1629 Murphy PkwyINSPECTION RECaRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
y
•,I. i 1 111N ..' 1
PERMIT SUBTYPE:
• '.i , , i ! i 1}
?++rt niH11;
NA/tCr/Qr,
APPLICANT:
• , . „ii ? i1t?,t?) '??1-?",?<4i
TYPE OF WORK:
1l 1 ,+ i 1 i i t I 114
NFt•1
t tt{ I1CK IlAtdh 1'AR01[
1
INSPECTION D. ON TYPE D.
i 1I11. i411f 11yl,
1 Id' I:I ii I 1 1??.1 i?!Ili?'.i ht.
? f:rttl !!f!? t t??iF?l ?
kE MAF;h•, P[r'HIC PAVit toN & SHFI 1FR
A';FPAFtATI 1`f RMt 1 .( ; RFAiIikF.i?
F
?
? ?3 ?
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUM
HVAC Jr ? /r?/ ?? Od.!
inspactlon Date Ins Comm ents
FOOTINGS
!
FOUND 4?4
( !, ?
FRAMING
ROOFING
ROUGH
PLUMBING
-t-,
//iSfl - ?i9,eTJ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ,
GVP BOARD
FIREPLACE ?
FIREPLACE
AIR TEST
FINAL PLBG 7dS?j
.6
?y
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
L v rps^i
?
.
04?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob ROad Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: H " APPLICANT:
;:,,iKPNY r?i(I,+v I nCipN
; l11•0o
PERMIT SUBTYPE: TYPE OF WORK:
i 4 1 1 d
f,li r i 0 1 Hi;
N?tif f, /
10b /?ii / c4 6
1y[41
( f.tl ACKl1Al-JK F'ARR 1
?
?? ov
? ?.
-1
I
RF MfAI; N•? . ()fi'=,( RVR 1) IlW I i{ I k
Permit No. Permit Holder Dete Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Dete Insp. Comments
FOOTINGS
FaUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DFCK FINAL
?
CITY OF EAGAN Remarks
Addition SECTION 21 Lot Blk Parcel 10 02100 OZL 27
Owner CITY OF EAGAN Street 3795 Pilot 1Cnob Road State Eagan, NIN 55122
T?_? /- 1; , T
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 973 10944. 00 547.20 20 Paid
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1983 46 928.00 3128.53 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
?? REQUEST FOR ELECTRICAL INSPECTION
/ ? See instruc[ians for completing this form on beck of yellow copy.
? 9 4 9 6 "X" Bejpw Work Covered by This Request
EB-00001-OB
s '3t7*.zv
e Ra TypeofBuilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace other (Specify)
Farm Air Conditioner
ONer (;necily) Conhactor5 fiemarks:
Compute Inspection Fee Below:
# Other Fee # ServiCeEntranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to t00 Amps
Transformers A6ove200-Amps- Above 1 00 _ Amps
Si ns insPeaors use oniy:
J
?j_ 70TAL
Irrgation Booms ?C
?Q y
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROUgh-in ( Dafe
certify that the above inspection has
been made. Final
? fe. rrj
Z
OFFICE USE ONLV
This request vaitl 18 manihs fmm
"
'-!
35496
I
Fiequesl Dq??
// /?6 ? ` FiiE No. Fough-in Inspeclian
Requiretl7 NOi1CE: Vou Must Call Electrical Inspector
Ii A qovgh-In Inspection
? Yes Lllkr Is Requiretl.
I icensed coniractor ? owner hereby request inspection of above electrical work at:
Jab A14219 tldress (S[reet, 9aa or Raute NoJ /?
/ /? ?f- L??ijP Ciry
G= ?lo A ?V
Sedion No. Township Na or . Rarge . CouMy
OccuPant (n D'i4D W K. ?
/ ? Pho?
PowerSupPl'
.?,?n ?i? Address
?? ?.? ??? ?n.v
Eleciri C iractor (Company Name) ConiractoYS License No.
? ? ? ?;?i ..Z??(' o Y 6
Mailing AddreCa? (COMrac[ar or Owne?r /Makinp Instaliation)
AWhorixed Siglr/Ow king I lalion) Phone Number
6''
MINNESOTA STATE BOANU OF ELECTBICITY Z THIS MSPECTION REQUEST WILL NOT
Griggc-Midway Bltlg. - Noom S1T3 BE ACCEPTEO 6YTHE STATE BOARD
1821 Unlvnsiry Ave., 56 Paul, MN 551 W UNLE55 PROPER INSPECTION FEE IS
Vho" (812) 842-0800 ENCLOSED.
2 O O e C2% ?
.? ? _ OFFl USE NLY This reqvest void 18 momhs from validotian dok pnmed in this bm.
y?7??
PLEASE PRINT OH TYPE
Reyve k Raugh-in ,nspenlan reqolred2 es ? N. ?napedlon 01her Than Rough-In: ? Reody Now ? Call
,: - (Yov musl call th< impector when reody? Da?e Ready:
I, m s-mnhador ? owner here6y request inspecfion of the obove eledriml work.7t 7??
d , Box, or Route No.) Ciry Zip Code
l k0*v/
Secfion No. Townshi0 No or No. Romge No. Fim No. Counry
lz dT/Q
OcapaM
?/' I ??
r"_ V/?/? ons No.
Po Supplia
? Pddrcss ?yJry,
??vV " ?
r?
Elalnncror (Compony Nama)
! ?
? F
Connvyor nse Nq_`L
? ?W
Y?i Master lia No. (PIoM Eled.Only)
?
w/ i
7
Mailin dmss (Gomncmr ar O xner Pedorming Insta olion) g
?d.Z Q -AVjOLL ?p?L SJ.s6/
AuMarizod5igno onlmclaror erPedo 'igln lafionl PMneNo. ?9 cIz S
? 'LJ
EB-OO001A-7 B5Ay6 COPV-SEEINSTRULTIONSONBACKOFYELLOWCOPY
IIIII IIIII III K111111 IIREQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electriciry 4 xa
1821 Univefsily Ave., Rm. 5 126, t. Paul, MN * 001 0 5 # Phone (612) 642-0800 ,?J?A&
Home iLl uuplex Apt. Bldg. Other: New Addn
Commercial r- Indushial Farm Remod Re air
Air Cond. Hfg. Nuip. Water Hfr. Lood Mgmt. Of e[: ?
D er
Ran e
Elec Heaf
Tem . Service `'
syG?;W4-
"X" above the work covered by fhis request. Enfer remarks in this spoce and on fhe back af the white copy only.
Calcubie Inspecfion Fee - ihis InsPecfion Request will not be accepfed without fhe correct fee:
Fee' 8 Service Enhance $rse Fee 8 Cirails/Feeders Fee
Mob'r4m 1 ParkSfall
Sfreet Ctg 3, .Sig. / 0 io 200 Amps
Above 200 Amps ? 0 fo 700 Amps
. Sa
Tfansfiomle??, ??mfof
$ign/OWIi ? .. 90 . mr. INSPECTOR'SUSEONLY ?j
?//?• O TO ?j
/I
Alartn/Remofe Control
$wimming Pool .. . "
. _ ._ _ _ . . .
1 sern'. Lli e >Iha lim c b?d:- ein_pp ,dataseWted "
. .
lffi9ation Boom ,,,. Ra.gh.ln
. .:
D.te . ' Q?
$
eciol Ins
edion .
' ;. ._ .?
. ..- `. ? . ?- .. , .. ? ?
p
p
.,.
Irnestigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONN (F N OMP ED WITHIN 18 MONTHS.
j eaa?$s 1-31 - oa
CITY USE ONLY
PERMIT #: RECEIPT DATE: t - ?? • V ?-
2002 COIYIMERCIAL PLQM$IN6 PEItMIT APPLICi4TI0N
CITY OP Elk6kF
ssso ru oT KxoH gn
r.AsAx, ixx 551 sz
851-681-4876
INCOMPLETE APPLICAADNS WfLL NOT BE PROCESSED
7
r
Date: / - Z J -cy c"
.?nN 2.'3 2002
WORK 1'YPE New Bldg Add-on >? Repair RPZ PVB ° Irrigation system
` Jerry Wobschall ro calculate fees. Required meter size is 2" turbo al s smaller s' e permitted by Public Works
DESCRIPTION OF WORK ?ct n/7 a?t Co t1Lc9 ^ < i ?l -c
To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646
METERS - CaI1651-681-4300 to verify that hydrostatic, conductivity, and bacieria tests passed prfor to oickine un meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $152.00
Domestic Size & Type Avg GPM
Does this include high demand devices? _ Yes _ No
?9 K? ?/
FLUSHOMETERS Yes o RV UIRED Yes No
Site Address: /J 4 -? G / 1 /7 !' 'v /\ / ?'/ ° / \ .SN •e j?P ?'
Tenant Nazne:
Was there a previous teno in this
Installer Name: PG 4
InstallerAddress; CJ--92s
Y If Yes, Name:
- [i
1,/ 17 -e t
Telephone #: ?
(Area Code)
Ciry:
FEES Contract price $? U? x 1°/a ($50.00 min)
Required on all new buildings & boulevard irrigation systema
Surchazge: $.50 Minimum. If contract fee exceeds $ I,OOQ calwlate at
50 cents per $1,000 contract fee.
Supplementary feea for new irrigation system:
Contact Jerry Wobschall at (651) 681-4624 regarding fees
#:GS/ y?
(.area code)
State: _,2YZ__ Zip Code ?? C,7
Plbg Permit $
Meter(s) $
Radio Meter Read $
State Surcharge $ . l 0
Sob TotaVl'otal $
Water Permit 50.00
Treatment Plant $ 540,00
Water Supply & Storage $
State Sureharge $
Total $
I hereby acknowledge that I have read this application, state that the infoimation is correct, and agree to wmply with all applicable Ciry of Eagan
ordinances.ItistheapplicanPsresponsibility tonotifythepropertyownerthattheCity ofE anassumesnoliability foranydamagescausedbytheCiry
during its nonnal operational and maintenance activities to the facilities constructed under ts permit withq"iTy pr9Perryhight-of-way/easement.
,
J1i
SIGNATURE OF PERMITTEE
IRRIGATION SYSTEM (CONT)
CITY USE ONLY
REQIIIRED INSYEC,TIONS: ? U.G. _ Air Test _ Gas Test _ Rough In ` Final
PLANSSIIBMTTTED APPROVEDBY: ,?19 ' "L4- 6Z 1 BUILDINGIN3PECTOR
GENERAL INFORMATION
• Radio Meter Read (required on all new buildings & boulevazd urigation systems- $157.00 (Acct Code # 9220-4509)
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00
sm commercial turbine*' •`must receive
meximum approval from
continuous Public Works
10
2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg iaigation syst $ 923.00
maximum residenual &
continuoua sm commercial production lines
15
3-50 1" displacement very lg res $199.00 1i4 to 160 2" compound bldgs over $ 1,798.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & ]g comm bldgs
25 irri ation s stems
5-100 1-I/2" bldgs 25-64 units $439.00
macimum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GP1bi METERS U5E P121CE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs &c $3,562.00
& production lines very Ig comm bldgs
1/2-320 3" compound +zpp unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,400.00
very Ig comm bldgs very ]g comm bldgs
15-1000 4" turbine very ]g irrigation syst $2,184.00
& production lines
Comments
. To schedule inspection of the inside water line and backflow preventer, call 651-681-4675.
. To arrange for water tum-on, ca11 65 1-681-4300.
cc: Kris Forster, Maintenanee Division Clarical TecMician Updazed 10/01
-?' , -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 '
SITE ADDRESS:
PERMIT
1629 MURPHY PKWY
LOT: 22 BIOCK: 27
SECTIQN 21
P.I.N.: 10-02100-022-27
DESCRIPTION:
1?
PERMITTYPE: BU4 D?9G
Permit Number: 0 2 8 0 6 7
Date Issued: 0 6/ 2 6 J 9 6
(BLACKHAWK PARK)
ilding.Permit Type PUBLIC FACILITY
ilding W:qrk 7ype NEW
?
}. i f
`Rau IL L1
REMARKS:
QBSERVATTON DECK
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$.00
$1.00
$1.00
$2,000
CONTRACTOR:
OWNER: - Applicant -
CITY OF EAGAN
3830 PILOT KNOB Rp
EAGAN MN 55122
(612)681-4600
I hereby acknowledge that I have read"thio appi3catioh and state that tiie
, infarmativ,n is cnrrect and agree to comply, with all applicable Stat!e af Mrr.
S'tatutes andCity of Eagan Qrdinancgs. e_
L . ,_. _ . . _
APPLICANT/PERMITEE SIGNATURE 0
I&a R'J ?
ISSUED 8 SIG URE
7SOL4 CITY OF EAGAN
1996 BUILDING PERMIT APPLICATION (COMMERCIAL)
681-4675
The following are required with appropriate certfication for all Pgr construction:
t i.QOA;?' Avui,..n'q
? 2 each: architec[ural plans; mech. & elec. ptans; fire sprinkler plans; strudurel plans; site plans; landscaping plans; gradingPorainage/erosion control
plen; utility plan
? 1 each: set of specfiwtions; set of energy calculations; eledrieal power & Ilghting form; Specfal Inspedions & Testing Schedule
? Letter from MC/WS (phone #222-8423) indicating SAC detertnination
• Code analysis indicating: Codes used; occupancy Gassfiwtions; setbacks; maximum allowable area as per Building and City Codes along with sq.
ft. per floor; type of wnstruction (synopsis of construction wmponents) & any occupancy or area separetion walls;
occupancy loads; exR synopsis with a diagram indicating exKing loads Uom each room or area, Uavel paths 8 all rated
corridoB; plumbing iiMUres; and parking.
DATE: QUA-It I Z 9 WORK TYPE: -,/ NEW _ REMODEL
DESCRIPTIO OF WORK: S?ACKHRw?c. Party- btisEfZU?r?on3 Dec.V'-
CONSTRUCTION COST: Uoaasca , TENANT NAME:
SITE ADDRESS: n?I./kQV-`14AW V- +'PV-V- -
nREET
LOT BLOCK ? SUBD. P.I.D. #
W .
PROPERTY Name: GirY oF F64.gw Phone #: (agt' 41f?dld>
OWNER "" `M'
Street Address• ??o Pi ?rrr K,Qo.b 2QsEQ
Ciry: r=4!4 a-n1 State: n, A1 Zip: SS 12-Z.
CoNTw?cTOR Company: 244or?& &. TR.EE TrZUST Phone
Street Addrew '
City: Zip:
ARCHITECTI Company: 9!?4.am PAl+2?[-S OFPT Phone #: 6814? fos
ENGINEER
Name: G• ? ?- ??+-K / PA2y-Rn.v.ifYL Registration #- M3 C-
Street Address 3?30 PmvT VCn)6S3 R,.r?U •
City: F-64 41J State: 'InJ Zip: SS 1 zZ
Sewer & water licensed plumber:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
0 18 Comm./Ind.
WORK TYPE
31 New
0 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? J9 Comm./lnd. Misc.
65F`30 Public Facility
? 33 Alterations
0 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq., ft.
Footprint sq_ft.
APPROVALS
Planning Building
Engineering
? 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Variance
O f
J?
I
?
Permit Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
Valuation: $
Ak° .
M .e .efl
J CITY USE ONLY
L dg? BL a '7 RECEIPT #:
SUBD. ?9rV ?'J DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
5W59
5 &/96e
riease cnmpieie for: ? aii commerciaifintlustriai builciings.
? multi-family buildings when separate permits are pQt required
for each dwelling unit.
Gi,Tc: COivTRACT PRICE: ??Ov
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
u INTERIOR IMPROVEMENT
FEES: o $25.00 minimum fee Qr 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of pACmit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS: `
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVenneNrs oNLv)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP. ??
PHONE#:
SIGNATUR - ?
SI NATURE OEFER ITTEE CiTY INSPECTOR
G?.???? aC, /.?S ?.?
? L BL CITY USE ONLY
RECEIPT #: d'v
SUBD. OoVOO - O0 - a'rl DAT;: Z -0
1996 PLUMdING PERMIT jrquMur-En MQ
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURE5 E9C_ki N? TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 :c =
Hot Tub/Spa
? 3.00 ;c =
Water Heater 3.00 x
Floor Drain 3.00 :c -
Gas Piping Outlet " minimum -1 3.00 x
Rough Openings
Water Softener 1.50 x
5.00 x
•
.?Private DispOSal
Dakote Cty* iicense 65.00 p,A/;?./
(new and refurbished systems)°i0? 0
U.G. Sprinkler • home under const. 3.00
ARerations ` to exisung 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL O- 50
SITE ADDRESS
OWNER NAME:
INSTALLI
STREET ADDRESS: /a0 - Ly 57? 4/;k,
CITY: f=?iin..t? ?a'.v STATE: 1>"/AI- ZIP: 3-5-02 y
PHONE #: (?/iZ ) %G3-?f'3j'
7
OFFICE USE ONLY ? gg
L BL RECEIPT !?:
SUBD. DATE' fZA/qCQ
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please wmplete for. . all commerciaUndustrial buildings.
? multi-family buildings when separate permits are pQt required for each dwelling
unit.
DATE: 3`95'' 26 CONTRACT PRICE:
VVORK T`!PE: ? NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK: plvAhJ''?? ?v'-?
IS WATER METER REQUIRED? _ YES tw-NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 30, YOU MUST APPLY FOR A SEPARATE U.O. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.5q per
$1,000 of Rffmil fee due on all permits. ?? p• y???,?, .> ,
CONTRACT PRICE x 1% ? '1'' v
STATE SURCHARGE So ° .
TOTAL ?
SITFADDRESS?Wq/'V/yV'?3 vl--°ioMkrN.r9-*!f
,J
TENANT NAME:
STE. #
OWNER NAME: G (Li C.'F
INSTALLER: In/ /) W '4-4
ADDRESS: 17- `) 3 //'- c)r?.,N ?-?
CITY: S? p lTJ Z- STATE: N ZIP: ?S-k? L?
PHONE #: 7'6 R/ SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: y 7?? _ INSPECTOR: ?, LZL`
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
°-BuiLdi6g kength
Baildifig W:idth
Buildiiig stori:es
?'gn s u s C'o d e ,,;-
1629 MURPHY PKWY
LOT: 22 BLOCK: 27
SECTION 21
P.I.N.: 10-02100-022-27
?. -4
PERMIT TYPE: ? ?IgOI q?
BUILDING
Permit Number: 0 2 7 2 8 8
Date Issued: 0 4/ 19 / 9 6
DESCRIPTION:
(BLACKHAWK PARK)
?c*€uild3rt?j-WPermit Type PUBLIC FACILITY
?Buildin'g `Wqrk Type NEW
jUBC Oceupancy, 8
Gonstruction 7y-pe V-N
Zoning P
PERMIT
36
36
1
329 NONBLOG STRUCT.
? .-
? a.,.,?
REMARKS:
PICNIC PAVILSON & SHELTER
A SEPARATE PERMI7 IS REQUIRED FDR ANY MECN, PLBG, OR ELEC WORK
FEE SUMMARY:
Base fee
Surcharge
Total Fee
VALUATION
$.00
$125.00
$125.00
$250,000
CONTRACTOR: - Applicant - OWNER:
THOR CONST INC 25712580 CITY OF EAGAN
5400 NE MAIN ST 203 3530 PILOT KNOB RD
MINNEAPOLIS MN 55421 EAGAN MN 55122
(612) 571-2580 (612)661-4665
I ,
Iherebyacknpweledge ehat Z have re,ad this aappiiaa°tion ared state tMat thFe information is correct and agree to comply with al°1 applicable State ofi Mn.
5tatutes and City of Eagan ordinances.
L ?'?,?-?,,-- ?? ?QQ?
? APPLICANT/PERMITEESIGNATURE
r
ISSUED BY: SI A
2.qjjj CITY OF EAGAN
7996 BUILDING PERMIT APPLICATION (COMMERCIAL)
681-4675 ?•
The following are required with appropriata certification for all new construction: • .
? 2 each: architeUUrel plans; mech. 8 elac. plans; fire sprinkler plans; struGurel plans; sRe plans; landscaping plans; grodingldreinagelerosion conVol
plan; utiliry plan
• t each: set of specifications; set of energy plcufations; eleclrical power 8 lighting form; Special Inspections 8 Testing Schedule
? Letter irom MCM/S (phone #222-8423) indicating SAC detertnination
? Code anatysis indicating: Codes uned; occupanq GassHicatlons; setbacks; meulmum albwable area aa per BuiWing and City Codes along with sq.
ft. per tloor, lype of wnsWGion (synopsis of constructlon componerrts) & arry occupanry or area separation walls;
oecupancy loads; exR synopsis with a diagram indicatirg exitinp loads Trom each room or area, Uavel peths & all rated
corridors; plum6fng fixtures; and parking.
DATE: 2/ 13 / 9 6 WORK TYPE: x NEw REMODEL
Picnic Pavilion and shelter for Blackhawk Park
DESCRIPTION OF WORK: (includinq qeneral constr., mechanical & electrical)
CONSTRUCTIONCOST: $244,969.00 TENANTNAME: na
SITE ADDRESS:14lq Murphy Parkway Eagan Minnesota
6iXFET ..}- TE •
LOT 0?1 BLOCK IfL SUBD. P.I.D. #
PROPERTY Name: City of Egan Phone #: (6121 681-4665
OWNER "''* ""°T
Street Address• 3830 Pilot Knob Road
Cjty; Eqan State: MN Zip: s91 2
CONTRACTOR COmpany: Thor Construction, znc. Phone #:(6i2) 571-2580
Street Address saoo rrE Main st. suite 203
Cfty;_ Minneapolis Zip: S54 1 _
ARCHITECT! Company: Richard Schwarz Phone #'(612) 476-6766
ENGINEER
Name: Richard schwarz Registration #• 718 0
Street Address• 307 Manitoba ave s
Ctty; wavzata State: MN ZIp: 5..5391
Sewer & water licensed plumber:
I hereby acknowledge that I have read this appiication and state that the information is Correct and a ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: L
OFFICE U5E ONLY
?- - :r
BUILDING PERMIT TYPE
0 01 Foandation Q 19 Comm./Ind. Misc. 0 21 MisceAaneous
? 18 Comm./lnd. 20 Public Facility
WORK TYPE A/eu. P"/.% li`o„ c"d
0 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V41 Basement sq. ft. MCNVS System
(Ailowable) ? First Floor sq. ft. 12 9 G City Water c
U3C rJxupancy sG. ft. Rre Sprinklsr2d
Zoning ? sq. ft. Census Code I 32
9
# of Stories sq. ft. SAC Code .3 0
Length 3` sq. ft. Census Bldg.
Depth 3,., Footprint sq. ft. Census Unit
APPROVAlS
Planning Buiiding Engineering Variance
Permit Fee ^ Vafuation: $
Surcharge
Plan Review
MCNUS SAC --
City SAC -
Water Conn.
S/W Permit -
SJW Surcharge -
Treatment PI.
Road l)nit
Park Ded.
Trails Ded. -
Water Qual. -
Other ?
Copies
Total:
°k SAC
5AC Units
Meter Size
4 city oF eagan
THOMASEGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
CHANGE OF ADDRESS SANDRA A. MASIN
THEODORE WACHTER
CoundlMembers . THOMAS HEDGES
Ciry Atlminlsfra}or
3842 Riverton Ave. (Per Police De t.) E.J. VANOVERBEKE
?LD ADDRESS: P ctv aark
NEW ADDRESS: 1629 Murphy Parkway
Blackhawk Park
LOT BLOCK
PLAT NAME 10-02100-022-27
BEASON FOR CHANGE: New access
?
(SIGNA (DAT )
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE: (612) 681-4500
FAX: (612) 681-4612
TDD:(612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Oppor}unltylAffirmative Acilon Employer
MAINTENANCE FACIIITY
3501 COACHMAN POINi
EAGAN, MINNESOiA 55122
PHONE: (612) 681-4300
FAX: (612) 581-4350
TDD: (612) 454-8535
Use BLUE or BLACK Ink
----------IL
For Office Use
I Permit v t I
City of Eajan did,
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 RECEIVED Staff:
APR 04 1012
2012 COMMERCIAL~~11 BUILDIN//G~~ PERMIT APPLICATION
Date: o Site Address: I & A /tf( e.M l/ +Ck/, dj 664,
y_ 11~9~J a9J/LIV ~O
Tenant Name: ~I (Tenant is: New / _J~ Existing) Suite
Former Tenant:
Name: i i-r!j or- EAG gA] Phone: fa51-1 75 -53oo
PROPERTY OWNER Address / City / Zip: 3 8 3 o t•` i" r K 1f~ Farb FAG A -1 5,5_tc?a
Applicant is: Owner 1-I Contractor
Description of work: Remove SN[,. 6LZ &Q .La/SOLt. A16-W
TYPE OF WORK
Construction Cost: ? 7 0c). OL'
Name:. L-L&J EX 811-12- ~~DOF License CJ 0 3 S
CONTRACTOR Address: 010 State: M-1 Zip: 55 v4 Pho
Contact: I ABLE EN IJ6 Email: ;D4 4 24~ L4,eroo-f C-
Name: Registration
ARCHITECT/ Address: City:
ENGINEER
State: Zip: Phone:
Contact Person: Email:
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 the are trade 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 utilities. www.gopherstateonecall.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 pe . a work is not to start without a
permit; that the work will be in accordance with the approved plan in the case o7w7hich require a re ew and approval of plans.
X ~LL1C~-.f x
17 r.10 0"
Applicant's Printed Name Applic nt's Si at e
Page 1 of 3
fil Oak
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation I/ 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 ~~iding _ Demolish Building*
Addition _ Exterior Improvement V 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 OLG r/
Valuation Occupancy MCES System Nk
Plan Review tl/eirE Code Edition 2007 A44;E3L SAC Units
Zoning PP City Water
Census Code Stories / Booster Pump
# of Units Square Feet PRV
# of Buildings / Length Fire Sprinklers
Type of Construction • it, 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 -Final
Roof: -Decking -Insulation t_/Ice/& Water -Final Siding: -Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough in -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: Cw(, , Building Inspector Reviewed By: Planning
COMMERCIAL FEES
? w i 7 0-
Base Fee j or *,r Water Quality
Surcharge 9 • Ac Water Supply & Storage (WAC)
Plan Review A•& Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication 00
Water Quality TOTAL f-
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
Permit I
City f Eap of
I Permit Fee: 5 ~ I
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 I Date Received: 7 ~3
Fax: (651) 676-5694
j
Staff-
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 40/ D/ Site Addrre~ss: /~/6P99 I''azp0' li PA'e*_ '7! j
Tenant Name:LAC,t! >fRGJf< /,9+2/c /fir/>u.a
(Tenant is: New / 0- Existing) Suite
Former Tenant:
a Name: C ir-4 Cpl EA&R*J Phone: to 5_1 " to hS- S'& 7J`r
Property Owner Address / City / Zip: 3,930 10it-or Kd a'5 izvn
f
Applicant is: Owner ✓ Contractor
n
Type of Work Description of work: AEMOr/E E-V I Rpoc SHi~faL S /9,jj-j ~iJ9 lit- r✓
Construction Cost: 'F gs-o
Name: 11_Ae4d_S0^1-6,4S'..36aj f1- $ r t-.t. 0 License* 310 69'193(0 8
Address: '7 & 3 to /fl,,Jl y &S"WE City: l~i~l y
Contractor
State: _-MIJ Zip: _T y3o-- Phone: lol a - 3 c33 - 067
A~ Contact: DIL-e tn/GG [.Kafue Email ~E
Name: Registration
3
Architect/Engineer Address: City:
State: Zip: Phone:
i
I Contact Person. Email:
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 the are trade 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 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 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.
x - Fits cN6e`KtJ& x A12 IZA2
Applicant's Printed Name Applicant's ig ture
Page 1 of 3
Clean Up:
o Clean up and haul away all roofing debris from the job site.
o Go over area around building with a magnet.
Insurance:
❑ Carry worker's compensation insurance for all Jackson & Associates LLC employees on the job site.
o Carry property and public liability insurance.
Warranty:
a Provide 6 near Jackson & Associates LLC Roofing Warranty on labor, included in proposal.
GAF Limited Shingle Warranty
Payment Terms:
o Payment Due upon final _invoice at completion. Late penalty of 1-1i2%. per month applies.
a All the above work will be provided for the sum of.
Bid Total: $16,05000
(Sixteen thousand fifty & 001100)
Note:
Thank you for the opportunity- If you have any questions regarding this
Proposal or need additional i ation, please give me a call.
Accepted by Customer Date.
Accepted by Project Manager/Estimator - Date
Dale Ena ' (612) 222-084
Note: This proposal is subject to a price revision If not accepted, by contract, within thirty (30) days.
ruder#1 included by reference herein
Jackson & Associates LLC, 7636 Hwy 6S Ne-Fridley W 55432
Thank Youl
ks,
550CfA#t5 LLC
~ 135
Paul Graham
Park Operations - City of Eagan M
Reference Addresses:
Blackhawk Park
1629 Murphy Parkway
The undersigned proposes to furnish all labor, materials, permits, rubbish removal, equipment, GAF Timberline
HD Shakewood Shingles, Warranty, sanitation facilities, and to finish in a Workman like manner all work noted
below.
Preparation:
❑ Secure required building permits and the permit cost included.
❑ Set up at site. Protect building from debris and secure work area.
❑ Protect landscaping as required to minimize wear.
❑ Remove and dispose of existing shingle roofing system down to the structural decking.
❑ NOTE: Hidden problems damaged decking or other unforeseen items will be subject to additional
charges.
Underlayment:
❑ Install water and ice shield 6' up from roof edge at all eave locations and 3' wide at all valley locations
in accordance to manufacturer's recommendations.
❑ Install 151b asphalt saturated roofing felt over the entire roof surface not covered by ice and water
shield in accordance to manufacturer's recommendations.
Roofing Accessories:
❑ Install new drip edge on all eaves.
❑ Install new plumbing stacks at all existing plumbing vent locations.
❑ Install new 750 roofing air vents at all existing vent locations.
❑ Install new metal valley at all existing locations.
Shingles:
❑ Nail GAF Timberline HD shingles over the entire roof area in accordance to the manufacturer's
recommendations.