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4345 Nicols Rd APR-05-2011 06:32 AM STANDARD WATER CONTROL 753 537 1882 P.02 Phone: (651) $75-6875 ~ Stan: Fax: (651) $75.5894 INFLOW INFILTRATION PERMIT APPLICATION .(~C Plumbing t Sewer & Water CO Date: Site Address; Tenant: Suite ~r~PJ' Name: RESIDENT I OWNER A , Address 1 City 1 Zip: 4 r ' Name: License CONTRACTOR State: AM~ ZIP:c;~ Phone: Contact:0 Emall: PLUMBING (V l hin the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair ^ Repair Other: Other: DE$CRIF'TION Description of work-, FEES $55.00 /Each (Includes $5.00 State Surcharge) (Rev. t3-30-10) TOTAL FEE "Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting or City Phil at 3830 Pilot Knob Rd. CALL E3EFORE YOS) 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,gopherstateonecaft.am I hereby acknowledge that this Informatlon 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, Ap Ilcant'a pna uro App cants rued Name ; Use BLUE or BLACK Ink r-- For Office Use I City of EaEd I Permit q W3 G I 07~ I Permit Fee: ioa 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: i L-----------------~ 2010 MECHANICAL PERMIT APPLICATION Date: V Site Address: LI 3'7 5 f3) 1 C a Tenant: Ugh'i Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: G4## of j]&qt1"V) A License Address: 1Q'??0 a 6e City: State: : Phone: ContaL2L/ Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: F NOTE: Roof mounted and round mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under /Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: K 000 $70.50 Underground tank installation/removal OR Contract Value x1% $50.50 Minimum (includes State Surcharge) '!S(3 Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. 3,50 - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this~s n a permit, but only an application for a permit, and work is not to start without permit;\that the work will be in accordance wit a approved plan in c'a f wortrwhich requires a review and approval of plans \ lp / 0 x 5 0 IC / x Applicant's Printed Name 1CJ App a is Signature FOR OFFICE USE Reviewed By: _~Date:" g !0 Required Inspections: -Under Ground ! Rough In -Air Test -Gas Service Test -In-floor Heat -c I-inal Exterior HVAC Screening Inspection ..? _ . . . . . . .. .4 . " . ,. . . . . ... . . .w.?^r?...?-.,.syy..s-n-c .f,,.. ..,-? CITY OF EAGAN • ? ? '' . 3830 Pilok KrkQb Road, P.P. Box 21-199, Eagan, MN 55121 •? 11407 PHONE: 454-8100 BUILDIMG REFiMIT Receipt M Site Address 4345 :VAcO1 S hd. Erect ly Occupancy L Bl Remodel ? Zoning 4 ot , ock .-Sec/Suh. 1 Gg20 0 i R ? t UN T f C - Parcel No. '0 ' r epa Addid ? ype o ons s N St i on Move ? o. or ? e Length 101 °C Name Demolish ? Depth 2(L- 3 Address '-•, ? 1 =?, kd 1 Z Int. Impr. ? Sq. Ft bX1? o City ' PIoDne 431- 2112 Install ? = oa Mame. ? ¢ Addre; D I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with alt applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Police Fire Planner Council Bldg. Off. 12-23-8; APC Var. Date Permit 1170.50 Surcharge 147_SO Plan Review SAS,QC SAC 2625.00 Water Conn. PI) Water MeterNA - Road Unit pD Tr. PI. 560.00 Parks PU Copies Total 5238.25 A 8uilding Permit is issued to: LAli`':Y CCN:iT./CUMcti.iNITY AC7I0N on me express candition that . all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building pfficial Pa?mll No. ParmH HoIdK Dale TNephone M P,umbing H.V.A.C. Electric e a35 ?? Z a? s- ? SoftMemner Inspeetlon Dab Inap. Commsnb Foottnps I o- I l.c) Footinys II 01, 4 Wg FoundaNoe Frsminy aqln P RooRnp Rouqh Plbq. Rouph Hty. lr.ul. 3 l?.} Firsplace F?nal Mro. Final Pibp. Ndg. Final ?.9.86 s?d c.rL oa. 79•Sb ? 7 J. TE?P. 1xuco w/Kc -wrEc.T P..B2'0? e Deek flp. FI R-E poOr- I?+ K I TC NE N D f N 1 N Ah? D Deck Fmg. ?.1 ?LJ N CiE O I IJ LlA dhl wer Pr. Oisp. hi+-L, *X0111111111W CITY OF EAGAN . . . ?{ -,?±A • ' 3830 Pilot ?ob Road, P.O. Box 21-199, Eagan, MN 55121 1l .iU?t REACTIV ATED FOR DECK - 10/811HONE:454-8100 .- ? BUILDI NG PERMIT Receipt # To be used for - ?A ?i='aq, Est. Value Date d ECE34BM 2 , 19 85 Site Address 4345 t?ICOLS RD ? Erect ? Occupancy Lot 1 Block 1 5ec/Sub. CEDAR RIDGE 1S%emodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories COMPRUNITY ACTION COUNCIL Move O Length a Name W Demolish ? Depth o Addre ss ? I t I F+ S city BURIISVp"E 431-2112 n . mpr. Install ? q. I hereby acknowledge that I have read this appPcation and state that the information is correct and agree to compl fqith all applicable State of Minnesota Statutes and Ciry bf a_gaFl dinnces, ? Signature of Permi?_ _ A Building Permit is issued to: DAILF:Y CONST all work shall be done in accordance with all appliqable State of Minnesc Assessment Water & Sew. Police Fire Eng. Planner Council Bidg. Off?? Var. Date Permit ''+'' • "? Surcharge Ptan Review SAC Water Conn. Water Meter Road Unit Tr. P I. Copie Total ' on the express condition that STatutes and City of Eagan Ordinances. Building I PwmN No. Permit Molds? Dab T~om N IPI4rAIlly IN.Y.A.C. EIecMc Soltenw Inspsctbn DaM IMp. Canm?nh I FooHnys I Footfnys II ? Foundatbn Framiny Roofiny Rouph Plbp. IRouyh Mty. Inwl. 1 Ffnplacs IFinal Hty. Flnal Plby. Bldy. Final Csrt. Occ. ID*ck Fty. ID*ek Frmq. DescHbs Locaqon: Ylhll Pr. Dbp. , . PERMIT # r MECIiANICAL PERMIT RECEIPT # CITY OF EACAN 7-? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE OI?? PHONE: 454-8100 Site Address h'i ?4- BLDG. TYPE WORK DESCRIPTION Lot ? Block Sec/p b ? N R ew es. Name ? lt Add M -on u ? Address Comm Repair c City N E Phone ' Other Name 'l t) AIA i ia FEES ? c Addr ? RES. HVAC 0-100 M BTU -$24.00 3 0 Ci p'b hon ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL fi M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU ? COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent r CFM _ BEYOND $1,000.00) Gas Piping Outlets # •a? Othar FEE SI ATURE OF E M EE S/C: TOTAL# ` , ? FOR: CITY OF EAGAN ? • +? ' . PERMIT # RECEIPT # DATE CITY OF EAGAN PLUMBING PERMIT . . 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 ? FEE S/c ? TOTAL 1. Bldg. Type: Res Comm . Inst 2. New _--Add Alter_ 3. Total Bid Price Z 4. Job AddresA 'Z Lot j_ 6. Contractor AZ V.? - (Name) 7. Contractor Phone # NO., FIXTURES h Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 ICltchen Sink - $3.00 -Urinal/Bidet - $3.00 Repair 5. Owner 0%- ?• SJ" i !i ?/ ?J /? / ? . ? ?'? ? Y 1 ?.J NO. FIKTURES ` Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ?Z__Gas Piping Outlets - $1.50 -Softener - $5.00 N0. FIXTURES -WeII - $10.00 _Private Disp Syst - $10.00 -Rough Openings wlo Fixtures - $1.50 COMM./INQ? RATE - 1 OF TOTAL BID PRICE PLUS i.50 STATE SURCHARGof OR. EACH $1,000 OF FEE. $19ned: fOf Approved Inspections: Date Rough Insp. Date Final Insp. CITY UF EAGAN 2.20 Ac. I= Addition CEDAR RIDGE FIRST ADDITION Lot 1 eik 1 Parce1 -10 16fi2f1 610 01 Owner D.H. GustafSOII F Assocstreet 4345 fisdar *rent2e state Ea an MN 55122 /?Z"- 4. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 'q 1979 1604.50 STREET RESTOR. GRADING SAN SEW TRUNK 1 Q 1968 385.00 12.83 30 SEWER LATERAL 1 J? * WATERMAIN 1979 n ¢?J f ' * WATER LATERAL WATER AREA -? 1973 605.00 40.33 15 STORM 5EW TRK STORM SEW LA 14 ti o 3 9?9 ?.s' /?o S?? ?v 8?f CURB & GUTTER SIDEWALK • STREET LIGHT Road Unit $280.00 58698 12/31/85 WATER CONN. 500.00 BUILDING PEFi, 11407 sAC 525.00 PARK o..? -G{.d,Q,, ?? ?? ?-IL?-"c-f,l.?. L?C.?'t? CL4.?/ ???yrt-at ' (1 ? C? ? ?( _ C: - .? _?,E,, ?'?- _ V ' / ; ? c? !? ?..G? , a??' ?c?f CITY OF EAGAN WATU SERVICE PERMIT 3830 P ',.; Knob Road P. U. BOr 21199 PERMIT NO.: Esyae, MN 55121 DNTE: Zoninp: No, ofl,?nits: Ownwr ?lon i.ounc nc. ? Jlddress: Sih Addroas: L_ -- * manr NO.: ??1 a????Cannection Chmps: 51zei / Deposit: we.de. rvo.? Lk'l-Be ore t ?P_? I .gm to a..,y ` - o?...e.? REQUIRED B M ?,?: , . . . ? Totcl: B" ?n Qote Paid: Date of Insp.: Iryp.: TY OF EAGAN SEWER SERVICE PERMR 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121.. ?. . DATE: no; No. of Units: /'W{7IQSS. '7 J-e J _ ' ' _ _ _ Iblf: ,? • ' " ,. i. ' • ? , . _ . ,.i'.. .>l: / ? ?? Mr1 ??¦ ?+?? COfl110CtiOf1 ?rnwye: 7 MIIOY. ACCdIXIt DEpoiIt: PeIRIit fN: Surdarqe: Misc. Clwroes: r of Irnp.: Totol: Date Pold: CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_ 11407 BUILDING PERMIT Receipt p , 7o be uaed tor SHELTER Esi vaiue S395.000 , oate $3- 12-31 , 7s R5 4345 N¢cols Rd. H /R Site Address Erect occupancy -R - I h tI Bl Rjd L k / Remadel ? Zoning o oc p S gB u.?Si 6? ?? V N L Parcel No Repair ? Type of Const. . Addition ? No. Stories ¢ W Name CONAtUNITY ACTION COUNCIL Move Demolish ? ? Length 101 Depth 70 ; Address 14451 Co Rd 11 Int. Impr. ? Sq. Ft 6740 ° CiryBurnsvillftone 431-2112 Install ? o DAILEY CONST C0 APProvi . Name . ,?° a nddress 8510 Central Ave. N E qssessment_ , ? c?ry BLaine pnone 784-3910 water & Sew. Robert D Burow Police_ F Name Fi = 0 8 a re ? ? AddrMes - g 3 4548503 Eng. a W Ciry Phone Planner- Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 12-23-85 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permitlee Var. Date DAILEY CANST /COMMUNITY ACTION ' PHONE:454-8100 ? --? I Permit 11 iv. JV Surcharge 197.50 Plan Review 585, SAC 2625.00 Water Conn. PD Water Meter NA Road Unit PD Tr. pi. 660.00 Parks pD Copies Total 5238.25 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all e 'cable 6ta Minnesota Statutes and City of Eagan Ordinances. Building Official BATTERED WOMENS SHELTER CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0- 11364 - - ' PHONE: 454-6100 BUILDING PERMIT Receiptq To be used for FOUI'EATION Esl Value Date DBCEMBER 2 , tg $$ SiteAddress 4345 NICOLS RD Erect Occupancy Lot 1 Block 1 Sec/Sub. CEDAR RIDGE 1S7Remodel ? Zoning Parcel No. Repair ? Type ot Const Addition ? No. StOries s Name COMMUNITY ACTION COUNCIL Move ? Length Demolish ? Depth o Address CTY RD 11 Int Impr. ? Sq. Ft. Ciry BURNSV96W 431-2112 install ? o Name DAILEY CONST $a Address $510 CENTRAL AVE ? Ciry BLAINEphone 784-3910 ?w W t2 ?o ¢ W < Name ROBERT BUROFV ,,,,,,.e.... 750 SO PLAZA DR Assessment I Permit Water 8 Sew. Surcharge _ Police Plan Review Fire SAC ? MENDOT4%oyTS 454-8505 planner Iherebyacknowledgethatlhavereadthisap acationandstatet aithe information is correct and agree to compl ith all applica S te oi Minnesota Statutes??nnd-Bit 0 di 4ne. Signature of Permi ee A euilding Permit is issued to: DAILEY CONST all work shall be done in accordance with plble State o Minnes Building ONicial ? --? Councii Bidg. On. 12 / 2/ 8 5 Var. Date Water Conn. Water Meter Road Unit- Tr. PI. Parks Copies Total $15.00 on the express condiiion that Statutes and Clty of Eagan Ordinances. This rep.est void 3//7/Y? ?p? /,S • (? 18 months from ! ? C 2352 L? Bi, Request Va[e %? '?) ? p Fire No. Rouph-in InsOection Fepu red? Inspeo ?Ready Nuw Will Nntify, [or Wh n R tl O Yes No e ea y %Lfcensed Ele<vical Convactor 1 hereb y reQuest insoection of above ? Owner electrical work installed et SVeet Adtlress, Box or Novte No. g 1 % City E ? ? c 0 a a n ecvon o. Townshlp Namo or No. Hange o. C Lv-&' D upant IPRINT? a/ le o _f?b Phane No. Pa er $upplier Atltlress ? ?- eCf-Y?G ? rm j ? ElecVical ConVac o? ICOmOan Name) ? ? Cnntrarto?'s License No. M,cila?c E FC-Eri? Mailing Address IConvactor or Own Making Ingtalla ioN ? 3 67 B rr i d d . ?Gt ?c 1?1 Auffiorizad 're ICon a O Insiallati 1 Phon Number MINNESOTA STqTE BOAPO F LECTRIGTY ? o - THIS INSPECTION PEQUEST WILL NOT Grie9s•Midwav Bldg. - B N•797 BE ACCEPTED BV THE STqTE BOAND U 1B27.UniveLy?ty Ave., St. eol. MN 55104 NLESS PNOPEN INSPECTION FEE IS - - ENCLOSED, .??7 y'(Q REQUEST FOR ELECTRICAL INSPECTION eaaoaoi-oa ? ? 4 2 6'3. 3 bf? $ee instmctions lor completing Ihis brm on beck ol yellow copy. i X" Below Werk Covered by This Request ?"V,.. ' ew Atld Rep. TypeofBUilding AppliancesWired EquipmantWiretl Home Range Temporery Service Duplex Water Heater Electric Heating ApL Building Dryer Other-(Specity) Comm./Industrial Fumace - S w(s Farm Air Conditioner ,Q.,re J Qklpr?sVecity? Conirector§Remarks?. ,?Ja ?'l a Sm??le YP- (Dn? /?` Compute Mspection Fee Below: r( 1,2 es. # Other Fee # ServiceEntranceSize Fee # CircuttsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps, Transformers Above 200 _ Amps Above 7 mps SignS lnspector's Use Oniy. ? TOT L hrigation Booms ? ? ./'v Special Inspec[ion , ( I Alarm/Communication 90,YO THIS INSTALLATION MAY BE ORDE C ECTED IF NOT D Other Fee COMPLETED WITNIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oam certify that the above inspection has been made. ,?ai /,? Q oe?e. ?? OFFICE USE ONLY ThiS request voi0 18 monlps imm K 3 i7 Reque9 ate ?-?-? Fire No. Roug in Insp ction ?OU ? ? ReaOY No. ill Notily Inspec?or GYes yTLNO WhenReedy? I;(licansed contractor 7 owner hereby request inspection of above electrical work at: Jo0 Atltlress iStre¢I. Box or Roule Na-I Ciy ? ?.,._. Section No. Township Name or No. Range Na Counry 4a,ea /,:;, . OccupantlPRINT) Il Phorre No. / S?- 7?J 6 vasc. r(J l ? Power Supplier AEtlress ElecVlcyl Contreqor (COmOany Neme) Conhactor5 License No. r?- ?c S sr?,?f CG Gvano Mail Cress iConVacto? o?O?rM ing Installation) LUi1 . AufM1Onxetl 5 na? e 1 tlou er aXin nst ation? Phone NumDer } MINNESOTA STATE BOARD O LECTRIpTY 9 .{? THIS INSPEGTION REQUEST WILL NOT Gtlyga-MiOwey BICg. - S113 4G ?v/ "?a ry BE AGCEPTED BY THE STATE 80AR0 18P1 University Ave.. St. ul. MN SStOC UNLESS PROPER INSPECTION FEE IS Phone(612) 6C2-0B00 R ENGLOSED. 3I1.7/p6 REQUEST FOR ELECTRICAL INSPECTlON /ea-ouiwi.oa d / See instructions for complatinB this form on beck o? Yellow coOV. /_ 0 S S? 2+? 5`? '"R" Below Work Covered 6y Ihis Request CD C iTAd fleD. Type o7 Builtling Apolinoeee Wired EquiumeM Wi?e? ce ce p Fee ServiceEMmnceSixe Ir Fea Feetlers/5abfeeders k Fee Circwts 0 to ZQO Am s 0 to 30 Am s 0 to 30 Am 5 00 Above 200 qm??s, ? /p,p 31 to 100 qmps 0 37 to 100 Amps Swimming Pool 00 .Amp Above 100_ p r Above 700_Am s Transformers Irngation Booms Partial.'Other Fee I I ISigns ' I- ]Special Inspection Rem» TOTAI (? F,fE. J, rks ? , i I, the Elec4icel Insoectoq hereby certi(y thqt the above insoaction hes baen made. ,?- c? r7i< < ?QT ltiSrA?cE? . ??Cf? 1 T? ?'? c , 2000 BUII.DING PERMIT APPLICATION (COMMERCIAL) C c" R_( CITY OF EAGAN L-? -? -7 ?l 651-681-4675 ? -L l PI A ?- ,.,,. . . Foundation Onl New Construction , . ..._»-----? Interior im rovement • Strudural Plans (2 sets) . ArchitecWral Plans (2 sets) • Architectural Pians (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Malysis (1) •' . Certificale oi Survey (1) • Civil Plans (2 sets) . Project Specs (1 set) • Code Malysis (1) '• . Landspping Plans (2 sets) • Key Plan (1) . Projed5pecs (1) . CodeMalysis (t)•• . Master Exlt Plan (t) • Spec. Insp. & Testin8 Schedule '• . Certifipte of Survey (1) . Energy Calculations (1) not always^ • SoilsReport (1) . Spec.Insp.BTestingSchedule (1) " . EIec.POwer&LightlngFortn (1) not always" • Meter size must be„esfa6lished . Metar size must be esWblished . Meter size must be established - if applira6le • Project5pecs (1) 1 . EnergyCalculations (1) •' 1 1 • Electric Power & Lighting Fortn (1) " 1 1 • Master Ecit Plan (1) l 1 . Fire Protectlon Plan (1) 1 • Soils Report (1) j • MClES SAC delermination le@er . MGES SAC detertninallon letter . MC/ES SAC determinatlon letter ' tall 657-602-1000 pll 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facil ities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE !? - ? ' O O W X : WORK TYPE: rj NEW ! REMODEL CONSTRUCTION COST: DESCRIPTION OF WORK: kQBo 1 16 joLGh? Fpp- rU'rU"- pp,Q,t{{ TENANT NAME: !J /C 0(S ..4_T [ W f.S v.-?k. SUITE #: FORMER TENANT NAME: SITE ADDRESS: 7,3 `15 /f D? S K D LOT _J BLOCK _J SUBD CK .4ft Name: COI VIMUNPTv AG?/o? CUJNCtL Phone#:({?,j„Z 9pS??00 PROPERTY Last First OWNER Su?eet Address: )? ? (?1 73 a ?/D/ 1?/,? VAL City _K14'Y f U6 III: State: _M./l/• Zip: _ .57S0 Yy -3378 Co ^ mpany: hone #: ( . T7 !? CONTRACTOR Street Address: ?y 7 ( S?0?. ?,?Q-^JQ ?, ciry 4rQ- 6Ad srate: 1y(A/, zip: ,5/ 1 Yriay' L 42 )M nxcHITEcri L 40 ENGINEER Company: ` /}?,p I'vl S70/L L,,q,,-/6 Phone ii: ( ) Name: Registration #: Street Address: CFI city SEP 7° 2000 State: Zip: Licensed pl Meter Size: Phone #: 1 hereby acknowledge that I have read this application, state that the infortnation is co rect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industriai O 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. `R 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE Wo 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Impr ? 36 Move Bldg. GENERAL INFORM T/? _IQN, Census Code SAC Code D / No. of Units -7- No. of Bidgs. Const. (Actual) .r'aJ (Allowable) r dV UBC Occupancy ? 37 Demolish Bldg. ? 43 Reroof ? 38 Demolish (Interior) ? 44 Siding ? 42 Demolish (Found) ? 45 Fire' Repair ? 46 Windows/Doors Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building Permit Fee Surcharge Plan Review MC/ES SAC :.ity SAC Water 5upply & Storage S/W Permit 5/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies ?- ? sq. ft. sq. ft. . sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone V Engineering Variance VALUATION:$ I a- C) C) ,C) ? ?-??-- ?- °/a 5AC SAC Units Meter Size Total , -Norfh /ine oI IAe South 84/.67 feel ol flir South 2653.35 feel • :- 01 /Ae £osl 112 of lAe NYY114 N 89°53,53"c 75.00 459.96 I I ?5' Oramope 8 Ulilily i, I a. . a A? / ? 0 ?Oh ti cr ,ti ?y?L G p? I a h -'' N89°53 o? ?--- .422i =I ? ? •5'Gta;ROpe & urudy Eosemenr-._:_I I ry (w ? ? 2 I(, ? I d=34°22'23„ .36.U0 ? -. _ !BT IT Om,r.ms 6 urHiry ? ? ? 3? QK ? o e ?c ! AC ??? _ I ? 3 M ?o? 2i 1 Oromnps @ fA'p/yE?eJ 0 \ 3/4?6 0 `°, ?„ t .7=300°-=...? ? N89 .??'755 £ p " R= 60.00 " ., Cedor Ridge Circ% \ -33B.t4-- gt} -- T . - N89053'55"E . 4 ---- ? I ? ' < < ?6°j4 p= ....... ._ .. I I I a p? ? 2 ? ? ? Pb< I I ;5 00, ,t `-5'o.o»oyr a unriry Eose+,rsnr ?- --502.38 --? S 8-90 53?55W Soutn /ine of tPe E112 of 1Ae NWI14 or Sec.30, 7-wp27, Rqe.23 CEDAR RIDGE FIRST ADDITZON ZN ? V ?L ?:. (..1 t _..?? h Qa? l? II? I 7 In I : U I ? ,':?• I ? ?, a ?...., L ?.,..? ? ( . .: r - ? ? 1 - ?.0o 1.53 I M ? ? --f: 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN I NOTE: ALL CONTRACTORS MUST BE LICENSED IdITH THE CITY OF EAGAN COt41ERCIAL SINGLE FAlIILY DilELLINGS INCLUDE 2 SETS OF ARCHITECT[1RAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAP$ BOND / /&Q?G' v/ 6Nl %O'r Tc Be iJ d F dEC'D NOV 2 01985 se or: ????r Vaiuation:3q5.000_00 Date:gov_ 78.198 Site Address q345??NjQjo1,-Road Lot 1 Block 1 Parcel/Sub Cedar Ridge lst A,dd' ion OwnerCommunity Action Council Address _14451-County Road 11 City/Zip Code Burnsville.MN 55337 Phone 431-2112 Contraetor Dailev Construction Co Address $510 Central Ave. N.E. City/Zip Code Blaine MN 55434 Phone 784-3910 ?F OR- Nowae.(>) Arch./Engr. Robert D. BurowL Arc,h. Address750 Sos P1aza Drive Erect Occupancy Remodel Zoning Repair , Type of Const Addition # of Stories Move ? Length Demolish Depth Int.Impr, Sq Ft Install APPROYALS FEES 0 a I City/2ip CodeMendota Heiehts.MN 55120 Assessments Permit ? Water/Sewer Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter . Council Unit Bldg Off ?reatment P1 APC arks Variance Copies TOTAL Phone 9 454-8505 ?oo,ooo 29 5, 000 z9,5 x2.s = • `?U2CH?RG? ? ,. , . , 73 -7 . ? I f-7 0. S° I 170, ? 1R?. sz) ?LA-N fzElli L.l-! 1110, sn -?- ??°o? z5 585. zs ' `?A L L ?,F?`- LG7«R) S2S k S- 24?25 - 2ca5. , y,f aC- 0 2 °o3Z -- - Zo3 Z,, z? ' ?.oAt? UN ? I ?CD (`7GG L"L-1TEI?) TPC I '32 x S = (o(Q.O pA21L rP5 2?•??? ?f 9 ?3"?= I E80 M?MO T0: FILE FROM: KEN VRAA, DIRECTOR OF PARKS & RECREATION ? RE: CED9R RI1lGE FIRST ADDITION LOT 1, B 1, COMMONITY ACTION CAIINCIL BATTERED WOMEN'S SHELTER At the December 3 City Couneil meeting, the City Council took action to reduce the parks dedication fee requirements along with other assessment eharges to a residential evivalent. Consequently, this lot and block shall be responsible for a two lot equivalent or $880 for parks dedication fees. Further, the Council took action to require a commercial/industrial parks dedication fee should use of this facility ever revert to any usage other than its original intent. KV/js CC: Dale Peterson, Chief Building Official Steve iianson, Construetion Analyst ? , EMANUELSON-PODAS, INC. CONSULTING ENGINEERS 6607 - 18TA AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55423 Sheet 1 of 2 1 E%TERIOR ENVET,OPE AVERAGE "U" COPiPUTATION YroJect Number Date JA _ n Praject Name Client . I fl1 p c. Wall 113 By -- ?--- --- _..__- - --- _------- DETERMINE WOR1iING SQLIARE FOOTAGL' OF RUILUINC Total Exposed Wall Area Above Grade a. Wall fll F 14_C) ``q „ . b Wall !l2 d. Glass 00 e. Doors f. Foundation Wall B• 2. Determine "U" Value of Each Wall Segment a. ? 5 Sq.Ft. x "U"_0'4:Q t. ____ sq.et, x "v" _ c. Sq.Ft. x "U" d. °lOU Sq.Ft. x "U" e. Sq,Ft. x"U" _ 4 2 f. Sq.Ft. x "LU't g. Sq,Ft. x "U" =_Zt ?_2 To[al = 3. Total F.xposed Area .23 Sq.Pt. x 0,4-r(Famil.y Dwelling) ?Sq.Pt. x 0.22 (Dther) (aazu/r° BTU/Po ? ----------- BTU / Fo 4. If total of Item 112 is the same as, or less than total of Item I13, the intent of SI3C 6006(c) 2 has been met. M3 1/18/78 Sheet 2 of 2 5, Total Exposed Roof Area a. Roof b. Skylite c. Overhang d, e. 6, Determine "U" Val4e of Each Roof Segment a. 2?24 Sq;Ft. x IiUFI b. __Sq.Pt. x nUn c. $q.Ft. x "li" _ d. 59.Pt, x ?lU„` _-- e. ,_._ Sq.Ft. x "U" Total = rJ?- ziATU/P° ]. Total Exposed Area ( ) 2??2" Sq.Ft. x?air space above i.nsul.ation) ( ) ___J,Sq.Ft. x 0.10 (other construction) 8. If total of Item fi6 is the same as, ot less than total of Item ii7, the intent of SBC 6006 (c) 2 has been met. 9. To ueilize the total envelope system method, thc values e.tablished by the sum of, Items 2 and 6 shall not be gr.ca u:r than tlie sum of Items lk3 & 7. a. Item ll2 1 ? ?O + V Item !E6 5 n' 0 -? = WL2 _BTU/P0 U. Item #3 GC), + Item 1l7 10. Design Conditions - Table 6007-A a. Summer b. idinter Indoor 78°I'. 68°r. Outdvor , ,,,?? ? ?r????•_ l???? i , ? ???;, ? .r• :i `? , ?x? W J F? ? ?L?? )o . ; , ?. y. ?? ??=? ?,? •t;? , 11 /^ I ? i - ?; •I L? ? { .V-) , ?2 ( C 1 ' I' , ?. >(?..Tf? i r HEATING CALCULATIONS ffiMNUELSON-PODA3, INC, ENGINSERS PROJ. N0, CONSULTING ENGINEERS CHECKHD BY PROJ, NAMI: MINNEAPOLIS MINNESOTA DATE SHEET NO _ LOCATION TYYE OF HEP,TING DESIGN COND. ROOM DIIt D1MENSI0N5 LIN.FT. FAC. B.T.U. EXP. BTU TO TU 01 r?4. v _- a - ?, 0 o? i af? ?lE? §G o OG ---- ? ,? ----- - -- ??4 ? --- --- -- ? ? L- - _ --- ??? -- ?;c? 2 0 4? I )r ?o? ?-. ?(ro?'i '?=r'/ >I qa g v? ?. 2o ( Sv 3 ,??? - -- - i ? . _ ---- _ _ ( ?- M I - 1/1B/78 HEATING CALCULATIONS ffiWITSt,SON-PODA3, INC, ENGINEERS PROJ. N0, CONSULTING ENGINEERS CHECKED BY PRO7, NAME MINNEAPOLIS MINN$SOTA DATE SHEET NO LOCATION TYPE OF HEATZNG DESIGN COND, ROOM DIIt DIMENSIONS LIN.FT. FAC. B.T.U. EXP. STU TO TU a??l '? - 30 d I (e (qo r (?o ' 55j a a? (;,.? - 3a ?4 IyS? , 22 ? ~ --- ------ W ?90 ? ?- 3d s 91 ?? t ? ? ,.Q. 92 f?? ?3ao r J - -- o M 1 - 1/I8/78 HEATING CALCUI,ATIONS ffi4ANUELSON-PODA3, INC, CONSIILTING SNGINEERS ENGINEERS . CHECKED BY YROJ. N0,_ PROJ, NAME 1'YYt Ur HrA'i'LNG DESIGN C OND. ROOM DIR DIMENSIONS LIN.FT, FAC. B.T,U. EXP. 8TU TOT TU ol ? bh r l-',;ro , _ -- -- ? j- ? 1- ? - - --------- -- 3 ? - - _ `i s- - --a a ?? ? -- . ?-------' -- ?? - ! ?ll/a ?p ----- ).{i - rll(i,?: a Io (noa u I - 1na/7a HEATING CAI,CULATIONS IIIANUSLSON-PODAS, INC, ENGINSERS YROJ. N0. CONSULTING $NGINEERS CHSCKED SY PROS, NAMf: MINNEAPOLLS MINNESOTA DATE SHEET NO LOCATION TYPE OF HEATING DESIGN C OND. ROOM DIR DIPENSIONS LIN.FT. FAC. B.T.U. EXP. BTU TOT TU (JC?,PR. IS3??1 3a I,oy d o`b p,(???; _ 30 fn5 ?o 5 t5- ??? ??- ? ?o f5?> 16?r / ?1G:P? I_r.?, i?• 0"? ? --- - I ?? - !?- ? ? l- o?R/r7 (?n (,? .•?oo - - ? ? - - - ? ` ?`' ;) 2 ? ?._ - - -- - -- - -? ---- -lyo - - " ? q6 --- - ----._- - , -?-? -- ---- -- ----- --- - - u??,c( lli I --- " ?EIY UJG.,?. ao - 2v I 8" 4& - i i 3- ---- --- ?a?y. M 1 - 1/18/78 . HEATING CALCULATIONS A2MNUELSON-PODAS, INC, ENGINEERS PROJ. N0. CONSULTING ENGINEERS CHECKED IIY YROJ, NAME MINNEAPOLLS MINNESOTA DATE SHEET NO -!L- LOCATION TYPE OF HEATING DESIGN COND. ROOM DIR DIIMENSIONS LIN.FT. FAC. B.T.U. EXP. lvrAL BTU TOT TU U'a?C J7 0Gi 26 Y, w p r r -- ---? 71 v d JD - --- ? ?w ; `? -- -- ---- ? - -- ???1 ra- , 31? I 1Q?? ?.- )?o " 96 OoD 1300 r 2as a? S?> . - u -- 38 -a? ? 08 3 3W9 ? M 1 - 1 18/78 TRANSM11AT'AL ; ; . Da4e: Protective Inspections ?. To: City of Eagan , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55121 -N,,? (612) 454-8100 From: '?"/ -P Re: 0 q G S!?'{;, ( ? v f ?j- q -7 3 Z.,'- ? ?^r r,?3 tri ' ? l' O Yv\, y+n ? ,4 ! lG1 t .? !? /1`(.'OS??I'O?'I ! l?/? ? - v? C? fr/?R !'J% f ') 4d rr /% (?iw? i•l// P,e/' ? qQ? v /?7 i / LJ ? ,e . 7,111's 7985 BUILDING PERNIS APPLICAiION - CITY OF EAGAN tIOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN C0141ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For; ?Zxr?ATloi.l Valuation: Site Address 4345 NIC.C)LS IZC)• F Lot ? Block I Parcel/Sub LEq410- RI ObG I ST , Owner WMMUtJ1T`( AC-TION &NGiL Address 144-s1 Co. 2P- 11 City/Zip Code 5UE?.ISV1L(.t 5533 Phone 4--±>I -2112 Contractor ?AI LEY CON`?T. Address &rJ' Io (?_('r"'L_ 6-kVE. City/Zip Code 6lA1hlE. S5 434 Phone O Arch./Engr. ?OgE12-r 2UfZ(y,.4 Address - SD ',)D • PlA2A ?. City/Zip coae MLwt?uTp, N"v5.S5120 Phone 0 45 4 ' b-SOs Date: ? a - ? ?-?< S Erect Remodel ? Repair " Addition T Move ? Demolish Int.Impr. Install APPROVALS Occupancy Zoning Type of Const # of StOries Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL SINGLE FAMILY DAELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS C) 7 C?Mti??E??6m- ? 1986 BOILDING PEALiIT 9PPLIC6TIOH - CITY OF fiAGAN BOYS: ALL COPTRACfORS HOSS BE LICfiNSSD BITH TBE CITY OF EAGAN SIHGLE F9PIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATESIp. - ? MOLTIPLE DiiELLINGS - RfiSIDENTZAL RENTAL INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF Si 1 SET OF SNERGY CALCULATIONS COPIlMERCIAI: SURUEY, 1 SET OF ENEEiGY CALCULATIONS FOR SALS ONITS - CBECg iiITH BLDG. DSPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To He Used For: ?C c- l,-w Valuation: D (-) Site Address f )`Co (`, I OFF] Lot )( Block Parcel/Sub Owner LernMunii- 0-i ''<tiV0 Address City/Zip Code Phone Contraetor Address City/Zip Cod ?e/?? Phone Z?(3 ??) t wd Areh./Engr. _k_ o?' fwrdpi? Address JOv ?--, P(112ol ?)f- City/Zip Code Phone I! Ereet Remodel Repair Addition Move Demolish Int.Impr. Install 9PPEOVAIS Police Fire Engr Of f Date: /' 0 - ?(° Ocipaney Z g pe f Const of tories Length Depth Sq Ft Permit Sureharge Plan Revie SAC Water Conn Water Meter Road Qnit Treatment P1 Parks Copies / TOT9L ??4 NOTE: ADDBESSES EOR CORHER LOTS - CONTRACTOR/HOMEOiiNER FIDST DESIGN6TS WHICH ADDRESS IS DESIHED. NO CHANGES iiILL HE ALLOiIED ONCfi BDILDING PERMIT IS ISSOED. . ? `. L L SU60. _ APPROVED BY:_ S$SO PILOT K1V08 RD EAfiAN, MN 551E2 (61E)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: "71 Q2T WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: Fvy? " cE 2tPL??E?'`"`L N-7 FEES: 1% of contract price OH $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% 11 PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL t,EW 5 S 79zS' ?9.as •50 7 9.?S" H O vst ($.50 per $1,000 ofpermit fee due on all permits.) v?om?n-?°S S?e1?ert, SITE ADDRESS: y? LlS' rvt c 1-( oLs 20f= AG.PN? M n+. 5S r 2 Z OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: G0014L(l Rl--cl a S4ee. V rhe^?? ADDRES3: CnrptwA Ft? PHONE #: ? 9b- 3 Y 6? CI'FY:, S/'? //AGcF . STATE: / ?'I P`--' ZIP: 5 3 CITY USE ONLY RECEIPT #: 9 ' RECEIPT DATE: INSPECTOR 199$ MECHiR1VICAL PEiiMIT (COMhIEgC1AL) CI1'Y OF EAfiAN SIGNA'f,Y1 OF PERMITTEE CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *70'PF: PAYMF:W OF FEE AT TIME pF APPLICAMON mES MT CONMMM APPAOVAL OF PERPIIT. ? nvsrncrzota oF sUx z,rm/at wnM ' I[1S'LATSA`fIOD]$ N]ILL jV01 BF', $Qjm--- > UI,ID UMII. PEE2MIT AAS BEF39 ? APPROVID. ' -. ? xx?tzxzwstxxxxxxxxxxwx:x:?e:xarr:x7rxxx P ease Print 1) PROPERTY ADDRESS: LEGAI, DESCRIPTION: IF EXISTING STRCCILME, DATE OF ORIGINAL B[IILDING PERb'LLT ISSI;ANCE: i PRESENr ZONING/PROPOSID L'SE: (14 on Year) [] CO??'P, 432CIAL/FtETAIL/OFFICE Q IAIDL'STRIAT., M,-IfiS_T-ITL'TI ONAL/GOVERNA1ENr E] R-1 SINGLE FAMILY Q R-2 DL'PLEX (7.4,p Units) R-3 70WNHOC?SE (Three + Units ) ( Onits ) Q R-4 APARTmEup/CONIDOMINZIIM ( •Units) 2) ? NAPE: ADDRESS: CZTY, STATE, 2IP: . Pxor?:_ 28'Y- 39/D • 3) r i: ?• NAM: ADDRESS: i CITY, STATE, ZIP: PHONE: LICEPISE# 37.?, 01A'il y ? 4) rt.& • • i?- NAME: ADDRESS : CITY, SPATE, ZIP: PHONE: r?uiu.?_rs i-icense: Active Ebcpired Not recorded Sta Znitial (/OK CBqkt,'I •5) ? ;? r• i ? a: ?• : ? • a• • o-• - [(a-156NDIIECTION 7q CITY SEWEft NNEIC,TION TO CITY WATF?t ? pTHER '. . 6) rk- • r ? PLF.ASE HOLD APPROVFD PERAIIT FOR PICK-CP BY ONE OF ABOVE ---'- -- Q PLEASfi MAIL APPROVED PERMIT TO 1, 2,0 4, AHOVE (Cixciff?one) ' 7) r. ,. u• • ? ?? ? S-.??? riZ [ fe r?.--? FOR CITY USE ONLY PERMIT # ISSIIED ;v,3 f .-7,' Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT ( INCLODE SC'RCHARGE) .. $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ O"-o $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ 660 • Oo $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ 3 Z' $ oz/ /J? d TOTAL So& ?d ?ZZZc RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK LVITHIN PUBLIC Q NO ROADWAY" MOST BE DIVISION LIST ISSUED BY THE ENGINEERING AS CO DI ON . . A N TI SUBJECT TO THE FOLLOWING eONDITIONS: APPROVED BY: TITLE: DATE : ,7 `? ? ? SHELTER FOR ROBERT UAVID BUROW ARCHITECTS, INC. BATTERE,D WOMEN 750 SOUTH PLAZA DRIVE AND THEIR CNILDREN MENOOTA HEIGHTS, MINNESOTA 55120 EAIIAN, MINNESOTA COMM. N0. 8505 PUNCH LIST JULY 9, 9986 ROOM 201 - FOYER i. Replace door 201A with permanent door and hardware. 2. Raise p.anic button switch to 66" height. Patch opening to match existing. 3. Remove masking tape from woodwork. 4. Remove paper from.windows. 5. Install bug screens and security screens. 6. Touch up paint in and around woodwork. ROOM 202 - ADVOCATE i. Fill voids, touch up paint on all walls. 8. Replace or repair "flickering light bul6". 9. Furnish and install coverplates. 10o Increase counter hole to accomodate normal plug size. Furnish and install grommets and drawer units. 11. Install two 4'-0" strips of undercounter lights mounted on the horizont al surface. 12. Adjust d oor spring hinges to reduce wall shock. (202A & 2026) 13. Replace plastic laminate doors with wood doors as specified. ROOM 203 - DINING 14. Install missing thermostat on south wall. 15. Install fire sh utter between dining and kitchen. 16. Touch up paint at the kitchen pass through. 17. Adjust floor se ams. Sheet vinyl fl oor seams are raised and should be repaired for a flat juncture. ROOM 204 - BROOM 18. Paint all surfaces. 19. 5mooth out door edges. SHELTER` FOR BATTERED WOIIEN - 2- AN4 THEIF CHILDREN ROOi1 205 - KITCHEN 20. Touch up wall paint at the juncture with the countertops. Fill all voids and paint. 21. Furnish and install exhaust hood. Modify make-up air as required. 22. Install ceiling light diffuser. 23. Painter to. provide letter stating that all exPosed surfaces of the kitchen cabinets have been properly sealed. 24. Install missing grill under the hand sink. 25. Repair leak under sink no. 6- Food P,rep. 2b. Clean up stainless steel countertops., Remove tape and scratches. 27. Repair gouge in the plastic laminate pass through counter. 28. Instalt door 205. 29. Move outlet behind range. Will the overshelf be removed with the installation of the hood? ROOf4 206 - TOILET 30. Touch up all walls in and around the countertop. 31. Check plurnbing for leaks. ' ROOP1 207 - f4UD 32. Touch up ail walls. 33. Install electrical cover plates. 34. Install light fixtures. 35. Install door 2076 complete with hardware. 36. Fill voids and touch up paint in the stairway. 37. Install coat hooks. 38. Install stair railing - stain and varnish. ROOM 208 - GARAGE 39. Reniove construction debris and clean all surfaces. 40. Tape and paint walls as specified. 41. Seal concrete floor. SHELTEFt FOR BATTERED WOiIEN - 3 - AN,D THEIR CHILDREfd R0014 209 - STORAGE 42. Remove construction debris. 43. Smooth out door edges. 44. Touch up paint all walls. R001I 210 - CONFERENCE 45. Verify screws in the air grill. Incorrect screws for this use. 46. Fill voids in wood base behind door 210 and refinish. 47. Vacuum carpet. ROCi4 211 - PLAY 48. Touch up walls. 49. Install door 211A with permanent hardware. 50. Move panic button to 66" height. ROOM 212 - LIVIN6 51. Touch up all wall surfaces. Sand out and repaint gyp. bd. tape line below the light fixture on the south wall. 52. Install missing thermostat on the south w all. 53. Touch up paint above the wood chair rail. 54. Install permanent door 212 co rnplete with hardware. 55. P4ove panic button to 66". 56. Install plastic edges on outs ide corners into room 213 Rec. 57. Clean stain from vinyl fabric on the nort h wall wainscot below the windows. R0011 213 - REC 58. Touch up all walls - Repaint. 59. Patch gouge in s.w. corner above the T.V. outlet. Paint to match. 60. Sand and paint around outlets on the north wall. RCOi4 214 - BECROCM 61. Touch up paint. SHELTE`R FUR E3RTTERED WOh1EN - 4- AND THEIR CHILDREN ROGM 215 - H-BATH 62. Replace light bult. 63. Touch up paint around the vanity and mirror. ROCM 216 - LINEN 64. Install shelves - paint all surfaces. Edges of shelves to be hardwood as specified. 65. Touch up door 216. ROOM 217 - CLOSET 66. Install shelves. Provide hardwood edge. 67. Smooth out, stain and varnish door edges. ROOM 218 - DEN 68. Clean windows. 69. Adjust wall louver. Paint louver to match wall. 70. Touch up paint in and around the wall mounted light fixtures. ROOf4 219 - STAIR 71. Complete carpet to lower level. 72. Fill voids, sand and touch up all wall gouges. /3. Install hand rails. 74. Install missing light fixtures, exit signs and caver plates. 75. Touch up all wall surfaces. ROCP4 220 - LOUNGE 76. Touch up paint. 77. Touch up cabinets. 78. Sand door edges. SHELTER FOR BATTERED W01,1EN - 5- AMD THEIR CHILDREN ROOM 221 - TOILET 79. Repair overlay vinyl fabric seam in s.e. corner. 80. Remove ta'pe froin hardware. ROOM 222 - CLOSET 81. Smooth out door edges. ROOf4 223 - DIRECTOR 82. Install window screens and security screens throughout building. 83. Touch up paint. ROOM 224 - OPEN OFFICE 84. Remove masking tape from woodwork. 85. Complete electrical work for lighting. 86. Install panic switch on west wall. Mount at 66" 87. Remove construction de6ris and carpet. 88. Fill, sana and paint scratches in south wall. 89. Complete intercom system. 90. Install thermostat. 91. Remove paint from woodwork. ROOM 225 & 226 - HALL 92. Smooth out and repair all carpet joints. Trim excess pile, remove bulges. Improve workmanship. 93. Touch up wall gouges. Fill voids, sand and paint. ROOM 301 - STAIR 94. Install missing cover plates. 95. Sand and repaint n.e. inside corner. 96. Touch up all surfaces. 97. Remove paint from hardwood stair skirts. SHELTER FOR BAT7ERED WOh1EN - 6- AND THEIR CHILDREN ROOM 302 - BLANKET 98. Hardwood edges on shelves. ROOM 303 - HALL 99. Smooth out carpet joints. 99A. Paint electric cabinet to match wall. 996. Align fire alarm -;t is crooked. ROOM 304 - CHANGING 100. Clean up floor. 101. Remove dent in light fixture above vanity. ROOM 305 - TOILET , 102. Patch gyp, bd, work, sand and paint behind w.c. 103. Install heat lamp. ? ROOM 306 - BATH 104. Adjust sliding door at.batFi. "Hard to work." 105. Sand and touch up paint adjacent to fiberglass tu6. ROOM 307 - LINEN 106. Insta7l hardwood edges. ROOM 308 - BEDROOM 107. Smooth out carpet transition at threshold. ROOM 309 - BEDROOfq 108. Touch up paint in and around outlet on the north wall. ROOM 310 - BEDROOPq O.K. SHELTER FOR BATTERED WOMEN - 7- AND'THEIR CHILDREN ROOM 311 - BEDROOM i09. Smooth out carpet joints. 110. Remove dirt from all light fixtures. ROOM 312 - BEDROOM O.K. ROOM 313 - CHANGING O.K. ROOM 314 - BATH 111. Install heat lamp. 112. Remove paint from hardwood trim. 113. Touch up rough spots in gyp. bd, around fiberglass tub unit. ROOP4 315 - TOILET 114. Install heat lamp. 115. Clean up floor. ROOM 316 - LINEN 116. Hardwood shelf edges. ROOM 317 - STORAGE 117. Complete shelving. ROOM 318 - STAIRWAY 118. Touch up wall nicks. 119. Clean up ceiling access panel, repaint. ? SHELTER FOR 6ATTERED WOf9EN - 8- ANU TNEIR CHILDREN ROOf4 319 - BEDR00M 120. Remove finger marks from air supply high on the north wall. 121. CTean wood base behind door. ROOM 320 - BEDROOM 122. Check ouC carpet joints. ROOM 101 - STAIR 123. Complete carpet and base. 124. Install handrail. 125. Install light fixtures. 126. Paint walls and ceiling. ROOM 102 - HALL 127. Complete U.A.T. and base. 128. 2nd coat of paint on walls. 129. Install all door hardware. 130. Relocate exit light as shown on the plan. ROOM 103 & 104 - INTERVIEW 131. Install cover plates and air diffusers 132. Install carpet and base. 133. Complete hardware. 134. Touch up paint as required. ROOM 105 - N1ECH. i35. 136. 137. 138. 139. 140. 141. Complete H.V.A.C. system, install and wire condensing units. Have city inspect and certify mech. work. Remove water from floor. Verify operation of drain tile system, complete installation. Balance rnech. system for comfiort. Install security systein. Complete telephone system. clean out all lines - SHELTER FOR BATTERED W0MEN - 9- AND THEIR CHILDREN ROOM 106 - LAUNDRY 142. Complete floor and base. 143. Touch up wall paint. 144. Repair floor and wall leakage. 145. Furnish and install laundry equipment. 146. Remove bulge in ceiling. Patch to match existing. 147. Remove floor water. ROOM 107 - PANTRY 148. Complete floors and base 149. Install owner's shelves. 150. Touch up walls. 150A. Air supply and return. ROOM 108 - STAIR 1.51. Touch up all painted eurfaces. 152. Complete door hardware. 153. Repair all gouges, install floor covering. ROOM 109 - JANITORS 154. Complete door hardware. 155. Epoxy paint on walls. 156. Cover plates and light fixtures. ROCf4 110 - STURAGE 157. Clean up floor and seal. 158. Complete hardware. 159. Install base. EXTERIOR 160. Relocate main for lawn sprinKling system. 161. Install bituminous surface. 162. Complete light fixtures. . SHELTER FOR BATTERED 4lOMEN - 10 - ANf) THEIR CHILDREN EXTERIOR COfJT.- 163. Regrade west side for postive drainage. Cut in ditch approximately 2'-0" deep - Saddle drain to either side. 164. Touch up exterior paint works. 165. Install fence around play area. 166. Install front gutters. 167. Furnish plan of sprinkler heads for landscape coordinat.i'on. 168. Install fence around trash enclosure. 169. Clean construction debris from site. 170. Seed balance of site as specified. 171. Complete sod work. 177. Smooth out joints between sod rows. GENERAL 178. Furnish owner copies of operating manuals and warranties. 179. Furnish one copy of the as-built drawings.: 180. Obtain a certificate of occupancy. , 181. Install security screen. - END OF PUNCH LIST - MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT OF PLANS P1ans and specifications on Plumbing for Shelter for Battered Women and Their Children Location Eagan, Minnesota Date Examined November 1, 1985 Prepared and submitted by Robert David Burow Architects, Incorporated, 750 South Plaza Drive, Mendota Heights, Minnesota 55120 Date Received October 15, 1985 Ocrnership - Scope - This examination is limited to the design of this particular Qroject only insofar as [he provisions of the Minneso[a PLumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The examina- tion oE plans is 6ased upon the supposition chat the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment mus[ be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with [his report. Inspections - Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. IC is necessary that the State Health Departaent make roughiag-in and final inspections of the plumbing sy8tem [o determine whether it complies vith Che Code. Provisions should be made for applying an air test at the time of the roughing-in inspection as outlined in Minn. Rules p. 4715.2820 of the Code. In order to Eacilitate [his work, there is attached a self-addressed card which should be returned, indicating the name of the plumbing contractor so that arrangements can be made for the State Health Department to be notified by him as to the tfine [hat the installation will be ready for test and inspections. No acceptance of the plumbing installation can be given until inspec[ion and test of the roughing-in work (Minn. Rules p. 4715.2820, subp. Z), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of the completed installation by a representative af the State Health Department indicates compliance with the provisions of the Code. Beqnirements - (OVER) Authorization for construction in accordance with the approved plans may 6e withdrawn if construction is not undertaken within a period of two years. The fact that plans have been approved does not necessarily mean that cecommendations or requirements for change will not be made at some la[er time when changed conditions, additional informaCion or advanced knowledge make improvements necessary. Approved: ak I Milton R. Bellin, P.E. Public Health Engineer Section of Water Supply and Engineering W ? lam Brian A. Noma Engineering Aide Section of Water Supp]y and Engineering 11 Requirecnerits : l, Verif)r that the plas'tic,waste, soil and vent pipe above ground does not extend over 35 feet horizontally. 2. Dishwashing Machines '- Every dishwasher in a building for public use shall discharge to the drainage sqstem'through an air gap- If a floor drain constructed without a backwater valve is installed on the horizontal dishwasher branch, the dishwasher may be connected directly ta the drainage system. The water supply to any dishwasher in which the aupply opening is located below the spill line of the machine should he protected with a vacnum breaker (see Minn. Rules p. 4715•1250). 3. Verify that the uater closet seats are of the open-front type. 4 . Ver3fy that the sL;r,:p pL;ma has `a check valve. 5• Verify that cleanouts,are proy-ided at the base of a11 stacks. ?. VertYV that all threaded'hdsetcoiinocti`ons are equipped with a dac=.ai:m breaker. t'eY:"i '.,hzzt Gic:a:auuS a'ey_-,:i3?d at the end of water closet branches 6M7 3830 PILOT KNOB ROAD, P.O. BOX 21199 BE4 BlOM9UIST EAGAN, MINNESOTA 55121 Mayor PHONE: (612) 454-8100 - iHOMAS EGAN January 6, 1986 JAE H CELLISON 7HEODORE WACHTER Courm,ll Members - nHonvs Heoces qN /+dminisiraror . EUGENE VAN OVERBEKE PAUL HAUGE citvci,m HAUGE, EIDE & KELLER, P.A. 3908 SIBLEY MEMORIAL HWY EAGAN MN 55122 Re: =Lot 1, Block 1, Ce ar Ridge_Addi.t.io.n? Special Aqreement- Assessment Deferment Dear Paul: Enclosed please find a fully executed agreement which provides for the proposed "house for battered women", being constructed by the Community Action Council on the above referenced lot, to have certain assessment, connection and building permit fees levied in accordance with the residential use in lieu of the underlying commercial zoning. As you will see, this agreement provides for the City to collect the additional amounts" associated with the underlying zoning at some future date when the use would change to conform with the zoning. , I would appreciate it if you would proceed to have this agreement recorded at the County against the above referenced lot for notifi- cation to all potential future buyers of this property. Your prompt response to this request will be greatly appreciated. Sincerely, Thomas A. Colbert, P.E. Director of Public Works ii TAC/jbd enclosure cc: Deanna Kivi, Special Assessment Clerk Ken Vraa, Director of Parks/Recreation Dale Peterson, Chief Building Official Dale Runkle, City Planner Frank Brennen, Special Director, Community Action Council,- THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNIN ' CITY OF EAGAN ' ASSESSMENT AGREEMENT LAND USE DIFFERS FROM ZONING THIS AGREEMENT dated this 3rd day of necem ber , 1985, betweea the CSTY OF EAGAN, (called City), and Com munity Action Council, Inc. (called Owner) of 14451 Countv Road 11. Burnsville.Mirm. 55337, (address); WHEREAS, the following described premises owned by Owner: Lot 1, Block 1, Cedar Ridge Addition WAERSAS, the Owner is financially responsible for the rela*_ed assess ments, connection charqes, permit and dedication fees due and payable with the Building Permit and Wat,er Connection Permit issuance for the fol2owing-im prdvements: 1 Trunk Area Watermain i a k r di at=on F 2. Road User Fee WHEREAS, such assessments would normally be based upon the present zoning elassification of said premises, that is, timited susiness lr..a_1; and WHEREAS,.the present use of said property is different from said zoning classification and if zoned at the present use, assessments would be for Sinqle-eamilv xesidential (x-1) zoning. NOW THEREFORE, upon consideration of the mutual covenants herein, the parties agree as follows: 1. The City agrees to assess said pcoperty -foc the improvements and purposes described above as if it were zoned `Single-Family Residen- tial (R-1) at the rates now in existence for property so zoned. 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is changed in - the future to a use or zoning category whieh is assessable at a higher rate than the rate for the present use, the City may reassess or levy a supple- mental assessment at such time equal to the difference between the assessment for the new land use and the assessment for the present land use at the assessment rates, according to City policy, in effect at such future time. 3• The Owner, for himself, his heirs, executors, administrators, successors and assigns, further waives notice of any and all hearings necessary and waives any and all objections to the present or future assessments agreed to herein or to the proceedings related thereto and waives the right to appeal sueh assessments. 4. Other conditions: clone " _ The undersigned have read and understand the above agreement and h3reb7 bind themselves to it in all respeets. OWNE Commu ity Action Council, Inc.CITY OF EAGAN . : ByBy. Its' Attest• r Jk? • It lerk This Document Drafted S•c -,-Hauge, Smith & Keller, P. A. _-?---APPROVED• blic Worl s?ir tor -- 3908 Sibley Memorial Highway - Eagan, Minnesota 55122 EXEMPT FROM STATE DEED TAX ? ? C STATE OF MINNESOTA) ) ss. CITY ACKNOWLEDGEMENT COUNTY OF DAKOTA ) On this 27tM day of &C+mbOr , 194, before me a Notary Public within and for said County, personally appeared BEATTA BLOMQUIST and EUGENE VANOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the CITY OF EAGAN, the municipality named in the foregoing instrument, and that the seal affixed to said instrument was signed and sealed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality: otary Public % JULIE B. DYKSTRA NOTARY 7A ? PUBLIC-MINNE90 `?. DAKOTA GOUNTY ?... ?ny Commisslon Explrea 3ept.8,198n STATE OF MINNESOTp ) ss. CORPORATE ACKNOWLEDGEMENT COUNTY OF _Df}-?-ptai The foregoing instrument was acknowledged before me this ' tlay of ?1'??? , 195 by (name) Frank B. Brennan ,(title of officer) Executive Director , of (corp. name)Communitv Action Council, Incr a(state) Minnesota corporation, on behalf of the corporation. . . . j:. .. ' . . \ Not ry Public ? KIMBERLY R. TAVLOR - ., ?!?? NOTAFY PUBLIC -- MIMqESOTA ?? OAKDTA COUNTY ?,,. My Comm. Exp. Jone 4. 1991 [HORWIr/ city oF eagan 3830 PILOT KNOB ROAD. P,O. BOX 21199. . , een BLOMQUiST EAGAN, MINNESOTA 55121 ' Mwor PHONE: (612) 454-8100 THOMAS E6AN ' JAMES A. SMITH JERRV THOMAS TNEODORE WACHTER Couricil MemDers October 31, 1985 THOMASHEDGES CiN Atlminisvatw EUGENE VAN OVERBEKE Ciry Qerk COMMUNITY ACTION COUNCIL INC 14451 COTJNTY ROAD 11 BURNSVILLE MN 55124 Re: =Lot 1._Block .l,_Cedar -Ridge lst-Additrion-- AddiEional Assessments - Water Connection Requirement Dear Sirs: On August 20, 1985, the City Council formally approved Conditional Use Permit (30-CU-21-7-85) to allow the construction of a shelter for battered women on the above referenced property. This Conditional Use Permit was necessary due to the fact that the property is presently zoned for limited business (LB). With the Council approval of the Conditional Use Permit, construction of this facility can be initiated subject to acquisition of all required permits. Please be advised that as a part of the building permit application process, a water connection permit will be required to obtain sewer and water service to this facility. In researching our files, it has been found that additional assessments are due to allow this property to connect to the City sewer and water system. These additional assessments are associated with the trunk area water due to the fact that when originally levied in 1973, it was at the residential rate, instead of the present limited business zoning and proposed use. This additional assessment is calculated as follows: Trunk Area Water 2.2 Acres at $1,830*/acre = $4.026.00 * Note: Rate reflects difference between current rates for commercial ($3,020/acre) and residential ($1,I90/acre). This additional fee can be paid at the time of the water connection permit as a part of the building permit application process, or it can be spread as an assessment over a period of 15 years at a rate of interest of 11.0% if the appropriate "waiver of hearing" forms are executed by the owners of the property allowing this cost to be spread as an assessment. THE LONE OAK TREE. ..THE SYMBOL OF SIRENGTH AND GROWfH IN OUR COMMUNIIY COMMUNITY ACTION COUNCIL INC October 31, 1985 Page 2 Until the issue is resolved as to whether this amount will be paid as part of the building permit or spread as an assessment through the execution of the appropriate waiver forms, there may be some confusion as to the required fees associated with the building permits as requested by various bidders and potential builders of your facility. I would encourage you to contact me as soon as possible to identify the appropriate course of action so that the processing of the building permit application will be accurately and efficiently handled. Please feel free to contact me for any additional clarification or questions you may have concerning this matter. Sincerely, erry W schall Acting Sgecial Assessment Clerk cc: Dale Peterson, ChieP Building Inspector Rich Hefti, Assistant City Engineer Sue Sheridan, Utility Billing Clerk JW/TC/dk AAIYER OF HEARING Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described property ocmed by me/us: Lot 1, Block 1, Cedar Ridqe lst Addition for the benefit received from the follawing improvementsi ITEM Trunk Area Water QIIANTITY RATE AIlOIINT PROJECT 2.2 acres $1,830*/acre = $4,026.00 #64 Rate reflects difference between current rates for commercial ($3,020/acre) & residential ($1,190/acre) TOTAL $4,026.00 to be spread over 15 years at an annual interest rate of 11 % against any remaining unpaid balances. The undersigned, for themselvea, their heirs, executors, administrators successors and assigns, hereby consent to the levy of these assessments, and further, hereby waive notice of any and all hearings necessarry, and waive objections to any technical defects in any proceedings related to these assessments, and £urther waive the right to object to or appeal from these assessments made pursuant to this agreement. Dated: State of ) ss. County of ) Fee Owner: By: Its: On this day of , 19 , he£ore me, a within and for said County personally appeared and to me personally known, who being each by me duly sworn did say that they are respect3vely the President and the of the corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, and that said inatrument was signed and sealed in behalf of said corporation by authority of its Board o£ and said and acknowledged said instrument to be the free act and deed of said corporation. Notary Public County My commission expires , 19 Notary Public dPPROPSD: Eng/Waiver Revised: 10/85 Eagan Public Works Director .. ?Z?. o?s? 22S - 99?95.3 a? sy ,? r_ ¢3?0 _ 2./8 ;•'lVor/h /ine of the South B4/.67 feet pf y?p S?lh 2653.35 feel r' of tlee Eost 112 of the N!y//4 _ N 89°53'55"E 133 7500 ? 0 ?dh /?0 0• Oro/nope B l/1111fy N h? I r ,a, o.ou,?e e y O O L _ ? __ ?"N89°53'55"E' v "- -42272 ? ? 2 d. ; ;'- 2//.95 I I r -2/0.77 - i-"5'A-oInoyis e utulry Eos?rme?rt.,?:_r I ^ I I ro 2 ?I o- 3 - /87. /7 1 0=300°< ? \ R= 60, 00 ?"• r ? 8 j4'aan 'I I I B VIN?Jy '?-- 75. =3 I a? o? N z? ^ I a? Cedor Rid9e C/,rc% ? :?"--398./4-__- ,N99°53'S5"E %O'Oro/q `, g UJi/ifY Eosemen!-.,, ?O h 0 ? r?. ryN I ? ? I C w p I 3 I O ? V? ? W I . ? :•L,? ( .? % , ,`. •?; t , . '. . .. . I ,••. S I ' t • 4?fl ?u?c city oF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (672) 454-8100 Oecember 10, 1985 FRAidK IIRELdNAN, EXEC DIR COt9fQUtdITY ACTION COUidCIL 14451 COUNTY RD 11 BURidSVILLE P1N 55337 BEA BLOM9UIST MWw THOMASEGAN JAMES A. SMITH JERRV THOMAS THEODORE WACHTER Council Members THOMAS HEDGES Ciry Atlmlrrsfrata EUGENE VAN OVERBEKE CAry Clerk Re: Change in P7ater Connection Charge Rates, Park Dedication and Road Unit Fees for New Shelter Building to be Located on Lot 1, Block 1, Cedar Ridge lst Addition Dear LSr. Brennan: In official action that caas taken by the Eagan City Council at a regular meeting held on Tuesday, December 3, 1985, it was deter- nined that the trunk area water connection requirement will be assessed at the residential rate. It was also determined that the road unit and park dadication fees will be assessed at a residen- tial rate establishing a per lot equivalent at the rate of tcvo (2) lots for your development. The residential rates apply to the Community Action Council due to the residential integrity of the project and, furthermore, the public service this project is provid- ing to our Police Department and other conmunity services. If the property should ever revert to a multiple residential or co:nmercial use, the City will collect the difference between current rates for the appropriate use or zoning as it relates to trunic area water and also the difference in rates for the road unit and park dedication. The rates in effect at the time the property is converted to a higher use would be used for calculating the trunk area water, road unit and park dedication fees. In sumnary, rates were adjusted as follows: 1. The i.runk area water rate will be reduced froni a comnercial amount of $7,187.60 to the residential amount of $2,E332.20. 2. The road unit charge will be reduced from $1,999.20 to the two-lot equivalent totalling $560. 3. Park dedication is reduced from a commercial rate o£ $4,139.64 to a two-lot equivalent totalling $880. Enclosed are three copies of an agreement covering the above rai-e adjustments. Please sign all three aqreements and return them to THE LONE OAK TREE. .. THE SYMBOL OF STRENGiH AND GROWfH IN OUR COMMUNIN LETTER TO FRANK BRENNAN DECEP9BER 10, 1985 PAGE T470 the City for signature. We will then return a fully-executed copy for your records. A copy of this agreement will also be filed with your deed to the property and kept on record at the City of Eagan. The new residential rates, subject to our agreement, should be paid as soon as possible to complete the building permit process. If you have any questions regarding the City's willingness to change these amounts for the Community Action Council project, feel free to contact this office at any tirie. Good luck on your building program_ Sincerely, cwow,66 ?44? Thomas L. Hedges City Administrator cc: Tom Colbert, Director of Public 47orks Gene VanOverbeke, Director of Finance/City Clerk Dale Peterson, Cnief Building Inspector Ken Vraa, Director of Parks & Recreation Enclosure TL?i/k f CITY OF EAGAN ASSESSMENT AGREEMENT LAND USE DIFFERS FROM ZONING THIS AGREEMENT dated this 3rd day of Decem ber , 1985, between the CITY OF EAGAN, (called City), and Community Action Council, Inc_ (called Owner) of 14451 Countv Road 11. Burnsville.Mirn. 55337, (address); WHEREAS, the following described premises owned by Owner: . Lot l, Block 1, Cedar Ridge Addition WHEREAS, the Owner is financially responsible for the xelated assess- ments, connection charges, permit and dedication fees due and payable with the Building Permit and Wat,er Connection Permit issuance for the fol2owing- im prdvementsv 1. Trunk Area Watermain 3 na k ne di at'on FPP 2. Road User Fee WHEREAS, such assessments would normally be based upon the present zoning elassification of said premises, that is, .;mi d Business (r._a ); and WHEREAS, the present use of said property is different from said zoning elassification and if zoned at the present use, assessments would be for Sinale-Familv Residan ;al (u-7) zoning. NOW THEREFORE, upon consideration of the mutual covenants herein, the parties agree as follows: 1• The City agrees to assess said property for the im provements and purpases described above as if it were zoned`Single-Pamily Residen- tial (x-1) at the rates now in existence for property so zoned, 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is changed in the future to a use or zoning category which is assessable at a higher rate than the rate for the present use, the City may reassess or levy a supple- mental assessment at such time equal to the difference between the assessment £or the new land use and the assessment for the present land use at the assessment rates, according to City policy, in effect at such future time. 3• The Owner, for himself, his heirs, executors, administrators, successors and assigns, further waives notice of any and all hearings necessary and waives any and all objections to the present or future _- assessments agreed to herein or to the proceedings related thereto and waives ' the right to appeal such assessments. 4. Other conditions: ntone The undersigned have read and undersLand the above agreement and h3reby bind themselves to it in all respects. OWNER: Community Action Council, Inc. CITY OF EAGAN By its This Document Drafted By. Hauge, Smith & Kellec, p. A. 3908 Sibley Memorial Highway Eagan, Minnesota 55122 ' By. Its Mayor - Attest: Its Clerk ----APPROVED: Public Works Direetor EXEMPT FROM STATE DEED TAX POLICY # 82-2 EXISTING IAND USE VS ZCNING NBJIXP: AssessnPnts against land whose present use is different fian the current Lmc'erlying zoning. . POLICY: Where the existing land use is different (less than the high- est and best use peraittecl by current zoning) than the current underlying zoning, all tnm]c area and/or lateral benefit assess- ments aqaiuLSt the propezty in question shall be levied in ao- cordance with the curxpnt imc'erlying zoning and not in accor- dance with the current land use tmless the attached standard agreenent is notorized and executEd by all pexsons holding in- terest in the title to the property. Puture rates would be cal- culated in accordance with Policy 82-1. OBJELTIVE: The purpose of this policy is to provide a method by which prr pertV cwners whose land is developed at a use that is less than permitted by the current zoning, may receive consideration for assessments being levied in accordance with the property's pre- sent use and defer the additional assesscrents Lmtil the current use is upgraded to a use pexmitted by the underlying zoning. JUSPIFICATION: FIliile trunk utilities are planned, designed and mnstsucted . based on the hiqhest and best use of all property in the City .. in accoxdance with the Caaprehensive Gui.de Plan and/or current zoning, their benefit is nat fully realized by land that is presently developed at a use less than allased by the cuzrent zoning. F)uther, if the property is presently developed at a. different use, it is assLUmed that it would not change in the foreseeable future. Reviewed and acted upon by: CITY COUNCIL: SPECIAL ASSESSMENT COMMITTEE: x Approved -?-?L Date --- x Approved Date ' Denied Date Denied Date Lt B J Lcpikp- poUe O-T robert david burow architects, inc. '. 750 south plaza drive (612) 454-8505 mendota heights, minnesota 55120 home: 457-3735 July 9, 1986 1lr. Dale Peterson Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, h1innesata_ 55122,: Re: Shelter for Battered Women & Their Children Comin. No. 8505 Dear Dale, As we discussed, two items will remain to be coiripleted after the anticipated day of occupancy, July 9, 1986. The owner has agreed to include an approved fire rated door between the kitchen (Room 205) and the Dining Room (Room 203). This door has been ordered and should be installed within thirty days. The kitchen exhaust hood has also been upgraded to meet the state licensing requirements. The upgraded hood will be welded stainless steel with increased C.F.M. requiririg more building make-u.p-air. The hood with all its modifications should be completed witfiin thir,ty days. We appreciate your cooperation in granting the certificate of occupancy for the project. S'nc rely ? Robert D. Bur w, A.I.A. RDB/jab Copy: t4ary Ajax Howard Thorson Norm Podas L I ? I C.ECU-2 W P&)E, I Sr ??TROPMHnn WAl?? ???TRM Qomm0ff 0?n ul, cmes aea December 6, 1985 Mr. Dale Peterson Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Peterson: This letter is to inform you that the Metropolitan Waste Control Commission has made a SAC determination for the Shelter For Bat- tered Women to be located within the City of Eagan. It has been determined that 5 SAC Units should be assigned to this building. •Phis determination was made as follows: SAC Units Charges: Overnight Guests 20 Overnight Guests @ 5 Overnight Guests/SAC Unit 4.00 Office 9 People @ 14 People/SAC Unit n Gn Total Charge: 4.64 or 5 If you have any questions, please call. Sincerely, ?= Dona d S. Bluhm Staff Engineer DSB:RWJ:blm cc: S. Selby, MWCC Robert D. Burow, Robert David Bvrow Architect, Inc. 350 Metro Square Building, Saint Paul, Minnesota 55101 612-222-8423 AAIYER OF HEARING Special Assesament Autharization . I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the £ollowing described property owned by me/us: Lot 1. Block l, Cedar Ridqe lst Addition . rece ITIIS QIIANTITY RATE AISOIINT PROJECT Trunk Area Water 2.2 acres $1,830*/acre =$4,026.0? #64 * Rate reflects diff ence between current rates for commercial ($3,020/acre) s residential ($1,1 /acre) TOTAL $4?2 6. 00 to be spread over 15 years at an annual any remaining unpaid ba nces. The undersigned, fo themselves, successors and assigns, he eby consent further, hereby waive noti e of any a objections,.to any technical defects assessments, and further waiv the r; assessments made pursuant to thiagrei rate of 11 % against Ar heirs, executors, administrators / the levy of these assessments, and all hearings necessarry, and waive eny proceedings related to these t to object to or appeal from these t. Dated= / Fee Owner: • State of ss. \By: Coimtp of ? I t s: On this day o£ 19 , before me, a xithin and fo% said County personally gPPeared and to me personally wn, who being each by me duly`sworn did say that they are espectively the ? President and the af , the corporatio named in the foregoing instrument, and 'that the seal affixed to said instr ment is the corpo te seal of said corporation, and that said inatrument as si8? ?d and seale I\Jn behalf of said corporation by zuthority of its Boa d of y and said acknoxledged said inst nt to h free a an deed of said corporation. Notary lic County ? cQmmission expires 19_ t? \ \ Notary Public • APPR04ED: Eng/Waiver Revised: 10/85 Eagan Public Works Director ? city oF ei 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN, MINNESOTA 55127 PHONE: (612) 454-8100 October 31, 1985 COMMUNITY ACTION COUNCIL INC 14451 COUNTY ROAD 11 BURNSVILLE MN 55124 Re: Lot 1, Block 1, Cedar Ridge lst Addition Additional Assessments - Water Connection Requirement Dear Sirs: BEA BLOM9UIST Mayor THOMASE6AN JAMES A. SMITH JERRV THOMAS THEODORE WACHiER Council Membeis THOMAS HEOGES CiN AtlminishGfw EUGENE VAN OVERBEKE Ciry Clerk On August 20, 1985, the City Council formally approved Conditional Use Permit (30-CU-21-7-85) to allow the construction of a shelter for battered women on the above referenced property. This Conditional Use Permit was necessary due to the fact that • the property is presently zoned for limited business (LB). With the Council approval of the Conditional Use Permit, construction of this facility can be initiated subject to acquisition of all required permits. Please be advised that as a part of the building permit application process, a water connection permit will be required to obtain sewer and water service to this facility. in researching our files, it has been found that additional assessments are due to allow this property to connect to the City sewer and watec system. These additional assessments are associated with the trunk area water due to the fact that when originally levied in 1973, it was at the residential rate, instead of the present limited business zoning and proposed use. This additional assessment is calculated as follows: Trunk Area Water 2.2 Acres at $1,830*/acre = $4,026.00 * Note: Rate reflects difference between current rates for commercial ($3,020/acre) and residential ($1,190/acre). This additional fee can be paid at the time of the water connection permit as a part of the building permit application process, oz it can be spread as an assessment over a per iod of 15 • years at a rate of interest of 11.0% if the appropiiate "waiver of hearing" forms are executed by the owners of the property allowing this cost to be spread as an assessment. THE LONE OAK TREE. ..THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNI7Y COMMUNITY ACTION COUNCIL INC October 31, 1985 Page 2 • Until the issue is resolved as to whether this amount will.be paid as part of the building permit or spread as an assessment through the execution of the appropriate waiver forms, there may be some confusion as to the required fees associated with the building permits as requested by various bidders and potential builders of your facility. I would encourage you to contact me as soon as possible to identify the appropriate course of action so that the processing of the building permit application will be accu.rately and efficiently handled. Please feel free to contact me for any additional clazification or questions you may have concerning this matter. Sincerely, er.ry- W schal-1' " Acting Special Assessment Clerk cc; Dale Peterson, Chief Building inspector Rich Hefti, Assistant City Engineer Sue Sheridan, Utility Billing Clerk JW/TC/dk . 0 MEMO TO: DIANE DOWNBO IITILITY BILLING CLERR FROMS EDWARD J. RIRSCHT, 8R. ENGINEERING TECH DATE: MARCH 27r 1991 SIIBJECT: STREETLIC3HT ENERGY COSTS LOT 1, BLOCR 1, CEDAR RIDGE 18T ADDITION 4345 NICOLS ROAD- OWNER-COMMIINITY ACTION COIINCIL 14451 CO. RD. ilt BIIRNSVILLE, MN. 55337 This memo is to inform your department to start to invoice the energy cost in the amount of $7.55 per quarter with the next utility billing for Lot 1, Block 1, Cedar Ridge ist Addition. Lot 1, Block 1, Cedar Ridge 1st Addition has an area of 2.2 acres and is to be billed at the non-continuous streetlighting rate of $3.45 per acre per quarter =$7.55 per quarter. ri Edward J. Kirscht Sr. Engineering Technician cc: Michael P. Foertsch, Assistant City Engineer EJK/jf Cederua.le of-sFice Rv? ?, . . ?• ?• ;V"$44a* INC. ? RE-ALTORS ?; . 3908 SIBLEY MEMORIAL HIGHWAY. ST. PAUL, MINN.55722 i PHONE 454-1600 l? wCtouer la, Ii74 V : u. _ . , . ,. , 6ir. ?oaert J. :?L4ers . uai:cta ?.our,+,y n;sessor Dakota CouAty tuurthause Has;9ngs, ilinnesota 55033 = Uear .14r. r;eden : .' T`i9s'isill cenfirrU bur telephane conversation .g requesttag that you cor?rine tax parCels d-Jii;io. d-3886, and d-3867 info a slagle tax parcel. 7oese parcals cover Lots Z, anu Cedarva ; Offi P kark on which we have constructQd one uutlding the hraTu3tlon oF wriieu is now nn taz parcel d-3,36a. , , Very truly, yours,. a , J. E. PARRAfdTU Ti+C. ? ' ;i • J. E. Parranta ; c JtP/pgk ^ cc:VMs. Ann Gores, Eagan City Ha}1 > u r, _ • ,/ ??DK/:??.b ? STATt vr Cvun!y D.:kzta ss AY -r.o,.at d., 7i',is is io cerY,'fy ii?at ti?e= ?•,t+> ? 1 Cl:i' f f}ii c 8 i ori ;vS i? d2V `A? ,; rk ;'.iiii tilP. - i5'i'Lfii$. ?rYl:fi'? l??C`J!"JET ey Deputy le2 Pa ?o?' CITY OE EAGAN 713OV3 ASSESSMENT AGREEMENT LAND USE DIFFERS FROM ZONING THZS AGREEMENT dated this 3rd day of Decem ber , 1985, between the CITY OF EAGAN, (called City), and Communi:y Ac=ion Council. rnc. (called Owner) of 14451 Countv Road 11. Burnsville tlinn 55337, (address); WHEREAS, the following described p:-emises owned by Owner- . k . i.ot l, Rlock 1, Cedar Ridge Addition WHEREAS, the Owner is financially responsible for the cela*_ed assess ments, connec*ion charges, permit and dedication fees due and payable with the auilding Permit and Wat,er Connection Permit issuance for the fol2owing• imprdvementsr 7. mronk Arpa Wa}prmain 7 nark 2. Road Oser Fee WHERENS, such assessments would normally be based upon the present zoning classiPication of said premises, that is, .;mi*Pd aus;n ss (r._s l; and WHEREAS,_the present use of said property is different from said zoning elassification and if zoned at the present use, assessments would be for _ Sinale--Familv Resid n%aJ fu_l) zoning. NOW THEREFORE, upon consideration of the mutual covenants herein, the parties agree as follows: 1. The City agrees to assess said property for the improvements and purposes described above as if it were zoned '5ingle-Family Residen- tial (R-1) at the rates now in existence for property so zoned. 2. The Owner agrees for himself, his heirs, executors, administrators, successors, and assigns, that if the actual use of said property is ehanged in the future to a use or zoning category which is assessable at a higher rate than the rate for the present use, the City may reassess or levy a supple- mental assessment at such time equal to the difference between the assessment for the new land use and the assessment for the present land use at the assessment rates, aecording to City policy, in effect at such future time. 3. The Owner, for himself, his heirs, executors, administrators, successors and assigns, further waives notice of any and all hearings necessary and waives any and all objeetions to the present or future assessments agreed to herein or to the proceedings related thereto and waives the right to apoeal such assegsmente. 4. Other eonditions: None The undersigned have read and understand the above agreement and hareby bind t mselves to it in all respeets. OWNER- Comm _ 'ty Action Council, Inc.CITY OF EAGAN ' y g LOl_ _ BY - I r ItS: (Z_."?_ Attest• X " , Its rk , ? ? This Document Drafted .,. ` --- a u - .' .:. C; . - - 9e. Eide & Keller, P. A. -------A DV . Publie or s re?or 3908 Sibley Memorial Highway ?,_"r,s,n Eagan, Minnesota 55122 EXEMPT FROM STATE DEED TAX STATE OF MINNESOTA) ) ss. CITY ACRNOWLEDGEMENT COUNTY OF DAKOTA ) On this Q21]Lday of JOL&Ca V*yer , 198,S, before me a Notary Public xithin and for said County, personally appeared BEATTA BLOMQUIST and EUGENE VANOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the CITY OF EAGAN, the municipality named in the foregoing instrument, and that the seal affixed to said instrument was signed and sealed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to b? *F7e froo qn} anii yicori c-f =id- .,,wni^ipuiity. a? ` ?aag?, ?a5? JULIE B. QYKSTRA NOTAFIYPUBLIC-MINNE90?A DAKOTA COUNTY My Commlaelon Explrea Sept. 8.19F30 ?. ? Notary Public STATE OF MINNESOTA ) ) ss. COUNTY OF CORPORATE ACKNOWLEDGEMENT The foregoing instrument was acknowledged before me this j,?44-d)a y of ?PlY1L10A , 198'??, by (name) Frank B. Brennan ,(title of officer) Executive Director , of (corp. name) Communitv Action Council, InG. a(state) Minnesota corporation, on behalf of the corporation. ?i ?9.6??? / `? No ry Public ?KIMBEqLY R. TAYIOR i'??!?? NO7AqYpUfLIL'-MINNESOTp ?'o??°F DAKOTA COUNTY ?1..' My Comm. ExO. June 4, 19y1 0 minnesota department-of health . = . C`? ' O 717 s:e. delaware st, p.o. box 9441 minneapolis 55440 .• . r ... ..Iw) s Izasooa 2v0 . 3tobot A..tdt 1lhua? Arohitsetp, TneorpWa'El& t9r3ve :',ltyt?!lqte ?e10.€??? N#ntteeots 552g4 . ,,•sSitb,?taL? ?I?a1Aip? Y+or ?ss2'Rer?f+?' ?1i?*azs? ?k1[wa u?'k?r C1i?Y+?nt` _ - Wrt are oftc3os1.u6 a aapy af +o=. rsasrs aorerW s,1 e2euatVatioa of ploo and; sF?ait4?tions e? Chrr a9?Te-?ari.?t??! ?J?aE.'. ALo wie7?Y? " i Sa e? esW of 4hj rapaart. #Minaeltf" 7.?tt?er ar?d ?iteew 1fq 8a !Oz'Maa+dal ? .'kl3e ps!i+jgee?t ?o??npez'. T7f TSt '4'?;? 'P?1?tCn{C`t' (lW11R11'8 ?SS?'9"?'?3 . , .. a 74 atEerst3as?-ia 81rotted to t)wa to ssasVeaVion ' ot At* v2ea6124. . 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(`?'o° 'l-P L 132 x Ut-4 r7-5 . 9495o x pZ = I c?99 ? ??`? , MEMO T0: FILE ,r ?T FROM: KEN VRAA, DIRECTOR OF PARKS & RECREASION RE: CfiDAR RIDGE FIRST ApDITION LOT 1, B t, CONIMONITY 9GTION COIINCIL B6TTERED AQMEN'S SHELTER At the December 3 City Council meeting, the City Couneil took action to reduce the parks dedication fee requirements along with other assessment charges to a residential evivalent. Consequently, this lot and block shall be responsible for a two lot equivalent or $880 for parks dedication fees. Further, the Couneil took action to require a commereial/industrial parks dedication fee should use of this facility ever revert to any usage other than its original intent. KV/js CC: Dale Peterson, Chief Huilding Offieial 8teve Hanson, Construction Analyst MEMO T0: JAY BERTHE, POLICE DEPT. TOM COLBERT, DIRECTOR OF PUBLIC WORKS DALE RUNKLE, PLANNING DEPT. KEN VRAA, PARKS b$ECREATION DEPT. JOE CONNOLLY, WATER DEPT. FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS The preliminary construction ? ? plans for 5A'??E(j WOMCl.1? !?/4CLTEZ_ are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve vill be considered your approval. Thank you. /JS n I LI`? I `? MEMO T0: JAY BERTHE, POLICE DEPT. TOM COLBERT, DIRECTOR OF PUBLIC WORKS DALE RUNKLE. PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS The preliminary construction " r plans for ?pTfY?? WoMr?SN?? are in our plan review section for your review and comments. Please returr, this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve will be considered your approval. Thank you. /JS City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax;(651)675-5694 ------------- i ? Pertnit #: 0$ ! d" `-?' ? I Permit Fee: ? ? ?I I ? ? Date Received: I I Staff: '------------------? 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: rN q SiteAddress: L'[3H? /U)?G1?J ???1Cil. Tenant: t~G?lA"-? C49?1')1'rl4,?i I'L 17G?i0'?") Lau.1^1C? Suite#: RESIDENT/OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: ? Ikm 1'70 D?GLicense#: 067 r9J I Addres : ZJ3q Z ??? /1 ? City: State:. AW Zip: Phone: 612- OGJ- Mz/ Contact Person: !' !0-- I 1"e-s_j?+°l I TYPE OF WORK _ New Replacement X/Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water SoRener Lawn Irrigation X Add Plumbing Fixtures ? RPZ /_ PVB) (? Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RES/DENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 state Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) .,, $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in confe9rf nce wit e ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is o o st ithout a permit; that the work will be in accordance with th proved plan in the case of work which requires a review and appro f p, ?-e SSD? ? I X ; Appli anYs Printed Name ica s Signature FOR OFFICE Reviewed By ? Required In?spections:! UnderGround ' ?Rough Ini. ! AirTest °=GasTest inal,._ I For Office Use I I City of La (aTj ~ Permit#: I I I I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: ll_~- I L--------- -I 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I `T Site Address: G 13 7!J Ei4 Tenant: _G ("oyyl ~-n 97 1, 1; Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: ' d P/4 -11-0 U1~ell 4iG License 0&7 ~ql / I Addres : 2,33 2 1qr*11 City: l ~'1 State: ~10A Zip: Phone: r0ct- 77_3 Z) Contact Person: TYPE OF WORK _ New Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L__RPZ / - PVB) Main - Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in confo nce wit he ordinances and codes of the City of o st ithout a permit; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, and worf/p, accordance with th proved plan in the case of work which requires a review and appro x ~ Appli ant's Printed Name AP101carfs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final 952 985 5282 DRAIN PRO PLUMBING Fax:952-985-5282 Sep 25 2009 10:5dam. P0Q1J002-_-._- I t City of Eagn ~ Permit: I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 1 Phone: (651) 675-6676 t staff Fax: (651) 676-5694 j - - - ----------,...ter 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 2 Jr ' 0 Site Address:-42345 Tenant; Le-i5 HCU--eiel Suite # PROPERTY E1 a h1m o v6t A C-60 h Cu t4 ci f OWNER Name. Phone- - 0J2 '185 5300 CONTRACTOR Name: Draft, Tro 1"410114 License 0&0~a~3 Address: U'51,5 2-0q-b, - city: L-e-Ice v " Ve- State, MIJ zip: 55 Phone: R EJZ 4&ei & C(qq Contact Person: Deb Or br t--rtt TYPE OF _ New X Replacement ^ Repair _ Rebuild _ Modify Space - Work iin' ~tR.O.W. WORK Description of work: -1''t ~•~t3 ~ i ~ Q (OCR cz:(• cl! 5, GO ~erel a ( W Lo COMMERCIAL PERMIT TYPE New Construction Modify Space Irrigation System L-- Yes / no) RPZ / PVB • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Cali (661) 675-5646 to verity that tests passed grior o i . ing up meter. Domestic. Size & Type Fire: Size & Pdoe 3f4" meter $203,00 Avg. GPM Nigh demand devices? -Yes _,.No Fiushometers Yes _,_,•No COMMERCIAL FEES: '3(e56,00 $50.50 Minimum (includes State Surcharge) OR Contract value x1% = $ 5 Q .00 Permit Fee Required on ALL new buildings and boulevard irrigation systems -3 = Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ _ Meter(s) If Permit fee is > $1,000, Surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (Le, a $1,00142,000 Permit Fee requires a $i.00 surcharge). It 5 0 State Surcharge Following fees apply when installing a new lawn Irrlgatlon system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant Water Supply & Storage $ State Surcharge TOTAL FEES $ a• 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.clopherstateonecall.arg i hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinanoes 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 be In aocordance with the approved plan in the case of work which requires a review and approval of plans. x D o t-a. k L-ar5o m x Applicant's Printed Name App' nt's Signa re ~`tili~ x . 3 ~ ~ t~ aH+:~° a~.M . . c. ~~l : "VAW.~," > f• ..u w » xtg 1 ...f.14¢{ ja Page 100 r Use BLUE or BLACK Ink For Office Use j I Permit* L~ I City of EaEan I I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 stab: lr .~----------------J 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: b~ ® Site Address: 4-M!5 e C 0 S e d Tenant Name: _360 (?UMMUm, -~tS (Tenant is: New Existing) Suite Former Tenant: PROPERTY OWNER Name: 3 CoMMua ;-}ICS Phone: q5d - fl?6 - 407 Address/City/Zip: 6661 ~r4~ Wain QutnSV%1)c, M+, _5_6337 Applicant is: Owner Contractor TYPE OF WORK Description of work: 411n dna lee fJ 1a e'ep4 c J , Tn- 62 f? ome d., ng Construction Cost: / 33 C d CONTRACTOR Name: MejAltije.,r License At 41 Address: 12-1 City: So. S % r j<j State: M rj_ Zip: 53-67 Phone: 4P ° 4-5"- ' 1277 Contact: _ArC~- kl(elr~~Email: /I ~CI~Q~~~~riil9e/ C'dr S erfiv~/~ C'~nn ARCHITECT / Name: N H + rel r &-J-r Registration ENGINEER 1424S~tt~ , ity: pp ` V Address: 73~d v~ S~ /a V r State: -A N Zip: 55),2 f Phone: 5?Sd - 43 `f T33 Contact Person: t! UJ r7 n #PS~la r✓ Email: Licensed plumber installing new sewerlwater service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE. YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 k 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 ,e Re is, r2. 1J icant's Printed Name 7 , 'cant's Signature x Appl- 61 FE L Page 1 of 3 q~5- t co DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Public Facility _ Accessory Building _ Apartments _✓Commercial / Industrial _ Exterior Alteration-Apartments Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous _ Antennae _ Exterior Alteration-Public Facility WORK TYPES New rf Interior Improvement Siding _ Demolish Building* Addition Exterior Improvement Reroof _ Demolish Interior Alteration - Repair Windows _ Demolish Foundation Replace - Water Damage Fire Repair _ Salon Owner Change _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 153100 0 4.v Occupancy X2. 1 49 $Z MCES System Plan Review ✓ Code Edition 2007 ae. SAC Units B N0._; GES (/w7~cio~ ) (25%_ 100%~ Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet ZZ9 3 PRV # of Buildings / Length Fire Sprinklers I~ u Type of Construction -7-$ 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: Final C/O Inspection: Schedule Fire Marshal to be present: V/Yes No Reviewed By: GHQ'`!. , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee / 2 57 7 S Water Quality Surcharge 4G • SO Water Supply & Storage (WAC) Plan Review 8 l S, SR 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 W 44 Water Quality TOTAL 3 L • a Page 2 of 3 Craig Novaczyk From: Peggy Fleck Sent: Friday, April 02, 2010 9:55 AM To: Craig Novaczyk Subject: FW: 4345 Nicols Rd FYI Peggy Fleck I Clerical Tech I City of Eagan City Hall 13830 Pilot Knob Rd Eagan, MN 551221651-675-5675 1651-675-5694 (Fax) I pfleck()citvofeagan.com City o ah THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient. If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers. From: C pert,yKaron`[mailto:Karon.Cappaert@metc.state.mn.us] Sent;iday, , 201-cr 6 AM To,:'Peggy --I, Subject: E: 4345 Nicols Rd Peggy, If this is still a group home the no determination will be required. Thanks Karon Cappaert SAC Administrative Technician MCES - Finance 390 N Robert St St Paul, MN 55101 karon.cappaert@ metc.state. mn.us Phone 651-602-1118 Fax 651-602-1030 http://www.metrocouncii.org/environment/RatesBilling/SAC Program.htm From: Peggy Fleck [mailto:PFleck@cityofeagan.com] Sent: Friday, April 02, 2010 9:28 AM To: Cappaert, Karon Cc: Craig Novaczyk Subject: 4345 Nicols Rd Hello Karon, Craig, one of our Commercial Inspectors asked that I email you regarding 4345 Nicols Rd, Lewis House. He has an application in for plan review. The work that is being done is replacing windows and an interior remodel. There are no interior wall changes and no change of use. We want to confirm that in this case your office would not need to do a SAC determination. Thanks! Peggy 1 PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA099257 Date Issued: 05/26/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4345 Nicols Rd Lot: I Block: I Addition: CedarRidge Ist PID: 10-16820-01-010 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Basement Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Eric Bruckmueller 3992 Pennsylvania Avenue Eagan. MN 55123 651-686-6696 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Bruclanueller Plumbing Inc Conmmunitv Act Council Inc 3992 Pennsylvania Ave 20730 Holyoke Ave W Eagan NIN 55123 PO Box 1256 (651) 686-6696 Lakeville NIN 55044 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature FROM : ATLAS ROOFING INC PHONE NO. : 612 436 7052 City of Eta 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 RECt tirE0 JUN 1 3 2016 r Jun. 13 2016 05:07PM P2 Use BLUE or BLACK Ink For Office Use #:�®7 Pennit 1 1 tJyn Permit Fee; 2g00 Date Received; Staff; 4 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 06/13/2016 Site Address: 4345 Nicols Rd Tenant Name: 360 Communities/Judy Bohman (Tenant is: 'Jew / Existing) Suite #: Former Tenant: a : o , *, ? pp Jt. �4<rvz ✓t't•�S�:l�l!d'k'S1Xq,> et Name: 360 Communities Phone: 651-244-9829 ;"• J'�'Y\�'^,f:(. Yi ,�.,,�;,4. q "Y� N1;t� r J• 11 t."M Lv N�'.'�'ipg t'v`i•(T^�x hR�'ryl,�y�tM�, Address / City / Zip: 3 m• 1� 13 % 0 x. the � Vt I N'1 is/+.T_ Sig; .,..• r'' ,. r I• "k'•,'�rY, Applicant is: Owner Contractor •'a ax q l 4 a; a 1• ', �,,,,�, Complete Reroof , Description of work: ( S f +:'�S'" gW;,•ryirr.'nx;:SrC;f: J:a :;:»ru,'::v:d,e„v.,a :vx'•q,y^n�,.e�a r..-,,..,.,.►,..., r„,,,.r. $18,950.00 —.. ............. ........ �F�<�:�:t': 1'* ('•,+>:;;# +''�; Atlas Roofingof Prescott Inc. 20338968 Name: _icense #: e:ni, *:;rF;� ” ' �r �;�• 4, `� ':z:� !,..;::,:....vrw:t,; a. ;.�,•n, .t W9098 US Hwy10 Ellsworth Address: :Ity: 1�[ti��?' ox�)it af; a rYa �.i :WS. �i,.;r: M:It � :;•.,i ,,„' .P• /. WI 54011 651-271-2868 State: Zip: Phone: :,• �i. yr a ,fir A e,,1t?;7"r'e`f a'ya,. z,. r t:�'�q',;;;:r, 4,C� Kr h • ; f .J' MM rtr6' P." Jon Meyer jroofer0,413@aol.com Contact Y Email • M DRi�tt V �?a.,. �,s.i."' ` ,„�,_yy,• n/a Name: registration #: �_,'� :,'"'!I�., y y • .J L,^;.°,,,;y, ray si, Aiii,w , ",,:i: a,v z�A Address: C ty: 1p 1 i en+« 'Aa:”' f a State: Zip: Phone: PI' 'rLJ�SS'.'�Y�E,��?�;i �r�'M :a�'",,, itp',.ir.. �ykj?.. 1' ., k h li'F. 9CG CJS �W'•;i �- n:,.,d;;x.s;< �r:�;:;;.u��,.N:,"�r�. w Contact Person: Email: Licensed plumber installing new sewedwater service: Phone #: j,, .1r, `1 ? i.x0.,. A)v l ` ? ` dyr "L A M F:7' : 4, it �i Y V d ^i^7^7 �i!N. dc.+'�' „/� .r � yp Q l Yx -M5' •r4YC � t > 1W ' iV" a„w ia,Y "�' ,i"nr HYF° F h . t % f<° F . 1 AL eR f#Ml 'A, k� .' g � 4 ra � , ' R � •u\.;o' ,S P4 4, :1...'.6. • a1 y ; ,h h , /V,� .�{S )y r �4p W� (� /� r" 1 1/+h Y/� 1 ry�1q� • •xr Mt 9 a4:7. sj; Y r d 1 . 1 'R , ,� t 1 ,n .v t • ' J.. '.,',;14,,.1,A '��:?6,A : �'GY�S J�� d,M ':. wM{I�l�]'��:rT,,�,��E,ri�"•�'i ,�a YY,Y Y �i.h a , r riw� 'ky. �., h nA,VI,A •y. Y Y .�sr n_. a- 0�, w I xy : % . a t• ��,,ey ..�i p• /, !% N�FrM':MYI }'(' ,�. /• � I�'•,..'., { �'11!hlr+f'4 h7 ;.J3' 0 ,1Y ' ' ".l. 'y :.,,k , , 'r” p+.' +Y i" R. Ai kt�. •'1"n (ar'; ..717-,,„ t ,a•" •,, ,,i,, ` t „ 7,, '�` •{, , ; n: r k.•,; ; ' Y,{4, '� p ..L n .t,� i�' '�: ! ,�''i'• ,� •R.�r) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for prate ction against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gor herstateonecalhorg 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 tar 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'-1 requires a review and approval of plans. x Jon W. Meyer/Atlas Roofing of Prescott Inc. Applicant's Printed Name x t, Applicant's tHnature Page 1 of 3 FROM : ATLAS ROOFING INC PHONE NO. : 612 436 7052 z-73 010 o s DO NOT WRITE BELOW THIS LINE, Jun. 13 2016 05:08PM P3 / 0 7/ SUB TYPES Foundation �Commercial 1 Industrial Apartments _ Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (250 180oi'_j Census Code # of Units # of Buildings t Type of Construction ✓ • A• REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile �l Roof: _Decking _Insulation Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Final CIO Inspection: Schedule Flre Marshal to be present: Yes jNo Reviewed By: LAG , Building Inspector Reviewed By: , Planning Public Facility Accessory Building _ Greenhouse I Tent Antennae Interior Improvement _ Exterior Improvement _ Repair Water Damage 14, ova Occupancy Code Edition Zoning Stories Square Feet Length Width ✓Ice & Water Final Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair _ Demolish Building" Demolish Interior Demolish Foundation _ Retaining Wall 'Demolition of entire building — give PCA handout to applicant 4.3 VL D I L-6 MCES System SAC Units City Water Boaster Pump PRV Fir3 Sprinklers Sheetrock Final/C.O. R:quired Final / No C.C1. Required Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Well Erosion Control Concrete Entrance Apron COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 324, TO Storm Sewer Trunk q . TO Sewer Trunk O • top Water Trunk Street Lateral Street Water Lateral Other: TOTAL: 3 Page 2 of 3