1258 Lone Oak RdINS EC I
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
irManr o 11
r Mf1f; t1' i tlr
tal- •.1 1; 1 r r i IIrr
INSPECTION .A • .A
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11-
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I
Parmit Nolder Date Telsphone N
SEWERI
WATER
PLUMBING -7?Q
HVAC
InspecHon Dete Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
PLOUMBING 12-10
PLBG
AIR TEST
? ? .
ROUH
HEATCING
/?/ ~ TeS 'C a
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL8C3
FINAL HTG
ORSAT
TEST
BLOG FINAL
[??J Gv
DOMESTIC
METEFi
IRRIGATION
METER
FLUSH
MAINS
CANDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
2003 COMMERCIAL BUII,DING PERMIT APPLICATION
City Of Eagan -QLV Yti'-?
3830 Pilot Knob Road, Eagan Mn 55122
`, ,? 7 p ? Telephone # 651-675-5675 FAX # 651-675-5644 ? 30 ? v
I
FbuodaSomQel :' . . : . New Su1dfn
• Structural Plans (2) sets • Architectural Plans (2) sets • Architeclural Plans (2) sels
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (t) " . Landscaping Plans (2) • Key Plan (1)
. ProjectSpecs (1) . CodeAnalysis (1) • MasterExitPlan (1)
• Spec. Insp. & Testing Schedule '• . Certifirate of Survey (1) • Energy Calculations (1) nol always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not ahvays'•
. Meler size must be established . Meter size must be established • Meter size must be esfablished-rf applicable
1 • ProjectSpecs (1)
1 . EnergyCalculatlons (1) •` 1
1 • Electric Power & Lighting Form (1) '• 1
L • Master Exit Plan (1) 1
1 + Emergency Response Site Plan (1)
d • SoilsReport (t) b
• SAC determinatlon - call 651-602-1 000 • SAC determination - rall 651-602-1 000 SAC determinatlon - rall 651-602-1000
Call MN Dept of Heaith at 651-215-0700 for details regazding food & beverage or lodging factlities.
** Contact Buildmg Inspections for sample and if required when it states "not always".
"'• Pennit for qew buildiag or addition will not be processed without Emergency Response Site Plan.
Date Construction Cost
Si[
Add
(9°
l 4? ? U
iUSt
#
e
ress
? n e
Tenant Name Former Tenant Name
Description of Work
Pro
er[
Own ?
hone
T
le
p
y
er p
e
dQj`C.o? b''j
Contractor
-
Address 1 City
State Zip Telephone # ( )
Arch/Engr Registration #
Address City
State Zip Telephone tf ( )n C?
jU?,u ? III?
" •7 LU J I ?
LJ
licensed plumber Installing new sewerlwater service: Phone #: --
By
I hereby apply for a Commercial Building 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 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 case of work which requires a review and
approval of plans.
?
?/?/7 ?/yl??GL?i] c?! (/? Su
Applicant's Printed Name pplicanPs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 28 Greenhouse ? 32 Ext Alt - Apts.
? 25 Miscellaneous ? 29 Antennae ? 34 Ext Alt - Comm.
LI 26 Public Facility ? 30 Accessory Bldg. C' 35 Ext Alt - PF
`L 27 Commercial/Indushial ? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
-U 33 AltereUon ? 37
(? Demolish (Bldg)* ? 43 Reroof ? 48 Windows/0oors
? 34 RBplBCefnent *Demoiftion (Entire 81dg only) - Give PCA handout to applicant
Valuation 2o o ? Occupancy /E • L MC/ES System
-
Census Code -5 -7 Zoning City Water ?
SAC Units " 0"-' Stories Booster Pump
Nbr. of Units c Sq. Ft. PRV ?
Nbr. af Bldgs ? Length Fire Sprinklered
TypeofConst Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Insulation
_ Footings(deck) _
/ FinallC.O.
_ Footings (addition) ? FinaUNo C.O.
Foundation
Drain Tde Other
Roof Ice Pr Decking _ Insul Final Pool _ Ftgs Air/Gas Tests Final
?Framing _ Siding _ Stucco _ S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Approved By: Planning
--------- - ------ - -------- - - ---------- - - ? *?,''Building Inspector
----------------- - ---- - -------- - - - ------------------- - ------ - --- - -
Base Fee 3 0 • B U
Surcharge • 50
Plan Review 6 o
MC/ES 5AC
City SAC
Water Supply & 5torage
S/N1 Permit
S/W Surcharge
Treatment Plant
Park Dedication
7rails Dedication
Water Quality
Copies
Other
Total -30 -SU
?-cJL 3'"@ coMMERCIJ4,L
BiJILDING PERMIT APPLICATION
' CITY OF EAGAN
651-681-4675
s l 1 -;D) .`1 S
Foundation Onl New Construction Interior Im rovemerit
• SWCtu21 Plans (2) seLS • Architeclural Plans (2) sets • ArciuiacWral Plans (2) seu
• Civil Plans (2) • SWCtural Plans (2) • Code Analysis - (t) "
• Certificate of Survey (7) . Civil Plans (2) • ProJBCtSpecs ' (1)
• CodeMalysis (1) " . LandscapingPlans (2) • KeyPWn (1)
• Prqect Specs (1) . Cade Malysl5 (1) ° . MastEr Exit Ptan (1)
• Spec. Insp. & Testing Schedule " . Certifipte of Survey (1) • Energy Calculations (7) notaiways'-
• Soils Report (1) 5pec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must 6e established . Meter size must be established " • Meter size must be establlshed - if appiica6le
• ProjectSpecs (1)
1 • • EnergyCalculatlons (1)" 1
1 . Electric Power & Lighting Form (1}
1 • Master Exit Plan (1) 1
1 Fire Protection Plan (1)" 1
d • SailsReport (1) 1
• MGES SAC determination letter . MC/ES SAC determination letter • MGES SAC detertninafion letter
cail 651•602-1000 call 651-602-1000 ca11 651-602-1000
" Contact Suilding Inspections for sampie
Food 8 beverage or lodging facilities: Plan must be submined to Minnesota Department of Health - call 651-215-0700 for details.
DATE
SITE
1-
TENANT
FORMER TENANT NAME
DESCRIPTION OF WORK
PROPERTY
OWNER
CONTRACTOR
ARCHI7 c.CTI
ENGINEER
WORK TYPE NEW I?'REMODEL CONSTRUCTION COST
N:.:,,c. Phone#: Q;? ) Q L?7- 7 S-1/ •
Last First? -'
City State
C , r? S?v??sQ
Company Phone #
Street Aildress:
City _,
Company_
Namc
Street Address
City Licensed plumber Installina new sewerJwater service: Phone #:
I hereby acknowledge that I have read this application, state that the information i rect, agree to comply wi?l applicabie State af
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica :
ated tlC
Zip
State Zip
r
Phone ti (
Registration # _
State Zip
I
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments 27 Commercial/ln dustrial ? 32 Ext Alt - Apts.
? 15 Lodging 28 Greenhouse ? 34 Ext Ait - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Naii Salon
WORK TYPE
? 31 New 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows'Doors
:3 32 Addition ? 36 Move Bldg ? 43 Reroof u 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORM TION
Census Code
SAC Code ?Q
No. of Units e
No. of Bldgs. T
Const. (Actual) .
(Allowable) 7M•jj.
UBC Occupancy :IE?
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floar sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
sq. ft.
sq.ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
0 Gas Service Test ? Heating O Insulation ? Plumbing ? Stucco/Stone
APPROVALS -
P"annir,g Buildino (,Wft Engirt?eriiia _ Variance _
Permit Fee
'?-? VALUATION $ 51660 ?
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC $,;C Jnits
Water Supply & Storage Meter Size
SMI Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
?
Tota! 1 I 3.-i 5
U +d??:;?? ? k?R>X#?FF?,LX:u:i?h'?'?%'?%;X?'?X?Fa' k•i??#?}:,kY,<:k;rY,;±? ;??Y,<r;:
C:f.TV (1i= [::!1(:,!?M1!
cn:,i!s.i•_R; r.; rr:rrzNni_ nnP s_,p-
GAl'[.2 iJ./02/98 7';'MF.: 00:703
IU::
NAMc:s I_CMi_ OAI: I`L.,,7n L.TD PIiTPJF.",;il-IP
22"36 9001 :L?`;H I._`i?P!f-_: qAh; f: 4,06:L.,5:3
fC't,%1.1. F±E'['r?7.pt A:Yii,u71Y,;; 47061,,59
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tli;!i:R :CD: Na:Nr.Y
•°t"f,!'?i'?:'?:???i(?Yyt 'Mv(k:fit:?>k Y:%: ?`(,X;sF,???!%k'M>k7?7n7k:d?f a'F;R'.'.c'?;S 'M7nJk)k
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
. Eagan, Minnesota 55122-1897 Permit Number: ? 3 3$?D q N G
(651) 681-4675 Date Issued: 11 / 0 2/ 9 S
SITE ADDRESS:
1258 LONE OAK RU
LOT: 1 BLpCK: 1
EAGANDALE LEMAY LAKE 3RD
P.I.N.° 10-22527-010-91
DESCRIPTION:
` (rraezc
Bia.i`ldinq-'p,ermit Type
B/
vi].d3nq Wol'?k_,Type
lS4uare Feet
?Census Cade
?
THflI CflFE)
COMM.(INp. MISC.
TENAN7 FINTSH
1.168
327 STORES
\
\
1. ? v
^?'~1?1'????1
REMARKS:
PLAN REVTEWE[7 BY WAYNE MILLER.
FEE SUMMARY:
VALUATION $50,009
Base Fee $574.75 CI7Y SAC $200.00
Hlari Review $373.59 TREATMENT PL. $888.00
Surcharge $25.00 COPIES ?$.25
SAC $2,000.00 'i'otal Fee $4,061.59
SAC ? 100
SAC Units 2
?
Subtotal $2,973.34
CONTRACTOR: - Applicant - OWNER:
THI,-S'iAR MANAGEMENT INC 25369883 LOiVE OAK PLAZA LT? PTNRSHP
5010 WINNETKA AVE N 5010 WSNNETKA AVE N
NEW HOPE MN 55428 NEW HOPE MN 55428
(612) 536-9883 f6121536--9883
I hereby acknowledge that I have read this application and state Chat the
information is eorrect and agree to comply with a11 applicable State of Mn.
StaL'ut and City ot Eaqan Qrdinances.
? ;5;?2- `? - ?
APPLICANT/PERMITEE SIGNATURE -,?\y?SUED Ur SIUMATUPIE
' 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) Itt
CITY OF EAGAN , -
p ? 681-4675
Submit followina to obtain necessarv oermit C o?s?x?PJ ( U-aFS??
Foundation Onl New Construction Interior Improvement
structurel plans (2 6ets) architeGural plans (2 sets) archdecturel plans (2 sets)
civil plans ' (2 sets) structural plana (2 seta) rade-enalysis- (1) "
eode analysis (1) " civil plans (2 sets) Project specs (7 set)
soils report (1) lendawping plans (2 sets) an
projeGSpecs (7) codeanarysis (1) " energy_? (t)ndalways"
Special Inspactions 8 Testing Schedule ^ soils report (t) ElectrioPOwer&Lightlng-Fortn (t) notaMrays "
SAC detertnination letter Irom MCrWS - SAC detertnination letter from MCNVS - SAC detertnination-bNeFfrom-MCANS -
pll 602-1000 cell 602-1000 call 602-1000
Special Inspections 8 Testing Schedule (t) "
projectspets (1)
energycalwlations (7) "
Electric Power 8 Li htin Fortn (t °
" Contact Building Inspedions for sample
Food 8 Beverage or Lodging facilities: Plan musl be submiUed to Minnesota Department af HeaRh. Cell 215-0700 for details.
DATE: october 9, 1998 WORKTYPE: 'r_ NEW 2r REMODEL
DESCRIPTION OF WORK: Restaurant - TO.t9,vFa? 'R.?MpDEL ?L$U/r?D6t?
CONSTRUCTION COST: $50, 000.00 TENANT NAME: Maaic Thai Cafe
SITEADDRESS: 1258 R L,ne- ?' ?Y? ??? SUITE
Eagandale LeMay Lake 3 rj,
LOT 1 BLOCK 1 SUBD. 3rd Add+t+&a P.I.D. # 1 0-22527-01 0-01
PROPERTY
OWNER
CONIRACTOR
Name: T.C)na (lak Plaza T.tA_ PartnPrch_int_. Phone#: _53Fi_9RR3_.
Last F'vst
StreetAddress: 5010 Winnetka Avenue No.
City New Hope State: MN
Company: Tri-Star Management, Inc. phone#:
Zip: 55428
536-9883
StreetAddress: 5010 Winnetka Ave. No. License#
City New Hope State: MN Zip: 55428
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street
City
State:
Sewer 8 water licensed plumber (only if installing sewer 8 water):
1 hereby acknowledge that I have read this applieation and state that the
Minnesota Statules and City of Eagan Ordinances.
. . ,1 . -
uu i p $ 1998
State of
Signature of Appiicant:
OFFICE USE ONLY ' ' .
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
?5 19 Comm./Ind. Misc.
? 20 Public Facility
? 33 Alterations
? 34 Repair
Const. (Actuai) Basement sq. ft.
(Allowable) First Floor sq. ft.
UBC Occupancy ?j sq. ft.
2oning sq. ft.
# of Stories _L Sq, ft,
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Planning
Building 4""?
? 21 Miscellaneous
;tf 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code 11,7
SAC Code ? o
Census Bidg. _L
Census Unit o
Engineering
Permit Fee 67- 7 75 Valuation:
Surcharge -AT U O
Plan Review 3 73, b
MC/WS SAC ?bonXz
City SAC -xoo. 9oox2
Water Conn.
S/W Permit
S/V11 Surcharge
Treatment PI. $ _ O c??-/clYz
Park Ded.
Trails Ded.
Water Qual.
Other
Copies FjGf4/OOM YI??;I
Total: ,
Variance
$ 5? OOJ
°k SAC
SAC Units ?
Meter Size
.?
Metropolitan Councfl
Working for the Region, Planning for the Future
Environmentai Seruices
October 16, 1998
Dale Schoeppner
Building Official
City ofEagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has reviewed the SAC
assignment for the Magic Thai Cafe. The original letter for this determination was dated
October 14, 1998. This project is located at 1258 Lone Oak Road within the City of
Eagan.
This project should be chazged 2 SAC Units, instead of the 3 units originally assigned.
The SAC review is based on new updated information. This determination follows:
SAC Units
Charges:
Restaurant (full-service)
22 seats @ 8 seats/SAC Unit
Credits:
Retail
1200 sq. ft. @ 3000 sq. ft./SAC Unit
lf you have any questions, call me at 602-1113.
Sincerely,
c?
7odi . Edwards
'- Y-6-4
Staff Specialist
Municipal Services Section
JLE: (325)
981016SB
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Carol Watts. Tri-Star Management Inc.
2.75
0.40
Net Charge: 2.35 or 2
AREA CODE CHANGES TO 651 IN JULY, 1998
230 East FifLh Street SL Paul. Minnesota 55101-1626 (612) 602-1005 F? 602-1183 TDD/11'Y 2293760
An Cquni Opportunfly Empioyer
'?lietropolitan Council
? Working for the Region, Planning for the Future
Environmental Seruices
October 14, 1998
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Deaz Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has deternuned SAC for the
Magic Thai Cafe to be located at 1258 Lone Oak Road within the Ciry of Eagan.
This project should be charged 3 SAC Units, as deternvned below.
Charges:
Restaurant (full-service)
24 seats @ 8 seats/SAC Unit
Credits:
Retail
1200 sq. ft. @ 3000 sq. ft./SAC Unit
If you have any questions, call me at 602-1113.
Sincerely,
ql?' g
Jodi L. Edwazds
Staff Specialist
Municipal Services Section
JLE: (325)
981014SD
cc: -. S. Selby, MCES
Cazolyn Krech, Finance Department, Eagan
Carol Watts, Tri-Star Management Inc.
AFEA CODE CHANGES TO 651 IN JULY, 1998
SAC Units
3.00
0.40
Net Charge: 2.60 or 3
230 East Fffth Street St. Paul, Minneso}a 55101-1626 (612) 602-1005 Faac 602-1183 1'DD/'['IY 229-3760
An FqiIN Opponun!(y F.inployer
Lone Oak
Shopping Center
On Aamp 0 3sE
16,000 Total Square Feet ?z{
:? ?yr ><,?:?. _??-- ?-? .°<;•..;: Eagan Day
: :..:: . : : :.:.. : :..:.. .. .> ......: . ,? .:...:.
Care
3,26e sy. Pt.
Vacant
,,zoo sq. Ft.
American Hero
1$00 Sq. Ft.
xpress m
Pe's?? nel Q
S9_ Ft
? Dry Cleaner ?
,,zoo sy. Pt. m
a Dentist
990 Sq. Ft
m Coffee Shop ?
? e33 Sq. Ft Cdr ?
3
Care ?
Oasis
Market
s,a+7 sq. Ft.
E
?
m
A
?
-AIP v
V
?
CITY USE ONLY
l BL L RECEIPT #: 7/ 7J a /
SUBD. RECEIPTDATE:
1998 MECAANICAL PERMIT (COhIl4ERCIAL)
CITY OF EAGAN
3830 PII.OT 'EQd08 RD
EAGAN, IYIIJ 55122
(612) 681-4675
Please complete for: all commerciaVindustrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
DATE: I I Gl b CONTRACT PRICE: 4 17j, &(pQ, DO
WORK TYPE: _ NEW CONSTRUCTION
x IN'FERIOR IMPRO v ENIEN i
DESCRIPTION OF WORK:
&-tlS 11 PF-- /
FEES: 1% of contract price OR $25.00 minimum
Processed piping - $25.00
CONTRACT PRICE x 1 % ?1 (o ?
PROCESSED PIPING
PERMIT FEE L- ?P • ? 0
STATE SURCHARGE t GO
TOTAL f 37. f O
'?35 ? 11 ?'i.rRn1 G-
greater.
($.50 per $1,000 of oennit fee due on all permiu.)
SITE ADDRESS:
O WNER NAME: --11?I--C'Wi2 N ?S6/1N`I PHONE #:
TENANT NAME (nipROVEmr,rrrs orr[.r): WA L1? Zr4jM G'f-e-
INSTALLER:
ADDRESS: f? A alQuST. PHONE #: 93D-Ic2p(
CITY: ! STATE: !J _ ZIP: ?
SIGNATURE OF PERMITTEE CITY IIVSPECTOR
CITY USE ONLY
L B A ??
SUBD. a-?d.e
APPROVED BY: ,INSPECTOR
1996 PLUMBllVfi PERYI1T (CO1NM£$CIi4L)
C1TY 0F E4fiikN
S$SO PILOT KNO$ RD
EAfiAN, bIN 551EE
(siE) 661-4675
Please complete for: all commerciaUindusaial buildings
multi-family buildings when separate building permits are not required for each dwelling unit
backflow preventer to be installed in commercial areas or residentiat boulevards
Date: Work Type: _ New Bldg. _ Add-on ?_ Repair _ U.G. Sprinkler _ RPZ
Description of Work: k? n/ • A cu 2 lau ? r ?' ?• ?^,".
To inquire f Pressure Reducing Valve is required on new service, ca11681-4646.
fEF..S
1% of contract price or $25.00 minimum Contract Price: $ z2QO, GC1 x 1% _ $ T, -? C)?
COMPLETE THIS AREA ONLY IF INSTALLING UNDEAGIZOUND SPRINKLER SYSTEM
Service: Existing (if coming off domestic line) OR _ New
Backflower Preventer Permit Fee»»»»»»»»»»»>>»>>>>>>>>>>>>>>> $ 25.00
Water Flow GPM
Water Meter 1" @$189.00 oi 2" Turbo @$871.00 $
It "new service" add Water Permit $ 50.00 =
State Surcharge $ .50 =
WAC $ 807.00 =
Water Treatment $ 444.00 =
$
Permit F.ee $ S';? .0o
State surchazge is 5.50 per SI>000 of ep nnit fee or minimum of $.50 per penni[ State Surcharge $ ?0
Total Fee $ L)
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable City
af Eagan ordinances. It is the applicant's responsibility to notify the properry owner that the City of Eagan assumes no liabiliry for any
damages caused by the Ciry during its normal operational and maintenance activities to the facilities constructed under this permit within
Ciry property/right-of-way/easement.
v' 1?-
sITE ADDREss: 0 py
-,?-; TENANT NAME: G ? c-
INSTALLER NAME: C. ?I k?'?41? wy ? U • TELEPHONE q 7 lG y
STREET ADDRESS: hi p-,4
CITY: kr S ?A'['E: ?? ZIP: SL110
RECEIPT #: / 9 c)_,??
RECEIPT DATE /
OF PERMITfEE
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411' City of Eagan v'10
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECE'VF11
FEB 7 r 70i4
dr-v
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
707 3
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
0 Plea e su mit two (2) sets of plans with all commercial applications.
Date:
Site Address: I7i7' h t or/
Tenant: L %e Cf // 11dra-1'
Property
Owner
Type of Work
Name:
Name:
/ 1/7/7 /22 %?/i /V Phone:
Suite #:
6/2 y19-V"lZ
((I( i ! lin i r u- I n ` • License #: 01 y2_ 7? l0.th
(,r ) Y / City: arr/r / 1k1 State: Zip:6/�
Email: i (/rc/17%//72hm .
Address:
Phone:
_ New Replacement
Description of work:
_ Repair
Rebuild
'Modify Space Work in R.O.W.
COMMERCIAL _ New Construction A 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) 675-5646 to verity that tests passed prior to oickina uo meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes _No Flushometers Yes No
COMMERCIAL FEES
$55.00 Permit Fee Minimum
*If contract value is LESS than $10,010, Surcharge = $5.00
*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
Contract Value $ / Q b o d x .01
=$ is d
= $ Surcharge*
b .S TOTAL FEE
Permit 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 Cali 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 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 Tim chnCikr
Applicant's Printed Name
FOR OFFICE USE.-. _
Required Inspections: ,,Under Ground . o ugh -In Air Test _Gas Tes
Meter Related Items: Meter Size Radio Read Staff:
Applicant's Signature
Page 1 of 3
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City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR (1 2014
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 2D/-7?
`®��J
Le
Permit Fee:
Date Received:
Staff:
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: O3'aY 'Y Site Address: t V5 Looat. cheek- Renu
Tenant: mom TESS 4Q/ SterVOL a Lo.wr O,/9,k- iPEA
Suite #:
Name:
Address / City / Zip:
Applicant is: Owner Contractor
Phone:
Description of work: /340/i2E1o49 j'E 27- iipegsj pe NEL., t✓"flS o GE7L,,N45
Construction Cost Z ("00,
Estimated Completion Date:
Name: F1201.4T ea.- Fi)24- fReregeo v, hu(.
License #: C./2 -c•
Address: 7- Ca ►4Yy R £ sr City: Lt TYLE C.lr'4434
State: /NIJ Zip: 5571-7- Phone: 657-Y91- too
Contact: C
11:•v1- Os
Email: CtisAlfiEt4 t(&...- &...-FIRE ' ,.. cif",
FIRE PERMIT TYPE
_prinkler System (# of headst7)
_ Fire Pump _ Standpipe
Other:
DESCRIPTION OF WORK:
FE
$55.00
ermit Fee Minimum
WORK TYPE
``New Addition
Alterations ,2emodel
Other:
V4 -Commercial Residential
ntract value is LESS than $10,010, Surcharge = $5.00
**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
3/4" Displacement Fire Meter - $260.00
Educational
Contract Value $ 2, 41, o3 x .01
_ $ SS, Permit Fee
_ $ (5— Surcharge*
= $ 09- TOTAL FEE
=$
=$
ire Meter
TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and compo : nts 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/Fire Codes; 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 dijis lev0.1,4
Applicants Printed Name
12(Yr/co