3386 Pilot Knob RdREQUEST FOR ELECTRICAL INSPECTION ?eJe-o/o?ooi/-o.s,
, Sae instr'uctions for campletin9 Ihis larm an beck of Vellow coCVor?v/ C.(?
? $?D "N" Below Work Coverc+dby 7his Request
FAd NeO. TyDe ot ewieing AoOliancea Wired Equiument Wired
Home Range Temporary Service
Duplex Wa[er Heater Lightiny Fixtures
Apt. Building Dryer Electric Heaun
Commercial Bldg. Furnace Silo Unlonder
Industrial 81Ag. Air Conditioner Bulk Milk Tdnk
Farm iner oaci v 01n,?r lsno,ivl
t .r uec.(y Orher Oth,;r
1 omnute lnsoection Fee Below
p Fee Service EnhenceSize U Fea Fexders/5ubieeders N Fee Circuits
0 to200Am 5 0 to30qm s 0 to30Am s
Above 200 qmps 31 ta 100 qmps 31 to 700 A s
Swinnning Pool Above 100_Am s Above 100_AmPs
Transiormers Irrigation Booms PartiaLOthcr Fee
Signs Special Inspection $ ?
TO L
FEE
fl?s ! . , /1 I ? !1 (\ /./'
Jr
flouBh-in Dnte I. 1ElectKCe
Inspe reby
car?ify thaf ihe ebove
Final AP 'nspection hes bean
S .? mede.
thle re4uest volA 18 monlla irom
This request void ?/?AE? • '
18 nwnffis fmm ?L
D ?7*W
Request ?a?e
• Fire o. Hooph- in Inspection
Requiretl?
[-]Ready Nuw ill NotifY Inspec-
,^??S `(?R
v ?Ves ONo «?r When Ready
E Ucensed Electrical Contractor I herebV reauest inspection of abova
Owner alacVical wark installad aC
Stree, Atldress. 6ox or Route No.
3$ Et. Citv
xcuon o. Township Nama or No. Hande D. unI y
Occupant (PNINT) Phone No,
P r Sup0lier Atltlress
Electrical Convactor ICompanY Nxme) ' Contrncto"s License No.
Mailinp AAJress IConbacmr or Owner
I
• akine lnstuilationl
Authoriz '
n ure (ConVactor/ M mg Installationl Phone Number
L
MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION flEQUEST WILL NOT
GriB9s•Midwey 91d9. - Ao m N•191 gE ACCEPTED BV THE STATE 60AflD
1821 Univarsitv Ave.. 5 Peul, MN 65104 UNLESS PNOPEN INSPECTION FEE IS
Phone(612) 642.0800 ENCLOSED.
_ , INSPE(:TION RE(;()R1)
CI'ZY OF EAGAN PERAAIT TYPE:
" 3$36 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651)681-4675
SITE ADDRESS: ' 10 ' °'.,' ,, 1 0 f 41 0 1
1411 i t?? ???-? :
33$6
PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
INSPECTION ., . DA
1tt'f+AfaK 1. : F'[Ahi hE Ult'FJ?tI fiY !-1(1'!MI' Msf t t R
140 FiNAI tIN l f I I A1 i f`!t !" Fr •.{I I1Nf? { f ti'I i irN ( 9 1
F_
?
Permft Holder Date Telephone #
EWER/
' ATER
PLUMBING 9 9' S100
`iVAC / 9 ? ? 55/ov
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING -. A y. x
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
"
GAS SVC
TEST _Q la-?- ?, l?w 4yC ? •
INSUL 4 v / 14 4-
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
/
FINAL HTG .p ?
?
ORSAT
TEST
BLDG FINAL o?
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I
?
ti MW IEAMM C#,?
?" ??-'? /
W-tL'tiftCQt¢ nf CCCqQnC?
witij of Wagan
Zqarhaent of isuiibing 34130ectiun
This Cenificate issLed pursuant to the requirrments of the Uniform Building Code
certrfyirtg that a1 the rime of issuarsce this stnecture was ia corrrpliance with the various
ordinances of the City regulating building construction or use. For the following:
Uu C7asaification: COWIlM ?ffsrl eldg. Permit No. 34007
0-P-Y Type zoamt m&la - I y?pe i.?opnsi. f7?? ??NA
Ow??e.rof Bu ?? B ??i1L AddCSS t 1'O7 ?1J1?1: ?YL, :L7e'h7a?+'?
Bwwing Aaar 3386 PID(7T ICrM RD Low.ty L, B,
Dak.
eumog offxmw
POST IN A CONSPICUOUS PLACE
w?, F•? ?
? .
- f ?e?ti?icate n? ?ccu?anc?
?cwcat af ex"iKs a«doeai.n
This Cenificate issued pursuant to the requiremerets of the Uniform Building Code
certifying that at the time of +ssarance this structure was in conrplianre with the various
: ordinances of the City regulating building construction or use. For the fullowing:
? - COMIIYI/IND MISC - ALTERATION ..2 t424
use caassirxu'mo: BM& rr,=+ tvo.
? - o-p-y Type zon;ng nistr?
? - - Oamerof Building Addnss ,
?. s tsj,
B?ilding Address L,ocaliry
?. , ,.
08/31/93
?:
; suaa;ng oe?? ?
' POST IN A CONSPICUOU9 PLACE
CASH RECEIPT
' CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
r{
AMOUNT $,
& DOLLARS
+oo
? CASH [] CHECK
FOR
' ?? Y 1 1
.. ' • `. . 1 . ?+ i ' . . . '
1
PUND GODE AMOUNT
,e`? ?i
?. ?
?
?
?
Thank You
BY
"JG721
??--?
1Nhite-Payers Copy
Yellow-Postinp Copy
Pink-File Copy
BLDG PERMIT N0
??tC.? `%? -?0'Ll?? J?
.
j .
, i_
';L
t
.- .-/N.?
?
2
01-3Z10 . Bldg. Permit -
1
?
01-3422
Plan Check
01-3445
Surch./Adm. -,
01-3446 SAC/Adm.
01-2155 Surcharge 2 V
17-3860 Road Unit Y 7 ? 00
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewez Conn. ?-
11-3855 Park Ded. J. 62 (o t'o
TOTAL ?/O ,.? u ( J G
CASH RECEIPT
.
C1TY OF EAGAN
. 3830 PILOT KNOB ROAD
EAGAN, M I N N ESOTA 55122
' i ?•. ?.
DATE 19 ?
i
ReceIveo , • , y
FROM
AMOUNT $ I
? CASH F? CHECK
r
?
.?? -? /' ??? ..•,h ? !
Fll ND C OD E pM OU NT
r
Thank You
BY
.. ., ?
; .
,?-- . -/ r--iL-A
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
J
ITY OF EAGAN Remarks
Ad 'on WORNEST IST ADDN Lot ol[t *Ot
.11 Owner Street
Improvement Date Amount Annual Years Payment ",Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM 5EW TFiK 1984 . 14 59.7
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
`.
WATER N.
BUI ING PER.
AC
PARK
CITY OF EAGAN
,4ddicion NORM85T 13T ADDN
C r Ir'
Remarks
Lot outlot C Bik Percel 10-52250-030-00
Li ; rz-. - n). - ,1-i i - • 7o urer 3 1 ` &4, 1
Improvement Date Amount Annual Years Payment Receipt % Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN 1/ /
WATER LATEFAL ?
WATER AREA
STORM SEW TRK 0 3 1984 9109.98- 911,00
STORM SEW LAT '
CURB & GUTTER
SIDEWALK
STREET LIGHT
?
?
WATER CONN.
BUILDING PER.
SAC
PARK
COntrol
INSPECTION RECURD I No.
. CITY OF EAGAN PERMIT TYPE: "it jI ir IHfi
3830 Pilot Knob Road Permit Number: o8 io/y
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LpT s t 11L0rX: 1 APPLICANT: '
3306 PILp'( KNOR RO FAI.LS & MYNUSMOEM GOMaT
MQRWFST ?NQ (612) 998--3910
_
. • . ?3i
PERMIT SUBTYPE:
CUNM./iNU_ MtSC.
TYPE OF WORK:
? ?i r. -? !? ' 1Y }
Y ?- ?
.? '? ? •'ls+?f r - ?" _ !?- ?'
.T-
x
. _ - - '' ••- . _ - ----
RFMARC5: EA(iAN FAMILY CARE CLlN1[
PermR Na Permft Holder Dsq Telephons N
S/1Af
PLUMBING
HVAC
ELECTRIC
ELECTRIC
hupactlon Oube 1Mp. Coa?menes
Footings I
FoundaHon
Fmrn?ng
Roo(Ing ,
Rwigh Pft•
R°ugn Ht9. SZ? -93 w o r%.?c /F
teul.
FrepF8C8
Fina Hop.
Orsat Test I
Final Pibg. Pbs. irmpecto?- rbwr Piumcef
Conet. Meter
Eng-JPlan
Bidg. Ffnal 4?f tdj(
Dedc Ftg.
Deck Flnai
VUell
Pr. Disp.
?Y#
,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
tdlll:! I1 ', 1 .'YlU
PERMIT SUBTYPE:
F
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
inr: 1 HiocM
t NnR Frn
, APPLICANT:
TYPE OF WORK:
.
ictt i I it t
H,'1 4.'4
WJ/1:'/
7
J
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC ,?. w
ELECTRIC
• (f p? °o
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing `0
Roofing
ROUg'1 Plbg.
Rough Htg. Cie- ' ^ ? ^r
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
L
Deck Ftg.
Deck Final
Well
Pr. Disp.
+ :, IIs.
(Itrti#tratit uf {Orrupttnrg
Citp of (Eagan
Eppal'ttltMtf Df lltdbtttg Jtt8pP1'ti0tt
This Certifcate issued pursuant to the requirementr of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
U. cta?ifiatioo ':?I??AI. ?' • sMg. Pono;t PFn. 1!i: ?:,
occ„p,-y, Tym 2,f r-i mn* nWr;cc rym co?,: : ri 5PF? ?`.?;
Owoerof Building ?r'?• , pdd=
eWdding paanm L=bty 1j, El? 'JLJLk%^.`i _
iAOe: '•?fsi? t??
Building Of6cisl
POST IN A CONSPICUOUS PLACE
PERMIT # y? % t;
. MECHANICAL PERMIT RECEIPT # ?C= C
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?X2
PHONE: 454-8100
?--
Site Address ?- ?f'? ???•
Lot ?
Block ?
r
? Y
m Name1)4T,rriNS?e..uG
? Address f 9 rri P, E 1v,
c City
? Name ?vr-7??5?`oti
3 Address
p City t.:_ ???iC r?n rJ
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
? ? --, M BTU
M 8TU
? M BTU
MBTU
CFM
BLDG. TYPE
Res.
Mult
Comm. ?
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1oi6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Iv11NIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
4
FEE
S/C: 0' ~ SIGNAffURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan,
PH O M E: 454-8100
BUILDING PERMIT
To be used for Est Value
Site Address
Lot Block Sec/5ub.
Parcel No.
NORWBST 2NL
o? Name
; Address '
° City Phone '
.o Name ?
? s Address
i City Phone
F ¢W Name
_ E Address
a W Clty Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WateNSewer _ Surcharge
Police Plan Review
Fire _ SAC, Cfty
Engr. SAC, MWCC
Planner _ Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Roed Unit
thattheinfprmationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
M N 55121
375
Receipt #
Date .19
Psnnit No. Permit Holder Date Telaphons ?
Plumbing ? j cf . - i
c ,.u -?
H.V.A.C.
Electric
Sottener
Inspsctlon Date Insp. Commants
Footings I
Footings II
Foundation 30 ? ?
Framing
Roofing
Rough Plbg.
Rough Htg. ?
ISVI.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
_ .•
, CITY OF EAGAN • ? ? ? .? .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address
Lot Block _
Parcel No.
Lor KN08 RD
Sec/Sub. . ".'RWLSY 2h'i
a Name
W
= Address
? City Phone
, o Name • Hl'C'I'lOh t:J 1on ??-
?? Address ' .Z1; u5?' `?S
P City Phone
F & mikur.awski
uW w Name
= n Address
%W City Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well T Type of Const
City Water _ (Actuaq
(Allowable)
# of SYories
Length
Depth
p, S.F. Total ?
Footprint S.F.
APPROVALS FEES
Assessments ? Permit
Water/Sewer _ Surcharge
Police Plan Review
Fire _ SAC, City
Engr. SAC, MWCC
Plannef _ Water Conn.
Council _ Wafer Meter
I hereby acknowledge that I have reed this application and state Bldg. Off. _ Road Unit
that the information is correct and agree to comply wiih all applicable APC - Treatment Pt
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permitiee TOTAL
A Building Permit is issued to: on the express condition that
all work shail be done in accordav;:..e with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
? Permit No. Permit Holder Dat* Telephone *
Plumbing <>>?ilc?'c72: '.67 77 7
.
H.V.A.C.
D
r,
Electric
Softener
Inspectfon Date Inap. Comments
Footings I 100
W
8 3 g 7 W
Footings II 731 w
Foundation -1 W
Framing &X
Roofing
ik-Z - ,?
Rough Plbg. 87 A
Rough Htg.
igui. ?iy F
Fireplace _ _Y,77 2 0 G #
Final Htg.
Final Plbg. : : ? Q
Bldg. Final ?
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
. `'.C<l ,, l:.l.!
CONTRACTI
Site Address
Lot
m name
1 Addres:
c City L)
? Name3 Addre&?
o CitY
PLUMBING PERMIT
qTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE: 454-8100
PERMIT #
RECEIPT #
DATE: `
- ki' = ?-? ' - I BLDG. TYPE ?
Sec/Sub
_ FEES _
COMM/IND FEE?J„Q?.OFQO___NTRACT FE?
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
N
FOR CtTY OF EAGAN
Res.
Mult
Comm. x
Other
WORK DESCRIPTION
New
Add-on
Repair
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rou h O enin s-$1 50
TOTAL
?
9 P 9 •
FEE
STATE S/C:
GRAND TOTAL•
1NSYLC;'1'lUN KLUUK1)
CITY OF EAGAN PERMIT TYPE:
? ,383?Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
WU 1 I II l NI,
A:i`tr, ,1
I0/I6/yFi
SITE ADDRESS:
ni orr
1 1 ? ?i o" Rci
tE1 .I ri , I .i,
PERMIT SUBTYPE:
1 , ,.. , ; .
APPLICANT:
?
TYPE OF WORK:
ut oiiIL t'IL:14
r•.cNtPtrnH rithntlSH tN11=1rtni
F
L
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
H EATI NG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE '
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
'
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks 711 '-
Addition Section 10 Lot Bik Pe,cei 10 01000 010 52
Owne? ?%• - f' %' street 3370 Pilot Knob Rd, state Eagan,MN 55121
Improvement ' Date Amount Annual Years Payment Recei Date
STREETSURF, 106?) j $.OO 166.80 lO
STREET RESTDR.
GRADING
SAN SEW TRUNK 1970 .00 2 a1.d
SEWER LATERAL
WATERMAIN
* WATER LATERAL ' rj" 1<L$1 igg
oo
t WATER AREA 1.981 _ ?
z- • _
STORM SEW TRK 198 4 495.. 0 33.00 15 - ?
i!± t
STORM SEW LAT SQ 1984 495.00 33.00 /,3 'f
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCQNN. 20$,00 2 29 ? 7 Z9 80
BUILDING PER. +
SAC
PARK
CITY OF EAGAN
3830 Pllo! Knob Roo
P.O. Box 21198 ' ,
Eagan, MN 55121 ,.
Zoning: co''`r'•
Owner. Tveres
Address: r M-
Site Address: " ?
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
. ?.
DATE: „
'
No. of Units: -??cd '-e:Zte_
tiorves t
1 agree to compyr wMh thw Ciiy M Eapn
Ordinances.
BY
Date oi Insp.:
Inap.:
4 r c1, pppd
Connection Charge: 2,1 nn nnpi
Accaunt Deposit:
Pemtit Fee: 13 . tlt7E'i
Surcharge: S oT"
Misc. Chargea:
Total:
Date Paid:
CITY OF EAGAN
3795 Pilot Keob Road
Eagon, MN 55122
Zoning:
Owner:
s
F Addres d
ite A
lumber:
No. of Units:
? Meter No.:
C:--• -
eader No.:
agree to eonqhr with the City of Eagon
dinances.
Y
ate of Insp.:
Connection Chorge:
AccounY Deposit: _
Pertnit Fee:
Surcharge: ;
Misc. Charges: ?
Total:
Date Paid:
I nsp.:
SEWER SERVICE PERMIT
P.O. Box 21199 PERMIT NO.: 1 ni 54 A
86 Pi.Iot Knob Fo a?' :1 I31 `?or.? Q* ii
va-!`rost
STOR*?t S.r'.t:'?P.
Uhe Cil?r of Eagan Connection Charge: RR?,???
Account Deposft:
r
f
CITY OF EAGAN ?d
I 3830 PYot Knob R
?
?
Eagan, MN 55121 DATE: g-?7-R7
`
Zoning: C'?'?No. of Units: - Med Center
Owner. Fverest Canat?
f
Address:
Site Address: 33
Plumber. ,??
I a?rss to compiy wlth
Ordlnaneas.
BY
Permit Fee: y,g ? 80p T_
Surcharge:
Misc. Charges:
Date of Insp.: Total:
Insp.: Date
,. , .. . _. . , , . -
CITY OF EAGAN ? _. . - --- - . ?? • . _ . , _
Permit No: `,1004 Date: 5-27'87
3830 Pibt Knob Roaal, Meter No: Size:
P.O. Box 21199 ? Reader No: Date:
Eagan, MN 55121 .
Meter.
WATER SERVICE PERMR
PERMIT NO.:
DATE:
WATER SERVICE PERMIT
Conn. Chg: Zoning: COmm
Acct Dep: No. of Units: "'ea Cen t e r
Permit Fee: 1o°?opd
Surcharge: • 50pd I agree to comply with the Ciry of Eayen
Tr. Plant 720•00pd Ordinances.
- ?- ' Midwest Delivery Service, Inc.
' 2761 University Avenue
St. Paul, Minnesota 55114
Genera I Off ice : 644-87 24 JOB
D ispatch : 644-4444
ssf DeHrery. Next Tlrse.
PICK UP ADDRESS
CO. NAME
ADDRE5S
DELIVERY ADDRESS
CO NAM€
C.O.D. AMOUNT
COLLECTED ?
AOORE ` REMARKS
u
)
37120
DIRECT u 1 HOUR u 90 MINUTES U 3 HOURS[g I RECEivEO.AV
/?
I DOCK TRUCK ? DIRECT ? 3-4 HOURS ? I I x ?{- • ?-' ? _ , , , / ?
CqSH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE ? /
19
AMOUNT $
/ lJ ?n
O YJ
DO
?oo LLARS
? CASH ? CMECK
?o,- 3 ,3?'G • t-P?? 1?1_? ?' /C0?
?
PUNO COOE qMOUNT
? ? 7 ln ? C1 Co !J'Z
..3 0 S
O
Thank You
BY
N° 78355, M,te_PaYa,aCoPY
Vellow-Posting Copy
Pink-File Coov
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
owTe 19 dI_
1HCP'ROM a??Jf/l-WlWC??!Y
AMOUNT $
O? ??(J
e2d4'M2 6 DOLlARB
ieo
p(J CASM HECK
__-?'u.+o cooe
n 7
?
3 ?a
.. ?a
Thank You ,,n__?.,,
er ?-1?t?C.y
N9 77320 White-Payen Copy
Vellow-Poztin0 CoVY
Pink-File Copy
CASH RECEIPT
J CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE ln - P 19 L7
nccewso
AMOUNT $ 70 I Q O
Ll ? l
64 a_ooLLwnc
•^,? ?ao
? CASH ? CHECK
33 n
FUNO COOfi AMOUNT
? a ?7 ? 3 oz
„
1
3 4
'
A/ 6 0 83
o -g
Thank You
BY N/ • ?- -' ' `
No _ 78 ? 5? , whi[e-Payeri CoPV
. Vellow-Posting CAPY
Pink-File Copy
Z l, ?31, y??,?v-P?,t a = ?I
FIOUSE HEATING TEST RECOR
ADORESS APT._F100R CITYai?SUBURBF''?
OCCUPANT OMMER
HEAT LOSS DATE NTG. INST.
SOLDBT 26V2bh)", ItL44T iNSTALLEDBY? ??
Eleetrical Wwk By Gao Lim Br
TYPE OF HEAT GA _ RA _Z_HW _STEAM _SPACE MTR. _UNIT NTR. __OTMER
?Q? ? GAS DESIGN CONVBRSION
MAKE ??vCnt MAKE OF ER
Moe.l iF 'f A W ?36 0 7S ??,a.i _
s«+ei oz/4'7A0,55 6 M,.. sru eari,ro
INPUT ZS, 000 b+"h MAKE OF FURNACB
Medal
CONTROLS
- Nwt Plu}
Valve RVA
Lfmif -3f--p
Limit SeMiny
Fan s.nino -
Pilot Type ?
ruer Mak.1
Pila Msd.l ?
Pllor Timinq
L.W. Cur Olf
Pnsaun ; '5 P.ro.nr COZ 7
Invut CFH 7S Pweent 02 !ir
Stack Temy. 4eJ Pwpnt CO B•i)
I y ,,
VMt Sif*
KIND OF LINER Glqss A SIZE-NONE
prop Hosd Rpularor
Ftlm. Si:e j4r25p I ..b. /
Gimnry Lxatlen Insia? Ourside
aimn., cen.,.,?crien ?l+r C _"k<c6
Spillage i(lsirr b/
smak. eoMe wn+n,
daft T•sr Teg
Cep Preuwe LiyhHny Insf.
oet. r..f.a b- i.c -
Gn,oeny Teseinq adRt , K r
Name sf TemNr ? Certific e of Compentency_ #
HOUSE HEATING TEST RECORD
ADDRE55 APT. _
OCCUPANT 4C"Gd /ldA, I OWNER
I
FLOOR
WZ
C I T Y 5 r-IF-1 SUBURB"f:v- r ? ,
HEAT LO55 DATE HTG. INST.
SOLD BY -D Ay'CD1JS 89,0 FC- INSTALLED BY Q6?!k+c )5k-4p-
Elschieal Work By
TYPE OF HEAT GA _ FA i-?
GAS DESIGN
Gas Lina By
-STEAM SPACE HTR. UNIT HTR. -OTHER
CONVERSION
MAKE MAKEOF BURNER
?°sA{.fL)36 .n %j
Model 30tcf Model -"'__"'z•-
[
5
Ssrial a0 e3 7 AO?'l6s',K '..'.-
Max. @TII Rer'na
r
INPUT •000 _
MAKE OF FUR '
ModeI
CONT ROL 5
THERMOSTAT -? ?-? Heat Plug Vent Size
Valve t2?p KIND OF LINER ? SIZE NONE
Limit Droff Hood Regularor JJ"70'j1,}VV1
Limit Sstting Filtsrs Size6ra4?" / Number 1
Fan Set}ing y-??ES i Chimney Location Inside Outside
-
Pilot Typ"?_;?_? Chimney ConstruNion e)rX:,°a Z
5
Pilot Make ?S
Pilot Model :
Pilot Timing
L.W. Cut Off
Smoke Bom6
Draft
Door Pressurs
Wiring j`.//
Test Tag 4'" . /
.Lighting Inst. Z%
Pressure Percent COZ q7• -S Date Tested lU-d-4 'J' 7
Input CFH Percanf OZ-- /- 5 Company Testing rL?° r .?
Stack Temp. ? PareenT CO Nama of Testar
Form 235
#3
' • HOUSE HEATING TEST RECORD
ADDRESS APL_FLOOR dTY-22-t SUBURB
OCCUPANTC-A*"•? ON'NER
HEAT LOSS DATE MTQ INST.
SOLD BY ;?LIIIPW IHSTALLED 8Y us ,ZC,(dr"i-
El.e+r+col w«k By Ge. Lin. er
TYPE OF MEAT GA _ FA _HW _STEAM _SPACE NTR. _UNiT HTR. _OTMER
GAS DESIGN CONVERSION
MAKE C??r MAKE OR BURNER
Mod.l
Ms:, Raii••a '
INPUT L?d,D?J? 1dAKE na vuow•
Msdd
CONTROLS
THERMOSTAT 140 Nwr Pluq V"t Sia•
yalv. Mcrkrn ? KIND OR LINER SIZF NONE
Limie s?'?'+ryE`+ Rpulawr
DrohMosd
LITiT SeM1110 )ZO ?1
FIIiN{ Sli.??rt'LS?i NY111Mf
Fon ChimMy Lxafien Imide Outside
Pilot TyPe Z Q{m?•r Consrruefis?
Piior µ.ko r' Spillage cylc
/
Piid Msdel -S1 4 7!/ Z!A Smeb Baeb Wirinq y
Pilof Tiinin9 Oreff Toot Taq ?
L.W. Cuf OH Deer Pnsw* LiqhtMy Inst.
Z'
?7
77 DenTesr*d 10"'2
"
? P•.e.ntC0
Pn.sw. ?-
l,
I11yVE CFX 112 {,
.
1
'`
2
O? ?Y COIIIP011r Tetf1110 ,0Vrs• L r'lYI"n A t?
LLXO
Sack Te?ny. _i ..? .tl?.(J,--r•,:?
_ Pwant CO 8`? Na" ai Torwr Sa?.
Certificate of Compeatency_ # qe o°r
HOUSE HEATING TEST RECORD
*y
ADDRESS APT._FLOOR_CITY ?SUBURB?
OCCUPANT ????"? ???•r?-? OMRIER
MEAT LOSS DATE NTG. INST.
SOLD BY •-40OA14 RL11,1"r INSTALLED BY VR'?IDN `5 ik?f?
Eleetrieal Wxk By Gss LiM By
TYPE OF HEAT GA _ FA =HM _STEAM _SPACE MTR. _UNIT HTR. _OTMER
GAS DESIGN CONVERSION
MAKE MAKE OJF-BURNER
Medel ?? O•. /00 Modd "'-
Sariol ':27 47 Ao i-F y (ba. @TJ ReNww
INPUT?? MAKE OF FURNACE--"r ?
CONTROLS
TNERMOSTAT N r Plu4 V"1 Sis*
Valvo KIND OF LINER SIZE NONE
Limlt t?'ud Dnh Neod Rpularor
Limif SoNinry ??C) Filews Sfs./4X7Sk/ UMAW /
Fon Soniny aimny LxaNen Inside ? Ouf•ide
Pilor Typ? h?r• Ohimiry ConserueNen
P??or Mek. ?f' Spillage l11u>rc.
aiia Med.i . S?S 7yn•Q• smwk. seme Wirinq
Pilo1 Timiny ??Cf^ Gaff Test Teq ?
L.W. Cut Off Deo. Presswe Liqhtlny In.r. J-
Pr•sswe PoremtCO 7} ] Da» Tes»d
?
Inpur CFM ?U P«e•nr 0
A Gmysny T•.tlnq ?o??'?'r+ ?'0'r
Sroek T.my. ?
Pwem? CO 1)' c) NanM
Certifica e of ComDentencv # Re°21,T
HOUSE HEATING, TEST RECORD
#?
ADbRESS' APT.-FLOOR CITY 5'?;.LSUBURB rtle-
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY _Mt?N?c ?PF INSTALLED BY
? -TI
Elecfrical Work By Goa Line By
TYPE OF HEAT GA-FA _HW-STEAM SPACE HTR. -UNIT HTR. -OTHER
? GAS DESIGN
MAK EMAK EVF'BFiR'! I
Model 31 4 GAWCS 3L0 7-4 Model
Smial 'Z5 7 O 3 Mox. BTU Rating
INPUT -Sf?v MAKEOFf tLRM
CONTROlS
THERMO$TAj < <+ Heat Plug
Valve
Limit ??^ca
Limit $stting
Fan Setting
Pilot Type ??.o?° %
Pilot Make L?jvf?
Pilot Model -; j5 ryyo A
Pilot Timing L.W. Cut Off
Pressure Percent CO2 /• S
Input CFH Percent OZ Z' 5
SMCk Temp• -? Percenf CO ?' ?
Form 235
CONVERSION
/i
Vant Size [r-
KIND OF LINER SIZE NONE
Drah Hood Raguloror 32$ "j ?klfYe1
Filters Size/6rls,ri Number ?
Chimney Location ?+Irn/side Gf? Outside
CF?imney Construcfion ?-?,S`S,6
Smoke Bomb _
Drah
Door Pressure
Wirin9 -
Tsst Tag
Lighting Inst. &_?I
Dote Tesrod 10 'L1' ^-„Q.7
Company Teefing ce' :/
Name of Tester
11575
RequB Dat F No. Rough-in Inspection
Require0?
XReatly Now
? WII Notity Inspedor
- ? ? 3 )<Yes u No Whan Ready7
I.Klicensed contractor ? owner hereby request inspection of above elacirical work at :
Job? ra?(SireBOx or Route N
! City
l
l ?ry ?
7
, -1 +
?
Section No. Townsnip Name.or No. Ranga No. Counry _
L,
Occupant (PFINt)
?
C
I
G Phone No. ?
?
0 ,• ,
Pawer Suv iie: Atlaress
Eie ai Gontr tor iGOmp ny Name) Comractor's License No.
i ; J )= C w i' CA ?LA
Mailmg Address iCOmraclor r Owner Making In alla0on,
? ?Q fJ
?t • B
.5-77
PuIDOrizetl re (Coniracton0 er nMakl Insiallatio?) Ph e N mber
i n
? `• ?
MINNESOTA OAHD OF ELECTRICITY THIS INSPECTION REQUES7 WILL NOT
Griggs-MlEwey Itlg. - Room 5473 BE ACCEPTED BV THE STATE BOAFD
1821 Univernity Ave.. SL Peul. MN 55104 UNIESS PROPEP INSPECTION FEE IS
Phope(612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION /??01-08
? See inslruclions.lor completing this form on Dack ol yeliow copy
p ati ,
66-4O 2 'X" 8e/ow Work Covered by This Request
e Atld Rep. TypeoiBuildinq ApptiancesWired EquipmemWired
Home Range Temporary Service
Duplea Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Industrial Pumace
Farm Air Conditioner
Other (syecilyl Contrectar's RemaBS:
Compute Inspection Fee Below.'
# Other Fee # ServiceEntranceSize Fee # CircuitslPeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Use Onty: _ TO
Irrigation Booms 5 ?
Special Inspection
AlarmlCommunication THIS MSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby aousn-m
cartifY that the above insPedion has
been made.
Finai
OiFICE USE ONLY
Thls reQUesl voitl 18 momhs irom
T3Y u 8/ 4
? ?"
?
8 5 4 , ,r% a
Repuest Date Fire No. Rougn-inlnspection
Required?
ady Now
? Will Notifylnspecfor
?:, Ye5 1
6 W?en Ready?
-
riccensed contractor ? owner hereby request inspection of above electrical work a t
Job Atltlress (SVee Box N No.
i
f Cily
eDa
Section No. ownship Name or No. Pange No. Co
Oc i(PRINT)
ru
ie? Phone o.
- ' 0
Pawer Su ler Atltlress
Ele rical Gon ctor lCOm me) • Conirector8 License No.
A ?
Malin AOares (COnleact r or Owner king Installalion?
Hu??ori Im (C nVacroUOwner M II Ph e um0er
MINNESOTA STATE BOARO OF ELE RICITY ? THIS INSPECTION REOUEST WILL NVT
Grlggs-Mitlway BIEg. - floom S. 11 BE ACCEPTEO BV THE STATE BOARD
1831 Unlvereiry Ave.. SL Peul, MN 109 UNLESS PflOPEF INSPECTION FEE IS
VMne (612) 642-0800 ENCIOSED.
REQUEST FOid,-kLECTRICAL INSPECTION
? See fnsWCtions for completing ihls lortn on oack oi yellow copy.
!^XJ "5 4. J 1, "X" Be/ow Work Covered by This Request
ee-aoom-07
ew Adtl Rep. TypeofBuilding AppliancesWirad EquipmeniWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (speciry) Coniractamarl?s'. Y
Compute fnspection Fee Below:
;k Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspector's Use Ony: TOTAL
Irri9ation Booms V
J•
Special Inspection ,
Alarm/COmmunicatio THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
Other Fe COMPLETED WITHIN 18 MONTHS.
1, the Electrical Insp ?, hereby Rough"in oaie _
certify Ihal the above inspection has
been made. Finai oai /
OFFICE USE ONp
TM1is requesl voltl 18 moniM1S Irom
ff/
? ? ?
?
?
s
4io ? a%' i?
Requesl Da Ire No. Raugh-in Inapeclion
irr
j_ /? ?
? fieqwretl? edy Now ? ill No
Ny Inepector
F
tl
l
l9
C No
? Ves en
ea
y
licensed contractor O owner hereby request inspection of above elec[rical work at:
Job Atltlress.(
eet, Box or Roula No.) .
Str Ciry
/
?
l0 ? Q ?Q
Section No. Townehip Neme w No. Renge No. Cou ?
1
Occupanl(PRlfJn Phorre No.
m?
acsl,
Prnvar tiar Adtlraea
Eleclncal Contraclor (Compeny Name)
C' Contrac[ork License No.
a a a
Mailing AdCress (Conhactor or pvner Meking Ire1911 i
RD )&
fi W ? ss
Author¢etl ' nature (Corrtmctor/qmer Meki
? n In-a_?e-llat_iona)
"`?? Phone umber /
?? - O's-V 3
MINNESOTA STA7E BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
GriggsMitlwey Bltlg. - Hoom &173 BE ACCEPTED BY THE STATE BOARO
182111nHeralty Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION fEE IS
Phone1812)6C2-0800 ENCLOSEO.
REQUEST FQ
lorcon. eting ?^,TRICAL INSPECTION eaooom-o7
? See insimRions ihis krm on back of yellow cOpy.
E89410 X" Below Work Covered by This Request
e .Add Rep. 7ypeofBUilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Fumace
Farm ' Air Conditioner
Ocher (specity) Comractar5 Remarks: '^lcZJ
? i ?- 5??? *U '?i?.u
C'? ? l
Compute Inspection Fee Below: ?f t-CGk-{M
# Other Fea # ServiceEnhanceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Abpve 200 _ Amps Abo 100 _ Amps
Signs Inspectors use onry: TOTAL
Irrigation Booms
?
15,15
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rough-in o?e
F;,,si o? -? `?
f
OFFlCE USE ONLV
This requast voitl 18 months fmm
This reques[ voitl
.?1, //p-2
18 momhs from ? Y O
D 18795
fieqirest bate
3 ?
VIVensed EI bi,al Conlracta
? Owner
Fp.e?I..n AtlAress. Box or Route Nc
L
Township N
ame t
nl l (PqINT)
77
Now KWill No,i(q InsOec-
lor When flaetly
1 hareby req.est inspeclion ot abova
electrical work installed at:
No.
or
MINNESOTA STqTE 90APD OF ELECTqICITY
6"e9s-Mitlwey Bitle. - Xoom N•197
iffii Univarsitv qve., SL Pxul. MN 55104
'hone (612) 642-OSaO
THIS INSPECTION REQUEST ?ylLl NOT
BE ACCEPTED BY THE STqTE BOAND
UNLESS PROPEN INSPECTION FEE IS
ENCI ncon
" =.
, REQUEST POR ELECTfiICAL INSPECTION
), See inshuctions lor completin9 this Iorm on back of Yellow mpv . es-ooooi-os
D 1 O-7 7.5 "X" Below Work Coveied by 7his Hequest
And R.P. Tvoe oi auilaine Aoolinncm Wired enunumenlt Wi.ed
Home Range Temporary Service
Duple,x Water Heater Liqhiiny Fixtmes
Apt. BuilAing Dryer Electric Heabn
Corrnnercial Bldy. Fumace Silo Unloader
Industriai BIAy. Air Conditioner Bulk Milk Tank
Farm omr, 0e(7 v om., (srn11:10v)
t el SuecilV ther Othur
Compute Inspection Fee Below
p Fee ServiceENrBnceSize H Fee Fenders/5ubiaxders u Fe¢ Circuits
Q,? 0 to 200 Am ? 0 to 30 Am s 0 M 30 Am s
20
Above 0 qm ps 31 to 100 qmps 31 to 700 Ain s
Swimmi
ng Pool qbove 100_Ainps Above 100_Amp+
Transtormers Irrigation Booms Partial-'Other Fee
Signs Special InspecTion $
„ ? TO
iks
Hema1 s TAL F?
i ? ?...
flou8h-in Dnte ?, tha E cvi
Insoector, eraby
cenily thet the above
Final ? ? ( Uen?te ?1 ingpeclion has been .
? A? N dA mede. i
TAie reQUesl volE 18 monfhs trom
ie ? i°;s itom i° 9.2//S?J • . ? 9G3' ?1 7'??'?CJ
D 18 8 4 0 // z`/ 9 6°0
ro? t'Date
o/?y Fire No. RouPh-in InSVecuon
PeQ ireA?
?Reatly Now?Will NoG/y Insper.-
?? /_( (/ /
tl Yes ?No [or When ReadY
yy Ucens¢tl`EI¢chicdl Contraclor I herBby requ0sl in3Daction o} ebov0
?j Owner elechical work installad af:
Strae[ Atltlres5, Boa ar Route No,
- b
o
owns?ip Name or No.
T Range No. Coun?y
I D
Occuuent (PqINT) Phane No.
L O
Power $upplier Atltlress
L tc, 3c? s o57
Electrical Convaclor ICOmpany Namel Contrnnor's License
?eiPha rt
Ma?ImB ?+tlJ/oss ICOntractor or Owner MnkinB instail tionl
Aut ri etl Signature (COn(r tnr O ne Making Installatinnl ah e Num er
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION qEQUEST WILI NOT
Griggs-Midway Bldg. - flaam N-191 BE ACCEPTEO BY THE STATE BOAPD
1821 Universitv Ave.. St. Peul, MN 65106 UNLE55 PROPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
y/ ; SQUESTVFOR EL?ECo R?ICAL ? INSPEC 1 TInONck o/ yellow copy. EB-00007-06
'7,1 S/0
1,8 '' O "X"' 8elow Work Covered by Ihis Request
D',
FAtl Na0. Tvoe ol 8uiltlina Aooliancee Wired I [auiument WirnA I
? -?
BI
Air
N Fee Servica EnhenceSize b F e Feeders/Subleaders 4 Fne Cir ults
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am ?
Above 2 mps, 31 to 100 Amps 31 to 100 Am 5
Swinuning Pool Above 1 Am s Ahove 100_Amps
Transiormers Irrigation Boov.s Partial`Other Fee
$igns SpeciallnsPection S
TOTAL/fE
IC'/
i, ine eiAc+cica+--
In acb., nerebv
rtily thnt the above
ins0ection has bean
mede.
TNa requeat voftl 1B
? 2 2 0 9 9???a?j9?- tp5?
Reque ate
•?1 ? Fire No. Roughin Inspecfion
Requiretl?
? Yes
No
? Reatly Naw i Notify Inspector
il
hen Reatly?
Iicensed contractor '] owner hereby request inspection of above electrical work at:
J Atl ress (Street. Box ar ? N???
Seqron No. Townshlp Neme or No. Range W. Cou ?? `
Oc nt(PRINT) Phone No,
Pawer S pli Pdtlress
Elec cal vacmr ? Na ?
, C ac 5 Lic nse N?
l
Madmg Atltlres Con cbr or/??0yN,er kmg Innstaliatio?n)
/ 10 ? • [ / / ?'?/??V ? ?/ `J'^i" //?`???
nar o$ nawre Conv,es? Owner king Ins?a yanon)
?f??c?/ILM? Ph Numoer
- 2711
MINNE9?TA STATE BOARD OF EL?TRICITY? THIS INSPEGTION REQUEST WILL NOT
Grlggs-MTway 61tlg. - Room S1]3 v 8E ACCEPTEO BYTHE STATE BOARD
1821 Oniversi[y Ave.. SL Paul. MN 55104 IINLE55 PROPER INSPECTION FEE IS
ihone(812) 641-0800 ENClOSED.
y??4?A?-
L 29(19q
REQUEST F lR EL6CTRlC4L INSPECTION
ow See insimctians ior completing Ihis form on back oi yallow copy.
"X" Be/owWork Covered by This Request
EB-00001-08
aw Atld Rap. TypeofBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heaiing
Apt. Building Dryer Other-(Specify)
Comm.Andusirial
Farm Conditoner
r
/
Olner (specity) S6 Compufe Inspection Fee 8efow:
# Other Fee # ServiceEnhanceSize Fee # Circuits/Peeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Amps
SignS InspeclorkUSeOnty: T T L c`7'1
JV
Irrigation eooms
Special Inspection
AlarmlCommunication TMIS INSTALLATION MAV B ISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 16 MONTHS.
I, ihe Electrical Inspector, hereby Rouqn-m oate
certify that the above inspection has
been made. F;nei oete
OFFIGE USE ONLY ?
ThIS repuest voitl 18 monlhs fmm
L 1 B (
suBD. N o rwt $+
APPROVED BY:
1999 PLUM$INfi flEfiMIT (coMbiERcIAL)
CITY UF EAG4N
S$SO PIL4T KNt}8 ftD
£AfltkN, MN 55122
(651) 6$1-4675
Please complere for: all commercial/industria] buildings
multi-family buildings when separate building permits aze not required for each dwelling unit
installation of backflow preventer in commercial areas or residential boulevards
Da[e: Q-?ko'ClIN Work Type: _ New Bldg. AZ Add-on _ Repair _ U.G. Sprinkler
Description of Work: l,
To inquire if Pressure
_ RPZ
is required on new service, ca11681-4646.
`J'a'aCy
1% of contract price or $30.00 minunum
Contract Price: $ 1 SO -o o x 1% = 5 3 G• o
COMPLETE THIS AREA ONLY IF INSTALLING iINDERGROiIND SPRINKLER SYSTEM
Backilow Preventer Permit Fee - $ 30.00
Water Meter: 2^ Turbo - $ 889.00 unless plan approved for smaller size
S
$
Scrcice: _ existing (if coming off domestic line) OR _ new
L7ien-service". carlncrJerrn Wobschnll. Finance Consid1an1, to conf:r•rn adrling ees or:
Water Pemiit & Surcharge - $ 50.50 $
V?ater Supply & Storage - $ 825.00 $
Water Treatment Plant Charge - $ 468.00 $
s 3 G . o C-?,
State surcharge is calcula[ed from Permit Fee at right -
$.50 for each S].000 with a minimum of $.50 due
State Surcharge $ , so
....>.:ee $ 30•5 CJ
I hereby acknowledge that I have read [his applicarion, state that the infomiation is cotrect, and agree to comply with all applicahle Ciry
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/righ[-of-way/easement.
SITEADDRESS: 33CLco
TENANT NAME: lA1TFJZ(,.?w??2P,<.awvP.L ( tA2.??e3G TELEPHONE #: CoSI-`?S? - q ? o\
C?2t (AREA CODE)
INSTALLERNAME: TELEPHONE#: (0\2. 's i?,D-C?
(AREA CODE)
STREET ADDRESS: Z?I .S A?+ w 1i?cu.s ?w?? ?.1 •
CITI': ` l.? t.v?o? rta ? rs?r} STATE: Y?- t-i ZIP:
CITY USE ONLY . ti-? a a 8
RECEIPT if:
RECEIPT DATE
INSPECTOR PLUMBING PERMIT # _?7710
SIGNATURE OF PERMITTEE
CITY USE ONLY
DODIESTIC DIETER SIZE COMPOUA'D TURBO
PRV: Yes No
• Contac[ 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: 651-681-4631.
PWOR TO SELLING A METER:
• En[er site address on Screen 301, Perntit Inquiry, to obtain sewer and water pertnit number.
• On PIMS Screen 320, enter sewer and water permit # to check that hydrosta[ic, conductiviry, and bactena tests have been
approved. If not, do not issue meter.
D7iscellaneous Information
• Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To sdiedule inspection of the inside water line and backflow preventer, ca11651-681-4675.
• To schedule nater tum-on, ca11 65 1-68 1-4300.
CD/Permit forms/plbg permit (comm) 1999
33
.L /? /.j/? a no'
yrJ Goes 461 _ LITHO_ IN U.5 A.
Approved:
P,pproved:
City of Los M9eles o`sTeR
!v Oa'"i,. F
Dept. of Bldg. & Safety
#RR 23922
FLAMORT U•ow FOrelpuPa4n4
TrWuvt NwlAud 7'1 i??f N ?? Q7'
FLAMORT R g?. No. C- 4.16
FIRE RE'CARDANT COATWG CLEAR NQ.6•3
"For Interior Use Only"
FLAMOET 6-3 is a cZear end colorlesa surface impregnation for application on interior
eurfacee of unpainted wood and plywood to REDIICE FI,AME SPREAD and SMOKE When expoaed
to fire. F'LAMORT 6-3 does not contain Aalogen or Sulphuic compounde (Chlorine leas
than 0.005% by wt.; 5u].Phur less than 0.02096 by wt.)
surface impregnation by spxaYin6' alloxs FLANIORT 6-3 to penetrate into the surface of
the wood. Application ahall be with conventimial low preasurep airless, ar archasd-
type paint spray equipment. SpraY uniformlY over entire surface usiag a coaxae
nozzle. Caver all metal svrSacea before spraying. Apply twa coats of FLAMORT 6-3,
ea,ch coat at 200 aq. £t. coverage per gallon with at least 24 houra drying time .
between coats. Proper drying conditicns.o£ temperai:ure and humi.ditY aTe becessary.
Rreated surface may be left unfinished# stained, painted or coated with a vaxnish
or lacquer. If any sesidue appeare on the surSace, sand and wlpe alean before apply-
ing finish coa.t. Eqvipment shauld be cleaned with water. Before finish ey$tem is
applied, moisture content of flame retarded wood must not exceed 1296 anci must be
stabilized at least £our days.
Manufacturer'a recomnendations for coatin8s to be applied over FLAMORT 6-3 treated
wood: Stains - Cabot Stainag CnPrinol, Olympia Stains4 Yarni.shee - Otte coat Fv].ler's
penetrating wood-finiah followed with two ooata Fu1ler's all-clear varniah, glose, aemi-
gloss or flat. One coat Pratt-Lambert's Pa1e "38" Trim gloea;followed with two ooats
Pzatt-Iambert's Pale "38" Trim 81ossg semi-g].oss or f1at. If recommended coating
syetem is not usedo sample of treated mater3al ahall be finiehed with proposed system
and results ehall be evaluated before proceeding further.
FLAMORT 6-3 is furnished as a ready-for-use coating in one-ga.llon and five-gallon
containera.
95RT4 E84-80 Fire Ha.zard cla.ssification of apPlied coating test shows:
Test Specimen Flame Spread Smoke Denai
nouglas Fir 25 5
The surface burning chasacteristics are appli.cable orily when applied in accordance
with manu.facturer's instxuctions on the label.
Manv.factured by:
Distributed by:
FLANORT CIMCAL COMPANY
746 Natoma Street
sau Fra,ncisco, cn 94103
(415) 621-7825
M'1 SS 09: iZ P.:
r' U.S. OEAAATINFIyT QR LABOR •aT wwe.w
` ?+P?onal Saf?.y ard Health Adminis:.s::c.i oM@ ne. s..,I340
.
1ir I?RIAi SAFETY DATA SNf Ei'
RR?d unda U3QL Safety snd ?Hpft?h ROyytnior.a }af 5?fip Ropalring,
-- Sifipp-iidinq, jnd StriF9rpklnp S29 CFR 7915. 197E. 19T7;
Flwaort Co. ? cM:RCU1il vgj?Ni Ha.
ater-base coati
ade secrst(availaole only an3er cond+.
+i • a a a P,, h
SECT10h II • HAZAAppUS INGtiEDtETJT9 t
raiN7S,?plStRY?TIV[S.bSpyYikTi % T;Y ? TLV
.... 1LLCY7GHOMETALLICCO?TIIVGS % tUniql
NGYlNTO
NCTit.
GATALY;T ilCti H?0jiCn:7l?
^D11CE.tiJ? B
MKALiJC G7ATNa8 ?
aoUvsmrts ii?,lSA MsT'Al
K e cewrrne e? ea?s rwx
_.. weoeriVts o'n+a?a I i
OT+KJIi - ? ?
MAZAIi00U9 +MIXTy1Vfi 00 p7yrE11 uOV tGy, iQ1103. OII G1Slt %
... tz_;?.f1910.1000 redients are not curreatl? knrn•rn zs carc_.no_P.;s p=:
`•?w?. and pCG2H ?ianu
?
- 8ECT10N tlf • PHYSiCAL DATA .
w6ura rotnr (•r.) 212 deg. F. sotane enavrrv o.si
vsoo?,?uw?? ?„„? w•isame as xate ?e.arT. vou-?y?out o?p
?Y VOLVAI[ !%i . ?p 2S ;{'e;E_
vwromau+a+t.(a1m.ij :dot anolicab iVAP0R4T16N11^is equpl to wzt°
%QW«UTYINwA7gX Soluble I I AMfiAAMC[ Ar0 OOOR
SECTIQN IV .
VMCI
nane FIRE QND EXPLOSION HAZARD DATA
1LAYAI"ij 6IMIT'3 Lai YH
cxs1r.au1S++I+.a wa21a
li uid does
3?[eiAt ?I+le RIc++rinc rllocZaunti
does not burn
not •burn
urvuaWw? .nu u+o cY,?a,oN MAxawoa nnt r A se unueual hazards
??ae I7} • (Caftnwd o,+ nvorar &ide}
Fwm OSiiA•29
M". w.r 72
.
.
, SECTiON V- 14E,4L-H HAZARC DATA j
TNNt5M010 L1MIT VAWf
None estab2ished . ,
?
EFFECTS Ot Ov E A E J CC0 5 U A E Splashes inio e;/es may cause s ignt irritat.'_on. Sc:dn cnntac t is
essentially nom.rr:tatin?. 0 1 alation hazar is expected. rl•^•X=ng o: FZa_
i +
=nnjjq l_owin? r?
EMEAGLnCV ANO f1F5T AIO iROCgpURlS Eye contact: Flush with large amounts Of M3t2^. Cdll d
91Ci II 17M:E 1dLe?y., i{1II contiact: ivasn w n p?en - n
a a irese?at e Give the natieat water or milk to drink fo: ?c'i BS lOn:
ut_on e_°
Innalation: If headaches or ciiaziness are expe:ience , remove to zresa asr.
SECTiOiV VI • REAGTiViTY DATA
sTwaiu-rv uNSraSLE ca,+oiTtoNS ra avoIo N/A i
sr.aeLE . stab
incornrATaaIurr / arrr?eu ra ar W) 9void contact with petroleum solvents.
NA2AAOOUI D6COMAOSITIOt1 7AOOUCT3 carbon aonwdde aay be raleased. ?
MAZAI1OOUf ?MAY OGCUPt I CONO1??A ?TIOH3 TO AV096 ---1
? t
/OLYM[AfyAT10N
_ wILL NOT OCLUA
I -
g I
I
S£CtION VII - 5?1LL OR LEAK PROCEDURES
ST[PS TO /E TAKEN Ifr GaSf MA7EAIAL IS R[LEASEO OA SPItLEC Collect,liquid with absorbe*i r..at?r;a
and package for disposal according to Iocal, State, and federal regal=:icns. I
WA3TS 013705AL M[TMCO DiyFo9e in accordance ?a with local, State and federel rei7,il.at`_or.
SECTION Vlll • S?ECl!',t PftOTECTION INFORMATiQN
1193PIqATOAY PNOTlC'lOM ($QtCtn• rypv) Use ar, c^ganic vaoor caxtir:dge wiit c^e _1.e.^ °o^
Y[MTtLAT1OH LOUL [XNAUS7 SGEdAL y I
1wLCMANI?:RL (4??¢atd or. local exha_:tsracar-...a. orr+eR ? ? ?
?
•AOTECTIV[ GlDVt3 E1'E PROTSCTION - _ ?
P ^1 fn • _?ea ..:?:. ..- '
OTM(11 PAOTFCTiV[ [OVIVMLNT Ncne ?
?.. ?
SECTION 1X • SPECIAL PRECALITIOPIS
^RLCAUTtONSTO iE TPKIN IN FIANOL1Nq ANO STORING I
o not to r l-7 hot o col m - n 4
OTM(11 ?q6CAVT10N5
fAGE l21
Form OSHA•20
pw.May 22
INTERAGENCY REQUEST FOR INSPECTION RET[IRN TO: Division of Licensing
Dcue w?`?_i?9-?-?c?; kt-? +Wc?' MN 444 DeptLaf. ayetta Human Road Servicea
ola? St. Paul, MN 55155
T03a J State/LOCal Health Inapector
( ] Local Huilding Code Inapector
. Eq /'? ??? ? [y] State/Local Fire Inspector
l.u 1/
FROM: 'AGUIp Ca111 YI e ,?°5? Lqb?h3L8 ensiag consuitanc DATE: 9
Prior to isauing a license, verification is requized that a facility ia in compliance wit:
appropriate state or local codes for healt.*., building and fire. Please complete thc
appropriate section and return to the Licenaing Division with any orders attached. A cop;
-of ordera ahould be provided to the program. _
Nsme of Facility: Proposed Uae: l F71LL l_LVLK
+qzttbna,t l?eQr?.i? 'one?: coh:3b
Name of Program:
SfQ'fSo.
Addrees: Tli lo+ Knob ftccd (t?j ' S5ial b&76e'6?,
Area to be used: Numbers and Age Rances of Par icipants:
Haeement [ J 6 wka. to 16 mos.
Firat [] 16 mos. to 2 1/2 Yra. \ I??
Second [] 2 1/2 yrs. to 6 yrs. ?
other [ j 6 yre. to 12 yrs. ?
Specify: over 12 yra. _
Facility Plana to
serve handicapped
Yee [ ]
No [ ]
HEALTH REQUEST: (] Licensed [] Not licenaed [] Applicatioa lePt or mailec
[ J No orders neceesary at time of inapection (] Hajor ordera ieaued
[] Minor ordera issued [ ] Major revisions needed before license can be iaeued
Signature:
Date: Comments: Reveree side
BUILDING CODE REQUEST: [] Not applicable: `acility located in non-coded area of state
Date of referendum vote removing code requiresents:
Siqnature and Title of Local Official:
Date:
An inspection is required for all propaeed ;acilities located in a code area which
involvee new conetruction, major renovating cr chanae in oecunanev i.e. any facility not
currently used for the proposed usage.
[ ] Facility meets requirements
[] Facility does not meet requirements and cannot be occupied until orders are met.
? J Facility deea not meet requirements, but may temporarily be occupied pending
completion of orders until
Siqnacure of Building Code Inspector:
Certificate Number: Date: Commente: Reverse side
! . -1
FIRE CODE REQUEST: A fire inspection is reauired _or all proposed facilities.
Facilities iocated in an area of the state under the Uniform Buildinq Code muet meec
applicable fire code
requiremencs. (if both codea addreea a specific area, the UBC takee precedence over the
:`_ire code.)
Facilities located in an area of the state not --nder the Uniform Building Code muat meet
applicable fire code requirements.
_n either inatance, the Minneeota Uniform Fire Code applies.
?acility meets requirementa of the fire code
Facility doea not meet requirements of`the fire code and cannot be oecupied
until ordere are met
Facility doee not meet requirements, but may temporarily be occupied pendinq
completian of orderkuntil
Signature of Fire
Comments: Belaw
F1Ye !'1
Date: 7-7
?
Comments :
r . •
INTERAGENCY REQUEST FOR II3SPECTION
zo: 3'3 c ibKnc)10 12d
`E4cul, WN 55i?
IF4-#:7 (e6(/ZR7-H-90
RETURN TO: Division oP Licensing
MN Dept. Human Servicee
444 Lafayette Road
St. Paul, MN 55155
[ ] State/LOCal Health Inspector
jyq Local Building Code Inspector
( ] State/Local Fire Inspector
^,,,?,/ t? 18
E'ROM: y'Cl?l.?d ?I??. ? , Licensing Consultant DATE: 2
Prior to isauing a license, verification is required tnat a facility is in compliance with
appropriate state or 1oca1 codes for health, Huilding and fire. Please complete the
appropriate aection and return to the Licensing Division with any orders attached. A copy
of orders should be provided to the pragram. , Name of Facility:
Name of program:
Addrees:
Propoaed Use: l iLP1N LL(JLx
one: CpVI fZ(Cf:3b f 4950
?i?l.a-? b?? G-US?a•?So,?
Area to be used: Numbere and Age Rangea of Par icipants:
Basement [] 6 wka. to 16 mos.
First (] 16 mos. to 2 1/2 yrs- \ i?r
Second (] 2 112 yrs. to 6 yrs. ? I
Other ( j 6 yrs. to 12 yrs. `
Specify: over 12 yra. _
Facility Plana to
serve handicapped:
Yes [ ]
No ( ]
FIEALTH REQUEST: [ J Licensed [] Not Licensed [) Application left or mailed
[] No orders necessary at time of inapection [] Major ordera issued
[ J Minor ordera issued [ ] Major revisions needed before license can be iasued
Signature:
Date: Commente: Reverse side
BUILDING CODE REQUEST: [] Not applicable: facility located in non-coded area oE state
Date of referendum vote removing code requirementa:
Sianatuze and Title of Local Offioial:
Date:
An inspection is required for all propoaed facilities located in a code area which
involves new construction, major renovating or chanae in occunancv i.e. any facility not
currently used for the praposed usage.
[ ] Facility meete requirements
[ J Facility daes not meet requirements and cannot be occupied until ordera are met.
[) Facility does not meet requirements, but may temporarily he occupied pendinq
completion of orders until
nature of
Si Building Code Inapector: /(t A?? lj're4?
g
Certificate Number: `V-2/ Date:d j?` Commente: Reveree side
. ?
FIRE CODE AEQUEST: A fire inspection is required for all proposed facilities.
Facilities located in an area of the state under the Uniform Building Code must meet
applicable fire code
a-equirements. (If both codes addrees a specific area, the USC takes precedence over the
`ire code.)
Pacilities Located in an area of the state not under the Uniform 8uilding code must meet
applicable fire code requirements. •
_n either ir.stance, the Minnesota Uniform Fire Cade appliee.
[] Facility meets requiremente of the fire code
[] Facility doea not meet requirements of`the fire code and cannot be occupied
until ordezs are met
? j Facility doee not meet requirementa, but may temporarily be occupied pendi.nq
completion of orders until
Signature of Fire Inapector:
nate:
Comments: Below
Comments:
F.
/-f"
?
, CITY USE ONLY
SUB BL..,n_a?f' a i 9?a
RECEIPTDATE:
APPROVED BY: ,INSPECTOR
1998 bi£CfIRN1CAL PERIKIT (COMME{tC1AL)
CITY OF EAHAN
3$30 PILOT KNOB itD
EaGAu, H[x 55 122
(61E)6$1-4675
Please complete for. all commercialfindustrial buildings
mutti-famiiy buildings when separate permits are not required for each dwelling unit
DATE: 11- R- 4F CONTRACT PRICE: // 3, S oo .°?
WORK TYPE: NEW CONSTRUCTION ? ITiTERiOR IMPROVEMENT
DESCRIPTION OF WORK: ?loo ?-y ?xc S T . Sy 5'rEn, T° A?-?-°"^°o?-?-
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. ?- A.e. uN.;
Processed piping - $25.00
CONTRACT PRICE x 1% L(?
PROCES3ED PIPING
PERMIT FEE
STATESURCHARGE -5°
TOTAL sSITE ADDRESS: 538(° t c cJo- K."Q,Q
OWNER NAME:
($30 per $1,000 of em 'rt fee due on all petmiu.)
(F-' ? a-.v
PHONE #:
TENANT NAME (itvtpROVEMENTS orn.y): E,A ( s11? EKP &41 C- ^., Tc.'.
INSTALLER:
ADDRESSAO° . 'S°,e D,3--7 PHONE #: ?l Y ?? S c o0
CITY: ,?-?-?'KVP<-GO STATE: ?yt"' ZIP: SS-3
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL RECEIPT #:
SUBD. RECEIPT DATE:
1996 M£CHANICAL PEitMIT (R£SIDEN'fIAL)
crrY oF ewswtv
3$30 PILOT KNOB RD
£AflAP MN 55122
(612) 6$1-4675
Date:
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section oxlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace _ Install air conditioning
Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge . .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #:
STATE: ZIP:
SIGNATURE OF PERMITI'EE
15/FORMS BLD/MECH PERMIT (RES) - 1998
cirr use oNLv
L / BL ? g RECEIPT #:
SUBD. DATE:
NEWNINWIAL PERMIT (COMMERCIAL)
CITY OF EAGAN
??-Q' • 3830 PILOT KNOB RD
?..? EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? muiti-family buildings when separate permits are t]Qt required
for each dweiling unit.
DATE: ( ? ? ( s (ct %-, CONTRACT PRICE: 0 C'- -v
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
V" INTERIOR IMPROVEMENT
Irv% h
FEES: ?$25.00 minimum fee Qr 1% of contract price, whichever is greater.
? Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of germit fee due on all permits.
CONTRACT PRICE x 1% 30 ' o O
PROCESSED PIPING ~
STATE SURCHARGE S?
TOTAL ??C7 . S a
SITE ADDRESS: 3? 2? [::, P't < <'+ k-Ko 1-7 P24
OWNER NAME: ?,7o-Q , 15ezr_ LrK Qv'' TELEPHONE #:
TENANT NAME: (iMPROVEMeNTS oNLv)
INSTALLER: A%?r A4,t `"'1
ADDRESS: 12-SM
CITY: STATE: Ra ZIP:
PHONE #: ?i ?ES Jr??
SIGNATURE:
SIG TURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT #:
SUBD.
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55123
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction Add-on fumace
_ Add-on air condiiioning Add-u r, air axchanyer, i.e. Vanee sysfem, 2tc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE #: ( )
*ktyk.+ YRk;;;;);UYB:>Y'{<ikYd?!i;:w 'M$l?Y i„ ?'::::J, ?$Y.:}:k(?t71Y,:1tR;ikY„ $:Y,t`X%'
C:C fV 01=
('r?f;;'J'FI;: S 1'i:"RMINAl_ t'C!;: ?'r'E,
tt1TF:: i.9./1.3/98 T"C'4E:s 15a29108
?n;
P!oltiE;, TFIE Bt1.'::I...D;-:6'S, INC.
E'"y, 9001 3386 FT1._0T I:NJLS :LL? 70.9b
?
i
7ot,a). Re'rc?7.pS, Flinni..!rYi;^ 12770.96
CfiO9937:'
U',:iEFi TDe NANC{
:Y)$Y,C:.tY,O;'1;UY>kYr.;$?'7y".
PERMIT
CITY,OF EAGAN
9830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: guT?ozN?
Permit Number: 034007
Date Issued: 2.1 /:13 / 9 8
SITE ADDRESS:
33E3E PILOT KNOt3 RD
LOT: 1 BLOCK: 1
IVi7RWE5l2ND ,
P . I . M1I . : 19-52251-07,0--01
DESCRIPTION:
\C, -?.. .. .
?
\
?
.
?
? ?
_ . . _. .
. .. . t?
. r .., . . ,
?EXPEH, LEARNING CTR
Suilding Permit Type COMM,/IND.MISC.
Building Wo'rk, Type RLl'ERATION
.?Census Code 437 ALT. NONRES.
REMARKS:
PLAN REVIEWEp BY WAYNE MILLER.
NU FINAL UNTII INTERIOR SOUND LEVEL RATING OF 45 SS PROVEO PCR PD AGREEMEN"1'
FEE SUMMARY:
VAIUATIQN
[iase Fee
Plan Review
Surcharqe
5flC
SflC ?
SAC Units
Subtotal
$2,887.25
$1,876.71
$750.00
$5,000.00
100
5
---- $10 , 0 a. 3. 9 6
$500,000
CITY SAC $500.00
TREATMENT PL. $2.200.00
Tota1. Fee - $12,713.96
SiONTRACTOR: - A p p 1 i c a n t- OWNER:
'COHN E GOODMAN LTD PTNRSHP 29618073 JOHN B. GOODMAN LTD.
:1.07 MAZELTINE BLVD 200 1107 HAZELTINE BLVD.
C?IiASKA MN 55318 CHASKA MN 55:318
(612) 361-8073 (612)361-84173
I
I her,eby aoknowledge that I 17ave read this application and state that the
ini'ormation i correct and aqree to comply with all appliceble 5tate ot Mn.
L Statutes nd a.ty ot Eaqan Ordinancas.
-
1
APPLICA /PERMITEE SIGNATURE ISSUED eY: SIGNA URE
1998 BUILDING PERMIT APPLICATION (COMA7ERCIAI.)
CITY OF EAGAN
681-4675
Submit following to obtain necessarv permit
Foundation Only New Construction Interior Im rovement
structural plans (2 sets) archkectural plans (2 sets) arohitecfurel plans (2 sets)
civil plans (2 sets) strudural plans (2 sets) code analysis (7) "
code analysis (1) " civil plans (2 sats) project apecs (1 aet)
sofls report (1) landswping plana (2 sets) Key Plan
projeM specs (1) code enatysis (1) " energy calculations (t) not aAvays "
Special Inspedions 8 Testing Schedule " soils report (1) Electric Power & Lfghting Fortn (t) not always "
SAC detertnination letter from MC/WS - SAC tletertnination letter from MCNVS - SAC determination letter from MCANS -
eall 602-1000 call 602-1000 call 602-7000
Speclal Inspeetions 8 Testing Schedule (1) "
project spees (t)
energycaiwlations (1) "
Electric Power & L' htin Fartn (t) "
-- comact csuumng mspeaions tor sampie
Food 8 Beverege or Lodging facilities: Plan must be submitted to Minnesota DepaRment of HeaRh. Call 2750700 for details.
DATE: gh?&Pj WORKTYPE: _ NEW 4 REMODEL
DESCRIPTION OF WORK:
o
CONSTRUCTIONCOST: TENANTNAME: (v 4 rG tVh
SITE ADDRESS: 1?7 /20' (O MOI ?K10$ X'-P, M(W tilAuirE #:
LOT ? BLOCK ? SUBD. 140F-uII??-T /-ND P.I.D. #
Name:_qe/I/`t P, (G[/opwm(V Phone#: /O12/ 3101
PROPER7'Y Last First
OWNER StreetAddress: ?rO ( 7(??t????Ll bv e;L.-IG //Z/I&77;F, /i(>v
City ( J(1/ 6 State: R),-( Zip: 957-5Va
Mu( L flx..? a?'7
Company: ????a L;M?Qhone #: - O
CONTRACTOR l(G7 l! ?l ?r.Tr(?E yU?
Street T(!? /
Address: ? icense # ?? /l
City ?/M 17 j!tA State: _X6(_ Zip: S? z7l L/
ARCHITECT/
ENGINEER Company:-??n (/?i?(t-( Phone #: ? ? -
Nazne: x/7 T T Registration #:
Stree[ Address: 4- fl UfAW "67629 i. Iq c %[/ d / f- , -,?Z,
Ciry State: /gig Zip: E% 621
_
Sewer 8 water licensed plumber (only if installing sewer & water):
t hereby acknowledge Mat I have read this application and state that the infortnation is eorred and agree !o compl with all applicable State of
Minnesata Statutes and Ciry of Eagan Ordinances.
Signature of ApplicaM:
Joffrq FUKkiFF-F 'WB0 73
PfzoJEGT 1Ltk9A&Ci'Z-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind.
WORK TYPE
? 31 New
O 32 Addition
GENERAL INFORMQ,TION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
°k SAC
SAC Units
Meter Size
A/19 Comm./Ind. Misc.
? 20 Public Facility
)21? 33 Alterations
? 34 Repair
l/AV Basement sq. ft.
v iJ First Floor sq. ft.
? sq. ft.
sq.ft.
2 ? sq. ft.
sq.ft.
Footprint sq. ft.
Building A4VII Engineering
? `d 5s7. 75 Valuation:
250, OU
? 957G.7?
SpOa,Gt'? Iooa,Ce
SDO,LYJ ???XS
?
aa oo,t? A?/N a v 5
r
lT713,9b
5
? 21 Miscellaneous
ZI 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bidg.
Census Unit
Variance
$ j-', -Oo,O0 ?
r
"3-7
3D
?
D
Metropolitan Council
, Working for the Region, Planning for the Future
Environmental Seruices
September 22, 1998
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has deternvned SAC for the
Eagan Experiential Learning Center to be located at 3386 Pilot Knob Road within the City
of Eagan.
This project should be charged 5 SAC Units, as determined below.
SAC Units
Chazges:
Daycare
120 children @ 14 children/SAC Unit
Credits:,
Eagan Medical Center (paid 8/87)
If you have any questions, call me at 602-1113.
Sincerely,
U ?Jodi L. Edwards
aQ.J'Iff da
Staff Specialist
Municipal Services Section
7LE: (190)
980922S8
cc:. S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
John Bunkers, John B. Goodman Limited Partnership
AREA CODE CHANGES TO 651 IN JULY, 1996
8.57
4.00
Net Charge: 4.57 or 5
230 East Fifffi Street St. Paul, Minnesota 55101-1626 (612) 602-1005 Fax 602-1183 TDD/77'Y 229-3760
An Cyual OPportun4y Employer
?J / LJ J
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filg-TiA-)&
GJ?UTj?
?5- /S /WO??
??? ?? ?????140-
6123398955
01i01/1994 93:58 6123398955 XERXES ARCHITECTS
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3386 Pq.OY 1:NUR B( ) >U
OlG7\1i11:110I I-N A. C;l ?( VI?.I 0, GR(71'P
1tJ.:: COUI.( .4N:V.Y5I< ri M trtl.llf\G YC.iRRiIT APPLICATI0N
Pnllo,eink ix a synopsix ()r rh(- n:quc=md analysis. Nso induded are commcnts from the prelirsuoary plAn 1CView and
intcTrl'18n.Me m,tt{c 1ic {) il, v?hncppncrdumng plan devclopment.
7. :li'I.I.ICA81,3? C;c ?I i')'14 URG:ind State :u9opted amrndmmts. 199' Uniform Fim Code_
t kpc ??f Fiumam $ervices. C;haptet 9503, ;\DA
3. U(,(,i.PAV>\lll4?: I. ?
3. CC?N?"I'RIIllPl: ?Il'PF.
1. 13l'IDING .1RlS:V Fc:nwg 4-irrsr fl<x>r ;,210 <iSF + 606sf solanoum adtGtions = 7,$16 GSF
I3,.wmrnt 1.125 CSSF-
5. IiASIC 11.LC1\Y' ?Iil.f ?\ I•. \: le<s than allnwable ama of 9.100sf per table 5-13, hpe VN cOnstuteticm.
G. :U2f \ Sl?I' \R -lfli?\"; ? "??IC }„our Ixnueen 6a5ementmechanic:J and 6rst floor (exisdngcondidon compliec)
7. C)CC:I'1'A V I' ].<? \I ?: 13:?<cd uFx>n sinte licensing iequicements
1 fnfaniroom Schildten 2st2£f
= I, Kldler rviim. 26 children i staff
I PR•,chool mo,ns 60 children 4 stnff
I?_hnpl :ig,c rnnm 1$ chi1dKtn 1 5ta(f
? ifiic : recepfiOn 2
lvi IC' hcn 2
'Potal Occup:mn 111 childmn + 15 = 126 ocCUpantx
PAGE 02
8. RfCOI ?iRRll fitl"I'? I-urrprcr,ition w:is madc in mid-Auguet by Nir. Sschoeppner, basedupon excepeon rvGngof Uli(:
.erG, ,n t1t77. i KareJ eomdor watls md ceiGnfi uc not rcyuired when cack room af instmefian has
:it k a:T onc czir Jirecdv to the exteno[.
2 S,1\1'E?.A'I lc )N: Hi?c,l'fRii.D PROVIDGD
lC%ater cln?en a 7
l.?varories ? 8
Dinkinr; funt, 1 2
1U. ?CCF'',ti?IR7,Ii ?I'0II I :I H( )cl;1TS: 5 unnex tpiler rooms
11. H!(Ql'IRI`.I) T' 41i1. 1 \( :;2 spaces provided and appmved by Final Planned Ckvdopment ARreement 7J7/98
.
Planning Report - John B. Goodman Ltd. Pamierhsip
June 23, 1998
Page 2
East - Extended Stay America hotel, zoned PD (Planned Development), guided CA (Central
Area) .
West - Lockheed Martin, zoned RD (Reseazch and Development), guided CA (Central Area)
EVALUATION OF REOUF T
Comnatibility with Surrounding Area - The Central Area is intended to comprise mixed-use
development. Surrounding development includes a bank, hotel, and offices. The Sidney's
restaurant and soon to be buitt 151-unit senior housing facility on nearby properiy north of this
site aze also being developed by John B. Goodman Ltd. Partnership. The daycare/preschool will
be operated by Intergenerational Living and Health Care, Inc. The applicanYs narrative states
one of their goals is to create an intergenerarional learning center that allows children the
opportunity to leam from providers and seniors. The narrative and documentation also include a
mission statement and statement of educational philosophy, documentation of staffing levels and
pazking needs, and a summary of building and facility features.
AilRort Noise - The Ciry of Eagan considered airport noise as a factor in its Comprehensive Land
Use Guide Plan. With the State's decision to expand the airport at its current location, the
Metropolitan Council has adopted a revised Aviation Chapter that anticipates the impacts from
the continued operation of the airport at its current location. The noise policy contours in
northem Eagan place the subject property within Noise Zone N.
In Noise Zone N, an educational use would be provisional, meaning that it must comply with ? l
certain structural performance standuds to be acceptabie according to MS 473.192. In
particulaz, the building plans, materiais and construction should be such that they will insure an
interior sound level of 45 dBA as compared with the noise level at the inner boundary of the
noise zone, in this case 65 DNL.
Lots - The property consists of a single platted pazcel (Lot 1, Block 1, Norwest 2nd Addition) and
is 1.06 acres in size.
Site lan - The proposa] includes remodeling of the existing building and modifying some of the
pazking azea to create outdoor play space. A circular drive pzovides short-term drop-off parking.
etbacks - A 280 sq. ft. solarium is proposed to be added to the southeast comer of the building.
The comer of the existing building is set back the typica130 feet &om the property line abutting
the public right-of-way (Norwest Cotut). With the addition of the solarium, the setback of this
building comer would be about 25 feet, five feet less than typical code standazds. This five-foot
deviation should not present a problem and can be approved as part of the Planned Development
by approval of the site plan as submitted.
Trash Enclosure - The trash enclosure is proposed to be relocated &om the east end of the south
pazking lot to the northeast corner of the site. The existing trash enclosure is detached. T'he
design of the trash enclosure should satisfy the performance standazds in the City Code, and shall
consist of a same or simi]az brick to be compatible with the principal structure. l; ?
PA-A^
NIEMORANDUM
TO: PaT CE.aCAY, CH[EF 06 POL[CE
ASS[STANT TO THE CITY aDLvQNISTR>TOR
DALE WEGLEITNER, EIRE MARSHAL
PLUV[BIYG [NSPECTOR BiaL A-
ELECTRICALINSPECTOR
PUBLIC WORIiS/ ENG[\EERING DIVISION NCILITIES/STREETS
GENE V,LYOVERBEKE, FIN.4NCE DIRECTOR
RiCH BE2ASCH, W'ATER RESOURCES COORD4YATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVTSOR OF FORESTRY
FROiNI: WAI'NE NIILLER, BLfILDING INSPECTOR
DaTE: -A H SCP/ q e
RE: PLAN REVIEW
9' f'Ei`"cOF?- Fc% ,
The _ preliminary X construction plans for ?/}&y.(,' ?x?El1, ?,? "%iA, tFaI.eI,?.c-i, CE/r
are in our plan review section for your review and comment.
Please return this form to Dale Schoeppner with your signed comments and the date of
review. If you have any concems with these plans, please so indicate on this foan and notify and
resolve these issues with the affected parties. IFyou are requesting that issuance of the building
permit be held, please fill out the proper "hoid" request form.
Comments: Wo'Q'
d
Indicate any fees that are to be collected with the building permit:
AMOUNT
0 Yes 'ECNo landscape security required
? Yes X No water quality dedication
? Yes ?L No park dedication
? Yes W No trail dedication
? Yes 9Y No tree dedication
? Yes ? No
Signa[ure
cDroaNis;Ni.Au aEvIew wAvNr: yi
339 6 ?'icoT J?aJoQ f;19,
f'C.& ?x . ?°?
?
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_ ZONING.-M? Y7
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-{YCet,S l? ?P.vtGA 0
`?-e
t') C "a,rv? oi?- Sn
6123398955
01/30!1994 15:15 6123398955 XERXES ARCHITECTS
DEAv AxcHrTECrs
411 V'ashingtc?n Avenue N. 202
Mitmeapolis, Munesota 55401
Tel 612338.4091 }:At 612.339.8955
F;-MAIL- firm r xencesarchitects.com
Fil X
TOI ti I(\.Ill.1.F,R From: CORY BANDELIN
PAGE 01
FaX: ?st-? 4?0`l4 Dare: t»a/es
rnom 681-4e?r PW s
lic: F?:AGA? l,i i?KVINGCf:-\q$R CC:
? I?r?,x7?t C] ?.rr Rrcicv- [J P4.au• f;cxrmttnt ? Plense Rcph, ? Pka.c R:cyi:k
•Commcnn:
ENCLOSED IS THE GlASS SCHEDULE YOUR REQUESTED ON THE ABOVE
PROJECT.
WE ARE IN PR4CES8 ON THE DETERMINATION OF THE INTERIOR SOUND
LEVELS. I WOULD EXPECT TFfAT THIS DOES NQT PROHI8IT THE ISSUANCE
qF THE CONSTRUCTION PERMIT BIJT RATHER THE CERTIFICATE OF
OCCUPANCY.
LET ME IW4W IF THER ARE OTHER CONCERNS.
.
.^.^v^v^n, r=rinM'e, itiJu i1tiEi0VltAFiE SCHEDULE
DOOR OOOR TYPE FRAME - - m
. HARDVY E
Ga p N07E5 .? ?
TYPE ? S1ZE 'u9e? ;MaTERiAL GLASS 7YPE MAT'L siDEUCKr m
100A TMpE ?
EX. ALUM ? EX AL. EX(ST, EXISTINGALUM S8R EXITDOORS ?
iaoe --------- p
--
__, _?____` _ EX_ALUM i EX.AI. EXlST. EXISTINGALUMS$REXI7DOORS ,.
t01D 1 3bx88 ' ----- ------
Fih7S&R E)i'1NSU? B NPA ---- ---' -----------
- -------- - -- --- -- ?
in a ---- `---- ----- 54W
103 4 36x80
f;? SuR TEP.iP.
104 C Hhi 13
? -- - --- - _ _ _ HM .- ---
EX SC WD EX.
-4--,- 3o .
E XlST. ?
7CS
- - - "-"---'-- REUSE EXtSTfNGi NEW PAINT
?A x SO WO S&ft Fl TE1??P. C Hh;1 13
'
2 JO X C? f:r.': V':'LI I[.}l'I?VCJUL .q
? 105A 4 H??? 38W
35 e SO ?..niri c,4n ?`Tci•.ir G tiP,1 -- --. w
W
D ---
_
1 ro'B 2 36 x 88 H? t WrU7E TEP:IP. A Hp,1 ' `n
- . . 38W - --- ----
1U7A --
?n
EX. SC WQ ---- - ----------------
-- - EX. HM EXIST. REUSE EXfSTING/ NEW PAIN7
-- 1078 - „- EX SC WD _
-- -- ----0-. -- EX Hh1 EX157. REUSE EXfS71NG1
108A 4 z8 -- - -- -
36 NEW PAiN7
WDS&R O TEM1fP C Hh!- -D ri ?3 -.._. _.__.-.----_-.------
- - -- __-
10&8 2 36 x 88 H61 1NiLI7E t'lNSUL A kM 38W
- ---- ----
--- ----
109A
_ E EX
X SC WD ------------
- - - -. N E --.M------ - . Hh1 EXIST. REU-SE E7(1S71NG!NEW PAWT
tioya E X - - ----- --X. -H-M ---- --
- --- . _ ..
-- ---
710 1.. . 36x88 ' - . - ._ . .
- --- - -- -- -- EXIST. REU5E EXISFlNGINEW PA7NT
------------
HMSBR
71 IA 4 36 x SO WD S8R ? TEF.1P iC J HM p? ';w SIOEEfGHT REVERSEO
---- ------------ - 1 i3
---°-
. .. -----
??1 1 36x88 HMSBR 1"INSUL -A- - HM-
_-....--------- ------
--`-
- 56W -- x
112A ?._ _?---- - m
EX. SC WD EX. HM -_.
t128 _-_-- --- A
_ REUSEEXISTINGlNEWPAIH7 X
EX. SC WD ---- m
EX. HM -------- --------
- --??. -
113A 4 36 x 80 -C-
WD SSR - p' E13 7' REl1SE EXfS7lNG/NEW PAIN7 ? n
'. -..- .-- ---- - ---- ----- ? TEh1P NM ? - -?
1138 A
. . ?-------
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114 REPWCELOCKSETy`97L
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_ . --------?..---- --=-
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tiSA 4 36x80 -
i i WD S&R y"lNSUL C -
if56 t 3bx88 HM p? 13 -- ------- ?.
---,-Y .--- HM S8R I" lNSUL A HM 56W
EXIST REUSE EXISTING! NEW PAINT
SC WO ? HM ' EXIST REUii W PqINT
S 18A 436 80 WD &R ? MP C HM i' 3fi x 88 HM S&R - 13?
21'INSUT A NM ?W
B102 EX. WD -- hM EXIST. REUS_ W PARJT
?ST. E?Si ??ST. EXIST m
m
W
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6123398955
01/30/1994 15:16 • E123398955 XERXES ARCHITECTS PAGE 02
SECTION 08800
GLASS ANb GLAZINQ
PART 1: GENERAL
7.01 SUMMARY
A. Ssction includes: Glass entl glsring, end reletsd eervlcOS.
B. Releted Sections:
?I 7• Ssctlpn 0$710 - HOLLOW METAL WORK
• 2. Secttdn 08210 - WOOD UOORS '
1.02 SUBMITTALS
A. Manufacturer's recommendetl instellption InatruCtions and produet date.
1.03 QUALITY ASSURqNCE
? A. Standerds mede pert ot tMa SpeciflcaUort:
7. ANSI 2 97.1
2• Foderel SpeCifiCationa, DD•G-467
? 3. insulating Glass Cert(ficatlon Councll (IGCC) in eccordsnee whh AS7M E-773 antl E-774.
? B. Olesa sl=es end typss, end Ql"ng deteils end msthods ahsH conform to puWlahed
recommendations of gless manutacturor
d GLAZING MANU
, sn
AL end SFALANT MANUAL of Ffat
Glass Marketing pssoeietiOn.
? 1.04 HANDLING, DELIVERY AND STORAGE
A. Package, handfe, deliver and store at job sita In e menne+ thst will avoid demsge. 5eratehed and
dsmeged glass will bs rejeeted.
1.05 WARRANTY
A. Provide no less then 10 veer werrar?ty of thermel anA physical integrity of insulsted glsss units.
? PART 2: PAODUCTS -
2.07 MANUFACTURERS
? A. Products of Viracon, Inc. era speciflsd, uniese otharwlae speclfied. Comparable products of equd
quellty of Pinsburgh Ptate Glass Company, Ford Gless, Cilobs. Falconer Glass Industriss and
Cardinal Insulated Glesa Co. a.a ecespteble subject tv epprovel of AreNteet.
2.02 MATEq1ALS
A. Glszing: Unless othsrwise noted
i
. Tsmperaa Gleas: 1/4 Inch deer, tempsrsd glass, canfarming to Fedaral $tsnderd 76 CFR ?
1201 and ANSI 2 971. j
2. Tempe.ed Insuleted Glass: poubte plazed, Low•E. Claer whh 112 inch alr spece unless }
y ? atherwise speeifisd, csrtifisd to Leval CSA or betta, and contOrming to Federel Stendard
- - •? 16 CFR 1201 and ANSI Z 97. .
409.6
08800 - 7 Glsu and 01ezfng
6125453209
Sent by: THE BUILDERS INC. 6125453209
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11/12/98 4:02PM Job 603 Page 1
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THE BUILDERS [NC.
?0 0 1.E:Sni A ssociA 'rr5
8100 Vdayzata Boulevard, Minneapolis, MN 55426
(612)545-3217 Phone
(612) 545-3209 Fax
FAX COYF.N SHEF,T
7'O: Wayne Miller
City of Eagan Building Department - Pax No. - 681-4694
h'KOM: Mark Hayes
Projcct Managcr
I)nTh,: 1 t-I 1-9A
tiUH,IHC'I': Fagan Experimental Learning Center
Wayne, attachcd arc the cnergy code calculations fnr the Eagan F?,xperimenta! 1.earning
Center. PEcasc givc me a call if you need anything else Cor issueing the building perniit.
Please call with tinal amnunt for permit as soon as possible.
You will receive 5 page(s), including tfiis cover sheet.
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_ Iltuminatian Bud:get- Calculatian Summary
eLAIa nddress:
De:igner Ncma a t?rm: ??
Phone:_ ?1?`,??= ??l7O_ • ? ? " "---
-- - Plecxse Type od Print.
T?+is waysheet k tntended fo deltartrJne eompf onCe wTth,Liirtnesotq Energy Cede i'art 7670.6800 usfng the
prPScrfpfive Inlerior Ugh`inQ Pcwsr Attowflnce :neihotl.
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I herehy cerfify thdt io the besF af my knOwfed;e, 1 hove designed 4h1s ilf?tninot' n syslem to eonfprm with t; le
requkements of the Minneecto State Energy Gxte?/. /
t hereby GeMfiOt 10 Tne oesr ei rny ,crrvwrwam. 4 lsurG oesignea rrns wvmina? n syaisriI i? ?.V? PH?•^••• •
requirements of the Hlinneaoia Stota Energy Cs-:ide.
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3210 9001 3380 F']:L.(lT t:ft l; 50„00
2155 9009. 3300 f'ILO't t.R f? 0 . .i(]
4
7ot:a7. Receip+, Amour:t," 50.50
CftO3&'4f30
L'SF.::fi iD- NFhCY
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PERMIT
? C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuzLosne
Permit Num6er: 0 3 3 6 9 9
Date Issued: 10 / 16 ( 9 8
SITE ADDRESS:
'33sst?
359?6- PILOT KNOB RD
L07: 1 BLOCK: 1
NORWEST 2N0
DESCRIPTION:
j?DEMOLISH
uild'ing-Permit Type
uilding Wo?'rk? Type
ensus Cade
?.
INTERIOR
rnmMMISC.
DEMOLISH
649 QEMO OTNER
REMARKS
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant -
THE BUILDERS, INC. 25453217
81 WAYZATA BLVD.
MIN EAPOLIS MN 55426
(612) 545-3217
OWNER:
GOODMAN, JOHN B. LTD.
1107 HAZELTTNE BLVD.
CHASKA MN 5531$
I hereby ecknowled'ge that I
1-nfiormatican is correct and
Statutes andCity ot Eagan
?
have read this
aqrQe tq coinply
Ordinances.
APPLICANT/PERMITEE SIGNATURE
appiicatian and state that the
with a11 23pp3icable 5tete af P1n.
Cj ISSUE
I
33 6 g i
681-4675 's e?;b s?
1998 BUILDING PERMIT APPLICATION (COMMERCIAL) l C7 - I(o -CJs
CITY OF EAGAN
Submit followina to obtain necessarv permit
Foundation Onl New Construction Interior Improvement
structural plans (2 aets) arohkedural plans (2 sets) architedurel plens (2 aets)
Civil plans (2 sets) 6truaural plans (2 sets) code anerysis (1) "
code enalysis (1) " Gvil plana (2 sets) projeG epecs (1 set)
soils roport (1) landscaping plane (2 aets) Key Plan
projedapecs (7) codeanalysls (1)" energycalculations (1)notaNrays^
Special Inspections & Testing Schedule " aoils report (1) Elearic Power & Light(n9 Fortn (7) not aNSys "
SAC datertnination letter from MCMS - SAC detertninaGon letter from MCNVS - SAC detertninetion letter from MCIWS -
cail 602-1000 cell 602-1000 call 602-1000
Special Inspeelions 8 Testing Schedule (t) "
proJect apecs (t)
energycalculaUons (7) "
Electric Powar 8 Li htin Fortn 7 "
" Contact Building Inspections for sample
Food 8 Beverege or Lodging faeilities: Plan must be su6mitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: /CI/G /`?R' WORKTYPE: _ NEW -?< REMODEL
DESCRIPTION OF WORK: V?v,?,p
CONSTRUCTION COST: TENANT NAME:
SITE ADDRESS:
2o,4
SUITE #:
LOT I BLOCK _L- SUBD. K-Q) P.I.D. #
Name:Csvo0MarJf Soet.?13 IzW ?ft¢-T&-Xj?iP Phonek:
PROPERTY Last First
OWNER
Street Address: l10 7#A $4-a
City 2-6M-;SrLp State: l?,cJ Zip:
Company: TK,S? ?r9r ?J7G%? li?G Phone N: ? S•??'? ?
CONTRACTOR
StreetAddress:?Rfe0 tVA-`Gz-A-3-A, Sr-v D License#
City M (?[.?, state: /Iti zip: Z2S-,+Z/
ARCHITECT/
ENGINEER Company: Ton^a/ Phone #:
Regisvation #:
Street
Ciry
Sewer & water licensed plumber (only 'rf installing sewer 6 water):
SC
i hereby acknowledge that I have read this application and state that the infoi
Minnesota Statutes and City ai Eagan Ordinances.
Signature ot Appiicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./lnd.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq.ft.
Pianning Building
Engineering
? 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Variance
. ..
Permit Fee
Surcharge
Plan Review
MCNUS SAC
City SAC
Water Conn.
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
Valuation: $
MEMORANDUM
TO: PAT GEAGAN, CHIEF OF POLICE
ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
PLUMBING INSPECTOR g/L(J A-
ELECTRICALINSPECTOR
PUBLIC WORKS/ ENGINEERING DIVISION /UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICA BRASCH, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SEIVIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: WAYNE NIILLER, BUILDING INSPECTOR
llATE: '?H Sze- PT 1 gr
RE: PLAN REVIEW
P<?+l1 ?'6
3 3g ? ? //_o T
? u a?.vs?o,v 4- 1+??roD? Xok
The _ preliminary x construction plans for 0/}GfA) A-KP£Ri r- A) 7'/ ,('EaRvu/i. 6B,t1rog
are in our plan review section for your review and comment.
Please return this form to Dale Schoeppner with your signed comments and the date of
review. If you have any concerns with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
landscape security required
water quality dedication
pazk dedication
trail dedication
tree dedication
Signature
ZONING?
Date
CD/FORMS/PLAN REVIEW WAYNE M
14
Minnesota Department of Human Services
October 26, 1998
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
Re: Zoning Notification of Application for
Department of Human Services Program License
I
L l 3 / 06 /-1xWS 1 Zn?
This is to inform you that we have received an application for a program license
under Minnesota Rules, parts 9503.0005 to 9503.0170 from
INTERGENERATIONAL LEARNING CTR, 3386 PILOT KNOB ROAD, EAGAN,
MN 55121 to provide day care for 111 children.
Issuance of this license is subject to compliance with the provisions of Minnesota
Statutes, Chapter 245A.
If a copy of this statute is required, piease contact the Division of Licensing.
If we do not hear from you within 30 days of receipt of this letter, we will consider
this facility to be in compliance with your local zoning code.
If you have any questions regarding this letter, contact Anne Blank at (651)296-
6318.
Sincerely,
lz)_.? lo?.c.J
Dennis Curran, Unit Manager
Division of Licensing
444 Lafayerte Ro¢d Narth • Snint Pa:al, Minnelatn • 55155 • An Equal Oppurtunity Emplayer
MEMO TOS DIANE DOWNB? IITiLITY BILLIN6 CLERR
FROM: EDWARD J. RIRSCHT, SR. ENGINEERING TECH
DATE: MARCH 29t 1991
BIIBJECT: STREETLIGHT ENSRGY COSTS
LOT 1t HLOCR 1, NORWEST 2ND ADDITION
3386 PILOT RNOB ROAD - OWNER - HELATH ONE CORP.
2810 57T8 AVE. NO., MPLB.r MN. 55430
LOT 1, BLOCR 1, NORWEBT iST ADDITION
3390 PILOT RNOB ROAD - OWNSR - NORWEST BANR
This memo is to inform your department to start to invoice the
energy cost in the amount of $40.00 per quarter for one 250 watt
high pressure sodium luminaire with the next utility billing for
the above two listed parcels. Your department should split the
energy cost between 3386 and 3390 Pilot Knob Road. (Invoice $20.00
for each of the above listed parcels)
The City is currently being billed by Dakota Electric for the
streetliqht energy cost for the streetlight located at Pilot Knob
Road and Norwest Court.
?c?ti%? 4 9 ?UL?41/
Edward J. hirscht
Sr. Engineering Technician
cc: Michael P. Foertsch, Assistant City Engineer
EJK/jf
,/. 0 3Lf/o(,
PLEASE COMPLETE FOR ALL COMIIvIERCIAI./INDUSTRIAL BUII DINGS. ALSO FOR MUL'Q-
FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
? NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $ ???
FEE: 196 OF CONTRACT FE&
STATE SURCIiARG& $SO FOR EACH $1,000 OF "M FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:?
OWNER NAM
INSTALLER:
ADDRESS: 16.3--3 /
x ? v
$ 38 3'0
°,°u ?l/ ?-?8'7?
a??9
0:t? P'16v ..
D
STE. #
CITY: TATE: l1 ZIP CODE: ? O!P
PHONE #: ?2 /n( - Cv Y'Jr/
FOR:
CITY OF EA AN
PLUMBING PERMIT (COMMERCTAL)
CITY OF EAGAN
3830 PII.OT KNOS RD
EAGAN MN 55125
(612) 6814675
PLUMBING PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
Bt1T'H TUB 3.06
LAVATORY 3.00
KTTCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OLTTLET •mini um - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dakpy. lic. 15.00
U.G. SPRINKLER • 6ome under consL 3.00
ALTERATIONS • co ?ting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS:
C'JVNBR NAME:
INSTAL,LER:
ADDRESS:
CTfY: STATE: ZIP CODE:
PHONE #: (
SIGNATURE OF PERMITTEE
.1TO1371i34/oG
PLEASE COMPLETE FOR ALL COMMERCIAL./INDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTION
? ADD ON
REPAIR
FEE: 1% OF CONTRACT FEE
STATE SURCAARGE: $•SO FOR EACH $1,000 OF FE&
MINIMUM FEE: S 25.00
CONTRACf PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$?
$ ?
$ J
?
/i.
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
nnnREss: /1133
CITY: __?f?UD?jPD?rGE STATE: / 6-IN ZIP CODE:
PHONE #:
FOR: \ OnnM ";'?
CITY OF EAGAN AP C T '
PLUMBING PERMIT (COMMIERCIAL)
CTi'Y OF EAGAN
3830 PILOT KNOB RD
EAGAN NIN 55122
(612) 681-4675
CONTRACT PRICE: $ /lw) "
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KTI'CHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OLJTL.ET • w.um - ? 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • oeLay. uc 15.00
U.G. SPRINKLER • eome una« ?u. 3.00
ALTERATIONS • to ?tipg 15.00
WATER TURN AROUND 15.00
STA1'E SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NP.ME:
INSTALLER:
CiTY: S1'ATE: ZIP CODE:
PHONE #: (
SIGNATURE OF PERMITTEE
V
1993 PLUMBING PERMIT (CONIIIZERCIAL)
CTfY OF EAGAN
3830 PII.OT KNOB RD
' EAGAN MN 55122
(612) 681-46?6
?.
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WfiEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING L':: ; T.
NEW CONSTRUCfION
v_ ADD ON
REPAIR
WORK DESCRIPTION: 11a?? m,ve cwxlee tlse? i9o d 440.
CONTRACf PRICE: $
FEE: 19E OF CONTRACf FEE.
STATE SURCHARGE $•SO FOR EACH $1,000 OF ££R11'ft'A' FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $ M .?O
$j'j'E ADDjjESS: 3386 PILOT KNOB.RD
TENANT NAD'IE: EAGAN FAMILY CARE CLINIC $'j'$, #
OWNER NAHZE:
W STALLER: _
ADDRESS:
CITY:
PHONE #:
FOR: ?-, (ovFx)
CITY OF EAGAN APPLICANT
B K PLBG & HTG
2661 ROTH PL
WHITE BEAR LAKE STATE:
MN
ZIP CODE: ssiio
653-2218
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLIIVGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNIT.
NO. FIXTURES C TOT?
SHOWER 3•00
WAT'ER CLOSET 3•00
BATH TUB 3.00
=L LAVATORY 3•00
KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET •?um - i 3.00
ROUGH OPENINGS iS0
WATER SOFTENER 5.00
PRIVATE DISP. • DaLCry. lic. 15.00
U.G. SPRINKLER • Eome under const. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCNARGE .50
TOTAL: SITE ADDRESS: 83eG 61o7 401-2 .cal,
OWNER
WSTALLER: 4 r.S4 • -
ADDRESS: ?2G(o/ .?'72p a?at?
CITY:41?'.?Z /A L.a,G STATE: 45?/ ZIP CODE:.?Si1 o
PHONE #: (6102 )
? . ?
S ATU OF PERMITTEE
1993 PLUMBING PERA'IIT (RESIDENT7AL)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681.4675
/
PLEASE COMPLETE FOR ALL COMNERCTAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
D1,TE: :7 Z / g /,?,q 3 v ;NIIRAC:' P°.ICv: $ ,,-) D C7 O ?
NEW BUILDING
=INTERIOR IMPROVEMENT
WORK D£SCRIPTION:
FEES
1°k OF GOTr'TRACT FEE $
PROCESSED PIPING: $25.00
M-1?IVIMUM FEE: $25.00
STATE SURCHARGE $-50 FOR EACN $1,000 OF EERMTT FEE.
_.
TOTAL $ ? ??
STTE ADDRESS: 3 3 8 e, ,P; ? o{- 'K?-, o lo ? <Q .
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER: A r.E' M c rj? yt-r? ? c A? S ?.r' i j i?-n S? L
ADDRESS: ?5-a
CITY: r,? STATE: n-?- ZIP CODE: SS o 5 L
TELEPHONE e-16 '1 / Z 3 e
L? 'o J, (24,
SI NATURE OF PERMITTI?E INSPECTOR
im tvht;narvii;ni, rtxnlrr v.;vmmcx%-uw)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
i
1993 MECHANICAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
NEW CONSTRUCTION
ADI)-nN A/C
ADD-ON FURNACE
DATE
FiVAC: 0.100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CONSTRUCTION)
STATESURCHARGE
TOTAL
FEES
$ 24.00
6.00
$ 15.00
.50
SITE ADDRESS:
OWNER N
TELEPHONE #:
INSTALLER:
ADDRESS:
CTfY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
7 i;L- q3
CA,G 1030.,3
BUILDING
021424
07/12/93
SITE ADDRESS:
3386 PILOT KNOB RD
LOT: 1 BLOCK: 1
NORWEST 2ND
P.I.N.: 10-52251-010-01
DESCRIPTION:
Btfildih#';,Permit Type
Oltiltling fJork Type
:'tlI3C QoCUpairt; y'`
VALUATION
7?,k??
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
COMM./IND. MISC.
ALTERA7ION
8-2
$46.000
$3$8.50
$252.53
$23.00
$664.03
CONTRACTOR: - Appltcant -
AUST GON5T INC 25539635
3915 LAKEWODD AVE
WHI7E BEAR LAKE MN 55110
(612) 653-9535
OWNER:
JNITED HOSPITAL
333 N 5MITH HVE
5T PAUL MN 55102
(612)220-8600
C . . .. . . , ? . ? .. . ..? . .. ... ? . .?.?.. . , .. . ??.?
I hereby acknowledge CFsat I hAve read CMis appliCatian knd state thet tfie
intarma'Gian is eorrect and agree CQ camp.ly wSth aSI applicable'state o'F Mn.
StBtutes and City of'Eagac[ OrdlRancesa
L ; J
APPLICANT?RMITEE SIGNATURE ' ISSUED?Y SI?jij GNAT? I
?IiE k\,-
-
REACTIVATE _
PERMIT.S -
VdId
CITY OF EAGAN - 1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
catcs.
COMMERCIAL 2 sets of architectural 8 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-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date '?ii Valuation of work
33 ?6
e
Site Addr
ss•
STREET SUITE 0
Tenant Name: (commercial only)
IAT BIACK ? soBa. NoPu.-sr ZND J? P'N?D. M
Descri tion of work: cL 2
The applicant is: ? Owner '10,Contractor O Other coesor;be>
Name Phone 220? $ 600
Property LAST FIaST
Owner Address 3 3-3 7r?1"? ?,.«u, G.u-c
STREET STE Y
City J?PGwcc.( State Z p r??oZ
Company a?s??• KEW STPhone
Contractor Address 391-5 License # 00096931 Exp. 9S_
City'?.?,o,i ? State "A? Zip S S//O
Company ?Phone /v9-3- %A
ArchitecU
Eng(neer Name Registration N
?
Address
City State Zip
Sewer & water licensed plumber . Processiv(g time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? ~ -•
"
„
!r.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Q,i{6 Basemenf Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Mutti. Misc. 0-17'%iM PooT""'
13 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ,$f19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Mu1ti. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
O 31 New IQ 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition 13 34 Repair [3 36 Move
GENERAL INFORMATION
Const. (Actual) ° Basement sq. ft. MWCC System
SAllowable) lst F1. sq. ft. tity Water
UBC ccupancy _T7z_ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
M of Stories Footprlnt Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS ?
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
P Final
)9 Framing
O Draintile
O Insulation
0 Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
2861.50 vetusc;on:
,23.oo
252-53
? ,1? w D ?
-.?r-??
SAC %
SAC Units
Y CITY OF rAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control Na. 1 222
BUSL07:NG
901.676
im/2z/9z
SITE ADDRESS:
3386 PILOT KNOB RD
LOT: 1 BLOCK: 1
NORWEST 2ND
DESCRIPTION:
REMARKS: r o ai3
COMM./IND. MISC.
ALTERA7ION
s-z
EAGAN FAMTLY C:ARE CLTNIC
FEE SUMMARY:
VALUATION
Base Fee
P].an Review
Surchar9e
Total Fee
$713.00
$453.45
$60.50
$1,236.95
$121,e00
CONTRACTOR: - Fl p p 1 i c a n t- OWNER:
FflLLS & NYHUSMOEN CONS7 29381310 UNITED HOSPSTflL
8700 W 36TH ST 333 N SM1'1'H
5T LOUIS PARK hIN 55426 ST pAUL MN 55102
(612) 938-1310 (612)220-5516
I hereby acknowledge L'hat T have raad this application and state that the
information is correct and agree to comply with all applicabla State of Mn.
Statutes and City of Eagan Drdinances.
? -
(YAPPLICANT/PERMITEE SIGNATURE
euiiding Permit Type
Building'Work Type
UBC Occupanesy
.
f)fW4 t l.l rn
ISSUED Y: I N TU E
PERMIT #
REACTIVATE I
I LIL
CITY OF EAGAN $ I, 23L. 92?
1992 BUILDING PERMIT APPLICATION
681-4675
:9G7 a ;- RECo
SINGLE 6 MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 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 92- Valuation of work _./ZD. 6 dq O-=
Site Address: _-K 33Z
(?
SiREET SUITE k
Tenant Name: (commerclal only) C4Gan GiMI-Iu (AlC. an;c-
LOT I BIACR I SUBD. NoRwtST ZNA P.I.D. N
Descri tion of work: o
The applicant is: O Owner Contractor ? Other coes«tbe>
Name t?A i e s; Phone 22A= SSl6
Property LAST F,RS,
Owner Address S 33 Al. -P-
STREET STE N
City 34 Stat A) Zi 5IO Z
/P S
'
u,?.. a
S 1L
Company e o rt)c-fcd? Phone g36' 13I0
Contractor Address 9700 UI. ???s bq
?"• License # ? Exp.3-31-91
City ?/'oA-.s Pwk State /j'>nI Zip S3_y2_ 4
Company -,A a rr+? Arc.k. Phone 6S3 - l6 PG
ArChiteCt/
Engineer Name Reglstration # /3b39
Address q Z-? (,JA+4c 3(!cv- PcjkL,)&
q
_
City 1,A)AI4C I?2ti/ State A? 21p
Sewer 6 water licensed plumber . Processing time far
sewer 3?vater permits is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: .??
L?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodg9ng
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
O 31 New Eg 33 Alteratlons ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq, ft.
SAllowable) lst Fl..sq. ft.
UBC ccupancy B-z 2nd F1. sq. ft.
Zoning Sq. Ft. total
#' of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planniog Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
?Z Final
% Framing
? Draintile
? Insulation
? Fireplace
Permit Fee vei,,,t;,,,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Nater Meter .
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
S I21?OJJ?
6 B sement Finish
O 11 Swim Pool
e% 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Boaster Pump
Fire Sprinkler
Census Code
SAC Code
Q2.?a?.a tild? ?-1--
??
Assessments
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- -,
MEMO T0: JAY BERTHE - POLICE DEPT.
CRAIG KNIIDSEN, ENGINEERING TECH.
TOM COLBERTo DIRECTOR OF PiTBLI WOARS
JIM STURM, PLANNING DEPT. C? JL.S
JON HOHENSTEIN, ADMINISTRATION
HILL AKINSp ELECTRICIIL INSPECTOR
JOE CONNOLLY9 WATER DEPT.
FROM: DODG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS
DATE: 'rj • ( ' 87
The preliminary construction ?
plans for N?+?"il-1 bNG CLJNIL 'flLDT 4405 12D.
are in our plan review sect3on for your review and comments.
Please return this form to Steve Hanson with your initialed comments and the
date of review. Failure to return form to 3teve within five (5) da,ys will be
considered your approval. If you have aay objectiona to approval of these
plans, it is qour respoasibility to notify this department and resolve any
problems.
? ra erty
ra et
? r
mikutgiwski
& ASSOCIATES, INC. ARCHITECTS 253 EAST FOURTH STREET ST. PAUL MINNESOTA 55101 612/224-4831
PROJECT Eagan Medical Center RRM Project 8522.01 MEMO
TO File
FROM Lee Tollefson 4T
SUBJECT Final Code Analysis
DATE 4 April 1987
Pursuant to RRM's phone conversation with Steve Hansen we have decided to follow
the 1985 UBC for the design of Eagan Medical Center.
1. The building should be classified as a Type B-2 occupancy with an attached
garage of Type M occupancy.
2. There must be a one-hour fire separation between the occupancy types.
(Table 5-B)
3. The allowable floor area for buildings one.story in height for B-2 occu-
pancy is:
Type V-N 8,000 sq.ft.
Type V-1 hr 14,000 sq.ft.
The basement would not have to be included in the allowable area, provided
such basement does not exceed the area Qermitted for a one st2.a buildinQ.
Our design is a total of 9,915 sq.ft.
We should plan on at least Type V-1 hr. construction type based on
building size.
4. The occupancy of the building shall be 7028 sq.ft. divided by 100 or 70
occupants.
The basement is storage and mechanical.
5. The structural frame of the building should be of steel.
6. The area separation wall may terminte at the underside of the roof if the
roof ceiling assembley is of 2 hour construction.
7. Automatic Fire Extingishing system shall be required in the basement (Sec.
3802 b.l) Group B2 buildings require sprinkling when the floor area
exceeds 12,000 sq.ft. on any floor. (Sec. 3802.5.b.)
Page Two
Memo to File: Final Code Analysis
4 April 1987
Our buildin9 is not required to have sprinkling except for the basement.
We have decided to sprinkle the building.
8. If we sprinkle the building on a voluntary basis we can triple the floor
area of a one story building. (Sec. 506.3.c.)
9. If an approved sprinkler system is installed it can substitute for one-
hour fire resistive construction if the sprinkler is not required by the
code. (Sec. 508)
10. We could select to build a Type V-N building with a sprinkler in baseinent
and sprinkler throughout the first floor. This should be verified with
the local officials. This sug9ests an unprotected steel structural fraine
is adequate.
11. Openings extending vertically throu9h the floors shall be enclosed by a
one-hour shaft (Sec: 1706.a. and Table 17-A).
This requires our vertical.shafts (3) and stairs (2) to have one-hour
shaft walls.
12. In one and two story buildings other than Group I shafts for gas vents,
ducts and piping which extend Lhrough more than two floors need not canply
with Table 17-A.
13. Our understanding of points 11 and 12 is that the 3 shafts and two stairs
need a one-hour wall around them but separate pipes etc. projected from
the basement through the first floor need not be protected.
14. Our required exit width on the first floor would be 1.4 feet. The maximum
distance to an exit in a sprinklered building is 200 ft.
15. Corridors must be of one-hour construction because it serves more than 30
occupants. Cooridor ceilings must not be less than required for one-hour
fire resistive floor or ceiling.
The 1985 UBC has a change from the 1982 Edition in this area.
In Sec. 3305.g. - Construction
Exceptions:
"5. Corridor wall and ceilin9s need not be of fire resistive construc-
tion rithin office spaces having an occupant load of 100 or less
when the entire story in which the space is located is equipped with
an automatic sprinkler system throughout and smoke detectors are
installed rithin the corridor in accordance with their listing."
Page Three
Memo to File: Final Code Analysis
4 April 1987
16. The stairways must be at least 36" wide. The rise cannot exceed 7".*
(Handrail projection not to exceed 31/2" on each side.)?
*Note that this is a change from 71/2" in the 1982 UBC.
The tread depth must be at least 11". A9ain, this is a change from 10" in
the 1982 UBC.
17. Landings on the stairs must have a dimension measured in the direction of
travel equal to the width of the stair. (Need not exceed 44" on straight
runs.)
18. Exiting: Rooms may have one exit through an adjoining or intervening room
which provides a direct, obvious and unobstructed rnLans of travel to an
exit corridor, exit enclosure or until e9ress is provided from the
building, provided the total distance of travel does not exceed that per-
mitted by other code provisions.
Foyers, lobbies and reception roans constructed as required for corridors
shall not be construed as intervening rooms. (Sec.3303.e.)
19. RRM will meet with the building official to review the code requirements
next week.
END
LET:av
xc: Gausman & Moore
Van Sickle Al1en
Rick Anderson
Mary-Tom Higgs
John.Dailey
.? .? .
MEMO TOs JbY HERTHE - POLICE DEPT.
CRAIG KNOASEN, ENGINEERING TECH.
TOM COLBERTr DIRECTOR OF PQBLIC WORRS
J STURM, PLANNING DEPT.
JON HOHENSTEIN, 6DMINISTRATION
BILL AKINSp ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
I FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS
DATE: -?j • ( • 87
The preliminary construction ?
plans Por NsAL-'ilH (5N E CU Nic. - 3"3f3C? T?LD'r Y-I,(o8 120.
are in our plan review seetion for your review and comments.
--,
MEMO T0: JAY BERTHE - POLICE DEPT.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PiTBLIC WOHRS
JIM STURM, PLANNING DEPT.
JON HOHENSTEINg ADMIPIISTRATION
HILL AKINSt ELECTRIC9L INSPECTOR
JOE CONNOLLYt WATER DEPT.
FROM: DOUG REIDO DEPARTMENT OF PROTECTIVE I
DATE: -rj • ( • 8>7
The preliminary construetion V",
plans Por Nt+AL"fH (!)N E. CU NlL
are in our plan review section Por your review aqd comments.
Please return this form to Steve Fianson with your initialed comments and the
date of review. Failure to return Porm to Steve vithin five (5) days vill be
considered your approval. IY you have any objections to approval of these
plans, it is your responsibility to notify this departmeat and resolve any
problems. ?
Thank you. ?.
/JS ?
> G 1
SUBJECT: CONDITIONAL DSE PERMIT /G --c u- G-P 7
APPLICANT: HEALTH CENTRAL ENTERPRISES L-/7 F7
LOCATION: LO'P 1, BLOCR 1, NORWEST 2ND ADDITION
EXISTING ZONING: PLANNED DEVELOPMENT
DATB OE PUBLIC HEARING: NOVEMBER 24, 1987
DATE OF REPORT: NOVEMBER 17, 1987
REPORTED BY: pLANNIDTG DEPARTMENT
APPLICATION SiTMMARY: An application has been submitted requesting a
Conditional Use Permit to allow a pylon sign with approximately 80
SF of signage area and a maximum height of no more than 10' at the
nearly completed Urgent Care facility along Pilot Knob Road just
north of Yankee Doodle Road.
The proposed sign will be constructed of brick and stone matching
the building exterior. The shape also resembles the gable above the
building entrance. Two secondary signs near the health care .
entrances must be removed to conform to the Sign Ordinance. This
proposed sign is located ?risually very well near the center of the
building. However, it is approximately 100' from the wood Norwest
Bank entry sign to the north. Since that sign is 'off site', staff
recommends either 1) approving a Variance to the 300' spacing
guideline with this proposal, 2) requiring Norwest Bank to submit an
application for a Special Permit to allow the existing wood sign to
remain in its present location and, 3) the removal of the existing
wood sign. Another sign approximately 140, to the south designates .
right-in, right out only movement to the bank. The northern sign
designates the only full access to the bank, medical facility and
the preliminarily approved office building.
If approved, the Conditional Use Permit shall be subject to one of
the three above listed options, all other Sign Ordinances and the
- one time sign fee of $2.50 SF.
ASSESSMENTS: The following assessments are proposed as a condition
of the Conditional Use Permit:
PROJ $ DESCRIPTION
200 Pilot Knob Rd: Upgrade
177 Storm Sewer Trunk
200 Trailway 12.40/ff 150 ff
TOTAL PROPOSED ASSESSMENT -
RATE QTY AMT
$46.93/ff 150 ff $7,040
.079/sf 2,700 sf 213
1,860 -
$9,113
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HEALTH CENTRAL ENTERPRIZES
S U B J E C T P A R C E L
city of eagan
c PUBUC
? WaRKS
DEPARTME
STORM SEWER
MASTER PLAN -
FIG. #1
approved: I standard
plate #:
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2ND
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o DENOTES I/2 INCH BY 14 INCH. MONUMENT SET
N0. 9053, UNLESS OTHERWISE SHOWN.
THE WEST LINE OF THE SOUTHWEST QUARTER Oi
27, RANGE 23, IS ASSUMED TO HAVE A BEARIN6 01
MINUTES 23 SECONDS WEST.
`°-°-V- pENOTES "RIGHT OF ACCESS" DEDICATED TO
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LSoulh line oF fhe Soufh 150 ff. of ihe
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S.W.%4 of Ffte SW,Yq of Sec.10
oes 0 00 TRAILWAY 150'
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.....................: STORM SEWER TRUNK AREA 2700 s f.
PILOT KNo6 ROAD UPGRADE 150' 9 yFa\
sP?
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Norwest o?"-e
!¢240 T0: TOH COLBERT, DIRECTOB OF POHLIC WORSS
JIH STUHM, PLAHNING DEPARTMEN'!
HILL AgINS, II.ECTEICAL IliSPECTO&
CRAIG BNDASEH, ENGINEERING TECH
FROH: DOOG REID, BOILDING INSPECfIOHS DEPT
DATE: ///aPeS"/s")
The Protective Inspections Department will be performing a Final inspection
for occupancy oP
on
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It vill be
each departments responsibility to contaet the construction firm with
necessary requirements before final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js -
APPROVAL• ZL!L ? NIAL:
(SIGNATURE & DATE) (SIGNATUftE & DATE)
L /,6 r, roorWeSt an-d
ME?SO T0: TOM COLBERT, DIEECPOR OF PIIBLIC AORSS
dIli STORM, PLAHNING DEPARTMENT
HILL 9SINS, II.ECTEICAL IdSPECTOR
CRAIG gLTUDSEH, ENGINEERING TECH
FROH: DOOG AEID, BQILDING IHSPECfIOHS DEPT
DATE:
The Protective Inspections Department will be performing a final inspection
for occupancy of
ia/3 8
on
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It c+ill be
each departments responsibility to contact the construction firm with
necessary requirements before final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
APPROVAL: DENIAL:
(SIGNATORE & DATE) (SIGNATURE & DATE)
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
ase
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
*A7E: PAYMFNP OF FF.E AT TIM OF
APPLscATT«1 DOEs Nom oora-rITrJTE
aprROVlw oF pERMrT.
nNsencrzoN oF sEWM Arm/ox WA=
nat*rar.ramrpNS WII,i, NOT gE SCHED--
UI,ID UNFIL PIItNIIT AAS BEIN
APPROVID.
-t
- , . - -- _.
IE' EXISTING STRC'L'IL?RE, DATE OF ORIGINAL BL'II,pING PERMIT ISSL'ANCB: .
Nbn ear -
PRESENT 7ANING/PROPOSID C'SE:
Q? COMMERCIAL/RETAIL/OFFICE
C2 IAIDL?STRIAL
[D INSTI=ONAL/G0%7ERNqNT
? R-1 SINGLE FAMILY
? R-2 D[!PLEX (RF,o Units)
? R-3 TOWNHOUSE (Three + Units)
p R-4 AYARTMEDPI`/COfIDOMINIOM
( t?nits)
( Units)
2) Nl1ME.
ADDRFSS: !j /o
ADDRFSS
CITY. STATE, ZIP
PHONE:
'S) ?? r. ?• : ? • ? • ??
?- CONNEGTION T0 CITY SESM O-CpNNECrION M CITY WATER C] OTFIER '-?
6)
r-I PLEASE HOIJ) APPROVFD PEE2MIT FOR PICK-LTP BY ONE OF AHOVE
1:3 PI,EASE MAIL APPROVID PIItMiT TO 1. 2. 3. 4. ABOVE
(Ciscle one) '
41 ??=??47:1:?• i?• . ?:-??
FOR -CITY USE ONLY
-.. ,
PERMIT # ISSUED
?? • -
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLODE SURCHARGE)
$ WATER PERMIT (INCLUDE SORCHARGE)
$ S WATER METER/COPPERHOR[V/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$
OTHER:
$ $ TOTAL
RECEIPT RECEIPT #
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
F7 NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED BY:
TITLE:
DATE: ? 471 F,
,
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C? fi77?
A?
?(P- 30 •f7 ,
• -=?-=??- ------- -
EVEREST CONSTRUCTION
COMPANY
A MtM13CK OF TIiF EVEREST GROUP I 7 D
October 1, 1987
RE: Eagan Medical Center
Eagan, M3nnesota
Gentlemen:
Enclosed are copies of Sheets R1 through R6 for your use. Please follow
these plans for construction purposes. There are several minor revisions
noted that are a part of the construction documents.
Most notably, changes shown herein affect:
1. Drywall & Framing
2. Cabinet and Casework
3. Door and Frames
4. Plumbing and Electrical
If there are adjustments noted that change your scope of work, you must
contact me immediately to verify that costs may be affected.
I have previously distributed Sheets R1 through 4 selectively to various
contractors. Sheets RS and R6 have been added to reflect changes to the
X-Ray area.
Sincerely,
7 T CONSTRUCTI C0.
l?C, v V• ???j'/
Rick W. Anderson
RWA/hms
Enclosures
2685Longlakc Road
PO. Box 13292 • Roseville, MN 55113
(612) 636-5500
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EAGAN MEDICAL CLINIC CITY OF EAGAN
'?3830 Pilot Knob Road, P.O. Box 27-199,
PHONE: 454•8100
BUILDING PERMIT
To be usedfor MEDICAL CLINIC Est. Value $770,000
Site Address
Lot 1 E
Parcel No.
Sec/Sub.
NORWEST 2ND
a Name HEALTH ONE
3 Address 2810 57TH AVE NO -
? City MPLS p.hone 574-7618
0 a Name EVEREST CONSTRliCTION CO
? Q Addrass 2685 LONG LAKE RD
r City ST PAUL phone 636-5500
FW Name RAFFERTY,RAFFERTY & mikutowski
s? Address 253 E 4TH ST
aw City ST PAliL phone 224-4831
I hereby acknowledge that I have read this application and state
thattheinformatloniscorrect ndagreetocomplywithallapplicable
State ot Minnesota Statut s nd .Ci/ty of Eagan Ortlinances.
Signature of Permittee ? N el°..-
N_ 14079
Eagan, MN 55121
Receipt # ? (--0
Date AUGUST 24 19 87
OFFICE USE ONLY
OnSiteSewage Occupancy
- B-2/B-1
MWCCSystem ?Zoning T.R
On Site Well TyDe of Const ?" ?S^ ? NF
?
City Water X (ACtueQ
(Allowable) Vn?K
# of Stories 1
Lenglh 93
Depth 79
S.F. Total q q?
}
FootprintS.F. ?
?'.?g_
1
APPROVALS FEES
Assessments _ Permit $ 2 ,446.0C
WaterySewer _ Surcherge 385_0(
Police Plan Review 7 r973 _ OC
Pire SAQ CRy 400 _ OC
Engc _ SAC,MWCC ?,inn_p(
Planner _ WaterConn. _.?;??e
Council WaterMeter -p ?}-
Bldq Oft _ Roed Unit 0:7,0 _ 0(
APC _ Treatment P7 729. OC
Variance _ Parks _2,036 OC
Gopies
TOTAL ;.10,780 OC
A Building Permit is issued to: EVEREST CONSTRUCTION CO
all work shall be done in accordance with all applicable S*e of Minnes,
Building Official
3386 PILOT KNOB RD
_ on the express condition that
and Ciry of Eagan Ordinances.
1987 BIIILDING PERMI? 6PPLICASION - CITY OF SAGABI
SINGLE FAMILY DWELLINGS
IACLDDE 2 SBTS OE PLAAS, 3 CSRTIFICATSS OF SIIRVEY, 1 SET OF ENERGY C9LCOLATIONS
HOTE: ADDRESSES FOR CORNBR LOTS - CONYR6CTOR/HOMEOAPIER MQST DESIGHAYS AHICH ADDRESS
IS D&4IRED. NO CHANGSS WILL BB ALLOWED ONCS BQILDING PfiRHIY IS ISS06D.
MULTIPLE DiiEL.LINGS - RFSIDENTIAL RENTAL [1NIT5 FOR SALE OHIYS
INCLUDE 2 SETS OF PLANS, CERTIFICAYS OF SDRVEY - CHECK WITH BLDG. DEPT.,
1 SET 0_F RGY CALCULATIONS
CONAI6RCIAL ;
?- -
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND - Posted by Norwest Properties
To Be Used For: Outuatient Medical Valuation: $770,000. Date: 4-30-87
e Clinic
Site Address ? 3386 Pilot Knob Rd. OFFICE QSE ONLY I
Lot 1 B14ek 1 On Site Sewage_
MWCC System ?
Parcel/Sub Nor4west 2nd Addition On Site Well
t City Water ?
Owner HealyhOne
9ddress 2810 57th Avenue No
City/Zip Code Minneauolis, MN 55430
Phone 612-574-7618 i LPPROVGLS
Contractor Everest Construction Co.
2G85 Fo.
Address
City/Zip Code St.Paul. MN 55113
Phone (pf)6 -55O0
Arch./Engr. Raffertv.Raffertv & Mikutowsl
Address 253 E. Fourth Street
City/Z1p Code St.Paul, MN 55101
Phone IF 612-224-4831
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
Variance
Occupaney 6•Z/B
Zoning Lf?
Type of Const
(Actual) yN SFR,he
(Allowable) 7-N SP¢jN?c
# of Stories I
Length q 7
Depth ? 8
S.F. Total q 3I
Footprint S.F. "1 la
r aBS
Permit Z441o,
Surcharge 385.
Plan Review 1223.
SAC, City
",'SAC
MWCC 400,
, 2t00,
Water Conn N /,4
Water Meter NA
Road Unit q']D.
Treatment P1 -L_Z p_
Parks Zp 3(0?,
Copies
TOTAL 0? 2f?.
-------- ??. . • " i
Svv,ooo (70?,? :
2-?1 O?OOC-) 2. Z?x z70 = 74z. ?
-
24¢ro -I2 = ( 223 (Z23
?---
I 0o x q-- - 4?
S2? x q- ? 2?o c)
-
, ?? ?L Zso o Z?
-
? ?TFIZ
I tS x I.oc" = 9(oc(. 9, 9-70.
TF?-
l??x 4? ? ? Zo -7 2C)
(?fk2(C
<0¢q- x 4co2--7"7 = Zo3?. « 203?
EXTERIOR ENVELOPEAYERA6E'U'COMPUTATION
Project r=66?AW 8E96,d?t... GEN'fBC-
Locstion ?46Aa--J t atiOf-J Date
Code Comoutation
Area (SF) 'U' Cade 'UA' Code
1. Wai1 _ LF(. 11+ X .23 - to(m1
2. Roof/Ceilina 71-1,15 X •0(0
`tL
Wail Comoutation
Determine'U' velue for each wall section
-----------------------------
Wa.ur I -------- ------------------------------
y"p,p4cK, I v.V4,LL 2 Ate:taV s?otw?b
.'L" S-.4 iNtut- ? 3!9" SttP47KN4b
- ??i a?ih s? ? stirr w.i
S!!,• stseaM Ao, rrun5
--------------------------------- -- -----------
Wali Tvoe Area SF 'U' Yalue 'UA'
a. 61.4SS 4ha 2. X ,Sf3 = 250
b. wau? l 33-13 X. .aA = 549
C. WFIC-1. 2 (A b X -991 - (o°J
d. f?10091 413 X . S - 32
e. &AR. rhooi, 12.0 X . zS = 30
f• X =
9• X =
h. X =
i• X =
3 . .......................................................................................................................Totel 'UA' _ `r5?
If Item #3 is the same as or less than Item * 1 you have met the intent af SBC 6006 (c) 2.
Raof Comoutation
Determine'U' Value far each roof section
--------------------------------------------------- ---- ----------------
?_?. I I . ?F 2
Buu.i•uf Rwp
i `PER.+.?t? • ?ubI'R?- ['c?F
," aw?o 5" awio
\ \ bK S OEGK- f slb? ?l?/.6D.
------------------ -------------- ?-=NgSC?!=48? ---- -- ?-----------------
Roof Tvoe r F ''U Value '_U8'
j. RcoF I 5441a X .6?44+ = 1111
k. -&2F 2 1- '6 29 X . 035 = 62
l. X =
M. X =
4 . .......................................................................................................................Total 'UA' = 213
If Item 44 is the same as or less than Item -112 you have met the intent of SBC 6006 (c) 2.
Aiternate Buildina Envelooe Desion
To utilize the total envelope system method the values established 6y the sum of Items A3 and A4 shall
not he greater than the sum of Items 0 1 and'?2.
t. 10(0l +2. Li to1 = 152b
3. R 5Li- +4, z i 3 = i 1b-r
MC?YMpOLNnn
MJWllTE
QOWv° o
?omG?1tli unOo n
Tvnn cmes Rrea
May 7, 1987
Mr. Dale Peterson
Building Inspector
City of Eagan
3830 Pilot Knob Road
Eagan, Mn 55122
Dear Mr. Peterson:
This letter is to inform you that the Metropolitan Waste Control
Commission has made a 5AC determination for the Eagan Medical Center
to be located at 3386 Pilot Rnob Road Road within the City of Eagan.
It has been determined that 4 SAC Units should be assigned to this
building. It is our understanding that the X-Ray Film Processor has
an intermittent discharge of 0.75 gallons/minute. This determination
was made as follows:
Charges:
SAC Units
Plumbing Fixture Units
53 f.u. @ 17 f.u./SAC Unit 3.12
Film Processor
0.75 gallons/minute x 60 minutes/hour
x 4 hours/day @ 274 gallons/SAC unit 0.66
Total Charge: 3.78 or 4
If you have any questions, please call.
Sincerely,
J
Donald S. Bluhm
Staff Engineer
DSB:RWJ:jlw
cc: S. Selby, MWCC
W. K. Johnson, MWCC
Rick Anderson, Nielsen-Miller Construction Co.
Metro Square Building, Saint Paul, Minnesota 55101 612-222-8423
EVEREST
CONSTRUCTION
COMPANY
April 30, 1987
Steve Hanson, Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55121
Re: Eagan Medical Center
Dear Mr. Hanson,
2055 N. Rice Street
St. Paul, MN 55113
(612) 487-1581
Enclosed is the Building Permit Application for the above captioned
project. Along with the Application, please find an energy calcula-
tion computation based upon the exterior envelope, two sets of com-
pleted construction plans and a project specification.
We would request that you approve a foundation permit in advance of
the general building permit to expedite an earlier construction
start. I have enclosed a copy of a letter from the project owner,
HealthOne Corporation, relievinq the City of Eagan of any financial
responsibility in the event the easement vacation is not granted.
2 have also recently submitted a full set of plans to Roger Janzig
of the Metropolitan Waste Commission for their review for SAC
assessment.
Thank you for your assistance and guidance.
Sincerely,
EVE ST CONSTRUCTION COMPANY
ick W. Anderson
Enclosures
RWA/jk
ra erty
ra ert
mikutglwski
& ASSOCIATES, INC. ARCHITECTS
21 March 1987
253 EAST FOURTH STREET ST. PAUL, MINNESOTA 55701 6721224-4837
Ms. Susan Brink
HealthOne Corporation
2810 57th Avenue North
Minneapolis, MN 55430-2496
Dear Susan:
This letter is a documentation of some of the items I was supposed to verify as
a result of our meetin9 last Wednesday.
I spoke with Steve Hansen, Building Official of the City of Eagan, in regard to
obtaining foundation (early) and building permits. The City will issue early
foundafion permits if the following items are completed:
1. Planners.approval of our Site Plan and Landscape Plan.
(James Robin is taking care of this item this week.)
2. Engineers: approval of our site plan.
(Our office and the civiJ engineer will take care of their parts of this
review:)
3. Completed set of structural drawings.
(We are planning to have these by April 1th.)
We can.receive an early foundation construction permit in two days when the
above items are.canpleted. It takes an additional eight to ten days to receive
a full buildin9 pe.rmit.
The road and sanitary sewer change must be taken care of before we can get
approval from the.City to begin construction.
The City of.Eagan has adopted the 1985 Uniform Building Code on February lst,
1987. We can use.the 1982.code since we started our drawings last fall
(according to conversation with Steve Hansen). Our office will be looking at
the 1985 code and refer to 1982. We plan to follow the 1985, unless there are
some extreme conditions which we need to discuss with.the C9ty.
Respectfully,
LEE E. TOLLEFSON,:AIA
LET:av
xc: Bill Franke, Mary-Tom Higgs,
Hansen, Reg Silver Ttiorne
Rick Mderson, James Robin, Jim Giefer,\Steve
EVEREST
CONSTRLTCTION
COMPANY
March 25, 1987
Steve Hanson
Edward Kirscht
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122
Re: Eagan Medical Center Project
Yankee Doodle and Pilot Knob Roads
Gentlemen:
2055 N. Rice Street
St. Paul, MN 55113
(612) 487-1581
Thank you for meeting with us last Tuesday, March 24, 1987. I appreciate
the time that you took from your busy schedules. It was a very informative
and productive session. We look forward to working with you in the near
future on the Eagan Medical Center.
As we had discussed, we expect to be applying for a foundation permit in
the very near future as the structural, site and utility plans become
complete. Also, the petition is presently being organized for the easement
vacation proceedings at the Norwest Second Addition site. It is our under-
standing that a foundation permit can be granted prior to the actual ease-
ment vacation proceedings.
Thank you again for your time.
Sincerely,
EVE EST CONSTRUCTION COMPANY
Rick W. Anderson
We will be contacting you in the near future.
RWA/jk
EvEREST
CON§TRUCTION
COMPANY 2055 N. Rice Street
St. Paul, MN 55113
(612) 487-1581
S I T E D A T A
* PROJECT
* SURVEYS, MAPS AND SOIIS
* ZONING ANALYSIS
* EXISTING
* CODE INFORMATION
* UTILITIES
* ADllITIONAL INFORMATION
EAGAN MEDICAL CLINIC
(Project Name)
3386 Pilot
1
Project # -??- G?? PiK- 1G•5 •
1
?
Eagan Medical Clinic
(Pro]ect Name)
(Locat on)
Project # ECC 143
P R O J E C T D I R E C T O R Y
IACATION : 3 W (o
Street Addre6s pilot Knob Road & d
Municipality _ Fa¢8n vIPs $ 5121
County Dakota
State 7.ii nne s ota
OWNER/DEVEIAPER: HealthOne
AddZ'ESS 2810 57th Avenue North, Minneapolis, MN 55430 (Brookdale ltars)
Representative Rlisan Brink/ a y Tom HiEQs T@l. 612-574-7618
TENANT1eR6fP65"r VVrategic Resources
AddZ'ess 2025 Sloan Place
5t.Pau1. MN 55117 Tel. 612-772-7450
?• ?Op'?'I??• ?vh?N a?1Al 'w
?6a?pciNr fl?r?Y"i ?
f??sT f4?'wrI e-s M=wt•FS q.rc . prtI
cov--Tl?dr5
2
Proj6ct Eacan Medical Clinic# 143
POSITION NAME ADDRESS TELEPHONE
Lee Tollefeon
ArChiteCt Raffertv, Raffertv 6 Mikutowski 253 E. Fourth St., 224-4831
Engineer
Dave Putnam
Civil Merila & Associates 7216 Boone Ave. No. Ste. E3 533-7595
Reg Silverthorn
Structural Van i kla, A1lan x Aa.oc. 4969 Olson Mem Hwv. 541-9804
Mechanical Jim Geifer
(:a„gman & Moore 203 E. Little Canada Rd.
482-9606
EleCtY'1C81 Gausmanfe6 Monra 204 B. L.ittle Ganada Rd. 482-9606
Solls/T,ab Twin City Testing ' 645-3601
Land Surveyor HMt.A '. 65bva. rA PioVc)
City
Manager
Planner
Engineer
Clerk
zoning Adm.
Inspectors
Buildinq
Electrical
Plumbing
• HVAC
NORWEST
Tom HedPec Ctty of Eagan-3830 Pilot Knob Rd. 454-8100
nal a Run4al /. im t+im ir 11 It
Fri Kirrh/Tom GolbeTt If of
(:rna Van ()Snrhark of If
Steve Hanson 454-5100
Bill Akins (Consultants) "
N
Bill Adams
Bill Adams ?Harold R3tchie or Dick Weimer
Bill McPherson
372-9104
372-0181
? r r-peviovt) ptayvcCHrr 1'w&n owNr+?"
Gvr+TF?cTo(?. ? F4 e-w 4 4re- ['tt •
EvGPI&bT fGNsT 40 •
ProjeCt EaRan Medical Clinic # 143
S U R V E Y M A P S A N D S O I L S
(OBTAIN, CHECK AND COMMENT ON THE FOLIAWING)
Topographic Survey
Ordered Rcvd.
Checked
General (i.e. trees, buildings, fences)
A few i`rg r cc xis . A oad yass in¢ throueh
the middle of the site will be relocated by ECC
Drainage A11 drainaga 4;11 he surface draina2e
and exir nnto Pilot Knob Rd. catch basins. To be
installed at curb cut on building site.
Grades v. Street Elevations Fxjgtt.,g
grarloa ara gPiIPTAlly }Iig}1Pr- MA rial vill hnve
to pe removed.
Utility descriptions A>> „r-tliriec gTe
pirhar tn tha nrnpprt» lin or mill he provIdPA
to the pro erty line by others
General Eomments Tha aito hag good accasa
nnA Frco nF nv>rfinaA farilitias_ TapographlC
survey by Eagan, Field, fi Nowak, Inc.
Boundary
Legal Description (metes and bounds,
government plats) voc i. Biock 1.
NnrmP_et 2nd Addn. Dakota Gty. Minnesota
Easements Sani tary nTi 11 y r oss a hro u¢h
ciro aanitary lin n h r lo a d and easement
dissolved.
Dimensions/Area 4fi soo FTZ +
General Comments soundarv, 'roooAraahv &
ulat nrenared bv Eean,Field. 6 Nowak, Inc.
Municipal Map
Accsssibility
General Comments Existine access is
Pood. It was desi2ned durine develovment
of Norwest Building.
Subdivision Plat
3-20-87
3-20-87
N,L_
ap
qo Nw+J
3-25-87
General Comments porilee shall obtain
A„d raviow NnrvPsr 2nd nlat, nresentlv on
file at city.
4
PTOjeCt Eagan Medical Clinic # ECC 143
Municipal Topography
General Commente reT a,,,-vQy Ly
F.gan Fiald_ f. Nnvak_ Tnr_
Ordered Acvd. Reviewed
Prior Surveys
General Comments Norwest Survev & Plat
B`1 6?FANAF161.D. NbWAK- ING ?4Nn
M
??IL ? ?G .
Aerial Photographs
General Comments gvailability Unknown
Complete Soils Analysis
St1IDIDdY'1/ Of SOi18 Good sandX soils- 3-26-87
nresentlv assumed - 3-25-87
General Comments T„n hnringa are
availahla frnm a near hy rapor[. Snila are
a canriy rlax„ Arlrlitinnal hnrinQyc M^CQ 3/87
Eledld .
Borings and recommendations available
from Twin City Testing (Job ll 4220 87-538)
A
Project Eaean Medical CliniA 143
ZONING ANALYSIS
S1te: Eaean Medical Clinic
LoCat30II: 3386 Pilot Knob Road EaQa n MN 55121
Ordinance Reference:
Date Received:
Proposed Use:
Present Zoning Class f cat on:
(Verify with local official)
Adjacent Zoning* (N) (S) (E) (W)
Required Zoning Classfic ation:
Floor Area Ratio: (Bldg/Site)
Lot Coverage: (Bldg/Site)
Height Limitations:
Exterior Building Materials: f 3RlCx
Site Access Points: 2 voints off Pilot Knob Road jp6209TT C'• J?D.
Area Requirements:
Parking Requirements:
Ratio: Size:
Handicapped: Size:
Off Street Loading:
No. Required: Size:
Set Backs:
Building - Front: Side: Rear:
Parking - Front: Side: Rear:
Landscaping Requirements: v„?t +,.,.,d w;+h C+tv
watershed Requirements:
Design Requirements:
Sign Requirements:
Environmental Studies:
Submittals & Approval Requ reme nts:
Variances Required: Yes No
Variance Procedure:
Council Meetings:
Dates: Time:
Fire Zone: F re Marshall:
Floor Ordinanca:
Off-Site Improvements:
Assessments:
Misc.:
By:
Date:
NOTE: Attach xerox copy of zoning map of eite in question
on back of this eheet for file reference.
Obtain copy of zoning ordinance handbook
6
project EaAan Medical Clinic # 143
EXISTING IMPROVEMENTS
(Comment on type, size, condition, location,
etc. of the Pollowing existinq improvements)
Entrance Ramps: 2 ramns exist off Pilot Knob Road
Interior Curb With Gutter:
?
Exterior Curb With Gutter: CLrb and eutter exist alonQ pilnr Knoh Rd. t h?0lZW18r?
tmuFr Ro,4o '
SideWalke: None
Past S
Median Strips t In Pilot Knob Road
Traffic Controls:
Signing: Nnrwegt ajgnw on Health(hie Prnpprtv R„Aaa r A f r thair r val
Onsite Paving: ?;Gring rnari tn hr r vati Fxi t' g residential ri 4..a ia i+ing
Y }fE YP l1VPA
Lighting: F iatinS 17$]lt p l r A d h 1 gi t TT r P orrive Rcm.pBr
ri t h r v ei
Landecape: Nnnp uiZt'W4 -
Overhead Utilities: AlonE Pilor hh ^-aa rioht, nf vyy IdmNlz AT
Exposed Utilitiesi 4gni ^rX qpwe- lPan n ta aY PYiAYi g AAPTIPT;* tn ho
removed M nholec and catchbacina to rnma{n
Other:
NOTE: Take as many photoe as necessary at various angles to clearly
capture the Bite and all pertinent details.
7
PTOjeCt Eaean Medical Glinic #, '
CODE INFORMATION It
Building (Circle One)
Code: Boca/Uniform Bldq/Natl Bldg/Southern Bldq/State/Local/Other
Edition: 1985 uac
Inspector: sraso xa.,so., (.i y o aoan) Phone: 454-910(1
Plumbing
Code: State/Local/Other
Editfon:
Inspector: x i i Adamg Phone:
Electrical
Code: National Electrical (NFPA 70)/State/Local/Other
Edition:
Inspector: Riii Akinc Phone:
HVAC
Code: State/Local/Other
Edition:
Inspector: Ri 11 eA- Phone:
Fire
Code: NFPA/State/Local/Other
Edition:
Inspector: Phone:
Sanitation
Code: National/State/Local/Other
Edition:
Inspector: Phone:
Health
Code: Nat
Edition:
Inspector:
Nof a!'PUCA&Le
Handicap sodo"N
Code: National/State/Local/Other -boeiw. cver
Editione
Inspector: Phone:
Entrance Ramp
Code: National/State/Local/Other NIOT ?('?.?
Edition: •
Inspector: Phone:
Paving (Off-Site)
Code: State Dept. of Trans./Other ??p?
Edition:
Inspector: Phone:
ANat-"?I5
? 5? a?n eca? prrw.r,I ?•? R.?. M p?1? rS
e
project F$ean Ma(liral ('linir #743
Water
UTILITIES
Utility Name: C{rlt „f FAB,., Contact: F.? Kirs h
Address: 4R'i0 Pilnt Knnh Rnad_ Raoan. MN 55122 Phone: 61 -l+54-8100
Municipal System:
Line size(s) and LOCdt OII6: R" tn ha axtandod tn C. .n IIeT of site hy
contractgr for Norwest Pro?P*rtac
Connection Fees:
General Comments:
Sanitary Sewer
Utility Name: (:it,;z nf .agan Contact: Fa Kirarht
Address: zuln Pilnt u.,,.h R.i_ R,ggpn_ MN 55199 Phone: 454-R100
Municipal System:
Line Size(s) and Locations: 811 **--th s?:?p *?n.^_+egr rr. _ aYtcri.,g Fi"
..i.... F.. ?ItP
Connection Fees:
Grav ty or Force Ma n:
General Comments: T.. ^..« .,ie ..«+.. tnn t,igh fnr gryy?i.ty aPrvira frnm
haaamant Try 1 n aa thannritnn nf Nnrmant 1"na nhhanuire abanAnned (6^PVf.)
Storm Sewer
Utility Name: rjry f aag Contact: Fd Kirsrht
Address7 qRqO Pilnt Knn}. RnnAF.agan MN 55177 Phone: 4S4-R700
Municipal System:
Line Size(s) and Locat ons: iRl? «-) 7yT f c+*p
Connect on Fees:
General Comments: M°y rp,q i rn ty? ppit t nn <rt tn Ftnrm aociar -
n.ei_ v__t n.f
Electrical
Utility Name: 7laknta Flartrir Aacnriatinn COS1t8Ct: poiio133 $iOCIC
Address: 4300 200th Street. Farmineton. MN 55024 PhOne: 463-7134
Municipal System:
Type Of ServiCE: Undereround from psonerty liT+e to buiidinQ transfBC2YI"-
3 Phase service availab e
Tle 1?I1 LOC3t oi il: Transfer at huildin¢ -
Schedui ng Requ rements:
n
General Comments: Application for service o? Marv Tom Hig4s.
10
Natural Gas
PY'ojeCt Eaean Medical Clinic # 143
Utility Name: Peonles Natural Gas ContaCt: Rick Hanaon
Address: 3958 Siblev Memorial Hwv. PhOA6: 454-6080
Municipal system:
Scheduling Requ rementst 2 weeks - Mechanical Eauipment Load ReQi,ired
Line S ze(s) and Locat ons: +n
Connect Oi! Fees: Add $3 00 ner lineal foot if connection is heyond building.
frant corne No meter cost
General Comments: Z lb. Pas delivered to buildingrypjcgLy• Mnre
available Send R]ans (site plan,yroposed meter Inrarinn Lnad reQuiremenr
by individual appliance.
Communications:
Utility Name: Northwestern Bel1 _ CO11CaCt: G n MrCln,d
Add2ESS: 70 West 4th Street. St.Paul. MN 55102 PhoneS 977-5611
Municipal System:
Tie In Location: Mp"T 8 . SHA(1.?_
40cpulF&
Traffic Department
Contact: City of Eagan-Ed xirschc _ PhoneS 454-5100
Curb CL1tS AlloWed: Approved by Gity C^t•^^t1
Signalization: Ye6 xxx No
Dec/ACCel Lanes: xnc RP;irea
Median Cuts: Nor Ram t,- a
11
EVEREST
CONSTRUCTION
COMPANY
April 23, 1987
Steve Hanson
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122
Re: Eagan Medical Center
Dear Steve:
2055 N. Rice Street
St. Paul, MN 55113
(612) 487-1581
I recently spoke with Mr. Marv Lee of the State Health Department,
and he has indicated that no Health Department approval or permit
is required for the Eagan Medical Center.
For your information, I am enclosing a copy of our Project Directory
so that you can familiarize yourself with the parties involved for
future purposes. I have also enclosed the code information sheet
of our Project Directory. I would ask that yau review and complete
the names and phone numbers of the plumbing, electrical, HVAC,
fire and sanitation inspectors. This would be of great help to
me for future submittals in these areas.
I appreciate your time and assistance with the foregoing matters.
Sincerely,
EV EST CONSTRUCTION COMPANY
Y "• a.,,QJ-"?
Rick W. Anderson
Enclosures
RWA/jk
EVEREST
CONSTRUCTION
COMPANY
April 14, 1987
Mr. Steve Hansen
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
RE: Eagan Medical Center
Pilot Knob Road
Dear Mr. Hansen:
2055 N. Rice Street
St. Paul, MN 55113
(612) 487-1581
I am enclosing a preliminary site plan of the Eagan Medical Center Project,
wherein I have indicated the preferred location of our consYruction trailer.
My two priorities with reference to location is access to temporary powex
and telephone lines, and placement so removed from sitework construction
activities as to avoid relocation. I feel the area that I have indicated
on the enclosed plan allows this utilization.
The trailer we intend to use is one of our smaller models roughly 12' x 24',
and roughly 9' to 10' from ground 1eve1 in height. This trailer would be
in very good condition, freshly painted, and with the company logo on each
side. This trailer may be in place for up to five months.
I would appreciate your comments and approval for this construction trailer
installation. If there is a special permit required by the City of Eagan
for this placement, may I request that you submit the application to Everest
Consttuction Gompany as soon as possible.
If you have any questions, please don't hesitate to call 487-1581.
Sincerely,
EU ST CONSTRUCTION C0.
rV
R'ck W. Anderson
RWA/hms
Attachment
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f
NORwEST COURT "
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ARCHITECTURAI 51T£ P N
scAtF: 1' -ao'o• .EAGAN MEDICAL CENT
nwuo-uWe EAQAN, MINNESOTA
eql-dAA1
h6vu
2910 Fifty Seventh Avenue Norih .
Minneapolis, MN 55430-2496
612 574-7800
H \„'??
April 14, 1987
Mr. Steve Hanson
City of Eagan
P.O. Box 21199
Eagan, MN 55122
Dear Mr. Hanson,
You had requested instruction from HealthOne regarding the
preferred street address asssigned to our clinic to be
located at the Norwest 2nd Addition on Pilot Knob Road.
Please assign the address to Pilot Knob Road.
Sincerely,
? ((/y'`'
Ma y TMn Higgs O?
Director of Strategy Development
HealthOne Corporation
MTH:kk
cc: Rick Anderson, Nielson Miller Construction
Lee Tollefson, Rafferty, Rafferty, Mikutowksi & Assoc.
John Dailey, Brandt, Nickolay & Van Horn
`.EVEBEST
CONSTRUCTION
COMPANY
April 10, 1987
Steve Hanson
Building Inspections Department
City of Eagan
3830 Pilot Knob Road
Eagan, Minnesota 55122
Re: Eagan Medical Center
Pilot Knob Road, Eagan, Minnesota
Dear Steve:
2055 N. Aice Street
St. Paul, MN 55113
(612) 487-1581
The construction documents for the above captioned project have not
been completed in accordance with our previous timetable. However,
I anticipate plan completion around April 13, 1987, and will make
arrangements for delivery to you of a construction set for review
and permitting.
Our request for a complete building permit, or in the alternative,
a foundation permit, wi11 be dependent upon the comprehensiveness
of plans received.
We will be submitting plans to the MWCC and the Health Department
for their approvals. Please advise whether or not additional agency
approvals will be required by tYie City of Eagan.
Thank you for your consideration of these matters, and any appropriate
response.
Sincerely,
E L ST CONSTRUCTION COMPANY
ick W. Anderson
cc: Mary Tom Higgs/Doug Stock
Lee Tollefson
Ed Kirscht
P.S. Enclosed is our preliminary construction schedule.
CONSTRUCTION SCHEDULE rnmecr: E.?i+I:1 14c-U c+kSc-
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L;;t E31 IJcx-wa.sr Zt?p-
HYDRAULIC DATA INFORMATION 8HEET
LOCA7IJN Ar
BUILCING iT "' ? YSTEM NO
CONTRACTOR- rA1 O WtoST F,t Ctto ?LCr cpPffRACT N0.
CALCULATED 8Y QLMA DRAWING NO ?
CONSTRUCTION: ?1 CO BUSTIBLE NON-COMBUST18lE CEIIING NEIGHT 9 FT.
OCCUPANCV?_L?'A'1
I NFPA 13: I T. MAZ. ORO. HA2. GP. I 11 I 12 I 13 I 1 EX. HAZ.
I ) NfPA 211 ( j NFVA 231C: FICsUNE : CUAVE
) I I OTHER ISMcityl
(Z
N
? ( 7 SPECIFIC RUUNG MADE BY ?h
m
w
AREA OF SPAINKLER OPERATION
SYSTEM TYPE
y DENSITY • I
( VIOWET ( I DHV I I OELUGE I I PRE•ACTION
>
W AREA PER SPRINKLER b SD
SPRINKLER OR NOZZLE
HOSE ALLOWANCE GPM: INSIDE Q
O MAKE
_MODEL
NOSE ALLOWANCE GPM: OUTSIDE ?
D TDR
SIZE K-F
RACK SPRINKLER ALLOWANCE Q TEMPERA7UNE RATING ,
CALCV
ATION .
? • I? r
GPM REQUIREO , a?
?j
/
L
"
' PSI REOUIREO
i
w
V
SUM MARY C
FACTOR VSED: OVERNEAD UNDERGROUND?
WATER FLOW TEST PUMP DATA TANK OR RESERVOI
DATE & TIME RATED CAPACITY CAPACITY
d STATIC PSI q7 psI ELEVATION
a
?
N RESIDUAL PSI ELEVATION
LL
GPM F
OWING
W L
ELEVATION ?-' e PROOF FLOW GPM
F
Q
3
LOCATION
SOURCE OF lNFORMATiON
COMMODITY CLA55 LOCATION
STORAGE MEIGHT AREA AISLE WIDTH
w
0
STORAGE ME7H0D: SOLID VIL
% PALLETIZED % RACK %
Q
¢
O ? 1 SINGLE ROW ( CO ENTIONAL PALIET l I AUTOMATIC STORAGE I ] ENCAPSULATED
zA ( I DOUBLE ROW I 5 E PALLET I I SOLID SHELVING I I NON-
? [ j MULTIPLE ROW • I I OPEN ENCAPSULATED
? Y
? Q FLUE SPAC G IN CHES CLEARqNCE FROM TOP OF STORAGE TO CEIIING
ir
?
p
fj LONGITUDINAL TRANSVERSE FT. IN.
HORIZONTAI. BARRIERS PROVIDED
iso
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17i
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20
10
I
n
i 2 3 ? 5 6 7 8 9 10 71 12 iJ 14 15 io
- ? 68 10 17 1A 16 18 70 72 7A 26 29 70 32
nnw - rAi eco uiu N1.e5
EAGAN MED CTR F='EMOT'r AOEO fa . 1; 1500 l5T FLOOF'
---- OUTLFT TkRLE
OUTLCT # ;::--FACTOR F'F:ESSURE FLC]W L=LEV. (FFET)
1 5.E00, 7.172 i13.mm 3.00
+ 5.000 9. 12J 15.9E 9.00
3 5.600 10.401 18.0E 9.06
4 5.600 ii. G'i t
i'+
.l
9. 1.?5 ??.Q?l?i
3 J.Ii0ITC. li• 7O
?IG GTkl.0t 9.00
6 5.600 . .. l"iFL 15.50 5. 0L'
7 5.600 8.929 16. ,3 9.001
3 5.600 11.873 19.30 0.00
=, 5.600 13„7._._ 20.74 9.0 c..
10 5.500 7..830 11.6e 3.00
' . 3.600 8.202 ..v. .._. 9.00
.... 5.600 9.72a .L7.47 J. oLJ
13 5.600 1:.71- 12.33 _,.G]E;
K J , Sl :1 L2.181 13.55 S. 0ii
. ., 5. Svrt'.IYj ?.'?.'-.:C?` ......'fj:.! 'J. ?L:?.u
1CG .J?C:?cti 1
l7.q/0 ._..i.G/ 9.20
EAr,AN MED r:TR REMOTE AF'EA A.i/i500 iST FLOOh:
FIF'E TABLE ----
FF'ICTlON f-RICTiODJ VELOCITY
F'IF'E PJO. GIAMETEF' LENGTH FLOW GF'M C LOSSrFO`JT LOSS/TOTAL FEET/SEC:OND
1 1.104 16.00 15.00 lGm .0596 .953 5.0
2 1.104 20.00 15.5
0 120 .0E3
3 1,'?6E 5.2
..? ?1
L.IOT .'?.OO ?'f
/'0
1J.1? 1:-0 /
?1/ -
.OET .453 J.:i
4 1.104 10.00 30.9E 120 .2277 2.277 10.4
J 1.104 i2.00 32.23 120 .2454 2.944 10.3
6 1.104 E.00 1.80
3 1'?0 .2393 1.436 10.7
7 1.452 ?j. 00 ?+
'Y9. Di 120 .1403 1.263 9.5
8 I.452 12.00 51.53 120 .1539 1.?'?.47 1o.0
9 1.452 7.00 49.27 120 .141E .991 9.5
10 1.687 9.00 EE3.15 120 .1243 1.119 9.0
ii 1.E87 :2.00 E7.,i 120 .:225 1.170 0.7
12 1.E87 10.00 88.17 120 .2002 2.002 :2.7
13 1.087 9.00 72.27 12``i .13BG 1.247 10.4-
14 1.637 17.00 87.16 120 .1900 3.331 12.5
IJ 1.627 io.00 2I.95 .C.o .0153 .153 2.2
iE 1.687 :m.00 2 .67 A1?? .QI7E .176 3.4
17 r.i?.iJ 8.00 ^
GB.1J t??0 r-?
.0.?+-0 .SSi 5.2
18 2.63: ^0,00 I60.44 120 .0691 .553 J.':I.
S'D 2. CrJJ 14.00 2E9. Jr 1i_0 .1304 2.525 15.9
::Ql 2.625 38.00 293.2:: 120 .iililLa G.OQg 17.
_. 2.635 19.00 293.22 i
?'0 .?.i`.1'£`i ?,PJ0?='r
4 17.3
.GL 2.635 50.00 ::J.:I.L... 1._
10 ..:iflO LtT
W.._I.:iCj I7.3
23 2.635 24.00 293.22 120 .2108 5.058 17.3
24 4.023 77.00 2?j.. .?.? 1.
_
0 .0267 2.059 r . i
25 6.100 209.00 :LjJ. :?2 !T
{
1'0i1?? r?
. DU2? .556 _.i....
26 8.100 a.OG?" 393.22 140 .0011 .00i 2.4
"WATEf' 3.4" dist. by Fii°e Sprink:ler C:onsultants !9137281-12E4
L_ieers;ee - FTRE F'FI OTFi:?ION DESIGN SEF.'VICES - Ano4.: a, Minnesot;
` E=A6AN MED C TF: REMOTE Ar'EA A . 1/ 1500 1 ST FLOCIF:
--- ROUTE NG. 1 DFSi :F' I PTION ----
Q-ABD DIA T F'I1='F F'T F'V
FIEFEF.'ENi=E LOSS/FT F FITTS F'E F'E
Q-TOTfi
- L C-F'ACT
-
- L7 TOTAL F'F PO NOTES
OUTLET i
15.00 -- --- °
-"-'-
:.:04 -----
0 -- --------
12.0 ------------
11.03 -------•--'---------'----- ---
H:= 5.E0 .0E0 2 4 .00 -3.91
F'IF'E i 15.00 120 0 10.0 .95 7.17
CUTLET 2 --
15.36 --- --'-----
i.104 -._._.._-_
47 _ _------
10.0 -__..,.
12.03 _ --.._...._.. -- '-._ ___ __ -----------
{i.=' 5.60 .223 0 G'' .0E -2.91
PIPE 4 30.9E
-- - 120 0 10.0 2.23 2.i-
OUTLET 3 -
18.a6 -____-----
1.452 -------
0 ------- --
=.a _------- __._
14.3i __._._._---'-- _-----------------
K= S.oGI .140 0 a .00 -3.91
PIPE : 49.02 1::0 0 9.0 :.25 :0.40
DUTL==T 4 --....
19.13 _..----'-------
1.687 -'-----
G'J ---------
9.. 0 ---------------._.
15.57 __---------..__..__..__.....-"--------._._._..
k:- 5.60 .124 0 47 .00 --.,. 9?
PIPE ia BB.t3 120 a 0.0 1.:2 11.c6
CIJT, LE i 3
20.02 _ __
1.607 _-
: _ ----
2.0 - --
16. -^,'-±
_.
__ -----_ - - --- ---- _ --
F::- 5.60 .200 : _ .00 -^. 91
r?Ir.r 12
- 88.17 120 0 10.0 2.00 i2. 7^o
-:c.r ' ?'?.?'11
.00
..... u.?:? __
_.._ ..
.......
. 6.0 ._____ .. ._._
:. G'. ES ..__. _.__'___ .__._._._ . . _____....._____
.
.023 0 .. .00
oi?'i_ 17 3ci, i, t.? 0 3.47 .10
f
'.EI 90t
.iaa_/ . .
..
2.U
?v .. .. . ..
ILi . . . ...-
9
eU _ _
1.?.?J
/ -- ----...._ _ ---._ _ - ---.._.. --- _
/
-
• 0l'_f
0 (
w?
YJ !
?.
.00
'
PIPE i8 160.44
__ 120
_. m 3.0 117?
F.'EF 903
109.11 _..___.._...--
2.635 -----
0 --__------
14.0 ------_.__.__.__
19.43 ______...__..__..._--.._.._....__._.._.__.._._._._.__
.lu0 E 0 .O0
PIPE 19 :_'E9.Ss`?
_ 120 CJ 14.0 2.50
REf 904 .
23.E7 _._ ---
...i.J -__
.. _.
26.0 _._.
21. 95 __...
.211 .P; 12 . 010
F ? P'c. 20 291,22 120 0 22.0 8.01
i:Er _;u^,3
.490 ._... .......
2.831 _.._
tJ . ._._
i2.0 .___ __.
2910.1 _...... .._.____._, _..._..._..---. . _._--.___....._.
;
.211 i ... . 49.'1
?
P..". .._' 1
._ ...... ..___.. 293.i 2i
....._
. 120 0 t_ .. o
? 4.00
?
'
i:.tF _OE . _
._ ...
.00 .... ............
,_. G.J,J ._.._....
, ..
..__..
22.0 _ .v . __..._ .._......
33.
JC, .__...._ . _.__._._.. _..__._.._... _ .....___ __._........
I
.211 . _ E .00
I
r I . E 2 2
,
, - .
_.:j - ....L ,
_ .
l 2 „ x?.
,
1
.u
4 . .,,
.
..
.:? _.,
.?
?
Q-ADD DIA T F'IF'E FT F'V
F:EFEF' ENCE LOSS/FT E FITTS F'E FE
-----
----- G!-TOTAL
--
- C-FACT
-- LT
- TOTAL
-------- FF FO NOTES
-----------------------------------
f:'EF 907 -----
-
.00 -------
2.E35 ---
1 12.0 43.50
.2ii a 12 .mm
r- rPe
----- i_?
----- 293.22
---- izm
---
-- o
---- 24.0
-------- 5. mE
-----------------------------------
F'EF 908 -----
.00 -
---
4.026 i 2.0 49.56
• fOL7 f
T
¢J ?J .00
F'IFE 24 293.22 120 a 77.0 2.06
---------------------------------
-----
F'EF -----
905 ---------
.00 ---------
6.100 ----
1 --------
150.0 ----
51.E2
.003 i. 59 .0m
FIFE
----- 25
---- 293.22 140
- 0
-- 209.0
---
- .56
------------------------------------
RGF --
910 --------
100, DOJ --------
O. im0 -
-
0 -
---
1.0 52.17
.001 0 0 .0Q
FIF'E 26 393.22 140 0 1.0 .00
- -- ----- -__...----- ----------- ---- --- - -
°,2.13 Suppli
1 I
EAGAN MED CTF REMOTE AREA A. 1/ i 500 1 ST FLOOR
--- ROUTE N0. _ DESCRIFTION - -
Q-ADD DIA T F'IPE F'T F':'
F'EFEF'ENCc LDSS/FT E FITTS F'E F'E
------
----- 0-70TAL
- C-FAi:T LT TOTAL F'F
- F'O NOTES
-------
-----
--
OUTLET -
------
SJ..J0 ---------
1.104 ----
0 --------
16.41 --------
11.57 ----
---
------
K= 5.60 .0E3 .. a .am -3.91
F'IF'E
------ 2
---- 15.50 120 0 20.0 1.27 7.06
-
OUTLET --
7 -------
16.73 ---------
1.104 ----
0 --------
12.6 ---------
12.83 -------------------
--------
K- J. Er0 .245 0 0 .00 _".:r.. 91
F'?F'E
------- S
---- ^a2.23 120 0 :2..0 2.94 8.93
-
-
-
OUTLEf -
E -------
19.30 ---------
1.452 ----
0 --------
12.0 ---- -----
15.70 -
- -----
---- ----
---- - -
}':- J.EO .134 0 0 .00 -3.91
F'IF'E
------- G
----- 51.53 120 0
- 12.0 1.85
- I1.E+7
-------
---
--
---
OUTLET
9 -------
20,74 ---------
1.637 --
-
1 --------
1.0 --------
17.E3 -
---
----
-----
K= 5.60 .132 0 9 .00 -3.91
PIFE
------- i.^-,
----- 72.27
-- 120 `rl' 9.0 1.25 13.72
F'EF 902 ----- --------- ---- -------- ---------
18.97 ---------------------------
cAGAN MED L.TR REMOTE AF:EA A,1/1500 iST FLOOR
--- F.OUTE IVO. 3 bESCRIPTIOPJ ----
Q-ADD DIA T PIPE F'T F'V
REFEF.'ENCE • LOSS/FT E FITTS F'E F'E
------
----- GE-TOTAL C-FACT LT TOTAL F'F PO NOTES
?UTLET -
10 -------
15_EG ---------
;.104 ---
a ---------
7.0 ---------
11.75 ----------------------------
k`= J. EsO .065 0 ?D .00 -.;. ?:11
F?IF'E
------- .J
----- n
1J.Ep
-- Sim
-
- O 7.0 .'lJ
-
--- 7.04
---
--
OL'TLET
1: -
----
i.G.i., ---
---
-
1.104 ----
0 --------
6.0 -
--
--
12.20 -
---------------------
F..= 5.60 .239 0 0 .00 -3.91
PiF'E
------- u
--- 31.80 120 ii 6.0 1.44 3.2.+
OL'TLET --
12 -------
17.47 ---------
1.452 ----
G; --------
7.0 ---------
13.53 ----------------------------
F'..-: J.GPJ .142 Pl 0 .00 -.,._;:l
PiF'E ; 43.27 1::0 :l 7.0 .':i':'i 9.73
OUTLE? 13 7.0. 30 1.63; 0 -
-,2.a 14.63
K= S.Gf'tL .122 0 41 .00 -=`.'jt
PIF'E
------- 11
---- 67.61
-
- 120 0 12.0 . 1.47 10.72
OUTLET -
14 -
--
--
;o.51 ---------
1.E87 ----
1 --------
9.0 ---------
16.10 --------------------------
h.= 5.60 .190 L 3 .00 .,. 91
F'IF'E :4 07.16 120 P, 17.0 3.33 12,19
r.
cF ?=10.'.r
1?j. '?: '
? _. ._.._ "
'
EAi3AN MED i=Tfc F.:EMOTE AF.'EFl A. 1/ 1500 1ST FLOOR
--- ROUTE NO. 4 DESr:RIFTION ---
G!--AD? DIA T F'IFE FT FV
REFERENr_E LOSS/FT E FITTS FE FE
------------ Q-TOTA
------- L 1=-FACT
-------- .._._...._- LT
- TOTAL FF F'0 NOTES
OUTLET 15
21.95
i,E87 --_
: ..._ ___._.._..--
2,0 -------...-
19,27 --------....... ------------_._.._._..._........--
5.E0 .015 0 II .00 --3.91
F'IF'E IS 21.95 120 0 10.0 .IJ 15.37
Rc-r 903 _._._.._.... ....... ----------- ".. ... _ __ _ .....
i'D.433 .......... _ ._.._ ....._ _' _.. _.. _ _'_ _
. ....._...._ ."___'_____._..._
EAGAN MED f_'TF' REMOTE AREA A, 1/ 1 -W0 1 ST FLOOF,
-- ROUTE Np. S DESCF'TF TION ---
REFERENr:e D-qDD DiA T F'IF'E FT
LOss"PT
E
FI7T5
pE
--------
--- Gt-TpTAL C-FAr:T
-------- LT TpTAL
.F
UUTLET 7.E __
E?.?,7 1.Ga; _.__
_ _ --
---
1(.- 5.60
013 m
y 3
•'• m
?;. 7S
f•IPE
lE ?3.67 i'0
0 "00
?@.0 .13
F..EF 'j04
i 1 .95
FV
FE
r0 NOTES
ll . S7
r y
? t
EAGAN TOWNSHIP
, . BUILDING PERMIT
Ownes
Bvilder
Address
DESCAIPTION
D/U -5-2 "?' /o
N° 323
Eagan Township
Town Hall
Dale? . ??._?........
Sloriea To Be Used For
-
C Fronf
4 Deplh
? Height Esi. Cosf
' Permi! Fee Remazks
/ )
, am? 16 ac ? ? -
? ?-
LOCATION
?
1'his p mi! dces not authosize the use of sixe , roads, alleys or si aw ks nor does it give !he owner or his ageni
the righ! !o erea3e any siivalion wbich is a nuisaxl? or whieh presenla a hazard Yo the healSh, safelp, eoevenienee and
general welfsre to anpone in the eomm niip.
THIS PEAMIT MUST B OYP T SE WHILE THE WOAK IS IN PAOG SS.
This is 3o ceriify. !ha ? .._---_has permission !o erect a ... . ................. .. .....•-.-_-.---_-------..upon
the ab?ve described mi to. ?e rovisions of the Build'ug Ordinance fos Eagan w hip adopled April 11.
i^
.......... Per ........ ................................ -................................................. ......---
Building Inspeator
EAGAN TOWNSHIP
BUILDING PERMIT
OWRO! ....." ""..... ...??:C?4:t.1 ............................... ---
....... ...................................................
Address (pseseni) ... 3_370
Builder ....... .n_t:p?.4.:..-7?.af'f .i....... C !1..........,_._`.........--/--?--........---_.
Address ...°-----....?C-t....l?F.41-t..?..r?..
?/ ..?.?..e.
N° 1851
Eagan Towaship
Town Hell
Dale "'-??°tJ'let
Stoxies To Be.Used For Fron! Depfh Heighf Est. Cosi Pezmii-Fee Remarke
l
LOCATION
Sfreei. Road os o2het Deacripfion oi Locafion I Lo! I Slock I Addifion or Traef
o/ 0 1 -5a ???-06,c-) GC?
This permit doee aot aulhorize the use oi eizeels, roads, alleys or sidewalks nor does it give the ownes or his agen!
the righ!!o ereaYe any sifuation whieh is a nuisanee ox whiah presealc a hazard !o the healih, safety, conveaienee and
general welfase !o anyone ia the communiiy.
THIS PEAMIT MUST BE K PT ON TH£ PREMISE WHILE THE WORK IS IN PROGRESS.
.. .."" ._____...."""'..._ upon
This is So cerlify. 2haf------- ................. Permission !o esect a..... ?.......
the above deacribed psem' subjeet !o the provisioas of the Building Ordinenee for ?Township adopled April 11,
1955.
..................... - ° °--- ? 1.=.^-?-?:-?-°°-.--°°°-....... Pex ........_.__e:!F__:- CcyL 'J_°--...-----°-°°...
Che man of Tnwn BQ6ard Suilding Inspec2or
e, r
.. ,
EAGAIV TOWNSI-IIP
?,-RLJIL,DING PERMIT
Ownex
Addr?s(g?eseall....._.. _.....-?---._ ...................??7.?".Lt4??
/
Builder .................... -- ------- :.`..-......... ------ ................°------------..
Address --- ...........--'---_.--"----------------------'--------.-"'----....
DESCRIPTION
N° 54'7
Eagan Township
Town Hall
bafe ...............
Siories To Se Used For Froni DepYh 'Heighf Esl. Cos! Permif Fee Aemarks
I 1 „D?. ? ?? ?
' Z7 LOCATION 1?7
or
v /c> I S'?
This permiY does not auihoriae the use 'of siree3s, roads, alleys or sidewalks nos does it give the owaez ox his agen!
the sight io creale any situation which is a auisance or which presenis a hasasd ta the healih, safefy, convenience and
general welfare io anyone in the Communily.
THIS PEAMIT MUS KEP y/ EMISE WHILE THE WOAK IS IN PROGRESS.
This is fo aertify. !ha .._ .. .Rz-'-"-------------has Permission io ereef a...?s...?--°- --- ---' Ie-° --------- upon
the above descxibed p isa subjeci !o the pzovisions of the Buildin Ordinance for hip apied April 11.
1955. ?
----- ...._.."_.._._........
._.. . .....' _.....'_.__._..._..
C h a i r m a n of Towrt Hoard B Tns ecfos
i
/O o//DD O/p 5?--
wan7na a: HEAtutG
R:QUF'ST FQF. CTILITY IIMPIiJVEMENTS
I/'wn hcrF.by request of the City Council, City of Mgant
r3'saeacta, utility 11pprovanFnts oa and wer pzcperty M-Me3 by m?/u3 as
,':o7.Zc.s: (Mess*..=en type of impmnement, e.g. water. Eanitary sewt?r. etc.)
_ ?J1 a? - I'llf orrW //o .??
'PLie lpaation of raid utility impsovemanta ehall bo generViZY oa f:-ur^-
3 3 ?o ?'-?.o--p ?k.
/So?a? jG,9GFF = /G3S? - m?t? * ??ee
5xmo /?cs mLl' %oc = ?30.
i/S7s hereby waive notice of any and all hearings necess?.?^y Lnr tFe
Lzstallation of eaid 3mprovemeats and further wnsent eo any as:=ees;??r.%•s
nec.:saa.zily leried by tlie City oi- Eaqrss for such ia+provements-
.
i/t4e further ayree to grazt to the City of Eagan any easm:.its
sary for the inctallation of such impmvementa.
It is further understood that this request shall be r'viewe3 Y+y tha
CiL•p Council of The City of Eagan oz ita aqent and I/We will be g:ve.n
reazae+ble notice as to whether thia request is possible imder Preecni
utility plaraing as to timing, locatinn, etc.
c .ted: 7-?1- a-a aSature
? 7? P?P
3
F,ddress
ReTies': accegted ? . Data ?1-7i/A/i
C'_ty of Eagan
Raquest referred to City Adminietrator:
Date 7Z2 / A u , -
Cbpies: 1. City Administrator
2. Applicant
9A ?8 `C
,JpN ^c ?>>?,.
.?.
?
"0
Mr. Tom Hedges
City Administrator
City of Eagan
Eagan, MN 55121
Dear Tom:
?p _ dlt?oo -A? `
11 June 1980
I would like to request that a water stub be brought
to my curbing during the reconstruction of Pilot Knob
Road.
I am not sure I will hook up to the city water immediately,
but I feel the stub should be put in before the new road
is surfaced, to avoid patch work later. I probably will
want city water hook-up within a year or two.
Sincerely,
T?achtle
=?7f1 Pilot Knob Road
Eagan, MN
.?.,
m
v
r-lt
goFaagcin
3830 PILOT KNOB ROAD. P.O. BOX 21799 BEA BlOMQUl5T
EAGAN. MINNESOTA 55121 Mav?
PHONE: (612) 454-8700 THOMAS EGAN
JAMES A. SMITH
JERRV iHOMAS
DATE:
April 1, 1985 THEODORE WACHTER
CounW Memben
TFiOMAS HEDGE$
Ciry AamrYSfrafor
A? Ok ERBEKE
EUGENE
SPECIAL ASSESS3ENT SEARCA ?
Requested by: DAKOTA COUNTY ABSTRACT C0. RE: Section 10, Parcel 10 01000 010 52
1250 Hig1way #55 3370 Pilot Knob Road
FO Box 456 Eagan, MN 55121
Hastings, NIIV 55033
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs BeRinning Original Amount Balance Due
Street 10 yrs 1984 $1668.00 $1334.00
Water Lat & Area 10 yrs 19$1 $1985.00 $992.50
Storm Sewer Lat 15 yrs 1984 $494.00 $429•00
Storm Sewer TYvnk 15 yrs 1984 $494.00 $429•00
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Im?rovement Approximate Date of Completion Approximate Cost '
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or its
employees assume any liability for the correctness thereof. In cons ideration for the
supplying of the indicated information in the above form and for all other consideration
of any nature whatsoever, any claim against the City or its employee s rising therefrom
is hereby expressly waived. Levied assessments to be paid to the CI TY OF EAGAN,
3830 Pilot Knob Road, P.O. Box 21199, Eagan, MN 55121,
Very truly yours,
SPECIAL ASSESS
M
ENT DIVISION
/
?
.//,,a' 'CL.d?,c. -
„ THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
13
1987 BiTILDING PERMIY APPLICATION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IBCLDDE 2 SETS OF PLANS, 3 CERTIFICASFS OF SOHVEYt 1 SST OF ENERGY CALCOL9TIOHS
HOTE: ADDRESSES,FOH CORNEE LOiS - CONTRACTOR/HOME01iiNER MQST DESIGHATE AHICH ADDRESS
IS DESIRED. NO CHANGES WILL Bfi ALLOWED OHCE BDILDING PERMIT IS ISSIIED.
MOLTIPLE DiiELLINGS - RFSIDENTIAL AENTAL QAITS FOR SALE IIHITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF Si1HVEY - CHECB iiTTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPMERCI6L
INCLUDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATZONS,
> e $2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address 338(? RLOT4ICEI? (ZS?. r-
On Site Sewage_
MWCC System
On Site Well _
City Water _
Lot ? Block I
Pareel/Sub N??Z?'(' Z No
Owner '?1C-hLIH ONc
Address 28 I b'?? T-'A QVE:. 1?o
City/Zip Code M ?l-S. S?4?J6
Phone 574-r7 6 ( ?J
Contractor ?-:vu-Fs-F apST-
9ddress ZC??? ' ??C? ?T'•
City/Zip Code '777 PPUL 9S( I -2j
Phone 48 -7 ' i J 8(
Arch./EnSr.
M I KLi row sc<-? r P.eZrA ,
Address 2-53 !l . 4 ? S`11:
City/Zip Code -57. ?Pdl L SE (OI
Phone # 22? ?4r?3?
9PPROV9LS
Assessments
Water/Sewer ,
Police
Fire
Engr ?
Planner
Council
Bldg Off
APC
Variance
Date:
Occupaney
Zoning
Type of Const
(9etual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit ('rJ. ?s
Surcharge
Plan Review
SlLC r City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
o? ?2k
MEMO T0: JAY BERTHE - POLICE DEPT.
CRAIG RNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
JIM STURM, PLANNING DEPT.
JON BOHENSTEINt 9DMINISTRATION
BILL AKINSt ELECTRICAL INSPECTOR
JOE CONNOLLY, W9TER DEPT.
FROM: DOUG REIDv DEPARTMENT OF PROTECTIVE INSPECTIONS
DATE: '?j • ( • 8>7
The preliminary construction ?
plans for Net-L-n4 6NE. GuN1c- f`?L-Or 440a
are in our plan review section for your review and comments.
Please return this form to Steve Hanson with your inltialed comments and the
date oF review. Fallure to return form to Steve vithia five (5) daYg wi11 be
considered your approval. If you have any objections to approval of these
plans, it 19 your responsibilitq to aotify this department and resolve any
probless.
Thank you.
/JS ?. . .
_ city of eagan
TO: PAT GEAGAN, CtiIEF OF POLICE
JON HONENSTEIN, ASSISTANT TO THE CITY ADMINI:
DALE WEGLEITNER, FIRE MARSHAL
ELECTRICAL INSPECTOR
PUBLIC WORKS/ENGINEERIN6IUTILITIESlSTREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: DALE SCHOEPPNER, SENIOR INSPECTOR
DATE: Ti /I Z/ 9 7
MEMO
?
/
?t/o?wasf 3 4e61f,a•,
<Q4 ° L?t *Ai 4Rw4fsr L'4O66er+.w
SUBJECT: PLAN REVIEW I.
The _ preliminary X construction plans for drXfd N a f b ?'A'1 r//f!c/ttC A ?C'.)E-
are in our plan review section for your review and comment.
Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and
resolve any problems with the aifected parties. If you are requesting that issuance of the building pertnit be held, please
fill out the proper "hold" request fortn.
Comments:
Indipte any fees that are to be collected with the building pertnit:
? Yes ? No landsppe security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dediption
? Yes ? No
Signature
Date
Amoun
plan+ev iew
< t
Use BLUE or BLACK Ink
�-----------------i
r w,O ,Q���5>�K������j For Office Use I
�` r ��� 1
��� �� �(f (y ������ I Permit#:
� Q�uIl ; ���� �
� Permit Fee: �
3830 Pilot Knob Road SEI� O 2 ZO�� i i
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 �,� I 1
Fax:(651)675-5694 �Y: --- -- -- � �
� Staff: �
. ._._�������_�������J
2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: � 2 (�( Site Address: 33$�0 �(.OT �y.(p(� ��Q,
Tenant: � � Suite#:
��.�
Name: Phone:
�r�p�������� ;� Address/City/Zip: � � �
,,,
__. �,,� _ �` Applicant is: Owner Contractor
� � y °' Description of work: C�u��� ���5 ��.F� �p�0.,. �l y�yt.i�,,, �,t�, �
T�r���w�� � � ��-
� � �
Construction Cost: � — Estimated Completion Date: � �
�
;'°; Name:��2tZK 2-��LZR�� ���R.2 ��'C License#: �- ���Co
� �� " ' � � Address: ��'� ��r�l�w�c, �12 City: �•�Ll
`, C011t!'�Cti)M`
` State: � hl Zip: ��o��� Phone: ?�- �jL3-p�pp
: Contact: o � � Email: 2�d't„•
FIRE PERMIT TYPE WORK TYPE
�Sprinkler System(#of heads�) New _Addition
_Fire Pump _Standpipe �Alterations _Remodel
Other: Other:
DESCRIPTION OF WORK: �Commercial _Residential _Educational
FEES Contract lialue$ �p x.01
$55.00 Permit Fee Minimum =$ S�,(�j Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 =$ 5•OC� Surcharge"
""*If the project valuation is over$1 million, please call for Surcharge (�
_$ `O���� TOTAL FEE
3/4"Displacement Fire Meter-$260.00 =$ Fire Meter
_•$ TOTAL FEE
*Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknorvledge that the information is complete and accurate;that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but
only an application for a permit,and work is not to start without a permit;that the work wili be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
x � X
ApplicanYs P ted Name ApplicanYs Signature
} t
. ,
���c��-3
..����F���� ��� :
a, � �,�,
�,.
,_
� : , ;
��.
REQUIRED..INSPEGTit)NS � v;.' � '
.� .,�
, ,
w�
; „
f-{yd�rostat�c = �� �low A1a� � I��ain Test .� R��h��r �.
,: _ � �..
�r ��_
� `�ri� = Puriip Tes� ��ntrai St�tfc�� �rr�al .
y.
..�. • ,
�,. •,
' , . .
� �€�nditians af}ssuance: �� � � �� -
� �..
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P�rrr►�tRe.viewedby =`� ;�:�.: � _ �t�ate: --��1��--�� `'
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Agenda Information Memo
July 19, 2016 Eagan City Council Meeting
PUBLIC HEARING
A. Variances — City of Eagan
Action To Be Considered:
Approve parking setback Variances for two properties along at 3386 and 3390 Pilot Knob Road
associated with Pilot Knob Road Corridor Improvements (County Project 31-76/ City Project
1095).
3386 Pilot Knob Road 10 foot parking setback variance
3390 Pilot Knob Road 13 foot parking setback variance
Facts:
➢ The City's zoning ordinance requires a minimum parking and pavement setback of 20
feet from a public right-of-way.
➢ The Variances are based on the existing developed conditions of the properties and the
additional right-of-way and trail easements acquired for the expansion and upgrade of
Pilot Knob Road (County State Aid Highway 31) for County Project 31-76/ City Project
1095, currently under construction.
➢ Each of the Variances is prompted by a public action, due to the acquisition of additional
right-of-way for the project, which includes turn lane and center median construction.
➢ Staff believes that it would be appropriate for the City to acknowledge the impact of the
public improvement projects on private property parking setbacks and to take action so
that the resulting setbacks are not considered non -conforming.
60 -Day Agency Action Deadline: September 5, 2016
Attachments (2)
PHA -1 Location Map
PHA -2 Staff Report
PLANNING REPORT
CITY OF EAGAN
REPORT DATE: July 12, 2016 CASE: 10 -VA -06-07-16 & 10 -VA -07-07-16
APPLICANT: City of Eagan HEARING DATE: July 19, 2016
PROPERTY OWNER: Various PREPARED BY: John Gorder
REQUEST: Variance
LOCATION: 3386 & 3390 Pilot Knob Road
COMPREHENSIVE PLAN: SA, Special Area — Central Area Commons
ZONING: PD, Planned Development
SUMMARY OF REQUEST
The City of Eagan is requesting parking setback Variances for two properties along Pilot Knob
Road (CSAH 31) between Yankee Doodle Road (CSAH 28) and Norwest Court. See attached
location map.
AUTHORITY FOR REVIEW
City Code Chapter 11, Section 11.50, Subdivision 3, B., 3, states that the Council may approve,
approve with conditions or deny a request for a variance. In considering all requests for a
variance, City Council shall consider the following factors:
a. Exceptional or extraordinary circumstances apply to the property which do not apply
generally to other properties in the same zone or vicinity, and result from lot size or
shape, topography, or other circumstances over which the owners of property have no
control.
b. The literal interpretation of the provisions of this Code would deprive the applicant
property use commonly enjoyed by other properties in the same district under the
provisions of this Code.
c. That special conditions or circumstances do not result from actions of the applicant.
d. That granting of the variance will not confer on the applicant any special privilege that is
denied by this Ordinance to owners of other lands, structures or buildings in the same
district.
Planning Report — Pilot Knob Road
July 12, 2016
Page 2
e. The variance requested is the minimum variance which would alleviate the hardship.
f. The variance would not be materially detrimental to the purposes of this Code or to
property in the same zone.
CODE REQUIREMENTS
The City's zoning ordinance required parking areas to be set back a minimum of 20 feet from a
public right-of-way.
BACKGROUND/HISTORY
Since 2014, the Capital Improvement Program (CIP) for the City of Eagan included the
expansion and upgrade of Pilot Knob Road (County State Aid Highway 31) from Yankee Doodle
Road (CSAH 28) to Central Parkway. The expansion/upgrade includes the addition of a
southbound lane, center median improvements, and replacement of signal systems. In 2015, the
Dakota County Transportation Department assumed the role of lead agency for the project to
enable it to be scheduled for the 2016 construction season. As a result, the County
Transportation Department proceeded with the acquisition of necessary right-of-way and
easements to allow construction to be completed in 2016:
EXISTING CONDITIONS
Two properties have been identified as having non -conforming parking setbacks as a result of the
expansion and upgrade of Pilot Knob Road. Both of the properties for which the Variances are
sought are currently developed. The proposed Variances are based on the existing developed
conditions of the properties and the additional right-of-way or easement acquired for the
expansion and upgrade of Pilot Knob Road, which is under construction this summer
EVALUATION OF REQUEST
The two properties will have parking setbacks less than 20 feet. An exhibit is attached.
APPLICANT'S ESTIMATE OF HARDSHIP
Each of the Variances is prompted by a public action, the acquisition of additional right-of-way
or easement along Pilot Knob Road. Without the Variances, these properties would have non-
conforming setbacks as a result of the Pilot Knob Road expansion and upgrade.
SUMMARY / CONCLUSION
The City of Eagan is requesting parking setback Variances for two properties along Pilot Knob
Road between Yankee Doodle Road (CSAH 28) and Norwest Court. These Variances are
Planning Report — Pilot Knob Road
July 12, 2016
Page 3
necessary to accommodate reduced setbacks along Pilot Knob Road resulting from the public's
acquisition of additional right-of-way or easement to expand and upgrade of Pilot Knob Road.
Two properties are affected and require parking setback variances.
Staff believes that it would be appropriate for the City to acknowledge the impact of these public
improvement projects on private property parking setbacks along Pilot Knob Road and to take
action so that the resulting setbacks are not considered non -conforming.
ACTION TO BE CONSIDERED
To approve the following Variances to setbacks along Pilot Knob Road (CSAH 31) between
Yankee Doodle Road (CSAH 28) and Norwest Court.
3386 Pilot Knob Road 10 -foot parking setback variance
3390 Pilot Knob Road 13 -foot parking setback variance
1. If within one year after approval, the variance shall not have been completed or utilized, it
shall become null and void unless a petition for extension has been granted by the council.
Such extension shall be requested in writing at least 30 days before expiration and shall
state facts showing a good faith attempt to complete or utilize the use permitted in the
variance.
City Council Meeting Minutes
July 19, 2016
2 page
H. It was recommended to adopt a resolution approving an Excluded Bingo Permit for the Church
of St. Thomas Becket to conduct bingo on September 11, 2016 at 4455 South Robert Trail.
I. It was recommended to adopt a resolution approving a Premise Permit for the Eagan High
School Football Booster Club to conduct lawful gambling at New Bohemia Eagan, 1278 Town
Centre Drive Suite 195.
J. It was recommended to approve an Off -Sale Liquor License for Minnesota Fine Wines & Spirits,
LLC doing business as Total Wine & More, located at 1440 Central Park Commons.
K. It was recommended to approve an On -Sale and Sunday Liquor License for Loco U&ME, LLC
doing business as Valley Lounge, located at 3385 Sibley Memorial Highway.
L. It was recommended to approve Professional Services Agreements with Thomas Ferber and
Nancy Gibbs for temporary election consultation services.
M. It was recommended to receive bids for City Contract 16-23 (Country Hollow Lift Station —
Sanitary Sewer Improvements), award a contract to G.F. Jedlicki, Inc., for the bid amount of
$326,995.00, and authorize the Mayor and City Clerk to execute all related documents.
N. It was recommended to approve Change Order No. 2 to Contract 15-23 (Well No. 3 Resotration
— Water System Improvements) and authorize the Mayor and City Clerk to execute all related
documents.
O. It was recommended to approve a Joint Powers Agreement with the Dakota County
Transportation Department and the City of Mendota Heights for Project 1220, Pilot Knob Road
(CSAH 31) &I-494 —Traffic Signal Revisions, and authorize the Mayor and City Clerk to execute
all related documents.
P. It was recommended to approve the recommendations of the Public Works Committee
regarding an appeal to a water meter surcharge.
Q. It was recommended to approve the final payment for Contract 16-16 (Denmark Avenue Rain
Garden Rehabilitation) in the amount of $497.35 to Outdoor Lab Landscape Design, LLC and
accept the improvements for perpetual City maintenance subject to warranty provisions.
R. It was recommended to approve a Cost Share, Operation and Maintenance Agreement with
Mary and Curtis Kenkel (3669 Pinecrest Court) to help implement a Shoreland and Upland Buffer
Project at Fish Lake through the Water Quality Cost -Share Partnership Program and authorize
the Mayor and City Clerk to execute all related documents.
S. It was recommended to schedule a Public Hearing on August 1, 2016 to consider a business
subsidy pursuant to Minnesota Statutes Sections 116J.993 to 116J.995 to J & & Solutions, Inc.
d/b/a Corvida Medical, Inc., for development of business at 3660 Dodd Road.
T. It was recommended to approve a Final Subdivision, Willow Ridge at Wescott, to create 15 Tots
upon approximately 10 acres located at 1055 and 1085 Wescott Road, north of Wescott Road
and east of Lexington Avenue.
U. It was recommended to approve a Final Plat (West End Trap Club) to create one lot upon
approximately 19 acres Located at 4899 Brooklyn Lane.
PUBLIC HEARINGS
Variances — City of Eagan
City Administrator Osberg introduced the item noting the Council is being asked to consider approval of
parking setback variances for two properties along 3386 and 3390 Pilot Knob Road associated with the
Pilot Knob Road Corridor Improvements.
Agenda Information Memo
August 16, 2016 Eagan City Council Meeting
PUBLIC HEARING
A. Variances — City of Eagan
Action To Be Considered:
Approve pylon sign setback Variances at 3386 Pilot Knob Road of:
■ 4' to Pilot Knob Road
■ 7' to Norwest Court
Facts:
➢ The City's zoning ordinance requires a minimum sign setback of 10 feet from a public
right-of-way.
➢ The Variances are necessary due to the acquisition of additional right-of-way in support
of the expansion and upgrade of Pilot Knob Road (County State Aid Highway 31) for
County Project 31-76/ City Project 1095, currently under construction.
➢ In conjunction with the project, the property owner (Intergenerational Learning Center)
has agreed to relocate its pylon sign and combine the existing sign of the adjacent
property owner (Wells Fargo) into one new pylon sign, to be located within private sign
easement on the Intergenerational Learning Center property. The sign will conform with
the dimension requirements approved for the existing sign.
➢ The Variances are prompted by public action, due to the acquisition of additional right-
of-way for the project, which includes turn lane and center median construction.
➢ Staff believes that it would be appropriate for the City to acknowledge the impact of the
public improvement project on private property sign setbacks and to take action so that
the resulting setbacks are not considered non -conforming.
Attachments (2)
PHA -1 Location Maps
PHA -2 Staff Report
PLANNING REPORT
CITY OF EAGAN
REPORT DATE: August 9, 2016 CASE: 10 -VA -09-08-16
APPLICANT: City of Eagan HEARING DATE: August 16, 2016
PROPERTY OWNER: J.B. Goodman Trust PREPARED BY: John Gorder
REQUEST: Variance
LOCATION: 3386 Pilot Knob Road
COMPREHENSIVE PLAN: SA, Special Area — Central Area Commons
ZONING: PD, Planned Development
SUMMARY OF REQUEST
The City of Eagan is requesting sign setback Variances for the property located at 3386 Pilot
Knob Road, See attached location map.
AUTHORITY FOR REVIEW
City Code Chapter 11, Section 11.50, Subdivision 3, B., 3, states that the Council may approve,
approve with conditions or deny a request for a variance. In considering all requests for a
variance, City Council shall consider the following factors:
a. Exceptional or extraordinary circumstances apply to the property which do not apply
generally to other properties in the same zone or vicinity, and result from lot size or
shape, topography, or other circumstances over which the owners of property have no
control.
b. The literal interpretation of the provisions of this Code would deprive the applicant
property use commonly enjoyed by other properties in the same district under the
provisions of this Code.
c. That special conditions or circumstances do not result from actions of the applicant.
d. That granting of the variance will not confer on the applicant any special privilege that is
denied by this Ordinance to owners of other lands, structures or buildings in the same
district.
Planning Report — Pilot Knob Road
July 12, 2016
Page 2
e. The variance requested is the minimum variance which would alleviate the hardship.
f. The variance would not be materially detrimental to the purposes of this Code or to
property in the same zone.
CODE REQUIREMENTS
The City's zoning ordinance requires pylon signs to be set back a minimum of 10 feet from the
property line/public right-of-way.
BACKGROUND/HISTORY
Since 2014, the Capital Improvement Program (CIP) for the City of Eagan included the
expansion and upgrade of Pilot Knob Road (County State Aid Highway 31) from Yankee Doodle
Road (CSAH 28) to Central Parkway. The expansion/upgrade includes the addition of a
southbound lane, center median improvements, and replacement of signal systems.
In 2015, the Dakota County Transportation Department assumed the role of lead agency for the
project to enable it to be scheduled for the 2016 construction season. As a result, the County
Transportation Department proceeded with the acquisition of necessary right-of-way and
easements to allow construction to be completed in 2016.
EXISTING CONDITIONS
The property at 3386 Pilot Knob Road has been identified as having non -conforming pylon sign
setbacks as a result of the expansion and upgrade of Pilot Knob Road. The property for which the
Variances are sought is currently developed. The proposed Variances are based on the existing
developed conditions of the properties and the additional right-of-way or easement acquired for
the expansion and upgrade of Pilot Knob Road, which is under construction this summer.
EVALUATION OF REQUEST
Through no action of their own, the property at 3386 Pilot Knob Road will have pylon sign
setbacks less than 10 feet required from both Pilot Knob Road (CSAH 31) and Norwest Court as
a result of the Pilot Knob Road upgrade.
APPLICANT'S ESTIMATE OF HARDSHIP
The Variances are prompted by a public action, the acquisition of additional right-of-way or
easement along Pilot Knob Road. Without the Variances, these properties would have non-
conforming setbacks as a result of the Pilot Knob Road expansion and upgrade.
Planning Report — Pilot Knob Road
July 12, 2016
Page 3
SUMMARY/CONCLUSION
The City of Eagan is requesting sign setback Variances for 3386 Pilot Knob Road. These
Variances are necessary to accommodate reduced setbacks along Pilot Knob Road and Norwest
Court resulting from the public's acquisition of additional right-of-way or easement to expand
and upgrade of Pilot Knob Road.
Staff believes that it would be appropriate for the City to acknowledge the impact of these public
improvement projects on property setbacks along Pilot Knob Road Norwest Court and to take
action so that the resulting setbacks are not considered non -conforming.
ACTION TO BE CONSIDERED
To approve the following Variances to pylon sign setbacks at 3386 Pilot Knob Road:
• 4' to Pilot Knob Road
• 7' to Norwest Court
1. If within one year after approval, the variance shall not have been completed or utilized, it
shall become null and void unless a petition for extension has been granted by the council.
Such extension shall be requested in writing at least 30 days before expiration and shall
state facts showing a good faith attempt to complete or utilize the use permitted in the
variance.
City Council Meeting Minutes
August 16, 2016
2 page
F. It was recommended to approve an On -Sale Liquor License and Sunday License for Hy -Vee, Inc.
doing business as Hy -Vee Market Grille, 1500 Central Park Commons Drive Suite A.
G. It was recommended to approve an Off -Sale Liquor License for Hy -Vee, Inc. doing business as
Hy -Vee Wine and Spirits, 1500 Central Park Commons Drive Suite B.
H. It was recommended to adopt a resolution approving a Premise Permit for the South Robert
Street Business Association to conduct lawful gambling at Wyatt's Twisted Americana, 1965 Cliff
Lake Road Suite 108.
I. It was recommended to approve a temporary on -sale liquor license and waive the license fee for
People of Praise, MN Inc. on September 17, 2016 at 601 River Ridge Parkway.
J. It was recommended to approve the agreement between the City of Eagan and ISD #196.
K. It was recommended to modify the condition number 2 to allow 34% impervious surface for a
Conditional Use Permit approved November 2, 2015 to exceed 25% impervious surface coverage
in a Shoreland Overlay District on a residential lot located at 3656 Pinecrest Court.
L. It was recommended to receive a petition to vacate a portion of a public drainage and utility
easement on Lot 1, Block 1, Wilmus Addition and schedule a public hearing to be held on
September 20, 2016.
M. It was recommended to receive the petition to vacate a portion of a public drainage and utility
easement on Lot 1, Block 2, Weston Hills 2nd Addition and schedule a public hearing to be held
on September 20, 2016.
N. It was recommended to accept the Amended Feasibility Report for Project 1225 (Vikings
Parkway/MV Eagan — Street and Utility Improvements).
0. It was recommended to approve agreement with MV Eagan Ventures, LLC, et.al., for the
installation of public improvements, and authorize the Mayor and City Clerk to execute all
related documents.
P. It was recommended to approve an amended Preliminary Plat and Site Plan and direct staff to
evaluate and modify conditions of the Preliminary Planned Development, as necessary.
Q. It was recommended to approve the final payment for Contract 15-20 (Raw Water Line — Central
Park Commons) in the amount of $17,266.18 to Enebek Construction Co., and accept the
improvements for perpetual City maintenance subject to warranty provisions.
R. It was recommended to authorize submittal of a Minnesota Clean Water Fund grant application
for $675,000.00 to the Board of Water and Soil Resources for "Fitz Lake Water Quality
Improvements and TMDL Implementation."
S. It was recommended to approve the Change Order No. 2 to Contract 15-04 (Sperry Tower
Recommissioning) and authorize the Mayor and City Clerk to execute all related documents.
T. It was recommended to approve presented license agreement with the Caponi Art Park Board
(CAP) to allow construction of an 18 foot by 18 foot shade structure on the south park of the
Caponi Art Park with the structure being presented as a donation back to the City after
completion and final inspection.
U. It was recommended to approve the proposed revision to the City of Eagan's model aircraft
permitting system to be updated to include all Unmanned Aircraft Systems (UAS) for use within
city parks and compliance with new revisions to rules and regulations by the Federal Aviation
Administration (FAA).
PUBLIC HEARINGS
Variances — City of Eagan
City Administrator Osberg introduced the item noting the City's zoning ordinance requires a minimum
sign setback of 10 feet from a public right-of-way. The Variances are necessary due to the acquisition of
City Council Meeting Minutes
August 16, 2016
3 page
additional right-of-way in support of the expansion and upgrade of Pilot Knob Road (County State Aid
Highway 31) for County Project 31-76/City Project 1095, currently under construction.
Public Works Director Matthys gave a staff report.
Mayor Maguire opened the public hearing. There being no public comment, he turned the discussion
back to the Council.
Councilmember Fields moved, Councilmember Tilley seconded a motion to approve pylon sign setback
Variances at 3386 Pilot Knob Road of: 4' to Pilot Knob Road, and 7' to Norwest Court. Aye: 5 Nay: 0
OLD BUSINESS
There were no old business items to be heard.
NEW BUSINESS
There were no new business items to be heard.
LEGISLATIVE / INTERGOVERNMENTAL AFFAIRS UPDATE
There was no legislative/intergovernmental affairs update to be heard.
ADMINISTRATIVE AGENDA
There were no administrative agenda items to be heard.
VISITORS TO BE HEARD
Past practice and policy during election years, from the opening of the Council candidate filing period
through the November election, the Visitors to be Heard segment of the meeting shall occur for a period
of time not to exceed ten minutes and will not be televised.
There were no visitors to be heard.
ADJOURNMENT
Councilmember Tilley moved, Councilmember Hansen seconded a motion to adjourn the meeting at
6:40 p.m. Aye: 5 Nay: 0
Date
Mayor
City Clerk
City Council Meeting Minutes
August 16, 2016
3 page
additional right-of-way in support of the expansion and upgrade of Pilot Knob Road (County State Aid
Highway 31) for County Project 31-76/City Project 1095, currently under construction.
Public Works Director Matthys gave a staff report.
Mayor Maguire opened the public hearing. There being no public comment, he turned the discussion
back to the Council.
Councilmember Fields moved, Councilmember Tilley seconded a motion to approve pylon sign setback
Variances at 3386 Pilot Knob Road of: 4' to Pilot Knob Road, and 7' to Norwest Court. Aye: 5 Nay: 0
OLD BUSINESS
There were no old business items to be heard.
NEW BUSINESS
There were no new business items to be heard.
LEGISLATIVE / INTERGOVERNMENTAL AFFAIRS UPDATE
There was no legislative/intergovernmental affairs update to be heard.
ADMINISTRATIVE AGENDA
There were no administrative agenda items to be heard.
VISITORS TO BE HEARD
Past practice and policy during election years, from the opening of the Council candidate filing period
through the November election, the Visitors to be Heard segment of the meeting shall occur for a period
of time not to exceed ten minutes and will not be televised.
There were no visitors to be heard.
ADJOURNMENT
Councilmember Tilley moved, Councilmember Hansen seconded a motion to adjourn the meeting at
6:40 p.m. Aye: 5 Nay: 0
Date
Mayor
City Clerk
14 724
City Council Meeting Minutes
August 16, 2016
2 page
F. It was recommended to approve an On -Sale Liquor License and Sunday License for Hy -Vee, Inc.
doing business as Hy -Vee Market Grille, 1500 Central Park Commons Drive Suite A.
G. It was recommended to approve an Off -Sale Liquor License for Hy -Vee, Inc. doing business as
Hy -Vee Wine and Spirits, 1500 Central Park Commons Drive Suite B.
H. It was recommended to adopt a resolution approving a Premise Permit for the South Robert
Street Business Association to conduct lawful gambling at Wyatt's Twisted Americana, 1965 Cliff
Lake Road Suite 108.
I. It was recommended to approve a temporary on -sale liquor license and waive the license fee for
People of Praise, MN Inc. on September 17, 2016 at 601 River Ridge Parkway.
J. It was recommended to approve the agreement between the City of Eagan and ISD #196.
K. It was recommended to modify the condition number 2 to allow 34% impervious surface for a
Conditional Use Permit approved November 2, 2015 to exceed 25% impervious surface coverage
in a Shoreland Overlay District on a residential lot located at 3656 Pinecrest Court.
L. It was recommended to receive a petition to vacate a portion of a public drainage and utility
easement on Lot 1, Block 1, Wilmus Addition and schedule a public hearing to be held on
September 20, 2016.
M. It was recommended to receive the petition to vacate a portion of a public drainage and utility
easement on Lot 1, Block 2, Weston Hills 2nd Addition and schedule a public hearing to be held
on September 20, 2016.
Ni. It was recommended to accept the Amended Feasibility Report for Project 1225 (Vikings
Parkway/MV Eagan — Street and Utility Improvements).
O. It was recommended to approve agreement with MV Eagan Ventures, LLC, et.ai., for the
installation of public improvements, and authorize the Mayor and City Clerk to execute all
related documents.
P. It was recommended to approve an amended Preliminary Plat and Site Plan and direct staff to
evaluate and modify conditions of the Preliminary Planned Development, as necessary.
Q. It was recommended to approve the final payment for Contract 15-20 (Raw Water Line — Central
Park Commons) in the amount of $17,266.18 to Enebek Construction Co., and accept the
improvements for perpetual City maintenance subject to warranty provisions.
R. It was recommended to authorize submittal of a Minnesota Clean Water Fund grant application
for $675,000.00 to the Board of Water and Soil Resources for "Fitz Lake Water Quality
Improvements and TMDL Implementation."
S. It was recommended to approve the Change Order No. 2 to Contract 15-04 (Sperry Tower
Recommissioning) and authorize the Mayor and City Clerk to execute all related documents.
T. It was recommended to approve presented license agreement with the Caponi Art Park Board
(CAP) to allow construction of an 18 foot by 18 foot shade structure on the south park of the
Caponi Art Park with the structure being presented as a donation back to the City after
completion and final inspection.
U. It was recommended to approve the proposed revision to the City of Eagan's model aircraft
permitting system to be updated to include all Unmanned Aircraft Systems (UAS) for use within
city parks and compliance with new revisions to rules and regulations by the Federal Aviation
Administration (FAA).
PUBLIC HEARINGS
Variances — City of Eagan
City Administrator Osberg introduced the item noting the City's zoning ordinance requires a minimum
sign setback of 10 feet from a public right-of-way. The Variances are necessary due to the acquisition of
City Council Meeting Minutes
July 19, 2016
2 page
H. It was recommended to adopt a resolution approving an Excluded Bingo Permit for the Church
of St. Thomas Becket to conduct bingo on September 11, 2016 at 4455 South Robert Trail.
I. It was recommended to adopt a resolution approving a Premise Permit for the Eagan High
School Football Booster Club to conduct lawful gambling at New Bohemia Eagan, 1278 Town
Centre Drive Suite 195.
J. It was recommended to approve an Off -Sale Liquor License for Minnesota Fine Wines & Spirits,
LLC doing business as Total Wine & More, located at 1440 Central Park Commons.
K. It was recommended to approve an On -Sale and Sunday Liquor License for Loco U&ME, LLC
doing business as Valley Lounge, located at 3385 Sibley Memorial Highway.
L. It was recommended to approve Professional Services Agreements with Thomas Ferber and
Nancy Gibbs for temporary election consultation services.
M. It was recommended to receive bids for City Contract 16-23 (Country Hollow Lift Station —
Sanitary Sewer Improvements), award a contract to G.F. Jedlicki, Inc., for the bid amount of
$326,995.00, and authorize the Mayor and City Clerk to execute all related documents.
N. It was recommended to approve Change Order No. 2 to Contract 15-23 (Well No. 3 Resotration
— Water System Improvements) and authorize the Mayor and City Clerk to execute all related
documents.
0. It was recommended to approve a Joint Powers Agreement with the Dakota County
Transportation Department and the City of Mendota Heights for Project 1220, Pilot Knob Road
(CSAH 31) & 1-494 — Traffic Signal Revisions, and authorize the Mayor and City Clerk to execute
all related documents.
P. It was recommended to approve the recommendations of the Public Works Committee
regarding an appeal to a water meter surcharge.
Q. It was recommended to approve the final payment for Contract 16-16 (Denmark Avenue Rain
Garden Rehabilitation) in the amount of $497.35 to Outdoor Lab Landscape Design, LLC and
accept the improvements for perpetual City maintenance subject to warranty provisions.
R. It was recommended to approve a Cost Share, Operation and Maintenance Agreement with
Mary and Curtis Kenkel (3669 Pinecrest Court) to help implement a Shoreland and Upland Buffer
Project at Fish Lake through the Water Quality Cost -Share Partnership Program and authorize
the Mayor and City Clerk to execute all related documents.
S. It was recommended to schedule a Public Hearing on August 1, 2016 to consider a business
subsidy pursuant to Minnesota Statutes Sections 1161.993 to 1161.995 to J & & Solutions, Inc.
d/b/a Corvida Medical, Inc., for development of business at 3660 Dodd Road.
T. It was recommended to approve a Final Subdivision, Willow Ridge at Wescott, to create 15 lots
upon approximately 10 acres located at 1055 and 1085 Wescott Road, north of Wescott Road
and east of Lexington Avenue.
U. It was recommended to approve a Final Plat (West End Trap Club) to create one lot upon
approximately 19 acres located at 4899 Brooklyn Lane.
PUBLIC HEARINGS
Variances — City of Eagan
City Administrator Osberg introduced the item noting the Council is being asked to consider approval of
parking setback variances for two properties along 3386 and 3390 Pilot Knob Road associated with the
Pilot Knob Road Corridor Improvements.
City Council Meeting Minutes
July 19, 2016
3 page
Public Works Director Matthys gave a staff report and provided a site map.
Mayor Maguire opened the public hearing. There being no public comment, he turned the discussion
back to the Council.
Councilmember Bakken moved, Councilmember Fields seconded a motion to approve parking setback
Variances for two properties along at 3386 and 3390 Pilot Knob Road associated with Pilot Knob Road
Corridor Improvements (County Project 31-76/City Project 1095), for 3386 Pilot Knob Road, a 10 foot
parking setback variance, and 3390 Pilot Knob Road, a 13 foot parking setback variance. Aye: 5 Nay: 0
OLD BUSINESS
There were no old business items to be heard.
NEW BUSINESS
Rezoning, Preliminary Planned Development and Preliminary Subdivision
(Summerbrooke) — DR Horton Inc. MN
City Administrator Osberg introduced the item noting this item was before the Council on April 5, 2016.
The item was continued to the June 7 meeting and requested that the applicant consider their concerns
regarding the Rezoning to R -1S and access. Subsequently, the applicant withdrew the R -1S Rezoning
and Variance requests and submitted for a Rezoning to Planned Development and a Preliminary Planned
Development; the preliminary subdivision request hasn't changed in a substantive way.
City Planner Ridley gave a staff report and provided a site map.
The applicant was present and available for questions.
The Council discussed the development.
Mayor Maguire opened the public comment. The following residents spoke against the request and
shared their concerns regarding traffic, retaining wall, density, and street connection: John Kenley, 750
Camberwell Drive, and Kristie and Brad Hagen, 758 Camberwell Drive. Gary and Ayrica Ash, 755 Diffley
Road, shared their concerns regarding their property. There being no further public comment, Mayor
Maguire turned the discussion back to the Council.
After further discussion several Councilmembers stated concerns regarding the cul-de-sac and southern
lot sizes.
City Attorney Dougherty clarified that the cul-de-sac modification discussed and the loss of a lot as part
of the Final Subdivision application would not require a new Public Hearing.
Councilmember Hansen moved, Councilmember Fields seconded a motion to approve a Rezoning from
A, Agricultural, to PD, Planned Development, upon approximately 15 acres located at 775 and 785
Diffley Road. Aye: 3 Nay: 2 (Bakken and Tilley)
Use BLUE or BLACK Ink
For Office Use qo
City
EiU11111Ol non PermitPermit* 3���
l
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I OZ`(T
Phone: (651)675-5675
Fax:(651)675-5694 Staff:
\�
vj•
i
2016 COMMERCIAL BUILDING PERMIT APPLICATION \' , 1
Date: // /(0a- Site Address: 33,8 (41 P (c 4-(.(h..e i2
Tenant Name: I'kr e/i l ci't`r.1 na I f e r$. ( e•. 4i er (Tenant is: New/ ) Existing) Suite*:
Former Tenant:
J r
Name:d-T 4- e r 441 t fCt.i i ee'..�e:.-- Phone: 4957- 1/,�� 9/0 C
Property Owner Address/City/Zip: 33 geP; (04 tc e to ` -o 4 &L c✓t, AA.A.i<,5.-�SZ-/
Applicant is: Owner X Contractor
Type of Work Description of work: 1 -t r� P i o
I Q Aii
Construction Cost f t 0
Name: Al ty A do, License*: -
Contractor Address:77 7 f /"City: a d f y
State: Ak N Zip. 5 5-ei Phone: l (0 3-- 75(`7 Z2 7
Contact a C.d Email: c /tke ,^�.t 4tec.h 5' p' 62 €.�t/. CCAA
Name 'crt't j Eft,;fifer' -y Registration#: / 7 Co
35O y Si,1hh AL City: S- e- to cid
Architect/Engineer Address: ` / t� V r
State: N Zip: 5 4 3rp., Phone: 3z-o 2-5-q-42S-75
Contact Person:Ci.✓t S eekv e B' Email:f 0-✓t S CY te i . 60 1
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 AA 4
�1 l
Applicant's Printed Name Appiica s Signature
Page 1 of 3
M s ,,,,,,\
DO NOT WRITE BELOW THIS LINE iy"Od a--
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 It K *Demolition of entire building—give PCA handout to applicant
5744
DESCRIPTION
Valuation 1..P/OpO rG Occupancy /4 MCES System AVA
Plan Review ✓ Code Edition 201 S mot- SAC Units
(25%_100% V) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings 0 Length Fire Sprinklers
Type of Construction V•�'✓ Width
REQUIRED INSPECTIONS
✓ Footings(New Building) V Final/C.O. Required
Footings(Deck) Final I No C.O. Required
Footings(Addition) Other:
/Foundation Foundation Before Backfill Pool:_Footings _Air/Gas Tests _Final
Drain Tile Siding:_Stucco Lath Stone Lath _Brick EFIS
Roof:_Decking _Insulation Ice&Water Final Retaining Wall
Framing 30 Minutes 1 Hour Erosion Control
Fireplace: Rough In _Air Test Final Concrete Entrance Apron
Insulation Meter Size:
Sheetrock Electronic Plans Required
Windows
Final C/O Inspection: Schedule Fire Marshal to be present: Yes ✓ No
Reviewed By: O,fa' , Building Inspector Reviewed By: illir , Planning
COMMERCIAL FEES Water Quality
Base Fee k3 Storm Sewer Trunk
Surcharge - — Sewer Trunk
Plan Review "C Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Other:
Treatment Plant(Irrigation)
Park Dedication ���2
Trail Dedication TOTAL:
Page 2 of 3
.01
For Office Us A
Permit#: l`P Ot)t -ei
, ' ,'•• • Permit Fee: t
E AGA N
Staff:
n
Payment Recvd: Yes No
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810
(651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5694 Plans: Electronic Paper
Plan Submittal:eplans(7a.citvofeagan.corn L CCA
�)
2019 COMMERCIAL BUILDING PERMIT APPLICATIONte
C.
Date: 6/17-/ 11 Site Address: .3".;%‘ 1' o I- '1`i
Tenant Name:I.r, Q_'^( Ce,.,.kc(Tenant is: New/ X Existing) Suite#:
Former Tenant:
Name: VoO Phone: 145 -) S‘1 " ���d
Property Owner /City/Zip: \ 0 �n` \�� 41.-00Glnc s�ca�nn
55��$
Applicant is: Owner Contractor
Type of Work Description of work:Tv..v-.0;•'` 4.1 � r 1 e ce,�.+.—} ,'F‘O`'S
Construction Cost**S , Ian
Name:P'Cc.M271—Zo 0 �^A`f`1 1 kratoALicense#: \ -�o��2"' 0
Contractor Address: %44Z at+- ��`1S��er_T City:✓\
State:
NZip: SS \''k Phone: ( 6 k b 2 3 8 o
Contact: !AAA- O\s° - Email:/ �o\SeNea dv`cAo.4•4'�1`M •
Name: IV 1 Registration#: \1
Architect/Engineer Address: City:
State: Zip: Phone: _-
Contact Person: Email:
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.gopherstateonecall.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 1 V a"�/�- -- - o\ x •
Applicant's Printed Name Applicant'- ignature
-S3cap oi.., k,-LbfZe-1 I j(40 uc) a—
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 /
Valuation 571 eOD-4`-` Occupancy to ei MCES System N,/A
Plan Review Code Edition ZO IC P4136 SAC Units
(25%_100% ) Zoning City Water
Census Code Stories I Booster Pump
#of Units Square Feet PRV
#of Buildings / Length Fire Sprinklers
Type of Construction V •B Width
REQUIRED INSPECTIONS
Footings_New Building_Deck Addition Drain Tile
Foundation _Foundation Before Backfill Retaining Wall
_ Vapor Barrier Erosion Control
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 _Final Final/No C.O.Required
Final CIO Inspection:Schedule Fire Marshal to be present: Yes 1410
Al 5 WO
Reviewed By: «' ,Planning New Business to Eagan:
Reviewed By: ,NSI/L-t-• ,Building Inspector
FEES Water Quality
Base Fee 73 d7[•2S.-Storm Sewer Trunk
Surcharge 24• S.0 Sewer Trunk
Plan Review 0. 0'0 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: C
Trail Dedication TOTAL 7°7•-1
0
Page 2 of 3
1
---1 c,..,
r-
For Office Use
ii Permit#: 161 q il
(c2L7,.... ....J. A A 1 Permit Fee:
,,:—``' Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No 1
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 I I
Email:buildinginspectionsa@citvofeagan.com 1
Plan Submittal:eplans aC').Citvofeaftan.com 1 Plans:_Electronic Paper j
2020 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,
submitted via email,CD or flash drive
Date: 6/18/20site Address: 3386 Pilot Knob Road
Tenant: Intergenerational Learning Center Suite#:
Property
Owner Name: Phone:
Name: Commercial Plumbing & Heating, Inc. License#: PC643117
Contractor Address: 24428 Greenway Ave City. Forest Lake State: MN Zip: 55025
Phone: 651-464-2988 Email: mwisgerhof@cpandh.com
New Construction Addition Modify Space
V Replacement Repair Rebuild Work in Right-Of-Way
Description of work:
Type of Work Irrigation System( yes/_no)( RPZ/t✓ PVB)
• Rain sensors required on irrigation systems
• Avg.GPM (2"turbo required unless smaller size allowed by Public Works)
Meter Required-Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter.
Domestic:Size&Type Fire: 1
Average GPM High demand devices?_Yes_No Flushometers_Yes_No
COMMERCIAL FEES Contract Value$ x.015
$600 Permit Fee Minimum ____-,'
Permit Fee
60.00 PVB1l2PZ Permit(includes State Surcharge
$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call City for Surcharge $ TOTAL FEE
The following fees may apply when installing a new lawn irrigation system or $ Water Permit
connecting a new water service.
$ Treatment Plant
Contact the City's Engineering Department,(651)675-5646,for required fee amounts.
$ Meter Fee
$ Radio Read
$ State Surcharge
=$60.00 TOTAL FEE
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.citvofeaean.com/subscribe.
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 permit;that the work will be In accordance with the approved
plan in the case of woork�which requires a review and approval of plans. i.
Applicant's Printed Name Applicant's Signature
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