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1885 Plaza Dr' INSPECTION RECORD I C°ntr°' "°. 1348 CITY QF EAGAN PERMIT TYPE: HilT t[1 l NN 3830 Pilot Knob Road Permit Number: 001848 Eagan, Minnesota 55123 Date Issued: t .?/p 11 /42 (612) 6$1-4675 SITE ADDRESS: 1. aY x 1 APPLICANT: ]itsh PLAIA t3R KitAUS ANdERSriN ' liAIAXIE fl tF1° PI AZA 7NQ (612) 7:1--7CiH1 PERMIT SU?TYPE: ?:aar?. t??? Misc, TYPE OF 1NORK: ALTERATI(IN pE,';CRIPtION PARk DENTAt INSPECTION t 1;A14 1 iVii .A . a Er?ai rATE INSPTR. l 1- 7 - a.rmn No. Parmic Ho+oar Dab Ti"hons f S/vv PLUM81 NG ?.-• ' o' ? .? ` ? HVAC ELECTRIC ? ELECTRIC Inspectbn Date Insp, Commeft Footinps I Foundation Fmg" Roafing R°"gh P%4? L-l Pato Htg, lsui. FWOPIBM Final Hip. Oteat Tee! Rn81 Plbg. Plbg. Inspector - tJo111Y Plu?r?ber Cwst. Meter EnyrJPian Bldg. F'lnel Deck Ftg. Deek Flnai weii Pr. Dlsp. ?'•^'T?N?.7F.;,s•lA4?.. ,. . . . ;eel ?',,. . . - . `?li,"'. JF,?G3't?. - , .. . .. .. . „ .. . .. . . . . CITY OF EAGAN '($49O ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 _ BUILDING PERMIT Receipt To be used tor MEDICAL CLINIC Est. Value $i+ 5?.000 Date w Site Address 1885 PLAZA DR Lot 1 Block i SeciSub. GALAXIE C IFF Parcel Na. PLAU 2ND W Name PARK IiICOLLB7' IzDI .• ..RMg o Address ?d W 39TEI ST Ciry 14PLS Phone 927-3300 5Q Address Jl3 $ FICHIH ST ? City 14PL+ Phone 33 -- 8 W W Name HAMML GREEN ASRA}lAMSO1V ? ? Address 1201 w?R?l? YL <W City NPLS Phone 332-3944 I hereby acknowlege that I have read this application and state chat the informalion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ; Signature of Permite6 A Building Permit is issued to: KRAUS ANDBRSOl1 CQNSt' on the express condition ihat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY Occupancy E"2 FEFS 1990 . Zoning IPD 1.3 (Actuat) Const I I-J"PR eldg. Permit 4 ,640. 00 (AUowable) II-41 8PA Surcharge 720•00 # ot stories 1 Length 178 ' Plan Review 3j 016. fl0 Depth 128 ' SAC, City S.F. Total 2o-,--Q^ S.F. Footprints 20.i-000 SAC, MCWCC On Site Sewage _ Water Conn On Site Well x Water Meter MWCC System City Water X Acct. Deposit PRV Required _ S/W Permit Booster Pump - S'W Surcharge Treatment PI APPROVALS Road Unit Planner - Council park Ded. BIdg.Oif. _ Copies Variance - TOTAL 8.376.00 Permit No. Permlt Holder Date Telephone # YVAjER C SEWER PLUMBING H.V.A.C. EIECTRIC 7//7/I ?O ? Inspeetion Date Insp. Comments Footings I Foundation Frarning Roofing Rough Plbg. v?. „ . Rough Ntg. ls,l. r- a? fd Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspeclor - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final weli Pr. Disp. o/-s r U '' sx,v aarna. wuan a u • . ' ''.' , CITY OF EAGAN 1$458 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 W PHONE: 454-8100 - BUILDING PERMIT Receipt # ' To be used for ?TINnATl(1N Est. Value :?, ? Date ??Ua 17 ? 19 S iVNJ LiYfiY\ Vl?1?G SiteAd rQs . f OFFICE USE ONLY LOt BIOCk S2C/Sub. Parcel No. • Occupancy p?? FEES W AL C R Name Zoning (Actuaq Const 11N SPR gldg. Permit $ 41 ?'-?O ?? o Addre55 NPLS (AUowable) i1N $tR Surcharge City PhOne * ol Staries 1- 269. QQ , -? R `?N?T Lenglh 178 Plan Review . ? ? o Name oepm ?? SAC, City ? ? a Addre?S S.F. Totai ?O0 ? 3, 8W. 00 ? ? City !? Phone - 1 S.F. Footprints SAC, MCWC ??? C Water Conn HAMML G N ABRAHA!lSOtl On Site Sewage - W W Name On Site Well Water Meter ~ xx ?? Address MWCC System <W City_ Phone citywater Acct. Deposit xx 30.00 PFV Required _ S71N Permit I hereby acknowlege that I have read this application and state that the eooster Pump ? rW Surchar e ? inlormation is correct and agree to comply with all applicable State ol +1.000 SQ. g ft CatlOpi 5.7%•00 Minnesota Statutes and City of Eagan Ordinan9es. Treatment PI Siqnature of Permitee APPROYALS Road Unit 2 , 320.00 A Building Permit is issued to: ???? ?N CDNSt Planner - Park Ded. on fhe express condition that all work shall be done in accordance with all Co+ncil --- appiicable State of Minnesota Statutes and City of Eagan Ordinances. BId9. Oif. ^ Coples $24 955.50 Building Official ?-- ` ' • Variance - TOTAL . Permit No. Permit Holder Oate Telephone # WATER SEWER PLUMBING l)C ? -4?- ? 7 ' 4 0 H.V.A.C. EIECTRIC Inspection Date Insp. Comments Footings I ? //F q0 l? "e, Foundation Framing Roo(ing Aough Plbg. Rough Htg. - - 24 Isul. &If Freplace Final Htg. Final Plbg. Const. Meter Plbg. Inspeclor - Notify Plum6er Ergr.lPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ? V • y ? 3830 PILOT ATIF PERMIT iF PERMIT RECEIPT # 'AGAN SO ), EAGAN, MN 55122 DATE: ,. CONTRACT PR ' Site Address ? Lot "I_ i I ? Name T?j ? Address ? c Ciry ? - Sec/Sub BLDG. TYPE WORK DESCRIPTION Res. New +.-- Mult. Add-on Comm. 1/ Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 FEE Phone 4 y?'Kilgw Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 - Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? Name 3 Address - A L- p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF _II STATE S/C: , V GRAND TOTAL• ? ? s ? ?'. ItS,3 2 Name m Addre c CityB? ? Name 3 Addre ? 0 City Sl Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM ' Gas Piping Outlets # ` Other I 2a, 367 x. o i r FEE: G ' ? $/C: TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE: ? 00 PHONE:454-8100 %J E BLpG. TypE WORK DESCRIPTION _ Sec/Sub Res. New k .", c Mult Add-on D AJ?. S, Comm. x Repair ne._ .. , . Other FEES RES. HVAC 0-100 M HTU -$24.00 ADDITIONAL 50 M BTU ` (RES. HVAC INCLUDES'A/C ON NEW - 6.00 CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PE(iilAlT) - 1.50 EA. COMM/IND FEE - 19'o OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHaUSE 8 CONDOS - RES. RATE APPLfES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS C M E CIA FEE - 12.00 20 00 MINIMUM M O R L STATE SURCHARGE PER PERMIT . - - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) E11 r"s Phone ? I /n, c i i.,l Ci- /L . F EAG N-r° FOR: CITY 0 SITE ADDRESS 1ff4- ? ??- B ? Sect./5ub. Unit # Permit # ?? I INSPECTION I IHSPECTOR I DATE I COMMENTS I a1-2-? 0"--? -gy INSPECTION INSPECTOR DATE COMMENTS _ s, y? .1 •g• o , a9'?l ` (grr#r#tra#r uf (Oxrupartry Citp of (Eagart 0 Elrprttcm uf -suitdiag 3ttspedimt This Cernfiaate issued pursuaN to lfie re+guirements ojSerxion 306 of [he Unijorm Building Code cerlilYinB that at the time of issuance rhissuucture was in complianae with rhe warious w+diwxces of ?he City regulauing building constnuxion or use For 11re foUowing. [be a.SSw=ekM hgnI: m- rr.Trrrr sm& wma rzo. IR440 O=UPN-r Th- R2 zooing oWO Pn LB rya co.M II-N-SPR own« demwmg PAW 1VIrJdI.iUME2I.AL, 5000 W 39 IH Sf. MPLS SEWLFR &WATER PERMIT OFFlCE USE ONLY CITY OF EAGAN ME-rER # PERMIT DATE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # ?? 7??] METERSI2E B.P. RECEIPT# 1C;745 DATE _ nCTil'•tt.;Z' ISS4bE DATE B.P. RECEfPT OATE 10/17I90 _ PRV - BOQSTER PUMP SITE ADDRESS `R?,'?Zn D{'•I L E PERMIT REDUESTED LOT 1 BLOCK--I-SEClSUB GLi.aYL? t).aa.n ^r[n ? - SEWER WATER ? TAPS ' APPLICANT: NOVA-FROST} IN.r,'. ADDRESS: 1510 5TN AVF.Ni1F: CITY, STATE NEWPdRT ZIP 55U-"`. ? P1iONE: 4:9-01 12 PLUMBER: As ADDRESS: CITY, STATE ZIP PHONE: OWNER: FAkK NICOI.T.F-T F13T i_ i:t.ti'+': 2 ADDRESS: rF'E T GITY, STATE " ZiP ? COMM/IND `r - RE5IDENTIAL _Y NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TQ.COMPLY WITH CITY OF EAGAN OADINANCES PHONE: W' '-'SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR S SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: . . . :? ???.: i JI:'A PERMIT SUBTYPE: TYPE OF WORK: ? i• i i i? ? tai?:, . . ? fFM/1PJi F 1 1`4 1 ,i INSPECTION D• • DA 'ri?rtIi? 1 r: i ?ftfMAkK9r !:,t.F, /1iii,.lf F, LHm 11'. /1F•f. 14 1 i,11111:1I1 It)4: l1NY 1`I11M1i lN6 ()N 1Il: tllt([.ql WfANI INSPECTION JCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: Nli ? ??v I - - - - --- - - - - - - - - - - - - Permit No. Permit Holder Date Telaphone #- S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commenta Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. FireplaCe Rnal Ntg. Orsat Test Final Plbg. Pibg. Inspector - Notity Plumber Const. Meter Engr.lPlan Bldg. Final Deck Ftg. Deck Final Weil Pr. Disp. . ? 579 1 ' 74Z 9 Request ate ,? AAA Freo. Ra Ins?o Raqui etl, ? Reatly Now ?'Will NoLly InspBIXw i? ?ye3 ?, ? When Reatly? I?f licensed wntractor p owner hereby request inspection ot above electrical work at: Job Address ISVeet Box ar Raute i Cily J9?3Sd'1??i9 1 Section No Township Name or No Range No CouMy, ' Occupanl(PRINT; Phone No fale fCwo aower suaoeer naa?essal`?, U°??Oi7f SYlL$'-'1" T g G G Eleclrcal Contredor (Company Nama) CoMratlor5 Lcensa No Mailmg Atltlress iCOntracior or Owner MaWng Installalion) G , • i?i?? , J" Q Autn iz o Signatu onV onpwner akrng Installauon) Pnone Number MINNE50 R STATE BOAND OF ELECTHICITY THIS INSPECTION REOUEST WILL NOT Grigps-Mltlwey BId9 - Raam St73 BE ACCEPTED BV THE STATE BOARO 1821 Universrty Ave.. 5t. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phane(613)60R-0800 ENGLOSEO 57921 REQUEST FOR ELECTRICAL INSPECTION J? See mstmcians tor compleLng ihis farrn on back ol yellow copy "X" Below Work Covered by This Request 8OOOM-04 ew Add Rep TypeolBwlding - AppliancesWVetl EquipmenlWired Home Range Temporary Service Duplex Water Heater Elecmc Heating Apt.Builtling Dryer Ofher(Specity) Comm /Industrial Furnace Farm Air Conditioner Other (syeciryl Contractor's Remarks .%y1] ?i +?"GL17Grffj3/ /X /de.cBT1GH. /4L/? L/vi', fJ Compute Inspection Fee Below, # Olher Fee # ServiceEntrenceSize Fee # CrtcuRS/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 to. ps WZ-ld Transiormers Above 200 _ Amps W A v 1 0_ Amps 'j!dU Signs Inspector'wseOnlY"-" L TOTAL /i Irngation Booms p , %Z} Speaal Inspection 7 Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 NTHS ( I, ihe Electncal Inspecror, hereby pough-m Date ? ' certify that the above inspection has been made. F,ow oare OFFICE USE 3NLY ? TM1is reQuest voitl 18 monlhs irom a 5-0 I? 2 3 3 6 aequen oete ` / ire w. n-in inspeci ?u tl' Ispector ReetlY Now * ? ? ??'9Q ? No es When Re 1Nlicensed contractor ? owner here6y request inspection ot above electrical work at: Job Adtlreas (SYreet, 6ox or Route Na ) Cify J 5 D /uc ??oKI Seclbn lyo Township Name or No Raige No. ' Counry I ,C7t3Xd?7¢ Occupant(PRIM) Phone No ?C 1 ' ??Sr/-?470 P ow r a S up p l ie r qy?rqsp y? . r y / ? ? ? ? . y / ? VI7W!/{ EmeaFl CI Ele c incel CoMraqor (Compatty Name) onVacWr's license No. f ? G / &,,WloF/ Maibng Atltlress (COmractor or Owner Melting Inslalla6on) A o' etl Sgneture (Corrt oriUVner Making InstelleTm) Phpng Nu mber r /Si6S' MINNES A STATE BOAPD OF ELEC7AICRY THIS INSPECTION REQUEST W ILL NQI' Grigga-Mitlway Bltlg. - Raam S173 BE ACCEPTED BY THE STATE BOARD 1821 UNveroHy pw., SL Paul, MN 55109 UNLE$$ PROPER INSPECTION FEE IS Phiew (812) 642-0BW ENCLOSED. ?0??/?G REQUEST FOR ELECTRICAL INSPECTION ee-ooomo? ll? See inslruclbns lor completiig ihe form on back of yelbw copy. W r "X" Below Work Covered by This Request e Add Rep. TypeofBuiWing AppliancasWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Olher (Specify) 25 Comm./lndustrial Furnace Fartn Air Conditioner Olher (speci(y) Corrtretlor9 Femaft: Campute Inspection Fee Below: •# Other Fee # ServiceEnVa:?Size Fee # Cncuns/Feetlere Fee S,vRnming Pool 0 to 200 Amps , p(f JD 0 to 700 Amps ?,Q? ? Translormers ,S'() A6ove 200 _ Amps Abo _ Amps f?/ eD Signs Inspeclor9 Use Ony: OTAL t5-7 Irrigahon Booms ? 0,C) Special Inspection AlarmlCOmmunication Other Fee I, the Electrical Inspector, hereby if h 6 oaia Q 3o?d cert y that t e a ove inspection has been made. Fnal oa?e?,. l?„?cs yv OFFICE l6E ONLY This ? nlhs Irom ? 1yo - s??s? f? 2299 $ CLO Rawesl Daze Ib Fre . n- ce?uon R¢qui ? Reatly Now II Notify In4pector P tl Q 3/ ybq ? No en ea y I O)(ensed contractor ? owner hereby request inspection of above electrical work at: Jab /A'rpltlress (Street, Bax a Route No.) Giry IO?J Secibn No Towriship Name or No. Ranqe M. Counry I A Oav M (PRINn Phone N. PoWerSUppller AddressL/?__°J?..? ?? uJ / G?il S Electrical Conlrapm (Company'Name) Cormaclw5 Lcanse No 'f??uicfe- ef:?' 035'S' ?- ? Malli Atldress ontrecror or Owner Makirg Inslellation) S. 5 N Mnhoriz 5 naNre (COn orlOw r Mepng Installa6on) Pirone NumDer MINNESOTA STATE BOARD OF ELECTfiICRY THIS INSPECTIDN flE0UE5T WILL NOT Grigga-MMway Bltlg. - poom 5173 BE ACCEPTEO BV THE STATE BOAFD 1821 UMVeBIty Ava., SL Vaul, MN 55104 UNLES$ PROPER MSPECTION FEE IS PMft (612) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? e-ooom ? -o? j• See msTiuctlons tor wmPlethg Ihis form on back of Yellow copy ? L99 X" Below Work Covered by This Request 6 L ew Add Rep. TypeotBuiltling AppliancesWired EquipmentWired Home Ranqe Temporary Service Duplex Wafer HeatAF. Eleciric Heating Apt. Building Dryer Olher (Specify) Comm./Industnal Furnace Farm Air CondiNoner Olher(specity) Contracior$ Remarl¢: Compute Inspeciion Fee Be/ow: # Other Fee # ServiceEntranceSize Fee # Grcurts/Feetlere Fee Swimming Pool ? 0 to 200 Amps K?;Op 0 to lDD Amps Transformers U-(jT Above 200 _ Amps O,(b Amps d Slgns Inspector9 Usa Onty. u TOTAL Imgation Booms ? ?'?„s[J Special Inspection Alarm/Communication Ottier Fee I, the Electrical Inspector, hereby Aif th t h b i po?n-,n oa+e/i (?r,?/ l(? -•T(/ ce y a t ea ove nspectionhas been made. Finai oa V OFFlCE IISE ONW TMs reqaest witl 18 monNS hom 2005 COMMERCIAL PLiJMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651 _(,75_S(.7S Date 4/ I / 05 Site Address ?[? ?? r1 6 r 1 1? Unit # Tenant Name ou') Former Tenant Name Property Owner Telephone # ( ) Contractor 114(J Address ? Cl Gr(le CiTy State 121 1 Ni Zip E? 7 _ Telephone # (7(p 420-?.IAP3_ License # Expires: The Applicant is _ Owner Contractor Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repair/Rebuild Replace _ Irrigation system Work within public right ot-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work ?_V\ 4 v & _R? 7 To mqmre if Pressure educing Valve is req ired on new selvice, call 651fi7i-5646 Meters - Ca11 65 1-675-5300 to verify that hydros[atic, conductiviry, and bacteria tests passed prior to oickine uo meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fue Size & Price 3/4" disoIacement $161 00 Domestic Size & Type Avg GPM Includes hSgh demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (iucludes State Surcharge) ContractValue $ x 1% _ $ PermitFee $ Meter(s) Required on all new buildings & boulevazd irri¢ation svstems $ Radio Meter Read If pertnit fee is $1,0110 or less, surcharge is 5.50 $ State Surcharge If permi[ fee is over $1,000, surcharge is $30 per $1,000 of tAe Permit Fee Following fees apply only when installing new irrigation sys?e Water PerxnitA ? Cali Jerry Wobschall at 651-675-5024 for required fee amounu 2 I D ? r" ?? $ Treatrnent Plant APR 14 2905 Water Supply & Storage $ State Surcharge -------------------------------------------------------------------- - ---?- ----- _-?-- ----------------------------------------------- $ /? ?(J - '5D Total Fee i nereoy appry ior a uommerciai Ylumbmg Yemnt and acknowledge that the information is complete and accurace; that the work wil] be in con£ormance with the ordinances and codes oF the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pemilt, and work is not to start without a permit; that the work will be m accordance with the approved an in the case of work which requires a review and approval of plans. q v?'6'VI ApplicanNs Printed Name ApplicanYs Signatur , CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLAIQS SUBMiTTED APPROVED BY: . BUILDIIVG INSPECTOR General Information • Radio Meter Read (requued on all new buildings & boulevazd urigation systems- $141.00 • RPZ's must be tested every yeaz and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee pernvt per address is required for the following RPZ's: new, rebuild, reoair, remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REOiJIItING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 displacement sm commercial turhine" Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 uniu 65 units maximum sm commercial & continuous & lg comm bldgs 25 irriation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REQUII2ING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lgirrigarion $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow prevenrer, call 651-675-5675. • To arrange for water tum-on, ca11651-675-5300. cr. Main[enancc Drvision Clerical Teclmician Ianuary 2005 2005 COMNIERCIAL PLLTMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 .t. So ,"'? U Date / / ;?Ip / 1?? ry Site Address Unit # Tenant Name ? ?'?.?GL! G Former Tenant Name Property Owner Telephone #( ) Contractor eC ( d /4ci l t u Address - { City State ? Zip / I_ Tekphone # -?'(?? ?/ License # ?? 1/?.[.? ) 0/ 3 Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New RepairlRebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ No Itain sensors are re uired on irriaUon s stems Description of Work [??y?? /?I?Z , S/N d q ?,o.on k D?w. ? To inqmre if Ressure Reducng Valve ?s re uired on new service, call 651-675-5646 Meters - Ca11 65 1-675-5 300 to verify that hydrosha[ic, conducrivity, and bacteria tests passed prior to oickine un meter. Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disnlacement 5161.00 Domestic Size & T}pe Avg GPM Includes hig6 demand devices? _ Yes _ No Flushometers _ Yes _ h?o PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes Sffite Surcharge) Con4actValue $ x 1% _ $ ? PermitFee $ Meter(s) Required on all new buildings & boulevard imeation svstems $ Radio Meter Read If pertni[ fee is $1,000 or Icss, surcharge is 5.50 $ ( ? 7 V State Surchazge If permit fee is over $1,000, surcharge is $SO per $1,000 of the Permi[ Fee u Following fees apply only when installing new irrigation system ? $ Water Permit Cali Jerty Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surchazge ----- ------- ----------------------- --------------------------------------------------------- $ ------------------ -------------------------- --------------------- Total f l -Il Ar I hereby apply for a Commercial Plumbing Pemut and aclmowledge that the information is complete and accurate; conformance with the ordmances and codes o£ the Ciry of Eagan and with [he Plumbing Codes; that I understand this is application for a pemvt, and work is not to start without a permit; that the work will be in accordance with the agprovec which requires a review and approval of plans. lLltil./VL ApplicanYs Prin d Name ApplicanYs Signp e ? ; o4k'wi 1 b in ? kh?lq?e bfQdHd? ?? ? ? CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Cras Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: ?'J7l ??llU `? , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every yeaz and rebuilt every five yeazs. Test results should be mailed to Paul Heuer at the Ciry of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, renair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOUIItING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irtig3hOn Syst $ 735.00 displacement sm commercial turbine*' Public Works maximam must approve wntinuous meter size 10 2-30 3/4" lawn irrigarion $161.00 4-160 2" nubine Ig irrigation syst $ 931.00 maximum displacement residenrial & continuous sm commercial producrion lines 15 3-50 1" displacement very lg res S296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 uniu maximum sm commercial & continuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 VIETERS REOUIItItiG 30-DAY ADVANCE NaTICE ?AIOR TO PICK tiP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very lg comm bldgs very Ig comm bldgs 15-1000 4° turbine very Ig irrigation $2,226.00 syst & productionlines Comments • To schedule inspecrion of the inside water line and backflow preventer, ca11651-675-5675. • To azrange for water turn-on, call 651-675-5300. cc: Mamcenance Division Clencal Technician January 2005 0 CITY USE ONLY PERMIT #: LI .? `? ?-I fI RECEIPT DATE: _ COMMERCIAL PLUMIFH PFRAIIT APP11Clk71019 CrrYoF$Asm 38so PnA1' aAOS ftD SA6t}F, E1i 551 EE e51-661-4e75 1NCOMPLETE APPllCATIONS WILL NOT 8E PROCESSED Date: , 6 ' 9.j5"c) ' - ll -U WORK 1'YPE New Bldg Add-on Repair -)(- RPZ PVB ' Irrigarion system • Must comple[e reverse side of application also. Requ'ued meter size is 2" turbo nu less smaller size pemvtted by Public Works DESCR[PTION OF WORK Jlk 4 1- Lw fE\? -' \. , l To inquire if Pressure Reduc n alve is requ red on new service, ca11651-681-464 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to uickins uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size 8c Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes _ No PRV REQUIRED _ Yes _ No Site Address: Tenant Name: Telephone #: (Area Code) Was there a previous tenant in this space? _ Y_?; N. If Yes, Name: installer Name: 6 di' Telephone #: -Xc3 4A' ???. 1 ? ? re.? rntai InstallerAddress: ???-tc?? lrD7?1? ?M City: YDL 4 "?) State: FEES Contract price $ x 1% ($50.00 minimum) Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Surcharge: $.50 Muilmum. 50 cents per $1,000 conua I hereby acknowledge that I wdinances. It is the applicani during iu normal opemtional JUN 0 8 Z001 `??J ??? L: read this a? lircation, state calculate at From Reverse Zip Code Contract Fee S Meter(s) $ Radio Meter Read $ State Surcharge New Service Total the infomiaaon is correct, and agree to comply owner that the Ciry of Eagan assumes no liabiliry titiesconstruptgd under this pexmit within City? h all applicable City of Eagan Lpy damages caused by tUe Ciry CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final 6-1f-6 ( PLANS SUBMITTED APPROVED BY: , BUILDING IN5PECTOR S $ ?'? $ IRRIGATION SYSTEM (CONT) Servlce: _ existing (if coming off domestic line) OR _ new If "new service" contact Jerry Wobschall, Frnance Cnnsultant, to confirm adding fees for: Water Permit & Surchazge - $ 50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatment Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of application $ lJ GENERAL INFORMATION • Itadio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 92204509) • Water meters include copperhom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine•* `"must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irription $149.00 4-160 2" turbine lg irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 uri tion s stems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP CPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigatian syst $1,184.00 6500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm b(dgs 1/2-320 3" compound +Zpp unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very lg comm bldgs very Ig comm bldgs 15-1000 4" turbinc very Ig irription syst $2,132.00 & production lines Comments . To schedule inspection of the inside water line and backflow preventer, ca11 65 1-681-4675. • To arrange for water turn-on, call 651-6814300. ec: Kris Fors[er, Meintenance Division Clerical TecMicien Updated 1/01 L ? BL ? A CITY USE ONLY RECEIPT #: O? oL d SUB . RECEIPT DATE: ?/a 7 1998 PLIJMBING PERMIT (COhMRCIAL) CITY OF EAGAN 3830 PILOT IQdOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate building permits aze not required for each dwelling unit backflow preventer to be installed in commercial ueas or residential boulevards Date: 11_6-q? Work Type: New Bldg. _ Add-on Is Water Meter Required? Yes No Water Flow To inquire if Pressure Reducing Valve is required on new service, call 6814646. FEES 4- Kepair _ U.G. Sprinkler _ GPM ?PZ ? 1% of conuact price or $25.00 minimum Conhact Price: $ x 1% _ $ COMPLETE THISAREA IFINSTALLING UNDERGROUND Service: k Existing (if coming off domestic line) OR _ New Backflower Preventer Permit Fee $ 25.00 Water Meter 1" @ $185.00 or 2" Turbo @$846.00 $ !f "new service" add Water Permit $ 50.00 = $ WAC $ 780.00 = $ Water Treatment $ 420.00 = $ City Installed Tap $ 300.00 = $ Permit Fee State surchazge is $.50 per $1,000 of en rmit fee or minimum of $.50 per permit State Surcharge I 6D Total Fee $ :J D I hereby ac;cnowledge :tia: I have read this application, state that the information is correc[, and agree to comply with all applieable City of Eagan ordinances. It is the applicant's responsibility to noti£y 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: I 9,0 5 pzj?q 2 A De) re, TENANTNAME: P,9-7zIL NJ(.O)_ LQ- MtxI,?tJZ,., INSTALLER NAME: ?/ VY- I6` 4 N? ?t#Uk40fELEPHONE #: 7o?L?'?ip(y,? STREETADDRESS: I GLS? /! ?? `?GY I.IJ CITY: '12(4-PzS STATE: I"! N ZII': ?CJ? 7 SIGNANRE OZT?RMITTEE Q? CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE PRV _ Yes _ No Domestic Irtigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONL1) $ REVIEWED BY: /7 x Building Inspector 41 -q y ? Date To determine meter size " See if it is indicated on back of Building Inspections card * Enter address in PIMS Screen 301 to obtain S&W permit # " Check PIMS Screens 110 (Remarks) * If gallons per minute are less thao 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. Coosult with Plumbing Inspector if Licensed Plumber does not knaw GPMs. Before sellin¢ meter Check PIMS Screen 320 for aooroval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. 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 to Utiliry Billing Clerk. Miscellaneous Information • The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Cenva! 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 permit (comm) 1997 2000 BUILDING PERMIT APPLICATION (COMMERCL9L) CITY OF EAGAN o ___D p, ,y (51-681-4675 3 • H I?o? ! `7_/..nr, l_0?_ r1 t) Foundation Onl - . ?. New Construction .,.. ? cs Interior Im rovement • SWCturel Plans (2 sets) . Architectural Plans (Z sets) . Architectural Plans (2 sets) • Civil Plans (2 sets) . SWcturel Plans (2 sets) • Code Malysis (1) •• • Certificate of Surve Y (?) , Civil Plans (2 sets) . Project Specs (1 set) • Code Anal sis Y (1) " ? Landspping Plans (2 sets) . Key Plan (1) • PrqectSpecs (t) . CodeMalysis (1) •• . Master Exit Plan (1) • Spec. Insp. & Tesling Schedule " . Certifiate of Survey (1) . Energy Calculations (1) not always'• • Soils Report (1) • Spec. Insp. & Testing Schedule (t) " . Elec. Power 8 Lighting Form (1) not always" • Meter size must be estabtished . Meter size must be established . Meter size must be established - If applicable • ProjectSpecs (1) 1 . EnergyCalculaGons (1) ^ y 1 . Electric Pawer & Lighting Fortn (t) " 1 ! . Master Eult Plan (1) 1 1 • Fire Prolectlon Plan (1) •• 1 1 • Soils Report (1) j • MGES SAC detertnination letter . MC/ES SAC detertninalion letter • MC/ES SAC determinaUOn letter call 651-602-1000 cail 651-602-1000 call 651-602-7000 ' C t t B ld' on ac w mg Inspections for sample Food 8 beverage or lodging faciliGes: Plan must be submitted to Minnesota Department of Heaith - call 651-2150700 for details. DATE: 21/? 1 166 WORK TYPE: _ NEW /-\REMODEL CONSTRUCTION COST: c1./ DESCRIPTION OF WORK: or"z gLs???j?? d TENANT NAME: H SM L?42%" U,1 K3 ? SUITE FORMERTENANT SITEADDRESS: AUS $51 LOT_LBLOCK_?___SUBD?? C4 ?? ?Ot Q Natne: --? SYS?S M1±??? Phone#: ??" 3(?b?J PROPERTY Last First OWNER Street Address: ?? 1::NZ 4 au?? City tr L?ojl±) f3u Stare: wl" Zip: ss*(-) Company: 14..1W ?,O??jTrc{l, cL.'l? Phone #: ?)? ? ?? CONTRACTOR ? l ? StreetAddress:3? ^ /??em}L_? j: I City M l 4-S State. K/(41J Zip: AJtAz.7 ARCHITECT/ ? r---- ENGINEER Company: ? Phone #: Street Address: ? - 5 City Registrarion #: Licensed plumber installina sewer/water: Phone #: Meter Size: I hereby acknowledge that I have read this application, state that the informa6on is corr ct, of Minnesota Statutes and Ciry of Eagan Ordinances. i Signature of Appticanl? __?h(/t- State: _ Zip: ) to copply G ` ? applicable State OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Blcig. ? 14 Apartments )4r27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORMATAON Census Code ?j Zoning sq. ft. SAC Code '5e? # of Stories sq. ft. No. of Units b Length sq. ft. No. of Bidgs. = Width sq. ft. Const. (Actual) rliI - t.? Basement sq. ft. MC/ES System (Allowable) ? First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Bui lding ? Engineering Variance VALUATION:$ ?.? Permit Fee 3p .U 0 Surcharge Pian Review MC/ES SAC % 5AC City SAC SAC Units Water Supply 8 Storage Meter Size S/W Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total ">)V , ? ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 PERMIT TYPE: Permit Number: B U I i Gly 024855 (612) 681 •4675 Date Issued: 11 / 17 / 9 4 SITE ADDRESS: 1885 PLAZA DR LOT: 1 BLOCK: 1 GALAXIE CLIFF PLA2A 2ND 01() D 1 (?7111I-w(f COMM./IND. MISC. TENANT FINISH ? ? ?r I j% _` ?? (l ?'-L1 B?u-ilding).-permit Type Building Wo.rk" 7ype ? ?. ?.. 1 ? i > ? REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRSCAL W012K FEE SUMMARY: VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Total Fee $55.50 CONTRACTOR: WEIKLE, EARL 2514 24TH MINNEAPOLSS (612) 724-3961 - Applicant - 27243961 AVE S MN 55406 OWNER: PARK DENTAL 1885 PLAZA DR EAGAN MN I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all epplicable State af Mn. Statutes and City ofi Eagan prdinances. ? Qu.' / i ? l'/J.dZMit/ APPLICANT/PERMITEE SIGNATURE JMIA &2,? i rn? ISSUED B SIGRATTF?--k I 14M6 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ??.. .:. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work or? 1SU?-? Site Address: _ ZM? 06? 7- °\' /1 Wr STREET SUITE # T t N i l ?0. enan ame: ( erc a only) .. LOT flLOC& SUBD.??_?yL 1'P?,?{??r, ?{1 T.w P.I.D. # Descri tion of work: The applicant is: ? Owner tf Contractor ? Other (D¢scribe) Name _ Phone Property LAST FIRST Owner Address STREET STE q City State Zip Company ??r e i` k e Phone ? 3 y7? Contractor Address vc Sf• License # Exp. City l-( State /?h Zip Company Phone 19 ;Lq '-2F6v Architect/ ?, n n n Crrs e. Eng(neer ,? Name Registration # Address Yvt' ? City State Zip 537-1/ 6 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? ? ?? ? ???/? , Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Mu1ti. Add'1. ? 15 Deck WORK TYPE ? 31 New O 32 Addition -+-C n a, {- f Q r•. 0 0? ? 33 Alterations J?`35 Tenant Finish ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) USC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REDUIRED INSPECTIONS ? Site 1:1 Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage ouildiny Variance ? Footing ,p Final L7 framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vetuecim: g 3 OOQ t ra?. w ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ,M-19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code V32 SAC Code ? Census Bldg Census Unit -7- Assessments SAC % SAC Units CITY OF EAGAN 3830 PIIAT RNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 , ?GliSNICA7.';'P$RMST, ?::<. ..:............. ...: FOR CITY IISE ONLY PER?!IT k RECEIPT DATE: PLEASE CO?iPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS tdliEN YERMITS ARE REQIIIRED FOR EACH UNIT. -------------------------------------------------------- ?L WORK DESCRIPTION NEW CONST _ ADD ON REPAIR _ OWNER NAME: SITE ADDRESS: IAT: BLACK _ SUED. INSTALLER: ADDRESS:_ CITY: ZIP: PHONE # FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL: $ SIGNATURE OF PERMITTEE ?0?SkERCiALJIND[TSTRIALPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND TNLTI-FATIILY BUILDINGS AHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING IINIT. --------------------------------------- _------ ------- __--w-_ CONTRACT PRICE: .S -i P, ? FEES OWNER NAME: SITE ADDRESS: 1'65y lN Z.R -\\Ic- IAT:_L BIACK _Z_ SUB INSTALLER: V AL-E 1 r7 G , -- annxESS: `tb-t 9 Ci id-f"-D AJF s, CITY: ?J loc?tu ??I C; rcr-/ ZIP: J~S ?}3 ? PHONE 84 FOR: L aq CITY OF EAGAN L.: m r 117 14 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. zgprgecaD PI??D16 - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ 2_'S' STATE SURCHARGE S I61?1 TOTAL: S ? ? • G ? - (SI NATURE) ?+ PEi?n? ?7rlvii i Controi No. 1348 Cti'Y OF EAGAN •`" 3830 Pilot Knob Road PERMIT TYPE: ta u C 1. D T N[C Eagan, Minnesota 55123 Permit Number: 0 q 1 g /4 g (612) 681-4675 Date Issued: 1 2 / 0 i / ?_)2 SITE ADDRESS: 1 6P, 5 Pi AzA DR i UT- ] Fsi.OGK? "L GA LAXIf= CI.'1 F f- 1) 1, A 7A 2110 DESCRIPTION: ?aRr. Ll riuI;aL ; '13uilti'itnci P ermi_1- Type COlrllyl_ iTNO, P9ISC. ' €3uildin??"Work T yor? ALTEfdATIDN U6C Clccuparip.,v R--2 ??'jl v? ?.l t r ? { 4 { f `?..,`?YM1 E {4--? ? :? t..?.? : r"'t.... • { ? ? /'1 REMARKS: ?oaa/ </K FEE SUMMARY: vAL u(A'r e010 Bdse fee P S a ri R P, v i e; w 5Li, C, hdrge Tocal Fer1 T1v6et?d4 --$ $ 11 .e?(1) 0 CONTRACTOR: - Apolic3nr. . OWNER: KF2AU5 AN1)ERSOPd 2727759.i, f'FIRK I'JTCOL t tCT MFOICAL (7NTR ="'.6Ghm hl]NNENAHf; P,VE 0 0 J 6J 35T;I ST NINNEAPQLSS MN 554011 Si L.0l.iT_S PAI?I< MN 5S416 ( ii12) 7 21-7 58 i (612)v:?'d-2o:1 I hereby aeknnwJedgg tYraC T hakie reac1 th3s app}..icataon and state Chat th(g inforniat:ion Is carrect and aoree to Comp.l.g with all appkica,ble ',ttite c+f hfrr. L SCatute,s and City of Fagan brdinante>. ? ' AP T/PERMITEE SIGNATURE ISSUED Y' IGNATURE PERMIT N MACT:WATE 14 41 CITY Or" EAiaAN 1992 BUILDING PERMIT APPLICATION ssi-as75 uo ee CP???. l?-? NOV % c! RECD SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of archltectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by of month in whi h last working day c re uest is made or lot chan e is re uested once ermit is issued. Date ll / f /'JU Yaluation of work 119r6_0D- Site Address: 199S P?,4 2W TRive STREEi SUITE / Tenant Name: (comnercial only) PA(Z C ?EN7ffL LOT BIACK SUSD. P.I.D. M D r? 2 t Descri tion of work: iv'Tg2io2 A LTEIZ T/00 The applicant is: ? Owner li?rontractor ? Otll@P (Deseribe) Name PARI< ??ILOi,,LC-7 MCb)GAl. CC-1vTE((? Pnor4 qaLt-a'37t Property LA:, F,RST . Owner Address sbob jc%sz T? S 7 IZ (ZE 7 SiREET , STE / City ST /,DuiS Pt1+2K- • State MK) Zip 5G`04?2 Company KRau S AN+oim50AU Phone 70? 1- 7S5/ COntfeCtOr Address _a6_00 MIAI/dc- NAH,q AV? License # Exp. City K1y1NZFiPlX'C, State M 'o Zip '5S'/b`/ Archltect/ Company ToM LLU561J AIZGNiT-47S Phone ?5gy-3ti74 Engtneer Name 3sc`?1-1 ?-?EhINtP?N Sa Registration M Address R 7TO I KAT! F ik I EFE(Z City 14 PLS State MN Zip 55y Sewer 8 water licensed plumber EiZa o,ANL- ivmf514-) (NC- . Processing time for sewer 8 v?ater permits is two days once area as been approved. I hereby acknowledge that I have read this applic ion and state that the information is correct and agree to compl all applicable ate of Minnesota Statutes and City of Eagan Ordinances. 7 Signature of Applicant: ". OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex 13 09 12-Plex ? 10 Multi. Add'1 a ? ' - ? 11 Apt./Lodging ? 0, 161 esWent Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory 0 18 Comm./Ind. ? 14 Fireplace JN 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 32 Addition 12 33 Alterations ? 34 Repatr ? 35 Tenant finish ? 31 Demolish ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Ist F1. sq. ft. UBC Occupancy g-2 2nd F1. sq. ft. Zoning 5q. Ft. total / of 5tories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REGIUIRED INSPECTIONS ? Site ? Nallboard ? Footing ? Final ? Framing ? Draintile MWCC System City Water PRY Required Booster Pump Fire 5prinkler Census Code SAC Code Assessments _y37 3o ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Mater Meter Acct. Deposit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other Total: v.luoeione g QCIo I ? KRAUS-ANDERSC"N CQNS`CRUCTION COMPANY i 1 ?UNIKn(lUl<?SCo1hSIRUCTIONMANiA[lEKS James M. smith Project ManaBer BuiWing Division CarPhone:868-2652 FA%: (612) 721-2660 OiFICE: (612) 721-7561 2500 Minnehaha Ave, Minrreapnlls, MN 55404 SAC % SAC Units u, ?1, C.fl?? PIGu zkd. M 3830 PILOT KNOB ROAD THOMnS EGaN EA6AN, MINNESOTA 55122-1897 Maya PHONE (612) 4$4-8700 DAVID K GUSTAFSON FAX (612) 454-8363 Pnt.nEln r,.`cCREA TIM PAWLENN THEODORE WACHTER Counal Members THOMAS HEDGES ApIIl 19, 1991 G[yAdmirns[ra[or EUGENE VAN OVFRBEKE Crty Clerk WAYNE CLARKE, PROJECT ARCHITECI' HAMMEL GREEN AND ABRAHAMSON INC 1201 HARMON PL MINNEAPOLIS MN 55403-1985 Re: 'Park Nicollet Medical Center Dear Mr. Clarke: Thank you for your letter of April 15 explaining the function of the central core area of the above-referenced building. It is our determination that for the specific conflguration, use, and occupant load as set forth in your letter, the design meets the intent and minimum requirements of the building code. Sincerely, , ??,r lur ? Joe Merchak, Construction Analyst Protective Inspections JM/mg cc: Doug Reid, Chief Building Official John Davies, Kraus-Anderson Construction 7ohn DeCoster, Park Nicollet Medical Center THE LONE OAK TREE...THE SYMBQL OF STRENGIH AND GROWfH IN OUR COMMUNIN Equal Opportuniiy/Aftirmative Action Employer OLSEN FIRE PROTECTION INC. [MEM OQF UUM, [lv(]O`l?UL 321 Wilson Street N.E. .' A? >>„ Minneapolis MN 55413 Phone: (612) 331-3171 ?, DCT l,g,q? ro FAX: (612) 331-1161 To C 1 f-, c>f ?Ar„l?? . 4 _ WE ARE SENDING YOU ? Attached ? Under separale cover via_ 17 Shop drawings ? Prints ? Plans f 7 Copy of letter ? Change order L] - COPIES DATE NO DESCRIGTION ?? -_-rl,? Q ? f)?i??vKLPR C/?LG . - --- ( ----- _ SeT - ?ePakf oF fhP Ch%eF -- ---- TIIESE ARE TRANSMITTED as checked below ? For approval O ADProved as submitted ? For your use ? Approved as noted f=1 As requested U Returned for wrrections ? For review and comment CI ? FOR BIDS DUE 19 REMARKS pArs,1 p- ll 9 c - Joe r+o wr*cr ? l7? (.?.1 Lei C HE r`? LZe ^06«1 ? ? PRINTS RETURNED AFfER LOAN TO US -nPU c>r A bPriSioiJ ON C1it9,vr_QS 7v thP luwi 'A/G CoAP ?? ?t4 AP 7`hHf f??P CI /y Ei?6q?+1 57i49s w1 ih f/,P SiN6/P APCiFLfOR Ch.?v K s%A)cP /t SAL)P Y/lP C?51or?e? pp?i2 A BsY _t,,( _noN?q ST PAUI (UA7PR hAS S1,V(P TNC 43AtK_ 74 i he 0 I b cJA y ArJD y"hR o- o ut th P 8A(KF1a? Pk' e?e,'roR , _s,,,ce PA&aK O,c.oaet is ,,vsf?//„iv S PR;.)KIe,<s Th,0 AR,P lyot" ReoviRej " /wJP hnDO theN i42G Nt) i Ar,uaLa j a1. /.i i fl, ADD,TinnlAL i-lJS75 974 d2 A P S COPY ? Resubmit copies for approval ? Submit_copies for distribution rJ Return corrected prints ? Samples following items: O Specifications N'Yl SIGNED: CflC'OMFR (:(1PY Fl enclorvre, m not Ia notod, Mmery notuy w ae once. 69-0210-4325-1 <Plumbing Code> STATE OF MINNESOTA OFFICE OF ADMINISTRATIVE HEARINGS FOR THE MINNESOTA DEPARTMENT OF ADMINISTRATION In the Matter of Proposed Permanent REPORT OF THE Rules Relating to rurFF ADMINISTRaTIVE LAN JUDGE Minnesota State Building Code. The above-entitled matter came on for review by the Chief Adminl5trative Law Judge pursuant to the provisions of Minn. Stat. § 14.15, subds. 3 and 4, which provide: 5ubd. 3. Ftndina of substantial change. If the [administrative law judqe's] report contalns a finding that a rule has been modified in a Nay which makes it substantially different from that which was originally proposed, or that the agency has not met the requirements of sectlons 14.131 to 14.18, it shall be submltted to the chlef administratlve IaN judge for approval. If the chief administrative laH judge approves the finding of the administrative law judge, the chief administrative law judge shall advise the agency and the revisor of statutes of actions Nhich w111 correct the defects. The agency shali not adopt the rule until the thief adminlstrative laN judge determines that the defects have been corrected. 5ubd. 4. Need or reasonableness not estabilshed. If the chief administrative law judge determines that the need for or reasonableness of the rule has not been establlshed pursuant to section 14.14, subdivislon 2, and if the agency does not elect to follow the suggested actions of the chief adm1n15trative law judge to correct that defect, then the agency shall submit the proposed rule to the legislative commission to revlew administrative rules for the commisston's advlce and comnent. The agency shall not adopt the rule untit 1t has recetved and considered the advice of the commission. Nowever, the agency is not required to delay adoption longer than 30 days after the commission has received the agency's submission. Advice of the tommission shall not be binding on the agency. Based upon a review of the record 1n this proceeding, the Chief Administrative LaN Judge hereby approves the Report of the Adminlstrative Law Judge in all respects. In order to correct the defects enumerated by the Administrative Law Judge, the agency shali elther take the action recomnended by the Administrative LaK Judge or reconvene the rule hearing 1f approprlate. If the agency chooses to reconvene the rule hearing, 1t shali do so as tf it 1s initiating a new rule hearing, complying wlth all substantive and procedural requlrements imposed on the agency by law or rute. If the agency chooses to take the action recommended by the Administrative Law Judge, it shall submit to the Ch1ef Administrative Law Judge a copy of the rules as initiaily publtshed In the State Register, a copy of the rutes as proposed for ftnal adoptlon in the form required by the State Register for ftnal publication, and a copy of the agency's Findings of Fact and Order Adopting Rules. The Chief Administrative Law Judge will then make a determination as to Nhether the defects have been corrected and whether the modiftcatlons 1n the rules are substantial changes. Should the agency make changes in the rules other than those recomnended by the Administrative Law Judge, 1t shall also submit the complete record to the Chief Administrative Law Judge for a review on the issue of substantial change. Dated: March -? Q', 1990. Chief Adminiitrative Law Judge -2- 69-0210-9325-1 (Plumbing Code) STATE OF MINNESOTA OFFICE OF ADMINISTRATIVE HEARINGS FOR THE MINNESOTA DEPARTMENT OF ADMINISTRATION In the Matter of Proposed Permanent Rules Relating to Minnesota State Building Code. REPORT OF THE ADMINISTRATIVE LAW JUDGE The above-entitled ma*_ter came on for hearing before Administrative Law Judge Steve M. Mihalchick on February Z, 1990, at 9:00 a.m. at the Sheraton Airport Hotel, 2525 East 78th Street, Bloomington, Minnesota. This report is part of a rulemaking proceeding held pursuant to Minn. Stat. §§ 19.131 to 14.20, to hear public comment, to determine whether the Minnesota Department of Administration (Department) has fulfilled all relevant substantive and procedural requirements of law or rule, to determine whether the proposed rules are needed and reasonable, and whether or not the rules, if modified, are substantially different Erom those originally proposed. Charlene Hatcher, Special Assistant Attorney General, 1100 Hremer Tower, St. Paul, Minnesota 55101 appeared on behalf of the Department at the hearing. The agency panel appearing in support of the proposed rules consisted of Elroy Herdahl, Technical Services Section Supervisor; Alvin Kleinbeck, Code Administrator; Milton Bellin, Minnesota Health Department Plumbin9 Unit; and James Berg, Department of Labor and Industry Code Enforcement Division Director. Approximately one hundred pezsons attended the hearing. Eighty persons signed the hearing register. The Administrative Law Judge received eight eahibits as evidence during the hearing. The hearinq continued until all interested persons, groups or associations had an opportunity to he heard concerning the adoption of these rules. The record remained open for the submission of written comments for twenty calendar days following the date of the hearing or February 22, 1990. Pursuant to Minn. Stat. § 19.15, subd. 1(1988), three business days were allowed for the Eiling of responsive comments. On February 27, 1990, the rulemaking record closed for all purposes. Heyond the oral comments at the hearing, the Administrative Law Judge received 313 post-hearing written comments from interested persons. The Department submitted a written comment responding to matters discussed at the hearing. Eleven comments were received after the record closed in this proceeding and, therefore, those comments were not considered. I The Department must wait at least five working days before taking any final action on the rules; during that period, this Report must be made available tv all interested persons upon cequest. Pursuant to the provisions of Minn. Stat. § 19.15, subd. 3 and 9, this Report has been submitted to the Chief Administrative Law Judge for his approval. If the Chief Administrative Law Judge approves the adversE findings of this Report, he will advise the Commissioner of Administration (Commissioner) of actions which will correct the deEects and the Commissioner may not adopt the rule until the ChieE Administrative Law Judge determines that the defeCts have been corrected. However, in those instances where the Chief Administrative Law Judge identifies defects which relate to the issues of need or reasonableness, the Commissioner may either adopt the Chief Administrative Law Judge's suggested actions to cure the defects or, in the alternative, if the Commissioner does not elect to adopt the suggested actions, she must submit the proposed rule to the Legislative Commission to Review Administrative Rules for the Commission's advice and comment. If the Commissioner elects to adopt the suggested actions of the Chief Administrative Law Judge and makes no other changes and the Chief Administrative Law Judge determines that the defects have been corrected, then the Commissioner may proceed to adopt the rule and submit it to the Revisor of Statutes for a review of the form. If the Commissioner makes changes in the rule other than those suggested by the Administrative Law Judge and the Chief Administrative Law Judge, then she shall submit the rule, with the complete record, to the Chief Administrative Law Judge for a review of the changes befoce adopting it and submitting it to the Revisor of Statutes. When the Department files the rule with the Secretary of State, it shall give notice on the day of filing to all persons who requested that they be informed of the filing. Based upon all the testimony, eahibits and written comments, the Administcative Law Judge makes the foilowing: FINDINGS OF FACT Procedural Reauirements 1. On December 20, 1989, the Department filed the Notice of Hearing proposed to be issued with the Chief Administrative Law Judge. 2. On ,7anuary 2, 1989, the Department filed the following documents with the Chief Administrative Law Judge: (a) A copy of the proposed rules certified by the Revisor of Statutes. (b) The Statement of Need and Reasonableness. -2- 1 3. On January 2, 1990, a Notice of Hearing and a copy of the proposed rules wete published at 19 State Register 1612. 9. On December 29, 1989, the Department mailed the Notice of Hearing to all persons and associations who had registered their names with the Department for the purpose of receiving such notice. 5. On January 30, 1990, less than 25 days prior to the hearing, the Department filed the following documents with the Administrative Law Judge: (a) The Notice of Hearing as mailed. (b) The Agency's certification that its mailing list was accurate and complete. (c) The Order for Hearing. (d) The names of Commission personnel who will represent the Agency at the hearing together with the names of any other witnesses solicited by the Agency to appear on its behalf. (e) A copy of the State Register containing the proposed rules with the Administrative Law Judge. (f) The comments received following the Department's request for comments and a copy of the DeQartment's request for comments. 6. On January 31, 1990, the Department filed the Affidavit of Mailinq the Notice to all persons on the Agency's list with the Administrative Law Judge. The documents were available for inspection and copying at the Office of Adminiskrative Hearings from the date of filing to February 27, 1990, the date the record closed. The Department did not comply precisely with the filing deadlines of Minn. Rules 1900.0300 and .0600. However, no membezs of the public inquired of the Administrative Law Judge to inspect or copy the documents required to be filed under those rules. No one eapressed any objection or claimed to be prejudiced by the Department's late filing. The Administrative Law Judge finds that the Depattment's noncompliance with Minn. Rules 1400.0300 and .0600 is not a defect in the rulemaking proceeding. 7. The proposed rules repeal portions of the presently existing code governing standards for plumbing installation and maintenance, and alter some of the remaining code provisions. 8. In its Notice of Hearing, the Department cites Minn. Stat. § 16B.61 (1489) as authorizing the Department to adopt the proposed rules. This statute requires the Department to promulgate rules establishing a code "for the construction, reconstruction, alteration, and repair of state-owned buildings, governing matters of structural materials, design and construction, fire protection, health, sanitation, and safety." Minn. Stat. § 16H.61. The Department has qeneral authority to adopt these rules. -3- SMall Businesa Gonsiderations in Rulemakina. 9. Minn. Stat. § 14.115, subd. 2(1988), requires state agencies proposing rules afEecting small businesses to consider methods for reducing adverse impact on those businesses. In the Notice of Hearing, the Department stated that the effect oE the proposed rules on small business was evaluated in light of the methods suggested in that statute. The Buildinq Codes Division (of the Department) feels the proposed rules will not have an impact on small businesses. Testimony received at the hearing indicates that the proposed rules could have a large impact on small businesses, insofar as the installation of plumbing devices and pipe is largely done by small businesses. Reduction of compliance for small business is inappropriate since the rules establish a minimum standard intended to protect the health and safety of the public while using potable water. Similarly, eaempting small businesses from the proposed rule is inappropriate since the rules are intended to be a minimum standard. Since there are no reporting requirements, beyond receiving approvals for devices not listed in the rules, the rules cannot be made less rigorous when applied to smali businesses. The Department has met the requirements of Minn. Stat. § 14.115, su6d. 2, with respect to the impact of the proposed rules on small businesses. Fiscal Note. 10. Minn. Stat. § 19.11, subd. 1, requires proposers of rules reqviring the eapenditure of public funds in eacess of $100,000 per year by local public bodies to publish an estimate of the total cost to local public bodies for a two-year period. One commentator sugqested that these rules will require such an expenditure since municipalities will have increased costs in complying with the standards set forth in the rules. The fiscal note is required when promulgation oE rules will cause the direct expenditure of funds to carry out the mandate of the rules. In this case, any increased expenditure of public funds would be incidental to construction performed by the local public body and thereby discretionary on the part of the local public body. The proposed rules will not, of themselves, require any eapenditure oE funds by a local agency or school district. Imvact on Aaricultural Land. 11. Minn. Stat. § 19.11, subd. 2, requires proposers of sules that have a"direct and substantial adverse impact on agricultural land in this state" to comply with additional statutory requirements. These rules have no impact on agricultural land and, therefore, the additional statutory provisions do not apply. Substantive Provisions. 12. The portions of the proposed rules which received comment or otherwise need to be examined will be discussed below. Any rule not mentioned is found to be needed and reasonable. Also, any rule not mentioned is found to be authorized by statute. -4- 13. Proposed Rule 9715.0310 alters the rule requiring the use of public facilities rather than wells by including a requirement that the well be used for irrigation, or sealed and abandoned as required by the Water Well Code. This additional language was [equested to extend jurisdiction for well abandonment, in these instances, to building officials. The proposed rule received no adverse comment, and is needed and reasonable. Prooosed Rule 4715 0810 -- Plastic Joirts. 14. This proposed rule establishes the proper technique for creating joints in plastic piping. Subpart 2 requires the use of a primer in a contrasting color to the pipe and cement used in solvent weld joints of PVC and CPVC pipe. The Department asserted in its Statement of Need and Reasonableness (SONAR) that the contrasting color would aid the inspector in determining that a particular weld had been done properly. Ed Worley objected to the proposed rule part, on the basis that the standard set forth by the National Sanitation Foundation (NSF) for primers was not adopted as part of the proposed rule. The Aepartment responded to the objection by altering the proposed Subpart 2 to add a requirement that primers comply with NSF Standard 14. The Department asserts that compiiance with this standard ensures the primer has been tested and certified safe for use in potable water systems. The Department has shown that using a contrasting color of primer is needed and reasonable and the change does not constitute a substantial change. Proposed Rule 4715 1380 -- Showers. 15. The only new language in this proposed rule part is Subpart 5, which requires showers and combination shower-bath fiatures in new and remodeled installations to have an anti-scald type shower control valve. Subpart 5 permits the choice of controi valve between the thermostatic or pressure balancing varieties. Either type must conform to ANSI/ASSE standard 1016-79. The Department justifies this requirement by the documented cases of burns and falls which occur when manual miaing systems fail. Randy Schenk of A.J. O'Conner Sales Co. submitted written comments including Research Report 88-01 of the American Society of Plumbing Engineers (ASPE) and the Scald Hurn Prevention Position Paper fzom the Burn Prevention Committee of the American Burn Association. Both of these documents recommend stricter requirements for the miaing valves of showers. The usual cause of the failure is a sudden drop in cold water pressure. In the manual mixing methods, there is no reduction in hot water pressure to compensate for the loss of cold water. The temperature of the water leaving the shower head rises, causing the bather sudden and uneapected discomfort. If the bather moves rapidly away from the shower spray, there is a substantial risk of injury from falling. If the bather remains under the shower spray and cannot stop the flow of hot water, the bather will be burned. -5- The Department asserts that burns from scalding, particularly amonq children and the elderly Eorm a serious hazard in the home. The ASPE report indicates that a first degree burn (the least serious type) can occur within 8 minutes when skin is in contact with water at 120 degrees fahrenheit. This time drops to 3 seconds when the temperature reaches 190 degrees fahrenheit. An alternative to a valve requirement would be to limit the maximum temperature of water heatecs. Water between 60 and 120 degrees fahrenheit provides an ideal breeding qround for leqionella pneumovhila, the bacteria which causes Legionnaire's disease. The ASPE report recommends that a minimum temperature of 135 degrees fahrenheit be maintained to prevent the spread of this bacteria. The Department has shown that anti-scald devices are needed to protect bathers from burns caused by overheated water. The Department has shown that the less restrictive alternative, lowering the maximum temperature of the hot water supply, poses a serious health risk. Mr. Schenk submitted a price Iist of avai2able valves, both pressure balancing and ordinary miaing types. The costs range from $25.25 to $73.06 for all types of valves. The least expensive pressure balanced valve costs $42.65. This amounts to an increased cost of $15.00. This increased cost is not unreasonable in light of the protection afforded by these devices. The Department has shown that the proposed rule is needed and reasonable. 16. Proposed rule 4715.2100 deletes the eaisting lanquage (which governs the installation of vacuum breakers) and replaces it with a list of speciEications for the installation of atmospheric vacuum breakers (AVe), pressure vacuum breakers (PVB), double check valves with intermediate atmospheric vent (DCVIAV), double check valve assemblies -- (DCVA) and reduced pressure zone backflow preventers (RPZ). Rule 4715.1920 regulates cross connections between potable water and systems containing substances of questionable safety. Rule 9715.1920 is not part oE this rulemaking proceeding. Proposed rule 4715.2110 lists which backflow preventers are required for different systems. The only systems for which the backflow device requirement received critical comment are post-mia carbonated beverage machines and fire sprinkler systems. The rule regarding carbonated beverage machines will be discussed at Finding 17, below. ----- Fire marshals, fire chiefs and fire inspectors from 15 municipalities objected to proposed rule 4715.2110 insofar as it would require RPZ, DCVIAV or DCVA backflow prevention on all new or remodeled fire sprinkler systems. Numerous installers and manufacturers of sprinkler systems also objected. The Department asserts that backflow prevention is necessary to prevent contamination of potabie water supplies from stagnant water retained within sprinkler systems. The standard device to prevent backflow in most sprinkler systems is the Check valve. The Department argues that the check valve permits migration of inetal and bacteria-laden water into the potable water supply of buildings. The proposed rule would only apply on sprinkler systems which draw their water supply from the potable water line within the affected building. Sprinkler systems which draw their water supply directly from the municipal mains would not be required to meet proposed rule 4715.2110. -6- Commentators have objected that the Department has not shown persons have been harmed through a water supply contaminated by a sprinkler system. The Department is not required to show evidence of actual injury and may rely on imperfect data to reach its conclusions. However, the Department must eaplain on what evidence it is relying and how that evidence connects rationally with the proposed rule. ManufactLred Housina InstitLte v. Peterson, 347 N.W.2d 238, 299 (Minn. 1984). The Department's evidence in this case is pure conjecture and does not meet that burden. The Department has introduced a document denoting several instances of some contamination found to have originated from "fire lines." The Department has not shown that these instances arose from the types of sprinklers sought to be requlated by the proposed rule. The American Water Works Association (AWWA) has categorized sprinkler systems into sia ciasses in its manual entitied n'ctr;ti„tion Svstem Requirementc for Fire Protection (known as M31). The AWWA has a manual entitled Hackflow prevention and Grosa-Connection Control (known as M19), but only the 1966 edition of that manual is a part of this hearinq record. M31 sets forth examples of sprinkler systems which include specific backflow protection. Classes 9 through 6 require RPZ protection. Those classes include systems which are connected to water mains and either: 1) introduce chemical additives; 2) are interconnected to two or more water supplies; or, 3) are within 1700 feet of another water supply. Class 3, consisting of a system directly connected to water mains and drawing auailiary water from a cover reservoir or tanks, uses DCVA or DCVIAV to prevent backflow. With regard to class 1(water main to sprinklers which vent to air) and class z(water main and booster pump to sprinklers which vent to air), M31 states that "[glenerally, classes 1 and 2 fire protection systems will not require backflow protection at the service connection." M31, at 96. The Department has not shown that the cited instances of contamination occurred in class 1 or class 2 systems. Where the burden imposed by the proposed rule is light, the Department's burden of proving that the standard is reasonable is also light. However, the burden imposed by this proposed rule will significantly increase costs to building owners who choose to install a spcinkler system. Each backflow prevention device installed on a system decreases the water pressure available to the remainder of the system. When a new system is originally designed, this pressure loss can be accounted for in the system specifications. Retro-fittinq eaisting systems with a RPZ, DCVA or DCVIAV could cause those sprinkler heads furthest from the water source to fail, owing to a lack of water pressure. This problem may be corrected through the installation of a fire pump, but this further increases the cost of the sprinkler system and could induce building owners to abandon the use of sprinklers rather than incur that cost. It is reasonable to assume that the proposed rule would increase the risk of fire in our state. Such a result is not in keeping with the statutory purpose of the rules, to ensure public safety. The Department, recognizing the hardship this rule would place on existing systems, has proposed to alter the ru2e to add a restriction, that the backflow prevention devices would apply only to "new ot total replacement installations only." This amendment does resolve the issue -7- 'cegarding existing systems, and should the rule be finally adopted, this alteration is needed and reasonable and does not constitute a substantial change. The Department has made no showing that the present system of check valves for class 1 and class 2 sprinkles systems is likely to cause harm through contaminating potable water supplies. The United States Environmental Protection Agency (EPA) has listed fire spzinkler systems as potential sources of backflow contamination, but the only example provided in its Crnes_Gonnection MAatldl is a Class 3 sprinkler system. EPA Cross-Connection Manual, at 40. The Department has not shown that the requirement of RP2, DCVA or DCVIAV backflow protection is needed or reasonable. To cure this defect, the DepaTtment must delete "Fire sprinkler system" from proposed rule 4715.2110. The Department has proposed altering the rule to add letters to designate each different application of backflow prevention. This change is needed and reasonable to ensure accurate citation of the rule. The change is not a substantial change. The remainder of the proposed rule is needed and reasonable. The Department has suggested that Minn. Rule 9715.1920 must be altered to avoid conflicting application of the rules if the proposed rule regarding fice sprinklers is found to be defective. Minn. Rule 9715.1920 is both already promulgated and not part of this rule proceeding. The Administrative Law Judge notes that, if the Department is correct in its assertion that Minn. Rule 9715.1920 already applies to fire sprinkler systems, the Department has established a precedent of using check valves on class 1 and class 2 sprinkler systems. In any event, that rule cannot be altered now since it is beyond the scope of this proceeding and would deny notice to the regulated public. Prooosed Rule 9715 2163 Carbonated 8pvp*aaP Machines. 17. This proposed rule part requires the use of DCVIAV for the line pteceding the carbonator in carbonated beverage machines. Dave Locey of the Minnesota Soft Drink Association objected to this requirement on the basis that it would increase costs, reduce reliability of soft drink systems and that the protection is not needed. The Department has presented evidence that several instances of illness were caused by contaminated water and that proper backflow prevention would have averted this harm. No figures were presented by any commentator to show how this proposed rule would affect costs. Mr. Locey suggested that replacinq eaisting equipment on drink systems would result in incompatible equipment that would reduce system reliability. The Department responded to the reliability argument by asserting that the required backflow preventer would be in addition to any existing device on the equipment, not rePlacing existing valves. Psoposed rule 4715.2163 is needed and teasonable to prevent backflow in carbonated drink systems that could contaminate potable water supplies and cause illness when such contaminated water is consumed. -8- .• provoggd_Rule 9715 2190 Combi d ?oace Heatina F.a??nment. 18. Proposed rule part 4715.2190 permits installation of devicee Eo heat domestic or service watez and provide space hea t in g, s o lon g as the devices meet requiiements for miaing valves, isolation valvea, drainage port (or automatic stagnation prevention) and manufacturet apptoval for use as a combination water and space heater. The majoiity of thoae who objected to this provision were concerned between the plumbing and pipef posthearing comment that combination water and space heeters are presently being installed in Minnesota without any restrictions. The Department emphasized that the proposed rule takes no -,osition on any jurisdictional disputes which may occur.. The proposed rule seeks only to specify health and safety requirements the devices must meet. The miaing valve requirement is linked to the anti-scald pcovisions referred to in Fitdingr15, The drainage Qort or automatic stagnation ptevention ;esu:em. Removing imposed to permit removal of stagnant water fsom the lYblems. Requicing such water ceduces potential bacteria or potabiletaCe ?leaters prevents a manufacturer approval for combination water and p heating loop from being added to a device designed onl} as a w=otect heater. ublic health?ssafetyeandlpreventluseeofeunsaferequipment,to p p nther Comment - . An add itional change was suggested by the Depactment to proposec 19 rule 9715.0920, subpart 3, VI, to add NSF Standard 14 aa commentator,twa: 6K polybutylene water pipe. This change, suggested by not objected to. This change does not constitute a substantial change and is needed and reasonable. Based upon the foregoing Findings oE FaCt, the Administrative Law Judge makes the following: 1. That the Department gave propez notice of the hearing in this matter. z. That the Department has fulfilled the procedural requirements oi 19.19, subds. 1, la and 19.19, subd. 2, and all other Minn. Stat. §§ procedural requirements of law or rule. 3. That the Department has demonstrated its statutocY authority to adopt the pcoposed rules and has fulfilled all other substantive Q5, zequirements of law or rule within the meaning of Minn. Stat. §S 19 subd. 1, 14.15, subd. 3 and 14.50 (i)(ii)• 9. That the Department has documented the need for reasonableness of its proposed rules with an affirmative facts in the record within the meaning of Minn. Stat. 59 and 14.50 (iii), eacept as noted at Finding 16. and presentation o 19.14, subd. Z -9- 5. That the amendments and additions to the proposed rules which ' were suggested by the Department after publication of the proposed rules - in the State Register do not result in rules which are substantially different from the proposed rules as published in the State Register within the meaning of Minn. Stat. § 19.15, su6d. 3, and Minn. Rule 1900.1000, Subp. 1 and 1900.1100. 6. That the Administrative Law Judge has suggested action to correct the defects cited in Conclusion 9 as noted at Finding 16. 7. That due to Conciusion 9, this Report has been submitted to the Chief Administrative Law Judge for his approval pursuant to Minn. Stat. § 14.15, subd. 3. 8. That any Findings which might properly be termed Conclusions and any Conclusions which might properly be tetmed Findings are heceby adopted as such. 9. That a finding or conclusion of need and reasonableness in regard to any particular rule subsection does not preclude and should not discourage the Department from further modification of the proposed rules based upon an ezamination of the public comments, provided that no substantial change is made from the ptoposed rules as originally published, and provided that the rule finally adopted is based upon facts appearing in this rule hearing record. Based upon the foregoing Conclusions, the Administrative Law Judge makes the following: It is hereby recommended that the proposed rules be adopted except where specifically otherwise noted above. Dated: March !?-, 1990. / -a y ? EVE M. MIHALCHICR Administrative Law Judge -10- ?i 0?0Ssity oF eagan 3830 PILOT KNOB ROAD 7i-pNaS EGhN EAGAN, MINNESOTA 55122-1897 WyOr PHONE. (612) 4548100 DAVID K GUSTAFSON FAX (612) 454-8363 PAMEw M?CREA TIM DAWLENTY iHEODORE WACHTER Coumil Members October 16 1990 TMoMAs HEOGEs , Cmy Atlmmis[rator EUGENE VAN OVERBEKE Crty Clerk JOHN H DAVIES, PROJECT MANAGER KRAUS-ANDERSON CONSTRUCTION CO 525 S EIGHTH ST MINNEAPOLIS, MN 55404 Re: Park Nicollet Medi 1 Center - Ea an Clinic % ???? ?? iluiee-? Dear Mr. Davies: I have reviewed for code compliance the plans submitted with your buiiding permit application for the above-referenced project. The comments listed below refer to documents which comprise the Minnesota State Building Code and applicable codes and ordinances of the City of Eagan. Certain code deficiencies may not have been included in this report, but this shall not be construed as an approval of such code deficiencies nor relieve the responsible parties from complying with said codes. The special inspectors listed on sheet 7/8-1 of the detail manual shall submit a final signed report stating whether the work requiring specia] inspection was, to the best of his/her knowledge, in conformance with the approved plans, specifications, and applicable workmanship provisions of the code. Either the enclosed forms or a report of complying design may be used. See UBC Section 306(c)3. • Verify that sky]ights conform to the provisions of UBC Chapter 34. • Submit certified electrical plans (Minnesota Rule 1800.4200 and UBC 302(b)). • Provide exit illumination in conformance with UBC Section 3313. • Provide e3cit signage in conformance with UBC Section 3314. • Post handicap parking signs visible from inside the vehicle parked in the space. See Minnesota State Statute 169.346; MSBC 1340.0300, Subpart 5; and MSBC 1340.1900. THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN Equal Opportunity/Affirmative AcTion Employer JOHN H DAVIES OCTOBER 16, 1990 PAGE TWO • An automatic fire suppression system is required throughout the building (UBC Section 3305(g) Ex. 5). Submit sprinkler plans and hydraulic calculations for review (UBC 302(b)). The sprinkler opening in the electrical room may be plugged; however, instal] a detector (UBC 3804 and UBC 105). • Smoke detectors are required in al] corridors and adjacent communicating spaces (waiting areas) (UBC Section 3305(g) EY. 5). • Details show parapets of combustible framing. Please verify that this does not violate the requirements of Part IV of the building code for the type of construction intended. • Opening protection is specified for all fire-resistive walls in the project specifications; however, fire dampers are not indicated on sheet M-1 for al] openings penetrating fire-resistive walls at rooms 1011, 1013, 1015, 1037, 1043, and 1120. Please clarify your intent. • To facilitate emergency exiting from waitingllobby areas, door 1003 should swing into corridor 1004. See UBC 3304(b). Sincerely, ??.lf_ #µ? ? Joe Merchak, Construction Analyst Protective Inspections Enclosure JM/mg cc: Hammel, Green and Abrahamson, Inc. .? V R L Es.- INCORPORATED TELEPHONE (612) 884-1661 MECHANICAL and SERVICE CONTRACTORS HEATING • VENTILATING • AIR CONDITIONING • CONTROL SVSTEMS 9649 GfRARD AVENUE SOUTH M/NNEAPOLIS, MINNESOTA 55431 April 24, 1991 CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Attention: Heating Inspector Gentlemen: Enclosed please find test report(s) submitted in compliance with applicable building regulations, for work done within your jurisdiction; Park Nicollet Medical Center 1885 P aza Drive, Eagan, Minnesota Should there be any questions regarding this work, please contact our Mr. Mike Thienes , reference Job Number J90-316 by telephone at 884-1661. Very truly yours, YALE, INCORPORATED r? ??? Ronald G. Harter Service Manager Enclosure: Test Report - 3 HEATING TEST RECORD ADDRESS 0 ?? ?lbC MUNICIPALITY OCCUPANT ' OWNER -? TVPE OF HEAT: ROOF_FA-HW_STEAM_UNITHTR._OTHER INFRA-RED ? MAKE MAKE Moe.i wee.l - dd Swiel /7 ` $wial INPUT ,T.'19071 FUEL INPUT ? FUEI CONTROLS CONTROLS TMERM 5 THERM STA Valvo Valw Llmlt Limit - Limif SoMin9 Limif SoMinp ? s Fan Seffin9 - Fan Sef11np , Pilel Typ. Pilot Tyye Pilot A{e4e Piloe Mok? Pila Medel ? Pila Model Piloe Timin9 Pllet Timinp L.W. Cut Off L.W. Cut Off Preffurs ? Percent CO Pnssur? r.«.nt c0 2 1 Irput CFM PMUM 02 Irout CFH P?rc?n1 02 ? Stoek Tomp. ! P*rwnt CO Stat4 Tomy. P?rc?nt CO Vom Sis• ? V"t Sise, KIND OF L ER SIZE KIND OF LI ER SIZE_ - 0.vFt Test Taq ? Drafl Tul Top A / •I 5wi FUEL INPU FUEL \THERMOSTA MAKE CONTROLS CONTROLS THERMOSTA _ Valv. _ Limit . _ ' Limif Limir $eNinO Limle SoMfnq _ Fan Setffnp _ Pan Sottiny Pilet TrW Pilet Type PJet Maka Pilet Mab Pilor Madsl Pilet Medel Pilof Tim7n9 Pilet Tlminy L.W. Cut orf L.W. Cu+ off Preuwe Percenf CO2 Pnuun Poeenf COZ - Input CF P?rcon, OZ_ Input CFM P?rune O? - Steck T mp. Poc.nt GO Spek T P. _P?reent CO _ V?ne i:• V?nt i:• K D OF ?INER 512E K D OP IINER SIZE aft T.at Tay eft Tes1 Tap 091288 ? ? Date Tested 9649 G/FARD AVENUESOUTN ?ul??--7?" 'C ter^ ? ?' ?' ?` ?C MINNEAPOL/S, M/NNESOTA 55431 Name of ? Tes?D ?? INCORPORATED rEL. (612) aea-15ef FAX(612) 884-0295 Jo b No. . ADDRESS MUNICIPALITY OCCUPANT OWNER , TYPE OF HEAT• ROOF_FA-HW?AM_UNITHTR._OTHER INFRA-REO ? MAKE Medel $orial _ INPUT CONTROLS Valve C?'p Limft 0 limlt SeMinq Fen Settinq Pilot Type Piloe A{ob _ Pilor Abd?l Piler Timinq L.W. Cut OH ? Pressure Vereenf CO2 a ? Irryut CFNPWcant 0? Sloek To mp. Pxc?ntCO Venr S'ze 4 KIND OF IL R SIZE ? 0.aft 1 [L?? Test T $wia l . INPUT THERMOSTAT Valro L,mif . Lin,,t Son,np - Fan Saet{np - Pilet Typ, _ Pilot Maka _ Pilor Medel _ Pilor Timio9 _ L.W. Cue Ofl _ Pnssun Inpul CFH S?eck Tom V ?nl Sia IND F IINER T•sr Tay Swial . INPL? THERMOSTAT Volvo Llmif Limlt SoMinp _ Fan SeNinp - Pllot Typa _ Piloe Mak• - Pilet Med•I - Pflor T{miny - L.W. Cu1 OF{ _ Pnpun _ Inqut CFH - 5ack T.m V?nt Sf • _ CONTROLS LINER Parcont C02 PNConf OZ P.rc•m CO _ SIZE Tut Tap__ MAK E" IAed•I Swie I . INPUT THERMOSTAT Valro Limie Limif SeMinp _ Fan Soniny - Piler Type _ Pilee Mek• _ Pila Msdd _ Pilae T{minp _ L.W. Cur Oif/_ Input M _ 7 5 Amp. _ ?ne Size_ KIND OF LINE 0.off 91ltl• Date Tested ? ?UI^ fI ? 9649G/RARDAVfNUESOUTH Name of Tester ri-i ? C MINNEAPOL/S,M/NNESOTA55431 INCORPORATED 7EL:(612) 8e4ae61 FAX.(6l2)88G-OZ95 Job No. FUE CONTROLS Pereent CO2 PvceN OZ Pwcene CO FUEL CONTROlS Poun1 COl Poreonf OZ Pwanl CO _ SIZ Test Toq ,Ci /.?/, Azl?I'<_ W?'%°' OF 3830 PILOT KNOB ROAD THOna^.S EG.4N EAGAN, MINNESOTA 55122-1897 Mayor PHONE (612) 454-8100 DAVID K GUS7AFSON FAX(614) 454-8363 P?LA W«EA TIM PAW1ENiY THEODORE WACFRFR Cour?d M¢mbers October 16 1990 TI IOrMS HEWES , Crty Atlmmatrata EUGENE VAN OVERBEKE Crty CI¢rk 70HN H DAVIES, PROJECT MANAGER KRAUS-ANDERSON CONSTRUCTION CO 525 S EIGHTH ST MINNEAPOLIS, MN 55404 Re: Park Nicollet Medical Center - Eaean Clinic Dear Mr. Davies: I have reviewed for code compliance the plans submitted with your building permii application for the above-referenced project. The comments ]isted below refer to documents which comprise the Minnesota State Building Code and applicable codes and ordinances of the City of Eagan. Certain code deficiencies may not have been included in this report, but this shall not be construed as an approval of such code deficiencies nor relieve the responsi6le parties from complying with said codes. • The special inspectors listed on sheet 7/8-1 of the detail manual shall submit a final signed report stating whether the work requiring special inspection was, to the best of his/her knowledge, in conformance with the approved plans, speci5cations, and applicable workmanship provisions of the code. Either the enclosed forms or a report of comp]ying design may be used. See UBC Section 306(c)3. • Verify that skylights conform to the provisions of UBC Chapter 34. • Submit certified electrica] plans (Minnesota Rule 1800.4200 and UBC 302(b)). • Provide exit illumination in conformance with UBC Section 3313. • Provide exit signage in conformance with UBC Section 3314. • Post handicap parking signs visible from inside the vehicle parked in the space. See Minnesota State Statute 169.346; MSBC 1340.0300, Subpart 5; and MSBC 1340.1900. THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIlY Equal Opportunity/Affirmative Action Employer ; . JOHN H DAVIES OCTOBER 16, 1990 PAGE TWO • An automatic fire suppression system is required throughout the building (UBC Section 3305(g) Fac. 5). Submit sprinkler plans and hydraulic calculations for review (UBC 302(b)). The sprinkler opening in the electrical room may be plugged; however, install a detector (UBC 3804 and UBC 105). • Smoke detectors are required in all corridors and adjacent communicating spaces (waiting areas) (UBC Section 3305(g) Fx. 5). Details show parapets of combustible framing. Please verify that this does not violate the requirements of Part IV of the building code for the type of construction intended. • Opening protection is specified for al] fire-resistive walls in the project specifications; however, fire dampers are not indicated on sheet M-1 for all openings penetrating fire-resistive walls at rooms 1011, 1013, 1015, 1037, 1043, and 1120. Please clarify your intent. • To facilitate emergency exiting from waiting/lobby areas, door 1003 should swing into corridor 1004. See UBC 3304(b). Sincerely, / 4c /'`&A? V Joe Merchak, Construction Analyst Protective Inspections Enclosure JM/mg cc: Hammel, Green and Abrahamson, Inc. SPECI:IL INSPEC7'OR FINAL REPORT na;e Tn Cit t oi Cou m v of: Addreca: Ciiy: State: Zip Code: Attenlian' Rc: Final Pmject Report Project Name AJdress. Tii w•hom n mav concem: This ia to certify thai ! performed special inspection on the following portions of tho work at the above address which required continuous inspection, and Which I was employed to inspcct Haqed upom m\ peraonal ohcenanon and wriuen reports of this work, it is my judgment thai ihe inspecied work v,as per(ormed, to the beci (if ine knni.N ledge. in accordance with the approved plans, specifications, and the applicable worl.mamhip pro\ isionK of the Uniform Building Code. Ver) trul\ yours, (Special lncpector'c Signa(ure) Date Print Full Name ID Number cc Chrnl Owner ArchitecCEngineer September 21, 1990 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Merchak: L ?1 81 ? 6ALAxre CtIfr- 9"NaA ZAJD ' ?' Metropolitan Waste Control Commission Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101 612 222-8423 The Metropolitan Waste Control Commission determined SAC for the Park Nicollet Medical Clinic to be located within the City of Eagan. This project should be charged 23 SAC Units, as determined below. SAC Units Charges: out-patient clinic 359 f. U. @ 17 f. u./SAC Unit 21.12 Film Processor 0.75 gallons/minute x 60 minutes/hour x 9 hours/day @ 274 gallons/SAC Unit 1.48 Total Charge: If you have any questions, call Roger Janzig at 229-2119. Sincerely, Q40n?? Donald S. Bluhm Staff Er.gineer DSB:RWJ:jle 9009215F cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan John Davis, Kraus-Anderson 22.60 or 23 Equal Opportumty/Affirmahve Action Employer , -Offi?- 7 Cities Di i?_Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? 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' _.?IryL.l. iT_:H . H.. . ? 12P I" YI.1MI ';it'i ? 'h ??finriilliE.!I I?. r.;•?'T"-il (Q ,_ ..'? IJF Eidl!E.LJPi= fill.iRW P'[:.f,'FUI;:MPiPlL'['.. _nr: - 111"110 ' --._.N _W..- MEDICAL CLINIC CITY OF EAGAN ND 18458 3830•Piibt Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT . Receipi i1 0 / l To be used for FOUNDATION 'ESt. Value $50, 000 Date OCTOBER 17 19 90 Site Address 1885 PLAZA DRIVE 1 1 GALAXIE CLIFF Lot Block SeGSub OFFICE USE ONLY Parcel No. PLAZA 2ND ADD. acuPancy B-2 FEFS PD LB Zoning w Name f'ARK NICOLLET MEDICAL CTR (qctuapConst ILDLSPR &dg Permn ? 415.00 z ; 000 W 39TH ST AddreSS tnuowable) IIN-SPR h S 25.00 a MPLS urc arge CitY phone 927-3300 porstories i- 269.00 p?an Review ?US-ANDERSON CONST Lenglh 1? 300.00 2 o Name oepcn snc ary + = 525 S 8TH S'L 1? , $ a AddreSS S F Total 800. 00 13 2D?0?0 snc,nncwc c L ? City MPLS Phone 332-7281 sF F?tprincs 20_,_OO0 WaterConn On Sne Sewage - 85 W Name HAMMEL GREEN & ABRAHAMSON On Site Well - water Meter 1° ¢= 1201 HARMON PLACE Addre55 MWCC stem aw ?LS 332-39?+4 City Phone Watar C N X? qcct Oeposn S/W P n 30.00 PRV Requued erm I hereby acknowieqe that I have read [his applicallon and s[ate that the 9ooster Pump - . 50 SiW Surcharge inlormation is correct and agree to comply with all apphcable State ol +1,000 sq. ft Canopy 5 796 00 Mmnesota Statutes and Clry,qf Ea an Ordin e TreatmeM PI . , Signalure oi Permilee ?? e R-+v APGROVALS Road Unrt 2,320.0 ? A Buildmg Pefmit IS issued to KRAUS-AN ERSON CONST Pianner - park Ded. on the express condrtion ihat all work shall be tlone m accordance wtlh all Council appiwable State of Minnesot tatutes and Cn gan Ordmances. 0ldg. Oft ? Copies BuiWing Oflicial ?tik ? Vanance - TO7AL $24.955.50 I _3 / . ? 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAHILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL //- 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSI)ED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT Mt1ST SHOW A LICENSED PLUMBER. ?OUNL?4TlZxV ??'M!% To Be Used For: MECICP?(_ 0Ltt4tC Valuation: 501 UOC) Date: Site Address Pk-p?'?A D2WE Lot ( Block ( Parcel/Sub ?'???x1F= C-L-iFF PLA:R.A ZuvAuc Owner `? 12K N\COLI.cn C`hEOtiC.A? cErCCE2 Address SOCO City/Zip Code VW1.:5 (o[`L (c Phone q2,Z- 13300 Contractor V<.(2.?S kt-4LeftSUt6 CWgEir Address `J25 S. 8? 5S City/Zip Code Y1'1N rjrjL{0Y Phone 332-72£?1 ,vE'+N-b AVfES Arch./Engr. Address 120\ 1?f?QthOK Q1.1°cCk? OFFICE IISE FEES Occupancy B' Z Zoning pD LTi 'Actual Const -T-N Sl? Sldg. Permit y/5 U0 Allowahle ?-hl SPR KSurcharge LS? # of stories I Plan Review ? E`]•OC? Length ? _ SAC, City 23oo.c?C) Depth 128 SAC, MWCC 13S00.O0 S F T t 1 ZO 000 Water Conn -- . . o a Footprint S.F. 40,000 Water Meter - PLUS IOOO sF cqNOP\( Acct. Deposit - On site sewage_ S/W Permit 30.c>D On site well S/W Surcharge .Sv p MWCC System i/ Treatment P1. 5716.0 City water i/ Road Unit' 2 Zo.oo PRV Park Ded. 7KAaL j?ED, Booster Pump _ Cegaes --- SUBTOTAL APPROVALS Penalty Planner _ TOTAL Council Bldg. Off. Variance City/Zip Code -rj's+-f30 X SPP-IN Phone ? ???32-39mL{ FEE-S S Ac N Z.3 x?oo = Z3o? M wccr z x Goo = sro? Tti'. PLawr z3xz?2= r`O?7 ?-lN I i Z.ir) 8'6 /065 = Z 320 ??RK ???c_r??lon1 P12EVIV?tS?-?? PA?I-b ?0/9 fqe, •_-'T?c??rri ?' C IoC?ZS . , !?2?vio?sL? -i PAl'D lo/.r /Ga REe.sn?'?° Cro6z?' ? Metropolitan Waste Control Commission Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101 612 222-8423 December 18, 1990 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Merchak: The Metropolitan Waste Control Commission reviewed the SAC assignment for the Park Nicollet Medical Clinic. The original letter for this determination was dated September 21, 1990. This project is located within the City of Eagan. This project should be charged 13 SAC Units, instead of the 23 units originally assiqned. The SAC review is based on new updated information. This determination follows: Charges: Out-patient clinic 190 f. u. @ 17 f. u./SAC Unit Film Processor 0.75 gallons/minute x 60 minutes/hour x 9 hours/day @ 274 gallons/SAC Unit Total Charge: If you have any questions, call Roger Janzig at 229-2119. S' cerely, Donald S. Bluhm Staff Engineer DSB:RWJ:jle 901218SA cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan John Davis, Kraus-Anderson Equal OpportunitylAffirmative Action Employer D7 SAC Units 11.18 1.48 12.66 or 13 o - ,-, _ - - -? _ - -, -. ? . O1: 0 Ps ?-- .. •' •41,7- - - ? _ ? as?~?'- ?•`r c. i.. . ?r V V V\r J v? v J^ ? CASH RECEIPT CITY OF EAGAN ?3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / c 199n 5kZ^.071 'X?Uen r z &5?. aa FP.? AMOUNT $ U ? ?C 8 DOLLARS ?m ? CASH CHECI ? `l .` I XJ FUND OBJEC7 AMOUN7 •} i Thank ? ?•!.. . j? . 1 ' •?? .. . ;?~? eY , C 10625 low--P?Wg CopY . . • . J PiM-FA, CWY •.l _ . __.:......?veriil9?l?JJ"JJ??i ?J , • .•Hammel Green and Abrahamson, Inc ' Architec[ure - Engmeenng - Intenor Desian 1201 Harmon Place . Minneapohs. Minnesota 55403-1985 Telephone 612-332-3944 Pax 612-332?8013 0 11,00% w r •-• - 1v1 ? 15 April 1991 Mr. Joe Merchak City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 Re: Park Nicollet Medical Center - Eagan Clinic HGA Commission Number 868.007.02 Dear Mr. Merchak: This letter is in regard to our telephone conversation of Friday, April 12, 1991, concerning the exiting condition at the waiting rooms at the Park Nicollet Medical Center Eagan Clinic. It was our intention that the people in Waiting Room 1036 (actual seating capacity of 22) and Waiting Room 1046 (actual seating capacity of 28) exit into Corridor 1002 and through Exit Doors 1001B and 1001A. The following are some reasons for our design decisions. The plan was set up with Doors 1036 and 1046 acting as a secondary means of egress for the patient care areas, and swinging into the waiting rooms. We did not feel trying to exit people through the patient care areas was a viable solution. The reasoning here was that, in an emergency situation, people would tend to exit along the same path as they entered. Another consideration was that when you enter the building through Doors 1001A and 10016, and move through Corridor 1002 to the reception desk (1003), there is a free-standing signage wall, located directly behind the reception desk, which obstructs the view of Door 1003. Door 1003 was provided to allow direct communication between the reception desk and medical records (Room 1047). It was not intended to be a public exitway. Door 1003 swings in the direction shown on the plans, to alleviate any door swing conflicts with the doors to the janitor's closet (Room 1035) and medical records (1047). I Gr? w ?. ?. ??vi i Mr. Joe Merchak 15 April 1991 Page 2 It was our feeling at HGA that the 6'-0" clear opening at each waiting room, opening into a 13'-0" clear exit corridor, would more than adequately provide an unobstructed means of egress. We also felt that our design had satisfied the UBC code requirements (1988 Edition) concerning occupancy and exiting for B-2 office buildings. We understand your concern with having only one exit from the waiting rooms. However, we wish you would take into account the fact that the waiting rooms are not congested with seating, allowing ease of movement, and that no patient waiting will occur in the exit corridor. Benches will be located adjacent to the exit doors for people waiting for pick- up, but these will not impede traffic flow. We will wait to hear what your decision is on this matter. Please feel free to call if you have any questions. Sincerely, HAMMEL GREEN AN?H SON, INC. WaynC? e"Clar e Project Ar hitect wrcl.gw cc: John DeCoster, PNMC Eldon Burow, Frauenshuh Companies John Davies, Kraus-Anderson Construction Dan Avchen, HGA Gary Nyberg, HGA sm 3830 PILOT KNOB ROAD EnGnN, mINNESOTa, 55122-1897 PHONE (612) 454 8100 FAx (612) 454-8363 October 16, 1990 JOHN H DAVIES, PROJECT MANAGER KRAUS-ANDERSON CONSTRUCTION CO 525 S EIGHTH ST MINNEAPOLIS, MN 55404 Re: Park Nicollet Medical Center - Eaaan Clinic Dear Mr. Davies: THOMASEGAN Abyo, DAVID K GUSTAFSON GAMEU NcCRFA TIM GAWIENN iHEODORE WACHiER Courcil Memp¢rs TNOhVS HEDGES [rty Atlminis[retor EUGENE vAN OVERBEKE CM Clerk I have reviewed for code compliance the plans submitted with your building permit application for the above-referenced project. The comments listed below refer to documents which comprise the Minnesota State Building Code and applicable codes and ordinances of the City of Eagan. Certain code deficiencies may not have been included in this report, but this shal] not be construed as an approva] of such code deficiencies nor relieve the responsible parties from complying with said codes. The specia] inspectors listed on sheet 7/8-1 of the detail manual shall submit a final signed report stating whether the work requiring special inspection was, to the best of his/her knowledge, in conformance with the approved plans, specifications, and applicable workmanship provisions of the code. Either the enclosed forms or a report of complying design may be used. See UBC Section 306(c)3. • Verify that skylights conform to the provisions of UBC Chapter 34. • Submit certified electrica] plans (Minnesota Rule 1800.4200 and UBC 302(b)). • Provide exit illumination in conformance with UBC Section 3313. • Provide exit signage in conformance with UBC Section 3314. • Post handicap parking signs visible from inside the vehicle parked in the space. See Minnesota State Statute 169.346; MSBC 1340.0300, Subpart 5; and MSBC 1340.1900. THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY Equal Opportunity/Aftirmative Action Employer JOHN H DAVIES OCTOBER 16, 1990 PAGE TWO • An automatic fire suppression system is required throughout the building (UBC Section 3305(g) Ex. 5). Submit sprinkler plans and hydraulic calculations for review (UBC 302(b)). The sprinkler opening in the electrical room may be plugged; however, install a detector (UBC 3804 and UBC 105). • Smoke detectors are required in all corridors and adjacent communicating spaces (waiting areas) (UBC Section 3305(g) Ex. 5). • Details show parapets of combustible framing. Please verify that this does not violate the requirements of Part IV of the building code for the type of construction intended. • Opening protection is specified for all fire-resistive walls in the project specifications; however, fire dampers are not indicated on sheet M-1 for all openings penetrating fire-resistive walls at rooms 1011, 1013, 1015, 1037, 1043, and 1120. Please clarify your intent. To facilitate emergency exiting from waiting/lobby areas, door 1003 should swing-; into corridor 1004. See_UBC 30 -3 - 4(b). - Sincerely, Joe Merchak, Construction Analyst Protective Inspections Enclosure JM/mg cc: Hammel, Green and Abrahamson, Inc. H;mmel Green and A6rahamson, Inc A;chnects & Engmuers 1207 Harmon Place M,nneapohs, Mmnesola 55403-1985 Telephone 612/332-3944 Fax 612/332-9013 i 10% A MEETING NOTES PROJECT: Park Nicollet Medical Center - Eagan HGA Commission Number 868.007.00 BY: Claudia Jondahl MTG DATE: 8 August 1990 SUBJECT: Code Review with City of Eagan PRESENT: John DeCoster, PNMC Eldon Burow, Frauenshuh Joe Merchak, City of Eagan Wayne Clarke, NGA Claudia Jendah1, HGA Wayne Clarke briefly reviewed proposed changes to site plan with Joe Merchak. Two copies of the site plan were left with the City of Eagan for review by Jim Sturm and the Fire Marshal, regarding the deletion of the road at the back side of the building. HGA will check back with the City of Eagan to find out their response to this change. The floor plan is compartmentalized into three sections with a one-hour fire rated separation running along grid lines C and F. The assumption is the entire building will be sprinkled and smoke detection units will be located within all public spaces and corridors below the finished ceiling. This would comply with the UBC Code 3305G exemption. Incorporating these items permit the structural system (open web bar joists), to not be fireproofed. Doors located within the one-hour rated wall will be on closers, one-hour fire resistive construction and part of a smoke and draft control assembly. Other doors within the building need to be a twenty- minute rated door. The telephone and electrical room will be constructed the same as the one- hour rated wall construction, providing isolation from the surrounding areas. Delete sprinklers in this space due to type of equipment stored. Provide a fire extinguisher cabinet close to this room for emergency use. The wall dividing the waiting area from medical records and radiology will be carried to the deck to provide acoustical privacy. The walls surrounding the Pharmacy will also go to the deck and be one-hour rated. The trash room located in the northeast corner will be sand-filled concrete block construction, therefore providing a one-hour rating (although not required by code for size), also providing acoustical privacy to the other clinic areas. A new provision has been added regarding space dedication for recycling purposes (UBC Chapter 5, Section 515, Table 5-E). Space will be provided adjacent to or within the building for recycling purposes. It was recommended by Joe Merchak that the architect analyze the materials that will be used at the site and recycled, to determine size and number of containers. A recommendation was also made to provide additional sprinkler heads in this room due to the quantity and nature of the materials stored here. '? • s j ? COMA?'?y/TE c7?_ ?h, ?? wAS _ - !ZTMpy! 1ZE_ _7k?j4S N__/o -- - _l?v_ ? - Goo_oc PAMmj - ?'RoT_EGTFD Exir --?-- -- !S _??D6y f'X -- -5 -?iBC_ 3.30 ?D ?? __--- _ M`.r5r ?E_ P?P ??t '?E7?Z7URs oFG8cw ,?8L CI 7 E. --- Page 2 Joe Merchak mentioned that we should allow two weeks for the final plan review within the time span of final City approval when obtaining building permits. Also, Metropolitan Waste Control will require a plan, which Eldon Burow said he would send to their attention. One question remaining to be determined is whether there would be a need for sprinklers on the exterior canopy. This will be verified with the Fire Marshal. CLJ3f.ae cc: Those Present Dan Avchen, HGA Mark Hansen, HGA Gary Nyberg, HGA Vn L Ec.- INCORPORATED TEL: (672) 884-1661 FAX: (612) 884-0295 .. MECHANICAL and SERVICE CONTRACTORS HEATING • VENTILATING • AIR CONDITIONING • CONTROL SYSTEMS 9649 GlRARD AVfNUE SOUTH MlNNEAPOLIS, MlNNESOTA 55437 November 28, 1990 City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 Attention: ,7oe Merchank Subject: Park Nicollet Medical Center Eagan, Minnesota Our Job: J90-316 Gentlemen: This will confirm our earlier phone conversation of yesterday regarding the fire rating of the wall in rooms 1011,1013, 1015, 1037, 1043, and 1120. We agree that rooms 1037 (boiler room) and 1120 (trash room) should be fire rated and we have made appropriate changes on our mechanical plan. Room 1015 (electrical room) becomes fire rated when the sprinkler head is not installed. Because the sprinkler head is being omitted, we agree to install fire dampers in the duct openings penetrating room 1015. Rooms 1011 and 1013 have walls extending to the deck to preserve the integrity of the return air plenum. A ceiling is not being installed in room 1013 because of the stair- way to the roof deck. Penetration of these walls will not require a fire damper. Per our conversations, the north and east walls of the pharmacy room 1043 are run to the deck for security reasons and do not need to be fire rated. Penetrations of these walls will not be fire dampered. The west wall of the pharmacy, along grid line C, is a fire rated wall and penetrations of this wall will be fire dampered. This is, to the best of my knowledge, a tull account of the discussions and agreements made during the course of our telephone conversation. If the above is not in accordance with your understanding, please contact us immediately. Very truly yours? (/%??7GGeiO/ ,r \ Michael R. Thienes jmi cc: John Davies Wayne Clarke i? t r CASH RECEIPT ` CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DnTE 19 %,9--- { I \ I/1 AMOUNT rp( \? 8 DOLLARS ? ? 7 1 ? CASH ,(g CHECK 'W ?e_?>? ?'p i-- FUND O&IECT AMOUNT ?? JlC _3 S ! s a D gQ Thank You //- ev C 13040 vwt?? ???re ? Pnk-Fik Capy Ga-laic1 e, Cli-?'f? f?'ire ep (? artment 1 3795 Pibt Knob Road Eaqon. MN 55122 OF TO: ALAI2M SYSTEM CONTI2ACTOR This form is to be filled out, signed and returned to the Eagan Fire Department, 3795 Pilot Knob Road, Eagan, MN 55122, after the alarm system has been completed and tested by the installer. After you have sent this form, contact the inspector (454-5274) to set up afinal inspection and test. The Gnal test is to be performed by tlie contractor ttnd witnessed by a Fire Inspector. TO BE COMPLE'I'GD BY FIRE ALAI2M CONTRACI'012: 1. Date Tlectrical Permit # 2. Address of alarm system instullution PAe,C nl i c //ef i77ediea/ 64enfe_e 1$$5 P/qzA 1e . 6-A6Hu h'leJ 3. Pute Fire Tnspector reviewed plnns a-u • 9l 4. Name of contr:ictor L?ueebur m, l. o 545+crns Zn? • Address Po. Fjoy- 195'l-1 .5-T Pau1 /'nti 55119 Phone 7.3$-4,4Pda Contact Person Cf-aie. ? •r- E-0 This certifies that the alurm systam at the above address with applicable city and/or insurunce company standards. the system is 100% operational. has been installed in accordance All devices have been [ested and The system was spot-checked and it operated on this date Z_/- _- T/ Witnessed by Inspector Z.? s- sL l? '// Comments A09W8ifMx .,\vAww.,xr THE lCNE OAK TREE. .. THE SYMBOL OF SiRENGiH AND GR04VTH IN OUR COMMUNIIY TO BE COMPLETED BY FIP.E INSPECCOR: .? secu.,iy Systems 430 Oak Grove, Sulte 204 May 28, 1991 Minneapolls MN 55403 Telaphone: 612 672 0000 Fax 612 872 0334 Eagan Fire Department ATT: Dale Wegleitner 3795 Piolet Knob Rd. Eagan, MN 55122 Park Nicollet Medical Center 1885 Plaza Dr. Eagan, MN 55120 This is notification that ADT Security Systems has assumed monitoring of the fire alarm system at the address listed above. If you have any questions please feel free to contact myself, or our central station at (612) 339-0987. Thank you Richard Sisson Operations ?fanager RS/bk (.e, t (3 ; Csf\;_ A;c Iy .y t 1 t-°iZ t-?CA;ZfI 2 ti+l?? May 16, 1991 KRAUS-ANDERSON CONSTRUCTION COMPANY CONTRACTORS K CONSTRUCTION MANAGERS Mr. Joe Merchak City of Eagan Building Inspections Department 3830 Pilot Knob Road Ea¢an, MN 55122 Re: Park Nicollet Medical Center 1885 Plaza Drive K/A Project #3969 Dear Mr. Merchak: This letter will confirm what Audie Skogman, our project superintendent, told you regarding the concrete testing for this project. Twin City Testing took 17 sets of concrete cylinders during the various phases of the concrete work. All cylinders tested above the design requirements. If you have any questions, we will maintain copies of the test reports with our job files and can give you copies if you need them. Very truly yours, I{RAUS-ANDERSON CONSTRUCTlON COMPANY .John Davies Project Manager JD/lp ?acrcv?? Minneapolis Division 501 525 South 8th Street, Minneapolis, MN 55404 ? Phone:(612)332J281 FAX:(612)332-8739 ` ° Equal Opportunity Employer '?AYFP???' . w L!3 i-#, GAtAV=E =L£?FF 11_Aq_? ZA'a e KRAUS-ANDERSON CONSTRUCTION COMPANY 1 CONTKACTORS & CONSTRUCTION MANAGERS Dccember 28, 1990 Mr. Joe Merchak City of Eagan 2830 Nilot Knob Road F.agan, MN 55122 Re: Park Nicollet Medical Center Eagan, MN Kraus-Anderson Job #3969 Dear. Mr. Merchak: Enclosed is a copy of a letter from thc Metropolitan Waste Control Commission that you should have received recently. We had requested a re-calculating of the SAC units based on the final drawings that were submitted to your office for the building permit application and construction. Our inidal submittal sct of drawings to M.W.C.C. included many more sinks and rough-ins than we finally ended up with. Please let me know what we have to do to receive a refund &om the City for our overpayment on the building permit fee. Vcry truly yours, KRAUS-ANDERSON CONSTRUCTION COMPANY o'kfn Davies J Project Manager JD/ke Encl. Minneapolis Division 525 South 8th Street, Minneapolis, MN 55404 Phone: (612) 332-7281 FAX: (612) 332-8739 Eryual Opportunity Employer : g ? IYkR??? Metropolitan Waste Control Commission Mears Park Centre, 230 Easc Fikh Street, St. Paul, Minnesota 55101 612 222-8423 December 18, 1990 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 . Dear Mr. Merchak: The Metropolitan Waste Control Commission reviewed the SAC assignment for the Park Nicollet Medical Clinic. The original letter for this determination was dated September 21, 1990. This project is located within the City of Eagan. This project should be charged 13 SAC Units,' instead of the 23 units originally assiqned. The SAC review is based on new updated information. This determination follows: . . . SAC Units Charges: • . • out-patient clinic 190 f. u. @ 17 f. u./SAC Unit 11.18 Film Processor 0.75 gallons/minute x 60 minutes/hour x 9 hours/day @ 274 gallons/SAC Unit Total Charge: If you have any questions, call Roger Janzig at 229-2119. S' cerely, C4'??25? Donald S. Bluhm Staff Engineer DSB:RWJ:jle 9012185A cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan John Davis, Kraus-Anderson 1.48 12.66 or 13 RBC*. _'s,- `,? E,d? _DEC 2 41990 ;{axz:__u3er.n CAxi..:ction ComzanY Equai OpportunitylAffirmatrve AUion Employer S00V ity oF eegan 3830 Piloi Knob Road Eagan, MN 55122-1897 (612) 454-8100 • Fax. 454-8363 RECORD OF TELEPHONE CONVERSATION DATE: I-?- 9 0 TIME : q A'11on, TALKED WITH : J p Fi rJ REPRESENTING f-k A-.t.Ss A rv'D ?'ZL O^,J PHONE NO. : SUBJECT/PROJECTlCONTRACT: ?G'C?.IND 1 74 ('2 V. M I C..7 V, l c'"?'C' - cu ITEMS DISCUSSED : Fks w??. ? B c sewr -rc:, c2r. j u6"A :4-=?px r 777N/6-1-I15 C-dou/VCJL. MJSQM1 _ 1/Gw+ I , I .500c cc : II CITY STAFF ' THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY CL1IH VODCIIER . . CITY OP EAGAN . . ' . CI.P.IMANT PARK Nl::OLLET MEDICAL CENTER • ADDR£SS 5000 W 39TH ST : ' • MINNEAPOLIS, MN 55416 • /.? OverchaFge on SAC uni[s - paid on Building Permit #18458, receipt #C10745 da[ed 10/17/90 . ' C1TF OF EAGAN SAC - $1,000 • MW:;;; SAC , - 6,000 ' TREATMENT PLANT 2,520 I declare under the penalties cf 2aw thaL this account, claim or demsnd is ju and that no part of it has been paid. , •? .. . S nature • , FIt12: CLIIPIS _ Dace . e `1-.w a?n0 UL? Metropolitan Waste Control Commission Mears Park Centre, 230 Fast Fifth Street, St. Paul, Minnesota 55101 612 222-8423 December 18, 1990 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, l+at 55122 Dear Mr. lierchak: The Metropolitan Waste Control Commission reviewed the SAC assignment for the Park Nicollet Medical Clinic. The oriqinal letter for this determination was dated September 21, 1990. This project is located within the City of Eaqan. This project should be charged 13 SAC Units, instead of the 23 units originally assicned. The SAC review is based on new updated information. This determination follows: Charges: out-patient clinic 190 f. u. @ 17 f. u./SAC Unit Film Processor 0.75 gallons/minute x 60 minutes/hour x 9 hours/ddy @ 274 gallons/SAC Unit Total Charge: If you have any questions, call Roger Janzig at 229-2119. S' cerely, Donald S. Bluhm Staff Engineer DSB:RWJ:jle 901218SA cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eaqan John Davis, Rraus-Anderson Equal OpportunitylAffirmative Achon Employer aMP(D SAC Units 11.18 1.48 12.66 or 13 MEMO TOC DIANE DOWNS, UTILZTY BILLI:N(i CLERR FROMS EDWARD J. RIRSCHT, SR. ENGINEERING TECH DATE: JANUARY 10, 1991 SUBJECT: LOT 1, BLOCR l, GALAXIE CLIFF PLAZA 2ND ADDITION PARR NICOLLET MEDICAL CENTER 1885 PLAZA DRIVE I have computed the REF's for Park Nicollet Medical Center located at 1885 Plaza Drive and the total REF's are 10.9. My computations are based upon a site plan dated October 1, 1990. The total plat area is 2.18 acres of which 1.69 acres is considered impermeable surface. Edward J. irscht Sr. Engineering Technician cc: Michael P. Foertsch, Assistant City Engineer EJK/jf BUILDING PERMIT To be used for MEDICAL CLINIC Receipt # C , 10 zs -I 1 $1,550,000 oate OCT 29 , 1990 Site Address 1885 PLAZA DR lat 1 Block 1 SeGSub. GALAXIE CLIFF Parcel No. PLAZA 2ND = Name PARK NICnT.T.FT MFIIT(`AT ('FNTFR o Address 5000 W 39TH RT City MPLS Phone 927-33oo o Name KR1U5 ANDERSON CONSTR T ON $? Address- 525 S EIGHTH ST City MPLS Phone 332-7281 ?W Name t1?1MMEL GREEN AB AH t?t ON ?? Address 1201 HARMON PL a? City MPLS Phone 332-3944 1 hereby acknowlege that I have read this application and state that the iniormauon is wrrect and agree to wmply with all applicable State of Minnesota Statutes and City9f Eagan Or s. Signature of Permitee din A??' 5 7` ? v A 6uildmg Permit is issued ta KRAUS ANDERSON CON on the express condilion tha[ all work shall be done in accordance with all apphcable State of Minnesota Statutes and Crty ol agan Ordinances. Building Oflicial ,+l nr,.rBi,RALL J CITY OF EAGAN 383G Piloi lihob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• No 18490 .454-8100 I OFPICE USE ONLY Ocwpancy B-z FEES Zoning PD LB Incmap Const I I--N-SPR eldg. Permrt 4.64o. 00 (Allowable) II-N SPR Surcharge 720.00 # ofStories 1 Length 178 ? Plan Rewew 1,01 6-(10 DePtO 128? SAQCiry S.F.Total 20iQ00 S.F. Footpnnls 212a00 SAC,MCWCC On Site Sewaqe _ Water Conn On Sile Well - Water Meler MWCC Syslem X Ciry Wa1er ? Accl. Oeposit PRV Reqmred _ SNJ Permd Boosler Pump - 5/VJ Surcharge 7reatment PI APPHOVALS Road Unil Planner - park Detl. Council _. BIdg.Off _ CoOies Variance - TOTAL 8,376.?0 1990 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL /? 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: MG1CPt_ CLIN.IC Valuation: Date: 1q'3' 90 Site Address 03S? FlA7da Lot I Block I Parcel/Sub GAIAXIECLti"F rLAV64 ZND Aml? Owner IR;"2K ly1CO"Zi C???W?CAI C6K'Cfr2 Address SOL17 W ?R'% -Z-5? City/Zip Code ArPl.S (YW tr 11 Ga Phone q2Z- 33UU Contractor wZpuS at-?UE(2.Sopb CdwE?- Address `J2-S `?J• V? S'S City/Zip Code {Y1PLS?fht,l SsL{GY Phone ?j32-??al -?oHm 'LAA:{//!ES Arch./Engr. Address %20\ ?\P?2C?0K ??l_WCC.E? City/Zip Code inP?-s?fYlts 6'5430 OFFICE USE ONLY SS(D) U FEES Occupancy 2oning pD LQ Actual Const 7n:-t4S'PR Bldg. Permit Allowable ?-? SpRx'Surcharge # of stories, ? Plan Review Length ?lS ,? SAC, City Depth 1243 SAC, MWCC S.F. Total ? 0,000 Water Conn Footprint S.F. 20 000 Water Meter PLuS 100o sF cqNOp?( Acct. Deposit On site sewage_ S/W Permit On site we11 S/W Surcharge MWCC System L/ Treatment P1. City water ? Road Unit' PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. 1cll8 Variance * SPQINKLeT-ED FOR y6l-1o Zo [7 / ? 6 ?- ,5? L.(7? Phone m ??'32-39,t V A L uA-0 T231AL P2,or?-zT I ? S o Oa a? 5b, Oco Cr PE." !! IsT I,ovc,ooj = 354a SSOK x 2 = I I DO Su -cNAQ G C y(?4D IS7 Ipoo,coa = sov S?U,c?o?x,ooov? ZZ? ?? 2 O PLAh1 ???J?t-''?) yb Ko X 65 %= 3oi l? C? 5?. fy? l.1)GL Sf?-? I I2'EESIX?E?Iff ?L Ay7' S?w P"Y1iY1I? Su)aCHA{4(?E? I.pA,u?TI "?iEbi_cATONS .. PQEVrousLLt PAIa w„7-r FOu/JAATOI\1 PE1FMl7' . . A FCA 1(0, 6rl x!r)u = IC? 545D ZY I o x 9,33 ? C Z Y, Z2 X ? - (Z G 14 ) 1.21 k 2v, o y 2xyxh - M ) 2 KZx? --- (99 CArJa P ?y X 3? = 912, o n ?Z`r X lS= /aH35 /------- ? NM.G",?) lc.A-t.., CtZ -' ? Yz 2.aOc?c? sF CITY USE ONLY PERMIT #: 4 (, y O J RECEIPT DATE: ?S`a-C) 1 COMMEitCIAL PLUM$1N6 PEiiMIT Ai'PLiCATiON Ci7'Y OP Sl16RA S$SO PILOT KPOB RD EA6AA, MN 581 EE e51-881-4878 INCOMPLETE APPLICAI)ONS WILL NOT BE PROCESSED Date: ? - ? ? ? I WORK TYPE New Bldg Add-on Repair RPZ PVB •[rrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTIONOFWORKc'S?Ip __( . ,... ... . D?.It ?`?Fall Of'C.C?m,l-f CBt??r?. , .. ....._ .__... 5rink3Vruic?? , ? ?{' MD I'a v - To inquire if Pressure Reducing Valve is reliuired on new service, ca11 651-68 1-464 6 ME1'ERS - Call 651-681-4300 to verify that hydrostatiq conductivity, and bacteria tests passed urior to oicldoe uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size & Type Avg GPM Does this include high demsnd devices? _ Yes _ No r') [? ;-7 r? ID; , .?i 1 FLUSH6ME7'ERS Yes No PRV REQUIRED _ Yes ?? ? f5 ?Pf? ? I?-? ? 11 Site Address: ? . Tenant Name: Was there a previous tenant in this space7 _ Y_ N. If Yes, Name: InstallerName: ln "1vu CV1lA,u\ I LcU'Tliti C. • Installer Address: 'Ia qD l l r Dn uocDG1 bi` c?L'5L6 T City: State: FEES Contract price $? x 1% ($50.00 minimum) Required'on all new buildings & boulevard irrigaHon systems (Acct # 9220-4509) Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract Fee. Total From Reverse (Area Code) Telephone #: Telephone #: ? LE I 4? ? d Lt L(' --? td_ Zip Code Contract Fee $ ?D • L5D Meter(s) $ Radio Meter Read $ State Surcharge $ New Service $ Total $ 9• 15-0 I hereby acknowledge that I have resd this applicadon, state that the informadon is correct, and agree to comply with atl applicable City of Eagan ordinances. It is the applicant's respoasibilityto notify the property owner that the City of Eagan assumes no liabiliry for any?a?ages caused by the Ctity during iu nmmal operational and maintenance activiries to the facilities constructed under this permit within City prope g aof-way/efsement. CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ A'v Test _ Gas Test _ Rough In _ Final PLANS SUBM[TTED APPROVED BY: 4 P-1K-1 - 0 ( , BUILDING INSPECTOR IRRIGATION SYSTEM (CON'I') Servlce: existing (if coming off domestic line) OR _ new , Ij "new service", contact Jerry Wobschall, Finance Consultant, to confrm adding fees for: Water Permit & Surcharge - $ .50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatmen[ Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of application $ GENERAL INFORMATION • Radio Meter Read (required on all new baildings & boulevard irrigation systems- $153.00 (Acct Code # 9220-4509) • Water meters include copperhom/strainer, remote w've, and touch-pad meter GPM METERS USE PRICE - ' GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4120 1-1/2" irrigation syst $ 727.00 1 sm commercial ' turbine" "must receive maximum approval from continuous : Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine ]g irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines IS 3-50 1" displacement very lgres $194.00 1/4 to 160 2" compound bldga over $ 1,757.00 bldg to 24 uniu 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irri ation s stems 5-100 1-1/2" bidgs 25-64 units $428.00 maximum 'displacement & ,, continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very ]g 'vrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & produc6on lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldge $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very ]g comm bldgs 15-1000 4"turbine very lg'urigationsyst $2,132.00 & producdon lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water turn-on, call 651-6814300. cc: Kris Forster, Maintenance Division Clencal Technicien ' . Updazed I/Ol 3ee COMMERCIAL G f?X9+ZaBUILDING PERMIT APPLICATION CITY OF EAGAN 1-1 L 11-4 G? 651-681-4675 Foundation Onl New Construction Interior Improvemer it • SWctural Plans (2) sets . Arohitectural Plans (2) sets • Architedural Plans (2) sets • Civil Plans (2) • SWClurel Plans (2) • CodeMalysis (1) " • Certificate of Survey (1) • CivilPlans (2) • ProjectSpecs (1) • CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (1) • PiojeGSpecs (1) • CodeAnalysis (1) • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" . Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighling Form (1) not always" • Meter size must be eshablished • Meter size must be esta6lished • Meter size must be established - if applicable • PrqectSpecs (1) 1 • EnergyCaiculations (7) " 1 d . Electric Power & LighGng Fortn (1) " 1 1 . MasterExtt Plan (t) y 1 • Fire Pmtection Plan (1) 1 d • SoilsReport (1) 1 • MC/ES SAC determinalion letter . MClES SAC determination letter • MClES SAC determination letter call 651E02-1000 call 651-602-7000 call 651-602-1000 ** Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be su6mitted to Minnesota Department of Health - call 651-215-0700 for details. DATE 1' I6.0I WORK TYPE NEW REMODEL CONSTRUCTION COST (7- 'Y33 ? SITEADDRESS I?R?_ 'FL.Dr"7-k T(L- TENANT NAME N I IUJLfJ,,T- l I?.?aPc?l L:t.L N I SUITE # FORMER TENANT NAME DESCRIPTION OF WORK Name: AzL ?) l1.0ukr flMTFI C_fJ2-(((,e?phone#: 0) r) PROPERTY Last Fust OWNER 2 StreetAddress I 7/?? PLA?/A City tlr? roi State " N Zip 27i Company ??'" I ? I?IST . Phone# (?Io? ) 383 - 7(-,00 CONTRACTOR y5 ?? ?? I ? SheetAddress: J City YL?1 I"OU TG? State Zip s5442_ 5?Jyt)69- ARCHITECT/ ENGINEER Company xame '?"?fLA-? L ?N J?7t-SooJ Street Address SU Phone # ( (A? I ) 1i712- Regishation # 1_?J O[?`i+ S-O U city sI". FlkU - V?? IJ , state M 0 z=P ?5' I D I Licensed plum6er installina new sewer/water sarvice: Phone #: U I hereby acknowledge that I have read this application, state that the information is correct, and agree to comp with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 0 Signature of Applicant: ?^"' OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments )K 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt- Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE O 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors M 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bidg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERALINFORMA?3 N Census Code SAC Code 3 v No. of Units o No. of Bldgs. ? Const. (Actual) ? (Allowable) UBC Occupancy i' Zoning # of Stories Length W idth Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S!W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building .7 sq.ft. sq. ft. sq. ft. sq. ft. MClES System City Water Fire Sprinklered ? insulation ? Plumbing eg?? Engineering ? Stucco/Stone Variance ?n..Q., VALUATION $ ? 3 I bp 0 (o. ?Q 1 L-i ? - l 1 % SAC SAC Units Meter Size Total PLUMBING (COMMERCIAL) , - Permit Application 5C) ?? ? City Of Eagan -? 3830 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5674 :5 CS-o . [:?b ? Datc 5 // V_-?) I Site Address TI (X?,l Q • _ __ U I nit # Tenant Name _P(_11 M.(-II, ' Former Tenant Name -PtNI Ni Property Owner v Telephone #( Contrac[or Address City r State Iv! ?1 _ Lip _5Ya / _ Telephone # (/ZE? ? - p-? LP 3 The Applicant is _ Owner Cnnhactor _ Other Work Type _ New Bldg Add-on Repair ./ RPZ PVB Irrigation scstem * ' Acra \\'obscliali [o calculntc fces. Rei uired meter sue is 2" furbo uNes+smaller aize iennitted be 1'ublic R'or6,'S i Description ot' Work??/ ?? JLl/ ?? P?V I _ To inquire dPressure Reducing'valve is reir new service, call 651-675-5646 Meters - Call 65 1-675-5 ' CO to verify that hydrostahc, conductrvity, and bactena tests passed rior t9kire uo meter ? Imgation Size R Type Avg GP\4 F:re Size & Price 3/4" :lso'acement $ 156.00 Domeshc Siye & Type Acg GI'-Nl [ncbuEzs high dernand devices'.' __ Yes _ Vu Flushometers _ Yes _ No PRV Required _ Yes No Permit Fee $50.50 mmrnium (includes State Surcharge) Contract Value $ x .01 % _ $ 60 Base Pee $ Meter(s) Required on all new buildings & boulevard vrieation svsrems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $ 50 State Surcharge ICbase (ec is over $1,000, surcharge is 5.50 per $1,000 of [he Base Fce Following fees apply only when installing n.ew irrigation sys[em $ r1 3?erl`e?rtni u I Contact Jerty Wobschall a[ 65I -675-5024 for reqmrcd fee amounts $ I1 ?? _ L •? ? ?reatffient?P? ant $ I IHI 1 I?? I l Water Suppiyi& Srorage u S[ate urchark c S ---------------------------------------------------------------------------------------- $ :- - =-' --- ' ? --------------------- ------- gY = _ -- --- - -'-' i $ ? ' y ? V!/' ?? t T l F , o a ee I hereby apply for a Commercial Plumbmg Permit and acknou•ledge that the mformation is complete and accurare; that the work will 6e in conformance with the ordinances and codes of the City of Eagan and with the Plumbmg Codes; that 1 understand this is not a per , but only an application for a permit, and work is not to start without a permir, thac the work will be in acwrdance wrth the app ovcd plan the ase o work whi quires a review and approv I of plans. a?m. ? C???ah?.? Applicant's rin d Namc pplicanPs Signnt.u / . ; REQUIRED INSPECTIONS: PLANS SUBMITTED General Information CITY USE ONLY U.G. Air Test Gas Test APPROV ED BY: _ Rough In _ Final BUiLDINGINSPECTOR • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $ 157.00 • RPZ's must be rebuilt every five years. A minimum fee pemut per address is required for RPZ rebuilding or repairing. • Water meters include copper hom/strainer, remote wire, and couch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" resident:a! ?121.00 4-120 1-1/2" :TTip,3tlonsys! $ 781.00 displacement smcommercial I turbine** mustreceive maximmn 8pproVal continuous 10 from Public Works 230 3/4" lawn irrigation $156.00 4-160 2" nubine lg urigarion syst $ 982.00 mzximum displacement residenrial & cnnunuuus sm commercial producrion lines li 3-50 1" displacemen[ very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units' maximum sm commercial & contir.cous & lg comm bldgs 25 uri arion s stems 5-100 1-I/2" bldgs 25-64 units $484.00 ? masimuro displacement & cotitinuous most comm bldgs 50 METERS REOUIRING 30-DAY .4DVANCE NOTICE PRIOR "CO PICK UP GVDI METERS USE PRICE GPM ME'CERS USE PRICE 5-350 3" [urbine very Ig irrigation 51.328.00 6-500 4^ compuund +300 unit bldgs & $3,702.00 scs[ & pruduction very Ig comm bldgs lines 1R-320 3" cmnpound +200 uni[ bldgs 52,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 rcry Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine verv Ig irrigation S2,329.00 svs[ & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water turn-on, call 65 t-675-5300. cr Main[rnance Drvision Clencal Technician Updaud t/03 . R Mechanical. Inc. Plumbing and Heating Contractor, Inc. 12401 Ironwood Circle, Suite 500 -Rogers, MN 55374 Phone (612) 428-2663 Fax (612) 428-7656 Date: `;'•S c>,3 Permit: Site Address: /Fa•> f'.?'in. S521 I- Owner: .?f?/'^, _/. Phone: `'n3- Contractor: G R Mechanical. Inc. Master License #: PivI003882_ Address: 12401 Ironwood Circle. Suite 500 Phone: (612) 428-2663 City: Rogers State: MN Zip: 55374 Locafion of Device: 15o, /z ?- Device Serves• L, Fr, J _ System Make: c,,,,,(,r,.,, ,) Model: a-- Size: % Seria! #. oy?? ?9h" Check Chxk Res. Dif. Pres. Dif. Valve tt! Vatve #2 Acrou #I When Relief Stainec T?stbeforo Leaked [] Leaked [] l None ? Repaics Closed ? Cloud (? ?? PSI v-? PSI Clnd [] Final Tat Claud }&] Closed ?j ?• T PSI ?'f- "SI Dtsaibe Rqmirs T?? The above repoR is certified to be true Certification # Q J i/? `L% ' -v By - Telephone # (Signanue of certified t a) All RPZs must be tagged with oame of tester and date tested. 60iloll G R Mechanical. Inc. Plumbing and Heating Contractor, Inc. . _-. ,._ _. 12401 Ironwood Cirde,'Suite 500 -Rogers, MN 55374 '' • y5 Phone (612) 428-2663 Fax (612) 42&7656 - Date:_?-?•(3 Permit: Site Address: Owner: YlitJ/'?l l Contractor: G R Mechanical. Inc. Master License #: PIV1003882 Address: 12401 Ironwood CircIe_ Suite 500 Phone: (612) 428-2663 City: Rogers State: MN Zip: 55374 Location of Device: ,/?a; ??r ?/? y,,? • Device Serves: System Make: (?JA I Model: on9 Size: /1?- Serial # Check Check Pra. Dif. Pra. Di£ Valve #1 Valve #2 Aaoss #1 Whcn ReGef Staina Test beFore Re?iis Leaiced () Closed f?i] Izalcod [] Gosed `?j z?PSI J. ?PSI None?] Clnd [ 1 FinalTest Closed [ J Gased (] -1-PSI V?PSI Daailx Repaus s?t.-rl ? ?- i. The above report is certified to be true: Certification BY //.?f?•iTelePhone # c /?1 `???''?/f? (Sigoanueofce ' tuta) AII RPZe must be tagged wit6 name of tester and date terted. City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 COMMERCIAL PLU Date: /b0 Site Address: l? Tenant• P/ w m ? ------------- ? Fw Olfice Us?e/ I Pertnk#: 1 j Permit Fee: ? Date Received: ? Staff: ? ---------- --------' NG PERMIT APPLICATION -e_._. Suite #: PROPEHTY Nam !'AR ?, &AGD84 OWNER e: _ Phone: CONTRACTOR Name: L t"i ? L-llX nCi License q: /"N1 ?LP [3 37 ?rC)I Y {t5D0 ? ! ??/ Address:!/?`'CG?II,tL'G? (" /?i'Tc ? f Ciry: C?rS S[ate:???/? Zip: J h 3 7`' Phone7Y3 a"Ze tP 3 CoMact Person: R i'Vl /2 TYPE OF New Replacement Repair Rebuild Modify Space Work in R.O.W. - - WORK -? 2 - - D ti f k i ?e'71 PZ ' s p escr on o wor : / ?1 1 PERMIT TYPE COMMERCIAL _ New Cointruction _ Modiry space _ Irtigation System (-- yes /_ no) ? RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2° Wr6o required unless smaller size allowed by Public Works) _ Meters Call (651) 675-5646 to verity that tests passed orior to oidcina up meter. Domestic: Size & Type Fire: Size R Price 3!4" meter V83.0 0 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No PRV Required _Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Comracr Vame g x 1% U PermitFae _$ Required on AlL new buildings and boulevard irrigation systems 4 _$ Radio Meter Read - If Pernit Fee is less ihen $1,000, surcharqe is $.50 =$ Meter(s) - If Permi Fee is > $7,000, surcharge increases by $.50 for eaCh $1,000 $1 000 P i[ F i t 1 ? U , erm .e. a$ ee ( ,D0 -$2,000 Pe'mit Fee requires a$1.Of1 surcharge). _$ State Suroharge Following fees apply when Installing a new lawn irrigatlon system. $ Water Permit Call the City's Ergmeering Departrnarrt, (651) 675-5646, fm required fee amounts. $ Treatmerrt Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ I hereby acknowledge that this mformabon is comple[e and accure(e; that the work will Ee in conformanca with the ortlmances and codes ol the City oi Eagan; thal I untlerstand this is not a permit, 6u1 only an application lor a permtl, and work is not to start withoul a permrt; that the work wtll be in acoordance with tfre app etl plan m the case ol work which raquires a _revi iw antl appmval oi plans/. ? X l l??W(YV1N YI.'IC_UG1G1Cl kRIiL c?p?/L?16•ibWG_/l"6? C, lJLt?/bz?? Appucanrs rnn name ApplicaM's "nature FOR OFFlCE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Page 1 of 3 egaL City of Ea?fl 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax: (651) 675-5694 2008 COMMERCIAL BUILDING PERMIT r -----------------, I ForOffice.Use /? ? I Permi[#: VSD / }S j j Pertnit Fee: i 2 j Date Received:D,?' I J' 68 ? 1 Stafl&77 ? APPLICATION Date: &Y 3 ? `d Site Address: 7-?1" Vc? Tenant Name: ??? 2K ?J I C. 4D L L L= ? (Tenant is: _ New / _ZExisting) SuiTe #: PROPERTYOWNER Name: ?fik-A-L /?ICc:LL ;? ? Z.; j•t Phone: ^ ?f 3 "ez -4S Address / City / Zip: L S L? /'? '.X n: ? ,:'_,a +- %d ?r' . , ! ?: 'i y Z,'I 7-4 1 A li nt i Y i O ? pp ca s: wner Contractor TYPE OF WORK Description of work: Construction Cost: CONTRACTOR Name:LhEL License#: Address: J 7? I_7 Ciry: 5 T n4(j ? State: M"J Zip: 7 Phone: "?<(&' Contact Person: D4 ?G /7-7 L, 1) C CIJ? C.L ARCHITECT/ Name: SPEc ,-,jC-- Registration#: ENGINEER Address: 2`I L7 C AJ - PX-/ U/=- A u/e ?7??C Clty: /?'W Cv State: /N `1` Zip: Phone:'??? `t Y Contact Person: TC 714'0ti-1C Licensed plumber installing new sewerlwater service: Phone #: NOTE: Plans and supporttng documents tbat you submlf are consldered to be pub!!c Jnlormation Portlons of the informatlon may be classffied as non-publlc 1/ you provlde speclflc reasons fhat woWd permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complele and aocurate; that the work will be in conbrmance with the ordinances an codes of the City ol Eagan; [hat I understand this is not a permit, but only an application for a permit, and work is not lo start without a permit; al the work will be in accordance with the approved plan in the case of work which requires a review and app al ol lans. X ?? vE mL ?0? Au, ?i??uti?c ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ? Dave McDowall Presdeni Ette??? T CommeraalR&fmgan ??V et. lesmbfiehed 1905 Tell 651 64h 481 l Fax. 651 646 1776 Cell 651 248 1973 anz cbrs 2222 Robbins Sireet • St Paul. MN 55114 emaJ davemcJowaWettelfranz com DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Building ? Apartments ? Cpmmercial / Industrial ? EM. Alteration•Apartments ? Lodging ? Greenhouse 6'?Ext. Alteratlon-Commercfal ? Miscellaneous ? Antennae ? Ext. Alteration-Public Pacility ? Nail Salon WORK TYPES: ? New ? Interlor Improvement ? 3iding ? Demolish Building' ? Addition ? Move Bullding 111,-Reroof ? Demolish Interior ? Alteretion ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage '? Demolitian (entire building) - give PCA hantlout to appliCent DESCRIPTION : 60 ? Valuation Occupency MCES System Plan Review Code Edition SAC Units .?--. (250/- 10095-_ Zoning City Water Census Code - Stories eoastar Pump # of Units Square Feet PRV -- # af Buildings Length ^ Fire Sprinklers --' Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrxk Meter Size: Footlngs (deck) FInaI/C.O. _ Footings (additlon) :2-firtal/No C.O. Foundation HVAC Draln Tfle Other: RoOf: _ Decking _ insulation _ Final _ Icenvater Pool: _Footings AidGas Tests Final Framin 9 - Slding: _Stucco Lath _Stone Lath Brick Fireplace:_R.I. AirTest _ Final Windowa _ ?nsulation _ qetaining Wall Final C/O Inspection: Schedule Fire M arshal to be present. Yes No Reviewed By: / 4'KC 1044cguilding Inspector COMMERC/AL FEES: Base Fee 8?, 2.5-- Surcharge 3G . 5Q Plan Review SAC-MCES SAGCity S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other 7ota1 ? 93 U r7S Revfewed By: Sewer Trunk Water Trunk Planning Page 2 of 3 I? ?? / Sc??nu???s /? ,d???o?Y l I ??????Y ?D?{p - ??bla??l? o?ivY N - coa?? ????"INC? ??? 28 ;o _ ,?,r?'' ?{i?t? ???TA??ir?? ??c?? ?u. l oo? ..-?- ? I II I ?? - ? I , ? ? GoPT? I? I _ . I? ? W?1-L - P?niAT?i? : _. ?? WPIT I Nt? p?p,'(' p???A }????U ; _. , 0 4 ?l i I 1 _ / ' J S?N??? 12/19/2011 10:28 7634287656 GRMECHANICAL PAGE 02/04 4111City otEapn Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: Use BLUE or BLACK Ink For Office Us -� Permit*: / (-/ / Ci Permit Fee: Date Received: Staff, 2011 COMMERCIAL PPLUMBINGI PERMIT APPLICATION Site Address` t�- MteDIIec 1C1 il0.- Pen[t,Q` l ggr5 Plaza ,t 5 ah Suite #: p'''l)hEki''1::..' NameMr \kCLAC Phone: - ,....,.,„ • `� ' CONTRACTOR-.: ';'' �'- (Ylednarllca.` ;pm 46 13317 `Name License ��_��p Address: « (-!C��\`xx.a�t, City: kb,. •,_ C.tt� State.M. zip:`55 7L- Phone%3-'t2, 2.20(03 Email:Qrfl C. PtAirt@PrnhaiRilY1SI( ( Q w\ PE:'OF New Re 'lacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description oflivork P ,Ya. e- ' :.,? : ''PERMIT;TYPE . COIYIMERCIAL New Construction Modify Space _ Irrigation System (_ yes I no) (_ RPZ I PVB) _ _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to pickino up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes 'No Flushometers Yes _No COMMERCIAL FEES:p $55.00 Minimum (includes Required on - If the Permit F�isp is less - If the Permit Fee is > State Surcharge) OR Contract Value $671 O A Q..r�• x 1% = $ Permit Fee ALL new buildings and boulevard irrigation systems . $ Radio Meter Read than $10,010, the surcharge Is $5.00 $ Meter(s) $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge Permit Fee requires a $5.50 surcharge) a $10,010-$1 1,000 Following fees apply Contact the CIty's Engineering when Installing a new lawn Irrigation system $ Water permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ TOTAL FEE CALL BEFORE YOU PIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000helst_aitgg•,pOplUta I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end 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 pent that the work will be in accordance with the approved plan in the rase of work which requires a review and approveans. Ap licants PrintedJ� PI Name Applicant's Signat FOR OFFICE USE. Approved By: Required`1t1<sppctIOns: Under Ground _Rough. in Air Test Gas Test .Final PFt1l Rpquilred: _ Yes ' . No Date: _vLt'2 1 L 1 Page 1 of 3 City of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /0 2 C Permit Fee: /�79. lid Date Received: /T O— ( / Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION C -F'11 /;7 - Date: 11— 23— II Site Address: I.`` 995 1° ZA DrAte Ate Tenant Name: RP Nt CdIk+ 140►1'r'1 �'1MCeS (Tenant is: New / X Existing) Suite #: Former Tenant: NA Name: 1 �V NnC`Q (Let tl{e114`1 aMCes Phone::` _ 4 `M3 SOCAO (GS Address / City / Zip: w Excelsior glvJ'1 St LaN.T' Rek1 MN SS Q4 Applicant is: Owner X Contractor Description of work: Li+ rock k Construction Cost: * 100, CO recres►, d cl�uic ICY. Name: I(AAAhos COu/Z4MC'I4OW CtlYikeS License #: NA Address: SS0O Vkfi" p hal + t # ?CO City: Mi A//Ue 1p& t S State: l M p Zip: S4I Co Phone: 763-S444-1460 t Contact:Mike peccke*t Email: MbECCha t Q l.AINhoacapi2'i'tnn c4io,j. COPA Name: AECOM Registration #: '34# Address: $C/ L"SiIIt Ave City: Atnlveapakr State: M J Zip:Oda Phone: 641"t1 G'-' aoo i Contact Person: /413A)e% oi! Email: 6M► • Inharo e Q€COM• COM Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wo whic requires a re 'ew and approval of plans. Mike vecchtik Applicant's Printed Name x Applicant's Si s • ure Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review / (25% 100% N ) Census Code /Public Facility ✓ Commercial / Industrial Greenhouse / Tent Antennae 'Interior Improvement Exterior Improvement _ Repair Water Damage 100 oo #of Units U # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Final _ Accessory Building _ Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant. MCES System C, SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: , Building Inspector /No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality /0SG.ir CO . s -e. LOC,.8,1 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 9 3 • Page 2 of 3 VA Metropolitan Council December 8, 2011 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for the Park Nicollet Clinic remodel to be located at 1885 Plaza Drive within the City of Eagan. A determination was not necessary. It is the Council's understanding this project does not change the use or size of the existing clinic; therefore, no additional SAC is due. The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, n44-1-± ron Cappaert SAC Technician Environmental Services Division KC:kb: 111208A6 Determination expiration: December 8, 2013 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Kelley Olson, Park Nicollet (email) www.metrocouneil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax {651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 5 j a- 017 1M 49S 2011 MECHANICAL PERMIT APPLICATION ` p Date: l )0/ Site Address: IO 'S (1C'.A'zti 1✓ ve Tenant: IDf''\C- - N31::Lot .u- i ChJ- L RECEIVED DEC 1 9 2011 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 9cb Date Received: 2 f' Staff: Suite #: J ONTRACTOt Address: 3? -6 State: in kJ Zip: ss7Y Contact: Aft( --g.... C. -Ad SOrJ New Replacement Additional X Alteration Demolition Description of work: 1-1- Vit C -r-o IC C T,-' L t2 rs ✓" 0� RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other ch New Construction Install Piping Gas COMMERCIAL iC• Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) 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: $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - 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) OR Contract Value $ = $ (lb ° Permit Fee = $ Sao Surcharge TOTAL FEE =$ 95 ' x 1% CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in Eagan; that I understand this is not a permit, but only an application for a permit, and work i with the approved plan in the case of work which requires a review and approval of plans Applicant's Printed Name FOR OFFICE USE Required Inspect formance with the ordinances and codes of the City of sta a without p rmit; that the work will be in accordance cant's Signature City of Ea�aII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /02cc 7 Permit Fee: - v� Date Received: Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: ` t Site Address: 1 g85 Pi.e f Tenantart rk . 1 )ie,oL VV 1 Suite #: PROPERTY OWNER Name: PO. 1.0 L e cm ler Phone: Address / City / Zip: TV -0 Applicant is: Owner ?o Contractor TYPE OF WORK Description of work: QLApc L S k cL .[cjr- Cc&,eu & Construction Cost:OOC) Estimated Completion Date: 62 'IS- / ?- CONTRACTOR Name: S -111111r1 it- rte- Pr r e( tiovk License #: C` 075 Address:`5'75 M , ,1r1C�_ ,c, L) . City: s5 1 Pau./ State: C i lr Zip: 3,C)/().3 Phone: 62S. c316/--- / W0 Contact: Email: FIRE PERMIT TYPE (-.' Sprinkler System (# of heads.) Standpipe WORK TYPE New Addition _ Fire Pump _ _ _ Alterations Remodel _ Other: Other: DESCRIPTION OF WORK: r Commercial _ Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) _ Contract Value $ Dov - x 1% - If the Permit Fee is less than = $_ S - rmit Fee Fee = $ 5 ® Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 3/4" Displacement Fire Meter - $231.00 = $ Fire Meter = $ to O - TOTAL FEE equirements: 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 bei accordance with the approved plan in the case of work which requires a review and approval of plans. x -b tc L- i &Nei t Applicant's Printed Name x 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.qopherstateonecall.orq FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Drain Test Pump Test Central Station Rough In Permit Reviewed by:(,�iil Date:02 ! 0 ! Final *City of Eaton 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (V Use BLUE or BLACK Ink For Office Use%l�% Permit #: ! / Z r 230' Permit Fee: 2 Date Received: Staff: 46? 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 9-20- 12_ Site Address: / �5 PLAZA DK, , C'A6.14%) / ?1i 5s-1 2 2_ Tenant: 'A%IC. /J>C1, LL,c Suite #: Name: P41' Nj i')4r4Li74 SE N" -S Phone: CIS2-6 `(0 / i Address / City / Zip: LV J Name: M(2DEIZ {t,4 i i,J I A i2 gon/7iTlj 4 icense #: Address: 2i< h IIS T r5T 1N%L. City: 114, lu ll��f� f Dl i _S State: Ak. Zip: S.S'1-1 Phone: le I7 - -i I - 3 �� Contact: „7,„) -}AD M IT!+ Email ( 3rlit ITH /M p DEQ 10 HT(ro L'()/{ New �( Replacement Additional Alteration Demo! tion RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ , gOO x 1% $60.00 Minimum (includes State Surcharge) *If the project valuation is over $1 million, please call for Surcharge = $ 1 , tO Permit Fee _ $ 5.00 Surcharge* = $ ..2 ? e TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ap icant's Printed Name x, Applicant's Signature 41, City of 1a�au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 't3 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial � applicatio�,ns.. Date: 112-I I Site Address: I 7 PI C1 1 / 1 v Tenant 0„v1(,-- k V 1 l D Il )— Suite #: Property Owner � Name: `VL- Nil �j C Phone: Contractor Name: 02L ! {tthattit(Lt License #: Address: 12101 I. V(i v X C k_T IS State:IAN Zip:: J/T Phone: 70 -j I kL Email: i iv(Og' ' L l e1 L(. (!O l f Type of Work Type Li - New Replacement Repair Rebuild Modify Space _ Work in R.O.W. — _ _ _ Description of work: Permit Type COMMERCIAL New Construction Modify Space _ Irrigation System ( yes / no) ( RPZ / PVB) _ — • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers Yes _No -.. COMMERCIAL FEES: �DC3 $55.00 Minimum Contract Value $ 4 x 1% Required on If the project valuation = $ t • CSU Perrrrtit Fee Meter Read urcharge* ALL new buildings and boulevard irrigation systems 3 $ Radio $ Meter(s) is over $1 million, please call for Surcharge $ $5.00 State Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water ermit Plant Supply & Storage rcharge Department, (651) 675-5646, for required fee amounts. $ TreatnEnt $ Water $ State _ $ &�0.. O® TOTAL EE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 intend to dig to receive locates of underground utilities. WWW qapherstateun c;ali.c AC I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Kalla //I1staj Applicants Printed Name pp!" ant's y'. na FOR OFFICE USE Approved By: Required Inspections: _Under Ground Rough -In __Aur Test _Gas Test _Final PRV Required ours before you des of the City of he work will be in Datil Page 1 of 3 d*' City of Evan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 013 COMMERCIAL BUILDING PERMIT APPLICATION G Site Address: / O d /67AL /t /' A)/ 'e a c, 4. e T (Tenant is: Tenant Name: Former Tenant: New / Existing) Suite #: e‘cr 4 Property Owner Type of Work Contractor Architect/Engineer Name: i."4 € 1: t - c p Phone: 952-V3-33zG Address/City/Zip: 3100 / 4 A.),cG e r ,Q A/d 4.wo3 Applicant is: Owner X Contractor Description of work: Construction Cost: Arbc/e/ ®a6 / ,4,79'1116 y� Name: RIM n /' `^ 5 Y. 71 v 3^- License #: Address: "t>a, v\/: State: M u Zip: , 5 '// is Phone: Contact: ene Name: Address: TG Email: rc'� 2 Z /4 G- ,/60 �r'i 14,,/ City: C Is qS2- 9.37— - /9 c �/r�2 LLusT✓ i £ State: ,44 4/ Zip: c3 --"V z ' Phone: o fL Contact Person: Registration #: V V 7 City: /r Ah/r ,- 763—S33— ?8/-3 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of E an; that I understand this is not a permit, but only an application for permit, a + work is not to start without a permjtt#tT 1 ork ill be in accoyiance ith the approved plan in the case of work wequires iew and approval of plans. Applicant's Printed Na x Applicant' Si Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation s/ Commercial / Industrial Apartments Miscellaneous Public Facility Accessory Building Greenhouse / Tent Antennae WORK TYPES New / Interior Improvement Exterior Improvement Repair Water Damage Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Z0/ 000. ♦= U REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Framing Occupancy Code Edition Zoning Stories Square Feet Length Width Insulation Ice & Water _Final Fireplace: Rough In Air Test Insulation Meter Size: Final Final C/O Inspection: Schedule Fire Marshal to be present: Reviewed By: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair e /o7z&7' Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant 2007 slier - 1 Sheetrock MCES System SAC Units 0114 GR, w t /A/t5E M- Occ, LD. City Water Booster Pump PRV Fire Sprinklers ✓ /Final / C.O. Required ✓ Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control `/Yes No , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 339. is"- o. s"-0. s -o 22-0. rt Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL' sof -74 Page 2 of 3 City of Earn 3830 Pilot Knob Road \" Eagan MN 55122 ... Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: O(� 3D Permit Fee: Q Date Received: d 13 o, el Staff: c, 2013 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: C)'i% S jI Site Address: ) rt- ?A D #'_L V Tenant: 4" A-4\<. 1\ Name: Phone: Suite #: Address / City / Zip: Name: iA�E. /1/I 11(1 l'1-kL- Address: ca -x? -i_ License #: Y7 6 LOLAza-vZ City: YYlv%'C+LLS State: 0 Zip: 6.5') Phone: 9 Sas-Fal 661 Contact: -e C- Y i N16— Email: 0 CA v1 C -C va is '1 •1' New Description of work: Replacement Additional %L- Alteration Demolition RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other and mounted.trtechanical equ pment is rept ired:to "scr ehanical Inspector„for inforl< ation ori pe ti ted sc eeni COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum *If the project valuation is over $1 million, please call for Surcharge Contract Value $ = $ 5a Permit Fee = $ 5.00 Surcharge* = $ TOTAL FEE k -V x 1% CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 i otO 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 ` iAr'A7 A- 0 OL L J—) Applicant's Printed Name nt's Signature City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: ttbjr1^ g( Permit Fee: 0 + C. Date Received: Staff: 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 05 `" 2-Y-13 Site Address: 1 S— f 4- L-16;' vet Tenant: Pi- 6-7A-61471/4). Peadmoy Phone: Suite #: Address / City / Zip: Applicant is: Owner Contractor Description of work: *0//L(, C i 9 'O. % A/04-1 GNU i� ire ,, ,, s pe fi� t9 4 � .� /co, Construction Cost: ' Estimated Completion Date: Name: Vita r' Y'd t LN W� License #: Address: City: State: Zip: Phone: Contact: FIRE PERMIT TYPE V' -Sprinkler System (# of heads 11 ) Fire Pump Standpipe Other: WORK TYPE New (Alterations Other: Addition Remodel DESCRIPTION OF WORK: commercial Residential Educational $55.01 P'nimum project valuation is over $1 million, please call for Surcharge ct Value $ opek) x 1% = $ -53—,, Permit Fee = $ 5.00 Surcharge* _ $ 00/ c7- TOTAL FEE 3/4" Displacement Fire Meter - $245.00 = $ 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 re 'res a review and approval of plans. App cant's Printed Name Apph s Signature r., FOR OFFICE USE RED IN$PECTIOI Hydrostatic 1 08 1 Flo rAtari Drain Test Rou h In Pump Test t# Tatrai St do Final MAI-- 1e3� Citi of Eaton. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ch:cY- 7)--c`ct. No 5r /. 5b Use BLUE or BLACK Ink For Office Use Permit #: '?2'\S5 Permit Fee: 5 —1 ' 50 Date Received: ` — 2. — �5 Staff: Sb 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 9/21/15 Site Address: 1885 Plaza Drive, Eagan MN 55122 Tenant: PNHS Name: Phone: Suite #: Address / City / Zip: Name: Yale Mechanical LLC License#: MB004822 Address: 220 West 81st Street City: Bloomington State: MN Zip: 55420 Phone: 952-884-1661 Contact: Email: accounting@yalemech.com New Replacement Additional Alteration Description of work: .Qr I c e NOTE: Roof mounted and ground mounted mechanical Code. Please contact the Mechanical inspector for inform permitted RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other V #% (-oo4 4up £ 1d Demolition equipment is required' to be screened by City n onscreening methods. New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed L` Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal *If contract value is GREATER than $2,010, Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ Doc) $ 552) •O0 = $ ®?7.5 Z) _ $ 5 `7'7, 5-D x .01 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 not to start without a permit; that t -work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Michael D. Larson Applicant's Printed Name FOR OFFICE USE Required Inspections: Reviewed By: Underground Rough In Air Test Gas Service Test In floor Heat A •lica s Signat e Final HVAC Screening` eke /41.0s City of Eapll ,s 3(0(6A1A=� c'cI 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1)7cCEI2V0E: -,2015 COMMERCIAL FIRE ALARMTPERMIT APPLICATION Date: 1012.2 IIS- Site Address: 2io 0624— Dr Tenant: ICat_ 1(.61 12,k; Suite #: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 0, (4'1 Date Received: Staff: J Name: Q(gyI-I V t t Ll. Phone: 3ST11 Address / City / Zip: j 6b ekevicior 6tvd9 c'. CD(.t iS rat h, /qj) S '721.0 Applicant is: Owner X Contractor / Description of work:(lal e ��j F(e;►v ' '� u t -CI .j'l & - UC(LlIt 7I ‘j C.[5,M1/fl u.h / Construction Cost: 4330 ° Estimated Completion Date: Name:-vrt LXl S-Pta r n I I1c...., License #: 6 11 Address: ;v4 cAs+ -a t.fers ITGLLt' City: 70",% state:. K Zip: Phone: qJ Contact: U 4 i ! ti GLi ( (.tom arm Cd7-' DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 i If the project valuation is over $1 million, please call for Surcharge Contract Value $ 330.. 4J = $ bit). 00 Permit Fee $ 6101 Surcharge* = $ ?j. c l 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 approval of plans. x l',cko//Le r C(ull13y Applicant's Printed Name FOR OFF Required Inspections 1330 cant'. Signe ure ough-ini Fire Alar, For Office Use i Permit#:EAGAN ,�SCo3 ,- `� �� '• RECEIVI_:.a.._-,> Permit Fee: O,31 MAY 2 4 2019 Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 rPayment Recvd: _Yes No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginspections(@,cityofeagan.com Plans: Electronic Paper Plan Submittal: eplans( cityofeagan.com 2019 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 5.21.19 Site Address: 1885 Plaza Dr, Eagan, MN 55122 Tenant: Park Nicollet Clinic Suite#: Property Owner Name: Park Nicollet Phone: 952.993.4001 Name: Harris Mechanical License#: PC642810 Contractor Address: 909 Montreal Circle City: St. Paul State: MN Zip: 55102 Phone: 612.328.3883 Email: gwittek@harriscompany.com New Construction Addition Modify Space V Replacement Repair Rebuild Work in Right-Of-Way Description of work: replace floor drain and main valve to building Type of Work Irrigation System( yes/ no)( RPZ/_PVB) • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ 5832 x.015 $60.00 Permit Fee Minimum $ 87.45 Permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) $ 2.92 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call City for Surcharge $ 90.37 TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge _$90.37 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start with. : permit;t .t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. et ( xAnthony Bolduc I Applicant's Printed Name `- Signature Page 1 of 4 ' 155---4)3 � FOR OFFICE USE / Approved By: j} Date:q141 11. Required �— Required Inspections: (Under Ground Rough-In _Air Test _Gas Test (Final PRV Required:_Yes No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 2 of 4