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4215 Nicols RdV1DE0 UPD1k`rh, CITY OF EAGAN - 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BIfILDING PERMIT Receipt # To be used for AD? I T I4N Est Value $65,001) Date :1AY ? t) , 19 Site Address 4 215 V I C(?LS IOAD Erect ? Occupancy ri 2 Lot 2 Block 2 5 Sec/Sub. SEC'1'IODI 30 Remodel ? Zonina Repair ? Type of Const Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft ?-. A 7 U Instali ? A Building Permit is issued to: ?' -$• SW?.Djsi?iBOItG all work shall be done in accordance with alt applicable State of Minnesc Name RICHA''r2D ia +?iHt:ELER Address 4635 ty ICULS ItD I hereby acknowledge that I have read tNis application and state that the information is correct and agree to cortiply with all applicable State of Minnesota Statutes and Ciry of EaganAkdinances. Signature ot Permittee `? . • ? ? Assessment Water & Sew. Police Fire Planner Council Bldg. Off. 5f 14 /S APC Var. Date Permit S 328- U 0 Surcharge 32 _ Sp Plan Review 1114- 0 SAC Water Conn. Water Meter Road Unit Parks Copies Total $ 524.50 CONST on the express condition that Statutes and City of Eagan Ordinances. Bt PNmlt No. Parmit Molder Dah Talephone M Plumbiny H.V.A.C. -- EI?e41C ?elr c 8oflenK Inapectlon Date Insp. CommWnb footlngs I Footlnys ll Foundation Fnminy poollny Rouqh Plby. Rouyh Hlp. 'Insul. Fhoplac* 'FInN HtQ. Final Plby. !aWg.-Fb?al 'Grt. Oec. Deek Fty. Deck Frmy. WeN Vr. DMp. cirr oF EAG?N 3795 Pikf Kwob Roed Eoyaw, MN 55122 PHONE: 454-8100 BUILDING PERMIT 'AC'^ RfT Site Addreu Lot Block Sec/Sub. Parcel * oc Name W ; Addroas b $? Name ? ?? /lddress Receipt # Erect 0 Occuponcy Alter ? Zoninfl Repoir ? Flro Zone Enlary ? Type of Const. Mova ? * Stories Demolish ? Length Grode ? Depth Sq. Ft. Approvah Fees Assessment - Water 8 Sew. Polite Fire Enp. Plonner Council Permit $urchorye - Plon check _ S/1C Water Conn. Water Meter Rood Unit _ I hereby acknowledge thot I hcve read this upplicntion ond state that gldy. Off. fhe informotion is correct and agreo to comply with all opplicoble State ot Minnesoto Statutes and Ciry of Eagan Ordinonces. APC Totol Sipnaturc of Permittee A Building Permit Is issueA to: on the express condiNon IFxr+ oll work sholl be done in occordonce with oll oppliooble State of Minnesoto Statutes ond Clty ot Eapon Ordinances. Buildinp Officiol Permit No. Permit Holtkr Misc. Permit No. Holder IR Disp. Sewer ENctriC jpsf 773 L?f ?? ? F L'c 7? ?S -g?'- Inapection Date Insp. Other Footinyt Foundation Fnminy ? Rouph plbp, Rough HVA Insulation Final Pibp. Final HVAC Final - water Wtcri6e Location: YYetl Sewsr Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: ??I ? I I ?i(! s6+ PERMIT SUBTYPE: , 1'r1;1 , ? 11?? 1 .( t+tf I t it t ntE, 0 :' ; r. +, A pr, fycI !4f 141 „f F : APPUCANT: tc,lR) li:sl•? i).`7? TYPE OF WORK: 1,, .f ! 11 - ( 'iH t2FPATk 4(ilRhl IIAMhti! Nsi t 1F N ..? - INSPECTI4N RECORD PERMIT TYPE: Permit Number: ? Date Issued: 131'M14t41c 5.: A';I 1'RFtA71 1'I IeM I 1 I', i?F eii31 Nf P F1iR lsNV F 1 1I tk E I A1 ll1)t<k Permit No. PermR Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINO GAS SVC TEST INSUL GYP BOARD FIREPLRCE fIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG GEGK FINAI ---? CITY OF EAGAN Remarks Addition Section 30 Lot Blk Parcel 1&gfiW 020 25 Owner Street ?`- •, State -_ EAGAN MN 55122 9(( '? 12.tr' ?+ ilc .,-: ,J-- J i bi'f? , ; & °- 14 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTaR. GFiADING SAN SEW TFiUNK ? 196$ 1 oo.oo 30 PBid SEWER LATERAL 5 ??3 700.00 46.66 Paid WATERMAIN WATER LATERAL , ?!r ? 487 WATER AREA ??3 210,00 P3i(i STORM SEW TRK . .? ? STdRM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, . 00 F6b 1 ' sAC 2.00 6852 11-22- 2 PARK EAGAN TOWNSHIP BUILDING PERMIT .. .... .... . ..... .... ...--'............. ' -/-.. . owna: .....- . . . . . -? --- Address (PresenS) -..??-/.?5.?.......L? ?_......_?:55:! rh' Builder .......?"??.?....----:........ ----------------- ................ ..- Address --°--------° - '---. DESCRIPTION N° 1534 Eagan Township Town Hall Date ???_...??...? ...... Sioriea To Be Used For Froni Dep1h Height Esi. Cosf Permi! Fee Remarks ? ? n - ,? ? ? - P _-?-? -- - Y ? r LOCATION Sireei, noaC or ofner uescripnon oi i.vcanon I Loi [ aiocx I AGG1IlOI1 0! 1I8CI 5 i This permit does xot aulhorise the use of sireets, roads, alleys or sidewalks nor does it give the owner or his agent the xighlSo creale any siluaSion whieh is a nuisance or which presenls a hazard !o the healih, safety, eonvenience and general welfare fo anpone in the communiip. THIS PERMIT MUST BE,ZCEPT ON THE PREMISE WHILE THE WOAK IS IN PAOGRESS. , - ' This ia to cerfiip. lhai._..? ?:.. ...:.............._.has pesmission !o ereet a......!i_?? ...-----.----------upon the above desceibed psemise subjec! !o the provisions of the Building Ordinance for Eegen Townahip adopled April 11, 1955. -""'....-------...........G??... "-""'---'-'•_- ............. Per ........._.?' .<<L..... .???.'cB+-c ?i?../ ......----' -'t-"'-"""' -' -'--'•--- Chairman of nwn Board ? Building In_spector ? ?. EAGAN TOWNSHIP N° 1564 BUILDING PERMIT ..............?..--- -?----...........E owne: ------- ?Vz y. -.......y Address (Presenf) ?_--- ?--?!5t?r'.. Ei.:-A ..:'..-_-' Buildex ............................ ................................... ....................... ....... Address DESCRIPTION Eaqan Towns6ip Town Hall 'o-?- ? Da3e ...-----""--'_"`--- 5lories To Be Used For Front Depth Heigh! Esi. Cosf Permi! Fee Remarks / /'`_° ? "'v' C? `? • LOCATION I - Siree2, Road or olher Deserip3ion of Locaiion I Lot I Bloek I Addition or Trac! This permit does not auihorize the use of s2reeis, roads, alleps or sidewalks nor does it give the owner or hie ageni the righ! 2o ereaie any situalion whieh is a nuisanee or whieh pxesenis a hasard !o the healih, safetp, convenience and geaeral welfare 2o anyone ie the commuaiYp. THIS PERMIT MUST BEn KEP ON THE PAEMISE WHILE THE WORK IS IN PROGR?ESS?. ?T '"?` This is !o cexlify. 2hai._J. '_..!?:Lf.?--?..._.._......__.has permission !o e:ecf a.-._?.^???.`.`.:`.'_...?..?:'?.-.-.-.-_ ................upon the above described prefnise su6jec! !o the provisions of the Bvilding Ordinance for Eagan Townahip adopled April 11, 1955. ' ) /,OQ? 4 ..."'---_'....._..._-- - - ` -1:?`??..^-:C."'----......--- Per _..._'----'......P?LpLL....?"??C Chairmof Tnwn Boero ! Buildin Ins ector G - r4 EAGANI TOWNSHIP BUILDING PERMIT Ownex ......... -------- ----- -- O Address (Presenf) "'---------°----- Builder ......... Address `---'--' `--...--°--..._. DESCRIPTION N° 1498 Eagan Township Towa Hall Dafe -"-/...-- 1 -L L .................. Siories To Be Used Foz Front DapYh Height Esi. Cosi Permi2 Fee Aemaska ?.c?ci ? ?.a/+.?•i/ ? d ?,s.. I--- /lf, s._ 17?it LOCATION SYIeef. Rofld oi othe! DBSCiipIion of LoCaiion I Loi I SloCk ; AtlGlfiOn Ox 1'ieCY ?--?-?-•?? &'C-- Sec . 3 0' ' I DAd I a..s I /o 0300o a'b 2,s This permit does nof auihorise the use of slreefs, roads, alleps or sidewalks? nor doesi! give the owner os his ageni the righ! !o ereaie anp sifuation which is a nuisance or which presenis a hezard io fhe healih, safety, eonvenience and genetal welfaie !o anyone in the communify. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. /J This is !o cer4ifp, Yhal..._ :?...._??_".c?Ctc? .--------- ..._haspermission fo erec2 a...... ......?_...... ------ upon the above described pre?e subjeei !o the pzovisions of fhe,Buflding Ordinance fox Eagan ToNnship adopSed April 11. 1955 ......... .....:_.._S!?"."-S_. ................... ........... '_----' ---" :'_`_ ......... Per ....... ........ Chairman of Tnwn Board Building Inspecloz - ° 6 'Q? ??Z}?? ?--- __-•-----_ -CZT-Y•-OF_F?1GAN Inclisle 2 sets of plans, ?-'•? ?- 1 site plan w/elevations & BUILD26IG PERMIT APPLICATIODI 1 set of energy calculatlons. Zb Be Used For?te.?a.e?.?.:., Pc, a, ' V luation 115 ? Date 0?` , Site Aiidress ?/(/; co /s ?C'-'A "OFFICE USE. ONLY Lot ? slocx zS sec./sub. S?c 3c? gsect occupancy Parcel #: ?./ U_- 03()00 090 o.mer: Address: yZ\S AAcC{S N k City/Zip Code: Fa cir\- S!;r Z- ?-- Phone #: 4Sa - g Z? Contractor: .r?oq,.Fl'-(` ?0''l4- ? Address: ?' S? Cc??? ?^czaU AVt d i City/Zip Code: A-f?tsi ?j ?/L) Phone #: Arch./Eng.: Address: City/2ip Code: Phone #: Alter Zoning N'6 Repair ? Fire Zone A,, A IInlarge _ _ Type of Const. -17?' Move # Stories Demolish Front ft. Grade Depth ft. P,PPHOVALS FEES Assessnents Permit ? ?aater/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC =AL Z(?CC? cirr oF Ennc,nN N° 7076 9795 Pilat..Knob Guod Fegan, MN SSI? - ?HON[s 454-9100 ??79 BUILDING PERMIT Recelpt # To ba wed fer FIRE I]AMAGE?REPAIB;tt. Value $1500.00 pate FPbYV3ty S , 1982 Sue Addreu 4215 D7im15 1ZCk7d Erect p Occupancy B-2 Lot 2 Block ZS Sac/5ob. Section 30 Alter ? Zoning NR ] Q QjQQQ QZQ Zrj Repoir ? Fire Zone NA _ parcel # l E V T f C n arge ? onst. vPe o W Nama 13P{t:y i*'"nar Move O # Stories ; Addreu 4215 N1COlS ELodd Demolish ? Length_ a G pMne 452-8250 Groda ? Depth Sq. Ft.- p Name Aig Pp?r lhnq}Sj]C,3pn, 775 O l d A S Assessment Permit 25.00 o ora o ve. o., s? Addreas 1 00 Cit Phone Wa1er & Sew. . Surchorpe Police Plon check ?W w Nome Fire SAC ?? Addreu Enp. Wafer Conn. <W G Phone Plonner Woter Meter Councll Rood Unit I hereby ackrrowledge that I have read this application and state ihat g?? Off_ the inlormotion is cnrrect ond agree fo comply with all applicable " APC 2?_nn Totol $ go rdinances. Stote of Minnesota Statutes an ,01ity of h . Sipnature of Permittee A Building Permit is iuued to: on the expreu cwdition thni all work shall be done in xwrdarxe with a liwbl e of Minnewta Statutes ond Ciry of Eagan Ordironces. Buildlny Official AOVrmala Fees VIDEO UPDATE CITY OF EAGAN /d 3830 Pilot Knob Road, P.O. Box 21-199;Eagan, MN 55121 `-' PHONE: 454-8100 BUILDING PERMIT Receipt N NO,t 11982 (0?711? 7obeusedfor ADDITION estvalue $65,000 oate MA1' 2 0 ,?g 86 SiteAddress 4215 NICOLS laAD Erect ? Occupancy B2 Lot Z elock ZS Sec/Sub. SECTION 30 Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition g] No. Stories a JIM PERSONS Name Move ? Lengm i o Address 4205 NICOLS RD Demolish ? i i ? Depth 1 370 F S City EAGAN phone 452-8062 nt mpr. Install ? . q. t. o Name J.B. SWEDENBORG CONST oa Address 7685 CORPORATE WAY ? Ciry EDEN PRAAILiE 937-8214 F W Name RICHARD A WHEELER Qi- Address 4635 NICOLS RD aw City EAGAN phone 452-0575 Iherebyacknowled et Ihavereadm isapplicationandstatethatthe information is correht and ree to coly with all applicable State of Minnesota Statutes and C?'4§ of Eegahi rdinances. 1 , SignatureofPermittee???ti?r, ll--- `" A Building Permit is issued to: J. B: SWEDE"ORG all work shall be done in accordance with all ap f ble Stat c IMin Building Official Q ? ,[ /?t? Assessment Water & Sew. Police Fire Planner Council Bldg. 01 Fees Permit $ 328.00 Surcharge 3z - 50 Plan Review 164 . 00 SAC Water Conn. Water Meter Road Unit Tr. PI. Var. Date I Copies Total $ 524.50 CONST on the express condition that Statutes and Ciry of Eagan Ordinances. II I I I IIIII REQUEST FOR ELECTRICAL INSPECTION III ? Minnesota State Board ot Elechicity ? * R26 6 4_ 0* Phone (812) 642-0800 G S??, t. Paul, MN 55104 ? ? /7?f Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Hic Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "k' above fe work rovered by this reque Enter remorks in this space and on the back of)he whife copy only. CP??;?v?p? wos wtft.?er-ed-'Re"^e„ed Scer`?0.ce t1?e ?r/'K4 ??rCs•l- c/ea,wed uP fke elee4•co.(. w.`L( 6e re ?`N s?a.l( TN? O!d Calculafe Inspection Fee - This Inspecfion Reqvest will nof be accepted wifhout the correct fee: Olher Fee aF Service Enhance Sve Fee # Ciraifs/Feeders Fee Mabile Home Park Stall 0 to 200 Amps 0 to 100 Amps Streef Lig./fraffic $ig. Above 200 Amps Above 100 Amps Tmns{ofinef/Cienemtof INSPECTOP'SUSEONLY TOTAL b Sign/OuNine Ltg. Xfmr. ?. OG C? • S Alarm/Remote ConNol Swimming Pool I nere vrri tlmt I ins ?he dennml In:mlimmn de:cnbed Mrein on the dak::mxd Irrigafion Boom ?,yh-i„ pai, Special Ins ecfion p D Investigative Fee s * THS. THIS INSTALUlT10N MAY BE OR DISCON D IF NOT COMPLEfED WITHIN 8 M 2 6 6- 4 2 9 Ul ?FFI ryUSE CONLY This request vaid 18 months }rom validafion dok pnnkd in this bDox. ry ?Z/ QoQ D- O ZO' ? " 0 PLEASE PRINT OR TYPE ? O{ / o Reqmst Dote Rough.in inzpedion requirzd3 ?Ves ? N. Inspectian Other Than Rough.ln: 0 Reody Naw KWill Call ? G ?Yoo m?sr mll fie inspeclor wfien rmdy) Da?e Ready: licensed contracfor Q awner here6y requesf inspedion of the above eledrical work af: b6 Addmss (Shaet, Bar, ar Roob No.) City Zp Co de - O $ ^ 6.r.1 ? r .SJ? $ecfian No. Township Nome or No. Ranga No. Fire No. Counry ? k , 4 q Occvpant r Phone No. e?l " e 2? S?. - FrFs' Po..er Sopplier Address Eleclnml Convactor (Company Nam ose N? C1, ?rr"C CanNacror Limme No. Cf?O 2a Maskr bc No. (Planl Eled. Only) V Mailing fddrw, (Commclor or Ownar Performing Insrollalion? ? ? - • • I S rrv C 1 ,T lwthanzed Signawm (Commdor or Owner Perfarming Instollofion) P horw No. -sfra a3 EBOOOOIA-10 6795 " -STATEBOANUCOPY•SEEINSTRUCTIONSONBACKOFVELLOWCOW .. - • PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: suILozNG Eagan, Minnesota 55122-1897 Permit Nu mber: 0 2 7 6 9 4 (612) 681-4675 Date Issued: 0 5/ 2 9/ 9 6 SITE ADDRESS: 4215 NICOLS RD LOT: 2 BLQCK: 25 5ECTION 30 DESCRIPTION: S T 0 R M D A M A G E-.E?±'C ??7 ??f? a BuildingwPermit Type M?SE- ?°Btjld$n,c 14'94k Type RE•RA-IR- ?`ensu? ?ode ? 328 OTHER NONRES. , ?7w:_ ?,??Y?. t*? • ? ?.:::I^ '/ ? ?! j t {i? f f. <t " REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: CONTRACTOR: - ,qpplicant - OWNER: METRO BLDG CO 25360277 PERSONS CAROL 4738 42ND AVE N 4215 NICOLS RD ROBBINSDALE MN 55422 EAGAN MN (612) 536-0277 (612)452-8061 I hereby aoknowj,adge that Iza,.have read :this a.pplicatlon and state that the informatipn is correct and agree Co comply with a11 applicable Stat's nf hFn. Statutes and City of Eagan Ordinances. . L_ _ .._.. ____. ?... . ...__._ APPLICANT/PERMITEE SIGNATURE ISSUED ?EIY: SI ATUR ? - k CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) 681-4675 1404 The following are required with appropriate certification for ail new wnstruUion: ? 2 each: archkecturel plans; mech. & elec. plans; flre sprinkler plans; structural plans; site plans; landscaping plans; grading/dreinagelerosion controi plan; uh'lity plan ? 1 each: set of specifiwtlons; set of energy calculatlons; elactnpl power & lighting form; Special InspeCions & Tasting Schedule • Letter from MCM/S (phone #222-8423) indicating SAC determination ? Code anatysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per Floor, type of construGion (synopsis of wnstruction components) & any occupancy or area separetion walls; occupancy loads; exit synopsis with a diagram indicating exiting loads fiom each room or area, travel paths & all rated cortidors; plumbing fiztures; and parking. DATE: -:> Z WORK TYPE: rvEVV REMODEL DESCRIPTION OF WORK: A"t (2-- 13 L?G lb'R'?mA-& E - CONSTRUCTION COST: ? TENANT NAME: ? U D,( C-T U 1 U,(Ec) SITE ADDRE55: `=jX z /fI C O L S P" /d-,..r, A4A-1 LOT ? BLOCK ?_ SUBD. J P.I.D. # PROPERTY Name: 0,A+-.o (.. ??So 1S Phone #:'¢-S L ?-(J (pl OWNER "'S* """ . Street Address• 2?m E k4e3l` V? City: State: Zip: CoNTRACroR Company: .44lFt72,O g L-O G Ca ; Phone #: ? 36 "0 22 7 Street Address- "17 3$- 42-^-` p fSh' $Ai a City: 1"\ ?LS Zip. / S?ZGZ Z ARCHITECT! Company: Phone ENGINEER ???EN?D'1Wame: Registration #MAV 2 0 4"96 ?treet Address- ------------_jity: State: Zip: Sewer & water licensed plumber: I hereby acknowiedge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: comply with all ?D J .?? G S d N WAIVER OF HEARING REQUEST FOR UTILITY IMPROVEMENTS I/4ie hereby request of the Village Council' Village of Eagan, Minnesota, utility improvements on and over property owned by me/us as followse (Mention type of improvement, e.g. water, sanitary sewer9 etc,) WATER LATERAL The location of said utility improvements shall be generally as followsa P arc el 3404-G&H Elizabeth Dimmer 4215 Cedar Avenue ? St.Paul, rN 55122 (Modern Flair) I/Ve hereby waive notice of any and all hearings necessary for the installation of said improvements and further consent to any assessments necessariLy levied by the Village of Eagan for such improvements. I/We further agree to grant to the Village of Eagan any easements neces- sary for the installtion of such improvements. It is further understood that this request sha11 be reviewed by the Village Council of The Village of Eagan or its agent and I/we wi11 be given reasonable notice as to whether this request is possible under present utility planning as to timing, location, etc. Dated; October 31, 1973 % w ? < c equest accepted by Date 7-1 Village of Eagan Request referred to Village Engineer: D;te Copiess 1. Village 2. Village Engineer 3. Applicant ears: ntL SINGLE FAlIILY Di1ELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLB DiifiLLINGS - RESID8NTZ6L RENYAL DNZTS FOH 3ALE ONITS INCLUDE 2 SETS OF PLANS, CSRTIFIC9TE OF SOR9EY - CHECH WITH BLDG. DSPT.* 1 SEP OF BNERGY CALCULATIONS COlMERCTAi" INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS, ? 1 SET OF SPECIFICATIONS AND 1 SET OF ?\\\\\\\\? ENERGY CALC[ILATIONS, ? $2,000 LANDSCAPE BOND ?/?+lD-DIrT?l0d To Be Used For: yj?QO Valuation:# Date: Site Address I2,(5 Lot c? Block'-? s Parcel/Sub ';? Owner V?V1^ W-t?ov%C2 Address +cD5 City/Zip Code r?aGic?o, Phone 452 - ?txo2 Contractor Address 7(0Q)5 C.vrpad+e 1,c,1a City/Zip Code E?AL pr@?ri..Q.'Mvt 4Z Phone 9 ? r • 82 14- Arch./Engr. 9668 A • Address -? v'55 Nlc.? ? City/Zip Code OyA. Phone lF Erect _ Occupaney ? Remodel Zoning Repair -' Type of Const ? Addition ? # of Stories Move _ Length Demolish _ Depth Int.Impr. ? Sq Ft /3?(? Install AersovALs FEEs Aasessments Permit .1525 Water/Sewer Sureharge 32 .yG Police Plan Review ? Fire SAC ? Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Varianee Copies • TOTAI. NOTB: ADDEESSES FOR CORNER LOTS - CONRRACTOR/HOlIfi0HNE8 MDST DESIGNATE WHICH ADDRSSS IS DESIRED. NO CH9NGES iRLL BE 9LLOitED ONCE BOILDING PSRMIT IS ISSDfiD. MOST BB LICENSSD WITH THE CITY OF E9GAN 41?Al ?36 i ?roxZ-0, i/, l?D Zz J1 ?' , ; ? ? ? ? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: November 11 1972 AB o3ood oao as NOMBER 1193 OWNEft: Modera 31air Beauty Syralon Address 4215 Cedar Avenue South, Eag)6an 55122 PLUMBER Z TYPE OF PIPE Heaw Cast Iron DESCRIPTION OF BUI7A ING Industriall Commercial( Residential I Multiple Dwelling I No, of unies xx Location of Connections: / ??? , :7??& ??z Connection Cha 4?0 Permit Fee 10.00 nd 111/72 .50 pd 11/1/72 Street Repairs ToCal ? Inspected by: DaCe Remarka• Bp Chief Inspector In coasideration of the issue and delivery to me of the above permie, I hereby agree to do the proposed work in accordance with the rules and regulationa of Eagan Tocanship, Dalwta CounCy, Minneaota , 0 , Nlodern Flair Beautv Salon , /L 7a- rQed late Please notifq when ready for inspection and cottc?ection and before any portioa of the work is covered. 80BJECT: CONDITIONAL USE PERMIT APPLICANT: MICHAEL D MARUSHIN LOCATIONa 4215 NICOLS ROAD (NW 1/4 OF SECTION 30) EBIBTZNG ZONZN(i: RB (ROADBIDE S48INE 8)j?^C?' DATE OF PUHLIC HEARING: JANUARY 23, 1990 DATE OF REPORT: JANUARY 9, 1990 REPORTED SYs COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: An application has been submitted requesting a Conditional Use Permit to allow a pylon sign to be located on the lot of the existing Video Update store located south and west of the intersection of County Road 30 (Diffley Road) and Nicols Road. The proposed sign is an internally lit, two-support pylon. COMt4ENT8: The proposed sign will replace the existing sign located at this site. The property immediately south of the site in question is the old Brooks Superette location that is currently being remodeled to house a Big A Auto Parts store. Sign ordinance regulations require at least 300 feet between pylon signs. The combined width of the old Brooks lot and the Video Update lot is 175 feet. Therefore, by code, only one lot is allowed a pylon sign. Because of this, the proposed pylon sign will include identification copy for Big A as well as Video Update. Without a dual identification sign, the old Brooks site would have to apply for a variance from the 300-foot-distance-between-pylon-signs requirement which, if approved, would result in two pylon signs within approximately 100 feet. The applicant wishes to place the proposed sign in the same location as the existing Video Update sign. The existing sign meets all setback requirements. If approved, this permit shall be subject to the following: 1. All applicable Ordinances The one-time sign fee of $2.50 per square foot. N DS'F FLET? ?? ?GSA H 30 ) ,0 vv1 D G o IV m N ,i ca ? S' r v iDCO Ll'j"--?'va-rC z2s' R ( C? '?i4 ' 4rtiTo C?g???'??Y Pr4aooe-`.,,? p ? J v z 2z5' 5???.? Lo??T?o?..1 yi;oTbscT> \ 0 o? ? 0 ? . w ? I ? • ui ? ?? \mn ' 0. s-U ?n- I n 0 i ? W J 0 ?a 4 --T w n X O? Q? >? J ? LLI ? ? ? . 1 d ?>? 7 'v ?I n ?• ? f dli? .. a DUALITE, INC,- WILLIAMSBURG, ?H. A AUTOI 7': N DATE- 6-15-69 =AvN n'- REL sHEET Na 5 muVnu ND 3912 0 o o?zo ?s ,? ? P E R M I T A P P L I C A T I 0 N (Submit in Triplicate) STATE OF MINNESOTA) CAIINTY OF j ss: I- We, the undersigned, being first duly sworn, hereby make the following application to the Board of Supervisors and/or 'Advisory Planning Committee of Eagan Township, Dakota County, Minnesota: 1. Flill name, present address and phone number of applicant 2. Application is hereby made for: (Check appropriate item(s)) [j Dumping permit under Ordinance No. I. 0 Trailer Coach Park permit under Ordinance No. iI. 0 Building permit under Ordinance No. II2. ri Kennel permit uader Ordi.nance No. V. d Re-zoning under Ordinance No. VI. d Special Use perroit under Ordinance No. VI. M Gravel Pit permit under Ordinance No. VIII. 1-1 (Other) 3. Legal description of land to be affectad by app]ication including acre- age or square £ootage of land involved, and street address, if any: That part of the P.E. one quarter of the N.W. one quarter of Seetion 30, Township 27i Range 23 described as Pollows: commencing at the N.E. corner of said ?-k, thence South' along the East litte of sei.d j +, 275 feet to actual point of beginning: Thence West and para11e1 to the North Section line a distance oP 225 feet: Thence South and parallel to the East line of said + -f a distance of 100 feet: Thence Tsast and para11e1 to the North Section line a diatanee of 225 feet more or less to the East line of said ?-t Thence North aloxig the East litte of said * I a diatance of 100 feet more or less to a point of beginning: ContAtptLng approx3mately 22,500 sq. ft. __r"'_._„_'-'?"-?___-.'_ of permit applied far, if granted, is $ 25,0(10-Q0 .The nature of improvements iG: ?,13?grette Store 7. If proposed improvements consist of buildings or structures, speeify in detail: Dimengions:_ 50tx601 Number of stories: 1 Type of Construction: Concrete B1ock 8. All reai estate taxes on the above described land have been paid through the year 19( _ ?.2 except: 9. The method of financing the above improvements will be: Cash 10, Persons, firms, corporations, or other than applicant and present owner who may or will be9.nterestedi.n the above descrabed land or proposed improvements within one year after issuance of permi.t applied for, if granted, are: Norris Cxeameries - Jamea B,efrigeration Co li. Attached to this application and made a part hereof are: M Plot plan Q Sketch of improvement ]ayout r-I Plans and specifications C] Photographs Ci (Other) - Dated: Oetober Q, , l9 63 , FTHfl ORST& TG SQN COMPARl' A plicant Subscribed and sworn to before me thi.s W Be President y'Z'f, day of _:LO€9UL:vtnN • ?blic, Hennepin County, Minn. f/ eekn Expn++eaeuly 21,19fa& not write below this line Aproved r7 Disapproved: pDVISORY .lt,xNNIP]G CLiT4ITTEE (Date) Approved M Disapproved: B0ARD OF SUP?MVISORS (Date) -----------------I 1 For Office Use 1 1 Permit bit of Ea an y 2 1 Permit Fee: 1~267 1 3830 Pilot Knob Road I 1 Eagan MN 55122 j date Received: Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 Staff: f 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: -HOC( Site Address: 4,9/5' NI c o i s Rj, Eu CrAJ Tenant Name: I ' Q I I V (Tenant is: New/ A Existing) Suite Former Tenant: PROPERTY OWNER Name:,Eiaf A. -to V m-5o Aj Phone: gc,2-Ltd 254s` H Address/City/Zip: 1;200 C. 1 S67a St cJo-rjgty, MN SS35a Applicant is: Owner Contractor Y6N a ,N saN s e TYPE OF WORK Description of work: ))VSvldtaa ShF4-rhIjIg 4uyE t~rg~,iNSt4r~ fl;,tcr cr" V1 151 iN6 dr oc~ Sajv ~`ervE color Construction Cost: .`-S~y- CONTRACTOR Name: is N r License , pj0 Address: J iJ c City: State; Zip: Phone: Contact Person: ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: NIA 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. 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. Ax x EctrIA. j o h v soo Applicant's Printed Name Applic re Page 1 of 3 rian~ d- GIG I___ Use BLUE or BLACK Inkl I For Office Use bliq of Eap I Permit I I Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 Phone: (651) 6755675 i Date Received: Fax: (651) 675-5694 ' 1 Staff: ~ . . . . . . J 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: ~a21~ %V CCU lS ~ ~c~~ vi `!I~ Tenant: Suite RESIDENT OWNER Name: J540.4on Phone: 6/o2-s -9az~ Address/ City /Zip: 126:!5 5-r NI&Wh A Milk) Name: ~T4e- / zlt~1~ License CONTRACTOR Address: x.2/03 lhnlcr►~' /JUG City: State: &A) Zip: ,3/~5.2 Phone: 9Sa~- W-2-4933 Contact: 'Dewid (,)o#-' OIT Email: -cow, New Replacement Additional Alteration Demolition TYPE OF WORK Description of work: fill, g C l7Ur~ K NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace New Construction 7Z- Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ~ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% 0 $60.00 Minimum (includes State Surcharge) = Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ ` Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) = TOTAL FEE 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case e of work which requires a review and approval of plans. X '~~'lGf ~OtT x , Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground ough In Air Test Gas Service Test In-floor Heat Final~ HVAC Screening r Use BLUE or BLACK Ink r ~~Ge V i For Office Use Permit City of Eanan Y { v ~ Permit Fee: ([7U~~ I 3830 Pilot Knob Road I Eagan MN 55122 Date Received:' Z I Phone: (651) 675-5675"'Q~~ i Staff: 'l- Fax: (651) 675-5694 L---------------- -I 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address: y~l J I CJiS Tenant: / Suite POWNERY Name: 77 L~sdr~ Phone: 9~a2'~o2 -a2i~ Name: - S,.` cQ (col License CONTRACTOR Address: 2aIGS j.-6r-7w)r kt- City: &DAIV State:j'nN Zip: s5~5 35~ Phone: Email: TYPE OF _ New _ Replacement _ Repair _Rebuild - Modify Space - Work in R.O.W. WORK AV C Description of work: !-wit C 74 e- ole,7- 9 f4v COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems PERMIT TYPE . 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: 1 Avg. GPM High demand devices? _Yes No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ ~ G° x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge 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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinan ,pes 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 witho a rmit; that the work will be in Xccordance with the approved plan in the case of work which requires a review and approval of plans."~ j Appficant's Printed Name Applicant's SigwWre 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 Use or BLACK Ink j For Office Use /65110152 I Permit City of EaEdIl ; 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 ; Date Received: ~(O I Z Phone: (651) 675-5675 Fax: (651) 675-5694;f ; Staff: J 2012 COMMERCIAL BUILDING PERMIT APPLICATION CA~~ y Date: t - l Site Address: ! All C 6 L. 1 E A CA AJ Tenant Name: L (Tenant is: X New I Existing) Suite is Former Tenant: r Name: EAP,4- 7Q*AJS0A Phone:/A s~ST PROPERTY OWNER Address / City / Zip: aQ Q r~~ST l 761Y- s's39<-- Applicant is: Owner Contractor b Description of work: G. / l 2,-)d .5 4 ` i 40 yk-~. . TYPE OF WORK L ~1~-/+ x Construction Cost j 5 a O~ Name: l license i ' Address: City: V&Wlq ~ CONTRACTOR F l ',State: 111A.) Zip: Phone: ~;4a Contact: 7 U EC_.._. Email: L0. h d i eS Name:- G tt L(SSd N 16 Registration f} v~ < ARCHITECT/ Address: 5 11 `56L6 -ZQAA-) City: ENGINEER Stater Zip: s 7! Phone: i E Contact Person:,---/ O Email: Licensed plumber installing ne_w se_wer/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. 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 wo k whi h requi 5 a review and approval of plans. x .~`tAGI O ,4 e-A~ / Z ~--tc- Applicant's Printed Name A cant's Signature Page 1 of 3 1/,-*S A cots S DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Exterior Alteration-Apartments ✓Commercial / Industrial _ Accessory Building Exterior Alteration-Commercial Apartments Greenhouse I Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New / Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 1000 Occupancy I~ MCES System Plan Review Ts Code Edition 7 lVe,06- SAC Units (25%_ 110%2!!~' Zoning City Water 4 - 45.~ Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fin: Sprinklers n-0 Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final I No C.O. Required Foundation Other: Drain Tile Pool: Footings Air/Gas Tests Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath Brick Framing Windows Fireplace: Rough In Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No r Reviewed By:l L , Building Inspector Reviewed By: , Planning COMMERCIAL FEES > Base Fee 0 Water Quality Surcharged Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCESSAC a~ Do Sewer Trunk City SAC /00, d° Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant 7 0100 Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL ~`t`, Page 2 of 3 I / Mike Lence From: Nye, Jessica Oessica. nye@metc. state. m n. us] Sent: Tuesday, July 17, 2012 7:59 AM To: Mike Lence; Dale Schoeppner Cc: Peggy Fleck; Barnebey, Kelly Subject: RE: J&Y Massage Therapy; 4215 Nicols Road No. It would still be 1. The water massage room was taken out of the other massage station count. I bolded the updated info below. From: Mike Lence [mailto:MLenceCalcityofeagan.com] Sent: Tuesday, July 17, 2012 7:14 AM To: Nye, Jessica; Dale Schoeppner Cc: Peggy Fleck; Barnebey, Kelly Subject: RE: J&Y Massage Therapy; 4215 Nicols Road Jessie, To be perfectly clear to all parties including J and Y Massage Therapy located at 4215 Nicols Road, the total SAC units the city should be collecting for this tenant improvement is 2. Correct? Mike From: Nye, Jessica [mailto:jessica.nye@metc.state.mn.us] Sent: Monday, July 16, 2012 4:30 PM To: Mike Lence; Dale Schoeppner Cc: Peggy Fleck; Barnebey, Kelly Subject: J&Y Massage Therapy; 4215 Nicols Road Good afternoon. In regards to the phone call about the water massage table, water massages are charged at 1 SAC/water massage. So the charge would be based on this information: Massage: 3 @ 5 = 0.60 Water Massage:1 @ 1=1.00 Total Charge; 1.60 Credit: 0.30 Net 1.30 or 1 SAC Jessie Nye SAC Program Administrator V 1 Metropolitan Council Environmental Services 390 Robert Street N. St. Paul, MN 55101 (651) 602-1378 phone (651) 602-1030 fax www.metrocouncil.org/environment/RatesBilling/SAC Program.htm i w Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use o1~~~ i ; City of Ea an ; Permit A ( I Permit Fee:-/ 72r 3( 3830 Pilot Knob Road I i Eagan MN 55122 I -7~ Phone: 651 675-5675 - I Date Received: i Fax: (651) 675-5694 Staff: -i AUG (1.17 2012 L - - - - - 2012 COMMERCIAL BUILDING PERMIT APPLICATION ,M5 Date: Site Address: 7 f` t~V r GEC o S h Tenant Name: (Tenant is: New Existing) Suite Former Tenant: ~ry Name: ~c o ti Phone: PROPERTY OWNER i Address /City /Zip: Applicant is: Owner V-e Contractor TYPE OF WORK Description of work:" 7(~ fl Z" u nstruction Cost: 000 Lq Co Name: jery C) (51(9 S3 License CONTRACTOR Address: q/6 11 "Ayr f, City: l e P~i-,`l r State: M 9 Zip: X 53 3 Phone: Contact: Q a` Ll- Y o rlk n~- Email: Name: M j14vJ 6:4 - 5 S Registration ARCHITECT/ "Address: lfUr ~ ' City: o_ (--(-I *k S- ENGINEER State: n~ n rV `x Zip: 3 Phone: 1 sad 9°~ g ? gtJ i Contact Person: (34- 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- 7 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 whic i e a review and approval of plans. x Ead A J c x Applicant's Printed Name Applicant's ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE A) (P 12 SUB TYPES oundation _ Public Facility _ Exterior Alteration-Apartments V ommercial / Industrial - Accessory Building - Exterior Alteration-Commercial Apartments _ Greenhouse / Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New - Interior Improvement Siding - Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows - Demolish Foundation Replace - Water Damage Fire Repair - Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 080 Occupancy MCES System Plan Review Code Edition AOd yu,50C, SAC Units v e 7 ClA-l, (25%_ 100%~ Zoning City Water .1 . Census Code Stories Booster Pump # of Units ✓ Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: ~ i Final C/O Inspection: Schedule Fire Marshal to be present: Yes tNo Reviewed By: VA, , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 1 0 Water Quality Surcharge 2,00 Water Supply & Storage (WAC) Plan Review 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 Water Quality TOTAL Page 2 of 3 J Use BLUE or BLACK Ink For Office Use 1 I Permit 4t j C i 0 Eajan ) I Permit Fee: ` 1 3830 Pilot Knob Road 1 1 Eagan MN 55122 L s , Date Received: ` Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial ap ications, Date: Site Address: l 0 ~l L d IS /QJ C, Qi ~Q1 Tenant: ►~.1.~ Suite PROPERTY OWNER Nam: (D Phone:U I , Name: Vw~1r1~L License PM (~-nc CONTRACTOR Address: )-AW ~V~ t l~E City: "S-taU State: / , J .P1i~ ~ Zip: Phone: LQ r`~ D6 ° QoErrail: TYPE OF - New _ Replacement - Repair _ Rebuild X Modify Space _ Work in R.O.W. WORK ~ Description of work: rV\,'e- (9A ri"QC)C.ivV~- I ,s' COMMERCIAL _ New Construction _ Modify Space trrigation System ( . yes / _ no) RPZ / _ PVB) a Rain sensors required on irrigation systems PERMIT TYPE a 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: 1 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 0LY0 x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee i.e. a $10,010.511,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge 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. 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 a of plans. x 11 VVX 'Q e-s' C x azK~11 Applicant's Printed Name Applicant's Signa re FOR OFFICE USE Approved By: Date:' t Required lnspections: ~nder Ground ough-In Air Test Gas Test Final PRV Required: - Yes No Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use~ ~ I City of E, Permit , ,ilk I Permit Fee: 7,5 3 3830 Pilot Knob Road I I Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 ti'. 26; I Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 30 PO-A (AL Site Address: Z' / S N t' O L-S ZD Z_ , fr'jv1,V*~_ 'ics-1 ZZ' Tenant Name:, ~S (Tenant is: New / Existing) Suite 2 Former Tenant: 1 flA x Name: f A.A_ l~ Sy ~NSt3 Phone: PROPERTY OWNER Address /City /Zip: /Z0-2) f, j 8' _5 ~SZ, i Applicant is: Owner Contractor AY K L F L 1- TYPE OF WORK Description of work: i) u Cr BLS 1 r~ S 1~ c t- U 1 + ~ PiNAN 10 1 C C cr . ~C ~i (Z i t3 ~ , F+2fres-H.~ Ovv c~ 7pybL&~ r iv K E ~4 f c~3 Construction Cost: S C>OZ~" Name: License CONTRACTOR Address: City: 1A6- ate. ~i Phone: Contact: Email: i Name: Registration ARCHITECT/ Address: City: ENGINEER State: Zip: Phone: Contact Person: Email: r i Licensed plumber installing new sewer/water service: _ _ Phone _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 pan in the case of w k which requires a review an approval of plans. P L9 r\ X_ Applicant's Panted Name Applicant's Si ture lfJ~l ° -Zr, /lJa G' Page 1 of 3 I C~ t S R 4t d DO NOT WRITE BELOW THIS LINE SUB TYPES _/oundation _ Public Facility Exterior Alteration-Apartments Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair Windows Demolish Foundation _ Replace _ Water Damage Fire Repair Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION a~ Valuation 000 Occupancy MCES System ~ I Plan Review U L' l Code Edition ~I Y14!j SAC Units (25% 100% =l Zoning- City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers A0 Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water Final Siding: -Stucco Lath -Stone Lath Brick Framing Lt~• 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: I^ 14 I , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge Water Supply & Storage (WAC) Plan Review 51.53 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 Water Quality TOTAL Page 2 of 3 Metropolitan Council 71 Environmental Services September 14, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 I Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Diffley Barbers to be located at 4215 Nicols Road, Suite. 2 within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Hair Stations 1 station @ 4 stations/SAC Unit 0.25 Credits: Retail (No SAC History) 576 sq. ft. x 80% @ 3000 sq. ft./SAC Unit 0.15 Net Charge: 0.10 or 0 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. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, f on Cappae SAC Program Technical Specialist Environmental Services Division KC:kb: 120914A6 Determination expiration:.September 14, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Rick Reginald, Diffley Barbers (email) www.metrocouncil.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 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA119064 Eagan, MN 55122 Date Issued: 11/14/2013 (651) 675-5675 ~ of ERju www.ci.eagan.mn.us Site Address: 4215 Nicols Rd Lot: 002 Block: 025 Addition: Section 30 PID: 10-03000-25-020 Use: Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Sunny Deng 626-715-2958 Fee Summary: Massage Therapy Inspection $0.00 Total: $0.00 Contractor: Owner: - Applicant - Earl A Johnson 4215 Nicols Rd Eagan MN 55122 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature ssued i City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT r CityofEaan Permit Type: Building Permit Number: EA121474 Date Issued: 04/03/2014 Site Address: 4215 Nicols Rd 1 Lot: 002 Block: 025 Addition: Section 30 PID: 10-03000-25-020 Use: Heavenly Asian Massage Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: Census Code: Occupancy: Zoning: Square Feet: 0 Comments: Rick 651-261-6503 Fee Summary: Massage Therapy Inspection $0.00 Total: $0.00 Contractor: Owner: Earl A Johnson 4215 Nicols Rd Eagan MN 55122 - Applicant - I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature s)) Issued By: Signature ,� ' Use BLUE or BLACK Ink r_________________ I For Office Use � � � Permit#: / �Y �� CltV of �a a� #`rp � . s� � u � 1V� I Permit Fee. � r I 3830 Pilot Knob Road (��" � � Eagan MN 55122 '�1 `�� j �ate Received: ��3��J� I Phone: (651) 675-5675 S��- � � Fax: (651 j 675-5694 j Staff: j �-----------------� 2014 COMMERCIAL ING PERMIT APPLICATION � �� ur , g� Date: , ( Site Address: � b� f4 � �-- Tenant Name: �/��' ? f�P� (Tenant is: New/�Existing) Suite#: T� ' � � Former Tenant: . � Name: Phone: �� .� �v� Property Owner Address i city i zip: • Appticant is: Owner Contractor Type of Work Description of work: � f� Construction Cost: ��' � Name: � r r� ` �'C� License#: � �� / COt1tPaCtOr Address: City: L�� (/�..�� - State:�"�Zip: ��C� Phone: ��/ � �t0 �LO Contact: Email: !. Name: Registration#: Architect/Engineer Address: city: State: Zip: Phone: Contact Pers�?n: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents#haf you submit are considered to be public information. Portians af the information may be classified as non-public if you provide specific reasons that wauld.permit the City to I �� : 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 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 f��,t"�1,G� �� . x , ApplicanYs Printed Name ApplicanY ignature \ Page 1 of 3 r` i t. I DO NOT WRITE BELOW THIS LINE I SUB TYPES �! Foundation Public Facility Exterior Alteration-Apartments ✓Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments � Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New � Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement _ Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation s�'� Occupancy $ MCES System � Plan Review �— Code Edition �a MSa SAC Units �d GwMvL� /it//�oG �G•��"� (25%_100%� Zoning t.� City Water Census Code Stories Booster Pump #of Units D Square Feet PRV #of Buildings � Length Fire Sprinklers � Type of Construction V •o 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 _Ice&Water _Final Siding:_Stucco Lath Stone Lath Brick � Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Contro� Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: «�O , Building Inspector Reviewed By: , Planning � COMMERCIAL FEES Base Fee �o• "'° Water Quality Surcharge • S6 Water Sampling Fee Plan Review 2� � � Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL �L G•� Page 2 of 3 I • For Office Use . ✓ I e E z r Permit#: AG A N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a.citvofeagan.com L 2018 COMMERCIAL BUILDING PERMIT APPLICATION Date: S-11 -I f7 Site Address: ` lr 7C�! V `` 6 Pc( Tenant Name: Joh L.(15- CfiC), .. i471 " '1(�� (Tenant is: New/ Existing) Suite#: -Th ,/2(9/;61"2- Cu- I Former Tenant: , \ I, f 1. gzi-te,i7(-,2 Name: 61/3-1/C-1 ---V(21/1‘71-- 01/1 Phone: �l„7 �•i` Property Owner �/ S /)/ co l.. S ,c 1 y %# � Address/City/Zip: " Applicant is: Owner Contractor Type Of Work t Description of work: 0(-01(16.-V1-- r�X e29 k. Construction Cost: Name: License#: Contractor 4 Address: City: " ,a State: Zip: Phone: Contact: Email: " Name: Registration#: ',:/ Address: City: Architect/En neer ' State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE Plans andsupporting d ements that you it are.consider � publicreformation Potions ofthe informationmaybe; classified as'noir public if you provide specific reasons at w ermit the conclude t:, I are trade , ,., You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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 o.f Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 1.-0 in L0 't x Applicant's Printed Name Appli s •ignaIf e� r For Office Use �/� / � I � Permit#: I._.� •11 . .• • EAGAN Permit Fee: /�l `� Staff: �( 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 =g=g=saf--_ I Payment Recvd: _Yes No (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Email: buildinginspectionsAcityofeagan.com Plans: Electronic Paper Plan Submittal: eplans(acityofeagan.com 2019 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email, CD or flash drive Date: 2/27/2019 Site Address: 4215 Nicols Rd Eagan, MN Tenant: Heavenly Asian Massage 1 Suite#: Owner Name: Earl Johnson Phone: 612-237-3228 Address/city zip: 1200 E 186th St Jordan, MN 55352 Name: Elite Metal Works License#: MB003135 Contractor Address: 22105 Vermont Ave City: Jordan State: MN Zip: 55352 Phone: 952-492-6933 Contact: David Wolf Email: elitemetalworks@live.com New Replacement Additional Alteration Demolition Type of Work Description of work: Correct gas line to dryer and replace dryer vent NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. COMMERCIAL New Construction _Interior Improvement Permit Type _Install Piping _Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install/ Remove) COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value$ x.015 $75.00 Underground tank removal,includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 w.• will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Ap cant's Signature FOR OFFICE USE , / � / l Required Inspections: Reviewed By: � Date:d i 7 Underground Rough In Air Test Gas Service Test In-floor Heat "5 Final HVAC Screening For Office Use r id a Permit#: /��--- 6 T ..0, . , • „v.. ,,,,.., E AGA N ......_ �., Permit Fee: I �� Staff: � 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 P1=.==.....-.-....-=.- _- .-....msx; Payment Recvd: _Yes �No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-58 30 I V E Email: buildinginspections@cityofeagan.com Plans: Electronic Paper I Plan Submittal: eplans@cityofeagan.com 2 $ 2011)19L 13Y: 2019 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD S' or flash drive ' N Date: , -2F / /9 Site Address: /� OW' ac. /S G / ) 7 e Pro r' Tenant: C/r .e. Suite#: 3 Owner Name: (ad �� Phone: aa-237-:..3.? Address I City I Zip:J //tip' 51Gy $jree6 ell /NV 11'352 Name: &/7 /*VI etd1 TSS License#: a�l� — Address: 0WC(c2 /y!' 7 Al/C, city: \121)1 "f�e /�� Contractor /4 /ty,� /q /�_ L'F( I State: / O Zip: 3.5 . Phone: 9S,?-YT.?- 330'f A(C E Contact:1)4jt' ip Email: e//te /0Yl'ks 6)//it-C•COM V New Replacement Additional Alteration Demolition Type of Work Description of work: 45LA__ f',Z '• - _...,..A. ; i ve NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. COMMERCIAL New Construction Interior Improvement Permit Type Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install/ Remove) COMMERCIAL FEES Contract Value$ /D, DO 6 x.015 $60.00 Permit Fee Minimum $75.00 Underground tank removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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 ermit,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 a which requires a review and approval of plans. x X �2� A icant's Printed N Applicant's Signature FOR OFFICE USE � 11)1' Required Inspections: Reviewed By: "7 Date: Underground r Rough In Air Test �'Gas Service Test In floor Heat _�Final HVAC Screening