3450 OLeary Lane
Use BLUE or BLACK Ink
Eajan For Office is
C~ ~lf I Permit* ~YL
I
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: 651 675-5675
I
Fax: (651) 675-5694 Staff_------
- - - - - - - -
2010 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Zq L O Site Address: - 3 4Sew 0'LEA i.X L A.>J
Tenant: F_ R C. P, I j 0_ o O ,-4 SV-L L rLGc Suite
PROPERTY lL-
OWNER Name: ~ T 1S 6 N G ~ q it L e vm~ i Phone: Z' S 5 Ll '4
CONTRACTOR Name. ~A2LE ~G,3 SC-0 cQP%PX"-C License* OS S 14.1 F IA
Address: 9 ZD L f As}-St.cc;qA, liz City: t aNc~ State: ft~Zip: S'54-24c)
Phone: 952- v v --l Z2.3 Email ejcX.LiF e- C,=,M
TYPE OF New _ Replacement _ Repair _✓Rebuild _ Modify Space ^ Work in R.O.W.
WORK Description of work: Kc-3t3f oc, 12
COMMERCIAL
PERMIT TYPE
New Construction ^ Modify Space
_ Irrigation System yes / _ no) RPZ / PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? ,Yes No Flushometers _Yes No
5.00 Minimum (includes State Surcharge OR Contract value $ X1%
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If the Permit Fee is less than $10,010, the surcharge is $5.00 = $ Meter(s)
If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) o State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL F S $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for p ecti nderground utility
damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I
understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
X D A1,6 s~rJ x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: _ Yes No
Page 1 of 3
z~'
, Clty of Eapn
October 17, 2008
Mike Maguire
MAYOR
Paul Bakken
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CRV ADMINISTAATOR
MUNICIPAL CENTEH
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 fax
651.454.8535 TDD
MAINTENANCE FAqLRV
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
Elder-Doyle LLC
1120 E 80`h St
Bloomington, MN 55420
Re: Landscape Inspechon
3450 O'Leary Ln, Eagan MN 55121
In June of 2000 a$S,OOO landscape security deposit was submitted to the City of Eagan
in conjunction with issuance of the building permit for construction of the building at the
above referenced location. These funds are eligible for release to the depositor at this
time.
Please note that the property owner continues to be responsible for maintaining the health
of all plantings on the property. In accordance with section 11.70 of the Eagan City Code,
the property owner must maintain ali landscaped azeas, and install healthy replacement
plants for any plants that die or aze removed due to disease. Maintenance shall include
removal of litter, dead plant materials, unhealthy or diseased trees, and necessary
pruning.
An inspection will be conducted by city staff next spring/sumrner to verify that the
condition of the landscaping is acceptable under city code. Thank you for your attention
to this matter. If you have any questions, please ca11 me at 651-675-5684 or Planner
Sarah Thomas at 651-675-5696.
Sinc rely,
?„_ ..._...
? l1N ' ' . ? V???j?
Fran Doherty
Planning Department ?
cc: Sazah Thomas, City Planner
MECHANICAL (COMMERCIAL)
Permit Application
q City Of Eagan
ID 3830 Pilot Knob Road, Eagan Mu 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Plcase comple[e foc commercial/industrial buildings
multi-family buildings when separate pcrmits aze not required for each dwelling unit
'm (? O . ":?Cl
Date ?_/ 6q_/_ .7j
Site Address ?"1 Jr0 Unit #
if
T
t N
li
bl
5eQ0.%l
I
6 Q Cl ln1 CP
vi
Tenant Name
ame (
enan
app
ca
e)
0 QqJ
.z t_,(iLL/ re
ous
Property Owner Elder -;Rvk_. L4G Tetephone # (q5aj ) C35 10'5q
Contractor F(Clea` - joir) Q
/kt _
-
Street Address ( ? ?? E•• ?? th ?D'Ie°'r City ? ??Ca'Y11%L??'f01'?
State P'r t 1 Zip Telephone #( q5A)?
The Applicant is 7x Owner ? Contractor
? _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement. Call for inspection during installation/removal of tank
Processed Piping ,
NatureofWork: I(13f0t.11 (leAA) f QGdi'f10IY1.1 J'r"fo/1 {"fVIAC, VP'll"r
Permit Fee $50.50 Minimnm Fec (includes S4a[e Surcharge)
Conhact Value $?p4000• ' x 1% _ $ Permit Fee
• If permit Fee is $1,000 or less, add $.50 => $ - S? State Surcharge
If peimit fee is over $1,000, add $.50 per
$1,000 Permit Fee $ TotalI Fee
? APF ,,,?•, I
I herehy apply for a Commercial Mechanical Pemilt and acknowledge tUat the infomiation is comp'}ete and-adsaiigte; that the orK
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand th s is
not a pemtit, but only an application for a pemv[, and work is not to start without a permit; that the ?Ro ?th
the approved plan in the case of work which requires a review and approval of plans.
CGtt%) l Elsfad
ApplicanPs Printed Name
Approved By: Inspector
(j0,46C CX%IC cv
ApplicanPs Signature
Date: Q?'04'Q.3
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date
Site Address Unit #
Property Owner ?I
Telephone # ( )
Contractor
Street Address City
State Zip ?i
Telephone # ( )
The Applican[ is _ Owner Contractor Other I
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
_ air exchanger
air conditioner
-
other
-
State Surcharge . $ .50
Total $
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; thai I understand this is not a
permit, but only an application for a pemut, and work is not to start without a permit; that [he work will lie in accordance with the
approved plan in the case of t+ork wluch requires a review and apptoval of plans.
Applicant's Printed Name
ApplicanYs Signature
MEIVIORAPiDUM• `
TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FII2E MARSHAL
DIRI{ HOUSE, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
`GENE VANOVERBEKE, FINANCE DIRECTOR\: J l CI7l Pc/jp CY
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIItECTOR
dOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL AEUER, SYSTEMS ANALYST
BOB KRIIIA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
DATE: MAY 11, 2000
RE: PLAN REVIEW
3450 O'LEARY LANE
Ll, BLl, TOWN CENTER 100 18TH
#O
The construction plans for Eagan Counseling Clinic are in our plan review section for your
your signed comments and the date of
ise so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments: Tam / A,
d Lo/ rro?.rl?
/Y(/ /!? /V 000
Indicate any fees that are to be collected with the building permit. ?
AMOUNT
? Yes ? No
? Yes ? No
? Yes '?- No
? Yes ? No
? ?.7 No
? No
landscape security required
water quality dedication
pazk dedication
trail dedication
tree dedication
ZONING?
?6D
Date
Re uirements
?? W ?'--{ I? I ?-f 3
2000 BUII.DING PERNIIT APPLICATION (COMMERCIAI.)
651-6 1-4G7? ? I U
C,p,? 131I56 ? ?, .o,)
'F?,.:,. -t lp-(? u v?,Ji-I o 1- \
Foundation Onl New Construction - Interior Im rovement
• StrucWrel Plans (2 sets) . ArchitecWral Plans (2 sets) • Architecturel Plans (2 sets)
• Civil Plans (2 sets) • SWCWreI Plans (2 sefs) . Code Analysis (1) "
• Certifipte oi Survey (t) • Civit Plans (2 sets) • Project Specs (t set)
• Code Malysis (t) " • Landspping Plans (2 seLS) • Key Plan (1)
• Project 5pea (1) • Code Anaiysis (1) " • Master Exit Pian (1)
• Spec. Insp. & Tes6ng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
1 • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always"
1 • ProjectSpecs (7) 1
1 • EnergyCalwlations (1) " 1
1 • Electric Power & Lighting Portn (1)
1 • Master Exit Plan (t) 1
1 • Fire Protectlon Plan (1)
1 ! 1
• MC/ES SAC determinaGon letter . MC/ES SAC detertnination letter • MC/ES SAC delertnination letter
ca11651-602•1000 ta11651-602-7000 - ca11651-602•1000
" Contact Building Inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE: mQT 9, ;IOCO
DESCRIPTION OF WORK:
WORK TYPE: X
I a-, 00o s,? : NEW _
! Sfa? REMODEL
r : O?r?? CONSTRUCTION COS-r"?I5-O24boO
?u / lcfZe,.?q
TENANTNAME: EQra,GR, CU.I/15?P?..t9. G/thJie?
SUITE: -'
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FORMER TENANT NAME: ` I U U
SITEADDRESS:.3'f 60 O) LeO/'? (aI1P, LOT?BLOCK?SUBL??nui" C-eVL--Y-2.
Narne: Ef d.e!' -??y (.? L L G Phone#: c qsa ,c(554- c-nda`{
PROPERTY Last Fust
OWNER
Street Address: (( o?D E•`L' O?' ?fGG f
Ciry :BGrir! lI1Ct ?f?GY1 state: MIJ zip: 5543o
Company: E l de?r - LJOnG S I f.1G. Phone #: GI( 5A )$`.7 4 'oZ S-1
CON'IRACTOR
Street Address: 11 ?0 E. ? O?' S-Fr'ee f
Ciry -B(0C»1 fn '{0r) S e: M? Zip: J?'i 2. 0
? ArV? ?7TP? -"' C_?IV?t"FK??
ARCHITECT/ 'I
( ) ot --7-Y ci
ENGINEER Company:T/`U/Y)Gt/1 -f{()?,?1?.?( A?'C,?. '?' f?55CCi, Phone#: '7
Name: -5 UCG ?J' p*a1/) C'F'Ft. Registration #:
StreetAddress:? IB1S q(,(+C../]f/15 _,P/`fUP,
city MII1n vt'[ar1rcL. ? state: !71 tj zip: 553 45
? r a- ( /gs?s ?1- r--i
Sewer/water licensed plumber (if instaliina sewerlwater): ? Phone #: ( 47nZ ) $,31- r 7?-3
t hereby acknowledge that I have read this application, state that the information is correct, nd agree to comply with all applicable State
of Minnesota Statutes and Ciry of Eagan Ordinances.
r
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
?(31 New
? 32 Addition
? 33 Alterations
? 26 Public Facility ?
X27 Commercial/Industrial ?
? 28 Greenhouse ?
? 29 Antennae ?
GENERAL INFORMATION
Census Code 32g
SAC Code ?p
No. of Units J_
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy 'T?D_
Zoning t.- 6
# of Stories
Length ?
Width
Basement sq. ft. l
First Floor sq. ft. f?
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning Building 0A
Fo(lR1DAFn Dj,,j DhIL'
Permit Fee
Surcharge
Plan Review
MGES SAC d D, s-v
City SAC ? O° ? O-C7
Water Supply & Storage
S/W Permit 1 DD . er?
S/W Surcharge ?d
Treatment Plant 1 Z(? • 'i"v
Park Dedication -
Trails Dedication
Water Quality
?
Other SOOD•0-6
Copies
? Insulation
O 34 Repair ? 37 Demolish Bldg. ? 43 !1 Reroof
? 35 Tenant Impr ? 38 Demolish (Inte(or) ? 44 i Siding
? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair
Total 10 3 (ea -^1 ?
Engineering
?
30 III;
Accessory Bidg.
32 Ext Alt ;, Apts.
34 Ext Alt Comm.
35 Ext Alt = PF
? 46 Windows/Doors
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water i;
Fire Sprinklered h t?
Plumbing 0,','I Stucco/Stone
Van?ance
- i
VALUATION:$
;
i?
% SAC C10 bo
SAC Units ?
Meter Size
?
?
i?
,.
city oF eagan
June 8, 2000
MR DAVE ELSTAD
ELDER-JONES INC
1120 E 88TH ST
BLOOMINGTON MN 55420
RE: EAGAPi COLNSELING CLINIC
3450 O'LEARY LANE
LOT 1, BLOCK 1, TOWN CENTRE 100 18TH
Dear Mr. Elstad:
PATRICIA E. AWADA
Mayor
PAULBAKKEN
BEA BLOM4UIST
PEGGY A. CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
City Adminisfrotor
E.J. VAN OVERBEKE
City Cierk
We have completed our review of the construction documents submitted in pursuit of obtaining a building
permit for the above-referenced project. This review is not intended to be an exhaustive and
comprehensive report. Unless otherwise noted, all references are to the 1997 U.B.C. It is our goal that
this review will help you in complying with the applicable codes and we are, therefore, requesting that the
following items be addressed.
1. The inside dimension of the vestibules shall be a minimum of 7' (in the direction of travel).
2. Room 150 (toilet room) shall comply with the minimum accessibility code, Section 1341.0405.
3. Two exits are required from the storage basement area - UBC, Section 1004.23.2, Exc. #6.
4. Because of the draft stopping, a continuous ridge vent will not work on this building.
5. Both fireplaces need to be Fire stopped at 10' intervals and at ceiling level.
If you have any questions regarding the above, please do not hesitate to contact me at 651-681-4683.
Thank you.
Sincerely,
'4
.? • ?i
J. Craig Novaczyk
Combination Building Inspector
JCN/js
MUNICIPAL CENiER
3830 PILOT KNOB ROAD
EAGAN. MINNESOiA 55122-1897
PHONE. (651) 681-4600
FAX: (651) 681-4612
iDD. (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
Equal Opportunity Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 681-4300
FAX:(651) 681-4360
TDD: (651) 454-8535
city oF eagan
May 22, 2000
MR DAVE ELSTAD
ELDER-JONES INC
1120 E 88TH ST
BLOOMINGTON [vni' 55420
RE: EAGAN COUNSELING CLINIC
3450 O'LEARY LANE
LOT 1, BLOCK 1, TOWN CENTRE 100 18TfI
Dear Mr. Elstad:
PATRICIA E. AWADA
Moyor
PAULBAKKEN
BEA BLOM9UIST
PEGGY A. CARLSON
SANDRA A. MASIN
CouncilMemb6a
THOMAS HEOGES
Ciry Adminrsirator
E. J. VAN OVERBEKE
Ciry Clerk
We have started our review of the construction documents submitted in pursuit of obtaining a building pecmit for the
above-referenced project. This review is not intended to be an exhaustive and comprehensive repoR. Unless
othenvise noted, ail references are to the 1997 U.B.C. It is our goal that this review will help you in compiying with
the applicable codes and we aze, therefore, requesting that the following items be addressed.
We will need the following prior to issuing a:
foundarion pecmit -
• 2 sets of signed structural plans
• I soils report
• 1 letter from MC/WS indicating SAC determination (651-602-1000)
• 1 Special Inspections and Testing Schedu(e (enclosed)
• mechanical plans indicating size of water lines both inside and ouuide the building
2. buildin¢ permit -
• 2 sets of signed architechual plans
• 1 energy calculations form
• 1 Electric Power & Lighting foan (enclosed)
• 1 Fire Protection Plan - 8-1/2" x 11" paper copy and I floppy disk (see example)
• plumbing plans stamped by Mechanical Engineer
• specs detailing plumbing fixtures
If you have any questions regazding the above, please do not hesitate to contact me at 651-681-4683. Thank you.
Sincerely,
`i
J. raigNovaczyk
Combination Building Inspector
JCN/js
Encl.
MUNICIPAL CEN7ER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 551 22-1 897
GHONE: (651) 681-4600
FNC: (651) 681-4612
TDD: (651) 454-8535
THE LONE OAK TREE
THE SYM80L OF STRENGTH AND GROWTH IN OUR COMMUNIN
Equal OppoRUnity Employer
W W W.CI}yOf9OQ4f1.COm
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN, MINNESOiA 55122
VHONE: (Q+` 1) 681 d300
FAX:(651)681-d360
TDD: (651) 454-8535
.. . , _ ;
i ;
,.
1VTElVIQRANDfiJM'
i 1 ,,
TO: KENT TIERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAI.
DIRK HOUSE, PLUMBING INSPECTOR
AZARK ANDERSON, ELECTRICAL INSPECTOR
GENE VANOVERBEKE, FINANCE DIItECTOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB KRIFIA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUII,DING INSPECTOR
DATE: MAY 11, 2000
RE: PLAN REVIEW
3450 O'LEARY LANE
? -
Ll, BLI, TOWN CENTER 100 18TH
#O
The conshuction plans for Eagan Counseling Clinic are in our plan review section for your
review and comment.
Please return this form to Dale Schoeppner with your signed comments and the date of
review. If you have any concems with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that aze to be collected with the building permit:
AMOUNT
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
landscape security required
water quality dedication
park dedication
trail dedication
tree dedication
ZONING?
Signature
Date
R
2•til i d __s`M":4 t* l .{?:i?;?'"? '1??A?? ?'???;
2000 BUII.DING PERMI'1' APPLICATION. (CO?ER? ia?•) ? ? ,?
crry oF sac+nx
651681-4675
p L. . tv a??.
t ?.. ._ . . ..'z h.' t r
FoundaUon On New ConsVudfon - '. Interior im roVement
. swea,rai alans (z sets) . nrcMreca+ral aiane (2 sets) . nrq,ic«a;ral Pians '. ;•
.
?, (2 sets)
S
. Civu Plans (2 sets) . Strucwral Plans (2 sets) . Code Malyals ..,,1
"
. Csrtificale ot survey (t) . Civil Plans (2 sets) • projed spep , , • (1 aet? ?
' :` .
. Code Analysis (1) •• . larMscaPing PWns (2 sets) . Key Plan It:
. PrOjeCtSPea (1) . COdeNf2lysis . (1)» • Ma4terE%itPl2n
'
"
. SDea tro0. 8 Testing Schedule " . CoNflpte of Survey (t) . Enerpy CalcWatlons . (t)?otalways
»
y . Spec. lnap. 3 Tesenp Schedule (1) ^ . Ebc. Pawer d Liphtlrq Fortn (1lnotahvays
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° Contact euiltling inspecnons ror sampie ?
Food 8 beverage or lodging facilides: Plan must be submitted W Minnesota Departrnent of Health - call 651-215-0700 for
DATE• R?1Q?I 0?? WORK TYPE ? NEW REMODEL ? CONSTRUCTION COS? -I'
, .. . ?
DESCRIPTION OF.WORK ?I a'.666 54.
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: .. • -1-i O ?
TENANTNAMEt
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street Addre"ss: (1010
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of Minneeota Statutes end CHy ot Eapan Ordinancee,r• }y;
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? FIRE DEPf. GONNEGTION
? FIRE NYDRANT
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Fa FIRE ALAf2M PANEL
SP STAND PIPE GONNEGTION i Z
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EO ELEGTRIGAL I1AIN SNUTOFF
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TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
DIRK HOUSE, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
GENE VANOVERBEKE, FINANCE DIRECTOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PIIBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB HI2IHA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
DATE: MAY 11, 2000
RE: PLAN REVIEW
3450 O'LEARY LANE
Ll, BLl, TOWN CENTER 100 18TH
Yt0
The construction plans for Eagan Counseling Clinic are in our plan review section for your
review and comment.
Please return this form to Dale Schoeauaer with your signed comments and the date of
review. If you have any concerns with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments: DK- F??ihao,rrH?, a Qa?--ovn?
. ? ?
WV6-+' t?O- ?
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No O
gna etur
ZONING?
5-t2 -oo
Date
(-Aoew?c, 7
, ? . .
.
. , ;.
,n
.. ? .
a"A ?N?u°M;'?
TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAi•
DIItK HOUSE, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
GENE VANOVERBEKE, FINANCE DII2ECTOR
M_IKE RIDLEY, SENIOR PLANNER ?>
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARN[E ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB KRIAA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
DATE: MAY 11, 2000
RE: PLAN REVIEW
3450 O'LEARY LANE
Ll, BLl, TOWN CENTER 100 18TH
#O
The construction plans for Eagan Counseling Clinic are in our plan review section for your
review and comment.
Please return this form to Dale Schoeapner with your signed comments and the date of
review. If you have any concems with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
RQ Yes ? No landscape security required` 'r7, 7(7
? Yes ? No water quality dedication
? Yes ? No park dedication ?.vl I?e
? Yes ? No trail dedication
? Yes ? No treR dedication
ZONING?I -V2
Fwl ?'-; pte-4
U s ?No
?G?,?/jLy/?
Signature Date
11 ? MEMORANDUM
'i T?
TO: KENT THERKELSEN, CfIIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEIT'NER, FIRE MARSHAL
,DIRK HOUSE,PLiJMBING IN5PECTOR ?
MARK ANDERSON, ELECTRICAL INSPECTOR
GENE VANOVERBEKE, FINANCE DIRECTOR
MIKE RIDLEY, SEIVIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB KRIHA, CONSTRUCTION INSPECTOR
FROM: CRAIG NOVACZYK, BUILDING INSPECTOR
DATE: MAY 11, 2000
RE: PLAN REVEEW
3450 O'LEARY LANE
Ll, BLl, TOWN CENTER 100 18TH
The construction plans for Eagan Counseling Clinic are in our plan review section for your
review and comment.
Please return this form to Dale Schoeppner with your signed comments and the date of
review. If you have any concerns with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
?1?>
3 ? ' , ,. e ch
Comments: PR PL 1MVA2Z pLAt.J S d Nr-ki14D An= E1.16 S TH lyP
iJ D S 17- I i? o Ig- ie) A 1 c- 2 1 1 tis c S ? r S ??j ? a ?(-k'I- S ? e m P c? ?c
No
w
y
Indicate any fees that aze to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No pazk dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No
Sigiature
tt0
?
S?
c,..n.
G?'?` ryG? ? a ?
ZONING?
'°'-l V- 60
Date
n
? Metropolitan Council
Working for the Region, Planning for the Future
Environmental Seruices
May 24, 2000
Da1e Schoeppner
Building Official
City ofEagan
3830 Pilot Knob Road
Eagan, MN 55122
Deaz Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has deternuned SAC for the
Eagan Counseling Clinic to be located at Town Centre Drive & O'Leary Lane within the
City of Eagan.
This project should be charged 3 SAC Units, as determined below.
SAC Units
Charges:
Office
3124 sq. ft. @ 2400 sq. ft./SAC Unit
Group Rooms
2418 sq. ft. @ 1650 sq. 8./SAC Unit
If you have any questions, call me at 602-1113.
Sincerely,
L? 4
Jodi L. Edwards
(%tfrV6
Staff Specialist
Municipal Services Section
JLE: (200)
00052453
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Carol Elstad, Elder-Jones
1.30
1.47
Tota1 Charge: 2.77 or 3
230 East Fifth Street St. Paul, Minnesota 55101-1626 (651) 602-1005 Fvc 602-1183 TDD/TTY 229-3760
nn eyu? ovvorwnuy emPmver
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ANAERICAN ENGINEERIIJe TESTING, INr-.
550 Clevelsnd Avon" North
St Paul, MN 55114
Phone: 851-659-9001
F= 851.09-1379
1'0: Mf4 R e, 6tf-164
Gompany: fC ot7R 40"5
Fa:#: 95 2 $ C4- 2743
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I 'd RE(9H I 'ON (ME• QCT. 27. 8:05AM
S3NCi'-87 a13 Wd6l :6 OOOZ '1Z '1)0
OC,T n 2000 09:22 FR qM ENG TST 5T PRUI_ 651 659 1379 TO 99528542703 P.07/eet
T
pROJECT: gEYORTED TO:
EAdAN COUNSELING CENTER fiLDER 70NSS ASSOCIA'1 FS
3450 O'LEARY L°+1`tE 1120 EAST 8e STRFET
EAGAN, NmiNB50TA SUITE 211
gt,ppMINNOTON, MN 55420
AET JOH NO.: 02-=86
ATCNi: MAIZK SENDA
DATE: OC'fOBER 26. 29W
'i'his report summariLes du results of the proJect rASting 54rvim wt have oondncrcd for the F.aBart
Conmeling Center bnitdiog ia Eagan. Minnaon ?0" s,_,i=s wue consluMed on aa inoermittent
bssis ia eocordanco vrifh auehorizadon recaived on June 14, 2000, from Mr. Merk Benda irom
Flder Jonas CompanY. The scope a( our work was limired to rhe following:
. Observe the soils in the boROm of tha mess excavauon, aad lacer she soils ia the foow?S trench
excavatio0s for the bnilding.
. Perfotm soil caepacdon testa in fiq placod for t1A pcoleet.
• ObseNe We placemenc of roinfoeang soeei for ceccain svucwral elemew aA evaUsacin8 theix
compiiance to current pro,jac chawin85•
. rm on-slte msiing of piastie cottcceoe: including slump tests, sir coment tests. and cestinB
porpo
soncrete test cyliaders•
. Perform compressive saengch unin8 of ooncrece test cylinders.
• Perform compress9ve sven8th tcsung of grouc and morrsr teat cylitsders•
. 5lunmatize ttie ceaulu of our sen+ices m a wrimn report.
Z'dRE(9H I 'ON'1ME OCT,27, 8:05AM S3v0i'-8:413 WH61:6 000Z'Ll'130
,s, ?eo ,-r*e Tn e9528542703 P.nsroes
OCT 27 2000 08 : 22 FR AM ENG TST 5T F'RiA, wa o» ` - - • ---- -
AET i0r20'00386 ' Pagt 2
??MMAXAMN
we undorsnnd the now FaBan Counsoling Center building will:
. Have oae ebove-99041e ??o suPprtOd on-grado.
. Hsve epPmxtimse overall dimoasioas of 72' by 167'.
• Hsve amsonry bloek astls, a stxucmni soW iaoerior feame, aud a wood uuss roof. reater
Be suppoc?ed bY sProad footings desigaed usUS an aliowabic soil bcaiing Ps?es?T? 10 &
• dmn 3,p00 poun8c per sqasro foot (psfl.
• Aave iioished floos sleb eIevadon of 897.. A partial baseme?rt locaced t?et the cet??r of che
budding ailt have a fiaished Roor elcwacion of 887.6.
• Have bottomof-Footlm6 elevariona tangsng fom abouc 889 m 893.6.
. Flave colocance w total bu[lding settlanena of up w i", aod difFerenclal settlezuentl °f uP co
% n
. Be consrruooad ia aecordsa= arich appl4eable buildinB codz ='e9uiiemeems•
Please aee that deviattons fecom d?e above design infomation could neeessirane attering our
conclusioas and reco? ? Contact us if dtie iafonaadon sraud ia diffeie.nt fcom ilw actuai
Gesign.
Bnilcting loeation and elevatioa infocmauon obtamed u the siflo, and ptesemed ia dus repoM `"'as
provided bY tLe ooIIttacwf.
To aur Y.nowied8e, a prellmiassY Beow-hilieai exploraclou proaram has not 6cea eooducoed in the
ates of she building• Beeavse of this. we csaMwt coUm?enc on the soil condiriasis ae depch. Our
judgenmts reported bereln . based only oa the soils ahteh were observed in de ""vaaons
E'd pF(9Ell 'ON'iME OCT, 27. 8:45AM S3W-83413 mGE:6 OOCZ 'Ll '1.)0
OCT 27 2M 08,22 FR Ati ENG 7ST ST PRUL 551 639 1379 TO 99S26342703 P.04/09
AET #r204w86 ' Pa8° 3
aad those Pmbed bF our "ioa hand wgeee borings and haad caw Pcn°a'°mc6et Pi°bo. ?o
funtw exPlore nce soil condleioas. deeper PCtMW°n t°st boriAgs are noeded•
V
Excavatioa For the new Fapn Counseiit+6 C.mw buildiag pad aas completed in tao pheses; the
first phaae requited genetal topsoii sWppin6 wwn tbe buildie?& foctprint and su6se9uM fl1W?g
Tha second Fbaae wnsuted of encavating the peruneur and iMuior
to attaia desi8a t1ooc grades.
footio$s.
Our servicea coasisaed of several iatamitoetu site vis[ts betwaa the daces of Juoe 7 to July 13,
2000, ahich allowed us o0 obarvs dw exposed soils dtu'iaG bod? of these ear@?work pLaces. Ia
tl?e soils exPased ia the euavatlous, we conduCoed shailow hand auger
?UOII 0° °b?? soiis
borin$s a? hand coue penevomaer Ptobes in the b?s af the excavations. Ttie
encounoeced were r.lasaiSed in general accordance widi ASTM:D2488. Eatimates "ee made of
sheir strenSth DmP?w baW on thoir resiatance ta advancemrrc oi the haad suger and trom tbe
head coae peiteCrometar readin$s•
Bm'ldin?Pad Pe?nmit?
We obaerved she wpsoil saipplog aidd° the building foatprinc ort 1urge ?. 2000. The buildia8 Psd
Preparation phase consisted of stripping 1' to 2' of existing toPaoil Ed "P05ilig the underb'ing
after strippinS wn9iaad mostly of a"y lean c1aY wich
asnua3 glaciat aA. The soils expeaed
ac,asippal amalt poftts oY silt. Tbe silts were judgsd unsuitabte to suppoK ow stiuctural loads
aisd aae ultitnaxly accavaUod to expose the uuderlying and suitable sandy !wn c1sy. The
exavation was chea back511ed wit!? oa-site silry saads and clayey saads. AfEer all wisuitable aoil
was removed 4ratn the buiWim tootPrias+ appmxbmacety irL' [0 3' of msica fi11 was placod amd
wmPuud to aaein the "6old dowa" buildin8 8mde• Onoe tbe buildmg Pad g'as fitl w mia grade,
Sbe Peritneter atA imtiot Yootings wtrC exeavntod,
b'd ycr9EZ l'ON AMF OCT. 97. B:OSAM S3NOf-N3a13 WNOf :6 00OZ 'CZ 'D0
OCT 27 2800 08-22 FR Rm ENG T5T ST PALA. 651 649 1379 TO 99523542'703 P.05/Lft
AET #20.00386 - Page 4
We ob9rrved she soits exposed at the bostoM of ihe perbuew AW mudO1 fOO" ?hes
.
beevvaen tlu dates of June 12 snd July 13. 2000. The soits it? the bottoms of alg? ???8
excavatio? consisced of aauusllY d?posi?d sat?' lean c1aY, silty sands, or elayaY
beeanso co?m nawta1 wils aere
Ovaraizft of the Yootiag excavasians was m reqi?fred
soils wero judBed suitable w support the footing
present ia the baakt of ft eubrut. The oasural
loads-
No arandis+g water was obsarmd ia ehe botsams oF die exca"sions.
FILL
O
we conducoed a wral of 40 soil deasity mm. 1Le depsiry cests werc wmpared w thhw iaboracory
S?? p??r ?aximum dry, densay (ASTM: D698) to arrive at a percent compaction level for
ech wsc. The tesc resWu iadicate the tecommended wmPacrion leve4s weze mec or ezceeded at
the tocsclone and elavaeions cestsd•
Itiitislly, tao of the tasts (X1 anb #2) did roc achieve the recommended cornPaction lavela. The
soils reptesemd by ft tesa in mese arms wwe subse9w* remavedo Placed iack imo [he
excavation, aud iecompacmd. 'fhg cesc tgsutu are amied.
???',?......rn ??rcct n?CR.RVATIOPTS
W e' obsetved astd deeumentod the Placement Od P°dIIO°iftg of reinftoin8 stcel in dee smcwesl
compouems iadicated in the fol2vwiag table.
??d oCr9EZ l'ON tt?F nr,7. 17. 8:05AM _3?Of-?3013 WdOE :6 OpCZ U D0
e. eeo ,r,o Tn 99528542703 P.WtD'/ne
OCT 27 2000 08=22 FR Ar1 ENG TSl' ST PPiA. oa+ o.+ .-,•
p,ET #20-00386 - PaBe 5
June 33 to July 19. ? ?+P f0°dO?
2000 Interior eoluum
Ali paimecar utd intarlar eotusnn pads were
obseNed aNd aPProved Pd°r w conetete
Our aork ans perfOj=ed by an ezPeT+Qwed finono`1°g Techcdcian tuvel In, ia Sgmeral, our
documsncadoa work iaeluded:
• Reviev?iuB the nrost tecent aPPtoved Pf°j=t W=iura' drawings oo-site. • Documemit?S dw bar sizes, tho aun?ber ot bars, ths spac4a8 of bsrs. Wul vorifYv?S 8emral
oonioneance with thc approved drawiogs.
• aoils, or tumrc
Docuaunng ri that adtquate bu cleannce was provided from forms, snbgtade
conetete surfaas• We also veritied geneea) confom+a? aith spmctficd cove? ?°?.
end veril?iaS Smral coMocmaace Wiqi ct?e
u??g the dima?sios? of tha fo?s
?
apPr°ved draatngs.
Noft dw geaeral olrmm of the relnforcin8 sm1 bars and Pormwotk,
Based on tLa reaulss of onr obeeivaduffi, it is our cDinion dut the roiirfocciaS soael that was
obaerrred was in geOral comPliaM aith the curceat savcctirsldni°'ings.
From June 13 w 7uly 19. 2000, EnSiwering Tec?m 'rom m lkm performod M[;ng of the
plaatic encrete as it was Placod tor tlte buildia8 fOuD"d0DI. Oiu seNiaa iae9uded Oie followin8:
• b[eabure the slump of due concrete.
pqeesure the percenaage of entesii?ed ead onueFPed air.
. Damcmine du moperdwte of die conerete.
. Casc 6" diameM bY 12" high test cytindecs,
9'dRFr9tZ? ?ONlME OCT.27. 8:05AM • S3UOI-?3413 Wtl0E:6 OQOl'1ZD0
OCT 27 2000 08,22 FR W'1 QNG TST ST PqUL
66i 659 1379 TO 99528542703 P'W(^W
AfiT +Y20A0386 - PaBE 6
• Compressive streao usun8.
All.ceuin8 was Perfonoi in ac0d&M with ciurent ASTM 4rocedWos. Tht an-si[e cestia6 and
Coapressive sUengd? xsts [esnlra aro ataohod. '11te tesults of our usts genecanY sat[sfied the
projeec specifications.
We performed eomPrU6iVe suengds toWnB of three sm of moiter msc cYruidm 10 b"WgDA the
dates of July 12 aad 7uiy 19,2000. in addtti°n we perfornted comPmsive strenSth tesbll& on one
set of grouc samDles case aa luly T, 2000. The resulu of these tests m presmmd in our Repon
of Coaqrtessive Svength otCytkdrical Mortar aad Grout Spgcimens. wttich ate atnot?ad• These
test tesulra met or enmaeded t!x 29-dsy desiga strenSth•
blic and Amecican Enginecring Tesring, Iac. I this repoR (aW ?1
'fo proiect the ctlene. tt? pn tions are made ro
supponing iniormatiaN ? Pm°i?d for mo addressce's own use. No cepceseata
parties other thm d?e sddreaace•
Our serviees on this pmject havm been eaaducoed wthoee aandards consldered aoratal for aecvices
of rhis type ac dvis dme aad locawm. Other thar? m1s, oa vuersantY, ei0er exproas or implied, is
intendtd.
L'dpfC,9cHl'ONjME OCT.27. 8.05AM S3MOI'-fl413 WVtE:6 DOOZ'LZ'130
OCT 27 2008 88,22 FR AM EtaG T5T ST PHU- 651 659 1379 TQ 99529S42703 P.08i08
AE'I #20-00386 - Page 7
BQNLIMU
gsporc pmpsmd $y:
M. Kim Lutidsn
oeocec ImAcal Pigicm
geport Reviewed By:
? - 0001.
Mieliael B. McGtthY, YB '
pra?eipal Fa?B?T
t,?,r ug, a166a6
AttachnneUe-
Report of Domity rons
geputts of Plasde Codcnce Tesdog
TesdnB of C?'lmdriral Coiurere 3Pean°n
geposts of Co?res? TeS? ??,?{cal Mottac Specitnena
Reports of Cbmpr??Stree?igth Tesimg of Grwt Spaimens
RepoR of Cam?Prasiv
??
` '
2 'docr9?Zl'0NiMf OCT,27. 8:05AM ?3iCi'-8?413 W7lE?b OOOZ'LZ'110
P. 1
TRANSMISSION RESUIT REPORT(IMMEDIATE TX) ( OCT.21.2000 9:f2AM ) # _ #
TT1 ELDER-JONES
__FILE
'E 71ME ADDRESS M04E TIME PA6E RESUIT PERSONAL NAME__._ .
-------- "
°-"" 1294
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05/23J2000 12:46 612-401-7918
TRUMAN HOWELL. ARCbI
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?nav LlaDla as tnao t3me eo ba tLllea oYt +!hen ap9iyinq Lor a:bul2ding pe:
!1) taex?ie Ne..te Ee providsd Dy the ?ntLal?y orriesai.
(1) Vse 4oscriptions po-.; U.D.C. soctlee /'JQKf ;
(31 Spacisl IaspoCior. Seaei04 J1q•?e er l&brieato!• ?.
(41 ?r-r++ eenteacc&d eo yerEesT Ncvless. :
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e?en'appro?prlat• r?PS???nCati?? mu?l.oi9n tfelov:
ciwn.?: El - l? l...C. .irm, r-lder- Vk
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•! e lndivldu?l nan?o• ot aii pcofp?eetw;?p?e1s1. in?p?eto:.? a?s cn?: ?oci
o wzv* awnC he ideetttlyd en chs.rGveesig 41d66D Chla LOrin. ,
t?eY ?ne?n0 ' ,
t1yena: ?!A • strueearai 6nQloeoc eE Aeeord if ¦ spedlal lnepaetp
I r? m JesCLng ItqonC .. . r• TaECIeaEor i
' i
i
?cc?pe?d lee eM.wL1d1r0 Oepa[lma"t 8Y
Received Time Mav.23. 12,33PM. : Print Time Mav.23. 12:34PM
c.
:ntarea::
jj p6 JJ 00
?f -
-
??_.
2000 BUII.DIING PERMIT APPLICATION (COMI?IEIZCIAL??
CITY OF EACiAN ? ?
651•681-4675 1
FoundaUon Onl New Constructlon - u Interior Im rovement
. StrutWral Plans (Z aets) . ArMiteWUal Plans . . (2 sets) • ArUhitxWnl Plans
M
b .
d
C (2 sets)
_-
(1) •• . . .
. Civll Plans (Z sets) • StrucWral Plans . (2 sets) • o
a
arya
. Certifiote ot Survey (1) • Civa Plana (2 sets) • Projea Specti (t seg
. Cade Malysis (1) •• . LandsaPing Plans (2 sets)
" . Key Plan
itPl
t
E (1)
(1)
. ProjedSPec+ (1) • CadeAnalysis (1) • an
er
x
Mas ^
• Spec. InsO• a Testinfl Schndule ^ • Certlfidte of Survey (1) • Eneryy CalcWatloro (7) not aMrays
"
1 • Spee. Insp. 6 TesNnp SMedule (1) " • Elec. Power 6 Liqhtlng Fartn (1)notalway3
l .. proJeclSpets (1) i .
4 . EneryyGlwlatlona (1) " 1
j . Ebctrk Power 8 Liphtlrp Form (1) " 1
1 . Master Exft P1an (1) l
4 . Firo Protection PWn (t) " ! .
j j ? .
. MCJES SAC delerminatlon letter • MCJES SAC determfnation letter • eterminatlon letter
MGES SAC d
.. ??. --- .nnn rI1QL1l.fl9_1flM - ?
tliI8J1?7.-1MWV
Contact Building Inspections for sample
Food & beverage or bdging fadiides: Plan must be submitted to Minnesota Department ot Health - cali 651-215-0700 for details.
DATE: (1144 WORKTYPE: ? NEW _ REMODEL
DESCRIPTION OF WORK: I S40/'Y i Ot4f?v '
TENANTNAME '?iin?a SUITE:
? ?-i U !e 1 ,
FORMER TENANT N - '° - -
? IUU l?
SITEADDR 5:3t'I'?o o' LOTt BLOCK?SUBD C'e
xame: t rnonen: c qsa ,
Fust
PROPERTY , :. .. Last ?> Y a -, •:
OWNER .
SceetAddress: (tA0 e, $0* .5'?Y'GGf
city smte: MwJ zip: 55?30 ``--
,._,. -
company: El d e.r - `Jone s rhooe # c 95 a i`dzr4 -d `d 5'-I -
corrrxACroR smiaearess: I1,16 EsO''j' Sfr'aef - •? r'
.:
.:
city -Noan! -Fon s ?: NI ?.? z?: 55 ? 2. o "
DWA,:: 't_W -- coxTAu
nxcxirECri
ENGINEER Company?,n,.?.,?n -Ffn?k?(( A?h. w A?. rnone#: '?or -71 S`l
:
Name• *J('C!e G .743;95061I Cfk. Registration #•
StreetAddreu: ?'? SIS ?f.(?ult/15 Z7'1Vei . ' M. , . i,`
. ` city i???nn vf?v? Ka... sau: R1 ?,1 r
, da ?'
Sewer/water Ilcenaed plumber (If installino sawarlwater): ?. "P?ne ?-C.?J
I hereby acknow(edge that I have'read &s applieatfon atalethat the Infortnatlon is conect, nd a9rato certipy with all appn" e?State
ot Minnesota S1aWtea and Gry ot Eaqan Ordinancea
. r .. t
71
; Sipnefuro of Applicant "
? t.
? .
r • + .?. ...-?_ . . ?r ' .,?
CONSTRUCTION, COST?p I lO?OCp
, r?v.r;? . •
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
0 01 Foundation 0 26 Public Faciliry
? 14 Apartments ? 27 Commercial/Industriai
? 15 Lodging ? 28 Greenhouse
? 25 Miscellaneous 0 29 Antennae
WORK TYPE
?J 31 New
?a32 Addition
? 33 Alterations
.. ? .
n :
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
E3 34 Ext Alt - Comm.
? 35 Ext Alt - PF '
? 34 Repair ? 37 Demolish Bldg. ?
? 35 Tenant Impr ? 38 Demolish {Interior} ?
? 36 Move Bldg. ? 42 Demolish (Found) ?
13
GENERAL INFORMATION
Census Cade Zoning V _13 sq. ft.
SAC Code 130 # of Stories sq. ft.
No. of Units ! Length sq. ft.
No. of Bldgs. I - Width ? sq. ft
Const. (Actual) ^4 - - Basement sq. .MC/ES System ;
(Allowable) V-'?' - FirstFb& sq.ft, : . o0o City.Water: f`
UBC Occupancy ;. : 5 sq. ft Fire Sprinklered
.
. . ,. . . . : ;
- . : . . 4. .... . . . ... .':. ? . ..... . , f..,. •
MISCELLANEOUS INSPECTIONS ?.
10 Gas Service Test ? Heating `O Insulation E3 Plumbing O Stucco/Stone. ;
•.
__ _ • :
APPROVALS
Variance
-
Planning Building ^Engineering
VALUATION:S
PermitFee
Surcharge
Plan Review a ? k-4
6
MC/ES SAC
.
. . •.
1
o,
°6
- ` , SAC h `
.
... • l t . . Y
?
City SAC SAC Units
.
Water Supply 8 Storage . Meter Size •'` `:
SM/ Permit
S/W Surcharge
?
Treatment Plant
, . ..
.... .
Park Dedication
.
,
d .. .._ _ .... ... . y4? f
ication
Trails De
t.
Water Quality .
Other ° ?•
Copies
, . . ;•. ... ,?Ni+? ><. ? .~`? '?;? ?;???',.
Total L
.? .. .. , J°?!4 . .. ?, +fm?,
.
?
? ?. . .
, . .
.y. 9 - !
43 Reroof
44 Siding
45 Fire Repair ,
46 Windows/Doors . .
CITY USE ONLY
INSPECTIONS REQUIRED: _ U.G. _ Air Test _ Gas Test _ Rough In Final
DOMESTIC METER SIZE: _ COMPOIIND _ TURBO
• Contact Utility Billing Division for price: 651- 681-4631.
IRRIGATION METER SIZE: I'
• 2" turbo unless approval for smaller meter granted by Public Wozks.
• Contact Utiliry Billing Division for price: 651-681-4631. '
PRV: •Yes No
PRIOR TO SELLLNG A METER: ii
• On Permit Entry screen, enter site address to look up sewer and water permit #. Select S&W Permit and check thathydrostatic and
conductiviry tesu have been approved. If not, do not issue meter.
Miscellaneous
• Meter lazger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspecnon of the inside water line and backflow preventer, call 651-681-4675.
• To schedule water tum-on, ca11 65 1-68 1-4300. ?
u
,
i
y
.
II
?i
CD/Permit forms/plbg permit (comm) 2000 I,
I
i
,
,. r
C:I"i'v Dr F:r`1GAN
i.;ASi-III=:Ra KI: Tli!:ff:i:Niii_ 4t-IC SLJ
DF!iEa LYT;I.E?t'?C! T7r5E: ii.:i4:i%1
r `;0;2F.:NSF_'N CO
306 `o`r'(l :!.° !`,ETE7'ii :ifiF:..l!J
3716 9220 i.' MI':TE:TtF't t39.ui:i
32:I.i' 9001 i° tii_;'C'iCl?i 30.00
i'0:i
,?..,ii
??.?
. 'C
i' NI? :T..I"".I'??.+
t... `:l.)
fnl;:sr.'.. Rrrr.,.;.i.pt A!nclunl:.,? 575.50
CF".: S.`ri32 .
U`1E?: :I:ti; LF?I?I;:
l ? (14 ?_
CITY USE ONLY
L B I RECEIPT #:
SUBD. ) V.3 v?. C St ?1-_. I U U ?? RECEIPT DATE
APPROVED BY: , INSPECTOR PLLJMBING PERMIT #I?
2000 PLOMBuvG PERMrr (coMMEteIA.)
CITY dF E4fiAN
S$SO PILOT KNO$ fiD
EAfil4N.MN 5518E
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate building permits are not required for each dwelling unit
?s installation of backflow preventer in commercial areas or residential boulevards
Da[e: QI ' 4 Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ
Description of Work:
To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646.
FEES
1% of conuact price or $30.00 wiuimum Contract Price: $_
x 1% _ $
UNDERGROUND
Base Fee - $ 30.00
1-1/2"Turbo - $726.00 1°)3.0
19 3. G
m c7
Water Meter: 2" Turbo $897.00 unless plan lcon'?adodisn'jzzfees e $
'QQ?
Service: _ existing (if coming off domestic line) ??Z u ?AD? ,? lSI_c1(?
I"new service" contactJen Wobschall Finance Consult or. "
Water Permit & Surcharge - $ 59,50
Water Supply & S[orage - $ 8 .00
Water Treatment Plant Charge - $ 492.00 \ $
cc: Diane Downs, Uti(ity Bilfing - underground spsinkler permits
C/ e Fee ? $
State Surcharee -,[-? pState Surcharge S
$.50 minuntttn; calculate at $.50 for each $1,0 Base Fee x? otal Fee 3
I hereby acknowledge that I have read this app 'cation, state th'aFthe information is corzect, and agree to comply with al] applicable City of Eagan
ordinances. It is the applicanYs responsibiliry t notify the property owner that the City of Eagan assumes no liability for any damages caused by the City
during i[s normal operational and main[enanc activities to the facilities constructed under this pemut within City property/right-of-way/easement.
S1TE ADDRESS: 39 SD Q
TENANT NAME: Z11:1 pn n sF.1(v? Ci I i ki L TELEPHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y? N NAME:
INSTALLER NAME: ? I c ?Otrs?... Co TELEPHONE #: `/S L b'Y? N' I7 ?-T
(AREA CODE)
S7REETADDRESS: "(Z U l i? ?E ? O o •?n ??- F w-/
CITY: ST ^? ZIP:
SIGNATIJRE OF PERMITI'EE
CITY USE ONLY
INSPECTIONS REQiJIRED: _ U.G. _ Au Test _ Gas Test _ Rough In Final
DOMESTTC METER SIZE: COMPOUND TURBO
?
• Contact Utility Billing Division for price: 651- 6814631.
IRRIGATION METER SIZE:
• 2" turbo unless approval for smaller meter granted by Public Works.
• Contact Utility Billing Division For price: 651-681-4631.
PRV: -Yes No
PRIOR TO SELLING A METER:
• On Pemut Entry screen, enter site address to look up sewer and water pemut #. Select 5&W Permit and check that 6ydrostaric and
conduc[iviry tests have been approved. If not, do not issue meter.
Miscellaneous
• Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspection of the inside water line and hackflow preventer, call 651-681-4675. ?
• To schedule waterturn-on,call 651-681-4300.
CD/Permit Corms/plbg permi[ (comm) 2000
Li ll?
Re uirements
2000 BUII.DING PERMIT APPLICATION (CO • `, -?j ?j ?o . (o ?
CLTY OF EAGAN
651-681-4675
GR? ?SAWq 7-7-0F? ?= 0
Foundation Onl New Construction - Interior Im rovement
. SwcWral Plans (2 sets) . Architectural Plans (2 sets) . Archkectural Plans (2 sels)
• CIWI Plans (2 sets) . SWCGiral PWns (2 sets) • Code Malysis (1) "
. Certifipte of Survey (1) • Civil Pians (2 sets) • Project Specs (1 seq
. Code Analysis (1) " . Lantlscaptng Plans (2 seLS) • Key Plan (1)
. pfpjett Spet3 (1) • COde Malysis (1) " • Mast6r Exit Plan (1)
• Speclnsp.BTestingSchedWe" . CeNficateofSurvey (7) • EnergyCalwlalions (1)notahvays°
1 • Spec. Insp. 8 TesUng Schedule (7) " • Elec. Power 8 Lightlrre Fortn (1) not always"
4 . ProjectSpea (1) 1
1 . EnergyCaialations (t) " 1
1 • Electric Power & Lighting Fortn (t) " 1
1 • Master Exil Plan (7) 1
1 . Flre Protection Plan (t) " 1
1 1 1
• MGES SAC determination letter . MC1ES SAC detertnination letter • MGES SAC detertnination letter
ptl 651-602-1000 call 657-602-1000 - ta11 65 7-602-1 000
" Contacl Building Inspections for sample
Food 8 beverage or lodging facili6es: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE: [Y1A !4 D9f 2050 WORKTYPE: X NEW _ REMODEL CONSTRUCTIOW.COS?.'eI!?
DESCRIPTION OF WORK: I 000 s.r ,5'?iprOtyTet, 47.t I fcW? TENANT NAME: EQGtan. CQ.t/12e2.e4 G1rtil ii.."
-1-10 t, '1
FORMER TENANT NAME: - I U U (&*"' -
SITEADDRESS:3Lf60 C), Ge,QrY (anw? LOT__?_BLOCK__?SUBD_?fI .i" C`2VL?f--2.
Name: LLG Phone#: c qsa
PROPER7'Y Last Fast
OWNER
Street Address: ? tol-0 E • ?0 4-A 1WGG 4-
city 29Qcmina4Cn smu: MJ ziP: 5543ey
Company: EIdP.r -1,IOnG9, lN1C.,. Phone#: c 95a ,$5T -a3rj`-I
CONTRACTOR
Steet Address: l l oZD E. SfPeet
cicy -B(oaminct-lon s e: M? z;p: 55'?(2. o
cs?r.??-?ca-?
nxcxrrecri
ENGINEER Company:'-r /Y1G!/1 Afr.A. 4' A55Q"i. Phone#:
Name: &('UC G -5?35?17 Gf*{. Registration
StreetAddress: ('7 8(S }-f(AtG)1/%5 !-Y`!V?i
ciri iGn en'-on Kct.?? smu: /?1,li ziP:
da
Sewerhvaler licensed plumber (tf installina sewar/water): rens&L' Phone #c' (9)_
1 hereby acknowledge tAat I have read fhis applicatlon, state that the infortnation is wrtect, nd agree to compty with aIl
of MinnesoW Statutes and City of Eagan Ordinances.
. . _ . , u nN/
SignaWre of Applicant:
SUITE: -
!. _. _
L__...._.._._.. . _ . . ..
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
0 14 Apartments ?27 Commercial/Industrial ? 32 ExtAlt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
? 31 New 0 34 Repair 0 37 Demolish Bldg. ? 43 Reroof
32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ?'44 Siding
? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair
? 46 Windows/Doors
GENERAL INFORMATION
Census Code 1-15
Zoning ?
_?.
s
4• ft.
SAC Code '3e) # of Stories sq• ft•
No. of Units I Length l 67 sq. ft.
No. of Bldgs. I
- Width sq. ft.
Const. (Actual) ? Basement sq. ft. 3?? MClES System
(Allowable) V-? First Floor sq. ft. oo o City Water,
UBC Occupancy 5 sq. ft. Fire Sprinklered l? b
MISCELLANEOUS INSPECTIONS
? Gas Seroice Test ? Heating 11 Insul ation ? Plumbing O Stucco/Stone
APPROVALS _
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
TrailS Dedication
Water Quality
Other
Copies
Totai
?3--1 3.-IS-
3-7 U ,0 0
9
VALUATION:$ 41 7??? Oct) ' `0
% SAC
SAC Units 3
Meter Size
A ?
crrY usE oivr.Y /?/
L ? B I RECEIPT #: / ?7J /3/
SUBD./vWn G?nlrv /(f' ? RECEIPTDATE -??
APPROVED BY: ? . , INSPECTOR PLUMBING PERMIT #
rc- i-oI rN -r706707 bv1 _--_-
2000 PLUMSIN& P£fiMIT (CQMMEtCIAL)
CITY OF EA&AcN
3$30 PILOT KIVGS fZD
EAeuAlv,.lauv 551ss
651-681-4675
Please complete for. all commercial/industrial buildings
mulii-family buildings when separate building pertnits aze not required for each dwelling unit
installation of 6ackflow preventer in commercial azeas or residrntial boulevazds
Date: `' Z(o " OO Work Te: New Bldg. _ Add-on _ Repair _ U.G. Sprinkler
Description of Work:
To inquire if Pressure Reducing Valve is required on new service, call
_ RPZ
FEES
1°/a of contract price or $30.00 uunimum Contract Price: $ Z 3, DOO x 1% _ $ Z-30. 00
LINDERGROllND SPRINKLER
Base Fee -
Water Meter: 2" Turbo $897.00 unless plan approved for smaller size
1-1/2"Turbo - $726.00
Service: _ existing (if coming off domestic line) OR _ new
I( "new service" contact Jerrv Wobschall Finanre Consultant to confirm adding fees for:
Water Permit & Surcharge - $ 50.50
Water Supply & Storage - $ 840.00
Water Treatrnent Plant Charge - $ 492.00
cc: Diane Dowrts, Utiliry, Billing - underground aprinkfer permiu
$ 30.00
$
$
$
$
State Surcharee
$.50 muiunum; calculate at 5.50 for each $1,000 Base Fee
Base Fee $ ZZO. O 0
State Surcharge $ S-b
TotalFee S 2?D • \a
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicanYs responsibiliry to notify the property owner that the City ofEagan assumes no liability for any damages caused by the City
dunng its normal operational and maintenance activities to the faciliries constructed under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS:
TENANT NAME: E c.. TELEPHONE
(AREA CODE)
WAS THERE A PREVIOUS TENAN7' IN THIS SPACE? Y X N NAME:
I*1STALLER NAME: S7ple Sonn,?Z& Co TELEPHONE #: ri5 Z- g a y.' 11 Z 7
(AREA CODE)
STREETADDRESS: 71,0I £ 15?eo..V-r L
CITY: ?Uc)vx:.-,? STATE: .?-) ZIP: ?S'?Zv
?
?
SIGNATURE OF PERMITTEE
CITY USE ONLY
INSPECTIONS REQUIRED: _ U.G. _ Au Test _ Gas Test _ Rough In ,i _ Final
DOMESTIC METER SIZE: COMPOiTND TURBO I
• Contact Urility Billing Division for price: 651- 681-4631.
IRRIGATION METER SIZE: '
• 2" turbo unless approval for smaller meter granted by Public Works.
• Contact Utiliry Billing Division for price: 651-681-4631. !PRV: Yes 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 checkthat hydrostatic and
conductiviry tests have been approved. If not, do not issue meter. °
Miscellaneous d
• Meter larger than 5/8" - ask plumber to wait wlule you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspection of the inside water line and backflow preventer, ca11651-681-4675.
• To schedule water turn-on, ca11651-681-4300.
i
CD/Permit formslplbg permit (comm) 2000 ?
?
**?*?*******?**???«**********?*****??*?
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 781
DATE: 09/07/00 TIME: 09:34:42
ID:
NAME: CG CARLSON AIR CONDITIONING CO
3213 9001 3450 OLEARY LN 689.00
2155 9001 3450 OLEARY LN 0.50
Total Receipt Amount: 689.50
CR137130
USER ID: JAN
l BL ?
CITY USE ONLY ya ? 93
PERM IT #:
SUBD. t U C`Q vay-2? 100 RECEIPT#:
APPROVED BY: ? 3/•?a, INSPECTOR
RECEIPT DATE:
2000 M£CHANICAL PfRMIT (COMMf-iCLelL)
CITY OF £AfiAN
3$30 PILOT KNUB itD
E4&AN, MN 551 EE
651-6$1-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
DATE: IR
WORK T'YPE: New construction _ Install U.G. Tank
_ Interiar Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspectiol: by frre marshal and
plumbing inspector.
Description of work: ?V? fbG ? G 1E+-s p (p ?? So
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Conaact price: $ ?g?. 0? x 1% _ $ ('-Al(Base Fee)
State surcharge .50 calculate at $.50 for each $1,000 Base Fee
TOTAL $ LS 9. 5 D
SITE ADDRESS: 4?L- IFA R Y L- A tv k`?
OWNER NAME: tZ Ae. W IJ CA(-,, r..) S?- C-.f'v-C PHONE #: -
- 1-t
(AREA CODE)
TENANTNAME (IMPROVEMENTS ONL1): ?
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y X. N. NAME:
INSTALLER: CO. GAf2L$o? Al2 c_aUJO
ADDRESS: l:>a `3 13t`14,51 mO's 10a PFIONE#: 1 2-
(AREA CODE)
CITY: M PLS STATE: Y"\ i N,\) ZIP: S` S'4
RECEIVED ?_Q
SIGNATURE OF PERMITTEE
Nl?,, ; . ?000
BY:
CITY USE ONLY
PERMIT #: _
RECEIPT #:
RECEIPT DATE:
2000 M£CHANICAL P£RMTf (RESID£NTIAL) ,
C1TY OF EAfikN
3$30 PILOT KNOB {iD
Ews,vv Mu ssi za
651-691-4675
Date:
Complete this section anlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) i
LOT BL
SUBD.
State Surchazge .50
Total $
Complete this section onlv if you are remodelin2, adding to, or renlacinF an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement. '
_ New _ Replacement _ Other ,
_ Fumace
_ Air exchanger
Reminder.• Callforfinalirsspection
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
Fee $ 30.00
State Surcharge .50
Total $ 30.50
PHONE
(AREA CODE)
PHONE #:
(AREA CODE)
Air condirioning
Other '
STATE: ZIP:
TURE OF PERMITTEE
,
.'.
MEMO
city of eag
TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL
DALE WEGLEITNER, FIRE MARSHAL
PAUL OLSON, SUPERINTENDENT OF PARKS
MIKE RIDLEY, SENIOR PLANNER
DIANE DOWNS, UTILITY BILLING CLERK
BOB KRIHA, CONSTRUCTION INSPECTOR
STAN LEXVOLD, CONSTRUCTION SUPERVISOR
TOM COLBERT, PUBLIC WORKS DiRECTOR
JOH1V GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERHART, 5UPERINTENDENT OF STREETS & EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
FROM: TERRY ZELENKA, BUILDING INSPECTOR
DATE: OCTOBER 25, 2000
SUBJECT: FINAL INSPECTION OF EAGAN COUNSELING CLINIC
3450 O' LEARY LANE
LEGAL: LOT 1 BLOCK 1 TOWN CENTRE 10018th I
The Protective Inspections Division will be performing a final inspection of 3450
O'Leary Lane on Friday, November 3, 2000.
If you are requesting that the Certificate of Occupancy be held, please fill out the proper
hold request form. Failure to return the hold request form will be considered your approval. The
person, or department, requesting the hold is responsible for notifying and resolving any
problems with the affected parties.
turi
CD/bldg insp/misc/final insp - comm bldgs
PROJECT:
a?a?
Checklist to obtain a f0undation permit
Date Re 'd
2 sets struchual plans
? 2 sets civil plans (i.e. site, grading, erosion & utility)
? 1 code analysis
? 1 soils report .-
/ 1 MC/WS SAC detcrmination.
? 1 set project specs.
? 1 Special Inspections and Testing Schedule
Checklist to obtain a buildtng permit
All of the above +
Date Rec'd
2 seYS architectural plans ?
? 2 sets landscaping plans
? 1 set energy calcs,
? I Electric Power & Lighting form (usually cannot get this form for "shell only" build
1 Fire Protection Plan - 8-1/2 x 11" paper copy and floppy disk •
Mechanical, electrical and sprinkler plans usually are submitted just prior to work commencing (
"design-build" basis).
CD/Forms/checklist for bldg permi[s
e-?o-? `?3
2005 CONIDERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
? f"c,, ?S-6
Date 9 / 14 / c s
SiteAddress 5 y50 CJLEL?V-Y Unit#
Tenant Name E/i 6 0. N (,' L toi c- Former Tenant Name
Property Owner F-LpC-p, ?c y t,!< Telephone #( )
Contractor DA Lx ??'sr= S?N Co tv?.D n-r• -c
Address tcxvw,??z,? FF-scC-we-r City 6z-?rrL,^,G jw-?
State 6'YI r? Zip 5 5 y 2o Telephone #( 4'.C2) 8 9`( - 0 7 Z5
License #_ Z ZGS P M Expires: I 2- 31- o S
The Applicant is _ Owner ,L Contractor _ Other
Work Type New Bldg _ Modify Tenant Space RPZ PVB New RepairBebuild _ Replace
_ trrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are re uired on irri ation s stems.
Description of Work RE130t c-o Y }'r5j 2`) Z--
To inquire if Pressure Reducing Valve is required on new service, call 65167$-5646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed nrior to oickine uo meter.
Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size Rc Price 3/4" disolacement %161.00
Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contrect Value $ x 1% _$ So Pernrit Fee
$ Vleter(s)
Required on all new buildings & boulevazd irrieation svstems $ Radio Meter Read
ff pertnit fee is $1,000 or less, surcharge is $.50 $ S13t¢ S11TCh3Ig0
If permi[ fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee
Followi¢g fees apply only when installing new irrigation system $ Water Pem'ut
Call Jerty Wobschall a[ 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ s? State Surcharge
-------- --------------------------------------------------------------------------------------- -----
--------------------------------------------
?
$ SO " Total Fee
I hereby apply for a Commercial Plumbing Permit and aclmowledge thaz the information is complete and accurate; that the work will be in
confomiance with the ordinances and codes of [he Ciry of Eagan and with the Plumbing Codes; that I understand this is no[ a pertnit, bu[ only an
application for a penni[, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans. n
T)AJ_C &
ApplicanYS Printed Nazne ApplicanPs Signature
CITY USE ONLY
REQUIRED iNSPECTIONS: _ U.G. _ Air Test _ Cras Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all uew buildings & boulevazd irrigation systems- $141.00
• RPZ's must be tested every year and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REOiJIRING 4HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residenrial $125.00 4-120 1-1/2" irrigation syst $ 735.00
displacement sm commercial turbine*" Public Works
maximum
mustapprove
continuous meter size
10
2-30 3/4" ]awn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00
maximum displacement residential gL
conrinuous sm commercial production lines
15
3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & lg comm bldgs
ZS irri arion s stems
5-100 1-1/2" bldgs 25-64 units $429.00
maximum displacemem &
continuous most comm bldgs
50
METERS REOUIR[NG 30-DAY ADVANCE 'VOTICE PRIOR TO PICK UP
GP,'vI bSETERS USE P12ICE GPM ME'CERS USE PRICE
5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very Ig comm bldgs very Ig comm bldgs
I5-1000 4" turbine very lg irrigation $2,226.00
syst
& production lines
l.Ullll31G111J
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-56'75.
• To arrange for water turn-on, call 651-675-5300.
cc: Main[enance Division Clerical Technician January 2005
, vo/LA
zoos RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN
CITY OF EAGAN
_ 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I ?-.so
Date- / 1-92?L /. oz-
Site Street Address L Unit #
PropertyOwner l ayT i k- bl)4)g- Telephone #(??
Contractor -qC P1 Iclo.In(a k-S Telephone # ( 16f ( )
Address ai ? .J kci - City - Stategj_?- Zip IqSja2?
?
Contrector _Other
The Applicant is: _ Owner
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inciudes installation of a water softener andior water
heater at the same time. !f you are insta!ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Ahandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
?
Water Heater
Water Softener ? $ 15.00
_ new ?replacement
Lawn Irrigation _RPZ _PVB _new _repalr _rebuild $ 30.00
State Surcharge $ .50
C SJ .
/ J
ToWI $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start wiihout a pertnit and work will be in
acGordance with the approved plan in the event a plan is required o e reviewed and approved.
( ( 5 D 1 F.v, 4VA-4- FB 0 6 2007
pcant's Printed Name Applic nYs Signature
?/'?
City of Eagan
Cash Receipt
Receipt Date 8/18/2011
Receipt Number 171839
CK32338/BENNING DEVELOPMENT
3450 O'LEARY
0720.4222 38.35
112 PLAN REV FEE 3450 OLEARY
Total Receipt Amount 38.35
141961 8:51:52
A
Use BLUE or BLACK Ink
For Office Use Eajan I Permit
City of 1
1 1
t
I Permit Fe 1
3830 Pilot Knob Road
Eagan MN 55122 i Date Re i
Phone: (651) 6 5 1
Fax: (651) 67 694 e0o 1 Staff:
x 1 - - -J
2 1 COMM L I G PE 1
C&b. OS' I - Site Addr ss 03"'t G
Tent Name: aJ r CJ (T nant ' e
T an .
PROPERTY OWNER Nam : EIC LLCM' Phone: I
I I E. ~O S- crl' l( a-11 ®p~ l ' fir)
Address l City /Zip:
Applicant is: c Owner Contractor MTV
TYPE OF WORK Description of work: A60, 0.~ wl Tb d1 y tckj -nkr'a cjc . l o~FtCc/ area
pio0.
Construction Cost:
CONTRACTOR Name: / -e oej- / o~C' L fise M ~T~ a q
Address I _l SOY" ~f - t City: OC)A4 ~rl
State: 1-1 Zip: Sri 0-to Phone: (p l a• ~`f s • `r ( I
Contact4earOf E(S'ftld Email: (2.CXr"O G(C*' O e!:5- Co-r'
ARCHITECT / Name: Q QrV- ALSSOANC ' , Registration x.35 3'2.
ENGINEER 01 ~~;A~l ~
Address: 10700 C--WV 25, d-6.317City: VW M6k2t-
State: Zip: ~"T 1 Phone: '163 40- OR)
Contact Person: 1 KUCC SUN )A jmail: pIC UC:z, J~.' ~C1( i tC'~G~S r Ga
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ortt
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x e rO f S. E (5-fa d X o ePAwal':V
Applicant's Printed Name Applicant's Signature
Page 1 of 3
P
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Public Facility _ Accessory Building
Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous _ Antennae _ Exterior Alteration-Public Facility
WORK TYPES
_ New _ Interior Improvement Siding - Demolish Building*
Addition _ Exterior Improvement Reroof J Demolish Interior
Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION 4W.2
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath Stone Lath -Brick
Framing Windows
Fireplace: -Rough In ____Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee • «"d Water Quality
Surcharge 2 •'S'b Water Supply & Storage (WAC)
Plan Review 7 ~i. TD Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Z " Water Trunk
S&W Permit & Surcharge .'aj,. treet Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL
co Page 2 of 3 ,
f
Use BLUE or BLACK Ink
I For Office Use
+t p. I I
! I
I Permit
City of EaEdI
Permit Fee. r I
3830 Pilot Knob Road /I
Eagan MN 55122 I Date Received: C61 " 4 I
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 r staff:
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 00 /0 X ~G~Site Address: Gr n 1
t
f mil! i
Tenant Name: CX-P 60W-/-:'! C ) G! 1 of C-'(Tenant is: New / xistin Suite r r(OQ
Former Tenant:
PROPERTY OWNER ' Name: Gcke--C, G Phone: 6 t2'3 4-5 " 41 ` -
Address /City /Zip: F
s
Applicant is: X Owner _x Contractor
TYPE OF WORK Description of work:
Construction Cost: 00 G9
i
CONTRACTOR Name: f 0(2,. ~ ®Co q
o License
20
4r&nf 461 H Citw_?b! -+)'?i l) f7 t 1 - `IJ
Address:
- t
State: MSS Zip: -5r~4 7-0 Phone: (0 « 4
`f I
Contact: Co ~ f ~fCXJ Email: 0,ar-0 ( ~ el(d e on ~~5 ~ GCS -in
ARCHITECT / Name: f~RoC6 E 81S 0&tj&zTE Registration 235, 32
10700 ENGINEER Address: ,6 W I q5 Ir- City:
State: Zip: Phone:
Contact Person: 171\vlirl(5lso mail:~(,~/~°ei-U1YC~I~L~Cc,~S C,Oin1
F
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 speck reasons that would permit the City to I
conclude that they are trade secrets. i
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x (tarot eF-(6f'ad x C - Scl~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BEL THIS LINE'
SUB TYPES
_ Foundation -7r Public Facility Accessory Building
T Apartments V Commercial / Industrial Exterior Alteration-Apartments
_ Lodging i Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae ` Exterior Alteration-Public Facility
WORK TYPES
_ New V/ Interior Improvement T Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair Windows Demolish Foundation
_ Replace r Water Damage Fire Repair Salon Owner Change
Retaining Wail *Demolition of entire building - give PGA handout to applicant
DESCRIPTION
Valuation w
0 cc)` Occupancy MGES System
Plan Review ✓ Code Edition %A# 7 Poe, c SAC Units f3
(25°!0_ 100% Zoning t-15, City Water
Census Code Stories Booster Pump
# of Units r7 Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Fj Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No G.O. Required
Foundation Other:
Drain Tile Pool: Footings `Air/Gas Tests -Final
Roof: _Decking _Insulation _,Ice & Water Final Siding: Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: Rough In Air Test Final Retaining Wall
Insulation Erosion Control
Meter Size V/ No
C/O Inspection: Schedule Fire Marshal to be present: Yes J No
Reviewed By: , Building Inspector Reviewed By: -,Planning
COMMERCIAL FEES
Base Fee l l $ . D v Water Quality
Surcharge 2.5'D Water Supply & Storage (WAC)
Plan Review ?4 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL Q
Page 2 of 3
Metropolitan Council
Environmental Services
August 12, 2011
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of
the City for the Eagan Counseling Clinic remodel to be located at 3450 O'Leary Lane within the City of
Eagan.
The City will be charged no additional SAC Units for this project, as determined below.
SAC Units
Charges:
Office
700 sq. ft. @ 2400 sq. ft./SAC Unit 0.29
Credits:
Office (No SAC History)
700 sq. ft. x 80% @ 2400 sq. ft./SAC Unit 23 -
Net Charge: 0.06 or 0
The business information was provided to MCES by the applicant at this time. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is
a change in use or size, a redetermination will need to be made. If you have any questions, call me at
651-602-1118 or email karon.cappaert@metc.state.mn.us.
Since;Cappaert
oSAC Technician
Environmental Services Division
KC:kb: 110812A3
Determination expiration: August 12, 2013
cc: J. Nye, MCES
Peggy Fleck, Eagan (email)
Carol Elstad, Elder Jones (email)
www.metrocouncil. org
390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904
An Equal Opportunity Employer
Use BLUE or BLACK Ink
� For Office Use I
� I
��} ���� �� j Permit#:� �
c� � � �
3830 Pilot Knob Road I Permit Fee: �
� � I
Eagan MN 55122 I Date Received:� F " �
Phone: (651)675-5675 JUL 3 0 2015 I �
Fax: (651)675-5694 1 Staff: S� I
4_-e ��-�..���_��_J .
2015 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
Date: �Site Address: c.J'4J`�� �.�G.�-�`�
/� .
Tenant: �i� �Qk'l�L'� � �`1-Y! t�,�.�.� Suite#: �
�
1�I"4�i41'�� , 1,,�',, �� ,�
��`�"��,1��4 Name:�=X.X/►1�1�,�Q�C,L�1�,1'�� Phone:�.n��,��'J �'�{�2.
,�� ,� � RICHFIELD PLUMBING C0. �
�� � " ��� 8640 HARRIET AVE S_SUITE 100 License#: �� �
� BLUOMINGI-UN MN 554ZU-2�63
Con#�ac�qr � €
�`d 952.881.3355 tY� State: Zip: �
Ph Plumbing Contractor#PC644129 � �� � � rl f t �
New � Replacement T Repair _Rebuild ____Modify Space Work in R.O.W. �
���c�f 1��r� � — —
� w �
�� ���v; Description of work: �
f��� COMMERCIAL New Construction Modify Space � � � � �
�Irrigation System��es/�no)�Z/ PVB)
. Rain sensors required on irrigation systems T �
,��T'�1'If��j/{38,� . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) �
Meters Call(651)675-5646 to Verity that tests passed prior to pickinq up meter. k
� ;� Domestic:Size&Type � � � Fire: 1 �
T Avg.GPM High demand devices?_Yes No Flushometers TYes No
COMMERCIAL FEES Contract Vaiue$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge = $ Permit Fee
"`If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 = $ Surcharge" �
If the project valuation is over$1 million, please call for Surcharge _ $ �, /ti.�/ti
L4V LJ TOTAL FEE �
Following fees apply when installing a new lawn irrigation system � ���� $ water Permit �
Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant �
�
� $ � � Water Supply&Storage � �
$ State Surcharge
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \
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 oniy an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval plans. •
x������� <���..��L� � � x G:�-�YK-- � ' � � �
Applicant's Printed Name Applicant's Signature
4
����QFF��E�SE Approved By: , � °�?a#���;,,;;,,
. . � � � �' � � �� � �., � ' �": - v
., .. s � � �
��eqi�ired I�s�rec�r���: ��ri�i���rcit�nct w R�iugh In .��l�r T�st �a's Te�t ,y„���r�at - PF�Y f�equi:red �,Y�& '�°[�i�
� � � -
i
�,M+���r,=Rel��it�ern�� 11����r Siz� Radi�R��d. Ma�nometer - a�: S#aff:'
Page 1 of 3