1997 Gold Tr
Use BLUE' or BLACK Ink
t For Offico Usip
w_ d
- ti # Permit A., -7 q l
v of
r Permit Fee: i
383C P r. ~ 'ten-:tb Rond i 3
Eag D 22 l Date Received; i
6 l
Ptto s: 676-5675
i
Fax: (ff. .7 -5694 ' i Statf________.. -7 L
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: 5/25/2011 Site Address,' GOLD TRAIL
Tenant; DAKOTA COUNTY CDA / LINCOLN PLACE g
PROPERTY
OWNER Name. DAKOTA COUNTY CDA Phone: (651)6-75-4500
CONTRACTOR Name. RVP _ License 065956-PM
Address: P.O.B. 40145 City; ST. PAUL State: MN zip: 55104
Phone: (651)233-3519 Email: JAMESVINZANT tx YAHOO.COM'
TYPE OF ~ New Replacement M Repair X Rebuild ~ l ;ccii* Space _ Work in R.O.W.
WORK
Description of work:
COMMERCIAL.
PERMIT TYPE L- v Construction Modify Space
Jr--`j , L_ yes f RPZ! PVB)
ser s- fired can ilri, sy: `erns
s j" GPM (Z" turbo rain "f unless smaller size a d y Public Works)
Met rs Call (651) 675-5646 to verity that tests passed laatar tta tlit ag tap meter.
Doi ,es,. Size & Ty - 1
Avg. G i ii 4,>m and d"i-nes? Yes No --taera -Yes No
CCU°"8:i. FEES:
oaf.. , ,;:rat , nclut es State Surcharge) Cal < x l%
_ Permit Fee
Rewired on ALL new buildings and boulevard irrigation systems = Radio Meter Read
F the Pprnait =sae is less th-m $1£1,09( it aaarcharge is $5.00 deter(s)
I-, the Permit Fee is > $10,010, li;, s -Teases by $.50for each $1,C'`Permrt Free
= Stale Surcharge
+i.e. =ears -s arS,Gsrctrarye)
Following fees apply wher, instaitinU a new lawn irrigation i s, Water Permit
Call the City~s Engineering Department, tell} 675-5646, for required %e amour s.
$ Treatment Plant
$ eater Supply & Storage
$ State Surcharge
TOTAL FEES
CALL BEFORE YOU DIG. Cali Gophi~.,. r t~ One Call wt ;6 ,1) for protection ag~insf undo
damage, Cali 48 hours before you intend-- ;;g to receive locates of Ji"Iderground utilities
I haraby ac:knovAedge that this i cation is completed and accun ' that the work wmli ber ccn c/Ia * ~s d~r ~n ind cadF, n' the City of Eagan; that I
understand this is not a pe for a Permit, nd rk is not to stn ! ,riw, 7--"' t ~ . , ' ,a"~, e `rn accordance w th i approved
p la ; in the case of arm which n ~ S a an 9 approva . .
I
JAMES VIN ZANT X 6 r~s ~
,applicant's Printed Name r Applicants Lo-'na;
FOR OFFICE USE Date:
Rewired Inspections: Under Ground Fsr u: 7? ;r r Test QU,9 1e st Final P RV Required; Yes No
Page 1 of 3
Use BLUE or BLACK In
1-----------------i
For Office Use
Permit 3
City of Eapn l:
'
I Permit Fee: • u t-~
3830 Pilot Knob Road I l
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675 j I
Staff:
Fax: (651) 675-5694 1
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
/7q'CTOL D TRAk L-
Date: 51-2(~1I0 Site Address:
Tenant: Suite
PROPERTY
OWNER Name: C (3 S C O N ST(Z 11 C-V OI~J Phone: -7G3 569 -
1 .M
CONTRACTOR Name: AA)"tlo 0- AA EJ1AQ + C A L License ®S,j 0`3 -
Address:: K101- U ,jU%, NjX1'1.1 City: 1141 C1 jalt,'E State: 'Zip: 6
Phone: 66 &0 Email
TYPE OF //-New _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
WORK Description of work: /-,,9w4/ -T9 A T6- 4 T 2 ^j
COMMERCIAL
PERMIT TYPE COMMERCIAL Construction _ Modify Space
Irrigation System ( yes / _ no) L!::~RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 67/5-5 46 to veiriitty that tests passed prior to picking up meter.
Domestic: Size & Type / / i 5 10 .
Fire: ,l
Avg. GPM High demand devices? _Yes No Flushometers _Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value $ /,000. X1%
$ '50, 00permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 l f 7i Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ rJ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ FE7fater Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ 6'
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
x G'AIR Y NA T SC. H x j Ac-&4c4
Applicant's Printed Name Applicant's Ignature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: _ Yes No
Page 1 of 3
CI7Y OF EAGAN Remarks lo & "i = t
Addition Marell's lst Addition Lot 1 Bik 1
Owner Street 1997 & 1999 Gold Trail
up ex
-19?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUfiF. 976-00 97-60 1 876.00
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 Paid unde lots 748 L hov n Addition
* SEWERLATERAL C003545 5-16-78
7 Paid de 768 L ho n Addition
WATERMAIN
* WATER LATERAL 1978
.
WATER AREA 10.67 1
*
* STORM 5EW TRK 1978
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 60.00 11-16-17
9UILDING PER. Q.5'J4
sAC 950.00 8145 11-16-77
PARK
?
CITY CF EAGAN
379? Pilot Knob Rood Eogan, MN 55122 N2 4574
, PHONE: 454-8100
;, 38
BUILDING PERMIT
0{)n Receipt #
.
t,
s
To bs wed for I'd t?T . i? X Date ' E' L , 19
COAa 'Fr.
Site Address - Erect Q Occuponcy
Lot Block - Sec/Sub. = t 1 1 s r Alter ? Zoning t{?
Parcel .# Repair ? Fire Zorw _ 3 _
Enlarge 0 Type of Const. v
W Name Move ? #? Stories - -
Z Address
O . Demolish ? Front ft.
Cit Phone ?
6rode ?
Depth ft.
C? Name Approrala Fees
0
?? Address Assessment Permit _
~ Ci Phone Water & Sew. 5urchar9e ?.,
Police Plan check
F
uW Nome
F W
Fi re
SAC
?? Address - Eng. Woter Conn.
Q W Ci Phone Planner Water Meter
Council
I hereby ocknowledge that I hove read this opplication and state that Bldg. Off.
the information is correct ond agree to comply with all applicuble 15 77
'
State of Minnesoto Stotutes and City of Eagan Ordinances. APC Total
Signature of Permittee -
A Building Permit is issued to: •"'' t` ?`'?' '? _ on the express condition thot
all work sholl b= done in accordance with all applicable State of Minn esota $tatutes and Ciry of Easan Ordinoncss.
Building Official
r
Pwmk # Dah larad P?rsk1?
_Plumbing
Mechanical ?1
INSPECTIONS ? DATE INSP. Rough-In Find
Footings Date Imp. Dote Irap,
Foundation _ Plumbing - z 7
Frome/ins. Mechanital
Final
Rerrwrks:
Reraipt ? MECHANICAL PERMIT Permit No.
CITY OF EAGAN
-? Fee
Fill in numbered spaces S/C
TYPe or Prinr /egib/y Tot.
1. Date 2. Installation Cost • 1, •'
3. Job Address `=? tot ? Blk. Tract
4. Owner ?,??:.1.i •,?nt Ai?t
5. Contractor id's Cp. #I n
6. Address '-40 Lija"ond
7. CitY
8. Building Type: Residential 13
9. Work Description: New ?
` Phone
r c.[C- ?
State ' Zip "Commercial ? Institutional ?
Add O Alter ? Repair ?
I 10. Describe Fuel Type
[ 11.
No. Equioment BTU - M. Ea.
Forced Air No, Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
- Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Reqr
.?,)t
Permit Na
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Insta118tion Cost
3. Job Address - ?- Lat ? Blk. Tract
4. Owner ev,- - . . .,, , .
5. Contractor , ' '"=- • Phone
6. Address ' 4640 Uiamnnd
7. City ',jnt,
8. Building 7ype: Residential ?
9. Work Description: New ?
I 10. Describe
1 11.
? Institutional ?
Alter ? Repair ?
Type
No. E.quipment 8TU - M. Ea.
Forced Air No. Ectuipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordipances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
ite ' Zip
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee i
Fill in numbered spaces S/C
Type or Prinr /egiblY Tot.
1. Date 2. Irutallation Cost i
?
Job Address 'Lot ' Bik.
3 ? Tract '
.
4. Owner
5. Conuactor , r; . :', • Phone
6. Address
7. City State Zip *
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add 0 Alter O Repair ?T
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Qrains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify tfiat the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
5igned : for
Rough F inal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved ? CITY OF EAGAN 454-8100
? ? ?? ??
??? ?
C%`'?
Reoaipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN
, Fee
Fil/ in numbered;peces S/C
Type or Prini /egib/y Tot.
1. Date ? 2. Installation Cost
(
3. Job Address _,? 'rf ? C: ?,?/? /.? • Lot ' Blk. Tract
4. Owner
5. Contractor Phone - ,_
6. Address 77. CILy , 4 i' / $LeL@ Zlp .? / 0. 7
8. Building Type: Residential V Commercial 11 Institutional O
9. Work Description: New 0 Add ? Alter O Repair El
10. Describe ° '!r?
.w
,
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Fm.
Slop Sink
Gas Piping Outleu
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 : r- tor
Rough f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8100
. J??%r?
7 3? ??? ??
/
, cirY oF EAcarr
. ? 3795 Pilo! Knob Roed
? • ' Eogaa, Mlnnesota 55122
• Phone: 454-8100
txE,Am;NG _ PERMIT
Dcte:
January 19, 1976
Site /Wdress:? r.??' ?`''-•' '"7ai.1
Lot Block , Sub/Sec.
Name ' -'M Constructio"
.
? qddress 10800 Lyndale Ave.
C;ty _ Bloominqton Phone:
Nome °aY N. Welter Ileating Co.
?
? Address 4'' -'' 7 Chicago Rve.
?
V
City ' Phone:
This Permit is issued on the express condition that ell work shall be
Minnesoto Statutes ond City of Eagan Ordinances.
No. 10''!'
Of'.7?9
Receipt No.:
Single I
Residentiol
r?*,?r.,lex
Multi Res., Comm./Ind.
I"`: ?_' 4;
New/Alter. / Repair
Cost of Instollation _
Permit Fee 20.00
Surchorge .50
7 (1 ? (1
Toto l ' done in accordance with oll opplicable State of
Building Official
HEATINC Date: 7anuaryl9v 1978
Site Address:
Lot ? 81ock ' Sub/Sec. Ma_
; -?
Receipt No.: ; ;
Single
Residentlol
Multi Res., Comm./Ind. 1 unit iuplex
Name ..re11 C'onstruction nn,;
New/Alter./ Repoi r
; Addreu 10800 Lyndale Ave. : ; . Coo af Installation _
O
Ciry '' ]-oaminqton Pha,e: Permit Fee
Name ``v N. Welter Heatinc uc. 5urcharge
.
? Address ?" ? ` ''hicaqc F?vF.. . .
?
c? -
City ' Phone: Total
Thle-Re"r-mit is issued on the express condition that ell work shall be done in acoordonca with all opplicable State of
Minnesota Stotutes and City of Eagan Ordinances.
No. 1079
cin oF EA"N
3796 Pilof Knob Read
Eayon, Mienesota 55122
Phone: 454.8100
PERMIT
Buildinq Officiol
W
CITY OF EAGAN
? y 3795 Pilot Knob Road
, - ' Ea9an, Minnesota 55122
Phone: 454-8100
s
r' T.ITMRTT7 '7 _ PERMIT
Date: Lecember 12, 1.?-7
5ite Address: -'-
Lot Block Sub/Sec.
Nome =''arell CORSt.
qddress 10800 Lyndale Ave. Sc
City `?loomincftan Phone:
No. Q79
Receipt No.: 't a t P. ".
Single I
Residentiol
Multi Res., Comm. / Ind., u ri ? t D f?. 1 e x
New/Alter./Repair. Cost of lnstallation
Permit Fee
20.00
? Na,v,e Thompson Plumbing Co. Surchorge
i
? Address 12201 tdinnetonka ij].vd.
c
0
City . _ ' Phone: Total
This Permit is issued on the express condition that all work shall be done in accordonce with all oppliwble Stnte of
N1lnnesota atutes ond City of Eugan prdinonces.
? Bui{ding Officiof
CITY OF EAGAN
3795 Pilot Knob Roed
? • ' ; , ? Eagan, Minnesotu 55122
• Phone: 454-8100
P I., IJ ^1 PSZi G PERMIT
Dote• Decer,"her 12
c:.e AaA-. 1999 Go 1 d Tr a i I
Lot I Block ? Sub/5ec. _ r' `' r e I 1 1 s t
I Name ; :^.O n s':-. .
SI
?
201. ?4innetonka Blvd.
No. 980
Statr. . .-
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind' ulij.t Of I dupleX
new
NewlAlter./Repair
Cost of Installation
Permit Fee
Surclwrge
20.00
50
V _ _ . ` , , . • , 'j ! r -' .: tl
City " fi:: r' i -. Phone: Totol
This Permit is issued on the express condition thot all work sholl be done in occordance with all opplicable State of
Minnesota Statutes and City of Eagon Ordinonces.
Address I'``3 Lyridaie F,ve. So-
City !loomington Phone:
Name '=homUSOra Flz.imb::nu C'e.
Building Officinl
NSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 41 + 3$30 Pilot Knob Road Permit Number. ??:t;,rttl ?
Eagan, Minnesota 55122-1897 Date Issued;
(612) 681-4675
SITE ADDRESS:
??I T+
?I.., ? . . ? .
PERMIT SUBTYPE:
i: nM I N i,
I Im i1 i 1 riM
APPLICANT:
TYPE OF 1NORK:
il; I , 1: ! ;,in
1;#+1 ,! tA1o .
i ???:, ?.
I t'?1 i??? 1•;??k fI I`ti?l????;??
?
q? ? F£
? _5 4
4 s
?
Permlt No. Pertnit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inapection Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL I
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL
? >z y ,
4? ` aB- ? !ca
CITY OF EAGAN
3795 Pilot Knob Rood
Eogon, MN 55122
Zoning: '
Owner: 11.
Address:
Site Address ?•, ? ? ?`1 ?? '" ra i 1
Plumber: 1 t'•?`?[s??11i??
1 egree fo wmply with fhe City of Eagan
Ordinanees.
By
Dote of Insp.:
I nsp.:
'ITY O} EAGAN
95 Pilot Knob Road
Jogan, MN 55122
Zoning:
Owner: - -^-A 1^ @ 13. CD Ll F-
Address:
Site Address: 4'101 c' 7'Y?c2 :
Plumber:
Meter No.:
Size- _
Reader No.:
I agree fo wmply w1t6 the City of Eagon
Ordinonces.
Rv
Dote of Insp.:
Connection Charge: 2 -3 0 • ? 0 nc3
Account Deposit:
Permit Fee:
Surchorge:
Misc. CFarges:
Total: 4
Date Paid:
qw
"W OF EAGAN SEWER SERVICE PERMIT
r93 Pilot Knob Road PERMIT NO.:
Eogon MN 55122 DATE: : .
Zoning: No. of Units: _ 1. t7 n1 t r:-C d ttl
Owner: . ..
Address;
Site Address: `_!7_--- -- ---- -- .? 1 ? 1 i i
Plumber: l" n"
"
I a9roe to comply with the Cky of Eagan j.na pd
Connection Charge:
Ord1°O°ces• Account Deposit:
Permit Fee: ?' ? i I 1 Et [?
Surcharge:
By - Misc
CF
r
.
ges:
w
Date of Insp.: Totol:
Insp.: Date Paid:
SEWER SERVItE PERMIT
PERMIT NO.:
DATE:
No, of Units:
l0n.on pd
Connection Charge: .-;7?
Account Deposit:
Permit Fee: - " Surcharge: ?)n
Misc. Charges:
TntoL•
Dete Paid:
x
WATER SERVICE PERMIT
PERMIT NO.:
DATE: , -
No. of Units: ? ' * ' nx
cIrr OF EAGAw
3793 Pilot Keob Roer
Eagan, MN 55122
Zoning: _
Owner.
Address:
Site Address: Tt ?
Plumber: _
Meter No.:
Size:
Reader No.:
1 agree to comply wifh the City of Eagon
Ordinaeoas.
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units: ' '", t r 0 2 t-3 ] e •,
?r
Connection Chorge:
Account Deposit:
Permit Fee: I ?' •''- C}^ i' :_ r'
Surcharge: 0 r ?
•.,• i 3 • , . ,, Misc. Charges:
Totol:
BY Date Paid
Date of Insp.: Insp,;_
cIrr oF Er?GAN
3795 Pilof Knob Raad Eagan, MN 55124 N2 4574
I PHONE: 454-8100
BUILDING PERMIT APPLICATION
600
38 Receipt # -
glq §
$
,
, . .
To be uced fer i]iiPi.FX Date N0V, 16, 19 77
Site Address 1997 d 1999 Cold Tr. Erect ri Occupancy I
Lot 1 Blxk 1 Sec/Sub.-_mHIEI_l- LSt- Alter ? Zoning RZ
Repair ? Fire Zone 3 _
Porcel #
Enlarge ? Type of Const . v
rc Name M8LE11 COA3C.
?
Move
.jE' $tories 1'?
3 Address Demolish ? Front 72 ff.
0 Ci Phone B.84-7995 Grade ? Depth 24 ff.
w Approvals Feea
Name
0
?? Address Assessment - - Permit 110 S(1 _
Woter & Sew. -- Surcharge 19 00
~ Cit Phone
poliCe Plon check
r
uw
? Name Fire SAC 950 Qn
_? Address Eng. Water Cann. L_-?_? - n0
aw Cit Phone Planner WaterMeter
Council
I hereby acknowledge thot I have read this application and state that Bldg. Off.
- - - -
-
--
the infortnotion is correct and agree to comply with oll applicable a53T
59
State o4 Minnesota Statutes and City of Eagan Ordinontes. APC Total
Signature of Permittee ----
A Building Permit is issued to: M on the express condition that
all work shall be done in acc?ance with II lica6le Stote of M(nnesota StaTutes and Ciy o4 Eogan Ordinances.
Building ORitiol
? ?- ?_
C*Tv OF r.r-..r.at°.N
Wl I-0 .1a TE'ftiM:[h!AI. Nt?r 686
LA'P-.r. ('I:P?Fs .U`;:54
707,
NaM4.: D & a REz:oDEL:czat; sr,tVIr.:F
W:L0 204Ji 1997 r.,r_LG °R ? ,..u2:J
205 9Lit,'. 1397 Gf; .ii 'T"i . _
?
t;
.
i o'I; °..( fi°: W s1; "-Ao ir ., -------
,.= L 9..'_ : w,
J:i'r.'.'r m '.^1
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
C 3830 PILOT IUIOB RD - 55122
651-681-4675
New Conatruefion Reauirements Remodel/Reoalr Reauiremenfs
? 3 regisTered sHe surveys showing sq. fl. d bt, aq. k. of houae 2 copiea of plan `
and 211 rooled areas C2046 maximum lot covewae allowed) i set of energy ealculatfons for healed addHions
? 2 coples ol plana (ahow beam i window sizes; powed fntl. design; etc.) 1 aHe survey for exAerior addlNons a decks
? t sef uf energy calculoTions
D 3 copies W hee preservalion plan H lof plaHed afFer 7/7 /99
DATE: ?) 9v ? F I°! I'l
CONSTRUCTION COST: * 4 sla°
DESCRIPTION OF WORK: R-00T- I !V Ca
STREET ADDRESS: l"l `1 7 ? I`"?
LOT: I BLOCK: / SUBD./P.I.D. #:
PROPERTY
OWNER
Name: bG4c-C4-5 ?gu+iL?n 'E"f? Phone
Last First
Street Address:
City
State:
Zip:
tQ -*_I,5l _(0 go -a44S
CONTRACTOR
ARCHITECT/
ENGINEER
Company: ? ? a ,Krz,?,wtT??c ??= Phone #: (o ( `Z - -7 Z R ?°f 9 O ?
(area code)
Sfieet Address: `J'i;?Ro l Z?eT-? ? - ?S - License #
ciy stare: /44r?.J ziP: e5?- e-io7
Company: Nome:
Telephone #: area code ( )
Sfree't
CNy
Sewer 6 wafer Iicensed plumber (reauired for new conskuctlon onN):
State:
I'•enally applles when address change and lof change Is requested once permit ia iasued.
Zip:
! hereby acknowledge thaF I hdVe read this appllcoNon, afate ihat the iMormatfon is correct agree fo comply with all applicabl
State of Minnesota Sfaiutes and Cfly W Eagan Ordinances.
Signafure ot AppllcanY.
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No
_ No _ Not Required
RegistraHon #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New '? 35 Tenant Impr ? 38 Gas Line Oniy ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 - Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/E5 System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• t I ?s . -1 L-?
Valuation: $
Y
SAC Units
% SAC
PERMIT CUq9?,?
, ,-,.
CITY OF EAGAN PERMIT TYPE: `3'I ?q'?
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 025280
(612) 681-4675 Date Issued: 0 3/ 2 7/ 9 5
SITE ADDRESS:
1997 GoLo rR
LO7c 1 BLpCKa 1
MARELL'S 1ST
DESCRIPTION:
SIDING/SOFFITS/DOOR
wld;i,n-g'?E,ermit Type MULTI. (ML5C.)
8u%.7.diYtgTYPe REPAIR
?• , '"?
?
4'r3 n ??m
ra
y41 .i,«1 1 ? 4 xAid`iR?.« Y?Me ?9?ty3?
r,I
a.au ?-?A-,
,m;,+?, t? `s w 1`+ d-: , .,4? rn.m! '? fm
an` ;%z,•.,:;...a %?='s .: t?,>
REMARKS:
FEE SUMMARY:
VALUATSON $10,000
Base Fee $117.00
Surcharge 5.00
Total Fee $122.90
CONTRACTOR: - Applicant - sr. Lzc. OWNER:
DAHI CONST, BOB 14511010 0002798 DAKOTA COUNTY HRA
7473 DICKMflN TR E 2496 145TH ST W
INVER GROVE WTS MN 55076 ROSEMOUNT MN 55068
(612) 461-1010 (612)423-8106
t`'the
S'fier.e.by'aeknawledge ttrat- l.have;rQad this'a,pplicat°iqn and sta`te tha
I?nfarmationis Lorrest„and- agre'e."t o.: cpmpl?.aithapp4ie-ah1.s'$taZA'? nf ?Kn
Statutes arld City?afeEsgan Drd'x,narrcea.-
APPLICANT/PERMITEE SIGNATURE I?S?E?rr' SIGNA T?E ??
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
LOT:
1997 GOLD TR
MARELL'S 1ST
PERMIT SUBTYPE:
MULTI. (MISC.)
1N SY?:(:`l'1UN KL;(:UKll
PERMIT TYPE:
Permit Number.
? Date Issued:
APPLICANT:
i aL ocK: i
DAHI CONST, BOB
(612) 451-1010
TYPE OF WORK:
DESCRIPTION
BUILDING
925280
03j27/95
REPATR
SIDIIVG/SOFFI781DOOR
INSPECTION
FRAMSNG .. .
ROOFING .,
INSULATION FINAL
. . . - ,? .,...: . ... .?
4 ? ?
* lZZ?
JLjt CITY OF EAGAN
4Q95 BUILDING PERMITAPPLBICATION1RESIDENTIAL
( ) 681-4675
New Gonstmehon Reaulrem?nL HemodeVReoalr Reauiremerrts
? 3 registerod site surveys ? 2 eopies ot plen
? 2 copies oT plans (include beam & window sices; pourei fnd. design; etc.) ? 2 site surveys (ezteder aCditions 8 dedcs)
? 1 energy calcuWdons ? t energy calculaGons for heatad edditions
? 3 copies of tree pieservation plan if lot pleCed after 717/93
requfred: Yes _, No ?
DATE: zZ CONSTRUCTION COST: J•?? ?
DESCRIPTION OF WORK:
W'al FRoalv- DBQR - 3L', •
STREET ADDRESS: /q j"'J 6aw reAu--
LOT _L- BLOCK SUBD.lP.I.D. #:
grv;? T4;Mw5enl
PROPERTY Name: PA?M (0- Phone#: 423-$106
OWNER y ^^•'
Street Address• `Q 14? ,;Or- W6ST-
City: FossAuav,rT- State: ?Zip: S?'g
CONTRACTOR Company: 'DAt1i- (oa?,r"c-na1 Phone #: 'I51-10[0
Street Address: `142S P46MtW 7T 44iL- License #• 2-71A
Ciry: ?t. 6. 14. MN -- state: MN, zip- ?'Sb76
ARCHITECT! Company: Phone #-
ENGINEER
Name: Registration #,
Street Address•
City: State: Zip:
Sewer $ water licensed plumber. /l/ /A Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is corre and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received Yes No
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
l? 651-687-4675
Reaulrements
? 2 copies of plan
DATE: 10-3 ?U O CONSTRUCTION COST: ?.ou
1?tij'C[+eh (A?fNCfS
DESCRIPTION OF WORK: ffc_ O?'''' I Yl? UILl ?i O Yl ? ShFe Tl'V'L?? I} mulfi-famiry bldg., how many units?
INDICATE THE FOLLOWIPlG EQUIPNIEfVT TO BE REPLACED AfdD BY WHOM:
_ Plumbing _ Homeowner gr Contractor Name
_ Mechanical _ Homeowner g Coniractof Name
"Note: If somebody other than me homeowner is pertorming plumbing or mechanical work they mustapply for appropriate
permit. Only licensed plumbing contractor or homeowner may compleie plumbing work.
STREEi ADDRESS: I q Wl 60I Cl rM Lt Vu f?
LOT: BLOCK: ? SUBD./P.I.D. #: CU/ clr 6rev?e- 10 H 73 0 C)
Name: IJGIVUI 0 GLdlA Ur[ Phone#:
PROPERTY Last Firsf
OWNER
Street
City State: Zip:
Comppny: IS Qmn soh li h(loY Cl1 Phone
? (area code)
CONiRACTOR Sheet Address: License i Exp.
City State:'yi /V Zip: 55 v
I hereby ocknowledge That I have read fhis application, state that the information is correct, and agree to comply with all applicable State
of Minnesofa Staiufes and City of Eagan Ordinances.
Signature of
jp-? u?W
nAmE %1- I G- 7 7
SUZLDZNG PF.RMIT APPLICATIOPT
Include 2 seta of plans, 1 site plan w/elevations and 1 set of energy calcnlations.
To be used for ?Z
site Aaaress: /9y,7 ?L
Lot Slock Sec./Slib.
( 1 ?IA
Valuation n13 rlp&?9 ?
Parcel rrwnber ?p A17_?p p D 1 D d/
Owner -
Address /p?/? ? 026,
s-.?z
Contractor
Address J(
Arch./Eng.
Address
Telephone?? ? 7,-,2 ';? `J
Telephone
Telephone
OFFICE USE
Erect
Alter
Repair
Enlarge
Nbve
Demolish
Grade
Occupancy `
Zoning
Fire Zone
Type of Canst.
# of Staries _
£ront
Depth
OFFICE USE
Aate of Ap roval & Initial
O /???
Assessment /.? • 7?
Water/Sewer'
Police
Fire
Eng.
Planner _
Clouncil
Rldg. Off.
A.P.C.
FEES
Jc?
PeYmit ?//?
Surahar4e 49
Plan Cheok
SAC
Ptater Conn. /7
saater Meter
TOTAI,
WAIVER OF HEARIPIG
REQUEST FOR UTILITY IMPROVEMENTS
I/Ve hereby request of the City Council, City of Lagan,
Minnesota, utility improvements on and over property owned by me/us as
follows: (Mention Cype of improvement' e.g. water, sanitary sewer, etc.)
Sanitary Sewer Lateral, Water Lateral, Services, Streets, $ Storm Sewer.
The location of said utility improvements shall 6e generally as followss
Marells 1ST Addition, Lots 1 thru 3, Block 1
Cost = $3356.00 per lot
I/F'e hereby waive notice of 2ny and all hearings necessary for the
installation of said improvements and further consent to any assessments
necessarily levied hy the City of Eagan for such improvemenis.
I/We further agree to grant to the City of Eagan any easements necas-
sary for the installtion of such improvements.
It is further understood that this request shall be reviewed by t5e
Ci+y Council of The City of Eagan or its agent and I/we will be given
reasonable notice as to whether this request is possible under present
utility planning as to timing, location9 etc,
Dated: April 19, 1978
r-C.6 - ? g ?
/ UUo(?
ad ress
`ecauest accepted by? ' Date
GitY of Eagan
Request referred to -=t?' Engineers D te
Copies: 1. City
2, CitY Engineer
3. Applicant
?.pv ?&?
G'?r,?spr n„,,
,?,p?.%???P'??f9,9h?????P,i P? .
J4MIJi?I,d?Fy.'dy.b?9W8'i??
'?"? ?'?? _city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BiLLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-MARELL'S 1ST ADDITION
(3 DUPLEX LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners of duplex lots 1, 2 and 3,
Marell's 1st Addition.
The City is currently being billed by Dakota Electric for streetlighting for duplex Lots 1, 2,
and 3 of Marell's 1st Addition.
r9,n.6 ? r ,/? 4?F
Edward J. Kirs
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? ;
? Permit #'
? Permit Fee: ` ?ll I
j Date Feceived: ?
i ?
I Staif. I
I
?-----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 ? Site Addresr. IQ rl -1"LQ Cl 6-DO [j 7
)CA i l
Tenant:
Suite #:
RESIDENT / OWNER Name: CV_)A Phone:
Address ! Ciry / Zip °Tnl "jY7 Cti'YIvvP. Ov• Pr, dr ITDo 1a3
Applicantis Owner XContractor
TYPE OF WORK Description of work: T__).prr?[Sli i+t hCl
Construction Cost Multi-Family Building: (Yes / No )
CONTRACTOR Name: K .A . Il< a tr-) 1?h License #:
Address: li?)?( -?D C`or-ic-llY(A J"r -
City: ?J • 6-? . p a .) 1 State: fr\ r) Zip: ? ? 671 r"J
Phone: CD9 \- L?Ejj Contact Person: h 'Y cc? &)S \' "A-dc,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(V SubmiS5lon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
AfOTE: Pfans and support7ng documents that you submit are considlered to be pubJlc Pnformation. partlons of
the InformaMon may be dassifted as non public H yau provfde°speciffc reasons that would permit the City to
conclude that the are Made secrets.
I hereby acknowledge that ihis information is complete and accurate; that the work will be in conformance with ihe 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 permd; 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 ?jrd ? F_n5 ru?e. ,
ApplicanYs Printed Name Applicant's ignature
Page 1 of 3
City of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? Fa Office Use I
; Permi,#:
? Permit Fce:
j Date Received: j
I I
I Staff: 1
?----------------'
2008 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: November 21, 2008 Fee: $50.50
City Sewer _ City Water _ Repalr X Disconnect
DescNptlonOfWork: Disconnect sanitary sewer and water at the property line.
Street Address for Proposed Work 7997 - 1999 Gold Trail
OWNER Name: K.A. Kamish Phone: 651-775-6020
Address/City/Zip: 1301 S/ Cpncord Blvd., South St. Paul, 55075
Applicant is: _ Owner X ContracTOr
Licensed Pipelayer X Master Plumber _ Property Owner _
Name:'John H. Carlson Phone: 651 -488-3051
, Saint Paul 55117
Address/City/Zip: 21 W rn Avenue N,
.
Pipelayer Training Certification Card #: 6500 or Master Plumber License #:
I acknowledge that the infortnation is complete and accurate and that the xrork will be in conformance with the ordinances and codes
of the City of Eagan and the State oi 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.
John H. Carlson
Applicant (Print Name) Ap icanYs Signature
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Avai-'1o.J ) D.s.r. oYA CoJr.tn,j1 M?NN.
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<e-e.,NmTa} APPc.EEA.JtA
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? uRa15tT?MrwM,*SoTA
? Fk 890 - 4704
s oRwwM w? rtwLA `a ? i
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F- - - - - - - - - - - - - -
or Office Use.
r
nip of I I Permit
7y 1 ~
City [o i{ Ea ~111(
J !
i Permit Fee:, iq
7/°
3830 Pilot Knob Road 1
Eagan MN 55122 '-t tom' Date Received: ` I 1
Phone: (651) 675-5675 1
Fax: (651) 675-5694 Staff:
- - J
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 4/29/09 Site Address: 1997 Gold Trail, Eagan, MN
Tenant Name: (Tenant is: New Existing) Suite M
PROPERTY OWNER Name: Dakota County CDA Phone: 651°1675-4400
Address / City / Zip: 1228 Town Centre Dr., Eagan, MN 55123
Applicant is: Owner X Contractor
TYPE OF WORK Description of work25 uni t Apart B1 dg; 1-stca:y wood fry over precast
Construction Cost: with underground parking
2 9--h
CONTRACTOR Name: CBS Const> uct ari: Services, Incy° License 20385726 (Minn)
Address: 11124 Zealand Ave. No.
City: Champlin State: MN Zip: 55316
Phone: 763-569-4020 Contact Person: Jason Barrett
ARCHITECT / Name: LHB, Inc. Registration
ENGINEER
Address: 250 3rd Ave. No., Suite 450
City: Minneapolis, State: MN Zip: 55401
Phone: 612- 338-2029 Contact Person: Stephen Schuller
Licensed plumber installing new sewer/water service: Major Mechanical Phone 763-424-6680
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of im
the information may be classified as non-public if you provide specific reasons that would permit the City to l 3l l/
conclude that the 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.
X J Asa d NFtKl - X 11 _
Applicant's Printed Name Applica s Signature
t~ C ~ 711 ~ lj !
{ry } Page 1 of 3
-770 d
0MI (
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Public Facility _ Accessory Building
✓Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Q Occupancy MCES System
Plan Review ye Code Edition 446,96 SAC Units
(25%_ 100%x-) Zoning C,- t7 City Water 1
Census Code Stories 3 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) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Decking -Insulation -ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: / Erosion Control
Final C/O Inspection: Schedule Fire Marshal to be present: V Yes No
Reviewed BY: 01 k LCOtC- ; Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge 7CI L>® Water Supply & Storage (WAC)
Plan Review 7j,; 2 Storm Sewer Trunk
MCES SACi (BUGQ✓ Sewer Trunk
City SAC ~f Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant ~3~~~ r'~.a v Street
Treatment Plant (Irrigation) G-1,0 Water Lateral
Park Dedication '1C ' Other: 4sc~fe- %4~kVf''tj 00
Trail Dedication
ILI
Water Quality TOTAL q`Z~l- 17
le2of3
It;N~l114,Iq
I
Peggy Fleck
From: Cappaert, Karon [Karon.Cappaert@m etc. state. mn.us]
mt: Tuesday, May 26, 2009 1:43 PM
o: Peggy Fleck
Cc: Nye, Jessica
Subject: RE: SAC letter Gold Trail Supportive Housing
Peggy,
You are correct in charging them 19 SAC. Regarding the May report I will forward this to Jessie.
Karon Cappaert
SAC Administrative Technician
MCES - Finance
390 N Robert St
St Paul, MN 55101
k a ro n. ca p p a e rt(om etc. state. m n. us
Phone 651-602-1118 Fax 651-602-1030
http://Www metrocouncil org/environment/RatesBilling/SAC Program.htm
From: Peggy Fleck [mai Ito: PFleck@cityofeaga n. com]
Sent: Tuesday, May 26, 2009 1:29 PM
To: Cappaert, Karon
Subject: RE: SAC letter Gold Trail Supportive Housing
Hello Karon,
I just want to make sure that we are on the same page. On the building permit for Gold Trail Supportive Housing we
should charge them for 19 SAC units due to the 2 credits that are available on this site? Also, I have some questions
regarding the "A" form that I will be filling out for the May reports. I would appreciate if you could call me. My phone is
651-67S-5674.
Thanks!
Peg
Peggy Fleck Clerical Tech City of Eagan
City Hall 13830 Pilot Knob Rd I Eagan, MN 55122 1651-675-56751651-675-5694 (Fax) I pfleckocityofeagan.com
City H j,Jc t j~
IJ [i~(jjj
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
-om:Cappaert, Karon [ma ilto: Karon. Cappaert@ metc. state. m n. us] _ant: Tuesday, May 26, 2009 12:06 PM
T0: Peggy Fleck
1
Gcs 'Andrea Brennan'; Barnebey, Kelly; Nye, Jessica
Subject: FW: SAC letter Gold Trail Supportive Housing
Peggy,
rrlease credit Gold Trail Supportive Housing 2 SAC credits from the demolition at 1197-99 Gold Trail, Eagan. Please
make a note of the credits taken on your monthly report.
Karon Cappaert
SAC Administrative Technician
MCES - Finance
390 N Robert St
St Paul, MN 55101
karon.cappaert(a)metc.state. mn.us
Phone 651-602-1118 Fax 651-602-1030
htt[)://www,metrocouncil.org/environment/RatesBillina/SAC Proclram.htm
From: Sarah Brandel [mailto:sbrandel@cityofeagan.com]
Sent: Tuesday, May 26, 2009 11:45 AM
To: Barnebey, Kelly; Cappaert, Karon
Cc: Peggy Fleck; Pam Dudziak; Dale Schoeppner; 'Andrea Brennan'
Subject: RE: SAC letter Gold Trail Supportive Housing
Kelly & Karon:
Good morning. Attached is a scanned copy of the Demolition Declaration report that Peggy submitted last winter.
ease review and let Andrea Brennan at the Dakota County CDA know if they will be able to receive their credits.
Thank you,
Saran
Sarah Brandel I Office Supervisor / Administrative Assistant I City of Eagan
City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1 (651) 675-56711 (651) 675- ~,ar (I
5694 (Fax) sbrandelacityofeagan.com
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended
recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
Please consider the environment before printing this email.
From: Pam Dudziak
Sent: Tuesday, May 26, 2009 11:37 AM
To: Dale Schoeppner
Cc: Sarah Brandel; Peggy Fleck
Subject: FW: SAC letter Gold Trail Supportive Housing
According to my records, both a duplex and a single-family home were removed from the development site to make
way for this project. What do we need to provide to the CDA or Met Council for SAC credits to be given for the
removed units?
-am
2
PameCa Dudziaf2
Planner, City of Eagan
3830 Pilot Knob Road
Fagan, MN 55122
: 651-675-5691
lax: 651-675-5694
e-mail: pdudziakancityofeagan.com
From: Andrea Brennan [maiIto: Andrea Brennan@dakotacda. state. mn.us]
Sent: Tuesday, May 26, 2009 8:37 AM
To: Pam Dudziak
Subject: FW: SAC letter Gold Trail Supportive Housing
Hi Pam,
Could you please see the email below from Karon Cappaert with the Met Council? Do we need something from the City
in order to get the SAC credit for the duplex? Attached is the determination letter. Thanks, Andrea
From: Cappaert, Karon [mailto:Karon.Cappaert@metc.state.mn.us]
Sent: Tuesday, May 26, 2009 8:06 AM
To: Andrea Brennan
Subject: RE: SAC letter Gold Trail Supportive Housing
There was no mention of a demo on the application so there was no credit given. If this building has already been
demolished it should be reported by the City on there monthly report and the City can give you the credit.
Karon Cappaert
SAC Administrative Technician
'ES - Finance
J N Robert St
St Paul, MN 55101
karon.cappaert(metc.state.mn.us
Phone 651-602-1118_ Fax 651-602-1030
' http://www.metrocouncil.orgJenvironment/RatesBilling/SAC Program.htm
From: Andrea Brennan [ma ilto: Andrea Bren na n @da kotacda.state. m n. us]
Sent: Wednesday, May 20, 2009 2:49 PM
To: Cappaert, Karon
Subject: FW: SAC letter Gold Trail Supportive Housing
Hi Karon,
I have a question about the attached determination for the CDA's Gold Trail project. Could you please verify that we
received credit for the duplex that was previously located on the site?
Thanks, Andrea
Andrea Brennan
Assistant Director, Housing Finance & Development
Dakota County Community Development Agency (CDA)
228 Town Centre Drive
.igan, MN 55123
651-675-4478
3
abrehnan@dakotacda.state.mn.us
am: Kari Gill
Sent: Friday, May 08, 2009 10:01 AM
To: Andrea Brennan
Subject: FW: SAC letter Gold Trail Supportive Housing
FYI - you will want to keep this letter. Thanks, Kari
From: Barnebey, Kelly [mailto:kelly.barnebey@metc.state.mn.us]
Sent: Thursday, May 07, 2009 4:28 PM
To: 'Dale Schoeppner'
Cc: Peggy Fleck; Kari Gill
Subject: SAC letter Gold Trail Supportive Housing
Dale and Peggy, here is the pdf determination for the Gold Trail project. The hard copy will be
mailed next week. Please contact Karon if there are questions.
Ms. Gill, this attachment is your copy of the city's letter - please retain for your files. Met
Council's current SAC rate to the city is $2000/unit. Karon's contact info is in the letter should
you have questions about the charge. (She will be back on Monday.)
Thank you
My Barnebey
SAC Assistant
Metropolitan Council
651-602-1421
fax 651-602-1030
http://www.metrocouncii.org/environment/-`RatesBilling/SAC FAQs.htm
4
Metropolitan Council
u
Environmental Services
May 7, 2009
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 SAC for the Gold Trail
Supportive Housing for Youth to be located at Gold Trail and Beau-D-Rue Drive within the City of Eagan.
This project should be charge 21 //SAC Units, as determined below.
f~Utt Id kc SAC Units
Charges: l tC t 1 tS C~E~ ,
I ? r1 t
Apartment (with common laundry)
25 units @ 1 unit/SAC Unit x 80% A Ya ch, c-l 20.00
Parking Garage
9 f.u. @ 17 fu./SAC Unit 0.53
Total Charge: 20.53 or 21
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to
substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a
redetermination will need to be made.
Please keep in mind that on January 1, 2010 our SAC credit rules will change. Visit the SAC section of the
Council website to learn more. If you have any questions, call me at 651-602-1118 or email
karon. cappaert@metc. state. mn. us.
ironK ely,
CappaeYt r
SAC Technician
Environmental Services Division
KC:kb: 090507A7
Determination expiration: May 7, 2011
cc: J. Nye, MCES
Peggy Fleck, Eagan
Kari Gill, Dakota County Community Development (email)
www.metrocouncii.org
390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 TTY (651) 291-0904
An Equal Opportunity Employer
F o[ Ctlice Use
`k I Cr~a`7`~ I ~
r br: ~ I Permit
City of Eaficind~ c/"l
Permit Fee: 2
3830 Pilot Knob Road ~UN 5 209
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff
- - - - - - - - - - - - - - - - - J
2009 MECHANICAL PERMIT APPLICATION
Date: r 5 Site Address:'
Tenant: Suite
RESIDENT OWNER Name: C ~ cr.ti' T Ri,, ► to A Phone: '703 'tct> - ye IC
Address/City/Zip: ill ~l 20;:diLA-Vt~ AU-j' ,L` rlf Cf/i10~'Ci`4 ,`1A/, S 31L,
CONTRACTOR Name: NiN,3C 1AF-CAAtieLAto License Al 116s,~~
Address: i I Ic l - Ave;,
City: Nki'4t't- E (Zc v is State: ;V'IV Zip: ' 3 G
Phone: 76'3~- qaq - 6S Contact Person: &Ak.~ AA( TS<_tA
TYPE OF WORK 74 New Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
_ Furnace New Construction Interior Improvement
_ Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank ( Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES: e t
$70.50 Underground tank installation/removal OR Contract Value $ CL%. x1%
$50.50 Minimum (includes State Surcharge)
~~~ermit Fee
- If Permit Fee is less than $1,000, surcharge is $.50. _
If Permit Fee is > $1,000, surcharge increases by $.50 for each >SOState Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
14'50 TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is 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
fil
x Ll. !'emu r l l Tc- I~ X j
Applicant's Printed Name Applicant's Sign Lure
FOR OFFICE USE
Reviewed By: ~ Date: l0
Required Inspections: _Undcr Ground .Rough In Air Test - '_Gas Service Test In-floor Heat raI
Exterior HVAC Screening Inspection
r
- - - - - - - - - - - - - - - - -
1 f I For Office Use
I
Permit I
City Eajan I
3830 Pilot Knob Road j Permit Fee:
Eagan MN 55122 I e r
Phone: (651) 675-5675 Date Received: JUN 2 6 2009 1
Fax: (651) 675-5694 I 1
Staff: A~ I
I
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: t Site Address:
Tenant: Oct ~ Suite
PROPERT
ERY Name: Phone: "~~i.3 r tIL fir
OWN
CONTRACTOR Name: v J ('1 t t 0i,~ !v t ( = License
Address: t l aC l ` `5to' tvE kz~v . ti City: uXIOLi:.. C^ '•v+ State: MA;. Zip: SCI(n`j
Phone: tc -4 l't- 61 Contact Person: -A (1- -V i T SO-k
TYPE OF New -Replacement -Repair _Rebuild Modify Space Work in R.O.W.
WORK
Description of work: . c ~(l ti }tti t_ I~tcs d>~b;r~
PERMIT TYPE COMMERCIAL
New Construction _ Modify Space it
Irrigation System yes / _ no) RPZ PVB) a
• Rain sensors required on irrigation systems J-
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? Yes No Flushometers Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract value $ t~rC1]JJ x 1%
_ $ JL J40,00 Permit Fee
Required on ALL new buildings and boulevard irrigation systems _ $3; 00 Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 = $ ~i + t 0 Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ J State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ ° 0 _ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES
I hereby acknowledge that this information is complet 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. d
h IL ,
x I ;r41 It i SC ►1 x ';)C 1.t 7
Applicant's Printed Name Applicant's Si 'ature
71
FOR OFFICE USE Approved By: Date:CO Z-al 9
Required Inspections: o Under Ground Rough-In _Air Test Gas Test naI
PRV Required: Yes No
Page 1 of 3
This request void 18 months from d?j Q 7?
ry
tate of this Request P 30022
I, as [A I,icensed Electrical Contractor ? Owner, do herehy request inspection of the above electri-
cal wiring installed ai: e?iii /
Street Address or Route No. q Q' /?oXtX &?A, C1ty&a4-?
Section Township Range County
Which is occupied by
Is a roughin inspection required on this joh? No ? Yes'M Ready Now ? Will Call ?
10 k?p t
Powec Supplier CJ,5.w Address
Electrical Contractor Contcactor's License No3104
(COmpa rvamel
Mailing Address
(ElecWcal Cont?actor or Ow aking This Installation) 0?7 ?
Authorized Signature i Phone No.
(Eiectrical Ca acfor or Owner M ing Th Installation)
??An BOARD eoPY
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
' REQUEST FOR ELECTRICAL INSPECTION
CHECK •BELOW WORK COVERED BY THIS REQUEST
og 0 70
p 30022
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment W4ed For
Home ? ? Range ? Tempoiary Wixing ?
Duplex ? ? Water Heater ? Lightlng Fixtures ?
ApL Bldg. ? ? Drye: ? Electric Heating ?
Commeicial Bldg. ? ? ? Fumace ? Sdo Unloader ?
Indushial Bldg. ? ? 0 A"v Conditionei ? Bulk Milk Tank ?
Farm ? ? ? List
) List
Othet ? ? ? p
}
Hehel$) o
Hehet3?
U l0 100 Am s. 11 0 to 30 ,l? r? ! 0 to 30 Am eres
101 to 200 Amos. 2 31 to 100 Amveres 31 to 100 Amveres __
••`•••"•>' I TOTALFr7S•??
I, the Electrical Inspector, hereby certif ? at the v intpection has been ma eW_?v..»
(Rough-in) "S ??? Date ? / - ? 7 J
(Final) y „ r 424 ?? Date ?3-la??
This request void 18 months from '
I For Office Use
f ~b I
~1 Permit
City of Ea a~
I Permit Feej•
3830 Pilot Knob Road I _
Eagan MN 55122 I Date Received: f j
Phone: (651) 675-5675 L~= e~ i'f I
Fax: (651) 675-5694 I staff:
t-----------------I
2009 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* ~Czt?~'~~
Date: Site Address:
Tenant: L t R'~ LS Suite
i
PROPERTY OWNER Name: G-6 79AI L,. Phone:
Address / City / Zip:
Applicant is: Owner k/ Contractor
TYPE OF WORK Description of work:
Construction Cost: Estimated Completion Date:
CONTRACTOR Name: License M1,J C- -
Address: C S 7 3~ S`
City: C . Jut State: M t Zip: S>_,~0 38
Phone: (oS _9 BOO Contact Person: - L L) --N
FIRE PERMIT TYPE WORK TYPE
zSprinkler System of heads j New
_ Fire Pump - Addition
_ Alterations
Standpipe _ Remodel
- Other: Other.
DESCRIPTION OF WORK: Commercial V --"Residential Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Contract value $3 I ! ~ 0 G X j%
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). C'
$ TOTAL FEE
3/4" Displacement Fire Meter - $203.00 $ Fire Meter
$ TAL FEE
"Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fir Codes; that I understand this is not a permit, but
only an lication for a permit, and work is not to start without a permit; that the work will be in acc ance with the approved plan in the case of work
which re re( a review and approval of plans. 411
X x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic 'Flow Alarm Drain Test ~ Rough In
Trip Pump Test Central Station Final
Conditions of Issuance:'
Permit Reviewe~by;:
Date:
I
M I N N E S O T A
I If
U
DEPARTMENTOF HEALTH
Protecting, Maintaining and Improving the Health of Minnesotans
March 19, 2010
Thomas Hedges
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122-1810
Dear Mr. Hedges:
The Minnesota Department of Health in consultation with the League of Minnesota Cities and the Minnesota
Association of Townships, has agreed to notify local government officials when a Housing with Services
Establishment subject to Minnesota Statutes 144D has been registered by the Minnesota Department of Health. This
notice is to inform you:-that the establishment listed below has been registered at an address located in your
community:
Lincoln Place
1997 Gold Trail
Ea an Minnesota 55122
This notice does not require any action by your local unit of government, nor does it create a right of the local unit to
intervene in the registration process of the establishment. It is being provided as a courtesy only. Because the above
named establishment may provide services to residents who would need special assistance in the event of an
emergency, you may wish to notify the emergency service providers for your city or town that this establishment is
now located in your community.
A list of currently registered Housing with Services Establishments may be accessed on the Minnesota Department
of Health website, through the following link:
http: //www. health. state.mn. us/divs/fpc/directory/providerselect.cfm
Additional information about Housing with Services registration may be accessed through the following link:
http://www.health. state.mn.us/divs/fpc/profinfo/li c/lichws.btm
If you have any questions about this notice, please contact (651)201-4101. Other questions should be directed to
your local government association or legal advisor. Thank you for your attention to this matter.
Sincerely,
Mary Henderson
Supervisor, Program Assurance Unit
General Information: (651) 201-5000 • TDD/TTY: (651) 201-5797 • Minnesota Relay Service: (800) 627-3529 • www. health. state. mn.us
For directions to any of the MDH locations, call (651) 201-5000 • An Equal Opportunity Employer
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
• � Permit#: �O� � �7"`� i
C��y O` '""'��� I Permit Fee: �� o2�J' �
3830 Pilot Knob Road ������ n '/ `/
Eagan MN 55122 SEP 0 k 2014 � Date Received: 7' �7`" �T �
Phone: (651) 675-5675 I D/� I
Fax: (651)675-5694 ��,Q I Staff: �"'"7 I
SY: ��"`�_.__�_.._ �----------------�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�^ /'� (� lo l�S` ��G`�U
Name��S�,�T� w �/��'" Phone:
Residentl . �� ���.-) �� � ���
Owner ' address i city i zip: ___
Applicant is: Owner �Contractor
Type of Wo � �
rk Description of work: �1��
Construction Cost: Multi-Family Building: (Yes v /No�
Company: � �C.1 �L Contact:�J�h�`-S
tZ3�s5 1�`i� (��- �S� `
Contractor Address: City: _, � �'S
State�� Zip: 5��� Phone:���-�1(�g�x.� Email: (/V1.�J1�D� (�J�(�'�� C�✓�
License#: �J�� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
`�h I� �� �b6s
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information, Portions of .
the informafion may be classified as non-public if you provide specific reasons;that would permit the Cify to
conclude that the' are frade secrets
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 utitities. www.qoqherstateonecall.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.
Exte 'o�work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days o permit issuance.
X � _ X S U-+��1`'�
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
� =" Use BLUE or BLACK ink
� —�- r---------------
- I For Office Use �
I �� I
Clty of�a��Il ; Permit#: � �
G' I
3830 Pilot Knob Road � Permit Fee: �
I
Eagan MN 55122 j Date Received: i
Phone: (651)675-5675 I �
Fax: (651)675-5694 I Staff:
�-----------------�
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:�t ` !� (�OL���
Tenant: Suite#:
' Name: ���`�� ���'�� Phone:
Name: ���� / l�u�N�c �-L �icense#: C•1�7�5 3 �j'�
/ 2 )/� � J/
Address:C9 g> S !(o d S� ����City: t6l9�LL NG � State,�N Zip: �sa 3 3
Phone:5�✓I��S�b l�a EmaiL• �TZI�N�(�U i IC3 �j��ZZ..Cf��1
New Replacement _Repair �Rebuild _Modify Space Work in R.O.W.
� Description of work: �T L �� ��L�
� , '. COMMERCIAL New Construction Modify Space
��,- _Irrigation System(_yes/_no)(�RPZ/_PVB)
� ; � � • Rain sensors required on irrigation systems
� _ - � R • Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
� � �; _Meters Call(651)675-5646 to verity that tests passed prior to pickinq up meter.
����'��=�;s- ��� '' Domestic:Size&Type Fire: 1
�� ,. � °: Avg.GPM High demand devices?_Yes No Flushometers_Yes No
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
_$ Permit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
''**If the project valuation is over$1 million, please call for Surcharge -$ TOTAL FEE
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant
$ Water Supply&Storage
$ State Surcharge
_$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a peRnit; 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 ���,�7.nll� x �.��--
Applicant's Printed Name App icl anYs Signature
�-� - �.� _. x__ .� .. __..._ . _� . � i
,� _
�-fJR= � ..: : " '��- , :�:. _ � . _
t_- . 6 _ _ � - � � _ � � � :
�� _
-��� . � _ � -.—�- `- . � ..�
Page 1 of 3
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN Z 2016
Use BLUE or BLACK Ink
For Office Use p
Permit #:13W8CR
Permit Fee: 2 a . ( 3 0
Date Received: 1 — a5 1(P
Staf:S b
2016 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 1 /18/2015site Address: 1997 Gold Trail, Eagan, MN 55122
Tenant: Dakota County CDA
Suite #:
Phone: 651-675-4400
Address city i zip: 1228 Town Centre Drive, Eagan, MN 55123
Applicant is: Owner ✓ Contractor
Description of work: Add 6 door holders and 2 smoke detecors to existing
Construction Cost: $4,596 Estimated Completion Date:
Name: Integrated Fire & Security
Address: 7180 Northland Circle #138
State: MN
zip: 55428
Phone: 763-478-2058
Contact: Dan Youngquist Email: dyounquist@ifs-mn.com
New
Addition
Alterations
Remodel
Other:
DESCRIPTION OF WORK:
FEES
$60.00 Permit Fee Minimum
Commercial
Residential Educational
Surcharge = Contract Value x$0.0005
If the project valuation is over $1 million, please call for Surcharge
_ $ 60.00 Permit Fee
= $ 2.30 Surcharge*
= $ 62.30 TOTAL FEE
**Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that 1 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.
)(Daniel Youngquist
Applicant's Printed Name
pplicant's Signature