4194 Pilot Knob Rd
Use BLUE or BLACK Ink
For Office Use I
~ I
My Petit ~of Eatan I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5575
Fax: (651) 675-6694 I Staff
2011 MECHANICAL PERMIT APPLICATION
Date: Site Address: '4/-/ 14 / - ! L d r j V 08 2?Q172D
Tenant 5 Suite M.
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Name: License WOO ~ 7
CONTRACTOR Address: )C ff City:
State: Zip: Phone:
Contact r, 'r V L 0) Email: = 60 r C
New Replacemept' Additional Alteration Demolition
TYPE OF WORK Description of work: ! C l
NOTE: Roof mounted and grou mounted n6chanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for Information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install I_ Remove)
Other
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES. fl y~
$75.00 underground tank instaNationtremovai OR Contract V lue $ 0 v U _ x1%
$55.00 Minimum (includes State Surcharge) Permit Fee
- If the Petit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
- If the Petit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Petit Fee
(i.e. a$10,010-$11,010 Petit Fee requires a $ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.oopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conforma the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a petit, and work is not to start i the work will be in accordance
with the approved plan in the case of worts which requires a review and approval of plans.
RI Tic t~Y x
Applicant's Printed Name Applicant's ' nature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
f_
Aug 05 11 08:54a Owner 952-368-4783 P.1
Use BLUE or'BLACK Ink
-For Office Use
I Permit
City of Ear
I Permit Fee: ~5 06
1
3830 Pilot Knob Road I Dale Received:
Eagan MN 55122' I 1
Phone: (651) 675-45675 I staff' I
Fax: (651) 675-5694 L--------------
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: Site Address: i' y~ r ~17~ ~1 ~3 L~ C .
Tenant: Suite _q
PROPERTY Name: G3 t.<17
- tJ ✓ rL Phone: d 5 ms's''
OWNER
Name: 1L/! f
X. ^ P r .iJ~" ~~.t i 1~.,,~„•Af.:fi r License G"1 A o :!Z-?_
CONTRACTOR ~ 1.6
f
Address: / ~Sy &:44Pr &dcitv: Y\ f-,-~ State:, 'jn zip: -Se
r ,
Phone: !~'f 7s~ f~`tr ,JF Email:
TYPE OF New _ Replacement Repair _Rebuild _X_Modify Space - Work in R.O.W. f
WORK f c
i? +c<'%
Description of work: 1Y C et 2-!1,Pbr a n.f, P, r . ~r~J Qn •tI Y ; -to
k COMMERCIAL. New Cons~uction ';Modify Space
Irrigation System yes no) RPZ ! _ PVB) j d i 2t (5 °1 -"u'`
• Rain sensors required on irrigation systems r`S&d fi <11F1<-
PERMIT TYPE • Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
.C19 i?ri~/Z l
_ Meters Call (551) 675-5646 to verity that tests passed prior to pidc9nq up meter.
Domestic: Size & Type Fire: 1
g Avg. GPM High demand devices? Yes -No Flushorneters Yes -No,
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value x1%
i
= t Pe Fee i
Required on ALL new buildings and boulevard irrigation systems► $ J Radio Meter Read
- If the Permit Fee is less than 510,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is >$10,010, the surcharge increases by $.50,for each $1,000 Permit Fee $ State Surcharge "
i.e. a $10,010-$11,000 Permit Fee requires a $5,50 surcharge)
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant {
$ Water Supply a Storage
$ State Surcharge
} 1
i _ TOTAL FEE 4
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.eopherstateonecall,Dig
i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances ajjd coops of the City of
Cagan: that l understand this is not a permit, but only an application for a permit, and work is not to a bo=two will be in
accordance with the approved plan in the case work which requires a review and approva tans.
Applicant's Printed Name plicant's Signatu
FOR OFFICE USE Approved, By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PRV Required: Yes No
Page 1 of 3
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
wecervQo
19
AMOUNT ? I
_ I0 - 331vv 031-v I & DOLLARS
,oo
? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Th n ?ou
6Y
cirr oF EAGAN
. 3795 Pilof Knob Road Eagon, MN 55122
. PHONE: 454.8100
BUILDING PERMIT
_ Ci:.il-,:) CA-RE C
Sife Addrcss
Lot 3
Parcel
c, NOWM lIt111V1Y11L VI11LL ?..:1l4: 1?11tJ ? 11?
Z Addres= 15417) KAT`' FP.I:E'';AY
? r,... =I JUSTOi?, T-{,(7!3) 573-6634
?` Nome . ?. .?...,.. ..... . ....... _ . .?.. ? ...,: ... . ... ?
ot /lddress ' ?'oLivr P1°an, sTE. 17
u? ." ("a„?.,. ^ i ?!/576-6900
Nome '? • "••":"' , L JVLYLJ -1"1lSl4., ll
-ilOO • N IESTE 2 ROF D
5-34
i hereby ocknowledge tlwt I hove read this application and state that
the inlormofion is correct and agree to tomply with oll upplicoble
State of Minnesota Statutes end City of Eagon Ordinonces.
Erect `p
Alter ?
Repoir ?
Enla?pe p
' Move ?
Demoltsh p
Grade f-1
Assessment _
Water 8 Sew.
Police
Firo
Enq.
Plonner ?
Council
Bldq. Off. 9
APC
11,77 'i
Ot[uponcy _'
?_
Zoniny L
Fire Zone
Type of Const. n-t ,_,'._
# Sforie
Length
Depth ' ? Sq. Ft.
F?es
Perrriit r `" - • • o
. o
Surchorfle .. _7
Plon check 0
SAC
Water Conn. Wuter Meter
?a,pd„Unit
? . ., .
Totol
Sipnoture of Permittee ., (7n. I
A Building Permif is fuued to: on the ezprcss tondition thal
oll work sholl be done in etcordonce with9ll applicoble 5tate of Minnesoto Stotutes and City of Eogon Ordinances.
Receipf #
$ 3 0 0, 0 0 0. w JA:1li 1:RY 1?
BlOCk ? SlC/SIIb.FiILLmOr ICLt'.ZL1
Bulldirq Officiol .? JL r ? ? ? ? !1 -" ? ' _"•
Permit No. Permit Holder Mise. Permit No. klolder
Plumbiny
H.V.A.C.
Wsll
Watsr
Disp.
Sewer
Electric q g
4 A"STI?
00 90
1 11 ?5 g Si)
Irapaction Date Inap. Other
Footinpe -AaWl /'y
V
Foundation
Framing
Rouqh Plhp.
Rough HVAC )
Inwlatibn
Final P16a
Finel HVAC '
Final
Ws"r Desaibe Location:
YVell
Sewsr
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee
fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. CitY State Zip
8. Building Type: Residential ? Commercial C? Institutional ?
9. Work Description: New C1? Add ? Alter O Repair ?
10. Describe Fuel Type
11
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
!? .
Receipt I / C-- i ("PLUMBING PERMIT Permit No. '?
CITY OF EAGAN J J
' Fee
FiII in numbered spaces S/C -- J
Type or Print legibly Tot J
1. Date 2. Installation Cost
3. Job Address 2'Lot ? Blk. ? Tract k' 1 c1 L??
4. Owner N/+T' (.'#/GO C'A1646 -?.t
5. Contractor iNG Phone 41 `r
6. Address '
7. City State 2ip
8. Building Type: Residential ? Commercial 0 Institutional 0
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when oumbered and approved.
Approved ' % ? ? ? - ? • CITY OF EAGAN 454-8100
C OF EAGAN Remarks?
Addition HILLTOP PLAZA
t 3 Rik 1 Parcel 10?33
OwneraS?'1 Street '?G?
State
7; lS .S
Improvement Date Amount Annual Years Payment Rece Date
STREET SURF. " ?.D 9?- ?' O g
STREET RESTOR.
GRADING
SAN SEW TRUNK Z^L 1973 .00 33•25 2?
SEWER LATERAL 192 99 996.65 la
1 07.78 130.53
WATERMAIN j 9 4 5676.06 .61 10
* WATER LATERAL ].9 2 ZO
WATER AREA 33 1977 665-00 . 3 15 / .3
W 1984 2717.00 271,70 10
STORM 5EW TRK y 1 1980 2971. 5 297 • 15 la, gtp- 13 3
STQRMSEWLAT 1984 3, 2 •4 5 1321.15 10
CURB & GUTTER -110
SIDEWALK
STREET LIGHT
1NATER CONN
BUILDIN ,geFE
SAC
RK
?-.'?"8, 9 7 Sl h"'
,
? `????
(:ITY OF EAUAN Remarks " ?d
Addition 4ILLTOP PLAZA Lot I'•" " slk 1 Parcel 10-33100-031-01
Owner street 4194 PILOT KNOB ROAD state EAGAN MN 65123
Improvement Date Amount Annual YearS Payment Receipt Date
STREET SURF.
STREE7 RESTOR.
GRADING
SAN SEW TRUNK ZZ 1973 332.50 - 16.63 28 ?
* SEWER LATERAL 1982 4983.27 -- 498.33 1o
SEWER LATERAL 1984 652.89- 65.29 10 u
WATERMAIN Vg 1984 2838.03 - 283.80 10 /
y? WATER LATERAL 1982 lO
WATER AREA 3 35 1 7 332,S0 -----22-.17 1
.
WATER AREA 190 1984 1358. 50 - 135 . 85 10
STORM SEW TRK ( 1980 1485.76 - 148.58 10
STORM SEW I.AT 1984 6605.73 - 660.57 10
CURB & GUTTER '
SIDEWAIK
STREET LIGHT
WATER CONN.
BUILDIMG PER, 8 77
SAC it li
PARK
?
C1?F OF EAGAN
3830 Pilot Knab Road
Eagan, Minnesota 55122-189
(612) 681-4675
1N SYL(:'1'lUN KL;?;U1K1)
PERMIT TYPE:
Permit Number:
7 Date Issued:
SITE ADDRESS: ?It i: •:, t k i Oc K:
, ; i • i iitlH R1?
tl t I ( i?E? ? ??1. it
PERMIT SUBTYPE;
? APPLICANT:
?,. ? . ? i;, ?? ? ?:s•.
ftif t I 1? I NE,
N:i?F?lh
0 7 (1 1 /9H
TYPE OF WORK: ,c fr p A 10
,II ?1s ,1• ',:, t,F Rnor
F
(h?i?,?_pa
L
R(- MARKS s P1.AM f+rF VtF1-!t•I1 N'f lilt tlill 15 • 1-".,
Permit Holder Date Telephone # •
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL -- ?
GYP BOARD I
- - -
FIREPLACE
FIREPLACE
AIR TEST '
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTiwrv
TEST
HYDFOSTATIC
7EST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road ?ERMIT NO.:
P. O. Box 21199 -- -:i
Eegan, MN 55121 DATE:
i
No. of Units:
Zoning:
itional Child i.Sls CessitCTs
Owner:
Address:
Site Addrem:
Plumber:
Meter No.. .
51ze:
Reoder No.:
I pm to aom* wiN+ " CitY of Eo9ue
Oedieenom
Connectfon c.harpa
/lccount Deposit:
Pertnit Fee:
- ;j
Surcharoe:
misc. Gwrom
Total:
Dote Poid:
By
Date of Insp.: Insp.:
?_ .,.? .
CCITY OF EAGAN SEWER SERVICE pERMIT
3830 Pilot Knob Road pERMIT NO.•
P. O. Box 21199 DATE:
E n MN 55?1?? -
ag
, •f
--------
Nq, of Units:
-------
Zoninp: t a OIIS 1 .3Y'e .. eIt tC T5
Owner.
Address: pt r?o tiQa;t ? iiil:t??. ?laza
'Site Address: ,?t?tO ° tC i1C
•
?
? `
Plumber.
_ r -? - ? _?y ??yy?y
/
C}
NN ?! ???p
1 e'rN to ComPhr N?1?1 ???OI'1 CF101?Qe: J I?""`?
AccDnt peposit:
OediMnas.
Pennit Fee: 10 . b(1 3d
5urcha?pe:
Misc. CFwroes:
By
Totol:
Date of Insp.:
Dota Pofd:
Insp.: a
CITY OF EAGAN
3830 Pilot Knob Road pERµIT NO.'
•
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoniny: Na of Units:
+vwrR?C 1) 11 L i?. ?a 1, z-, i t r:
ddrcss:
'lrh ?tci i ? , I' L -•
Isiplumber tte /lddress. In' :i
at? rC ?, T..t
1 prM te eae* wilb !M Ciy of Eeloe Conneetlon Chwrpe:
CldisesaM. AccOunt apoor
Permit FN:
Surrharye:
gy Misc. Choroes:
Dete of Insp.: Total:
I
: Dote Paid:
nsp.
ww- OOPMWWWCASH RECEIPT `
6-
? CiTY OF EAGAN ?
? P. O. BOX 21•199
EAGAN, MINNESOTA 55121
DATE -- - 19
R<CEIVED ? .
FROM
AMOUNT $ I .
DOLLARS
? CASH Q CHECK . . /
. FOR i
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
This request void ?8-
18 rtronths tmm
vu 099010 L 3. A a
-ia-u°1
:ensed Elecvical ConVacmr
4 Z1
? No
I hereby requast inspecfion ul nbovo
elactrical work inst. Iled aY
?/Iq' Sa
y2 ?89
IIVJI`Iw Notity, Inspec-
' n ReadY
reet Address. Box or qt
1
•
? CitV
cz
b a et
ecuon o. ownshiu Name or No. an9e o. County
O cupant IPqINTI Phone Nn.
C
b
Power SupVlier Address
a r a.
Etecvical ConVactor ICompnny Namel Contrnnor's License No.
%G c7'
MailinB dress IContranor or Owner Making Instailation)
4. 14
•
? S`
Auth
zetl SiB?ature (COnnac[odOwner MakinO lnstallatio Phone Number
(P6??
MIMNESOTA STATE 00ARD OF ELECTfliCITY
Grie9s-Miewey BId9- - Room N-197
7821 Universirv <.ye., SL Paul. MN 55104
THIS INSPECTION PEQUEST WILL NOT
BE ACCEPTED BV THE STqTE BOARD
UNLESS PflOPEH INSPECTION FEE IS
ENCLOSED.
(f,.'Q id11 REQUEST FOR ELECTRICAL INSPECTION
? ? ' See instructions for comp;stin9 this fwm on back of yellaw copv.
"''K?' Be!"o??rkCovOered by lhis Request
E? Q0001-04
'
.a,_ ? ?','
Wz. W
Hdd Reo. TYOe oi BuildinP APOliancns Wired EQUinment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Building Dryer Electric Heatin
Commerci2l Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk Tnnk
F2fn1 the.r peci y ISnacifyl
Iher pecify O1 er Othe,
Compute lnspection Fee Belaw b iae Sarvice EntrenceSiie h Fee Fandars/SublaeAera N Fae Circuits
0 to 200 qm s 0 to 30 qm s ro 30 Am>
'o Ab I!DL__qinps 31 to 700 Amps 31 to 100 Fm s
Swimming Pool Above100_Am s AAove 100_Am s
TransPormers Irrigation Booms Partial.'Other Fee
Signs Special Inspec[ion S T
Aema rks OT EE
/ /D CY]
r i •
flough-in DajP/ ?he iwl
?iI • Inspectar. ?e?aby
certily thai the nbove
Final ( Date pection has baen
q_X, ade.
inin rwnunsl vnld 1N mnniM1S fro.
This request void , 3 '' (p? O•/?1
18 mpn[hs from
W 099001. It, 3 - ' '! 4 ?flb?{G
A¢ae+st Da? Fire N. Rnueh-in In ucction
10 R?;?m tl? Ready Nuw ? Will Nolify InsOer-
es ?No for When Readv
icer»ed ElecViwl Contrnctor I hareby repuesl inspection of ebove
? Owner elechicel work installed ar.
Street Address, 8ux or Rou[e No. .
, CitY
ec ion o. Township Name u, NO. Ringe No. Counly
Occupant IPRINTI Phone No.
I O NG1
Power $upplier Address
c !"
:Z2 4- n 6 1 1.
Elechical Con[racmr IComuany Namol Contmctor's License No.
JY0
Mailinp dJress IConVectnr or Owner Making Instailationl
• T. /S
'
Auffior
d S
,B?+?tur IConhactor/Owner Making Ins[alla[ionl Phone Number
?
MINNESOTA STqTE 6OD OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT
Grie9s-Midwey Bldg. - fioom N-181 BE ACCEPTED 9Y THE STATE BOAND
1827 University Ave., SL Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
n?___ 1c1- oa o... ENCLOSED.
rrZ ??f't/ REQUEST FOR ELECjRICAL INSPECTION « EB-00001-04
+' Sae imtructions lor complatin ?g'This form on back oi vellow copy.
011'90?1
. X'" BelQvr Work overed by 7his Request
e AAJ R.P. Type o( Builtling Appliances Wirad Equinment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heabn
Commercial Bidy. Fumace Silo Unloeder
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm om, Pe?:i v otn,:, isoudeyl
t er ueciW iher Othmr
Comput spection Fee 8elow •00
IX e ServiceEntrenca5ize k Fee Feeders/5ublexders N Fae Circuits
0 to 200 qm s 0 to 30 qnt )s to 30 F.m s
Above 200 qmps 31 to 100 Ainps 31 to 100 qn s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers " Irrigation Boom ? Partial•'Other Pee
Signs Spe nsp ti n
Remarks TOIAn FEE?T
7 C
J '
flough-i n Da te
1. the Elecbical
, Inspectoq haroby
cartify that tha above
Final Date r. 'nspection has bean
?' ..??-? mnde.
This repuest volC 18 months irom
COMMERCIAL
2002 BUILDING PERMIT APPLICATION ?
CITY OF EAGAN
651-681-4675
?Foundation Onl New Construction Interior Im rovement
• StrucWral Plans (2) seGs • Architectural Plans (2) sals • Architectural Plans (2) se4s
• Civil Plans (2) • SVuctural Plans (2) • Code Anaiysis (1)
• Certificale of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
. ProjeclSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (1)
"
. 5pec. Insp. & 7esting Schedule " • Certifcate of Survey (1) • Energy Calwlations (1) not always
"
• Soils Report (1) • Spec. Insp. & Testin9 Schedule (1) " • Elec. Power & Lighting Fortn (1) not always
. Meter size must be established • Meter size must be established • Meter size must be established -if applicable
. Project Specs (1)
l • EnergyCalculations (1)
1 . Electric Power & Lighting Farm (1) " L
y • Masler Exit Plan (1) 1
j • Emergency Response Site Plan (1)
y • Soils Report (1) L
. MCfES SAC determinalion letter • MClES SAC determination letter • MCfES SAC detertnination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
, n, c mnn b...lu.?M
Food 8 beverage or lodging facilities - submit pian to ivtrv uepartmenc oi nnaiui. .,a., .,., .-21..-.? ? ,?. ??--..?.
" Contact Building Inspections for sample.
**' Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
O?
DATE: /(5' ')._O'Z WORK TYPE: _ NEW _1"EMODEL CONSTRUCTION COST: O 00 a
SITEADDRESS: ?19 ! / / l6 i- kkn L? 121?
TENANT NAME: Cki i IcXrens W 0e' 1 d Leea.rh 4 c'e_uk^ SUITE#:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF W ORK /?'e- n^ s. cle- k" W l?°
Nazne:c-A_ICXhe6, 1' GV o t-_Le?r.?
PROPERTY Last First
OWNER \'
A aa.e... ?(?- 'l?V\6v
City: `'? State:
Phone#: S I - ?Sa' 7`?
Zip: ? I Z, -'?-
Company:? C-n ? c+ly.?.+^.c'!-in /q n2 k, vi r- e-_ r Phone#: /?- _S'o1), 333 7
CONTRACTOR
StreetAddress: a* Id S.S 6'l° ,4" k-?A / S A V '4-
City: r.Q State: 27 Zip: S-S/ 0?
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
Licensed plumber installing new sewer/water
Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicahle State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:,? 264? Updated 7102
State: ZiP:
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion ?/? 6 Public FaciliTy ? 30 Accessory Bldg.
? 14 Apartments e27 CommerciaUIndustri al ? 32 Ext Alt - Apts.
? IS Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneo us ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
I 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code N'1i-7
SAC Code
No. of Units
No. of Bldgs.
Const. (AcYUal)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
1-10- Engineering
sq. ft.
sq. ft.
sq. ft.
sq. 8.
MCBS System
Ciry Water
Fire Sprinklered
0 Plumbing C Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
VALUATION $
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
? ev
?--7 , ;I w / C„ r.?
Total
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: B U I L D I N G
Permit Number: 9 3 2 5 7 5
Q 7/ 17 j 9 8
Date Issued:
SITE ADDRESS:
P.I.N.: 10-33100-031-01
4194 PILOT KNOB RC1
LOT: 31 BLOCK: 1
HSLLTOP PLAZA
DESCRIPTION: R E R o p F
Permit Type
'8aa1ldirt't;`1w;ork Type
0??:
,q
p
'b°P"-
MTSCELLflNEOUS
REPAIR
437 flL7. NONRES.
aY? W-
E« =?s zx,;? k
l;a
.£d$
?'rl'u7
`$btra i ^',?,'i i { :A u
:_. ?-
REMARKS:
PLAN REVIEWED BY JOE VtlEIS.
FEESUMMARY: vaLuATZON $22,e00
Base Fee $312<25
Surcharge $11.00
Total Fee $323.25
CONTRACTOR: - APPlicant - ?MEN'S WORLD
ALl STATE CONST SERVICE 28795989 C
?10 FIR57 AVE s 1700 W. HWY. 36
`P..INNEAPOLIS MN 55408 ROSEVILLE MN 55113
,tj612) 879-5989 .
w
hot-et+,y aclcndwled9o_ that I. bayi road C,h?,s ap#tllcatian and state Chat th t? ?
a,s aQ.rrecC and mgrse tu compl.y witH a11 applicabie, S'taxe af Mn..
S tattet aand,'?ity ?f E,agvi €krdlnanCZS= r,
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATUFE
CITY OF
1'EFMINAL N0: 91
44
129`i'3:
GA'aHIEh? 07/i.5/'?Li TIME.:
pATE:
zc.? ?
?lAME: At..L STATE CC.)NSTF:UCT7.DN FE.F:VIC
312.25
3210 ':3l.ltJi 4.1.94 F'IL..C!T KNE 91.q0
2i.55 9001 4i?4 F•xi_os rcMB
Q3. i'.5
Total Feceipt Amnun't:
GF:i')94? 50
LISF(i Lnt r`AMCY
?F???FYF#YFYF#yR?kYF ?k%?#YF*7kYF#?X??k7K7k?X?K74?*?k#?%?:K?%*?F*#
• 1998 BUILDING PERMIT APPLICATION (COMMERCIAL?
CITY OF EA(3AN
S-- 681-4675
Submit following to obtain necessary permit
Foundation Only New Construction Interior fmprovement
structurel plans (2 aets) arohitectural plans (2 sets) arahReCurel plans (2 sets)
avil plans (2 sets) struGUrel plans (2 sets) code analysis (1) "
code analysis (1) " civil plens (2 sets) projec[ apecs (1 $eq
soils report (1) landsceping plans (2 sets) Key Plan
projed speu (7) code anatysis (1) " energy calwlations (1) not always "
Special Inspections & Testing Schedule " soils report (7) Electric Power & Lighting Form (7) nM aMreys "
SAC detertnination letter from MCANS - SAC detertnination letter hom MCIWS - SAC detertnination letter from MCNVS -
call 602-1000 eall 602-7000 ca11 6 02-1 000
Special Inspettions 8 Testing Sdiedule (7) "
project epecs (7)
energy wlculations (7) "
Electric Power & Li htin Form (7
" Contact Building Inspections for sample -
Food & Beverege or Ladging facilities: Plan must be su6mitted to Minnesota Department of Health. Call 2150700 for details.
DATE: //?' % WORK TYPE: _ NEW "C REMODEL
DESCRIPTION OF WORK: ,?ld `c/oo?-4 PUl -TA CONSTRUCTION COST: IZI 330 TENANT NAME:
SITE ADDRESS: `(
_ ?' 0 i' o f IG-o
LOT 31 BLOCK I SUBD. VAi0h--)Q t' ?CIZ 0.
Name: rl`leNs "" Qe'/ Phone #:
PROPERTY Last First
OWNER ?7DO ? (tcv??
Street Address: y
City
CONTRACTOR
nRCFnTEcri
ENGINEER
Stste: Zip: e5 5,11
Company: / '1/ J ?GI?G ?iY1?luLlio? Phone5/ 9 S/99
S4eet Address: ?dlf-- C1 Ue License #
City /Y(Nlf State: Zip:
Phone #: _
Registration #:
? SqeqB
SReet Address:
City
Sewer 8 water licensed pfumber (only if installing sewer 8 water):
State:
Zip:
1 hereby acknowledge that I have read this epplication and state that the information 'swr°re'd agree to n ply with all applicahle State of
Minnesota Statutes snd City of Eagan Ordinances.
Signature of Applicant: - ?
SUITE #:
P.I.D. #
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm.llnd.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
? 20 Public Facility
? 33 Alterations
_,,J:?Repair
fL-, 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg. _L
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee J/a,
Surcharge , p O
Plan Review
MC/WS SAC
City SAC
Water Conn.
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC 3a3-a s
Valuation:
SAC Units
Meter Size
2/84
j CITY OF EAGAN
? APPLICATION FOR PERMIT
/
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPEFYPY ADDRFSS: `5?-'XO-'
1?
T•FfAT• DES(12IPTION:
(Lot/Block/SLilxlivision or Tax Parcel I.D. NLUnber)
IE'' F"..{Ij'"_:G STRLTCI'(Ji2E, DAT.S' Oz' ORIGIidAL ;,liILDLTIG PEF?ffT ISS'Jr1NG:
-?ari
PRESr.`1.+T --0`IINc+/P.RO°pSr.?? L'S: : O R-1 5INGL° FP=Y
? R-2 DUPLEX ('I[ro'O UNITS)
? R-3 TOWNIIiOUSE (THI2EE + UNITS) ( UNITS)
? R-4 APARZT?]'i r/CpPID=ILP1 ( iNITSi
COHMET2CIAL/RETAT7,/OFFICE
? IIMUSZRIAL
Q INSTITUTIONAL/GOVERNMENT
2) AppLICAN'r (PLEASE PRINT)
III?ME: STAY',e ?ml.EeifiFni???FL /NC l N+F-Y're N'k? L'/F?'?U C/}.¢.ZeTk
ADDRE55: 8c ia -/ 95 ?"` Sra.e'Cr wc ? r '
CITY, STATE, ZIP: ??}-Kk U?t?? , rs, ?Ni? - 5 ?oy.a
PHOiVE: ef6
3) PTSmBER (PLEASE PRINT) FOR CITY USE ONLY
NAME: ? j'A"7? /precif-ifNecsL ??vr.
PLUMBERS LICENSE:
ADDRESS: ?JO - J961^` STiSe:.t:: ui.E=ti Q Aetive
CITY, STATE, ZIP: ??jsi?iL4 • ?y ? ?vN 0 Ezpired
AASTER Not of Record
PHONE: PLIIMBER LICENSE N,0'afl6 .47
a nt ia
4) OCCtJPANT/dwNg2 (PLEASE PRINT)
NAME : /1/6-?/ ""?#G C? /f7 L? L! AOi' (L.iE.R/ 2
ADDF2ESS: 1916e/ /E9?NC?E`c? 'Oe3.Oc0
czTY, STATE, zzP: ?? 66t(IS .??o cdP6 ??
PIIONE:
5) INDICATE WHICH PF_RNLiT IS BEING REQUESPID:
? CONNECTION TO CITY SE^7ER
[?] CONNECTION TO CITY WATER
? CYPfER (PLEASE DESCRISE)
b) 1NDi('.NiE ONE:
? PLEASE f?OID APPRWEp PERMIT FOR PIN-UP BY ONE OF 71BCJJE
? PI,EASE MAIL APPROVED PERMIT 'IC) 1, 4 3, 4 ABqVE '
(Circle one)
7) SIQll7VRE: Y?-?
12ATE:d; ^.Z/ ?y
3
? wt ?e.w?q??.i.,ir ya Er;.«,a irr Ya ??arrar ial cs?;wi?ir;. ?rr r r? r?.n;.r,4w? ?r,r ?r! rs i?a: `s?au v
F O R C I T Y U S E 0 N L Y
PERMIT r ISSUED
v?' .3 / ? gL ?p L?„?
F°ES: $
id. $-2S
$ id. sd
$
$
$
$
$
$
$
$
$
$
$
SE;^iER nERMIT (T_;C:.iiD: SUP.CHARGE)
WATER PERPAIT (INCLL'DE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPGRATION STOP)
SEWER TaP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSFSSMENT
TRUNK SE4VER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT # 451?
DOES UTILITY CONNECTIOPI REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED SY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
M
sis aa wW W se 0&:w wk4W fe „ it s:M w ?
,
CASH RECEIPT
CITY OF EAGAN
, P. 0. BDX 21-799
EAGAN, MINNESO7A 55121
OATE 19
AMOUNT ?1,
& OOLLAR
+oo
?
White-Payers Copy
Vellow-POSting CoDY
Pink-File CopY
??- oy -? says?
? CASH ? CHECK
1?^7 1
l'l a ea
N° 44278
/ ? . . . ' ' . . . .
.? .. . ' - . A .. .. ... . . . . ... . -.. . ....
r. . . . . . . / . .. ? ..
f`?-1?
rninnesota department of health
747 s.e. delawale sC R•o. box 9441 minneapopS 55440'..
O F
. (812) 823-5000 . .... . . . . . _ . . ,
Mreh 12," 9984
:.` Wcradaion Deve3opment Coppany
, kTestgate OPf3Ge -Center' _
.12312 411de Bonlevard„ SulEe..47
St. Lcuis. M.nsouri ` 63141
: Gentlewsn:..
3ab?eots Plumbing foe NaCional `Child Cane Ceeter8, fil].SCop Lane at
dloutttv Road 3Ga & anj, ?iinneaoEa .
` tie are enoloSiaQ a Qoisp o3' Gur , eport ern+esing us fixaaination oP plang ,
% 3nd rspEa4ficaL&ons.en the apove«designated projeet. Also enclosed is a
: bopy alt tha, repqrt,and tranamtt.tai letter to tte fdrwamded tothe pro,?eet
pz?mer. ZT.SS iEE PR4JgCT OS{H8R'S RSSP,aN928YLYTY 'PO AE2AIN T114 FL'A11S.?4RY .
• _ ,,, ,,. ;
: . ' TM PROJBCi .L0CATIAR.' ;. ,
?. Y'ou* atgention ia direatQH ta.the.atatealant pertai.nirg L4 inspeoxiqn of
the plumbita?g. It is :S3perbant that we.raceive the 3liformittGai indiafted
in arder that the peeesaarq inspeation siay De made.
? If.YOU AaVe' aap qvtat5.ons 1A t'ggArd to plqmb:ing 3aqpeetlrnie,-'plsase'
; contacG Tfoaald-Stanley et 6121623-5329: .
Yf you ?save aisg qluesLioas, in regarl to ttxe infommtion contAx:inpd in Chis ;.
report, Dlease'epntact Atllt Heilin at 6121623-.5517.
Youra vary?trulY, _
- Gary L. BngluAd, ?Ctief . ,
seotxvn of Water SupP?y :.and 0enerel 6nsinesuing'
`. OMM':amr .
finclCSrares , -
cc.' Prqleat 0rmer . :
v6ale Petereon, Plnqebing TnePeaCor
" an equal opportunity employer
MINNESOTA ?EPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on P1LUnbinq for National Child Care Centers
Hilltop Lane at
Location Fa4an, :linnesota Date Examined Plarch 9, 1984
Prepared and submitted by Woodson Development Company, bPestqate Office Center, 12312 Olive
Boulevard, Suite 17, St. Louis, MO 63141 Date Received March 6, 1984
Ownership -
Scope - This examination is limited to the design of this particular project only insofar
as the provisions of the Minneso[a Plumbing Code, as amended, apply, and does not cover
the water supply or sewerage system to which this plumbing system is connected. The examina-
tion of plans is based upon the supposition that the data on which the design is based are
correct, and that necessary legal authority has been obtained to construct the project.
The responsibility for the design of structural features and the efficiency of equipment
must be,#aken by the project designer. ?pproval is contingent upon satisfactory disposition
of any requirements included with this report.
Inspections - Special care should be taken to insure that [he material and installation
of Lhe plum6ing system are in accordance with the provisions of the Minnesota P1umSing Code.
It is necessary that the State Health Department make roughing-in and final inspections
of the plumbing system ta determine whether it complies with the Code. Provisions should
be made for applying an air test at the time of the roughing-in inspection as outlined ir.
MHD 134 of the Code. In order to facilitate this work, there is attached a self-addressed
card which should be returned, indicating the name of the plumbing contractor so that arrange-
ments can be made for the State Health Department to be notified by him as to the time that
the installation will be ready for test and inspections.
No acceptance of the plumbing installation can be given until inspection and test of the
roughing-in work (MHD 134(d)(1)), finished plumbing CMHD 134(d)(2)), and inspection of the
completed ins[allation by a representative of the State Health Department indicates compliance
with the provisions of the Code.
Requirements -
SEE BACR
Avthorization for construction in accordance with the approved plans may be withdrawn if
construction is not undertaken within a period of two years. The fact that plans have been
approved does not necessarily mean that recommendations or requirements for change will
not be made at some later time when changed conditions, additional information or advanced
knowledge make improvements necessary.
J.,? I
.?..ai °
Milton R.-Bellin, P.E.
Public Healtn ,^ngineer
Section of Water Supply
and General Fhgineering
4
r?
RBQUIREPiE;]TS
1. Provide at least 3/4-inch water supply branch lines for 3°compartment sink.
2. PVC waste and vent pipe shall comply with ASTfd-D2665.
3. Plastic pipe shall be installed in accordance with f4HD 123(d)(9)(ff) and
123(d)(11)(hh) of the P7innesota Pluenbing Code. 4. The water piping system shall be disinfected in accordance with MHD 130(g)
of the Minnesota Plumbing Code.
5. The plumbing system shall be tested in accordance with rSHD 134(d) of the
Minnesota Plumbinq Code.
,.
/ D_33 loa- o3
Or
3795 PILOT KN08 ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
MEMO T0: TOM COLBERT, DIRECTOR OF PUBLIC WORKS
*ROM: KEN VRAA, DIRECTOR OF PARKS AND RECREATION
DATE; OCTOB??ER 20, 1983
LeT3 pN•c? rcp /..•{aA
RE; . '."'' """".'""'",, LOT SPLIT/PARKS DEDICATION
BEA BLOM6IUIST
Mayn
tHOMAS EGAN
JAMES A, SMITH
JERRV THOMAS
THEODORE WACHTER
Courull Members
iHOMAS HEDGES
City ACminlstrafor
EUGENE VAN OVER6EKE
City Clerk
Please be aware that the lot split proposed for James Regrigeration can
be released for filing at Dakota Cotmty. (Cotmty Road 30 and Pilot Knob)
Lot "B" of the newly created lots, which is to be the site of the
Day Care Center, will carry a parks dedication requirement of .04¢ per
square foot x 42,046 sq. ft. or $1,681.84. This can be paid at time of
filing the plat or with the building permit.
If you have any questions in regards to this, please contact me.
cc: Judy Chaffee-Heald, Secretary
Dale Peterson, Chief Building Inspector
Jim Hill, James R. Hill, Inc.
Charles James, James Refrigeration, Inc
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNI7Y
OF
3795 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55127
PHONE: (612) 454-8100
June 1, 1983
Clayton Engineering Co.
725 Old Ballas Road
St. Louis, MO 63141
Attention: William A. Wiegand, Jr.
Re: Flood Hazards - Lot 3, Block 1, Ailltop Plaza '
Dear Sir:
eEn azonnouisr
Movor
THOMASEGAN
JAMES A. SMIiH
JERRV THOMAS
THEODORE WACHTER
Couml Members
iHOMA$ HEDGES
CM /+tlminishatw
EUGENE VAN OVERBEKE
Cny Cierk
The above referenced parcel of land is in a"No Special Aazard" area as
designated by the AugusC 11, 1978 Flood Insurance Rate map 27010300010002,
published by the U.S. Department of Housing and Urban Development.
Sincerely,
??.? ?
Dale S. eterson
Chief Building Official
CC:' Rich Williams, James R. Hill, Inc.
I'Parcel File ?
?--- -
DSP/bar
THE LONE OAK TREE. .. THE SYMSOL OF STRENGTH AND GROWfH IN OUR COMMUNITY
CITY OF EAGAN N? 8?7r?
3795 Pilof Kneb Road Eagon, MN 35122
PHONE3 4SG8160 *9j
BUILDING PERMIT Rece?Pr
eV
$300 ,000.
l
Te 6a wed Mr CHILD CARE CT?l2 JANUARY 18
84
a
s
ue D Te 19
SiM Address 4194 PILOT KNOB Erect )b Occuponcy E3
Lot_3Biock1._ See/Sub.HILLTOP PLAZA ?qiter p Zoning NB
Porcel # 10-33100-031-01 `- " v'Repntr ? Pire Zone N/A
Vn-ALLOWABLE
Enlorge ? Type of Const.
W Neme NATIONAT CHTTD ARF TRS N C.Move ? # Stories 1
z Address 15415 KATY FREEWAY pe??ish
? 91
length_
ci HOUSTON.TXphone (713) 578-6684 Gmde ? Depth S0 Sq. Ft.-
? WOODSON DEVELOPMENT COMPANY Anvrovots Fooa
Name
?? Address 12312 OLIVE BLVD, STE. 17 Asussment_
i- r?...ST_ T.niTTR_M(L?"- '?ld/S7F.-f,Qflfl Water85ew.
PoliCe -
Fmw Name JOHN E JONES JONES-MAYER Fire
?? Address 13100 MANCHESTER ROAD E?
<W Ci ST. LOUIS,NjQoM 314/965-3400 Plonner_
Countil _
I hereby acknowledga thot I have read this opplicotion ond stare that BIdO. Off.
the information is correct and agree to comply with oll uppficable AP?
State of Minnewta Statutes and City of Eagan Ordirwnces.
Signature of Permittee -
A Buiiding Permit is issued to:
all work sholl be done in ecca
Permit S 933.00
s,,,cha.ge 150.00
Pian check ,466.50
00
SAC '
Woter Conn. N A
Woter Meter
Rood Unit 750.00
PARK 1,682.00
raal $10,281.50
WOODSON DEVELOPMENT CO. on the express condition ihnt
wit}f II appiimble Stote of Minnewte Statutes ond City of Eogcn Ordirwnces.
Building Officfal
e.P. 8777
y4
)Ibfi )p 4
CITS; OF EACzAN
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energv cal.culations.
BUILDING PERMIT APPLICATION
To Be Used For Child Care Center Valuation $300,000.00
Date 11/23/83
Site Address: Hillton Lane near Countv Road 30 OFFICE USE ONLY
Lot 3 Block 1 Sec./Sub. Hilltop P1aVErect OccRupancy "
Parcel #: Alter Zoning
Repair Fire Zone
?
Oaner: NATIONAL
CHILD
Enlarge
CARE CENTERS
INC ?
'Iype of Const. i
,
. N7pve # Stories
Address: 15415 Katy Freeway Demolish Fro nt ft.
Ci't /Z' C
d • H t TX 77094 Grade Depth I ft.
r?
y ip e. aus on,
A
Phone #: (713) 578-6684 pppgpVAL,
Contractor: WDODSON DEVELOPMENT COMPANY
Address: 12312 Olive Blvd.. Suite 17
City/Zip Code: St. Louis, P40 63141
Phone #: (314) 576-6900
Arch./Ehg.: _JOHN E JONES, JONES-MAYER
Address: 13100 Manchester Road
Assessments Oy
Permit
Water/Sewer Surcharge
Folice
Fire P1Ch ck
SAC'
Eng. Wat? onn. ?
PldrineY Water Meter
COUncil q'- p?y? Road Unit7 S?
Bldg. Off. ?OR e- 66 92
APC ?7 3- Er3
City/Zip Code: St. Louis, MO 63131
Phone #: (314) 965-3400 TOTpy
PII,KS HAVe BEEw HANO DELIVHR60 To ? $}?.P{?My J
K?ri P!i'
ya?+ft aFF4te. EN&R4Y CA?CS RTTi?cN?°N.l?'& 1"4^ I¢' ?? Uk ! - prvj0 COwtfr,
9.9 -1?
J,6
„
?-.-- ,
4t
?? ??
/
OF
3795 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (672) 454-8100
December 7, 1983
`BEA BLOM9UIS7
Mw«
THOMAS EGAN
JAMES A. SMITH
JERRV THOMAS
iHEODORE WACHTER
Council Members
THOMAS HEDGES
City Adminisfrotor
EUGENE VAN OVERBEKE
ciiv clen
WOODSON DEV CO
12312 OLIVE BLVD, STE 17
ST LOUIS MO 63141
ATTN: STEVE KOHLER
`-`I Re: National Child Care Center, Eagan, Minnesota
Dear Mr. Kohler:
The following plan corrections were addressed in our phone conver-
sation of December 5, 1983: Pages A2 & 4, Item 9, "fixed ladder
to roof access," Minnesota State Building Code UBC 512, require
a ship's ladder with not less than a 60% angle. PagFe
2305 d is amended by the State of Minnesota to require a 40#
psf live or snow load. Also it has been recommended by our
Assistant City Engineer, Rich Hefti, to revise the drainage
and storm sewer plan as red lined. Rich can be contacted at
this office if you have questions.
Sincerely,
C\+;?&;;?_
Dale S. Peterson
Chief Building Inspector
DSP/kf
THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIIY
OT7Y Wlculatlon - Ya}1s • '
• TABIE OTTY-1
?``• U Yatu*- Ara T0eo • ProEuct.
Mell.... C3 x 2f 84 x 30 ' 2z28 .
' Doar.... OG x I 26 x 30 ? 22,7
Other •
Opaque..... x - x - ¦ -
SF Area SC j
x
61ass:... ? 3 Z x p9xP9
Other'
Fenestration.
U Yalue Ana sT I, j
Gtass.... .55 x 9x[ • 'i1, r-?4 7 Other Fenestration.. -"' • .--.
Tata1 C?59 77
. ?.
? (UMx,?xTOe)+(A xSFxSL) +(U aA zaT) OTCY • ? 9roduct Totai
T11atE OTiY-4
Solar Factor
TABIE OTiV-2 '
Oestgn Teaperatura (oF)
Outside Inaide Differenca (aT)
? / `7g 13
'? TABLF OTTY-3
Shadinq Coefficlent
'"aiing Type/Ftntsh Shading SC
.?
S'LY Ok ta titude SF
rv1,NNea.po ?s
57:P4.?1 MiN N°,SdiA /' ?
TJ1BlE OTTY-S
? TiApentura Differences
Ya11 Wnst. Mass Par
IhiL Aeea //FtZ
t0e4 - °F
0 ' 25 u
26 - 40 37
41 - 70
71 a oVer 30
23
TABIE R-1
coLaw x ca.Uaa+ e coLuMn c
$Q. FT. U S0. FT. x U
?. Gross Raot area (Aa) ?730
2. Skyllght Area (AS) '
3. Other (Specity)
4. Opaque Raot Area
(Cot. A. Line 1- Col. A. Lina 2 3 3)
73p
S. framing (Afr) (Sq fL • Col A. Ltne 4: Table R-2) -?
6. Cavity (Ac) (Sq ft • Coi A, Line 4_x ?aEle R-T) 73d 7
C
?
OPAQUE ROOf CALC. (FRAMIMG E G1VITf)
(R YAlUES) FAAMING C.1YITY
a a
7. Outside Air '
Fii.
. ?7
S. ExtsH ar
FIMsh .,33
9. SheatAing:
10. framing -
11. Cavlty 2 z
(a) Insulatton I
(E) A1rsDaca
12. Interior
F1nlsh /,25
13. Inslde Atr
Fil¦ .?/
34. Other (SDecify) 41 /9
IS. Tout RT (Sum
unes 7 thr'u la) z 9.db
16. Utr Froaitny ?
LttT
17. uc tavity
uaT , os q
U. CAICULATI0N5 fOR ROOF-CEILING
x -• •
x '"_ •
x - •
X .b34 .
TOTAL
u0 ? yl + p2A2 + U3A3 • U4A4 ; . . .
. AO
Uo Root a Tota1 Col. t ¦
tSi. A. Line
TABLE R-2
FPAMING b CAYITY AREAS
fRAMIN6
A NG FRAMING CAVITY
32• .33 .87
• 16' .10 .90
24• .06 .9i
INSU?qTioN -
T116tE R-4
18. 3kyli9!?t Us ¦ ___,
TaelE R-S
' OTMER (SPECIfY)
0. Il Yalw
to. u • va
;
i
I
t
i
Iie dGWA06WM CaMMws
RoOF
• •
L
DUT S?DiE SuR?? ?SMPN WI,vD)
[
o. '1
:.? m • - _. _ ?3
_ E
--' Y $UIL7` 71P l?F?'?
Di?
l?r t -l
?•
?c? f(
W5+1 ?.
?ra+- ?aK!?
W1
•
t NoNReR??uE tt1R S?
?
a
• t
srt. JTOiaT . "
`
b??. s?y?,N,?c[to?
' .
Z?? :.
urx+u
?rr
`'
?
L
. p?-?-nc Gef IAJ4 ?25
( L -?,?«,« R???
???,? _
u I .
? AGOW CLR
lMisp ?f C?w?wfwA?? .
Ndm1'R ? . ?? • `?. .
11
R.Y ?
Ow? a?s . T i • .
?
wI ?w ,
as
. IM?f ? . W
Un?lllil
4
• ?rr?
?? . .
: NMr .?. .
c
TABIE.F-1
U. CAICUlATIONS.FOA fL00R
' .. COL11W A'COLUMI 8 COIUFW C
SQ. FT. U . 50. fT. z U
1. Gross floor Area (Ao)
2. Other (Speclfy) .-
3. OOaque Floor Aroa (Col. A. Line 1- Coi. A. Lina 2) 30
4. Framing (AfT) (Sq Ft • Col. A. Line ; x Tab1e F-2)
S. Cavity (Ac) (gq Ft * Col. A. Line 3k Table F-2) • 7 30 7
TABLE F-3 C.`
, ?-
OPAQUE fL00R CALC. (FPAMING 6 CAYITY)
(R YAlUES) fRAMING
R CAYITY
R
6.• Outside Air
fllm
7. Fremt n9 -
8. tavity
(+) Insulation
(b) A1ri0ace
4•55
9. -ialr Fl aor¢Cwc
30. flnish Floar - , 28
31. Carpat/T11e
12. Inslde A1r F11s
13. Other (SpeNfy) -
14. Total RT (Smo
llnes 6 thru 13)
35. Ufr Fnming ¦
3/RT
-
16. uc avity .
1/RT
, 17
,
x ..._ . _-.
x , - . _.
IZ4Z
TOTAL I 2.? 2
Uo • UTA1 f U2A2 ? U3p3 + U4A4 +...
. Ao .
uo Fioor ' Total Col. C
, . Col. Lt? . /
T118LE f-2
FRANIN6 i CAYITY AREAS
FRAMINIi FRAMING CAYITY
SPACSN6
12' .13 .87
36' .30 .90
3l! ._. . .06 __ .94
TABLE f-4 '
OTMER (SPECIFY)
. 17. R Ya1w
ia. u • va • -
. . ;.
TABIE Y•i
?
.uo cacuuTioKs Faa wkLs
. ta.uMN a coLura e coLu?m c
S0. FT U SQ.FT. x U
' 1. Gross Wall Area taoa 29a ?
2. M1ndow Aroa. (Aa) 63 4
3. Ooor Area (Ad) ! 2?
i. Other Yall Component (SDatlfy) -
S. Opaque Yall Area
(Cal. A. line 1- Co.l. A, L1nes 2. 39 4)
6. framing (Afr) (Sq Ft - Col A. line Sx Tabie N-2) -
7. Wvity (A.) (5a ft ¦ W1 A. Ltne 5 x 7abi! H-2) 218 4
TAiIE Y-3
?
.
?
OPAQUE MAIL CAIt. (FAAMING i CAVI7Y)
(R YIlLUES) FAMIING CAVITY
R R
$. Outside Air
- Fit.
9. Exterior •
i
Fi
h
- 4?
n
s ,
10. Ouutde
shathtng - .56
Il. Framing -
22. CariLy
(a) Insu7atlan 22
(e) Atrsvace /•al
13. IeteMor
F1n1sh - ,5(0
14. Inside Atr
Fii¦ • 68
15. Other (Specify)
--
u. tonl R
csua
t
Ltn.s e aro 15? -" 25•42
17. Ufr Frantng •
i
vRT -- x
u. uc aviey •
vRT . .04
x
x
x
x x [7-c;,
YoTu
.
.
.
00 • UTA1 +•U2A2 ? U3A3 f U4A4 ?...
?o
00 W11 ' Total Col. C •
. . na . ? rl
.. TAeLE w-z
fRAMING A CAYITY AiEAS
SWd
S aeln
12' T.83
16'
u• .1o .so
T116LE M-4
? ? . n ours Y ? , S5
• T118LE wS
29. n d •
TABLE Y-6
oWa (srectFr)
23. R Yal w
tt. u • uR • ._
i
?
?
?
I
i
1.
(TIETROPOLITR(1
WRITF .
COf1TROL' COfTlfTlltllOfl
Twin Oties Rrep
December 5, 1983
Mr. Dale Peterson
Building Inspector
City of F.agan
3795 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Peterson:
This letter is to inform you that the Metropolitan
Waste Control Commission has made a SAC determination
for the National Child Care Center to be located within
the Hilltop Plaza of the City of Eagan.
It has been determined that 11 SAC units should be
assigned to this building. This determination was
made by dividing the licensed child load of 150 by
14 children per SAC unit.
If you have any questions, please call.
Sincerely,
R. A. Odde
Community Services Manager
RAO:DSB:BJB
cc: R. L. Berg, MWCC
Stephen J. Kohler, Woodson Development Company
350 ffIETRO /OUHRE BLDG.
7TH 6 ROBERTlTREET!
lqlflT PHUL fllfl 55101
6121222•8425
___. ,e?y?iee ga°
Commercial and Industrial Developers
WOODSON
- DEVEIOPMENT COMPANY
Westgate Office Center • 12312 Olive Blvd. • Suite 17 • St. Louis, Mo. 63141 9 (314) 576-6900
January 16, 1984
CIT'Y OF EAGAN
3795 Pilot Knob Road
P.O.Box 21199
Eagan, MN 55121
ATTN: Mr. Dale Peterson
RE: National Child Care Center
Hilltop Lane g County Road #30
Building Permit
Dear Mr. Peterson:
Attached is check #03921 for $10,281.50. This is for the building
permit of the National Child Care Center project at Hilltop Lane
and County Road #30. We are also sending a Certificate of Insurance
and License and/or Permit Bond (#96-26-693) for $5,000.00. Power
of Attorney is attached to the Bond.
Please send the permit and approved plans and specifications to my
attention in St. Louis. If there are any questions, please call me
at (314) 576-6900.
Sincerely,
D44-.0 K'41&0'0-
STEPHEN J. KOHLER, P.E.
Vice President, Construction
Enclosures
SJK/mp
Affiliate: St. Louis County Realty Company
:%'?
y. . ?t . `.. .. ..rt.,
a
I : .. '. . ? . . ' ' ...1.T?.??? . ?.
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i . , '. ?j.•_._.._._ ? . lSee sh?lrrp?
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v i (Sre SAteot) --JP13
y
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9
P?-a". oec?
, Tim6sl Bwdar - ' Q ': _ d36'
? br ?. ? ? • ; (s« o??,i) 4 .
rqe e?z-..._?
k
't ` . l'hie^) ? ? ,l F9 b ,. • a . . . r£ 93i u ? -,,. 935,
g3 Z.?.: ?/ I? ?• • ST6 ?BO. /7 .
C •
S `??g?` . c 3 _ ? ? ' ? ?' . . .Peo Grrava . p?• $4Q ..
N PROPOSED BUILDI?t(G.
F F EI. 9 40.00 PY.C Pips La /OX .
gawe/ q?pe ? .•: F . • ? - ? .-. - ?
5hlgh?9.
. Q .\ ,. .? ?. .
. / ? , ? •' yF` ? . 2 '?
? . .. ? ; .. ? . j4 .{1.
9;g???r ? ~ i n3 . ?ery . ?-e4Clf?e'1'ifhiepW.r?,. 4+iZE?' ;?
;l`. 3 krm mz. ? ? Ro?f'.OVethong 'wc a»W..f
Ex.ltr/ar SUo// - . ?"'b f4? pwe.,?..
?,
4 3B'/PFYC.P?p?OR2? .,.• 2Q
1 J 5 J S ?,• y_.? S 3 GO/C ? :.l?l y 2
, p? ??., p l , ?;0 QN jtS":??}
?s
0
, . ' ? ?[931Y0 ? t g• , . :'. K.? ! ?<?_" 942 ?
...... ? .. ' b • • s " G a6 M:n xG'/
?' (. ?? ? % j. 4? Screcxd RefLx Ar
. , . r* Sfas/ Pwb m lFarf.
a,
zg, ta' T
R.
1 K b i ?G1?lyGl?dQl?.^ . °fu?l:?'?b { y . ,
) p i 6 . ? . +?? ? C• ? \} ..?.
a \ . . r • .r, .. ? Culb Cun?f? ? . - } : a , .
air
S
z
? $M.: r ... ...r2
/69 //' ' . . . . F `
? / S tH Cf W?r • ?. .
. 1? " I? KC?: !N. 9 o s p{ Y,/{ p• 9. " .. . ,
a yG . ?. 9?v qp2 :
?E x.cE:Pr?o:N ?. ?.. .
...? ? . . . ? . . .
'. 4PPAFENT OWIYER` SIENNA CORPORA790N /JAMES REFRlGERq7-10/J 60 (?. ?-
? ?CURqENT ZON/NG ? N B NEIGHBORHOOD HUSlNESS
.,,C'e... . . . ? . .. _
FOrm NO. 31-M-4U11 GIHIM UttU Minnesoee Cnrtonn Conw•rncmR Blanks 11:f', M1
Curporerion o- i'xrtnershnn '
i ,
to Ccroorarion orPi, [r,ersnip .
NU dC11I1(]Llv^IlL CdkCS Ji1C{ LiRlIS:c( iliii,t:fE.Q; C41'I',Ii1l::1G0
of Iteal i:stau: Value ( ,.?.od ! ) not rr,uuired
Certificate of Ptiexl E;tate V:iut,
- - --• i`.; -
by
----- -- ?
C011ntV :AudiLur i
STATE DEt:U'CAS DUL I7EltEON: 5
Date: ??' - - '<? - - • 1`•) '
which is described as follows:
said Lot 1; thence North 0 degr
bearing} along the East line c
(reserved for recarding data)
rOR VALUABLE CONSIDERATIOiv', James Refr i-crat i on Co •
, a eorporat t on under the laws of
-?o[•?a _ Grantor, hereby conveys and quitciaims to C i Y,y of Eaqan ,
an i ncorporated mun i c ipa I i tv , Grantee,
a under the 3aws of M i nnesota , real property in
Dakota County, Minnesota, described as follows:
A permanent easement for public walkway purposes over a
located within Lot 3. 81ock 1. Hilltop Plaza, according
plat thereof on file and of record in the office of the
Dakota County, Minnesota,
the South East corner of
35 seconds, East {assumed
a distance of 99.74 feet;
West, a distance of 10.00
seconds West, a distance
thence South 89 degrees,
line a distance of 10.00
:+?urr-oa??s ?n •A.o?aaoae=.
4 3, ?C/
tl
strip of land
to the recorded
County Recorder.
Beginning at
ees, OS minutes
f said Lot 1,
thence North 89 degrees, 54 minutes, 25 seconis,
feet; thence South ? degrees, OS minutes, 35
of 99•74 feet to the South line of said lot 1;
54 minutes, 25 seconds, East along said South
feet to the point of beginning.
(if more space is needed, eontinue on 6ack)
together with all hereditaments and appurtenances belonging thereto.
STATE OF MINNESOTA
? ?.
COUNTY OF Hennepin -
The foregoing was acknowledged before me this
py uouQlas
the Preside
of James R
under the laws of
? NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK)
I NMII+++w Nt..v r
I ELAINE C. ENGELS ?
NOTARY PUeLIC-MINNESOTA ?
? HENNEPIN COUNTY
My Commission ExOires July 21, 1989. Y
.PMM4Tfl?IrliJ?lOAPN_•AAejZ
I
TH1S INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS):
Developers Construction Inc.
, 1101 Cliff Road
I Burnsville, Minnesota 55337
27 day of Nnvamher
_and Charles Wm. James ,
_ and Vice-President
, a crZr„poration
on behalf oP the cor oration
? 42O-,a &..
S(r'.?A'rtRE OF PE&SON TAKING 40ICNOWLEDGMENT
I Tax SfaLammta tor tha reA property deacr{6ed la thte (nstrument a6ould
be wnt to (Includs name snd nddeeu of Gtantee):
1 ?----
v 1
l
,
NOU-16-188 WED 15:25 ID:SAMES R HILL INC
nr.m
a
No ddlnquent tua ano pau [u antand; Carkltlcab
ot Reat Ldato Valu. ()C ) Nlad ( I riat ntiaind
CMlllca?i ot Ral Edate Vdua Na.
`l1C,Cy,.,. q
0A ? J L)
Cwnry Audtwr
by
STAT& DEED TAX DUB H6REON: i 22b • 60
m9s; Cecember 16 19$3
TEL' N0:612 BB4-9518 - #119 P02
5w 22 .
STAtEOf WMNESOTA
C"* e1 Daked
wft.drcognaR.o..a.r
M
hhMn Glr;(N)(L,
p
r
thif ia eo w6fy thol 1
hjkummnt wu 1;led (.^r rso0rd M
lhls ofliN at'ici:'np, on ihi '
?y
0. 19
c
CIOCA_',l2101.. D1uI M1iI
ttn ? ." --vss d "I IiY:rdr'! 'n
WMOW Couob RQwrds. 1
u Rt?dN ?/
i
awa ?-t ?
-?a
(ivseewd tw neordiny daM)
FORYALUASLECONBIDERA'CION, James usri eration Com an
,? ?orporat on undw the Iawr ot
Iown , Grnnku, hwaby eoarqn @nd wunn4 to Nat ona C? i d Care
? Centera. Ina. ,dmw.•
coroorat ion upder the lawti ot De awara , nd propwtr io
_ Dak ota County, b1lnnmwts, d..ctibed an foUon":
Lot 3, Blor.•k 1,?H2LLT9?_PLAZA? accordinq io the racorded plat therea[*
Dakota Cnunty, Minnasota-. -Bx ept the Neaterly 229.95 teot, ae mrt4sursd
ab Yight anqlea. Subject Lo and raaervinq unto the Grentor i!s suc-
aeseors, easige8 and qranteaei r?anrqASaswl?_t?,ld???ht q,R _Mrsy?'!or the
construction, installation# meYiit.anaaas-and opessGlan of anp snd ull
utilikiee, including, but noi lisited to* tslaphonas eleecrlc#__qnble,
Mater, sewer and drainaqe# which esaement and riyht ot vay 1n125__?ee-_?
%1RwidtW CO?9nC3pg pt the aesterly boundary lins oi said preiefserond
running along the noxtharly boundary lina ot the aaid psemises bo i!•
IA,,,,,r11NOW ;,owo„»a„e.a,l (continued on baak)
loQether with all AerrtdilamenU md 4ppurfstmca bebn" tbenW, wOJret to tht 90I1woln{ +xceDVona'
aubjoct eo easamenla of secord.
:1lIix LIv.vl'1'ax NtamPltrre
SI'ATE OP M1NNE50'!'A
I
COUN7'Y PF '1hs f ing wrs aclcaoxled`ed betae me tblr I9th
py Dc??as M. Jetaes and _
the p o a.d-
,of James Re r era Aon ¢omM V
undu the laws ol Iova _ on I+eho
MOTA}M4 RwYr oa ?tAL ?ot Otflt? ntbt O R NwNt)? ??
?r???.a+w
? B.?IP! C. BrGt1S
NDfiu[Y Ma?C•w?a?tlOf?
? iu.Ht?w .auNrr •
•??M?•'?N?• .
twn tMirauwsMr wAS ourscn ar cnAre A Mb Aaoltau:;
o[
.s
Natio»al Chtld Gre f.en[ers. Ino.
9182 Old Kaey xoad
Haustoo, Texne 17055
ities Di gital Qualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
I
intacseatlon with tha westerly boundary line of eaid premiees.
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CO MIC:
P
Aave caused the same to ba su
shown on CAis Plat tot drHnege
.In wltness whereaf sald 19 s Re °
5[GNED: JANES REF0.[GERAitO14 C .6_
! BY:
ChaAes Y. Jamei
?
vn
0
?
Aod in rltnest whermf sa ue
N - - and:iucorporate.sea/ to Da h
;SItl1E0: IIE57EPNSTATES tIFE
BY ?-?
O
?
?
O
? G sN F
'? Md in rttness whereof satd 5
?
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. ??• 19_.
?
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M
d
?.
5[GNED: SIENNp CO0.PORATIOIIi
d
? BY
i W
i
? Ma . . .. .. - - -
1 10 ~
I pm
And in witness when
and its corporate si
SIGNED: TXE FIRST
BY
DRAINAGE ANo UT[LITY EASEMENTS ARE
$HOWN THUS: -
J ,
o ry °
ii
-1----'?---
BE[4G S FEET IN WIOTH, UNLE55
OTNERtJISE INDICATED. ANO ADJOIN[BG
I nr I T ncq, Q>ip l0 FEET Itl '4IDTH kD
BY
CITY USE ONLY
L ? BL D/ RECEIPT#: 6651??7
SUBD. 4A&-? , DATE: Jf `5?1?
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are n2.t required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:?/?'?LAr .f s.?/r ,.'Z ? ??oGT /J //?/? % S
FEES: ?$25.00 minimum fee gE 1% of contract price, whichever is greater.
? Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1% 2Z_7? v
PROCESSED PIPING
STATE SURCHARGE a? .
TOTAL .??J
SITE ADDRESS: y OWNER NAME:C/?.?dRw'.•-s TELEPHONE #: ELLY-
TENANT NAME: (iMPROVEnneNTS oNLv)
INSTALLER: ,;- xg i/l- -??, o d-/,/- TL ,
ADDRESS:
/
CITY: STATE: /V ZIP:
PHONE #: D /2-s f
SIGN
f Z-?7-`?
ATU RE:
SI ATU OF PERMITTEE CITY INSPECTOR
7 ?jl?
CITY USE ONLY
L BL RECEIPT
SUBD.
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction Add-on furnace
_ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
? 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 @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER
PHONE #:
INSTALLER NAME:
STREET ADDRESS:
cirY:
STA
ZIP:
PHONE #: (
L BL / CITY USE ONLY RECEIPT #: ?/?1 CV-1
?
SUBD. I..?? RECE[PT DATE: 9 0?{
1997 PLUIKBINfi P£RMIT (COMM£RCIRL)
CITY Of' EAfiAN
S$SO PILOT KNOB $D
EAfiAN, MN 55188
(612)681-4675
Please complete for, all commerciaVindustrial buildings
multi-family buildings when sepazate building permits aze not requ'ved For each dwelling unit
hackflow preventer to be installed in commercial azeas or residential boulevards
Date: q- 2?-?7 Work Type: New Bldg. \ Add-on Repair _ U.G. Sprinkler
Is Water Meter Required? Yes -i. No Water Flow GPM
To ioquire if Pressure Reducing Valve is required on new service, call 581-4646.
P$E.S
1% of contract price or $25.00 minimum Contract Price: $ oZU(I a? x I% _ $
COMPLETE THIS AREA IF INSTALLING UNDEI2GROLIND SPRINKLER SYSTEM
Service: _ Existing (if coming off domes[ic line) OR _ New
Backflower Preventer Permit Fee$ 25.00 $
Water Meter I" @ $185.00 Or 2" Turbo @$846.00 $
If "new service"add Water Permit $ 50.00 = $
WAC $ 780.00 = $
Water Treatrnent $ 420.00 = $
City Installed Tap $ 300.00 = $
Perroit Fee $
State surcharge is $.50 per $1,000 of ep rmi! fee or minimum of $.50 per pertnit State Surcharge $
'5v
T\ 1 Total Fee
I hereby acknowledge that I have read this application, state that the information is correct, and agee ro comply with all applicable Ciry
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City properry/right-of-way/easement.
SITE ADDRESS: 'A 1 y? C) ?% ) p T I?r?? 94 '
OWNERNAME: "t r' ?
[NSTALLER NAME: ix ? j-,k • TELEPHONE #: &2S ' 36y7
STREETADDRESS: ?c3?S ?'tV?a?a pf.
CITY: 4+n STATE: ZIP: Ssy-3
SIGNATURE OF PERMITTEE Ael
w?«.?,7-S0-? o.K.
CITY USE ONLY
COMMERCIAL PLUMBING PERMIT -1997
METER SIZE
PRV Yes No
Domestic
Irtigation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONL])
REVIEWED BY:
Building Inspector a
5 ?'-' - Td -ec; 7z
Date
To determine meter size
' See if it is indicated on back of Building Inspections cazd
• Enter address in PIMS Screen 301 to obtain S&W permit #
* Check P[MS Screens 110 (Remazks)
* IFgallons per minute aze less than 25, a 1" meter will be required. If gallons per minute aze more than 25, a 2" turho with strainer
wiil be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed
Plumber does not know GPMs.
Before selline meter
' Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections aze complete
on a new service. If new service lines are not required, one check may be written for meter and pertnit cosu. Write meter type and
size on receipt, code to 3716-9220 (meter portion only), and forwazd copy to Utility Billing Clerk.
' Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given ro Utility Billing Clerk.
Miscellaneous Information
* The installer is to contact Building Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water tum-on.
* If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there.
JS/Forms.bld/plbg pcrmit (comm) 1997
-��-. //
(
Minnesota Department of Human Services AjcA�
May 2, 2011
Zoning Supervisor
Dept. of Inspections
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: Zoning Notification of Application for
Department of Human Services Program License
License Number: 1054665
RECEIVED
MAY 092011
This is to inform you that the Department of Human Services, Division of Licensing has
an application for a program to be licensed under Minnesota Rules, parts 9503.0005 to
9503.0170 from Rayito de Sol, 4194 Pilot Ave, Eagan, MN 55124 to provide day care
for 125 children.
Issuance of this license is subject to compliance with the provisions of Minnesota
Statutes, Chapter 245A.
If you do not contact the Division of Licensing 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 questions regarding the facility or its location, please contact Luisa Fuentes
at 763-772-2157.
If you have any questions regarding this letter, contact Donna Gainor at 651-296-6314 or
fax information to (651) 297-1490.
Sincerely,
g,„,
Peggy Cunningham, Unit Manager
Division of Licensing
PO Box 64242 * Saint Paul, Minnesota * 55164-0242 * An Equal Opportunity Employer
http://www.dhs.state.mn.us/licensing
To:
From:1 OAYVA ,
INTERAGENCY REQUEST FOR BUILDING INSPECTION
--`)642._ ` (I CHILD CARE CENTERS
Lt,ti
Date:
S -2-I
Kr.r4
CTOLU•10 , (Licensor) Phone Number: 651' agt0 " 43 (L
Prior to issuing a license to provide child care, verification is required that a facility is in compliance with
appropriate state, county, and local building codes (Minnesota Rules, part 9503.0155, subpart 1). Please
complete this form and return it to the Department of Human Services, Division of Licensing with any orders
attached. A copy of the orders should also be provided to the program.
Name of Program: K.A4
1`t2 eke cot
License Number:
WWsgtcoM
Name of Facility:
Address: t4 t(4 vskon :A'4 . z‹kci,
Street City
Program Contact Person: LOA SCA. Toemtes
Areas to be used: Classrooms to be used:
❑ Basement X Entire Facility
❑ First Floor
❑ Second Floor
❑ Other
Specify:
Ss l 2.
p Specific rooms listed below:
Zip Code
Phone Number: 1101-11
Number/Age Ranges of Children:
6 weeks to 16 months: l(p
16 mos. To 33 months: `t
33 mos. To kindergarten: LAO
Kindergarten to 12 years: Z.s
Total: (2.S
Building Inspection Results:
❑ Not Applicable: facility located in non -coded area.
Date of referendum vote removing code requirements:
Signature and Title of Local Official:
❑ Facility meets building code requirements.
❑ Facility does not meet requirements and cannot be occupied until orders are met.
❑ Facility does not meet requirements, but may temporarily be occupied until: (date),
pending completion of orders.
Signature of Building inspector:
Phone Number:
Agency Name: , Date:
When inspection is complete, mail or fax this form and any additional orders to:
Minnesota Department of Human Services, Division of Licensing
P.O. Box 64242
St.Paul, MN 55164-0242
Fax Number: 651- 297-1490
Revised 5/08
MAR. 13.2012 8 05A OLSEN FIRE INSP. 612-617-7909 NO. 942 P. 2
City of Eaaall RMA,31011
383.) Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit it: _
Permit Fee:
Date Received:
Staff:
Aq
2012 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date:' � l �-� G-• Site Address: 41 I 01(4
Tenant:
Name: 5e, Phone:
'PROPERTY OWNER Address / City / Zip:
Applicant is: Owner Contractor
Suite #:
J
E„OF= WORK Description of work: ` l c`SC C►A.(S W10 ee
T y
T
Constructiiori Cost: Estimated Completion Date:
Name: l' .r
//S\re. c,OtZ License #: 1. rte' (p-1
0ONTRAcrOR Address -k ..,.Q... ` \ C-' - City: 1 r \t lll-1uw s
IState: (� Zip: 5514(3 Phone: (COI a) (,0-7(:, _taco?)
I Contact --c QLtAA Email:
New _ Remodel
Addition — Other:
Alterations
DESCRIP..... N OF WORK: Commercial_ Residential _ Educational
WORK ' YPE
FEES
$60.00 Mini,.,um (includes State Surcharge) OR
- lithe Perm • •c is less than $10,010, surcharge is $ 5.00
- If the Perm:. :.,, is >$10,010, surcharge increases by $.50 for each $1.000 Permit Fee
(Le. a $10,:1, :• a 11,010 Permit Fee requires a $ 5.50 surcharge)
Contract Value $ 3l -o x 1%
.$ Permit Fee
$ Surcharge
_ $j TOTAL FEE
'Requireme. ;; : 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply 1 r a Fire Alarm permit and acknowledge that the information Is compete and accurate; that the work will be in conformance with the
ordinances anc a des of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is nota permit but only an application for
a permit, and v. . is not to start without a permit: that the work will be in accordance with the approved plan in e caswork which requires a review
and approval (• • ..,)s.
Applicants ;.;:ted Name
EP•R OFFI., USE ,
Required If:. pections°.
Reviewed B
Rough -In 1,IfFinal
x
App . n) Signature
Fire Alarm Test
Date: '3P-1'.3-11
JUL. 25.2012 8:06AM OLSEN FIRE INSP. 612-617-7909 NO. 140
(qr'S c
Gc 4-
Gail �
City of Eaaau /
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Uso
Permit #:
Permit Fee:
Date Received:
Cr
Staff:
2
2012 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: 1 a41 ma Site Address: 4191 L-1 Ft tot Knob Rmot, Eacfcn
Suite #:
Tenant: 'POVS MOnkr,cSnri
Ri i (N E
r
Name: — • Phone: _
Address /City •/Zip:
v
Applicant is: Owner ^ Contractor
TATE OI" vu i K
`` -
Description of work:t lid - S T t�P dQ±i _lit lir rk -k ct
jtV r�1� t
Construction Cost 1 ' DOr t 03 Estimated Completion Date: "1 l f I (aa to
1 p
.
.,t Jinip TQR-
.
Name: 1-o-kIIA CW(k Li -C., License #: ¶S 10410 `DO
I (�� y 1 I n
331,11)RE City::-�LIi iInecI DIS
Address: __ _ _ i 1��'�1
1�l
rr
State: M,I V Zip: S51--Irl3 Phone: (ka) L6 `al�(�Uy
Contact: aleUrlda, V' Email: ". III 9 t' b / 1 '. '
WORK'FYPE
New Remodel
LL Addition Other:
_
Alterations
DESCRIPTION OF WORK: Commercial Residential X Educational
FEES
$60.00 Minimum (includes State Surcharge) OR Contract Value $ x 1%
- If the Permit Fee is Tess than
- If the P rrni Dm is > 010,010,
$10,010, surcharge is $ 5.00 = $ Permit Fee
surcharge increases by 0.50 for each $1,000 Permit Fee
Fee requires a $ 5.50 surcharge) _ $ Surcharge
(i.e_ a $10,010-$11,010 Permit
II
= $ 1QD, t D 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 Alam permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for
a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan i the case of work which requires a review
and approval of plans.
X 14 li inrb �12C k
Applicant's Printed Name
Ap Iicant's Sig ature
rott c tcE Ua
Reviewed By: " • Data: '7 -t9,6
R9qpIrptl Inspodions: F dtagh-In Final Frr13 Alarm Test
fli wi JY/ 61,/1 ./ s..1& vJ. l� i
2012-10-23 16:13
V447 VI 1021174111 1
» 6519755694
Ciyofau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 873.5675
Fax: (bet) 6T8-6694 to, 6461a, (,L1_ I
FLA ue. rr 1111-1--in1a
1' 11111 /11111
P 2/2
'64.4,or oresi,.A6Kgot
Femme* use p
Penn"—/ -0-25
Pernik Fee:oo
Date Remised:
Slav:,,_,
2012'RE`SIDEPLUMBING PERMIT APPLICATION
uta:
SII. Address:
-- ` /n 9 :7 - s��3
ENTAL FEES:
560.00 Moon Water Heater, Water Softener, or Water Neater 6110 Softener (includes 5500 State Surcharge)
:00.00 Lawn Irtlgatlon (Includes 56.00 State Surcharge)
500.00 Add Plumbing Fixtures, Assaglyikakomitat Wats Turnaround' (Include. $6.00 State Surcharge)
Water Turnaround (add 5189-00 If a 518" malar Is required)
5106.00 $odic Salemtaw (510.00 per es hula) (Includes Canty fee and 55.00 Siete Suronerpe)
TOTAL FEES
CAL. BEFORE YOU 010. Can Gopher etase One can at (eel) 4544002 for protection against underground utility damage,
Cd 48 hours Wore you Inland to dig to receins locates of underground Mese. ee.
— acknowledge thea ads kdormmeaon a complete end soar t0. that � ww be in aontomronea Dalin the aadknraoee and codes of me city of
lioaAwaooa0rtoe with the appwed pian In the awe 0rwork wMdn n giro. a nNew end 'ppm al d plane.
X
is Lc Me,
Applicant's Printed Name
20U$41) fi`AO
f. •
• .. ••
�,.�... -: ' . �y he •• ,.� ::�•.. � �.:.....►.`f"],....:�.. 6�..
.. cam' y-.- _ ?c'r
Y•-G%pilegit -,;;,;:pit. � t .�;,,��p;w'al:e` �= ��`f"61es1:�.!�r::c_= .r% -
d512711116 94
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 1.1
Use BLUE or BLACK Ink
For Office Use
Permit #:I
/_ U
Permit Fee: (v
Date Received:
Staff:
2014 MECHANICAL PERMIT APPLICATION
❑ Please su mi t/wo (2) sets of plans with all commercial) applications.
Date: "7 /' Site Address: I (CP+ �i(tl KF' oo ftI
Tenant: Ili( L1 mo(i J5c)r C
Resident/Owner
Suite #:
Name:Mir at � IV f l�S .1 J(! Phone: 012 5 -t- 1Q
Address / City / Zip: ( t t t \ , 4C 40
Contractor
Name: Ron's Mechanical Inc
Address: 2026 Colburn Drive
State: MN Zip: 55379
Contact: Linda
Phone:
License #:
City: Shakopee
952-445-8585
Email:
J
Type of Work
New
Description of work:
cern nt Additional Alteration Demolition
O, 6 NOTE: -Roof mounted and gr rid mount= . echanical equipment req flied to be screened by. City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
_ Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
Install Piping Processed
Gas ,) Exterior HVAC Unit
Under/Above ground Tank (_ Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
"If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $ 1(0% %OO x .01
_$ 11610l7
_ $ g
=$ 1 �O
Permit Fee
Surcharge*
TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n. to start without a permit; that the work will be in accordance
with the approved in the case of work which requires a review and approval of plans.
UlaaliYxa1' ntl SUV
Applicants Printed Name Applicant's Signature
x
FOR OFFICE USE
Required Inspections: Reviewed By: -
Underground Rough In Air Test Gas Service Test In -floor' Heat
t/4.41.
Date r
HVAC Screening
05/19/2016 12:36 6123311161
OLSEN FIRE
110 ChEc�
City o•f
3830 Pilot Knob Road
Eagan MN 55122
. Phone: (651) 675-5675
Fax: (651) 675-5694
MAY 1 5 2616
'.Y •.fC..l
PAGE 01/03
Use BLUE or BLACK Ink
• for Office Use......., , • • , .' , ..a- ...{..... . ,. .
Permit #:
Permit Fee;
Date Received:
Staff:
2016 COMMERCIAL FIRE ALARM PERMIT APPLICATION
Date: 5/18/2016 site Address: 4194 Pilot Knob Road
Tenant: Beck's Montessori
'jL •• i•',i
��,r;jj)IIi IkIi�,.,.�?t
;-„i �I•I::`�:; II
• , Ili,ll
�II4 P`Iro �
dl :•.,.q.o.,,,
liNNIIIII II
liijjli1 iii4iiile'ii
I I,Il!,1r111�� IiI1M It
t:
'li;,r;`l'' .a;
raiil(I�i II II I Ilri'�
�"!�tlikirk;ii
, y,,, Ihn,- In. u, `
ii
llfli'iat !,Il 9' ! I;iI ;
V UII. No
Name: Phone:
Address / City / Zip.
Applicant is: _ ' Owner _ Contractor
!!4lfli r; '%!;Il;li1l��l!r. �'
'' `:Typll``o
.,,,:..':: i'I' ,1„,�.; ',,y
I�'E' `' SII.
:'�;,;,;��;r.11i,.Ib!:''...:I�i
I �II� I Ii till. YII
,ilii Inn
I"'Iol” II!!l'';"'
•.' ra.'r: ,.r; ii$750
"I"'
; • : ,...
Description of work:Install a cellular communicator unit for the fire alarm
5/20/2016
ConstructionCost: Estimated Completion Date:
.. 'i'I il!i i' J :':>:'i".`q:;,r 'I;'
•,j�j jN ; • 'l Ir! � cri Nil il.
.=a _moi; U „I `ii, , lt" ;�,
•Jlrx iiI it ;
' ' •;; � ''n,{ ry!yj�yF!!It!ll;yi+ •:•r:
1:i' - :h ,I'lli::.,:,i:llti;°:
III ', .,,,:, I p .. ll;
i '0 tis' ctor;i!;'::
i, ',,'iI,I:.';'::,,,,; ;;' `'
;:,, alp
i;i:iriz ;IC,;'
I;'.riN1t�'C``' ;,iii:.
Name: Total Life Security, Inc License #: TS646980
321 Wilson St NE Minneapolis
Address: City:
..._
State; Mn 55413 612-676-2020
Zip: Phone
Contact: Melinda P Email: inspection@totallifesecurity.com
.. ,.......,
,;1"*Iipe,
•
__ New ..
Addition
1 Alterations
_" Remodel . . .... .
_Other.
DESCRIPTION OF WORK: ✓ Commercial _ Residential _ Educational
FEES 750.00
Contract Value $ x .01
$60.00 Permit Fee Minimum
= 60.00
Permit Fee
Surcharge F Contract Value x $0.0005
If the project valuation is over $1 million, for - $ .38 Surcharge'
please call Surcharge
$ 60.38 TOTAL FEE
equirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I horeby apply for a Fire Alarm permit end acknowledge that the information is complete and accurate; that the work will be In conformance with the
ordinances and codes, of the, City.of Eagan and with the Minnesota Building/Flre Codes; that I understand this is not a permit, but.only an application for
a permit, end 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 plana.
x Melinda Plzak
Applicant's Printed Name
Applicant's Signature
I: 0.111 irtti ' r.',' I�; i dr�hi:ii', ii �"I' II. "i:..:.:....,q;Yoayyi ,!'ia''Th„ i ...
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ReC;Y1EQIlI�3 �Ct0,11S:'aiilk ili'Iil III 11 6,.^t,ql@ ti'x ) ..; ''I~1 f h4,i 1Ui+171111 If..
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