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4131 Old Sibley Mem HwyIN5PECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: , ,, t1, Mr M tiIJ PERM17 SUBTYPE: APPLICANT: , ?.! ; •,f?,, yy?,, TYPE OF WORK: . i ;j i I 1 i iIFJ . fall I I P 1Nr; #?"a 43 AI/0`i/9Ci r" 41yo - c-, z 7 ?- NF U (fitil i • rATE INSPTR. INSPECTION TYPE DA r;• ,yt ',!I r i;,1, 14 ft1 1? I• kF' M t1I1 k' - : *, Fr l.1 t''I fik a +0i?Y' dt ?? Psrmit No. PermR Hofder Date Telephone k ELECTRIC ??pa S3 , ? ? 001 PLUMeI G HVAC 06f G ?- Inspection Date Insp. Commente FOOTWGS FOUND FRAMING ROOFING ROUGH PLUMBING !?! PLBG AIR TEST r ROUGH HEATING GAS SVC TEST rJ INSUL GVP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT 7EST BLOG FI^J:,L BSMT R.I. 6SMT FINAL DECK FTG SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION INSPECTOH DATE COMMENTS - r ./ yrs- ro ? oia ?? ' r?• ? L O H '! <?, / / .? eel( _' ? sl.? - ? ... . , &A_ .- ? FA1 s ''?`"?? ? ;? ?a+ ;'°'" . ?•,,' ?`?i , C??i?tCQ#e df cCClivQ1iC? ??t? o? ?agan This Certijecate issued pursuant to the requirer»enrs of the Uniform Building Code ctrtifying tirat at the tinie of issuance [his structure was in compliance with the various ordinances of tht City regulating building construction or use. For the following: use 0-6ficm6m- COMM NEi1 elee. Pemmt No. 28143 ` Oc-pa-yTra S3 F1/B Zoningp;,a;a I-1 TypeConst. V-N OwwrdB,,;tffiog PREUSSE, GREGORY Addmu 1745 CRESTRIDGE LANE BwbfingAddma 4131 OLD S1B MEM HWYLc.1;, L2, B1, PREUSSE , Datc: 1 ? j BUC" ow POST IN A CONSPICUOUS PLACE ., .. _. ._ . . . . _ . ___.- - °._ „_.. _. .... .. .?:?,:_. . ' INSPECTI0N RECURD , CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. 044'; Eagan, Minnesota 55122-1897 Date Issued: L' '1' 16 /91 (612) 681-4675 SITEADDRESS: ; llf .. ?;, „? t , , •1ft .; i k711 F V ME M Fd141F Vki U'-`,i PERMIT SUBTYPE: ,_ , . t5 i APPLICANT: TYPE OF WORK: DEqCfr Ti'T iQN T E "R HI 1" 1 p1 I WETI-EL H1 6 INSPECTION D• • D• i • ? . ? s•???Ir,tt r t? ;t I:, I c 14 111 RFMAAt'. `;t PARAi'F PFPMI1'_? RF0111RFU F[IR MIECN„ PI f.t1i. AND E 1 FC7RICA{ IIMI i :'N1 ? _ , ? Permit No. Permit Hdder Date Telephona; ELECTRIC PLUMBING HVAC Inspectlon Date Msp. Commenq FOOTINGS FOUND FRAMING 44e] ROOFING ROUGH PLUMBINO 7"17 PLBO AIR TEST J-.3 0? 7 ' La 3 ?? ?n• ;,c/u ? C ROUGH HEATING e? Pi•?+ i o y ?/ o?+s ?'L G' , GAS SVC TEST G? ,$ f rrai? ? INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL l17 rss BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?? ,,?,,. WENZEL.HTG & A/C . . -.r 4 . 1 %CuttCQte Df CCclipQ1iC? Witij of Cfagan Toartracat oF !SKiibatg attapcctioa This Certifieate issned pursuant to the reqwirements of the Uniform Building Cade certifyrng that at the time of issuance this structurr was in compliance wirh the various orriinances of the City reguluring building construction or use. For the following: 1NT 1MPR 30443 Ux Classlficationl _ 81dg. PermN No. Occupancy 7ype Zoaiog Distria Type Consi. OwocrofBuitding GREGORY PREUSSE A? 4131 OLU SIB MEM HWl' 201, EAGAN MN BuiWing Addrfts 4131 OLD SIB l1EM HW'?jy L2, B1, PREUSSE ?: Bu"ug otrww POST IN A CONSPICUOUS PLACE & - - : INT IMP me ojissuance rhis structurr was regulating buildirtg construction c G085 461 LITHO. IN U$ A ? ? ;YZ"_ " _ _ • ? /0130? 7 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: t,i.sr ??.?v1 ' I 1.' 1(1 l (I'l ? "! ?.?t K I EI f f 1' Fif M 1444Y APPLICANT: < r. 1 :' ? nh.?. ? PERMIT SUBTYPE: TYPE OF WORK: , . . ?. TFNANT r iNr5r (ONP : (1NF• ) INSPECTIOtJ , ro- 1,5 -q7 • ? , . .A I6-`?a- 3o?Lf g I Permit No. Permit Holder Date Telephone t ELECTRIC PLUMBING 7/ 97 ?33' ? HVAC IospacUon Dete Inap. Commenta FDOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ? FINAL HTCi ORSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 2 6 2'° ? 3?- 3 ?? E U E ONLY Thiv reqoesl void 18 manths {rom validafion dok pnnred /in^Mis bax ? q ??? Y ? J PLEASE PRINT OR TYPE Request Dok Roughin inspetlion reqoiredY Yes ? N. Inspedion Olher Than Raugh.lrt Q Reody Now Will Ccll ?? ? ? ?You mvst wll Me inspecbr when ready) Dale Reody: I,Xlicensed contmdor ? owner here6y requesf inspecfion of the a6ove eledrical work at: Job PAdress (Slreel,? Or wte`yo. ?/ 3 ? JI ?? ciry Z???/z z- Sedion No. Ta.mehip Nome or No. Range N. fim No. Co"bAtZoT o«i,v.nt PiwM No Po..erS.upRlier (V 5 ? Pddren 0o0 /?IGZXwC? /1?f'? Dr ? Ele4kim;?hacbr(Company me) C ConkuMrLi<enseNa. w ? S? ManerlicNo.(Pianf Elea.Only) ? ot1mg Mailing Pddre?s anlmqor ar Owner PeAartnin nstallan nl ?6 S e?.?- o AoMarized g tum (Comm Owrer Pe mg Insmllo?ion? PhonqNa? EB-0060IA-10 6/95 9TATEBDARUCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY 1111111111111111111111111111111111111111 Ill I JiI REQUEST FOR ELECTRICAL INSPECTIONy? Minnesota State Board of Eledricity 1821 ? nUniversity Ave., Rm. S?I, $G Paui, MN 55104 ?? * U 2 6.. 8 3 2 9 s Phone (612) e42-0e00 ?? liy Home Duplex Apt. Bldg. ?e?? New Addn Commerciol Induslrial Form Remod Re air Air Cond. Hfg. Equip. Water Htr. Load Mgmt Other: Dryer Ron e Elec. Heat Tem $ervice °X" obove the work mvered by this requesG Enier remorks in this space and on the batk oi the wbite copy only, Calculate Inspection Fee - This Inspecfion Request will noi be accepted without lhe corcecf fee: Olher Fee # $ervice EMlance Sae fee # Circviis/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps ?Qo $freet L}y./TroHic Sig. A6ove 200 Amps Q,QQ A J? Amps .0 Transformer/Generoior INSPECTON'SUSEONLV ? ':!? ?D Sign/Outline Lfg. Xfmr. ? Alartn/Remote Conhol $wimming Pool I hereb cem ihol l ins ecred iha eletlnml insMllafion dnaibed herein on Me dahs stakd Irrigtltion Boom pou9h, Dab S ecial Ins edion p p '?e D Final Dak THIS INSTALLATION AV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 966_??p of REOUEST FOR ELECTRICAL INSPECTION ?'? ? See ins?mclions (cr completing Ihis form on back of yellovi CopY_ ??? "X"Below Work Covered py This Request ? Compute lnspection Fee Below: I Other Fee r- I, the Electrical Inspector, hereby certity that the above inspection has 6een made. OFFICE USE ONLY This raquest vaa 18 mont?s from MINNESOTF STATE BOApp F ELECTRICITV Grlggs-Mitlway 91tlg. - Faom 5128 1821 University qve., St. Peul, MN 5510C Phone (612) 642-OBOD ?,? sE<.?? rso r v . c g iervice Entrance Size Fee # Circuits/Feeders to 200 qmps ? zn.°o I 0 to 70 TNIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS. THIS INSPECTION REpl1EST WILL NOT BE ACCEPTED By THE STqTE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSEO. *citV oF eagen PATRIC:IA E. AWADA Mawr PAUL BAKKEN reccv c:vusorr CYiVDEE FIELDS MEG TILI.EY Council Members THOMAS HEDGES CI[V ,AdminiStfa[oI Municipal Center. 3830 Piloc Knob Road Eagan, MN 55122-1897 Phone:6iLC81.4600 Fax: 651.681.4612 '1'DD: 651.454.8535 Maintenance Faciliry: 3501 Coachman Point Eagan, MN 55122 Phone:651bR1.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.<iryofeagan.wm DATE: -6 - 6.)- TO: ENGINEERING DEPT 3830 PILOT KNOB RD EAGAY NIN 55122 FRObI: RE: q ,c?'2m ?,..? - • ITEM(S): -3- PURPOSE: -?;c REMARI{$: Review & Return Return/Reply To Seader Ot6er (see remarks) DESCRIPTION: As Requested For Your Information For Your Approval THf. LONF OAK"fRGE 'I'6e rymbol ufsrtength and grnvrth in our I cummuniry C:FORMS/fransmittal a jy?`Y? F?rw ? STATEOF M(NNESOTA COUiVTY OF DAKOTA Gregory L. Preusse and Kathleen M. Preusse, v. Appellants. City of Eagan, a Minnesota municipal corporation, Respondent. D[STRICT COURT FIRST JUD[CIAL DISTRICT Case Type: Special Assessment ,appeal CouR File vo. 19-C6-01-7784 STIPULATION, ORDER FOR JtiDGMENT AND J[iDGVIEYT WHEREAS, Appellants, Gregory L. Preusse and Kathleen M. Preusse, aze the owners of property located in the City of Eagan, Counry of Dakota. State of Minnesota. and legafly described as follows: Proaertv Descriotion _ Property Identification Number I I Lot l, Block l, Preusse Addition 10-59100-010-01 Lot 2. Block 1, Preusse Addition 10-59100-020-01 ? Lot l, Block 1, Preusse?" Addition 10-59101-010-01 Lot 2, Block 1, Preusse 2" Addition 10-59101-020-01 (hereinafter the "Subject Properties"); and WHEREAS, in connection with Eagan Project No. 782, the Subject Properties were assessed $2 (,099.20 for street improvements; and WHEREAS, Appellants brought an action in District Court appealing the assessmznt levied against the Subject Properties for Project 782, namely, Gregory L. Preusse and Kathleen :LL Preusse v. City of'Ea;un, District Court File No. 19-C6-01-7781: and IL Page 2;ST[PUL;aTION, ORDER FOR JUDGMEN"C AND JUDGMENT WHEREAS. .appellants and Respondent have resolved the disputes over the assessments levied against the Subject Properties. NOW, THEREFORE, in consideration of the mutual covenants and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowtedged by the parties, the parties do hereby agree as follows: 1. $TIPULATION OF SETTLEMENT/DISbf(SSAL. App011antS and Respondent stipulate that the above-entitled matter has been fully compromised and settled and therefore it is agreed that the above-entitled matter be dismissed with prejudice and without costs to either party, and the Court Administrator is hereby authorized and directed to dismiss this action with prejudice and without costs of record. 2. RE.aSSESSiMeNT. The assessments for the subject property are hereby reassessed as follows: Propertv Description Assessment ! Lot 1. Btock 1, Preusse Addition $604.80 ; Lot 2, Eiock 1, Preusse Addition $8,467.20 Lot 1. Block 1. Preusse 2" Addition Lot 2, Block l, Preusse 2" Addition ? $3.500.00 ? 3. W'arvea. Appellants hereby waive notice of heazing and hearing on the reassessment and further waives its right to object to the levying of the assessments as set forth in pazagraph 2 above pursuant to MirrN. SrAT. §429.081. 4. REassESStitEtvT C.>[,CUL.aTIoN. The Respondent shall direct the Dakota County Treasurer to recomputed Appellants' real estate taxes using the above-referenced assessment figures. Dated: 2002 ' Gregory L. reusse Dated: ,1ti?r1- Kat el en 1%I. Preusse Page 3iST[PULATION. ORDER FOR JliDGMENT AND JUDGMENT Dated: 6- (-/ , 2002 Dated: 6- - , 2002 STATE OF vlliVNESUTA) )ss. COtJNTY OF DAKOTA ) CITY OE EAGAN - / By: ; - Patricia E. Awada [ts: Mavor sy: 7"i Mazia Karels Its: Clerk The foregoino instrument was acknowledeed before me this ? day of 2002. by Gregory L. Preusse and Kathleen M. Preusse, husband and wife. GARY G. FUCHS i=? nwun n+auc ?mo+esm? ? • MV COMMISSION EXPIRES ` JAN ?.:'?.•?'? UARY 31. 2pp5 STATE OF MINNESOTA) )ss. COUNTY OF DAKOiA) The fore-oine instrument was acknowledged before me this -4::?day of ,2002. by Patricia E. Awada and Maria Kazels, the Nfayor and Clerk of City of Eagan, aMinnesota municipal corporation, on behalf of the municipal rporation. JUOY M. JENK,FlS ?. Nc-a=Y P' t l'? • n,,.i 1rv Pub c Page 4/STIPULATION. ORDER FOR JUDGMENT AND JliDGMENT Dated: . 200' SEVERSOti. SHELDON. DOUGHERTY & MOLEtiDA. P.A. Bv: Robert B. Bauer, I.D. #227365 Michael G. Dougherty, I.D. #134570 Attomeys for Aespondent, City of Eagan 7300 West 147th Street, Suite 600 Apple Valley, Minnesota 55124 (952) 432-3136 Dated: . 2002 By: fl? G Kv u hs. I . _566 vf A e a ts ?440 ederal ' e, uite 250 Sui 250 E ?an, vN » 122 ( ?1)4?2-12(4 APPROVED AST0 FORM: City Attorneys' Office Dated: APPROVED AS TO CONTENT: public Works Department Dated: . Page 5iSTIPliLATION, ORDER FOR JUDGb[ENT AND JUDGMENT ORDER OF THE COURT Based on the foregoing Stipufation entered into by and betxveen Appellants, Gregoty L. Preusse and Kathleen M. Preusse. and Respondent. City of Eagan, it is therefore, the Order of the Court that Judgment be entered forthwith based on said Stipulation. BY THE COURT: Judge of District Court NDGNIENT I hereby certify that the above Order and Stipulation constitute the jud?ment of the Court. Dated: , 200'l. By: Court Administrator THIS INSTRUMENT Vb'AS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street. Suite 600 Apple Valley, MN 55124 (RBB: 206-18980) 401? Clty of Ea??n UmVouchcr Permit # 78744 Receipt #: Reason For Refund: Make Check Payable to: Address: FAIRMONT FIRE SYSTEMS ATTN: DEE KRUMWIEDE 209 DOWNTOWN PLA7A FAIRMONT, MN 56031 08/23/2007 Site Address: 4131 OLD SIBLEY MEMORIAL HWY. WRONG ADDRESS USED TYPE OF REFUND Bui(din Permit Base Fee 0801.4085 $ Construction Meter Dep Refund 92202254 $ Curb Box De osit Refund 9220.2253 $ Fire Su ression Permit 0801.4096 $50.00 Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ Plum6in Permit 0801.4087 $ SAC (MCES) 9220.2275 $ SAC (Ci ) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Swcharge 9001.2195 $ Treahnent Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su 1& Storage 6101.4680 $ Co ies 0201.4230 $ $ Total $50.00 I de , e under the penalties of law that this acco t aim, or demand is just and that no part of it has been paid. : August 23, 2007 , S NATURE DATE . City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us Site Address: 4131 Lot: 2 Block: 1 PID: 10-59100-020-01 Use: Banp,kok Market PERMIT t'lly of EiigH Old Sibley Mem Hwy Addition: Preusse Description: Sub Type: Commercial Work Type: New Description: SEE COMMENTS Consuuction Type: Occupancy: Zoning: Sprinkled Area Updated Building of Permi[ Totals SWries: 0 0 Square Feet: 0 0 Percent of Bldg: 0 0 Permit Type: Permit Number: Date Issued: Fire EA078744 07/11/2007 Comments• 8/23/07 This permit has been dead dated because the wrong address was used. Bangkok Mazket is actually in ? Minneapolis. We will reimburse Fairmont Fire Systems for the amount of the permit less the surchazge fees. pf Fee Summary: FI - Permit Fee % $50.00 0801.4096 Valuation: 1,750.00 Surchazge-Fixed $0.50 90012195 Total: $50.50 Contractor: - APPi;ca„t - Owner: Fairmon[ Fire Systems - Gregory L Preusse Tste 209 Downrown Plaza 1745 Crestridge Ln Fairmont MN 56031 Eagan MN 55122 (507) 235-9860 1 hereby acknowledge that I have read this application and state that the infortnation is correct and agee to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicanUPermitee: Signature Issued By: Signature 5072359834 AUG;-22-200; 01:01PM FROhFFairmant Fax 507 235 8834 T-316 P.001/001 F-962 -Fa.irmont F'ire Systems Iuc. 209 Downtown Plaza • Fairmont, MN 56031 August 22, 2007 To: City ofEagan Attn: Peggy Building lnspecdons Fax: 551-675=5694 From: Dee YCrumwiede - Fairmont Fire Systems _ On July 11, 2007 I was issued a pernut for installing an Ansul F've Protection Syscem- Pemut No. BA078744. "1'he information I received from the person issuing the PO wa"s not correct and the actual address of the building was in Minneapolis. Would you please issue a refund for the amount of the pemvt. Should you have any questions, please do not hesitate in ghing me a call. Tl'ianks. Phane: (507) 235-9860 • 1-800-852-8601 • FAX: (507) 235-9834 , 2007 FIRE SUPPRESSION SYSTEMS City Of Eagan 3830 Pilot I{nob Road, Eagan Telephone # b Requirements: 2 complet\sets of drawings and specifications cut sheeLs on?naterials and comnonents to be used 55122 APPLICATION Date6 / cP G / 7 Site Address: U 13 / Tenant / Building Nazne: The Applicant is: _ Owner \ Contrtor "0 er r' ?( PROPERTY OWNER Address: City: State: Zip: CONTRACTOR F0.?i r mv nt , F 1 re ?-?-ed115 MN License #: 1 l ` V ? J????? / Address: ?,Qq ,F??-(,U(}?'OWn P?;Ty: Fa i rmon,t State: 11')!? / , Zip:5leD3l Phone#:.5--A 7-a35_98G6 ? ESTIMATED COMPLETION DATF{: 1 ? FIRE PERMIT TI'PE: _ Sp?kler System (# of heads Fire Pump _ Standpipe ? Ot?er. al1,a4-4-k WORK TYPE: New Addition _ Alterations _ emodel Other. l t DESCRIPTION OF WORK: x Commercial _ Residential _ Educarional Other. Please continue on next page PERMIT FEES Contract Value $ 1 054 - x.Ol =$ :5 D.? ? Permit Fee $50.00 Minrmum $ EC) State Surcharge To calculate surcharge If Permd Fee is <g1,000, surcharge is 50 cents. If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 Permit Fee, i.e. a$1,500 Permit Fee requires a $1.00 surcharge. 3/4" Displacement Fire Meter - $174.00 TOTAL FEE: .A o •s0 Fire Meter I hereby apply for a Fire Suppression System pernut and ac}anowledge ihat 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 orily an application for a pernut, and work is not to start without a pernut that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. .Dr-e k,2wmwr DE Applicant's Printed Name Ck?Ct).fA-? ? Applicant's Signature WRITE BELOW TffiS LINE SEVERSON,SHELDON, DOUGHERTY & MOLENDA, P.A. SUITE 600 7300 WEST 147TH STREET APPLF.VALLHY,MIMVESOTA 55124-7580 (952) 432-3136 TELEFAX NUMBER (952) 4323780 E-MA[L bauertC'seversonsheldoacom TO: Tom Colbert, Director of Public Works FROM: Robert B. Bauer, City Attorney y? / ' d' DATE: June 17, 2002 RE: Preusse v. City of Eagan Project 782 Our File No. 206-18980 In connection with the Preusse special assessment appeal, enclosed please find a fully-executed copy of the Stipulation, Order for Judgment and Judgment. STATE OF MINNESOTA COUNTY OF DAKOTA Gregory L. Preusse and Kathleen M. Preusse, v. Appellants, City of Eagan, a Minnesota municipal corporation, Respondent. DISTRICT COURT FIRST NDICIAL DI3TRICT Case Type: Special Assessment Appeal CourtFile No. 19-C6-01-7784 STIPULATION, ORDER FOR NDGMENT AND 3UDGMENT WHEREAS, Appellants, Cnegory L. Preusse and Kathleen M. Preusse, aze the owners of property located in the City of Eagan, County of Dakota, State of Minnesota, and legally described as follows: ProQertv Descriotion Property Identification Number Lot 1, Block 1, Preusse Addition 1 0-5 9 1 00-0 1 0-0 1 Lot 2, Block 1, Preusse Addition 10-59100-020-01 Lot 1, Block 1, Preusse 2" Addition 10-59101-010-01 Lot 2, Block l, Preusse 2° Addition 10-59101-020-01 (hereinafter the "Subject Properties"); and WHEREAS, in connection with Eagan Project I3o. 782, tne Subject Properties were assessed $21,099.20 for street improvements; and WHEREAS, Appellants brought an action in District Courc appealing the assessment levied against the Subject Properties for Project 782, namely, Gregory L. Preusse and Kathleen M. Prezisse v. City ofEagan, District Court File No. 19-C6-01-7784; and FUD CWNTA COUNTY YAN A. BR08TiiOM. Caurt Administrga JUN 1 3 2002 er ueutr 1 Page 2/STIPULATION, ORDER FOR NDGMENT AND NDGMENT WHEREAS, Appellants and Respondent have resolved the disputes over the assessments levied against the Subject Properties. NOW, THEREFORE, in consideration of the mutual covenants and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged by the parties, the parties do herehy agree as follows: 1. STIPULATION DF SETTLEMENT/DISMISSAL. AppCIlantS and Respondent stipulate that the above-entitled matter has been fully compronLised and settled and therefore it is agreed that the above-entitled matter be dismissed with prejudice and without costs to either party, and the Court Administrator is hereby authorized and directed to dismiss this action with prejudice and without costs of record. 2. REnssESStVteNT. The assessments for the subject property aze hereby reassessed as follows: Provertv Description Assessment Lot 1, Block 1, Preusse Addition $604.80 Lot 2, Black 1, Preusse Addition $8>467.20 Lot 1, Black 1, Preusse 2" Addition ? $3,500.00 Lot 2, Block 1, Preusse 2" Addition $3,500.00 3. WAIVER. Appellants hereby waive notice of heazing and hearing on the reassessme.,t and further waives its right to object to the levying of the assessments as set for[h in paragraph 2 above pursuant to M[NN. STaT. §429.081. 4. REASSESSMEN7' CALCULA710N. The Respondent shall direct the Dakota County Treasurer to recomputed Appellants' real estate taxes using the above-referenced assessment figures. Dated: 2002 Gregory L. reusse Dated: 2002 ' 4hleen M. Preusse Page 4/STIPULATION, ORDER FOR NDGMENT AND JUDGMENT Dated: ? f,7_12002 SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. BY: Robert B. Bauer, I.D. #227365 Michael G. Dougherty, I.D. 4134570 Attomeys for Respondent, City of Eagan 7300 West 147th Street, Suite 600 Apple Valley; Minnesnta 55124 (952) 432-3136_ Dated: 2002 By: Suite 250 i, MN 55122 452-1214 APPROVED AS TO FORM: ??.ir /? • ,?.L City Attomeys' Office Dacea: G(-2 /(:) ;' APPROVED AS TO CONTENT: public Works Departrnent Dated: S -d 3 - U ;,Z Page 5/STIPULATION, ORDER FOR NDGMENT AND JUDGMENT ORDER OF THE COURT Based on the foregoing Stipulation entered into by and beriveen Appellants, Gregory L. Preusse and Kathleen M. Preusse, and Respondent, City of Eagan, it is therefore, the Order of the Court that Judgment be entered £orthwith based on said Stipulation. BY THE COiJRT: / Judge of District Court ? o0M. ?srcnuES»+auo?+* .. . VM?A.?°?;"?-r? o?rEa z, ? THIS INSTRLJM'-_3NT WAS DRAFTED BY: SE:'ERSON,SHELDpN,DOUGHERTY & MOLENDA, P.A. 7300 West 147th Str.-et, Suite 600 Apple Valley, MN 55124 (RBB: 206-I 8980) . -11 x CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: eizo6o1&7 BUSLDING 02$149 07/03(96 SITE ADDRESS; DESCRIPTION: 4131 OLq STBLEY MEM HWY LOT: 2 BLpCK: 1 PREUSSE ( Faz) Permit o YPe {i,rk Type e CQMM./TND. NEW S3 FlJ6 V-N I-1 150 60 1 9,000 327 S70ftE8 ?E % 3a? ?t Q?'s ?w? Is4 -?? ? ak M "a 4 4.si ?Y,=@ a! »?, ia ? "u REMARKS: 5 & W PLBR - FEE SUMMARY: Base Fee Plan Review 5urcharge SAC SAC % SAC Units Subtotal VALUATION $3,099.75 $2,014.84 $275.00 $2,700.@@ 100 $8,089.59 $550,00@ CTTY SAC S & W PERMI7 S & W SURCMARGE TREATMENT PLAN7 ROAO UNIT Total Fee $300.00 $190.00 $.50 $1,188.00 $3.949.75 $13,627.84 CONTRACTOR: -- Appiioant - OWNER: EDEN/TRflCE CORP 29759452 PREUS5E GREGORY 14500 MARTIN pR 2000 1745 CRESTRIOGE LN EDEN PRAIRIE MN 55344 EA6AN MN 55122 (612) 975-9452 (612)452-5198 " I he.re'by ack?zawletlt?;er'th??:Y`h?ue= re$d ?th?.s a?51i6'6;t1o?F anfrti,'s# ? in#carmat3on?"is'eAr.re?? an? agc?? Go 6a"iRp4Y uj"th a? l a?pil°zc?b? ?.. S'Ce'CUte9 ?31'1? ??C2?„Yf, a'f?m'?? EBqtAef1 0160?.i'f3rIC?5?f:-£s yli_? 4 ??M I ISSUED BY: SIG TU . CITY OF EAGAN p, ?( tSI43 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) 4?-Jtul?• ??y' 681-4675 The following are required wkh approprieta certification for all new construction: ? 2 each: archttedural plans; mech. 8 elec. plans; fire sprinkler plans; struGUrel plans; site plans; landscaping plans; gredfng/drainegelerosion conaol plan; utility plan ? 1 each: set of specifications; set of energy calwlations; eledriwl power 8 lighting form; Special Inspecdans & TesHng Schedule ? Letter (rom MCANS (phane #222-8423) indicating SAC tletertnination ? Code anatysis indicatiny: Codes used; occupancy classifications; setbadcs; mazimum allowable area as per Building and Ciry Codes abng wilh sq. R. per floor, type of construc[ion (synopsis of construction wmponents) & any occupancy or area separation walls; occupancy Icads; exit synnpais with a diagrem indicating exiting loatla hom each roum ar erea, trevel paths & all reted cartidars; plumbing fatures; and paAcing. DATE: WORK TYPE: ? NEW REMODEL DESCRIPTION OF WORK: X?"-?161 ?'`466 • CONSTRUCTION COST: -S-S?1000 p? TENANT NAME: ?'Q1 • SI7E ADDRESS: S'/?lEy %ELOT a BLOCK I SUBD. 'pg £ 613 f, AdPS. P.I.D. # ?i°- -3'?'/-?3?, PROPERTY Name: ?'-Pe?fo'-eY Phone #: OWNER '"°* "°°T StreetAddress• `rS 9::A £1' r/1t6 4C City: i9? State: OW Zip: CONTRACTOR Company: ? £bSau/?R,¢GL `? Phone #: Street Address* ?"r? '?'16'" u'V? yt fq? SNorc zooo 53"3 YV C.Ity: LALN P'izAifG Zip: ARCHITECT! Company: Phone #• ywAp?r 3281 ENGINEER f,gK : y87- 3 Z83 Name: ??N /Vo?a.BY Registration #• lr° P 7 REC?I?IMCDD Street Address? y'r ??sT ??IttAw+?+ ??L • J A il 0 4? 4Q96 ------ ---- Ciry: ? i'&dc State: ? Zip: ST-11 7 Sewer 8 water licensed plumber: I hereby acknowledge that I have read this application and state that the information is correct and agree to co ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY 1 1 ' `6:°1 A •? , .?- ;`?` BUILDING PERMIT TYPE ? 01 Foundation ? 19 Comm./Ind. Misc. 0 21 Miscellaneous ' ? 18 Comm.llnd. ? 20 Public Facility WORK TYPE ' x 31 New ? 33 Alterations ? 35 Tenant Fini sh ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) ? Basement sq. ft. IF, aoo MCNVS System ?- ? (Allowable) ? First Floor sq. ft. to L-? City Water UBC Occupancy 5-3 -i sq. ft. Fire Sprinklered n!o Zoning sq. ft. Census Code 3 z? # of Stories / Rsn+r sq. ft. SAC Code 3 ? Length / o sq. ft. Census Bldg. ? Depth ?00.33 Footprint sq. ft. 00?) Census Unit / APPROVALS Planning Permit Fee Surcharge Plan Review MCNVS 5AC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: Building Engineering 099. Valuation: z7r. ? ?z,sd? zs t ?ror s:=s) f.rs.?s x-GS z ?oo.ao 3de.,? /t R ?? ?°"•-J -???/eop3 40..a? *r- 35? x3 9N9.7r <-- ,z9s?r 3.os ? .., IVl.v % SAC 5AC Unfts 3 Meter 5ize r 3 3,of???,?s Variance $ 55-0,10cx7 ? cITV cu= r_nGaK1 cF,Si-!a:[:r<r, S rr:hn:[raa1.. nn: 539 -?-??, „ 7,fi'T1=N Cl'r ,i,.( ,i_/.-)r' ,... T:[NiF:: I._ ,4._,?c.?_. . ?: ., 'D; NnMei;r,:rx;oPv i... f t;Eus:7E 32:f.C? 9001 W:!. 01_.D (3:I:It M[i: 09..75 3422 `?CICI:I. 4131 OLS:! S7:N Pfl3 f?9,.F;4 2155 gflf]:I. 41'1:L Cll.ii S:1:N ML 6.50 'iota:l F'rre:ipt h.inoun':tr 336.09 CRCi i ;ii7'!b:i USc:r, :tDu nnNcY :4($:Yfi?':F'$iYF.;r:{iYf??$?9Fy.>F:r:?FYf ?$;k;k;n>??R[9n?:;?:>F`F:?>X%k?Xi'f:?S>K"# PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: gu=LnrNG Perm it Number: 0 3 0 4 4 3 Date Issued: 0 7 J 16 / 9 7 SITE ADDRESS: 4131 OLD SIBLEY MEM NWY LOT: 2 BLOCK: 1 PREUSSE P.I.N.: 10-59100-020-01 DESCRIPTION: WENZEL HTCr & A/C Permit 7ype COMM.JIND. MSSC. i4!qrk Type TENANT FINI5M 437 RLT. NONRES. _ ,. . ag .L ? ??? I? ? #? ?? s ?? ? ip? ;?t:r ? ?.?, .+!'M 4:540T REMARKS: SEPARA7E PERMSTS REQUIRED FOR MECH, PLBG, AND ELECTRICAL UNTT 201 FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $159.75 $129.84 ._ ...$6.. 50 $336.09 $13,0@0 CONTRACTOR: F.A.I. DBfl W.H.A.C. 28949898 17.45 - CRESTRID6E LANE EA6AN MN 55122 ; OWNER: - RPPtxcanL -- PREUSSE 6REGORY 4131 OLD SIBIEY MEM HWY 201 EAGAIV MN (612)894-9898 L:.:_ , 1997 BUILDING PERMIT APPLICATIOt?COMMERCiALjo?3 ` Q Q ?D ? ? cmr oF eaGaN i 3 681-4675 The following a2 required with appropriate certification for all r,ey construdion: 2 each: architec[urel plens; mech. & elec. plans; fire sprinkler plans; sWCtural plans; ske plans; landacaping plans; greding/tlreinage/erosien control plan; utflity plan t each: set of spacficationa; set Menergy calwlationa; electriwl power 8 lighting torm; Speciel Inspections & Testing Schedule Letlar from MClWS (phone A222-8423) indiceting SAC determination Code enelysis indicating: codes used; oxupancy Gass'dications; setbacks; maximum allowable area as per Builtling and City Codes along rrith sq. R. per floor, lype of consWCtion (synopsis of conatrudion components) & any oceupancy or area separation walls; occupancy laad:; exit synopsis wkh a diagrem indicating exiting loads hom oach room or area, trevel paths & all rated cortidors; plumbing fixtures; and parking. Dare: WORK TYPE: NEW vf--*?REMODEL DESCRIPTION OF WORK: .7v ? rart?ic?:_ CONSTRUCTION COST: TENANT NAME: SITE ADDRESS: mmn mLOT -A BLOCK? SU6D. P.I.D. # PROPERTY OWNER CONTRACTOR ARCHITECTI ENGINEER CEIVED JUL 0 g 1997 BY:?_ .?.i- ?'s'9? 9e9F' Name: ??°?"'? , '.c?gre),ny Phone #: H - ? FIpSi Street Address: City: ???'•? State: 45°L° Zip: •r'?4r. - a34 - w?,oc- Company: Phone#: ?5' -298'SX Street Address: Ciry: Company: Name: _ Phone #: Registration #: Street Address: City: Sewer & water licensed piumber (only 'rf installing sewer 8 water): State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree t///s o?cpmply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Zip: ? . * OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ;Y( 18 Comm./Ind WORK TYPE 0 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) y (Allowable) UBC Occupancy Zoning _ # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations 0 34 Repair Basement sq. ft. First Floor sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee ? Surcharge Pian Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: ? 21 Miscellaneous Engineering ,'< 35 Tenant Finish ? 37 Demolition MClWS System City Water Fire Sprinklered Census Code y37 SAC Code 30 Census Bldg. _L Census Unit ? Variance Valuation: g 13, Caw ? % SAC SAC Units Meter Size CITY USE ONLY L BL RECEIPT #: ? SUBD. i-E44-t, DATE: Z V 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681-4675 Please complete for: ? all commerciallindustrial buildings. ? multi-family buildings when separate permits are pg.t required for each dweliing unit. DATE: 1/2%G2 CONTRACT PRICE: WORK TYPE: ? NEW CONSTRUCTION DESCRIPTION OF WORK FEES: ?$25.00 minimum fee gr 1% of contract price, whichever is greater. ? Processed piping - $25.00 • State surcharge of $.50 per $1,000 of parmit fee due on all perrnits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER ?./o? • 71 ? . ?? 1.3. TENANT NAME: (innPROVenneNTs INST. ADDRESS: INTERIOR IMPROVEMENT TELEPHONE #: ?l / ?c CITY: ? - ? STATE:Z?c ZIP?? PHONE #: '?-Op S? SIGNATUR • ? ? '?' •?' ? SIGN RE OF PERMITTEE CITY INSPECTOR CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace _ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date FEES ? Minimum Fee: Add-on/Remodel (existing residence oniy) $ 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: PHONE #: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( ) OFFICE USE ONLY L A- BL RECEIPT #: ?? 90 q SUBD. DATE: 1996 PLUMBING PERMIT (CnMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please wmplete for: ? all commerciaVindustrial buildings. ? multi-FOmily buildings when separete permits are pW required for each dwelling unit. DATE: 13-96 CON7RACTPRICE: WORK TYPE: >( NEW CONSTRUCTION _ ADD ON _ REPAIR DE5CRIPTION OF WORK: Pt U vvl L31 n& IS WATER METER REQUIRED? % YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWItJG: I - 0,24 ?a L WATER FLOW: 37F?- GPM. ARE FLUSHOMETER:i TO BE INSTALLED? K YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES "?NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT. FEE: $25.00 minimum fee or 19'0 of wntract price, whichever is greater. State surcharge of $.50 per $1,000 of offmd fee due vn all permits. ? CONTRACT PRICE x 1% /515 STATE SURCHARGE • 60 TOTAL IS5• so SITE ADDRESS: TENAN"f NAME: 62-N nsJrJ O1?rCLr Q011,01f,16 STE. # OWNER NAME: &AW, PxE?? INSTALLER: M44"'2C` 14'1617#fILALGA-i ADDRESS: 7-4)630 64e L T Ave- 40 CITY: ?V?LE--CS STAT PHONE #:_ LI"> ? `I5 S?3 SIGNATURF: ~ APPLI T OFFICE USE ONLY METER SIZE: DATE: 7c_1 INSPECTdR: ?? CITY USE ONLY L BL SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 RECEIPT #: DATE: Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH 1( TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c = Floor Drain 3.00 :< _ Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 :< _ Water Softener 5.00 x = Private Disposal ' Dakota Cty. Iicense 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Alterations ` to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 51TE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( / L OFFICE USE ONLY ? @? ? RECEIPT #: 5lJBD/?-P-?+./yl? RECEIPTDATE: 7 ?8 9 7997 PLUMBING PERMIT (COMMERCIAL) cirr oF F-AGnN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 8813876 Please eomplete for: . all commerciaUndustrial bulltlinga. • mulfi-family bulWings when separate pertnits are= required for each dwelling unH. • backflow preventer W be installed in commerdal areas or resideMiel boubvards DATE: WORK TYPE: _ New Const. ? Add-On DESCRIPTION OF WORK: IS WATER METER REQUIRED9 _ Ves _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Repair _ Yes _ No t1NDERGROUNO SPRINKLER SYSTEM INSTALLING METER7 _ Yes _ No. NEW 5ERVICE? _ Yes _ No WATER FLOW; GPM. Pressure Reducing Velve may be required R installing new service - cantad Citys Engineering Department at 681-4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fea of $25.00 or t% of contrect price, whichever ia greater. Minimum Skale Surcharge of 8.50 due on all pertnits. CONTRACT PRICE: $ 35-bO ? x 1% = g 3-5- ? COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 = E WATER PERMIT (new service only) 50.00 = $ WAC (new servica only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: t" = $185.00 , 2" TURBO =$846.00 = $ PERMIT FEE 8 FIGURE Sl1RCHARGE AT 60 CENTS FOR EVERY {1,000 OF PERMR FEE DUE STATE SURCHARGE $ roTnL a 35-Sr0 I hereby adcnowledga that I have read ihis application, staM that the iMormation is corteU, arM egree to mmpty with all applirabb City of Eagan ordinancas. B is the epplicenYS responsibiliry to notiy the property owner that the City M Eagan assumes no liabilily Tor any damages caused by the Cily during its nortnal operetional and maiMenance adivRies lo the FaciliGes eonstruded under this rtnd within City property/' hhof-way/easement. 51TE ADDRESS: ?/ ??- TENANT NAME: STE. 7R : OWNERNAME: ? INSTALLER NAME: / ? 7ELEpt{pNE STREETADDRESS: CITY: ? STATE: ?I ZIP: 7clr 7 f ? ? ?A orsIce use oNUr • nevease sice OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE PBY _ Yes _ No Domestic Irzigation JTILITY CONNECTION (APPLIES TO NEW SERVICE ONLL S REVIEWED BY Building Inspector ]'2'? _ ?/ Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S8W pertnit # • 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 Plum6ing Inspector if Licensed Plumber does not know GPMs. Before sellino meter Check PIMS Screen 320 forapprova? of inspecdon resutts. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines a2 not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt *, date 6 amount paid on PIMS 5creen 110. Copy of reeeipt should be given ro Utility Billing Clerk. Miseellaneous Information The installer is ta 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 before plumber goes overthere. 612 9?S 9454 09-19-199E 03:34PM FROM EdenTrace Corporation TO IT= ? co 6814694 P.02 INSTANT TESTIN6 COMPANY 4000 BEAII D'RfJE DRIVE EAGRN, MINNESOTA 55122 CEDRR AVE. et T.H.13 POi1TA14Lt fES71NA OF HIGNWAY CONSTql1CTiON IAAT6SIAL8 G.J. %OPACEK iROFE5510NR1 EIVWMEEM CALL ?+? SepiemLer E9, 1995 Mr. Graq Prcusae 1745 Creatridge Lane ?? J S? Sagsn, iSix?s?eeota 55122 Suhject-e- Final 2asg8ction Rapart_ Projert Knoan As: Price PraperCiss -(Office Huilding) LOCAtqd: Glfl Sibley Memoiiel tfighway, Eagan Mianesota This final report certifies that we have provided Special InapeCtioas and/er Testinq in accordance «ith recoqaised Enq7.Aeetirig 8taadards for thia proyect_ The Inspeations andJor Tests srere perPormed by gualified persennel under my supecvj.sion. 8dsed upon the absetv3tions arid repoYls of that personnel, it is our judgrnent that Llte ACtlvitiea reteYenced as °Speciai Inspectians and TBSting", (listed uader separate aover); conform, to the best of our knorrledqe, vith the "City Approved" plans, sgecificatlons, addenda, and chanqe orders. Ssacerely, 2ns t Teatinq /C?ompany ? f,?,?'I !l/(,}/ry ' `' 4 C.? 4 1 ? ! Carl Anderson Pzofessiaaal Engiaeer gaqiatration Number - 10736 CC: Chr3s - 8den Trace corp. 7WENTY-PIFTH ANIVW6RSAHY 7968-19W 612 575 9454 09-19-1996 03:35PM FROM EdenTrace Corporation IT= less ?co TO 6814694 P.03 INSTANT TESTING CDMPANY 4000 BEAU D'RUE DRiVE EAflAN, MINNE50TA55122 C,EDAR AVE. St T.fi.13 PORYAOLC TFSTINO DF MOHMAY 0OMST11UC110N MAT911A18 G-J. KOPACEK PAOPE$SIONAL EN41NEEft CALl? SeDtember 19, 1996 Mr. GreSt Preuasa 1745 Creatcidqe Lane Eaqan, lf,ianeseta 55122 Subject: "Bpeciel Inspections and Teating" Re: Priae Propertiss - (Office Suilding); Locetad: o2d Sible: Memorinl Highwap, Ealan Minnesota Please find eneloaed insQecti.on and testix?g aetivities as cantracted for bp the Deasleper or his Agent. I tiSPECT T OH8 : 6 insDecti.ans - Cenducted between May 13, 1995 and August 14, 1996 an subqrade soils, bacRfil materiais'and rataining waIln- SOIL COMPACTION TESTS: Per A.S.T.M. D-1556 (Sand Cone DensitY) C•a.aks OaRiYa?s?l v??k?R r?raiaixs nall 'ww?l uiir•?a11? hn??kfi 17 LOA6i. CONCRETB: Per A.S.T.M. C39 10 Cyclindexs - Cast by conkrector on tootiass/retaining oralle 8ad dBlivered Eor teating. Inapection Raparts and Test results for tlie zeferenced rrotk haa been Sant to tha Developer, ccayica ace available upon regueat from our oifice. 8inceraly, viaiac CC: Chris - &den Trace Corp- 7WEN7Y-fiFfFEANNtV£flSRFiY 1985^19a1 E12 975 9454 • 09-19-1996 03:35PM FROM EdenTrar_e Corporation AMERiCAY ENGINEERING TE5TING, INC. September 17, 1996 Mr. Chris Loberg Eden Trace Corporation 14500 Martin Dr. Sttite 2000 Edea Prairie, Mr 53344 Re: Special Inspection Services Eagan Office Building 4131 Old 5ibley Memorial Highway Eagan, Minnesota AET Job No. 96-2033 Dear Mr. Loberg; TO 6814694 P.04 CONSUl7AN75 • GEOTECHNICAl- • MA7ERIALS • ENVIRONMENTAI American Engineering Testing, Ina (AET) has performed observation and testing services on the above referenced project. As a part of our work scope, we were requested to perform selected Special Inspections as oudined in the Uniform Building Code (UBC) Section 1701 and detailed in your fax to AET dated August 5, 1996. Our services were performed on azi internuttent basis by qualified personnel under Ute direction of a registered professional engineer in the Siate of Minnesota. For our intertnittent services, we relied on the contractor to notify us in advance of the need For required Special Inspections. The scope of our Special Inspection sexvices was limited to documentation of the following: A. Visual observation of compteted suvctura] field welding. B. Visual observation of high-strength bolting of bearing rype connections. SpeciFic resutts of rhe above services tiave been previous3y fonvarded under separate cover. Based on the results of our observatioas and test4ng, this work was, to the best of our knowledge, in general conformance with ttte approved plans and specifications. 'AN AFFIqMATiVE ACTIpN EMP40YEA' 2102 Unlversity Ave. W. . SL Paul, MN 55174 . 672-659-9001 • Fax 612-659-7379 Duluth • Mar,kato . Fiochester • Wausau . . 09-19-1996 03:36PM 512 9?S 9454 FROM EdenTrace G rporation TO Special Inspection Services AET #46-2033 Page 2 6814694 P.05 Should any questions azise concerning our Special Inspection services, please contact Mark or Dan at 612/659-1303 or 612/659-1337, respectively. 5incerely, Mark Sandvig Pr'ect Manager Daniel J.,Yr n, .E. MN Reg. ?. 1 9 TOTRL P.BS ? Metropolitan Council Working for the Region, Pianning for the FLture Environmentai Seruices March 15, 1996 Mr. Joe Voels Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Voels: The Metropolitan Council Environmental Services Division determined SP_C fcr the Office/Warehouse Building to be located at Old Sibley Memorial Hwy. within the City of Eagan. This project should be charged 3 SAC Units, as determined below. Charges: Office 1372 sq. ft Storage 5800 sq. ft Tenant Space 8436 sq. ft @ 2400 sq. ft./SAC Unit SAC Units 0.57 0.83 1.21 2.61 oY 3 @ 7000 sq. ft./SAC Unit @ 7000 sq. ft./SAC Unit Total Charge: If you have any questions, call Jodi Edwards at 229-2113. Sincerely, ? ? Janzig Planner, Municipal Services Section Wastewater Services Department RWJ:JLE 96031554 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan 230 East Ntifth Street St. Paul, Minnesota 55101-1633 (612J 222-8423 Fau 229-2183 1DD/T11 229-3760 M Fqual Oppnrtuntly Empluyer city of eagan MEMO TO: PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERINGlUTILITIES/STREETS GENE VANOVERBEKE, FINANCEDIRECTOR ) RICH BRASCH, WATER RESOURCES COORDINATOR ? MIKE RIDLEY, SENIOR PLANNER FROM: DALE SCHOEPPNER, SENIOR INSPECTOR ? DATE: RE: PLAN REVIEW P)eLUSSt Aaa. The preliminary _C?L construction plans for PR zussz- !???? • are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review. If you have any objections to approval of these plans, please notify this department and resolve any problems with the affected parties. if you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. g COMMENTS: Geh??O??t ot '? 4a??cl?/ o??g'a7o`7 0? S;0 000 ? ? 0 114/4117 ild- xgrlj- Par klin-a d A C, . ?d??? C'0177?'ac? ?G P/°f ha'i not bfl.? 7h e ? ignature o,?7?r'J ? ? d br so,o?? . 41,.4 ofTdn / ate r? PLAN.REV Ah,L 971-11, TO: MEMO city of eagan DALE WEGLEITNER, FIRE MARSHAL , BILL AKINS, ELECTRICAL INSPECTOR PUBLIC VVORKS/ENGINEERING/UTILITIES/STREETS ; GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER PAT GEAGAN, CHIEF OF POLICE JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR FROM: DALE SCHOEPPNER, SENIOR INSPECTOR / DATE: RE: PLAN REVIEW Z[ '431 eG?` -? P?efusst Aaa. The preliminary -2L construction plans for 1-R'%u55? 31-64. are in our plan review section for your review and comment. Please return this form to myattention with your signed comments and the date of review. If you have any objections to approval of these plans, please notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. COMMENTS: Lo;h ear?'? /35zce5 6uh4 , , . ? '//"?.?r552 R ??L ?ii e. zs-?' ate PIAN.REV r Illumination Budget Calculation Summary Building Address: Designer Name or firm: Phone: 4f;cr?c- 4 Plecse Type or Print This worksheet is intended to detertnine compliance with Minnesota Energy Code Part 7670.0800 using the prescriptive Interior Lighting Power Allowonce method. If Total B< Total A, then the building is in compliance. I hereby certify that to the best of my knowledge, I have designed this illumination system to conform with the requirements of the Minnesota State Energy Code. Design?. MpY. 693 Allowable Watts Per Sq. Ft. BUILDING TYPElAREA FUNCTION Grose LqMed Arsa Ranges - ow 2,000 fF z.ool ro I o,ooo n, 10,001 to 25,000 rt2 25,001 m so,ooo 112 50,001 w 250,000 If >2so,ooo Food Service/Fast Faod CafMeria 0.92 0.85 0.62 0.81 0.81 0.80 l.eisureDtcglBm 1.e0 1.56 1.52 1.48 1.44 1.40 Offiew 1.40 1.34 127 1.22 1.18 1.11 Retall'lRetall Generai 2.12 252 2.92 2.05 1.87 1.71 Mail CorcourseMlulti-Stae SeMce 0.09 0.68 0.85 0.63 0.61 0.60 ServiceEslaWishmeM 2.81 209 1.78 7.65 1.54 1.46 ra9es 025 0.24 023 0.22 027 020 Schools Pre-akmerMary 1.93 1.39 127 1.22 7.76 1.77 r. HighlHigh School 1.40 1.40 1.39 7.35 1.30 726 echnlceWocetiormn 1.77 272 1.60 1.49 7.38 7.26 arehousdStaage 0.60 0.50 0.42 0.36 0.32 0.30 Exterior Lighting Allowances AREA DESCRIPTION UNR POWER DENSITY(UPD) Ea (wdn awkvoLrt m,oar) zs wNn. n. m door opening entmnoe (wmout canopy) ao wmn. n. or door qperlin9 Entrance (wilh canoPY) High TraKc (reteil, hotel, elrport, tlxater, etc.) 70 WAt' ol cenopied area LipM Traffic (hosDital, ottice, scfwol, dc.) 4WM' of cetWpiad ama Loadft area • 0.40 WM' Loadins aw so w/fin. n. m aoor ?nhe sulairp e#emr surracaelFxaees o.zs wnF cr w,rtue area ta be luumhreted Storape arM Non-manufaclurinp work aroa ? 0.20 W/R' Othar aetivity areas for easual uae wuh as pbnic prounds, pardans, rks, mwl ollitt lentlaeepetl ar?s 0.10 WM' Pmeate dnvewaysNaalkways 0.10 WJRe Publie driveweyslwelkwaya 0.15 W/It' Wta perldn9 lots 0.72 WIR' c arldng bts 0.10 WM' Note: ' InciM udes general, merchandising and display lighting. 7-W city of eagan < MEMO TO: DALE SCHOEPPNER, SENIOR INSPECTOR DALE WEGLEITNER, FIRE DEPARTMENT R1CK BRADLEY, ELECTRICAL INSPECTOR PAUL OLSON, SUPERlNTENDENT OF PARKS PUBLIC WORKSJENGINEERING DEPARTMENT DIANE DaWNS, UTILITY BILLING CLERK MIKE RlDLEY, SENIOR PLANNER BOB KRIHA, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: ?'/?919(0 SUBJECT: F1NAL INSPECTtON - FAy The Protective Inspections Department will be performing a final inspection of OICI S; Alev M pw,toriaI RiahWa\/ _ on 91OW96 . A Certificate of Occupancy will be issued following our approval. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request foi m. Failure to return the hold request form will be considered your approval. The person or department requesting the "hold" is responsibie for notifying and resolving any problems with the affected parties. Senior Inspector WB/js FINAL-FM.1 ST *****?******?*****************?*?**?*** CITY OF EAGAN CASHIER: JS TERMINAL NO: 794 DATE: 09/28/00 TIME: 14:07:58 ID: NAME: MCGUIRE MECHANICAL SERVICES 3212 9001 4131 OD SBY M H 30.00 Total Receipt Amount: 30.00 CR137973 JER ID: JAN ***???*****?***??********************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 794 DATE: 09/28%00 TIME: 14:07:31 ID: NAME: MCGUIRE MECHANICAL SERVICES 2155 9001 4131 OD SBY M H 0.50 Total Receipt Amount: 0.50 CR137972 I USER ID: JAN CITY USE ONLY L B ? RECEIPT #: SUBD* rr RECEIPT DATE Z Gy/ APPROVED BY: , INSPECTOR PLT.TMBING PERMIT # c? l(L'Q 2000 PLU1KSINfi PEfiMTT (COMMEfiC1AL) CITY Of' EA&AA 3$30 P1LOT KNE?B fiD EAGA1V,14IN551E8 651-681-4675 Please complete for: al] commerciaUindus[riai buildings multi-family buildings when separate building pem¢ts are not required for each dwelling unit installation of backflow preventer in commercial azeas or residential boulevards Dare: ? Z66 Work Type: _ New Bldg. _ Add-on?x__ Repair _ U.G. Sprinkler _ RPZ Description of Work: %k??.J?.- To inquire if P.ressure Reducing Valve is required on new service, ca11 651-681-464 6. 1% of connact price or $30.00 minimum f£fS Contract Price: $ - I% _ $ CS ?) n a COMPLETE THIS AREA ONLYIF INSTALLING LINDERGROU Base Fee - Water Meter: 2" Turbo $897.00 unless pian approved for smaller size 1-1/2' Turbo - $726.00 Service: _ existing (if coming off domestic line) OR _ new If "new service" caitact Jerrv Wobschall Finance Consultant to confirm addinQ fees for: Water Permit & Surcharge - $ 50.50 Water Supply & Storage - $ 840.00 Water Treatrnent Plant Charge - $ 492.00 ca Diane Downs, Ufiliry Bi!ling - underground sprinkler permils State Surcharee $.50 minimum; calculate at $.50 for eacb $1,000 Base Fee Base Fee S State Surcharge $ Total Fee $ I hereby acknowledge that 1 have read this application, state that the information is coaect, and agree to comply with all applica6le Ciry of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance activities ro the facilities constructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: _ °`l? ? ?-[ TENANT NAME: W"S?q TELEPHOIVE #: ` ?-?l - ? c1`l ' ,!-A 'i Ci G ? (AREA CODE) WAS TI-IERE A PREVIOUS TENANT IN TH1S SPACE? Y N NAME: INSTALLERNAME:VVV???,UL?.'?'??L- TELEPHONE#: '\ Sa? y (DC'1- `A -1 Q O (AAEA CODE) STREET ADDRESS: 0 o Y' z n' k)+0 cz.-A CITY: Q-'?MX? zrn: S6a'-l4. OF PERMITTEE CITY USE ONLY INSPECTIONS REQLJIRED: U.G. _ Air Test _ Gas Test _ Rough In _ Final DOMESTIC METER SIZE: y _ COMPOUND _ TURBO • Contact Utility Billing Division for price: 651- 681-4631. IRRIGATION METER SIZE: • 2" turbo unless approval for smaller meter granted by Public Works. • Contact Uality Billing Division for price: 651-681-4631. PRVe Vec No PRIOR TO SELLING A METER: • On Permit Entry screen, enter site address to look up sewer and water permit #. Select S&W Permit and check that hydrostaRC and conductivity tests have been approved. If not, do not issue meter. ? 1ltiscellaneous • • Meter larger than 5!8" - ask plumber to wait while you call Cen4a1 Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the inside water Iine and backflow preventer, call 651-6814675. • To schedule water tum-on, call 651-681-4300. CD/Permit torms/plbg permit (camm) 2000 ? %X;Se... u,rd:t;.?..? C r TV C;r: r•n,:,?.? ............. ::?• .e.rn:;?.;?ri,iC' ,`,''• °?J ., ..., ?....,... ,.:: ?.. .,... .,.. .. : tr n C..: .'., . ... _ r.,.5. itF-.... rF? •:?;:,.?j, rr....?.; , .. r? ..;; ;... ..,i. _......: ,:1...11_,.. ^pl?.?:???. ,`..V.FS?f•? ...i r- :._ s,f:??:? ,;LD .::; r;i._:;•r .'.54.r'5 . ,. .. .. ?:> ?; ?..'.. x (.;J(: ('IF ..:.%. 1 %ml;f PERMIT 'CITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G EBgan, Minnesota 55122-1897 PermitNumber: 030948 (612) 681-4675 Date Issued: 10 / 10 / 9 7 SITE ADDRESS: 4131 OLD SIBIEY MEM HWY LOT: 2 BLOCK: 1 PREUSSE P.I.N.: 10-59100-020-01 DESCRIPTION: -°? (ONE 2 ONE) Btl3ldin2}<,Permit Type COMM. JIND. MISC. $uiYding 4Jolrk Type 7ENANT FINISH ,'Census Cod=e437 pLT. NONRES. . I?E . . . .. .,.,, ?1 A j? t` tg > 'c ?.' ! ? s ? ', kr U'! 6' r f t i2jj'????.? ? REMARKS: A SEPARATE PERMZT TS REQUIREO FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Total Fee r VALU.ATION $149.75 $4.50 $154.25 $9,000 CONTRACTOR: ' OWNER: - Applicant - PREUSSE GREGORY 1745 CRESTRIDGE LN EAGAN MN 55122 (612)452-5198 I hereby acknowledge tMet :I have:: read th'a.r, aAP,,lioatjon and stete Chat tFi"e infor'maCic7? iscarrect and agree to- ca?mRly with all, aPPi3ca61e ?tak'e of %Mnc . Statutes and City of aga?fidin•ancas.!=; L r , ? APPLICA 7lPERMITEE SIGNATURE IS???°.?ILSNATURE? 50q4V997 BUILDING PERMIT APPLICATION (COMMERCIAL) „_? R? I ) A? CITY OF EAGAN 681-4675 (?f?,? The lollowing are required wRh appropriate certfication for ell pM eonstruction: ? 2 each: architeCtural plans; mech. 8 elec. plans; fire sprinkler plans; atruGural plena; site plans; lan0acaping plans; grading/drainagelerosion coMrol plan; utility plan - • t each: aet of specificationa; set of energy calwiations; electrical power & lighting fortn; Speaei Inapedions & Teating Schedule • Letter from MCANS (phone i1222-8423) indicatinp SAC determination • Code anaysis indicating: codes used; otcupancy UassiNwtions; setbacks; mezimum allowable area as per Building and City Codes along with sq. ft. per floor; type of construdion (synopsis of construdion components) 8 any occupanq or area separetion walls; tOSOIL'S oaupancy loeds; exit synopsis with a diegrem indicating exiting loads Irom each room or area, travel paths & all reted REPORT oorridors; plumbing fixtures; and parking. DATE: 16' er 9?• WORK TYPE: New V REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: 87? ? TENANT NAME: SITE ADDRESS: ?-e4 v LOT ?. BLOCK? SUBD. /?`??? ?• P.I.D. # PROPERTY Name: G'-e-e? Phone #: OWNER ?= h"* Street Address: City: ? State: -0ti Zip: -a7?1-2 CoN7RACTOR Company: Phone #: Street Address: City: Zip: ARCHITECT! Company: Phone #: ENCaINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (only 'rf installing sewer 8 water): I hereby acknowledge that I have read this application and state that the information is correct and ree to ompiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Appiicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation n 18 Comm./Ind. ,,,;;?9 Comm./Ind. Misc. ? 20 Public Facility WORK TYPE 0 31 New n 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 33 Atterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Cann. S/W Permit S/VU Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: Engineering : ;? ?, °v,? • ? ? 21 Miscellaneous 0?35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance 37 ? / _f Valuation: $ deo ? °k SAC SAC Units Meter Size Clty Of E8gIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i- - -------------- ? ForOffice ? Partnit 4: j Pertnit Fee: i ? Date Received: i i ? Staff: ? _________________? 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: s1/ o Site Address: L I? TenarrtName: Xey\ZOiI 0. j 5M (Tanant is: _ New / -)?_ Existing) Suite #: Former Tenant: PROPERTY OWNER ? j (. Prev552 Phone: Cn I9Yp- SJ9$ Name: 17'r? , Ea?Qn W4 J?TQa AddresslCity lZip: 1-I?75 CCQ-SNzY0j,C. L-YL I Applicant is: _ Owner A Contractor TYPE OF WORK Description of work: rtWIOKu- lthj F-Ppir^ -L rC%A m Construction Cost: vt ? , U00'- CONTRACTOR Name: 17 IA V2??-A(ICti? 5e4rVI'(eS License#: 4224I0y385 l Address: ?L7 35 ? 1c, rt-v-Z- City: L 1-,Lo !,-ak-' ? State: rMl Zip: 55w`7 Phone: -105'40 3-j-773 Contact Person: If-kUGL 42yrrWn $OrA ARCHITECT 1 Name: Registration #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new seweNwater service: Phone #: NOTE: Plans and supporting documents that you submit are consedered ro 6e public informatlon. Portlons of tha information may be classirted as non-public if you provide specific reasons that would permk fhe City to conclude that the are lrade secrets. I hereby acknowledge that this information is complete and accurate; that the vrork 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, d 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 requ' review and approval of plans. x P-t'c,ki T)6eso.. ApplicanYs Printed Name Page 1 of 3 For Office Use C1 ~ _0j Permit City of Eaail Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 1 Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 Staff: 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: / / / /°1 Site Address: 14 131 0' J I 0 cl ~ke-m or/c, A ~ C Tenant Name: We v\ 2.41 6LJ A ( lam (Tenant is: New / Existing) Suite Former Tenant: PROPERTY OWNER Name: 1'i~ 1 'L, ?r 2U SSe. / Phone: q 14C>- )9~^^~ Address/ City/ Zip: Jam) f'e_S~rr t 4 Lin . E E. ct n N?\nl ~ ~i eL Applicant is: Owner X Contractor TYPE OF WORK Description of work: FW1.0vj- co-J ge.Pl4 ti 1C °C a Construction Cost:499 1000rx CONTRACTOR Name: 1A ~ 1- Vtec*tc 5e*Ui,C -S License t o~ Address/. p~~~~~_ City: L. t 4o ( S State: Zip: ` L Phone: _10'4U 3-3"17 Contact Person: ~vly~'~- ~ Sor ARCHITECT / Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone 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. 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, d 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 requ. review and approval of plans. x ~t (i?L C? So x Applicant's Printed Name nt s ure Page 1 of 3