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3285 Northwood Cir REPORT OF INSPECTION ®LSEN FIRE INSPECTION, INC. Property # c~` l a a 321 WILSON STREET NE MINNEAPOLIS, MN 55413 Building OFFICE (6121676-2000 • /8001 331-1541 • FAX (6121617-7909 r BILL TO: WORK PERFORMED AT: rl'h wdd Inspection Frequency: Monthly Q Quarterly Se -Annual Annual GENERAL INFORMATION Yes No N/A SPRINKLER & PIPING INFORMATION Yes No NIA 1. Is the building fully sprinkled? 1. Visual inspection of common areas? 2. Spare head box with heads and wrench . Visual inspection of entire building? securely mounted? V~ /3, Are all sprinklers unobstructed? 3. Stock/storage a minimum of 18"/36" below 4. Sprinklers appear to be free of corrosion, tape, paint sprinkler heads & ceiling tiles in place? & physical damage? 4. Are all gauges in good condition & 5. Are all sprinklers less than 50 years old? showing normal pressures? 6. Sprinklers appear to be of proper temperature rating? 5. Wet system areas appear to be adequately heated? 7. Riser appears to be in good condition & unobstructed? 6. System left in service? 8. Hydraulic nameplate OK? 7. Are all sprinkler system control valves and all other 9. Pipe appears to be in good condition, free of damage valves in the appropriate open or closed position? & obstructions, and not leaking? 8. Ares pin control valves LOCKED SEALED OR 10. Antifreeze tested & OK? (Record below) MPERV1? (Circle One) 11. FDC & caps OK? 9. 9111 control valves accessible & free 12. Sprinkler system main drain test from external leaks? completed & OK? (Record below) 10. Valves lubricated, as needed? 13. Dry pipe valves in service & in good 11. Exterior alarms operational? condition - internally & externally? 12. Alarm panel clear? 14. Air supply in good working order? 13. inspectors test connection(s) OK? 15. Were low points drained during this inspection? 14 Has the building been altered since last inspe ion? 16. Are accelerators in good condition? -21 Last Drain Test Results 17. All dry valves been trip tested & OK? (Record Below) 18. Dry pipe valves in heated area? Main Drain & Alarm Test Standpipe System Location Top floor guage ° psi System Size Class of service 1 2 3 Yes No Static Pressure Before (PSI) Q System equipped with flow switch? Residual Pressure (PSI) Hose valve free of physical damage? Static Pressure After (PSI) 0 Hose valve outlets with cap? Local Alarm OK (Y/N) Antifreeze System(s) Central Alarm Sent (Y/N) Location Central Alarm Received (Y/N) Tested at Dry Valves Q.O.D. Q.O.D. Operation of Flow Gas/Elec Manual Tamper Shuts Year Hoods Switch Valve Reset Off Gas/Elec Make Location Pass Fail NA Pass Fail NA Pass Fall NA Pass Fail NA Model Water Pressure Air Pressure Trip Pressure Trip Time Was full trip test performed (to be completed every 3 years)? Date of last full trip Comments And Inspection Deficiencies: Inspected by: t ~~1►fT( Date: % ~°Customer Signature Olsen Fire Inspection Master Mechanical, Inc. HEAT LOSS ? DATE HTG INST ORSAT Test Record I 'T FLR CITY soLD ev Master Mechanical INSTALLED BY Master Mechanical Electncal Work By Gas Line By i E TYPE OF HEAT GA FA HW STEAM SPACE HTR UNIT HTR OTHER GAS DESIG? /\ ?CONVERSION MAKE • ?r++-? ?v MAKE OF BURNER Model_ F" Qi ? r ' G Model Serial ! 7.- Max. BTU Rating ' INPUT ??.t) C7 O MAKE OF FURNACE ? I CONTROLS Model THERMOSTAT Vent Size Valve6'' L KIND OF Limit Setting n Fan Setting ? ?"` yS7 PiIOt Type Pilo ake Pilot Mo at? Pilot Timina L. W. Cut Off ?' o J ! Pressure Zr7•rC I. PercLent C02 ?- S InputCFH Percent Op 6l StackTemo ? ?Ir) PercentCO 'C7 Filters Size Number Chimney Location Inside Outside Chimney Co on Smoke Bomb Wirinq Daor Date company rescing Master Mechani al Name of Tester i a-+ ? License # doO U G 2 Ci Job White - Master File Vellav - Service Mgr Pink - EMra Master Mechanical, Inc. ORSATTeslt Record Cltk2ClAF, E.I?tG++YJ aaT FI R r.i HEAT LOSS DATE HTG INST. SOLD BY.MdSt21' MeCh8f11C81 INSTALLED BY Master Mechanical Electrical Work By ? Gas Line By?rh ?- TYPE OF HEAT GA FA V HW STEAM SPACE HTR UNIT HTR OTHER (/'?" GAS DESI?y7 ICONVERSION MAKE `???? ,?G--MAKE OF BURNER I Model 05-- U`Model Serial Max. 8TU Rating ? INPUT G(? (} MAKE OF FVRNACE I COMpTROLS THERMOSTAT valve 0 Limit Setting ? G> Fan Setting ?ti NS kr.y'E3 ? ?? PilotType Pilot Make ?- Pilot Model Pilot Timing L.W. Cut Off _? / ? Lv:? Pressure Percent W2 Input CFH Percent Op Stack Temp. 2!9?2 Percent Co ? Draft Hoo Regulator Filters Size ? Numher C' ney Locatio Inside ? Outside Chimney Constructian Smoke Doof Pre= Date Test, Company Name of l License # Job x Test Whire - Masier File Vellow - Service Mgr Pink - EMra ! 3? g S, Master Mechanical, Inc. ORSAT Tes,t Record SUBURB OCCUPANT IVL1--Yf1L?T,?(IS K'?in?55 t'`rn}^'? V OWNER - HEAT LOSS DATE HTG INST. soLo sv Master Mechanical INSTALLED BY Master Mechanical . Electrical Work By Gas Line By TYPE OF HEAT GA FAHW STEAM_. SPACE HTR UNIT HTR OTHER GAS DESI N/ MAKE?;ili?- fdA?-Z? Model Serial (Z_LyG L-i ?"i (,_ 7L_ ' X INPUT CONTROLS THERMOSTAT / h , - Valve Zt75/'i2-72 Limit ??x4r Limit Settin9 7,50 Fan Setting / in e6' Pilot Type S'ON!'1C Pilot Make Sn/.W'T4j ' . Pilot Model Ar,p.,e?er PilotTiming }'?f Sae, L.W. Cut ON c t. Pressure e./L Input CFH Percent CO? Perceni 02-/,"! '7__ Siack Temp.?Ci X Percent CO Q White - Mas[er File Vellow - Service Mgr Plnk - EMra CONVERSION MAKE OF BURNER ? Model ? Max. BTU Ra6ng MAKE OF FURNACE Vent Size !Y f/ c - 66?5S /S KIND OF LINER I SIZE NONE Draft Hood . Regulator 37,5'-S _ Filters Size Number Chimney Location Inside ? Oufside Chimney Construction Smoke Bom6 Draft Door Pressure Date Tested / 2 ` 03 - CompanyTesting MaSter M Name of Tester License u ?. - $$ 691? Job # Tag inq Inst. 11, 3:? f s Master Mechanical, inc. ORSAT Test Record S' ADDRESS ????NV/I ?it??a.>°?s ? i T ZZO..? ~ U/'t/APT FLR CITV SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG INST. SOLD BY M1S[Bf M2Chdf11C81 INSTALLED BY Master Mechanical Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR UNIT HTR OTHER GAS DESIGN MAKE da?J.Nrcc. 4-i,4c%S Model ?7 Ls ` '7I Serial (.0 $ (n7 ? INPUT / SSd'Ca CONTROLS THERMOSTAT 7-77 Valve l,/iE',?2(?'/h Z fl"Z3 Limit 1; / t?rDA? LimitSetting 4`2-4o Fan Setting %l"? Pilot Type Pilot Make ?o/i ?. fPa Pilot Model M ! PilotTimino L.W. Cut Off ? L Pressure 3i- d. y Input CFH I f7S Stack Temp.';"`_j_6 PercentCOp • Percent Op !V Percent CO _Q MAKE OF BURNER_ Model Maz. BTU Rating_ MAKE OF FURNACE_ Model Vent Size KIND OF LINER Drak Hood Filters Siz Chimney Location Ins Chimney Construction_ I CONVERSION ng Inst. ? White - Master File Yellow - Service Mgr Pink - Eztra Master Mechanical, Inc. ORSAT Test Record SUBURB HEAT LOSS -'" DATE HTG INST. ? SOLD BY M8St8f M@CF1811IC31 INSTALLED BY Master Mechanical Electrical Work 8y Gas Line By TYPE OF HEAT GA FA ' HW STEAM SPACE HTR UNIT HTR OTHER q / GAS D/E1SIGN ? / MAKE f E !'!Ih'.NGa? lJlST U'? ?d4CT3 ? Model w p, ./ ) ??2 3l4f " -,5- - Serial (,,DC? 4 ?O. INPUT RSOOCk9 CONTROLS THERMOSTAT_ Valve ??mv.. Limit Limit Setting G ;?y0 Fan Setting -77-^ie! PilotType F Pilot Make £o??nTg Pilot Model / PilotTiminq b? Sac ?/ L. W. Cut OH ir Pressure Input CFH Z:Y/J StackTemp._fdY ? Percent C02 tl-• 7 Percent Op 1 PercentCO 40 ?415? zs'_1' While - Master File Vellow - Service Mgr Pink - Extra CONVERSION MAKE OF BURNE Model Maz.BTU Rating_ MAKE OF FURNP Model Vent KINC Draft Filters Chimney Location Chimney Construc Smoke Bomb_ Dooi Date COR Narr Lice Job r Test Size Number Inside Outside y? Master Mechanical, Inc. ORSATTest Record .? ?nhJ{.1'lfr?l'ann?0 . FNafE?? ??N ?S?}?,I noT no n OCCUPANT SUBURB HEAT LOSS DATE HTG INST. 'soLD av Master Mechanical INSTALLED 6Y Nlaster Mechanical Electrical Work By Gas Line By I TYPE OF HEAT GA FAt' HW STEAM SPACE HTR UNIT HTR "" OTHER GAS DESIGN I CONVERSION MAKE ? 7e ' ?i fiLncGS.t?s Model Serial /:ia INPUT 172-'5;:!70 CONTROLS THEFMOSTAT ' Valve?rn Limit Limit Setting Y2 Fan Setting 14 PilotType K Pilot Make '6 ynG Pilot Model PilotTimina .5?iL L.W. Cut Off _ Pressure A'IW• L' InputCFH-? 17Z - StackTemp. ?>(+ PercentC02 Percent OZ PercentCO O er-r 4% (0.5 White - Master File Yellow - Service Mgr Pink - Emra MAKE OF BURNE Model Max. BTU Rating_ MAKE OF FURNP Model ?/ 5 Vent Size_L KIND OF LINER_ Dratt Hood_ Filters Chimney Location Chimney Construc Smoke Bomb_ DraR Door Pressure_ Date Tested_ Com Narr Licei Job Test ADDRESS_ OCCUPANT. Master Mechanical, Inc. ORSATTest Record hubcrls??K•lo .Frattar,.lnn) r,5??-f nar FIR n HEAT LOSS DATE HTG INST SUBURB SOLD BY MBStBf M2Ch11lICdl INSTALLED BY Master Mechanical Electrical Work By Gas Line 6y i TYPE OF HEAT GA FA HW STEAM SPACE HTR UNIT HTR OTHER / GAS DESIGN I CONVERSION MAKE G ^ ^ ? Madel 740 A' Serial (1a(oPp INPl1T__?t9f.1 OD CONTROLS THERMOSTAT / d ( Valve Limit__ Limit Setting G,99fl Fan Setting-»t` Pilot 7ype Pilot Make PilotModel ?Bq,iLdaY PilotTiming -;g!^. /?id1 L.W. Cut Off Pressure -3 Percent C02 7, A Input CFH 1-3 0 Perceni 02-1 M? StackTemp. 6 ?-S PercentCO MAKE OF Model_ Max. BTU MAKE OF Model Vent Size KINC Draft Hook Filters Size Number Chimney Location Inside . Outside Chimney Construction Smoke Door Pressure_ Date Tested . Company Testir Name of Tester License # ? Job # ? ig ti Tag v ing Inst.? White - Master File Yellow - Service Mgr Pink - Extra _C0 ? µl' , ??? OU ?SE?HEATING TEST RECORD V , y?.-. ADDRESS ? / APT. _ FLOOR CITY ?SUBURB OCNPAH7 f ?vC?c,...ITS __ DYMER HEAT LOSS OATE HTG. INST, SOLD BY INSTALLED BY C.I:?N T>,"t 'Re- EI•chicel Mwk By _ ?^r GsoLine By Zt`^tr?rA 7YPE OF HEAT GA _ A _HW _STEAM,_.SPACE HTR. _UNIT MTR. _OTHER GAS DESIGN ? r ? ? COMVERSION 0'r MAKE ' C MAKE OF BURNER Moe.i T:) •- io i ? _ ?ba.i _ S?riel abG.?-??iS __Mon. BTURatlng . INPUT MAKE OF FURNACE . Medel TNERAIOSTAT CONTROLS ?- S W Heal Plry nr u. Valr? ? _ KIND OF LINER ? SIZE?ONE ? ,,q Limir ULl ? Droh Hoed Royularor V Limit $oMiep __?? filfwa . 5i1aI kX.)ti Y'}'NUmbimr Fan Setflnq :r!^G ? OhImmr Loeallon Inside ' Oufsido Pi:ae Trw Chimmy Consnuelien ??"•.- -- Piler Mok. _. QE ~? ? Pilo1 Med.l Dw?£M Sino4e Bemb Wirinq Pilo1 Timin9'_-? S CL Uo{t ?T?a1 Toy _ L.W. Cvf DIf Dew Pr.sswe I Liyhtiny In*t. P.?swn _ ?G P?.c?arCO ?5---- C 'o 00 - 'ii Dee• T.,l.d . "'I 2 InpurCFH. _P•.c?nt 0 ?'•? . Co?enrT..einy I Snck Temp. Pvc?n? CO -ZV75 _ Noww el T.srsr? HOUSE HEATING TEST RECORD ? ADDRESS APT.-F1.00R_CITY SUBURB OCCLPANT __ OYMER HEAT LOSS DATE HTG. INST. SOLD BY C'tr"T'': INSTALLED BY Elechicol Mw4 Br G"eR!"? r CosLiM By ee^ TYPE OF HEAT GA _ FA ?_K__HIY _STEAM __.SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN YAKE Cwrr-? [ r AuKE OF BURNER _ Msd•I (` id _Mse.l._ S«iel IfJE2 CZ06 ?42j flo -- IMa. BTURetlrp - INPUT MAKE OF FURNACE J,???? CONTROLS THERMOSTAT ?_ Hoat PIW Valr, _4RL9_ Limll _L R r Limit $oninq Fon Seefinp 1 P?lot Tyw --+,t ,.-. _ v;iet Maw. Pilat hbdol Pilee Timiny --3 S C?- Lw. Cw O(( ? lJ ?ruwr• ?t? _Po.con?C01 ??s• / Input CFH. _Pvc?n? pI_T' 4 Sroek T.mv. Pvun? CO Abd.l V0n1 5.:• r?_ 1 KIHD DF LINER SIZE?IVONE D.ah Heed Ropuloror ? Fiit... si.. ,bx?.sxa-, ?H,,mb.. ?a ChlmMr Locotlen Inside Outside Chcmm.y Can.nueticn _IZ T!'? i -- `? ^ ?, sme4. eomb w;.;no - -? ? 0.e11 _ ! ?I T.at Tay Deer Pr•..w• I liqhelny In??. ? -a ?^OC Dar. Tot•d . ' Cempsny T•srinq Nasr e1 T•st.. CON V E RSION HOUSE HEATING TEST RECORD ADORESS APT._FLOOR CiTY SUBURB OCCUPAH7 E?c„ ... 1-e S __ DWNER HEAT LOSS DATE HTG. INST, SOLDBY IHSTALLEDBY Eleehicol MaY Br 6-r,?4 k...r t Ges-Line By TYPE OF NEAT GA _ FA --K-_HM _STEAM ___.SPACE MTR. _UNIT ?WTR. _OTHER GAS DESIGN CONVERSION MAKE r MAKE OP BURNER ' Moe.i NKT-?f.dc??J_ d/I L-st _.?be.l._ . 5«ial 03??UV'av`??I - AMa. BTUReNnq INPUT ?.??.b i'?^L __ MAKE OF FURNACE Ibd•I CONTROLS THERMOSTAT ? Meol Pluy Venr SIe• Valve _ Wq!? .___ KIND OP UNER ' S12E?ONE Limit 1a1 IS Dreh Hoed Repulanr L,mit $eMinp !G ?._ _ FiIt.rs . Si:• `bX3SX.. Numbor ? . Fa. Senin9 ?''n ? a4mrrr Lewelon InsiM Oufaide Pi;al Typ. Pilet Make Pilat Abdel Piloi Timiny L.W. C.t OFf ??? uWt •? P.rconl CO2 --I_icl Ipuf CFH_ _P•.cenl 0? ?'• _ $bck Tomp. PNe*n1 CO J S _ aimn.y Con.e.ueHon Smok• Bomb .?Wirinp ? Uo(t / Tw Tay?_ Dox Ptesswe Liphelnq Inst. Oor• Tut.d . 6"a-TT O U Compony T.srioq e^ - / ? Home sf T•.t.r HOUSE HEATING TEST RECORD Cct ••? ADDR E55 AP T. _ FLOOR _ CI TY SUBUR B OCNPAH7 4 ?c-t..,trc OMNER NEAT LOSS- __ - DATE HTG. INST. y SOLD BY L- - criT,^C INSTALLED BY ? EI•ckical Mor4 Bp (rr'..T=r r Gas-lim 8r CC• TYPE OF HEAT GA _ FA Z'S _HM _STEAM _ __SPACE HTR. _ UNIT TR. _OTMER CAS OESIGN I CONVERSIOM MAKE C??r' rr MAKE OF BURNER ? ".i L1,y 60-t 1 _. moe.i s..ial __1.L??o 4 ar! l3 y - µa.. aru Reu,p INPUT _._1/5-k'b r-h MAKE OF FURNACE wd.i CONTROLS w THERYOSTAT H•at Vlup V•nt Soa. Valro _._J?z. KIND OF LINER SIZEHONE Limil V? ?Z DroN Hoed Reyulo»r LiTii S.ninp r6u `L _ Fi ir... . si:. / (aya.?xa NumMr r Fan SeninY Clilmrwr lorotfen la.ide Oul.id• Pa!,r Trp• --{?{?----- 4+iTn.y Con.nuclion -- Pilef A4ak. Pilol Medd Smok• Bomb . Wfrinp Pilo1 Timin9 3 $ CC? Dra1t I Teal To0 " L.W. Cur Olf Dsx Pressm• I Liyhllny Inst. Prusur. COZ ?• 3 Daea TesIed '- Iro.f CFH. _Pwc.nl OZ Cqmyany Teslinq Smck Tsmp. Porc,nt CO Nar s1 Tesror - ,egd `(L HOUSE NEATING TEST RECORD ? ADORESS APT._PLOOR CITY SUBURB OCCUPANT ON'NER HEAT LOSS OATE MTG. INST. SOLD BY CC/? /-?.; re INSTALLED BY Elachitsl Mpk By ?w/'? CasLlne Br TYPE OF HEAT GA _ FA __HW _STEAM ___.SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN I CONVERSION NAKE C r?Y'f MAKE OF BURNER Msdel Abdel Srial Aba. BTU-Ratlnq INPUT MAKE OF FURNACE THERYOSTAT H.w pl,ro Valr0 limir Limit $.Minp ' Fan $eHinp P1:or Trw ---?--_ P;ler A{ake P;iot wa.i Pilot Timin L.W. C.r 0FF Pr.s.u.. _ Inpu1 CFH. Sroc4 Tamp Abd.l ? Vent Sia• P-7 ? I KIND OF LINER ? SIZEONE DroN Meod Reqularor Filt«s . Si:e c'axa?v?? NumMrT . Oilmmy Locotfen Insj* Ou/tide Chimµy Conslruc/ion K" Smoke Bomb . ? Dtaft ___._ Oo« Pr?um• ?•? •'w?_P?.c?ntCO?_??3 DebTested _Po<?nl OZ-?'•? ' CowponrTeaeinq Pne?n/ CO S Nar el Asror - / H t-tJCONTROLS .. wi,ino ? 5est Tea ! Lfy6elny Inst. HOUSE HEATING TEST RECORD L Gc..? c? ? ADDRESS APT.-FLOOR CITY SUBURB OCNPANi F i?ora.,f'CS _ OYMER HEAT LO53 DATE HTG. INST. SOLD BY ?r^ k?-?'r INSTALLED BY Elochi<el Mw4 Br ??p??'? - Ga?Line 6y TYPE OF HEAT GA _ FA ?jNW _STEAM ____SPACE H7R. _UNIT HTR. _OTMER GAS DESIGN CONVERSION MAKE MAKE OF BURHER 603j --?be.i_ s..cei 22 I __ Mer. BTU Retlng INPUT "'- CONTROLS THERYOSTAT M•at Pluy Valro Limit L? (-'- Lemil $oninq ' Fon $eftinp P,I.t Trp. _.?.?----- Pilet MaYe _.-Q.?_'?? _ Pilet Abd.l Piler Timinq LW. Cut OR - ?ruwr? _?' } ,wL P?reen1 CO ?• ? -??- Irqul CFN_ _Pvc?nt 02 Sn<k Temp. Porc?n? CD All3 _ MAKEOF FURNACE Abd.l Vent Siw ? f (^ I KIND OF UNER . SIZE-=;;- .?E Drah Heod Ropulanr Fi hxs dA-1-0 Y a-uumbar y . 6iimMy Lecotlen In.ido Oulsidtt Chimner Conslruelion Q 7-? -- ? ? Smoko Bomb .- ?---- Miriny D,ait _ '?? ? I T?st Toy Ooor Pr•saur• i Liyhriny Date Teated Companr 1.stiny C?h r1,?: iC Nowe, ei T..?.r HDUSE NEATING TEST RECORD E-i w_? ADDRESS APT.-fLOOR CIT7 SUBURB OCGUPAN7 ? Vbt?+ 5 ON'NER MEAT LOSS DATE MTG. INST. I- SOLD BY C.CrAfG. rc INSTALLED BY EI•crrieal Merk &. _Th.!} GesLim By TYPE Of MEAT GA - FA HM _STEAM __.SPACE HTR. _UNIT II TR. _OTHER CAS DESIGN CONVERSIOH MAKE G^°cf" MAKE OF BURNER I Moa.i IS 1) vIY'?3i _?b..i- Srial _.Q R'?'I Msa. BTU-Retiry INPUT ?+?'?_ __ MAKE OF FURNACE I CONTROLS THERMOSTAT H.al Plup Valrq __!-?? Limil 1N? - . . Limit Seninq Fon $?efinp Pi!w Typ. 0 r - _ Pilve AMk. Ge Pilor Abd.l _ 1./Cl 10? Pilot Timin9 LY L.W. Cor OR P.?uan?Le.S"v? _P.runICO Inpuf CFM. $ k L z _P,rc?e? O Z_ roc mp. Perc?n? CO _ Med.l Wnl Su. _ KIND OF LINER . SIZE?NONE Orvh Hopd Ropuloror Fileera Si" Number ? 'T-- UlmMy Leeatlen Iniide Oultide Qimmy Gnahudien ? I -- Smoke Bom6 Wiriny ? 0.a(f _ . T.•+ Top Dea Protmm• ????., ?L?iyhflnq Inst. oat. T..r•d . ?Kin 4''.-?.? 'G -a Ceinpony T.stiny CC? MI .?M _ Ha. el T•.r•r HOUSE HEATING TEST RECORD `,+.? N.? ADORESS APT.-FlOOR ? CITY ? SUBURB OCCUPAN7 ?G ?OCw'J'CS __ OMMER NEAT LO55 DATE HTG. INST. SOLD BY GC ^ fir? ?.r INSTALLED BY cC?% }rc? j/L EIoclrical wak Br fi GseLine By t' C/, tp?In' TYPE OF HEAT GA_FA _MW _STEAM ___.SPACE MTR. _UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE Ci^,r ocr MAKEOFBURNER woa.i y.?7? ?aZi7-Ga ? ?ee.I _ AM:. BTU-Retlny . INPUT MAKE OF FURNACE Msdel CONTROLS THERMOSTAT .?.? Mwt Plup Vent Si:. ? Vaho _ L,? _ KIND OF LINER ?NONE SIZE__ ,, Liinit t?/- Drah Moed ?Reyula?er e Lim;t s.n;no _? ? _ Pilr.,. si¦. a,?YaoYd.. ?iumb., ? . Fm S?ninO Uimmy Locatlen loside, Oulside Pilat Type Uimney Cansfrucfion o T ? -- Pilot Mak. ? P:lot Medol --e)-? Smeke Bomb --?- Mlrin9 Pilor Timin9 UaFt ? Tese Toy L.W. Cw OII ? ?• Daer Proture ' r ?? ( Lfy6Nnq Inal. ? P.ua.r. _-P•??.nt COZ ? Dor• T.•+.d . ?? Kr? InpurCFM. _P•.c•nf OZ ? C ?• , Cemponrt.stinp ??? r r?^ rC Sro<k Tamp Poee l CO ? N 1 T . n aw e ei/o _??? - v 10 j?/ ?j fiO?i CG L ??12?b!'WOV/J /S 1? S. p??Ll? <- HOUSE HEATING TESt RECORD I ?1 ? ? ?/ 9 qn !7" ert? APT._FLOOR ! CITY SU9URB ADDNESS ?? OCNPAIIT o:? SPrV?ceS OwNER HEAT LOSS DATE HT?INST. Zgro SOLD BY (0U rG? ? IMSTALLED BY I' Elechitel MMk By CA I- V e.'Al C.esLiM By {J ? TYPE OF HEAT GA_FA _NW _STEAM __.SPACE MTR. _UNITIHTR. _OTMER GAS DESIGN GONVERSION MAKE L rf't f - MAKE Of BURNER Moe.i Z4 ?TF t) E-a7? > -? 1 _ we., ._ / Serial --A{sa. BTURet{eq . INPUT ?.?...?? _ MAKE OF PURHACE , . Msdel CONTROLS THERMOSTAT Noat Pluy Valw ?jp ?f'-/ Limir ? Limit $oNiny Fe.. Settiny Pitar Trp. Pilet Meb _. ?•{? - Pilot Abd.l O L.% h1 Pilet Timiny 6116-', L.W. Cui Oil Pressure _72e ?/??=_ P"cont CO2 - ? IroueCFH. _Pveoel O 7 Z Srock AmP- Pweqnr CO ?- vnt Sis. -1kT-t` KIND OF LINER SIZE NONE_?- Drob Hood ____ /,' Royula'er Fflr.?s _ Slu /'?/"'Zuumb.r ?i ChImmy Leeatlsn InsiM Ou/side X a+nut.Y cen.truecom R-riA ? -- Smeko Bo1sb _ Dreh Dep Prosews _ Oee• T•sud ._ Cemyeny ToHii Nomr e( T•sr.r l ?GrT?I? ? Ovovt,7?tr...?vv?7 rrLS, P/9?'ue. 7- ? HOUSE HEATING TEST RECORD E;? l? ADDNESS 3 ZY5A&-jo'j (° `l APT. _FLOOR ! CITY SUBURB pCCLPANT _ S -?y?- ON'NER HEAT LOSS DATE HTG. INST. I? ??r _ SOLD BY ? 41 M ?'?`' I ? INSTALLEO BY Elecbical Mwk Bp G)'CX 116' Go*-Line Br 1! I 7YPE OP HEAT GA _ FA _X._HY _STEAM ___.SPACE MTR. _UNITI HTR. _OTHER GAS DESIGN MAKE L4%rrl E1.UKE OF BURHER _ wea.i --ff T, 1 G(l Z. - h Z, _ ?ea.i . T s«ial 3'Zm G 3?- -a -- ?m,. aru RenM - I N P U T _Z z"/, -269 MAKE OF FURNACE Mod•1 ??,? CONTROLS D ? THERMOSTAT 1.lHeot Pluy V•nr Sia. lL? - Valr? ?? __ ._._ KIHD OF LINER SIZE NONE Limir ikaDroh Mood Reyulamr 32? limit SoHinq Filt?rs . Sfae ??k'Zo?Z' MumMr F ? Fa. SeNiny L? ChImMr LeeaHen ?si J II Oulsid* Pilo1 Tro• J.=xc•----. Q+i?nn.y Csn•?.uction -- Pilet AMb G?trv141? I Pilet Medd Smoka Bomb . L? lYirinq ? Pilet Timinp OYalf V? I Tul Tey_ L.W. Cur 01f •v? i._ Dcp Prusu• I LiyAHny Inal ?. Pie uw* 3! 5I?/ L L Peron1 COZ ? Deb Tested InyutCFH. 7Z_Percen1 0l 7 . Ceinyenr r??linp ?C1N. ?(UYJ? Sro<4 T.mp. yZ,? Pwc*nl CO 4?? _ Naw? GOT 1? 1314 s, P?,k_ MOUSE HEATING TEST REGORD 1 32?'S ??,,r ? ?'?G•? • ADDRESS APT._fL00R CI TY SUBURB OCQIPANT _&,i S1.r•l?CcS ONMER HEAT LO55 OATE HTG. INST, ?? C SOLD BY rl- % .?- INSTALLHD BY t? El.etricel 91..? &. _(-, 1A, 1!j Ga.Lim By f I TYPE OF HEAT GA _ FA -<._HM _STEAM -_.SPACE HTR. _UNITIHTR. _OTMER yAS DESICN ? CONVERSION ` r- f 2 < .? MAKE CA YAKE OF BURNER ?s ? pg A1ed•I (,X)q - 4i. =r M1sd.l _ I Srial C2 3 .J n. BTU-Ret1ny W - INPUT? - MAKE OP FURHACE Msd•I , / CONTROLS 1,Heof Vluy V.n, 5... ikLJA? KIND OF LINER ? SIZE NONE_- DreN Hoed ___ I Rqularor "Z-f- Fihw• . SIaerNuabor Z UImMr Leemlen leside I Ou/sid* x aimn.r canNn,clfu? ffi_?, -- Pilot Model smok. eome V/ wi.+no Pilm Tmi.a ,?;ec Ota(1 _ T?a? Tay ' L.W. Cut OFI ? Doar Pruevo Liyhflny Inst. ? Preawre ?•S?Gr?G _ Puc*nt COZ -F Den TeoNd . / dc) I lMvtCFN. 1 _Par<qnl 02 ?? . Co.pany Tosfinp Snck T•mp. 3S'Cj Vereen1 CO > !Y?_ Nam, e( Asftr I J/ /3?sr.c? 2 ivvn,ry-u.v MOUSE NEATING 7EST RECORD ? ADORESS L ? APT.-FLOOR ! CITY SUBUNB OCCUPANT uL rJl c,z? OYMER HEAT LOSS OATE HTG. INST. 1gul-C ? SOLD BY Cp? ro- . INSTALLED BY ? EIeelricel MrL B. ?,4y UPa,d GsriLim By ll TYPE OF HEAT GA _ FA X_HW _ STEAM ___. SPACE MTR. _ UNIT 4 vti _OTMER GAS OESIGN CONVERSION MAKE L ? ?? -?, IdAKE OF BURNER wea.i c?gT /= clc? S ? F? I ?ee.i _ S«?al ?I 3O? Z __ Msa. BTU-Ranng -- INPUT MAKE OF FURNACE ? Msdel ?, / CONTROlS THERMOSTAT J1? Mear Pip Va Ir? -'- Limil Soninp Fan SeIrinq ledid Pilot Trw 6 ° -- Pllee Me4. _c-L _r/' `' r Pilei Wdd /* Pilef Timiny 6 L.W. Cu+ OR L'??1_. Proaaur._ff'S_/vv`= Pv<snIC0 ? IroutCFH_1/'6 7 Pve?n? pT? Smck Tomp. 3 LCJ pa.<?nt CO V.n, s... k'TLA KIND OF LINER SIZE NONEX_ Oroh Hosd Royulamr Fthws . Sis• /SX2,22 Z uwmlosr OilinMr Loea1{sn Inside Oueside O.immy ConsfrYCtion eU . -- Snok. Bewb 11/ WMiny v Uoh t?l i T•.t Tey Ooer Pr•uv _ zx , Liyhrley 1...t Dea Test•d -? Cowpanr Testiwp No" eF TwnN - CITY USE ONLY PERMIT APPROVED BY: 17la 'O f u^"?NSPECTOR RECEIPT DATE: 2002 COMME{iC1AL MEC}IANICzeEL PERMIT ?PPLICATION 'J`? (!7"1 CITY Uf £Atfil4N 3$30 PILOT KNOB ftD EAsA1v,Mv 55122 ' 651-6$1-4675 Please compiete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAMEAW. ,il N l,v'a6 PHONE #: /L49 TENANT NAME (IMPROVEMENTS ONLY): ' et, f WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y_ N. NAME: F INSTALLER: STREET ADDRESS: C[TY: '402 Washington Avenue Eden Ptairie, MN 653qq TELEPHONE#: GJ?"<Y'?-?d S?7 WORK TYPE: _ New construction _ Interior Improvement _ Processed Piping SpecifyNature of Work:, STATE: ZIP: Install U.G. Tank Remove U.G. Tank When instal[ing/removing underground tank, ca[! 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. ? Fees: 1% of contract price OR $50.00 minimum fee, whichever is greatec I D?[? ? 1J u Underground tank re ? al/installation = mium fee N 2 ?? ? ? ? JU 5 zoo2 L? Contract price: $? x 1%= $ SU (Base Fee) 13? State surchazge e ? calculate at $.50 for ea $1 TOTAL $ cJd ? / SIGNATURE OF PERMITTEP LJpdated 1 /02 IRRIGATION SYSTEM (CON'I) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test Roagh In _ Final PLANS SUBMITTED APPROVED BY: 6 U 5? ? SOILDING INSPECTOR GENERAL INFORMATION . Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper homistrainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE I-20 5/8" displacement residential $118.00 4-120 1-I/2" irrigation syst $ 745.00 sm commercial turbine'* "must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines IS 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg ro 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 uri tion s stems 5•100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO P1CK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compoundi +400 unit bldgs 55,900.00 vcry lg comm bldgs very lg comm 6ldgs 15-1000 4" turbine very ]g irrigation syst $2,184.00 & production lines Comments . To schedule inspection of the inside water line and backflow preventer, ca11 65 1-6 81-467 5. • To arrange For water tum-on, call 651-6814300. cc: Kris Forsteg Maintenance Division Clerical Technician Updated 10101 ' I CITY USE ONLY PERMIT #: RECEIPT DATE: 2008 CObIMERCIAL PLUbi$INfi PE{iMIT APPLICATION Cl'fYOF i:AHRR 3$30 PII.OT RA06 RD E4c&r4R. MlV 551 EE 881-681-4678 INCOMPLEIE APPLICATIONS W2L NOT BE PROCESSED Date: WORK TI'PE New Bldg X Add-on Repair RPZ PVB ' Irrigation system ' Jerry Wobschall to calculate fees. Required meter size is 2" turbo nu less smaller size pemiltted by Public Works DESCRIPTION OF WORK lku?vIA ?v1 To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed orior to oickine un meter Irtigation Fire Size & Type Size & Pricc 3/4" disulacement $152.00 Domestic Size & Type Does this include high demand devices? _ Yes _ No Avg GPM Avg GPM FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No SiteAddress: IWl?"r"Id? ? Gi?CIf4 Tenant Name: /?1'?h {?ic ??r? l"Fl°ti ?l`h ?L'-1? ?S Telephone #: (Area Code) Was there a previous tenant in this space? 1` Y_ N. If Yes, Name: 47'/- InstallerName: ?SloSa V? ) Telephone 7I-2 InstallerAddress: /S,ls' ?f^ S? ?f61 ? (Area Code) City: FEES Contract price S /1 iUo x 1% ($50.00 min) Required on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at 50 cenu per $1,000 base. Supplemeotary fees for new irrigation system: Contact Jerry Wobschall at (651) 681-4624 regarding fees State: ktii -1 Zip Code S3' 3 '/1 Plbg Permit $ Meter(s) $ Radio Meter Read $ State Surcharge $ Sub TotaVfotal $ Water Permit --- ----- ----------? 50.00 Treatment Plant $ 540.00 Water Supply & Storage $ State Surcharge I hereby acknowledge that I have read t6is application, state that the informarion is ordinances ItistheapplicanPsresponsibilitytonotitythepropertyownerthat[heCity during its normal operafional and maintenance activitles to the facilities conshveted u MAY 0 8 Z002 ? and agree to comply w?tl i assumes no liabiliry for a applicable City of Eagan unages caused by the Ciry TURE OF PERMITTEE : ,. ' G,bMMERC>YAL 2002 BUILDING PER1VlIT APPLICATION ? ?P CITY OF EAGAN 651-681-4675 2? (AU •Z(G{F A-Ue--So, Foundation Onl New Construction Interior Im rovement • SUuctural Plans (2) sets . Architectural Plans (2) sets . Architectural Plans (2) sets . Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) . Civil Pians (2) • Project Specs (1) . Code Analysis (1) . Landscaping Plans (2) a Key Plan (1) . Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Repod (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & LighGng Form (1) not always" • Meter size must be established • Meter size must be estahlished • Meter size must be esta611shed - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1)" ! y • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 l • Fire Protection Plan (1)" 1 1 • SoilsReport (7) d • MC/ES SAC determination IeHer . MClES SAC determination letter • MCIES SAC determination letter ca11651-&02-1D00 ca11651-602-1000 ca11651-602-1000 Contact Building Inspedions for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. DATE: S% dZ WORKTYPE: NEW " EMODEL SITE ADDRE55: '?5 2- `?` S ?6 /-1 Y-N a%e e ?')2k e-r 'e- e[ Call 651-215-0700 for details. CONSTRUCTIONCOST: / &S6rZ?O, TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: L 14,0VU CA rz' DESCRIPTIONOFWORKAI)JJ 4- re?*A%'ti'.!? Name:/?qe'916a,v7- 4fu'7QL 6SYXFZ' Phone#: ?( SZ )-0-'4-"740S PROPERTY Last First OWNER CONTRACTOR ARCHITECT/ ENGINEER City: State: 4-1iQ1 Zip: 5`?4 Company: ?'GT,'SKCY7nllr ?"?'i?4?1l.4Gv*»zb?n,4` ?SPPhone#: 7( 4 3 ) 5'0 S+ - SxiSs Street S -45'° .4t:Lr. City: G r'/Y,+vie Y7^4 State: Zip: .57S4 -4 Z ( Z ) ? 79 - Company: ??/v L,?Phone #: ( 6 Name: tv 'Q`+ Registration #: rn ?a? street Address: 2 l G' l l a1 .Q-ve. 1 2V City: 1Y7</IsNC-'7a./DeLL,;j State: "97'1% • Zlpu .?a?S4os Licensed plumber Installing new sewer/water service: Phone #: ( I hereby acknowledge that I have read this application, state that the information ip correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicant ?"?+- OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments V 27 CommerciaUIndush-i al ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New L+i' 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 01 SAC Code ?C) No. of Units No. of Bldgs. ! Const. (Actual) ]T? (Allowa6le) ? UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City 5AC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Quality Other Copies Building A 164- ? ? -1-- ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MGES System City Water Fire Sprinklered 0 Plumbing 1 ?- ? Stucco/Stone Variance VALUATION $ wO % 5AC ? ao SAC Units = Meter Size ' 00 Total $ -?, 0 -4 D r ? m N 13U1 LDIhlG AMcRIGtN t#mxW w*Y3 N aFLT,rwooc 95" s. PAR1C 3 Z$ S H oRTIAwooo CItqcc.e- - ErtG/?? ?tV. _ Consulling 1Nanagemenl Consuuctioii. fac. 9905 - SS[fi Ave. N. 4210 Piymoudt hfii 35442 (763) 509-9155 ffls $0 9-9 ISS ? . AgilentTechnologies,lnc. 877 424 4536telephnne 3285 Northwoad Circle, Suite 180 Eagan, Minnesma 55121 AgilentTechnologies April 25, 2001 City of Eagan Community Development Eagan Municipal Center 3830 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: This letter is to confirm that the roll-up door entry at the Agilent Technologies facility at 3285 Northwood Circle, Suite 180, Eagan, Minnesota was designed to facilitate the installation and removal of specific large equipment on a relatively infrequent basis. The roll-up door entry was and is not intended to be used for entry by vehicles. Thankyou LaVonne Scholz Workplace Service Manager cc: Paramount Real Estate Corp. g f, 3 a- ?-ur ?OYZ,7'l? G,j a?r?'J l'iDY1„ Agilent Technologies.lnc. 877 424 4536 tolephane 3285 Nnrthwaotl Circle. Sune 190 Eagan. Minnesoia 55721 AgilentTechnologies April 25, 2001 Ci!y of Eagan Community Development Eagan Municipal Center 3830 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: This letter is to confirm that the roll-up door entry at the Agilent Technologies facility at 3285 Northwood Circle, Suite 180, Eagan, Minnesota was designed to faciiitate the installation and removal of specific large equipment on a relatively infrequent basis. The roll-up door entry was and is not intended to be used for entry by vehicles. Thank you. `?? ?''':; ru'. ?C ?'L t"?Z. ..' `J LaVonne Scholz _ Workplace Service Manager cc: Paramount Real Estate Corp. ;? ?_ , 1% ? 4koZV L p a L BL cmr use aNLv PERMIT#: 4 3 L <S ? SUBD. RECEIPT#: APPROVED B; , INSPECTOR RECEIPT DATE: ? o ?-? 2000 MECHANICAL PERMIT (COMblERCIAI+) CITY OB EAGAN 3830 PILOT EQIOB RD EAGAN, mN 55122 651-681-4675 Please complete for all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ? I? I O? h0 TT , - WORK TYPE: New constructian _ Install U.G. Tank ? Interior Improvement _ Remove U.G. Tank _ Processed Piping When instaltinglremoving undergruund tank, cal! 65I-68I-4675 for iaspection by fue marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is geater. Underground tank removallinstallation = minimum fee ConIIact price: ???x 1%= $ 4DL State surchazge TOTAL S? `-1 (Base Fee) 150 calculate at $.50 for each $1,000 Base Fee siTEaDDxESS: v58? Nb1Tf'N?M\)'O (.lS1? I G OWNER NAME: PHONE #: -?(?,`?- C?lr -°11 ? C. ( ODE) TENANT NAME (IMPROVEMENTS ONL7): ????'C1,z% C-?( `? P WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y,>e, N. NAME: c INSTALLER: a,oDREss:-Pfu lJR5?.1?Nays?.? R? PHONE #: ?_-.?A1-1044- (AREA CODE) CITY: L? ?Al?L STATE: 1-?-Q P: SIG ATURE OF PERMITTEE W_?) (? U? 2000 BUII,DING PERNIIT APPLICATION (CONiMERCIAL) CITY OF EAGAN ? a o?O' 651-681-4675 ? vv?U.4-PN Foundation Onl New Construction Y Interior Im rovement • SWCtural Plans (2 sets) • Fvchitectural Plans (2 sels) • Architecturel Plans (2 sets) . Civil Plans (2 sets) • SVUCtu21 Plans (2 ??? . ?e Malysis (1) •• • Certificate of Survey (t) • Civil Plans (2 sets) . . Project Specs (1 set) • Code Malysis (1) " . Landspping Plans (2 sats) • Key Plan (t) . ProjectSpecs (1) • CodeMalysis (1) " . Master Exit Plan (1) • Spec. Insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calalations (7) not aiways" . 5oi1s Report (1) . Spec. Insp, 8 Testing Schedule (1) '• . Elec. Power & Lighting Form (t) not always" • Meter size must be established • Meter size must be established • Meter slze must be esfablished - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) " 1 ! . Electric Power 8 Lighting Fortn (t) •• 1 1 . Master Exit Plan (1) 1 1 • Fire Protectlon Plan (1) " 1 1 . Soils RepoA (t) 1 • MC/ES SAC determination letter • MGES SAC Aetertnination letter . MCIES SAC detertninatlon lerier . tali 651-602-1000 pll 651-602-1000 tall 651-802-1000 - Contact Budding Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-2150700 for details. DATE: //- (-e) c, WORK TYPE: x NEW _ REMODEL CONSTRUCTION COST:435l.Ona °= DESCRIPTION OF WORK: 161 „ /d e), ) + TENANT NAME: _ Apn Sen/t r f ?'nrO SUITE #: FORMER TENANT NAME: A/nn P -Y,\ CI r?L?ti?S'Cl?'`J LI f?.?... p T W.? SITE ADDRES _- _... _ ? BLOCK I SUBD _Yo r*GV?ti'Z:n6 Name: Phone3/: ( PROPERTY Last First OWNER Sheet Ciry State: Zip: CONTRACTOR Company: L' ,m C' . /rJC Phone #: ( 76 3 )S? - 9 15 5 StreetAddress:9905 VS4l A?e N. Ciry F' Iv state: ,e*14 . ziP: 55 I!v / ARCHIT'EC1'/ ENGINEER Company:_ Jqn e K Phone #: (!.A ) LT 7 Z;ta s' Name: Regis4ation #: C211,51 S Street Address: oX/ O / a /e F,n . ,4ve . Cit}' _lr17!! 15. State: 1'074 , Zip: SSydS Licensed plumber installina sewer/water: Phone #: Meter Size: I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? - _ -- -? ?' • - ' °- - ? Signature of Applicant: - ::i Y :__-_ f1YV 1 OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. O 14 Apartments A27 Commercial/lndustrial ? 32 Ext Ait - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm 0 25 Miscellaneous ? 29 Antennae ? . 35 Ext Alt - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ? 32 Addition % 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair GENERAL INFORMATION ? 46 Windows/Doors Census Code 4-'>7 Zoning ? sq. ft. SAC Code 3v # of Stories sq. ft. No. of Units o Length sq. ft. No. of Bidgs. : ? Width sq. ft. Const. (Actual) TT Basement sq. ft. MC/ES System (Allowable) 7I• N( UBC Occupancy First Floor sq. ft. sq. ft City Water Fire S rinkl d ? . p ere MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building C&4 Engineering Variance Permit Fee ? ap (. L? Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit 5/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION:$ I ?JB)dOD ? % SAC SAC Units Meter Size rotal a 0 S9 . ?'S ? CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: INSPECTOR 1 - 4- (?- C) I COMMERCIAI. MECfANICAI. PEiiM1T ihf'PI1CATION CITY Oi' EkH" 3$30 PILOT KNOB {iD EA6RN, bIN 55188 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DAT'E: 1 -22-01 SITEADDRESS: 3285 Northwood Circle OWNERNAME: PHONE#: - (AREA CODE) TENANTNAME(IMPROVEMENTSONLY): Agilent Technologies WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y X N. NAME: INSTALLER: Master Mechanical, Inc. ADDRESS: 1027 Gemini Rd. PHONE#: 651 - 905-1600 (AAEA CODE) CTTy; Eagan STATE: MN ZIP: 55121 WORK TYPE: X New conshuction _ Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: Install HVAC equipment & duct See Alans. When inslalling/removing underground tank, call 65I-6814675 far inspection by Fire Marsha[ and Ptumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = minimum fee Coniractprice: $140, 000 xl%=$1400.00 (BaseFee) State surchazge 1.00 calculate at $.50 for each $1,000 Base Fee TOTAL $1401.00 7g IG RMITTEE Gordon Petersupdat TTMent L . B .. SUBD. CITY USE ONLY PERMIT #: rssuEn: cxic cxG ?E999'PLUAMAH PERbIIT (COliAERC1AW e)001 C1T1lOFB14614F 3630 PD.OT BAOB $D Ek8ltP. !IF 55122 851-681-4875 INCOMPLETF APPLICATIONS WlLL NOT BE PROCESSED Date: WORK TYPE New Bldg x Add-on _ Repair RPZ PVB ' 1rTigation systcm * h7ust compfete revcrse sidc of application also. 2equircd mcter size is ?" turbo unless smallcr sizc permiitcd by Public Works DESCRIPTION OF WORK inquire if Pressure Reducing Valve is reqwred on new service, call //-X 141ETERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oieldn¢ up meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domesric Size & Type Avg GPM Ducs this include higli dcmand devices '? , Y'es _ Nu 3??7 FLUSHOMETERS _ Yes ?C No PRV REQUIRED _ Yes _??,No Site Tenant Name: Telephone #: (Area Code) Was there a previous tenant in this space? _ Y2SN. If Yes, Name: Installer Name: (05?-@J57-0yc? Code) Installer Address: City: _ ? FEES Contract price $_ ? State: x 1% ($30.00 minimum) Contract Fee Meter(s) Zip Code, ?-!5/6 ? r ? $ $ ? Required on all new buildings & bouievard irrigaNon systems Radio Read $ Surchazge: $.50 Minimum. [f eontract fee exceeds $1,000, calculate at StatelSurcharge S 50 cenu per $1,000 contract fee. ? Total From Reverse New Service $ ' ]a ? ?? ? ? I hereby aclmowl ihat Ihaveread this application, state that the infomiation is coaect, and agree.to comply with all applicable Ciry of Eagan ordinances. It is th ?'?sarjt?s , orify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its nom?al ?r,a{isnaLan,c?3n?Enq?'}a? p"Zj ities to the faciliries constructed,?fideri s permit withm Ci p perty/right-of-way/easement. JAN242001 "LY?__.__ CITY USE ONLY -?_ REQUIRED INSPECTIONS: _ U. . _ Air Test _ Gas Test _ Rough In _ Final l-b5-v! PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR DoO I-'2@98.BUII.DING PERMIT APPLICATION (COMMERCIAL) '? `-f 1 ?-l ? CITY OF EAGAN 651-681-4675 c.?-?9.?,4 l - lU -a l Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2 sets) . Architectural Plans (2 sets) ., Architecturel Plans (2 seLs) • Civil Plans (2 sets) . SWdural Plans (2 sets) • Code Malysis (1) •• • Certifipte of Survey (1) . Civil Plans (2 sets) • Project Specs (t set) • Code Malysis (1) " . Landscaping Plans (2 sets) • Key Plan (1) • Project Specs (1) . Code Malysis (1) " • Master Extt Plan (t) • Spec. Insp. & Testing Schedule " • Certifipte of Survey (1) . Energy Calculations (1) not always" • Soils Report (t) . Spec. Insp. 8 Testing Schedule (1) " . Elec. Power & Ughting Fortn (t) not always° • Meter size must be esfablished . Meter stze must be esfablished . Meter size must be esfablished - if appliwble • ProjectSpecs (1) 1 • EnergyCalculations (1) ° ? ... 1 1 . EleWric Pawer & Lighting Fortn (1) 1 . Master Ecit Plan (1) 1 1 • Flre Protection Pian •• (1) 1 1 • Soils Report (1) 1 • MC/ES SAC detertnination letter . MGES SAC determination letter . MC/ES SAC detertnination letter call 651-602-7000 tall 651-602-1000 call 651-602-1000 Concacc nunamg inspecnons tor sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: t?'Z-&Oo WORKTYPE: X NEW _ REMODEL CONSTRUCTIONCOST: DESCRIPTION OF WORK: TeNAh! r LWtVh-0JEW1fWr TENANT NAME: {"'C G! Le-wT' TeC-I'f WOE-a6«S SUITE #: IBd FORMER TENANT NAME: I4D"C SITEADDRESS: ? LOT ? BLOCK ? SUBD ?Jla F?w-,Q50C'y Jiwr osrerssva! q Name: -i.Y*_Gt-6 PF Pe?'oiLo n"Y-';'T Phone#: c? 5 z? L? I -Ta)a S PROPERTY Last First OWNER StreetAddress: 7Sdg 61LQe-k-??O&G G"yZ-r-L"- City ?L4?DIYLI?tsCy'f'fjN State: Md . Zi P: QVrtF" Company: D.? V-ix-M?l Z(0 L l4 C'. .'? ? P?'L[.G hone #: c-1l0 3? S Z rJ -B I O O CONTRACTOR 't StreetAddress: t+tC>l'fL"" ? bp -1 4aJL1'fT City t<< p L. 5. State: Miki Zip: S 51+ i"k ? ARCHITECT/ ?y a ENGINEER Compaay: l?tl?Clfr?U QGSLCe?d I?GS`1.?`a??C Phone#: 7a7- Name: J0 6-E 1J Registration #: +L? 3V& Sheet Address: J?,,9e, wtsr J.x*-t&JW g GVP. Ciry 0_4+1,0_k-6-0 State: -I?L?L.1hLD4S Zip: LoDtOOq pC?C??Od? , Licensed plumber installina sewedwater: Phone #: ( 1 MeterSize: y 000 I hereby acknowledge that I have read this applicati n, state that the information s c nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance y Signature of Applicant: ?L ? OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments X27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm ? 25 Miscellaneous . ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Aiterations 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair GENERAL INFORMATION ? 46 WindowslDoors Census Code 12a p Zanin9 sq. ft. SAC Code 1150 - # of Stories sq. ft. No. of Units ? Length sq. ft. No. of Bidgs. Width sq. ft. Const. (Actual) ? Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq, ft, Fire Sprinklered ? MISCELLANEOUS IN5PECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building C"6? Engineering Variance VALUATION:$ ZBU F?dl? ?, _ _ Permit Fee p I Surcharge (D . o 0 Plan Review 1, ? y MC/ES SAC % SAC City SAC SAC Units Water Suppiy & 5torage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies FP-AM 10 c-, IZ j1 R*4 Cz5 Ft tiAt? P(,M ci, P?j Mt,-A+ ?- t nr1? Nti'? ? I N l Total 3'-11-{ --) _ g'?) ? *` ZcnQ 8 CITY USE ONLY PERMIT #: RECEIPT DATE: 7?" ? ? - C) ? 3-Z9•o( APPROVED BY: „?...` , INSPECTOR COMMMCLAL MECRAAIClkI. PMM1T APPI1CATiON CrrY og EAsM 3$30 PILOT KNOB itD EMM, h[x 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 3 -1 6 - o SITE ADDRESS: 3Z S,s /l? O(ZTI-? 1x9??p? CvllLc,L_? OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): V Y4 G A?n1'? 7? ?+vT S PA'?r= WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_X N. NAME: INSTALLER: MAS TTc12. fv?Ez?1}fj(c-PrL aDDREss: ? o z Z 4OYLA7' (J PHONE #: fbS( -?'tC? _( 6 CJ0 )-- 2++ (ARBA CODE) CITY: EnfS AJ STATE: N'1AJ ZII': -'Z7/2I WORK TYPE: x New construction _ lnstall U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNature oFPJork: RESJUATtF 0,-J 1` Kc}Tuyt_ ? K l5 n3 ? ?? Cj AS L-'?? When installing/removing underground tank, call 651-68I-4675 for inspection by Fire Marshal ? Plumbinglinspector.? D ? Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. ?pR 1 9 20?1 Underground tank removaUinstallation = minimum fee _ Contractprice: $ 2i4 ? 2- x 1%= OC) State surcharge -50 TOTAL $ 3;D •S0 (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGN OF PERMITTEE WleGttflt?, -Tli 1??3 Updated 1/Ol city oF eegan PATRICIA E. AWADA December 6, 2000 nnayor PAUIBAKKEN BEA BLOM9UIST PEGGV A. CARLSON SANDRA A. MASIN jyljt $R[JCE QjJAjyi Council Membars D J KRANZ CONSTRUCTION INC rHOnnns nEDGEs 725 HIGHWAY 169 NORTH Ciry Adminaiwtor MINNEAPOLIS MN 55441 RE: AGILENT TECHNOLOGIES 3285 NORTHWOOD CIRCLE, STE 180 LOT 1, BLOCK 1,1V'ORTHWOOD BUSINESS PARI{ Dear Mr. Quam: We have started our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesring that the following items be addressed. I. A 48" clearance is required in front of the water closets in the accessible stalls. Minnesota Accessibility Code (MAC) 1341.0446, Subpart 2. 2. One drinking fountain at an accessible height is required as referenced in the 1997 Uniform Building Code, Table A-29-4 and MAC #1341.0405, Item J, Sub Item (1). 3. Toilet room elevations are required. 4. The front vestibule shall be a minimum of 7' in length to create the required 48" clear space when the door is opened to 90 degrees. 5. All sidelight glazing shall have tempered glazing. 6. Is there a reception counter? 7. Is the pantry sink for "employee use only"? 8. What does the dashed line between classrooms A and B represent? 9. Is this II - lhr. construction or is that a typo? 10. Please provide an explanation for all of the abbreviations shown. If you have any questions regarding these requirements, please feel free to call me at 651-681-4683. Thank you. Sincerely, J. Craig Novaczyk Building Inspector MUNICIPAL CENiER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (651) 681 d600 FAX:(651)681-4612 TDD. (65I) 454$535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN Equal Opportunify Employer www.cltyofeagan.com MAINTENANCE FACILIN 3501 COACMMAN POIM EAGAN, MINNESOiA 55122 PHONE: (651) 6811300 FAX:(Q51)681-4360 TDD: (651) 454-8535 CITY USE ONLY L I ? B I PERMIT #: L LA? s'?ran. ?1orl'ia???(j IssuEn: ? I-13 - o c? cFnc cxG 2000 PLUMBllYfl P£RMIIT (COBOMERCIAL) CPfYOF £ABAN 9890 PD.OT H1YOB SD $t48AA,1NN 557 8E 88t-681?4875 INCOMPLEIE AAPLICADONS WILL NOT BE PROCESSED Dete: (l- Sr -cxo WORK 7'YPE New Bldg Add-on Repair RPZ _ PVB _' Irrigation system " Must complete reverse side of a plication also. Required meter size is 2" tur6o unless smaller size permitted by Public Works DESCRIPTION OF WORK TA npwAi\ A'/n To inquire if Pressure Valve is required on new service, call 651-681-4646 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed orior to oickina uo meter Irrigation Size & Type Fire Size & Type Domestic Size & Type Does this include high demand devices? _ Yes FLUSHOMETERS _ Yes ? No Site Address: ?I i Tenant Name: _Lp1 " Telephone #: (Area Code) Was there a previous tenant in this space? _ Y?. N. If Yes, Name: \f S?- 3 -`T3U lnstaller Name: ?,1s, v\` Telephone #: (nrea Code) Installer Address: d5I ? /4 ? ST 5 City: State: m r Zip Code FEES Contract price $ -7CW x 1% ($30.00 minimnm) Contract Fee $ Meter(s) Requ'ved on all new buildings & boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 conaact fee. Total From Reverse Radio Read $ State Surcharge $ ?cep + s Q New Service $ Totel $ _??Cj< 5?cji I Lereby aclmowledge that I 6ave read this application, state that the informadon is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanYs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages ceused by the CiTy dwing its normal operational and maintenance activities W t6e facilities consWCted tmder this pertn?t-wit6in City property/righbof-way/easement. - . . . . . `.._A ". OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: U.G. A'v Test _ Gas Test ?ougH jn Final Ot7 PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR Avg GPM Avg GPM Avg GPM No PRV REQUIRED _ Yes y No ) 5 ? C. ? ?r cQ,? • 52175 NORTHWOOD BUSINESS PARK 52176 NOR'I'IiWOOll BUSINESS PAItK 2N1) NORTHWOOD CIRCLE 3265 10 52176 O10 O1 3285 10 52175 O10 O1 (OFFICE/WAREHOUSE 10/99) 22473 EAGAN PROMENADE 2ND NORTHWOOD DRIVE 1110 10 22473 O10 Ol (6LDG 6- 37 Units) 1120 10 22473 O10 01 (BLDG 5- 39 Units) 1130 10 22473 O10 Ol (s1.DG 4- 43 Units) 1140 10 22473 010 01 (BLDG 3- 34 Units) 1150 10 22473 O10 O1 (BLDG 2- 51 Units) 1160 10 22473 010 01 (aEC sLDG) 1170 10 22473 O10 Ol (Bi.DG 1- 78 Units) 22474 EAGAN PROMENADE 3RD NORTHWOOD PARKWAY 1257 ] 0 22474 O10 O1 Slumberland - 12/99 12 1999 BUII.DING PERMIT APPLICATION (CO,MMERCIAL) CITY OF EAGAN 651 681•46T5 6o (o ?. 4. cS' • Structurol Plans (2 Sets) • Civil P12n3 (2 1!t5) • Coae Analysis (1) • Project Specs (1) • Spec. Insp. 8 Testing ScheCWe " • SAC determination lener ham MGES -• cau 651•602-1000 . . . Architectural Plans (Z sets) SWCtural Plans (2 sets) Civil Plans (2 sets) LandscaDing Plans (2 sets) CodeMalysis (1) " SAC delertninaUon letter hom MC/ES - call 651-602-1000 Spea Insp. 8. TesGng Sthedule (1) " PrqeetSpecs (1) EnergyCalwlatlona (1) " Electric Power & Lighting Fartn •• (1) Master Exit Plan . . Code Malysis ( ? 1 ' Praject Specs (1 se Key Plan Master Exit Plan SAC detertnina6on letter hom MClES - call 651-602•7000 EnergyCalculaGOns (1) Elec. Power 8 Ughtlng Fortn (1) . n (2 sets t) notahrays ot aMays GontaCt tluuaing inspecnons ioi sa?l Vio Food 8 beverage or lodging facilities: Plan must be s ed W Mignesota Departrnent?of Health. Call 651-2150700 for details. DATE: ?? 311 ? ? ( ?ORK TYPE: _?<NEW _ REMODEL . 1n A .nl_ ?,.., DESCRIPTION OF WORK: IMCS141-i CONSTRUCTION COST: 1,T-7 ?I ?, O a Q SITE ADDRESS' > TENANT NAME: SL11TE #: LOT BLOCK ? SUBD. /Y01P720f1'VOGD &911£S5 ?p.K P.I.D. # Name:?2ccy,tLj{r Phone #: C- PROPERTY Last F?t O\t,NER ?JB06 ?J? ?-7?/l?+? Saeet Ad ess: r Ciry G?`?/1/?. lh?DlS"T'id V-f State: M Zip: Company: Cc.l 0 l Phone #: 9?2 - CJZS'V ??( COIvTRACTOR ?ZS IVYLJ _???? Saeet Address: Ciry State: C Zip: r'7:2? ? N ; t :\RCHITECC/ ?rir'S F.`GINEER Company: / ^[ff,,P,( YGt"(?gQ`'' rhonep: - Z212,33 6-U88?? ?-I - Yamt: Registration ? SQeet Address: rLy 50 • / y? City ?? • Statr. ? Zip: Sewer 8 water licensad plumber (onlv if Installino sewer & watarl: ?- i hereby acknowledge that I have read this applicadon, state that the informatlon is corte ree to comply with all ap 5 >f Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous ? 27 Commercial/Industrial ? 29 Antennae WORK TYPE X31 New ? 34 Repairs O 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations 0 36 Move Bldg. ? 42 Reroof 0 45 Fire Repair GENERAL INFORMATION Const. (Actual) ?.l Basement sq. ft. Census Code ? (Altowable) First Floor sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units _L Zoning • sq. ft. No. of Bidgs. # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width 0 Footprint sq. ft. 4,3,odo, Fire Sprinklered CWlIµ laox?o APPROVALS Planning Building ? Engineering Variance Fee V LYATION: $ Permit 7? v OG ? 439 .5-0 $'LAo i - ?.? Surcharge 80? °v $//, a U 4-z;a?{-a:; - _ o v c7 Plan Review L4 '<D• `"s S'o. 3 9 ?4??G' .(o? ?! c.•; o p? MC/ES SAC DO , O D % SAC /OU ?I6 - Ciry SAC p Du . e-v SAC Units Water Supply & Storege -' Meter Size S/W Permit /Od , o to S/W Surcharge . So Treatment Plant rv Park DedicaGon '{31 1k, Trails Dedication S, 0 23 ,?,p Water Quality -- Other o Copies OU0V,0A•770AJ PE7VW/T /af)-/ D Total ? i 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN ?? 1 l( 651 681-4675 Oi , 5 3c> -?I ? Re uirements to buildin ermit Foundation Onl New Construction Intenor Im rovement i . Structural Plans (2 sets) • Architectural Plans (2 se45) • Architectural Plans (2 sets) ; * • Civil Plans (2 s(els) • Structural Plans (2 sets) • Code Anatysis (1) * ; • Code Analysis (7) " • Civil Plans (2 sels) •, ProjeU Specs (i seU • Project Specs (U • Landswping Plans (2 sets) • Key Plan • Spec. Insp. 8 Tesling Schedule " • Code Malysis (1) ° • Master Exit Plan • SAC determination letter from MClES - • SAC determination letter from MG ES - call • SAC determinafion letter from MClES • call call 651-602•1000 651 •602-7000 651 -602•1000 • Spec. Insp. 8 TesUng Schedule (1) " • Energy Calculations (1) not always • Project Spea (1) • Elec. Power & Lighting Porm (1) not ahvdys ° - • EnergyCalwlatlons (1) " . Electric Pawer & Lighting Form (t) " . Master Exit Plan • Soils Re ort 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota DepaRment of Health. DATE: ??q F-o k-Lvlld? 0N OY\ ' WORKTYPE: DESCRIPTION OF WORK: Name:120--V'..CLI f DC.+V Phone#: 621 Last Firs[ „ CONSTRUCTION COST: IT:? -m? e) 6 CD TENANT NAME: SITE ADDRESS: StreetAd ess: City # .??SS ?? P.I.D. LOT ? BLOCK I SUBD. /YO1PTf+`I??(D &9 PROPERTY OWNER Cali 651-215-0700 for details. ? NEW REMODEL ;1D State: 01 Ill'-f ZiP: Company: c 1. ,?h'--+ ??VW - - Lif J Phone #: SbITE #: CONTRACTOR Street. Ciry ARCHITECT/ F.VGIVEER Comp; Name: Zip: ? I lt2 LZ -33 6r888? Registration #: Street Address: L l l I t'Rr aTv cs Ciry .?(2- no • State: zip: 1 ; Sewer 8 water licensed plumber (oniv If instalflna sewer 8 water): i hereby acknowledge that I have read this application, state that the informaGon is correc ree to comply wit all ap ' 41 St of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 25 Miscellaneous WORK TYPE ?? 31 New ? 32 Addition ? 0 33 Alterations ? ? 26 Public Facility ? 28 Greenhouse ? 27 Commercial/lndustrial ? 29 Antennae 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors 36 Move Bidg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) M Basement sq. ft. (Allowable) First Floor.sq. ft., UBC Occupancy sq. ft. Zoning ' sq. ft. # of Stories T sq. ft. Length ' r sq. ft. Width //0 , Footprint sq. ft. ivlT* Joy /00 Y70 APPROVALS Planning _ , Building Census Code SAC Code ' No. of Units No. of Bldgs. MC/ES System City Water - GiG Fire Sprinklered ` F-ngineering Variance ? lb0 Permit Fee ! SS ? ?-? Surcharge 5 -CG v Plan Review MC/ES SAC /oSo,!'4 (o 'PaO ..., City ?A• 1 eO Water 5upply 8 Storage Qev- S!W Permit S/W Surcharge ?- Treatment Plant Y(,$k (6 Park±Dedication 1,63Z, 96, Trailsbedication' ?5 z3,2'0 Water Quality Other Capies VALUATION: % SAC SAC Units Meter Size ? . $ lo,, o?o `-'-fo . ,le UIX" AWK To 0 &AV oN-rWrs FCAqrT. Total 1-4 t 3a8' ? ? ? Metropolitan Council Working for the Region, Planning for the Future Environmentai Services September 20, 1999 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: ?.? ?1LJ ,. ' S'r". P 21 1999 ? ? --,,. ?_-'-=_-- - The Metropolitan Council Environmental Services Division has determined SAC for the Northwood Business Pazk - Phase I to be located within the City of Eagan. This project should be charged 16 SAC Units, as determined below. SAC Units Charges: Office/Wazehouse 43300 sq. ft. @ 80% use @ 2400 sq. ft./SAC Unit 43300 sq. ft. @ 20% use @ 7000 sq. ft./SAC Unit Ifyou have any questions, call me at 602-1113. Sincerely, ? 7odi L. Edwards Staff Specialist Municipal Services Section JLE: (425) 990920SK cc: 5. Selby, MCES Carolyn Krech, Finance Department, Eagan Don Schroden, D.J. Kranz Co. Inc. 14.43 1.24 Total Charge: 15.67 or 16 230 East Fifth Street St. Paul. Minnesota 55101-1626 (651) 602-1005 Faac 602-1183 'PDD/TTY 229-3760 Ari Equa! OPPOrWnity FmPbyer' Special Structural Testing and Inspection Schedule Project Name: Northwood Business Park Project No.: 99136 Location: Eagan. Minnesota Permit No.: _ Special Structural Testing and Inspection S ecification T e of Re ort Assi ned Section Descritian 2 Ins ector 3 Fre uenc Firm 4 03200/3.02 Concrete reinforcin - ad footin s and iers SI-S monthl 03300/3.12 Concrete testin and lacement- ad footin s and iers SI-S/SI-T monthl 03300/3.12 Bolts installed in wncrete SI-S monthl 05120/3.03 Hi h stren th boltin SI-T monthl 05120/3.03 Structura] weldin SI-T monthl Notes: This schedule to be filled out and included in the project specification. Information unavailable at that time, to be Filled out when applying for a 6uilding permit. (1) Permit No. to be provided by the Building Official. (2) Use descriptions per UBC Chapter 17, as adopted by Minnesota State Building Code. (3) Speciallnspector-Technical,Special[nspector-Structural. (4) Firm contracted to perfocro services. ACKNOWLEDGEMENTS Each ap ropriate rtresentative shall sign below Owner: ? Firm Con[racto Firm Architect: Firm SER: Firm b ? '?'I f ' Date: 7 L Date: :Tl?L?OES'6?/ IrDate: :(?fciKW.I,ep(j'D Date: 9•??/' 99 SI-S: Firm: Date: SI-T: Firm: Date: TA: Firm: STS 4YSJLTM7T5 Date: 9-24-99 F: Firm: Date: * The individual names of all prospective special inspectors and the work they intend to observe shall be identified. Legend: SER = Structural Engineer of Record SI-T = Special Inspector - Technical TA = Testing Agency SI-S = Special Inspecror - StrucNral F = Fabricator Accepted for the Building Department By Date i 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) JSSi1 ( Reauirements to buildina oermit %4 -?!9 Foundation Onl New Construction Interior Im rovement • Structu2l Plans (2 sels) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Slructural Plans (2 sets) • Code Malysis (1) "' • Code Analysis (1) " • Civil Plans (2 sets) • Project Specs (1 seq . Project Specs (1) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp. & Testing Schedule " • Code Malysis (1) " • Master Exit Plan . SAC determination letter hom MGES - • SAC determination letter from MC/ES - call • SAC determination letter from MGES - call ca11657-602-1000 651-602-1000 651-602-7000 • Spec.Insp.BTesGngSchedule (1) " • EnergyCalculations (1)notalways" . Project Specs (1) • Elec. Power & Lighting Form (t) rw[always " • EnergyCalwlaUOns (1) " . Electric Power & Lighting Form (1) . Master Exit Plan • Soils Re ort (1) 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of H DATE: Fo 0^ O ri(?jORK TY DESCRIPTION OF WORK: Ivb?? CONSTRUCTION COST: 1, ?? S? D 6 C7 Gc-rJ`KQ'_' ealth. Call 651-215-0700 for details. PE: ? NEW _ REMODEL - ?? ? - ? ? TENANT NAME: SITE ADDRESS: ?7 G 7775 /V01[Tff KXX7U L%/IL . SUITE #: LOT ? BLOCK I SUBD. /V OlPT?i4fW1OGQ ?AgKp,I,D. # Name:J2u--v_CLL'I r- Phone #: PROPERTY Last First OWNER Sheet Ad Aess: Ciry State: l Y L M Zip: Company: Phone #: [p` Z-?ZS' ? ? ?Q . ?C?'ONTRACTOR SlreetAddress: ?Z,? IVYL ) ??? ?l? ? City ( State: Zip: -?A I-+ ? ?2?r ni ARCHITECT/ -?? FNGiDIEER Company: Phone #: ((? 12, Name: ?--?I (w ?1?C7 Registration #: O Slreet Address: Ciry State: Zip: Sewer & water licensed plumber (onlv if installina sewer & waterl: i hereby acknowledge that I have read this application, state that the information is correc ,arrtl ree to comply with all ap ' bl S of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - CITY OF EAGAN 651 681-4675 ??-k Cl ts 3 L• y ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 25 Miscellaneous WORK TYPE , ? 26 Public Facility ? 28 Greenhouse ? 27 Commercial/industrial ? 29 Antennae ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 SidinglSoffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 WindowslDoors ? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION ? Const. (Actual) Basement sq. ft. Census Code (Allowable) ? First Floor.sq. ft., SAC Code ? UBC Occupancy sq. ft. ' IVo. of Units Zoning ' - - sq. ft. No. of Bidgs. _L # of Stories ? sq. ft. MC/ES System Length 0O sq. ft. City Water ? r Width /10 , ' Footprintsq. ? ft. :'3,3x?I1, FireSprinklered WITµJo(? /pOK ?p 7 APPROVALS ".Planning Permit Fee 5urcharge Plan Review MC/ES SAC /CSoK/6 City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant y(,$,tr 16 Park?Dedication Trails Dedication Water Quality Other Copies Building effut Engineering . VALUATION: & ?Poo %SAC ? C7d SAC Units beV ,--Co„ Meter Size ? .- ? -? ?. yN . . /oo.43-, 47 z3,1? /00 ? ?- . AD MP"y 910,WK T 0 t)OAV oN -1W -is PE-4 `r, rT. Var,iance $ /D t 1700 S ? Total Lot 1 Block ? PID # Sewer /water permit # ?? lo ? C? p]at ?OY?"? WCSUC? ?L?S\Y 1'CSS Pa dL-Da[e Receipt# CITY OF EAGAN 2000 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING COMMERCIAL PROPERTY ? Sewer Lateral charge @ $22.30/ff Trunk @ $1,870/acre City SAC @ $100/unit Base SAC @ $1,100/unit Date paid Receipt # Septic abandonment Sewer perntit & s ge Subtotal Water $ ateral charge @ $28.40/ff $ Trunk @ $1,960/acre Water supply & storage @ $3,090/ Treatment plant Q $492/SAC rt Water permit & surchar 50.50 30.00 Subtotal $ 50.50 $ Plumbi ennit & surcharge 30.50 $ Total Ph2=s "c. _--- - ?- Vendcr E.q? . ;_.? .: ,. -_ ... . ??`? $ Sewer and Water Sewer lateral chazge @ $22.30/ff $ Water lateral chazge @ $28.40/ff Sewer trunk @ $1,870/acre Water trunk @ $1,960/acre City SAC @ $100/unit Base SAC @ $1,100/unit Date paid Receipt # Water supply & storage @ $3,090/acre Treatment plant @ $492/SAC unit Septic abandonment Sewer and water permit & surcharge 100.50 Subtotal S' Ptumbing permit & surcharge -004@15:- Total g 1 O o.S L) Number of SAC units is determrned by the Metropolitan Council EmironmentaJ Services (651-602-1000). OFFICE USE ONLY -,? Property owRer Rockcliff Development + 7808 Creekridge Circle, Suite 310,n ?"?? Address Sloomington, MN 55439 -y\(} t"?'Vl( I ,/L Phone number 612-941-7805 ?. i ,?: Plutnber Voson Plumbing (? 1?- (? 3a -93ov PRV required R-O-W Permit: City Cty. Unpaid Permit Fees City financed FED I 5 cc: Cazolyn Krech, Finance Department ?' - --_- / 3ci l? 1999 BUILDING PERMIT APPLICATION (COMMERCIAI.I ? ? CITY OF EA(iAN .?'"• v?.,° 651 681-4675 Fte uirements to buildin ermit Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • ArchilecWrel Plans (2 seLS) . Architectur3l Plans (2 sets) • Civil Plans (2 s(els) • SWIXUreI Plans (2 sets) • Code Malysis (7) " . Gode Analysis (1) ^ . Civil Plans (2 sets) • Prcject SPecs (1 seq . Prolect Spea (1) . landscaPing Plans (2 sets) •Key Plan • Spec. Insp. & TesGng ScheCule " • Code Malysis (1) " • Master Exit Plan • SAC tletermination letter from MGES - - SAC determination letter from MClES.- call • SAC determinaGOn letter from MClES - call call 651-602-1000 651-602•1000 651-602•1000 • Spec. Insp. 8 TesUng Schedule (1) " • Energy Calalations (1) ?t alwaYs . Project Spea (1) .. Elec. Power 8 Lightlng Form (1) nat aMrays •. • EnergyCalalations (1) " • Electric Power S Ughting Fortn (1) " • Master Exit Ptan • Soiis Re rt 1 " Contact Building Inspections for sampte Food 8 6everage or lodging facilities: Plan must be s itted to Mi nesota Department of Health. (yp ? Oniy. DATE: i?ORK TY ? l DESCRIP710N OF WORK: CONSTRUCTION COST: SITE ADDRESS: SbITE #: LOT _L, BLOCK I SUBD. lYOiPT/qI?O(,? &$I.f/?SS '/y?CK P.I.D. # Name: 12?t?-i"F y P6oue t#: ?? Z - ?? 1 ^ ?D ?? PROPEATY Last First OWNER ? S?eetAdOr,ess:_906 /'-"` ^""'-'? Ciry Call 651-215-0700 for details. PE: _?K- N E W ar`L? _ REMODEL TENANT NAME: State: M Zip: Company: Phone #: ?.96 Z ^ ?2,?' ? I OC CONTRACTOR Street City tiRCH1TECT/ F..NGLNEER Como Registrarion #: Sneet Address: L L l I ttIT ?J? f-sy 6 C? v ciry 1??? • stare: zip: 4?2 5?69 1 Sewer & water licensed plumber (Qnlv iT installina sewar 8 watarl: I hereby acknowledge that I have read this applicatlon, state that the information is corte ree to comply with all ap S )t Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: - - ?? State: Zip: ? ? Er, ? • '? f--' OFFICE USE ONLY BUILDtNG PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse 0 25 Miscellaneous ? 27 Commercial/lndustrial ? 29 Antennae WORK TYPE X31 New r-I 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (interi or) 0 44 Windows/Doors ? 33 Alterations O 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code ?J ? (Allowable) ? First Floor sq. ft. SAC Code UBC Occupancy ? sq. ft. No. of Units ? Zoning sq. ft. No. of Bldgs. _L # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width I I O Footprint sq. ft. ? CWA1r 100x7o ?o> Fire Sprinklered APPROVALS Planning Building ? Engineering Variance VALuATION: Permit Fee ?0 I•o?` 8? Q'Z'?? gy0 1.d J Surcharge Plan Review rs-?()L MC/ES SAC , % SAC /oU 04. City SAC SAC Unfts Water Supply & Storage --' Meter Size S/W Permit S/W Surcharge TreatmentPlant Park Dedication Trails Dedication PSL, ?`ZD Water Quality - Other 1G ?,jSC Copies y 1- OUov, 6 ..9-J"70, ej P?7?eAj ir- PQ-i a ? , . '"f' / & Du o , ca-v Total $ tc?7 pUC? t--?vti r?0? r ? . L / B J -Y C_ I;Y USE ONLY ??-'? ? ?. SUBD. APPROVED BY: RECEIPT #: I'?;'_ U 5 U( xEcErPT DnTE I a99 INSPECTOR PLUMBING PERMIT #' 7;3 ? 1999 PLUM$iNH PERb11T (COhI16IEtC1AL) CITY OF EAfiFtN 3$30 PILOT KNO$ RD EAe",Mv $5122 (651)6$1-4675 ' Please complete for. all commerciaUindusfia] buildings multi-family buildings when sepazate building permits are not required for each dwelling unit installation o£backflow preventer in commercial azeas or residential boulevards Date: 11^1Z- Work Type: X New Bldg. _ Add-on _ Repau _ U.G. Sprinkler _ RPZ Description Ta inquire if Pressure Reducing Vat6e is required on new service, ca116S1-41 FEES 1% of contract price or $30.00 minimum Contract Price: $ 49, GU C7 x 1% _ $ /So 0 U COMPLETE THIS AREA ONLY IF INSTALLING IINDERGROUND SPftINKLER SYSTEM BackOaw Preventer Permit Fee - $ 30.00 $ Water Meter: 2" TiubO - $ 889.00 unless plan approved for smaller size $ Service: _ existing (if coming off domesric line) OR _ new If'Sjew service". contnct Jerrv Wobschall. Finanre Consultant, to confirm arldrngfees for: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 825.00 Water Treatment Plant Charge - $ 468.00 State swcharge is calculated from Permit Fee at right - $.50 for each $1.000 with a minimum of $.50 due State Surcharge $ 1 6-0 Total Fee $ lg0 s" I hereby acknowledge that I have read this applicarion, state that the informauon is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibitiry to notify the property owner that [he City of Eagan assumes no liability for any damages caused by rhe Ciry during its normal operational and maintenance acrivities to the facIliries consavcted under this permit within City property/right-of-way/easement. ??gs SITE ADDRESS: ,f7r i`hWtaf1 C ("fc. TENANTNAME: TELEPAONE #: . (AREA COOE) INSTALLER NAME: VCSOlv ??L <- TELEPHONE N: (;t 2 53 ?-S 3 ac? (AREA CODE) STREET ADDRESS: I CITY C?" ST > 1/" 17 4? suli? STATE: /+1A ZIP: 'Q-5?-gC/ SIGNATURE OF PERMITTEE ?'t 7 00 3'} CITY USE ONLY L ? BL ? RECEIPT#: I?O I°S i SUBD. , T??,I?S l 4'???J IItCEIPT DATE: ? aI^? _ APPROVED BY: ,tf? , INSPECTOR MECHANICAL PERMIT#: ? 1999 bi£CHANICI4L P£Rb11T (COhIMERCIAL) CITYOf EAHA1V' , 3$30 PILOT KNdB $D EAfiAN, hIN 55122 (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ? ?it ' 19 -CI CON'IRACT PRICE: 11, ZQ5 , 0,0 WORK TYPE: X New canstruction _ Interior Improvement _ Install U.G. Tank _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) "NOTE: When instaliing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: -'5 ?-IEF Fl-ijT1} CN-G'o P l4%JS FEES: I% of connact price OR $30.00 minimum fee, whichever is greater. CONTRACT PRICE x 1°/a 6T?• 95 PERMIT FEE ? _F Z- • ctS STATE SURCHAi2GE ? TOTAL p T3 t ie5- ($.50 per $1,000 of oermit fee due on all permits.) stTE nDDxESS: 3 82-'> 1t10R-1n Ljo0D ctfLe.t-F OWNER NAME: Rflcl? c.?a? 0-eE7,d rvlenl3' PHONE #: (o l2 -?ZS - ? I? ° (AREA CODE) TENANT NAME (IMPROVF,MENTS ONLl): rnrSTALLER: 1'??ST,? nrA ???.t?,.1 R?,q? ??? ? ADDRESS: k?!-21 GeVvLtnJ_? a.c?. PHONE#: (PSl - 9 (DJ -Gb? . (AREA CODE) crrY: EIN c-r sTATE: wt n) zIP: SY ? 2. 1 SI ATURE OF/PERMITTEE mcc.rrA? --H,a.1eF:s ? SUBDIVOY?,??7D J P,Gt?'inp<1? APPROVED BY:_ CITY USE ONLY , A-rx INSPECTOR RECEIPT #: RECEIPT DATE PLUMBING PERMIT # ? bC? 2000 PLVhIBING PERMIT (CObII+lERCIAL) CITY OF EAGAN 3830 PII.OT KN08 RD EAGAN, MN 55122 651-681-4675 Please complek For: ell commerciaVindustrial buildings multi-femily buildings when separete building permits are not required for each dwelling unit installation of backflow preventer in commercial areas or residential boulevards Dace: 312 9 OU Work Type: New Bldg. ? Add-on _ Repair _ U.G. Sprinkler Description To inqufre if Pressure 1% of con7act price or $30.00 minimum Valve is required on new service, call 651-6814646. FEES Cantract Price: $ RPZ x 1% _ $ Base Fee - Water Meter. 2" Tuibo - $897.00 unless plaa approved for smaller size 1-1/2' Tbrbo - $ 726.00 Service: _ existing (if coming off domestic line) OR _ new If "new service". contact Jerrv WobschaJl Finance Consultant !o confirm addinQ tees for: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 840.00 Water Treatment Plan[ Charge - $ 492.00 cc: DioneDawns, UlillryBilling -vnde,groundsprtnkierpermits $ 30.00 $ $ Base Fee S St3te Sluchare¢ State Surcharge S- 5.50 minimum; calculate at $.50 for each $1,000 Base Fee Total Fee S I hereby acknowledge ttiat I have read this application, state that the information is correct, and agree W comply with all applicable City of Eagan 'u ordinances. It is the applicant's responsibility ro notify the property owner that the Ciry af Eagan assumes no liability for any damages caused by the Ciry during its nortnal operational and maintrnance ectivities to the facilities consvucted under this pelmit within City property/right-of-way/casement. SITE ADDRESS: _:3 o` SJ 14&0_f`i Gs, iUj L i? y~ TENANTNAME: AIUv74l7.cvt'S 1-`_ WAS TIERE A PREVIOUS TENANT IN THIS SPACE? _ Y-?<N INSTALLERNAME: 6"6sa/7 TELEPHONE #: (AREA CODE) NAME: TELEPHONE #: G / Z ?f&??3 0,Q (AREA CODE) STAEETADDRESS: /??S' ?/ ?Y ?f S ? CITY: / J Ob -S S TE: ??/ ZIP: 2000 BUII.DIIQG PEIiMIT APPLICATION (COMMERCIAL) L I!? ^.? CITY OF EAGAN '`t V 3G c, 1 5 651-681-4675 U Re uirements Foundation Onl New Construction Interior Im rovement • Slructural Plans (2 sets) • ArchitecWrdl Plans (2 sets) • Archftectural Plans (2 sets) • Civil Plans (2 sets) • SWCtural Plans (2 sets) • Code Analysis (1) " • Certifiqte of Survey (1) • Civil Plans (2 sets) • Prqect Specs (i set) • Code Malysis (1) • Landspping Plans (2 sets) • Key Plan (1) . ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certifiwte of Survey (1) • Energy Calculations (1) not always" 1 • Spec. Insp. & Testing Schedule (7) " • Elec. Power & Lightlng Fam (1) nolahvays" 1 • ProjectSpea (1) 1 • EnergyCalculatlons (1) " j l • Electric Power 8 Lighting FOrm (1) " l 4 • Master Exit Plan (1) l j . Fire Protection Plan (1) ° 1 1 1 l • MGES SAC detertnination letter • MCIES SAC delermination letter • MGES SAC detertnination letter calt 651-602•1000 call 651-602-1000 pll 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Ptan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: WORKTYPE: Y NEW _ REMODEL CONSTRUCTION COST: ;L72 6?00. ^00 DESCRIPTION OF WORK: &;/z roc? 7" TENANT NAME: C-.40UO A4P SUITE: FORMER TENANT NAME: D/) P 3?k'S ?l•?t? ? SITE ADDRESS ! ? ^? •---f ?? •? • ? rL? `^ LOT ? BLOCK I SUBD?O ? ?"+?'?l U-1M CP - ?" : , - . Nazne: Phone#: ( PROPERTY Last First OWNER Street Address: City State: Zip: [xj,J -l Company: /V) /n Phoae #: ( 7G,3 ,?zt,94 - 945 5 CONTRACTOR 'y?L/ p 4 StreetAddress: 9905 5! Au . A/. - City 40oa f1? State: r+)w . Zip: S55/5/02 pRCHITECT/ ENGINEER Company: TRrI P K Phone #: (61,;7) ST7 5 Name: Regisuarion #: -d°2/3 Sereet Address: 4101 H r7rI KJi?I kaE Ciry /?nlS Stare: {'?'/it, Zip: Sewer/water licensed plumber (if installina sewer/water): Phone #: ( I hereby acknowledge that I have read this application, state that the information is wrted, and agree to compty with a{I applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. -' ? SignaWre of Applicant: ll OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. 0 14 ApaRments X 27 Commercial/lndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bidg. ? 43 Reroof ? 32 Addition EW 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORMATION Census Code '137 SAC Code 719 No. of Units No. af Bldgs. Const. (Actual) t/ (Allowable) n,5/y UBC Occupancy _13 Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq.ft. sq. ft. sq. ft. sq.ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone l-S Engineering Variance Permit Fee ? q °t (o . I? Surcharge 13q . ?C7 Plan Review MC/ES SAC ? City SAC - Water Supply & Storage f S/W Permit - S/W Surcharge ` Treatment Plant ? Park Dedication ? Trails Dedication Water Quality ? Other Copies VALUATION:$ ?-? 9 . UC) G •(j C) % SAC SAC Units Meter Size j 7otal 34 33 . I j CITY iJSE ONLY L ? B RECEIPT #: 13D SUBD. ? ?b S+ Yk55 ?rI> RECEIPT DATE S- ?5- 0 0 APPROVED BY: INSPECTOR PLUMBING PERMIT # 2000 PLUMBING PERMIT (CONIMERCIAL) CITY OF EAGAN 3830 PILOT lINOB RD EAGAN, L+N 55122 651-681-4675 Please complete for: all commerciaUindustria] buildings multi-family buildings when separate building permits are uot required for each dwelling unit installation of backflow preven[er in wmmercial areas or residrndal boulevards . Date: Work Type: _ New Bldg. ? Add-on _ Repair _ U.G. Sprinkler _ RPZ Description of Work: T&A No'?7- yvnp I To inquire if Pressure Reduciog Valve is required on new service, call 681-4646. FEES o? 1% of contract price or $30.00 minimum Contract Price: $ L ?UV x 1% _ $ gq I, C037PLETE THIS AREA ONLY IF INSTALLING iJNDERGROUND SPRINKLER SYSTEM Base Fee - $ 30.00 Water Meter: 2" Turbo - $897.00 unless plan approved for smaller siu $ 1-1/2" Turbo - $ 726.00 Service: _ existing (if coming off domestic line) OR _ new Il "new service", contact Jerrv WabschalL Finance ConsulJant, to conRrm addinY fees for: Water Permit & Surchazge - $ 50.50 $ Water Supply & Storage - $ 840.00 $ Water Treatrnent Plant Chazge - $ 492.00 $ cc: DianeDawns, UtlliryBllling -endergroundspdnk/er permiis sase Fee a 81. v o State Surchaz¢e State Surc6erge $ ; s0 $.50 minimum; calculate at $.50 for each $1,000 Base Fee Total Fee $ 109 5 0 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the CiTy of Eagan assumes no liability for any darnages caused 6y the City during its nortnal operational and maintenance ac[ivides to the facilities constructed under this peanit within City property/righaof-way/easemeiR SITEnDDxESS: TENANTNAME: TELEPHONE#: (AREA CODE) TELEPHONE#: G? Z INSTALLER NAME: (AREA CODE) STREETADDRESS: I5 1??--?' S?^ S ? ? CITY: MAY 2 STAT'E: ZIP: ??\ ` ' SIGNATURE OF PERMITTEE ) CITY USE ONLY L f BL ? ERMIT#: ?o'1'o o SUBD. 004WOA C'?RECEIPT ECEIPT#: J 3 ?? ??? APPROVED BY:_ INSPECTOR DATE: `a 1 1 U -l 2000 MECHANICAL PERMIT (CODMRCIAI+) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, i•IIi 55122 651-681-4675 Please complete for. all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: -C?%7 1 „} 0» .? WORK TYPE: New construction _ Install U.G. Tank ? Interiorlmprovement _ Remove U.G.Tank _ Processed Piping When installing/removing underground tank, cal! 651-681-4675 jor inspection by ftre marshal and plumbing inspector. Description of work: Fees: i% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: x 1% = S '2:31 (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL S -Sa`s-s' ?i ??--------- ------ -- -- ---- ---------- -----___---------------------------- ------ SITE ADDRESS: ,%, <2- YO?-???C\ OWNERNAME: ?i MOt?11? PHONE#:y (AREA CODE) TENANTNAME(IMPROVEMENTSONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y? N. NAME: INSTALLER: ADDRESS:--]?L,? )k1? PHONE #: ?,_ ?j -1 >44 (AREA CODE) CtTY:?.P?? P?1?1'n1L STATE:L-NN)_ZIP: S ]? ? SIG A'CURE OF PERMIT7'EE ? ? MEMO city of eagan TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS NIIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVI50R TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERFIART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST FROM: DIRK HOUSE, COMBINATION INSPECTOR DATE: MAY 24, 2000 SUBJECT: FINAL INSPECTION OF NORTHWOOD BU5INES5 CENTER 1 (SHELL) LEGAL: LOT 1 BLOCK 1 NORTHWOOD BUSINESS PARK The Protective Inspections Division will be performing a final inspection of 3285 Northwood Circle on Friday, June 2, 2000. If you aze requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. hm CDPoIdg insp/misc/tina] insp - comm bldgs TO: FROM: DATE: RE: PAT GEAGAN, CHIEF OF POLICE ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL PLUMBING INSPECTOR : BILL ADAMS ELECTRICALINSPECTOR PUBLIC WORKS/ ENGINEERING DIVISION /UTILITIESlSTREETS GENE VANOVERBEKE, FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY JIM STORLAND, WATER RESOURCES CRAIG NOVACZYK, BUILDING INSPECTOR SEPTEMBER 16,1999 #20 P[.aiv REViEw: 3285 NORTHWOOD CIRCLE ;Ll, Bl, NORTHWOOD BUSINESS PARK The preliminary X construction plans for Northwood Business Park - Phase I aze in our plan review section for your review and comment. Please return this form to Dale Schoeppner with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that aze to be collected with the building permit: AMOUNT ? Yes ? No landscape security required ? Yes ? No water quality dedication ? Yes ? No pazk dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature CD/FORMS/PLAN REVIEW CRAIG N ZONING? Date ? L --?-C) 0 COMMERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 1-ld -00 Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets . Architectural Plans (2) sets • Architeclural Plans (2) sets • Civil Plans (2) . Slructural Plans (2) • CodeAnalysis (1) " • CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1) • Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedula " • Certificate of Survey (1) • Energy Calculations (1) not always"` • Soils Report (1) . Spec. Insp. S Testing Schadule (1) • Elac. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Projec[Specs (1) 1 • EnergyCalculations (1) 1 • ElecGic Power & Lighling Form (1) l • Master Exit Plan (1) 1 1 • Fire Protection Plan (1)" 1 d • SoilsReport (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilitles: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE 7-19-01 WORKTYPE _ NEW -It/REMODEL CONSTRUCTIONCOST-4r./, SITEADDRESS -?b `?- r? " ? 71?65 Ndr?Sc ?r?o(-1 e r?c IP TENANTNAME SUITE# FORMER TENANT NAME DESCRIPTION OF WORK & ?.? 5"' X /,;L-q i?A-// Name: Phone#: ( PROPERT'Y Last First OWNER Sheet Address Ciry State Zip ` ?/i?/ Trh?i^3oh ? eo?,zu+ Company n?.a? ? /yf.pn99Pir/P41'-1 c?nS77^ft7`.o?one # ( 763 ) .So 9 - 9is5 WNTRACTOR StreetAddress: 290,5 y:5'46 4y lf/. City joy State /1?1 . Zip 55 yy2 ARGT-IITECT/ ? I ENGINEER Company C? p ?? h N'E1t?c?r k, Phone# Name Registration # StreetAddress $Sd G?e-54' 3acJ?rcon (3nc2Je vwf --d -# k'SO City ckkcqq"'J, State iA r7o ; S Zip lcl r 0 1 1 Licensed plumber Installina new sewerlwater servica: Phone #: 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:_ OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging 0 25 Miscellaneous WORK TYPE ? 31 New ? ? 32 Addition ? A 33 Alterations ? ? 34 Replacement ? ? 26 Public Facility ? 30 Accessory Bldg. )K 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bldg ? 43 Reroof ? 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ?-l SAC Code ? No. of Units No. of Bidgs. -T Const. (Actual) (Allowable) UBC Occupancy ? Zoning 13 P sq. ft. # of Stories sq.ft. Length sq. ft. Width sq. ft. Basement sq. ft. MC/ES System First Floor sq. ft. ' L City Water sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test O Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Pertnit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building ? Insulation ? Plumbing ? L Engineering m9.d? f . U (? Total --I o,o 0 ? Stucco/Stone Variance VALUATION $ 7- r2l,)() % 5AC SAC Units Meter Size 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements 2 complete sets of drawings and specifications cut sheeu on materials and comnonents to be used -ilb, r?;-o .egD Date 7 / 4 / 654 Site Address: sZj;S Tenant / Building Name: The Applicant is: _ Owner 4-?Contractor _ Other PROPERTY OWNER u s 'coo ?u? Address: City: State: Zip: CONTRACTOR MN License No. 5-/& Address: ? ? ?-La"y"i' e?5. 7/• ?. City: IfL?l? State: ".1i Zip: 5?/3 Phone #: loiZ'33? 3<?/ ESTIMATED COMPLETION DATE: 7_ 4 FT?2E PER-MIT TYPE: Sprinkler System (# of heads Fire Pump _ St:.:.dpipe Other: WORK TYPE: New Addition Alterations `--kemodel Other: DESCRIPTION OF WORK: Commercial dResidential Educarional ----erffe-r: Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) ContractValue $ x .01% PermitFee If Permit Fee is $1,000 or less, add $.50 =:> If Permit Fee is over $1,000, add $.50 per . 5-Z?l State Surchazge 1 000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ ^ TOTAL FEE: $ I hereby apply for a Fire Suppression System permit and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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. ApplicanYs Printed Name Applican s Signature DO NOT WRITE BELOW THIS LINE lo3a 1 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan ? ?Q C? 3830 Pilot Knob Road, Eagan MN 55122 0 Telephone # 651-675-5675 Please comptete for: commercial/industrial buildings mul[i-famity buildings when separate permits are not required for each dwelling unit Date T l_/ ? l 06' Site Street Address 3 Z8 5? /V U/Hwp4 Unit # TenaotName(ifapplicable) A ,neNta lt/f? Previous Tenant Name IL/q -9 Property Owner Telephone # ( ) Con2ractor La(42 r /-[LtLaaivicu/ Street Address 37/)[) 4nn i' no /% n N City 7 .n111 State M/J Zip 55`'/ Telephone# ( 763 ) SS_O O24 7 ?rn+.-, 0,e-t '7(-j-231-27y7 Bood #: Expires: T6e Applicant is _ Owner ?Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *•see below ? Interior Improvement _ Install Piping _Processed _Gas ?;??.?E, Ek k'-+? do ef Nature of Work: !}d?n VAV w/9' D Ade 3 'Tati _R-7 v-In cn ?;rbr: ? ?` ?C /OLA? ,'c7'iJfs? a? fFil/ YpA?..a T/'+?iN ??n. 1'f hrl. W/J i "*When installing/removing underground tank, call forlnspectlon by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes Smte Surcharge) or Conuact Value JO U x l% _$ ? ?y? av Permit Fee • IF pe rmit fee is $1,000 or less, add $.50 => $ 7, 6SJ State Surcharge If pe rmit fee is over $1,000, add $50 for $ $1 000 i f 11S Cr Total Fee every , perm t ee . I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 Applicp t's Signature ? / Approved By: ?/ 1 , Inspector Date: ?? 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 4J??, SO ULU-R..ORr ,5% 6rv,. Date e/ ? / Site Address 32$5 No2?H ?n ( C'Aeffc Linit # Tenant Name 4.h ?e? HEA[.mk„flYf Former Tenant Name /}v?E,e? c.qv ric'ac»?+wy? Property Owner Telephone # ( ) Contractar Gpj'LJ%pstTE r+of?fip+J?,qL Address H/L.GSZ'3r2p 8w- /y City /VIFt,? Havr- State 141f./ Zip .5Y' Telephone # ( ) License # Espires: The Applicant is _ Owner Contractor _ Other Work Type _ New Bldg X Modify Tenant Space RPZ PVB New Repair/Rebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Descriptiou of Work yier..o 2 uoern,fts, m.dlnu- nw Fuoae s¢T wnr" c2vsc-f,-,/W- 6ccRrE t,uP s,..,r, BACpc Rua,-. To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11651-675-530D to verify that hydrostatic, conductivity, and bacteria tests passed urior to oickine u o meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smal ler size allowed by Public Works Fire Size & Price 3/4" disnlacement $161.00 Domestic Size & Type Avg GPM Includes highdemand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes No Permit Fee $50.50 minimum (includes SCate Surcharge) ContractValue $ ,5,100- x 1% _$ PermitFee $ ? Meter(s) Required on all new buildings & boulevazd irrieation svstems $ r Radio Meter Read If pertnit fee Is $1,000 or less, sUrcharge is $.50 $ ? SfaYO Slll'CI131'ge If permi[ iee is aver $1,000, earcharge is $.50 per $1,000 otthe Permit Fee Following fees apply only when inetaltiug new irrigation system ------ ?? ? -?-- ' --?-- Ca]] Jerry Wobschall at 651-675-5024 for required fee amounts --Water Pemut $ Treatment Plant $ V Water supply & Stonge . ,1 $ ? -`- --"-'°----------- ---- "--------------------"-- --- - -- - ---- - ---- State Sucnharge ---- ----------------"-------------- T - ? ?y $ J??'? Total Fee T hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; thaz the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a peffriit, but only an application for a pemut, and work is not to start without a perrttit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. -&fYE&`t ih ApplicanPs Printed Name Applican '?$i ute ? I CITY USE ONLY xl? REQUIRED INSPECTIONS: _ U.G. ?Air Test _ Gas Test ? Rough In r Final PLANS SUBMITTED APPROVED BY: SUILDING INSPECTOR General Information • IZadio Meter Read (required on all new buildings & boulevard imgation systems- $141.00 • RPZ's must be tested every yeaz and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, re air, remove. • Water me[ers include copper hom/strainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5!8" residential $125.00 4-120 1-1/2" irrigation Syst $ 735.00 displacement sm coaunercial Lurbine** public Works maxitnum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine ]g nzigarion syst $ 931.00 maximuxn displacement residenrial & continuous sm commercial production lines 15 3-50 I" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 uniu maximxim sm commercial & continuous & lg comm bldgs 25 uri ation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximnm diSplaCement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS U5E PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigaflon $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lg irrigation $2,226.00 syst & production lines Comments • To schedule inspecfion of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water turn-on, call 651-675-5300. co_ Maintenance Division Clerical Technician January 2005 ?-00 sil t 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 , • 5tructural Plans (2) sels . Architectural Plans (2) sets • Civil Plans (2) • Strudurel Plans (2) . Certificate of Survey (1) . Givil Plans (2) • Code Analysis (1) ° . Landscaping Plans (2) . Pmject5pecs (1) . CodeAnalysis (1) ° • Spec. Insp. 8 Tesling Schedule " • CeAificate of Survey (1) • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " . Meter size must be established • Meter size must be established 1 • ProjeclSpecs (1) 1 • Energy Calculations (1) 1 • Eledric Power & Lighting Form (1) " 1 • Master Exit Plan (1) 1 • Emergency Responsa Site Plan (t) 1 • Soils Report (1) • SAC determination - call 651-602-1 000 • SAC determination - call 651-602-1000 . • Fire Stoooina Submittals Call MN Dept of Health at 651-2I5-0700 for details reaazdinR food & beveraRe or lodgin; • Architedural Plans (2) sefs + Code Anatysis (1) " . ProjectSpew (1) • Key Plan (1) + Master Exit Plan (1) • Energy Calculations (t) not always" • Elec. Power & Lighting Form (1) not always" • Meter size must he esta6lished-iF applicable 1 1 1 l 1 • SAC detertnination - ca11651-602-1000 •* Contac[ Building Inspections for sample and if requirod *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date S / 3 / 0 S Construction Cost S5, RSl° SiteAddress 37!b5 (.ba-YlixocoO UniUSte # Tenant Name Aw.2y e-AnJ l-E ?A-?TNGvA-?Y5 Former Tenant Name /-? Gt LElti7 DescripHonofWork I?AS? I ?c91L,floU'? t(2 s?"i,c, ()`ce_ PropertyOwner oc.Gc.. CL4 f( A6-???.a/?vne.rif ?;1i? (? ? z?74?-1897 ? - i 1 if/ n - L UG 0 3 200 Contractor GQ1, tn?f 2 (fe 5 ' rV5 ' lLVGi'lo:t/ Address yV?f}?L/Jv J? 2-LT? I??f IBY_ City tI1't00Ls State 4/l ff'c) Zip Sy 5?1?7 Te ep o`et{?J Z) 33 ??j ?/ (o?j ? Arch/Engr l&)o 1- F? /, 2/ k n ur5 o,i A 2Ct-1 •L - Tp Registratian # 715r. Address 3!46 jU51C, A-i2 vwST7L0.UG 2LD City '??-R6rF?t' State yh?v Zip 515-1 z1 Telephone #(G57 Licensed plumber installing new sewerlwater service: Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Li-s 6oaosan, --k, &-,)cL, Applicant's Printed Name pplicant's Signature Suh Types ? 01 Foundation ? 14 Aparhnents ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement OFFICE USE ONLY r ?/26 Public Facility ? 30 Accessory Building B' 27 7 CommerciaUlndustrial ? 32 Ext Alt-Apartments ? 28 Greenhouse 0 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Sa1on V35 I t I ri 4 n mprovement ? 38 Demolish (Inte or) ? 4 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windaws/Doors 'Demalition (Entlre Bldg only) • Give PCA handout W applicant Valuation 95, qS? Type of Const = & Pian Rev 100%? 25% Occupancy 6 Census Code N 32 Zoning -6 f SAC Units - Stories 1 N6r. of Units - Sq. Ft. -` Nbr. of Bldgs ' Length ? Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice Pr _ Decking _ Insul Final _L/ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Width - MCES System -' City Water Booster Pump -- PRV ' Fire Sprinklered ? Insulation FinaVC.O. FinaVNo C.O. Other Pool _ Ftgs _ AirlGas Tests _ Final Siding _ Stucco _ Stone Windows Approved By: Planning l'? ? c-? L • Building Inspector Base Fee 9 r s , } ? Surcharge LI1 . 00 Plan Review S9Z. 2 4 SAGMCES SAC-City S1W Permit SIW Surdiarge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Stortn Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total ? S? 2 0 . 9 9 3 / p A M E R I C A N H E A L T H W A Y S ? ? Improverl healtAis the oulcome. Thursday, July 28, 2005 Mr. Mike Lence City of Eagan Euilding Inspection Department 3830 Pilot Knob Road Eagan, MN 55122 Re: Plumbing Fixture Requirements 3285 Northwood Circle, Eagan Dear Mr. Lence, ? <- ?005 As you know, we are currently undergoing an expansion of our facilities at 3285 Northwood Circle in Eagan. We hereby confirm that we have requested that the bathroom facilities in this location be as shown on the documents submitted by Wolfgraxn Knutson Architects/KSBA Architects. The employee mix in our facilities is and we expect will continue to be primarily female (90% female, 10 % male). Sincerely, Tel m Beckmann Executive Director ly Br gelson ? ? Regional Vice President 8285 Northwoad Cirde Suite 120 Eag.m, MN 55121 tofl fiae: 888264.0231 tele[done: 651.8553800 fitsimile: 651.688.7320 rvmm.americanhea(thwaya.com 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knab Road, Eagan MN 55122 Telephone # 651-675-5675 ... Please complete for: commerciaUindushial buildings multi-family buildings wUeu sepazate pemtits are not required for each dwelling unit Date ? / /,?_ / 0,5-_ Site Strcet Address 3Z $ Jr /I/o y/N(e/ood C,-,YC , Unit # ' Tenant Name (if applicable) Ajy?ty?Caj. /Ceu /Th /./a,,< s Previous Tenant Name - Property Owner - Telephone # ( - ) Contractor ? s?v! /ZtOT/N !r CO?r? O /G7 Street Address Z l g fir ? City -T State _Aly zip SS f/1 8 Telephone #( 61Z ) 781- 3358 Bond#: 70268g Eapires: 'F Zo0 The AppGcant is _ Owncr x Contractor _ Othet Work Type New Construction _ Underground Tank _ Install _Remove "see below ? Interior Improvement 1 /Install Piping _Processed _Gas/ 1 / ` Nature of Work: ea?a ?/ Gi'1Gc/h/or?? , c+'i7?/+ri rcvS,, `e?u?? S7R/S lW .e"ews,s l "*When installing/removing underground fank, call for inspecfion by Fire Marshal and Plumbing lnspector PCClilit FCCS: $70.50 Undergtound tank inslatlation/removal $50.50 Minimrnn (includes State Surcharge) or ??- Contract Value $ SS? 2 SO x 1% _$ ? J i L? . s0 Permit Fee • If permit fee is $1,000 or leas, add $.50 => $ . s0 State Surcharge If permi[ fee is over $1,000, add $.50 for every $1,000 nermit fee $ 553,00 Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; tliat the work will be in conformance with the ordinances and codes of the City of Eagan and wifh [he Mechanical Codes; ttiat I understand this is not a pennit, but only an application for a permit, and work is not to start without a permit; that the work will be in acwrdance with the apprwed plan in the case of work which requires a review and approval of plans.__---_,,--I _ -le_ ?r7:h Tvna, 6lei? Applicant's Printed Name Approved B IN y: , Inspector Date: -_? 0? i'? 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 *iw3.sa Date / / /,? / ?S SiteAddress 1VoJZ7WP"00o$ Unit# Tenant Name 14M.&124 `4^i /??A?77twif'YI Former Tenant Name ? Property Owner Telephone # ( ) Contractor ?OGZ-r°a2f-? Address 171y I7?'?LLS,BD JLD /9-V46_ Nd, City /1/jr.ti/ /`AvPE State ^/ N Zip 143'-`/?£9 Telephone #(7d3 57?3 -30 70 License # 5363,P14 Expires: The Applicant is _ Owner De- Contractor _ Other Work Type ATew Bldg C?< Modify Tenant Space RPZ PVB New Repau/Rebuild _ Replace _ Irrigation system Work within pubtic righ[ of-way/easement _ Yes 4>< No Rain sensors are re uired on irri ation s stems Description of Work ?4I?M8/N? )C;Pst N,6ui tl?ENAiAIv *12,EA 9e?1? NEw jr0/"ET To inquire if Pressure Reducmg Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria rests passed prior to oickine un meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disolacemenc $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (iocludes State Surcharge) Contract Value $ ly, 3.o0 x ]% _$ 00 Permit Fee $ I Meter(s) Required on all new buildings & boulevard irrieation svs[ems $ Radio Meter Read If pertmt fee is $1,000 or less, surcharge is $.50 $ •? State SurCharge If permit tee is over $1,000, sureharge is $.50 per $1,000 of the Permit Fee Fotlowing fees apply only when installing new irri tion system Water Pemut Cali Jerry Wobschall at 65, ?-675-50 m ?fee'ain unts 1? i`•, (v 2??? S 1? U??`? , $ Treatrnent Plant ` :? z no5 ? I $ Water Supply & Storage 5Ea $ State Surchazge ? ----------------------------------- -r-J-- --` _- ------------------------------------------------ $ t ---- - -- - - ------------------------- ---------?---L-/--- 3 • S7? Total Fee I hereby apply for a Commercial Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in confovnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pemut, and work is not to start without a pertnit; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. r fL/e-K Applicant's Printed Nazne ApplicanYs Signature I CITY USE ONLY REQUIRED INSPECTIONS: ? U.G. ? Air Test _ Gas Test ? Rough In ? Final PLANS SUBMITTED APPROVED BY: _5?P BUILDING INSPECTOR General Information • Radio Meter Read (requued on all new buildings & boulevard irrigafion systems- $141.00 • RPZ's must be tested every yeaz and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required For the following RPZ's: new, rebuild, re air, remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOUII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM VIETERS USE PRICE I-20 5/8" residemial $125.00 4-120 1-1/2" iYrig3tion Syst $ 735.00 displacement sm commercial riubine** public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residearial gz continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 ? bldg to 24 wvts 65 units ??? sm commercial gt conrinuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REOiJIRING 30-DAY ADVAu1'CE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 uuit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs i 15-1000 4" turbine very Ig irrigarion $2,226.00 syst & production lines liV1lll11Gl1W • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To azrange for water tum-on, call 651-675-5300. cc: Maincenance Division Clerical Technician January 2005 -I ;-D -tCt D-, . Structurai Plans . Civil Plans • Certifcate of Survey . CodeAnalysis . • Projecl Specs • Spec. Insp. & Testing Schedule ? • Soils RepoA • Meter size must be esfablished 1 1 l d d 1 ???55-I a 2005 COMMERCIAL BUILDING PERMIT APPI,ICATION City Of Eagan I ,`;,?.9?Q??. 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Arohiledural Plans (2) sets • Archdecturel Plans (P) sets • StrudurelPlans (2) • CodeAnaysis (7) ° • Civil Plans (2) • Project Specs (1) . Landscaping Plans (2) • Key Plan (1) . CodeAnalysis (1) " • MasterExkPlan (i) • Certifiwte of Survey (1) • Energy Calculations (1) not always" . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be esta6lished • Meter size must be eslablished-'rf applicable • ProjectSpecs (t) • Energy Calculations (1) " d • Electric Power & Lighting Fortn (7) . Masier Exft Plan (1) 1 • Emergency Response Ske Plan (1) • Sails Report (1) 1 • SAC delertnination - call 651-602-7 000 • SAC determination = ca11651-602-1000 (2) sets (2) (?) (?) (1) . SAC detertnination - call 651-602-1000 . . Call MN Dep[ of Health at 651-2I5-0700 for details regarding food & beverage or lodging facilN Contact Building Inspections for sample and if requ'ued **i Peanit for new building or addition will not be processed without Emergency Response Site Plan. Date 8 / 3 a / O S Site Address 3 Zgs NOAi Nwoaq L'l Tenant Name AM2-2icA,U l-}2ALrc1 w? 5 Construction Cost ? -'/ ZS, ooa 2c?£. Unit/Sfe # Former Tenant Name BLuf 55 Description of Work '1'gAu,4.uT 1 M Do?v-, -i?n Q n?T Property Owoer ?sr2nnnov.v T?ico?8?ris S Telephone #( ) Contractor ('a2+n?4-R Ce?vs?/tvcraoN Address 67-5 mA2C?uv-ZrZ Avg, State 1'nn) City mpLs Zip S9-lo2 Telephone#(G!Z) 338-/6°IC,o Arch/Engr k1N6SLA?UO ScoTT aAV94'k Address 34 +t I?v-T L£ /L ST • State ?uN 5" Lvv. n, L A -A-6OG+n"rS5 Registration# City 1?TT5 Ru 2G Zip S5261-131 Z Telephone #( 41Z ) 252-- 1S66 Licensed plum6er installing new sewer/water service: N 1? Phone #: I hereby apply for a Commercial Building Permit and acknowledge that the informadon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicarion 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 reviewrd approval of plans. Applicant's Printed Name plicant's - Signature; , OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public FaciliTy ? 30 Accessory Building ? 14 Apartments ? 27 CommerciaUlndusirial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public FaciliTy ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish ({nterior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) .? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Damolitlon (Entire Bidg only) - Give PCA handout ta applicant OBO Vaiuation ?Ti? ? Type of Const 1L '? Width , ? ° ? Plan Rev 100% 25 h _ Occupancy /g MCES System Census Code 43 7 Zoning p City Water ? SAC Units - Stories ? Booster Pump Nbr. of Units ? Sq. Ft. ?$ 41 ? PRV Nbr, of Bldgs / Length Fire Sprinklered ? Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile V/ Insulation FinaVC.O. ? FinaUNo C.O. Other Roof Ice Pr Decking _ Insul _ Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning ?Iding Inspector Base Fee Surcharge Plan Review SAC-MCES SAGCity SNJ Permit SIW Surcharge Treafinent Plant Treatment Plant (Ir(gaGon) Park Dedication Trail Dedication Water Quality Water 5upply & Storage (WAC) 28/3. 7-5- 2J2. r'o /8z8•et 54 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total 'f85s< <g- Sewer Trunk Water Trunk .- I 4Lkau 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used ? ? ,5SG Date /O ?>S Site Address: ,"3o28c5 -,y//opry?ov? ?,'iQ eci= Tenant / Building Name: np The Applicant is: Owner X Contractor Other PROPERTY OWNER Address: City: 5tate: Zip: CONTRACTOR l=sc.av? jir? o7`?c?ia.v MN License #: C??3 > Address: '?Fo City: l i>9G _F C?.??vAO.4 State: Zip: SS//7 Phone #: /?/ 77i!??j7y ESTIMATED COMPLETION DATE: If l ?? l 05? FIRE PERMIT TYPE: _X Sprinkler System (# of heads Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition ? Alterations _ Remodel Other: DESCRIPTION OF WORK: /Y Commercial _ Residential _ Educational Other: I !1 ; ? r _ ? Ili n? i Please continue on reverse side ?Py- PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) o? ,? Contract Value $ x.O1 =$ Permit Fee D • If Permit Fee is $1,000 or less, add $.50 => $ ? State Surcharge If Permit Fee is over $1,000, add $.50 per . $1,000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ TOTAL FEE: $ I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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 wark which requires a review and approval of plans. ,5?1141-j,o :;PmT? "/i<.- O %? ? --_. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE REQUIRED INSPEGTIONS _ Hydrostatic _ Flow Alarm _ Drain Test ? Rough In _ Trip U Pump Test Central Statron ? Fina1 Condirions of Issuance: t ? i Permit Approved 6y: Date: ? ! ? / ? ? Use BLUE or BLACK Ink -------------i ' For Office Use I I Permit City of Eatill an ce- , f` r I Permit Fee: ,cl 3830 Pilot Knob Road Eagan MN 55122 RECEIVED ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 DEC U 6 2011 Staff: ...-----------------J 2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: 12/1/2011 Site Address: 3285 Northwood Circle, Eagan, MN 55121 Tenant: Northland Business Park I SuiteM Name: Paramount Real Estate, Mgmt Cc Phone: 952-237-8186 >>'ROPEIR Address/ City/ Zip:3601 Minnesota Drive #925, Bloomington, MN 55435 Applicant is: Owner X Contractor Wellington Security Systems TYP,EOFWORK' Description of work: Install Panel w/ cellular communicator Construction Cost: 18 9 5 . 0 0 Estimated Completion Date: 12/31/2011 Name: Wellington Security Systems License#: TS00657 Address:4 E Diamond Lake Road City: Minneapolis State: MN Zip: 55419 Phone: (612)822-4094 Contact: Jenny Email: J svendahl@wellingtonsecurity. co X New Remodel OAtQR( TfC?'I~ Addition _ Other: u: - Alterations DESCRIPTION OF WORK: Commercial Residential Educational FEES $55.00 Minimum (includes State Surcharge) OR Contract Value $ x1% - If the Permit Fee is less than $10,010, surcharge is $ 5.00 5 . 0 0 Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) 5.00 Surcharge = $ 6-e-t 0 TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not ape it, but o *"an application for a permit, and work is not to start without a permit; that the work will be in accordance with the a roved plan in a ca of work ich requires a review and approval of plans. x Jel ni fer Syeridam Applicant's Printed Name Ap rcant's ignat re FOR OFFICE USE Reviewed B 1 C~ ' Date Required Inspections. , Rough-In V F l'_ fire Alarm Ts$t. • Use BLUE or BLACK Ink ---------i For Office Use I I l ~ I Permit#: City of Eata I I I Permit Fee: ~ N'. ~ I 3830 Pilot Knob Road I I Eagan MN 55122 Phone: (651) 675-5675 I Date Received: I /0 1 I Fax: (651) 675-5694 I Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: • op 301le Address: 3 28S N a-r- -i "a &-r Tenant Name: ~~-,R 1-:-, An.& G le b, (Tenant is: New / Existing) Suite Former Tenant: Name: >Q" *q K.8' R+ ` Phone: PROPERTY OWNER Address /City /Zip: 01mo Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost' Name: f License ~ ~ CONTRACTOR Address: Q 1 373 ekL' Ai& • S i City: y~ /+~/jW~rAj-rj AJ State:Zip: ,4 ~ZM Phone: f J •2U r Contact:~A~/~ uelj*1 Email:~Ak-e,40 Name: AL Registration ARCHITECT/ Address: V 4 1"l e City: !Q26 ENGINEER 2CJ State: Zip: 5;77 7 Phone: g~ Z Contact Person: W1~~Q;Wmail: _ Licensed plumber installing new sewer/water service:,}16~4 h&v Jw Phone M % NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in confor nce with rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit d work i start without a permit; that the work will be in accordance with the approved plan in the cas of work which require review d oval of plans. x I Nve' V~`i~'/V~.ke 4r--- x Applicant's Printed Name A i Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* _ Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation Replace Water Damage Fire Repair Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 150, too Occupancy 13 MCES System Plan Review ✓ Code Edition ZOD Mei&t, SAC Units 40 01&~G N UStEdQ ot4.M. (25%_ 100% ./j Zoning City Water Census Code Stories Booster Pump # of Units y Square Feet 3 LtSB Sr PRV # of Buildings I Length Fire Sprinklers Type of Construction •B 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: C91"fol , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 31 M • 75- Water Quality Surcharge 2$O." Water Supply & Storage (WAC) Plan Review 1-441 * 81 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 (i+1 V (I ~ Page 2 of 3 City of EHQHII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 0,65 C L (Ckh, 12.2.1 u2ST -FR_ Use BLUE or BLACK Ink For Office Use(31—\610 0 Permit #: v �o(.7° Permit Fee: Date Received: i2 -1p--1 Staff: ,WVi 2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: I %7 () 2 Site Address: 152Z5 )•)Of \ WO & C1'rCA t Ears -ce afn G{ l o c�J \ it v l CSB J Tenant: PROPERTY OWN Name: J Suite #: Yl CII 0 , 9. 1 SCf V 5 (`P.S Phone: (p5 . �t�. �-I 5.; Address / City / Zip: 32a 1 Jorthinno Circ \e Pal Applicant is: Owner X Contractor Description of work: AAkt ITC/SM Yrtf nt- uppreSSiov& -1,3404A Construction Cost: 150 Estimated Completion Date: 11"/1"2 11- Name: 2 Name: 1-(00.-A-\04-0,\ I -VV., 1-VV.,License #: --1-000(fi " Address:,y,� E 11rX \e .. \ ( City: '��'Y�9.V st \\ Q State: /'l \'l Zip: 5.3.1 Phone: _ q l52.. 315, SI :c2-. r-b Contact: / V lA l osyi YY1 Email: A f (1.XWLodt vk( Y1$ri \a r Jt1, Cc w\ New X Addition Alterations DESCRIPTION OF WORK: FEES Remodel Other: commercial Residential _ Educational $55.00 Minimum (includes State Surcharge) OR - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee = $ Surcharge = $ LOQ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. \)‘X_ UM.0111 ► g Applicant's Printed Name x App )kc . 60444, nt's Signature J; - Cit; orAApo. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use {' Permit#: 1 C 1 15 Permit Fee: (y1b .00 1 � Date Received: LI )-( i3 Staff: lig 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: ' l O" `� -3 Site Address: 3 2%5 to rWi c o,d a r- e.: ' e .ni C;(0ual Tenant: J Suite #: Name: Phone: � ner Address / City / Zip: �t �t Applicant is: Owner Contractor Description of work: tV rraaer hi s' � cd'Kt e of6 Construction Cost: 5-1) Estimated Completion Date: 4-1 �' -13 Name: ()(y7 ii i^f' PIS fte`�'1, License #: i tis �f UIJ I f 5 ► (..)-f- NIC Cit /l %� // Address:y: %12 S State: Zip: � � Phone: � 11 01.r�t 55 1 f, - 3/- 3 Contact exit, / eithe __k_.- Ema I: � t Q Pf 3 eti -( r e r } f 7 FIRE PERMIT TYPE °Sprinkler System (# of heads (0 ) WORK TYPE New_ Addition Fire Pump Standpipe VA -Iterations Remodel _ Other: Other: DESCRIPTION OF WORK: Commercial Residential_ Educational _ FEES $55.00 Minimum Contract Value $ 1 J 6 x 1% *If the project valuation is over $1 million, please call for SurchargeJ fleaSe eauel'1.E,i�l� t"ft �� — CP7to— c., 'V r Cy Pilii Cw, t1)66 = $ 5e, &O Permit Fee --7 .$ 5.00 Surcharge* ', ©' 0 0 TOTAL FEE .$ tl 3/4" Displacement Fire Meter - $245 00 = $ Fire Meter _ $ TOTAL FEE nts: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; 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. xl�Yl�j(-0 / �.4lJQ�e_a Applicant's Pr ted Name Applicant's Sjnature 00 City atBapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 1 J 1 Permit Fee: ��a, � Date Received: 14 `d -I (1 i Staff:' 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: /i/i 3 Site Address: 3247 I% pct L C„irckt. Mf\ 53-/21 Tenant Name: St-Pe—Am 4J i A -- (Tenant is: New / Existing) Suite #: Former Tenant: tWil4P ®cqp) Architect/Engineer Name: 5}'f�G.M ()Cbol1 `` i/r Phone: N Address / City / Zip: 32 of o r*�, Wcxxj Ct'-c.le cGoa n M ^ SS12 I Applicant is: Owner 7•.. Contractor DEM 4 -5 All 5 — Description of work:. ce N� $1 -ra.�' <OtJ A/61,4U Fi �✓�t , C J zli r Construction Cost: 350` 41 Name: W(35a,S A1), Si4 fS Inc License #: Address: CMM ePP.AA kit Sc-g't►% City: g luc.v 11 4n State: Mr\ Zip: SS..k 1 Phone: Sl.- 94-, ,W642. 6S7 3Y/- / td D Contact: dP ko,frov 1�P�\Cr �+. Email: NQ.oe WoIC�Gi1& Ott 4f1C • CoP', Name: ESt, Atft,IN-AV-Ck. Registration #: Address: SCx3 Liastivi-itsc. A SO,a,4%,City: MtAne,ifs State: Mr, Zip: &gi p S Phone: (co )2_ 331-- Ss Contact Person: N E EiLly-A Email: /k1.Te, eturf 66.5 4.. .11,(- /fJ Licensed plumber installing new sewer/water service: L/4) ei/ir't.(i 1- diV lL Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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 confor- nce with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permi d wor of to start without a permit; that the work will be in accordance with the approved plan in the ca - of work which require eview : nd , 'royal of plans. x PAu I M1 gl aellu �A Applicant's Printed Name s ignatur Page 1 of 3 5 CAL v DO NOT WRITE BELOW THIS LINE 1 (WS') SUB TYPES Foundation yCommercial / Industrial Apartments Miscellaneous WORK TYPES New /Alteration Addition / Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% V) Census Code # of Units # of Buildings Type of Construction Public Facility Accessory Building _ Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 50, coo t1'�S 0 �• 8 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile /Roof: _Decking _Insulation _Ice & Water _Final V Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: _ 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 33 zoo? piseG -- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: M//e-e , Building Inspector No Reviewed By: , Planning 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 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: 67i&TOTAL /' /. •1 Page 2 of 3 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: April 24, 2013 1 i o 57 The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Stream Global to be located at 3285 North Wood Circle within the City of Eagan. The City will be charged 3 SAC Units for this project, as determined below. Charges: Office 5363 sq. ft. @ 2400 sq. ft. /SAC Unit Meeting 555 sq. ft. @ 1650 sq. ft. SAC Unit Total Charges: SAC Units 2.23 0.34 2.57 or 3 MCES has been unable to verify SAC credits for the previous use at this site. It is the City's responsibility to substantiate any SAC credits available. Those credits should be used to offset any charges and reported to MCES on the monthly report. Also keep in mind all demolitions must be reported within one month of the end of the calendar year during which the demolition occurred, in order for the prior use to be eligible for any credit on the property. The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118. Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 130424A4 Determination expiration: 04/24/2015 cc: J. Nye, MCES Amy Griffin, Eagan (email) Dave Kammueller jr., Woodstone (email) 390 Robert Street North I St. Paul, MN 55101-1805 Phone 651.602.1000 1 Fax 651.602.1550 I TTY 651.291.0904 1 metrocouncil.org An Equal Opportunity Employer METROPOLITAN COUNCIL Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: April 26, 2013 The Metropolitan Council Environmental Services (MCES) Division has reviewed the SAC assignment for Stream Global. The original letter for this determination was dated April 24, 2013, letter reference 130424A4. This project is located at 3285 Northwood Circle within the City of Eagan. The City will be charged 1 SAC Unit for this project, instead of the 3 units originally assigned. The SAC review is based on new information. Charges: Office 5363 sq. ft. @ 2400 sq. ft. /SAC Unit Meeting 555 sq. ft. @ 1650 sq. ft. /SAC Unit Credits: Total Charges: Office/Warehouse (10/99) 7055 sq. ft. x 20% @ 2400 sq. ft. /SAC Unit 7055 sq. ft. x 80% @ 7000 sq. ft. /SAC Unit Total Credits: Net Charges: SAC Units 2.23 0.34 2.57 0.59 0.81 1.40 1.17 or 1 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kg: 130426A5 Determination expiration: 04/26/2015 cc: J. Nye, MCES Amy Griffin, Eagan (email) Dave Kammueller jr., Woodstone (email) 390 Robert Street North 1 St. Paul, MN 55101-1805 Phone 651.602.1000 I Fax 651.602.1550 1 TTY 651.291.0904 ( metrocouncil.org An Equal Opportunity Employer Use BLUE or BLACK Ink For Office Use 1 aa I Permit I 7 r 1 City of ~ I : EataW 3830 Pilot Knob Road i Permit Fee: Eagan MN 55122 I 1 Phone: (651) 675-5675 I Date Received: I Fax: (651) 675-5694 1 Staff: 1 1 I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5/20/13 Site Address: 3285 NORTHWOOD CIRCLE EAGAN, MN Tenant Name: STREAM GLOBAL SERVICES (Tenant is: New / X Existing) Suite Former Tenant: Name: Eldron, LLC Phone: Property Owner Address/City/Zip: 2126 Portico Green Minnetonka MN 55391 Applicant is: Owner X Contractor Type of Work Description of work: tennant improvement, build sm. partition wall Construction Cost: $4000 Name: Boss & Mennie Inc. License#: CBC1256191 Address: 711 W. Fletcher Ave.Suite B City: Tampa Contractor w _ State: FL Zip: 33612 Phone: (813) 210-2457 Contact: Brandon Boss Email: brandon@bossandmermie.com Name: GYMO Registration ArchitectfEngineef Address: 220 Sterling St. City: Watertown State: NY Zip: 13601 Phone: (315) 788-3100 Contact Person: Ed Ol ley Email: edl@gymopc. com Licensed plumber installing new sewer/water service: NA Phone NA 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 spec 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. Cali 48 hours before you intend to dig to receive locates of underground utilities. o hersta onec . r I hereby acknowledge that this information is complete and accurate; th the wo will be i con rmance vvr h the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only n applicati n for a erm , and workk i not to start without a permit; that the work will be in accordance with the approved plan in the a of work hich r uires w a approval of plans. x -Brandon Boss x, Applicants Printed Name Applicant's Signs re Page 1 of 3 4 "V95 dtr jWd car _ DO NOT WRITE BELOW THIS LINE 1 J l SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments v' Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation OCR©. Occupancy MCES System Plan Review J Code Edition 2007 J14 M, SAC Units 0 (25%_ 100% Zoning City Water Census Code Stories I Booster Pump # of Units Square Feet it, S$S PRV # of Buildings T Length Fire Sprinklers ✓ Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) coal / 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:4~ , Building Inspector Reviewed By: Planning COMMERCIAL FEES Base Fee /13 • Z~ Water Quality Surcharge Z • Water Supply & Storage (WAC) Plan Review (07. 1 ! 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 172..30 Page 2 of 3 Woll Dale Schoeppner June 10, 2013 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Stream Global Services to be located at 3285 Northwood Circle within the City of Eagan. The City will be charged no SAC Units for this project, as determined below. SAC Units Charges: Office 25,982 sq. ft. @ 2400 sq. ft. /SAC 10.83 Meeting 3686 sq. ft. @ 1650 sq. ft. /SAC 2.23 Total Charge: 13.06 Credits: Office/Warehouse (SAC paid 10/99) 35,985 sq. ft. x 80% usable space @ 2400 sq. ft. /SAC 11.97 35,985 sq. ft. x 20% usable space @ 7000 sq. ft. /SAC 1.03 Total Credit: 13.00 Net Charge: 0.06 or 0 The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, email me at jessica. nye@metc. state. mn. us. Sincerely, Jessie Nye SAC Program Administrator Environmental Services Division J N: kg: 130610A3 Determination expiration: 06/10/2015 cc: File, MCES Amy Griffin, Eagan (email) Brandon Boss, Boss & Mennie (email) Equal AAA 390 Robert Street North St. Paul, MN 55101-1805 A Employer u Q I L � 4 � . . . . � . � . . �� .. � � � . �S@��.��C.SC��i�{�I1�S �__.....—,..:..____._.,__.�_.�� Ftsr Q#P��e•Wse I 1/'� , , ,. Py/.S CC✓ � ��,��/L�� 1�--.•C_� ��i �� . � (� � Pemttt� `r � ) � t� �s � �J � � � Perm�t�'ee1 cC�� 1' 383i!Pilc�t Knob Raad: � �� I ]� k Ea�an MFt 559 2a G' � i7ate[��ceiY�;d: °c��"�" j Phc�ne:(661}C�5-5675: C ,Q � ��x.�s��t>s��-sssa � s��: ` 1�7 �' � _ _� _�� 14 �1RE ''�'',�" �!P'��E��►��1�I �`i�I'"�rT�� P��N�1T AP!F�t.,�GATlC3l�1* D�te;,� "`��-«�� Sitei4dds�s�s � Ter��n�: . Sui#e"#�: , . Name.�., e� � ,� Phone:��.:� ��" �.,�`��.r� .�� , ' . � �. �, bE � x� � s �Ad�Ires�1�ity J Zip: � �"1 � � ; � Applicant is: C,�wner �. �esrrtractc�r �� "t`F�'C�rr`C,�� t"�c:��e��5� ` ��Y��"� ��°,�'r,�!� �?° :Descript�or�of u�crrk: : _ ° : � ` '�"' t"` r�5 'Construcfiotr Cost; ` �stirrtatet��arr�pl�fion C��fe: �"" m �'�} � N�rrre� r �r'" � � License#: �� ._ . ��1.11G'*�.*'�, ... h ..e .%. � .� � � � � Irf ��R . . '� a��* t�`. �.i �` Stat�: Zi�s: / Fh4n�:�,�� ,�� 1� Contact: �` �mait'; '��"' � F[RE PERMIT TYPE W�C?RF4 TYFE _,Sprink#er System{#of h�ads,,�) ,__„New ,,,�Addit�on Fre Purr�p ,,Standpipe Alteratic�ns' Remcrdel , __—flther�: �t�th�r: ' DESCF2[F'TIL11�i t7F S{ttC�RK: �,Cvmrrrercia€ ,�_Resad�r�ti�i �,_,�ducat��nna1 �EES C�t[rtt�t�t#/aCtte� { "�—�.fl1 � �� $SS.�ti}P�rmit�e�Minimum =� "��',�� F�ermi��ee "lf cantracivalue is LESS#han$if1,01l�,Sur�harg��$5.t�4 **If contract value is GREATER than$1t3,01{},Surcharge-Ccsntract Ualue x;�t�.{�Qt� �$ �'. �+� Su�ehart��* "`*ff the praject valu�tion is over�1;rnill�t�n;Piease call for 5urch�rge � _$ �� TOTAL FEE 3/4"II[spiaeemenf Fir�Meter-$26�.tlCt =$ F"ire tvtete� =� Tt3TAL F�E *R�quir+�ments:2`camplete sets of dravv�ngs ancl'sp�cifications,cut sheet5 an materiats and��mpon�n#s tc�t�e used I hereby apply far a Fire Suppression Sy�tem perrnit and ackncawledge that tYfe infom�ration is compiete and accurate;iha#the work wftf be#n confr�rmance+xi#h the ord7nances arrd cades of th�Gityi of Eag�n art�i with fhe Nt�nnesata Buildingl�re C€ides;thai I urKierst�ntl this�nat a p�:�rnit,buf _ qn[y an appticatian far a petTnft;and w�rk is n4f to sfi.�rf wi€h�rut a permi#;thaf the w�rk'+rrziE�SS 9n-�c�ord��ce u�ri�h ihe approved pl��in th�r�ase af v�tork whieh requir�s a revi�w antt approWai af pi�ns.; , , � ��,.��-� ��- � �-.-� Appiican#'s Pr'�ntet3l�lame A �S a igna#ure ` � . ,� .�, �� .� � � �� _ ��;�v�� ' ��cIE� ' � � � �� 1 �:�� .�� .� � ; :.� ��"�� °�� .� �� t , � Use BWE or BLACK Inl��- l.� ' r----------------^ I For O�ce Use � y�/] • � �-7 /�/ C�U Ol �� 11 � Permit#: �� / 'L...��' � � � � � ��o. � ��f,�- � Permit Fee: 3830 Pilot Knob Road i �� Eagan MN 55122 � S��D'j� � I Date Received: I Phone: (651)675-5675 � i �' i Fax: (651)675-5694 j Staff: '/� I ' �-----------------� I 2015 COMMERCIAL BUILDING PERMIT APPLICATION I � 0 Date: � 2� �'"�Site Address: J 2 � �� tn-CL�' Tenant Name: ( ant is: Ne Exisfing) Suite#: � Former Tenant: Name: l '`�� '�"�� Phone: � �Z- ` 1 �"� [� �� Address/City/Zip: . ,. , °�`" � �; Applicant is: Owner Contractor � � .a � a � �� Description of work: �—� S � �� (��d S U �-C T�/p��f��c � �� : Construction Cost: � �� Name: � C-� �� -�� cJ 1 License#: ,,-: r � � � � Address: " I l0�� `�'" � 1.�� City: l".�� 0�1'��#<'�F ' � T-- �� '_C�� (� � 2� T�� -l� t��L . � State: Zip: Phone: x� ��fi� t �—� ` �� _ _ r � Contact: �X Email: � t F � ��s' �� 'V�2 Cd � `� Name: /' � W��-1�-- Registration#: t Address: l 1 � � � d C" � �'`� l' ' '"-aCii�j�-� 1��,�/ �� 1`-� � �!"��i��h��' r' �/�' �1 3 -' (� � -��, � :, State: �� Zip: � Phone: L � � � � '� �' Contact Person: ti'< Email: Licensed plumber installing new sewer/water service: Phone#: 1�7T� P�'?l#s�ntl St7��a,��G��#��t;�1�t�b�1��d i��,�r�l� ��1�� P�?�rr��►f t�ie rn�Cr��an'�ay�e��s�t'i�t�s"��r'��'�� ,r��at,�err�r��'�#o � � � d � � � � � � ��=:��i`�� .a#` ;�'��ec.,�°�� 4 � x.�. � � u,� ,�'. 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.goqherstateonecall.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 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 w ich requires a review and approval of plans. X �'�- �x �`�`�� '` ( �-�-� X ^� Applicant's Printed Name ApplicanYs Signa ure Page 1 of 3 DO NOT WRITE BELOW THIS LINE _ SUB TYPES �oundation _ Public Facility _ Exterior Alteration—Apartments ��Commercial/Industrial _ Accessory Building _ Exterior Alteration—Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration—Public Facility Miscel laneous Antennae WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition �✓ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change, *Demolition of entire building-give PCA handout to applicant DESCRIPTION /�% �,� ` '" Valuation OQ�Q� • Occupancy � MCESSystem Plan Review ✓ Code Edition 2d0----�� $�$G SAC Units (25%=100%�' Zoning �/� City Water Census Cade Stories Booster Pump #of Units � Square Feet PRV #of Buildings D Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) nal/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: Concrete Enirance Apron Final C/O Inspection: Schedule Fire Marshal to be pres�nt: �Yes �`_fVo "" Reviewec! By: �� _ , Building Ir�spector Reviewed By: , Planning COMMERCIAL FEES � , Base Fee �� Water Q�aality Surcharge `�- �� Water Sampling Fee Plan Review 'L�/ --3 Water Supply&Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S�W Permit 8�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL �Zd• d 9 Page 2 of 3