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1120 Northwood Dr Rug 13 1011 11 :16NM No- Wd N. 1 Use BLUE or BLACK Ink _ v For Office Use j Clt of Ea an ; Permit#: )t! 3830 Pilot Knob R I Permit Fee: oad Eagan MN 55122 I Date Received: Phone; (651) 675-5675 I Staff: Fax; (651) 675-5694 _______________-1 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Date: r3d C Site Address: CC& r. _ Tenant: Pno m: f, Q- Oo- S Suite PROPERTY OWNER Name: Phone: Name: 51 (-NA w" Cz License -:j-'j Q:3 1 P M 10 CONTRACTOR Address: g (Qo S7- '*4 Q C city: tm It, S State: A Zip: 5vITIM #,I- Phone: -78'8- 6 Email: j t u. , a S t colt 2e ttis~c 1d.~tK tcw . ca.,ti TYPE,OF ^ New - Replacement _ Repair Rebuild Modify Space Work in R.O.W. WORK' I . . ~4 Description of work: COMMERCIAL New Construction _ Modify Space - Irrigation System yes no) RPZ PVB) • Rain sensors required on Irrigation systems PERMIT TYPE Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675.5646 to verily that tests passed prior to picklnq up meter. Domestic: Size & Type Fire: 1 Avg, GPM High demand devices? Yes -No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value S X1% $ Permit Fee Required on ALL new b~ildings and boulevard Irrigation systems 3 $ Radio Meter Read - If the Permit Fee is less than $10,01, the surcharge Is $5.00 $ Meter(s) - If the Permit Fee- i6 > $10,010, the su charge increases by $,50 for each $1,000 Permit Fee I.e. a $10,010-$11,000 Permit Fee requires a $5.50 surchar e $ State Surcharge Following fees apply when Installing a new lawn Irrigation system $ Water Permit Contact the City's Engineering Depart ment, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ 6 0 : VO TOTAL FEE i CALL BEFORE YOU bIG. call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 46 hours before you Intend to dig to receive locates of underground utilities- www.tioi)her5isleonecall.org j I hereby acknowledge that this information is complete and accurate; that the work will be In conformance wllh the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and app val of plans, x -r(~rv~r~ cam, iC Applicant's Printed Name App Icant's Signature FOR OFFICE USE Approved Bye Date: Required Inspections: -Under Ground -Rough-In Air Test _Gas Test ,Final PRV Required: ` Yes No Page 1 of 3 INSPECTION INSPECTOR OATE COMMENTS : ? i J? u i cl r ?'? rF'?'? KtR 3j7/47 1 ' vmr?mt ?l J/ H v •-? ,? -J.3 , ?UN/ .S OH ?% -Y '?S U 4S L • , ?hstr A Oh 3-i y-rr7 .pi, y' ?/?'S? f? ? UN? f ,?-?- 3 ,y 7 _ -! •? Y,Z. Y .7 ? `v..2 - . - / , o c??X ',c• w;.' L S ' - ? Go n u c ? y' ?"u1 a Cf' <`- q& si oL. 04 2 ?- E - • . /3 / 7 ?kti- / ? ? ? ? ? a3 t51?Nxt w+ ? , . • , . . ?: . ..iraa SITE ADDRESS L" ? ? B I Unit # Pem,it ? opq6q O5 nJ ?- INSPECTION INSPECTOR DATE COMMENTS 9q? ZZI& /1 ? 3Gt' 96 S ?e r? ? "13??? - /- 6 ? -? I-PV96 - ir6 Li ;2 e- ?# J ` ? f [rc? 8 /' ? ? , L _ G 7`a ` ' /?.6 L?? a G • • Ahl ' INSPECTION RECORD GITlf bF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , (612) 681-4675 SITE ADDRESS: 1<'' N A11.I It T l1fiAPf 1'i:0011, NAffl PERMIT SUBTYPE: tiuri D rNr lif , "i :' N fR APPLICANT: '/5G - Y9/S Noarµ 54a -rQA«c-Q / , ?NL7f8 8404 S, TYPE OF WORK: , . , . ? r» w INSPECTION .. . D. F 7 L I ...t Permit No. Permit Holder Dats Telephone M ELECTRIC PLUMBING Cl.(•,S. `HVAC Inspsction Dete Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST P ROUGH HEATING 17 ?? GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 7 /) FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL OEGK FfG DECK FINAL r-I i i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: , (612) fi81-4675 SITE ADDRESS: APPLICANT: I . • i- ; ttR :' . , IIi , c I!I ? kAtYnN r114(_9Mrr+AtA ,•t?f? r H!,fi y99!? PERMIT SUBTYPE: TYPE OF WORK: MI7I l`I ? F 1 ? Pertnft No. Permk Holdsr Date Telephane M ELECTRIC , j PLUMBING _ a ?/y s -08 "HVAC _ / 7 4? ,?LO • Inspectlon Date Inap. Comments FOOTI NGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL (?, ?7 7 vG??re BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?, • •- ?., . ---?----- f,,, _ .. ?. _ ,. AMA , ? ?, . - - (fertificate of ccc"anc? . wit? af Cfagan Te#artment of S8ailbing 3uapectiun , ? This Certificate essued pursuant to the requiremen[s of the Unifarm Building Coite certifying tiurt at the time of issuance lhrs strricture was in compliance with the various J ordinances of tlte Ciry" regulating building consrruction vr use. For the fallowing: Use Classification: Arr/ Lm?Tl?wT Bldg. Permit No. 2908 ' oaupancy Trpe Rl /53_ zon,ng nisuict PD rype coau. V IIiR/ 1FR owner or Buiiainj9AiEY-BAbM IlW_ Aaa,css 10601 9HE7'ANA I?, 1 _ Building Addtess 1120 NORM&M DRIVE L.ocaliry li i. B l? EAGAN F-RCMEMADE 2ND OWkfing Qfficiai PQ.ST IN A CONSMJOUS PLACE ? ?. ? ` I?II II II'II I I7I III II II I II'11II111f4A II) gE?U?t 8?? B a Rm S-?1 BASt.IPau PMNT55? 0? ? *,0- 2 7 7 3 7 2 9* Phone (612) 642-0800 /(?? Home uplex t. 81dg.' Otker:- ommerc dushial Form U.v?dwqr Air fand. I tg. Equip. F Wafer Hfr. 1 Load Mgmt. Other D r an e Elec. Heaf 1 Tem . Senice 'k' above the work cavered by this request Enfer remarks in this tpace and on the ba<k of the white copy only. s ? Calculate Inspection Fee - ihis Inspection Request will not be accepted without fhe cortecl fee: OlFier Fee 3F Service Enhance Sae Fee # Circuih/Feeders Fee Mnbile Home Park Siall 0 to 200 Amps 0 ta 100 Amps S}reet L}g./rraific Sig. Above 200 Amps Amps Transformer/Generotor ?5?,? TAL _ INSPECTOWSUSEONLY 1 ? ro Sign/Oufline Lig. Xfmr, ?J ? /J /? a •• Alorm/Remote Con}rd $wimming Pool ? hereb cem ?ho? ? In: ned Ihe elecMCal Insmna?`J n an the datae smted Irrigation Boom Rough-In S ecial Ins ection - p p Investigative Fee Fina1 - oa THIS INSTALLATION MAY BE ORDERED DISCONNECTED F NOT C D WITHIN 18 NTHS. 2 7? e??? ? OF7lC USE DNLY This requesl vold 18 monihs from validotion dole pnmed in Ihis bax. ' ls 41 G s PLEASE PRINT OR TYPE 9 Reqvesr Dare Rmgh.tn inapection req dE 9, kYes ? No Inspe tion Olher Thon Roughln: Q Reody Now AWJi Call ? jl/i!/' b (90o most mll 1he inspecror when rcady) Do4 Rwdy: I, PL licensed mnirador Q ownet hereby request inspecfion o( ihe obove elechiml wark at: Jo6 Pdilreas (Streeq Box, or Rouk No.) /2,?) Nb P?a o O D/L - Ciry £ Zip Code S3-ja 1 Setfion o Township Name or No. Range No. Fire No. Gounry D R 1? ?wr Ocwpant P11OM w-.Va Phone No. Power Supplw Mdress ? Elechiml Contmcror (Company Name) Gonhaclor Lianse No. Masw Lic. No. JPlant EIM. Only) 61• c F•2, caoox-t3 AMiliig Pddmsa (Canhacror or Ownar Pedyarming Insbllafion) 60C/L T?I¢f? PnAl AAonzed Siqnalme (Conho r or r Pedorming Installation) Phone No. /??? EB- 1A-106/95 STATEBOApOGOPY-SEEINSTPUCTIONSONBACKOFVELLOWCOW OFFlGE USE ONLV This requeslvoid 18 months Fom wlidotion date prinled in * O 4 2 9 D O L L* pLEASE PRINT OR TYPE Requexl Dale RougMin inspeclion reqoired? Yes ? No Inapeciion O4her Than Roug6ln: ? Reody Now RWll Call 31 (You m,st call the inspecwr when reody) Drne Ready: I, $Vicensed conkactor 0 owner hereby request inspeclion of Ihe above electrical work at: )ab Address (SVeet, Bon, or Boule No.) Ciy Lp Code 20 or 2 Se2tion No. Township Nome or No. Range No. fire No. Counry Occupent Phane No. Y Power Supplier Address Elechical Conrcona (Company Nome) Connaclor Ganse No. JAasler bc. No. (%ant Elect Only) L 1y F SLGJ?1 CwOOJu Moiliig Address (ComracM a Owner Performing Insb llmion) T ANhonzad Signa?ure ?Conhador or s(ormi?g Installafion? Phone No. [tWUW lA-1y11/)61 gTATE 90oNO COPY - SEE INSiBOCTONS 0N BCCK OF YELLOW COV`/ XIYJV/?7 42 -0•01 .' ? REQUEST FOR ELECTRICAL INSPECTION 1,010 Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, SL Paul, MN 55704 Phone (672) 642-0800 Home Du lex Apf. Bldg. Olhar. New Addn Commercial Indushiol Farm Remod Re air Air Cond. Hfg. E uip. Water Htr. Load Mgmt Other: DryEr Ronge Elec. Heat Tem . Service "X" obove fhe work corered by fhis request. Enfer remarks in fhis spoce ond on fhe back of the whife copy only. . Calculate Inspecfion Fee - This Inspecfion Requesl will nof be accepted wifhouf Ihe correcf fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps Sfreel Lfg./TroHic Sig. Above 200-Amps Above 100_Amps Transformer/Generaror INSPECTOH'S USE TDTAL Sign/Oudine Lig. Xfmr. 2 & S ? Alarm/Remofe Conhol _ Swimming Paol I hereb mn' thar n. rcd 7?r? insmllofion dcwibed herein on ihe dares sM1ed Irrigafion Boom Ra„ghi? oare $peciallnspection Imesfigative Fee F??ol oare v THIS INSTALLATION MAY BE ORDERED 15[SCONNECTEDiPlq-OT COMPLETED WITHIN 19 MONTHS. -7 429-000 REQUEST FOR ELECTRICAL INSPECTION ? Minnesota State Board of ElecViciiy 7821 University Ave., Rm. 5-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Olher: New Addn Commerciol I Indushial Form Remod Re ir Air Cand. 1 Hlg. Equip. Wafer Hlr. load Mgmt. Ofher: D er Range Elec. Heot Temp. Service "X" above fhe work <overed by tlris requesl. Enler remorks in Ihis space ond on fhe back of Ihe whire copy only. • /??/i ??19irV1 Calroloie Inspection Fee - Tbis Inspection Requesf will nol be occepted w'dhout the wrrect iee: Othcr Fee N Service Enfrence Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 ro 100 Amps Streer Ltg./Traffic Sig. Above 200_Am s Above 100_Amps Transformer/Genembr INSPECTOR'S USE ONLY TOTAL Sign/Oudine Llg. Xfmr. r ?-- ? Alorm/Remote Conhol $wimming Pool I here ceni that I' ted ?he xmiwl installonon deudbed herein on ihe dahes siaied Irrigafion Boom po?gM? oore Special Inspeclion - Investigaiive Fee Final TNIS INSTALLATION MAY BE OR D D CONNECT OT COMPLETED WRHIN 8 M HS. OFFICE USE ONLV This requesf wid 18 months fiom validation date prinred in Mis 6ox. 709F"/ * O 4 2 9 O U O 3* PLEASE PRINT OR TYPE 5p? Requesl Dote Roughin inspectian reqoired8 ?es ? No Inspanion Oihar Thon Roughln: ? Ready Nav?.Will Call ?Vou mustccll?he inspector whm .eodyl Date Ready: I, jKlicensed contraclor ? owner hereby request inspectian of the above electri<al work at: Jab Address (Streei, 9on, w Rome No.) Ciry Zip Cade 110 i?or wow( ?' 6K/1J? I SS/?.2. I SecFOn No. Township Nama w Na. Range No. Fre No. Cwnry Ocwponnt " Poone No. f?I OM ? Ad-1 Power Supplier Address Eleilricoi Contmctor (Compairy Name) Conhaclw Li<ense Na. Mnsrer Lic. No. (Flanr Elecc Oniyi ?t i c /? ?Stt..?i Cp¢voSY3 Nwiling Address ?Connocror or Owner Performirg Insalkfion) Tr ` l -TG rl n-)r? 9S'a77 Avtlronzed SignaNre ?Conn«ror or erforming Inslolhfion) Ph No. -o3,fa- i n/ve $TATE BOARD COVY - SEE INSTRIICTIONS ON BACK OF YELLOW COPY 4L O 8 REQUEST FOR ELECTRICAL INSPECTION 01 Minnesota State Board of Electriciry 1821 University Ave., Rm. S-128, SY. Paul, MN 55104 Phone (612) 642-0800 Home Duplex A t. 81dg.• &'_ New Addn Commercial Indushial Form Remod Re ir Air Cond. H1g. E uip. Warer Hh. Laad Mgmt. pther: Dryer Range Elec. Heot Tem .$ervice "X" above the work covered by this requesf. Enter remari;s in fhis space and on the back of fhe wfiite copy only. 3°t v u ? rs Q,t?? -,S Calculate Inspection Fee - This Inspection Requesf will not be accepted withouf the corcect fee: Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee Mobile Home Pork Stall 0 l0 200 Amps 0 Amps 14$0- $treef Lfg./Troffic Sig. I P.bove 4156_LZ_PAm s 78 Abova Amps 544- Transformer/Generator INSVECTOR'S USE ONLY OT/?l Sign/Oudine Ltg. Xfmr. L Alorm/Remote Conhol ?? Swimming Pool I hereb ' Ilia t ms olion deufibed herein on Poe daros smrod Iffl9atiOn BOOfn RougMn Dote Speciollnspection Invesfigative Fee Fin ? ? D THIS INSTALLATION MAY BE ORDER DISC NE TED- OT COMPLETED WITHIN 8 M TH . /_? ? OFFlCE USE ONLY This reqiresf void 18 monlhs from wlidolion dale printed in this 6ox. ? / 9-1 l ? d ?LQ 'r 11111411111111111111111111111111111111111111111 Sa A?Y A. z S ? 1 .-* 0 4 2 8 9 8 8 0* pLEASE PRINT OR TYPE ?? //'0' ?o Request Dare RoagMn Inspeclion raqutred4 ?Ves ? No Impeclion Other Than RougMn: ? Ready Now ?' Will Call I ? uj m,s? call ?e inspecror when ready) Dale Ready: -?.- 5 i8 0 I, Picensed contmdor ? owner hereby request inspecfion of Ihe obove eledricol work aY. T-30 q 5 Ja6 Address (Skre1, Boz, or Roure No.) Ciy 7"p Code ' o,r nmr) o,- 6 Is 5s SecEon No. Township Name or No. Raige Na Fira No. CenM s? lZ?(l.?y ?SoM Occupant Phone No. DM A, hY-J PowerS?ppller Address ? ? O v Elechicol Conrcaclor (Campony Nomel Convacror lirense W. Master lia No. (Ph . Only) ?cv?r; C 17:2e- rC- coYi C400M3 Mailing Addmu (ConhactororOwnerPerbiming Insiollaiion] V- 2 I54-h T? ? .Z'n rw ?i- ? ^? 5-5--0 77 AuPoodzed Signamm (Commcl er Performing Insbllvlionj Phone No. SD --o3Sa E60000I -1 I 8 96 gTOTE eOANn COPY - SEE MSIAIICTONS ON 6ACK OF YELLOW COVY /? ?7j.p 3 9? ? REQUEST FOR ELECTRICAL INSPECTION ?F 2'j? ? J O Minnesota State Board of Electricity ? 1821 University Ave., Rm. 5-728, St. Paul, MN 55104 4 hone (612) 642-0800 Home Duplex A 1. Bldg. Other: New Addn Commercial Indushial Farm Remod Re air Air Cond. Htg. Equi . Water Hh. Load Mgml. Other. Dryer Range Elec. Heot Temp. Service "X" obove the work covered by fhis reques[ Enfer remarks in this space and on the bock of the while copy only. IW M.tT--, 01?- `-AMW Colculate Inspection fee - This Inspection Requesf will nof be occepkd wifhouf fhe correct Fee: Olher Fee R Service Entrance Size Fee # CircuiWFeeders Fee Mobile Home Park Stoll 0 to 200 Amps 11%j 0 to'aM Am s $'$S'-- SheetLig./TrafficSig. A6ove26_ Am s d Above lot- Amps j(o Tmnsformer/Generoror MSG ONLY Sign/Outline Ltg. X(mr. Alarm/Remote Conhol jc??v :: Swimming Pool Boom Irrigation 'cal cn dex.ibed herein on the dares smied '-- I hare s Ra„9M„ pa Special Inspecfion ? / Investigulive Fee THIS INSTALLATION M AY BE O Fiml Do RDE D CON ECTED 1 OT LETED WI ?N 8 THS. k printed inp / U( OFFlCE USE ONLY Thiz reqoesl void 18 momhs hom wlidotion da l07k 7 ? IIIIIIIII?IIIIIIIIIIIIIIIIIII Ilml..lll?/??/? ?' ? ? * 0 4 2 8 9 8 3 L* PLEASE PRINT OR TYPE RN"em ?O? { Ib RagMn inspecfion requtred8 ;!.Yss ? No tYou most call Il?e inspanor wMn reudyJ Inspeclion Olher Thon RougMn: ? Ready Now 'll Coll Pote Rr.ndy: ?-. S' I, licensed contmcfor 0 owner hereby request inspec?ion of the above ele hi al work aY. va -7 S 19 l06 Pdl (Sheal, Box, or Rwtqe N?o t-7,? l(f 0 /?/J{V/"V , iy S C Lp /[??• Seclion No. Township Nome or No. Range No. Fire No. w y Cn Y / N Dccopont PN.fAM1? VO Phwre No. dL IL Power Sup pli er Addroas ? ? ? ? ,I 992 ? \ Ela-n'ical Canharor (Compony Nome) Conhacror Licenne No. c. No. fPIan1 Elai. Onlyj f ' g ,St cv ` t ?9v0 / Moiling Address (Conha w Pxrer Pahorml? I?plloNOn? 1 (oc-t Tr ' Z.G. 77 Aolhorized Signalure (Conh clor or Owner rforming Insbllafion) Phone No. E&OO001411-8/iII5 STAiE BOARD COPY - SEE IN5iRIlCT10NS ON BACN OF YELLOW COW , . L 3 SUBD + Pi@W RECEIPT ,t ftECciPT DA77- DATE ( i0 ? JO 7kp %L? OWNER ????' 514V PLcASE BE :VDVISED THAT THERE IS A I'EE SHOBT:lGE ON THC ASOVE ELECI'RI!'Ai. INSTALLATION IN THG 4MOUPIT OF $ SHORT:IGE MUST BL PAID WITHIN 14 DAYS. REMARKS 04??/ [/? L Q 0 - 30 AM? CIRCUITS C ? 31 - 100 AMP GI2CUITS = 2 l _..- n - inn anrp SFRVTr'F = ? IO I - 20 Ah!? SER'/ICE IM'K TOTAL EEE DilE ?_SLO _ ? -- ' _ ? ? ~ LESS FEE RECE?VEu ?'y_.??? TOTAL FEE SHORiAGF DU° = I J L- PERMIr # ORIG RECrIPT RECEIPT DATE _/?- l??(n PLEASG RETLiRN A COPY Ci THIS PC!:bt WTTFI YOU!Z REMITiI.NCG. POSt-ita Fax Note 7671 Date Pages'? .3 Ta From ColDePtf? t i• r.,• Co. Phone k - Phone 1409 s 01 .IcO- Lj?q[J Fax»?i?? ?/ Fazu 4(0 ? /G31 =77?-L?6 G TtIANK YOU! L 3 .? StiBD VEW RECEIPT ?I R°CEIPT DATE DATE -1 I ? -1 ? JOB OWNER PLEASE BE ADVISE? THAT THERE IS A FEE SHORTAGE OY THE ASOVE ELE!'TRI!'AL INSTALLATION IV THE AMOUNT OF $ SHOBTaGr. MUST BE PAID tv?THIN 14 DAYS. REMABKS ,ZQ??l-?- cc?j/( fze I?e",) 0 - 30 AMP CIaCUITS 31 - IOO AMP CIRCUIZS = ?(j / PEFSIIT ;i--azx ?(')ld / ORIG RE!'EIPT )C? !?E!'6IPi' DATE?,_??Z ? Pf.EASE RETU2V e1 COPY CF TH?S FOivM WITH YOOR REPIITTANCE. TfIACiK YGU! TOTAL FEE SHORTAGG DD.. _ ? ? ?. _???, City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ---------, ; For orece u5e , I Permit #: 55 j Pertnit Fee: q • / i Date Received:0 I?i i I StaR: YJ ? -----------------? 0 Ct-aLd 51S 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: r 0 SiteAddress: //,,;? J A/o,-IAwaod Z:5?50h; fY//7/ S5-1oZ/ Tenant Name: ?yowe,aacL c2m/c-s (Tenant is: New I%/ Existing) Suite #: PROPERTYOWNER Name: ??vNe.iad? &?(.ts Phone: '6 S( - 6 86-96mn Address / Ciry / Zip: l/6 D/Va-A.,?c/ /'hn/ -5:5-42 l Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Re,rnava / a- ?i, lau?.?uHf mF Ci ) sr 4- m4- tda,C_ Constmction CostvO9? 506 5? 1)15 CONTRACTOR Name: Pr'e_r, s!n„ S ?^u ?t,22,.. License #: 0;7 aV5vZ 3 S) Address: 3(00o G46arc ,44om??' Sc..? ?g City: f- /'ay? State:?jf'1(LZip: _-C-S//O Phone: 6 S/- 7 8 7 -06 $7 Contact Person: J&?? /?CS fvr_iv? ARCHITECT / Name: PLry acrd ..4s50cVz7 4s . LLC Registration #: 515' 39 5 ENGINEER Address: o?t?C I f1/c SF?- C ?- Su ?? a3 a-lS City: ?t .Z- n?5 c? State: F[- Zip: (00( o/ Phone: 31`ol - 3G ?F -7// 02 Contact Person: Ch ?? t?o ri v Licensed plumber installing new sewer/water service: /??f Phane #: NOTE: Plarts and supportirtg documenfs that you su6mit are considered tn be public infarmatlon. Porifons of the Information may be classlfled as non-pub!(c if you proNde speclfic reasons that would permlt the C(ty ro conclude that the are tradesecrets. = I hereby acknowledge that ihis iMOrmation is complete and accurate; that the vrork will be in conformance with the ordinances and codes of tha City of Eagan; that I understand this is not a permit, but only an application tor a permit, and xrork is not to start without a permil; that ihe work will be in accordance with the approved plan in ihe case of work which requires a review and approval of plans. x -j e- i^Yy ?i?.e 5{ru rr, ApplicaM's Printed Name X Appli sSJgtfture ?.? Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Apartments ? Commercial / Industrial ? Lodging ? Greenhouse ? Miscellaneous ? Antennae WORK TYPES: ? New ? Interior Improvement ? ? Addition ? Move Building ? ? Alteration ? )? Replacement ? DESCRIPTION: Valuation 2D?vQ0 Plan Review ? (25%_ 100%? Census Code # of Units 0 # of Buiidings I Type of Const. V1e5 Footings (new bldg) Footings (deck) ,/FOOtings (addition) VFoundation Drain Tile Roof: Ice & Water Final Framing ? Accessory Building ,* Ext. Alteration-Apartments ? Ext. AHeration-Commercial ? Ext. Alteration-Public Facility ? Nail Salon Siding ? Demolish Building' Reroof O Demolish Interior Fire Repair ? Demolish Foundation Windows ? Water Damage ' Demolitlon (entire bufiding) - give PCA handout to appllcent Occupancy F.7 CodeEdition 2U66v Zoning Stories Square Feet Length Width Fireplace:_R.I. _Air Test _Final Insulation MCES System _ SAC Unks O City Water Booster Pump PRV Fire Sprinklers Sheetrock - Final/C.O. ? Final/NO C.O. HVAC Other: Pool: _FOOtings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows ReTaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. Reviewed By: 6?61? . Building Inspector COMMERC/AL FEES: Base Fee t!57 Surcharge Plan Review SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total 4 5&1• U, Yes V No Reviewed By: Sewer Trunk W ater Trunk Planning Page 2 of 3 2007 COMMERCIAL BUILDING PERMIT APPLICATION Ciry Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered pu6lic information unless you state they are trade secret and why. • Structural Plans (2) sets • Civil Plans (2) • Certificale of Survey (1) . CodeMalysis (1) ` . ProjectSpecs (1) . Spec Insp & Testing Schedule (7) • Soils RepoA (1) . Meter size must be established 1 ? ) J ) J • SAC determinalion - call 651-602-1000 • Soils RepoR (1) • CeAificateotSurvey (1) • Structural Plans (Z) . Architectural Plans IZ) Seu . HVAC units req'd. on hldg elev. ! site plan . Civil Plans (2) . Landswping Plans (2) • Code Matysis (1) ? . Energy Cakulations (1) . Emergency Response Slle Plan (1) • Spec. Insp. & Testing Schedule (1) " • Eledric Power 8 Lighting Form (1) " • ProjeG Spea 0) • Master Exil Plan (1) • SACdetermination-ca11 651-60 2-1 00 0 • Fire Stoppin9 Submittals • Fire SuppressionlAlarm Form . P.rchkecturel Plans (2) sets • CodeMalysis (1) " . Projecl5pecs (1) . Key Plan (7) . Master Exil Plan (1) • Energy Calwlations (1) not always" • Etec. Power 8 Lighting Fortn (1) rwl always"' • Meter slze must be established-i( applipble 1 J 1 1 ? . SAC determination - wll 651-602-1000 Call MN Dept of Healih at 651-201A500 for details regarding food & 6evenge or ioagmg 12cmnrs. "• Contact Building [nspeclions to see if it is required and for a sarnple. ••r pertnit for new building or addition will not be processed without Emergcncy Responsc Site Plsn. 3?j I L{ 'Jl , i l /.- ? O ? ? Date; ? U ? ? , . ConsI7truction Cos c ? Site Address Wo U UniUSte # r Tenant Name -o r?n e-^ 9J 'e Former Tenant Name Description of W ork wQ z 1 ? PropertyOwner Telephone#( ) Owner ? Contractor Contact #: (E?Z ) 3?j ? ? 7 7? t i i can s: _ Appl C, 14., , ?s ` 5 ?-> t Contrac or >U 3 L n V? e / dd C- . City /-A 'O' J5 ress r - A Zip S y? D Telephone #?Z )`3 6?77 7 O S tate Arch/Engr Registration # Address CiTy - State Zip Telephane # ( . ) Licensed plumber installing new sewer/water service: Phone I d t• tha[ the work will be in I hereby apply for a Commercial Building Permit and acknowledge that the mformahon is comp ete an accura e, conformance with the ordinances and codes of the Ciry 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 zequves a review and approval of plans. --p. Applicant's Printed Name Applicant's Signature 7? I BL / OFFICE USE ONLY r? ? ? RECEIPT/:?T? RECEIPT DATE: 6 3 SUBD. ???.P?? 2 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) B81 -1675 Pbase wmpbte for: . all commerciaUindustrial builAings. • muRi-Tamity builGings when separete pertnits are ppj required for each dwelling unR. • backMOw preventer to be installad in commerciel areas or resideMial 6oulevards DATE: ? - .. WORK TYPE: 4 New Const _ Add1-On DESCRIPTIDN OF WORK: l(' [,'I c a3ehna A) IS WATER METER REQUIRED? _ Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED7 _ Repair Yes _ Na UNDERGROUND SPRINKLER SYSTEM INSTALLINO METERT '4 Yes _ No. NEW SERVICEI X Yes _ No WATER FLOW: 7 g GPM. Presaure Retlucing Valve may be required N inatalling new service - contaG Ciry's Engineering Department et 681-4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESUIT IN A DELAY OF METER ISSUANCE FEES Minimum fee ot 525.00 or 1% of contrect price, whioMver Is greater. Minlmum State Surdharge of E.50 due on all pertnifs. CONTRACTPRICE: $ x 7% = $ COMPLETE THIS AREA ONLY IF INSTALLING UNDERf3ROUND SPRINKLER 9YSTEM BACKFLOW PREVENTER FEE $ 25.00 = $ 2_?_ WATER PERMIT (new service vny) 50.00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: t" = $185.00 , "TURBO = 5846.00 ? = E C1C., PERMIT FEE $ FI6URE SURCFIARGE AT 60 CENTS FOR EVERY $1,000 Oi PERMIT FEE DUE STATE SURCHARGE $ 7 TOTAL I Mreby adcnowledge that I have read this epplicetion, state that tAe IMormetion is carrect, and ayree to eompy with all epplinble City of Eegan ordinances. tt ia tlie appliwnt'a msponsibility to notiy the prppeRy owner Nat the Cily ot Eagan assurtres no liabilily for any damages eeused by the Cily during ks nortnal operaGonal and mafntenance adivRles W the facilities con atruIXetl unde r this parmk wkhin City property/right-of-wayleasement. J { SITE ADDRESS'. / I 2 G7 AfdPrJ'h L_mr c/ ?a TENANTNAME: 4i@(_o_v lx,Rn..-- - STE.#: -- OWNERNAME ?-?y"k_14-- INSTALIER NAME: J-?1Z Q 1"s-¢-k^ TELEPHONE STREET ADDRESS: -A ?- cirv: fr4CFW STATE: kk) ZIP: SS?Z? APPLICANTS SIGNATURE OFFICE USE ONLY • pEVERBE SIGE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SI2E Domestic Irrigatlon p,gV _ Yes _ No UTILITY CQNNECTION 1pPPL1ES 79 MEW SERVICE OML?') REVIEWED BY Building Inspector To detertnine mster size Date • See if it is indiCated on back of Buiiding Inspections card • Enter address in PIMS Screen 301 to obtain 5&W permit # • Check PIMS Screens 110 (Remarks) • if gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not knaw GPMs. Before selling meter Check PfMS Screen 320 for aonroval of inspeCtion results. No meter will be soid before ali sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter rype and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utiliry Billing Clerk. Miseellaneous Infortnation The installer is to contact Building Inspections at 881-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on. if ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock befare plumber goes overthere. 1< CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: DESCRIPTION: UBC Occupancy.,, Gonstructiort Ty'pe Zan,i,ng= << ? Building L2ngth ? Building Wid'th 8uil.din,9 staries ' 2n-Gn,C1 U d..t' e? F Be'G PERMIT PERMIT TYPE: Permit Number: Date Issued: 1120 NORTHWOOD DR LOT: 1 BLOCK: 1 EAGAN PROMENADE 2ND BLDG 5 B,u3ldzhg,nPermit Type Oui1d'zng' Work Type 3 cc U„-? APT./LODGING NEW R-1 S-3 V 1WRJiFR PD 280 152 3 30,836 105 5 OR MORE FAMZLY ? I -z- ?A I J i s REMARKS: u?.L1o4o eu=Lozrec 029208 11/25/96 FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $8.796.25 $4,398.13 $1,012.80 $14,207.18 $2,376,000 CONTRACTOR: - Applicant - OWNER: WEIS BUILDERS INC 28589999 HEALEY-RAMME ZNC 1550 E 79TH 5T 10601 SMETANA RD 122 MINNEAPOLIS MN 55425 MINNETONKA MN 55343 (612) 858-9999 (612)931-2220 I hereby acknowledge Ghat Z have read tMis applicatiort and state that the information is correG.t and agree Ga compl,y with,all applicable StaCe qf Mn. 5tatutesand Cityof Esgari Urdinenccs:` ? ?(1?R ? 111n APPLICANT/ ERMITEE SIGNATURE IS UED S NAT FE CITY OF EAGAN kqloo 3830 PILOT KNOB RD - 55722 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 Bt1/z D/,tJG New Conatrudion Reauiremenls ----'eVReoair ReaWrements ? ? ? 3 registered sile surveys 2 copies of plans (include beam 8 window sizes; poured ind. design; etc.) 1 energy calculations 3 copies of tree preservation plan if lot platted afler 7l1193 requlred: Yes _ No DATE: -712al DESCRIPTION OF WORf STREET ADDRESS: c%rJTGOT B LOT BLOCK j i4,zo(1.I b ? 2 copies ol plan ? 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations for heated addilions CONSTRUCTION COST: SUBD./P.I.D. #: ,qmnSs,? ?.a? i dGo??? I ?'?,?,v /?iQOs?f.r/?Q F z ?? ?Aa ? •-??ti Street Address- 700 ??IZE-A -`-'7 52!2eJ? City: Miy?'r?4f'OGl S State: ?i? Zip: 5-5-4 1-?5 Sewer 8 water licensed plumber: -3-93E/Qn /1?C.f?fif/IC?Z Penalty applies when address change and bt change are requested once permit is issued. I hereby acknowledge that I have read this applicaHon and state tfiat the informat?rect and agre? Ply with aB applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Rpplicant: OFFICE USE ONLY ?[? (/ ?? Certificates of Survey Received _ Yes _ No SCo 2 ?1996 Tree Preservation Plan Received _ Yes _ No _______________ PROPER7Y Name: Y- i^2c- Phone #: 9?? -z zzo OWNER ""'T Street Address• /DGO/ S'?Jf 71 20"c%'9 iP l> City: i"r?•viv fTd.?lC-?9 State: Zip: !5,5343 CONTRACTOR Company: &J91 S' f3?JiG?'£i f'S' /-vG Phone #: Street Address: l S?5-09'• 7?;"--5-7- License #: City: M/,r/i1/?/??DGIS State: NI.r/ Zip: 5:6-4 Z63 ARCHITECTI Company: tgRW f-l?clr 55 111PCi 117Y67-S" Phone #: 33 ENGINEER Name: -3???%•? ?£G/S ' ' Registration #: 7799- 000 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweiling ? 07 4-plex ? 03 SF Addition ? 08 8-plex a 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ,k31 New ? ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION ?- 11 ?aodging ? 0 12 Muiti RepairlRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck I ? 36 Move ? 37 Demolition' ' Const. (Actual) f/ !L91 j FR. Basement sq. ft. (Allowable) ?/NR ,l rR. Main levei sq. ft. UBC Occupancy 3 sq. ft. Zoning P 0 sq. ft. # of Stories 3_ sq. ft. Length 21, (?, sq. ft. Depth /Sz Footprint sq. ft. APPROVALS Planning Building -?-- r 16 Basement Finish 17 5wim Pool 20 Public Facility 21 Miscellaneous J? MClWS System City Water Fire Sprinklered --I- PRV Booster Pump Census Code. O S ? 34 SAC Code 30 / o ? Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC -- City SAC ? Water Conn. ? Water Meter - Acct. Deposit ? S!W Pertnit S!W Surcharge ? -r Treatment PI. Road Unit ? Park Ded. ?- Trails Ded. _-- Other Copies Total: valuation: $ 2 3 ? (100 % SAC ?- SAC Units J •.. . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRES5: Base Fee Surcharge 5AC SAC % SAC Units Subtotal DESCRIPTION: BLiild,irr??yPermit Type iu5:1€lii?g LJ`ork Type f'UBC Occupanc1?1-1' Constructian Type Zoming,` .•`,??, Buildiri,yLengtk+ Buildimg Wid'th S;qu3r8-Feet e'n.:.s. u s. G rr d'e PERMIT a/ A2- 6 4, ° a 4/' /g/S G loboas PERMITTYPE: susLorNs Permit Number. 6 2 9 0 0 5 Date Issued: 10 J 17 / 9 6 1120 NORTHWOOD DR LOT: 1 BLOCK: 1 EAGAN PROMENADE 2N0 r-`7 d 1-0 f?':xt i ???`i? s _?•,, t? "o u REMARKS: 5&W CtlNTRACTOR - J-BERD MECHflNICflL FEE SUIIAMARY: VALUATION $162.25 $5.00 $35,100.00 100 39 $35,267.25 CONTRACTOR: WEIS BUILDERS INC 1550 E 79TH ST MINNEAPOLIS MN (612) 858-9999 ? - qpplicant - 28559999 55425 FOUNDATION NEW R-1 5-3 V iHR/1FR PD 280 152 30.836 105 5 OR MORE FAMILY $10,000 CITY SAC WATER CONN S&W PERMIT S&W SURCHARGE TREATMENT PLANT ROAD UNIT Total Fee OWNER: HEALEY-RAMME INC 10601 SME7ANA RD MINNETONKA MN 55343 (612)931-2220 $3,900.00 $29,640.00 $100.@0 $.50 $15,444.00 $13.455.00 $97,806.75 122 I hereby acknowledge Chat Z have read this application and state that the information is correct and ag:ree ta comply with all applicable State of Mn. g.tatutes and, City _ of _Eagan Qe:dinanc'es:_ : APPLICANT/PERMITEE SIGNATURE " ISSUED QJF?/dIGNATURE V CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ?? ?uioss ? 3 registered site surveys? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? t energy calculationa ? 3 copies of tree presenalion plan if lot platted afler 711/93 required: _ Yes _ No DATE: -71ZOl ?Iol CC DESCRIPTION OF WORK: G ?-?-?-? .?911 60 L.?.? ? 2 copies of plan ? 2 site eurveys (exterior addRions & decks) ? 7 energy ealculations tor heated additions ?O mm p STREET ADDRESS: U1'rGor .B f-i9G.9.v ?°?Po?-/E,uf,'?E LOT BLOCK SUBD./P.I.D. #: 'piPo6'o5SID PROPERTY - Name: f!f'AL? Y-IM?-4 Mf Phone 93/ -z Zza OWNER .. Street Address /460/ S.?J£ riner 7f'?c./?9 ?P Jt ?v/Tf /Z Z -- City. State: Zip: 52 ?3-'E -3 _ coN7w4c7oR Company: Lv 91 S B/G /? ??PS 1-06 Phone #: '196- 9fg y Street Address: l 55D £.- 7lTyST License City: State: AIA/ - Zip: S54 25 ARCHITECT/ Company: RRW i 1.Q6W/TfGZS Phone 33 ENGINEER Name: Registration #- Z77,9• OQ(- StreetAddress 700 Ty IZEA ST Sd(J?6? City: State: Zip: 53-4 /j Sewer 8 water licensed piumber: -A - Brr/Q 6 Penalry applies when address change and tot change are requested once permit is issued. I hereby acknowfedge that I have read this applicatian and state ihat the info=onis t and agr ee to comply witfi all appiicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature af ApplicanY. OFFICE USE ONLY ey Received _ Yes _ No SEP 2 0 1996 i Certificates of SurvTree Preservation Plan Received _ Yes _ No i - _ - -- _ _ _ _ _ _ _ _ _ _ _ ? BUILDING PERMIT TYPE OFFICE USE ONLY Bv,40?ti # ?, t': . 1: 1164 4/orrk?m,okbr •-1 , 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o o 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch o 09 12-piex o 14 Fireplace ? ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 3 r"o vha??f ? oti (?' ya? 31 New a. 33 Altecations . °--0- _36 Move_ ? 32 Addition ? 34 Repair ? 37 -Demolition GENERAL INFORMATION Const. (Actual) (/1NR i (Allowable) ? BR . UBC Occupancy - R- S-3 Zoning _? it of Stories 3 Length 28b Depth APPROVALS - Basement sq. ft. Main level sq. ft. - ..:sqft sq. ft. ? sq. ft. sq. ft. !!otprint ' sq ft. a 3'T .eering.i Planning Building - - -`-'' `-' -Engin. . ,? . . , . ? a ? Permit Fee. _.1 `? ' Vatuation: - Surcharge-- _ 'Plan Review ? License:._._ MCJWS SAC 35 /OO Spo?1-3, City SAC.__.. _' - 3lbo ?'j pX_3 q? - Water Conn. ? )26 0?.3 q Water Meter . Acct. Deposit, S!W'Permit . '/,/fO S/W Surcharge. s o . i Treatment PI. , 115 ?/Y4 396-? 3 y Road Unit 3Y5-k 29 ParkDed. Cohf.m:?- Trails Ded. Other Copies rotal: 16 Basement Finish ' 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System" - ' City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit - Variance g 0 00 a v 'h,gos 3,9 :.,. , zs2co S o _ y?S 00 ?c^,? ?6 .? Z - = 7oy 3?g3b % SAC SAC Units ? L gL OFFICE USE ONLY RECEIPT #: SUBD. c.P.v?oGc? ?N? DATE: 9? 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Piease complete for: • all commercialrindustrial buildings. ? multi-family buildings when separate permits are nqI required for each dwelling unit. DATE: ?v IZ&I SCn CONTRACT PRICE: ?.?U WORK TYPE: x NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: PLM?,M '? -Wti.??. IS WATER METER REQUIRED7 X YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: ad`-J GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES -L NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? LO YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINfCLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% IZ14 51 STATE SURCHARGE TaTAL I 2 ? 11 'A0 SITE ADDRESS: 444=4E=?r k % vRTH l,.x?D 0?,?F ?•? TENANT NAME: STE. # OWNER NAME: INSTALLER: -? - 3f gn ADDRESS: 33Co0 S?t4.?ra.i ,? c; ? CITY:__ _ cJk. 'C.AO-Li C\- STATE: ZIP: '5-9301 PHONE #:(360 (oS'ia - OFv 7 SIGNATURE: t4_"&j ?'/y APPLICANT OFFICE USE ONLY l?G0?19? Gr y . METER SIZE: ?" pRTE: ? ? INSPECTOR: ,2 ?i? CITY USE ONLY L BL SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 551::2 (612) 681-4675 RECEIPT #: DA Please complete for: ? single family dwellings ? townhomes and condos whf;n permits are required for each unit FIXTURES EACH ? TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 ;c = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 ;< _ Floor Drain 3.00 ;c = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 :c = Water Softener 5.00 x = Private Disposal ` Dakota Cty. Iicense 65.00 = (new and refurbished systems) U.G. Sprinkler' home under wnst. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: ONVNER NAME: INSTALLER NAME: STREET ADDRESS: cirY: STATE: ZIp; PHONE #: ( CITY USE ONLY L? BL RECEIPT#: CO y7'o / SUBE. RECEIPTOATE:?? 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: . all commercial/industrial buildings. . multi-family buildings when separate permits are not required for each dwelling unit. DATE: I- 11- ?ta-l CONTRACT PRICE: 13 j? 5Lv"' WORK TYPE: ? NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: NuRC. -%??jU a-1a? FEES: . $25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pe rmit fee due on all permits. CONTRACT PRICE x 1% 13Ca5 PROCESSED PIPING --- STATE SURCHARGE TOTAL /3 c.e (o ? SITE ADDRESS: OWNER NAME: Rao-l'tia.. TELEPHONE #: TENANT NAME: (innPROVeMeNrs oNLr) INSTALLER: u?^ - ADDRESS: O8 CITY: STATE: f??.? ZIP: PHONE #: ?3 v- ??(fl - C) ay-7 SIGNATURE: SIGNATU E OF PERMITTEE CITY INSPECTOR L SUBD. BL Please complete for CITY USE ONLY RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 . P single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on air conditioning Date: Add-on furnace Add-on air exchanger, i.e. Vanee system, etc. FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: _ OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: PHONE#: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE -- 7zrz6 v?rl+:'k Cs?.a,?.) r?%?(y? Serial # UL?L> a ? ?l?i cr,ip # 1 y ?- 3b sV Permit # 15? qC7 efo Address: ?lao ?(/?errtw?,,o o2 Is I AGREE TO COMPUY ??? OF EAGAk ORDINANCES /%/ / ? Signature: ? ` = 07r» 61,31 , Serial # ? Chip # OG 9i> ll ;; 3 Permit # ? Address: Ner77,r,'c;ud />? 1 AGREE TO COMPLY WITH CITY OF EAGAt ORDINANCES Signature: io ??icl /nc c!1 r? .. ,...I y•• i.11.. n?.i.? . . .. ' .. r,:?.i.:....... i ?Iffl.i.o: ? r(. . \ ?'`!"i a. -?qa P61' /t 3 0 ?-?L?war?1 Q-'? 0?9?6 I ..;.;.,,..,• ,-T::??:;..,i.. .. ? .. . .. .. nc..;-'. .r.n. v^.?ri. :.': ! .:..'ku., p _ c { ? c;2 Seriai # cnip # a,:2 , Permit # a 916 / ? Address: /? 30 n/c,ej-#wooo GYL 1 AGREE TO COMPLY YVfTH CITY OF EAGAt ORDINANCES Signature: C/?• - ? ? w t: ,..g i i...y,?..i.. . O y.{..i. i,. u..P?. i.. :,?..•..i.?,? i:.i.?,.,. ? ( i r•" I ;.•,•.?,-t?l?..?i. ?,?; Tf:..l5rp!,Il t;i;.. :±•; ( ? !1: i'r'..? • ? ?:1•?r?:' l?.hif:-.. :l;?-(lry ? . ? IJI'i;C.. I,lf._f,_. i!1!TI TiI...R^ 1'i.p-. ? .il'r:q ±'??1(j.? ?.:•:C.?.?..,?.. ?,:?:..n,:.. i J13 0 _ Ilti Til. ?.hflll I r:y 4u u.?„?.:yJ, k •.. ..a.,y?.?,?.?„y:?.?; V_ -r' !?..'.•?'}k?Y!'d'?' j 4 1 ? S ? I 0-79y o 8 2007 RESIDENTIAL PLUMBING PeRMiT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweilings. . Date ?`,, Site Street Address jj?-??1V?S L?l i/ L Unit # `r PropeRy Owner ?mlm I 4141'e- Telephone #(W) lO- Contrector +-?Wcaor? 11 .L6111 lblv`G1 ? Iv1C, Telephone # (110)`)'-.?? ' ?? Addressd'qq?? City&y'? LY1"?L,E State VYIN Zip?-?[1 ? The Applicant is: _ Owner ^Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add piumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not compiete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Tumaround (add $136.00 if a 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 _ new _ replacement e a?-he?l ?s? r? r ?l- Lawn Irrigation ? RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total .. . . .. - ' - ---- ?- ---' ---..._.... .?..., .?.. .? I hereby apply for a Residential Plumbing Permit and acKnowieage [nac me mrormaoon is cu?nNiciG o??u a????a«, 111.1 e?j a D work will be in conformance with the ordinances and codes of the City of EN4- understand this is not a permit, but only an application for a permit, work is not to sc{tyill e accordance th the approved pian in the event a plan is r ed to be reviewed aAUG _2 12007 e pplicanYs rinted Name ApplicanYs Signatur Apr. 25. 2017 1 :07PM No. 1283 P. 5 Use BLUE or BLACK Ink (4"‘ t For Office Use11 ,�/ ,G� \i> ••,k/;�j :::: City of Eaaa� 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(661)675.6694 Staff:. J 2017 COMMERCIAL FIRE ALARM PERMIT APPLICATION Date: 4/25/2017 Site Address: 1120 Northwood Drive Tenant: Promenade Oaks Suite#: s''''' Nighthawk Properties LLC/Promenade Oaks Apartments LLC ^:±•�''t"• y,W.j,':1.•: .A(i�,�t''7.•Ya^E 4 P Phone: 651-686-8600 ~.�•,r.;,;;�•,,,:,;� Name: ;�=Pr00e0.9w054• Address/city/zp: 2320 Lexington Avenue S, Mendota Heights 55120 ^ t> , Applicant is: —Owner Contractor "`" ` ` : Description of work: Add Telguard Cellular Unit for communicating to Central Station • .�' r' .::'��`'""+��''��;''''"" Typ®o 'Wo�k;•.<:;, : 825.00 5-8-2017 Construction Cost: Estimated Completion Date: Total Life Security TS721594 Name: License#: 321 Wilson St NE Minneapolis Address: City: �';:' '' state: Mn Zip: 55413 Phone: 1(612)676-2020 Melinda inspection@totallifesecurity.corn „;:;:w;,;" Contact: Email: • • New Remodel Work Type '' Addition Add Cellular unit to remove Analog phone lines Other: ' . Alterations „f)ESCRIPTION OF WORK: V 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$1 million,please call for Surcharge _ 60.41 -$ 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 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 Dori annrnvvl of nlanv ' z Digil811y 3ignbtl by Melinda Peek xMelinda Plzak Melinda Plzak`ta :�o,iwzs,z:oe:,,-os�vo. Applicant's Printed Name Applicant's Signature FO i .O PidElstiSE R„ riewed'.B.. Q.t. •4'�� 'J: 1, hfx I w ARe �tis' ®cfo s- �8' ,•Elle`' t" `'• „q!tal��. . ,.,p.. ,.,I..�.. �>t ;t9.17s�,�,-.>?' 1, ,...!4��:u..�.... .. ... . . . . PERMIT City of Eagan Permit Type:Building Permit Number:EA169546 Date Issued:06/01/2021 Permit Category:ePermit Site Address: 1120 Northwood Dr 226 Lot:1 Block: 01 Addition: Eagan Promenade 2nd PID:10-22473-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nighthawk Properties Llc 2320 Lexington Ave S Mendota Heights MN 55120 (651) 686-8600 Dorglass Inc 6008 Culligan Way Minnetonka MN 55345 (952) 253-0097 Applicant/Permitee: Signature Issued By: Signature