4675 Rahncliff RdCity of Eapn
Mike Maguire
MAYOR
Paul Bakken
Cyndee Fields
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITY ADMINISTRATOR
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012fax
651.454.8535 TDD
MAINTENANCE FACILITY
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
September 12, 2008
Tech Builders Inc.
410 Downtown Plaza
Fairmont, MN 56031
Re: Landscape Deposit
4675 Rahncliff Rd., Eagan MN 55122
Lot 2, Block 1, Rahn Ridge 2°d Addition
Dear Sir or Madame:
Tech Builders Inc. submitted a landscape security deposit to the city in conjunction with
the building permit for the facility 4675 Rahncliff Rd. in the Rahn Ridge 2"d Addition in
April of 1999.
After inspecting the site we found the landscaping to be in satisfactory condition.
Consequently, the deposit can be released. The refund will be forwarded to you under
separate cover.
While we are releasing the security deposit, please note that the property owner continues
to be responsible for maintaining the health of all plantings on the property, and must
replace any plants that die or are removed due to disease.
If you have any questions, please call me at 651-675-5684 or Sara.h Thomas at 651-675-
5696.
Sinc-9ly,
?-
?-J?;L
FrAn Doherty
Planning Department
cc: Property Owner, SBSE LLC, PO Box 1020, Willmar, MN 56201
Sarah Thomas, City Planner
tyco 1?6 75? 1),,A
a ?, .
Fire &
Sec-urity '
Simp/exGrinne//
2/3/03
? -- CL* 4n j --
; ?oa2, ?.tt
3`? 0??'?, ?.Dl? 5? I '-z 'a
?
To Whom It May Concern:
SimplexGrinnell LP
5400 Nathan Lane
Minneapolis MN 55442-1953
Sa/es: 763 36 7 5000
Sa/es Fax.• 763 36 7 5002
Service: 763 36 7 500 1
Service Fax.- 763 36 7 5003
Toll Free: 800 292 4 111
www.slmplexgrlnnell.com
Attached is the information pertaining to the Central Voluntary Replacement Program.
The information is being supplied to you as a courtesy.
All work attached has been completed on the attached Central Sprinkler Company O-ring
Sprinkler Head Voluntary Replacement Program Verification Form (s).
If you have any questions concerning the information provided please feel free to contact
SimplexGrinnell at (763) 367- 5000.
Sincerely,
, ..
? ?????
n F E B 0 6 2003
Plymouth, MN 55442
(763) 367-5043 direct
(763) 367- 5002 fax
I
Total number of Replacement Sprinkiers sent:
Total number of O-Ring Sprinklers returned: C'qev?
f
1. Property Name:
2. Property Addres
3.
4.
5.
? CENTRAL SPRINKLER COMPANY
O-RING SPRINKLER HEAD VOLUNTARY REPLACEMENT PROGRAM ("VRP")
VERIFICATION FORM
ID # (CENTRAL Use Only)
#';? ( '2452,R! CLAIM #_ l 01a& ??
Name of Claimant i uwner ot Spnnkler Heads: 166-4.n
Sprinkler Contractor Performing Replacement Work: ' - .
Number of O-Ring Sprinkler Replaced (Indicate name and num er of each model replaced)
MODBL REPLACED # OF O-RING SPRINKLERS REPLACED ATE
? 1 63??
TOTAL: A.
Attach work order, invoice or receipt showing the numt r o Central Sprinkler O-Ring Sprinklers that were
replaced.
I hereby declare that the O-Ring Sprinklers at this property have been replaced in accordance with the codes and
ordinance of the Local Authority Having Jurisdiction, and Yhat the Claimant / Owner of the sprinkler heads has not
been charged for the replacement work. I further declare under the penalty of perjury under the laws of the United
States that all ' or ation on fhis form is true and correct.
INST
R SI NATURE pRINT N,4Mg & TTI'I,g
6-1 -
INSTALI;ER'S T X lD BER:
DATE:
-,- ,
TO BE COMPLETED BY THE CLAIMANT / OWNER:
I hereby acknowledge completion of the replacement work set forth above on the date indicated by the
installe submitt' his Verification Form.
y 7--Lc ,e?lAA??
GNATURE OF CLAIlv1ANT PRINt NAME & COMPANY (If Approp ' te)
ZZ Yia - v9
DATE TTTLE (or "OWNER". If individual)
MAIL TO:
CENTRAL SPRINKI,ER COMPANY REpLACEMENT PROGRAM
PO BOX 5005
LANSDALE, PA 19446
INTERNAL USE ONLY: VERIFIED BY: OTHERS RETURNED F7
873 6130
_ 08/04/1999 ..01.:52 873-6130 ... PAGE 03
MEMBER
. VTt [A8..ORATOR1fS, Inc. ?
.P:O. BOX 249, 1126 N. FRONT 57REET
NEW ULM, MN 56073-0249
Ph101dE {507} 354-8517 1MATS {800} 782-3557 FA?C (507) 359-2890
WE ,AuRTs AN EQUAL UFPORTUNITX' EMPLOYE-8
Repaxt Date: 31 Jul 2999
Lab Number: 99--L19$54
Wozk prtler #: 8229
DEST.GN EXCAVATING
BELLE PLAINE MN 55011
Date Receiveds 28 Jul 1999
Date sampled: 28 Jul 1999
'
Sa?mple Aes?:riptiott: STR H&IDGE 6? ?'?G7,S-.. •'?`y L!?? ..
AnalytE Results MCL
Coliform Bacteria Less Than i CFU/100 mL
RAL
Less than 1 NA
MQ, is defined as the Maximna Contaminant Level a1lawed by ttie 3af.e
rixinking Watex Act. RAL is t.he Recommended Allowable Limit. Far fu.rther
infarmati.on, cnntact your state or laca3 heaith depax°tnaent or cal.I the
PQA Safe brinking Water Hatline 1-800-426-4791-
Apprave?l bY s ?c Avo -
Michael K. Grab, Laborat.ory Manager
y[V77. Sa.+ne.w !hs aooms j of?be e?]Yaia dooo 04 !Lo aaimpla oubwi.t4d fat t4adn[. IC ia aot OoBfbIB forMm to INateUOBB ihdt a teat ieault oMSitied Ou a parrlcui-eempl9 vm La t3c eame o¢ s+or M'Aas
semyle unissa dl ooaditioca af3seNng tho sazaple ar. tLo somo, inaludiagse.mpllaxby PSVTI.. Ai a mutualptotettiori W elitAb. thepubliesndoureolwo. eu rePorte ae'e wubmiue6eo tIIe cmuAdoarialp:opse*s
rdi aur=eD?aiee'eaexvadFmdia4oatwrltteaRPP?`?-
of cliquce, and autboriuuoa f p?41f[ataom oEsf.?enta, oomo1wiaa.s o: a=tracts Emm ur seSn °[
lelletropolitan Council
Working for the Region, Planning for the Future
??-
?K-90
t Environmental Services
December 10; 1998
Dale Schoeppner
Building Official
City of Eagan
3830 Pilot Knob Road
Eagan, NIN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has determined SAC for the
Staybridge Suites to be located within the City of Eagan.
This project should be charged 48 SAC Units, as determined below.
Charges:
Hotel
89 rooms @ 2 rooms/SAC Unit
Kitchenettes
89 rooms x 10 gallons/room @ 274 gallons/SAC Unit
SAC Units
44.50
3.25
Total Charge: 47.75 or 48
If you have any questions, ca11 me at 602-1113.
Sincerely,
?.
,
7odi L. Edwards
Staff Specialist
Municipal Services Section
JLE: (285)
981210512
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
7ohnson, Sheldon, Sorenson & Hafner
AREA CODE CHANGES TO 651 IN JULY, 1998
230 East Fifth Street St. Paul, Minnesota 55101-1626 (612) 602-1005 Fax 602-1183 TDD/TTY 229-3760
An Equa1 Oppor[unity Empioyer
r
CSpECIAL INBPBCTION AND T88TIN(3 SCHEDULE?
rt (To be used in accordance aith the "Guidelinea for Special Inspection and Testing")
PROJECT NAMg f2?raDL-,V. 1? H PROJECT NO.
?LOCAT I ON ( 1)
' s; Y r ¦?. u? 1EYZQ :. .? PERMIT NO.
. . . . . . . . . . , . I?. . . . ;:: i - ., .
QD4/?TST_ TVQD9't?l!•L-AI?i-' ?S(1RRnLIT:F. - ' .
Svecif ication
?- RePQrt Assi9ned.
ection Article Descr tion 2 Firm 3 Fre Uenc Firm 4
p p 1.04 "1' = A. P?
.O Z, . -_.. ItiIT 2 ? ,.?.SS-?
? 3 .02 V 1Aroz-
_
TLlCTTtl/S Q!`AFTiiT.P:
o zo? 5.09 rrnr4T-
o2rato 3,05 £?a T• i TZ'
o33t? 3. ? 3
oc4 -x.v
ec"je-gs
T• ?•
`r'
V
Notes: .
This achedul.e to be filled out and included in the project-specification.
unavailable at that time to be filled out when applying for a building perinit.
(l) Permit No. to be provided by the Building Official. --
(2) Use dcscrigtiona per U.B.C. Section
(3) Special Inspector, Testing Agent or Fabricator.,
(4) Firm contracted to perform eervices.
ACRNOWLEDCEMENTS
Each appropriate representative must sign tielow:
Information
_
• 7
_ '
/
?.:z...?.
Owner: ....?.?r?c-~ Firm: N02°
v1-ro
fr???,,?_.s0.,j Z 4CDate:
?
_,
ContraCtor: Firm: ? C,G' ?E????? 0 1,1 Date :
Architect: Firm: '$SI$ _Date:
SER: Firm: Date:
* SI: Firm: Date: l/ 3dlJ
*SI: Firm: Date:
TA: Firmr/L.,G'?? ? e, Date:
TA:
Firm: ?'t?l? -=?''J? -?-?-
-?Tt5'C-Date: ?//3Cl??
F: Firm: Date:
F: Firm: Date:
• The individual namee of all prospective special inspectora and the work they intend to
obaerve muet be identified on the reverBe side of this form.
Legend: SER = Structural Engineer of Record SI = Special Inspactor
TA = Testing Aqent F= Fabricator
Accepted for the Buildinq Department By Date:
DEC-01-1998 16:18 EMANUELSON-PODAS
ENVELOPE COMPLIANCE CERTIFICATE
COMcheck-EZ Software Version 1.0
Section I: PROJECT INFORMATTON
Project Information:
Name: STAYBRIDGE SUITES
Address:EAGAN, MIN1vESOTA
Designer/Contractor Information:
Name:
Tel.
Document Author Information:
Name:PRE
Tel:
Date:11/30/98
Section 2: GENER.AL INFORMATION
Building Location: Minneapolis, Minnesota
Climate Zone: 15
Heating Degree Days (base 65 degrees F):
Cooling Degree Days (base 65 degrees F):
Building Type: Hotel/Motel
612 866 8426 P.02i03
Permit #
Checked by Date
7981
682
Floor Area: 18507
Phase of Construction: New Construction Addition Alteration
? Unconditioned She11 (File Rffidavit)
Section 3: REQUIREMENTS CHECKLIST
AIR LEAKAGE, COMPONENT CERTIFICATION, AND
VAPOR RETARDER REQUIREMENTS
All joints and penetrations are caulked, gasketed,
weatherstripped, or otherwise sealed
Windows and doors certified
as meeting leakage requirements
Inspection Approved Initial
Date (y/N)
ComAOnent R-values & U-factors labeled as certified
Vapor retarders installed
Exception: Zones 2-7 in exempted states
CLIMATE-SPECIFIC REQUIREMENTS
Cavity Cont. Assembly Budget
Camponent Name/Description
------- Area R-Value R-Value U-Factor U-Factor
ROOF: ------------------------------
All-Wood Joist/Truss --------
18507 --------
38.0 --------
2.2 ---------
0.026 ---------
0.047
WALL: Wood Frame, Any Spacing 27776 19.0 1.8 0.060 0.071
WIN: Double/Clr/Mtl/SHGC=0.72/PF=O 2842 -- -- 0.490 --
DOOR: Glass 215 -- -- 0.690 --
DOOR: Opaque 21 -- -- 0.420 --
SLAB: Unheated w/48" Vertical 867 -- 5.0 -- --
DEC-01-1998 16:19 EMANUELSON-PODAS
Envelope PASSES: Design 25W better than code
Section 4: COMPLIANCE STATEMENT
612 866 8426 P.03i03
The proposed envelope design represented in these documents is consistent with
the building plans, specifications and other calculations submitted with this
permit application. The proposed envelope system has been designed to meet
the COMcheck-EZ requiremente.
Principal Envelope Designer-Name
130 ( I?.99,??
Notes:
Date
TOTAL P.03
L ?
SUBD
B
APPROVED BY:
CITY USE ONLY
? RECEIPT #: / O J ?Q 7
?
RECEIPT DATE
. INSPECTOR PLUMBING PERMIT # 3
1999 PLUMBINra PEftNIIT (CQM1VIEiCIAL)
CIT'Y QF EAfiAN
3$30 PILOT KNOB RD
EACAN, MN 55 Y 22
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate building permits are not required for each dwelling unit
installation of backflow preventer in commercial areas or residential boulevards
Date: 47,1 ? Work Type: ? New Bldg. _ Add-on _ Repair _ U.G. Sprinkler
Description of Work: /4?/?B/?d
i o inquire if t ressure t-teducing Vaive is required an new ser-vice, cai'i 5"OJL-4645.
FEES
?
` / ?'C? ?
1% of contract price or $30.00 minimum Contract Price: 4 $ ?dD x 1% ?xb ? lFv / s
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
Backtlow Preventer Permit Fee - $ 30.00 $
Water Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size $
Service: _ existing (if coming off domestic line) OR _ new
If "tieiv service". contact Jerrv Wobschall. Finance Consultant to confirm addii7g,fees for:
Water Permit & Surcharge - $ 50.50 $
Water Supply & Storage - $ 825.00 $
Water Treamient Plant Charge - $ 468.00 $
Permit Fee $
State surcharge is calculated from Pernut Fee at right -
S.50 for each S 1.000 with a minimuin of $.50 t3ue
State Surcharge $ ? /. 0 0
Total Fee $ -?G_>
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the faciliries constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS: ?I Ce1 5' &Al V'1 (VIL
TENANT NAME: TELEPHONE #:
(AREA CODE)
INSTALLER NAME: (AC?Q Awnw TELEPHONE #: ( 0- 1 st (AREA CODE) STREET ADDRESS: ( ob CITY: ? V? w X, V 9 ZIP: ,, i
W
3 SIGNATURE OF PERMITTEE
_ RPZ
CITY USE ONLY
DOMESTIC METER SIZE ? COMPOUND TURBO
PRV: Yes No
• Contact Utility Billing Division for price: 651- 681-4631
IRRIGATION METER SIZE:
• 2" turbo unless approval for smaller meter granted by Public Warks.
, r', r.tac: Util: y R:l:i:,g Livisio?? for ?;ricE: 631-681-4631.
PRIOR TO SELLING A METER:
• Enter site address on Screen 301, Permit Inquiry, to obtain sewer and water permit number.
• On PIMS Screen 320, enter sewer and water pemut # to check that hydrostatic, conductiviry, and bacteria tests have been
approved. If not, do not issue meter.
Miscel(aneous Information
• Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspection of the inside water line and backflow preventer, call 651-681-4675.
• To schedule water turn-on, call 651-681-4300.
CD/Permit forms/plbg permit (comm) 1999
?
L? gL /r CITY USE ONLY RECEIPT #:
SUBD. , f RECEIPT DATE: ?6P ? ,(2 APPROVED BY: INSPECTOR MECHANICAL PERMIT #:
1993MECHANICAL PERMIT (COMMERCIAL)
CI'I'Y t?F EAfiA1V
3$30 PILOT KNOB gD
EAfiA1V, MN 55122
(651) 661-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE: Y r/rj
WORK TYPE: ?
DESCRIPTION OF WORK:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
?
CONTRACT PRICE x 1% 17 J?
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE 1 :?67 ($.50 per $1,000 of permit fee due on all permits.)
ir
TOTAL 79,0
----------------------------- -------------------------------------------------------------------------------------------
??
SITE ADDRESS: 6.11
OWNER NAME: v? Y b? S PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
. r
INSTALLER:
ðIllo-
ADDRESS: PHONE #:
(AREa, CODE)
CITY: ha A? STATE: ZIP:
? SIGNATURE OF PERMITTEE
LOT BL
SUBD.
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
MECHANICAL' PERMIT #
1999 MECHANICAL ?ERMIT (RUIDENTIAL)
CITY Of EAfiAN
8$30 PILOT KNOB itD
EAfiAN MN 55122
(651) 6$1-4675
Date:
Complete this section onlv if you axe installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair ? Other
Remznder: Ca11681-4675 for inspections.
Furnace
Air exchanger
Air conditioning
Other _
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
PHONE #: - "
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
y? ?;? a.i ?? e i ? s o i:: e a.. y.y.?..: ?,•?,• .•.
?.,}il yf):; Y.?.:(-.'r'?2?,?t);;7j.'i(,'?G;s<?C?:i?t;}C?{::CpC}?•'.t?i1?4?j?J?i?C.?::k??.?,,:;c ?t};:1,. ;: ??.7,{
C:CTY Cil• E1•'it"•rt'-1N
i:;(-tSR-l:I:I:::R; S 'fiT*--.RMSP-1AL N10'. 7-1.8
11A1F" 04I19:"99 71.i'rlE::", 00037
iW
t{!nMEu TECH B{...DRS ;:NC
R.L J5 90LJ1 46(G.1 R'{.AHf.ICi...II' F 974.00
3743 9220 46r'.`.:i RA{-ft*lC;L.:1: F1=' `it) .f7t1
370 ??ar 20 4675 RnHN.r.;l_. IF-r 50.00
?c;"it, .`:?;:;?r'5 4675 RAi-fNCl...:CFF :..' ,2i7G .'•C)
38f:lfi'.? 9379 4675 RAHNCLIFF 4,i S:i00» 00
2257 9001 4675 F'tlit-1N(':I._:1:FF 5,000.0t:1
,. ,. ,..?
::3h.r?G•
9001
4675
. ?{I?i'•{?y??..!....?.?' E" _
69599.45
3856 9375 4675 r4AHNc.LIFF S1169r92
3858 9220 4675 FtAhlMC(_:1:1-r` s;435(74(70
32:1.?.? 9001 4675 i'iAHNCLIFI' :?.t.?'ia:1_:t3n00
CR:i.O65iz,. - ;X* f:t7N''(:LNl7L:
US!:::R :CT..En PdAi`!(::V *,;: t:;ON'v':!'NUE:
:1?4/ W1i! 1?4:?! r?J JiJ? 1; Iril?l? • I?::.ir.li ?:N??t..,??r!/l?ra'?
? t iC°
?'t.? •`;?.5;{?:}iC:?p:h{:??:t.fi:.p??fi;.3f..?::??;.t,..?,ry.:t?,{qt)?.7;<7?.,?C ?.},,.? t.?r.?f ?Y ?.?`•.?_:s...
C:CT`P (:fF" G"f-iGANI .
(:;FlS!-IIC::R° k:i TEFii'i:i:NFl(_ N02 '7:l.f3
DA'7t:, 04i :4..`:?/99 7':l'Ntl= : 00038
TD^
.,
i+!Aibfi:"., 'T'E(:;i-! ;:ii...D?'?tJ ?:Nt::
;aL";6^n 9220 4675 !v(-11-1NCl...1:!= FF '22y4t.:,4.00
3446 9001 4675 R(1HN'L':L:!:FF 504„00
2R75 922V't'6f5 f;i11••INCi_1:F{= 49,; eJt6, (70
? ..,?,. .,,?7
r,
???i7'1.%17. CeCk?:lE.?'F r?lY;C1?.:'!;'?:4 :?.:?..?? , gi::.?:,?;
CRi.Or:,W
t.)c`rl::l; 1:,:+o N<lNCY
,
'''Cii..?? ??, yt,? }?Cl?'i; ?''i7',!??:'?? if3??'?''f??.1,{1ti.,?t•.??G [ )?Ci ?)?C )"Ci':;'?;C
.. ;::???k t??.,•?,? n X: ?, n? ?•?? „? (??.h•`Y ?' ? e.k'' m r
1999
.. ` 14" BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN ?i
13"681-4675 S
Submit.following to obtain necessary p ermit
Foundation Only New Construction . Interior Improvement
structural plans (2 sets) architectural plans (2 sets) architecturat plans
i
l (2 sets)
(1) " '
civil plans (2 sets)
" structural plans
l
il (2 sets)
(2 sets) ys
s
code ana
project specs (t set)
code analysis (1)
soils report (1) ans
p
civ
Iandscaping plans (2 sets) Key Plan
"
project specs (1) code analysis (1) "
(1) energy calculations
Electric Power 8? Lighting Form (1) notalways
°
(1) not always
Special Inspections & Testing Schedule
SAC determination letter from MC/WS - soils report
SAC determination Ietter from MC/WS - ation letter from MC/WS -
SAC
t
call 602-1000 call 602-1000 1000
l 602
ca
Special Inspections 8 Testing Schedule ?
(1) '
project specs (1)
energy calculations (1)
Electric Power 8 Lighting Form (1) '
Contact Building Inspections for sample
Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: r//Z 5111.9ep WORK TYPE: ? NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: oc) 6 TENANT NAME:
SITE ADDRESSq ` ?? lok""?A
'i?GG ?.s?' 06 5 ,; lLL SUITE #:
LOT ?-BLOCK SUBD. C"tn, P.I.D. #
?
Name:??_??p?°-;?is?_?.t?_ ?..}?4.l? • ? ? Phone tt: ?12??S-7Z1?7 _
PROPERTY Last First
OWiNER '
Street Address:_?S ??-N---`?-?------ -----------'------- ?
City _gL?L State: Zip: S??oZo j-------
` ?-b ??s - ? ls z
? J?S" Jrb b? -_
Company:_ Phone#:
Y -
CONTIZACCO a J ? License #
g Street Address:?Q ?
scacC: ?R? ?:F7
Cicy ?'?^?r ? --- -- ? --
ARCHITECT/ ? Z? - 7 7 Z'S ____
ENGINEER Comp.ury:?.lau_1' S?E?-? ?-?? q??k}it?c.x5? Plione: t#: ? ---
, tt?c .
Registration #: 12890 -----------
rt? -ST
' Strcet Address: ? -_ ?_ -- -- ---- -
_M?.?r__ _ SCazol
City 1&Lt?M?_- ---------------- Stacc: Zip:
? o V.,.
Sew ?r?s only if installing sewer & water):
Ll
1 he eby lication and state that the information is correct and agree to comply with all applicable State
?? ?11?? I hav rea d this app
Min esota StatuCeaQri '°6ity of gan Ordinances.
?
BY• U? v Signature of Applicant:
OFFICE USE ON r
BUILDING PERMIT TYPE
19 01 Foundation
)K( 18 Comm./ind
WORK TYPE
la' 31 New
? 32 Addition
GENERAL INFORMATION
Const. • (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
L/N
vp
R-1 3
?-
?
13s'6,?
? 19 Comm./Ind, Misc.
? 20 Public Facility
? 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
N'fsq. ft.
3R0 Gcook sq. ft.
d??G sq. ft.
sq. ft.
Footprint sq. ft.
? 21 IFlliscellaneous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
l- :s3'n7 City Water
,?rO ? Fire Sprinklered ?
l0"0-0 7 Census Code
^ ?.S60 SAC Code ?
Census Bldg.
2. / 3 6 Census Unit
APPROVALS
Planning Building k/"-"-
Engineering Variance
Perrr?;: i=ee IQ,i.s3.OO ,. Valuafiion:
?urcnarge '17305 DI-.7? 7zr;?,?
Plan Review 6
MC/WS SAC ? Noo,oa 1,9rq
City SAC ? qDO,ao .t op V/ y?
ti
VVater Conn. ,
-" e?,V?_.o?.,,? Pc? U.t,• C?..Q vu U. `?
S/W Permit -/017100
S/W Surcharge -----
Treatment PL 4`6 ?
Park Ded. 16q, qa f
Trails Ded. a a.1G,4a ?
Water Qual. % o,oo ?
Other 5,000.00 e.ANOSe-04- v
Copies ' f
/ ??T 7 L?, 9
Total: 6? /
% SAC
SAC Units I-/Sf
Meter Size
..? . , :
CITY USE ONLY
L ' B
SUBD.
Elo?
APPROVED BY:
INSPECTOR
RECEIPT #: 1I 9 IS 0 ?
RECEIPT DATE
PLiJMBING PERMIT # ? ,? 7
1399 PLUM$IN6 PERMIT (COMMERCIAL)
CITY OF £AfiA1V
S$SO PILOT KNfDB RD
E4fiAN, MN 55182
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate building pernuts are not required for each dwelling unit
installation of backflow preventer in commercial areas or residential boulevards
Date: S Work Type: _ New Bldg. _ Add-on _ Repair "' U.G. Sprinkler
Description of Work:
f?'?'.S
1% of contract price or $30.00 minimum Contract Price: $
x 1% _ $
RPZ
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM ?
0
Backflow Preventer Permit Fee - $ 30.00 $
? Water Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size $
? ?ti J-7 SS, bC? o?
Service: _ existing (if coming off domestic line) OR _ new ? 7 5 S
If "neiv service", contact Jerrv Wobsclrall, Finance Consultant, to confirm ndclins feesfor:
Water Permit & Surcharge - $ 50.50
Water Supply & Storage - $ 825.00
Water Treatment Plant Charge - $ 468.00
$
$
$
Permit Fee $ =L, C)z OD
State surcharge is calculated from Pernut Fee at right -
$.50 for each $1.000 with a minimum of $.50 due
State Surcharge $ 1 S Z)
Total Fee $ C? 1 (O
I hereby acknowledge that I have read this application, state that the informarion is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibility to notify the properiy 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 property/right-of-way/easement.
SITE ADDRESS:
TENANT NAME:
i t-"(7 \ TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ? TELEPHONE #: ? ) Z- 71?' Q 6 T ?
? (AREA CODE)
STREET ADDRESS: ?-
CITY
A'
zIP:
To inquire if Pressure Reducing Valve is required on new service, ca11681-4646.
OF PERMITTEE
CITY USE ONLY
DOMESTIC METER SIZE COMPOUND TURBO
PRV: Yes No
• Contact Utility Billing Division for price; 651- 681-4631.
IRRIGATION METER SIZE:
• 2" turbo unless approval for smaller meter granted by Public Works.
• Contact Utiiity Billing Division for price: 651-681-4631.
PRIOR TO SELLING A METER:
• Enter site address on Screen 301, Permit Inquiry, to obtain sewer and water pernut number.
• On PIMS Screen 320, enter sewer and water pernut # to check that hydrostatic, conducriviry, and bacteria tests have been
approved. If not, do not issue meter.
Miscellaneous Information
• Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock.
• To schedule inspection of the inside water line and backflow preventer, ca11 65 1-68 1-4675.
• To schedule water turn-on, call 651-681-4300.
CD/Permit forms/plbg permit (comm) 1999
,
CITY C!F E7GRN
'AMSI..iIEi"Zu BH TERMINAL NOr, 897
r;ATE: 005!'99 T}:ME. 15a35e52
I Dn
NAME 4 CQMMERCIAL_ F'LlJMBT.NG ? HF"ATING
3716 9220 2' COMPi7UN11,t'° i, 7;'S e00
37:LE1 9220 - /r^_°'r.AAo S^?•EO
3212 9001 %'' CDMP[)t.;rJD/2" W.UL-1
055 9001 2° rOMf'0UND!2' 0y `+=l
?
Tota1 Fter. ei. p+ Amoun+ : 27674.50
CF :i. i 9508
USrI'i TD; FfARB
;
i
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t *
- city of eagan
MEMO
TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL
DALE WEGLEITNER, FIRE MARSHAL
PAUL OLSON, SUPERINTENDENT OF PARKS
PUBLIC WORKS/ENGINEERING DEPARTMENT
MIKE RIDLEY, SE1vIOR PLANNER
DIANE DOWNS, UTILITY BILLING CLERK
BOB KRIHA, CONSTRUCTION INSPECTOR
FROM: DIRK HOUSE, INSPECTOR
DATE: JANUARY 18, 2000
SUBJECT: FINAL INSPECTION OF STAYBRIDGE SUITES
LEGAL: LOT 2 BLOCK 1 RAHN RIDGE 2ND
The Protective Inspections Division will be performing a final inspection of Staybridge
Suites at 4675 Rahncliff Road on January 25, 2000.
If you are requesting that the Certificate of Occupancy be held, please fill out the proper
hold request form. Failure to return the hold request form will be considered your approval. The
person, or department, requesting the hold is responsible for notifyixig and resolving any
problems with the affected parties.
/j s
CD/bldg insp/misc/final insp - comm bldgs
"??? - ?J? -
January 18, 2000
SBSE, LLC
335 Benson Ave. S.W.
Willmar MN 56201
RE: Hydraulic Passenger
Site: Stay Bridge
4675 Rahncliff Rd.
Eagan 55121
Dear Sir/Madam:
Department of Administration
- Elevator ID# 00-05884PT99-01
Minnesota Statutes Chapter 166 provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from
the Elevator Safety Section recently inspected your facility and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
NOTE: WHEN VENTING TO OCCUPIED SPACE - COMBINATION DAMPERS ARE
REQUIRED.
Sincerely,
BUILDING CODES AND STANDARDS
?
do e
John P. Roche
State Elevator Inspector
jpr/kad (CE-2)
c: Reid, Douglas Michael, BO, City of Eagan
Schindler Elevator Corp.
Tech Builders
Building Codes and Standards Division, 408 Metro Square Buildins, 121 7th Place East, St. ?aufrMW5101-2181
Voice: 651.296.4639; Fax: 651297.1973; TTY: 1.800.627.3529 and ask for 296.9929 `=:
2008 RE
Date:
Tenant:
Site Address:
k:?, V`1 0 G-
? _ _ _ - - _ _ - - _ _ _ -
? Fpi pffice d)s? I
? Permit #: ?' ' I
I ?
I Permit Fee: +
? Date Received:
Staff:
L ------------ -----?
'IAL PLUMBING PERMIT APPLICATION
CCr-I rz,epO?
Suite #:
p?? `?
s ?? t 'r-7 8/ 0
t
<5 Ph
RESIDENT / OWNER P
one:
Name:
/ Ci
/ Zi
-l "1'SI'
-
'(
L
ty
p:
Address
.P
I
>
Z4i=-
CONTRACTOR Name: Metro Testing . License #: 0613 4?Z
Phone: 612-221-5888
Address: _ Gar3, Ford
City: ' -Pdar Creek 3tate: Zip:
In 55037
Phone: ' ....____
TYPE OF WORK I
_ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of workt 4
PERMIT TYPE RESIDENTIAL I ?
Water Heater Water Softener
Lawn Irrigation ?
RPZ / Add Pfumbing; Fixtures ?
PVB) ? Main Lower Level)
I
Septic System ? Water Turnaround
New i
Abandonm ent
RESIDENTIAl. FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State S?urcharge)
?
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround'` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 54' meter is required)
i ?
$100.50 Septic System New ($10.00 per as buift) (includes County fee and $.50 State Surcharge) /
$90.50 Fire Repair (replace burned out applial ces, ductwork, etc.) (includes $.50 State Surcharge) /1-? o J
? TOTAL FEES $
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 permiY, but ortly an app[ication 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 pl
?
X ? x
Applicant's Printed Name I Applicant's Signature
;
FOR OFFICE USE ' Reviewed By Date:
Required Inspections: _Under Ground _Rough-In _Air Test .,_Gas Test _Final
401°
City of Eaton
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:
f
0-1 5---(z_
2012
-15-(•z-
2012 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commerciallapplications.
Date: i1'//�!/2'/Z- Site Address: 116 7r �4[NC4 /FA Z2)� 4'" , / 5? 2- 7—
Tenant: t 4/2446 Suite #:
Name: ST1A-w PJ2iOb . '5c t7 -4 -SS Phone: 65-/- 41%- w/ci
Address / City / Zip: #"7() 4W, CG/F R-4 , 41004-#4 , /14N S'S-/ 2 2.
Name: ARG OFR. ►olacMi 6,44r -t...- License #:
Address: /& /4/ C L1FF /2-0- E City: toitVI
State: M I- Zip: t5`5` 3 3 % Phone:
t 954a - z�5 y , 3 2 3
Contact: 5T -✓6 'f Email: 5'I'Ci' 3 ' Checker gst,c i, GO 'sot
New Replacement x Additional Alteration Demolition
Description of work: (NSA-'- G1'r5 Pt ®moi Ate- FIA• Pat*. + 6.44,
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
)(Install Piping
xGas
Under / Above ground Tank ( Install / _ Remove)
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
*If the project valuation is over $1 million, please call for Surcharge
OR Contract Value $ (P,Ior)
_ $ bp, Ot' Permit Fee
= $ 5.00 Surcharge*
= $ cv TOTAL FEE
x 1%
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X "JL
Applicant's Printed Name
0401—
?„-
41101'
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
�D���Permit*:
Permit Fee: !/ f •
Date Received: 1 3- 1
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATION \,�
Date: i'Z' i-Zfat2Sfte Address: (07 (2-k\-kk) (U(DtAV;)
TAN' 'tDU._
) ` (Tenant is: New / ,Xl Existing) Suite #:
Tenant Name:
ARCHITECT/
ENGINEER
Former Tenant:
Name: t2t, `Li2 T 00'49 1/2-71-17...`z, Phone: C -- Z 57
Address / City / Zip: IO 3
Applicant is: Owner K Contractor
Description of work: (0
Construction Cost 41r; 52-.
Name:II 0 KAY iSc)c illit_S License #:
Address: S- €-A-6T eL..1 5 0-13. City: 14( ...)043
State: A .0 Zip: S CJ S S i Phone: 6 �I" (00 -
Contact:' o v = � Email: t�e�'v,< CsI <i VW -V L.S?
Name: EX1 c'LLt CT'.Lc,Tci 0.7 Registration #:
Address: (06 RV -TEE -NT -14 tatAl t1/43 City: Wt e_SA- .t/k tL
State: kikk IJ Zip: vet o2.0 ( Phone: 3 2 0 2-36" -117 S
Contact Person: J c N1pJ 1-tt4 FN F_.i2 Email:
Licensed plumber installing new sewer/water service: Phone #:
end
ubr.
r"c if you pn
cr�»ctude that they are
be public
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.gooherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that 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 )w ich requires a and approval of plans.
x KOhouk' L
Applicant's Printed Name
x
Applicants Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
✓ Interior Improvement
Exterior Improvement
Repair
Water Damage
DESCRIPTION av
Valuation IC, can " Occupancy
Plan Review V Code Edition
(25% 100% ✓) Zoning
Census Code Stories
# of Units 0 Square Feet
# of Buildings 1 Length
Type of Construction ✓• A Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation _Ice & Water _Final
✓ Framing
Fireplace: _Rough In _Air Test Final
✓ Insulation
Meter Size:
Final CIO Inspection: Schedule Fire Marshal to be present: ti
Reviewed By: i.4 , Building Inspector
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
47.5'0
i;(.2.S/
Exterior Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
07P
*Demolition of entire building - give PCA handout to applicant
7-•/
2oe7ais5t
MCES System
SAC Units Vida C#1AA'66 IN !KE ort
City Water ✓
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
Other: fat STOWNC.
Pool: Footings _Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Yes No
Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL f7 LSI..--
0L4•LD.
, Planning
Page 2 of 3
r
44'
City of Eaall
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:
2013 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial ap Iications.
-*)Cs13LA,-2 5- oti,c1 fC- 0
Date: .� Site Address:
Tenant:
aqf
vor, J
Property
Owner Name: Phone:
50;k -S
Suite #:
Name: JV4A1 fiwnbii; I?/L ° License #: ,P .,Address: (j 4/4,0 /$",3L° 4A7 City: A404S`'y State:$f4/ Zip: 55303
Phone: / / 2 2'".c" 71$0 Email: /hoe (Z' A h fkmit K y
New _ Replacement _ Repair _ Rebuild _ Modify Space __ Work in R.O.W.
i
Description of work: /51,401� ac. -i' / r t.' „$ Ferri
COMMERCIAL New Construction _ Modify Space /.e>oVi
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: - d---")$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x 1%
_ $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
$ Meter(s)
*If the project valuation is over $1 million, please call for Surcharge $ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
_$ (06)0L,
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a • mit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
x /UI oz- 14 ' 1.
Applicant's Printed N me
FOR OFFICE USE
x
Applicant's Signature
Approved By: / -�{ Date:
Required Inspections: _Under Ground Rough -In =Air Test _Gas Test Final PRV Required: ` Yes
Page 1 of 3
C!ty of kali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
7c7 9 75'7
,
Permit Fee:
Date Received: 3�, I
Staff: r) (1
2015 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: a/ 1 t 5 Site Address: ' (4? -7 6
RIAi-tuJ Get ' of\ -0
J
Tenant: '%,?) DCii✓- 1125 Suite #:
Property Owner
Type of Work
Contractor
Work Type
Name: `i T"L 6R1,OCGe-- 5 u C CIT Phone:
Address / City / Zip:
Applicant is:
, (re al S Viµ,) C4 -i i' F- 120 41)
Owner X' Contractor
23 3 e ions F7:404‘.16
Description
4 6Description of work: A\ t 'DVT-.�i Doris! gpse4 c
Construction Cost: 1 S O 0. 1j0 Estimated Completion Date: (A4keck . 15
Name: CliPloaQ244,40 Fr 4 3r114(.
Address: 1 s 1 O C-0 P-6 Zr.t.- TO -MC -
State: is t +v Zip: -SS 0 (.g.'W Phone: 6,2*
Email: N1cGi-tC'O. 0.4
License #: O Of 1
City: 12. D v v.v
Contact: t'A/ i - (.
New
Addition
Alterations
DESCRIPTION OF WORK:
FEES
$55.00 Pjrmit Fee Minimum
Remodel
Other: Aoc. co 01e
. T - T: 13 E S.2- r-de4VAciZS
Commercial _ Residential
Educational
*jf contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 = $ 5. C`) Surcharge*
***If the project valuation is over $1 million, please call for Surcharge
-' = $ 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.
Contract Value $ , SrO (err, x .01
_ $-5:5 , S t) Permit Fee
x R. K CA 6(4-4"
Applicant's Printed Name
FOR OFFICE USE
Applicant's Fgnature
Date:
Reviewed By:
/K.
Required Inspections: Rough -In Final Fire Alarm Test
,7