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1045 Northview Dr Use BLUE or BLACK Ink r For Office Use Permit / ing City of Ea I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-56750 I Fax: (651) 675-5694 APR 0 Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION ~r (-1!5 Date: Site Address: -Tl~ Iif.G✓ lJ I~G tt r- Tenant Name: ~74tq yt' 4'r-t (Tenant is: New 1._,K Existing) Suite Former Tenant: PROPERTY OWNER Name: _ 2E uG&P% Phone: k C- (7 Address / City / Zip: Lw Applicant is: Owner Contractor TYPE OF WORK Description of work: /2P f`t9 v ( t~l.~ , I sf _C~ f^ ( Cl 4 - Construction Cost: l 000 NgAu CONTRACTOR Name: 7- a5 v r- / a'"-GI ~ns~rce~i?a-4isense Address: City: State: Zip: Phone: ~Z ? ci z- ' ZG U/ Contact: Email: ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Pftone NOTE: Plans and supporting documents that you submit are considered.ta be public information. Portions of the information may be classitred as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appli tion for a permit, and work is not to start without a permit at the work will be in accordance with the approved plan in the case of w III ch r Tres a review and approval of plans. X VIA-JL- X Applicant's Printed Name„ Applicant's Signature Page 1 of 3 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 _ Interior Improvement /!ding _ Demolish Building* - Addition - Exterior Improvement V,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 rD~ D do Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%_) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile / Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick Framing Windows Fireplace: -Rough In Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Ce*l fi , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee . sa Water Quality Surcharge. 'SID Water Supply & Storage (WAC) Plan Review so Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE NAY 23, 1990 SITE ADDRESS _ LOT "'ALOCK APPLIgANT: ADDRESS: CITY, STATE PHONI?: 45, _ PRV - BOOSTER PUMP PERMIT REGIUESTED X SEWER X WATER - TAPS COMMiIND _ RESIDENTIAL OFFICE USE ONLY METER # PERMIT DATE u6/2090 CHIP # PERMIT # ,,t, METER SIZE f i B.`P. RECEIPT # ?lVED ISSUE DATE "- Z3 -;B.P. RECEIPT DATE rEE 6AIV! ZIP PHONE: X NEW _ EXISTING PLUMBER: ADDRESS: - ''" CITY, STATE ZIP Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. , • 1 AGREE TO COMPLY WITH CITY OF OWNER: ' EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PNONE: SIGNATU E HEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ` SEWER PERMITS, CONTACT ENGINEERING DEPT. - ?},•? Vr'hll:t U5t VIVLT ? METER # PERMIT DATE O+3 /2U,190 Rd. '2_1897 CHIP # PERMIT # I : 1160 N.'vi?+r. METER SIZE B.P. RECEIPT # ^gpl WAIVEU ?-` , 11}90 ISSUE DATE B.P. RECEIPT DATE .^ Fw : t. +[?l _ PRV _ BOOSTER PUMP SITEADDRESS 1045 140{'.THV1F:1J DR LOT () LAIOCK SEC/SUB ''R'CTION 23 APPLI?ANT: d ADDREPS: CITY, STATE '70 Z!P 5-s/ 2 z PHONP: - ADDRESS: ? t) ed G CITV, STATE ?f?-r'. -i ,4 nz A2 ZIP OWNER: ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED x SEWER x - COMM/1ND WATER _ TAPS - RESIDENTIAL x NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM 5EWER PERMITS, CONTACT ENGINEERING DEPT. ? '?•'7qp•R,y.`y?z+?eev.? ?.;{?.•^,:e.. . . 7. ' ..'J.l.s . .. IAN 55121 ?v 17909 ro ss rwic sY citT oF sAc # j RAY 29 , 90 t s OFFICE USE ONLY FEES CITY OF tAGQN 3830 Pilot Knob Road, P.O. Box 21-199, Eag PHONE: 454-8100 BUILDING PERMIT Re To be used for pARc aHSLiaR Est. Value $751000 Site Addj ss Lot 41? Block Sec/Sub. CTI ^--.,_ Occ W Name _ ? Address ? .............. ? wyY e.avnaswao ?W Name ???-, Address 926--1136 <W Citv Phone I hereby acknowlege that I have read this application and state that ihe intormation is correct and agree to comply with all applicable Stale ol Minnesota Statutes and City of Eagan Ordinance?. AI on Building OHicial ffsA1/4, i • CAtta OOti8T hall be done in accordance with all and City ol Eagan, rdinances. p-' ip- 2oning (Actual) Consl Alb bl ? Bldg. Permit wa e) ( ? Surcharge # of Stories Length 92 Plan Review Depth -32- ? ? . ? • S.F. Total i.a S.F. Footprints ,.? On 5ite Sewage - On 5ite well ? MWCC System ? City Water _ PRV Required - Boaster Pump _ APPROVALS wanoer - CounCi1 _ BIdg.Ofl. _ VarianCe - Water Conn Water Meler Acct. Deposit S/W Permit _,? • 5/W Surcharge Treatment PI Road Unit Park Ded. Copies ?0 TOTAL • Permk No. WATER Q SEWER PLUMBING ? H.VA.C. Fnal Final pedc Final Wetl Pr. . _ .-, PERMIT # ' ?= r ,-}- •• . , PIUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55722 DRTE: CONTRACT PRICE: PHONE: 454-8100 ...Y.j BLDG. TYPE m ? 3 O Phone FEE -1°r6 OF CONTRACT FEE & CONDO - RES. RA - $12.00 - $20.00 - .5U titYUNU Zli1,UU(100) ?I , . r- ? Name Address ? 6 S A,/ A' L L ? City = j \ +?- Phone'l >9J Name _ Address Ciry _ Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ha. FIXTURES TOTAL ,, Water Closet - $3.00 S Bath Tubs - $3.00 ?I-l.avatory - $3.00 Shower - $3.00 Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ?Floor Drains - $1.50 __Water Heater - $1.50 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• IIEW PARK CITY OF EAGAN N? i 7909 3830 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55721 PHONE:454•8100 BUILDING PERMIT Receipt x TO BE PAID BF CITY OF EAI Tobeusedfor PARK SHELTER Est.Value $75,000 Dafe MAY 23 1920 Site Address 1045 NORTHVIEW DR Lot _9? Block ? SeclSub. SE.^.TiON 23 OFFICE USE ONLV Parcel No. acupancy B-2 FEES P Zoning a CITY OF EAGAN Name (ACtual) Consl YII_ Bltlg. Permil i Address 3830 PILOT KNOB ROAD (nnowabie) Y? S h 37.50 o City EAGAN phone 454-8100 # ot swries 1- urc arge Plan Review Lerglh o Name W.H. CATES CONST Oaplh -3-- snc W 600.00 ?: Address 300 HIGHWAY 55 S.F. raal 024 , U ¢ ? SAC,MCWCC , . CitY HAMEL Phone 478-6050 S.F. Footprints +--024 Water Conn On Site Sewage - SCRZ 8? WEBER ARCHITECTS Name on sice wen WalarMetar I N 3952 LOUISIANA AVE SO AddfBSS Mwccs Ystem ?- City MPLS phone 926-1156 City Water }p? Acct. Deposit S/W P it PRV Required _ erm I hereby acknowlege that I have read ihis application and state thal the Booster Pump - SAN Surcharge .50 iniormation is correct and agree to Comply with all applicable State of Minnesota Statutes and of Eagan Ordinancesy.- h4 ?? irealmentPl SignaWre of Pertnitee ?? -11A*?*-. APPROVALS Road Unit A Building Permit is issued to: W.H. CATES .^.ONST Pianner - park Ded, on the ezpress condition that all work shall be done in accordance with all Council applicable State of Minneso Slatutes and Ciry of gao Ordinances. Bldg. OfL _ Copies ? ? 638.00 Builtling Official ? Variance - 70TAL C 7n . 1 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DAELLINGS MIILTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SLIKVEYS - & STRUCTIJRAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLSIG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALWLATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE ITNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH AEQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. hOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS_ISSUED.__ l k To e U ?l1? - ? ,l??O?F T., d" _ Site Address OFFICE USE ONLY iG ?C-c23c.o-?eb-zb L t k Bl FEES v o oc $ ' Z Occupancy Zoning P "-' Parcel/Sub Actual Const ?/-N B1dg. Permit Allowable \/-? Surcharge 3'7? Owner # of stories I Plan Review -^ Length 3 7- SAC, City -- Address A,,? ? Depth 32. SAC, MWCC 60?,00 S.F. Total /oT.y Water Conn -" City/Zip Code ?plw ?? ?y- f? / Footprint 5. F. l 0 2 44 Water Meter -" ? ? Acct. Deposit Phone y 5 y-$100 On site sewage _ S/W Permit -- ell On sit _ S/W Surcharge ,$l? M???/ Contractor y w MWCC S stem v Treatment P1. ?-- City water Road Unit '-'-' Address ' PAV Park Ded. --^^ Booster Pump _ Copies ---? City/Zip Code SUBTOTAL APPROVALS Penalty --- Phone `7? Planner TOTAL Council ' Arch./Engr. Bldg. Off. r Variance Address City/Zip Code Phone it PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMSER. I?ARK S?,e??t?2 MAY I {gg0 sed F ?` Valuation: Date Use BLUE or BLACK Ink For Office Use I I Permit 0 l D City of E I n I Permit Fee: `G[ Cl 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: ~G~~/2 - Site Address: 4)0 d° Tenant: Suite PROPER , OWN Name: Phone: Name W e c/z License CONTRACTOR Addres /,,t City: Stater/J- Zip: l"© ,71i " s~K' Gtfl Phone: S -Z,& Z Z TYPE OF _ New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: i✓ ,I~ COMMERCIAL _ New Construction _ Modify Space Irrigation System L- yes no) L_ RPZ / PVB) • Rain sensors required on irrigation systems PERMIT TYPE Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surchar e) $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge i = $ 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.oor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: -Under Ground Rough-In -Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3