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4651 Nicols RdBUILDINCs PERMIT cirY oF EAw?N 3793 Pilot Keob Read Eayon, MN SSIZ! PHONE: 454.8100 Receipt # To b e wed for Est. Value Qote , 19 $ite Addreu Erect ? Occuponty Lot Block Sec/Sub Alter Q Zoning Parcel . C .# Repoir ? Fire Zone E nlorye ? Type of Const. W Name Move Q # Stories ; Addross Demolish ? Length b GN __ pr,,,,,o Grode p Depth Sq. Ft. ? Nome , - 1 wpprvvao o ?u Address Assessment _ Water & Sew. Poliu Nome Firo /lddress Enp, <"! 1 City phone Plcnner Cauncil I hereby ackrwwledfle thot I hove rcad this opplicotion ond state tfiet gldq. Off. _ fhe information is correcf ond og?ee to comply with oll opplicoble ^? Stote of Minnesoto Stotutes and City of Eo9on Ordinances. Faes Pennit Surcharpe Plon check SAC Water Conn. Wafer Meter Rood Unit Totol Sipnaturc of Permittee ? A Bullding Permit Is issued to: on ths express condition thnr oll work sholl be dorx in occordorxe wlth all opplicable State of Minnesotn 5totutes and City of EaQan Ordinontas. Bulldinp Officiol Permit No. Permit Holder Misc. Permii No. Holder Plumbing a?', ??93, ? 1 6--15.-97'Z H.V.A.C. 3pL1p p4Ik4/? ? j?IR4Z Well Water Disp. Sewer Elsetric 4q ysS Al u7kq 0EC, -/ 7-3Z Inqrection Dato Insp. Other Footirpt Foundation Framinp Rouph Plbp. . f?gz -Z -?L Rouph HVA Inwlatfon Fimi P16a Find HVAC Finsl ? Wour aacribe Location: YWII Swrer r Pr. Disp. . , ? i z BUILDING 4ERM{T 5ite Address N° 6548 Erect ? atcuponcy Alter ? Zoning Repcir ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ft. Gmde ? Depth ft, Approvals Fees Assessment Water & Sew. Police FIre Eng. Plonner Council Permit Surcharge Plan check SAC Water Conn. Woter Meter Road Unit I hereby atknowledge that I have read this applicotion and stote that gldg. Off. the information is correct ond ogree to comply with all applicnble State of Minnesata Statutes and City of Eagan Ordirwnces. APC Total Signature of Permittee A Building Pertnit is issued to: on fhe express condition that oll work sholl be done in accordance with oll opplicable Stote of Minnesotu Statutes arid City of Eagan Ordinances. Building Offfcial CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN S5122 PHONE: 454-8100 Receipt # Lot Bfock Sec/Sub. Puroel # s r PennM # Date Istued ParmiMoa Plumbing Mech ? to EC k. INSPECTIONS DATE INSP. Rough-In Pinal Footings ote Insv. Date Insp. Foun ation Plumbing 9 96 ,&.] 04? Frame ins. ' ?? Mechanical / ? Finai I ? Remarks; f-13-U l /'?? qn,?,fafi Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date ?= - 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner ?%LIL-- f39AS ?>7 5. Contractor Phone 6. Address -1 7. City ~ ,> > N ? r ? v7 N kAtate M t.1 Zip 8. Building Type: Residential O Commercial 99-- Institutional ? 9. Work Description: New tf Add ? Alter ? Repair ? 10. Describe i ? =- ? '"? `- ? ` Fuel Type 11. No, Equioment 8TU - M. Ea. Forced Air No. Equipment CFM i i Mfg. A r Handl ng: Boilers `' 1 Mfg. Mech. Exhaust - ` -' Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. . Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 .,_.. Receipt 1. Date ' une MECHANICAL PERMIT CITY OF EAGAN fill in nurnbered spaces Type or Prini le+gibly 81 2. Installation Cost 3. Job Address Permit No. Fee S/C Tot. Lot Bik. ' Tract " Py 4. Qwner 7,:, r . Lsrandt 5. Contractor "? ? "'T' -±t" • ' ' ? Phone 6. Address 7. City State ' Zip $. Building Type: Residential ? 9. Work Description: New 0 Commercial L] Institutional ? Add ? Alter ? Repair ? ;?n 10. Describe Fuel Type ?• 11. No. Eauinment 9TU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for ? Rough Final Inspections: bate Insp. Date Insp. , This is your permit when numbered and approved. • Approved CITY OF EAGAN 454-8100 Receipt 1. Date - lN 3. Job Addresst??c PLUMBING PERMIT ClTY OF EAGAN Fill in numbered spaces Type or Print legi6/y 2. Installation Cost + ICHi?i Lot Blk. Permit No. Fee s/c ? Tot. ' Tract 4. Owner CLDA^VID,, -0FFICE GLI]ii 5. Contractor !_ J F AT7 CnR? Phone 17. r,? _,, 6. Address;T C i I',I i: A',i:' 7. City State Zip -- 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New O Add ? Alter O Repair ? 10. Descri be 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Suftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certi#y ih,ax the above inf m?tidn is true and correct, and I agree to comply with all ocdinances and de 'governing this tYpe of work. ? ? Signed : for ? Rough ' Final • Inspections: Date Insp. Date Insp. • This is your permit when numbered and approved. . Approved CITY OF EAGAN 454-8700 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egrbly 1. Date 2, Installation Cost Permit No. . ?' - • Fee -- S/C Tot. i 3. Job Address " LOt -? Blk. r TraCL 4. Owner 5. Contractor ? Phone -- ! . ,- 6. Address ' t ? -? 7. CitY State Zip .- . `' S. Building Type: Residential ? Commercial 10 Institutional ? 9. Work Description: New ? Add El Alter ? Repair ? 10. Describe 11. No. - Fixtures Water Closet No. Fixtures Bath tubs Cesspool/Drainfield Lavatory Septic Tank Shower Softner IE+tchen Sink Well Urinal/Bidet Laundry Tray Other Floor Drains L Drinking Ftn. Sl Si k _ op n Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 & :- CITY OF EAGAN Addition , CFDARV 1 Remarks _ %,, Lot 2 Bik 1 Parcel 10 16930 020 01 Street ! [---, Z?Z ? Improvement Da Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 299.25 19.95 15 * SEWERLATERAL ? 1980 8643.65 576.24 15 WATERMAIN * WATER LATERAL jJ$O WATER AREA 1977 299. 25 19.95 15 * STORM 5EW TRK I980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit ? - WATER CONN. • - - - - BUILDING PER. 654$ . sa,c 238,43 3-7- _ . PARK GTY OF EAGAN , 3795 F;lot Knob Rood Eagan, MN $5122 Zoning: Owner; Address: Site Address: Plumber: Meter No.: Size: Reader No.: I agree to eomply with tha City of Eagan Ordinonees. By Dote of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: Nv. of Units: Connection Chorge: Accourrt Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Poid: 1___ . cinr ^F EAGAN SEVIIER SERVICE PERMIT 3795 Piloc Knob Roud PERMIT NO.: Fogon, MN 59122 DATE; Za?in9: No. of Units: Owner: Address: Site Address: Plumber: .? 1 agree !o oomply with !he Citr of Eogaa Connection Charge: Ordinances. Account Deposit: P By Date of I nsp.: Insp.: ermit Fee. Surcharge: Misc. Ctarges: Totol: Dote Paid: . s. I ciTr oF Enw?N N? - 7223 3795 Pibf Kao6 Rmd Eogan, MN 54122 - ? PHONE: 454•8100 BUILDING PERMIT CERM Receipt Te be awd fer FINISH M[:DICAI, Est. value ?, 000 Dote Mav 4 1982 5ite Address _4651 Nicols RUad erxt ? occuponcy B-2 2 1 Lot BI«k Sec/Sub. ?- Alter ? Zoning ?g Parcel # 10 16930 020 Ol CUL ??'`? Repoir ? Flre Zone NA eniaro. ? rYpe ar eonse. III W P1eme Wn• F. Brandt Move ? # Stories ; Address 15010 Glazier AMe•, Demolish ? Length_ b C; Apple Valley ph. 432-3200 Groae ? Depth sy. Fc.- p Name $t. IDU?-9 PaT1C 1'J2a7.C8.l C8[1tQ'r s YMwa U o Address 5000 W. 39th St., rj5/ylFj Assessment - g u 927-3123 Clt `St. iD111S PaYk PF Wofer & Sew. wne F i F Police _ Uw ^-° i^^. ORCa Nome Fi 4u ? Addrem 1418 w. L*.E $t. , re Eng, i W Ci Phone Plonner _ Countfl _ 1 hereby acknowledge thot I have read this uOPlication and stote that gldg. Otf. _ fhe information Is cOrrect and ugree to comply with oll applicable State of Minnewta Stotutes and City of Eagan Ordinonces. l e__• A AP? Signoture of Permittee A Building Permit is Issued to: St, all work slwll be darx in accordunce with Permit - Surchorge - Plan check _ SAC _ Woter Conn. Water Meter Road Unit _ Tot,i 99.50 _ on fhe express ewditlon Ihnt and City ot Eapon Ordinonces. Buildirq Officlal CITY OF EAGAN 3795 Piioe Knob Rood Eagan, MN 55742 N! 6548 ` PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # $ite Address 4047 LV1O015 ttQ. _ Lot 2 Block 1 Sec/Sub. CedarV-eW Parcel # 10 22100 0= Ol rc Name 4dtl• F. BTdridt'. z 15010 Glazier Ave. ? Addre ss o ? App e Va ley „L32-3 00 o IN,,, KrdLs=Arid2YSOri St. Pdlll ?? Address 200 GTdrid ' F r;ti St. Paul 5510?pti e 297-7088 Name p= A s G Tit Erect ? Occupancy B2._- Alter ? Zoning L-B Repoir ? Fire Zone NA Enlorge ? Type of Const. II Move ? # Stories 2 Demolish ? Front 45.5 ft, Grode ? Depth 89•5 ft. Approvals Fees Assessment Water & Sew. Police Fire ? En9. Planner Council 1-22-80 Bldg. Off. 3'"17^$1 APC I hereby ocknowledge that I hov read this application and state that the information is correct o gree to wmply with olI applicable State of Minnesota Statut City of E gan Ordinances. Slgnoture of Permittee G A Building Permit Is issued to: , dU5-AriC12YSOT1 IriC. oll work shall be done in accordonce with/all appliwble, Stote,of Minnesoto Permit 536S0 Surcharge 910_50 Plan check 96 A-75 ISAC 9inn 00 iWater Conn. NA lWater Meter NA Road Unitll__ PFR T!k Sf,7? Total 3115. 25 _ on the express condition that and City of Eogon Ordinances. Building Offitial CITY OF EAGAN Include 2 sets of plans, ? 1 site plan w/elevations & BUILDING PERM.iT APPLICATION 1 set of energy calculations. 7b Be Used For /?. Valuation Date 19C1rtrQ?-- ? OFFICE USE ?II.Y Site Pddr?ess /e Lot lgVElocac sec./sub: Erect ? occupancx gf- Y Parcel #: 10 SL/00 O'bl OI uwner: TTrR r• vvrmWvv g AalreSS: 15010 ?4ifflsiAt A??. City/Zip Code: A~ VPM"y Pnone #: 0:-3 Zo 0 Contractor: XRNdS? Fddress: '9n wAf4D city/z?P coae:sT PAd+. Mfl• SS/ot/ Alter Repaix ESZlarge _ Nbve DErnlish Grade TVater/Sesrer Police _ Fire Zonirig Fire Zone Type of Const. ? # StJDI'1.E5 Front ft. pePth ft. Phone #: ZT/•1,8166 Eng1amer 1_ _f Council /- p 7 -?- Arch./E3ng.: & ?SSO?• lNQ • Bldg. Off. j?-?- Address: S3'S SY CLhIll k/. APC City/Zip Code:Sf. 4*01. /RA& ff/D!!L_ Phone #: 296 - b8q4 rermiL Surcharge ? Check ? Plan SPC 2/DD water Conn. Water Meter ?rxf l?ad Unit ,i'n? s 6Q TO2'AL l CITY OF FAGAN Include 2 sets of plans, ? ?.hlei- ., A::f 1 site plan w/elevations & F?'xt"S? BUILDING PEIMIIT APPLICATION?1 set of energy calculations. Zb Be Used For ?yjB,s,Q//-,p,z,?V?aluation Date Site Psidress /v i'c_e(S Int ? Block ( Sec./Sub. Parcel #: OZo G: I Oemer: Wm' F? AdclressV?Su1C?> G(az?'Ed' E ? city/zip coae: FEt>?)lL 11C4 j l ? Prone #: 02-3ZcC> Contsactor• -Zgy Address: 'rr,'tscs C/i • 39 City/Zip Code: Phone #: Arch./E719•: .tP ?Yi.rc-Op rQM,-,/. Address: /,? City/Zip Code: Phone #: )(q(p 51 . ' OFFICE USE ONLY ?? Erecf OccuPanc3' Alter ?- Zoning ? L Repair Enlarge Fire Zone Type of Const. Move # StAries Demlish Front ft. Grade Depth ft. rPeROvALs FEEs :ASSessrtients Permit 7/ [4ater/Sewer Surcharge 3o ? Police Plan Check ? Fire SAC Etig. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. AFC TOTAL + ` L ??? MA-L?01Zd. L SE?dC- T?ctvl3 (on,<t SF-4? 42627 REQUEST FOR ELECTRICAL INSPECTION ,?- es-ooooi-oa ? ? See?instn¢tions for complecin this form on hack o i 9 Yellow coPY. "X" Below Work Covered by 7hrs Request 3z,(Q,,?j i ?C aeV. TVpe ot Buildinp Appliancas Wiretl Eqaipment WireA ' Home Range Temporary Serv?ce Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commerclal Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm ornA, necI v otno, Isue.iry1 - t?er ISpecify Other Olher Compute lnspectimn Fee Below oofflp' d Fee $erviceEntrence5ize H Fee Fexders/Subfeedars # Fen Circuiis 0 to 700 Am s 0 to 30 Am s 0 to 30 Am s 107 to 200 qmps 37 to 100 qmps 31 to 100 qm s AAbove 200 Amps L Above 100_Amps Ahove 100_AiTi s Trensformers RemoteControi Circ. Partialther Fee Signs Special Inspection $ ? T flem:+rks . b OTAL t?y/n ??n Fouph-In ?ate ` I, the Elochical ' Inspectoq hereby cenify thai Ihe abovo Final ( D't'e t' spaction hes been ?J de. rti., 18 mmrlh5 fiom This re0uest void lo1?5 18 mpnffis Irom ? C G?lJ ? 42627 16, e) C) RaWws] '.?A. Fire No. Ruu ? Bh-In Inspe.ction -. / y Re rted7 Rertlv Now ?VJill Notify, inspec- ` ?'es ?No lorWhnnReady f5-'LiRnsed Electrical Con[ractor I haraby reyuest inspaction oi above ? Owner elecM1ical work ingtelled aY Street AAtlress, Box ar R No. ' y s ou Ci1y co(- ecuon o. Township N;ime or No. Ranye No. Coun?ty' Nfeor* OccunantlP TI ? SeAnn- 1 - Phone No. Szo-6 «(-- -- f I Power Supplier AAtlress Elect ' I Cnf Vac[or (Cortryany Name) Conher.tor"s 1 icense No. ° , l ? Mailine .4d ess IContreCtor or Owner Mak?ng InsIDilationl 3 ? - ? 4 v 1 ;;-> uthorized [ur o ctor wner ing Instaila ' 1 Phone Number 9 MINNESOTA STATE BO?OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 13rig9s-Mitlwey Bldg. - Noom N-791 BE ACCEPTED BY THE STATE BOAND UNLESS PROPEP INSPECTION FEE IS 1821 University Ava., St Peul, MN 56106 nn- 16121287-9111 ENCIOSED. ?`='JI?1`?'/49428 REQUEST FOR ELECTRICk'L INSP2CTION xy - EB-00001-03 uu ' Sea Ctions for completing this form on back of vellow copy. ?-3'{9c03 "X"" 8elow.-Work Covered by This Request iwq-0- Ney, Atld Rep. Type o1 Bvilding AvPliance Equipment Wired Home Range Temporary Service Duple:... Water Heater Lightin Fixtures Ai}}C Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader InAusirial Bldg. Air Conditioner Bulk Milk Tank Fafm Ot er pecrtv ther ISUer,ifyl t er ISpeci Y Ot Or Other Conrpute lnspection Fee 8elow rt Fee ServiceEntrenceSize p Fne Feedery/SUbfeadera p Foa Circuits 0 to 700 qm s 0 to 30 Am s 0 to 30 Amo 101 to 200 Amps 31 to 700 Amps 31 to 700 A' s Above 200 qmps Ahove 100_Am s Above 700_AmE Transiormers RemoteCon[ro l Circ. PartiaF' e Signs Speciallnspection ? ,T Renw rks e ? OTAL .?SE 1 ?O? J Rouehin inal ' ?+'?'" . .?f^?? ??? ' ..•J?a_.?. - Date at ?r?b I,the ecvlcal InsPector. horebY certity that the ebove pection has bean m ade. This repuest voitl 18 nwnffis From This requost vad_Z 2/5 18 nnnths trom J? j 49428 LI lC.&A0.PVcli uD d1tv 3L( `I (a3 R eqvest Dppp te 3/ Fire N. I Fouyh-in Insper,tion Feqwretl? ? ReaAy Now Will Nolihy Inspec- ? ! ? ?Yes ?NO ?lar When ReaAY ?LicenseA Elect`ical C??I?G'6tN'?' I hereby request insoection oF abova Owner elecvical wotk insiallad et Street Address, Box or Rovte No. City ? ectmn- o. Township N,ame or o. Range No. zva ils-ln Occ nnt (PRINT) hone No. ? -Ff•.D Powe, Supplier Address ? Electncal ontract r ICompan Nemel Contractor's License No. o z S' M iling dJress IConVactor or Owner Ma kinB instailation 7 / ut orized Sienature IContractor oer a in0 ?nstallation) Phone Nmnber G"3 6. MINNESOTA STqTE BOAPD OF ELECTNICITY THIS INSPECTION flEQUEST WILL NOT Griggs-Mitlwey Bldg. - Hoom N-191 ' BE ACCEPTEO BV THE STATE BOAXD 1821 University Ava., St. Paul, MN 56104 UNLESS PROPEXINSPECTION FEE IS o.___ 1c, ?, ?o, e... ENCLOSED. REQUEST FOR ELECTRIC^fiL INSR'cCTION :r. See instructiuns lor completii is torm on bnck of yellow ropy. T 99455? ,. "X', 6Clow Work Cnvered by This Request # l6995 ee-noooi_os j010-? New AAd Rep. Type ol euilAin9 ApOliances WireA Equipment Wirad Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Bectric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Farm 011o" Sp.,aN O?ne, Isouc-fyl lher UecifY Olhcr Othur Fee I I I i u1 to ZUU qmps I I I 31 to l Uu,qmns 1 I ' I 31 to-I VU Amck: I 1 ?.fi?itie?: TOTAL Rouyh- in ' ( /? at y y I the Electri C/ (? O Inspectoq hn if h 7 Flnal ,vS' D??t ^ cerI y t att b.e. -nsoection h ( ? ? ma e. This request voiA 18 mnnths imm This request vaidsl17 L?' 301o-T ?18 months trom I 9 &4 55 / SQ , o - i b Ai??est oa , Fiee No. Noupn-in bi_vunclion Rev ?reA7 u ?ReadY Nnw ri'il1 Notity InsVec- h ? Z ?es ? No ? tor W en Rcatly Licensed Ele trical (y?on Owner &S I Vacmr y? I herehv request inspection oi ebove kil kelachical work instellad aY $IreN Address, 8ox or Houte No. l City n ection o. Township nme or No. Range No. Cnun cuVenl (FpINT) . hone No. ower Su nplinr Address n J Electrical Con[ract r (Company Name) ConUactm's. License No. ? p? Du? OZV Mailmg AdJress (Cun mctor or O ne? aking Ins?allation) ! l z'A l Aut orizeA SiBnaWre ICOntracmr/Owner Ma inp Installationl Phnne Number 4 -,,J` 20 MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REUUEST WILL NOT GriB9s-Mitlway B?d9. - Aoom Nd91 BE AGCEPTED BY THE STATE eOARD UNLESS PflOPEN INSPECTION FEE IS 1821 UniversilV Ave., St. Pxu1, MN 55104 ' ENCLOSED. PAnno 16121297.2111 Mfnnesota State Board of Electricity Griggs Midway 61dg. - Room N197 - - 1821 University Ave., St. Paul, Minn. 55704 - Phone 297-2111 REQUEST POR ELECTRICAL INSPECTION CHECK BEtUW WOIiK COVERED BY THIS REQUEST e-- 1Ga87?`}'3S' 8-0000 1 oz S 76982'I' Type of Building New Add. Rep. Check Appliances W'ved Foi Check Equipment Wired For Home ? ? ? Range ? m Teporary Wiring ? Duplex ? ? ? Watec Heater ? hting FjXmres Lig ? Apt. Bidg. ? ? ? _ Dryer ? Electric Heating ? Commercial Bldg. ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Av Condi[ioner ? Bulk Milk 7ank ? Farm ? ? ? Lisl ) List ) Othec ? ? ? o } Heieis) p y Heiersl COMPUTEINSPECTION FEE BELOW Service Entcance Size: # Fce Feedets&Subfeeders: u Fee ' uits: # Pee 0 to 100 Amps. 0 res to 0 t 30 m eres 101 to 20 31 t eres 31 to 0 Am eies Above 2 -^ kli?3"v ?? D mps. 2. Above 100 Amps. Transformers R ot ontrol Circ. Partial or othei fee Signs m ?S ?? '` ns ection ? Minimum fee $5.00 Remazks / . / oy',/- !/(G°tnG !?-?- G??.s. . . TOTAL FE /7 I, the Electrical Inspector, hAfeKy certify (Final) llllw?p^nest void een mad`e' ?,'3:=?'/ •. - Y 6-Yi • -- ?' This request void ? ? ?-? 18 months from ? '7 ?.{ .3 ? ' S 76982 Date of this Request yc " Fire No. I, as C4 'icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route Section Township Which is occupied by Is a roughin inspection required on this job? No ? Range County .. ,? ! Yes O Ready Now ? Will Call 1- Power Supplier Address Electrical Contractor 1?li?a-6C'-a 9?k,. ?So Contractor's"I.i eepns4 No . (COm ny Name) Mailing Address Aut rized Signati `• ??? r1u l1 ? :4, Phone N06JI'.f-d' 2n k1n9 This InStallLtlonj his inspection requestwill not 6e secepted by ffie State Board unless proper inspection fee is enclased. 4. i COMMERCIAL y` 2002 BUILDING PERMIT APPLICATION ,A CITY OF EAGAN 651-681-4675 ??? '1V Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • CodeAnalysis (1) ° . Certificate of Survey (1) • Civil Plans (2) • Project Specs (i) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) . ProjectSpecs (1) • CodeMalysis (1) • Master Exit Plan (t) • Spec. Insp. & Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meter size must be established • Meter size must be estabiished • Meter size must be established - if applicable . Project5pecs (1) 1 • EnergyCalculafions (1) " L y . Electric Power & Lighdng Form (1) 1 • Master Exit Plan (1) 1 y • Emergsncy Response Site Plan (1) y • Soils Report (t) y . MC/ES SAC detertnination letter . MGfES SAC determination 4etter • MClES SAC detennination letter ca11 6 51-602-1 0D0 ca11 6 51-6 0 2-1 000 ca11651-602-10D0 Food 8 beverage or lodging facilities - su6mit plan to MN DepaRment of Health. Ga11651-Z15-U7UV tor aecaus. Contact Building Inspections for sample. *** Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: L^dZ WORK TYPE: ? 3 NEW _ REMODEL CONSTRUCTION COS??, d aC? ?-? SITEADDRESS:'5- L??' t-??5 ?D TENANT NAME: ? ' ? ? SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name: ?n4 W (o? Phone#:(7 S' S- PROPERTY Last First oWNER y a ? ?? ? ?1 Sueet Address: /- Ci ? rCSdtI ?r ?. C?v? ? State: ? N Zip: ?'- Company: F?'? ?, 0 dI&JS`(-ePhone#: f<°CZ 2 - 13 2 C? CONTRACTOR ?r ,n ' c co t? f?W ?- <:z-? Sheet Address: l ?/ City: ??4r L<?--j State: al;j Zip: S>'7 69 ARCHITECT/ ENGINEER Company: Name: Street Address: City: State: Licensed plumber installing new sewer/water service: Phone #: I hereby acknowledge that I have read this application, state that the information is c(o c, d? I t y with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? 2 Updaled 710 a #: 2 12002 _ Zip: - f OFFICE USE ONLY , ,r. SUBTYPE Ll 01 Foundarion ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments iX 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. 0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Raroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ?? Zoning Sq, g, SAC Code # of Stories sq. ft. No. of Units --?-- Length sq. ft. No. ofBldgs. I Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. fr. Fire Sprinklered MISCELLANEOUS INSPEC TIONS ? Gas Service Test ? Heating ? 7nsulation 0 Plumbing ? Stucco/Stone APPROVALS Planning Bu ilding 0&fo- Engineering Variance ? , Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SNU Permit S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Quality Other Copies VALUATION $ 1 i 0 O G ?, °/a SAC SAC Units Meter Size Total E 11 Proposa/ Gi1X/C Fftposal No. ? 1 . . 1 ? G.W. Cook Construction General Contractors • Commercial/Industrial Roofing ottk)e (612) 8221326 3133 Nioollet Avenue South r-ax (612) 622-0239 Minneapolis, Minnesota 55408 Mobiie (612) 940-5187 PROPOSAL SUBMITTED TO PHONE QATE STREET ` JOB NAME CfTY, 5TATE d ZIP COUE . ' -- r JOB LOGATION WE PROPOSE TO FURNISH ALL LABOR, MATERIALS AND EQUIPMENT NECESSARV TO COMPLETE THE WORK AS FOLLOWS: , _ ,. . - ._. . . .F?. "' t . ?r? 4 • _,? f t' ?'w?:,,JL 1 Y`^ ?U?? . , . .?.?` ? . . ??r_ + • . . ' r • I ?.w ''_?, • . ?'? ` '?,,.,..1 w .? "rr ? .iv. ? .,? ?%,,.? 1 + ?`? .'RlJ.C.? N Arr ? ?,? ?` ? L h ° ? .. • /? V 4j . ,.'?,-•?. ? ?r 3 ?•++??, , ? : . , a ?? ?,rs.-Qt? ? s.. Q ? ..?t.. ? C.s -'°?.a?, .? ..? ; r , .,r. , , . " 4/ ` • ± ?..?.j ?? ?..i, i+C: *? ?r.- ? "? {I ._ . T.n)..? ?•_ f1+?.?a ?' ? . ?'•-? J!"'1/? . . •. t\_t'? ? .?'l-,ii? 1 .. •' 1 _r ? .!?._±._•y-'.:,??/'? , t^r.`..' ,(...:? ' . (;,, ` T ? , +, Ywl A ? ' ? ?/!? tJ?.Y ?, ?q^7.?V' 4?J.a (•`? . . . ,' J ,.A.? ' - V ? •? ??--?t i,? , f1 "t ' ; , -.? ^ ,•s?l' •. ?_rv?, '? Y` P _%•,q „n?, ?; s*'??Z t_n. r 4 /r? f WE AGREE TO 00 ABOVE DESCRIBED WORK FOR THE SUM OF S TD BE PAID AS FOLIOWS p l. CONTRACTOR TO CARRV WORKER'S COMPENSATION AND PUBUC LIABILITY INSURANCE ON ABOVE WORK. VERBALl4GREEMENTS NOT BINDING - ALL ADDITIONAL WORK ANO AGREEMENTS MUST 8E SHOWN IN WRITING. ALL ORDERS ACCEPTED BY US WITH THE UNOERSTANDING THAT WE ARE NOT Tp BE NEID LIABILE FOR CAUSES BEV'OND ? 1 J OUR CONTROL. THIS PROPOSAI SUBJECT TO AGCEPTANCE WITHIN 30 DAYS. L59b PER MONTH CHARGED ON ACCOUNTS OVER 30 DAVS- AUTFIORIZED SIGNATURE We are required by law to provide you with the following notice regarding the rights af persons fumishing labor and materials. (A) Persons or companies fumishing labor or materials for the improvement of real properry may enforce a lien upon the improved land if they are not paid for their contributions, even if such parties have no direct contractual relationship with the awner. (B) Minnesota law permits the owner to withhold from his coritractor so much of the contract price as may be necessary to meet the demands of all other lien claimants, pay directly such liens and deduct the cast thereof from the contract price, or withhold amounts from his contractor until the expiration of 120 days from the completion of such improvement unless the contractor fumishes to the owner waivers af claims for mechanics' liens signed by persons who fumished any labor or material for the imprrnrement arxi who provided the owner with timely notice. I HAVE READ THE ABOVE AND ACCEPTED THE TERMS AND CONDITIONS OF THIS CONTRAL'T. SIGNATURE DATE i 16600 CEDAR CLIFF 39850 JOHNSON 1ST 16930 CEDARVIEW 47401 MARI ACRES 2ND 16931 CEDARVIEW 2ND 58550 POTTS 22100 DURNINGS 77000 TOUSIGNANTS 1ST NICOLS ROAD (PAGE 3 OF 3) 4440 10 16600 01000 RAFIN ATHLETIC FIELDS 020 00 030 00 04000 10 03000 012 76 4595 4615 4625 4635 4640 10 47401 010 Ol HOLIDAY STATION STORE 10 22100 010 01 10 22100 020 01 10 16930 010 Ol 10 03100 030 04 4651 10 16930 020 Ol WENDY'S CHEROKEE SIRLOIN ROOM OFFICE BLDG 4655 10 16930 030 Ol 4660 10 03100 050 04 4670 10 03100 060 04 4680 10 77000 010 Ol 4687 10 16931 030 Ol 4690 10 77000 060 01 4691 1016931 020 Ol 4695 10 16931010 Ol 4746 10 58550 010 Ol 4750 10 58550 020 Ol 4754 10 58550 030 Ol 4770 10 39850 020 01 4875 10 03100 021 55 OFFiCE BLDG 4 Brandt Management Company 15010 GLAZIER AVENUE APPLE VAC.LEY, MN 55124 (612) 432-3200 William F. Brandt Presidenf March 31, 1981 Mr. Dale Peterson Building Inspector City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Dear Dale: L.o ?t Z Pursuant to our phone conversation yesterday, this letter is to inform you that the final plat of the "Cedarview Addition" has been delivered to the Dakota County 5urveyor and it is expecte o go before the County Board for approval in two weeks. The back taxes for 1980 on the property owned by F& D Properties within said subdivision have now been paid by check dated March 31, 1981, If you have any questions on this matter, please call me at once. Kindes? reg?rds.; ? ? William F. Brandt /rcly 1981 1 (J 6?Iteturn to: Stace of Mlnnesou Depart+nent bf Public Helfare LScensing Divition INrL'FGCO7CY REQVv_ST tOR TNSPFCTIONS !OR Centennial Office SuilCing CROUP DAY CARE/DCVLI,ppMgiTAI, ACHTEVEMP2iS C0i7ER5 Si. Paul. Minnesota 5515570: ?State/Loca1 Healch Inspeetor cal Bullding Wde Inapector ?i?easoLiotal Fire Inspector FROH: censin Consultant Aates Z;4z d Prior t a?uing a license, ver! tlon is required thas a facility !s !n compliance vith approp ce state or local cocies for health, buildfng an?! fire. Please complete che •ppropriate section and re[urn to ehe Lictnsing Division vith any orders at[achee. A oopy ef orders ahovld be provided to the program. /'? T `.!/ d Day Care Tl? _ NaTe of Fatilitv• 4S use' D4" NeTe of Pro,arnm: De~A~p7 :r4V6#/?1r"aone• y?? v`• Address: ?? re ??/??S ??/?R rA?AAf ?I??l3 /i? ?6 stree[ ci[y xip coun[y4b#*s?tfd orw Conie,[_Person: 014 ueiC S&M /9 u Phane' AdQzess: ft ? ?% dr scre.c city zip Area [o be used: Nunbers and ARe Ranges of Participants: Facili[y p'ans to Basement rl G vks. to 16 mos. servc handicapped: Firsc ? 16 mos. [o 2; yrs. Yes Second 2? yrs. to 6 yrs. N? D:her specify 6 yrs. tc ?2 yrs. over 12 yrs. 15:V?/ - !/ HEALTH RrQ;J_ST: (i Licensed [1 Not 1lcensed Aoplicaiion le`c or mailed [] N/A [j ho ozders necessary at [ime of inspec[ion [] Hajor orAers issued - [1 l7lnoz orders Sasuet [] Hajor revisions needed before ticense can be is,u^d Signacure: Dace: Comnents: Reverse side. ?BUILDIgC CODE REQUEST: (I No[ applicable: facility is located !n a non-eode areaof sta[e. Dace of referendua w[e removing code raquirements Signature anA title of Local Officlal pate; M inspection is reqvire-t for all propoSeA facilitles located Sn a eode area vhic`i Sntro!ved nev construction, major renova[ing or chan e in occuDancv i.e. any facility not currently used foz [he proposeA usage. Inspections shall be !n accoreance vi[h Che-E-3-C1;cupantr of [he Minneso[a Uniform Bui2ding Code. ? Fecflity meets requiremencs Facilfty Aoes no[ meet requirements and cannot be occupled unC11 orders are mec. . Facility doea no[ meet requfr nes, but ma porarity be occupied pending . eomptetion of orders, un[S Signacure of Building Code Inspec:o . ? ?(,`y? Grtificace Hianbers peC;_?GL??/; fQ.T . . e7d'? -' Cortments: Raverse side. y, Z l/.rs /,s Yt 0 1- cwjdcr. p-SL7- P, d1,r1a47__ -7 ? ? ??ya (/•? ? - FTRE CGDE REQUEST: A fire inspec2loo. is reau?rrd for ell proposed Eat111tSes. ? FacilitSes loca[ed In m area of the s[ate unAer the Unifoi'm BulldinF Code must mee[ the E-3 occupancy requireTents of tha[ code in aAii[ton [o appllcable ftre [aAe requirements. (1-` ."o[h codes adAress a speciflc area, the llFr? Cukes precedence over the fire code.) Facilf[fes located !n an area of the s[a[e not under the Uniform Bullding Code mus: meet applicable fire eode zequfrements. - .:- eict?er ins[ance, the Hinnesota Unifonn Fire Code applics. . . ? Fac121cy meets reQUlremenCS of the firc corlc. Facllity does noc mee[ requiremencs of [he fire code and eaneot be occupir? until orders are met. - Facflicy does noi mee[ requiren^ncs, bcc may [emporarily be otcuoied pene.i.= eo^pletion o° orriers vn[il 5icna:u:e ns Fire Insnectcr:? 0.ate: ? =-^ieoCS: 9elov. CO`fiE`: S S : A 5' S 0 C 1 A T E 5 Architects lnterior Designers June 23, 2003 MEMORANDUM To: Jean Cheskis Fax 651-209-8887 From: Paul Holmes Pope Associates Inc. Re: Cedarview South and Cedarview II We understand that you have purchased the two office buildings known as Cedarview South and Cedarview II in Egan, which Pope Associates designed in 1980. Pfease present this memorandum to the City of Egan to indicate our willingness to have them copy the original construction documents for your use. If you need any design assistance as you update the buildings, or on projects in the future, please do not hesitate to contact us. Sincerely, POPE ASSOCIATES 1NC. Paul Holmes Vice President Principal 1255 Energy Park Drive St. Paul, MN 55108-5115 Phone: (651) 642•9200 Fax:(651)642-7t01 www.popearch.com i/[ 'd CbL£ 'ON ONf SKMOSStl HdOd WZl £OOZ 'H 'NIli t , 2008 COMMERCIAL BUILDING PERMIT - - - - --, i Ftir Office Us??? ? i ? PermitiY I ? Permi[ Fee: ? I ? Date Received I I ? ? Staii: I APPLICATION Dste: Site Address: Y?0 S? /VGCaS &/ Tenant Name: (fenani is: New Existing) Suite #: e roeL Pe?=lY PROPERTY OWNER Name: .? 7?t?1' Phone: ? o?z6 Address/CitylZip: Applicant is: ? Owner _ Contractor TYPE OF WORK Description of work: Construction Cost, CONTRACTOR Name: 70t4KsQw! ejceA-???ir License#: Address: ?Qc??? "?'?^ •?? ?vY City: PG ow State: IWAV Zip: 31-40--r7 Phone:??"- :ontact Person: ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewerlwater service: Phone #: NOTE: Plans and supporting documents that you subm/t are considered fo be public information. Portions of the information may be classiiied as non-public if you prov7de specifio reasons that would permit the Ciry to conclude thaf ihe are hade secrets. Ihereby acknowledge thal Ihis intormation is complete and accurate; ihat the work will be in conformance with the ordinances and codes ot the City of Eagan; that I understand ihis is nof a permit, but only an application for a permit, antl work is not to stad without a permiL that the work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plans. X x a4f!?!? _ ApplicanPs irtted Name Applicant's Signature I?L??V'LSl1VSn ?? ?? auc 19 2008 ? Page 1 of 3 A A . DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Apartments ? Lodging ? Miscellaneous WORK TYPES: ? New I Addition ? Alteration ? Replacement ? Public Facility ? Accessory Building X Commercial / Industrial ? ExL Alteration-Apartments ? Greenhouse O Ext. Alteration-Commercial ? Antennae ? Ext. Alteration-Public Facility O Nail Salon ? Interior Improvement ? Move Building ? fif1J54J- E-lU Gl O5 ti R- DESCRIPTION: c,0 Valuaiion 00U Occupancy Plan Review Code EdiTion (25 % _ 100 % ?) Zoning Census Code Stories # of Units Square Feet !F of Buildings Lengih Type of Const. Width Insulatfon ? Siding ? Demolish Building' REOUIRED INSPECTIONS Fooiings (new bldg) Footings (deck) ? Footings (additfon) ? Foundation Drain Tile Roof: Decking _ Insulation _ Final _ IceNJaler Framing Fireplace:_R.I. _AirTest _Final ? Reroof ? Demolish Interior ? Fire Repair ? Demolish Foundation ? Windows ? Wai2r Damage ' Demolitlon (entire building) - give PCA handout to applicant Sheetrock FinaI1C.0. ? Final/NO C.O. HVAC Meier Size: Pool: _ FOOtings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Yes " No Final C/O Inspection: Schedule Fire Marshal to be present. Reviewed By: IJWv , Building Inspector COMMERCIAL FEES: Base Fee (Q , '15- Surcharge Z, &p Plan Review 14. (t SAGMCES SAGCity SNV Permit Financial Guarantee S/W Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Park Dedication Water Lateral Trail Dedication Other Water Quality Water Supply & Storage (WAC) Total L72.3(0 MCES System SAC Units _fD City Water Booster Pump PRV Fire Sprinklars Reviewed By: F>kMD Planning Sewer Trunk Water Trunk Page 2 of 3 A COMMERCIAL BUILDING PERMIT APPLICATION REQUIREMENTS: Foundation Onlv ? 2 sets of Structural Plans ? 2 sets of Civil Plans ? t Certificate of Survey ? 1 Code Analysis " ? 1 Project Specs ? 1 Special Inspection & Testing Schedule " ? 1 Soils Report ? Meter size must be established - if applicabie o SAC determination - call (651) 602-1000 InteriOr ImprOVemQnt ? 2 sets of Architectural Plans ? 1 Code Analysis ? 1 Project Specs ? 1 Key Plan ? 1 Master Exit Plan ? 1 Energy Calculations " ? Electric Power & Lighting Forms " ? Meter size must be established - if applicable ? Met Council SAC Determination (ssi) 602-1000) New Buildina ? 1 Soils Report ? 1 Certificate ot Survey ? 2 sets of Structural Plans ? 2 sets of Architectural Plans o HVAC units required on building elevation/ site plan ? 2 sets of Civil Plans ? 2 sets of Landscaping Plans ? 1 Code Analysis " ? 1 EnergyCalculations ? 1 Emergency Response Site Pian ? 1 Special Inspection & Testing Schedule " ? 1 Electric Power & Lighting Form ? 1 Project Specs ? 1 Master Exit Plan ? Fire Stopping Submittals ? Fire Suppression / Alarm Form ? Meter Size must be established ? Met Council SAC Determination (ssi) 602-1000) " Call MN Dept of Health at (651) 201-4500 for details regarding food & beverage or lodging facilities. " Contact Building Inspections to see if it is required and for a sample. "' Permit for new building or addition will not be processed without Emergency.Response Site Plan. Page 3 of 3 Jb.'11fV lU.C'IU 5.1. II1.L•IU e.l. zez 24.3x I 3i.7x I' 66 43 43 ------ 02aro ; A. o13A ?a2 YFi 1 r ai ,vs4-I 93 G ? • .? '. E.4t SI-IG`wN !S m 3E Sa?nap AI14..Q1-S 'Rb, • IT l 'RECEIVED JUN 2 3 1p08 r -- ,, 1 ST. LOUIS PARK MEDICAL CENTER EAGEN 4651 Nicols Road Eagen, hII9 55122 Construction Budget Wall Systems $19,100 Electric - 8,500 HVAC 6,000 Millwork 10,000 Paint and Wallpaper 3,000 Plumbing 19,000 Ceiling 4,245 Demolition 750 Trenching 1,165 Sound Blanket 3,358 Ceramic Tile and V.A.T. 570 Base 200 Miscellaneous 3,000 'Ibtal $78 , 8B8 sl 4/82 City of Ekon 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date:ed Tenant: 2 -2a -76,i3 Site Address: 116 +sl/r` Gs . r Prtas u. dentlOw Name: ��,[. Address / City / Zip: I/ C Name: �r tOttiy /h1ed/t L L Col Lewf® 4- 4'/0� J Suite #: %P Phone: 457'776 "25'75- c5722 S'5- 22 l afri a r,s447 k/n me,h s G RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed _ Gas )( Exterior HVAC Unit _ Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _.S TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ rOA x 1% _ $ 10214" Permit Fee $ 5.00 Surcharge* = $ /O7 °" 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 conforman - ith raordinances 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 with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name l it; that the work will be in accordance PERMIT City Of EagaTl Permit Type: Building 3830 Pilot Knob Rd ' Permit Number: EA131081 Eagan,l�1N 55122 �; Date Issued: 06/O1/2015 (651)675-5675 ]� www.ci.eagan.mn.us �' O' � ,'��` li Site Address: 4651 Nicols Rd 100 Lot: 2 Block: 1 Addition: Cedarview PID: 10-16930-01-020 Use: Essence Therapeutic Massage Description: Sub Type: CommerciaUIndustrial Construction Type: Work Type: Massage Therapy License Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments' Contact Faisal Abeelaarim @ 651-236-7561 Fee Summary' Massage Therapy Inspection $0.00 ' TotaL• $0.00 Contractor: Owner: - Applicant - Serviceall Inc 1436 Nicols Rd Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Apphcant/Permitee: Signature Issued By: Signature PERMIT City of Eagan , 4 , 4 Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA147187 ,0,41 E AG A N Eagan,MN 55122 Date Issued: 12/15/2017 (651)675-5675 www.ci.eagan.mn.us Site Address: 4651 Nicols Rd 104 Lot: 2 Block: 1 Addition: Cedarview PID: 10-16930-01-020 Use: Renew Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Manichanh Sitthixay 651-353-4304 Fee Summary: Massage Therapy Inspection $0.00 Total: $0.00 Contractor: Owner: - Applicant - Serviceall Inc 1436 Nicols Rd Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd ��a ' >c° Permit Number: EA147187 Eagan, MN 55122 __` =-=% EAG ADate Issued: 12/15/2017 (651)675-5675 www.ci.eagan.mn.us Site Address: 4651 Nicols Rd 206 Lot: 2 Block: 1 Addition: Cedarview PID: 10-16930-01-020 Use: Renew Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: See Comments- Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Manichanh Sitthixay 651-353-4304 Owner moved to a different suite within the building. Was originally suite 104&she moved to suite 206. Craig will go out and inspect suite 206.pf Fee Summary: Massage Therapy Inspection $0.00 Total: $0.00 Contractor: Owner: - Applicant - Serviceall Inc 1436 Nicols Rd Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature -y 1�For Office Use , . r 1Cr./4141h ( k•a34/1—../t7 I Permit#: t , ./ ..'2-.4�O V LJ /ter0 ' N \\(,) Lt\ I Permit Fee: ( ({ I I t ✓� � I Staff. 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ' Payment Recvd: Yes No I (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Email: i uilttinoinspect°sons cit oleo an,ccsm Y 9 � I Plans: Electronic Paper Plan Submital: I-rt • it +fea•an.com (2gC7. S ! co 4(/ L. __—_ _' ,_ , 2018 COMMERCIAL PLUMBING PERMIT APPLICATION 0 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via `email, ,CD or flash drive /-71( / /� j �/- Date: L /cxC) Il v Site Address: /-7 (0 I N COIliC Pr]. Y a-C4CV) A-%&,) %12 Tenant: Suite#: Property c 1 Owner Name f-L IC I� ( s cr v (Id! L(i ,, Phone S. I (..4 / - � ) Name: �Y '..G�•f%1. .,t t f t ceps #: C 4 3 Contractor j Address: 1'6. 1 i1.Ir-r1 �ii 1i£y ,, ,1 State:AA A)Zip: 6 7 y 2 I _i_Phone ($0 t' _-_)\3S-CT-3 a S- I-3aS- Email Ji(/, lie, vet `-), f`i7Yr't1,7,'.„�1.,+1'l,jil1,4n1 i' i15/1414. f rnn.,,} T e of Work i New Replacement _Repair _Rebuild Modify Space Work in R.O.W. i yp Description of work >r . ie I.v pre�S(,1+P \/fA((,t l,(gv1 bye i i.er COMMERCIAL A New Construction _Modify Space 1 X' Irrigation System(X yes/_no)(_RPZ I ) ,PVB) f ' e Rain sensors required on irrigation systems 1 Permit Type 1 . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. ' Domestic:Size&Type Fire: 1 Avg GPM High demand devices? Yes No Flushometers Yes No I COMMERCIAL FEES Contract Value$ ~}( i x.01 I $60.00 Permit Fee Minimum ' $60.00 PVB/RPZ Permit(includes State Surcharge) =$ ,.,., -.... Permit Fee I i Surcharge=Contract Value x$0.0005 -$ Surcharge I if the project valuation is over$1 million,please call for Surcharge =$ a TOTAL FEE 1 Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant i $ Water Supply&Storage i $ State Surcharge i C V� TOTAL FEE You may subscribe to receive an electronic notification from the pity of proposed ordinances by signing up for an email update on iiia city's-website at www.clfvoteanan.comtsubeertnq. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540052 for protection against underground utility damage. I hereby acknowledge that this information Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this Is not a permit,but only an application for a permit.and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Xgia 7�i'C Lt.) 1 leo l V l % C,t�., t- t/(•)//10/t114-1.--.) Applicant's Printed Name Applicant's -ignature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required:—Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3