1110 Northwood DrINSPECTION RECORD
CiTY. OF EAGAN PERMIT TYPE: :;Ili l f?1H(-1
? 3830 Pilot Knob•Road Permit Number:
' Eagan, 11llinnesota 55122-1897 Date Issued:
(612) 681-4675
? SITE ADDRESS: , , APPLICANT:
' •i ? i ;?? ? , , ,?
I.aR ? ,. .
f A6AN Nii/!141-HAl1f /NU ( til.? 1 HtiB- v99?? .
•`?
ft! !?1o iyl l lIAN {I HI
PERMIT SUBTYPE: TYPE OF WORK:
r., , I . . I
Permit No. Permft Holder Date Telephone #
? ELECTRIC a?.?I e
IAOA
/'A'?
00
-PLIJIVIBIN
/?'
/11
HVAC ? -7 ! ; 'D S
Inspect{on Date Insp. Comments
FOOTINGS D??//rG ??j- ???G Gl?,B' ??/o'??l?9G ?'J?
FOUND
FRAMING
ROOFING
HOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
w
BSMT R.I.
BSMT FINAL
UECK FTO
DECK FINAL
a-? „?s4
INSPECTIOIo1 RECORD
C1TY. OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob.Road Permit Number:
E?agan, Ivlinnesota 55122-1897 . Date Issued:
(612) 681-4675
SITE ADDRESS:
FAI;ItN I'WfiAtFl1f?llt ?141)
PERMIT SUBTYPE:
APP?ICANT:
TYPE OF WORK:
,:: . . ,
;tu1 1.nI Nr,
1 I (:t!"i/'+fi
L?S
7o?
?
1Y i YJ
INSPECTION .. . ..
?ri
,,?., . ? r? i • „ ,
.
?
L_
?
_.?
Pertnlt No. Perm@ Holder Date Telephone
ELECTRIC
PL'qMBING
HVAC
Inspectlon Date Inap. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM8ING
- -?"
?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
-1--e
INSUL
GYP BOARD
FIREPLACE '
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
I
ORSAT
TEST
BLDG FINAL
v
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
?
af Wagan
. Mcpartraettt af !8uitbing 3ailpectiun
r?
This Certifitate issued pursuant ro the requireinents of the Unifarm Bui(ding Code
' cerrifying that at the time of issuance this structure was in compliaRCe with the various
ondirtances of the Ciry regatating building cor+struction or use. For the fo!lawing:
. ' Use Classificatian- ?DGDU Bldg. Permi[ Na. 29207
O-Pancy Tra RI f S3 Zo,,;ng p;su;c PD Type Conu. VJER/lFR
owner or stii,ain?•Y-RE?'S: IlV?' n," 14601 gETANIi RD, MRKA
Building Add. 1 110 NORTHW00D IyRIVE I-liryL I B 1 F?1C'1±1POtBAM 2NID
nate:
• . au;wng ar,cig - -
PaST IM A CONSPIGUOUS PLACE
,r
SITE ADDRESS ' ? Unit # pennft # -990201
L ? B Sect./Sub. da4.12as, QW-Xed?
INSPECTION INSPECTOR EOATE COMMENTS
?- ? J Lr u..-' .t) 77077? f 71,47
L?t 1.,. ?7C 't (J a-f ?/ 'C_ U, ct
?
, , . , .
SI-FE ADDRESS Unlt # Permit #
B l Sect./Sub. Z'Se r, ee -- pe,eL.,«4 ... 7 Ni,?p
INSPECTION INSPECTOR DATE COMMENTS
!D? ?QG
LLLfb I?V3 ?
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I/ -
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?s- ?• ' f4
s leVOI swAN-l'rr Or.j
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l?z7-f7
w-? ?"
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c,/h;ys
.-P
6. ' - .2 -3-41 7
/
INSPECTION INSPECTOR DATE COMMENTS
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V
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f' -2
L C,? C: -f
•? c? r,?9 ? E G
d? ?f?'/
$- Z Z v B?N _ t1 ?e
?ti /3 l-/$''i7 0?'?4?-?? s? ?„' s
-l% lJ
J
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"n??? ?'??' 7-48y°17
` Na•.I?. {,, lws? ?? L' „ rr
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/? Tt M?tw-r s?n.
?• u,.?' 3- 3 ??
?
ai' 17 "47 Z ?w: ta ?" A'/!,' &.0 ' V r^ ? SoN. ???" 41v? . / ?? ?'1'N?
;..,
97
0o G'
<
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2 1 1- 3 71
? O ON4? Thrs requesl void I B months (mm validafion dare pnnted in this boz.
/FFI US /?G
?V? . 6'?'575
,
O ??O do
PLEASE PRINT OR TYPE /
Request D.I. Raugh-in incpedion raquir fYYes ? No
ll
h
h
d InspMion Olher Thon Rouqh-In: 0 Ready N. X WIII Co11
Om
R
d
ipedor w
rou must m
I
e ns
e, reo
y)
e
ea
y:
licensed contracior ? owner hereby reques} inspection of the above eledriml work af:
Jo6 PAdr<ss (Siroel, B r kooro No.)
/ i r0 w, w? PM t?-? Gry
?- Zip Cade
-5?2 z
S«tian No. Township Name ar No. Ranga No. Fire No. Counry
v47L'b )-:4L
Occopom Phone No.
I'Orv? n ao?d.
Powsr SupplierH?
D Address
Eleclnwl Conhatlor (Company Name) Conhador License No. Mask, lic No. (Plom EI«x. Only)
aE ? $CCVr, CNoo
Moiiing lddress ?Cammnor or ovmer PeAam?ing Ins?ollanon?
VQL! tocK Trk: M/l1 .SSa77
Authonzedono w rPeAorminBlmlallanon) PhoneNo.
EB-OOWA/95 STATEBOARDCOW-SEEINSTRUCTIONSONBRCKOFYELLOWCOPY
IIII REDUEST FOR ELECTRICAL INSPECTION?G
?I N I? I II I II II I I II II ? I I? ? I1'I -47821 Univessity AvearRm} S7128 CSt Paul MN 55104
* 0 2 7 7 3 7 1 L* Phone (612) 842-0800 //G0?
Home Duplex Apt. Bldg. Ot-her: fojK? New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Hfg. Equip. Water Htr. Load Mgmt Other.
D er Ran e Elec. Heat Tem . Service
"X" above the work covered 6y this request. Enter remarks in this spare and on the batk of fhe white copy only.
6
VZ'?FEQ4?(? ,
Calculote Inspection Fee - This InspecKon Requesf will nof be accepled without the wrrect fee:
Other Fee # Service EMronce Size Fee # Circuils/Feeders Fee
Mo6ile Hame Pork Stall 0 to 200 Amps O to 100 Amps
$}reef L}g./Traffic Sig. Above 200 Amps Above 100 Amps
TransformedGenerator INSPECTOR'SUSEONLV TOTAL
^ (?
$ign/Oufline Lig. Xfmr. ?
v
? «
O•"?
Alarm/Remate Con}rol C
Swimming Pool
-fed the decfiml im scnbed herein an Me daks slakd
I henb c<T thol ins
Irrigaiion Boom Raugh-tn Dah
S
ecial Ins
edion
p
p
Invesfigative Fee Final
- ??.Al
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 190tiTHS
01?qo
457i -
2007 COMMERCIEIL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 L
Ptans are considered public information unless you state they are trade secret and why.
• Structurel Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (t)
• CodeMalysis (1) °
• ProjectSpecs (1)
• Spec Insp 8 Testing Schedule (1) "
• Soils RepaA (1)
• Meter size musl be esta6lished
SAC determination - call 657-602-1000
• Soils Report (1)
• Cetlificate of Survey (1)
- Slructurai Plans (2)
• Architedural Plans (2) sets
. FIVAC units req'd. on bldg elev. I site plan
• Civil Plans (2)
. landscaping Plans (2)
• CodeAnalysis (i) "
• EnergyCalalations (7) "
• Emergency Response Sile Plan (1)
• Spec. Insp. & Testing Schedule (1) "
• Electnc Power & Lighting Form (1) "
• Projec[ Specs (i)
• Master Exit Plan (1)
• SAC determination - call 651-602-1000
. Fire Stopping Submittals
. Fire SuppressionlAlarm Form
. Architectural Plans (2) sets
. CodeMalysis (7) "
. ProjeGSpecs (1)
. Key Plan (1)
. MasterEzitPlan (1)
• Energy CalculaUons (i) nol ahvays"
. Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established-if appliwble
• SAC determination - cail 651-602-1000
Call MN Dept of Health at 651-201A500 for details regarding food & beverage or lodging faciGties.
Contac[ Building Inspeclions W see if it is required and for a sample. ?
"• Permit for new bvilding or addition will not 6e processed without Emergency Response Site Ylan. ?/j ? I? y? •?
Date / 2
SiteAddress
Tenant Name ! (/?/ `? 7 I Construction Cast ? b I U
oL"" o?D -?, Unit/Ste #
?J"e LO °1<S Former Tenant Name
Description of Work 'c r w-J "c c44, y?,
Property Owner Telephone # ( )
Applicant is:
Contractor _ Owoer ? Coutractor
GD/& '11F,e? Contact #: (p? z) 34'
Address
State oz( 3 1
j"\ V\ City Cvo saqOr ? /
Zip -57Y ?' ° T Telephone #(6/L )??-5 7 7 7 v
Arch/Engr
Address
State Registration #
CitY
Zip Telephone # ( )
Licensed plum6er installing new seweAwater service: Phone #: (_)
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be m
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 staR 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.
p,Pi?C ( < ?'?------?-
Applicant's Printed ame Applicant's Signature
`1CPa-4S"
zoo6 FIRE SUPPRESSION SYSTEMS rERMiT arrLicATrorr
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 specificarions ?-?
cut sheets on tnaterials and cmmnnnrnts m I?-
- - -- ---' v i . I
Date\2?_ / _V-) / cu_
SiteAddress:
Tenant / Building Name: C n??
The Applicant is: _ Owner ? Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR MNLicense#:
Address: City: ?A . ?Ckj'-LS?
State: Zip: Phone #:
ESTIMATED COMPLETION DATE:
FIRE FERMIi TYPE: Sprinkler System (# of heads Fire Pump _ Standpipe
_ Other: P'? o ??11?P
?--
WORK TYPE: _ New _ Addition Alterations Remodel ?
_ Other: ??
n p _
DESCRIPTION OF WORK: ?Commercial _ Residen6al _ Educational
_ Other:
G- 1
Please continue on reverse side
PERMIT FEE: $50.50 Minimura Fee (includes State Surcharge)
Contract Value $ x .O1
_ $ F)f) . UQ Permit Fee
If Permit Fee is $1,000 or less, add $.50 =>
If Permit Fee is over $1,000, add $.50 per
$1,000 Permit Fee
3/4" Displacement Fire Meter - $167.00
TOTAL FEE:
State Surchazge
5z,-) .5?
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 pian in the case of
work which requires a review and approval of
Applicant's Print?d Name
DO NOT WRITE BELOW THIS LINE
PERMIT ckGqo4o
?. +CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: guzLolNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 2 0 7
(612) 681-4675 Date Issued: 11 / 2 5/ 9 6
SITE ADDRESS:
1110 NORTHWOOD DR
LQTs 1 BIOCK: 1
EHGAN PROMENADE 2ND
DESCRIPTION:
B L D G 6
B`uil _
di,ng-.Permit Type
6ui1'ding l4,rk Type
WBC 9ccuparSOY?
Constructiiin Ty'p`e
% Zoning
Buil"ding' Gengtih f
Bwil?iin,g Wzdth g}x'l,:di'ng stnries
?,qluare Fe e.t
%.E.?n,a . ? .
3 ? LA?"
APT./LODGING
NEW
R-1 5-3
V 1HR/1FR
PD
306
103
3
28,935
105 5 OR MORE FAMILY
Gi
=1?1
T ?. i^ P l
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$8,460.75
$4,230.38
$976.20
$13,667.33
$2,254,000
CONTRACTOR: - Applicant - OWNER:
WEIS BUTLDERS INC 28589999 HEALEY-RAMME INC
1550 E 79TH ST 10601 SMETANA RD 122
MINNEAPOLIS MN 55425 MINNE70NKA MN 55343
(612) 858-9999 (612)931-2220
I herehy acknowledge thaC'Y have' read Chi`s appliea'Cion an-d state that the
infinrmat3an is avrrect and agree, tcr comply wath all appliCaale State of Mn.
5tatutes and City ofi Eagan Ordinences.
APPIICANT/PERMI7EE SIGNATURE IS ED B SI T RE ?
CITY OF EAGAN $IQI L ;" ri
3830 PILOT KNOB RD - 55122
?
? ??1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Canstruelion Reauirements RemodeVReoair Reauirements
? 3 regislered site survays ? 2 copies of plan
? 2 wpies ot plans (include beam & window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior additions & decks)
? 7 energy taloulations ? 1 energy calculalions tor heated additions
? 3 copias of tree preservation plan ff lol platted a0er 711193
required: _ Yes _ No
DATE: / Z o? CONSTRUCTION COST: Z,Zi?;3? 7'? 04
DESCRIPTION OF WORK:
STREET ADDRESS: ?"/?'??'?/f•A'07
LOT BLOCK SUBD./P.I.D. #:
pf''m65m d ' / £'i?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: i?Al£ y- AZ/lV'-A5' Phone #: Z 2 Z o
.yr rwn
Street Address: iDC 0/ Ifb Svi 2y- / Z Z
City: 1'1/.Iic'S Ta.r/?GA State: zVllt/ Zip: .5-:53-14 3
Company: i,v0 S BL//G 2) 97/P5' i??G Phone #: 4358 - 9Y57 ?7
Street Address
I.? 50 ?. 7I'yST License #:
City: /?J/NN?/??4G? S State: /"IA? Zip: SSIf Z-,5-
Company: ,Q/QGf/ L'GNJFS:S hone #: :3 -3 9 - Sj
Name: ?1C'iG/it/ r£G" /s Registration #:z 7 y , - 00 ?
Street Address: S T _S'OV7/a
City: State: i"?/'? Zip:
Sewer 8 water licensed plumber. ..]-B?CiP-b NI9-'CiY,4,4116Zqj Penaity applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable SWte of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY ???ENED
Certificates of Survey Received _ Yes No SEP 7 0 9996
•
Tree Preservation Plan Received Yes No '°°°"?"°"°°°`
-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
,Pr--331 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) 011 FR
(Allowable) )1?h??R.
UBC Occupancy Q-1 S-3
Zoning P D
# of Stories 3
Length 3 0 6
Depth /0 3
K11 ?g?/Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
r. • -'ti . .
d
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MClWS System
City Water
Fire Sprinklered -4-
PRV
Booster Pump
Census Code. y/JS
2? 93 SAC Code ?D
Census Bidg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC --'
City SAC
Water Conn.
Water Meter -?
Acct. Deposit -r-
S/W Permit ?
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded. '-
Other
Copies
Total
Valuation: $ S ,oco
)
% SAC -
SAC Units -?
C.T.'CV J'•= [:F:r;Atv
C?r;ii:I:E:}2a MC; 1E:RN:I.Nfi:t._ P!p;t 538
(iA'rE::°: i.p/:I.E3/96 I:[N'ii::: 023004
I D S
'
NAi'E,, Nl-;:S k;l!TI...DG:I;S INC
I!(oo
P256 .,?.. '-Ufli ? ,?.
. `, i? !p f21'Nl+b:iilrl cE,7,,r.i
"1c..,.: p: 900112P
.. . .,.ll, n:?..?:•., ir'-r.rI-i,i'x('I11......r. 1 !?)7? , ......?Sif?G.,,, ?.,
_'?c.
2.:..
;
,.y,.??l.. .:r1(l{ 4407 ;v.. .f.ii'"(I-I?"IJt]LI 66,5S4.75
r..t_..?t? ?i..:...?...
rlro
Y
l,._?ri.':1.:1 c...
;Cif,;l. ?? ?? ? i. ? r rli:.?1:^?v,l: ..?...- '-?c
i.,i S59. [....:
CR06I,:: (.I t: z,'
IIC;!:'R ID.. h1A1iLYflr.:l
C.f.'YY fp'' ('.Af:>ki
`'.:??#:FII:L??:, t''1' ?[i:Rt•iT_?i^t_ ?0;; `_i'3?;
D9iki:r I.CI/:iEl/`:'?ti. ']:t11_:.
C7"? ?" :Ch..
L? ?:'?1t? ?
i?;
.
;.,:.?_ '_'-s. t?tOc',• ?.r..r1lI.1JC ? ' ?'.2n. i3:1
,;- , 900.11. .
£_?
CITY OF EAGAN
. ' 3830 Pilot Knob Road
" Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: suxLozNs
Permit Number: 0 2 9 0 9 6
Date Issued. 10 J 17 / 9 6
1110 NORTHWOOD pR
LOT: 1 BLOCK: 1
EAGAN PROMENADE ZND
DESCRIPTION:
ermit Type FOUNDATION
g+grrk 7ype NEW
R -1 S - 3
ir;Ct r°?qe V 1 H R/ 1 F R
PD
306
cSrgth '1"k
sdtFr 103
?a 28,935
105 5 pR MORE FAMILY
t?
?e??„ &Er sr?; ??g ?
?
v?,a;
>??su e;M
REMARKS:
5&W CQNTRACTOR - J-BERD MECHANZCAL
FEE SUMMARY:
Base Fee
Surcharge
SAC
SAC %
SAC Units
Subtotal
W-EIS BUILDERS INC
1550 E 79TH ST
ftIN;VdEAPOLIS MN
(612) 858-9999
I hereb Y'.
in'Fo rma'ti.
5tatut8.? .:
VHLUATION
$162.25
$5.00
$33,300.00
100
37
$33,467.25
- Applicant -
28589999
55425
APPLICANTIPERMI7EE SIGNATURE
PE1ZMIT ? ? ? ? D;j `? J
$10,000
CITY 5AC
WATER CONN
S&W PERMIT
S&W SURCHARGE
7REATMENT PLANT
ROAD UNST
Total Fee
$3,700.00
$28,120.00
$100.00
$.50
$14,652.00
$12.765.00
$92,804.75
OWNER:
HEALEY-RAhIME INC
10601 SMETANA RD
MINNE70NKA MN 55343
(612)931-2220
ISSUED B' : IGNATURE
122
'? ,P1f3 s '
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
1996 BUILDING PERMIS 1?s I? ATION (RESIDENTIAL)
7
New Consirudion Reauirements RemodeVRenair Reauirements
? 3 registered ske aurveys ? 2 copies of plan
? 2 copies of plans (inUude beam 8 window sixes; poured fnd. tlesign; ete.) ? 2 sile surveys (exterior addlHons 8 decks)
? 1 energy ealeulations ? 1 energy calwlations ior heated addilions
? 3 eopies oi tree preservation plan H lot ptatted after 771193 /v
required: _ Yes No
DATE: `I rZo Z 9 4r
? ?CTION pST: =
?11,? .
DESCRIPTION OF WORK:
APr .G'ZDL<'
EsuiG .Dl.vG ? G
STREET ADDRESS' z`i94hAl
?u7?or Li ?s?,q•,? a.Qo.?-r? ??b F
LOT BLOCK SUBD./P.I.D. #:
. ?c?o5 ? a ' 7 £.4G.9-J ?/t'Orl E-vA ? ? ?'"? ? Q D / '>/a•v
PROPERTY Name: r/ i? AJ S Y- Aff?/VC lNC Phone #: Z Z o
OWNER ...; . ..
= - -5treetAddress- 10401 -- - - Ciry: M/N419 7oAvuA State: *,ti ? Zip• S5: 4 3
CoNTRAC7oR ; Company: ?J£/S Bl//G D:6,RS /?tIG Phone #: g?g - 9999
Street Address: 1550 9. 79'?ST License #:
City: 11'I1NAv?ff.?4G./ S State: A'IA? Zip:
ARCHITECT/ Company: QfrGt/ ?G?v'?55 f'/Qll//T?C?hone #: 3??9 - Sj??'
ENGINEER
Name: J(°)/?A/ Registration #.Z 7 y 9? r
Street Address• 7D0 T6/i.Qp S T. SOVTy
City: State* 1"??'? Zip: S--4 /-T
Sewer & water licensed piumber: ..i-B9i°b i?If-Crlfr'/'?/G=I$?/ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to compiy with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? O-W-?
OFFICE USE ONLY ???ENED
Certificates of Survey Received _ Yes No SEP 2 0 1996
Tree Preservation Plan Received Yes No ? "`° -
OFFICE USE ONLY
?v?'??i`axl ? (0
BUILDING PERMIT TYPE 11101rl"4?4 Dr "
X 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool •
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pufilic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscelianeous
? 05 SF Misc. ?. 10 ; plex o 15 Deck -
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION • . _.
. _ ':•_ -__ __. .
.
Const. (Actual) -LI-?,?1f?`Basement sq. ft. MC/W5 System
(Allowabie) ?(1 NK /?jfR Main level sq, ft. City Water
UBC Occupancy R? °3 ` sq.,ft.. Fire'Sprinklered
Zoning , . sq. ft. ' PRV
# of Stories --- ` sq. ft. -Booster Pump
Length _ 3D6 ~ sq. ft. Census Code. GS
Depth '/d 3 . Footpr t sq..ft. -SAC.Code. /o
?-----. ? - -----=Cen'sus Bidg ° /
Census Urnt
._.._.. siy w•.y`fIG'??k.)-
APPROVALS _.. . _ . . . __ _ _..?. -
Planning - - Building Engineering - " 'Veriance
Permit Fee
Suroharge - ?
Pian Review
License •-- ; -
MClWS SAC 3 3?3 o d 9?? x 3?
City SAC . 3200 lo&y 37
WaterConn. 2. 1'2 O ?(Oy_ 3;?
Valuation:
$?
Un?"f-? -3?
Water Meter
Acct. Deposit
S/W Pertnit /06.
S/W Surcharge .570
Treatment P.I. Z 3 96,,- 3 7
Road Unit / z. s 3
ParkDed. 6 6 VU/ ?o11 7,-4 cf
Trails Ded.
Other
Copies
Total:
% sa,c;_ ,: ; - _
SAC Units
?, ,?,•, - .
ClTY OF FAGAN
CFlSHIf:fit 1S TEhMINAI_ N0: OtE,
DAIEc 01/f.N/00 TT.NfF: 14:08c40
IU:
NAHr- r,IEFTSI_:N COMFANY
32:I.0. 90C1i 111.0 NOF;THWOD Ii 1 y 105.75
215500dl. 1110 NORTNNOLi D 60.00
i 250r.C101 1110 NOfiTFIWOD Ii (i.io
?.t
To+,a1 Fier_eipt Amoun+„ 17:L7i..f35
Cfi:LE2423
1J51_li TT): JAN
2000 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
651-681-4675
Requirements
? -?
Foundation On New ConstruCtion Interior Im rovement
• Structural Plans (2 seb) • Archkectural Plans (2 sets) • Architectural Ptans (2 safs)
. Civil Plans (2 aets) • Strudurel Plans (2 sets) • Code Analy&is (1) ••
• Code Malysis (1) • Civil Plans (2 sets) • Prqect Spacs (1 set)
. PraJect Specs (1) • Landscaping Plans (2 sets) • Key Plan
• Spec. Insp. & Testing Schedule " • CodeAnalysis (7) " • Master Exit Plan
• SAC detertnination letter from MClES - • SAC determinaUon letter from MC/ES - call • 5AC determinedon IeUer from MC/ES - call
call 651-802-1000 857-602-1000 651-602-1000
• Spec. Inap. & Testing Schedule (7) " • Energy Calculffiions (1) not always "
• Project Specs (7) • Elec. Power & Lighdng Portn (1) not aMrays "
• EneigyCalculationa (1) "
• Electric Power 8 Lighting Fortn (1) "
• Master Exit Plan
• Soils Re rt 1
" Contact 8uilding Inspections for sample
Food 8 6everege or bdging facllRies: Plan must be submitted to Minnesota Department of HeaRh - call 651-2150700 fw details.
DATE: 0"kc, WORKTYPE: _ NEW _ REMODEL
DESCRIPTION OF WORK: /-Ir'E AelG fr
TENANT NAME: fl! 4 mF v?dd= , Qn 1e--5
SUITE:
? al3
FORMER TENANT NAME: aKz
(?
SITE ADDRESS: I11O ?a r//?- wu a? // y LOT ? BLOCK ? SUBD F?u? PO VVl-Q.4t?.
?r n r o mx V? Name: TTEa ? J'G ++? mF Phone#: ((' I'L ) 9i6 -?sy y
PROPERTY Last First
OWNER
Street Address: t19 7 5C4 e S-/ N ?? A-
City fl.-JiCeo? JrkI rf e State: Zip: f 57 3
Company: (rr e r15 F? ifo M,?° a,. Phone 13- "1-,466
CONTRACTOR
Street Address: RAIU Dri G4? ?r )J F
CItY 6-66ln ?L+;Z $IStC: Zip:
i
ARCHITECT/
ENC;INEER Company: Phane #: ( )
Name: Regstration #:
? Street Address:
City State: Zip:
SeweNwater licensetl plumber fif installina sewerJwaterl: Ptwne #:
1 hereby acknowledge that I have read this applicafion, state that the informaCwn is CoAeCt, andall applicable State
of Minnesata Statutes and City of Eagan Ordinances.
Signature of Applicant JlL?-a / ?
CONSTRUCTION COST: 1 O OOQ
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 32 Ext Alt - Apts.
? 14 Apartments ? 27 Commerciai/Industrial ? 34 Ext Alt - Comm.
15 Lodging ? 28Greenhouse ? 35 ExtAlt - PF
? 25 Miscellaneous ? 29 Antennae
WORKTYPE
? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 44 Siding/Soffits/Facia
? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 45 Fire Repair
);? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 46 Windows/Doors
GENERALiNFORMAnO
Census Code Zoning sq. ft.
SAC Code ? # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bidgs. *77? Width sq.ft.
Const. (Actual) I' Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy -[ sq. ft. Fire Sprinklered
MISCELLANEOU3 INSPECTIONS
? Gas Service Test ? Heating
??. l4;i?
Planning
Building
Engineering Variance
,.VALUATION:$
Pertnit Fee
Surcharge L0,0 0
Plan Review
MC/ES SAC % SAC _
City SAC SAC Units _
Water SuPply & Storage Meter Size _
5/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quatity
Other
Copies
? Insulation ? Plumbing ? Stucco/Stone
Z-0 64d
r
Total I ` ?, is
-? ?
L BL CITY USE ONLY
RECEIPT #: ? qa
SUBD. _teg h 1`Q ?R a'- Y RECEIPTDATE: r'J- I-O0
PERMIT# J `Sl0 1
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZIAT IQQOH RD
EAGAN, tMI 55122
651-681-4675 _
?Please oDmplete for: ? single family dwellings
? townhomes and condos when pertrrits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES
EAGN !t
TOTAI
AlteraHons to existing dwelling - minimum fee
Describe: xEmonEL $ 30.00
,
Bath tub $ 3.00 x 1 = $ 3.00
Floor drain 3.00 x = $
Gas piping oudet " minimum - 1 3.00 x Z = $ 6.00
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x i = $ 3.00
Laundry trey 3.00 x 1 = $ 3.00
Lavatory 3.00 x 1 = $ 3.00
Septic System new/refurt,ishea • reyuires nnpc iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepair/rebuild 30.00 X = $
Rou h o ening 1.50 x = $
Shower 3.00 x 1 = $ 3.00
Underground sprinkler if dwelling is under construttion 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ 6-00
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener ff existln0 dwelling 30.00 x = $
Watertumaround 30.00 x $
State Surcharge 50 -> -> -> $ .50
TOt01 $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ?
----------------•--------------------------------
I he26y adcnowledge that I have read this applicetion, state that the iniortnetion is correc[, and agree to mmpy with all applicable City of Eagan ordinances.
k is the applicanYs responsibility to notily the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities constµicted under this pertnit wkhin Ciry p operty/right-of-way/easement.
'Yl 6 ? ?4 ?L W-fiZ?U ?
SITEADDRESS: 111o-rreux3?4ve6a?flRrvE ?
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: KLAruM rEcHANrczaL CONTRACTORS, 2tvc. TELEPHONE #: 512-890-4858
(AREA CODE)
STREET ADDRESS: 12409 CovrrTY Roan #11
CITY: BuRNsvzLLE STAT ; ZIP:
SIGNATURE OF PERM1TfEE
CITY USE ONLY
LOT l BL ? PERMIT #:
SUBD. S__?ZCx Vk I"YCIYYI.f.VIL41 RECEIPT
RECEIPT DATE:
9 57'a
I ? ?y?13
c)
2000 MECHA13ICAL PERDdIT (RE5IIIENTIAI,)
CITY OF EAGAN
3830 PILOT FCNOB RD
Eacax Msr 55122
Date: 651-681-4675
Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under
consuuction and not ownedoccu?ied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you aze remodeline, addinQ to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration 2epair
? Fumace
?- ? -
_ Air exchanger _
Other
Air wnditioning
Other
&_Qj_ V'V? Fee
State Surcharge $ 30.00
.50
? Total $ 30.50
Reminder: Call for
SITE ADDRESS:
-kt Z/
OWNERNAME: PHONE#: -
?r (AREA CODE)
INSTALLER NAME: PHONE #: (o /2?-
STREET ADDRESS: 1? u-?r1 S ? I vP rv ? Srj- )Vw (AREA CODE)
C[TY: Adr e1, (i< +i STATE: lk?L- ZIP: SS 3 U ?/ _
?- gv??
SIG ATURE OF PERMITTEE
L BL
CITY USE ONLY
PERMIT #:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, L+N 55122
651-681-4675
Please complete for all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: '21 1?2 / U J
WORK T1'PE: New construction Install U.G. Tank
? Interior Improvement ? Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
p[umbing inspectoi.
rt
Description ofwork: ,Zf ,..?_ ??r,iu?e ? ff c° v
T
Fees: 1% of coutract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contractprice: $ ?2apJ xl%=$ c?a sU
State surchazge , 50
TOTAL $ 3 G - S0
---------------------- -----°-----------------------°-----__
'/
? I I C)
SIT'E ADDRESS: ?- /U?7 r ?i+ uIUJ c) ?r
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONL1):
(Base-Fee)
calculate at 5.50 for each $1,000 Base Fee
?L
PHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: L In,vt p S MPc In a n ,'? ?/ --t-4, ?
?), f . ve
ADDRESS: 15t(46 S i )vPrjl S? '1? w PHONE 1 Z _ L/ 2-1 - Z y l?j
(AREA CODE)
CIT'Y: STATE: Jt"" ZIP: 57 3 4)?
IGNATURE OF PERMITTEE
?P)
/ OFFICE U3E ONLY
V L? BL ? RECEIPT,#: G?7
SUBD. (Q ULYHErLRO?Cr a,4? DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please camptete for. . all commerciaVindusfiai buiVdings.
? muiti-tamily buildings when separate permits are = required for each dwelling
unit.
DATE: Io I Za Icl (s CONTRACT PRICE: '* I(!? 1LIoD
WORK TYPE: )( NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK: PI uMb, k.)? l'CM26\. ?ki
IS WATER METER REQUIRED? X YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: Zi fa GPM. ARE FLUSHOMETER!i TO BE INSTALLED7 _ YES Yj_ NO.
FAILURE TD PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 L4 YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of r i fee due on all permits.
CONTRACT PRICE x 1% I? l?y
STATE SURCHARGE ?
TOTAL f j j D !, / f9 ??
SITE ADDRESS: kla&-4AW?30d- ,?ie-- t?
TENANT NAME:
OWNER NAME: )rA e,?l?
STE. #
INSTALLER: J- a@ (ZO
ADORESS: 33Cu0 °Ja'ror" tsa.j D2w..Q_
ciTr: C?t, STATE: ZIP: Q30/
PHONE 43ZD ) CoSZo - Uw7 SIGNATURE:
APPLICANT
tr /AFICE USE ONLY
METER SIZE: ,-" GOD?E:'i INSPECTOR:
CITY USE ONLY
L ? BL RECEIPT# & / V4 /
SUBD. RECEIPTDATE:IIOP V9?7
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commerciaUindustrial buildings.
? multi-family buildings when separate permits are not required for each dwelling
unit.
DATE: 1-1-51 CONTRACTPRICE: 1Z (0;?`-??-
WORK TYPE: X NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: \AU!-\C
FEES: ? $25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $7,000 of ep rmit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
1ZC?0 J
12ca1 ?
1 \ ? ? 6 .? .. vr? nL, i.Q ?8' : /j, +! 4V
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (innPROVEMENTS oNLv)
INSTALLER: :y - &Y Q fy\e'Q?
ADDRESS: 3-6 C. r> Qz- -
CITY: CAjn.AA STATE: Ita_ ZIP: S6&-30
PHONE#: 300- CeSZP- Qpy2
51GNATURE: 1?
SIGNATU E OF PERMfTTEE CITY INSPECTOR '" °
-- -
?' CDWWOPwro mre
6i??197
Serial # /?4407?\
Chip # / 0 ?, `'/ -SyG(. O
Permit# /o290D7 ? ?- •
? Address: //!b Noe-l?ju2rv( dh
1 AGREE TO COMPLY WITH CITY OF EAGAP!
ORDINANCES
z,
? Signature:_
9 4
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1.::T^• (''! Er":gA"r:
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R!,:..?.i.??i =.
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, ..-..,. ;•• l..i I:: h.r..T;..i L
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?
RECORD OF COMPLAINT
Date 12`/yl I 7
Complaint taken by
Type o
Name
Address l// D l?dy? cz??o? dt"d' ? 22.5?
f buflding ?iv 1-7 c
? ?' e??Pi^ / C> ? ? V?GS 7?
- ??, -e 1?i
2:/'G r.? (i s4 ?? ?? .
Ixgal description
Phone number
Compiaint
D r? (-, .'
Action taken il Ld f,S' ? ?i:l ? G 1-/,P..• r
Comments ZZi-s t?'-' Ci ? Cr 4Ja ei- s? L 6 C ?
?!? ??l c l ??o L ?
r C?-?
?-
r
L% L-f -
,
' U' p'
-e
N ?S
city oF eagan
THOMASEGAN
pnavor
November 21, 1997
PATRICIA AWADA
BEA BIOMQUIST
SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
CiN Adminisirator
CERTIFIED MAIL-RETURN RECEIPT REOUESTED
HEALEY-RAMME
10601 SMETANA RD #122
MINNETONKA MN 55343
MR PETER DESAI
WEIS BUILDERS
8009 34T" AVE S
MINNEAPOLIS MN 55425
RE: GAS FIREPLACES
PROMENADE OAK5 TOWNHOMES
TO WHOM IT MAY CONCERN:
This letter is a follow up to a meeting on Monday, Noven
Builders; a representative from Automatic Door Company;
about the gas fireplaces at the Promenade Oaks Townhomes.
E. J. VAN OVERBEKE
City Gerk
ber 17, 1997 with Mr. Les Larson, a representative for Weis
Inspector Dirk House; and myself, to discuss concems raised
During installation, a wood uim piece was placed over the black metal portion of the fireplace which, in turn, becomes very
hot and may cause a 5re. The representative from Automatic Door Company, stated that these fireplaces were installed
according to the manufacturer's instructions and he would fax information to this effect to my attentioa As I did not receive
ffiis information by this moming (November 21), I called the Heatilator Company in Iowa and asked that they fau me the
information on propec installation of these fireplaces. Upon receiving this fax, I find that the fireplaces that we observed do
not have the recommended clearances requved in the manufacturer's instructions.
The City is requesting that you send letters to all tenants immediately asking that they discontinue using their fireplaces until
corrections have been made. We are also asking that these corrections be made within 30 days of receipt of this letter.
Please contact me at 681-4677 to discuss this issue with me as soon as possible. Thank you for your anticipated cooperation
in this matter. Thank you.
Sincerely,.
;
. , ,.
?
William Adams
Consdvction Inspector (Plumbing)
WA/js
cc: Resident Manager, 1160 Northwood Drive, Eagan MN 55121
Automatic Garage Door, 220 NE 77"Avenue, Fridley, MN 55432
Mr. John Fegis, BRW Elness Architects, 700 Third Street South, Minneapolis MN 55415
MUNICIPAL CENTER
3830 PILOi KNOB ROAD
EAGAN, MWNESOTA 55122 -189%
PHONE'. (612) 681 4600
FAX'. (612) 68) -46 f 2
iDD. (612) 4548535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV
Equal Opporfuni}y/Affirmative Action Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MINNESO7A 55122
FHONE: (612) 681-4309
FA%: (612) 681-4360
7DD: (612) 454-8535
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
9/7/2012
Mary Jo Harvotich
1110 Northwood Dr
EAGAN, MN 55121
It
MINNESOTA DEPARTMENT OF
LABOR. & IND J!STRY
i
(651) 284-5005
1 -800 -DIAL -DLI
TTY: (651) 297-4198
APPROVED FOR USE
RE: RES STAIR CHAIR LIFT Elevator ID# ELV-1007223
Site: Mary Jo Harvotich
1110 Northwood Dr Unit 221
EAGAN, MN 55121
Dear Sir/Madam:
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction
Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless
belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section
recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety
Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
Tim Warren
State Elevator Inspector
c: City of Eagan Building Official
ABILITY SOLUTIONS
ElFormCE2R
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
Apr. 25. 2017 1 :05PM No. 1283 P. 2 ,
. 4.,t�� Use BLUE or BLACK Ink
\y,r )4(/'''
� ;For ofiCe us11-/2:1651
j z
A.{ ✓~^•r Permit#: %j (s
• Cityof Eau. I
6
Permit Fee: CQ��
3830 Pilot Knob Road
Eagan MN 55122 .' Date Received: l
Phone:(651)676.6676 ��
Fax:(651)675.5684 Staff: r
.1 CA ti,0
2017 COMMERCIAL FIRE ALARM PERMIT APPLICATION
4/25/2017 1110 Northwood Drive
Date: Site Address:
Tenant: Promenade Oaks Suite#: •
r oy. ,',-,w 1E
.::4,2“.1,„•:, Nighthawk Properties LLC/Promenade Oaks Apartments LLC 651•-686-8600 ..
�r�,;;';,w,:,:,,.;i�:',.•,.i�:°�;* Name: Phone:
pro004V.Ow.ij r' 2320 Lexington Avenue S, Mendota Heights 55120
,. Address/City/Zip:
',V ;i,�I'',�, ;i:.! :4 Applicant is: Owner Y Contractor •
:'•. h '' •.�;•, J'~ Description of work: Add Telguard Cellular Unit for communicating to Central Station
.. •.•: �..."7'••dw�•:!;':.�'.'•:.� � � .......,......:...,, Com..: 825"00 �� . ._ � ♦..:: .L... fi �:
5-8-2017
,....... e
' w'';;;r;:•`': •C•.. '. Name: Total Life Security License#: TS721594 '
,,ri:'..,�; .;! ' ,;,' 321 Wilson St NE Minneapolis
y. ,-„.:.,:.•.•:.:,,,r., Address; City:
• o ttyactrs
:., . 'w r. ', Mn 55413 (612)676-2020
41:61:,:' ;.'::{';::; ;:. ':;s State: Zip: Phone: •
`` '!''",'! T: `" Melinda inspection@totallifesecurity.com
6,`r < : t . Email:
Contact
!•".V : 1!i'��,H,'",1.:`Y\: dip"; •: • • •• ,
•T.3,v-. i,W':�t",..iso{%e,,:6'.,ry'Tef:"i'2:a``:•¢:••'.i.,' "• , r 'i ''- 4'47 . .'""V-".• ,7 :-.'. ..'...7. �. .., .
,� �' "'a f.� 'New . , �RemoZlel" ' '..�
': stark'Tyge"k' k. —AdditionAdd Cellular unit to remove Analog phone lines ,
;.r:'. •,,. ., v,,•.,, �Other
Vit;; I,;:. r!:, . . .•. .a• Alterations
DESCRIPTION OF WORK: ✓ Commercial _Residential _Educational
FEES ' Contract Value$825.00 x.01
$60.00 Permit Fee Minimum _ 60.00
-$ ' Permit Fee
Surcharge=Contract Value x$0,0005 =$ .41 Surcharge'
if the project valuation Is over$1 million,please call for Surcharge _ 00.41
$ 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 ago acknowledge that the information Is complete,and accurate;that the work will be in conformance.yryttl„lhe, • •
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, ,
Melinda Plzal$CIZ zoiioazsrzmaz�
X Melinda Plzak ,..•/
ApplIcant's Printed Name 'Applicant's Signature
.+. '. C,'i 13E'n.,:,.•:.,,,,,, ::..,,.,,,,,,' itidP$• "r�i.'f^1•,,',,1 �Y�%z^,? ,:fit':; ,:., . �t ..fir%
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