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4225 Nicols Rd _" . . . . ...... : . +1?}RepR CITY OF EAGAN F ?0 17305 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , PHONE:454-8100 BUILDING PERWEKI? Receipt # j ? To be used for IMPROVEMIIT Est. Value $l , 500 , Date NOv 15 ? g 89 Site Address 4225 HId3lS RD lot 3 Block ZS Sec/Sub SECTIO11 30 . OFFIC E U5E ONLY PBfC@I N0. Occupancy - FEES W ifike Wtushln Name Zonln9 (Actuat) Const Bldg. Permit 36.00 Address 2111 W 67Lb SC - (Albwable) - i•? ? City RiChf ie ld Phone 861-3975 # of stories - Surcharge Plan Review Length _ o Name saim Depth - City SAC , ?a Address S.F. Total - SAC, MCWCC ? City Phone S.F. Footprints - Water Conn On Site Sewage _ ? W W Name On Site Well - W l M t W r a er e er _ ; AddreSS MWCC System - s W City Phone City Water _ Acct. Deposit S/W P t PRV Required _ ermi I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy 5urcharge information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Treatmenl Pi Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: MiKE MMMsHiN Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State ol Minnesota Statutes and Gity of Eagan Ordinances. g?, pff. _ Copies 37'00 Building Ofiicial Variance - TOTAL • Permit No. Permit Holder Date Telephone # WATER SJEWER PLUMBING H.V.A.C. ELECTRIC ?? 02 ? Oy Inspeetion Oate Insp. Comments FooGngsl Foundalion fr3mirg Hoof ing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. InspeCtor - Notify Plumber Engr.IPlan Bldg. Final Deck Ftg. OeCk Final Well Pr. Disp. , . ........? BUILDING PERMIT To be used for RE-ROOF Site Address 4225 NICOLS RD Lot 3 Block Zg Sec/Sub. SECTIOPi 30 Parcel No. W Name BROOKS 3UPHRETT6 ? Address 0 CitV Phone ? A b A ROOFI?tG ?o Name 8223 Il1UTAN BLVD CT U~ Address City COTTAGE GROVEPhone 45'4888 U W W¢ Name W Address s W City Phone I hereby acknowlege that I have read this application and state that the iniormation is correct and agree to compiy with all applicat?e State of Minnesota Statutes and City of Eagan Qrd'rnances. Signature of Permitee A Building Permit is issued to: A & A ROOF3NG on the express condition that all work shall be done in acCOrdance with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances. Building Of(icial } _ .*; . . _'w CITY OF EAGAN 17293 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # C 4596 Est. Value $6,000 Date NOV 13 , 19 89 OFFICE USE ONLY Occupancy _ FEES Zoning - 82•? (Actuai) Const - Bidg. Permit (Allowable) - Surcharge 3 • oo # of Stories - Length _ Plan Review Depth - SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Weil - Water Meter MWCC System _ City Wa1er _ Acct. Oeposit PRV Required _ S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unit Planner Council - park Ded. BIdg.Off. _ Copies 8S'? Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Rooting _ -z- 2 11.0 Rough Plbg. Rough Hig. Isul. Fireplace Fnal Htg. ' Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Pian Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. T PERMIT # . , ? . MECHANI CAL PERMIT RECEIPT # CITY OF EAGAN o 3830 PILOT KNOB RO AD, EAGAN, MN 55122 OATE: CONTRACT PRICE: PHONE : 454•8100 For Office Use Only: Site Address ` BLDG. TYPE WORK DESCRIPTIO N Lot Block Sec/Sub Res. New ? Name Mult Add-on ' Comm. Repair Address Other c Ciry Phone - L Name FEES HVAC 0-100 M BTU - $24 00 RES . . c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC iNCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 50 EA 1 TYPE OF WORK " COMM/IND FEE - 1% OF CONTRACT FEE RATE APPLIES - COMM APT BLDGS . . Forced Air M BTU . . . il TOWNHOUSE 8 CONDOS - RES. RATE APPLlES BO er M BTU MINIMUM RESIDENTIAL FEE - ALL ADO-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00 . Vent CFM STATE SURCHARGE PER PERMIT - DD C F P R I PRICE ES .50 . (A $.50 S/ I E M T GO Gas Piping Outlets # BEYOND $1,000) Other FEE: ` SlGNATURE OF PERpAITTEE S/C: , ? TOTAL• FOR: CITY OF EAGAN L _..... .,.-_. ?k?• ?.u?n':?#??0?/.?L!' - ??. I#' ?5g%! PERMIT # /C r!V MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?•• CONTRACT PRICE PHONE: 454-8100 For Office Use Onl Site Address Lot Block ? Name ? Address c Ciry Phone `- L Name c Addre O Ci1Y - TYPE OF WForced Air Unit Heater Air Cond. Vent Gas Piping Oudets # Other Phone BIDG.TYPE Res. _ Mult Gomm. r'' Other WORK DESCRIPTION New Add-on Repair . FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE STATE SUFCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) • $24.00 - 6.00 1.50 EA. - M BTU M BTU M BTU M BTU CFM - 12.00 - 20.00 - .50 FEE " s . -_ - - SIGNE OFjPERN1ITTEE S/C: /J ?" TOTAL• FA - 1--' ?I FOR: CITY OF EAGAN - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knab Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: !. :?11011-15- Rp ,. 5i E t I 1 A N 10 PERMIT SUBTYPE: ; tiil I I ri sNQ v?.c t.' tFi APPLICANT: ? r. ?.,: > •?.?? -??h?.a TYPE OF WORK: at t F Nat r nN PPtlI'f •`iSfiiWAI UX1101 INSPECTION D• • D• I ? -<.-., .,.... ? ? . . .. .. . ? . ' . ? . ? . ... .. ? . .. " ., ? Permit No. Permlt Holder Date Telephone k ELECTRIC PLUMBIN 9 q7 y7a-S9aD HVAC inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING l 117 -7 ROOFING ROUGH PLUMBING PLBG AiR TEST ROUGH HEATING GAS SVC TEST -- INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PL8f3 FINAL HTG ORSAT TEST 6LDG FINAL BSMT R.I_ BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Street _ 5tate EAGAN MN 55122 3 12 itiAan ?? I I l,o L1,4 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 168 10000 30 Paid SEWER LATERAL i 97L i 8 OO 2.6o 1 WATERMAIN WATER LATERAL ? WATER AREA 1973 221040 .7 STORM SEW TRK 197 0639 43.32 20 866.39 C005206 11-2-78 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILqING PER. sac 268.0 30 11-17-72 PARK EAGAN TOWNSHIP BUILDING PERMIT oane! ...... r-j^".....'...... s?? ........................ Address (Precent) "'-......."-'-"' .................'_..........__...'--'.. Builder .... ?? 1?-. . .?....?4:ws?_........."' ........................ Addsets ...................... .?._-A-?-:h;..,?:::?:? ................................... DESCAIPTION N° 2224 Eagaa Township Towa Hall Dafe ....................... 5tories To Be Used For Froni Deplh Heigbf Esi. Cost lPermi! Fee Ramarke LOCATION Slxeel, Roed or ofhes Dncripfion ot Loea2ion I Lo! Slock Addiifon or Tsae! h?a ?S "L.`-"- a."" -J° . 030 ?S /d 030406 L730 a5 This permit does not auShorise the use of slxeels, :oads, alleys or sidewalka the zighS !o ereafe any siivation which ia a nuisance or which presents e hasard general welfare !o anpone in the eommunitp. THIS YEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAR IS IN This is !o cerrifp. !hal..-.?3.e-::!?--- •.-.- ..-?: ..?.-?.-.......... has permission !o ereel the above deserihed premise subjec! So ! e provisiona of the Suilding Ordinanee 1935. nor does it give the owner or hia egenf to the healih, sefelp, conveniance and PROGRESB. for Eagan Towaship adop2ed Apsil 11, ? ........................ ....................... nar ...... ...'• ..._................."- ................... ..--'. , l?r?«--- . ...?. 8 P "' ..............._"""""................. Chaismn oE Tnwn Boerd HuSldin Iae eclor 43 CITY OF EAGAN N2 17293 3830 Pilot Knob Road, P.O. Bg_x 21-199, Eagan, MN 55121 PHONE: 454-810Q BUILDING PERMIT 7o be used for RE-ROOF Est. value $6.000 Receipt # C 4596 Date NOV ] 3 . 7992 Site Address 4225 NICOLS RD Lot 3 Block 25 Sec/SUb. SECTION 30 oFFICE USE ONLY P8rC01 N0. Occupancy _ FEES Zoning w NBme BROOKS SUPERETTE (ACtual) Const _ Bldg. Permit 82 • 00 ? AddfeSS (Allowable) - 3 00 . Surcharge Clfy PhOnO # of Staries - Plan Review Lenglh _ Name A& A ROOFING Dep1h - SAQCiry }F Address 8223 INDIAN BLVD CT s,F.Totai u: CitY COTTAGE GROVEphone 459-4888 S.F. FootDfints _ SAQ MCWCC Waler Conn On Sile Sewage - ti w W Name on sna wen t M W w ?? AddfeSS MWCCSystem _ er a eter ?z aw City Phone CilyWater Acct. Deposit _ PRV fiequired - S/W Permil I hereGy acknowleqe that I have read Ihis application an state that Ihe Booster Pump - SiW Surcharge information is corcect and agree to comply witl all a ca e,$tate of Minnesola SlaWtes and City of Eagan 0ldinanc Trealmant PI SignaWre of Permitee APVROVALS Road Unit A Building Permit is issued to: A& A ROOFING Planner - park Ded, on ihe express condition that all work shall be done in accordance with all Council applicable State of Minnesota StaWles antl C i ry of Eagan Ordinances. gltl9 pff. _ Copies I y ? BuildingOlficial ? 1ex n f}.PIlA.' IIIJI ? Variance - TOTAL 85•00 CITY OF EAGAN N2 17305 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHpNE: 4?y,4-8100 BUILDING PERMIT Receipt # INTERIOR To be used for IMPROVEMENT Esc Value $1, 500 Date Site Address 4225 NICOLS RD LOt 3 BIOCk ZS SeC/SUb, SECTION 30 OFFICE USE ONLY PdfC01 NO. Occupancy - FEES Zoning _ w Name Mike Marushin (AClual) Const Bldg. Permit 36.00 3 Address 2111 W 67th St - (Allowable) - 1 00 0 Surcharge . Cit RiChfield y Phone 861-397 _ x oi stodes Plan Review Lengih _ F Name Same Oepih - SAQCiry i $Q Address S.F.TOial - SAC,MCWCC ? Cily PhOnO S.F. Footprints - Water Conn On Site Sewage _ ? W Name on sae wen - W t M t ?w x? AddfQ53 MWCCSystem er a a er i W GitY Phone City Waler _ AccL Deposil 5 PRV Required - /W Permit I hereby acknowlege ihat I have read this application and state that the eooster Pump - SNJ Surcharge informalion is correct and agree to compty with all applicable State of Minnesota StaWtas a ity ntl C o t Eaqan Ordinances. Treatment PI , ? ? ? Signature of Permilee _ 1J'ld-l ?K/ APPROVALS qoad Unil A Buildin9 Permit is issued to: MIKE MARUSHIN Planner - park Ded. on the express condition that all work shall be done in accordance with ail Council applicable Stale of Minnesota StaNtes antl C iry of Eagan Ordinances. gldg, pff. _ Copies ? - y BuildingOflicial ?( i ' Vari ance - TOTAL 3?•?? EAGAN TO WNS i°I I P BUILDIiVG PERMIT Owne: -- ~ ---------------- -----...-.°-- ?.4.`?-r.?:_.---- Address (preseni) Buildes ------- /? .r...?.r.x..?s.?.-`------•-----•-°--....----- __.-?----------------- -- Address ...... DESCRIPTION N° 1.072 Eagan Township Town Hall Dafe -???°-??---/?---°°---......... 5foxies To Be Used For Fronf ? Depih Heigh! -- Est. Cos3 0 ?a ?c P--e?rm-if Fee ?T? Remarks ?`? r?i.t%? -- ? Y' • ? ?? . ? ?" LOCATION (/D 03 oaD 03e 1 l' SlreeS, Road or oihes Descripiion of LoaaSion Lo! Block A ditian or Traci D3n ?5 /A d3do0 0 30 ;;.S This permit does noi aufhorize the use of slreefs, roads, alleys or sidewalks the righ! !o creafe any siluation which is a nuisanee or whieh pxesenfs a hazard genaral welfare !o anyone in the community. THIS PERMIT MUST BE PT ON TH PAEMI/S?E WHILE THE WOR This is to cerlifp, ihai---- tr...,......__..:.?-!r.....------ haspe:mission the above described premise subjeeY !o the provisions of the Building O 1955. ?e???'?l ---------?-............ Per ...........' Cheirman of Tnwn?Board ?D„ nor does it give the ownes or his ageai !o the healih, safeip, convenience end K IS IN PROGA SS. !o ereef a._ ..._'_ . ..............--"""'--'.-"'--.......'--upoa rdinance for Eaga Township adopied Apxil 11, .......... ? Building Inspecior r?7 rJ3vd6 03e) `S CORFiECTlO IVOTICE 3.-?z-H -?' 3 , 'K2- DATE: n /1 Address Site Uwoer/Agent ? c-&'9-'EV •?f.-+?y??-?-? o ?rc ? Telephone Owner/AgentAddress `/' /?? X"'-;LA'nxti F-? /?r Nos. and Corrections - Correct By c )7 I Ia?? 7'1?, ??.C..e_ / _ /a 71 A_ ?a ? .? - - For reinspeccion Eagan Dept. of Inspection InSpeCtOf: ' 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: _ 1,41,51?9 ? C?k9?9 ? 3 413 ? ?/ .. ?_ Request Da[e ' F No. Rough-in Inspeclion Re qu Ued? ? fleatly Now i I No4y Inapector .. ,? y?ea ? No WM1en Reatly? I icensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Sheet, Boz ar poule No.) -%-e4p-12. s o Ls City ?'? .s?•? Section No. Township Pleme or No. Range No. County? 7t4 Occupant(PRINq Phone No. Power $up0lie? ? Atldress A, / " / ElectncaCOntreclor(COmpany N acror5license No. Mailing Atltlress (COmranor or Uvner My{jpy_Ingallatio o 73 ? o ??' e Authorized Si aWre{Contrac[odO?ner Making Inst ion) PYane Number ?, O ? MINNESOTA STATE BOApD OF EIECTHICRY THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bltlg. - qoom S173 BE ACCEP'iE0 eY THE 57:4TE BOARD 1821 Univers8y Ave., &. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ' Phone (612) 61120800 ENCL0.5E0. REQUEST FOR ELECTRICAL INSPECTION • 1-07 ? Sse insmicHOns for completiig Mis lonn on back of yellow copy. ? 9119 [P 23413 --- X° Below Work Covered by 7his Reques( e A* Rep. .,_ TypeofBuilding AppliancesWired EquipmemWired Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner OCier (spedty) Coniracta5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circui[siFeeders Fee Swimming Pool ( 0 to 200 Amps S 0 to 100 Amps TranstOrtners Above 200 _ Amps Above 100 _ Amps Signs inapsctorg use onry: TO7A Irrigation Booms Special Inspection Alarm/Communication / p Other Fee I, the Elecirical Inspector, hereby certif that the above ins ection has y P been made. R°"qn-in w4j Final ? Date ? G ? ate / X OFFICE USE ONLY . ThiS request void 18 moMhs Irom ?, t? This request void I8 th f ,v u) 30 z -,`)?3 mon s rom, Date ?f) his Request Fire No. S 51404 I, as Iicensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal w?ring installed at: Street Address or Route No. Section Township Which is occupied by Is a roughin inspection required on this job? No ? Power Suppliet _ Electncal Contracta Mailing Address'. Authorized Signatu. ? c?J???? S (COmpany ?`COntractor's License N`?o. ?? v .QP __' . &ANd4 Agh5sx?? No.? Z2 c` ?(ob7 ' oa'cmVanp Yes ? Ready Now)? Will Call ? This innpection request will not he aceepted 6y the State Board unless proper inspection fee is enclosed. Range County ) 2c mmnesota State tloartl ot Electricity Griggs Midway Bldg. - Room N791 1821 University Ave., St. Paul. Minn. 55104 - Phone 297•2111 ` REQUfST FOR ELECTRICAL INSPECTION CHECK $ELOW WORK COVERED BY THIS REQUEST ZCCT73 EB-00001-02 S 51404 Type af BuJding New Add. Rep. Check Applinncea W'ued For Check Fquipment Wired Fm Home ? 'i] ? Range ? Temporazy Wving ? Duplex ? ? ? ? WaterP?a+¢r LighlingPixtures ? Apt Btdg. ? ? ? Drye ?? Electric Heating ? Commercial Bldg. ? ? g Fum ?? Silo Unloadei ? IndustrialBidg. ? ? ? A'u C diu r ?d Bulk Milk Tank ? ' Farm ? ? ? List Lis[ Other ? 0 ? ?ehers# ?ehecs? COMP,UTE INSPECTION FEE BELOW Service Entrance Size: n Fm Feeders&Subfceders: n Fm C'vcuits: # Fm D ro 100 Am s. 0 to 30 Am eres 0 to 30 Am eces 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above I00 Am s. Transformers Remote ConUOI Ci[c. Partial o[ olher fee Signs S cial lns 'on M'vtimum fee $5.00 Remarks r ? TOTALFEEMA,.* I, the Elecirical fn_spector, hereby ceRD'y'that the above inspection has been made. (Rough-in) Date (Final) & S, Date This request void 18 months from o -z? 3 ?? Ttiis request void 0-z ? 2I Cf 1 r 18?inonths.fiom ? S100523 Date oy this Request Fire No. I, asiMLicensed Electrical Contractor ? Owner, do hereby cequest inspection of the above electri- cai winng installed at: a , A •' - Street Address or Route No. Section Township Which is occupied by Range County Is a roughin inspection required on this job? No ? Yes ? Ready Nowk, Will Call ? Power Supplier Address Qf/o/.;?,d Electrical ContractarAJ R. Contractor's License No. _ (Company Name) Mailing Address (Ele ica? actor ar ner Makl his Install an) Authorized Signature Phone No. (Electric ontra<t or D'WWe-r Maklnq 7MS Inst7a11at1on) S?! ??? ? L??? ? ?O??Thisiiupectianrequastwillnotbeaccepted6ythe State Board unless praper inspection fee is enclosed. mmnesota state eoara ot electricity ? "Griggs Midway Bldg. - Room N191 ES-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ? -RfQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST aa?? S100528 Type qf Building New Add. Rep. Check Applisnces Wued Fm Check Equipment Wired For HomQ ? ? ? Range ? Temporary Wi[ing El Duplex ? ? ? Water Heater ? Lighting Fix[ums ? Apt:bldg. ? ? ? Dryer ? Elect[ic Heating ? . Commercial Bldg. ? ? ? Furnace ? Silo UnloadeT ? ]ndustrial Bidg. ? ? 0 Aic Conditionet ? Bulk Milk Tank ? Faim L ist Lis[ 1 Other ? ? ? p Hehers( } p Heheisf COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fee Feedecs&Subf F Cirwits: # Fee 0 to 100 Am s. 0 to 30 Am e?- ? to 30 Am eres ]Ol to 200 Amps. 31 to 100 Am ' es 3l 100 Am ere s Above 200 Amps Above 100 mp . ?- 6ve 100 Amps. Transformers rtial or other fee o Signs r Remazks lJ??l?A..i/7 TAL FE 9. °tl I, the Electrical Inspect? o,?eg-y ceRify that th? aMo e inspection has 6een made. (Rough-in) Date (Final) ? Date /J- This request void 18 months from 1999 BUILDING PERMIT APPLICATION (COMMERCIAI.) CITY OF EAGAN 651 681-4675 i 0 Reauirements to buildina oermit C' oi Y? p ?-ql0i Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • Architectural ?lans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) . Strvctvral Plans (2 sets) • Code Analysis (1) •` • Code Analysis (1) " • Civil Plans (2 sets) • Project Specs (1 set) • Project Specs (1) . Landscaping Plans (2 seLS) • Key Plan • Spec. lasp. & Testing Schedule . Code Marysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MC/ES - pll • SAC determination letter from MClES - pll call 651-602-1000 651-602-1000 651-602-1000 • Spec. Insp. & Testing Schedule (1) . Energy Calculations (1) not always "' • Project Specs (1) • Elec. Power & Lighting Form (1) not aMays " • EnergyCalculations (1) " • Electric Power & Lighting Form (1) " • Master Exit Plan • Soils Re ort 1 " Gontact Bufltling Inspections for sample Food 8 beverage or lod ing facilities: Plan must be submitted to Minnesota Department of Health. Call 651-2150700 for details. DATE: -7 a8 ? WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTIONCOST:# 4115-0 TENANTNAME: PrtrJ?e.5S2or\ 2Q f--KfWk 5iS-U. SITEADDRESS: -7a,;tS ti3-'C_0l5 P-d SUITE#: LOT 3 BLOCK SUBD. SfJA d 0 P.I.D. # Name: /-/rd ('U$K? ??k r-, Phone#: 5-0 Co$3- /So1c PROPERTY Last First T 0WVER StreetAddress:?a CGI S ^ j ?`C City ?PvT py N-1 State: ?1N Zip: Jr S7 / oZ o? Company:_ ?J ULp0 e- F X4- Phone #: ! Lo I a? 33 4- 35-1`I CONTRACTOR g -"N ? Stree: Add,-ess: I' I py l 4?#_ M DLS City M(.?ts State: (y}1J Zip: SS 72 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Saeet Address: , City State: Zip: imber (onlv if installina sewer 8 water): I have read this application, state that the information is correct, and agree to ly with all applicable State City of Eagan Ordinances. /? Signature of ApplicanY?r,? /"- ? ? • OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 25 Miscellaneous WORK TYPE ? 6 Public Facility 7 Commercial/Industrial 0 28 Greenhouse? ? 29 Antennae ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors X 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Basement sq . ft. First Floor sq . ft. sq . ft. sq . ft. sq . ft. sq .ft. Foatprint sq, ft. Planning Building LefL,? Engineering Census Code 1-137 SAC Code 7O No. of Units ? No. of Bldgs. ? MC/ES System City Water Fire Sprinklered Variance _ VALUATION: $ zoqoV Permit Fee Surcharge P!an Revi--w MC/ES SAC % SAC City SAC 5AC Units " Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication ? Trails Dedication ? Water Quality , Other Copies ? Totai : ? i f o ? a ro ? ? -o ? BITUMINOUS SURFACE ? laa ?? F G?v w P v I ? ? SvR ? N `o W m O?S N r O 0 0 O ? m\ 7 ? I F r- m, a N ? > 0 Z ? 1 S70RY CONC. BLOCK COMMERCIAL ci BUILDING ? #a225 + . ?! 175.00 THE NORTH UNE OF THE SOUTH 100 FEET Of THE N ? OF THE E 1/2 OF THE NW 1/4 OF SEC. 30, T. 27, F BITUMINOUS SURFACE II 50.00 ? o ? oJl o I Ise I 225 -I - - - -I- - - I II ? T04.911 oF I elntMwnu? Q:W ?J O? N ? o ? z ?m ? m C5 o? ? N 61X; o? o N ? Q O - - I U' 225.00 N 89 37'37" W .11 7HE SOUTH LINE OF THE NORTH 375 FEET OF THE E 1/2 OF THE NW 1/4 OF SEC. 30, T. 27, R. 23. I I I S 89'37'37" E I 0) 225.12 aP 175.00 op- I I I I 105.041 3 B 1o ck as-- S-ec a?i o v. 3? COMMERCIAL BUILDING Permit Application City Of Eagan ai,,k Yv-??-?,? 10 " 3830 Pilot Knob Road, Eagan Mn 55122 O ? Telephone # 651-675-5675 FAX # 651-675-5694 ? "aL-} y Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sefs • Architedural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Analysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1) • Code Malysis (1) . Landscaping Plans (2) . Key Plan (1) • Project Specs (1) . Code Analysis (1) . Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be established • Meter size must be established-'rf applicable 1 • ProjectSpecs (t) L • EnergyCalculations (1) •" y L . ElecVic Power & Lightlng Fortn (1) " 1. 1 • Master Exit Plan (1) y d • Emergency Response Site Plan (1)"* d l • Soils Report (1) y • SAC detertnination - call 651-602•1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000 caii mN uepc ot neaim at 6:)1-21.)-U700 tor details regarding food & beverage or lodging facilities. Contact Building [nspections for sample and if required when it states "oot always". **• Pertni[ for new building or addition will not 6e processed without Emergency Response Site Plan. Date Construction Cost Site Address UniUSte # Tenant Name 1--/Q w Former Tenant Name Description of Work ?rr uT 42? o?!-' Property Owner Sdo-?q f QAn? ? Telephone 1F (bs !)?7?/' J 9 9'7 Contractor tqc`lio,.. a2,uF,r5, S?A,?y sN? Address 2?5_• City S S/' State M Zip S S? Telep6one # (? si ) ¢ S 7 '-2 Arch/Engr Registration # Address City State Zip Telephone # ` i U, It' I nr- I ?. I J Licensed plumber installing new sewer/water service: Phone #: :(,) I hereby apply for a Commercial Building Permit and aclmowledge 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 plan in the case of work which requires a review and approval ofplans. e? j/ ?QT \ `i Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? Ol Foundarion ? 26 Public Facility ' ? 30 Accessory Bldg. ? 14 Aparhnents 27 Commercia]/Industrial V ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Ak - Comm. ? 25 Miscellaneous C 29 Antennae ? 35 Ext Alt - PF ? 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 ? 33 Alteration 0 37 Demolish (Bldg)* 111'?43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant , Valuatlon f3?.S00 pccupancy -' MC/ES System Census Code `f 3 Zoning - City Water - SAC Units Stories Booster Pump Nbr. of Units - Sq. Ft. PRV '-" Nbr. of Bldgs - Length ? Fire Sprinklered Type of Const Width - 4 REQUIREDINSPECTIONS , _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundarion Drain Tile Roof _ Ice & Water _ Final _ Framing Fireplace _ R.I. _ Air Test _ Final ? Insulation Approved By: ?- , Planning Division Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S!W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total a 37. as- 7.OU FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other i! _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By A` 6- (- ' , Building Inspectar Oct 13 03 12:08p Rction Roofing & Siding FOUR (4) PLY BUILT UP ROOFING SYSTEM INSULATED DEq( (651)457-0351 p•2 ? GENERAL Safety: Refer to Section Section 1.06_ DO NOT BEGIN INSTALLATION UNTIL THIS INFORMATION IS READ, , UNDERSTOOD AND IMPLEMENTED. MATERIALS Material Requirements per 100 sq. ft: Insulation (Non-Isocyanurate) Asphalt (per ply) . . . . . . .25 Ibs_ (1.22 kg/m2) Ply Sheets . . . . . . . . . . . .4 plies SurFacing 12 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES BOTfOM SHEET SPECik ATTACHMEP!'T IPITERPLY INTERPLY INTERPLY IM'ERPLY SURFACING 1-44{' A+IQPTOPERLffEORFIB.BD PLY4 PLY4 PLY4 PLY4 GRAVEL 14-4C MOP TO PERLITE OR FIB.BD PLY 4 PLY 4 PLY 4 PLY 4 (:OATfNG 20 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES BOTTOM SHEET SPEC7t ATfACHMENT jNTERP jNTER INT , LY INTERPLY SURFACWG I-044G/P6 MOPTOPERLffEORFIB.BD FLEXPLY"6 FLEEXPLY6 FLDPLY6 FLDff'LY6 GRAUEL I44-GP6 MOP TO PERIffE OR FI&BD FLEXPLY 6 FLEXPLY 6 FID(PLY 6 FLEXPLY 6 COAl1NG CITY USE ONLY L ? L SUBD. /.1D.P? o? RECEtPT #: 91 el Q ?O RECEfPT DATE: SIA119 1998 MECHANICAL PERMIT (COMIIMERCIAL) RECEIVED CITY OF EAGAN NiAY 13 1A3 3830 PILOT F(NOS RD EAGAN, MN 55122 BY: (612) 681-4675 Please complefe for: all commerciaVindustrial buiidings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: - t? WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: /151416 FEES: 1%woficontr•actpnce OR?2r5,?00 .rin"i_ ,?umtfee, whichever is greater. Processed pipiag 325'.Ob CONTRACT PRICE x 1% ?APD ?tpX'v/ 'w.DQ PROCESSED PIPING PERMIT FEE o2?DD S TATE SURCHARGE (5.50 per $1,000 of oemit fee due on all pemuts.) TOTAL c267SQ SITE ADDRESS: yo7o7.??? /U/Ll?lS ?G? OWNER NAME: SE',E(J/ef'/ PxarrEa: , TENANT NAME (IMPROVEMEN'cS oNLi): INSTALLERc ADDRESS: CITY: TURE OF PERMITTEE '/GPHONE #: STATE: I /11 ZIP: /d CITY IN PECTOR ? CITY OF EAGAN 3830 Pilot KDO? Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10--03000-030-25 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4225 NICOLS RO IOT: 3 BLOCK: 25 SECTTON 30 PROF£SSIONFlL EXPpRTS ng;,,permit Type COMM.JINp. MISC. Type ALTERA7ZqN ?.crde437 ALT. NONRES. ' ? ? ??° ,, ??? vA a cj REMARKS: FEE SUMMARY: Base Fee P1an Review 5urcharge Total Fee vaLuaTZON $484.75 $315.09 $20.00 $$19.84 CONTRACTOR: - Applicent - NTE6RATE0 CONST SERVICES 29379054 585 EPENVALE BLVD 190 OEN PRAIRIE MN 55346 (612) 937-9054 ?e $40,000 VWNtFi: PROFESSpNAL zeze EAGAN EXPOR7S 5ILVER BEII MN BUILDING 031218 12/04/97 ?`?` APPLICANT/ ITEE SIGNATURE - %-SOE? 6YASI?N?? ??- 1997 BUILDING PERMIT APPUCATION (COMMERCIAL) CITY OF EAGAN 681-4675 n? p ,rJF1 11`?'?,t U•t?'.? . The following are requiretl wdh appropriete certiflation for all now conatruction: • 2 each: architectural plens; mech. & elec, plans; fire sprinkler plans; atructural plans; sde plans; landscaping plens; grading/tlreinage/erosion conhol plan; utiliry plan ? 1 each: set ot specfiwtions; set of energy calwlations; electrical powar 8 liphting fortn; Special Inspections 8 Teating Schedule ? Letter from MC/WS (phona #222-8423) intlicating SAC detertnination • Code analysis indiceting: eodes used; occupency dassfications; setbadcs; meximum allowable area as per BuiWing and City Codes along wkfi sq. ft. per floor; type of construction (synopsis ot construction components) & any occupancy or area separalion walls; 10 SOIL'S oceupaney loads; exd synoDSis with a diagram indicating exiting beds from each room or area, travel paths & all rated REPORT eortidors; plumbing fixtures; and parking. DATE: I ? I I Z I?C? WORK TYPE: _ New REMODEL DESCRIPTION OF WORK: Oe`',j \'0IV"Q01905, rl.Jt?lJ(J oFFYCG??r[,?5 ? r,1?1<r ?{,C. (Z.???•s CONSTRUCTIONCOST: 90T enn TENANTNAME: ??FESS1Dr'xt/_ ?P0CL1S - SITEADDRESS: 'QZZ? N IC.64?5 (2-014F1D ^'c' -?-Q m LOTBLOCK? SUBD. .2f/l IO P.I.D.# PROPERTY OWNER CONTRACTOR CI?.?I- w MA-5t+o?-) Name: PkZFE551(,JeL r%XPOR-? Phone#: .. fINiT StreetAddress:7-0"Zo SILUE-I7.v?,L[,c?20w4;7 City: State:1/0-)-) Zip: Company: ???t=C?M•?TE1? 'Cc?S`Ct?vc?io? Phone #: 97--7' 9O 54 Street Address: ??g S E-0??UftcE t3LOO City: -PeIl-d ?W-t21t? , dM nl Zip: Sl 3 d-? Company: _ Name: Street Address: City: Sewer 8 water licensed plumber (only if installing sewer 8 water): State: Zip: 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. Phone #: Registration #: Signature of Applicant: ARCHITECT/ ENGINEER Professional ExPort Services 2020 Silver Bell Road Suite 30 Eagan, MN 55122 (612) 683-9520 FAX (612) 683-9525 FMC 3187 p?R November 24, 1997 Po°r??o ?a To. The City of Eagan Engineering and planning department subj. Building use for 4225 Nicols Road, Eagan, Mn. I hereby state that the wazehouse space in this building will NOT be used for any vehicle storage or storage of hazazdous materials. Should you have further questions please feel free to contact myself or my building at any time. Signed: QO?a?? J Andrusko - President. cc. Mr. Bill Mahjor Integrated Construction Services, Inc. 937-9054 PERMIT -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 'PERMIT TYPE: Permit Number: Date Issued: BUILDING 031172 12/15/97 SITE ADDRESS: 4387 BENT TREE LANE LOT: 3 BLOCK: 1 AUTUMN RIDGE 2ND P.I.N.: 10-12301-030-01 DESCRIPTION: Buz7,?ding'°-permit Type BASEMENT FINISH ,Building Wo.r.k Type ALTERATION `Census Cod6434 ALT. RESIDENTIAL .., 1 4y Y li' ?. , s.: iJ REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: OWNER: - Applicant - JOHNSON TODO 4387 BEN7 TREE LANE EA6AN MN (612)890-4655 I he by c nowled,ge that I.have read' this applioation and state that the info at on is cor?-;sct otqd agre$ to camply ,±?3•th 613. aRP??:Fahkq Statd of Mc?. Sta te a City of Eaga?i ord?r?aneas. °_ APPLI ANTIPERMITEE SIGNAT E - --r5SUED : SI ?ATUR I ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 cin oF encnN , 3830 PILOT KNOB RD - 55122 6814675 !at'?W141'V • -? ' - L-1 ! . i,5--b .S-6 cw-"? o/Z ? ? 3 repistered stte aurveYa ? 2 copies of pWn ? 2 copies of planc (inGude beam & wintlow sizes; pourod fid. deslgn; etc.) ? 2 site surveys (exterior edditions 8 tlecks) ? t energy calalations ? 1 energy calculations kr heatetl adtlitions ? 8 copies of tree presenation plan tf lot platted efter 771I93 required: _ Yes _ No ' DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: /S STREETADDRESS: 397 ZAIvE- ? I LOT BLOCK SUBD./P.I.D.7k: PROPERTY Name: Phone #: di5- 53 Z 7 OWNER ,.R Street Address: 568 7, ??? ??'? 1??V? City: ?AGAr1/ \State: Zip: CONTRACTOR Company: 7524.r=- Phone #: Street Address: License #: City: State: Zip: ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: Sewer & water licensed plumber (new constructlon only): and lot change are requested once pertnit is issued. State: Zip: Penalry applies when address change I hereby acknowledge that I have read this applicatlon and state that the 5tate of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OPFICE USE ONLY Certificates of Survey Received _, Yes _ No agree to compty with all applicable NOvaQ Tree Preservation Plan Received - Yes - No _ Not Required /D D 3o0d 03o a,g' 0 C E,0AR AJ46 MASTER CARD LOCATION Y22s C!EpAt iqdf So. OWNER ?a,rOK? Q/ G e1 Ctte. STRUCTURE AND LAND USED AS , ??7 ?O ? Y Permit I No. Issued Issued To ConTracfor Owner BUIIDING PLUMBING CESSPOOL - SEPTIC TANK 1f1 ?--LaL ??,y( ?e1C A La WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I O7HER I • rI L Items (Initial) Date Remarks Disfance From Well FOOTING SEPTIC FOUNDA710N CESSPOOL FRAMING ? TILE FIELD FT. FINAL ELECTRICAL HE,4TING DEPTH OF WELL GAS INSTALLATION SEP71C TANK ? CESSPOOL DBAWFiECD PWMBING WELL SANITARY SEWER Violations Noted on Back COMME ?(R /1 . J ? 1989 BIIILDIeiG PERMIT 9PYLICATION CIT7[ OF LAG6N 0 SINGLE FAMILY DWELLIRGS 2 SETS OF PLANS 3 EEGISTERED STTE SIIR9EYS t SET OF ENERGY CALCS. MULTIPLE DWELLINGS REN1'9L IINIT3 FOR S9LE DNTTS CONII4ERCIAL 2 SETS OF 9ECH13ECTURAL & ST9IICTORAL PLANS 1 3ET DF 5PECIFICATIONS 1 SET OF ENE&GY C9LC3. # OF IIDiTTS DTOTEs ADDRE53ES FO& CDRDTE@ LOTS - CANTRACTOR/HOMEDWNEA MOST DESIGNATE WHICH ADDEFSS IS DFSIRED. NO CHANGES WILL BE ALLOi1ED ONCE HOZLDING PERMIT IS IS30ED.. SEiiER & AATER PERMIT FEES A1PD ACCODNT DEP03TT FEES b1ILL BE INCL9DfiD iiTTH THE BOILDINa PEFMTT FEE. PROCfiSSING TIME FpR SEWER dND WATER PEAMZT3 IS TWO DAYS ONCE A PERMIT H95 BEEN COMPLETED INDICATING 9 LICENSED PLOMBER. PENALTY 6PPLIFS WHEN: PERMIT IS NOT PAID FOR IN 36ME MOIQTH IT IS REQIIESTED. LOT CHANGE I3 REQDESTED ONCE PERMIT IS ISSIIED. To Be Used For: L 0 Valuation: LO ?? b b Dates Site Address Lot ? Block 2_6 Parcel/Sub Owner Address City/Zip Code Phone Contractor AL Address City/Zip Code fJIL.LC 22w} SSroIG Phone W?-Q - WFVV Areh./Engr. Address City/Zip Code / -? C:)-- q s MIDLTIPLE DWELLINGS 2 3ET5 OF PLANS HEGISTfiEED SITE SIIRYEY3 - (CHECH LIITS BLDG DIV,) 1 3ET OF ENERGY CALCS. Occupaney Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City vater _ PRV required _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance FEES Hldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies SIIBTOTAL Penalty TOTAL ?. o p T S'r S, o? Phone # yt;??' 1989 BfTILDIHG PERMTT 9PPLIC9TION `?'??, . . CITY OF EAGAN ? #13 044 SINGLE FAMILY DWELLINGS MQLTIPLE DWELLINGS COtR4ERCIAL 2 SETS 8F PLANS 2 SETS OF PL9N5 OF ARCHITECTIIRAL 3 EEGISTERED STTE SIIRVEYS HEGI3TERED 3ITE SIIRVEYS - & ST&DCTQRAL PL9N5 l 3Ef OF EHERGY CALCS. (CHECB TiITH BLDG DI9.) 1 SST OF SPECIFICATIDNS 1 SET OF ENERGY C9LC5. 1 3ET OF ENERGY CALCS. lIUI.TIPLE DWELLINGS RENT9L ONITS FOR SALE IINITS # OF D6ITS gOTE: ADDAESSES FOH CARNER LOTS - CONTRACTOABOMEOWNER HQST DESIGN9TE WHICH ADDRFSS I3 DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.. SEWER 6 A9TER PERMIT FEES AND ACCODNT DEPQSTf FEFS iIII.L SB INCLUDED WITH THE HUILDZNfi PEEMTT FEE. PROCESSING TZME FOR SEWER ADiD ii9TSA PERMITS IS TWO DAYS ONCE A PERMIT H9S BEEH COMPLETED INDICATING A LICEN3ED PLOMBER. PENALTY SPPLIFS F7SEN: PERMIT I3 NOT PAID FOR IN 3AME MONTH IT IS REQIIESTED. ? C?MME?C1Al. IREpAILOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSIIED. '(-0- - To He Osed For uation: J,??)Oc?- Date: /l- Ay 0/ Site Address y?as ?.•?p'?d a9 Lot Bloek Parcel/Sub ??t-t 50 Owner?Q C-fi?? Address ?' City/Zip Code oS?"S?`? /"?'? ??f?- 3 Phone Contractor d2u9-y? Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone 4 Occupancy Zoning Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City Water _ PRV required _ Booster Pump _ F'EBS Bldg. Permit 36'.00 Surcharge ,os Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit 5/W Sureharge Treatment P1. Road Unit Park Ded. Copies StJBTOTAL Penalty TOTAL 37.°0 6PPROV9LS Planner _ Couneil Bldg. Off. Variance -? kJATEp.-'G?WIr?E ?'A4ttQ _ Fixln?G wAtc,S - FW?4MiN&? i?swLa7?"? SNEE"iRoc1? OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE P6V Yes _ No Domestic Irrigation UTILITY GONNECTION IAPPLIES TO NEW SERVICE ONLYI $ REVIEWED BY Building Inspector Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS 5creen 301 to obtain S&W permit# • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to 6e supplied by the designer of the system. Consult with Plumbing Inapector if Licensed Plumber does not know GPMs. Check PIMS Screen 320 for aonroval of inspeCdon resuits. No meter will he sold before all sewer and water inspections are complete on anm service. If new service lines are not required, ane check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date 8 amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miseellaneous Infortnation The installer is to contact Building Inspections at 681 -4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on. If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stack before plumber goes overthere. ? OFFICE USE ONLY L BL _1--ff RECEIPT#: 6 4?`-r! SUB D D. .?feCC.l,ox? RECEIPT DATE: li ? i 1997 PLUMBING PERMIT (COMMERCIAL) ' CITY OF EAGAN 3830 PILOT KN08 RD EAGAN, MN 55122 (612) 681-4675 i Pbase eomplete for: . all commerciaVindustrial buiWings. • muk6family bulWings wben separete pertnits are = required tor each dwelling unk. • backflow proventer to be installed in wmmercial areaa or residentlal boubvards DATE: 12- /6 WORK TYPE: - New Const. ? Add-On I _ Repair DESCRIPTIONOFWORK: v.5 I? . IS WATER METER REQUIRED? _ Yes L No. ARE FlUSHpMETERS TO BE INSTALLED? _ Yes No ? IiNDER6ROUND SPRINKLER 3YSTEM I;. INSTALLING METER? _ Yes _ No. NEW SERVICE7 _ Yes _ No WATER FLOW: CPM. Pressure Reducing Valve may be required if instelling new service • r.ontad City's Engineering Department at 881<646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSt1ANCEi1 FEES I Mfnimum fae of $25.00 or 1% oT contreG pnce, whichever is greater. Minimum State Surcharge of $.50 due on all pertnks. CONTRACT PRICE: $ Iq S60-(?G x 1% = S ?5. U6 COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SY3TEM BACKFLOW PREVENTER FEE $ 25.00 = a I, WATER PERMIT (new service onry) 50.00 = $ I WAC (new service only • per wnnedion) 780.00 = $ u . WATER TREATMENT (new service only - per wnnection) 420.00 = $ C CITY INSTALLED TAP 300.00 = $ r? METER: 7"= $185.00 , 2" TURBO = $846.00 = g i' PERMIT FEE E FlGURE 9URCNARGE AT 50 CENTS FOR EVERY $1.000 OF RMIT PEE DUE STATE SURCHAR6E ' S d $ roTnL s 5• O f I hereby acknowledge that I heve read ihis aDPlication, state that Ma infortnation is cortect, end egree W campty wKh all applicable Ci N is the epplieanCs responsibiliy W notify the property oNmer that thB City of Eagan assumes no liabilily for any damages ceused by t operational and maintenance adivities to the facilRies con1sWCtad undar this permk wRhin City propertyJright-of•way/easement. SITE ADDRESS: 42z S Ni C oI5 R.d. TENANTNAME: ELr?aA ?etS sTE.#: ONMER NAME: INSTALLER NAME: STREETAODRESS: CITY: ordinances. w ih nortnal Lg.?w TELEPHONE#: (5(2_ 412,-J?q2..o d ? Z23Z Gl?i L.,n Ma:tid STATE: M:hl OFFlCE USE ONLY . qe1/Eq$E BIDE ZIP: ?7! ?d i; L4TURE PLEASE SIGN AND RETURN ORIGINAL TO CITY HALL.' Special Assessme t Department WAI6'sR Us HEF`RIttG R:QUSST FOF. CTILITY IFtP1tpVVEP9ENTS I/'v:^ hereby request of the City Catmcil. City of Eagan, Fi.Lnafl: cta, utility ir.x mvanFnts on and over pmperty oc•Me3 by ma/123 ^s .o1.Zc:s: (Mer*..'.on type ef ixpmvement, e.g. water, sanitarp seWr, etc.) ;^ae location of said utility impmvements 9ha11 bo gener::;.2f os ici,.c•r_ Paicel 03 # 10 000030 25,7 25 feet at $14.35 per front foot =$1435.00 (BROOKS SUPERETTE) Payable by October 31, 1981 without interest if not assessed for 10 years at 10% interest. I/S7: Lereby weive ttotice of any and all hearinqs necessaty Cor tY.e izstalla.tton of eaid knprovements and further consent to zny as=e=s:I•:rs nec.saazily le.eied by tlie City oi Eagan for such impmceinento. t/kTe Eurther ayree to gsazt to the Cfty of Eagan any easm:ats sary for the inetallation of such improvements. Tt is further understood that this request shall be reviewe3 by tha City Council of The City of Eagan or ita ageat and Z/We will be gZven reamnable notice as to whether this request is possible imcler preyent utility plarning as to timing, locatian, etc. Ca,ted: October 1, 1981 x Slgg--1? tur?e?;Ne Hi// ?C7 a;Y?,_,;??vap , : vo6•t _.? ., T,d -ess F.=_criest accegted C'lty of Eagan Request referred to City Administrator: Date Copies: 1. City Adninistrator 2. Applicant /p 03000 031D ;LS EAGljN Tl1WASHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PLRMIT FOR SEWER SERVICE CONNECTION , DATE: November 20, 1972 NUMBgR 1219 OWNER:Brooks Superette Address 1+225 Cedar Ave. So. PLUMBER Wenzel Plumbing & Heating TypE OF PIPE heavy cast iron DESCRZPTION OF BUI7A ING Industrial Commercial Residential Multiple Dwelling No. of units xx Location of Connections: Meter: 3/4 pd.$63.39 Reader; pd. $15,00 ?,% / c?p B%7 ? U ?? i Connection Charge $260.00 pd 11/17/72 Permit Fee ?10.00.Pd... 11/17/72 .5() Pd 11/17 72 Street Repairs Total Inspected by: DaYe Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the ahove permit, I hereby agree Yo do Che proposed work in accordance with the rules and regulations of Eagan Toc•mship, Dakota CounCy, Minnesota By Wenzel Plumbing & Heating Ina 3600 Kennebec Drive, Eagan 55122 Please notify when ready for.inspection and connection and before any portioa of the work is covered. 2004 RESIDENTlAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? 3o, 651-675-5675 Please compiete for modifications to existing residential dwellings. Date 5 I a 1 0 A 1 1 (?,J Site Street Address fJ `I ?a5 I? iC,Q 1S Unit # Property Owner aJoYI.V` AV?JY"S?b Telephone# (oI)?03 q6Q0 Contractor IL1tKA1J.D W C1?-? Telephone #(?i ? [xJ t - 5p&6 Address oty U'Q SVJJ City K State Zip663-CJ The Applicant is: _ Owner _ Contractor _Other Fer a tions to existing dweiling Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener _ Water Heater _ replacemenf _ additional $ 15.00 V Lawn Irrigation System RPZ new repair uild $ 30.00 A State Surcharge $ .50 O Total $ I hereby apply for a Residential Plumbing Permit an ack ledge that the information is complete and accurate; that the work will be in conformance the ordinances and codes of the City of Eagan and the plumbing codes; that I understand tfiis is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap . ed. ? _ ApplicanYs Printed Name ApplicanYs Signature 7633895399 FROM :EQUITY BUILDING RND REMODELING City of Ealn 3830 Pltot Knob Road Eagan MN $5122 phone: (651) 675.5675 Fax: (651) 875-5694 Mar.. 31 2009 06:11RM P1 i? ° _--------' j Penna?LC ? L ? 35 ; Permn Fee: j i ? Date Receivad: I i ? smtt: 2009 COMMERCIAL BUILDING PERMR nPPUCAnow --t I -7 ` V ? -T5? ? 1 i i -----' Date: sM Address: y??as_?.?co?s .eo C46, /jL0 ,rw. s? aa renam iltaime: ?0?9?41 46 Gd 61S.-17C g (rensnr ls:__._ Nsw i-tE)dsang) swre ffi:_^_____ PROPERTY OWNER Name: Se 0?7 ? Phom: lAsl .A00 23 V9 Address / Cih' 1 ZiP: 55 Applicant is: _ Owner ? ConVacEOr TYPE OF WORK - /i9 X?O ,SyyGL'O W.4*'v cs rf.?L, pescription ot?• jeipwx Y?AT ?AS CI/n . Q.V .$d K FiXy°O sY Constrwtion coat [aeDO i CONTRACTOR Name: 14,0& ,' ndd.,=: ? rrrO,ea%7GrGLfA state:l4'b? zb: ar, 71a3 -300 conW Pemo,,: ,rgeAD Gy.e aRCKrrEcr r Name: Rilismtrabo, lik. ENGINEER Adtlress: Clty. 51ate: Zip: Phone: CWitad PeBOn' licensed Mumber installing ngw sewerlwateF serviec: ' Phone iF. NOT?:P/aatS aeial supporting doawr?efirts fhaf Y'dti subirtll are aanslderett po 6e perb/ic irdormadon: Portlons of the leformaerat: itray be classrfied as rwn•peiWic if Xa+ Si+?n1e reasons uatN?GUld pemiit t/re City eo "conclude.}haY:dx .aYe.:tradesecwts. I hereby ackEwxAedge that this infinnaiion is complete and acuuete; thet the wak wip ba in oonionmanco with ttw ordinarxes antl Cod9S of tlie City of Eagan: that 1 undersfsnd this is nOt a permit but onry an applipBOn Aor a pemu; and work Is not to 9tert withaut a permit: that the work will be in accordanoe wi(h the approved War+ in ft ca5e of work FHjdi requims a review and apyroral of plans. x..?.LC.Lr?=c=? ApplicMPS Prt11t9d 11amg qppl 'e Pege 1 d 3 Scc ??, se -/ 7 DO NOT WRITE BELOW THIS LWE ??95 A1 CO SUB TYPES _ Foundation ? Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace _ Public Facility _ Accessory Building ? Commercial ! Industrial _ Exterior Alteretion-Apartments Greenhouse / Tent EMerior Alteration-Commercial _ Antennae _ Exterior Alteration-Public Facility Interior Improvement _ Siding _ Demolish Building* k Exterior Improvement Reroof Demolish Interior Repair , Windows Demolish Foundation _ Water Damage _ Fire Repair ^ Salon Owner Change 'Demolition of entire building - give PCA handvut to applicant Valuation 6000 OZ Occupancy Plan Review bN? Code Edition 09444 ? Zoning Census Code Stories # of Units V Square Feet # of 6uildings ? Length Type of Construction Width REQUIRED INSPECTIONS Footings (New 8uilding) Footings (Deck) Footings (Addition) Foundation Drain Tile _ Roof: _Oecking _Insulation _Ice & Water _Final _ Framing _ Fireplace: _Rough In _Air Test _Final _ Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: Building Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers •v Sheetrock Final / C.O. Required ? Final ! No C.O. Required HVAC Other. Pool: Footings _Air/Gas 7ests _Fina! ? Siding: ?Stucco Lath _Stone Lath _Brick Windows Retaining Wall Yes " No Reviewed By: Planning COMMERClAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC 5&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality (32,T5? 3 , 00 O , od Water Quality Water Supply & Storage (WAC) Starm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTALi I34, 7'S- Page 2 of 3 7633895399 FROM :EQUITY BUILDING AND REMODELING FAX NO. :7633895399 Mar. 31 2009 06:11AM P1 CftyofEaaii Permit Fee. 3830 Pilot Knob Road l Eagan MN 55122 Phone: (651) 675-5675 Date Reserved: Fax: (651) 675-5694 { staff: i 2009 COMMERCIAL BUILDING PERMIT APPUCA77ON Date: 3 fD 7 $ite Address: _ ~5 ,4." COGS .P~ +~/~Ga •4 ) . M-~j -~57. Tenant Name: r> A-6 Gd 4,iS7C {tenant ts: New I E>dsting) Suits PROPERTY OWNER Name. phone:/ -Apo 3 Y9 Address/ City t Zip: Applicant is: Owner Contractor TYPE OF WORK n of ~r~ /,V x 44P S' r?..1r-G? SAT" ~/r*s G'~^+ Qw St.~~r~ E~~'o s~k+' Construction Cost LG?bf~U....r CONTRACTOR Name: WL,7-V-- Address: I000 0DX` City: -rsO 7 t l f.,o State:1 ' Zip: 34' Phone- -2103 -3VV -09Y? Contact Person: efrei9i4 ARCHITECT I Name: Rbgistration Ik ENGINEER Address: City. State: Zip: Phone: Contact Person- licensed plumber installing new sewarrwaitai service: Phone S: 11 7 ==Plans rSt1 orting Q f? atyou 7dte'consl6iF19t be tt .i fan atlon Portia s of the lnfonnatioa-May be lass; d;afs non~j~flbls if you pi owd sp 'aeasons that would 7/t the City to cci~»cladeshat:. ial+e.araFleseCt 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 mince with the approved plan in the case of work requires a review and approval of plans. x. Alf y et' 7- Applicant's Printed Name Appl ra Page 1 of 3 7 DO NOT WRITE BELOW THIS LINE q0~~ CQ 1- KL-` SUB TYPES Foundation _ Public Facility - Accessory Building _ Apartments J Commercial / Industrial Exterior Alteration-Apartments _ Lodging Greenhouse / Tent Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New Interior Improvement Siding _ Demolish Building* _ Addition aC Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows - Demolish Foundation Replace _ Water Damage Fire Repair Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation rod00 Occupancy MCES System Plan Review /(`b//f Code Edition SAC Units Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings ~ Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) / Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Decking _Insulation _Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: ?Stucco Lath -Stone Lath _Brick Fireplace: _Rough In _Air Test -Final Windows Insulation Retaining Wall Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes V /No Reviewed By: Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 13 2 7 S~ Water Quality Surcharge 3 0o Water Supply & Storage (WAC) Plan Review 0 0e, 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 S. 7 Page 2 of 3 CITY OF LALiAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _— No. of Units: Owner: — Address: Site Address: Plumber: Meter No.: — Connection Charge: Size: _ Account Deposit: Reader No.• Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: BY t� } Date Paid: Date /1/gip Insp.: • c cal ` iti-z, Q PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132143 Date Issued:07/28/2015 Permit Category:ePermit Site Address: 4225 Nicols Rd Lot:003 Block: 025 Addition: Section 30 PID:10-03000-25-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John T Andrusko 4225 Nicols Rd Eagan MN 55122 (651) 683-9520 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature For Office Use Permit#: Permit Fee; ...... ..------ee. 1-._-----....---.....-...-...----...--_—,....— 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No----i (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Email:buildinginspections*cit a eaean:com Plans: Electronic Paper Plan Submittal:eolans@cityofeagan.com 2018 COMMERCIAL MECHANICAL PERMIT APPLICATION L.Please submit two (2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email,CD or flash drive Date: 8-28Site Address: -18 4225 Nicols Road Professional Exports Tenant: Suite#: , f ,I Owner John Andrusko 651-683-9520 -Name: . Phone; J i l I Address i City/Zip: 4225 Nicols Road, Eagan, MN 55122 I I J I I Controlled Air i I Name. License#: ' t j - .j.. 21210 Eaton Avenue . Contractor Address: City: I I state: MN Zip: 55024Ph one: 651-4606022 j Contact: Heather Winn Email: info@controlledair.net , I J New I Replacement Additional Alteration Demolition i Type of,...,.evori_ J -escription Replacing furnace t ; uof work: 1 NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information an permitted screening methods. COMMERCIAL New Construction Interior Improvement IPermit Type Install Piping Processed I 1 Gas Exterior HVAC Unit I i — Under/Above ground Tank ( Install I_Remove) I COMMERCIAL FEES 5350,00 Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ e 6- 67° Permit Fee I =$ Surcharge I Surcharge=Contract Value x$0,0005 I If the project valuation is over$1 million,please call for Surcharge =$ . 6e- TOTAL FEE 1 ------ ----- ,_ ---1 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.citvofeacian.comisubscribe. 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 appr.val of plans. Heather Winn x ..; x Applicant's Printed Name APplicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening _