2005 Pin Oak DrINSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued: a+?
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
i,. , ,. ,
APPLICANT:
, ;. TYPE OF WORK:
ql VF RA t 1
l.11 ?.? ?. ? 1' i 1 flN ( f A';•., 11?'?
INSPECTION D• • DA
?????r,ti ? ri F? ? ?, • ? :?: ? . ,
<
? fi;,l H I 1i
i t1(t I
?
?
?
PormR No. Pertnit Holdar Date Telephone M
ELECTRIC
PLUMBING
HVAC
inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
7
ROOFINO
ROUGH
PLUMBING c n ?
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL •
DECK FTG
DECK FINAL
?
' INSPECTIaN RECORD
CITI?OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? f • 1 Icl )r .
I i rd rI;lt)R Itl t;, ti N?
ItA1IN F t CfriT :?Nf? , t bl l) 4, •N!??
PERMIT SUBTYPE:
TYPE OF WORK:
fIFSCRtri (rIW
?su ? I 1? i ra??
07 lAff /4F:
Nf t?
FIF io t UN() FN?i f NF f i? 1 N?7
INSPECTION DA . .•
; tM 1 ?J?? . 1<iiuF 1141,
????,?i; n l i+?r! I; ??t?,??t ? ra i? 1,11
t M II i s, : I Wr?l ! I f?<<
INFtiI
4>f EtFt Mltkk JJ*1. 8[i
?
.7 7
? ?
.
,
?
Permlt No. Permit Holder Dete Telephone k
EL.ECTRIC
U. b, y?7- 7
PLUMBI
HVAC
Inspection ate Insp. Comments
FOOTINGS 7?`, ? a6
(m
FOUND ?4? K? y, f(r
? ?.. 4
FRAMING p
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST i( 41
.?
ROUGH
HEATING
?/:: `
44
_1
GAS SVC
TEST
? /? qGj
io s Zest"
rA2
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PL G,]
FINAL HTG -^?? I ? --- - -- ---- --- -
ORSAT
TEST
' d
----
BLDG t-iitAt ???Llj?
z?.
-. •
BSMT R.I.
BSMT FINAI..
, DrcK Fr-?
- - ?
- ?
- -
i /
a
,
u,
U
"4
M&it,
HEDLUND ENGINEERING
*0 .a-,%
4
? Wei.ofiftcate uf cccupanO.
WU4 of Cfagan _ --w.
Wevarrmcut o f ZNi[iits anocctieK
Tfiis Cenifecate issued pursuant to the requirements of the Uniform Building Code
certijying that at the tinre of issuancF this structure was in compliance with the various
ordenances oJ'the City regulating building construction or use. For the following:
Use Classificamion: CdMM NEW Bldg. Pu+nit No. 28115
powpwy 7ype B S-3 Zoning pisvia PD Type Const. V_H ?
Q,,,wr of g?ikfing HEDLi1ND ENGR Addmu 9201 E BI.MTN FRW't. BLMTN. M1V
B,,;? Address 2005-JUN OAK DE Local;ty L1 a B1, RAHN Etl nGx 2Nn
nxl:
Bttiwing oercial / -
PQ$T IN A CONSPK:UOUS PLACE
?.
/J C?l OFFlCE USE ONLY This request void 18 months lrwn volidafion dole pnnted in this box.
? 7 ? - 1 I'1 / / a 1-
????''a?r_a ii w ??
IIIIIIIIIIIIIIIIIII?III? IIIIIIIIIII II IIIIIII?/??
* 0 4 5 5 9 7 6 1* PLEASE PRINT OR TYPE
3?t Dous
-a 6- 9 7 Rough in inspection required2 yey ? ry.
l,
h
d Iny??ion pther iFan RwgMn ? Reody Now4?%il Coll
o
R
no. mu„<a
e in,pector ve,. .ea
Y,
t oin
aah,
I, alicensed confracror 0 owner hereby requesl inspection of the above electri<al work at:
b6 Address (Shaei, Box, or Rauro No.) C1ry Zip Code
Seclion No. Township N. or No. Ronge No. Fim No. ' Coen
,R
O?Aezd0d'a Am?.i Pho'6?-
Pov.er $v pli
s P Ad
a
Ekcnical nhoclor (Compony Noma)
/l,aZs,•2 2 ?/r.?-If>tTG ConhwAw license No.
ei¢czG?d' Mosier lic. No. fPlom Ele i. Only)
AbNi?g Address ?Connacror or Owner Performing InsMlhtion]
?y? rxo,V 4.a ,404 Z4 't,?ri? /4f,4 r
Avthorized SignONre (pxiror Perfo ing InsbllotionI Phone No.
zyiZZ- Ye?
EBOOOOIA-11 8/96 STATE BOAFn CODV - SEE MSTiOLTONS ON BACK OF VELLOW COPV
A 5;a--?7 6 0
REQUEST FOR ELECTRICAL INSPECTION //7
?
? Minnesota Stafe Board of Electrictity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Du lex A f. Bldg. Olher: New Addn
Commercial Indushial Farcn Remod Re ir
Air Cond. Htg. E uip. Water Hh. Load M ml. Other.
D er Ran e Elec. Heat Tem . Service
°X" above fhe xrork covered by fhis reqoest Enter remarks in this space and on !he back of Me white copy only.
:2, y/LSPtctT°R/
Calculale lnspecfion Fee - ihis Inspeclion Requesf will not be occepfed wifhout ihe correcl fee:
Other Fee M Service Entrance Size Pee # Circuits/Feeders Fee
Mobile Home Park Stall 0 ro 200Amps 0 to 100 Amps
Sheet 11g./Traffic Sig. Above 200_Am s 00_Amps
Tronsformer/Generator INSPEC
SE ONLY TOTA
Sign/Outline llg. X(mr. ? ? j •?
Alorm/Remote Conhol :
Swimming Pool
1 hxe I' cal inskllmion demn6ad herein on ?he doks s
th.,
Inigation Boom qo,ghl„ pak Q,y
$peciallnspection
InvesKgative fee Fira? oone 5 11 c
THIS INSTALlAT10N MAY BE OROER DISCONNEC O IF N COMPLETEO WITHIN 1A MONTNS_
n aenai # S/?o 70 ?!'??
• Chip # fo 8' S 39
Permit # c?8 3.3
'7
? Address: aGb.S PN p.?? p
1 AGRE TO COMPLY W17'FI C17y OF EAGqN
nanIuwdn??
14 co--Gtia'uJa. m' ,:O-c
f iKE /nT72
Z-TSr,tt.eC
, _.
Serial # 5 / 3 b'9
cnip# 06 S-/ 8z8S'
Permit # a 9 33 '
? Address: o?C,0S Am/ p,,c,vE
1 AGREE TO COMPLY WITFI CITy
C ORDINAWCES OF EAGAN
??nature: i? ? ?
-r?S
.. Serial # 516
Chip #
Permit #
10 Address:
1 AGREE TO COMPLY WITH CITY OF EAGAN
unuInwncts
N? 4? t
Signature:
31 ?+ ?/? O O ?
Ca J OFFIC? IISE ONLY Thie requesl void IS monlhs kom volidation daie prinled infMS oo..
9l
? 8/1v?
? G 788?-
3?/y?9?
I ?? ? ?
PLEASE PRINT OR TYPE GcwN.
Reqwsf Dok Ro?gh-in lnspe fion requ Y Yes ? specnon Other Than Raugh-In: 0 Ready Now GIRWIll Call
mmt coil ihe inspecwr when readvl ?k Y:
I, licensed wntracfor Q owner hereby request inspedion of the above eledri wor
lob Addreu (Slreen, Box, or Raub No.)
- Ciy Zi
acxjs
Pi, oak
Sedion No. Township Name or No. Ronge No. Fire Na. Counry ?
Ocw nt
r„<<• ? r ?S . 2 x PMne No.
- vri ?
PowerSupplier
41500 Mdreas
?dse,v?l ?
Eleddml Conimcror (Componry Nome) Conlraclor lianu No. Mmter lic. Na. (Plant EIM- Only)
1 G? 8 un!
Mailing /ddrtss (Comraeor or {Owner Padoiming insmllofian) / ?•
i ('?-/1 ??J
W
f
?C. - LG?c?
Vi ) LMl
G ?]JV %
A
?
p
Ayfi'igya? (C nb /a nr07ing lorion) Phone No.
327-P'/"
EB-OOOOlA-10 6/95 STATEBOARDCOPY- SEEINSTRUCTIONSONBACKOFYELLOWCOPY
IIIII Il?IIIIIIlINIII II I?II IIIIIIIII II REOUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity ??"?
7821 University Ave.. Rm. STG?Q? St. Paul, MN 55704
* 0 3 1 6 3 0 0 3 * phone (812) 842-0800 0? 7
Home Duplez Apt. Bldg. OlFier: New Addn
Commerciol Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. lood Mgmt. Olher:
D er Ran e Elec Heat Tem . Service
"X" above fhe work covered by this request Enter remarks in this n on e f fhe white copy only.
?- z? Pk-& - (06 141 (p (o S75ID3 ?°-? I.xOvWC?. tv&
Calculate Inspection Fee - This Inspecfion Requesf w"JI not 6e aaepted withouf ?correct fee:
Olher Fee # Service Enharrce Sae Fee # Grcuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps .c4a 0 to 100 Amps
Sfreet Ltg./!'raHic Sig. / Above 200 J-oC'Amps 7 A6 100 Amps
Tmnsfortner/Generator INSiECTOP'SUSEONLY ? TOTALJ/
-
Sign/Outline Ltg. X{mr. / ?;z 4 7-1
0
Alarm/Remote Conhol
$wimming Po01 I hareb ceni IIwf I on do ' d h< 'n on 16 dares sai
Irrigafion Boom Rovgh-In Dore
Special Inspeon
di
Invesfigative Fe
e Fmai D. -
THIS INSTALLATION MAY BE ORDERE DI CONNEC ED IF NOT COMPLETED WITHIN 1 ONTHS.
6514541759
- 03i2%/2005 03:09 FAX 8514541759
f
FACSIMILE
HASTtNGS AND ASSOCIATES fNC.
CONiSTRUCTION MANAGEMENT
776 MARIE AVENUE
MENDOTA HEIGHTS, MN 55118
DATE: 3-26-05
TO: Mike Lentz- Ciry of Eagan
FAX # - 675-5694
FROM: TOM HASTINGS
RE: Hedlund Engineering
i'OTAL PAGES (incl. cover) 2
COVER SHEET
PFiONE 651-688-7089
FAX 651-454-1759
Mike !
Attached is the letter from Mpis Glass to Prehung Door relative to the
glass that Prehung installed in the two doors you looked at when yau
were at Hedlund for the final.
? f
oF}IC
Q001
03/26/2005 03:09 FAX 6514541759 IM 002
: Maff 24 OS 01:51p Sales Department 651-289-3829 p.l
_. _. ... , 11 11 N0,'7356 , ?
?
March 24, 2005
Pre-hung Doors, [ric.
3320 TeM'jnal Drive
Bagan, MN 55121
Attn: Bill
Re: Ordert70624/OU9870
Dear Bi Il,
Tfus ]etter is to cflnfirm tbat the gtess yoa oxderai Scptember 29, 2064, on your putchase
ordcr PO 009870 was Iaminatcd safety glass. Laminatc@ sa{ety gl'ass fir.tnished by
Minneapolic Class meets thc rcquirements of l?ederal Specifcatiems AS'TM C1172-95.
PlcAe ]et ine k,now if you have any questions rcgarding trtSs matter.
5incerely,
Lindy Nelu,n
sal es
MINNEAP4l15 G1A55 COMPANY
"@4 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and components to be used
Date 1 / Z 7 / O S
SiteAddress: 2006- p ;.7 Ou E lr;>.- ,,;c
Tenant/BuildingName: Nrre-r
The Applicant is: Owner ? Contractor _ Other
PROPERTY OWNER /l{ dlw,7cl F'?ti
Address: 200 -5-'?, rr Cpu !c l?i v c
City: State: J7i0 Zip:
CONTRACTOR MN License No. C- D10 7
?
Address: ?d Z o I (e 1-7 FiZl ? 411C, City: ???i? nG lti /?G ?'v rk
State: n17 Zip: !;-.5 ¢; 2 Phone #: 71, 3- 117-4740
ESTIMATED COMPLETION DATE: Z l 4 I OS
FIRE PERMIT TYPE: Sprinkler System (# of heads Fire Pump _ Star.dpipe
Other:
WORK TYPE: New Addition ? Alterations Remodel
Other:
DESCRIPTION OF WORK: Commercial _ Residential _ Educational
Other:
Please continue on reverse side
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ I, f900 ? x.O1%
ov
` rf ,; Permit Fee
If Permit Fee is $1,000 or less, add $50 =>
If Permit Fee is over $1,000, add $.50 per
s-?
$1,000 Permit Fee
3/4" Displacement Fire Meter - $155.00
TOTAL FEE:
State Surchazge
I hereby apply for a Fire Suppression System 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 in the case of
work which requires a review and approval of plans.
Se?f L ?,,4o/l 1-Z7-as
ApplicanYs Printed Name icanY ' ature
DO NOT WRITE BELOW THIS LINE
CITY USE ONLY
l._1 l G s-b
PERMIT #:
APPROVED BY: INSPECTOR
RECEIPT DATE: 14 - i q - Q
- 8008 COMMERCI!!L MECHi4ftICAL PEgMIT APP LICATION
CITY (}F RE6RN
sgso PI.oT icivos ftn N
?s?N, blN 551Ea ppR 1 8 2002
s5i-68i-4s75 Please complete for: all commerciaVindusVial buildings By
multi-family 6uildings when separate permits are not required for eac welling unit
DATE:
SIT'E ADDRES5: -T)i tl
OWNER NAME: tTC,L.? I Ld.n6 lI LYl? #: _
TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREVIOIIS TENANT IN THIS SPACE? Y N. NAME:
"'IIVSTALLER: A1.l{LAY?A_ W,CXPJU?a
STREETADDRESS: ZU5D ?aj&bet.,'?&K
CITY: ?Uy?,?.? ? STATE:
-?
TELEPHONE #: LQ 5 I?k'S Z 2,-1 ? S
W ORK TI'PE: New construction
_ Interior Improvement
_ Processed Piping
SpecifyNature of Work:
N1-1J zip:5 12Z
Install U.G. Tank
_ Remove U.G. Tank
When instal[ing/removing underground tank, call 651-681-4675 for inspectinn by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater.
Underground tank removaUnvstallation = minimum fee
Contract price: $? x 1%_$5-,o (Base Fee)
State surcharge ,:1v calculate at $.50 for each $1,000 Base Fee
TOTAL $ VIl • 5D
SIG URE OF PERMILgER
Updated 1l02
CITY USE ONLY
PERMIT #:
RECEIPT DATE:
8008 RESIDEN77lEL M£GHlkAICi4I. PERM1T APPLICATIOA
crrY oF EweAx
S$SO P1LOT KAOB RD
SABAA biF 5518E
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
ciTV:
TELEPHONE #:
TELEPHONE #:
STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
...r
State Surchar e $ .50
Total $
SIGNATURE OF PERMITTEE
1/02
CITY USE ONLY
L? BL v RECEIPT #:
h ?
SUBp. ? ? DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
. CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are aQt required
for each dwelling unit.
DATE: CONTRACT PRICE: W
?
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPRO.VEMENT
FEES: - $25.00 minimum fee 4L 1% of contract price, whichever is greater.
p Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Rerniit fee due on all permits.
CONTRACT PRICE x 1% IMDD
PROCESSED PIPING
STATE SURCHARGE
TOTAL
-.0
AL_6o
SITE ADDRESS:
10i
OWNER NAME: ?d Tc< A441LS_ TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER: M?Ir` Z 1y2-
ADDRESS: ?2qfJ :Zf yr ? '
?
GTY: STATE: ZIP:-53-e7e?57
-?'
PHONE #:
SIGNATURE:
A?i?
GNATURE OF PERMITTEE CITY INSPECTOR
cirr use oNLv
L BL RECEIPT #:
SUBD. DATE:
1996 MECHANICAL PERAAIT (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 air exchanger, i.e. Vanee system, etc.
----------------
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 .5C
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE #: ( )
D?,?,
RECEIPT il (0 70 0 O
a?a
EIPT DATE //7
T'0
JOB
OW N]
CiJy o? ??G 11-14
IYA1'E L. q_ I ?,
?LFJi58 HE ADVISaD THA; i'FME I5 A F^rE SHORTAG^c OH THE AB VE
?
r.?.r."!.'TRICAL INSiALLA:ZON IH THE AMOUNT OF $
SHORTAGi. MiST BE ?AID 1+HIT!iI21 Iu ?A1'9.
REY.ARKS
??/v 0 CO 30 3RI?. C_?Cll1t5= .? / O?
c=r
PE?tMITt! 2 / ?j -2m_
ORIG. REC°IPT# 6 2A?f
0,7
REC°IPT DATE ?j
RETU?tN A COPY OF TIiIS FORM WITH REMITTANCE.
SYS IEM ACCEI"I'ANGB
13-67
O PNEUMATIC O ELECTHIC O HYORAULIC
PIPING SUPENVISED O VE9 O NO OETECTINO MEDI SUPERYISED O VES 0140
DOE9 VALVE OPEMTE FROM iHE MANUAL i IP ANO/OH pEMOTE CONi FOI STAilON9 ? YES O NO
QELU6Ei 1L I
'
PREACitON
YALVE9
p YES O NO
MAKE MODEL SUPERVISION LO33 AURM OPERAtE VALVE RELEASE OPERATE REIEASE
YES o i . c.
? flydiaelalk laels shall bs mnde e1 na laes than 200 pel (13.e bere) tor nva houn or 50 pel (9.e ban) a4ow outk preesurs M sxcees
- 150 pe (10.2 q lor Iwo Iroun. DIIIeronllal d7-Pbs veM deppen ehNlbe lelt apen durhp lee1 to pswm derreps. All abovepround Dlpnp leakeqe
TEST shellbselapped.
DE9CidP110N
py ?FyATI -,Eelebneh e0 pel ?27 6an? ak praeeure end meaeuro drop whkh ehall iro1 eRCeed I? 12paI(0.1 ?an? M 24 haun. TeN preeeuw
tanlm et nomal water Iwel snd ek raseurc and measure ah eeeurs d whkh ehal nd exceeC 1•Il2 I.1 ban In 24 houre.
ALL PIPING HYOROSTA71CAllY TE9TED AT E_QQ P91 FOR 1- HFS. IF N0, STATE REASON
OiIY PIPINO PNEUMqTICALLY TESTED B%IfS ? NO
EWIWMEWTOPEAAlE9PROPERLV ,2Nf3 O NO
V C R IFY 3 T E SPRINRLGFI CON RACTOR T AT DDITIVE9 ANU COHROSIV CHE ICALS, SODIUM T Op
DENNATIVES OF SODIU
M SIlICA7E. BRINE, OR 07HER COFROSI4E CHEMICALS WERE NOT USED FOR Tf9TIN6 SY9TEM3 OA
TE8i8 ?
910PPINCiIEAKS7..0 YE9 O NO
DRAtN REAOINOOFOAQELOCA7EONEA
RW
A
TER RESIDUALPRESSUNEWITHVALVEI 9T
TEBT ?
-
7
SUPPIYTESTCONNEC710N: c3 i P51 CONNECTIONOPENWIOE P31.
UNDEROROUND R1AIN9 AND LEAD iN CONNECTION9 TO SYSTEM RISERS FLUSHED BEFOHE CONNEC710N MADE TO SPRINNLER PIPI .
. VEPIFIED BV COPY OF iHE U PORM NO. BSB .tr<9 D NO OTHER . EXPLAIN
fLU9HE0 BY INSTALLEP OF UNDEP-
aqOUND SPfiINKLEN PIPING .4Y1f8 ? NO
BUNK TE911N0 NUM6E USED OCATION9 NUMBER REMOVE
GA81(ETB
WELDED PIPIN? O YES O NO
IF YE3...
DO YOV CESTIFY A91HE SPRINK.tEA CONTRAL'TL`R T7-IAi WEICING PFv'L'euU'n'e3 COMPLY - ?
WI7H 7HE REOUIPEMENTS OF AT LEAS7 AW9 D10.9, LEVEL AR3 .9'1ES O NO
WELOINO DOYQV CERTIFV THAi THE N'ELPINO WAS PERfOFMEOBY WE6DER3 OVAUFIED IN -
'
COMPLIANCE WIiN iHE REOUIREMENT8 OF AT LEA9T AYV9 D10.0, LEVELAR3 2-fE
5 O NO
60YOU CERTIFY THAT WELDINO WA9 CARPIED OU71N COMPUANCE WITH A
' DOCUMENTED OVALIN CONTROI PROCEOURE TO MSl1RE iHAT I1Ll DISCS ARE
qEiqIEVEO THAT OPfNING3 IN PIPING ARE SM001H THAT SLAO AND OTHER .
WELOINO RtSIDUE ARE REMOVED
ANO THAT THE INtERNAI OIAMEtEH3 OF
??
,
PIPING ARE NOi PENETRATED „p-re9 O NO
CUTOUTS pp YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO EN3URE THAT ALL
(019C9) CUi0UT3 (DISC3) ARE RE7RIEVEOt O YES O NO
HYDRAULIC NAME PIATE PROVIOED IF NO, E%PU11N .
OATR
NAMEPlA1E VE9 O NO
DAlE LEF? IN SERVICE WITH AlL CONTROL VAI,VES OPEN:
qEMA11K9
I NAME OF SPRINKLER CONSRAC70R
?
?
SL? ?fL?
jZo E iK
?-tj %r ?
i3-6e
INS-1'ALIA'iION Uf SPRINKLEN SYS"1'EMS
j
raro -o(
L
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR A PROCEDURE
Upan coirylatlon d work In%PeClon an0 tesb shall he mada by the mntraclar'e repieaenta?lve antl wlmassed Ey an ownaYa represamatHe. All datecls shall be carected and
sys?em lelt In servlca helore mmradofs personnel Iinally leave Ihe job.
A cenilcale shatl ba IiIkA wl end algned by Oolh rePre5enlalives. Coples shall 6e prenared la approving aulhodllea, owrier6, end mMraClor. II h underelooA ihe ownelf rep•
iesenlalive's signalwa In noway prejWlws any claim againsl mmratbr lar laotty mantWl, paor wakmanship, or lallure M mrtply wllh approv4g aNhafly'e reQUlremenis or
IocaloiAinances.
PROPEF7VNAME OATE
C7r.=?..E a,:.I .?:a? I -? -z-
PLANS
EOUIPMEN7l1SEI) IS APP{70VED
IF NO, E%PLAIN OEVIATIONS .l0-'9'ES ONO
yrtfa O NO
OF CONT(tOL VALVES AND CARE AND MAINTENANCE OF TIf15 NEW EOUIPMEN7T
IF NO, EXPLAIN
INSTNUCTIONS
I. SVSTEM COMPONENTSINSTRUCilONS
2 CAqE ANO MAINiENANCE IN57RUCTIONS
3. NFPA 17A
PREMISES:
`
O NO
O NO
? NO
a NO
LOCATION
OF SVSTEM SUPPLIESBl11LDINGS
r _ 7? kr?,- ?-' . ' .. ' - . .
MAKE
MOOEL VEAH OF
MANUFACTUFE OHIFICE
SIZE
OUANTITV TEMPEHATURE
RATING
1 7/3Z i5 2c
PNINKL E'J ' ?L ?? ?32'4?S • ? ? Z
S
FNS _
PIPEAND TypedP9e I'-f}IIIE? ' ` -f Sc-1-1.IP
2z-
FlTTIHGS tYpeafFitiings CAST ? Q,?7.y < Gn v ??fJ
pLppy
AIAflM DEVICE MAXIMUM TIME TOOPERATE
THROUGN TEST CONNEGTION
VALVE
OR FIOW TVPE MANE MODEL MIN, SEC.
INDICATOp
DpV VALVE
.
000
MAKE MOOEL SERIAL NO. MANE MODEL SERIAL NO.
DRYFlPE TIME TO TFIP
THRU TEST
CONNECTION'
WA7ER
PRESSURE
AIP
PflESSURE
TRIP POINT
AIRPPESSURE TIME WATEp
REACHED
TESTOLITIET' ALARM
OPENATED
PNOPERLY
PENATNC
iEST - MIN. SEC. PSI P51 PSI MIN. SEC. YES NO
WAhoul
O.O.D.
Wilh
O.O.D.
IF NO. E% PLAIN
' MEASUqEO iHOM TM/E INSPECiOq'S TEST CONNEC710N IS OPENED.
BSA 00.BP1 PRIN i ED IN US A. (OVE fl)
,
I _Klik-z
-?, ? ? :,: . . . . . .. . . . . . .. . . . .
CONTRACTOR'S MATERIAL & TEST CERTIFICATE FOR ABOVEGROUND PIPING
pROCEDURE ;
Upon compla?lon d xcek trepxlWn aM Iqta ttull 6a made tiy Na conkaqor't repraamapw and wlmeewd by an owlMfs reprwnlYMe.llil defed@ thall W arracled and
ayaum Ibll ln aeM[a Defore mmtutWa penannal Ilnaly bave Ihs joh.
A arldkme aAal Es IAled aul and e nad by OotA represmla?lve,. Copfn shaG hs prapvad Iv e?{proNnp eu1ha11Ne owron a,
. M mMractoL R Y undunaa0 tlro ownafi rqr
taeal reraMatlw'S Npnawn In ro wey praWfcae any daim apainat wnVaaor Iw IauMy maierW, poor warfunmship, q la?un ro cairyy wllh oppmvNq aulhalys requlremer4s a
adnanps.
P ER7YNAAIE ?al y Q^
PROf+ENttA00RESS / I
. )/w 1Iw 1 ` .n /?Yl ! /? 9A ? A/?. YD xf- .. 7
vuNs
IHSTNUC710NS
11`141wtUlNtlWNhVMM51UM:OtYitUYUIN`J 0 YE9 ONO
EOUIPMENT USED IS APPROVEO O YE9 O NO
IF NO, E%PUIN DEVIATIONS
3 PERSON IN CHAHGE OF FINE EOUIPMENT BEEH W9THUC7ED AS TO LOCATI
CAN7ROL VALVES ANOCARE ANO MAINiENANCE OF h113 NEW EOUIPMENT7
10. EXPUW
HAVE COPIES OF THE FOILOWINO BEEN LEfT ON iHE PPEMISES: O YE9 O NO
1. SYSTEM COMPONENTS INSTRUCTIONS O YE9 O NO
2. CARE AND MAINTENANCE INSTRUCTION$ O YE9 O NO
8. NFPAI3A OYES ONO
LOCAnN
OFSYSTEM SUPPLIES BUILDINGS
MAKE
MOOEL YEANOF
MANUFAC7URE OHIFICE
SQE
IXIANTITY TEMPEMNRE
RATWO
SPitlNKLENB
.
%PE AHD Typs W Pbe
RTi1NG9 TypsdFlUlnye
AtARN ALARM DEVICE MAIIIMUMTIM£700PERATE
THHOUGH TEST CONNECTION
VALYE
OR ROW TYPE MAKE MOOEL MIN. SEC.
INpCATOR
DRY VALYE O.O.D.
MANE MODEL SEANIL NO. MAKE MOOEL SEFIAL NO,
" ? ?. /99 F 3
DBY RPE TWETOTRIP
THRU tEST
CONNECTION'
WATEN
PqESSURE
AIH
PHESSURE '
iHIP POINT
AIHPHESStIRE TIMEWATEN
REACHED
7ESTOUTIET' ALARM
OPEMTED
PROPENLY
OPFAAnN6
TE9T MIN. SEC. P51 P91 PSI MIH. SEC. YES NO
wenan
O.O.D.
S / ? ?
wnn
40.0.
If ND. E% PLA W . • AIEASURED FfMlA TIME NSPECTOWS TEST CANNECTION 190PENED. .
BSA{IQB81 PRINIEO W U.S.A. (OVEP)
•y-UI
r
OPEMTION
D PNEUMATIC O ELECTHIC 0 HYDflAULIC
PIPIfJf1 SUPEH4ISED YE9 O NO OETECTING MEDIA SUPERVISEO p YES O NO
DOE9 VALVE OPEpA7E fflOM 7HE IAANUAL 7HIP.1Nn+OA pEMDTE CONTHOL STATIONS ? YES O NO
OELUGE i ACIL W EACH GIR I Op TEST I NO, XPLAIN
PREIIGTION . .
YALVES
'I
p YES O NO
DOESEACH
I I pA 5 EAGH CIFCUIT MA%IMUM TIM O
MAKE MOOEL SUPEflVIS10N L0.SS ALARM OPEflATE VALVE REIEpSE OPEPATE NELEASE
Yk:S V S NO MIN. S C.
???? ??ft Y nal Iw, Uian 100 pl (110 buq tw Mro Aoun ar 50 pel l3.4 Oanl a0ove pa6c prauura N ettwA
tE0 (1Q2
I la Mv haun. DdleramlW d7-ppa vaAv dappau Myl6e ieh apen duhp iea io prevent aamapa. ai aboveprouM plplnp leahapa
p
TEST ?,
sMO p?
DESC7tlPilON
Q[?MA??? EYabYth 40 pel (2.7 b]n) aY ypfuw and meafura drop whlch shaY nal e?cae0 1-12p? i(0.1 ban" In 21 houn. iesl pressure
?anb al nanlul wYaf bvN anC a4 un and musure alt afue d MJCh sha? nat eawea 1• 12 I 0.1 barm N 24hours.
ALLPIPW6HYOflOSTATICAl1YTE57EO AT=P51 FOfl=HflS. IFNO,STATEpEASON JJ^?/' /
DHYPWWO;?NEUNATICILLLYTESTED O NO ? ?
EQUWIIENTOPERATESPiiOPEHLY WYES O NO
00 YOU GEq71FYA9 7HE SPflINKLEfl CONTRACTOR iHATA001TNE3 ANn CORNOSIVE CHEMICALS, SOOIUM SILICATE OH
OEqIWTlVE50FSOOlUAI ICATE,BBINE,080THEPCONHOSNECHEMICALSWERENOTUSEOFORTES7INGSYSiEMSOH i
TESTS 3 iOPPW6LEAKSi igryEs O NO
DiWN FEADWGOFGAGELOCATEDNEARWATEA RESIWALPHESSUREWITHVAIVEWTEST
TEST SUPPLY+TESTCANNECTION: ??pS7 CONNECTIONOPENWIOE PSI
UNDEiWROWNW WAINS ANO LEAO W CONNECTbNS TO SYSTEM flISERS FU15HED BEFOpE CONNECTION MAOE TO SPqINNLEP PIPING.
YEpIFIED gY COPY OF iHE ll FOR4 NO. 658 O YE$ O NO OTHER EXPLAIN
ausHEn BY wsTULER oF uNOEA-
CiFi0UND8PRWKLENPIPWti P YE$ Q NQ •.
BUNK TES71lp NUMBEA US I.OCATpN9 NUMBER HEMOVED
GABKFTS
WELOEO PIPMll3 O YE8 0 NO
IFYES... ?
00 YOU CEHTIFY AS iHE SPHWKLER CONTpACTOp iHAT WELDING PROCEDUHES CAMPLY
. WI7H THE NEOl1iHE?IENTS OF AT lEA$T AWS OtO.q LEVEL AR-7 C O YES O NO
WFypNG 00 Y011 CERTIFYTHAT THE WELDING WAS PERFORMED BY WELDERS OU.eLIFIE0IN \G
COMPLIANCEWIiNTHEFEWIpEMENTSOFATLEA4TAW3010.9,LEVElAp-3 aYES oNO
DO YOU CERTIFY THAT WELOING WAS CARRIED OUT IN CAMPLUNCE WITH A
DOCU{dENiEU Q11AL11Y CANTHOL PHOCEDURE TD NSUHE THAT ALL DISCS ARE
. RETNIEVEO, iHAT OPENINGS IN PIPING ME SMOOTH, THAT SLAG ANO OTHER
WELDIN(3 RESIDUE ARE REMOVED, ANO THA7 THE WTEFWAL OWAETEFiS OF
PIPUK3ARENOTPENETqAiED p YES O NO
GUTOUT9 - 00 YO11CEpTIFYTHATYOUHAVEACONTROLFEATURETOEN3URETHATAII
IWSCSI CIJTOUT9 (OISCS) AflE RETpIEVED7 o rES o No
MlOpAUUC MWE MATO PflOVIDEO IF NO, EIfPUW
DATA
HAMEPLATE O YES O NO
DATE IEFT IN SERVICE WI7F{ ALL CONTpOL YALVE8 OPEN:
HEWRKS
OLSEN FIRE PROTECTION, INC.
SICNATUPEi
resTS wnWEssen ar
J
-" ?
i PI{_
u•n q:.rK
'??t-hn ?1C?CL ?NCI d/U -0!
tl OLS EN FIRE PROTECTION INCORPORATED
997
Mendota Homes
1068 S. Lake St., #212
Forest Lake, MN. 55025
RE: Hedlund Office Bldg.
2005 Pin Oak Dr.
Eagan, Mn.
Gentlemen:
Olsen Fire was notified of a valve problem at the above named project. Our fitter
noticed during the 2" drain test that rocks were going through the piping.
It is the underground installing contractors responsibility to properly flush and test
the supply main.
Olsen Fire Protection is concerned that there may be rocks or debris in the
sprinkler system that may cause blockage and system failure.
The system was left in service for fire protection, however, Olsen Fire Protection
will accept no liability for system failure due to blockage and recommends that
internal inspection and possible back flushing be completed to insure the
integrity of this system.
Respectfully,
Tim Rya?
Project Manager
TR/dc
cc: City of Eagan
321 WILSON ST. N.E., MINNEAPOLIS, MN 55413 9 PHONE: (612) 331-3111 - FAX: (612) 331-1161
7A$415Rz Js T'E'"'NJ:t'41. ?'n. ?e.E.
RATc9 WiW? "."'t.-: M5.7.10
:r.,.
.iQ! McMM '-ICNES ''iC
321.9 5m c?OS PrN QA! ='^ MR`s
1195 9001 ?_UPS '7^; f.^'' rc? .03
1
? •
t
?
? . ,
'-'r:l' F>n?-.??•i?,-,i CT?r1Jt??+• i(-„',C?i
'F? ..,.
,cM
? , .",:: ? :<v?.?•+"? Vc Y i : nr;:;Yx < > ? ;r ;. ;r it ..>a?.. -:
I
? bItY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
029742
04/16/97
SITE ADDRESS:
PERMIT
2005 PIN OAK DR
LOT: 1 EiLOCK: 1
RAWN RIDGE 2ND
DESCRiPTION:
(CASSIDY S CO)
ermit Type COMM./IND. MISC.
'I dstqg. mk Type ALTERATION
??rfaw#' tod,i N 437 ALT. NONRES.
g= ??q nun
r*'" ?y? ??d,`?" ,'?% ,?iN' ??.., "? d
?
REMARKS:
FEE SUMMARY:
VRLUATION
Base Fee
5urcharge
Total Fee
$162.25
5.06
$167.25
$10,000
CONTRACTOR: _ p p p 1 i c a n t- OWNER:
MENpOTA HOMES INC 26886342 DECALLA PROPERTIES
P 0 BOX 416 2005 PIN OAK OR
FORESTLAKE MN 55025 EAGFlN MN 55122
(612) 688-6342 - (612)405-6600
Y hereb?, ?ck?ow? Qd`g.s Ih? #aylk r404 tk?f$ 4pprtcot"isrn' 4n41state t'Nat the
i ,'°m?t5•an a:sr 'vei^r?,uct 4adr.49 re?§, to coinpwtrh°i??f "Pllep?bj-a State iof Mn,
1997 BUILDING PERMIT APPLICATION (COMMERCIAL) ? q ?r`
Xq442: CITY OF EAGAN
687-4675
The following are required with appropriate ceAfieation far all D.U construction:
• 2 each: architectural plans; mech. 8 elec. plans: fire sprinkler plans; strudural plans; site plans; landsceping plans; gradingldrainage/erosion control
plan; utility plan
? 7 each: set of specifiwtions; set of energy calculations; elec[rical power 8 lighting fortn; Special Inspedions & Testing Scheduie
? Letter from MCANS (phone 5222-8423) indicating SAC determination
? Code analysis indicating: codea used; occupancy classifications; setbacks; mauimum allowa6le eree as per Building and Ciry Codes along with sq.
R. per floor; type of eonstrudion (synopsis oi construction components) & any oecupancy or area separeGOn walls;
occupancy loads; exd synopsis with a diagrem indicating exRing loads from each roam or area, havel paths & all reted
corridore; plumbing fixtures; and parking.
DATE: Adr-l 9lG?' 7
WORK TYPE: _ NEW _ REMODEL
DESCRIPTION OF WORK: h.' n; s h u;?Akr e 5?9catP
CONSTRUCTION COST: l0i d vd TENAN7 NAME:
SITE ADDRESS:
v
,?. .,..
LOT--?- BLOCK J_ SUBD.
PROPERTY Name: De,.. 11q Ls de? L('S Phone #:
OWNER ?* ?a.*
StreetAddress: aoc.';s ?`•^????
City: State: M? Zip: Ssi ?-Z
CONTRAC70R Company: /he,Jv/u /•Ia-P? •`'-j c Phone#: 12 2
Street Address: n- c?. 'L ? L216 ? u
City: da i es ? /a 14 e Zip: SS°??
ARCHITECT/
ENGINEER
APR
. ?i.
Company: 711
Name:
,
Street Address:
Phone #:
Registration
Ciry: 5 3L,' ? I -?.? /"- State: 11,q y Zip:
8 water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the informatian is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan OMinances.
Signature of Applicant: 1
OFFtCE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind
19 Comm./Ind. Misc.
? 20 Public Facility
? ?..
? 21 Miscellaneous
WORK TYPE
? 31 New -119?3 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq . ft. MC/WS System
First Floor sq . ft. City Water
sq. ft. Fire Sprinklered
sq. ft. Census Code 1?37
sq. ft. SAC Code 30
sq. ft. Census Bldg.
Footprint sq. ft. Census Unit d
Building Engineering Variance
I?
Permit Fee
Surcharge
Plan Review
MC/WS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
qL
Valuation: $ /0,000
C{TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
2005 PIN OAK DR
LOT: 1 BLOCK: 1
RAHN RIDGE 2N0
PERMITTYPE:
BuILp=NG
Permit Num6er: 028115
Date Issued: 0 7/ 0$/ 9 6
HEDLUND ENGINEERING
?-Permit Type COMM./IND.
c3?c?c Type NEW
t??SclYtcy B S-3
ctT" -pe V-N
P D
'g 4-ecs4C'h 164
wg W' dch 72
F 8;,?t?„?? ' 11 , 808
vC'"e 324 OFFICE/BANK
??4? s,;??
?? ?" '?`w`?':? ?, y a ? 3 aI
REMARKS:
S 6 W PLBR - MURR PL66
FEE SUMMARY:
VALUATION
Base Fee
plan Revaew
Surcharge
SAC
SAC %
SAC Units
SubtoCal
$3,418.50
$2,222.03
$312.50
$3,600.00
100
4
$9,553.03
$625,000
CSTY 5AC
S & W PERMS7
3 & W SURCHARGE
TREATPiENT PLAN7
ROAD UNIT
PARK DEDICATION
TRAIL DEDICATION
WRTER QUALITY
Total Fee
$460.00
$100.00
$.50
$1.584.00
$1,838.90
$4,269.00
$1,260.00
$13.609.00
$32,595,43
CON7RACTOR: - Applicant - OWNER:
MENDOTR HDME TNC 24649055 HEDLUND
P 0 BOX 416 9201 E BLOOMSNGTON FRWY
FtlRE57 LAKE MN 55025 BLOOMINGTON MN 55420
(612) 464-9055 (612)588-0289
?
i . ?. °.'r ?'. . #, 1
?. . .,.. . ? . _ ?
CITY OF EAGAN g
isiti 1996 BUILDING PERMIT APPLICATION (COMMERCIAL)
681-4675 ?
The following are required wiN appropriate certificatlon for all pM eonstruction:
. 2 each: arohkectural plans; mech. & elec. plans; Tire sprinkler plans; structurel plans; site plans; landscaping plans; gredin&dRInagelerosion control
pian; utility plan
. 1 each: sat of speafications; set ot anergy cekulatiorre•, electAwl power ffi 1igMing form; Speciat Inspections 8 Testing Schedule
? Letter from MCMlS (phone #222-8423) indicating SAC detertnination
? Code analysis indiwtlng: Codes used; occupancy Gassfiwtions; setbadcs; maximum allowable erea aa pet Building and City Codes along with sq.
ft. per floor, type of construc6on (synopsis oT construdion companents) & any occupancy or area separation walls;
occupanCy loads; exit synopsis with a diagnm indicating exiting Ioads Trom each room or erea, travel paths & all rated
cortido1s; plumbing fixtures; and parking.
DATE
DESCRIPTION OF WORK:
WORK TYPE: _ NEw
CONSTRUCTION COST: em ^ 0. ENANT NAME:
SITE ADDRESS:
LOT --L BLOCK
Name: Phone #: -d ?
U6L FW6T
mm
SUBD.
REMODEL
LGG&a 6X)4P5j"
?.
.I.D. #
2t--240 AU/77+A?
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
6-'' I;c F. ? NILED
3 _1996
`7_? ______ -
Street
PAJ
b
Ciry: ??? ?'ll? Tlw1 State: IN4_ Zip:
Company: M0L0d ? &99;::: UG Phone #: ? G p
Street Address•.?T,??6
Ciry: Z,p:
Company: J?& l?c &44
Name: VWi/iES ? /,44J
Street
Phone #: 351- 7667
Registration #'
City: %.. State: ? Zip:_sZ?
Sewer & water Iicensed plumber:
I hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
correct and agree to comply with all
? 1fJ
? J/?7K??1-
!\f'?.7
OFFICE USE ONLY
BIJILDfNG PERMIT TYPE
.. r"4? ikn ,r. ?Yi
? 01 Foundation o 19 Comm.llnd. Misc. ? 21 Miscelianeous
6P'?l 8 Comm./l nd. ? 20 Public Facility
WORK TYPE
6p'?31 New o 33 Alterations o 35 Tenant Finish
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Consf. (Actual) ? Basement sq. ft. MC/WS System ?
(Allowable) 6 N First Floor sq. ft. //, floy City Water v?
UBC Occupancy sq. ft. Fire Sprinklered ? s
Zoning sq, ft. Census Code 3 zy
# of Stories / sq. ft. SAC Code so
Length ffg'Y sq. ft. Census Bidg. /
Depth -77- Footprint sq. ft. A'Jl? Census Unit /
APPRC'1VALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ?o LS, o00
Surcharge
Plan Review
MCN11S5AC 3,/000,? U
CitySAC S
Water Conn. h/A
SNV Permit /bo.o?
3v
S/V11 S
h ?
?
urc
arg e • (?
TreatmenfPl. 5;-t; y? 39&fy ti{i
?63
v
Road Unit /, f53S, 9O- /z9.,rX I-YZ U
ti
Park Ded. ?/. 260. o0 2S x ?i ?
Traiis Ded. xS-o,oe
Water Qual. l3,/ao9.? ?p
Other
Copies -
Total:
l•'
% SAC
SAC Units
Meter Size
10,
?
CITY USE ONLY
PERMIT #: RECEIPT DATE: 3- I 3- C? I
APPROVED BY: ? r (, INSPECTOR
COMMERCIihL MECH4N1Ci4I. PEfiMIT APPLICATION
CITY dF £A6RN
3$30 PILOT KROB itD
fRH,4N, biN 55122
651-6$I-4675
Please complete for: aii commercial/industrial buildings
multi-family buildings when separate permits are not required for each dweiling unit
DATE)2I o?1O0 /
?. '
SITE ADDRESS: _0?00$ a?, 1vqig, /? .
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: 6111?14& -?MB.S _ a-e. . `
nDDREss: ?'lo50Y Ao?r. _j6r.* PHONE#: 651 - 45a-4?75
(AREA CODH)
CITY: STATEqj;?,_ZIP: Jr5/o2o.'.
WORK TYPE: New conshuction Ins[all U.G. Tank
? Interior Irnprovement _ Remove U.G. Tank
_ Processed Piping
Specify Nature
When instafling/removing underground tank, call 651-681-4675 for inspection by Fir MarsHaf-and-
Plumbing Iinspecton ? U? ?i?r L J
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. 5MQR OR 2OO1 I
Underground tank removaVntstallation = minimum fee iu u
Contract price: $? 0 T9 ? 1%= $ 07k"19 (Base Fee) i,"---
State surcharge 150
TOTAL $ 5O• 5O
calculate at S.50 For each $1,000 Base Fez
SI URE OF PE T
Updated VOl
CITY USE ONLY
PERM[T #:
RECEIPT DATE:
RESID£NTIAL MEGHANICi4I. PEgM1T APPLICA1'ION
crrY oe EwsAN
3$30 PILOT KNOB {iD
EAfiAN biN 551 EE
651-691-4675
Please complete for: ? singie family dwellings
townhomes and condos when permits are required for each unit
Date
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS;
CITY:
TELEPHONE #:
(AREA COOE)
TELEPHONE #:
(AREA CODE)
STATE: ZIP:
Dl?rn o r6ur4 mer4 nnv} }. }ho normi4 wnr4 tuna
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existinq dwelling unit $ 50.00 I
• fumace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ 50
Total $
Reminder: Call for inspections.
SIGNATURE OF PER:vtITTEE
lJpdatcJ V01
..
tlt Metropolitan Council
Working for the Region, Planning for the Fufure
Environmental Services
May 10,.1996
Mr. Joe Voels
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Voels:
???L u,tJ D
c'N ei/h(Eg-v- e+j r7
oqyL lp 72.
72?VciE 2i4o
The Metropolitan Council Environmental Services Division determined
SAC for the Hedlund Engineering/to be located at Rahn Road within the
City of Eagan:--- - -- '
This project should be charged 4 SAC Units, as determined below.
SAC Units
Charges:
Office
4938 sq. ft. @ 2400 sq. ft./SAC Unit 2.06
Office (Lease Space)
4063 sq. ft. @ 2400 sq. ft./SAC Unit 1.69
Total Charge: 3.75 or 4
If you have any questions, call Jodi Edwards at 229-2113.
Sincerely,
,
?I-e-A, 1V
Roger W. Janzig
Planner, Municipal Services Section
Wastewater Services Department
RWJ:JLE
96051053
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
John Klem, Mendota Homes Inc.
r.
Z ?j I I S'
230 East FiRh Street St. Paul, Minnesota 55101-1633 (612) 222-8423 Fax 229-2183 1'DD/1"PY 229-3760
an eauat onwm,.?ny Eapmyer
•'46883291
...TUL-09-96 TUE_02:40 PM__63636,82.4M37.,-.._""___"8_83291__'"_"'...._.._._.,_P..05_..._
.______'
•??d2v^?E18-1995 15v06 FROP1 MCCqNKEY 8 RS59CIR7ES INC TO 6883231 P 02 `?
? JVL?tl6?'YO NCL Vi•?° ?"
? es?4x7?L s?1e117tet'tox 7am 'saTx7tQ paifileoab
??w ? r??1 A? •ceordenc? vlth thr 'av Wrliq*d 909 OF"i" Fnrpoeelclf and 'rOaOing'j
IroJSrr Kl?+IS E/? A w ?' rr.• A__._c?(? .'l?.:, .. _ pROJECx Np.
-"" rerxrr ?+o.
......,,.,,... ..wM.111..
:rpo ot ?¦vesro AM?{4A?d
I . n
• .?
e d
?
•
f q' OpOYDS ..?..
i
IN?? 11
thls ro?dvte ka b+ iLif?i we ??r+etudod ln ab?f P?l?4t ?P?eliioatlnn. !nlexmslie?r
vMliPai1644 s! {Mit t11pO !1 ie it11N 0Ut MMn 4pPXYLn4 tor 6 bui3dlny permic.
1l1-; Qora t Na. Co be Q:eviAod by tltM iaiidlOq 0li1a141.
orM ilezlptlane p.r n.s.c. s?stson 17atf
{7? treo ?L fNtlpltlk9Ts ttetin(1 htgne er t:Driester.
?1? 1'l:eu evatisof+l? te pesE+rM sesviaea.
AC?MOMl,t0s17?Ml?
ilob ?9Pk?ptl?4?w rrOr???ntatlv! Mvst tiyn Y*lw??
orn?n C. Contc?eteRi Atteu bate?
I+cchl
?t?? Tine+. 9stat
? ett
Thi it?mi C?tes
7Ai,?_ fitm? OaH? _
rt?fqlt C?t•t?
r7 -, - -- - IlliRl O?tOt
• sM tnn??l.iio?L n.wp of O13 PrVrp"ttro 006061 Lnspltteta And cn• +soch lhay J.ntgnd ce,;,,
eel.rv.lonsti W 1dGatstilid •n th. YiYoice 01.e41 oc tai. corm.
L"end:l seR • 1tYYttYgo3 OIlyltlNt oi AOcvtd OI • rpeclal inspooter
SA ¦ Tertlnq Aqdne ? m DabrlraWr
3UL-W-1996 14+55
i
TOTAI P.02 -931 P_02
r
r
l7
EAMW...<
JAMES NELSON McKELLIN III -ARCHITECT
May 13, 1996
CODE SUMMARY
HEDLUND OFFICE BUILDING
RAHN ROAD, EAGAN, MINNESOTA
PREPARED BY JAMES NELSON MCRELL
APPLICABLE CODES
,
Minnesota State building Code
1988 edition, Uniform Building Code
Eagan City ordinances
OCCI3PANCY CLASSIFICATION
General Office Use
SETBACKS PERMITTED PROPOSED
(Min)
Building
Front 40' 99,
Side 20' 25'
Rear 20` 20'
Parking
Front 20' 20'
Side 5' 26'
Rear 5' 24'
Allowable Height 40' -25'
Building Area
Building Type - 5N sprinkled.
Office and Lobby 9,948 s.f.
Garage 1,860 s.f.
Total 11,808 s.f.
page 1 of 2
1632 MEADnW LARK DRIVE, STILLWATER, MINNESOTA 55082 612-351J667
I
.
0800...<
JAMES NELSON McKEILIN III -ARCHITECT
page 2 of 2
Building Area Based on Lot Size and City Code
Lot area 61,687 s.f.
.
Maximum building area
.35 g 142,042 s.f. = 21,590 s.f.
Proposed building area 11,808
Type of Construction
Type 5N, 1 hour exterior walls, party walls and garage was.
occupant Load Area Number
Office A 4,938 17
O£fice B 4,068 25 (unrented)
Garage , 1,860 3
Total occupant load 45
Exit Requirements (Egample #1)
1. Two exits from all areas.
2. Maximum travel distance each area = 70 feet.
200 feet allowed.
Plumbing Fixtures Permitted Proposed
Office 9,948 s.f. g 50 persons 45 persons
1 person per 200 s.f. 3 water closets 5 water closets
4 lavatories 4 lavatories
1 drinking fountain 1 drinking fountain
1 service sink 1 service sink
Required Parking
Office 9,948 s.f. x.S = 7,958 s.f. g 1 car per 150 s.f. = 53 cars
Parking provided 47 spaces in lot
Proof of additional parking 6 spaces in,garage
Total potential parking 53 spaces
1632 MEADOW LARK DRIVE, STILLWATER, MINNESOTA 55082 612-351-7667
00
_ city of eagan
TO: PAT GEAGAN, CHIEF OF POLICE
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL /
ELECTRICAL INSPECTOR I
PUBUC WORKSIENGINEERINGIUTILITIES/STREETS `
?GENE"VANOVERBEKE, FINANCE DIRECTOR 3
RICH BRASCH, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: DAL SC OEPPNER, SENIOR INSPECTOR
DATE: ? "'IFG
SUBJECT: PLAN REVIEW
MEMO
?
?2,qf/•v lQr ?j ? L
77o-t
The _ preliminary X construcfion plans for il?UUN6 Jiv41*JCZR1A16
are in our plan review section for your review and comment.
Please notify the Protective Inspedions Division if you have any reason that these plans should nat be approved and
resolve any problems wiih the affected parties. If you are requesting that issuance of the building permd be held, please
fill out the praper "hold° request fortn. ,
Commenb: ?L;7ene-4G°'!e K-o 4
W/ i (' _ ./7 i n?? i/ C%d 40 ! JYl Q? .
o?.
?
Indicate any fees that are to be collected with the building permit:
? Yes ? No landscape security required
? Yes ? No water quality dediqtion
? Yes ? No park dedication
? Yes ? No trail dediwtion
? Yes ? No Vee dedication
? Yes ? No
Amount
Signature Date
?+«.?..
Pa-? 4+.
_ city of eagan
TO: PAT GEAGAN, CHIEF OF POUCE !.?
JON HOHENSTEIN, ASSISTANT TO THE CITY AOMINISTRATOR v
OALE WEGLE3TNER, FiRE MARSHAL ?
ELECTRICAL INSPECTOR
GEN?E1 VANOVE?RBENKE, F?IN?NCE M?ES1SfREETS
?r ? ? DIRECTOR
RIC}i BRASCtI, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SEJiIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
MEMO
FROM: DAL SC OEPPNER, SENIOR INSPECTOR
DATE:
?j SUB.JECT: PL4N REVIEIN
??
The _ preliminary X- construcfionplansfor /?t6LaiV6
are in aur plan review section for your review and comment.
Piease notffy the Proteaive Inspectlans Division if you have any reason that these plans should nat be approved and
resolve any problems with tha affected partles. If you are requesting that issuance of the building permit be held, please
fiil aut the proper 'hold' request fortn.
Commen?X?_)4?? A,-C 9? -2Ja(.'til .a?' ? ?e?? 07--
0 Yes ? Na landsppe security required
? Yes ? No water quality dediptian
? Yes ? Na park dediption
? Yes ? No Vail dedipdan
? Yes ? No tree dediqtian
? Yes ? Na
ZZ, Signature
AmouM
/? ?6
ate
,l?.ew
Indicate any fees that are to be colleded with the building pertnit
?
_ city of eagan
TO: PAT GEAGAN, CHIEF OF POLICE
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE MARSHAL
ELECTRICALINSPECTOR
PUBLIC WORKS/ENGINEERINGlUTICITIESiSTREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COOROINATOR
MIKE RIOLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OP FORESTRY
FROM: DAL SC OEPPNER, SENIOR INSPECTOR
oA?: ?? C- ?, ?-?
SUBJECT: PLAN REVIEW
The _ preliminary X, construction plans for /?t2vGl/l-6
are in our plan review section for your review and comment.
MEMO
%
l2AN,v lQr 6 C) r.
b 61770AJ
Piease notify the Protective Inspeclions Division if you have any reason that these plans should not be approved and
resolve any problems with the affected parties. if you are requestlng that issuance of the building pertnit be held, please
fill out the proper "hold" request fortn.
camments: 4K - fn?ih P'* /cP R?`??t?V? ;E/2n5 11-?-
.
Indicate any fees that are to be collected with the building pertnit:
? Yes ? No landscape security required
? Yes ? Na water quality dedication
? Yes ? No park dedication
? Yes ? No Vail dedication
? Yes ? No Vee dedication
? Yes ? No
2
Signature
Amount
6'? `9/0
Date
pl?.iew
#b?
MEMO
city of eagan
TO: DIANE DOWNS - UTII.ITY BILLING CLERK
FROM: CRAIG KNUDSEN, ENGINEERING TECHNICIAN
DATE: DECEMBER 5, 1996
SUBJECT: STREET LIGHT ENERGY COSTS - LOT 1, BLOCK 1, RAHN RIDGE 2`''D
ADDTTION
I have computed the street light energy costs for Lot 1, Block 1, Rahn Ridge 2°d Addirion. Based on
1.42 acres multiplied by the 1996 rate of $4.35 for non-continuous lights, the rate is $6.18 per quarter.
Please start to bill this account with the next utility billing.
gineering Technician
e
CK/cb
S7REETI.1GH1'S 1Z/95.STATLITE.FRM/CB
_ . . . , vnie ..?8 . _ i•:'.,.?
t.
• i ? ` A 6 ` 4 f
l
Gy
?-? ; 4-1
- city of eagan
? Ll,
TO: DALE SCHOEPPNER, SEiVIOR INSPECTOR
DALE WEGLEITNER, FiRE DEPARTMENT
RICK SRADLEY, ELECTRICAL INSPECTOR
PAUL OLSON, SUPERINTENDENT OF PARKS
PUBLIC WOR!<S/ENGINEEF2ING DEPARTMENT
DIANE DOWNS, UTILI'fY BILLING CLERK
MIKE RIDLEY, SENIOR PLANNER
BOB KRIHA, UTILlTIES
FROM: BILL BRUESTLE, SENIOR INSPECTOR
DATE: //I/g/gG
SUBJECT: FINALINSPECTION - Nedlund Eny1n¢er;ng
nv MEMO
The Protective Inspections Department will be performing a final inspection of
5 -4)in 0ak ,llr;ve. on /d/a/9lo . A
Certificate of Occupancy will be issued following our approval.
If you are requesting that the Certificate of Occupancy be held, please fiil out the
proper hold request form. Failure to return the hold request form will be considered your
approval. The person or department requesting the "hold" is responsible for notifying and
resolving any problems with the affected parties.
Senior Inspector
WBfjs
FINAL-FM.1ST
L ? gL OFFICE USE ONLY
? d RECEIPT #:
SUBD. ? DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD ,
EAGAN, MN 55122
(612) 661-4675
Please complete for: w ail commerciaVindustrial buildings.
. muRi-family buildings when separate permits are D4I required for each dweliing
unit. ? ?
DATE: ? a a- s? CONTRACT PRICE: /?
WORK TYPE: _ NEW CONSTRUCTION Y ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER R REQUI 7?<YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FL GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES K NO'
FAILURE TO VIDE T INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEMT X'YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.O. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1°k of oonfract price, whichever is greater. State surcharge of $.50 per
$1,000 ot RgL3lij fee due on all permits.
CONTRACT PRICE x t% oQ.
STATE SURCHARGE !1(7
TOTAL
SITE ADDRESS:
TENANT NAME: --?4GCR-C'<U STE. #
OWNER NAME:
INSTAILER:
ADDRESS: -?e
1 ?'
GU
CITY: AU&41? STATE: A??2 ZIP: 's?
PHONE #: SIGNATURE:<??a`>`P ?
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: / Z Y Z(o INSPECTOR:
L BL
SUBD.
CITY USE ONLY
1996, P.LUMBING PERMIT (RESIDENTIAL)
RECEIPT #:
DATE:
CITY OF EAGAN
3830 PILOT KNOB RD
- EAGAN, MN 55172
(672) 661-4675
,„ .
..
?
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ? TOTAL
Shower 3.00 x =
Water Close 3.00 x
Bath Tub 3.00 x -
Lavatory 3.00 x
-
-
Kitchen Sink 3.00 :c T
Laundry Tray 3.00 :c l =
Hot Tub/Spa 3.00 :< _
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet " minimum 1 3.00 :c =
Rough Openings 1.50
Water SoRener 5.0 x
Private Disposal ' Dakote cty. iicen e 65 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to exisang 20.00 =
Water Tum Around 20.00
.50
SITE ADDRESS
OWNER NA E:
INSTALL NA
STREET
CITY:
PHONE #: (
?
STATE: ZIP:
'A
L BL RECEIPT#: 7440 1
SUBD. LL?- 4 RECEIPT DATE: `5 a 9 ?'I ~I
1997 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAOAN, MN 55122
(612) 681-4675
Plsase complete for. . aIl tommerciaUndusMel buildings.
• mutti-tamiy buildings when separete permits are aQj required for each dwelling unk.
. badcflow preven0er tp be insfelled in commercial areas or residential boulavards .
DATE: ?/ WORK TYPE: _ New Const • AddAn Repafr
OESCRIPTIONOFWORK:
IS WATER METER REQUIRED9 _ Yee _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yea _ No
INSTALLING METER7 _ Yes _ No. NEW SERVICE? _ Yes _ No WATER FLOW: GPM.
Pressure ReduGng VaMe may be required if instatling new servlce - contact City's Enpineering Departrtrent at 681-4646.
FAILURE TO PROVIDE THE A80VE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE
FEES
Minimum fee of $25.00 or 1% ot contract prioe, w;iichever b greater. Minimum Stete Surchaige of $.50 due on sll perm(ts.
CON'lRACT PRICE: $ ,;3l/ (/ . t"o x 1 % = S
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
BACKFLOW PREVENTER $ 25.00 = $
WATER PERMIT (new service only) 50.00 = $
WAC (per conneMion) 780.00 = $
WATERTREATMENT (peraonneaion) 420.00 = E
CITY INSTALLED TAP 300.00 = $
METER: 1" = St &5.00 , 2" TURBO = 5846.00 = $
PERMIT FEE $
FIGURE SURCHAROE AT W CENTS FOR EVERY $1,000 OF PERMI FEE DUE STATE SURCHARGE $
TOTAL $
1 hereby acknowledge that 1 have reed this appliration, state Mat the infortnetion is cortect, aM agrae to comply wtth ell epplireWe Ciry M Eegan oMinances.
k is the applicant's responsitiliry to notiy the property ormer that the C4y ot Eegen easumes no liabiliry for any damages nused by the Ciry during its nonnal
operaNonal and maintenance ectivi[iea to the dlRiea construGed under thls pertnR within City propeRyfrigh4o6wey/easement.
14 Dal, /??
SrrE ADoREss:
TENANT NAME: STE. A :
<
OWNER NAME:
?J
J
?-
Cel
CZn
"
C
?/
/L.y
.
INSTALLERNAME: . TELEPHONEiF:
/
!
a
y
., h
/?-f / -yL
?DLX
STREET ADDRESS: .
CffY
???ou I?/ STATE: / / /N ZIP:
:
/3? ?(A ULUCLLi'/71
APPLICANTS SIGNATURE
oFFIce ueE oxLr-REVEnae aoe
OFFICE USE ONLY
PIiJAA6iNG PERMIT (COAhINERCWL)
METER SIZE
Domestlc
Irrigation
UTILITY CONNECTION fAPPLIES TO NEW SERVICE ONLY1
/?w
Building Inspector -
,.
•I'RV _ ye". . , ;,r':V
f
9ate
]_Qdetermine metsr sirg
• See if it is indica'ed on back of Building Inspections card
• Enter address ir PIMS Screen 301 to obtain S8W permit #
• Check PIMS Screens 110 (Remarks)
• Ii gallons per mi2ute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer will be required. This infortnation is to be supplied by the designer of the systert Cor.suit wkh Wlumbing
Inspector if .J.Jcensed Ptumber does*not know GPMs.
Check PIMS Screen 320 foraR°roval of inspection results. No meter will be sold before all sewer and water inapections are
complete on a new service. If new service lines are not required, one check may be writcen fbr meter and permit costs. Write
meter type and size on receipt, code to 3716-9220 (metetAORitsn oniy), and forv6erd co(ry to Utiliry Billing Cierk.
Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy' of receipt should be given t» Utility Biliing
Clerk. • ` Miscelianeous Infortnation The instailer is to contact Building Inspections at 681-4675 fbr inspection of the inside water line and backflow p2venter. Tha
Public Works Department may be reached at 681-4300 for water tum-on.
if ineter is over 5/8, pll Public Works and let them know so they can teil you rf they have one in stock before plumber goes
overthere.
OFFICE USE ONLY Iy p?
SUBD. B_?? RECEIPT #:
RECEIPT OATE:
9997 PLUMBING PERMIT (COMMERCIAL)
CITY Of EAGAN
3830 PILOT KN08 RD
EAGAN, MN 56122
(612)681-4675
Please complete for. . all eommefciaVindustriel buildings.
• mutti-famlly buiWings when separaM pertnits are= required ior each dwelling unit.
?? baekflow preveMer to be installed in commerclal ereas or residentiel boulevards DATE: '? '//?? WORK TYPE: _ New Const. ? Add-On _ Repair
DESCRIPTION OP WORK:.,ryG4PLr
IS WATER ME7ER REQUIRED? _ Yes No. ARE PLU3HOMETERS TO BE INSTALLED? _ Yes _ Na
UNDERGROUND SPRINKLER SYSTEM
INSTALLING METER9 _ Yes _ No. NEW SERVICE? _ Yes _ No WATER PLOW: GPM.
Pressvre Reducing Valve may be requiretl H installing new service - contact City's Engineering Department et 661 -4646.
FAILURE 70 PROVIDE THE ABOVE INFORMATION WILL RESULT IN A OELAY OF METER ISSUANCE
FEES
Minimum fee of $25.00 or t% of contrad price, whichever is greater. Mlnlmum Stete Surcharge of $.50 due on all pertnits.
CONTRACT PRICE: S DB? CS? x 7% = $
?? h•
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINNLER SYSTEM
BACKFLOW PREVENTER FEE $ 25.00 = $
WATER PERMIT (new service only) 50.00 = E
WAC (new servica only - per connection) 760.00 = $
WATER TREATMENT (new service only - per connection) 420.00 = $
CITVINSTALLED TAP 300.00 = $
METER: t" =$185.00 , Z" TURBO =$848.00 = g
PERMiT FEE g vr S, O?
FIGURE SURCHARGE AT 60 CENTS FOR EVERY $1.000 OF PERMIT fEE DUE STATE SURCHARGE S , SO
TOTAL $ ? ?• S v
I hereby edcnowletlge that I have read this application, sWte that tha informatlon is correct, and agree to compty with all applice6le Cily of Eegen ordinances.
k is the applicanYs responsibility to notiry the propeRy owner that the CRy of Eagan assurtres no liability for any damages caused by the City during ils normal
oparetional and maintenance aGivRles to thye? facilRies construeted under this pertnil within Ciry property/righMOf-wey/easemant.
SITE ADDRESS: ? D U S 7/ h %?Gt K
TENAN7 NAME: ?/ STE.
OYVNER NAME: !'? 2k . b' f?A'ti aS
fNSTALtERW1ME: 4liRSDIV J GLL vYl? I-iS TELEPHONEN: LI'-12' ?Zk0
STREET ADDRESS:
arr: AAlOvve?-? STATE: ???• ZIP: 17?3o?t_
-- -
° -A PL CANTS SIGNAT E
OFFICE U9E ONLY-REVERSE SIDE
OFFICE USE dNLY
PLUMBING PERMIT (COMMERCIAL)
METER SIZE
Domestic
Irrigation
PRV _ Yes _ No
UTILITY CONNECTION (APPLIES TO NEW 5ERVICE ONLY)
REVIEWED BY
Building Inspector
y72- ?1,7
Date
To determine meter size
• See if it is indicated on hack of Building Inspections card
• Enter address in PIMS Screen 301 to obtain 5&W permit #
• Check PIMS Screens 110 (Remarks)
• If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing
Inspector if Licensed Plumber does not know GPMs.
Check PIMS Screen 320 for a°°roval of inspecfion resuits. No meter will be sold before all sewer and water inspections are
compiete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write
meter rype and size on receipt, code to 3716-9220 (meter portion oniy), and forward copy to Utilily Billing Clerk.
Enter meter size, type, receipt #, date 8 amount paid on PIMS Screen 110. Copy of receipt shouid be given to Utility Billing
Clerk.
The installer is to contact Building Inspections at 681-4675 for inspeCtion of the inside water line and backfiow preventer. The
Public Works Department may be reached at 681-4300 for water turn-on.
If ineter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes
overthere.
,L/, ? 11 qak.- qe4?? ot d
MEMORANDUM
TO: PAT GEACAN, CHIEF OF POLICE
ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FIRE SHAL
PLUMBING INSPECTOR
ELECTRICAL INSPECTOR /L r
PUBLIC WORKS/ ENGINEERING DIVISION /UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: WAYNE MILLER, BUILDING INSPECTOR L? 6 7bj fifi /=f VG G I FG PD
DATE: ?i??OUOU??
RE: PLAN REVIEW
The _ preliminary -X- construction plans for SrFi yl3fi 5u1 re5
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 0 No
? Yes ? No
? Yes ? No
? Yes ? No
landscape security required
water quality dedication
pazk dedication
trail dedication
tree dedication
ZONING?
Signature
Date
CUTORMSlPLANRHVIHW WAYNEM
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: colrnnercial/industrial buildings
multi-family 6uildings whrn sepazate permits are S required foY each dwelling unit
'26Z'Z2'?; ";'
OS-6 __n
Date -7 / r y l p?
Site Address J"/`A Unit #
/
Tenant Name (if applicable) / c'G GyGC=
?j?? . Previous Tenant Name
Property Owner Telephone # ( )
Contractor
S[reet Address Z&/J t?.O_ i11W City
State /i//v ZipTelephone#
The Applicant is _ Owner / ntractor _ Other
W ork Type
Newconstruction UndergroundTank _Install _Remove
- Interior Improvement Call for inspection during installation/removal of tank
-
?
_ Processed Pipini,
e
Nature of Work: /
?
Permii Fee $50.50 Afinimum Fee (inciudes State Surcharge)
Contract Value $ ? 5 er-0 $ Permit Fee, -
x.01%
?
\
• If pemtit fee is $1,000 or less, add $.50 $? State Surcharge
??
?
?
If pemut fee is over $1,000, add $.50 per
$1,000 Permit Fee ? ?• t'?j
?
?
\? ' J? '=U S ?f)
?
%T
otal Fee
.
.
I hereby apply for a Commercial Mechanical Pemut a%acknowledge that the information is complete and aceurate; that the work
will be in conformance with the ordinances and codes of tlie City of Eagan and with the Mechanical Codes; that,I understand' thrs is
not a permit, but only an application for a pernut, and work is not to start without ermit; that the work will tie in accordance with
the approved plan in the case of work which requires a ieview and approval of pl
Applicant's rinted Name plican s Signa e
5e -7 - 26l0;?
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 PiloY Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-
Please complete £or: Single Family Dwellings
Townhomes and Condos when permits aze required for•each unit
DBte
Si[
Add U
i
#
ress
e n
t
Property Owner i / Telephone # ( )
?
Con[ractor
Street Address City
State Zip Telephone # ( )
The Applicaut is Owner Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total $
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernvt, but only an application for a permit, and work is not to start without a pernrit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
?-c ?- r 61 o a 1
V?
2?5 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ??? ?? ??
(?7 Telephone # 651-675-5675 FAX # 651-675-5694 ?L
a? I - 1 1
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code'Analysis (1)
• ProjectSpecs (1)
• Spec. Insp. & Testing Schedule "
• Soils Report (1)
• Meter size must be establishetl
1
1
1
1
1
1
• SAC determination - call 651-602-1 000
• Archdedurel Plans (2) sets
• Structural Plans (2)
• Civil Plans (2)
• Landscaping Plans (2)
• CodeAnalysis (1) "
• Certifirate of Survey (1)
• Spec.Insp.BTestingSchedule (1) "
• Meter size must be eslablished
• Project5pecs (1)
• EnergyCalculations (1) "
• Electric Power 8 Lighting Fortn (1) "
• Master Exit Plan (1)
• Emergency Response Sife Plan (1)
• Soils Report (1)
• SAC determination - ca11 6 51-6 0 2-1 000
. Fire Stoooina Submittals
. Archifectural Plans (2) sets
• CodeAnalysis (1)
• Project5pecs (1)
. Key Plan (1)
. MasterExilPlan (1)
• Energy Calculations (1) not always"
. Elec. Power & Lighling Form (7) not always"
• Meler size must be established-if applicable
l
1
l
d
1
• SAC delermination - call 651-602-1000
Call MN Dept of Heal[h at 651-215-0700 for details regarding food & beverage or lodging facilitics.
'• Con[act Building Inspections for sample and if required *** PeEmit for new building or addition will not be processed without Emergency Response Site Plan.
Date_i_/ L /, c5_ ConstructionCost Ici j bdx?)
SiteAddress Ztc? ?Rn Q4? D?r Unit/Ste #
Tenant Name ?cx? Former Tenan [ Name n11?
Is.?n ?Y1 ?nQSa?viNG
Description of Work ty?jQN tovr +`-G2f1'1CdQL_
PropertyOwner r{c+1>tu1'1? amVQ1M1tJ6 Telephonett(661 )_-4C-6
Contractor
Address City 11705j(::? h?
State Zip Telephooe # (4blO) (645?6'7CO9
Co?col-?-c -433?
Arch/Engr Registration #
Address City _
State Zip
?
Telephone # ( L? " '
I
n
n
Licensed plumber installing new seweNwater service: Phone #:
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
approyal of plans.
ApplieanYs Printed Name pplicanYs Signatut
OFFICE USE ONLY
Sub Types
? Ol Foundation
? 14 Apartments
D 15 Lodging
? 25 Miscellaneous
Work Types
? 31. New
? 32 Additian
? 33 Alteration
? 34 Replacement
? 26 Public FaciliTy
K 27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 35 Int Improvement ? 38
? 38 Move Bldg. ? 42
? 37 Demolish (81dg)* ? 43
'Demolition (Entire Bldg only) - Give P
Valuation 000' Occupancy
Census Code 437 Zoning
SAC Units '"" O ^ Stories
Nbr. of Units 4p Sq. Ft.
Nbr. of:Bldgs I Length
Type of Const . op Width
Required Inspections
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Founda[ion
Drain Tile
? 30 Accessory Building
C 32 Ext Alt Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
Demolish (Interior) ? 44 Siding
Demolish (Foundation) ? 45 Fire Repair
Reroof ? 46 WindowslDoors
CA handout to applicant
? MCES System `J
? Ciry Water ?
Baaster Pump
PRV ?
Fire Sprinklered
/Insulation
? Final/C.O.
FinalMo C.O.
Other
Roof Ice Pr Decking
? Framing _ Insul Final Pool
_ Siding
_ Fireplace _ R.I. _ Air Test _ Final _ W indows
? ?
^ Planning
Approved By:
----- --------------------------------------- -----
----------- ------------------ uilding Inspector
------------------------
Base Fee 7 - ? 5
Surcharge Ot
Plan Review
MCES SAC
City 5AC
Water Supply & Storage (WAC)
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Water Trunk
Sewer Trunk
Other
Total: l?-
_ Ftgs _ AidGas Tests _ Final
Stucco Stone
r Use BLUE or BLACK Ink
r----------------:I
For Office Use
a F L M, Permit
q, -3
City of Ea a~ D UK 17 r
2009 I Permit Fee: 0
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: ''a L
Phone: (651) 675-5675 I ,
Fax: (651) 675-5694 i staff:
t----- I C
-Tr(
2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1a 1111 0I Site Address: A005 X4 0 x Of. 5:5 / L Z.
Tenant Name: Procter !..l Ctw Sol. kbwf (Tenant is: ✓New / Existing) Suite
Former Tenant: e d l u.n d~`
PROPERTY OWNER Name: f o - c1c"'.-I Phone:
Address / City / Zip: c:~Obs ' Pi' Oakc Qt. GaSo~ $1L2
Applicant is: V Owner Contractor
TYPE OF WORK Description of work: gliN►od e, I W y/'C
Construction Cost: ;Iwo
CONTRACTOR Name: FrO AA.,H C µ So~w~i' J License
Address: o 005 6'd 0.26"L'0'--
City: State: Ald Zip: $-S72t
Phone: JOS 1- 3Z 3 _0S-01 Contact Person: er XC' ~►°n a
ARCHITECT / Name: Registration
ENGINEER
Address:
City: State: Zip.
Phone: Contact Person:
Licensed plumber installing new sewer/water service: - Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG., Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 efthit, an work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of ich require a re a and approval of plans.
Applicant's Pri ted Name Applic s Sig re
Page 1 of 3
f~
117 IDO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Public Facility Accessory Building
_ Apartments Commercial / Industrial _ Exterior Alteration-Apartments
Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New - Interior Improvement Siding _ Demolish Building*
Addition Exterior Improvement Reroof _ Demolish Interior
Alteration - Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Salon Owner Change
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 000 Occupancy MCES System` Y ~a~.ru
Plan Review Z Code Edition '-001 hh SAC Units i'
25% 100% Zoning City Water Z
Census Code Stories Booster Pump
# of Units Square Feet PRV
i
# of Buildings Length Fire Sprinklers
Type of Construction Width ✓
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Ile Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Decking -Insulation -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: K4 LWWAI , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee 5" Water Quality
Surcharge 1.00 Water Supply & Storage (WAC)
Plan Review 5~. ! Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
I,
Trail Dedication
donp§L
Water Quality TOTA ZWelT:
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA086664
Eagan, MN 55122 . Date Issued: 10/06/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2005 Pin Oak Dr
Lot: 1 Block: 1 Addition: Rahn Ridge 2nd
PID 10-62751-010-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Property Claim Solutions LLC Decalla Properties LLC
4655 Nicols Rd, Suite 202 2005 Pin Oak Dr
Eagan MN 55122 Eagan MN 55122
(651) 994-2028
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.
Applicant/Permitee: Signature Issued By: Signature
~ 1 Z23 ~S
Use BLUE or BLACK Ink
For Office Use ~j
CJ I
City opp EaEd of nI Permit#:
S Permit Fee: v y
3830 Pilot Knob Road LCY,
0 all I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: I I-I ZDI I Site Address: DS ~If\ QO~ .Vt l 4f-
Tenant: Q U GAX%, Suite 4 LL(, Name: Phone:
PROPERTY OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: _ 11~ 2ilx.afi~q rnY1V^1Q-IeD(~(1
Construction Cost: Estimated Completion Date:
Name: T`rLtX~ rV~f\QX yy1 License 1-5 5 Ob V0 Z•---+
CONTRACTOR Address: 5b0 G • T~fTP,IQ~t TY 1 City: ~wrnl~l2
State: nO Zip: ,55--A3-;t Phone: C~5Z- 393Z-
Contact: Email:
New _ Remodel
WORK TYPE _Addition Other:~'~}(J1.11~f1G1 "~~{e- 5 IY1V1~
Alterations
DESCRIPTION OF WORK: Commercial Residential Educational
FEES
$55.00 Minimum (includes State Surcharge) OR Contract Value $ x1%
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Permit Fee
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) Surcharge
155.- 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 Alarm 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 in the case of work which requires a review
and a royal of plans. ~t) I t
x U~kcej--\ ow (In x 1
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By _ Date:
Required Inspections: Rough-in Final ~K Fire Alarm Test
Use BLUE or BLACK Ink
X ~ For Office Use j
Permit 0 City
I Permit Fee. I
3830 Pilot Knob Road I I/~
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
- -
Fax. (651) 675-5694 I staff:
2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: ;;~zaZ Site Address: X17 = 6, it's
Suite
Tenant: cf-ef
Name: Phone:
PROPERTY OWNER Address/ City /Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: - 241-11
Construction Cost: ZJ1~ L3~ Estimated Completinn Date:
~1
Name: r v v c e C:- 6 cvi License Cb`ff
I CONTRACTOR Address:_-,_1Z;?l L:15a f7t: V. E. City: J/'i/~t
State:j0,?' , Zip: S / Phone:
Contact: ~P ,,t-- Email:
FIRE PERMIT TYPE w WORK TYPE
~~Sprinkler System of heads(2) New _ Addition
Fire Pump _ Standpipe ,Alterations - Remodel
l
Other: Other:
> DESCRIPTION OF WORK: Commercial Residential Educational
FEES
$60.00 Minimum (includes State Surcharge) OR Contract Value $ Jd5d x1%
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ 46, Q. OZ) Permit Fee
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _
E;, CTn Surcharge
$
_ $ TOTAL FEE
3/4" Displacement Fire Meter - $231.00 Fire Meter
i
TOTAL FEE
im
*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 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 in the case of work
which requires a review and approval of plans.
X 0i(A-An ~ C cz ~ V' x
C
Applicant's Printed Name Applicant's Signature
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.org
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rou h In
Trip Pump Test Central Station Final
Conditions of Issuance:
Permit Reviewed by. a. / /
Peggy Fleck
From: Brent Niznik [brent@crossroadconstruction.com)
Sent: Tuesday, March 27, 2012 7:59 AM
To: Peggy Fleck
Subject: 2005 Pin Oak Dr., Eagan
Per our conversation please throw all plans for address 2005 Pin Oak Dr., Eagan
Thanks
Brent Niznik
Project Manager
Crossroad Construction
Office: (763)434-0202
Fax: (763)434-1529
I
I
i
Use BLUE or BLACK Ink
r
For Office Use
I
Permit
City of Ear ~ °°45
1 C~
1 I
3830 Pilot Knob Road RECEIVED I Permit Fee:
Eagan MN 55122 MAR 2 3 2012 1 Date Received: J"Z3~ Z
Phone: (651) 675-5675 1 1
Fax: (651) 675-5694 1 Staff: C I
t-----------------I
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Date: A13 A, Site Address:
Tenant Name: nn[~4!~.6 (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
PROPERTY OWNER Address / City / Zip:
Applicant is: Owner/ Contractor J
TYPE OF WORK Description of work: j( 61-
Construction Cost: f 9
Name: C.4oso AcM (f OrkSJQ-ycjAaW License Ann46,2!)o3
CONTRACTOR Address: 1 l7/st L,~ Sea- ) City: f7"I~.
State: AXA1 Zip: Phone: 7~a\~? -4-2, C~oZUo-
Contact: 6Ar,-JT /l`Z^l / K Email: % C ~T✓~ ~ ~
Name: Registration
ARCHITECT/ Address: City:
ENGINEER
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will ,be/in accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name App cant's Signature ,oaf
Page 1 of 3
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 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Roof: Decking -Insulation -Ice & Water -Final Siding: `Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By: , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Water Quality
Surcharge Water Supply & Storage (WAC)
Plan Review Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
I i
Permit
ROD
City of EaEa
3830 Pilot Knob Road Permit Fee:
I f
Eagan MN 55122 C~ Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: I
App 171011 ! ----------------a
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Site Address: a 4sl t~! Qo,/~( _ /I~l ll CS vim
Date: `f
11401,9
Tenant Name: Pluer4 r-IGztiH u6> lei 116715 (Tenant is: New / Existing) Suite M
_ 1 Former Tenant:
Name: )~64e./ V C~ICi//f? /yTl0k/S Phone:
T
PROPERTY OWNER Address / City / Zip: o I/ ~c~
Applicant is: Owner Contractor
Description of work: , e4io2 Xco4e e-
TYPE OF WORK
Construction Cost: 1:V
Name: L C 1~5,2~9.4~J C S-/Xac'7' OW License PW--;Z49k3t!:~,3
CONTRACTOR Address: /o'3,57, / 71sf ZIV , c(j e o-ZQO City: 2,4-45
/ eA- -
State: /►~1~ Zip: Sv yfJ Phone: 7 - ~-ado C7&3 43$ - 05 23
Contact: 1 A/ 5AII All yIZ Email: ,///~/r L-CI2~~s.2G~A4f~/st~tx . eo/h
Name: Registration
ARCHITECT/ Address: City:
ENGINEER
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.
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.goDherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X A,/ILe1/e/ X Z/-
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE C 1
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 PGA handout to applicant
DESCRIPTION
Valuation 406 Occupancy MCES System V/
Plan Review ✓ Code Edition ID&I IKSgG SAC Units 0/ AID L_,lj
(25%_ 100% ✓ Zoning' L.;, City Water / y
Census Code Stories Booster Pump
# of Units ?j Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction V 8 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
V/ Framing Windows
Fireplace: -Rough In _Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size: /
Final C/O Inspection: Schedule Fire Marshal to be present: v Yes No
Reviewed By: Building Inspector Reviewed By: . Planning
COMMERCIAL FEES
Base Fee 3 L $ • 7 Water Quality
Surcharge 1 • a Water Supply & Storage (WAC)
Plan Review Z39 • ~5 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL ~o l q • `1 Y
Page 2 of 3
w
nVe
~eCA- Use BLUE or BLACK Ink
n 5
0 I , For Office Use I
I Permit I
City of Evan
Permit Fee: I
3830 Pilot Knob Road G i~~~ I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675Q~
Fax: (651) 675-5694 I Staff:
I
2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: ` Z t Site Address:
Tenant: Suite
Name: Phone:
PROPERTY OWNER Address /City /Zip:
Applicant is: Owner Contractor
r i U - \ Z
TYPE OF WORK Description of work: a~ ti+~L sZ 4 WC~u i ra
Construction Cost: 150 CJ Estimated Completion Date: &-1 11-
Name: 01LS rzr-,-s rzL ~ ~ License
CONTRACTOR j Address: City: 1~ ri a~ ti
State: 1 1~1 Zip: 54, t Phone: 12 0 - A"lCG
i f
Contact: R£.➢i--~ Email: 12-0-,vi~~G a)5~,Ylrtre..,Carwr
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 CI,
$60.00 Minimum (includes State Surcharge) OR Contract Value $ x1%
If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Permit Fee
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ Surcharge
= $ 690- TOTAL FEE
3/4" Displacement Fire Meter - $231.00 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 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 in the case of work
which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
l
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.oM
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station Final
Conditions of Issuance: TTT---"`
Permit Reviewed b 1 Date: c-26-1_
12/10/2012 12:20 6517722440 STANDARD HEATING
411. City
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675-5575
Fax: (651) 675-5694
El Please
Date:
Tenant:
PAGE 01/01
Use BLUE or BLACK Ink
1
For Office Use �
Permit #'
Permit Fee; 6)0°-) l/
Date Rsoelved:
Staff:v
2012 MECHANICAL PERMIT APPLICATION
bmiI two (2) sets of plans with all commercial applications.
l Site Address: 0 f
J
Suite #:
Name: Standard Heating & Air Conditioning License #:
130 Piymoutfi Avenue Wirth
Address:olis MN 55411-3445City:
512.8
State: Zip; Phone: —.—
Contact:Email'
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMER
New ConstructionInteriarWroveTflertt
Install Piping _ Processed
Gas Exterior HVAC Unit
Under J Above ground Tank („,_ Install 1 Remove)
RES1DENI7AL FEES:
$60.00 gimimum Add-on or alteration to an existing unit (includes $6.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork. etc.) (includes $5.00 State Surcharge) = $
COMMERCIAL FEES!
$75.00 Underground,tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (Includes State Surcharge)
*If the protect valuation is over $1 million, please call for Surcharge
Contract Value $ x 1%
_ $T 5,. Q Permit Fee
00 Surcharge*
Q -OCOTAL FEE
CALL BEFORE YOU DIG, Call Gopher StateOneher
CaII at (651) 454-0002 for protection against underground
you intend to dig to receive locates of underground utilities. s Il.o
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with
Eagan; that I understand this Is not a permit, but only an ap lcation for a permit, and work Is not to start without a
with th3f approved plan In the was which requires a r view and approval of plana-
ztl
Applicant's Printed Name
utiltty damage. Ceti 48 hours before
the.prdlnances and codes of the City of
at the work will be in accordance
x_
Applicant's Signa
� .��� ���� l����
' Use BL�l1E c��$L�CK Ink
�-----------------
� ForOffice Use' �
� I Permit#:�$,� j
1 f I G� 1
�i�� �1 ����� � Permit Fee: :J'a� �
3830 Pilot Knob Road � �
Eagan MN 55122 jJ;Date Received: 2 � j
Phonet(651)675-5675 I I
Fax;(651)675-5694 , f Staff: � 1
� I�--------------_,.—J
�onnWtPirGl cl.�.
: 2014' $E1ILDING PERidIIT APPLICATION
Date: 12-16-14 Site Address: 2005 Pin 0ak Drive Unit#:
:' Name:_ PCS Residential (Commercial Building) Phone: 651-255-0609
Resicfen�".�`'
O�t�er ' Address/City/zip: Eagan, M N 55122
:�
A hcant is: Owner
- pP� x Contractor
� = Description ofwork: Install 21 Windows& 1 Patio Door
� � ��e c�f wa��� � � � � � �
Construction Cost:' S9,000 Multi-Family Building;(Yes /No_)
^: Company: PCS Residential Contact: Patty Hanna
�:
�����,����C .�'; Address: 2005 Pin Oak Drive " City: Ea�an
� State: MN zip: 55122 Phone: 651-255-0609 Email: phanna@pcsrenew,eom
; License#: BC593158 Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a masterplan?
_Yes X No, If yes, date and atldress of master plan:
_ Licensed Plumber: Phone:
: Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�titt?TE,Ptar��ar�#supporErng d��u,men�s that you subna�t a�re`�t�rt�i�'ere�`�a`bs p:ti�fi,�inforn�a�tt�t� .Pvrtrc��s o�` ;
t���rtfnrma�rorr rrra.�;be cl�ss��ed'as°non�ubl�c rf y�ru prov►de sp��ifi�reasc���f�rat wo�l�t pe�rrriit�;C�tc�
:
: i= ca�ctude;'tFratfhe aretrade��creis '
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours
beforeyou intAnd to dig to receiveiocates of underground utilities. www.qopherstateonecall.org
I he�eby acknowledge that this information is complete and accurate;that the work will 6e in'conformance with the ordinances and-codes of the City of
Eagan; that f 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 witp the approved plan in the case of work which requires a review and approval of plans.
Exteriorwork authorized by abuilding permit issued in accordancewith the Minnesota State Building Code must be completed within 180
days of permit issuance.
�
x Pattv Hanna/PCS , X ' '
Applicant'sPrinted Name Applica ' S' nature
. Page 1 of 3
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. ,
For Office Use
Permit#:
EAGAN
tias 2--
Permit Fee:
Staff:
ECEIVED ,_
Payment Recvd: Yes , No
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT 24 2019
Plans: Electronic APaper
buildinginspectionsL(cDeityofeaoan.com
BY:
2019 FIRE SUPPRESSION SYS"- l'-'-'"EIVIS-PeRIVIIT APPLICATION
Date:
10/24/2019 Site Address: 2005 Pin Oak Dr Eagan, MN 55122
PCS Residential
Tenant: Suite#:
0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components
IAndrew Geist 952-994-2028 Name: Phone:
' Property Owner Address/City/Zip: 2005 Pin Oak Dr Eagan, MN 55122
Applicant is: Owner i Contractor
DRepair deficiencies found on walk through
escription of work:
Type of Work
:
1500.00 11/15/2019
Construction Cost: Estimated Completion Date
...
LVC Companies, Inc c156
Name: License#:
Address4200 W 76th St Minneapolis
:
Contractor . City:
MN 55435
State: Zip: Phone: 952-837-0591
Raissa Fernandez rfernandez@lvcinc.com
Contact: Email:
I FIRE PERMIT TYPE WORK TYPE
1 Sprinkler System(#of heads /) —New Addition
Fire Pump Standpipe 1 Alterations Remodel
Other: / Other:
DESCRIPTION OF WORK: I Commercial Residential Educational 1
FEES 1500.00
Contract Value$ x.01
$60.00 Permit Fee Minimum
60.00
= Permit Fee
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ .75 Surcharge
$100.00 Residential New(includes State Surcharge) =$ 60.75 TOTAL FEE
3/4"Fire Meter-$290.00 c*,,D.S V =$ Fire Meter
3.,. 5
Radio Read(required with Fire Meters)-$190 (Of)/6 S 14 =$-6{3775- 6 TOTAL FEE 1
, ..., . .
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
wwwcltvofcaqan.com/subscrihe.
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurateithat the wo 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.b t only rf eppicatioVor i'permit,and work is not to start
7
withoutta permit;that the work will be in accordance with the approved plan in the case of workwhthre";(es a re'-w"pp, v9.or plans.
,f
•. ),
s SO $.\01 nde.X 'Li (
,t -
Appliant's Printed Jame Applicant.. Si. nature
COSq i
-41 Di7,/, 1,, l'''LQ0 GIV-72 - (;‹ 71.'V " (}' ' l '6:9(
FUR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test Rough In
Trip Pump Test Central Station / Final
Conditions of Issuance:
Permit Reviewed by.±--)* Date: 16 I c28