550 Opperman DrCity af Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
❑ Pleas
Date:
Tenant:
RECEIVED
APR 1 ? 14
Use BLUE or BLACK ink
For Office Use
Permit #:
Q. g`i'g
Permit Fee: (00_0'3
it/
Date Received: i
Staff: t—ij l'3
2014 COMMERCIAL PLUMBING PERMIT APPLICATION
sub it tt,io (2) sets of plans with all commercial applications.
Site Address:
e_.4- Suite #:
New ReIacement _ Repair Rebuild Modify Space Work in R.O.W.
Description of work 2 f ') U i 1C1 ` bed � 1,3 5,J ( °- teatr e
COMMERCIAL New Construction Modify Space k 1 ( ic.
_ 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 oickina up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes _No Flushometers _Yes _No
COMMERCIAL FEES
$55.00 Permit Fee Minimum
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $C} q x .01
= $ • ,r l(J�J Permit Fee
= $ 5-60 Surcharge*
= $ TOTAL FEE
Following fees apply when installing a new lawn irrigation system
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Water Permit
$ 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 1 understand this is not a permit, but only an application for a permit, anork is not to start without a permit; that the work will be in
acro dat'r a with the approvedpP n in the case of work which requires a review and approv of plans.
(I) ) r
Appi cant s Printed Name
la
x
Applicant's Signature
Page 1 of 3
?--- c j ?
?-w`- ?A4- 31y 9y
Seriai # 4/(,/ 9 7 ? 7 9 ? • _ ?
ChiP # Permit
Address: ,S Sd Dfpe r
1 AGREE TO COMPLY WJTH C171f OF EAGAN
ORDINANCES
?
N-Oq i
Serlal # / 1,9 7 2 5?-- ?
Chi ?
P .# D
Permit v 5
?
10 V Address• Ea Ab????
1 AGREE TO COMPLY WITH CITY OF EAGpN1
? ORDINANCES
Signature:
Seria1.#
Chip .# ?-- .
Permit #? ------
Address:_ --
• ;
1 AGREE TO COMPLY WITH CITY OF EAGqN (
ORDINAWCES
Si9nature• ?
_ .
,
-
--- -- --- ,
;,
? 7
3
HOUSE HEATING TEST RECORD '
?S OP eY' E? ?Av4?
.
AODRESS APT. FLOOR CITY
UBUR6
OCCUPANT., OWNER
HEAT La55--
DASE FiTG. fNST.
??,
e'
eL
SOLD BY W
v L INSTALLEp BY
l
Eiectrical Work By Gos Line 8y vv
r
-
TYPE OF HEAT GA FA A_HW S7EAM SPACE HTR. UNIT H7R. OTHER
_,, GAS OESIGN
A
"
? COIdVER510N
MAKE
r'
?- 1AAKE OF BURNER
Model a l'U Model
$nIal MIg ti 1_J 1.5" a1 Max. BTU Rating
INPUT uU.UGCJ ?C? MAKE OF FURNACE
Model _.-
CONTROLS
THERMOSTAT Hsat Plu Vent Size
y
Valve 36,F
3? KIND OF UNER. SIZE NONE
R
{J1 Y-4
Limit
Draft Hood
Regularor K
L
U
Limit SoFting
Fi Ifers Sixe 16 4>01( 1
Number
Fan Sefting Chimney l.oeation Ihside Dufaide
Pilot Typs Chimney Cons?rucrion -
-Q
Pilot Maka 7rC1 )U
Pilot l.bdel ? r 3M ? - I Smoke Bomb
? Wliring Ua'S
Pilot Timing Qo S PL /?,
Drah ?A) Test To
L.W. Cut Off ? Door Pressure ? Lightiny Inst. L,?
Pressurs Pe?esntCO2 Dote Tssrod
Input CFH Peresnt 0 Company Testiag ke 'vz 4? f_
2
5taek Temp. G? Psrcant CO n Nome of Tesrer
Form 235
..? . ? &73
N HOUSE HEATING TEST RECORD ?
ADDRESS M?"• APT. FLOOR CITY 6?SUBURB
OCCU PANT - M OWNE R
HEAT LOSS ' DATE HTG. INST. SOLD BY "N2C INSTALLED BY
Elselrieal Work By Gas Line By
TYPE OF NEAT GA FA -$,-HW StEAM SPdCE H7R. UNIT HTR, OTHER.
, ,} y GAS DESIGN CONVERSIOMI
M/4KE ?7?
? 1 J2 A Ml?' MAiKC OF - e n ?
Model _
Serial -
INPUT _
CONTROLS
THERM A? Heaf Plug -
Vo Ivs -213
Limif
Limif S*tiing v
Fan SelTinq htt
Pilot Typa
Pilot Mcka Tr&s VS4,
Piior Model S'
Pllot Timing
L.W. Cur Off
?
Prossuro Psresnt COZ -
Input CFH ??
? U u Peresnt OZ_
. Staek Temp. W ?S r' Percent CO _
Form 235
BUR
Max. BTU Raring _
MAKE OF FURNACE
Mode! -?
Vsnf Size oirect
KIND OF LINER
o.ar, Hooa
Fi Iters $i:s ja ?. D)C 1
Chimney Location Inside_
Chimney Construcfion
Smoke Bomb ? -
D.ort - IV l7ure,
Door Pressure
Date Tssted / ? d I
Company Testing
Name of Tester
SiZE?? NONE
_ Regulaior ? o'->
-Numbst ?
Outside
_Wiring -
-Tesf Tay
-Lighfing Inst.
.
' HOUSE HEATING TEST RECORD
ADDRESS •'O AN APT. FLOOR CITY
OCCUPANT G ?SUBURB
OWNER
HEAT LOSS ' DATE HTG. IAIST.
50LD BY k,,,e'V Z(t INSTAI.LED BY
EIoeNical Work
L ine By
TYPE OF NEAT GA FA _,,,&,,HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION -T#AAj 9- MAKE I,tAKE OF BURNER
Modsl ? ? Model lao?r Sorial 'lt 0 Max. BTU Rafiny
INPUT MAKE OF FURNACE
Model
CONTROLS
THERM TAT Heat Plup VsM Size (4 r P C 7
Valve V KIND OF LINER SIZE NO
NE
Limit ,
L Draft Hood Rsgularor
vr ?'
,/
imit Setting Filfers Size Numbsr
r
Fan SHfing ? Chimnsy Lacation?Q? ] Outside
Pilot Typs - Chimney Construction - - ?-
Pilot Make U4' k'L
?
Pilot Model Smoke B?b v Wiring
Piiof 7iming Draft - ?.??-? _ Test Toq
L.W. Cut OFf Door Prossure ? Lightiny Inst.
rr p
Proasure ? wL Percent C02 0, 81 Date Tssted
Input CFH Peresnt 02 K I? Company Testing u? ??-
Stack Temp. r Percent CO Q_ Noms oF Tesfsr
Fenn 235
i HOUSE HEATING TEST RECORD
ADORESS . H? 0? APT. FLOOR CITY 9_PC?'UBURB
OCCUPANT OWNER
HEAT LOSS • DATE HTG. IMST.
SOLD BY U,8::eAINSTALLED BY
Eleehical Work By Gas Line By I
GAS DESIGN ONVERSION
MAKE MAKE OF BURNER
Modal CU C. ?J Model
SKial ZoY, l 00 3 ?L Max. BTU Rarin9
INPUT 1 ;ZU??l MAKE OF FURNACE
Model
CONTROLS
THERMOSTI? Hsat Plug Venf Size
Volve KIND OF LINER SIZE NONE
Limit Drait Hood Reyuloio?
V
Limif SeHiny FilNrs Sise 10159
t Numbe?
Fan $ettlny 1 CFiimney Loeotioh Inside ` Outside
Pilof Typ? ? Chimnsy Construcrion
Pilof Mak• r
Pilot Model ? Smoke Bomb Wiring t
Pilot Timing yU c- aart _ZN(JI11GrJ Test Tag
L.W. Cut Off Door Pressure Lightiny Ihst.
Prsssure ? ]' Pereent COZ ? Date Tastsd ? Q?
Input CFH Peresnt OZ Company Testing Ity 41Z lL-
Stock Temp. Or-- Percent CO ? Name of Tsster
Fwm 235
sM? `i „e,tw.w?y • .. : A
i HOUSE HEATING TEST RECORD ?WJT
.
ADDRESS R APT. FLOOR CITYGLUG'Y.?CSUBURB
OCCUPANT _OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Eleetrieal Work By Gas Lina 6y FA-777
-
. 7YPE OF MEAT GA FA 2?_HW STEAM SPAGE HTR. UNIT HTR. OTHER
GAS DESIGN CONVER510N
'. MAKE NF MAKE OF BURNER
('r Model y C 0 G/ E?? 1 Model
SNiol 7 Max. BTU Ran.,y
INPUT MAKE OF FURNACE
Model __
CONTROLS
THERM TA Heat Pluy Vent Size
'?
Valve ? KIND OF LINER SIZE NONE
Limif ? rle Draff Hood Reyulato? _3)5-?1A
LimVf 5eftiny Filters Si:e _Number ?.
Fan 5*ttiny ? rhe a. . ' ' ''Chimney Loeotion Insido Outsids '
Pilot Type G"'r Chimnsy Construction
Pilot Moke rgAAie- ?/- ? 1 ?
Pilot Modsl M
5 Smoke mb Wiring ??
Pilot Tfming Jv Drafi ?V -'C Tesf Tap
L.W. Cu! OFF Door Pressure ` Lighfin9 Inst. 4-?,?
Prsssuro 33 PoresntC02 " Date Tasted _(11I1'I I
Input CFH ? G Peresnf OZ Company Testinw,&NZeL'
Stack Temp. Percenf CO Name of Tester
....,A}:..
,.?1TY OF EAGAN
!J 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
i t 1.'a
ON
JCORD
PERMIT TYPE:
Permit Number:
Date Issued:
?{„ ?• , APPLICANT:
. i ?. ? . ? , ;,.• ??
TYPE OF WORK:
h fdAMl i lJit
47/,j.'it/.; 0
at to
.1iU 1144t ?:l 'rMf i
t i. iIFt 1
PLUMBING
M ?.QQ,d. ?
I HVAC
EIECTRIC?
ELECTRIC?
Inapectan
Footings I
Date I Insp.
Permk Holder I dete
, So
?
Foundation
Framirg ?
Roofing
Rough Plbg. -Z 616
Rough Htg. 8 2-?3 eri*-s??1 ? C vs?
Isul.
?3-%3
Fireplace /
Flnal Htg.
ad?
Orsat Test _ V
Final Plbg.
- 1 ,
ZF) l ?
J'?ns - otiy Plum r
Const. Meter ^ 2-
t- ??. Lf
Engr./Plan y-701y r ?
?- ?
sl?. ??l w?
Deck Ftg. 'I.r fy
- L
Deck Final
Weil
Pr. Disp.
-T??-
??.P. ?D57a?9 ' ?yA. ?a 9?
? .,
wertificate uf ccc"4nc4
(fitv of Cpagan
moartaieut of isri[bbtg axoectiox
Tftis Certijrcate issued pursuant to r!u nequirements af the Uniform Building Code
certefying thar a1 tht time of issuance this siructure was in compliance wirh 1he various
ordinarcces of dre City regulating building constructroa or use. For the following:
use aassification: N_}-11 sWg_ Pemut No. '71 t?
p-W-y 7ypc 7,oning pistria ? Type Const. i TJU ctw'
OvnerofBuiMingT"LH (F lT{CAICf\ ST Ffl I Addiessa(.[]-lY.1ERl ST 4'1- dl P71?
BIII{dinK Addre<s 7 1 I YtTro'FJY I KI1R' L.OCaINS' 1 1 Q? in M:
Datr .?.?/? / l
POST IN A CONSPICWUS PLACE
CITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTIUN RECORD I C°ntr°' "°. 1312
PERMIT TYPE: +l+I 1 i t' IM"
' Permft Number. AA 1 H i a
Date Issued: 3 1/ 1 r? /?:
SITE ADDRESS:
r. '0a
YMfA
toT: ? ft[ncK.: I APPUCANT: _
tlPPERMAN DR (1Pl.IS CQNP
(612) 935-4420
PERMIT SUBTYPE:
I 011NflA I i l1N
TYPE OF WORK:
NEu
Dk'SCRIPTIAN YMr.A
m
REMAPf s: Rt:r'riNT • S& W caMI-Par.raR -/?)QSSf-04 t'1bS.
Permtt No. Permit Floldu Oab Tibphoae !
S11N
PtUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectian Dste 1nsp. CommenM
F°°t'"as' /1?1.
Foundation
Framing
Rootfng
Ra+Bh PIb9•
Rough Htg.
Isul.
Fllepleoe
Flnal
Oraat Tesi
Final Plbg. Piby. Inspedor - Na* Plumber
Conbt_ M{eter
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Flnai
Well
Pr. Disp.
,
• . _,t4 .y??_?_.".`. _
. 4-ONDITIONAL ONL.Y , . . .
. . ? .
WeL'tifICiItC nf rCC1tpttliC?
?t#?q v? ?agcrn
?epmcta?ext e? ?B?ilbing ?a??ectia»
This Certicate issreed pursuant to rhe reyuirements of the Uniform Building Code
certifying that at the rime o,f issuarice this structure was in compliance with the variaus
? ordinances of tfre City negulating building constructian or use. For the following:
t use c?r?,:?q/Il?- 60[TT?ST ?'A siag. re.a ?o. 21595
t?
occuponcy'[ype E3/A3a2 zoning Disaia ID rype comi. II-N SPK
Ownerof Buitding M1;A C.'' PALTl. Address Q7fi RfRM ST N- ST P,Ai1f.
sudemg nearm 550 QPP'F.R1AN DRIVE A Locaiay L I. B Yi'A I ST
. . ,
. Date:
? BWlditkg ar,a.? ; . "
POST IN A CONSPICUOUS PLACE
?
?
,
4
?a
,I
CONDITIONAL ONLY
.,
. ,
(?extifCCate vf cccuvanc?
(AM of cFagan
?}epa?a?t of ?rdtiix? ????ct°a ,
-This Certificate issued pursuant to the requireirtents of the Uniform Building Code
. ceftifying that at the tinte of issuance this structu?r was in compliance with the various
o?nances of the City regulating building construction or use. For the following:
usecussifiaim F0?2'Q.MD=-qrtrnWM )=A Bwg. Permit rm _') 1595
a-,-Kr Txp- EVA3lB zAni,g nisu;a Z I Type cDn5t. TI=pSM
Owoer of Buildisg )WA (IF A'I$R Sj-_PAiff _ Address
6uildiog Addmss 550 CREEEMN 1X?7VC` L.ocality _j,f RI 3M':6 ?ST
- Dm:
Bwldin8 .
«- '
POST IN A CaFISPICUOIJS PIACE
SITE ADDRESS
Sect./Sub.
Unit # Permit #
INSPECTIUN IHSPECTOR DATE COMMENTS
w
fy
• , n r) r,?
t/ayT-C N
"I
? . . INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
f 3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued:
' (612) 681-4675
i w 77 • at c, , ,
p SITEADDRESS:?
J'F Ftp1AN 0 k2
! YM[ A 1 ::T
PERMIT SUBTYPE:
i APPLICANT:
:1 1... , ti I I ii:
(13 1.') '+41 _4l9
TYPE OF WORK:
1.. ,k , i { i 1 -iid
t {1
Ai rERA1 i0N
'i M 1' A
INSPECTION D• • DA
? r,>• I ?: ?; ? r p? ;,
( :'1 AN RF.VfWFD RY JAf VOf I_5
I ?+0TC. t RAP'IR'-, MII5;T F3E A"i' A MA
L Of'F r?I- 1- 1?
?
?
??
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIA TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL I
GYP BOARO
FIREPLACE I
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG ?
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
e
,
/
w
? W"ertifica#e of cccupano
; ?i#?j o? ?agatc
Tepartatcut ef $nilbing 3naocction
This Certificate issued pursuant to the requirerrrents of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
prliuwnces of the Crry regulating building construction or use. For the foflowing:
Ux Cl,«irgwwn: I NT I MPR Bbg. Peimil No. 12111
o-p-ry rype 2aring D'rsaia rype comc.
o,,,,K,oreuikhng i'M::A Addrm 550 OPPERMAN DR.. EAGAN MN
' ?ikhog Aadmu 550 OPPERMAN DR Locaiiry L1 , Blj CA 1ST
i ,
?'? ;• ,
eeafing o+rwiW
POST IN A CONSPICUOUS PLACE
__.?-•-----?^"_'--
! ? 1.. ` .+,,.. ....??..,r-..,.._..
r.-? .
? - - , ,, * - ? --- . -
+ ,r • .:? _ , ; MI''A
1 i
c
? Werti ' ca#e of ?cc"an?l
? ,
Oritv of Cfagait ?I
Zepartmeat oF'BKiibi% 3nipcctioa
This Certificate issued pursuant ta rhe requirements of the URiform Building Code
cerrifying thal at tke tfvne of issuance this structure was in compliartce weth the uarious I
ordinartces of the Ciry regabting building construction or use. For the fo!lowing:
use cimirwaim: 0CMM/.IlNID MSr. eWg. eemit rm. 33759
oacupancy rype E-A3-S zonioE oistria T-/a ryPe Coeu. TTN
owner orsu;iains 9CKIl]JM AREA YM'.A Aemmss 55() aPPaM_I]R. EA(`,AN
s?ildinnaenm 550 OFPFRKAN DI2IVE LI 1ST II
l Dow.
a==--.
??uit g oK?ciai ? POST IN A CONSPICUOUS PLACE
I
I
. INSPECTION RECORD
?XF8'3'0 ITY OF EAGAN PERMIT TYPE:
Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675
SITE ADDRESS: APPLICANT:
Fi:l; fnnr I
) 1t,N MW
PERMIT SUBTYPE:
TYPE OF WORK:
nli i+?
??rsr.p tF1 r ti]N Vr,( A
INSPECTION D . .
.., ?
RFVJFLJI-F) W: ( r:nrr, Muuni
I F
L..?
-1
I
414 C ermit Holder Dete Telephone #
waTER ? s 9- p
PLUMBI
HVAC
Inspectfon Date Insp. Commsnts
FOOTIN(3S
FOUND
FflAMING
ROOFINQ
FiOUGH
PLUMBING
-?...,
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST ?
;
INSUL
E7
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB(i
FINAL HTG
ORSAT
TEST
BLDG FlNAL
DOMESTIC
MEfER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
IIII PMII I?tI I I?REQUEST FOR ELECTRICAL INSPECTION N Minnesata State Board of Electricity
?1821 University Ave., Rm. SS.f(? ?"?" Paul, MN 55104
: =4 s Phone (672) 642-08?L00S? [?L/??p
Home upex Apt. Bldg. Ofher:
H New Addn
ommerciol Indusfrial Farm
Remod
Re air
Air Cond. Hfg. Equip. Water Hh. oad Mgmt. Ofher:
D er Ran e Elec. Heaf Temp $ervice
"X" above !he work mvered by this request Enfer remarks in this space ond on ihe bock of the whde copy only.
CAA1MAL- W (RjNCT 1900? 1'bDt BoItERS ? ?M.tictSt?o?J
Ja1li2tlNtTS. (Law ?b?r4o-E fi?uE?.+{ 't•.oudri.uTwrRwao,?Y
Calculate Inspechon Fee - This InspMion Request will not be accepfed without the correct fee:
Other Fee # $ervice EnfinMe $"rze Fce # Circuifs/Feeders
?Fee
Mobile Hame Park Stall 0 ro 200 Amps 0 fo 100 Amps
Sfreet Lig./Tmf(ic Sig Above 200 Amps Al%Qte 700 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL MMJ,
$ign/Ou}line Lfg. Ximr. /JO • e?0
Aloim/Remofe Confrol
? A?
Swimming Pool I hercb cefi thot I im ed Ihe vlacmml inslollanan descdbed hemin on the dvres siared
Irrigotion Boom Raaghln Dore
$pecial Inspedion
Inveshgafrve Fee Final .. l
THIS INSTALLATION MAY BE ORDERED DISCONNECTED F NOT COMPLETED WITHIN 18 MONTHS.
! J /? /? n-?7CVC7 K
tf O?E US ONLY This requesf votd 18 montha iram volidanon date pnnkd in this box
.s! 30?9G
q
I M
PLEASE PRINT OR TYPE Y
Request le Roogh-in inspedion req red2 ? Yes ? Inspection OtherThan Roogh.la [] keady No ?ill Call
,? (You mog mll the inspedor whm rmdr) Date Ready.
I,;07icensed conirador Q owner hereby request inspedion oS fhe a6ove electricol work at:
1plyPddross (SVaei, Bax, or Roob No ) Gry Zp Code
SSL? &kv&•J 33
Seaian No Tawnship Nome or No 0.orge No Fim No Counry
1Zr.fctA
Occvpont
`N CA Phone No
PowerSupplier
.? Pddress ??
j
Eleckiral Conkacror (COmpany Name) Conkaclor banse No Momr?¢ No. (Plont Elecl Only)
M, -Ncmo
hbiLng Addrtsa (Comranoi or Owvr Perfarmmg Inslallahon)
Q415 DuDD lz17 G a&ty
Aulhorizad nalun (Cnfmdor or Owner Per(ormi Inswllabon)
? ?- Phone Na
`3
EB-OOWT7?Q?5 ? -eew, STATEBOA CPY-SEINSTRUCTION80NBACKOFYELLOWCOPY?
3
0840
Request Date F No Rough-in Inspechon
Req etl? NOTICE: You Must Call Elecirical Inspector
If A Rough-In Inspection
es ? Na Is Reqmred
I licensed contractor ? owner hereby request inspection of above eleciriral work at:
Job Atltlress (Stree)t, Box or Route No ) Ciry
/k?
Sedron N. Townshi a or Na. Fange No Coun
v
Occu (PRIM) PYrone No.
Power lier Addrea
EI n onVactor (COmpany Name) Contr9uor's ?cens
L:%ec--,eIa-r ^ ?/ ?/
Mailin Address (Contracto Owner Meking Installa0on)
"
e ?
Authonzetl $ignaWre (CO 0 r Makig I Ilahon) Pnone Number
MINNESQfIf STATE BOAHD OF ELECTpIi
Griggs-MlEway BIEg. - Room S-173
1821 University Ave., St Paul, MN 55104
Phane (812) 692-0800
THI$ MSPECTION PEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARO
UNLESS PROPER INSPEGTION FEE IS
ENCLOSED
`$/REQUEST FOR ELECTRICAL INSPECTION
( ? See insiradions fbi complenng this torm on back of yellow copy
M 3 0 8 4 0 "X" Below Wark Covered by This Request
E800001-08
ew Adtl Rep TypeofBUildmg ApphancesWiretl EqwpmemWired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt Builtling Dryer Load Management
Comm./Indus[rial Fumace Other (Specify)
Farm Av Conditioner
Other (speciry) Coniractork aemarks.dZ?b 17r?WA.,5 e"r.
Campute lnspection Fee Below:
# Other Fee # Servi nceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 t 00 Amps j0 0 to 100 Amps
Transformers Above Amps Above 100_Amps
SigflS Inspector5 Use Only TOTAL
Irrigation BoOms /
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
h aouyn,n o?_
7
certity t
at the above inspaction has
been made. Finai
?
_
Dale/? ?G 'p3
OFFICE USE ONLY
Tpis requesi vaitl 18 monihs from
y?
3?9 c 0°
Re es1 Dat Frte No,
I Rougb-in Inspeclion
Requvetl'+
7 Ready Now ? Will Notity Inspactor
nR
Wh
tl
?
GYes GNO e
ea
y
IA;licensed contractor ? owner here6y request inspection of above electrical work at:
JoE AOOress IS raet Box or Foute No ?
50 City
Sedion No wnshp Neme ar No flange No County
OccuO m (PqINT) Pnon No
?// W /
?(!/( `
Powei SuppLer AtlOress '
Elect cal Contraclor iCompan Nami COnlractarY L¢ensa No
'
e, Q Cr / y4,S
Mai ng ACdress IGOnt acto, or Owner Making Ins'alla0on)
a2ll
Y'n?
?-35?3D5
AutM1Onzetl 5i9nalwe iCOnVacwnO er Ma'cin Installalionl . Phone NumEer
?
?
nl2 S 5 5
5
MINNESOTA $TATE BOARO ELECTRICITY / THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitiway Bltlg. - Ro 5-1]3 BE ACCEPTEO BV THE STATE BOARD
1821 Unnermty Ave. SI Paul. MN 55106 UNlE55 PROPEfi INSPECTION FEE IS
Phone (612) 642-OBUO ENCLOSED.
REQUEST OR?TRICAL INSPECTiON 'O"-?No ES.000i a?
? See msimcml'or compleung iNS larm an beck ol yellow copy,
p ar
60357 ? "X" Below Work Covered by This Request ?•??:?
ew Add Rep. TypeolBmlding ApplianceSWiretl EquipmentWired
Home Range Temporery Service
Duplez Water Heater Electric Heatmg
Apt Buitdinq Dryer Other(Specify)
Comm /Indushial Furnace
Farm Air Contlrtioner
Other?specAy) Co/nl^raator's Rvem?arks.
?(7W Vf..?S?Ll? ? QL/LCf.f?
Compute Inspection Fee 8elow? ?
k Other Fee # ServiceEnlranceS¢e Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr's Use Only ' TOTAL
Irrigation Booms l??f `?? s Q
?
Special Inspection
niarm/Communication THIS INSTALLATION MAY 6E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ONT .?
I, the Elecirical Inspector, hereby R°°9n-in
? oate ?aC
!
certify that the above inspechon has
been made. F,,,ai
da) oaie
_ j
OFFICE USE JNLV
Tnis requesl vmE 18 months from
?, EB-00001-08
/ L{/- REQUEST FOR ELECTRICAL INSPECTION °?"`%
// 9/ ??e msimcPpns for completing Ihis form on back bt yellow ropy. ?? '? -?
= aaosv
Il F niF n •X?? Below Work Covered bv This Re4uest ?0.•}?
ew -Atld Re v vTypeofBwldmg AppliancesWired EquipmentWired
Home Range Temporary Service
Ouplex Weter Heater Electnc Hea6nq
Apt.Bwlding Dryer Othea(Specify)
Comm./Industrial Furnace
Farm Air Condi6oner
Ofher (syentyj CqnVactor5 Remarks I` ?/
Y
Compute Mspection Fee 6elow: Z,\t-A %}\R?--?
# Other Fee # ServicaEntrenceSize ? Fee # CirCUits/Feeders Fee
? Swimming Pool At" 0 Io 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ A
SignS Inspector§ llse Only T ? ,
Irrigation Booms ? ? Qo
Speciallnspaction ?
Alarm/Communication THIS INSTALLATION MAV B D ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby Rouqn-in oare4
certity that the above mspection has
been made. ? oate
?
OFFICE USE ONLY L
TM1is request mid 18 months Iram
7
a"? 08°
3?
/ ?qp s°
yr?
F uest Dala Fre No Rough-in Inspection
Reqmretl'+ ? Reatly Now ] WiII Nobfy Inspactor
? Yes ? No When Reatlyii
IPicensed contractor ? owner hereby request inspection of above electrical work at
Job
Atltlress}$ireeL Box or Route No ) ?
X
Qry
65
(
'
v?YL
Secnon No ownshrp Name or No Renge No County
Occup t IPRINT? Phone No.
- CJ
PowerSuppber Atltlress
Elecincal Conlractor (COmOany N el
?? ? Contreqor5 License No h/
?? 0//? ?
VV
Mauhn Aatlres onvador or Owner Making InstallaVOn
)
Autnonietl $r5^aWre iCOnttaa/y/?? n Makin
ns
allaLOf ? Phone Number
t
, y
?
J
L r,
.. _ ./ .?'/L/ ?l_./ /nzv"? . '011-/V
MINNESOTA STATE B 66 OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggS•Mitlway BItlB aom 5113 BE ACLEPTED 8V THE STATE BOARE)
1831 University Ave.. St. Vaul. MN 55104 UNLE55 PROPEF INSPEGTION FEE IS
`PhonaJ812)fi42-ND0 ENClO$ED
REQUEST FOR ELECTRICAL INSPECTION
7- ?$ee instrucLOns for completing ihis form on back of yellow copy
M 3 ? 855 - X" c3elow Work Covered by This Request
EB-00001-OB
/
40RO
ew Add Rep. TypeotBwlding AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heatmg
Apt 8uilding Dryer Load Management
Comm Andustrial Fumace Dther (Speafy)
Farm Air Conditioner
Olher (specilyJ Gon[rector5 Remar??
Campute Inspection Fee Below: e_- LApe--,
F Olher Fee # S iceEnlranceSize Fee # Circurts/Feetlers Fee
Swimming Pool 0 to 2 dS;;. ZWFPs
TranslormefS Above 0 e100_Amp
SignS Inspeclor5 Use Oniy. TOTAL
Irrigation 8ooms
Special Inspecfion /b? J.Td
Alarm/Communica4on THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTHS.
I, the Electncal Inspector, hereby
if Rough-in i oate ? 1a
!
cerl
ythattheaboveinspectionhas
been made. oate
OFFICE USE ONLY
This reques[ vultl 18 monNS trom
L'
y? / 7y/?
M 8 5 54! ,li ? /I ?D57 50
Request a?e
? Fre o Rough-in Inspec0 n
R 'retl? NOTICE: Vou Must Call Eleclncal Inspecror
If A Rough-In Inspeclion
s ? N. Is fieqwretl.
Icensed contractor ? owner hereby request inspection of above elearical work at:
Job Atltlress (Street, Box or Route No ) Cily
Sedion No
I
Township Na o o.
Range No
Coun
?? ?
Occu IPRINn
sT-
i ? Phone No.
3? - yyy
o ?'
Powg?.?ipplier
V Ad ss
VY `-" -
Electn Mredor (COmpany Name)
L Cont 0r§ Lirense N.
?
Maihng A=tlress (COntmcto r Owner Making InsIallatmn) `? -
O?
u L s?
Aulhonzetl Signatur o ac Ow Inst atw Phone /Nu/9?byer?
MINNESOTA STATE BOARU OF ELE ICITV THIS INSPECTION FEQUEST WILL NOT
Grigge-Midway BWg. - Room S BE ACCEPTED BV THE STATE BOARD
1821 Unrverelty Ave., St. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
`Vhone (812) 642-0600 _ ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
? Sea insVUqions for campleUng ihis tortn on back of yellow copy
23 71 p °X" Below Work Covered by This Request
d°"-°•''? ee-00001-0e
ew Titld Rep- - TypeolBwlding ApplianceSWired EqwpmancWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. BuAding Dryer Other-(Specdy)
CommJlndustrial Furnace
Farm Av Conduioner
I Other (spenty) Confracror§ Remark
?
Compute Inspection Fee Below: S/{/Gvi cJZ
a Other Fee #
rvi
Sec nceSize Fee
#
Circuns/Feeders
Fee
Swimming Pool 0 200 m 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspecror's Use Only
Irrigation Booms ?
Speaal Inspection
Aiarm/Communication THIS INSTALLATION MAY BE O RED DISCdJNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOf?YT? ? t t
I, the Electncal Inspector, hereby Aoupn-in Zft
certify that the above inspection has
been made Final - Da
.?
OFFICE USE ONIY
Tnis repuest vmtl 18 months irom
1 //& -,;7 r7
$
4-7
l S
5
Requ t Data Fue o Rough-in Inspeclion
Raquiretl'+
? Reatly Now?ill Nonty Inspector
Wb
R
tl
'
G Yes i No en
y
ea
I? licensed contractor ? owner hereby request inspection ot above electncal work at:
Job Atltlress (Street 0ox or Route No I Qy
s-sa 4?' .; z c.?.?
Sedion No Township Name o o Range NO Caun
GTP?
Occupant(P T) Pnone No,
/
`
Pow 5 ph ?
? qdtlre55
G C
ec haclor Company Name, Gont
r5 Lmense No
G v /cr /ISo? ?
Madm
g qatlress ICOnlrador or er Makmg Installallory
`
Awhonxed Signature tC ctoll0 abng ins auon, Phona Nuyb - ?
/
MINNE A STATE BDAPO Of ELECTNICITY THIS INSPEGTION REOUEST WILL NOT
Grigga-Mitlway Bitlg - Room 5193 BE ACCEPTEO BV THE STATE BDARD
1821 Unlvenily Ave.. St PeW. MN 55106 l1NLE55 PROPER INSPECTION FEE IS
Phone(61Y) 842-0800 ENCLOSEO
?REQUEST FOR ELECTRICAL INSPECTION
10. See instruc4ons for cpmpleLng this fortn on back ot yellow copy.
4L - ?'X" 8elow Work Covered by This Request
A. j??-?
.
?u. ?.
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Watar Heater Electric Heatin
- Apt. Building Dryer Loed Mana ement
4 Comm./Industrial Furnace Other S eci )
Farm Air Conditioner
pihe? ?specity) Con tor's Re? arks: ;W ?^/W2
/v c i0 r/9'I
Compute Inspection Fee Below: QL fY:Kj*YC/sl
# Other Fae # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool
Transformers 0 to 200 Am s
A6 dtd? ? to
Abo
Gd
Signs iispentors use oniy. TOTAL
Irrigation Booms
Special Ins ection
AIarMCommunication THIS INSTALLATION MAV BE OR ISCONNECTED IF NOT
OMer Fee COMPLETED WITHIN 18 MO
I, the Elecincal Inspector, hereby
ti
th
t th
i
b
h RWgh-In a?5
opqq? j3-Y)
?6lJ
y
cer
a
e a
ove
nspechon
as
been made. Finai '?• o a ? y
OFFICE USE ONLY
This repuest voitl 18 monttis From
A.
q+
l?0
?0
??
0
6 0 91 s?-
4l 1 mC?)
Feques? Dpt ' Fi N Rough-In Inspeclion Repmred
(VOU m II mspeCOr when reatly) In acIion Other Than u9h'ln
a Reatl
Now WIII Notil
Ns
eclor
f y
y
p
. Ves ? No Date Read
I icensed contractor ? owner hereby request inspection ot above electrical work at:
Job Atltlress (Street, Box or RoUte No I City
?
Section No Townsh?p Na or o. Range N. CoUn
?V7?2:19
O=RV ? Phan N?2-
Power Supplier Atltlress
Elecm ntractor (COmpany Name) Comr 4censa N.
'
G c? serl- i?G?/'f
/
MaJing Address (ConVacNOr o Owner Making Installatpn)
??
S
? U ?> ? tJ /?. ? V
Au[honzetl SignaWre er Making In Iletron Pharog Number
1AMIffb0'A STATE e0AF0 OF?TBICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BICg, - Room 3- e BE ACCEPTED 8Y THE STATE BOARD
1821 Universily Ave., St Paul, MN 55100 UNLESS PROPER tNSPECTION FEE IS
Pho. (612) 692-0800 ENCLOSED.
,Cr al YMcA .sa?s?y
0 057 `? 7C?, "? ? " ?AGERQUIST N0. 921 gjS - 00 8_
Requcsl Date
-
?? - 9? Rre No Fough-In Inspec[ion Reqwretl
(YOU must call mspector when ready)
El Ves 8] No Inspection Olher Than Rough-In
? Ready Now ? Will Notity Inspector
Date Read
IN licensed contractor ?owner hereby request inspection of above electrical work at:
Job Adtlress f5lreeL Box or Roule No ?r-
r-?... . _. Qty
Sechon Na Township Name or Nu Range N. Counry
Cccupan.t`lP INT)
K PM1One No
PawerSu p0er Atltlress
ElBCIn[al ConVac!ol(Compdny Name)
LAGER IST CORPORATION Co01l8CtOr5 LICBnse No
EM 00142
Meiling Ntltlress (COnheclor or Owner MeWng Installalion)
1801 WEST RIVER ROAD NORTH MINNEAPOLIS P'IIN 55411
Authonzetl Sgnawre (ConVaclor/Owner Making InsMllationi Phone Number
SERNIE WIKLUND FOR TERRY NUGENT (612) 588-7844
B ICITy idwa G82riggs UNVe si[y qve ,SROPOm S MN 855104 ?I BI? N? ?? Ihl d?l II? ?P? ?N UNLESS PROP ER NSPECT ONF EERO
Phone (619 642-0000
-REQUEST FOR ELECTRICAL INSPECTION eB-oooai-os
10- See nstmc[ions tor completing ihis lorm on back ot yellow copy
0 057 279
"X" Below Work Covered by This RequestNe Add Rep. Type of 8uilding Appliances Wired qwpment Wved
Home Range Temporary Service
uplex
D
W ater Heater
Electic Heating
t. Building ?ryer Load Management
I mm /Indushial Furnace Other (Specfy)
rm Air Conditioner X
her (;pecty) Contreoror's Remerks
Ot
Compute lnspechon Fee Below:
.# Other Fee # Service Entrance Srze Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200,Amps Above 100 -Amps
Signs insPaators use omy TOTAL
Imigahon Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE D DISCDNNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
f
th
t th
t Rou9nm o7^
i
y
e above inspedion has
cer
a
been made
F'"a, •
os? ?y?
G
OFFICE USE ONLY /
This reoucsl voitl 18 months fra.
IIIII II 111 II REQUEST FOR ELECTRICAL INSPECTION°? '?
Min{?esota State Board of Elechicity
k7
1827 University Ave., Rm-128,Qti Paul, MN 55104
s 0 2 4 1 9 3 5 6 * Phone (612) 642-0e00
/
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indus}rial Farm Remod Re air
Air Cond. Htg. Equip. Woter Hfr. Load Mgmt Other.
Dryer Ran e Elec. Heat Temp. Service
"X" above the work covered 6y tbis request. Enfer remarks m}his space ond an the back of the whife mpy only
Calculate Inspection Fee - This Inspxfion Request will not be accepfed wilhout the <ortect fee:
Olfier Fee # $ervice EMrarwe Size Fee # Circuils/Feeders Fee
Mo6ile Home Park Stall 0 fo 200 Amps 0 to 100 Amps
Street Ltg./Traffic $ig. A6ove 200 Amps Above 100 Amps
Transformer/Generator rp,'SD INSPECTOR'S USE ONLY
$ign/Ou}line L}g Xfmr.
Alartn/Remote Conirol
Swimming Pool
I hercb rom ?haf I ins eded the alednml mstallan on ihe daks sMMd
Imigo}ion Boom Rough-In
$
ecial Ins
ection ~
p
p
Investiga}ive Fee Final ? C Dak
THIS INSTALLATION MAY BE OHDERED DISCONNECT T EAyVMN 18 MONT .
2 41- 9 3 5
r OFF E U3E NLY This reqvesi vard 18 monlhs from volidahon dale pnnred in fiis box
l 3 c? I
b
PLEASE PRINT OR TYPE
Requut k Rough-in mspedian r uired2 es ? N. Inspecnon Olher Than Rough-la ? Ready Now ? Will Coll
? q
ic,
(Yoo mus? mll Nw spedor »Mn rcody)
Oate Reud,
I, 0 licensed contractor 0 owner hereby request inspechon of Ihe above electrical wark at:
loE Mdras (Sheet, B:, or Roub No ) ? GN
E Ziv Code
5 ?
Sechon No. Township ame or N. Range No Fire Na. County
Phone N.
Power Supplier Addreas
E 'wl Camracbr ICom any N e? I CantmaoNr,{L?ceme No Mmler Lic No. IPlont EIecL Only)
Ma?ng Mdre¢¢ (Coyyvcfir or Owner Padarminq Insmllanon) ?
! 1 ,
r--
/Whanzed SigraNro erY g Inamllatmn) Phane N
7/ J?
EB-00601A-10'6/95 /STATEBOARDCOPY•SEEINSTNUCTIONSONBACKOFYELLOWCOP7
3 01 -V.5O [41 !?C US ONLV Tho mquest vaid 18 monMs from validolion dale pnnted in this box.
?59? 7&aa 17
.
l
?/I yM ?? ?
C/J
Y O
PLEASE PRINT OR TYPE ?
Request Dah Roogh-in inspeciion rcquiicd2 [] Yes 0 N. InspMian Olher Than Rwgh-ln? ReadY Now 0 WJI Call
(Yoo must coll Ihe inspeeor..iien rcady) Ook Aeadp
I, A licansed contractor ? owner hereby request inspecfion of the above electrical wark at
JaBPddrees (Sheel, Boa, or Rome No.? Crcy Z?p Code
So
5«non No Townshi me ar No Range No. Fire N. Counry
/
Occ?pont P
hone No
C
C
wer5upplier nea.,,.
Elecmml Conhacior omvony Name)
c Conhndor 6mma No
Masler Lc. Na ?Plam Eletl. Only)
/ (f
Mailmg Mdress (Comracror Owner Pedorming Insml a1i n)
i
lwthonzed SigiwNre r r Owner edorming/ IJIlae)
-14 3Y? /J7S iWYse Phane Na
X 7- 71 ' M
E8-000OlA10 6/95 STAiE90 COPY - SEEINSTRUCTIONSOWCOW
IIII (III II II I 111I I I I I I II I I II REQUEST FOR ELECTRICAL INSPECTION 914
Minnesota SWte Board of Electricity
1825 Univeisity Ave., Rm. S- 28, SL Paul, MN 55104 1APY * 0 3 0 1 8 5 0 4* Phone (E42) 642-0800 55?7
Home Duplex Apt. Bldg. Olher: New Addn
Commercial Induslrial Farm Remo Re av
Air Cand. H}g Equip. Wafer H}r. Load Mgmt. Other:
D er Ron e Elec Heat Temp. Service
"X" a6ove the work vered by this request. Enter remarks i tha poce ond on the back n) the white copy only
?wtN???r e't ??t?Swi?ois+?'y? I.Dry?+r a?ar?
Le??ek e +^m#rvrt ?4a,4 aer`rcoA-'o a4t"e&15
AockeYA oc7i?7r ?1?7041?`360 7
Calculate InspecBon Fee - This Inspechan Requesf wdl not be occepied without the wrrect fee
Ofher Fee #t Service Enhance $ize Fee # Circuih/Feeders Fee
Mo6ile Home Park Sfall 0 to 200 Amps 0 fo 100 Amps
$treet Lig./TroHic Sig. Above 200 Amps ve 10 Amps
TransformedGenemior INSPECTON'SUSEONLY 6,0
$ign/OWline L}g. Xfmr.
Alarm/Remote Confrol
Swimming Poal I hereb ceN fiot 1 mz eletlncal' slolla sfnbed herein on the dahs sMkd
Irrigahon Boam Rough-In Daro
Speciol Inspection
Imeshgafive Fee F'"°I Da
7HI5 INSTALLATION MAY 6E OHOERED DISCON ECTED IF N CO D WITHIN 18 M THS.
6512929929
OCT-26-2007 FRI 10:28 AM SCHADEGG MECHANICAL FAH N0. 6512929929 P. 01/01
CCHADEGG
`001 MECHANICALT
225 Bridgepoint Drive a South St.Paul, MN 55075 o Phone 651.292.9933 e Fax fi5i.292.9929 • w
Ociabcr 26, 2007
City of F.agan
Attention; Mike Lence
1'erniit #; EA079562
Subject: Rooftop unit change ont YMCA Eagan
In regards to the duct smoke detectors on the new roof top unit thal Schadegg Mechanical
installed. Uur service tech 7nson Wicke tested and obsetved the shut down of the mof
top unit blower when Uie smoke detector was tested.
J/b/?le/p7
ate
A company committed to excellence
city of eagan
MEMO
TO: Mike Ridley, City Planner
FROM: Mary Granley, Code Enforcement
DATE: October 8, 2004
SUBJECT: Landscape Inspection for YMCA
550 Opperman Drive
JBL Companies
On October 8, 2004 a landscape inspection was conducted for the YMCA property.
All corrections to the landscaping were completed.
The evaluation is that Yhe landscaping was done according to plan or with adequate substitution,
and escrow funds should be released.
PLUMBING C
OMNIERCIAL)
Permit Applicafion ?
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Date b ?D /
Site Address Unit #
Tenant Name Former Tenant Name
Property Owner Telephone it ( )
Harris Mechanical
Contractor _ 909 b4ontreal Circle
Address _ St Paul, NIN 55102 ' Ci?
551.602.6500 -
State
_ i Telephone # ( )
The Applicant is _ Owner _ CPQ Conh?actor Other
Work Type _ New Bldg Add-ott Repair . DC RPZ PVB Irrigation system *
• Jer Wahschail to calculate fees. Re d ed meter size is 2" turbo unless smaller size ermitted 6 Public Works
?
'
?? ?'
' ??
DescripGon of R
S
ork
?-
To inquire if Pressure Reducing V e is required on new service, cail 651?75-5646
Meters - Call 651-675-5300 to verify that hydrosta[ic, conductivity, and bactena tests passed prior to nickine u p meter
Irrigation Size & Type Avg GPM
Fue Size & Price 314" disolacement $ I56.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes ` No
Flushometers _ Yes No PRV Required _ Yes No
Pertnit Fee $50.50 minimum (includes Sta[e Surcharge)
Contracf Value $ x 1% _ $ Base Fee
$ Mete ?s)
Aequired on all new buildings & boulevazd imeation svstems $ Radio Meter Read
Ifbase fee is $1,000 or less, surcharge is $.50 $ State SuTCbazge
If base fee is over $1,000, surcharge is $.50 per $1,000 of
-
Following fees apply only when ins I? g newir??g
?? ? Water Pemut
Contact Jerry Wobschal] a[ 651-675-5 r required feu?{{
sA
t
JUN - ??? $ TreatmentPlant
$ Water Supply & Storage
By
---------------------------------------------------------------------------------- $
-------------------------------
--- State Surcharge
------------------------------------
------
$ Totat Fee
I hereby apply for a Commercial Plumbing Pennit and acknowledge that the information is complete and accurate; that the work will be in
ronformance with the ordinances and codes of ihe City of Eagan and with the Plum6ing Codes; thai I understand this is not a pemvt, but only an
application for a permit, and work is not to start without a pemut; that [he work wil] be in accordance with the approved plan in the case of work
which requires a revlew and approval of plans.
tYlEU SSA ?? e eo
ApplicanPs Pnnted Name AppliaanPs Signamre
1
?oo ?
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee pernut per address is requued for RPZ rebuilding or repairing.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE 'i
1-20 5/8" residential $121.00 4-120 1-I/2" irrigation Syst $ 781.00
displacement sm commercial turbine** must CeceivC
maximum
approval
continuous
10 from Public
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine Ig irrigation syst $ 982.00
maximum displacement residentia] &
continuous sm commercial production lines
15
3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maxrmum sm wmmercial &
conuouous & Ig comm bldgs
25 uri ation s stems
5-100 1-1/2" bldgs 25-64 units $484.00
maximum displacement & i
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
UPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328A0 6-500 4" compound +300 unit bldgs & $3,702.00
syst & productiou very Ig comm bldgs
lines
1l2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very ]g comm bldgs very lg comm 61dgs
15-1000 4" turbine very lg irrigation $2,329.00
syst
& production lines Comments
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
• To amange for water turn-on, call 651-675-5300.
cc: Main[enance Di"sion Clerical Technician Updated 1/03
COMMERCIAL PLiJMBING
Permit Application
+ City Of Eagan
` 3830 Pilot Knob Road, Eagan Mn 55122
t6, Telephone # 651-675-5675
V
a i3-0 -S-U
Date 12 / ZZ/ 03
Site Address oD{)P.I 1110N Unit #
Tenant Name 1 ? i 1l ? Former Tenant Name
Property Owner x I?? Telephone #( )
Harris Mechanical
Contractor 909 Montreal Circle
Address . St Paul, MN 55102 City
State _ 651.602.6500 P Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system *
* Jer Wobschall to calculate fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public Works
Z
j
1(3
, C.JC
Description of Work iC
-?
To mquire if Ressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify tha[ hydrostatic, conductivity, and bacteria tests passed orior to oicldne up meter
Imgation Size & Type Avg GPM
Fire Size & Price 3/4" displacement S156.00
Domestic 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)
Contract Value $ ??S •(s'b x Base Fee
Meter(s)
Reauired on all new bui!dings & boulevxrd iai avs:ems DEC 6 A3
? Radio Meter Read
[f base fee is $1,000 or less, surcharge is $.50 $ State Slltebarge
If base fee is over $4000^surcharge is $.50 per $1,000 of the Ba e ee
? - --?__?-_
-
-
- ---
Following fees apply only when ins[alling new irrigation syst $ -?--
Wa[er Pern'ut
Ccmtact Jerry Wobschall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surchazge
------------------------------------°------------------------------------------------ -----
$ Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurnte; that tne wortc ww ue m
conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing C s; that I understand this is not a permit, but only an
applicaaon for a permit, and work is not to start without a permit; that the work will be i a ordance wuh the appr ed glari in the case of work
which requires a review and approval of plans. /? ? ?
(ylF1_l55'F\ jFAej&0
ApplicanYs Printed Name
CITY USE ONLY '
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final '
PLANS SUBMITTED APPROVED BY: t/l0 , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard 'urigation systems- $157.00
• RPZ's must be rebuIlt every Five yeazs. A minimum fee permit per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" iri'igation syst $ 781.00
displacement sm com.mercial twbine** muSt YeceiVe
maxitnum
approv8l
continuous
10 from Public
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00
maximum displacement residential &
continuous sm commercial production lines
15
__
3-50 1" displacement very ]g res 200.00 1/4 to 160 2" compound bidgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm commercial : &
contmuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $484.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM MET'EAS USR PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very lg comm bldgs
lines
I/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine verylgirrigation $2,329.00
syst
& production lines
uomments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water tum-on, call 651-675-5300.
cc: Mamtenance Division Clerical Techmcian Updated 8/03
Protecting, maintainingand improving tlie hea/th ofalLMinnesotans
July 18, 2001
Horwitz, Inc.
8825 Xylon Avenue North
Minneapolis, Minnesota 55428
Gendemen/Ladies:
Subject: Plum6ing at Southwest Branch Y.M.C.A. Addition, 550 Opperman Drive, Eagan,
Dakota County, Minnesota, Plan No. 020131
We have received the plans submitted for the above-referenced project.
Plumbing within the ciry of Eagan must be reviewed and approved by the municipality. Our office will
not be reviewing the plans and we are retuming them to you.
Unless you have already done so, a set of plans and specifications for the plumbing must be submitted to
the city of Eagan for their review and approval.
If you have any questions, please contact me at 651/215-0848.
Sincerely,
Steven W. HIemm, P.E.
Public Health Engineer
Environmental Health Services 3ection
P.O. Box 64975
St. Paul, Minnesota 55164-0975
SWK:cac
Enclosures
cc: Southwest Area Y.M.C.A.
Mr. D'uk House, Plumbing Inspector ?
Plumbing Unit
i;
il? JUL 2 0 [001
Gencral Infonnation: (651) 215-5800 o TDD/TTY (651) 215-8980 0 Minnesota Rday Scrvice: (800) 627-3529 0 www'.health.sutamn.us
For directions [o any of the MOH locauons, call (651) 215-5800 0 M equal oppormnity cmployer
Metropolitan Council
Improue regtonal competitiueness m o global economy
Environmentai Services
June 11, 2001
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has determined SAC for the
YMCA Addition located at 550 Opperman within the City of Eagan.
This project should be charged 6 SAC Units, as determined below.
SAC Units
Charges:
Multi-Purpose
2448 sq. ft. @ 1650 sq. ft./SAC Unit
Daycare
64 children @ 14 children/SAC Unit
If you have any questions, call me at 602-1 I 13.
Sinicexely,
J &1D_CLL
3odi L. Edwarcis
Staff 5pecialist
Municipal Services Section
JLE: (215)
01061155
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Diane Trout-Oertel, Oertel Architects
www.metrocouncil.org
1.48
4.57
Total Charge: 6.05 or 6
Metro Info Line 602-1888
230 Gast Fifth Strcet • SL PaW, Minnesota 55101-1626 • (651) 602-1005 • F'arz 602-1138 • TTY 2293760
An Syuol OPfco'??in(y C^4>loyer
° f f BPECZAL IN82BCTION AND TBBTINa SCHEDULE
(TO ba used Ln accordanee with the •Cuidalinae for Speclal 2nspeetion and Teeting")
` PROJECT N11M8 Southwest Area yMCA Addition PROJECT NO.
" LOCATION 550 0 erman Drive (1)
agan, MN 55123 PERHIT NO.
eoerTSt. •nennrr70N SCHEDVI.E
cation Type of Aeport Aeeigned
ct o
2200 Articl Des tion 2
Soils Excavation Backfi in i m
5I F e enc
Per• Visit Firm
TA
Com action)
3310 Reinforcin Steel Anchor Bo t I PEr Vi i TA
5120,530
5120 Weldin
Hi h Stren tYi Boltin
SI Per Visi
Per Visit TA
TA
00 Structural Masonr SI Per? llisit TA
Spray A lied Fire roofin SI Per Visit TA
2200 Soils Com action Per• U' i
3310 Concrete Per Visit TA
4200 Masonr M Per• Visit TA
pray Applied Firep TA Per Visit TA
Notsa:
This echedule io be filled out and included in the project epecification. Informa::
unavailable at that time to be filled out when applying for a buildinq permit.
(1) Permit No. to be provided by the Buildinq Official.
(2) Uee deecriptions per U.B.C. section 170,S
(3) Speciel Inepector, Testinq Aqent or Fabricator.
(4) Fizm contracted to perform eervices.
ACRNOWLEDCEMEt1TS
Snch appropria e resentative must sign tielow:
Owner• Date: (0- C1-0
Con ra or < < Firm: ???'?.- s?? G. Date: 6 f3 0?
A: tect: Firm: Date: ?
SER: Firm: A Eo ?Z?N M?kDate: ? ?
• SI: Firm: W111 ity Testing Date: 6/13/01 _
•SI; ? Firm: Date:
TA: Firm: Win ity Testing nate: 6/13/_ 01_
SA: Firm: Date:
F: Firm:?,nSTcYai °Txcn WG'kS .inf Date: tn/?a?
p: Firm: Date:
• The Sndividual namea of all prospective epecial inepectors and the work they intend ?
obeerve muet be identified on the reveree eide of this form.
Leqend: SER ? Structural 6ngineer oE Record SI = Special Inaprctor
?A ? Teating Agent F = Fabricator
Accepted for tha Bullding Department ey ?? Y?.+ Date: (,-3O'-
T ?
ODIDELINEB POR BPECI7IL IpBPECTION AND TLBTZNO
PVRPOSEc To provide e method for eanplyinq vith the spscial inepeetion and
iastinq requiremente af tha unltorm Building Code (U.S.C.) and o[har required
•tzuctural Lnspectione as suthorised by U.B.C. Section :: b,3.:
EEFO1lE 11 PERlIZT CAN DL ISSVEDI Tha eAqLnee[ of reeo[d •hall completa the
Special Inspectlon and ieslinq Schsduls. TTa caepleted schedula Ss an
alanent oL the consCruction doeumanis and sfter psrmit Leeuanes, bacomea part
nf the buildinq department spprovad plans and speeifieations. Tha canplated
•ahadula shall Lnclude the lollowinq.
1. 11 epecitlc listinq of the itams raquizing obearvetion nnd
testing.
2. The seeociated epecification sse[ion and ertic]e which delinee
the spplicable standarde by whieh to iudqe conformance vith the
appcoved Dlene snd epaeifications in aeeordanea vith U.B.C.,
Section ? 7The epecilicatione saction sAould nleo include the
deqree or beais of observation and testingt L.e.,
intermittent/wLll-eall or full-time/eontinuoua.
3. The frequency of reportinq, L.s., intermittent, weekly, monthly,
per floor, ete.
6. The parties responeible for pertorainq the obaervation and
teeting work.
5. The required aeknowledqemente by each deaiqnated party.
REQVIRE?¢NTS: "special Inepection" (work requiring obeervation and
judgament) and 'Teeting' (wozk anslysing materlale in aceozdnnce .+Lth
approved standarda) ehall meet the minimum requiremente ot the Hinneeota
Stata 8uilding Code whieh includee U.B.C. Section -'•i snd the epproved plane
and epeciiicatione. (NOte: obeervation and Lestinq wrk doee not prevent he
normal field involvement and record revlev proceee of the 8ngineer of Record,
nor •hall St relieve the contractor of any raeponeibility to complete the
work Ln sccordanae wLth the approved dravinge and epecificatione.) .
RESPONSIBSLITIES:
A. Special Inapector
1. Obaerve the aork aeeiqned for conformance r+ith the Duilding
department epprovad plane, spacSLlcetione and applicable
workmanehip provieione of the V.B.C.
2. Submit inepeetion reporte Lo the bullding otficial, the
etructural anqineer of racord, and o[her deeignated pereane in
sceordsnce vith the Spaclsl Inspection Schedule.
3. ering noneonforming iteme to the immediata attention of the
contractor for correction, then if uncorreeted, !o the
? enqineer ot record and to the building official.
4. Submlt a final eiqned report statinq whether the work requiriaq
special inepection wae, to the beaG of hie/her knowledge, in
coniormence with the appcoved plene, specificatione and the
applicable workmsnehip provieione of the eode.
B. 2eating Agant
1. Teet the work eeeignad tor conformanee with the buildinq
depertment sppcoved plsne and spacifieetione.
2. submit reporte of the taet raavlte Eo the bullding official, the
atruetural engineer of raeord, and other deslgnated pereona in
aecardanea with the Teating Schedule.
?, .
.
3. Brinq nonconforming itema to the imnedis[e attention of the
contrsetor for corraction, then, if uncorrected, to the enqinaer
of record and to the building offieial.
4. Submlt a tinal eiqned report •tatinq whether the vork requirtnq
teetinq wae, to the Deat of hie/her knowledge, in oonformanca
with the spproved plans, end spaelfieations.
C. Contractor
1. Post or make avsilsbla the Spseial In"ction and Taatinq
Schedule within its oflies at the iob ¦ite. Also, provida
adequate notiflcaGion to those perties daeiqnated on the schsdc2o
so they may properly prepars for and schadule thair rrork.
2. Provide the epeeial inepactor and teetinq aqent acceae to the
spprovad plane and apecificstionr st the jobsite.
3. Aeteln at the job eite all reporte eubmitted by the special
inspeetor snd tastinq agant for raviev by tha building
department•s innpector upon requsst.
6. Correct in e timely manner, daliciancies identlfied in
obeervstion and teetinq reporte.
5. Pzovide the epeeisl inapeetor and teating agenC rsfa accees
to the vork raquiring obearvation or tastinq.
D. Tabrieator
1. SuDmit a Certificate of Complianee to the building otfieinl and
to the etzuctural engineer of reeord that the vork ++ae parformed
in aeeordance with the approved plane nnd epecificationa.
E. Buildinq Department
1. Approve all epecial inepectore. The epeeial lnepector ehall be
a qualified person who shall demonetrate hie/her competenee, to
the eatiefaetion of the building offieiel, for inapeetion af the
perticular type of eonstzuetion or operation raquiring epeeial
inepection. The names ot all proapective epecial inspectora and
the work they intend to obeerve, muai ba identifled in the
Speeial Inepection and Taetinq Sehedule.
2. Approve all teeting aqente who perform vozk reqvired by the State
Buildinq Code.
3. Approve all fabricatore vho perform wock in their ehop which
requiree apecial inepection.
4. approve the completed Special Inspeetion nnd 'feetinq Schadule.
S. Monitor work requiring epeclsl Lnepaction snd taetinq includlnq
the raporting of the epecial inspactor and testinq aqant.
6. Aeview zeporte and recommendatione eutxoit[ed by the epecial
inapector end testing aqent.
7. Raview the •final eigned raport• submittad by the speeial
inepectoz(s) and teetinq egene(s) ea wall as the "Certifieata
of Canplisnce" eubmLtted by the fabricetor(s). iheea dacumen[e
mu?t ba acceptad and appcovad by the buildinq department pcior
Yo issuance of e Cartifleata of Occupeney.
SPECIAL INSPECTOR FINAL REPORT
Date:
To City or County of: _
Address. -
City: _
Attention:
Re: Final Project Report
Project Name: -
Address:
To uhom ic may concern:
This is to certify that I performed special inspection on the following portions of the work at the above address which
required continuous inspeccion, and which I was employed to inspect:
Based upon my personal observation and written reports of this work, it is my judgment that the inspected work was
performcd, to the best of my knowledge, in accordance with the approved plans, specifications, and the applicable
workmanship provisions of the Uniform Buildmg Code.
Ver}• truly yours,
(Special Inspector's Signature)
Print Ful] Name
cc: C1ienUOwner
ArchitecUEnginecr
Statc: Zip Code:
Date
ID Number
-<
4
?
25
m C 14 l ??
COMMERCIAL
BUILDING PERMIT APPLICATION
' CITY OF EAGAN
651-681-4675
?ts., ed
A g.L--?l -() (,
Foundation Onl New Construction Interior Im rovemen;
• SWCturai Plans (2) sets • Fvchitectural Pians (2) sets • Architeclural Plans (2j secs
• Civil Plans (2) • StrucWral Plans (2) • Code Anafysis " (1) °
• Certifirate of Suivey (1) • Civil Plans (2) • Project Specs (1)
• Code Malysis (1) " • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Cotle Malysis (1) " • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule " • Cerfificale of Survey (1) • Energy Calculations (1) not aiways"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) •' • Elec. Power 8 Lighdng Fortn (1) not always"
• Meter size must be eslablished • Meter size must be established • Meter size must be established - i.' a pplicable
• ProjectSpecs (1)
1 • • EnergyCalculations (1) •• 1
1 • ElecUic Power & Lighting Form (1) " 1
1 • MasterEzitPlan (1) 1
1 • Fire Protection Plan (1)" 1
1 • Soils Report (1) 1
• MClES SAC determination letter • MC/ES SAC determination letter • MCfES SAC detertnination letter
call 651-602-7000 pIi 651-602-1000 call 651-602-1000
" Contact Buiiding Inspections for sample
Food 8 beverage or lodging faciiities: Plan must be submitted to Minnesota DepaAment of Health - call 651-215-0700 tor detaiis.
DATE JYna QZ_Q0 l WORK TYPE _ NEW I REMODEL CONSTRUCTION COST-X/. /Y/?s'I
SITEADDRESS _9'?5-0 D,D i' c.
TENANTNAME _ Sa?? i.JzS?" J?rra.. TI?YIL?l? SUITE#
FORMER TENANT NAME -- N} E aLcl:+`pr.t
DESCRIPTION OF WORK Z fI? fvvn S? ?Jv 'Id1'v?C ?or2t ?/'? W o??
Name:_JL?.iSd.7 ??Phone#: ^OZIz
PROPERI'Y Last First
OWNER ? D ^
StreetAddress13go &iPo?G.A- ??vl ?` ?`?
City ??yL,11 State N17 Zip .sr.17 ?
Company ??k ?. ?G ? ?i„v.?fra?G?v ?1 ?v. Phone #
CONTRACTOR
Street Address: (.d 7Q ""_ 5r,7i ; , S V,'AG Z 70
City ZiC?I State /V4 Zip
ARCHITECT/ ?j ? /
ENGINEER Company 0e?IL/ ff//'Z.,?eGT'; Phone# (a-,I_?' ?
??'
Name Diw.1?_ //v?f? ?G'f?/ Registration# ? ?1/r?5 j?? ?'I = ll''i
StreetAddress
City ?/^ /?e„?l State Zip
i------__- --
Licensed plumber installina new sewedwater service:1%?'s., 41,5?1- Phone #(L-1) VSJ-bd7
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutas and City of Eagan Ordinances.
Signature of Applicant: ? `?ti . ? CL_ _
Updated 1tt'
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
0 14 ApaRments :1<27 Commercial/Indust riai ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse 0 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
0 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
N'&:?32 Addition ? 36 Move Bldg ? 43 Reroof ^u 47 Repair
? 33 Alterations ? 37 Demolish (81dg) ? 44 Siding ? 48 Authorization
O 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 1-137
SAC Code '3p
No. of Units U
No. of Bldgs. ;.
Const. (Actual) ,?
(Allowable)
UBC Occupancy A/E-3
Zoning
# of Stories t
Length
Width
'Frcs£-F?.sq.. ftt.Fns+Addr 22 S ?
sq.ft.
MISCELLANEOUS INSPECTIONS
111?/Gas Service Test J8'Heating
APPROVALS
Planning
Building
;9 Insulation
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System lf-eS
City Water YcS
Fire Sprinklered es
o' Plumbing ? Stucco/Stone
Engineering
Variance
Permit Fee S) S61,2S
Surcharge qlS. vU
Plan Review 3 6'1
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $ ?`?U,D0O
% SAC ioo
SACUnits p „'l,•?c??,t?c5 3r? fldA"}- {-& ?1t
Meter Size Rfi a la+v d?i?
Total qi67 1.06
t?- ii QN aCL i
--1 W? C o, l %?-
14 ---1 ?-pl ?
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
? I
00??/?a ?OV?IA?'?'?Pw ?QfM1}
C,21? 4- 2-5?-4jf
Foundation Onl New Construction Interior Im rovement
• SVUCWraI Plans (2) sets • ArchitecWrel Plans (2) seLa • Architectural Plans (2) sets
• Civil Plane (2) • Structural Plans (2) • Code Malysis (1) "
• CertificateofSurvey (i) • CivilPlans (2) • ProjectSpecs (1)
• Code Malysis (1) " • Landswping Plans (2) • Key Plan (1)
• Project Spep (1) • Code Malysis (1) " • Master F,dt Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spee. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Form (1) not ahvays"
• Meter size must be esfabllahed • Meter size must be estalNished • Meter size must be established - if applipble
• ProjeGSpecs (1)
! • EnargyCalculafions (1)
1 • Electric Power 8 Lighting Form (1)
1 • Master Exlt Plan (1) 1
1 • Fire Protection Plan (1) ° i
? . SoilsReport (1) ?
• MC/ES SAC detertninatlon letter • MGES SAC detertninatlon letter • MCIES SAC determinatlon letter
call 65"02-1000 rall 851-602-1000 call 657-602-1000
Contact Building inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Heaith - call 651-215-0700 for details.
DATE WORK TYPE !r NEW _ REMODEL CONSTRUCTION COS?'/?OD
SITE ADDRESS S-S-0 OlQej*i/?.rr
TENANT NAME
FORMER TENP.P
DESCRIPTION C
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
StreetAddress ?k /iJ
City S/- 604J r State 1414 Zip zZ ?A
Company W l f G lnt ??.? S? Lern.?a,.-i V Phone #?SZ ) gsD - /°DO
StreetAddress: ! g?f 1.J 78'n` <yrt.-? .Se?IfT 770
Ciry State Zip -C?3 ol
Company kee
??4S Phone# rGs"I
Name /?/•L_n -L D?,•?c,J Registration#
Steet Address / 7 ?? !5;4 lc„ /yY"L-
City 5'), 0a.J / State 0M ZiP 73 L/V
Licensed plumber installlna new sewerlwater sarvice: /lJ D?ti. ASL Phone #: ( W/ ) 7? -D//Z
I hereby acknowledge ihat I have read this applicatlon, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: <441 r- Cd Z4, it
Name: ?m?hli A??D? _ Phone#: ( (flv?? ) ?9( ' bz / ?_
Las First
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
3 ?1 New ?
2 Addition ?
? 33 Alterations ?
? 34 Replacement ?
p .26 Public Facility ? 30 Accessory Bidg.
,IK27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 28 Greenhouse ? 34 Ext Alt - Comm.
? 29 Antennae O 35 Ext Alt - PF
? 37 Nail Salon
35 Tenant Impr ? 42 Demolish (Found) ? 46 WindowslDoors
36 Move Bldg ? 43 Reroof O 47 Repair
37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code +13 -7
SAC Code 3 0
No. of Units o
No. of Bldgs. ?
Const. (Actual) P-N
(Allowable) a 4/
UBC Occupancy -
Zoning
# of Stories
Length
W idth
Basement sq. ft.
First Floor sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SNV Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
?- 1 sq. ft.
1 sq.ft.
sq. ft.
sq. ft.
MC/ES System -T
City Water ?-
Fire Sprinklered -?-
? Insulation ? Plumbing
CXAIL?11 Engineering
? Stucco/Stone
Variance
? ?I 33.1 S VALUATION $ D00'-
?fi5o . u?
? 6•5
% SAC
SAC Units
Meter Size
Total
B, 92Q- G 1?
-tL:?':6:34?
. awcmrai riaw kq seis
. Civil Plans (2)
• CertiRCale of Survey (1)
• CadeMalysis (t) •'
. Project Specs (1)
• Spec. Insp. 8 Testing Schedule "
• Soils Report (7)
. Meter size must be estabiished
1 f?Yr ??U?
1
• MGES SAC detertninafi0n letter
coNMMRCUt
BUILDING PERNIIT APPLICATION
' CITY OF EAGAN
651-681-4675 ? O ?
• nrcnitecturai vians
• SWcNral Plans
• CiNt Plans
• Landsaping Plans
• Code Analysis
• Certlfipte of Survey
• Spac. Insp. 6 Testing Schedule
. Meter size must be established
. Project Specs
. Enerpy CalculaHOns
. Electric Power 8 Lighfing Fortn
• Master Exit Plan
• Fire Protection Plan
• Solls RepOrt
• MC/ES SAC detertnination letter
'L t s? ??sa.--1 '?;_
?A- ? -? ?° ? l (
2C?p.?'I 0 Y? 1n k,
(y) yets . NchitecWral Plans (2) sets
(p) . CodeAnalysis' (1) "
(2) • PrOjecl5Dec5 (1)
(Z) . KeyPian (1)
(1) •• . MasterExltPlan (1)
(1) . EnergyCalculations (7)notaiways^
(t) •• . FJec. Power 8 Lighting Fortn (7)nolahvays"
. Meter size must be estlblished - if applicable
(?)
(?) ?
??) 1
. MC/ES SAC detertnination lener
Food 8 beverage or lodging fadlities: Plan must be submitted to Minnesota DeparfineM o( Health - call 651-215-0700 for details.
DATE TUn? Z? ZCM` WORKNPE _ NEW _k REMODEL CONSTRUCTIONCOST-P. Wr'I
SITEADDRESS SO 042pz//Yl?.?1
TENANT NAME <6 aA Wz<d' dP!?c,^ SUITE #
FORMER TENANT NAME
A/+E add:+`,o.s'
DESCRIPTION OF WORK Z X v u.'/ om wo,-
Name: Ze,iSd,t Phone#: loYA? "OZIZ
PROPERTY Last First
OWNER / /
StreetAddress1??O ?v?PorG.?Z ?f-/
City go-ra..4c..,7 State_z4w Zip .SS,r7 ?
Company W °k 1. y / L??.? Ss?s?G?e ?t j?fv. Phone # c qs z , ? .S ? ' ?70
CONTRACTOR
StreetAddress: `LgSS (.?) ?8?"_ S? ??/'•??G z 70
City Zj=/1 State /rM Zip
Rc,0r4,f' 5:.•.pK:?S? Otina.? A0W,4,.4n
nxcxrrECri
ENGINEER
Company Qt?1r/ //'Z ?keL/s
Name /,/i6,Hr //b?/' 6&ffTi/
StreetAddress /,[J,S 3t- C?lLir 17v151
ciry 25;^ 12e.,?l State
Licensed plumber installina new sewerfwater service:/ vo?'w ?19J?f Phone #: (C,? VSI -b,// 7-
t hereby acknowledge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable State o1
Minnesote Statutes and City of Eagan Ordfnances.
Signature of Applicant: ?????`?? , C'JC,?4 -
UPdatea vr
OFFICE USE UNLY
SUBTYPE
0 01 Foundation
? 14 Apartments
? O 15 Lodging
? ? 25 Miscellaneous
WORK TYPE
? 31 New
;Nt?32 Addition
? 33 Alterations
? 34 Replacement
? 26 Public Facility
1<27 Commercial/industrial
O 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
O 37 Nail Salon
O 35 Tenant Impr 0 42 Demolish (Found) 0 46 WindowslDoors
O 36 Move Bldg ? 43 Reroof u 47 Repair
? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 38 Demolish (Int) 0 45 Fire Repair
GENERAL INFORMATION
Census Code L437
SAC Code 30
No. of Units o
No. of Bidgs. 2.
Const. (Actual) ? .
IT-.,
t . (Allowable) ?
-'ZT-A/
UBC Occupancy A/E-3
Zoning T - i
# of Stories 1
Length f,?s+A&6 akasrfiY,6
Wldth Na.H. Addu 2n. )S v 1U3, S
Basement sq. ft.
First Floor sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
4W'Gas Service Test ? Heating
APPROVALS
Planning
Building
sq.ft.
sq. ft.
sq.ft.
sq.ft.
MC/ES System
City Water
Fire Sprinklered es
? Insutlation ? Plumbing
?t= ` - Engineering
? 5tucco/Stone
Variance
Permit Fee 1 0 . J-S
Surcharge S .60
Plan Review
MC/ES SAC 6 4 ?O.OU
City SAC 600.00
Water Supply & Storage
S/W Permit 1 UfJ. 00
S/W Surcharge .50
Treatment Plant 3UCi 6, rXJ
Park Dedication
Trails Dedication
Water Quality
Other La?dsc?pe_ 0OC)O
Copies
VALUATION $ I0? ouo , °°
% SAC iot)
'SACUnits _6 ?.,?I„d•s 3?d Add:}.d., -F& b•-
Meter Size A p?l; ?d ?« afi a 14'F!r dG}?
Totai 1 S ? Ss 82 . 7S
=? .
CITY OF IEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE
Permit Number:
Date Issued.
• BUILDING
021595
07/26/93
SITE ADDRESS:
P.I.N.: 10-87000-010-01
550 OPPERMAN pR
LOT: 1 BLOCK: 1
YMCA 15T
DESCRIPTION:
,-1 SOUTHWEST
041di?k Permit Type YMCA
COMM. /IND.
6uild$Ylg 4lprk Type NEW
69C Oacupancj E3 A3 62
?
Gqn.structio» '[' pe TI-N SPR
Z6YIit7g I1
Buildirtg tar+gth 177
Builti3ng i.kidt(x
t 250
$1111,4irYg C>tAY7.B5 !-' 2
?IiIi,kwl?re- F6@t . -"' 50.400
??? ?? (a qq,
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
3AC Units
Subtotal
$7,355.50
$4,781.08
$1.172.40
$22,500.00
100
30
$35,808.9$
$2,908,000
CSTY SAC
TREATMENT PLANT
ROAD UNIT
TRAZL DEDICATZON
Total Fee
CONTRACTOR: - APplioant -
OPUS CORP 29364671
9900 BREN Rp
MINNETONKA MN 55440
(612) 936-4671
$67,473.62
OWNER:
YMCA OF GREATER 57 PAUI
976 ROBERT ST N
ST PAUI MN 55101
(612)292-4100
I h,ere,by ackn•owled'ge thar I have eead this appYicatian and •sCaC•e ttiat C,he
ittfbrmation is corre,ct ansk ayree to complp wiCh all applicable Stete of Mtn,
SYaeut'es and City ot Eagan OrdinanCes.
- ° ?
APPIICANT/PERMITEE SIGNATURE
f 4 Btl4 I l.Q/t,f',? JAY
' ISSUED V: GNATUI9E IV
$3,000.0@
$9,720.00
$10,951.20
$7.993.44
REi4CTIV,ATE =
-,PERMIT # " -
*1'
CITY OF EAGAN $(?q ??(3•?2
9993 @UILDING PERiriiT laPPL1UATION ?
681-4675
SINGLE & Ml1LTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
1n which request is made, 2) address is changed or 3) lot change is requested once permit
?Yt:-?
is issued.
Date JG1?l ? /9 / i ta3 Valuation of wor 2135G,?"lG- Mv Quc zC
Site Address: ?e-
SS?J
STREET ITE # -
Tenant Name: (commercial only) SG?t"r {?WP? r'"l? TT
IAT I BLOCK 1 SUBD.
c ? P.I.D. N '
Descri tion of work:
The applicant is: ? Owner M"Contractar ? Other (Describe)
Name (? o-F (-f eci v` 5 - ? Phone 2q? -4106
Property LAsi FIRST
Owner G7?P 2
b
d
Address
c
e
STREET STE M '
sS/G
'", ?VA h? Zi
t
( St
C
S-4 - Pau
p
a
e
-
ity
Company GactS efClPc«tb0 V` Phane q??o-qlv7 t
COntraCtOr Address GG 8 f c N 1-Loa Cz? License # Exp.
City M`??1 eTc? ?? State /"?kviv? Zip ss?a'
Company 11C?kone ?'l?--14 7Z
ArchlteCU
Engineer
Name k-c rv--? \ba U< Reg istration N ?
Address ?''lqGG iSlch kca4
City MtvkncA_-n?? State /"` ?Zip 575q<:76
Sewer & water licensed plumber 5' Processing time for
sewer & water permits is two 4uays once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to camply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex O 11 Apt./Lodging
? 02 SF Owg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessury
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
X31 New ? 33 Alterations 0 35 Tenant Finish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
?. ` .
?.
? -?;?,
6 lii?eAFinish
? 47"Swim PooT ?
'g(18 Comn. /Ind.
0 19 Lomm./Ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) II:N sPR Basement sq. ft. MWCL System yF-5
(Allowable) 7-lP, lst F1. sq. ft. City Water r? cS
U8C Occupancy E3 ,43 82;, 2nd F1. sq. ft. ?? PRV Required
Zoning xi Sq. Ft. total v 0 o Booster Pump
M of Stories _
z Footprint Sq. ft. p_Q Fire Sprinkler E S
Length 11717, On-site well Census' Code 3Ig
Depth 250, On-site sewage SAC Code 3 0
,
Co,+sus 61d(,f,
f
APPROVALS G;,-?5 u s wnu'F" o
Flanning Building Assessments
Engineering - - Variance
REQUlRED INSPECTIONS
? Site
? Wallboard
Ci Foot=ng
Q Finz'•
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee 3!5 S. 5o v.tu.c;p,: SL2?/0f3 UJJ
Surcharge ? 1 !12.
Plan Review yl si,oa
License -
MWCC SAC
22Isoo,eo ,
City SAC sooo_oo
Water Conn. -
Water Meter -
A=t. Deposit
S/W Permit -
S/W Surcharge ?
Treatment Pl. 9?ZO.oo
?
Road Unit 10,951.20
Park Ded.
Trails Ded. 11 9q 3,4g
Copies -
Other --
Total : 69+y93,162
,
SAC % 1()0
SAC Units 3o
? CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
Control No. 1312
PERMIT TYPE:
Permit Number:
Date Issued:
Ru rt nr.Ns
00 l.Slc
aI /J?/92
550 ortPEr,mAN cR
?c??: a a? ock o a
viyc?
DESCRIPTION:
vhl cF,
'Buildi•'nq Pai-rni* "1"vp??? FOU A[7ATION
BuildiPigWark Type NE6d
?ottint? LT
Bui].dirtg Len!jt-h 173
13uiidinq LJ3dtkt'--.1
Squar-e FaeC 37.260
REMARKS:
aE r,ezP r " C Lls 171 `?
FEE SUMMARY:
Eiase Fee
P.l.an Reviow
Surcharge
SubT.otaJ.
w corarR A cr0 R
VALUfiT1:ON
16CA3.Sm
.4,:352.2 £3
46, p ?
___ __ ..? ?_?
?S,?DA1.7b..
$92,mP+0
5 & W PERMIT $:30.00
S & W SURChdARGE _..._..W._.., . .r'0
ToT:al, FFe R2,072.28
CONTRACTOR:
qPUS CORF'
- Flppl3canC -
293E44?d
P U 8QX 150
MLNNEAR01_SS PIN 5S440
(012) 936-4420
OWNER:
WF5T PUBLISHItJG CO
610 OPPCRMAN DR
EA,AN MN 65123
(6]='.)
I her•e6y acknawledge that T have read this applXeation and state, that the
infnr-matinn is torrect and agree Co cart3P7y wiCh a3I aPP13,cab1e 5tnte oF Mna
? StaT.L+tes and C3 Gy rst Eagan Glydinances. I
t? ?" _ tq ?? ????a ? rI
A?ICANTIP RMITEE SIGNATURE ?ISSUED Y IGNA If JRE'
PERR?T #
REACTIY TE ?
?
CITY OF EAGAN $I
1992 BUILDING PERMIT APPLICATION '
681-4675
SINGLE 8 MULT1-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date IVd v,, a / I?? / Val uation of work
Site Address : 550d P voei 1'ft11\. iVe lcvi
? 'SiREET
SUt E /
M c
Tenant Name: (commercial only)
S' ?
S G
IAT _L BIACK SDSD.? M?P?_ ? P
I
D
*
.
.
.
Descri tion of work:
The appl icant is: ? Owner Lf Contractor O Other coes«tee>
Name We5--? P0D(v5 K\vtc ?mpg n?f Phoiie
Property LAST . FIRST T
Owner Address G1o bCS M6iV\
STREET STE !
City Z56t?AY\? State AN?) ? Zip 55 /M -
Company C'c! cf0.`t-cG 1'\ Phone
COntf8Ct01' Address ( • ?e'[ ?SG License # Exp.
City /'A11 , State h. Zip Ssq ?C
CompanyQ?pc?S f< K 4e!Lj S ? jE? rxcrn«f5 Phone 7Z
A?'ChItECt/ ACc kc +: pau:?x x V\ Perc ?za Z
Engineer Name 51-?ac? ?ch?t L?HJ? ? Registration M,?-Err.-?- l4??tf
7G?i G'pu 5 ?ca? ? s}-
Address c r9GG eyrcn
City hVlc ""f'C-iL k-0\ State J"` hZ;p SS
Sewer 6 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby ackno?vledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: 04C6,\•
D
OFFICE USE ONLY
BUILDING PERMIT TYPE
'$?Ol Foundation
? 02 SF Dwg.
? 03 5F Addition
0 04 SF Porch
? 05 SF Misc.
O 06 Duplex
? 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
WORK TYPE
031 New
? 32 Addition
? 33 Alterations
O 34 Repair
? 35 Tenant Finish
11 36 Move
?:. ?
? lb BasemenY'Finsh
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) --? lst F1. sq. ft. City Water -
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Li Sq. Ft. total Booster Pump
/ of Stories 2 Footprint Sq. ft. 3 9 2?o Fire Sprinkler
Length M?,. On-site well Census Code 31g
Depth 241. On-site sewage SAC Code .-
APPROV,4LS C.Qnsus bld5 =k
GchSuS u m it p
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S
? Site ? Footing 13 Framing O Insulation
? Nallboard ? Final D Draintile ? Fireplace
Permit Fee 603, 50 r.iust;m: g_ 9 Z1 poo LI`?'i2 RATO,-)
Surcharge
P1an Review
g92, Zg
EqGAN SAC
ZS X/00 =
ZS'oo
license M Wc.G SAC. 25 X 700 = 1 '7 5-00
MWCC SnC
C ity SAC TReAT. PLAtirr 29 X 30a= ? Sao PAVMa-.,,-
Mater Conn.
Nater Meter ?- ROAD UN)T 9.3G X ?jqfl= ID/670,y?
-APapoVe p
Acct. Deposit
.?
-kfiRA1L'PEDr 8Y cou,y?,?
cj,36 x$Sy„ - 7
tiy
q'5 3
S/N Permit
S/W Surcharge
30,00
PA Rk DE'D,
i.vA1UED' ,
1
qcnon u-r1_92
Treatment P1.
Road Unit
Park Ded. ?
Trails Ded.
Cop ies .-
Other
Total: Z
d
072
SAC 96 ,
.?
SAC Units --
? FIGuRep 6N Ac.REqGE LEsS F'dNDiNG EASt'?NT'
YMCA
1dEM0 TOS JIM BTIIRMp CITY PLANNER *
DALE WEGLEITNER, FIRE DEPARTMBNT
BILL ARINB, SLECTRICAL INBPECTOR
JOHlV VONDELINDE? SDPERINTENDENT OF PARKB
PIIHLIC NORRS/BNCiINEERINCi DEPARTMENT
IITILITY BILLINa CLERR
FROMt DOIIG REID, CBIEF BUILDING OFFICIAL
DATS S
SOBJECTs FINAL INSPBCTZON
The Protective Inspections Department will be performing a final
inspection of J?V 0 p?V^mqh on `?7?9? •
A Certificate of O cupancy will be issued following our approval.
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 within Pive working days from the date of
this notice will be considered your approval. The person or
department requesting the "hold" is responsible for notifying and
resolving any problems with the affected parties.
*dtV oF eagan
/- (? elx v/YICr9
THOMASEGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
Jllly 20, 1993 SANDRA A. MASIN
THEODORE WACHTER
Councll Members
THOMAS HEDGES
City AtlmmiStrator
GEORGE SPEVACEK
SR. PROJECT MANAGER E. J. VAN OVERBEKE
,
OPUS CORPORATION ciri ciaFk
P O BOX 150
MINNEAPOIdS MN 55440
RE: SOU1'HV1'EST BRANCH YMCA
Deaz Mr. Spevacek:
We have completed our review of the consuuction documents and your letter of July 15
regazding certain building code related issues on the above-referenced project. The
commenu listed below are limited in scope to selected azeas of special concem and are not
intended to comprise a complete and exhaustive report.
1. Fue protection systems must be designed by a licensed engineer. Plans,
specifications, calculations, etc. must be signed and certified in accordance wiW the
procedwes specified in Minnesota Rules, Chapter 1800.
2. If Member Lounge 121 is considered as an "adjoining room" under U.B.C. 3303(e)
and consequently the glazing not designed to meet the requirements imposed on
openings into rated corridors, the Member L.ounge must be sepazated by construction
complying with U.B.C. 3305(g) and (h) from Lobby 110/Corridor 120 and Corridor
128.
3. The prefened closing device for the counter shutter located between Open Office
109 and I.obby 110 would be smoke-detector activated and also close the shutter in
the event of a power failure.
4. Provide recycling space as required by Minnesota Rules, Chapter-part 1305.1775.
5. The Uniform Building Code Standazds referenced in the building code (a list occurs
in Chapter 60) are a part of the code. Other standards providing equivalent
performance may be used only when such alternates aze approved by the Building
Official under the provisions of Section 105 of the building code - UBC section 6001.
MUNICIVAL CENTER THE LONE OAK TREE MAINTENANCE fACILRY
3830 PILOT KNOB ROnD THE SVMBOI OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINi
EAGAN. MINNESOiA 551 22-189 7 EAGAN, MINNESOiA 55122
PHONE (612) 681-4600 PHONE. (612) 681-4300
FA%', (612) 681-4612 Equol Opportunity/Afflrmative Actlon Employer FAX. (612) 681-4360
iDD (612) 454-8535 iDD. (612) 454-8535
6. Posting of occupant load in p+mnasium, pool area, gymnasium azeas, etc. is required
by U.B.C. section 3302(c).
7. Posting of desip live loads is required by U.B.C. 2304(e).
It is our hope that this report will be of benefit to you in aclueving a project that complies
with the various state and local codes, laws, and ordinances.
Sincerely,
- Joe Merchak, Construction Analyst
Protective Inspections Division
Department of Community Development
JM/js
cc: Chief Building Official Reid
City of Eagan Consuuction Inspectors
Kent Davidson, Opus Arctutects & Engineers Inc.
John L.ewis, Opus Arclritects & Engineers Inc.
/ OPUSo
OWS Corporation
800 Opus Center
9900 Bren Road East
MinnetonYa, Minnesota 55343-9600
612-936-4444
Matlmg Address
P.O. Box 150
Minneapolis, Minnesota 55440-0150
Fax 612-936-0529
?ECEIM'EII
?Iri 1 4 9993
---------------
July 15, 1993
Mr. Joe Merchak
City of Eagan SS
3830 Pilot Knob Road ?
Eagan, Minnesota 55122 Y m cA
RE: Building Permit Applicalion
Southwest YMCA ?
550 Opperxnan Drive
Eagan, Minnesota
Dear Joe:
This letter confirms our phone conversation last week regarding the
Southwest YMCA.
1. Plans were sent July 9 to the Metropolitan Waste Control Commission for
a revised SAC charge detcrmination.
2. Enclosed please find a set of specifications signed by the Structural
Engineer for the project, John Lewis. These specifications have also
been signed by the Project Architect, Kent Davidson.
3. Opus Corporation has submicted the °Special Inspection and Testing
Schedule" signed by the Contractor, Architect, and Structural Fngineer.
Opus Corporation will resubmit this form signed by the Owner, Testing
Agent, Precast Fabricator, and Structural Steel Fabricator.
4. As stated in my June 29, 1993 letter, Opus Corporation will submit the
Minnesota Energy Code Compliance form as soon as the electrical design
p o bN ???k > is finalized.
5. Opus Corporation will submit to Eagan a letter of approval from the State
Health Department of the child care kitchen area and the swimming
pool area. This letter naturally will be contingent on the State Health
DepartmenYs determination that they want to review both the Pool Area
and Kitchen Mea.
4R0
fRF\II1'f.
SULLTIUdti
1953•1993
1992 NAIO° Netioaal Developer uf the Year
Dpus Corporatian is an affdiate o( the Opus group of compames -Amhrtects, Contractors, Developers
Austin, Chicago, Dallas, Denver, Housmn, Mdwaukee, Minneapohs, Pensacola. Phoenix, Seanle, Tampa
0 OPUS
6. Opus Corporation will have the following plans submitted to Eagan for
permit approval.
A. HVAC plans stamped by a Registered Mechanical Engineer.
B. Plumbing plans stamped by a Licensed Plumber.
C. Fire Protection plans stamped by a NICEf approved designer.
D. Flectrical plans stamped by a Registered Electrical L•'ngineer.
7. Endosed please find a memo from the Project Architect and Structural
Engineer which addresses several architectural and structural
questions discussed last week.
I trust the above information will satisfy the requirements and enable the
building permit to be issued for this project. If further information is
required, please contact me at 936-4671.
Sincerely,
OPUS CORPORATION
George Spevacek
Senior Project Manager
Enclosure
cc: Kent Davidson
John Lewis
City of Eagan Page 2 July 15, 1993
OPUS
O pus Architects & Engineers, Inc.
700 Opus Center
9900 Bren Road F,ast
Minnetonka, Mmnesota, 55343
612-936-4660
Mailiog Address
P.O. Rox 59110
Minneapolis, Mn. 55459-0110
Fax 612-936-4529
M E M O R A N D U M
TO:
FROM:
DATE:
RE:
Geoige Spevacek
Kent D• vidson, John L wis
July 13,?3 ?
YMCA-Southwest Branch, Egan
BuIlding Permit Issues
1) Elevator access to 2nd floor
Chapter 1340.0300 of the Mn. code does not require elevator access unless the second
floor has 10,000 sf or 100 occupants- neither of which applies to this project Total 2nd
floor area is under 7000 sf. The max, occupant load for the exercise eq. room is 60, the
running track would be a max.of 18 based on 3 h•acks with 6 runners in each track.
2) The Occupancy Classification of the gymnasium and adjacent exercise area.
These spaces will not be used as assembly spaces. There is no provision for bleachers and
toilering and parking aze not designed to accommodate assembly loads. The YMCA wIll be
happy to provide a letter stating same. We would be happy to post permanent max.
occupant load signage. These rooms have a combined area of about 10,000 sf which would
result in about 200 max. occupants based on UBC table 33A occupant load factor of 50 sf
per occupant for exercise rooms. Therefore, the correct occupancy classificarion would be
A3 accoding to table 5-A.
3) Fire Alarm Provisions
The propo.sed system would include the following:
childcare oceupancy: smoke detectors in classrooms and corridors, kitchen and
elec. closet as well as audio-visual alarm in each classroom, conidors and toilets.
elsewhere: audio-visual alarms in Pool, Gym and Exercise rooms with manual
pull stations at each exit door from the building as well as smoke detectors in the
rooftop units.
4) Hardware Schedule
We intend to re-submit the hardware schedule (in the specification) which will coordinate
with the drawings and will show that the appropriate doors will be provided with exit
devices.
5) Fire shutter
The rated"counter shutter" shown on the drawings will be activated by fusible link.
6) Fenced Play Area
We understand that we cannot have lockable gates without providing a dispersal area a min.
of 50 ft. from the building sized to accommodate the full exit load at 3 sf per person.
7) Glazing in the Member Lounge
We see the Member Lounge ac an "adjoining room" under UBC 3303(e) and therefore the
glazing should not have to meet requirements unposed on openings into rated corridors.
8) Running Track Live Load
The running track is designed for a 100 psf live load. The structural notes erroneously
identified the live load as 50 psf and will be corcected.
9) Live Load Reduction
It is our opinion that the floor live loads, as dexcribed in UBC Section 2306, are applicable
to this facility because no areas of the facility are considered to be areas of public assembly
and the live loads are 100 psf or less.
10) Allowable Area
Figuring on increases for separation and for sprinklering:
20,000 actual A3 ( 36,400 allowable =.55
9,000 actual E3 / 54,000 allowable =.17
13,000 actual B2 / 48,000 allowable =.27
total = 1.0
Assumes type IIN Construction
anu$ c???ration
OPUS
800 Opus Center
9900 Bren fload East
Minneronka, Minnesota 55343-9600
612-936-0444
July 7, 1993
Mr. Joe Merchak
City of Eagan
3830 Pilot Knob Road
Fagan, Minnesota 55122
ItE: Building Permit Application
Southwest YMCA
550 Opperman Drive
Eagan, Minnesota
Dear Joe:
Mailing Address
PO Box 150
Minneapolis, Minnesota 55440-0150
Fax 612-936-4529
=EEVV ---------------
r confirms our phone conversation today. 'I'he value of the YMCA
This lette
project located at 550 Opperman Drive including the mechanical and electrical
work but exduding the footing and foundation is $2,908,000. As discussed, the
footing and foundation work was installed under a permit issued last fall.
Please call me if you have any questions.
Sincerely,
OPUS CORYORATION
.?kuj? +-'olL
George Spevacek
Senior Project Nlanager
40
1'EARi OF
c e r: a'r i Y E 1992 NP.IOP Nauonal Oeeelope, uf the Year
soi,rl
Opus Corporanon is an attihate of the Opus gmup of compames - Architecis, Cantractors, Developers
t s 5 3i 99 a Austin, Chicago, Dallas, Denver, Housron, Milwaukee, Minneapolis, Pensacnla, Phoenix, Seattle, Tampa
Opus Corporation
? OPUS
June 29, 1993
Mr. Joe Merchak
Ciry of Eagan
3830 Pilot Knob Road
Eagan, MN 55121
800 Opus Center
9900 Bren Road East
Mmnetonka, Mmnesota 55343-9600
612-936-0444
RE: Building Permit
Southwest YMCA
550 Opperman Drive
Eagan, Minnesota
Dear Joe:
Mailing Address
FO Box 150
Minneapolis, Minnesota 55440-0150
Fax 612-936-4529
Endosed please find the following items for the Southwest YMCA building permit:
One set of Project Specifications stamped by Opus Architects and Engineers, Inc.
2. One copy of lhe "Special Inspection and Testing Schedule". Please note Ihis
schedule has been signed by the Contractor, Architect and Structural Engineer
of Record. We are in the process of having the Owner and Testing Agent sign
this form. We will forward this form to you again once lhey have signed it.
3. One set of the energy calculations prepared by Opus Architects and Engineers,
Inc.
The biinnesota Energy Code Compliance Form is not enclosed at this time. The electrical
design is in the process of being finalized. We would request that the Building Permit
be issued contingent upon the receipt of this farm. We will insure [hat chis form is
submitted and that the electrical design will comply with the Dfinnesota State Energy
Code.
Please contact me at 936-4671 if you have yuestions on the information submitted.
Sincerely,
OPUS CORPORATION
George Spevacek
Senior Project Manager
F.nclosur
40
ieIns or
IRI.,kT11t:
101.4TIUAA
1953•1993
DEE 0 ?E-1
? JU. 2 1993
199Z NAIOP National Developer of thc Y?ar
Opus Corporatmn is an affdiate of the Opus group of compames - Archaects, Contractors, Developers
Austin, Chicago, Dallas, Denver. Houston, Mdwaukee, Mlnneapohs, Pensacola. Phoenix, Seattle, Tampa
Opus Corporation
/1 Or VJm 9900 B en AoadrEast OalBox 150ress
Minnetonka, Minnesota 55343-9600 Minneapohs, Minnesota 55440-0150
612-936-4444 Fax 672-936-4529
November 17, 1992
Mr. Joe Merchak
City of F.agan
3830 Nilot Knob Road
Eagan, Minnesota 55122
RE: Footing and Foundation Permit
Southwest YMCA
F.agan, Minnesota
Dear Joe:
Per our phone conversation yesterday, please find the following documents:
1. Second set of stamped plans.
2. 5pecifications stamped by Opus Architects &Engineers, Inc.
3. Special Inspection and Testing Schedule signed by Opus Corporation and
Opus Architects & F.ngineers, Inc. As discussed we will resubmit this
form in the next two days as soon as it is signed by the YN1CA and Braun
Intertec.
Please contact me if further information is required.
Sincerely,
OPUS CORPORA'CION
George Spevacek
Senior Project Manager
Enclosures
Opus Corporation is an affihate of the Opus gmup of compames - Archrtects, Contracrors, Developers
Aushn, Chicago, Dallas, Denver, Houston, Milwaukee, Minneapolis, Pensacola, Phoenix, Seattle, Tampa
t-
' ? Metropolitan Waste Control Commission
Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55I0I-1633
612 222-8423
July 13, 1993
Mr. Joe Merchak
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Merchak:
i«!l ! 5 199
The Metropolitan Waste Control Cemmission revie+:e3 tr.e sAC assignment
for the Southwest YMCA. The original letter for this determination
was.dated November 10, 1992. This project is located at Opperman
Drive & County Road 63 within the City of Eagan.
This project should be charged 30 SAC Units, instead of the 25 units
originally assigned. The SAC review is based on new updated
information. This determination follows:
Charges:
Daycare
128 children @ 14 children/SAC Unit
Pool
3800 sq. ft. @ 900 sq. ft./SAC Unit
Exercise Area/Gym
11424 sq. ft. @ 700 sq, ft./SAC Unit
SAC Units
9.14
4.22
16.32
Total Charge: 29.68 or 30
If you have any questions, call Roger Janzig at 229-2119.
Sincerely,
? ??
Donald S. Bluh
Municipal Services Manager
DSB:RWJ:jle
93071355
cc: S. Selby, MWCC
Carolyn Krech, Finance Department, Eagan
George Spevacek, Opus Corporation
Equal OppcrtuniryfAffkmaqve Aatlon Empbyer
14 iJ
Metropolitan Waste Control Commission
Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101-1633
612 222-8423
November 10, 1992
Mr. Joe Merchak
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Merchak:
The Metropolitan Waste Control Commission determined SAC for the
Scuthw2st YMCP_ to b2 locat°d at ^pner.?r,an nrive & Countv Road 63
within the City of Eagan.
This project should be charged 25 SAC Units, as determined below.
SAC Units
Charges:
Daycare
128 children @ 14 children/SAC Unit
Pool
3800 sq. ft. @ 900 sq. ft./SAC Unit
Exercise Area/Gym
7908 sq. ft. @ 700 sq, ft./SAC Unit
9.14
4.22
11.30
Total Charge: 24.66 or 25
If you have any questions, call Jodi Edwards at 229-2113.
Sincerely,
.G? ,.?/1 . 1 " • ?,?ZZy?
Roger W. Janzig
Planner
RWJ:JLE
92111052
cc: S. Selby, MWCC
Carolyn Krech, Finance Department, Eagan
George Spevacek, Opus Corporation
Equal Opportunity/Affirmative Action Employer
? ?? iJ
Opus Corporation
: OPUS.
800 Opus Cencer
9900 Bren Road East
Minnetanka, Mmnesota 55343-9600
Mailing Address
FO Box150
Minneapo6s. Minnesota 55440-0150
July 9, 1993
672-936-4444
hir. Roger W. Janzig
Metropolitan Waste Control Commission
Mears Park Center
230 East Fifth Street
St. Paul, MN 55101-1633
RE: Southwest YMCA
550 Opperman Drive
Eagan, Minnesota
Dear W. Janzig:
Fax 612-936-4529
JL1 I 1 4 1993
Last November a determination of SAC units was made by the Metropolitan
Waste Control Commission for the Southwest YIviCA project located in Eagan. A
copy of this deternunation is enclosed.
Since the November submission a second lex el "Exercise EquipmenY" area has
been added and the width of the lst floor g.m has increased by 9 feet. The
child care facilities, pool areas, office and meeting areas have remained the
same. Joe Merchak of the Eagan Building Department has requested us to send
you the revised plans which contain these revisions for an updated SAC
charge determination.
Enclosed please £md the Site and Floor Plans dated June 6, 1993, which contain
these modifications.
Would you please forward this information to Joe Merchak of the Eagan
Building Department.
Sincerely,
OPUS CORPORATION
George Spevacek
Senior Project Manager
Enclosure
cc: Mr. Joe D4erchak
Building Department
City of Eagan
3830 Pilot Knob Road
4 P.O. Box 2119
0 Eagan, N[N 55121
ILt Ni Of
L R f: tT 11 F 1992 NAIOP National Dsveloper of Ihe Ye;
.+oLITIU\i
Opus Carporatmn is an afftliate of ihe Opus ,,:jp of companies - Arch¢ects, Contracmrs, Developers
19 53 • t s s a qusun. Chicago. Dallas, Denver, Houston. M v.aukee, Minneapohs, Pensacola. Phoemx, Sea[tle. Tampa
r N??A?o?c MEMORANDUM
?-
TO: STEVE HANSON, ASSISTANT BUILDING OFFICIAL
? FROM: KEN VRAA, DIRECI'OR OF PARKS AND RECREATION
DATE: NOVEMBER 2, 1992
RE: Y.M.C.A./TRAILS DEDICAT[ON
An issue has arisen as to the trail dedication with the Y.M.C.A. facility. It is also my
understand that the Y.M.C.A. hopes to obtain their building permit, or at least a foundation
pemut, prior to November 17, 1992, when the issue of the trail dedication is expected to be
heard at the Council meeting.
On behalf of the City, I have agreed with Harry Gallaher, Attorney representing the
Y.M.C.A. in this project, the trails dedication would be $7,993.00. This is the amount that
should be collected with the buildingpermi , or foundation permit if they decide to take it
out prior to November 17. If the Council determines the amount of trails dedication is
higher; the remainder will be collected separately.
Thank you for your cooperation in malring the necessary changes to the building permit to
reflect this fee.
KV/dj
cc. Tom Hedges, City Administrator
Harry Gallaher, Attomey
DIYMC47RAL.MEM
# 2?
M E M O R A N D II M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT '
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: NOVEMgEjZ
RE: PLAN REVIEW
The -X preliminary _ construction plans for Y M CA
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. "
; .,,.
?y?If you have any
objections to approval of these plans, ;;it is ?C your responsibility
to notify this department and resolve any problems.
DR/j s
Siqnature Date
J v ?
?? ? ?-C ? ? / ?I G'"i ? C?Oj'(J ?/' ?i?tt?1 ?' ?G??l ? J'?I a u/ vr o
? ? ( ? ? ? ?GH ?, - Ct J C D.a d O ?r a 7Z? 1;?G
?j o rr G a? .o.? P?O? ° f?o? o ?i ? e,K ?? ? T? ??J
'IJPr? C o y d( ? L h y/ (? -? !/'
1'? e
,J
o? ?r e c?a, r? r 4?TA ?r ?
/
,r'it DUI cl be Cv?!?/ d?reC a-- Ctily d 1 /o o
? yl?z ? .,, ?J, N 5 P.w,-h ? f.
?rh6?9 ?
? ?-7
?SEMO R A N D U M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
?-.GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHZEF BUILDING OFFICIAL
DATE: 7qUV, )Uf lr(gA
RE: PLAN REVIEW
1
The _ preliminary -K construction plans for t700T1NG f
?oKIVpA'S10N PLAuS F?/? T1tE Y.M,C,A,
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. rai3ure ;;.f„iiria
h*ithiri` fa:ve "d.ays ? ?q???rl,???d?=yO?z. apprau?l. If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/ j s
Signature Date
? ?l
M E M O R A N D II M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF SUILDING OFFICZAL
DATE: lquj. J Vl 1 qq,°l
RE: PLAN REVIEW
1
The _ preliminary lX construction plans for F001'1NG f
?owNpAZlo?.1 PLANS Fv2 T}1E Y.M,C•,A.
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
,. .
.
comments and the date of review. Failare0:??retu
ri ;£i.ve, t1ayS::,*3?1;<?? ;CCixi?3??xe?1 100'<:;#ppXOVO7..If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/js
'4`^? . .ief'? ?-?J ?, f I E
'gnature D?te ^
MEMO RADiDOM
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR 1
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE AS5ISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: NIOUEM$FEjZ Cl 19CI ?
RE: PLAN REVIEW
The -X. preliminary _ construction plans for Y M C A
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review.
t?,Jthii? :fiye:.c?ays. ?aiA1::1??:cans.i?e?ei?If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/j s
Signature
Date
? ?,)?
M E M O R A N D D M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL ZNSPECTOR ?
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: NOUE-M$FEpZ
RE: PLAN REVIEW
The -2? preliminary
91199 Z
construction plans for Y M CA
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
commen s and the date of review. ;±'ailure;'to
ts1thi,n 'five days 'raij:L }ae ;cpfi)#dexed -?ait? ;gpp?a?4i.. If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/js
F?I?D?QZ'
signature T Date
M E M O R A N D II M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKZNS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
`GENE VANOVERBEKE, FINANCE DIRECTOR
FROM:
DATE:
RE:
The
DOUG REID, CHIEF BUILDING OFFICIAL
b- II-93
PLAN REVIEW
preliminary X construction plans for J'm. "•A•
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. Fsi34re tn seturii;,AYizs `form
Within Pive days wi1I be cOnsiftxed "your.:apprnlval. If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/ j s
Signature
Ge/re-
?O G017 ?1QG'?z'o G"G?7 e? 4?
??? il I'?. J T't ?<? P f,
Date
?
la??/c??P o/`
?
?
M E M O R A N D II M
TO: JIM STURM, CITY PLANNEF2
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: (0 -It '9_:?
RE: PLAN REVIEW
The _ preliminary ? construction plans for
Y.M.C.A
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. Fa31am ;to : 9?.ttuYri„ ti'& fcsrm
wiEhi.n £ive;ddyS wiil.be CaT1'Sldered ycsLtX'_?ppzou?a7,. if you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/js
? S-PRA
signature
?(_- l4'
Date
?Z 7
M E M O R A N D II M
TO: JIM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT
PUBLIC WORKS/ENGINEERING/OTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE : (p - 11- q 1
RE: PLAN REVIEW
The _ preliminary X construction plans for
Y.M.C.Q
are in our plan review section for your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. Failure;;'.?to rE:tur;i;'.tbis faran
within £ive rlays wi21 be aoiisidered yaur Appzoval. If you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
DR/js Q.K.
/
Signature Date
? 2?
M E M O R A N D U M
TO: 3IM STURM, CITY PLANNER
PAT GEAGAN, POLICE CHIEF
DALE WEGLEITNER, FIRE INSPECTOR
BILL AKINS, ELECTRICAL INSPECTOR
JON-HOHENSTEIN, ADMINISTRATIVE ASSISTANT ?
PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DZRECTOR
FROM:
DATE:
RE:
The
DOUG REID, CHIEF BUILDING OFFICIAL
(0'11' 13
PLAN REVIEW
preliminary ?
are in our plan review sect
plans for
y. m. c. ,4
your review and comment.
Please return this form to Joe Merchak with your initialized
comments and the date of review. raikure;:;to ' Y"ettirri=°tEtis foran
within fS.ve deys taill. kse cox1s3dezed; y`aur aprrauai. if you have any
objections to approval of these plans, it is your responsibility
to notify this department and resolve any problems.
Tl'] / 4.n
Date
?
?
(
.?
OPUS CORPORATION
800 Opus Center • 9900 Bren Road East • P.O. Box 150 • Minneapolis, Minnesota 55440
m H: m C) - ?'?ie° ??10 Ft
TO V\. DATE
3030 lot ?.nrb 'CLC? Sl16JECT
vtvl_ 55!?2-- - - a V\-_ _
vk ?` -t=cu s? d??? ''l
Pr r ?t .?
c- heL.(L - - - -- - -
? y,:?' Y" c? t S_??? _
Sj4CL??l ? _ IvlS?Occ:`?rcv?_
Y l 1 I•l
Item # ML4N]2 The Drawing Board, Dallas. Texas 75266-0429 FOLD AT (-) TO FIT DRAWING BOARD ENVELOPE # EW 10P
fi W heeler Group,lric, 1982
. . -_ ..?;:. .
SP8C271L INBPBCTIOP 71ZID T89TING BCHEDULB
(To be uead LtS aCCOrdance with !he "Guidelinee for Special Inepection and Teatinq")
pROJECP NAMS Southwest YMCA PROJECT NO.
LOCATION Opperman ?rive and Delaware Trail (1)
Eagan, Minnesota PERlSIT NO. .?Ul£i'/?C•
ting and Foundation wo-k or.1v
SDECIkL iN3PRCTION SCHEDVI.E
c
cation
Type of
Report
Aseiqned
Articl
c
Footin Bearin and Soil S ecial Monthl - Braun
Compaction Inspectors Ins ections on Intertec
will call basis
TrcMrvn nrwRmn.w
UBC 306 Concrete C linders Testin A ent Monthl raun
1 set er Intertec
150 CY or 5000 SF
Flatwork
Notess
Thie echedule to be filled oat and included in the project epecLfication. Information
unavailable at that tlme to be filled out when applying for a buildinq permit.
(1) Permit No. !o be provided by the Buildinq official.
(2) Uee deecriptione per U.B.C. Section 306.
(3) Special InspeCtor, Testing Agent or Fabricator.
(4) Firm contracted to perform aervicee.
Sach appropriate zepreaentative muet eiqn bel
Owner: ?/flr6q ? S;%fj??}%UL Firms
Contraetora Opu-W Corporation Flrm:
A:chitect: Opus Architects & Engineers Firm:
SER: Opus Architects & Engineers Firm:
• SI : Fir m:
+SI: Firm:
TA: Braun Intertec Fiim:
TAs Firm:
F: Firm:
F: Firm:
Date:
Date: TE?7?QZ.
Date: ?i
Date:
Date:
Date:
Date:l1/ -?/z?
Date:
vace:
Date:
• The indivldual namee of all proepective epecial inspectoze and the work they intend to
obeerve must be identified on the reverse eide of this form.
Leqend: SSR ? Structural Engineer of Record SI = Special Inepactot
iA ? Testing Agent F= Fabricator
/lccepted for the Huilding Department By Date:
11-z'7-92
SPECIAL INSPECTION AND TEBTING SCHEDULE
'. (To be used in accordance aith the "Guidelinea for Special Inepection and Testinq^)
PROJECT NAMS
LOCATION
PROJECT NO.
(1)
PERHIT NO.
S cificet on Type of Aeport Asaigned
ection l Article Descri tion 2 Firm 3 Fre enc Firm 4
?v -o,? s ? , .?s ? 6 N
'
G L G .V G
?
TESTINO SCHEDDLE
d G O c ffAegeLl
os
<< , < V_ .. G„
m ?B ?C G
Notes:
Thie schedule to be filled out and included in the project apecification. Information
unavailable at that time to be filled out when applying for a building permit.
(1) Permit No. to be provided by the euildinq official.
(2) Uee deacriptiona per U.B.C. Section 306.
(3) Special Inapector, Testing Agent or Fabricator.
(4) Firm eontracted to perform aervices.
ACKSiOWLEDCEMENTS
?'ach approprinte representative must sign belov:
I ""
5+
??? 4
6
Owner: 9 T
1
Firm: JG u
,e
- Date:
Cantractoz: Firm: C Ct-6 { 1? Date:
Architect: Firm: ? Date:
SER: ? Firm: Date:
' SI Firm: pAUN ??ar?L Date:
Firm: Date:
TA:_ Firm: $eAU(? ?TEYFEL Date: 7 Z6 ?
TA: Firm: Date:
F: Firm: Date:
ZF=-\ Firm:7-?ZQ T"1ANri5? ? So-_)S Date: HIo?3kl?S
• ndividual namee of all proepective epecial inspectore and the work they intend to
obeerve muat be identified on the reverse eide of this form.
Leqend: SER ? Structural Engineer of Record
TA ? Teeting Agent
SI = Special Inepactor
F = Fabzicator
Accepted for the euilding Department By
SPECIAL SHSPECTION SCBBDVLF
SpECIAL INSPECTION AND TEBTING SCHEDULE
'• (TO be uaed in accordance aith the ^GUidelinea for Special Inepection and Testing^)
PROJECT HAHB
LOCATION
PAOJECT NO.
(1]
PERMIT NO.
S cificat on Type of Report Aseigned
ection l Articlg Descri tion 2 Firm 3 Fre enc Firm 4
?v - o..? s Bx7 ,?s d/-1
i ?
c ?v' a a .v c
GL
TDCTTHH S!`RF.TiTT.F.
d G O G
os . ? c
<< V_ n G„
O T7B ? ?
,cf
Hotes:
Thie echedule to be filled out and included in the project
unavailable at that time to be filled out when applying for a
(1) Permit No. to be provided by the Building Official.
(2) Uee descriptione per U.B.C. Section 306.
(3) Special Inspector, Testing Agent or Fabricator.
(4) Firm contracted to perform eervices.
ACttNOWI.EDCEFEHTS
°ach appropriate repreaentative muat sign 6elow:
epecification. Information
building permit.
? S+
S
46
Owner: P
Firm:
GU Date:
Contractor:
XXI?
Firm: L ?-6 { 1? Date:
A:chitect: Firm: ? Date:
SER: Fizm: y Date:
• SI Firm: PAUN ?MffE?C Date:
*SI: Firm:
UN I?EC
P Date:
D
t
-7 ZE
3
TA: Firm: I
iM
- i
a
e:
TA: Firm: Date:
? F: -?` Firm: Irc%Us C'-0nccK,sTC ?2aA Date: 91/3M
F: Firm: Date:
• The indlvidual names of a11 prospective apecial inspectora and the work they intend to
obeerve muet be identified on the reverse side of this form.
Legend: SER ? Structural Engineer of Record SI = Special Inspactor
TA ? Teating Agent F= Fabricator
Accepted for the Building Department By Date:
1C9F!!ThT. TACDF.(:TTnN 6C8BDIn.g
Page 2/EAGAN CTTY COUNCII, MINiITES
November 17, 1992
the fee amoun[s. In addition, Le asked that the applicant be made awaze that a delay in payment of the fees to
1993 would result in fees paid at the 1993 rate. Mr. Gallaher said the applicant was aware and willing to pay
the hig6er fees if necessary.
Discussion then continued regarding reducing or eliminating the fees and the precedent that might set.
It was noted that the City Las not waived development fees for Wher "public use facilities such as churches and
schook and Councilmember Wachter added that it would be dilLcult to deviate from City poliq when others
would ask for the same consideration. He wondered who then would pay for the Vailways. Co, ember
McCrea suggested that if the fees are lowered, perhaps the 'Y' would provide a payback ia the form of use of
the facilities. ayTEi on sa? e was veryr ptiv mprom anTwo?Id?happy to work with
the City in fostering joint programs and City use of the facilities. Mayor Egan asked Mr. Shannon if the_YMEA
wouTd?have any objectioa to-deferiiiig fhe matter until after tiying to rea¢h a compromise. Mr. Shannon said '
they would not
Councilmember Pawleaty suggested direction to staff that the City reach a reasonable mderstanding
with the YMCA that the City receive at leazt an equal value in access to the facility or use over a period of time.
Wachter moved, Pawlenty seconded, a motion to continue to the December 1,1992, regular City Coundl ?
meeting, coasideration of the cash Vailway dedicadon fees for the YMCA lst Addition, Lot 1, Block 1. Aye:
5 Nay. 0
Awada moved, Wachter seconded, a motion to defer payment of the MWCC Sewer Availability charge,
Eagan Sewer Availability Charge, Eagan Water Treatment fee, Eagan Road unit fee, and the Eagan Trail
Dedication fee to the time of building permit issuance with the understanding that if the building permit is not
issued until 1993, the 1993 fee rate will apply. Aye: 5 Nay: 0
CAPONI ART PARR
The City Council aslced a number of questions regarding the status of the agreemeat with Anthony
Caponi regazding the tunnel permitting access to the Caponi property and the art park.
Councilmember Pawlenty asked the City Attorney whether the issue of expending public money for a
private use (either all or part of the subject tunnel) had been addressed. City Attorney Sheldon said the City
has had licening ageements where such action has been permitted but complete control was always retaiaed by
the City. Mr. Sheldon advised that he had understood that once all signatwes were received and Mr. Caponi
agreed to make the paymeat, that the issue would be researched. He said he believes there is a way to do it but
they have not looked iato the mechanics. Councilmember Pawlenty said he would prefer not to go through the
negotiations and raise Mr. Capoai's expedatioas ody to find it is not feasible.
FurtLer discussion revealed that Mr. Caponi will aot fence half the tunnel for security of the property
until the land is placed in a not-for-pro5t corpora6on, conUOlled by a board oF directors and used strictly as aa
art park for public viewing. Councilmember Pawlenty questioned whether Mr. Caponi's placing the property in
the hands of a 501-3C would qualify as a public nse. Councilmember Awada wished it aoted that Mr. Capoai
is paying for half a public tunnel witL private funds. Councilmem6er Wachter suggested the City proceed with
caution regarding the fencing of the tunnel as it would be built witL public funds.
XONUA1T
City Admiaisvator Hedges acknowledged the addition of Conseat Item G, Hxteasiaq Fiaal Plat for
Weston Hills; and Item H, Licenses, Service Station & Cigazette, SuperAmerica Statioq 5250 Giff Road.
MWUTES OF A REGULAR MEETING OF THE
EAGAN, CITY COUNCIL
Eagan, Minnesota
November 17, 1992 "
A regulaz meeting of tLe Eagan City Council waz held on Tuesday, November 17, 1992 at the Eagan
Municipal Center. Present were Mayor Egan and Councilmembers Wachter, Awada, McCrea, and Pawlenty.
Also present were City AdminisVator Tom Hedges, Acting Community Development D'uector Jon Hohenstein,
D'uector of Public Works Tom Colbert, and City Attomey James Sheldon.
??,?NLtiI"
City Administrator Hedges suggested the following additioas to tLe regulaz agenda:
ADD: Extension Weston Hills F"mal Plat Consent Agenda
Pawleary moved, Wachter seconded, a motion to approve the agenda for the November 17,1992, regulaz
City Council meeting as amended. Aye: 5 Nay. 0
MUM:
Mayor Egan made the following coaectioa to the minutes of the November 5,1992, regttlar City Council
meeting:
Page 4, Pazagraph 3, Sentence 1, the.reference to "September' should have been "June.'
McCrea moved, Wachter seconded, a motion to approve tLe minute5 of the November 5, 1992, regulaz
City Council meeting as ameaded. Aye: 5 Nay: 0
WGnCf
Lazry Wenzel, Chair of the Eagan Economic Developmeat Commicc;on was ruognizzd for Lis
contributiou to that commission u a charter member and its onty Chair Gom 1983 to 1992.
POLICE DEPARTMENT/HUNT[NG LICENSE
Mayor Egan introduced tLis item as a request for a hunting permit for C. Kevin Reeve, 4251 Nybro
Lane, Fagan.
After brief discussion, McCrea moved, Awadz seconded, a motioa to a;:lrove a special .w.unting permit
for the bow hunting of deer oa property located at i 35E and Diffley Road. Aye: 4 Nay. U Abstain: 1
(Wachter)
PARKS & RECREATION DEPARTMENT/YMCA TRAILWAY
Mayor Egan introduced this item as consideration of YMCA cash Uailway dedication fees. In addi6oq
it was recommended tLat a related issue, YMCA building permit fees, be discussed 'at this time. Ciry
Administrator Hedges provided background on tLe issue.
Harry Gallaher, representiag tLe YMCA, explained that ]ay Shaanon's letter (of the 1'MCA) spelled
out their posidon on both issues. A copy of both letters aze induded as Exhibit A. City Adminiurator Hedges
advised the Council Wat if co: sideration is given to drfer any fees, staff recqmmeuds no further reductions in
,
a
.? OPUS ARCHITECTS & ENGINEERS, INC.
Affiliated Companies Opus Corporation. Opus North Coryoranon,
Opus South Corparation, Opus Southwest Corporation
Offices in Minneapolis. Chicago, Phoenix and San Diego
Project ?/. SW
Date ?%f/»e 11 93
By
Sheet ? of
r
? OPUS ARCHITECTS & ENGINEERS, INC.
Affiliated Companies Opus Corporation, Opus North Corporation,
Opus South Corporation, Opus Southwest Corporahon
Offices in Minneapohs, Chicaga, Phoenix and San Diego
Project \4" -
Date ?ii.z. ? 9.3
By
Sheet ?_ of ?
? OPUS ARCHITECTS & ENGINEERS, INC.
Affdiated Companies: Opus Corporatmn, Opus North Corporation,
Opus South CorpnraUOn, Opus Southwest Corporation
Offices in Minneapolis, Chicago, Phoenix antl San Diego
Project ?IiLlef]4. -511c/-
Date CTUrr? 2/?.?
By
Sheet ? af 3
:^.,:f.'?V (lF EAGAi1
CAtiN:CE!?^ ii rr:(,'NiT.NA!._ Nl]; 862
Di-1IEN 10I22/98 TIMI' o 0:4029
11.1.
riAME., CaRraE4SrOnE r..oNsTRlJC'1":iClN '[idr.
p;';Sr:':. 9001 550 tJf''I'-'!_RMAN Lili 6,321,,21.
iq1;a1 RE'Celpk, ARifiVY"!F° 6.121.21.
Cfif19865i.1
USE.R ID: t+!r1NCY
. ? PERMIT
? VY OF EAGAN
? Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-7 897 Permit Number: 8 3 3 7 5 9
(651) 681-4675 Date Issued: 10 / 2 2/9 8
SITE ADDRESS:
P.I.N.: 10-87000-018--m1
DESCRIPTION:
550 OPPERMAN DR
IQT: 1 BLOCK: 1
YMCA 1ST
YMCA
Burilding .Perm.it Type
Buildinq Wor,k 'i'ypa
,4iBC Occupancq-`•
iConstruct3on Type
Zoning _
/
/ Building Length l
Building Width ?
?V Bull.lding sY.ories
^ S. ,uare Feet ?
i
Cet?,sus?-I
Cade-
c
REMARKS:
PLAN REVIEWED OY
flRCHITECT: CNH
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
sac
5AC %
SAC Units
Subtotal
COMM./INO. MISC.
AODITLOIV
E-A3-B
II-N
7-4
100
34
1
3,4@0
326 SCHOOLS/ED.
r. - !
?; t/,
VALUATION
$1,812.25
$1,177.56
$142,50
$2,000.00
100
2
$5,132.71
$285,000
CITY SAC
S/W PERMIT
S/W SURCHAR6E
TREATMENT PL.
1"otal Fee
$200.00
$100.00
$.50
888.00
? $6,321.21
CONTRACTOR: - Appiicanr. - OWNER: •
CORNERSTONE CONSTRUCTION 24604083 SOU'iMWEST AREA YMCA
23502 AUDREY AVENUE 550 pPPERMAN DR
FARMING7M MN 55024 EAGAN MN 55123
(612)' 460-40$3
,
I hereby acknowledge that I have read this applicetion and state that the
inf rmation is correct and agree to oomply with all applicable 5tate of hln.
St tutes and City of Eeqan Ordinances.
PLICANTlPEfl E N RE ? SUED BY: SIGNATURE ?
.. .. ? ?z_- ._
CRAI6 NUVFlCZYK.
ARCH7TECl-
WEST 147TH STRE
,. • r 1998 BUILDING PERMIT APPLICATION (COMMERCIAI.)
Z(l CITY OF EAGAN
681-4675 ? b aa -
a I ?--1
? ?, 3
Submit following to obtain necessarv oermit 5 Foundation Onl New Construction interior Improvement
structural plans (2 sets) erchdeGural plans (2 sets) archdecturel plans (Z sets)
civil plans (2 sets) atructurel plans (2 sets) code analysis (1) "
code anatysis (1) " Gvil plans (2 sets) project spea (7 set)
aoils report (i) IarMscaping plans (2 sets) Key Plen
projectspecs (1) eodeanalysis (t)" energycalculations (1)ndaMreys"
Special InspeGions & Testing Schedule " soils report (1) Electric Power 8 Lighting Form (1) not aMays "
SAC determination letter from MCANS - SAC determination letter from MCANS - SAC determina6on letter Nom MCANS -
cell 602-1000 wll 602-1000 call 602-1000
Special Inspections 8 Testlng Scheduk (1) "
project specs (1)
energy calculations (1) "
Electric Power 8 Li Min Fortn 1 "
Contact Building Inspections for sample
Food 8 Beverege or Lodging facilities: Plan must be submitted to Minnesota Department of Heatth. Call 215-0700 for details.
DATE: /D - z s - / Y/ WORK TYPE: K NEW _ REMODEL
DESCRIPTION OF WORK: ?,??J( %/ p/-( / U ac (?? ,. Y,t{?(! ?q ?>( LDI ?-e PY
CONSTRUCTION COST: TENANT NAME:
SITEADDRESS: e?:7A6),? SUITE#:
LOT -?- BLOCK __?_ SUB0. _y YV\, C lQc- P.I.D. #
Name: S"U7?j4?j {qi25if1- YM -?- Phone #:
PROPER7Y Last First
OWNER
StreetAddress:5?C? C',9PP6fZAAi4h-( D2
City `F1E4G1?1 r--( State: zip:
Company: ?OfZr?lL?K :?t??r-eE ?dfti-t S? ? ('-l ? Phone #: C /S ? -46d - -4 G 13
CONTRACTOR
StreetAddress:.:2-3???. License#
¢
City ?v`f 2/I./L f h2GT'u 1?-c State: /uk f't l Zip: 650,2
ARCHITECT/ /
ENGINEER Company: Phone#: -p 1 ? f `??'I 33
Name: ??9( M1( /?l Registration
Street Address , 3Ck'> (•t? /? 7+?. ?? 5v t in SD z
?
City State: M /q Zip:
Sewer S water licensed plumber (only H installing sewer 8 water):
1 hereby acknowledge that I have read this application and state ths
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
),(, 18 Comm./Ind.
WORK TYPE
? 31 New
% 32 Addition
GENERAL INFORMATION
X19 Comm./Ind. Misc.
? 20 Public Facility
? 33 Afterations
? 34 Repair
Const. (Actuai)
(Allowable) -IT-' 1" Basement sq.
First Floor sq. ft.
ft.
UBC Occupancy E
Zoning -A3 -6 sq.
Sq, ft.
ft,
# of Stories
Length
Depth ?
? sq.
sq.
Footprint sq. ft.
ft.
ft.
APPROVALS ,
Planning Buiiding ?
bD
0 21 Miscelianeous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Engineering Variance
?
?
D
Permit Fee 1F5 I'a Valuation:
Surcharge 1
14
Plan Review 1 1 (d
MC/WS SAC 2660/ooo V. 12-
City SAC 260 /o o x 2
Water Conn.
S/W Permit /OO,oo
SNV Surcharge
Treatment PI. 49¢ x -2-
Park Ded. -
Trails Ded. --
Water Qual.
Other
Copies
Total: ??, (, 3 2 I --j- l
$ OoO ec2
% SAC
SAC Units
Meter Size
CLA1M VOUCHER-REFUND REQUEST
CITY O F EAGAtY
MAKE CHECK PAYABLE TO: CORNERSTONE CONSTRUCT[ON
ADDRESS: 23502 AUDREY AVEIYUE
FARMIIVGTON, MN 55024
LOCATION: 550 OPPERMAN DRIVE P.I.D. t#: 10-87000-010-01 Lot 1 Block 1
YMCA 1ST
RECEIPT #/DATE; 98650 / 10/22/98 VALUATIOY: $285,000.00
REASON FOR REFUND: Should not have been charged for S/W PERMIT #: 33759
TYPE OF REFUND:
Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (Ciry) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
Sewer Permit 3743-9220 $50.00
Water Permit 3713-9220 $50.00
AccountDeposit 2252-9220 $
Water Meter 3716-9220 $
WaterTreatment 3868-9220 $
Surcharge 2155-9001 $.50
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Constructian Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
Other $
TOTAL $100.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
A
?
?!\?
'?? L Date:
? ? ?- 7? q - <'( ,?
•
.C?
?
n?C .
? ?
:k?kck;er:X:?: k?•t:??i ?'?:?:x,.?C:b.h??k>n'ag<'??4h?>;:'k•>y:?i;ti?k??';an??r.?k
f`IT`r Of-- f <1;,(3N
i
r;ASi-I.CI"R;; :.i TERMIMAI.. N=): 765
PAT': s 0E:!30i9€3 17:NE: j.3:40126
zu;
t.rltlf":: nAU3:D IA!PYNI: CC1NSTIitJC' '[f3N zNC
320 9001 530' ar-•HRMraN Dk 649„7:;
3422 9001 550 ClF^`r'E=N{^'rAY'! I.*i 9cc'_.,3ZI
205 9001 550 CiF'PE!iMAR DR 3L.00
4
r?
7nt..i?. R:=r:akpl: (-imx)ur,:s 1,,103,.^:1
!::ZC)94420
USf:'f; Sl;c NAtiC4
? PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 032311
(612) 681-4675 Date Issued: @ 6 J 2 9/ 9 8
SITE ADDRESS:
550 OPPERMAN OR
LOT: 1 BLOCK: 1
YMCA 1ST
P.T.N.: 10-87000-010-01
DESCRIPTION:
YMCA
l A
? e. _.
BlU'ildin.g-',.Permit 7ype
e'uilding Wb.rk Type
`,;Census Code
z?
?
COMM./IND. MISC.
ALTERATION
437 AIT. NONRES.
a'up
v kra
V? R i , w r ? ?.r4 ? "..
.....-, -.._1 ._.'? ...,;:t..., •S.' -3 -
.
REMARKS:
PLFlN REVEWED BY JOE VOELS
NOTE: RAMPS MUS7 BE AT A MAX. SLOPE OF 1:12
FEE SUMMARY:
VALUATION $62,000
Base Fee $649.75
Plan Review $422.34
Surcharge $31.00
Total Fee $1,103.09
CQNTRACTOR: - Applicant - OWNER:
WAYNE CONST INC, DAVID 29412429 YMCA
7'363 WASHINGTON AVE S 550 OPPERMAN DR
ED•INA MN 55439 EAGAN MN
4612) 941-2429
?
I hereby' 4-cknowledge Chat I have read this
infiormation is correct and agree to comply
Statutes and C,it of Eagan Ordinances.
?
APPLICAN ;PERMI E SIGNATURE
\
application and state Chat thie
with all applicable State of Mn.
J
.
IS UE? V. S GNA
` 1998 BUILDINCi PERMIT APPLICATION (COMMERCL4L) UAVCITY OF EAGAN e{-f rhr,
681-4675
Submit following to obtain necessarv permit
Foundation Onf New Construction Interior Im rovement
sWCtural plans (2 sets) architecturel plans (2 sets) architeGural plans (2 aets)
uvil plans (2 sets) stiuc[urel plans (2 sets) code analysis (7) "'
code anatysis (1) "
soils report (1)••' ?•' ? ? civil plans ,
la"hdscaping plans;.- .. . _'. .., (2 sets)
,(2 sets) project specs
Key Plan - (1 sat)
projed specs (1) code analysis (1) " energy calculati6ns (7) nolaNrays "
Special Inspections & TesGng Schedule ^ soils report t .(1) Eledric Power 8 L'gMing Fortn (1) not aMrays "
SAC detertnination letter from MCANS - SAC detertninetion letter (rom MCANS - SAC detertnUetion lener from MCANS -
call 602-7000 call 602-1000 call 602-1000
SpeGal Inapections & Testing Schedule (1) "
proJect epecs (7)
energy calculations (t) "
Electric Power 8 L htin Fortn (1
° contact eunamg inspectlons tor sample
Food 8 Beverege or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: G I7 fb WORK TYPE: _ NEW 4 REMODEL
DESCRIPTIDN OF WORK:
CONSTRUCTION COST: (?)Z? ? • aa
SITE ADDRESS: S?ZQ U/ldPv
LOT ? BLOCKSUBD.
- 7 Yt-A-
TENANT NAME: MGA'
SUITE #:
P.I.D. #
Nazne: y wv-4, Phone #:
PROPERTY Last• • .• ' First
OWNER - ' A
Street
CONTRACTOR
City ? V? State:
Zip:
Li'123
Company: hDUIJW" N ??? ? 7-N-_ Phone #: '`I `f / ^ 242- ?
Street Address: W6460-4"7 'f?13Z • S
City 64t V{'r, State: UM N
Zip: 557-27
ARCHITECT/
ENGINEER Company: (-,? el Phone #:
JIJN 17i799!
Q.G City
Registration #:
-73,z [.(1es-? /`2 n 4.
Sewer 8 water licensed plumber (only fi instailing sewer 8 water):
1 fiereby acknowiedge that I have read this application and state that the
MinnesoW Statutes and City ofEagan Ordinances.
State: ynn) Zip: 5S72-
License #
and agree ty( compiy with all qpplicable State of
Signature of
OFFICE USE ONLY
•
SUILDING PEi3MIT TYPE
I:
• w ? ? ;s .;? 'i
? 01 Foundation CCT'-'19 Comm./ind. Misc. ? 21 Miscellaneous
? 18 Comm./lnd. ? 20 Public Facility
WORK TYPE ?° ??- : ?s?? R~j' o4,Sr- 13 [- @ e4 jO"d.o.c. Tcmd?t
BF ! s /z-
? 31 New ?-33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 37 Demolftion
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowa6le) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq, ft. Census Code V? 7
# of Stories sq. ft. SAC Code Yo
length sq. ft. Census Bldg. I
Depth Footprint sq. ft. Census Unit _fL
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Fteview
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
Valuation: $ !O Zi ezo I
% SAC
SAC Units
Meter Size
; Page 2/FAGAN CI1'Y COLINCII, MINL71'ES
November 17, 1992
the fee amounts. Iu addition, he asked that the applicant be made aware [hat a delay in paymeat of the fees to
1993 would result in fees paid at the 1993 rate. Mr. Gallaher said the applicant was aware and willing to pay
the higher fees if necessary.
Discussioa then continued regarding reducing or eliminating the fees and the prccedent tLat might set.
It was noted that the City has not waived development fees for other •pub6c use" tacilities such as churehes and
schools and Couucilmember Wachter added that it would be difficult to deviate from City poliry whea others
would ask for the same coasideration. He woadered who then would pay for the Vaihvays. Councilmember
McCrea suggested that if the fees are lowered, parhaps the 'Y' would prwide a payback in the form of use of
the facilities. Jay Shannon said the YMCA was very receptive to compromise and would be Lappy to work with
the City ia fostering joint programs and City use of the faciliGes. Mayor Fgan asked Mr. Shannon if the YMCA
would have any objedion to deferring the matter until after trying to reach a compromise. Mr. Shannon said
they would not.
Councilmember Pawlenty suggested direction to staff that the Gl'ty reach a reasonable understanding
with the YMCA that the City receive at least an equal value in aceess ro the facility or use over a period of time.
Wachter moved, Pawlenty seconded, a motion to continue to the December 1,1942, regtilar City Counal
meeting, consideradon of the cash trailway dedication tees for the YMCA ist Addition, Lot 1, Block 1. Aye:
5 Nay: 0
/\wada moved, Wachter uconded, a motion to defer payment of the MWCC Sewer Availability chazge,
Eagan Sewer Avalability Chargo, Eagan Water Treatment fee, Eagaa Road unit fee, and the Fagan 'Ifai1
Dedication fee to the time of building permit issuance wiW the undustanding that if the buildiag permit ia aot
issued until 1993, the 1993 fee rate will apply. Aye: 5 Nay. 0
CAPONI ART PARK
1'he City Council acked a number oF questions regarding the status of the agreement with Anthony
Caponi regazding the tunnel permitting access to the Caponi property and the art park
Councilmember Pawlenty asked the City Attomey whether the issue of expending pubfic money for a
private use (either all or part of the subject tunnel) had been addressed. City Attomey Sheldon said the City
Las had licening ageements whero sucL action has been permitted but wmplete control was always retained by
the City. Mr. Sheldon advised that he had understood t6at once all signatures were received and Mr. Caponi
agreed to make the paymeny that the issue woutd be researched He said he believes there is a way to do it but
they have not looked into the mechanics, Councilmember Pawlenty said he would pcefer not to go tLrough the
negotiatiops and raise Mr. Caponi's expedatioas only to Snd it is aot feavble.
Furt6er discussion revealed that Mr. Caponi will aot fence half the tuanel for secvrity of the propetty
untit the land is placed in a not-for-proGt corporaGoq wntrolled by a board of directors and used strictly as an
art park for public viewing. Councilmember Pawlenty questioned whether Mr. Caponi's placing the property in
the hands of a 501-3C would quality as a public use. Councilmember Awada wished it noted tbat Mr. Caponi
is paying for 6alf a public tunnel with private tunds. Councilmember Wachter euggested the City proceed with
caution ngazding the fencing of the tuanel as it would be built with public [unds.
City Administrator Hedges acknowledged the addition of Consent Item G, Extensioq F'inal P1at for
Weston Hi1Lc; and Item H, Licenses, Service Stadon & Cigarette, SuperAmerica Stadoq 5250 C7iff Road.
MINUTES OF A REGUI.AR MEETING OF THE
EAGAN, CITY COUNCIL
Ea88M Mlnnesots
November 17,1992 A regular meeting of the Eagan City Council was held on 'IYuesday, Novcmber 17, 1992 a[ tLe Eagan
Munidpal Center. Present were Mayor Egan and Councilmembers WacLter, Awada, McCreu, and Pawlenty.
Also present were City Administrator Tom Hedges, Acting Community Development Director Jon Hohenstein,
D'uedor of Public Works Tom Colbery and City Attorney James Sheldoa
Imm
City Administrator Hedges suggested the following addidons to the ngular agenda:
ADD: Extensioa Weston Hills Final plat Conseni Agenda
Pawlenty moved, Wachter seconded, a modon to approve the agenda for tLe November 17,1992, regular
City Council meeting as awended. Aye: 5 Nay. 0
W, "'M
Ma}ror Egan made the followiog correc[ioa to the minutes of the November 5,1992, regular City Council
meeting:
Page 4, Paragraph 3, Sentence 1, the reference to 'September" ahould have been 7une."
McCrea moved, Wachter sewnded, a moGon to approve the minutes of the November S, 1992, regular
City Council meeting as amended. Aye: 5 Nay. 0
Larry Wenzel, CLair of the Eagan Economic Development Commission was recognized fm his
contribution to that commission as a cLarter member and its only Chair hom 1983 to 1992.
M???:m,?x?N,.?,?x
POLICE DEPARTMENT/HUN1'[NG LICENSE
Mayor Egan intraduced this item as a request for a hunting permit for C. Kevin Reeve, 4251 Nybro
I.ane, Fagau.
After brief discussion, McCrea moved, Awada seconded, a motion to approve a apecal Lunting pcrmit
for the bow huntiug of deer on property located at I35E and Diffley Road Aye: 4 Nay. 0 Abstain: 1
(Wachter)
PARRS & RECREATION DEPARTMENT/YMCAITRAILWAY
? Mayor Egan introduced this item as consideration of YMGI cash trailway dedication fees. In addifion,
it was recommended that a related issue. YMCA building permit fees, be discussed at this time. Gl'ty
Administrator Hedges provided backgcound on the issue.
Harry Gallaher, representing the YMCA, explained that Jay Shannoa's letter (of the YMCA) spelled
out their position on both issues. A copy of both letters aze included as Exlubit A. City Administra[or Hedges
advised the Council that if wnsideration is given to defer any fees, staff ruqmmends no further reductions in
?."`F.>ENxEiNI[ER WoLFF a DorrNFi lY
First Bank Buildmg 8russels
Suite 1700 Chicago
SkPauI,MN5a101 LonSoa
(612) 223-2500 Mmneaoolis - -
Telex:701879 NewYork
FAX: (612) 223-2596 Pans ---` -- - ; ;;'
$t Paul
Washington,D.C. j I ,
February 11, 1993
Dakota County Assessor
Administration Building
1590 Highway 55 West
Hastings, Minnesota 55033
RE: Yt3CA of Ggeater Saint Faui
Dear Assessor:
Enclosed on behalf of the YMCA of Greater Saint Paul is a Statement
of owner of Real Estate Claimed to be Exempt from Taxation for the
YMCA's new Southwest Area Family YMCA which is under construction
in Eagan.
Very truly yours
? ? /? ?'
eodore J'. ?yer
TJM:keh
Enclosure
cc: Mr. John Traver
City o£ Eagan / aJ
o,??,
?Ol(
y ,?,?C P
?. Commissioner of Revenue Form PE 75 (Pbudmz 1739)
STATEMENT OF OR'NER OF REAL ESTATE CLAIMEB
TO BE EXEMPT FROM TAXATION
This statement must be filed on or before February 15th. See Reverse Side
for Minnesota Laws Relating to Properties Exempt from Taxa.tion
City of
TO ASSESSOR OF Eaqan Dakota County, MTTiNF,SOTA:
(GYty or Town) (County)
Nama of 6WHffX,1p4ieprese¢tatlve I Offldal Posldon
Theodore J. Meyer I Attorne
Nama of Organlzation
Address
YMCA of Greater Saint Paul '
DESCRIPTION OF PROPERTY
Lot One (1), B1ock One (1) in YMCA lst Addition
accorciing to the recorded plat thereof.
Dato o£ Appllcatlon
11, 1993
476 Robert Street North
St. Paul, MN. 55101
Dakota County, Minnesota,
STATEMENT OF OWNER
1. The above indixickpdxw organization is now and was on Jan. 2, 19 93 the owner of the above des-
cribed real estate.
2. Ownership of tlie above property by this organization began on or about october 30 19 92 ,
as evidenced by:
3. Exemption, based on provisions of Minnesota Statutes, Section 272.02, is justified for one of the
fo]lowing reasons: I
() Academy, college, university or seminary of learning () Public burying grounds
() Church, church property, or house of worship () Public school house
( x) Institution of purely public charity () Public hospitals
() Public property exclusively used for any publie purpose
a. Is the property acCively and directly used in connection with quaiified iunctions of the above
ownership ( x )Yea ( ) No
b. It's principal use during the preceding year was as followa: 'rhe property was acquired for
the, ur ose of construction of a family branch YMCA facility, and the Southwest Area
c. A & of use for each major improvement)"
?in a? uses of ??ie°a`?ove n Pro uPe rty c ea are: on ??ve ?'er°cPen?a
Not Applicable
d. OwneiShip is necessary because: mhe YMCA of Greater Saint Paul needs to expand to this
suburban area to serve the communities consisten it its ission statement, a
copy of which is attached hereto. Additiona or??tion vyble upon request.
???
of
'If the above property is used for residential or any other
be completed:
4. Name of occupant and nature of service or employment:
Date
W,.?, ..... .,.,_.,.
information must
6. Is occupant required, as one of the terms of his employment, to reside on this propertyY
() Yes () No If yea, why is cecupant so required?
6. Does cecupant pay rent, either in cash or as part of hia salary? () Yes () No
If yes, specify:
.
7. Is property used for any purpose other than its residential use? () Yea () No
If yes, specify:
8. Is property adjacent to or part of other propertq claimed to be exempt? (campus, institution grounds,
church area, etc.) () Yes () No If not, what is the distance from such prnperty?
9. Is any part of the property used for commercial purposes? () Yes () No
(272.026) FILING REQUIREMENT. Subdivision 1. Except as provided in subdivision 3, a taxpayer
claiming an exemption from taxation on property described in section 272.02, subdivision 1, clausea (1),
(2), (3), (4), (5), (6) and (7), exeept churclxes and houses of worship and property solely used for edn-
cational purposes bp academiea, colleges, universities or seminaries of learning and property owned by
the state of Minnesota or any political subdivision thereof, shall file a statement of exemption with the
assessor of the asaessment district in which the property is located on or before February 15 of each
year for which the taxpayer claims an exemption. In case of sickness, absence or other disability or
when in his judgment good cause exiats, the asaessor ma9 extend the time for filing the statement of.
exemption for a period not to exceed 60 days. The commissioner of revenue shall prescribe the form
and contents of the statement of exemption.
Subd. 2. Upon the written request of the assessor, the taxpayer filing a atatement of exemption shall
make available to the assessor all books and records relating to the ownership or use of property which
are reasonably necessary t:o verify that the praperty qualiiiea for exemption.
Subd. S. During each of the three years following the year in which a taxpayer files a statement of
exemption, the requirements of this section shall not apply to property covered by the statement of ex-
emption unless the property was listed and assesaed as taxable property in the precedin8 Yeaz'•
Subd. 4. No property subject to the requirements of this section ahall be exempt from taxation under
aection 272.02 if the taxpayer claiming the exemption knowingly violates any of the provisiona of this
section.
Sec. S. This act ahall be effective for property taxes assessed in 1976 and thereafter and due and pay-
able in 1977 and thereafter.
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AIe m b el si?3?r rl: ? ?lp ;,les ??n y?e
KYIC?1 0?? ???;2ni?r- Saini Patal
I-694
Northwest Family YMCA
Midway YMCA 3760 N. Lexington Ave.
1761 University Ave 483-2671
646-4557 ''K7
Northeast Family YMCA
2100 Orchazd Lane
777-8to3 \
East PMCA
1075 9rcade St. ;.?
? 771-8881 ?
Skyway Yh1CA ,
194 E. Sixth St.
292-4t21
Ri?er
jv South Famity YyCA . ?
1S0 E. Thompson Ave. ?
A 457-0048
135E
The Y1I1CA
The YMCA of Greater Saini Paul is a Chnstian-values based
organization Ihat buiids self-esteem, mutual respect and a stronger
community for all through quality programs of youth development,
family enrichment, health enhancement and international
understanding.
A nonprofit charity and United Way affiliated agency, the YMCA is
driven by community need, guided by community volunteers and
open to all regardless of race, color, sex, national origin, age or
handicap.
IS PRlNTED ON AECYCLED PAPER
a
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. +titi>
ities DiQital Oualitv Control
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s,?
1VIE??MO?It??A1ND??ifiM
TO: KENT THERKELSEN, CHIEF OF POLICE
JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMIIVISTRATOR
DALE WEGLEITNER, FIRE MARSEIAL
SCOTT PETERSON, PLUMBING INSPECTOR
MARK ANDERSON, ELECTRICAL INSPECTOR
TOM PEPPER, (ACTING) FINANCE DIRECTOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
ERIC MACBETH, WATER RESOURCES
TOM COLBERT, PUBLIC WORKS DIRECTOR
JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER
ARNIE ERI3ART, SUPERINTENDENT OF STREETS AND EQUIPMENT
PAUL HEUER, SYSTEMS ANALYST
BOB KRIHA, CONSTRUCTION INSPECTOR
FROM: BARRY GREIVE, COMBINATION BUILDING INSPECTOR
DAT'E: JUNE 11, 2001
RE: PLAN REVIEW - 550 OPPERMAN DR - YMCA
The plans aze in our plan review section for your review and comment.
#9
Please return this form to mv attention with your signed comments and the date of review
within seven days. 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 fi11 out the proper "hold" request form.
Comments:
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 pazk dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No PRV Required
Signature
CD/FORMS/PLAN REVIEW BARRY G UPDATED 4-6-01
ZONING?
METER SIZE
Date
?_ k- t y v-ti-. c V?r ,
CITY USE ONLY
PERMIT #: 1-I `-( 3 S 1 RECEIPT DATE: 0 ?
APPROVED BY: INSPECTOR
COMMERCL+lL MECHANICAI. PERMIT ?PPLICATION
CITY OF £A6i4N
3$30 PILOT KNOB iiD
EAs",Mv 55122
651-681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: vl Z./d 1
SITE ADDRESS: J?J?Q 0PPER?N&nl 'DkI VE
OWNER NAME: PHONE #: ? 5 I- ?I ?l ? J? I S(o
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
G
WAS THERE A PREVIOUS TENANT N TffiS SPACE? _ YX N. NAME:
INSTALLER: M_EC}-}I}NIGXl-L SoLjrEIUNS I Nl _
ADDRESS: 5q I IUo LU H e?2 SC-PHONE#: J'`?( - 4, 411, - ?V.:3 -7-
(AREA CODE)
CITY: ? U f_
WORK TYPE: New construction
_ Interior Improvement
_ Processed Piping
Specify Nature
STATE: f k NJ ZII': 5 lei L
_ Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, ca[[ 651-681-4675 for
Plumbing linspector.
anJ
UU FFB ? ?O
Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greatec Q
Underground tank removaVinstallation = minimum fee Q 1 ZD?J
Contractprice: 5I ; b06.On xl%=$ i 30.00 (BaseFee)
State surcharge • 5D ? calculate at $.50 for each $1,000 Base ee
TOTAL $ -?
/V3 Sr6NAT RE OF PERMITTEE
Updared I/OI
C1TY USE ONLY
PERM[T k:
RECEIPT DATE:
USIDENTIAL MECRANICAL PEiMIT APPLICATION
crrY oF F-Asax
5930 PILOT KNOB RD
EA&RA MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
Plare a eheck mark nert tn the oermit wnrk tvoe
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existina dwelling unit S 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Tota I $
Reminder: Ca!lforinspeetioi:s.
SIGNANRE OF PERMITTEE
UpJatcd I/OI
. " ' 1999 BUILDING PERMIT APPLICATION (COMMERCIAL)
? ?S ?J TI CITY OF EAGAN
? 651 681-4695 ,
Re uirements to buildin ermit
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2 sets) . Archilectural Plans (2 sets) • ArchitecWral Plans (2 sets)
• Civii Plans (2 sets) • SWCtu21 Plans (2 sets) • Code Analysis
)
• Code Malysis (1) •• . Civil Plans (2 sels) . Project Specs (1 set)
• Project Specs (t) • Landspping Plans (2 sets) . Key Plan
• SDec. Insp. 8 Testing Schedule " • Code Malysis (1) " . Master Exit Plan
• SAC determination letter 6om MCJES - • SAC determination letter from MC/ES - call • SAC tletermination letter from MC/E5 • pll
call 651-602-1000 651-602-1000 651-602-1000
• Spea Insp. & Testing Schedule (1) ° • Energy Calwlations (1) not always ^
• Project Specs (1) . Elet. Power & LighGng Form
YS -
(t) not aMa
• EnergyCalculations (1) ?•
• Elechic Power & LighUng Form (1) ^
• Master Exit Plan
• Soils Re rt t
" Contact Bwidmg Inspections for sampie
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details.
DATE: I A. 1q, WORK TYPE: _X NEW _ REMODEL
DESCRIPTION OF WORK: A..T7pi-?l n-N To YM cA CJ&?KpIo EWIPWehtT- EAQ.G(5?F ftn?
i
CONSTRUCTION C05T: A41PQa? ? 2.-1S1 ooo TENANT NAME: ??Tt?bsl- .?RJFiA- ?II?I?c
SITEADDRESS: 550 SUITE#:
LOT 1 BLOCK,I_ SUBD. ?YYlCA I S`r P.I.D.#
`rTatLaY, -f'l Wl (PI2ec7a,Z-)
Name: ?St?{vS?sT AV.t.p. YMCA' Phone #:
PROPERTY Last First
OWNER
StreetAddress: ?j-rj0
Clry 1?7-?eqo State: }il 1) Zip: s5 12 (
Company: `t'b A51E {'jlff'ftZ4-4 I Phone #:
CONTRACTOR
Street
Ciry
State:
Zip:
ARCHITECTI
ENGINEER Company:r?? Phone #: 5?1 -'qy'3 3
Name.?? Registration #:
Sveet
iT'E
City 64f(,? State: Zip: ._ _.
,.
Sewer B water licensed plumber onl ff installinta sewer & water):
I hereby acknowledge that I have read this application, state that the information is corcect, and agree
of Minnesota Statutes and City of Eagan Ordinances. 1--1% ?
State
Signature of Applicant:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 26 Public Facility ? 28 Greenhouse
? 25 Miscellaneous PP 27 Commercial/Industrial ? 29 Antennae
WORK TYPE
? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia
A 7 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors
33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair
GENERAL INFORMATION
Const. (Actual) Basement sq . ft. Census Code y 32
(Allowable) First Floor sq . ft. SAC Code 30 -
UBC Occupancy C3 sq . ft. No. of Units o
Zoning -•. 1
? sq . ft. No. of Bldgs. ?_ .
# of Stories sq . ft. MC/ES System
Length sq . ft. City Water
Width Footprint sq. ft. ? Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
VALUATION: $
Permit Fee I ?l'l 3?1s
Surcharge 13`I _ 5 C)
Plan Review 1 a?a 9
MC/ES SAC y? 4DS-4 Y ZCo % SAC
City SAC `/X (w yDe:9 SAC Units ?
Water Supply 8 5torage Meter Size
S/W Permit , --
S/W Surcharge ?
Treatment Plant
Park Dedication --
Trails Dedication ?-
Water Quality
Other
Copies
-rotal 1?s (o (o . 19
1'3':" Metropolitan Council
Working for the Region, Planning for the Future
Environmental Seruices
October 5, 1999
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner;
REC?z:D
OCT 06
?ggg
BY: _
The Metropolitan Council Environmental Services Division has deternuned SAC for the
Southwest Area YMCA Addition located at 550 Opperman Drive within the City of
Eagan.
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Exercise
2624 sq. ft. @ 700 sq. ft./SAC Unit
If you have any questions, call me at 602-1113.
Sincerely,
? ?" 'A
Jodi L. Edwards
StaEt' Specialist
Municipal Services Section
7LE: (215)
991005S2
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Quinn Hutson, CNH Architects
3.75 or 4
230 East Fifth Streel SL Paul, Mlnnr..sota 55101-1626 (651) 602-1005 Fae 602-1183 TDD/1TY 229-3760
An Equpf Opportimlly Einpinyer
? L B CITY USE ONLY
? RECEIPT #: I3/7,'?3
SUBD. ? RECEIPT DATE ?a 7? C' U
APPROVED BY: r INSPECTOR PLUMBING PERMIT #L/ / IJ?5
0
2000 PI,LJMBING PERMIT (COMbIERCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate building permits are not required for each dwelling uni[
installation of backflow preventer in commercial areas or residential boulevards
Date: 5-31-OD WorkType: _ NewBldg. _ Add-on _ Repair _ U.G. Sprinkler RPZ
Description of Work:_ ???? ? tn 9,QZ"Cl
Ta inquire if Pressure Reducing Valve is required on new service, ca11681-4646.
FEES
1% of contract price or $30.00 minimum Contract Price: $ x 1% _ $
AREA ONLY IF
Base Fee -
Water Meter: 2" Turbo - $897.00 unless plan approved for smaller size
1-1/2" Tlubo - $ 726.00
Service: _ existing (if coming off domestic line) OR _ new
If "new service ". contact Jerrv Wobscha7l Finance Consaltant to confrm addinr fees for•
Water Permit & Surcharge - $ 50.50
Water Supply & Storage - $ 840.00
Water Treahnent Plant Charge - $ 492.00
cc: Diane Downs, Utility Bi!lixg - unde,ground sprlnkler permits
$ 30.00
$
$
$
State Surchazee
$.50 minimum; calwlate at $.50 for each $1,000 Base Fee
Base Fee $ 36, Uo
State Surcharge $ .50
TotelFee $ 30,50
I hereby ac}mowledge that I have read this applicatioq state that the informazion is corzect, and agree to camply with all applicable City of Eagan
ordinances. It is the applicant's responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the
City during its normal operational and maintenance activities to ihe facilitles consWCted under this pertnit wiNun CiTy propeity/righaof-way/easement
SITE ADDRESS: 60 OpP,( {V44 n D(}oQ
TENANT NAME: yr4\( A TELEPHONE #:
(AREA CODE)
irrsrnLLSxxAW: Ha,(C?el) ComDan?` TELEPHONE#: (p5! --&0-
STREET ADDRESS: 909 rYlnA--con I P.ur 10 (AREA CODE)
?ITY: : YYW%F zlp:551d9,
L
CITY USE ONLY
L? BL S-r RECEIPT #:
SUBD. N YY1 C_ I RECEIPT DATE: - -
APPROVED BY:
?
INSPECTOR
1998 M£CH14N1Ct4L PMRM1T (COMbtERCIAL)
CITY OF E48AN
3$80 PILOT KNO$ RD
F-tsAx, MN 55122
(618) 6$1-4675
S °1
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: I C I as 199 1 CONTRACT PRICE: I_3 ; IGwt
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DE3CRIPTION OF WORK:
I ? LG A-() $8 5 14 I L-(0,4omp5
FEES: 1% of conuact price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1% I0, on
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
($.50 per $1,000 of oertnit fee due on all permiu.)
of i o
? l?- I (,? p
OWNER NAME: ?(l,p S?/tfPC',1 I? C/t PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER
---? -???ryo& aR coNDRIONiNG
DDRESS: S7: LOU GORHAM A?.
A PHONE #:
bALB 929-6767 SERVICE 929-4011
CITY: STATE: ZIP:
'?n Acrj ? yo5a3 raov - i
SIGNATURE OF PERM; TTEE
00,
?
50
\ 3(0.5b
V
CITY USE ONLY
L ? L RECEIPT#: 1??& /
SUBD. I??I RECEIPT DATE: 797235/59
I f
APPROV?D BY: INSPECTOR
3830 PILOT KNOB fiD
£RfiAkN, MN 55122
(651)681-4675
Please complete for: all commercial/industrial buildings
\ muIYi-f?buildings when separate permits are Q required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR S30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1% ? OU
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
($.50 pec 51,000 of nertnit fee due on all permits.)
SITE ADDRESS: 'C;sn 0=
OWNER NAME:
TENANT NAN
INSTALLER:
1999 MECHA1ViCikL PERMIT (COMhIERCIAI.)
CITY Of' E4fiRN
VV??
PHONE #:
ADDRESSr? e LS3 c7 1o1? UL, ? PHONE #: L4?O'?y ?'1 ?1 g p
CITY: STATE: *1 ZIP: ?S-L) y"cI,
,/" v PI
?
SIGNATURE OF PERMITTEE
CITY USE ONLY
I UBD B
APPROVEDBY: ,INSPECTOR
RECEIPT #: 2c??&
RECEIPT DATE / CZ
199$ PLUMBINfi PERMIT (COMMEiCIi4L)
CI1'Y Of E4fiRN
S$SO PILOT KNO$ RD
E4fiAN,MN 55122
(61$) 681-4675
Please complete for: all commerciaUindusVial buildings
multi-family buildings when separate building permits aze not required for each dwelling unit
backflow preventer to be installed in commercial areat or rosidential boulevards
Date: Work Type: _ New Bldg. ? Add-on _ Repair _ U.G. Sprinkler
Description of
To inquire it Pressure
I% of contract price or $25.00 minimum
RPZ
[teducing Valve is required on new service, ca11681-4646.
FEF..S
Contract Price: $ X 1% ( W' @?y
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
Service: Existing (if coming off domestic line) OR New
Backflower Preventer Pennit Fee»»»»»»»»»»»»»»»»»»»»»> $ 25.00
Water Flow GPM
WaterMeterl" @ $189.00 or 2"Turbo @ $871.00 $
!f "new servlce" add Water Permit $ 50.00 =
State Surchazge $ .50 =
WAC $ 807.00 =
Water Treatrnent $ 444.00 =
Permit F.ee $ ???• ??
State surcharge is 5.50 per $1,000 of pe.mit fee or minimum oi$.50 per permi[ State Surcharge $ °50 ?-
Total Fee ?- ` -
2
I hereby acknowledge that I have read this application, state fhat the information is corru4 and agree to comply with au appncame t-Iry
of Eagan ordinances. It is the applicant's responsibility 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 to the facilities constructed under this permit within
City property/right-of-way/easement.
SI'fE ADDRESS:
TENANT NAIv1E:
INSTALLER NAME:
STREET ADDRESS:
CIT'Y:
0 lt ?pO
A
TELEPHONE #: `A Uq- " 1?\ ° "
ZIP: SCvy" I
SIGNATlSRE OF PERMITTEE
L ( BL I CITY USE ONLY
SUBD. YV12ZT?-
APPROVED BY: INSPECTOR
RECEIPT#: ID'yDO I
RECEIPT DATE: !a
1999 MEcHauvlcAL PERMrr (coMMEtcIA[.)
crntoe EAs,ax
3$30 PILOT KNOB RD
EA&AN,1NN 551 EE
(651)6$1-4675
Please complete for: ail commerciallindustrial buildings
multi-family buiidings when separate permits are not required for each dweiling unit
DATE: 2-12-99 CVIVIRACI NICICE: $12,000.00
WORK TYPE: X NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: INSTALL EQUIPMENT DUCTWORK AS DRAWN.
FEES: 1% of contract price OR 530.00 minimum fee, whichever is greater.
Processed pipin? - 530.00
CONTRACT PRICE x 1% 120 . 00
PROCESSED PIPING -0-
PERMIT FEE • -
STATE SURCHARGE • 50 (5.50 per $1,000 of g,ermit fee due on all permits.)
TOTAL 120.50
---------------------------------------------------------------------------------------------------------------°-------
SITEADDRESS: 550 OPPERMAN DRIVE, EAGAN, MN
OWNERNAME: SOUTHWEST AREA YMCA PHONE#:
TENANT NAME (IMPROVEMENTS ONLY): SAME
INSTALLER: TOTAL AIR SUPPLY, INC.
ADDRESS: 541 NO NHEELER ST PHONE#; 651-646-3837
CITY: ST PAUL
STATE: MN ZIp: 55104
`? /l?'?'t ?(tlJyt?
SIGNATURE OF PERMITTEE
?
, CITY OF EAGAN
3830 PI7AT RNOB ROAD
EAGAN, ?IId 55122
PHONE: (612) 454-5100
?asauxaaz;<??i?rr
FOR CITY DSE ONLY
PERTIIT #
RECEIPT
DATE: o '7
STDEN3'IAL:; PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY
.,:
,
TOWNHOMES/CONDOS iTHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -_°_-------------------°----------------
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
IAT: . RLOC:K Su'rll.
INSTALLER:
ADDRESS
ZIP:
PHONE #
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - HINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
-o T
Ia?.:
DWELLINGS fi
$15.00
24.00
6.00
3.00
$
SO
e
Y
SIGNATURE OF PERMITTEE
?OHMERCiA1.JINDDSTRIA7.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIZLDINGS,
APARTMENT BUILDINGS, AND TNLTI-FAMILY BUILDZNGS AHEN SEPARATE PERMITS ARE
NOT REQUZRED FOR EACH DWELLING UNIT.
--------- _-___________________
CONTRACT PRICE? /,;2-L4-/0 ?J
OWNER NAME : Y/_( C
SITE ADDRESS: ?s ?? ???C?-•`?'?G ?!Z_
LOT:L BIACK _/_ SUBD.
INSTALLER:I-FAf'?'?x_ 'L'!4'L
ADDRESS: Z'?C.,?
CITY: /?L<c` ZIP: S S`i
PHONE
FOR:?n-vr
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
ainTprt - C95 l1f1
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $ 1? ?• ?
v
STATE SURCHARGE $a 5L?
TOTAL:
-
«- (SIGNATURE)
P?--?^': S ? v Fcx?uc.z> l..l('c?-? vc?c. s
???
?? ?`
? • , CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
XPNXNGAM DATE :
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ------
WORK DESCRIPTION --------------------- ------------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: _ HOT TUB/SPA 3.00
WATER HEATER 3.00
:.CT: BLCCK SUSB. FLOOR DRPIN 3.40
GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL $
' ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $
C.?MMSRGIATIiNDU$T&TALr?: PLEASE COMPLETE THIS PORTION FOR ALL
-:.
.
..
..
,
?
.
. ?
COMMERCZAL/INDUSTRIAL
BUILDINGS AND
,
-
.
. _
.-
,..:..
.., . _..
,
MULTI-FAMILY
SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: $819000.00
^v+TNcR NAFiE: F-a8an YMCA
SITE ADDRESS: 550 Oppexman Drive
LOT:_L BLOCK / SUBD. "7r " (/l I ?
INSTALLER: Nasseff Plumbing Heating Tnc.
FEES
13 Or COP]T_BACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $ 810.00
ADDRESS: 6712 40th 3tx. No.
CITY: Oakdale, MMPII, ZIP: 55128
PHONE 777-0001 I FAX 777-06+5
FOR:
CITY OF EAGAN
STATE SURCHARGE $ .50
TOTAL:1 $ 870.50
J1
SIGNATff
HYDROSTAi1C ALLMLqUlICIACROU WWNGYlD?ORCA'[IGLLTTLJLiDAT.•b° ..i( 1p.} •'-l #..???,itat ?
'1
t
tti
:
: w°
:
M?
o?t pw?w
-
.
,.,?1 .
.
'
11
l
-., r?:s.r:' „.
TEST •. .• . ,. < ,
? Taru. rounr os u•Kuec Ma.uoVso
:. -_. .- _.- _ =-_:,...____.. _. .?......__....-._.._-.....b.-_..-..._.,-...?.?,.-»...--.. ,-,
....._ ?..?...,..-,,;?.._
LEI?KAGE -
TEST
, . ,..: ...,
. , . - . _. .,,. . _ . .. -
ALLOWABLE LEAKACE .. .
.
- "K
,:?•• '.
'
-
; '
.... . .
. ,-__ . .<__..;-^,. ,.,.._,
r•* • . ,. . . , _ -?.. .,
,.
_
.
xmtrta .. -.. . .,. - ?
NUMBBA1NdlALLLD S!P[MTW6 ' ' . . .' .n "" .
HYDRANTS ALL OPERAT[ BATY?ACIQILY '
_ YZ8 ? " ' 'NO ?
CONROI wATER C9fl[ROL V.U,VEY LLTt Wmf OPEN' ' YE,q ? "' ryp ?
IF NO, STwTE REABDN . _ .
VALVES
DATE LER IN 9ERVICE ?
REMARKS
I.AM! OFSPNINKLLP CONTPACTON iON PPO?lNTY OKtitP tS?4t?T.?f TITLE
PARTS A-S 8 ' ? '
F011 SPRINKLEA COATRAGTOP ISIGtiEDI DATF.
SIGNATURES
? PART "C" - SPRINKLER 3 WATER SPNAY ABOVE GROUND PIPING IFlLLOIIT SEPARAiE PART "C' PON EACX PISF.RI
.+"vES PLOGS
IOCATION Teen Addition
YDROSTATIC TEST OF ALl PIPING •
T[STS 2 PNEUMATIC TEST OF ALL DRV PIPING
REOUIRED 3 EOUIPMENT OPERATION TESTS OF ALL EQUIPMENT
' TEMPENATUNE
SPRINKLERS MOGEL 92E pOAtTTY RATIN(:
OR Reliable . F1FR 1/2 . 23 As Re uired
SPRAY -
NOZZLE 5
PiVE AND MATERIAL AtID IatID CONPQtM6 TO NFPA SCAfIDARD
IF NONE, EIPL[N -
FITTINGS
ALARM V AWE A L A R M D E V I C E 11.WMUM TIM6 TO OPERAiE TNROVGN TEST P[PE
OR FLOW TYpE MAKE MODEL tAN. SEC.
INDIC.4TOR Existiny .
OPEHATiNG TEST RESUCTS WATEA NR TAIP TIME
TIME1'O1R@ pR[58. 7ryeES3_ pplMl' WATER wLARM
DRY MAiZ MODEL SER_ TIQIdIGN TE4[ PIVE PBACNEO OVERATE.O
AIP
PIPE
?•
wR??
WI? TFST
PROPER{.Y
Q. o, c. Q. o. a. PP.ESS. OUTLET
YAlVES ?N. SEC. 6UY. BEC. P.9.1. P.&L P.S.I. MtN, SE0. YES MO
IF NO, EXP l.A1N
OPEPATION pNEUYATIC ? EIiCTRIC? XYORAUIJC ?
DELUGE PIPIt+G SVPERVLSED Ypy In No E2 OETECTING MECU BUPEAV6ED ye5 O NO ?
OOES VALYE OPERAtE lROY TISE MANUAL TRID AND/OR RL1K1[E CON[ROL S[ATIONB YES ? NO ?
g 75 TNEAE AN ACCESSIBLE FAC3WTY IN EACH CIPCVIT fOR tE3TING YES Q NO ?
IF NO. EXPLAtN
PREF.CTION
DOES EACX CIRNI'[ OPERATE OOES EACX CIACll17 OYEAATE MAX311UM T1ME TO
SUPlAVL90N L065 ALARM '/ALVE RELE.?4E OPERA7£ RELEASE
ES
R
L
v . MOOEL YES NO YES NO IAN. 9EC.
ALL PiPING XYDR04fAT[CALLY TESTID AT - P9 POR Z ?m
r DRY PIPfNG PNEUINTICALL7 TLS[CD YES ?O
?
T
E
S
TS EGUlPMEM ODtAAT6 PROPERLY . TES NO?
IF NO 4iATC RCAbN
RAIN TE : B6ADING O? GAG[ {AG7EG NLAN aATER SUPPLY TEST PIPE: IISSmVAL PFHSSURL a{TH VALVL IN TFST PIPE OPEN:WIDE:
SIATIC P11F9VRE ASf _ _
BLANK NVtMHRqBLO LOCATIOtA NUIBt%R6MOYCD _
TES7ING None - . ..-...'. . . . . ' ?
GASKETS
nATs Lert m aMcc wxrn Au. mrrrnoL vALvra oxx. . -- _ i
REMARKS
--
--
H.su oe sPxnnaert cnrrrnAcroa
r... ?
PART °C" MidwESt FiYO PTOtOCtioil,InC. `
SIGNaTURES °OR g ? (SI)GNED)
v
ytn.
.0.
SPRINKLER. SYSTEMS -.WATER.SI
PART "A" GENERAL
8260
PROCEDURE
UAON LOMOLLTION Ol WORIf, IMPCRION ANO TE8T8 910UID B6 lIAD6 BT COMAACTOR'S NiPRESEMATNE ANE WSTNE98LD BY At1 WHE11'S P6Pflet6Kl'ATNE,
Ar• DLTLClB iHOU7D B[ C4tRiCSm A!m /YStEM LC)T W SBRVIC6 B6F0116 MMTRACfOp•8 IBN PINALLY LEAVY TAE JOB.
• CEATi}iCKIE SNOULD BL RLL6D OQL AND 91GN6D B4 BOTIJ AEpRLHLMATNER. COPR3 m10ULD EE PREPARCD RIR I!%PERdG A07NOAI77E4. OW NCii AND
CON[AACfOR. IT fd UNOEASR70O TpE OW NCR'S AEPRCSENTATIVE'S 9GNATVR6 IN NO W AY PNENDSCE9 AM CLAiL AGAINST CDMRACfOR FOR PAi1LTY
MA'fL1UAL. POOR WORI6LWBi? OR PAWURH TO COYPLY WI'[]I IN9P6C17NG AVlNOR[IY'S AEWM6MEbrrS OR LOCAL OflDiNANCES.
pAOPEATY NAM6
DAT
--- Southwest Area YMCA _ 12/30/98.
pROG6ATY ADDRESS
550 Opperman Drive, Eagan, MAI
ACCEPTED BY INSPECI'10N AUTFORITY 1'S1 N MES
City of Eagan Fire Prevention
ADDRE38
Pi,qNS City Hall, Eagan, MN
INg[ALLAT[ON CONiORN6l0 ACCEPTED PLA:VS YES QX NO D
EQIIIPl1EM USED IS APPROVED YES (jX \O Q
IF NO. WASE DEVIAT10N3
NAS PEASON IN CHARCE OF FlRE EQUIPMEK BEEN INSfAU[TED .vR TO IAC.tTION OY CONTPOL
VALVfiS A!ID CME OF 7F09 HEW ECU@MEM YES [fx NO t3
INSTRUC IgNO' ExpLUN
TIONS XAS A C9PY OF INS7Ai/CT10N AND MMME4ANCE CHMi BEEN LEF[ YES aX NO Q
A7 PLAN[
1F NO, EYPLAtN
FLUSHING. Flw the repu,rN nte um,l n1a1ro are rlMr ae InduniaE Ey no cnllecuon W forajn matenal in ourtap Oqe at oue4r. "a" -e hyJnM: anp
alor-a v.
flu.h at Oarr n01 lees [tun 7S0 GPM f0r 6-ixn Pipe anG wmaller. IDUU GPM lar B-mch. 1500 GPM (or 10-uMft. .1000 GPM tar 12-irc?. W hcre .uPM:.
TEST nvtlt proWCe zupWnea flar nte, omam maximum awaable Dy utuq properly eaea dmrmree aevmee.
HYORQ6'fATIC: Hydment,v teef shwlA Ee maGe a[ rot bssnun 300 P51 for ,vo huurr, ar 50 P51 abow :uta pteasuro in eaceo of 1!0 P51, pitfereuaul
drY•PuCQ"Ive rlappers rlwulA Ee lelt open EunnQ ten ta yrevenrt GamaBe. All apov? pnuN piP?^8 Inio{e eI?wICle eleppK
^ESGRIP.
LEnuAGE: rie? Iiaia W?im rone«
V P? i+p"t" lotmt er wltl. LL IM rorKmanemp if eau.faa?ory. Inve ro laaloQe at tpe lomu. Uneauehcmry amounre
Of InIt!(e etu]LLf [lNIt IMT CYVIltl, plMhld Of Nt (?DYlIS. XO'w!v!q SOT! 1laki(e mIRht llWII IPOCI s0i1{ iNOYR! 0f `[II O[ ]OOII iOµllf(!<tlOn!
The amdM M lNlage il Me jOInID !hOU1E rot fatteE 2 yuirla yer h0ut 4•r 100 jmms ierelplCOVely af pup1 Qlalnet¢T l'Ae leakage MWIC pe tluetn WtlU
TICN °'w"il,mns. It men lntaie occurs ., a few joims the jnnallauon ahnulE be ennsiECrc9 onnus(aemry ib neceaury reFVin matln NeM pip. IaiE
rM1h nWtetl INJ Or Iead-suDSl?w?c jOintt Maultl, iI the vo[kwnMip t£ eut1G.lOy. hxvt bule or m lealop at Ne jmms. Aay jomt havuq IeakaRe or
more Uwe a"sIyNt dnp" or'wrrtuK' ehoWO be rcpairol LmYaQe slioulA mt emeeC 1 oa Iltyuitl meawrel Per Rwr PR larn of PqVe Eumeter qr Imm.
TM lealnp AmlG Ee Euvibutea ovet all jmros. I/ sueh leaeage oeeurs almoet euurety at a teW loma. ut nuual4uon aMU1E he conuiEerM uronliehrtorv
am ereeen" reyain maM.
PN6LMATSC Eau0lfeh 10 P81 vr prcaeure antl meawre orefwre Crop snicn anould rol rirrM i 1. S PSI m N Iwun. Tast Oreesure nnir m mrmal
wter Ioe1 ab air Drtewre. aM meawee aur preuure arop "¢h Awu1C mt esreeC i l 2 P51 m 34 Iquts.
PART "B" - UNDERGROUND PIPING
scEna ataca.
LOCA710N Existing
PIPE TYP6 ANO CLABB TYPE JOINL
UNDER -
GROUND CONFMAIB TO 4CANOARD _ yE9 ? NO ?
IF NO, E%PWN
PIPES
AND J02NT3 NCEDINC ANCHOMGE CLAA@ED, SiRMPCD OP BACKED IN ACCOiI?ANCE ygg 0 WC:
wITH 9TANOAAD
101NT5 IF NQ E]CALA[N
7E5T5
REQUIRED fLUSHING HYDROSTATIC IEAKAGE
NLW VlIDEAGROVlID PIPING PLOSNED ACCORDRlC TO ' S{'AImMO YFJ ?
HY (roIBANY)
XOW WAS FLVSXINC FLa1V OBTMNEO .
PUBLIC WATEA D .. 7ANC OR RE76RVOlit ? lINE PUmp ?
FLUSNING TIQI C8 WNAi TYPE OP6MN('
NYD. BVTT. ? OPHNPLL'E ? ' . •.
TESTS LSAO-INS FLIlSIED ACCOFGING TO StAImApD pEg ?
BY lcoePAmn
xow wM rwaHIwc n.aw oeiel+Mn
. ,. . PUBI3G WATEP Q . TANK pt RESBRVOIlt ? "lQl6 P01@ ? '-
' TNAOUGX W XAT TYP6 OP6MNG
.. . . . - Y CONN. M ?LAPCB L 81GOT ? 7,--::076N P@L ?
ferm Ne. 85 Xrr. ,qulY 1969 . irlme! In V.S.A.
CITY USE ONLY
L ? B RECEIPT #:
SUBD.
f r` C' l?f RECEIPT DATE a- i 5- vo
APPROVED BY: INSPECTOR PLUMBING PERMIT #
2000 PLiJMIDING PERMIT (COtMERCIAL)
CITY OF EAGAN
3830 PILOT FQiOS RD
EAGAN, bIIQ 55122
651-681-4675
Please complete for. atl commercial/industrial buildings
multi-family bnildings wben separate building percnit4 are not requ'ved for each dwelling unit
installation of backflow preventer in commercial areas or residenrial boulevards
Date: C, q-G v Work Type: _ New Bldg. _ Add-on y_ Repair _ U.G. Sprinkler _ RPZ
Description
9.L%.
To inquire if Pressure Reducing Valve is required on new service, call 6814646.
FEES
1% of contract price or $30.00 minimum Contract Price: $7O(7 .. C"9o x 1°/a = $
CODPLETE THIS AREA
Bsse Fee -
Water Meter: 2" Turbo - $897.00 uniess plan approved for smaller size
I-1/2" Turbo - $ 726.00
Service: _ existing (if coming off domestic line) OR _ new
SPRINKLER
S"new service". contact Jerrv WabschaTl Finance Corxsultant to confirm addin2 {ees for:
Water Permit & Surchazge - $ 50.50
Water Supply & Storage - $ 840.00
Water Treatment Plant Chazge - $ 492.00
cc: Diane Downr, UtUlry 8ilfing - rndergroxnd sprinkler permits
$ 30.00
$
$
State Surchazee
$.50 minimum; calculate at $.50 for each $1,000 Base Fee
Base Fee S 30 _ G U
State Surcharge S
Total Fce $
I hereby aclmowledge that I have read this application, sfate that the infotmatlon is coaect, and agee to comply with all applicable City of Eagan
ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by [he
City during its novnal operational and maintenance ac[ivities to the facilitles construc[ed under this permit within City properiy/rightvf-way/easement.
srrE.e.DnxESS: 5-3-0
TENANT NAME: TELEPHONE #:
(AREA CODE)
INSTALLER NAME: / t,?/ ?h ?? CvnT?" la '1'ELEPHONE #• Co/ 2J 3.zi.?
CODE)
STREET ADDRESS: `7c0? / Yl ST ?vG s??[? EB
CITY: 12OG,?'/i ti y?u/6Y STATE: ll/ IP:
SIGNATURE OF PERMITI'EE
CITY USE ONLY
DOMESTIC METER SIZE: COMPOUND TURBO
• Coatact Utility 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: 651-6814631.
PRV: Yes No
PRIOR TO SELLING A METER:
• Oa Permit En7y screen, enter site address to look up sewer and water permit #. Select S&W Permit and check that hydrostatic
and conductiviry tests have been approved. If not, do not issue meter.
Miscellaneous
• Meter lazger than 518" - 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 backflow preventer, call 651-681-4675.
• To schedule water tum-on, ca11651-681-4300.
CD/Permit torms/plbg permit (comm) 2000
C1tleS D
itv Control
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CTTV`OF EAGAM PERMTT
3839 PILaT,*.;aJB RU
EAGAN, MN 55122.
, 651-681-4675
BATCfG 838
S-A-L-f-S D?R A-F-t
7JM
8B4%BNB621
Rff' 8B6} '
m i4PE; VISA ?
TR TVPE: %pqK
IMJ: M
DATE: U21,9 BI:15:33 ,
TOTAL $6472,96
=4246BIBB85BI7133 W: W12
AP: 8M
WE: T(M STALEY
Cl+ITIQBER AQ4INZffS RBEIPT OF fiA6
NtDiOR SEAUICES IH $E (NqNT OF ilE
rara Hxx 09x N nsM mFOaa,
TIE RIFATitMS SEf t'tlttll BY i!f .
CPRDM'S AfiMfNT YITN AE ]5S.Ot
TFY8ICS FIXt USTNfi SA
R
TlP CUPI'-!FR(#itHi BUTT011 M-QlSTM
S
1999 BUILDING PERMIT APPLICATION ICOMMERCIAL)
CITY OF EAGAN
bsi eai.ae7s IL (1t,? l`t
Requirements to buildinp permit
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2 sets) . Architectural Plans (2 sets) • Architedural Plans (2 sets)
• Civil Plans (2 sets) . Structural Plans (2 sets) • Code Malysis (1) "
• Code Analysis (1) " • Civil Plans (2 sets) • Prqect Specs (1 set)
. Project Specs (1) . Landscaping Plans (2 sets) • Key Plan
• Spec. Insp. & Testing Schedule " . Code Malysis (1) " • Master Exit Plan
• SAC determination letter trom MClES - . SAC determination letter (rom MGES - call • SAC determination letter from MClES - call
call 651-602-1000 651-602-1000 651-602-1000
• Spec.insp.&Testing5chedule (1) " • EnerqyCalculahons (1)notalways"
• Project Specs (1) • Elec. Power & Lighting Form (1) not always "
• EnergyCalculations (t) "
• Electric Power & Ligh6ng Form (1) "
• Master Ecit Plan
• Soils Re ort t " Contact Buiiding Inspections for sampie
Food & beverage or lodging facilities: Plan must be su6mitted to Minnesota Department of Health. Call 651-215-0700 for details.
DATE: 'I &? /179 WORK TYPE: _x NEW _ REMODEL
DESCRIPTION OF WORK: d.T,-;,DITIbiJ To `(A-iGfr? Cs-RDId 5qulPll4e?IT- eA-IQ-GIS;?7 rODri.lr
CONSTRl1CTION COST: 2?130ooo TENANT NAME: ??t??t?sr- -?it.6? ?1 ?C•?.
SITE ADDRESS: SUITE #:
LOT ? BLOCK SUBD. y? Cl? I 5? P.I.D. #
S-r'4'IjE'Y, ?l u?l ?171t2ec7acz?
Name: -5ouj4v.t'8--T- Phone #:
PROPERTY Last First
OWNER
Street Address: rj50
Ciry State: }-? N Zip: SS ! 2?
Company: -tb rAE t?? ( t'? Phone #CONTRACTOR
Street Address:
Ciry State: Zip:
ARCHITECT/ /' ?y/
ENGINEER Company??- Phone#: 612- ?r -7°j3
Name:/J tj ?l'('SaoJ Registration #:
Saeet Address: j2o' -/5c:0 `i ,?T ( '(E 5?x?
City h4ful;a k?As{] kw State: Zip:
Sewer & water licensed plumber (onlv if instatlina sewer 8 water): ,
I hereby acknowledge that I have read this application, state that the information is corcect, and agree to c m?th all'a??ble State
of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: -
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 26 Public Facility ? 28 Greenhouse
? 25 Miscellaneous PV 27 Commercia{ilndustrial 0 29 Antennae
WORK TYPE
_-.. ., ?
? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/5oifits/Facia
I?7 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors
?O 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair
GENERAL INFORMATION
Const. (Actual) ? Basement sq . ft. Census Code
(Allowable) •First Floor sq . ft. SAC Code ?o
UBC Occupancy G3 sq. ft. No. of Units o
Zoning ? sq. ft. No. of Bldgs. ?
# of Stories 1 sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Fire Sprinklered
APPROVALS
I
Planning Buil ding ? S
. Variance
Engineering
\
VALUATION:
Permit Fee I°I?l 3 1S?
Surcharge
Plan Review
MC/ES SAC ?/,?/OSd Y ZGO % kAC
City SAC ScortN 9 ' SAC Units ?
Water Supply & Storage Meter Size
S/W Permit --
S!W Surcharge
' -,
/ ?72
W%
KT
Treatment Plant Y68 .
Park Dedication ----
Trails Dedication ?----
Water Quality
Other
Copies
$
Totai o( s la (o . 1 9
'f" {'Y1,C1 11 ! s, 4c?? / 43/0'?- ?? ii
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PLANS
IN5THUCf10N5
EQUfPMENT U3ED fS APPROVED
IF NO, E%PLAIN DEVIATIONS
iirYES ? NO
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUGTED AS TO LOC/QION
OF CONTROL VALVES ANO CARE AND MAINTENANCE OF THIS NEW EOUIPMENT
IF NO, EXPWN
? YES ? NO
F1AVE CAPIES OF THE FOLLOWING BEEN LEFf ON THE PREMISES
1. SYSTEM COMPONENTS INSTRUCTIONS
2. CAREAND MAINTENANCE INSTRUGTIONS
3 NFPA1?4
Df\t5 UNV
?YES ?NO
?VES ?NO
? YES ? NO
LAGS710N
OF SYS7EM ? ?-y+? (Jl G-tz
MAKE
MOOEL VEAROF
MANUFACTURER ORIFICE
SIZE
QUANTITY TEMPERATURE
RATING
c.04' Z I ?c
SPRINKLERS x 1 ? LN
?pi ? Z ?
i 4 ZI ?
PIPE AND
FITTINGS TYPE OF PIPE ?•
7ypE OF FITTINGS C- C?qnxjQ
pLpqM ALARM DEVICE MAXIMUM TIME TO OPEWA1'E THROUGH TEST
CONNEGTION
VALVE
OR FLOW TYPE MAKE MOOEL MIN. SEC.
INOICATOH SW ?SQr
DRY V ALVE O.O.D.
MAKE MODEL SERIALNO. MAKE MOOEL SERIALNO.
TIMETOTRIP'
THROUGHTEST
CONNEGTION WATER
PRESSUFE AIR
PRESSUFiE TRIPPOINT
AIR PFiESSURE TIMEWAT
R D
OUTLET' ALARM
OPERATED
PPOPERLY
MIN. SEC. PSI PSI MIN. SEC. YES NO
Oi1YPiPE
OPERATING WRHOUT
QA.D.
TEST WRH
QA.D
IF NO,
'MEASURED FROM THE 71ME INSPECTOHS TEST CANNECfION IS OPENED.
BSA (&89) PRINTED IN THE U.S.A. FOR NATIONAL FIRE SPHINKLER ASSOCIATION, INC., P.O. BOX 7000. PATfERSON, N.Y. 12563 (WER)
PNOCEDURE
Upon complation of wark, inspettion and tesb shell be mede by tha contrectofa represeirtative and wiMesaed by an owrrers represenmtive. All defecb shall be corrxled anA
system left in seNice 6afore coniradors personnel finally leave Ihe pb.
A certificare shall ba filled out anA signetl 6y both re0?ntativee. Copies shall 6e prepared for approving authorities, owners and con[racWC It is underatood [he ownels
represeMative's signeture in no way preludices any claim against contractor for faulry materlal, poor workmanship, or failure W compty wllh apprwing authoritys reqwremema
orloceiordinance9.
I PIPING SUPERVISED ? YES ? NO I DETECTING MEOIA SUPEHVIhGU___? Yts u rvu
? DOES VALVE OPERATE FROM THE MANUALTpIP ANDlOR REMOTE CONTROL STATION f ? YES ? NO
DEWGE &
PREACTION
IS THEREAN ACCESSIBLE FACILITV IN EACH CIRCUR FOR TEST
IF NO, EXPUIIN
VALVES ? YES ONO
DOES EACH CIRCUITOPERATE DOES EACH CIRCUIT MAXIMUM TIME7D
MAKE MODEL SUPERVISION LOSS ALARM OPERATE VAWE RELEASE OPERATE RELEASE
YE N E N MIN.
NYDROSTA77C: HydroataNc tests shall ba made at rwt leas than 200 psi (13.6 bam) for iwo hours or 50 psi (3.4 bars) ebove sletic pressure in excess
of 150 psi (702 Cars) kr twa hours, DlHerentlal tlry-pipe vaWe clappers shall be laft open during tesl to prevaM Aamage. All a6oveground pipmg
TEST leekege shall ba stoppetl.
DESCFi1PTION pNEUMATIC: Establish 90 psi (2.7 bare) air pressure and measure drop which shall not ezceed 11h psi (0.1 bars) in 24 hours. Test pressure lenks ffi
normal weter level anA air pressure and measure air prassurs drop which shell not exceed 7+h psi (0.1 hars) in 24 houts.
ALL PIPING HVDROSTATIGtLLY TESTED AT _ PSI FOF _ HRS. IF NO, SfATE FEASON
DfiY PIPING PNEUMATICALLV TESTEO ? VES ? NO
EOUIPMENT OPERATES PROPERLV ? YES ? NO
00 YOU CERTIFY AS THE SPRINKLER CONTRACfOR THAT AODITIVES ANO CORPOSIVE CHEMICALS. SODIUM SILICATE Ofi DERIVATIVES
OF SODIUM SILICATE, BRINE, OP OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTINp SYSTEMS OR STOPPING LEAKS?
Y N
TE5T5 DRAIN REAOINGOFGAGELOCA7ED NEARWATERSUPPLY7ESTPIPE: RESIDUALP}iESSUREWITHVALVEINTEST PIPEOPENWIDE
TEST SiATICPRESSURE PSI PSI
Underground mains and lead in connections lo syslem risers flushed before cannection made to sprinkler piping.
VERIFIEO Bl' COPY OFTHE U FORM N0.858 ? VES ? NO 6fHEF EXPLAIN
FLUSHED BY INS7ALLER OF UNDER-
GROUNOSPRINKLERPIPINCa ?YES ?NO
BLANKTESTING NUMBER USED LACATIONS NUMeER REMWED
C7ASKET3
WEIDED PIPING 29 YES ? NO
If YES. .
DO YDU GER7IFY AS THE SPRINKLER CONTRACIUR THAT WELDING PROCEDURES COMPLY
W ITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR•3 N VE5 ? NO
WELDIN6 DO YOV CERTIFV THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIANCE WITH THE REQUIREMEN7S OF AT LEASTAWS D10.9, LEVEL AR-3 )4 YES ? NO
DO VOU CERTIFV THA7 WELDING WAS CARRIED OUT IN CAMPLIANCE WITH A
DOCUMENTEDdUAtIIYCONTROIPROCEDUAETO1NSllRETHATALLDiSCSARE
RETRIEVEO, THAT OPENINGS IN PIPING AqE SMOQfH, THAT SL4G AND QTHEFI
WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NQf PENETRATED }$YES ? NO
CUTOUTS DO YOU CERTIFV THAT VpU HAVE A CONTROI FEATURE N ENSURE THATALL
(DISKS) CUTOUTS (OISKS) AFE RETRIEVED VES ? NO
HVORAt1LIC NAMEPL4TE PFOVIDEO IF NO, EXPLAIN
DATA
NAMEPLATE YES ? NO
DQ
OATE LEFf IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMAFiKS
NAME OF SPRINKLER CONTRACTOR
SP
TEST$ WITNESSED BY
SIGNA7URE5 A PROPE 0 NER ( GN D) TI L
- OAT
?
r /
5P INKLE CO T qTpR SIGNED) TITLE D E
? , F„
ADOITIONAL EXPLANATION AND NOTES
B5A BACK
1, ? I ? (bc?k I Yw? e, ?, j 3:?
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
PHOCEDURE
Upan completlon of work, inspectlon and tecu ahall be made by the contrector's representative end witneseed by an owners reprerentative. All
defects shall be corrected and system left in service 6efore eontnctor'e penonnel finally leave tha job.
A certifiwte shall 6a filled out and slgned by both represantatives. Copias shell be prepared for apprwinp autharities, owners and eontractor.
It ia understoad the owner't representative's signature in no way preludicef any claim a9ainst contractor tor faulty material. Poor warkmanahip,
or failure to comply with approving authority's requirementa or local ordinancBa.
?
? JACCEPTED BY
ADDNE55
PLANS Z)Tbo MA_
INSTALLATION CONFORMS TO ACCEPTED PLANS YES ? NO
EQUIPMENT USED IS APPROV ED KVES F-1 NO
IF NO, EXPIAIN DEVIATIDNS
HAS PERSON IN CMARGE OF FIRE EQUIPMENT BEEN INSTRUCTEO AS TO LOCATION VES E3NO
OF CONTROL VALVES AND CARE ANO MAINTENANCE OF THIS NEW EQUIPMENT
IF NO,EXPLAIN
INSTRUCTIONS
MAVE COPIES OF APPfiOPR1ATE INSTHUCTIONS AND CAfiE AND MAINTENANCE CHARTS VES n NO
LOCATION ISVPPLIES BLOGS.
VCTC??
MAKE MODEL YEAR OF
MANUFACTURE ORIFICE
S ZE pUANTITY TEMPERATURE
RATING
I
SPRINKLERS
PIPEAND
FITTINGS PIPE CONFORMS TO STANDAHD VES (ENO
FITTINGS CONFORM TO STANDAfiD ES QNO
IF NC,EXPLAlN •
ALARM DEVICE MAXIMlAu1TiME700PERATETHfiIXX'HTESTPIPE
ALARM
VALVE TYPE MAKE MODEL MIN. SEC.
OR FIOW
INDICATOR
DRY V ALV E
MAKE. MODEL SERIAL NO. 4 0-m
MAKE MODEL
SERIAL NO.
RV PIPE
TIMETOTRIP'
MIN.. SEC.
WATER
PRESSURE
P5I
AIR
PHESSURE
P51
TRIPPOINT
AIR PRESSURE
PSI TIME WATER
REACHED
TES7pUTlET•
MIN. SEC. ALAflM
OPERATED
PROPERLY
VES NO
OPERATING
TEST
Without
Q.O.D.
Witn
Q.O.D.
IF NO, EXPLAIN
•MEASUFED FROM THE TIME INSPECTOR'S TEST GONNECTION VALVE IS OPENED.
PRINTED IN TME U S.A. FOii NATIONAL FIRE SPRINKLER ASSOCIATION, INC., P.O. BOX 1000. PATTERSON, N.v. 12563
su
ELECTRIC
YFS 1 IIU(1
DELUGE & I5 THEftE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTINC. IF NO, EXPLAIN
PREACTION Q YES ? NO
VALVES
HCIRCVITOPERATE DOESEACHGRCUIT MNXIMUMTIMETO
MAKE MODEL 1oN LO65 ALARM
nV OPERATE VALVE RELFASE OPERAlE REIEPSE
NO YES NO MIN. SEC.
H V DROSTATIC: Hydrostatic tests shall be made at not less than 200 psi 03.6 6ar5) for two hours or 50 psi (3.4 bars) ahove static
pressure in excess of 150 psi (102 bars) far two hours. Differential dry-pipe velve clappers shall be left open during test to prevent damage.
All abaveground pipin9 leekege shall be stopped.
FL
U
H
TEST S
ING: Flow the required rate until water is clear as indicated by no callection of foreign material in burlap bags at outlets such as
DESCRIPTION ?
hy rants and blowvffs. Flush at flows not less than 400 GPM (1514 Umin) for 4•inch pipe.600 GPM (2271 L/min) for 5-inch pipa,
750 GPM (2839 L/min) for 6-inch pipe, 1000 GPM 43785 L/min) for 8-inch pipe, 7500 GPM (5678 Umin) for 104nch pipe and 2000
GPM (7570 L/min) for 12-inch pipe. When supply cannat produce stipulated flow retes, obtain maximum available.
P TIC: Establish 40 psi 12.7 6ars1 air pressure and measure drop which shall not exceed 1 S psi (0.7 bars) in 24 hours. Test
pressure tan s at normal watar level and air pressure and measure air pressure drop which shall not exceed 1-%: psi 10.1 bars) in 24 hours.
ALL PIPING MYOROSTATICALLY TESTEO AT 'Z:W PSI FOR '1- HRS, IF NO, STATE REASON
ORVPIPINGPNEUMATICALLYTESTE? ?YES ?NO
EQVIPMENTOPEqATESPROPEftLY [:]yES ?NO
DRAIN REAOING OF GAGE lDCJ1TED NEA0. WATER SUPPLY TEST PIPE: RESIDUAI PR65URE WffH VALVE IN TEST PIPE OPEN W IDE
TESTS TEST STATIC PRESSURE: PSI PSI
Underground mains and lead in eonnections to system risers flushed befora connection made to aprinkler piping.
VERIFIEO By COPY OF THE V FORM N0.858 O YES ? NO OTHER EXPLAIN
FLVSHEO BY INSTALLER OF UNDER-
GROUND SPRINKLER PIPING ?YES ?NO
BLANK7ESTING NUM6ER USED LOCATIONS NVMBER REMOVED
GASKETS
WELDEOPIPING YES ?NO
IF VES...
DO VOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDIIVG PHOCEDURES COMPLV ?f
WITH THE REQUIREMENTS OF AT LEAST AWS 030.9, LEVEL AR-3 I? IYES ? NO
DO YOU CERTIFV THAT THE WELDING WAS PERFORMEO BV WELDERS QUALIFIED IN
WELDING COMPLIANCE WITH TFtE REQUIREMENTS OF AT LEAST AWS 030.9, LEVEL AR•3 ?VES ? NO
?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITN A
DOCUMENTED QVALITV CONTROL PROCEDURE TO INSVRE THAT ALL DISCS ARE
RETRIEVEO, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER
WELDING RESIDUE ARE REMOVED, ANO THAT THE INTEftNAL DIAMETERS OF ?yES ? NO
PIPING ARE NOT PENETRATED
HVDRAULIC NAMEPLATE P0.0VIDED IF Np, EXPLAIN
DATA
NAMEPLATE
E] VES NO
DATE LEFT IN SERVICE WITH ALL CONTROL VA6VES OPEN:
REMARKS
NAME OF SPRINKLER CONTRACTOR
v ?,L,,.c?-
TESTS WITNESSED BV
SIGNATURES F R OP O NER NED) T E, DHTE
k'j
'wo
?
u r?
AODITI
NO
V3_
85A BACK .. ?,„.. s
city oF eagan
May 17, 2000
HARRIS COMPANIES
JENNISCHOENECKER
2300 TERRITORIAL ROAD
ST PAIJL MN 55114
RE: PERNIIT FOR RPZs
550 OPPERMAN DR
LOT 1, BLOCK 1, YMCA 1ST
Dear Ms. Schoenecker:
PATRICIA E AWAOA
Moyor
PAULBAKKEN
BEA BIOMQUIST
PEGGV A CARI$ON
SANDRA A. MASIN
Counal Members
THOMAS HEDGES
Ciry Administtaror
E. J VAN OVERBEKE
Gry Clerk
We are in receipt of your check #9870 dated May 9, 2000 that states you are paying for an RPZ
permit. For your convenience, we are enclosing some plumbing permit applications with this
letter, as well as your check.
Eagan's permit fee (for the yeaz 2000) to install, rebuild, or repair RPZ's is calculated at 3$ 0.50
oer address and not by the number of RPZ's involved.
Please complete a plumbing pemut application indicating under the "Description of Work" azea
if it is a new installation, repair, or rebuilt unit. Retum along with a check payable to the City of
Eagan in the self-addressed envelope.
RPZ test reports should be mailed to Paul Heuer at the City of Eagan.
If you have any questions, feel free to call me at 651-681-4695. Thank you.
Sincerely,
Jan erson
Secretary
Encl.
cc: Paul Heuer, Systems Analyst
MUNICIPAL CFN7ER THE LONE OAK TREE MAINTENANCE FACILITV
3830 aIL07 KNOB ROnD THE SYMBOL Of
EAGAN. MINNESOiA 551 22-1 89 7 STRENGTH AND GROWfH IN OUR COMMUNIN 3501 COACHMAN POINi
EAGAN, MINNESOiA 55122
PHONE. (651) 681 d600 PHONE' (65 p 681-4300
FAJC: (651) 681-4612 EqU01 OppOAunlty EmpIOYBf FAX: (651) 681-4360
TDD (651)454-8535 www.cifyofeOAan.com TDD (651)454-8535
COMMERCIAL
BUILDING PERMIT APPLICATION
' CITY OF EAGAN
651-681-4675
Foundation Oni New Construction Interior Im rovemer;
• SWClurel Plans (2) sets • Architectu2l Plans (2) sets • Architectural Plans (2) seLs
• Civil Plans (2) • SVUCWreI Plans (2) • Code Analysis ' (t) "
• Certificate of Survey (1) • Civil Plans (2) • Projed Specs (1)
• Code Malysis (t) " • LanCSCaping Plans (2) • Key Plan (1)
. Project Specs (1) • Code Malysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) . Energy CalculaGons (t) not aiways"
. Solls Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Fortn (t) not always '
• Meter size must be established • Me[er Size must be established • Meter size must be established - ' appliwble
1 .
• Project Specs
EnergyCalculations (1)
(1) •' 12 (,? ? ? nr, ?
l? Iln u
1
•
Electric Power & Lighting Form
(1) " D
M
1 Master Exit Plan (1) ?
U 2 10? ?
1 Fire Proteclion Plan (1) ?y,,,-
?
1 Soils Report (i) ? ? ??
?
• MGES SAC determination letter • MC/ES SAC detertnination letter B /ES SAC detertninati n letter
w11651-602-1000 ca11651•602•1000 ---sall-6S -L602-1000
° Gontact Bulitling mspecnons tor sampie -
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota DepaRment of Heaith - call 651-215-0700 for details.
q(// av
DATE S 2 a WORK TYPE _ NEW _ REMODEL CONSTRUCTION COST
SITEADDRESS SSo e4 Crrndn 0r'
TENANT NAME YM CA
FORMER TENANT NAME
SUITE #
DESCRIPTION OF WORK 3 7?n45 4r- R Svn)qY X??re7oa?r S/G/v J
Ca.???tcf'
pr?so? Name: ??,Q2 ur ? a,-l Pbone#: GS! G`/S a/ 3G>
PROPERTY Last First `t''-I S$
OWNER
Street Address Z z 3 3
c n Prq y pa rL
Q ?.
Ciry 2F s?. J?qa' ? State Zip S-5- -7 31
Company ?rs t'is? `1-T en hone# (`?5Z 1 9yz 339 9
CONTRACTOR
StreetAddress:
Ciry ,? 4 r ? ' State Zip
ARCHITECT/
ENGINEER Company Phone # ( )
Name Regisuarion #
Street Address
Ciry State Zip
Licensed plumber installina new sewerlwater service: Phone #:
1 hereby acknowledge that I have read this application, state that the information is cor , gree iv?th all?pplicable State of
Minnesota Statutes and City of Eagan Ordinances. ?? ?
_ ?-
Signature of Applic nt:
Updated 1/C
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New ?
ZI 32 Addition ?
? 33 Aiterations ?
? 34 Replacement ?
? 26 Public Facility ? 30 Accessory Bldg.
? 27 Commercial/In dustrial ? 32 Ext Alt - Apts.
? 28 Greenhouse ? 34 Ext Alt - Comm.
? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
35 Tenant Impr ? 42 Demolish (Found) O 46 Windows/Doors
36 Move Bldg ? 43 Reroof u 47 Repair
37 Demolish (Bidg) ? 44 Siding ? 48 Authorization
38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code ?
SAC Code -
No. of Units
No. of Bidgs. t7
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Gas Service Test ? Heating
APPROVALS
Planning
Building
r- I
? Insulation
cs?? Engineering
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
'34 - 1
Variance
?-,
VALUATION $ 3 o d a?
% SAC
SAC Units
Meter Size
sq.ft.
sq. ft.
sq.ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
O Plumbing ? Stucco/Stone
?-?Y vv\? a
_Vl?
Administrative Agenda
July 5, 2001 Eagan City Council Meeting
ADMINISTRATIVE AGENDA
PUBLIC WORKS DIRECTOR
1. YMCA ADDITION - Request for Extension of Construction Working Hours
The YMCA is expanding their facility located on Opperman Dr. between Hwy 149 and Co.
Rd. 63 (Delaware Trail). Part of this expansion requires the installation of a new water
service which is being completed in conjunction with the building permit. The City Code
allows for the operation of building construction equipment only between 7:00 a.m. and
10:00 p.m., Monday through Saturday, except for legal holidays, unless otherwise approved
by the City Council.
The Contractor, Witcher Construcrion, is requesting the early start time of 530 a.m. on
Friday, July 6, 2001 m order to complete the necessary water service ]ine work to limit the
interruprion in the water supply to the YMCA daycare and general facihty operations. The
I'MCA daycare's hours of operation are 8:30 a.m. to 830 p.m, Monday through Friday. The
YMCA general facility is open 5:30 a.m. to 10 p.m. Monday through Friday and 7:00 a.m. to
6:00 p.m. on Saturday.
Most of the properties adjacent to the YMCA are commercial/ industrial. However, a single-
family residence (3575 Delaware Trail) is directly east of and adjacent to the YMCA.
Witcher Construction has received a previous complaint from the resident at 3575 Delaware
regazding outside electrical work by a subconiractor on a Sunday in June. This resident will
be notified in writing by City staff of the proposed early start rime request and the CounciPs
consideration on 7uly 5th.
ACTION TO BE CONSIDERED: To apprnve an early start time for construction activities
(5:30 a.m.) for Witcher Construc8on Co., under a sewer and water permit, on Friday, duly
6, 2001.
2. Project 811 Well #20 (Drillin¢ Structure and Transmission Line)
On April 2, 2001 the Council approved Project 811 providing for the drilling and
development of Well #20 to be located just west of Pilot Knob Rd. and north of the new
Central Parkway. It will be located in the same area as the proposed picnic shelter
development of Central Park. To coordinate construcrion activities and obtain some
efficiencies of design, it was determined to be in the best interests of the City to have the
well house structure codesigned witli the Park development architect. Staff solicited
Statements of Qualifications (SOQ) from 2 different firms. After reviewing the qualifications
of hoth, a proposal was requested from SHE, Inc., one of the City's retained mumcipal
consultants. This propsal has been reviewed by both the Directors of Parks and Public Works
and found to be in order for favorable Council consideration.
ACTION TO BE CONSIDERED: To approve the firm of SHE Inc. to perform the
engineering services for Project 811 (Well # 20 - Drilling, Structure and Transmission
Main) for and amount not to exceed $92, 655.
CITY USE ONLY
PERMIT #: 4 ('0 ( 3 S__ RECEIPT DATE:
APPROVED BY: ? P .e?- /6 NSPECTOR
CiOMMERCiIAl. M$Ci$ANICiA.'P$RM]1T APPLICiATIdR
CrrYoFEA8m
S$SO PILOT KNOB fW
EAHAF, MN 551 EE
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: ?_ 11c;2- 01
SITEADDRESS:
OWNERNAME: y/?C? PHONE#:
(A A OD?
TENANT NAME (IMPROVEMENTS ONLI): ? C???ti-?' ` 0 V?4
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y?'. NAME:
INSTALLER:
ADDRESS: PHONE#: ?/ - -rv-9S1- 94f9e9
(AREA CODF)
CITY: :?5141f'59/t_111 STATE: -v zIP:
WORK TYPE: ? New conshuction-Azb-r,cv Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work: Tc7 ---52f'z f?/G° ?1<,i.p
N'hen installing/removing underground lank, call 651-681-4675 for inspection by Fire Mar,sha!-and, --,,- i-,
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, wiuchever is greater. J U L 1 2 Z? ? ? I V
Underground tank removaVinstallation = minunum fee -
!J /?
Conhact price: $.?Y x 1 % _ $ (Base Fee)
State surchazge - SJ calwlate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/O1
CITY USE ONLY
PERMIT #: RECEIPT DATE:
COINMERCIi4L PLUMSIR6 PERbIIT Af'P11CAT10R
ClTY oP P.AskN
S$SO f'ILOT RFOH RD
Efk6RA. MA 851 Y8
851-881-4678
7NGOMPLM APPUCAAONS WILL NOT BE PROCESSED
nate: 7 - 30 - o /
WORK TPPE New Bldg Add-on _ Repa'v RPZ PVB ' Irrigation system
• Must complete reverse side of a ptication also. Requ'ved meter size is 2" turbo pn less smaller size permitted by Public Works
DESCRIPTION OF WORK AVIW/!A/N/'c f1pD/770,tIS 4? GoG{Ch/r-
, To inquire if Presaure Redncing Valve is required on new service, ca11651-681-4646
METERS - Call 651-681-4300 to verify that hydrostaric, conducdviry, and becteria tesu passed qrior to_uickin¢-uom
Trrigarion Size & Type
Fire Size & Price 3/4" displacement
Domestic Size & Type
Does this include hig6 demand devices?
FLUSHOMETERS
X Yes _ No
_ Yes _ No
AvgGPM fAU «l ? L $149.00 G 1 Z001 II:
Avg GPM , _ L
PRV REQUIRED _ Yes
SiteAddress: 57SO
Tenant Telephone #: lcs?_ ¢$?lv -0ldoZ8'-
(Area Code)
Was there a previous tenant in this space7 _ Y_ N. If Yes, Name:
Installer Name: /0,21!//T'Z. 1-44t-, Telephone #: 741?3" 495'^ 7.Sl?P
. ,, . / (AreaCode)
InstallerAddress: AjPSdS iC4yL.ON fT///? /?O •
Ciry: ?lZ?K?iV ?if+P..C! State:
v!
FEES Contract price Sgaj x 1% ($50.00 minimum)
Required on all new buildings & boulevard irrigation systems (Acct # 92204509)
Surcharge: $.50 Mitilmum. If contract fee exceeds $1,000, calculate at
50 cents per $1,000 contract fee.
F5 - I _0
Zip Code `J-$??{s
Contract Fee $ gmr oo?
Meter(s) $
Radio Meter Read $
StateSurcharge $ ?5_0
Total From Reverse New Service S
Total $ ??n I ?()
I hereby aclmowledge that I have read this application, state that the inFortnation is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicanYs responsibiliryto notifythe property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry
during its nomal operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement.
^ SIGNATURE OF PERMITTEE
CITY USE ONLY
REQUIRED INSPECITONS: _ U.G. _ Air Test _ Ges Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR
L? 1 '_?l 6c? I
y wt C A
'-4 G2 l 2- (7
COMMERCIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
?
,
? oo? nt ?w?.y+??o.. p ar
?
? . 9_?C- ?V?.4¢:tASC?
Foundation Onl New Construction Interior rmprovement
• StrucWral Plans (2) seta • Architec[urel Plans (2) sets • ArchitecNral Plans (2) sets
• Civil Plans (2) • Struclural Plans (2) • Code Malysis (1)
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeAnalysis (1)" . LandscapingPlans (2) • KeyPlan (1)
• ProjedSpecs (1) . CodeAnalysis (7) " • Master Exit Plan (7)
• Spec. Insp. 8 Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always"'
• Soils Report (1) • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & LighUng Form (1) not always"
• Meter size must be esfablished • Meter size must be eshablished • Meter size must be established -'rf applicable
. ProjectSpecs (1)
1 • EnergyCalculaUons (1) " d
1 • Electdc Power 8 Lighting Form (1) " 1
1 • Master Exit Plan (1) l
1 • Fire Protectlon Plan (1) 1
1 • SoilsRepoR (1) 1
• MClES SAC determination letter • MGES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 657-602-1000
" Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
/cDO
DATE W ORK TYPE ? NEW REMODEI CONSTRUCTION COST/
SITE ADDRESS S-S ? O?C//J7?vr !Or °?
TENANT NAME Y p?: I? ,? GSWIT?
FORMER TENANT NAME ?
w"+ . , J
DESCRIPTION OF WORK gy--fz.t?me _.._ tf#' 9tGL?
Nazne: '?4 Phone#: (S??l bz /z
PROPERT'Y Las First
OWNER
SheetAddress Yzl?- Qo a a?V?5 LI I`l)
Ciry s? f&,) 1 State 444 Zip ?- Z Z?A
Company W T,?G?tr ??Sd? Zor?-pa.,u Phone#
CONTRACTOR T- 9
StreetAddress: ?g.r? 'ia5_ 'nn` <A-C-1:?qL St Tlf-> 770
City '?5GL?! State ////( Zip ?S,3?Ll
ARCHITEC'T/
ENGINEER Company ? ? ?/f`G? i`/?G l.. ? ?rs Phone # .??5
Name /2,G,.v, -? e?er?Z Registration#
StreetAddress // ?& Sc1 C.?G...'/ A'`G
ciTy 4, Poe,..d ) state rfJ?l Z,p
Licensed plumber installina new sewer/water service: /(J b?!1, Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 4z?K 'e3-4kJ r? 4-11(4 1!
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 6 Public Facility ? 30 Accessory Bldg.
? 14 Apartments 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt- Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
A'32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code 4137
SAC Code ?(Z
No. of Units o
No. of Bidgs.
Const. (Actual) T N .
(Allowabie) 9? A/_
UBC Occupancy -C- /b
Zoning S- 1 sq. ft.
# of 5tories sq. ft.
Length ?S 7 sq. ft.
Width Gq . S sq. ft.
Basement sq. ft. MC/ES System
First Floor sq. ft. City Water
sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Pertnit
S/W Surcharge
Treatment Piant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
? Insulation ? Plumbing
?rr Engineering
? Stucco/Stone
Variance
VALUATION $ ? DOO ?G
1ts/.2S
S,oD
% SAC
SAC Units
Meter Size
u4V-ar Ftcs Gollcc}ed w-4h A/m.r1? --al F,<s} /14dii:c..5
Total f46, 2S
1 6512929929
!P`Lkwn27-2007 MON 02;48 PM SCHADEGG MECHANICAL
2007 COMMERCIAL MECAANTCAL PERMIT AhPL1CATTON
City Of Eagan
3830 Pilot Knob Road, Eugav MN 55122
7 675
P. 01/O1
0?:- SC)
TelepLone # 651-6 S-S ?,?n
Please complete for commcrcisllinAusmal 6uildings (a'Sl??l$?A
....a.:_A...:1.. .:IA:........4 ...........................8...._ ..... .......:.v.A fm aanh dwnll:.w. nnif
Pate% ! 'a-A I ol
Site Stmct Address 55 o (7p ouIvID,?l ?Zt Unit N
'Ceneot Name (ifapplicaLle) qAtCA an Previous Tenant Nanic
PropertyOwner Telephonc#( )
`
c
Controctor 50\0-ae r?
?
,
Strcet AdJross ?5 Rit iCSCQ X\i/`k '1l CitY ? • ?• .-
State IW Zip Teiephoneit
sooa a: 2035413 Expires: 7 28 a8
The Applicaot is Ownar " Cnntrncmr _ Other
W ork 'lype
New CunsCruction -interior lmprovemen[ _Install Piping _ Nrncessed _Cra.s )&ExteMOr HVAC UniY"
(:!NAC units mu5l be screcntd
, Under/Above ground Tank Install ]temnve
When inst311ingtemoving tank(s), qll for inspection hy Fire Marshal and Plumbing Inspcclor
Naturc oFWork: - I o`I"Ov-1, Ca-r6b^ f1.T V - ? ? Sr?okec?e-fc?'ar
5 S r.llr KTS •
PCI'Mit FOtS $70-50 Underground nnk installacion/removsl
b511 V1 gjpjQiy(B(includes Slule Surchurge)
or
s?
??
n?
Contraccvalue $ T75?"' ??6 ? a 1'a
- Permitl'ee
?
?
oe
4- StateSurcharge
To calculate surcharge
IfPemiir Fre ix Icas thun 31,010, eurehmge ia 50 cents.
'
G
?
_S_(+ ec is> 51,000, wreharge incroases by Y.SU
Sf i'em»t
fineLChEI,000Pem?i[Pee(ie.aS1,001-52000Permic
_
?
Ik??
0
C???i'LI'} 1Mn6Ll T""C Fcc rcquircn u $1.00 surchwge).
6 50
?
S I r ?n' ?`
CD {n
i
$ U
J ` Toful Fee
I hereby acknUwlcdye lhxt this informa[ion ia complc[c and accuratc; that the worF: will 6e in confortnmice with the ordinances antl
codes of the L'ity nf Eagan and with The Mechanicul Codes; thnt 1 undarstand This is noE a permiL buT cmly an application lor apermit
and work is nol to skirt wiihout a}x,?rmiC thal thc work will be in accordance with the approved plmi in the case of work which
requires a review and approval ofplans.
I o
ApplicqnP Prmted ie Appli L's Signat c
- ? • ?? ?? • ??
AP}mrved BY: _-bt_ ??I?? . Inspcctur
FAX N0. 6512929929
r I
Rcquircd ]nspcc•,tions: _ U.G. _ R.l. _Air l'esc _ Gas Service Test _ Inflonr Heat _ Pinel
. ,
2007 COMMERCIAL MECHANICAL PERMTT ANPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
?}?/n ; Cr/?r' y
Please complere for commercial/mdustrial buildings (p5 11D75 4
..i.: t....i., b..:u:.. „ho ....e? m'r. Pd fnr rh dwellinn nmf
Date ? / ?1 I 01
Site Street Address 155 U (7 p di.r Mp,r? y/ Unit #
Tenan[ Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
--3 ?
lL
? ll
Y z CS
7
a'a-S Q
\
S.
Cit
.
Street Address
)
Ce l
u
i
o--? Y
State Zip t-LIR?'j 'S'- Telephooe # ( ?,) ? ) Z5?' ??7 ? ?
sooa n: Z)35y7 3 Expires: I /t 440a_
The Applicant is _ Owner _ Contraclor _ Other
Work Type
New Construction lnterior Improvement _nstall Piping _ Processed _Gas ?Exterior HVAC Unit**
- **tIVAC uni[s must be screened
Under/Above ground Tank Install Remove
When installing/removing tank(s). call for inspection by Fire Marshal and Plumbing Inspector
Nature of Work: 1? Q c a N?. "' ?o'?n cx-X ckLlr RT U- U p ckSrnol(e,i?e4&-(oY
Pel'mlt Fees $70.50 Underground tank mstallatroNremoval
$50.50 Minimum (mcludes Stare Surcharee)
?
?
Contrac[ Value $ qSD`, x PermitFee
1% _ $ -79
p0
$ ?? Slate Surcharoe
To calculate surcharge
lf Pertnit Fee is less than $1,000, surcharge is 50 cents.
If Permit Fee is > 51,000, surcharge mcreases by $.50
for each $1,000 Pertnit Fee (i.e. a$1;001-$2,000 Permit
Pee reyuires a$1 00 surchazge).
p 50
$ CJ 3 - Total Fee
I hereby acknowledge that this information is complete and accurate: that the work will be m conformance with the ordmances and
codes pf ihe City of Eagan and with the Mechanical Codes; that I understand this is not a pertnit, but only an applica[ion for a permit,
and work is not to start without a permit thal the work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.
YoV (3urqPy
ApplicanP Printed me
Approved By:
Inspector
Required Inspections: _ U.G. - R.I. - Air 7cst _ Gas Service Tes[ - Intloor Heatl_ _ Final
??Atu zoo7COMMERCIAL PLUMBING rEx?T arrLicaTTON CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Do not combine inside and outside plumbing on the same application;'separate applications and permits are
required.
Date S / c;?2 / ,?V -7
Site Address ???_ 62PPZ2014V dQ, Unit #
Tenant Name yrnC,9- Former Tenant Name
Property Owner Telephone # ( )
Contractor ? i(? &??/;c r s cr -L ?
Address /03,P_'? City
State Mn/ Zip ?5511"19 Telephone#(763) 78`/ ?/78'
License # 576'? Pi,? Expires:
The Appticant is _ Owner C Contractor _ Other
Work Type New Bldg X Modify Space _ Irrigation System** Yes No Work in public r-o-w / easement?
? RPZ _ PVB: _ New k Repair/Rebuild _ Replace X Remove
Rain sensors are re uired on irriation s stems
Description of Work 12yN'vF&T- 'Yp tirt'?
oAl n./Tc?i?nVre if Pressure Reducing a e is quired on new se ' e, ] 6 1-675-5646 2JrD OCb ?t 399 ei99 ,
/Q7
Meters - Call 651-675-5646 to verify tha[ hydrostatic, conductivity, and bacteria tests passed, prior to nickine uo meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3/4" meter $174.00
Domestic 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) Contract Value $ x 1°/o = $ Pemut Fee
$ Meter(s)
Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read
$ State Surcharge
If oermk £ee ie less than $1,000, surcLarge is $.50
If oertnit fee is more thao $1,000, surcharge is $50 for each $1,000 owed.
Following fees apply when i¢stalling new lawn irriga[ion system $ ^ Water Permit ?
Call Ihe City's Engmeenng Department, 65 L675-5646, for required fee amoun[s
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ Total Fee
I hereby apply for a Commercial Plumbmg Pemiit and aclmowledge that Ihe infoimation is complete and aceurate; that the work will be in conformance with the
ordinances and codes o£the City of Eagan and wi[h Ihe Plumbing Codes; that I understand lhis is not a p but only an applic tion £or a permit, and work is no[ to
start withou[ a permi[; tha the work wil I be in accordance with the apprwed plan in the case of workµ ch r mre a revie pproval of plans
; C LL G?, TL?/A/S
ApplicanYs Prin[ed Name qpplicant's Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: "X BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$153.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, reuair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REOLTIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
F GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $136.00 4-120 1-1/2" irrigation syst $ 855.00
displacement or turbine*' Public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $174.00 4-160 2" turbine lazge irrigation $ 1,063.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bidgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & lazge comm bldgs
25 irri ation s stems
5-100 1-1/2" 25-64 unit bldgs $532.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very lazge irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comuii bldgs
1/2-320 3"compound +200 unit bldgs $2,577.00 10-1000 6"compound +400 unit bldgs $6,623.00
very lazge very large
comm bldgs comm bldgs
15-1000 4"turbine very lazge $2,533.00 6" turbo $4,090.00
irrigation systems
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca11651-675-5200.
cc: U[ility Drvision Systetns Analyst
December 2006
?6n/^ 5? / / /
?? 2007 COMMERCIAL PLUMBING rERMiT nrrLnTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Date `5,- / ZI / ? ? __
SiteAddress .t. ?,??0 j7p-¢NVV?id'V ' Unit#
Tenant Name ??• y l? 'L.? Former Tenant Name
Property Owner Telephone # ( 451) Lf?? `??PZZ
MetroTesting
concractor r-A
naaress - Creek Road ciry
State J HinCk1811,MN55U37ip Telepbone#(bI2?) Z2-'I
License #(7 S?) 47 (p PM Expires: I 3 1`? i
The Applicant is _ Owner _X Contrac[or Other
Work Type New Bldg _ Modify Space _ Irrigafion System** Yes No Work in public r-o-w / easement?
_tV.BPZ _ PVB: _ New Repair/Rebuild Replace _ Remove 11 Rain sensors are re uired on irri ation s s ems
Description of Work I`T g
To mquire if Ressure Reducmg Valve is required on new service, call 651-675-5646
Meters - Ca11 65 1-675-5 646 to verify tha[ hydrostatic, conductivity, and 6acteria [ests passed prior to qickin2 up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works
Fire Size & Price 3!4" meter 174.00
Domeshc Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Pertnit Fee $50.50 minimum (includes State Surcharge)
oV
Contract Value $ x I% _ $ ?:)u Permit Fee
$ Meter(s)
Required on all new 6uildings & boulevard irrieation svstems $ Radio Metex Read
$ State Surchazge
If oermit Fee is less than $1,000, surcharge is $.50
If gamit fee is more [han $1,000, surcharge is $30 for each $1,000 owed.
' _ ' -' ' _ _ ' _ ' ' ' _ ' ' ' ' ' ' _ ' " "' ' " _ ' ' ' ' ' ' _ ' _ ' ' ' ' ' ' ' -' ' ' ' ' ' " "' " "' "' ' ' ' ' ' ' ' ' ' ' ' _ ' ' ' ' ' ' - _ ' _ _ _ _ - _ _ ' _ _ _ -' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' -' ' ' -' _ ' ' ' _ ' _ -' -' _ ' ' ' _ ' -'
Following fees apply when installing new lawn irrigation system $ Water Permit
Call the City's Engmeering Department, 651-675-5646, for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ 50, s-u Total Fee
I hereby apply for a Commercial Plumbmg Permit and aclmowleAge that the informahon is comple[e and accurn[e; that the work wil] 6e - coniormance with the
ordinances and codes of the Crty of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a p 't, and work is not to
start without a permiF, that the work will he in accordance with the approved plan in the case of work whi requires a review and a roval of pl
Y???
ApplicanYs Printed Name ApplieanYs Signatore
r
For Office Use
Permit#:
City of Ea
Ed I Permit Fee: w
3830 Pilot Knob Road
Eagan MN 55122 MAY, 18 RECD Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L F - I Staff: I
0 ~
2009 MECHANICAL R IT APPLICATION
Date: & Site Address:
Tenant: ! l C Suite M
RESIDENT OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: We,KS Co~•. Dr~.z __5 License
Address: L~' v v
City: State: Zip:
Phone: y Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: 4,01,2ce D t4 ffl~ C GG~t
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code, Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
_ Air Conditioner Install Piping Processed
_ Air Exchanger Gas X Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ 6125) x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ ~ D •Z, TOTAL FEE
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 Gam- e- e 4 C-117 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: _J Date: Z t
Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
. From:.NSI Mechanical
City of Iaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
763 235 9811 11/28/2012 14:06 #302 P.001/003
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
550 opPe-A144.14.4 by t03-, ss►Z3
J
Date: 1( /281 12. Site Address:
Tenant:
a GA. keJ
Suite #:
Name:
YMtk
Name: N. O it 1,4* IT.
Address: YKe) QJ$56L aJG A
Phone: 7L3- 2.$6-713 ( Email:
New _ Replacement
Phone:
License #:
City: N Gl#3 L4 ' State: Nu
Zip: S� '1 2.• 9
CA, 1J k 444s) & blesott4cr. --N'st .tom•+(
Repair Rebuild A Modify Space _ Work in R.O.W.
Description of work: Am k+ i70‘6 5AT*Ase M1 to Pi citieo
COMMERCIAL New Construction X 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 uo meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? _Yes No Flushometers _Yes
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge)
OR Contract Value $ 1 , P� -
=$ 07g,°7m
Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
*If the project valuation is over $1 million, please call for the State Surcharge
$ — Meter(s)
x 1%
5.00 State Surcharge"
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
=s#83..e
TOTAL FEE
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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x m5t,{ok A • C.0014 t 4A -N
Applicant's Printed Name
FOR OFFICE` U
X J44 I w -v•
Applnt's Si ture
�prored By
equired Inspections:. finder Ground ough In : . " it est Gas Test ':.'Final 1�12V Required
Page 1 of 3
1111111
City of Eaau
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
C"
Permit #: 1 d 3c 'Tc 3
Permit Fee:
Date Received: I I (v ` 1
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Site Address:
Tenant Name:
c
550 c pfetrWwv, `Dr; \It__ ick 0,,) PIA/
(Tenant is: New / " Existing) Suite #:
Former Tenant:
Name:'I,t CA Cff 1-&e hie &erTW i\coLC%lesphone: , 1).-371- '87 //4
Address/City/Zip: '13C) Sock -VA, IVAc�
lI . 'Ii 41 ( ', f, `i[V 550 2
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Applicant is: Owner Contractor
Description of work: COVE \1 f'14k �t �2n t� ! iylgi pconk5 l v / (,v4
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Construction Cost: 3
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Name: t' IN\ C
License #:
Address: City:
State: Zip: Phone: 6 /2-.17/-8 7,
Contact:
Name:
Address: City:
Nc-J a,rn4 Q. Email:
TrcA
Registration #:
State: Zip: Phone:
Contact Person:
Email:
Licensed plumber installing new sewer/water service:
Phone #:
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only application fa permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the cas= • work which -• uires iew and approval of plans.
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Applicant's inted Name
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Applicant
Page 1 of 3
SUB TYPES
/Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
VAlteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
.S0CypeOr
DO NOT WRITE BELOW THIS LINE
Public Facility
Accessory Building
_ Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
,5j5,DDC)
ye
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain Tile
_ Roof: _Decking _Insulation _Ice & Water _Final
I/ Framing
Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Exterior Alteration -Apartments
_ Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Fire Repair _ Retaining Wall
*Demolition of entire building — give PCA handout to applicant
MCES System
C--** SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
�Final / C.O. Required
✓ Final / No C.O. Required
Other:
_ Pool: Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
_ Windows
Retaining Wall
Erosion Control
Final CIO Inspection:\nSchedule Fire Marshal to be present: Yes
Reviewed By: Mkt, kt, L , Building Inspector
'✓ No
Reviewed By:
, Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
/r1. 50
33� .33
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAJ 0576.33
Page 2 of 3
09/09/2012 11:61 7634447106 D&D �NDERSON H & P PAGE 02/03
Use SLUE or BLACK Ink
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3830 Pilot Knob Road I � I
Eagan MN 55122 1 Date Received:. � ' �� �
Phone:(651)675-567 � � � �
Fax: (6S1 675-5694 � staff: _Y_�
) I.._---------°---
2015 C MMERCIAL PLU BING PERMIT APPLICATION
❑ Please submlt two(2)s ts of plans wlth all commerc al applications.
Date:
� ��0—�5 s; Add�ss� �� ��� �r�'v�-
Tenant• �� � Suite#•
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2 � �{, ��.� Phone:
,?¢1.��;�'s ,�r �J Name:
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;.�a�; New �Replacement _ epair _Rebuild _Modify Space _Worlc in R.O.W.
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;.'���a+.f.,� ��• � � ^
�;� t. �, , COMM RCIAL _New Gons ruction Nodify 5pace
K� �E ,�t�� Irri ation3ystem(_yes/_noJ(_ Pz/_PV6)
S'i��"I.:,;; ���'�'�' �+,� � • Raln sansors required on Irrigation sy tems
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;,� r ' {7 '"� . Avg.GPM (2"turbo requlred u less smalier sizs allowed by Public Works)
�,� ��du�,.,�
�?:�., �� � � o Mst rs Caii(651)8Tfi-5646 to varity that t ts passed prtor to ni�king uo meter.
9'=' `E��� '�:' � Flre: 1
�� '�� Ovme�ti :Size&Type
;!,� ���'' � � Avg.GP Hlgb demand davlcesl Yes�No Flushometers,_,_,Yes_No
COMMERC/AL FEES Contract Value$ �7�'� `�_x.01
$55.00 Perm' F e Mlnim m =$ , �—�j,� PermltF�e
'"If contract value is LESS th n$10,010,Suroharge=$5.00 =$ �-v V Surcharge'
"'If contract value is GREAT R than$10,010,Surohprge=Con ract Value x$0.0005 w$ � /'b`�
"*•If the projeCt valuation is ov r$1 ml)lion,please call for Surcha ge �L/S�J T07AL FEE
Following feas apply when I stalling a new IdWn irrigation s tem $ Water Perm�t
Contact the Citys Engineering De artment,(s51)675-5646,for required os amounfe. $ 7reatment Plant
$ Water Supply&Storage
( �. 1 ������/�, � $ State Surcharge
� � _$ ��.�� TOTAL FEE
CA�BEFOF},E YOU bIG. Call Go her Stdto One Call at(651)45A-0 for protectlon agalnst underground utlllfy damage. \
I hersby adcnawladge that this info alion Is complete and accurate;that the woric wlll bs In conformance wlth the ordi�a�ces and codes of the City oF
Eagan; thaE I understand this is n t a p�rmlt, but only an appllcafion fo a permlt, and work is not to start withou(a parrnl; that the work will be In
eccordance with the epprovsd plan n the cese of work which requires a re lew and approval of plans. .
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AppllCdnt's Printed Name' A icant's Signature
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Job 160874 /��' ( ___ Use BLUE or BLACK Ink
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Cit of�a aIl �b ��S I Permit#: / ��ll���� i
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3830 Pilot Knob Road � Permit Fee: � ` av �
Eagan MN 55122 I �-��,/�
Phone: (651)675-5675 � Date Received: �
Fax:(651)675-5694 , � I
'�� � ' . . ;� ,', � Staff:
-----------------I
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
8/25/15 550 Opperman Drive
Date: Site Address:
Tenant: YMCA Suite#:
Residen#/Owner
Name: YMCA Eagan Phone:
Address/City/Zip: 550 O erman Drive ' �k
Name: Corval Constructors. Inc. License#:
Contractor
Address: 1633 Eustis Street City: St. Pa I � �- ��'
State: MN Zip: 55108 Phone: 651.645.0451 r'
Contact: Jason Albrecht Email: Jalbrecht@corvalgroup.com
New x Replacement Additional Alteration ''on
Type of Work : Description of work: Replacement of Pool Unit
NdTE: Roof mounted and ground mounted mechanical equipment is required ta be ssreened by City
Code. Please cantac#the Mechanical Inspector far infarmation on'permi#ted scr�ening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _Interior Improvement
P@Clllit rtj/pe —Air Conditioner _Install Piping _Processed
_Air Exchanger Gas X Exterior HVAC Unit
Heat Pump Under/Above ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ 200,000.00 x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ 2,000.00 Permit Fee
_$ 100.00 Surcharge*
�If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge 2,100.00
_$ TOTAL FEE
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 Peter Jordan x\�' ,'�`�,`.`�r5�,t� � i�
ApplicanYs Printed Name Applicanfs Signatur - �
FOR OFFICE USE ' { �
Required fnspeetion Reviewed�y: ���;� C�ate: �F�
Underground Rough In Air Test ' Gas Service Test ; In-flcxyr H�a� �Final HVAC Screening ;
,
• ' Use BLUE or BLACK Inii�
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Cit of E� a� ���' � Permit#:
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� Permit Fee:
3830 Pilot Knob Road ,,, 1 e; �(�i5 ' �
Eagan MN 55122 ��'i.� �
A °�, I �
I Date Received:
Phone: (651)675-5675 i �
Fax: (651) 675-5694 � Staff:" � I
I
�-----------------�
2015 COMMERCIAL BUILDING PERMIT APPLICATION
Date: �/1� o�d ' Site Address: ��b l�A�iP7/��`^0�" ��i t-'�-
1/
Tenant Name: !�`'1 C�� , � (Tenant is: New/ Existing) Suite#:
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. - Former Tenant:
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��0�?+�i'�/OWi]�� � ` Address/City/Zip: ��� ���1°T1�-�� Q(`I+�C.-
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��: �: t Applicant is: �Owner Contractor �
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� #� �y Name: License#:
� � � Address: ��� tc� i�d0(�rJ'''�-^ ,�_City: �i C�,n
"�t1�"�C�flP � #
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�:�:� � �����, .. .� Contact Person: Email:
Licensed plumber installing new sewer/water service: Rhone#:
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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.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work' 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 a d approval of plans.
x , ) U � � x
Applicant's rinted Name App icant's gnature
Page 1 of 3
��C� � ��I'�I/�"l�L U�� DO NOT WRITE BELOW THIS LINE ���`�� -
SUB TYPES
Foundation _ Public Facility _ Exterior Alteration-Apartments
✓ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES , �
_ New ✓� Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Exterior Improvement _ Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
ac,� / �E►�-�
Valuation ���_�_ Occupancy �'•� MCES System ✓
Plan Review � Code Edition Z�lS/�4E�G SAC Units � O�,�MCX��►G� I/V v� o�G�c.14
(25%_100%_� Zoning � City Water T—
Census Code Stories f Booster Pump
#of Units � Square Feet /(o PRV
#of Buildings J 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: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No -------��._..,,,
Reviewed By: ��fd , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee ���.�' Water Quality
Surcharge 'Z�'Sb Water Sampling Fee
Plan Review 'IG• ?o Water Supply�Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S8�W Permit 8�Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL f��'�'
Page 2 of 3
L
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�
��Q FaRY0UTt1 DEVELOPMENT�
��" FOR F#EAITHY LMNG
'� FOR SOCIAI.RE�ON51BIL17'Y
A�gust 28, 2015
Mr. Cra�g Novaczyk
Senior Bui�d�ng Inspector
3830 Pilot Knob Rd
Eagan, MN 55122
Dear Craig,
The SAC determination application for the Eagan YMCA Licensed Childcare
bathroom project has been submitted to the Metropolitan Council.
The Eagan YMCA wiil pay any additional SAC fees charged to this project
immediately upon receiving the SAC determination.
I understand we will not have a fin�l inspectlon until the SAC determination
has been received.
Thank you for all your help
Sincerely,
�'T��
Ph�llip Pagel
YA�C�f3f THE GREA�'ER'�'WIF�CITIES Pa e 1 of 1
50t!'fHDAIf Yi�ICA 9 I
7355 York Avenue South,Edina,MN 55435-4701
P 952 835 2567 F 952 835 0221 W souiiidaleymca,org
, Metropolitan Council � Environmental Services MCES Transmittal-A
390 Robert Street North Last Updated: 12/10/2014
� St. Paul, Minnesota 55101-1805
651.602.1531 0 651.602.1030 fax �`���'�g
�
. � Sewer Availability Charge(SAC)
2015 DETERMINATION APPLICATION
Submit all of the items from the Submittal Checklist (listed below) in electronic/PDF
format to: SACproqramCa�metc.state.mn.us
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PROJECT TYPE: ❑ New Building ❑ Addition 0 Existing Business Remodel � Tenant Finish
Business Name Type of Business
Eagan YMCA YMCA
i e ress (if address not assigned-street intersections in lieu of street address) City Name
550 Opperman Drive Eagan
i e oca ion (ex. Mall o America,Oaktown Office Park,etc. Suite Number Date of Occupancy
From: 6/1/83
Project Description
Add a bathroom to an existing room to use room for licensed childcare
Original Building Construction Date Parcel Identification Number(PID)
1983 10-87001-01-010
Business Name(at this location) Type of Business
YMCA
• Site Address City Name Suite Number Date of Occupancy
From: To:
� Has or Will the Building Be Completely Demolished? If Yes, Demolition Date
p Yes ❑ No
Contact Name Phone Number
Phillip Pagel 952-897-5474
Company Name
- Eagan YMCA
Complete Mailing Address
� 550 Opperman Drive, Eagan Mn 55123
Email Address
phil.pagel@ymcatwincities.org
�..� �.v �� �
x: ����� �`�5�i��1 ��� �C1.:1S � .f�
�:� F :
Include
❑ SAC Determination Application (Transmittal -A)
Incomplete and old version forms will be rejected �
❑ Site Plan
❑ Architectura/Floor Plans — 1 set; Electronic floor plans are preferred (NO SPEC BOOKS)
p Must be same plan as submitted to the City for their review
❑ Scalable - or with individual dimensions for every wall, room and space
CI Room Schedule, showing use for every room and space (if not specified on plan)
p Seating layout (if restaurant, bar or theater) - lnclude both indoor and outdoor seating
p Plumbing fixture layout (if clinic, hospital or parking garage)
❑ Demolition P/ans (if existing or remodel) — 1 set - include room schedule
❑ SAC Affidavit, Reclaim, Transmittal-B and/or Transmittal-C forms (if applicable)
/ ' ' i
Craig Novaczyk 1 YS�.%� /�
- From: Craig Novaczyk
Sent: Thursday,August 27, 2015 2:35 PM
To: 'Phil Pagel'
Subject: RE: Proposed plans for YMCA restroom renovations
Phil,
Per our phone conversation earlier this afternoon,the City of Eagan requires a SAC determination for all interior
improvements prior to issuing a building permit.
In this instance, I am willing to issue the building permit as long as an application for a SAC determination has been
documented (send us a copy of your application), and you provide us with a signed letter stating that you will pay any
additional SAC fees charged to this project, immediately upon receiving their determination letter.
A final inspection for this building permit will not be Scheduled until a SAC determination letter has been received by us,
and any additional fees are paid by you.
FYI,
Plumbing, electrical, HVAC,and Fire Suppression plans shall be submitted with their respective permit applications.
Craig
From: Phil Pagel [mailto:Phil.PagelCa�YMCAtwincities org]
Sent: Thursday, August 27, 2015 12:04 PM
To: Craig Novaczyk
Subject: FW: Proposed plans for YMCA restroom renovations
I just dropped off two sets of plans from the architect for the kids bathroom Eagan Y. If you have any questions the
architect was with CNH, Ken Koense 920-997-4581.
I will be emailing the Met council the Sac determination application this afternoon. Can we get the permit without this?
Do you need anything else?When do you think we may get the permit?
Please call any questions 612-247-3687
Thank you!
From: Craig Novaczyk [mailto:CNovaczvk@citvofea�an.com]
Sent:Tuesday,August 25,2015 6:52 AM
To: Mike Lavin
Cc: Mike Lence
Subject: Proposed plans for YMCA restroom renovations
1
'( ` ' �
� Good morning Mike, j-� �/-��
(o
• I'm sending these plan review comments to you because I have no email address for Phil Pagel (contact person listed on
the permit application).
We have started our building permit plan review for the proposed new restroom plans at the Eagan YMCA.We will need
the following required documents/information so that we may complete our review:
1. (2) sets of scaled plans.These plan sets shall include:
• A Code Analysis
• A plan view of the toilet room including required clear floor spaces. This toilet room is required to be accessible
and shall meet all of the requirements of the 2015 Minnesota Accessibility Code.
• Elevations details showing grab bar locations, dispenser locations, plumbing fixture heights,wall finishes, etc.
We will need elevation details for the sinks outside the toilet room as well.
2. A SAC determination from the Met Council
3. Plumbing, hvac, electrical, and fire suppression plans shall be submitted with their respective permit
applications.
Please revise the plans accordingly and resubmit them for our review.
Thank you in advance for your attention to these items,
Craig
Craig Novaczyk � Senior Building fnspector � City of Eagan
City Hall�3830 Pilot Knob Road�Eagan,MN 55122�(651)675-5683�(651)675-5694(Fax)�cnovaczvk(c�citvofeaqan.com �j� (�����
l�� IJ
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error,please contact the sender and delete the e-mail and its attachments from all computers.
2
t � Use BLUE or BLACK Ink
�-----------------,
� For Office Use
� ���� � �C� �� � ������� �
Clty of Ea�aIl � Pe��t#: � �
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�J��� I PeRnit Fee:� � �� �
3830 Pilot Knob Road �0 `-/� I
Eagan MN 55122 � Date Received: � ` -� �
Phone:(651)675-5675 � j
Fax:(651)675-5694 � Staff: �
. R ' ����_���'�__ ___J
2015 COMMERCIAL PLUMBING PERMIT APPLICATION ��
��
❑ Please submit two(2)sets of plans with all commercial applications. �s�
$-11-15 550 Opperman Drive, Eagan, MN 55123
Date: Site Address:
YMCA Eagan
Tenant: Suite#:
Property YMCA
(�yy�gr Name: Phone:
HOfWItZ
Name: License#:
4401 Quebec Ave. N New Ho e MN 55428
Contractor , Adaress: c�ry: p State: Zip:
Phone: 763-286-7937 Ema;i: Jcounihan�a horwitzinc.com
_New _Replacement _Repair _Rebuild X Modify Space _Work in R.O.W.
Type of Work �h
Description of work: �p Q ��v,5 G1�.4a.�. K{'�T �iM—�' TW� 51 N�S T'� �Y� �
' COMMERC/AL New Construction ,�Modify Space �.
_Irrigation System(_yes/_no)(_RPZ/_PVB)
. Rain sensors required on irrigation systems
PE.'CIYf�t T�/�@ . Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meters Call(651)675-5646 to veriry that tests passed prior to pickinq uo meter.
Domestic:Size&Type Fire: 1
Avg.GPM High demand devices?_Yes�No Flushometers_Yes x No
COMMERCIAL FEES Contract Value$ � I� ��'�.�""x.01
a60.00 Permit Fee Minimum, includes State Surcharge =$ (c{�'", � permit Fee
*If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005 =$ ( . 2s Surcharge*
If the project valuation is over$1 million,please call for Surcharge
_$ I S?, 2S`� 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 amouMs. $ Treatment Plant
$ �' Water Supply&Storage
$ — State Surcharge
_$ � 5"2.• Z-�°� 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 only an application for a permit, and work is not to start without a pertnit; 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 ����. ��� �� X � .
Applicant's Printed Name Applica ' Signatu
FOR O�FICE USE ' ro�red 8y: Date; �
Reqairetl Insp�ctians: �nder Ground ,,,�ough-1n Air Test _Gas Test ,��inal P!'�U R�qu�ret�: Yes�No ,
Meter:Related Items: Meter Siz� Radio Read Mlanc�lmeter ��ff:
Page 1 of 3
Cite.. of Eafali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 COMMERCIAL BUILDING PERMIT APPLICATION
Date:'21,4(qaolL '21,4(qSite Address:
Tenant Name:
et
SSO OppperhC4,
pr, E., c,„, 11.E 5
Lel
3 4)
�(M (,4 (Tenant is: New / Existing) Suite #:
For
r Tenant:
Name:
Address
Applicant
E --c"..7 c,,,,1 Y i/`'\ CA — PA./ Pc. gs t Phone: c, S . _ f c17 - g 4 7
/ City 1 Zip: 5 3-0 pfpp.+a rr,a... a, -,L !e Eu jo.. mit) r S / 3
is: viOwner Contractor
Qf V ork Description
Constnliction
of work: tie "%o i I) ir'pu Cr Ct,1., c r c j -FloDr ' Iii,,,I a 4 , dopes
Cost: 5" 6 ~CI add 3 �• •
Name:
Address:
'
State:
Ph , it,p 9 "e (' rrkkcik ,License #:
ri'"
7 3 1 S Ori lsi E 5 City F-c/r m.
i'`.... ti Zip: SS 1 35 Phone: Ci So. _ 8 9 7 — Pt 7 Li
H v
Contact: 119h I( Email: t. 1 CS I d r -i o
Name:
int Address:/
Kr
State:
C ill IT CA �A't e G f S Registration. #:
7 3 0 0 w / Li S--1-SiA- City: clerk i� !I e
d� ►� Zip: 5 si a Lj Phone: 9 3-4. q 9 7 -- YtT
Contact
Person: t 1.d, in V /ft-) 7-SC'1 Email: W` W
Cr' tri , c cD^-,
Licensed plumber installing sewer/water service: Phone #:
11/QTE ratans and su
the t enation maybe clads
utt+tit Via# yav su nsrderi0d
as ncs,» rfc rig . d .
aso rt
•
CALL BEFORE YOU DIG. CII 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.000herstateonecall.org
1 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
13SZ>>
SUB TYPES
Foundation
/Commercial Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
/Addition
V/ Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 100% y' )
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
00
/100
Ye -5
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Decking _Insulation _Ice & Water
1/ Framing
Fireplace: _Rough In Air Test Final
Insulation
Meter Size:
Final
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: /1///k- , Building Inspector
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
.%5—
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
_ Retaining Wall
*Demolition of entire building - give PCA handout to applicant
eat-.
1.1 u` 7 IA/AM MCES System
.20/5 *56( SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
%/final / No C.O. Required
Other:
0 M. de 2 AtTwebt
re
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Concrete Entrance Apron
Yes o
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
Reviewed By:
TOTAL: 6Q3.-88
Page 2 of 3
For Office Use 1 )([
I �
/51 /& /Permit#: /� �./
• • Permit Fee: 7 ` / y
‘:44.:' ' ''' E AG A N &eit4i4
Staff: 1
3830 PILOT KNOB ROAD EC E'V E Payment Recvd: Yes No I
EAGAN, MN 55122-1810 R"" I
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I Plans: Electronic Paper I
Plan Submittal:epians@citvofeadan.com NOV 3 0 2018 L
2018 COMMERCIAL BUIL®1 k = , / APPLICATION
Date: ( I i��1�V Site Address: )--5b
O °reef-n ct Pr E cki qi ,„ 5 -s-/Z3
Tenant Name: �ck.9 ct h YMCA (Tenant is: New/ Existing) Suite#:
Former Tenant:
Name: //1/-1C141 ®rr far`(•n lei— 7----,.►c=F"i',rf Phone: 9-S-).-Pect 7.—-5-Y7 g
�Property Owner /City/Zip: _5"---C D Off) e' \� . pe- E 9 c- M^ Sl3
Applicant is: X Owner Contractor e&- - 1: Pil` s PA-lei Q Y"`CA°n r ® 3
Type of Work Description of work: 19e-k--o/0-,/d n r vii f "ft) e k' el ®- 'gce a1 c(4 c4 ecAt-1
;A ,;4 <« c/ ...cid 0,./1-t- F '<tar/c
Construction Cost 0.__a�- 5��1/,lCf ,„,..,014„ v/0+1k(P et,cls
Name: , a 411License#:
Contractor Address: ✓0 / /�` / e City: (-..-7-1-1 /9-i*
State: Zip: / Phone: (G74. � ( �✓ 0` 9 O
Contact: Email: 1� ab° t�C 7 E (�, (
Iin ovnn,Otel
Name: 4J t (/dt 0 eV Registration#:
S.,,7e 3411
Architect/Engineer Address: 7 1I V1A31 "`' ID-, °Lye N city: MP-S
State: l`^n Zip: 5-3- 4�3- 1 Phone: f c — _Fj £ 0 ^ 77 9's
Contact Person: hot" e It'r-c 0,, t Email: rtiekc/a /e;n p rr„nivel-io—i-il-Como,,
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x PA (1l P. 7e ( X &)----4---97ter-(--€�
Applicant's Printed Name Applicant's Signature
II
' DO NOT WRITE BELOW THIS LINE / . .
SUB TYPES — S 6 x1reP e' w/i az ,
Foundation Public FacilityE for Alteration-Apartments
Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Retaining Wall
— Salon Owner Change *Demolition of entire building—give PCA handout to applicant
—
DESCRIPTION `
Valuation 5/ere- to-t) Occupancy ' / MCES System v
Plan Review V Code Edition Zb(SM&- SAC Units D/Nd Cftifi/ /i'I/5t et-OC-e-• LDS
(25%_100% ") Zoning ( City Water t/
Census Code Stories I Booster Pump
#of Units C Square Feet PRV
#of Buildings / Length Fire Sprinklers /
v"
Type of Construction IX•$ Width
REQUIRED INSPECTIONS
Footings_New Building_Deck_Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
V Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof:_Decking _Insulation Ice&Water _Final Meter Size:
Siding:_Stucco Lath Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans
Windows
Fireplace:_Rough In Air Test _Final/'" /Final/C.O.Required
Pool:_Footings _Air/Gas Tests ,F' art'i I 4/ Final/No C.O.Required
Final CIO Inspection: Schedule Fire/Mar , to be present: ,- Yes No
Reviewed By: - , Planning New Business to Eagan: 6
Reviewed By: L-�ZII,C , Building Inspector
FEES Water Quality
Base Fee it, Z c Storm Sewer Trunk
Surcharge 7 • °-t2 Sewer Trunk
Plan Review /OS- . 1-t, Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: 77/.7/
Page 2 of 3