU
29 Parcel 10 00200 010
-T D:I nn,rA YWirtll c 114hAz,i?l?Iq -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK yo 1968 210.00 .00 0 Paid
.? SEWER LATERAL 139 1269 1550.00 P8ld
WATERMAIN
WATER LATERAL 1969
WATER AREA
STORM SEW TRK 1984 1391.00 92.73 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEFi CONN. 1550.00 2008 12-4-69
BUILDING PER.
sac 2 0.QO 2 12-4-69
PARK
TERRACE MOTEli
CITY OF EAGAN NO
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' ' PHONE:454-8100 -
BUIIDING PERMIT Receipt # C-' ? 3/ 47:
COMMERCIAL
Tobeusedfor REMODEL Est.Value $10,000 Date MAY 1
SiteAddress 2745 HWY 55
Lat 1 Block 29 SeGSub. SECTION 2
Parcel No. _
w Name JAYKAR C BLAKTA
o Address 2745 HWY 55
City EAGAN Phone 454-1211
o.Name LEROY KROGER
$: -Address 18234 ELMCREST AVE
1? City FOREST LAKE phone 464-7836
Name
Address
I City Phone
I hereby acknowlege ihat 1 have read Ihis application and state that the
informalion is correct and ag ee to compty with all applicable State of
Minnesota Stawtes antl Ciry Eagan Ordinances.
SignaNre of Permitee
A Buiidin9 Permit is issued to: LEROY KROGER
on the express condition ihat all work shall be done in accordance with all
applicable State ol Minnesota SOtaNtes and City of Eagan Ordinances.
BuildingOfficial ? 1 q "a ???101
18981
OFFICE USE ONLY
Occupancy R'1 FE ES
Zoning -
(ACtual) Const _ Bldg. Permit
C
117.0
(Ailowable) - Surcharge 5. n?
# or stories -
Leiglh _ Plan Review
Depth - SAC, Ciry 100•0(
S.F.Total - SAC.MCWCC 650.0
C
S.P. Footprints _
On Site Sawage _ Water Conn
On Sile Well - Water Meter
MWCCSystam _
City Water _ Axl. Deposit
PRV Required - S/YV Permit
Boaster Pump - S/W Surcharga
7reatmem PI 276.OC
APPROVALS . Roatl Unit
Planner - park Ded.
Council -- 2
0C
BIdg.INt _ Copies .
Variance - 70TAL
C
1,150.0
EAGAN T'OWid S 1"I I P
Bl.JILDING PERMIT
oWne:
Address (preaeni)
Builder -------- .--_--.
Addrecs ..._.........
N° 313
Eagan Township
Town Hall
/
Daie ?------1--- - -----?l-------------
DESCRIPTION
Sfories To Ba Used For Fron: Depth HeighYI Esf. Cosi
? Pzrmi! FeeI
'
? Aemarks
J /?l12 •
/rP
1 ?????`?l?%???,%??
,
LOCA'MON
? -_
sxFge:, noaa or oxner uescsipiion oY Localfon _I Lof 83ock Addition or TLaCY
D I C? ?'i ??ii.li.s?? ? ?7 % .
This permii does not a Shorise the use of streeis, zoads, alleys or sidewalks nor does it giae the owner or his ageaS
the sigh! !o creaEe an lualion which is a nuisance or which presenis a hasszd So the healYh, safe2y, convenience and
general welfare !o anyone in !h ommuniiy.
THIS PERMIT MUST K T N y?3 E PAE,??t,E WHILE THE WORK IS IN PR ?G? ESS.
This is a ceriifp, Yhaf??k5..?.. ..t. ?.G?".2!l?!1------ ----- has permission So erY'R'? ?_(./f.?'.°J.`.-t• ........
..........._....upon
!he abo e de d gre -' he provisions of the Building Ord'znance tor En Townsnip adopled April 11,
-- _."-----°---.... Per .... ---.__..---------------"---------------....... .----"-'._..._......_...._-
........... -- - -------------- --"--
Chaizman of oard Suilding Iaspecior
s11 4/g/
a 35833
ll? See instmdrons tor completing this lorm on back of yellow copy.
"X" Below Work Covered by This Request
-? ,gf', E8-00001 OB
Vew Add Rep. TypeoBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specily)
' Comm./Industrial Furnace
Farm Air Conditioner
Other (sPeciN) ConVactor's Remarks: I LL` ?
I,,C lc.e&?i? iSCcnneCkd
Campute Inspection Fee Below: PCL'? a?
k Other Fee # ServiceEnlranceSize Fee fk Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps i 0 to 100 Amps 4arr
tran5lormers Above 200 _ Amps Amps "tL(
SignS Inspecmr5 Use Only: I TOTAL
Irrigation Booms ? • dG ?.) •,?j[}
Special Inspection ..
Alarm/Communication THIS INSTALLATION MAY 8E ORDER DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO T
I, the Electrical Inspector, hereby Rough-in r?i O
certify that the above inspection has
been made.
+a
?
OFflCE USE ONLY
This requ95t witl 18 momhs Imm
ce?/i l 7?
a 35833
/c/?/y
IRequest Date / ' Fire No. Rough=in Inspection '
`? tl? ?o ? Ready Now ill Notiy Inepector
, /i/ /?/ Repuire
y ?l ?Ves WhenReatlY?
I I/I icensed contractor p owner hereby request inspection of above electrical work at:
.bb Atltlress (Sireet, Box or Roule No.)
' 1
?
' Ci?y
L
C
_ J
L
Sec[ian No. Township Name oi No. Pange No. C
J
, a,
Occupant(PRINT) ? ?
Tev-r(ic-e- Phone No.
Pow SupPlier Pdtlress
MINNESOTA STATE BOAflD OF ELECTRIGRY THIS INSPECTION REOUEST WILL NOT
Grlgga-MlEwsy Bltlg. - Foom S-7]3 8E ACCEPTEO BV THE STATE BOAPD
18T1 UnlvenHy 11ve., SL FBUI, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plpna(fi12) 612-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPEGTION
? /?s????
See instmctions b- Ampieting this lorm on Cack oi yellow copY. Y'
a 71996 - X? te7ow Work Covered by This Request ?.° •
Vew Atld fiep. TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater EleClric Heating
ApL Buiiding Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Olher (speci(y) ConVacror§ Remarks-
Compufe Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps q0.00
Transformers Above 200 _ Amps LAWasJQ0 Amps
Signs Inspecmr5 Use Only: TOTAL
-
Irrigation eooms
{J ? p
ccJ O 5
C)
SpeCial Inspeclion
AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee .SO COMPLETED WITNIN 18 MO S.
I, the Eleclrical Inspector, hereby
certify that the above inspection has
6een made.
oa?e
R°u9n-in
Finai
OFFICE lISE ONLY v(?` / WA{.[-7i14V
This request witl 18 manIDS imm
oyi?jrII
71996
a
?
/ y. .
Fequest OMe
p n FirB No. Rough-in Insp9ction
Requiretl?
'
Reatly Now ? wm Nay mspe?+or
Wh
R
d
7
1?1 ? Ves
ANo an
ea
y
I?4icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atldress (Street BoM or ftoute No.)
z> ?f s H w y ss Ciry
F G14 7-i
$eqion No.
' Township Name or No, Renpe No. Counry
ID
Occupent(PqINT) PhonB No.
Powar Supplier Adtlress '
Electncal ConVector ?Company Namal
???1 f ? (2?2C-!/ltC
?1-?C• ConVacrorS Licanse No.
O lFio 14 LFS
Mailing Atldress (COnirector or Owner Making Installafion)
19 ,5--3 -
h I 'ki ,? ? .
Aulhor gneNre (COn rl er in nstalla?lon) Pnone Num er
??elf
`
2
fS
?
p
MI 9NESOT; ryAT qD OF ELECTRICITVAe6w? TNIS INSPECTION REOUEST WILL NOT
.rl ga-MIEw d9 .- Room S1]3 BE ACCEPTED BY THE STATE BOARD
18R1 Unl i Ave., SI. Paul, MN 5510UNLE55 PROPER INSPECTION FEE IS
Ptwn 1] fi61-0800 ENGLOSED.
f
�, Use BLUE or BLACK Ink
' r————————————————i
I For Office Use �
. � C3o�� �
Cit of �a a� ; Permit#: �
y � � .--v, �
� Permit Fee: �
3830 Pilot Knob Road I �
Eagan MN 55122 � �
I Date Received: �
Phone: (651) 675-5675 I �
Fax: (651� 675-5694 � Staff: I
I
�-----------------�
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: �'� '�� Site Address: �-� `-t� 4��� � �L'o+"T�T��V ��� ����
Tenant Name: �U���T �41�"f ��V�� (Tenant is: New/ Existing) Suite#:
Former Tenant:
s
fi .,.�
Name: ���''��"� ����i. Phone:
x •
������ Address/City/Zip:
, �
r ���� �
� � ; ' z � � �
��y� ° '� ' ,: Applicant is: Owner Contractor
� ��;
w� ���� Description of work:
�
����1�����_ �
�,
� �,1
� r�o�, �;� Construction Cost:
d 4
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Name: �`� 1 I�CZm 1Gi�1—���`�i. License#:
�OI?�t'hC'�4r . Address: '�`7�� �--t k-���� c�ty: ���1-N'
'� � State: �0`1 Zip: ,��)�-{ Phone: ��'� ��� (Z� �
e s x� �k�
x� � , _
�, Contact: Email:
.�,��;�,.��;�
s€:
�', ka� ��` �'��� Name: Registration#:
q � Eex
� Address: City:
/��'I����'��ii�#��t"
� �"��`: State: Zip: Phone: �
' '
4� ��'�� Contact Person: Email: �,
Licensed plumber installing new sewer/water service: Phone#: I��,
,I�U�'� Pfa�rs atldr�uA�+�n���u�6r���#�L�tr��lb�a��n��t`r��`t���.p��'�i��i�►�ia� ��'or�c�r��3f �
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#h�r�afc�rrna#ic�n�r���e��'a�s�fi�►,�s����:��:P�'� � ��r���+'�+�r�+t� ' ,' �����
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y
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x �1fRA-tvJ� QNeA-PL7r�-? x � �,���- �5�� , c.�>
ApplicanYs Printed Name Applicant's Si' n ture
Page 1 of 3
EAGAN TOlNN 5 H 1 P
BUILDING
- -
Owner ... ......... ......-- - ?/
, ? ..... ...... ..... ...............
?
Address (pceseni)
.......... ?7jp - - ...- -? ....- -??...?...- - ---- ......
-----------------------------------
- .............................
Address
PERMIT
rr9 ssi
Eagan Township
Town Hall
Daie . `.....................
5toxies To Se Used Fos Front Depih Heighi Est. CosS PermiS Fee Remarks
Sfreei, Road or oiher DescripYion of Location I Lo! I Eloek I Addilion or Traet
This permifdces no! auihoie '2heuse of?sYreels, roads, alleys or sidewalks nor does it give the owner or his agenf
the righi Yo creale any sifuation which is a nuisance or which presents a haaard fo the healih, safety, convenienee and
general welfare !o anpone fin the communify.
Tk sSisEo certifyu ha $E F?.4.0?-- ° PSE WHIh E pHEnWOR K3oI5 I?NcPR _RE5. •^k.????`F?t`.-..'------....upon
the above desaribed premise subjec! !o the provisions ol the Building rdinanee for g ip adopfed April 11.
fr
1955.
--------- --`------------------------------- -------- ---------------- -.__---- Per .----.!?'?............. -------- - "--'-"---------------------------- -
Chairmen of Town Board ?-_B, in Inspecior
?-#2? a91? oCt
LOT -L BLOCK ? SUBD. S66?v ?
RECEIPT # '7/0/ Jl
CITY OF EAGAN
SEWERIWATER REPAIR PERMIT
1997
Date: 31711 9? 7
ZSewer Water
Description:
Area/address to be repaired:
Installer:
Street address:
City, state & zip:
-T-?
Telephone #:
Owner name:
Street addres:
City, state & zip: EAquh I'Yl N S S I Z I- I 41 r3 L1
Phone #: qSc/- iz //
?
I ;
?
Fee: $50.50
of Permittee ?'?
,
?t?ro
4? ?-6
?`a?l . 4r?.?.
?
? • ..,??? ?
L ? st CITSC OF EAGAN
SUBD PLUMBING PERMIT
. ? (612) 681-4675
RSBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
RRpAIR ?
OWNER NAME :Q A
SITE ADDRESS: 2:? LFS
INSTALI.ER:
ADDRESS: 9I2) ?AJPwi???
CITY:??'Ad+fJ? ZIP:
'? O ?OO
PHONE i/: `7R0
?
OF PERMITTEE
STATE SURCHARGE .50
TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:2,0\?,
e Srha 6.JRIRiP46
,
?R A?'P ? N !4 Roo?.2 (?
OWNER NAME: 14
41
l?
SITE
S /oU G•c/d
CONTRACT PRICE:
w
ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR .
TENANT NAME: ' - EACH $1,000 OF PERMIT FEE.
SUITE #: $25.00 MINIMUM FEE.
INSTALLER: l// ?(,r r4
$ ?S S'
CONTRACT PRICE x 1%
ADDRESS: iJ STATE SURCHARGE $ . 5 D
CITY: Ila:n)F- `YI ZIP: sS? 4
c $ 5, 5 v
TOTAL:
PHONE l
Z?
)o
j
FOR: (SIGNATURE)
CITY OF EAGAN
S-106 - 9at
CITY USE ONLY
RECEIPT Q
DATE .5ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
? WATER CIASET 3.00
2 BATH TUB 3.00
? LAVATORY 3.00
_ KITCHEN SINK 3.00
_ IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMiTM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
1993 MECHAHICAL PERMTf (COD4MERCIAL)
CITY OF FAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIAI.lINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTI-ER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: /O/oc, /93 CONTRACT PRICE: $ ZB°l?e
NEW BUILDING
X INTERIOR IMPROVEMENT
WORK DESCRIPTION: A*v1K46c-r
FEES ?
1?1? OF CONI'RACT FEE $ 30
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF VERTViIT FEE.
0
TOTAL $ 3 6, ?
SITE ADDRESS: ? -74ftr
OWNER NAME: %L??'?ccs` cvro:z-x TELEPHONE #: ?FCC -'72 3`7
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER: ;;?? /?lv??1 64 v<sri5.?r/G d (-FG ra T.7AYr
ADDRESS:
CITY: STATE: ZIP CODE: s^s v7 ?-r
TELEPHONE #:
??_ 1lool? G?
SIG ATURE OF PERMITTEE CTTY INSPECTOR
>C CiTY'i-F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
Control No. 0484
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
000610
05J21/92
SITE ADDRESS:
2745 HWY 55
LOT: 1 BLOCK: 29
SECTION 2
DESCRIPTION:
FIRE REPAIR
6uild3n,g Permit Type PIISCELLANEOUS
, Building?Work Type _ ALTERATION .
.
,? -
REMARKS: ?
RECEIPT tl?I d ftf 7 FIRE REPAIR
FEE SUMMARY:
VALUATION $8.000
Base Fee ;99.00
Surcharge E4.00
Total Fee =103.60
CONTRACTOR: - Applicant - OWNER:
TACHEqY PETER 27702293 BHAKTA JAY
2400 12TH AVE 2745 HWY 55
N ST PAUL pIN 55195 EA6AN P9N
(612) 770-2293
I hereby acknowledge thet I have read this application and state tHaC the
information is correct and agree to comply with all applicable State nf Mn.
Statutes end City of Eagan Ordinances.
APPIICAN ERMITEESIGNATYR ISSUED SIGNATURE
PERMIT #
CITY OF EAGAN A rt*-?I -_SpZS
1992 BUILDING PERMIT APPLICATION
681-4675
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 2 1 c / 7_/ / Valuation of work ?qoo
Site Address:77 `(e> H??Y
ST ET STE Y
Tenant. Name: (commercial only) ??-? ???'[-.?1`
LOT BLOCK ? SUBD.
O` V.I.D. #
Descri tion of work:
The applicant is: ? Owner ZI Contractor ? Other (Describe)
Name 0 A A /C-)Ltq Phone
Property usT FIRST
Owner Address 27 YS Hw? S?
STREET STE /
City ?A-Sra?v State GI?If? Zip
.
Compan;lElF l.E,?...Y Phone 77 d
Contractor Address 2 ko c, v??E_ License # Exp.
City h'o S+Na'A State V^Zip 5-ta
Company Phone
ArchitecU
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber Processiny time for
sewer & water permits is two days nce area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State af Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -
OFFICE USE ONLY
BUILDING PERMIT TYPE
O Ol Foundation pr 05 Apt. Bldg(mb%>O 09 Basement Finish ? 13 Comm/Ind New
? 02 SF Dwg. O 06 Garage/Accessory O 10 Swim Pool 13 14 Comn/Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. O 15 Cortm/Ind Rem
? 04 Multt-fam. T.H. ? 08 Deck E3 12 Res. Porch ? 16 Public Fac.
_ ? 17 Agricultural
VI/ ORK TYPE
L7 31 New ? 33 Alterations ? 35 Move J@ J,E 'PAI R,
? 32 Addition ? 34 Tenant finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual
(A1Towable;
UBC Occupancy
2oning
# of 5tories
Length
Depth
APPROVALS
Planning
Engineering
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
?-I 2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
footprint Sq. ft. ' Fire Sprinkler
On-site well Census Code
On-site sewage SAC Code
Building Assessments
- Variance
REQUIRED INSPECTIONS ?2'E:M,40S; F?j2E
? Site ? Footing ;WFraming
? Wallboard ,9 Final ? 0 Draintile
* Insulation
? Fireplace
Permi t Fee 1:fy, o o veiu.c;a,: s
Surcharge 41 vo
Plan Review .
License ?,?vcrni Se'rwv?=. A RaAS,
MWCC SAC
City SAC
Water Conn.
Mater Meter
Acct. Deposit
S/W Permit
5/W Surcharge ? ?? ?cr?? ?,.•.•;?`. ;
Treatment P1. i
Road Unit ;
Park Ded.
Trails Ded. 1
Copies
Other
Total:
SAC %
SAC Units
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PAONE: (612) 454-8100
w58""M
NO
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WEiEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST _
ADD ON _
REPAIR
OWNER NAME:
SS ?
?Iw
SITE ADDRESS: 2-7`f5
LOT: BLOCK _ SUBD.
INSTALLER:
t
ADDRESS:
CITY: u)4`
PHONE,*fj 70 G ax-lo O
?
?
FOR CITY USE ONLY
PERMIT # / ?q o
RECESPT # a
DATE: 1319/
COMPLETE THE FOLLOWING:
FIXTURES
ADD-ON MINIMUM .00
SHOWER 3.00
WATER C 3.00
? KITCHEN SINK
LAUNDRY TRAY
_ HOT TUB/SPA
_ WATER HEATER
FLOOR DRAIN
%G?A?SiJPIPING OUT.
NIMl1M - 1)
H OPENINGS
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
r WATER S ENER 5.00
ZIP; 55- F3% _ PRIVATE DI 15.00
ll.G. SPRINKLE 3.00
SUBTOTAL
? ST. SURCHARGE
IGNATURE OF PERMITTEE
TOTAL:
50
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
___°______________________'
?o
CONTRACT PRICE: /.L OO `
OWNER NAME: R'.4I Kp'
SITE ADDRESS: 2_7 Y S??+-?Y
-?
LOT:L BIACK a9 SUBD.
?A / ?
INSTALLER: !Ll ID61l4
ADDRESS: CQ! b14U,6I"'stQ?- ST.
CITY:7a A? Wf 1M ?ZIP: S? Y3 ?r
PHONE #: 'JS/o ° 0 c??o0
FOR:Jw???
CITY OF EAGAN
4-0
O
FEES
i
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $ ? S. O U
STATE SURCHARGE $ S 0
TOT $ as S ?
?L ??i?(/C/?-,'
a`
(SIGNATURE)
TOTAL
?
_6_0
Y ` 1 1991 BUILDIGIQUAILICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS'
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
CtNderi CU???e„?-Fc 2 1?9ArI Rco„-,s ???
To Be Used For: Valuation: ? O Date: Z /Sy/
Site Address -1045 uwv SS
/ OJ O?O OFFICE USE ONLY
Lot I Block q
Parcel/Sub f? ,lim 2,
Owner 4vt,/ k,4 (2 l.. /Jh p k
P.ddress 7-145 14.rN,. 1'7
City/Zip Code Cr?q&J /oN. \"L?
?
Phone _454 (Z1\
Contractor Wu•l k
Address (A23 Y C lry e((.pC1- gU?e
City/Zip Code -f? /Lp?-{ L k
Phone L{(pL{-'f g3(o I Io-ZZi3Pe4t
Arch./Engr.
Address
City/Zip Code
Occupancy R-/
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
BoosteY Pump _
APPROVALS
Planner
Council
Bldg. Off. ?/.3o ps
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
17.00
s, ov
OO.oD
6 D.oa
Z46. Op
.DD
?
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all avolicable State of Minnesota Statutes and Citv of EaQan Ordinances.
S - ? 4 r?14r,)
A ,I
4:-- 1 N
,r k4
4
l. 4
?
,
?OOVIA
__-----
?
.o
?
?r city oF aagan
3830 PILOT KNOB ROAD. P.O. BOX 21199 t-' p
EAGAN, MINNESOTA 55121
PHONE. (612) 454-8100
MEMoRANa cAM
` _____--------.
F1ZOVn; .JDE W-S?cH,4K,, (2aNSTRI[G-nOll) AN.4LY5i
7D-' C.4 lZoLy H1 KRFZi{/ P'/NANcE CLERrC
RE- SAC_ uNt'TS
THE MO-"EL, l-OC.n,'iu-t- AT 2714$ N/6HwAY SS 15
r-oNV S?R-r iN a A GARA66z !N'Ta Z MoTEL 'PoaMs .
TMos ?ROZEr-T wit-t lMcHAR6E'D/ /N Acco;e'D,41ic6
W iTH THro- METROPoLtTAN WWSTE CONTRUC, c.OMJUtSSIaN?S
REt:>ERvrw CAQAe-tty cNARbE, ppLicY? oNIF- SAc- 14NIT
DFi'ElkmiHE'D AS SHOcvN BEL.OW ?
1vt oZ'ELs :
2Uco1r1S X ISAc LtNIT PER Z RobMS - 1SAC- "H 'r
THE tONE OAK TREE. .. TNE SYMBOL OF SiRENGTH AND GROWTH IN OUR COMMUNIN
;: .
r
,r ,.sr t 1? r -.:"? M
; JECL10'l ('? _?,
4iGrIl4rd 'Q.:-` V• v3.n
'r. rc rcel >Ol?-Yi TErr.uc,s ,L,'.ot•ES ?'? F •' .,c '
C?
S4r;n i511?+ e:1
l0 002G0 010 29
r Gntn ? . , . ". ? ?/s• ' /?.+,? r ?',:-,>,
Ne. Yrs.
i.
.-?_ Sireet Sur:acing
i . ---
F:
Y
..-:: Grudiny & Crcval .,_ .
' Gurb und Guttar
`? -- 5torm Sewee. Ouffall?
i
.-,--.-S:Onr. $ewar, Ouefall - ??
4 c
5torfn $?werr. Trunk
S4orm ;,Iwar, I.uinral
? fiF3 - 5arvlm'ry Sewar. Main '421?tt?D V,L')p
?? Scr,ircry 5twer, Matn ..;'. ...:.
. ?. Scnifcry Sewer, lataral
.
Wattr. Mofn'
Waier, luferaf
_ . ? .
. Remarks: a -
?, w
3 i;?.i,tf: 0 ?a1€?i.oo pex aan.t' G:S E?-s r
hauce coar_o ?
cY.g. 3r0.03 r'd '12A/69L .
_. , . „ . , i. ?-
. . . . . ?? ;?
; ...._.-__..L.r
'2/
?
-33oa3
,.I;1 7 .;;1 7
? So.So
2006 COMMTRCIAL PLUMBING PERhiIT APPL.ICA'CION"`
CLTY OF EAGAi+i 7s 5-69 vi
3830 PILOT KNOB ROAD. EAGAN MN 55122
ccy _c?ce??c
Date `f ! 1,7 ! ?o (o
? Site Address 7i ? y? /-/'"y' S.? l'nit #
?
Teoanf 3Vame Former Tenant riaate
?i?•.A ?t f?vsh 7..,y
Propertv Owner Telephone #( )
Cantractor PIVw! 67 ?( °J n
Address f<?JWQ S! City p?Yr P/O vC?
stace W1 ? ziQ rr3Vy_ Telephone # t7 b5? 7 S-7 / 9 9/
License# SrZ-9 7 Expires: 1z106
T6e Applieant is _ O%mer -IL Conhac[ur _ Orher
WorkType NewBidg _,QModiFySpace [rrigatiortSystem°° _Yes No Workinpubiicr-o-w:easement?
_ RPZ _ PbB: New RepaidRebuild Reptace _ R.emove
Itain•sensors are uired on irri tiou systems
Description of R'ork - /5 9?Y?-. 1 rf ? Sh4W`C/ S - 1`4?I vwl ?/G fTr.S !v
Toinqu've?PassRaduci?Valveisrequiredonncwservicq:.a11 6 51-675-?66G 'Z q ?rWh1 S
Meters - Cali 651-675-5300 to verify that hydros[atiq conductivily, and bacteria tesls passed orior to oick' e ao et r.
Inigation Size& Type Avg GPti1 2" hubo req'd unless smaller size allowed by Public Works
_
Fire Size & Price 3:4^ metcc $167.00
Domes[ic Ssze & Type Avg GPM IocWdes Ligh tlernand devices' _ Yes _ No
Fp`shometers Yes No PItV Aeguired _ Ves _No
Permit Fee $50.50 mtnimum (i dee Statc Sorcharge) Contract Value'$- x 1"h = $ 50 •? PermitFee
$ Meter(s)
? Aequired on al] ncw 6uildings & bnulevard irciustion svstems ? Radio Meter Read
i
$ • ? ? State Surcharge
If certnrt fx is less fhaa 51.000. surChat9e is 5.50
If vermK fce is more chen $1,000, surcharge ia SSU for neh 51,000 owed
! FoBowing k¢s apply w'hco iestatling new lawn irrigavoo sys6ein $ Water Permit
. Call the Cily's EnginxringDeparhnrnt; 651-675-5646, far mquired fze emounfs
a ?Treatment Plazrt
a W ater Suppy & Storage
a ( State Surcharge
Total Eee
I herebr appN for a Commefcial Plumbin3 ??? a? ack?wwlcdge [hm the infomurion is complde and acciaa[e; thaz the wmk will be in conformance uith tOc
or3inancesv eM codrs of Ne Ciry oC Eagan arM wilh [he Plumb:ng Codt9: that i unCCrstarM t6is ic mt ¢ persni5 but only aa application for a permil, and wwk is not io
slat[ wmhoutaT+mit; that ihe wo will De in accordance with [he appioved ptan in the eme of Lrork which /equ a revjqa' and appro.al oTplans
?1lL
AppiicanCs Prin d Namc Applican?s Signature
L•d /ObQ-bf - 90 Ll jdb'
?
REQUIRED INSPECTIONS: _ U.G.
PLANSSUBMITTED
CITY USE ONLY
Air Test _ Gas Tcst ZRough In ? Final
APPROVED BY: ? ? ?? ? 7---o ('0 , BUILDING INSPECTOR
General Information
• Radio Me[er Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$141.00
• RPDs must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee pemmt per address is required for the following RPZ's: new, rebuild, reoair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REOUiRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $130.00 4-120 1-1/2" lrrigatl0n SySt $ 827•00
displacement or hubine** Public Works
maximum small commercial must approve
conrinuous
meter size
10
2-30 3/4" lawn imgation $167.00 4-160 2" turbine large irrigation $ 1,040.00
maximum displacement residential sys[em &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $210.00 I14 to 160 2" compound bldgs over $ 1,962.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irrigation s stems
5-100 1-1/2" 25-64 unitbldgs $515.00
maximum displacement &
continuous most comm bldgs
50
METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very large irrigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +ZpO unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs $6,436.00
very large very large
camm bldgs comm bldgs
I5-1000 4"turbine very large $2,495.00
irrigation systems
& producrion lines
t;ommenu
• To schedule inspectiomof the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water hun-on, ca11651-675-5200.
cc: [Ilility Division Systems Analyst
January 2006
/o ooaoo o/o a Q
? A
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Miaaesoea 55111
Telephone 454-5242
PERMLT FOR WATER SERVICH CONNECTION
Date:sept. 29, 1969 Number: 332 - Seg, :L
Billing Name: ?i? ? G,?F6 Site Address;
Owner: Billing Euldreas
i7 !
Plumber:??'?c:.t?
r
Meter No,. g?77a1&/ Permit Fee 7 50 Paid 9/29/65
NOT HOOKING UP TO WATER NOW. 1?? 117 Meter ReadingaoA oo Meter Dep.
MeCer Sealed: Yea Add'1 Chg.
,r
NO Tbtal Chg.
Inspected by
1 Date
Building is a: Remarke:
Residence
I3ultiple To,
Commercial 4'-?
IndusCYial I gy;
Other Chief inspector
Tn conaideration of the isaue and delivery to me of the above permit, I
hereby agree to do tYe proposed work ia accordaace with the rules and
regulatioas of Sagan Township, Dakota Count Iiianesota.
By: WENZEL PLBG. & F?TG. INC
1955 sHAVd hUAL)
SL EAUL, Pa4INN. 55111
Please notify the above office when reedy for inEpecCion and connection.
?¢c . a,
/d oeAoo oio x9'
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: /W ? ' NONIBER 469
OWNER: Address
PLUMBER 'evL;?e' q°ypE OF PIPE
AESCRIPTION OF BUILDING
IndustrialI Commerc,i?flI Residential I Multiple Dwelliag I No, of units
Location of Connections:
Connection Charge
Permit Fee ?> > ?7 Paid 9/29I69
SCreet Repairs
Total
Znspected by:
Date
Remarks:
By
Chief Inspector
In consideratioa of the issue atud delivery to me of the above permiC, I
hereby agree Yo do the proposed work in accordance with the rules and
regulations of Eagatt Tormship, DakoCa CounCy -Minneaota
BY?=GJ_ i.cJ fe=
? .`
WENZEL PLBG. & HTG. lNC.:
ST,. P_AUL, MINN. 55111
P2ease aotifq when ready for inapection aad cnnnection and before any porCion
of the work ia covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE4JER S$RVICE CONNECTION
DATE: Aoril 16. 1971
OWNER:Terrace Motel
NUMBER734
/o ba z00 6I0 -a-'7
Address 2745 Highway 4F55t Sagan 55121
PLUMBER Wenzel Plumbinp & Heating 1'YPE OF PIPE CastIron
DESCRIPTION OF BUIIAING
Indastriall Commerciall Residential I Multiple Dwelling I No. of un£ts
x?oac
Location of Connections:
Connection Charge
Permit Fee 1Q_Ofl od 4/76/71
Street Repairs
Total
Inspected bj+:
DaCe
Remarks•
By. Chief Inspector
In consideration of the issue and delivery to me of the above pexmtt, I
hereby agree to do the propased work in accordance with the rules and
regulations of Eagan 1bwnship, Dalwta County, Minnesota
By
Wenzel Plumbing d Heating Inc.
1955 Shawnee Roadt Eagan 55122
Please notify when ready for iaspectioa attd connection and before any portion
of the work is covered.
13- otf 2006 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
• SWCtural Plans (2) sefs
• Civil Plans (2)
. Certificate of Survey (1)
• CodeAnalysis (1) •'
• ProjectSpecs (1)
• Spec. Insp. & Testing Schedule "
• SoilsReporl (i)
• Meter size must be esta6lished
1
1
1
d
d
1
• SACdetermination-ca11 6 51-6 0 2-1 0D0
• Archdectural Plans (2) sets
• Struclurel Plans (2)
• Civil Plans (2)
• landscaping Plans (2)
• CodeAnarysis (7) "
• Cedificate of Survey (1)
• Spet. Insp. & Testing Schedule (1) "
. Meter size must be established
. ProjeclSpecs (1)
• Energy Calculations (1)
• Electric Power & Lighting Form (1)
• Master Exit Plan (t)
• Emergency Response te Plan (t)
• Soils Report
?`•
(1)
• SAC dMermination - ca11551,-602-1 000
• Fire Sloooina Submittals ?gq ?-S
(:?,,11a-,( y/z5 • 6^?
• Architeclural Plans (2) sets
• CodeAnalysis (1) °
• Project5pecs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always"
• Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established-K applicable
!: .
• SAC detertnination
1
1
d
1
call 651-,602-1000
Call n4N llept oFHealth at 651-215-0700 for details regarding food &'• beverage or lodging iacilit
** Con[ac[ Building Inspections for sample and if required
•** Permit for new building or addition will not be processed without Emergency Response Site Plan.
O-V
Date 2 ) Construction Cost R,00 0 ,
?
Site Address 2"7 Lj S i--i t,-1 y S? H Gi ?a ? M 1J ?Z?i `I. j UniUSte #
Tenant Name Former Tenant Name 1,22
f'
DescriptionofWork ur <' -N'F-!*? ?1?.<n?--rnncter?l
evyzq
Proper[y Owner Ki W0-7-1J_
AlJ C'it ,
I Ri<TA" Telephone #(?SI )A $4 - i 2)1
.?
Applicant is: Owner
51 _
Contractor
Contact 11:, ( ?j /, ) L4?? •- 12, / 1
Contractor w/T?Za
n/'Tf} rv' •w,z?'
Q Nhl{Tf1 .
Address o27
State mf\J - Zip /Z Telepfion4 #Qla-/ ) a! TL/
IE" `" "'
Arch/Engr Registration #
Address City
State Zip Telepho ( )
Licensed plumber installing new sewerlwater service: Phone #: ()
?
P?-
I hereby apply for a Commercial Building Permit and acknowiedge [hat the information is compiete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an
application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
AJ--7_-?TrlW L3N/-} KT79 Pr nw,..? &-n 06tWrc,
'Applicant's Printed Name I e•.-'. Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt-Apartments
oe'? 15 Lodging 0 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New 4T' 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
r
Yaluation 30,00 Type of Const ? Width
Plan Rev 700% ? 25%_ Occupancy iL' MCES System
SAC Units .0 Zoning r• / City Water
Nbr. of Units Z Stories ? Booster Pump
Nbr. of Bldgs Sq. Ft. PRV
Length Fire Sprinklered
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
_ Driveway Apron
Roof Ice Pr Decking
? Framing
Insul Final
Fiieplace _ R.I. _ Air Test _ Final
/ insulation
? Sheetrock
Final/C.O.
FinaUNo C.O.
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _ Final
Windows
Final C10 Inspection: Schedule Fire Marshal to be present. _ Yes ? No
Approved By: Planning ?FJtTkr_ Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIW Permil
SfW Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
83.LY
/• ?
O . • Y
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
7
6?7
Sewer Trunk
Water Trunk
For Office Use
Permit
City of Eaaafl - , 11
Permit Fee: i/ Q
3830 Pilot Knob Road
Eagan MN 55122 J~
Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
L-----------------I
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant Name: irk Cd1 ~-f ~1 L~ (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: A" ' if"Gi t1 Ck t\ VA j_A Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: k C t , V3 0 ds.~ 0
Construction Cost: gpo~
CONTRACTOR Name:.- ( s / J License
Address: _7 { ~c,,,::4 L c-° tom, ` ' c' ' ' !fir
City: 1~ c t' f~ State: ? / J Zip: zS -~~1
Phone: 'IS , -171 1S t-l Contact Person: -
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
I 1
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pp iicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
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� For Office Use. ��� ^ i
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Clt of �a a� ; Permit#: v� ,
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� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � I
Phone: (651) 675-5675 i Date Received: �
Fax: (651) 675-5694 j Staff: i
�-----------------�
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: � �� �� Site Address: ��Y� /�/� �i
Tenant Name: ������NO'�--- (Tenant is: New/ Existing) Suite#:
' Former Tenant:
°� � � � Name: f��� /'��9/�'�� Phone: 76 3'"x3z-g$D.S�
' fp + Address/City/Zip: O�'7y� �{Z✓y � �� /?�/t/ 5.5/2 Z--
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_ Applicant is: Owner ✓Contractor
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I Description of work: O � �'�
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Construction Cost: ���
Name: ��/'y"/��� `��-falc/��tr��'`� License#: � ��Cv7�'Z-
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� � Address: �aX� (i /C.lGS C3Un.v 1�.�� ''#City: / �"1l�tto•�l�
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"� Name: Registration#: _
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Address: City: I�!
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
`� OTER°"Pl��s��d�up�io l� o�`� � �,vv- - r��o s ;e �: ;
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goqherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the ork wil be in accordance with the approved plan in the case of work which requires a review and approval of plans.
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Applica ' rinted Name , Applica s Signature
Page 1 of 3
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3830 Pilot Knob Road I �
Eagan MN 55122 � �-����
� ,�� I Date Received• I
Phone: (651) 675-5675 � , v. ,..- "� � �
Fax: (651) 675-5694 r � I
j Staff:
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2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: � " Site Address:2.� ������ �..c2.C1 Gt,�v1 °
Tenant Name: Q�.T b (Tenant is: � New/ Existing) Suite#:
Former Tenant:
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� Name: �! C C, �L �V1,��L`�c� Phone:
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' Description of work:�y^� �e,� '�E„ `.^� � O��-,
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� � ��� Construction Cost: "f���Q�""�'
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� ' � v Address: ���� �f'19c�Itil.0i1� �� City: ���l�l.e���J
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Licensed plumber installing new sewer/water service: Phone#:
NOTE�P �s ancl��p�orti� i} ocuia� �� at,yc����bmi��� nsit�ere � n � �� �� f?��� �
tM� � rr�atr ��+b ��s��ec�" _!�� f �J��v�� e�pecrfic�iascsi��th���vv���'�x�r+�����
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CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of ork which requires a review and approval of plans.
f "
X . �.t P � X Q� tt�
I canYs Printed Name Ap icanYs Si ture
Page 1 of 3
�
� / 7 � �� � �� DO NOT WRITE BELOW THIS LINE 1�� ,I�� `
SUB TYPES
_ Foundation ��L _ Public Facility _ Exterior Alteration-Apartments
,/ Commercial/Industrial Accessory Building Exterior Alteration-Commercial
Apartments Greenhouse/Tent Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New Interior Improvement Siding _ Demolish Building*
Addition Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows _ Demolish Foundation
_ Replace _ Water Damage � Fire Repair _ Retaining Wall
Salon OwneY Change *Demolition of entire buiiding-give PCA handout to applicant
DESCRIPTION �
Valuation �, d B� Occupancy � MCES System
Plan Review ,�C� Code Edition o��rS��S��- SAC Units '
(25%_100%_) Zoning � - City Water ..---��
Census Code Stories a'—� Booster Pump �----�-""
#of Units Square Feet r—'-'' PRV "''�—
#of Buildings Length Fire Sprinklers
Type of Construction � Width �---`��
REQUIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) Final/C.O. Required
Footings(Addition) �Final/No C.O. Required
Foundation Other:
Drain Tile Pool: Footings _Air/Gas Tests _Finai
��oof:=Decking ✓nsulation ✓Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick
✓ Framing Windows
��ireplace:_Rough In _Air Test _Final Retaining Wall
�;/ Insulation Erosion Control
Meter Size: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No . ��
Reviewed By: �d� L , Building Inspector Reviewed By: �� r , Planning
COMMERCIAL FEES
Base Fee ,,?� Water Quality
Surcharge �Q, d0 Water Sampling Fee
Plan Review Water Supply 8�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk '
S8�W Permit 8�Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL��J���'�S
Page 2 of 3
09/11/2015 10:30 9529855282 DRAINPROPLUMBING PAGE 02IO2
Use BLUE or BLACK Ink
�V ���{�- � ForOffieeUse ---------i -
� ���� ��� � Pem►it#: /-���J� �� �.
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3830 PiloE Knob Road �� �� ��' GG I Pemiit Fee: �
Eagan MN SS122 I Date ReceNed: L,'����� �
Phone:(651)675-5675 � I
Fax:(651)675-5694 � 5taff.' i
�-----------------�
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with ali commercial applications.
Date: R � ��• �5 Slte Address: Z��,5 -�w 5 5 Ea �.w �5 5 l Z l
Tenant: �u� � ��5��,�� Suit��!:
., .Property.; , ...
OWner Name:� ��-�"�05"��� -- Ni c.(��j�na k.-�a Phone: ��( �-�✓'� (,2.1 �
� , ,.. . . Name:�rar� �I'a��vu,�D�k ,�HC, �icense#:�G �DaRp7
GorltfdCtor Address: ���✓ ��"�� w- Cit : ������e
y state:M z►,v:55��
� �� Phone: �✓G� �"6 R �0 a�� EmaiL• �U��DP.r-FCj.O I�,,g ln,CO W�
. ..,..�.... .,.,., ,..�...
'""" '•""" ' '"''"' New X Replacement Repair Rebuild Modify Space Work i R.O,W.
TYPe:,of.Work.,... — �eu �,'�� �k'tM�¢�, b��oo�-t��a wasd���,a ut b�(� -�3 ve
Description of work:re i e �uuaktx d.ra�►+ wQ-�.,° c� v�°.u��u 5��uy�o�'r�y -�'iK'�►C
,. .;. COMMERC/AL New Construction _Modify Space
Irrigation SysEem L yes/_no)(_RPZ/_PVB)
' "' ' ' . Rei�sensora required on lrrigetion systems
Perntit.Typ� . Avg.GPM (2"turbo requir6d uniess smaller size aliowed by Public Works)
_Meters Call(659)675-5646 to verity fhst fests passed�riorto oickinq up meter.
� • Domesdc:Size 8 Type Fire: 9
� • Avg.6PM High dsmand devicss7_Yes_No Flushoma�ers,TYas No
COMMERC/AL FEES Contract Value$ ���0• �� x.01
$60.00 Permit Fee Minimum, inc/udes State Surcharge =$ (�0 , 0 0 PermitFee
*If eontract value is GREATER than$2,010, Suroharge=Contracf Value x$0.0005 =$ Suicharge*
!f the pioject va/uation is over$1 m;Nion,p/ease call for Surcharge p� D 0 ,
=$ �P TOTAL FEE
Following fees apply when installing a new lawn ircigation system S WaterPem,it
Contact the Cltys Enginesring DepaRment,(659)675-5648,fo�requlrsd fee amounfs. $ Tieafinent Piant
$ Water Supp/y&Storaga
� Stafe Su�charge
=$ TOTAL FEE
CAI.L BEFORE YOU DIG. C�I!Gopher State One Call at(651�454-0002!ot protecdon against underg�ound utili[y damage. 1
1 hereby aclmowledge tha�thls Info►rnatlon!s comp/ete and accurafe;that the work will be in confoRnance with the ordlnances and codes of the City of
Eagan;that I understand thls Is not a permit, but oniy en application for e pemlit, and wo�k!s not to sta►t wlfhout a permit•that the work wil!be in
acCordance with the approved plan in the case of Work WhlCh regW/es a review an�approval of plans.
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Applicant's PNnted Name App" ant's Signatur
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'FOROFFICE�.IJSE '�App a y:A: "�:
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Requfred inspections;'_UnderGround�' Rough-In��_11irT''�st ,`;G�s Test''� � �Firiel• �`�''�'','`PR�/°Requi�ed: '_'Yes •,_'No
, ;. � . .,, , . ,. ,...c .,.
,.. ',.: : �
Meter Related Items: Meter Size " �� ` � ' Radio Read'�' '� tilanometer�`��� • '� ' �'��`Staff, ' �� ' "" � �
Page 1 of 3
• Use BLUE or BLACK Ink
r----------------I V
I For Office Use
� ��� � 7� �
C�+ O� �n �n � Permit#: �
b� Q� !1 I Permit Fee: ���_ � � I
3830 Pilot Knob Road � �
Eagan MN 55122 � � ',
Phone: (651) 675-5675 i Date Received: i �I
Fax: (651) 675-5694 j Staff: j
�-----------------�
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ,�i^"�n� �� Site Address: ���� ���� ;�''� ��� �� �,��2�
Tenant Name: ��l��'��—Q(f`�j� �(�j� (Tenant is: New/ Existing) Suite#:
Former Tenant:
� � ��:�
��' � Name: �����'���'�"'�ps Phone: �9��r�"��� I
� ,�
Pr�per�y�J��er ,!�
,�� � Address/City/Zip: �-�y��-�j ���
y � ;
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�.���,�; �' Applicant is: Owner Contractor
��., ,��..
� Description of work:
Type;�fi W��`�C �.
�
� �_ ���� � * Construction Cost: S�C>O'° ��
� �^�,�
��:
Name: �0 t���� �j��L'7'� License#:
� : ��; / ,, _ '
� '� Address: �`�/�� �lJ.?'`'1 ,-�`'�� City: ��'�AV
° ��tract�t
�� ��.
�, State:�_Zip: �121 Phone: (c�,-�� �rL�� � l�� �
� �. � �.
���'`�� ° �* � � Contact: Email: � , •�
�..��< v . `,
�, Name: Registration#:
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, � �� ��
a���itec�`Efigil��+eT ` Address: City:
:. State: Zip: Phone:
t�,
� ���; ��;
��#:�� ` Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
`%IVOTE R��ns�`�td sup�rorf����docu�e s that,�ou sub��f a��� ���e ed#o be� �l�i�fo��iar�� . �ians of �
` the ar�t"ormat�#;�m�y��e cl��s�fied a���t5n�Z�b����f,�rt�.u�rov��`��j�ec��c reas��a x �rtc�p�§r Cit�r c��
�� .�� ,.' �r�% �'������ �-'�: �� ���,�
�
�� ,� � � ��� can�l�t�e t�����e are trade s�cre#s.� � �� :��t: <.. � �, ,���.�r�,:,; � ' � � � �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x �1('���� �HI�'�Z�� x ��� �Cn,. r��k��<
ApplicanYs Printed Name ApplicanYs Si ture
Page 1 of 3
DO NOT WRITE BELOW THIS LINE '
SUB TYPES
Foundation _ Public Facility _ Exterior Alteration-Apartments
�Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
Apartments Greenhouse/Tent Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition E rior Improvement Reroof Demolish Interior
�Alteration Repair _ Windows _ Demolish Foundation
� Replace _ Water Damage _ Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation S,j?�� Occupancy �� MCES System
Plan Review � Code Edition SAC Units ��"��'�
(25%_100%_) �1�j Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction � Width
REQUIRED INSPECTIONS
Footings(New Building) � Sheetrock
Footings(Deck) Final/C.O. Required
Footings(Addition) x Final/No C.O. Required
Foundation 7� c Other:
Drain Tile Pool:_Footings _Air/Gas Tests _Final
Roof: Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick
� Framing Windows
Fireplace:_Rough In _Air Test _Final Retaining Wall
� Insulation Erosion Control
Meter Size: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: �r�� � , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee �C�, �a Water Quality
Surcharge �, S(� Water Sampling Fee
Plan Review Water Supply&Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit 8�Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL ,v��,��
Page 2 of 3
12101/2615 13:14 9529855282 DRAINPROPLUMBING PAGE 02l02
Use 8WE or BLACK Ink
—,
� For Oftice Use � I
. 3 � ,
�� O�� LLll j Permit#: �
I
3830 Pil�Knob Rosd �E(i�,��/�(� I Pa��tFee: f �
I �
Eagan MN 55122 I Date Received: �
Phone:(651)675-5675 DEC 0 1 2015 i '
Fax:(651)675-5694 ��� � `�
�-----------------' /' ,
2015 COMMERCIAL PLUMBING PERMIT APPLICATION � , �
��� I
❑ Please submit two(2)sets of plans with all cotnmercial applications. 1 �
�ate: ��• ( • �� site Address: Z7�'5 '�"�'w� $5 �
Tenant: ��d � '�"C� � suite#: , ',,
Prope�ty , Phone: �51 �{-5c� I 2t ( I
Owner ' Name: 5 adq u rc� '�,t,�C ,
� Name:�ra�y�f0 f�uu�Z� � �H G, License#: �G���� a7
Cont�actor Address: 88 l5 20a-C� � . �;ty: L�-��«� srere:Mt� z�p;550�f�- �
�i
,, , . � Phone: �5 Z_��C Q �o`�a 4 Ema��: l u�,�f�v-�G�.O �5 k. C 6 w I
Type,of Woric --New /�Rep/aeemenf _Repair _Rebuild ,_,_,Modify Space _Work in R.O.W.
Description ofwork: SV � G�C� �r'�S'���� 0. kG� �8 e�f AS lJ� (�}
, , � COMMERCIAL _New Construcrion Modiry Space
Irrigatlon System�yes/_no)L RPZ/,+PVB)
� ' '� + • Rein sensors required on irrigaEion systems '
Permit Type., . Avg.GPM (2"wrbo required unless smaller size a!lowed by Public Wpdcs)
' _Meters Cell(65�)8755646 to verify fhet tests passed c�o�to nickind up m�ter.
� � � � Domestic:Siza B�7ype Fire: 4 .
Avg.GPM High demand devices?Yes_No Flushemators Yes_No
COMMERC/AL FEES Coritract Value$ ���•�a x.01
$60.00 permit Fea Minimum
$60.00 PVB/RPZ Permit(inc/udes State Surchar�e) =$ �P 0. 00 Permit Fee
_$ � �'a Surcharge
Surcharge=Contrac!Value x$0.0005 �0 �q
!f the project va/uation is over$�million,p/ease ca11 for Surcharr�e =$ TOTAL FEE
Foliowing fees applywhen installing a new lawn irrigatlon system S WaterPe�m�Y
Contacf!he Citys Engineering PepeRmenf,(65i)675-5646,for iequired t'ee amounts. S Treatmenf Planf
� Water Supply 6 Storage
$ State Surcharge
=$ TOTAL FEE
CALL_BEFORE YOU DIG. Cal/Goph�r State One Cali af(651)4540002 torploteetPon against underground utility damage. 1
!hereby acknowledge that th/s infonnaEion is complefe and accurafe;thai the woNc W!/I be!n conformance with the ordinances an0 cades of the City of
Eagan; that I understand this is not e permi4 but only an applicatJon for a permit, snd work is aot to staR without a peRnit; that!ha woAc wlll be in
ecCo�danca wkh!he approved plan in the case of work which requires a Ieview a�d app►roval of plans.
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Applicant's P�inted Name pll s Slgnatu
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FOR OFFICE USE � ' , , �.., �ApProve'd Byc, , . .•,..,:.: .. , .': �:'.:.':.::,.:•:,::..�.• .:, ... Dete: ��' �
. . . ,.� , „ ,.,.. ,. .
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......;., .; , ., .,
R�quired Inspections: ,�,UnderGround _Rough-!n'�_AirTesf �,_Gas Test,' "`�Finaf " PRV';Required: •'�,Yes_'No '
, . � . �• � � � �
Mete�Related Items: Mefer Size ' � � � Radio Read ` ' �Manometer,� :� �'` '"'' 'Staif ` �` � � �' ' � � ' '
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