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3475 Golfview Dr For Off" Use - - _ _ _ . _ _ City Eaju IJ t, U B I Dl~ Permit I I 3830 Pilot Knob Road A U 6 Permit Fee: Eagan MN 55122 Phone: (651) 675-5875 Date Received: Fax:(651)675-5694 Staff: } X009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Site Address. Tenant: { Suite lll: PROPERTY Name: OWNER Phcs CONTRACTOR Name: f'Cd Yi License q ' KAI Address: t.N ~Y- Stns, Zip., Phone: Contact Person: TYPE OF New _ Replacement WORK - Repair Rebuild Modify Space Work in R.O.W. - Description of work- r PERMIT TYPE COMMERCIAL Ttsl- j1Vt-8 e - New Construction Modify Space Irrigation System (yes / no) RPZ i PVS) • 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 tenor to t clone- _ up meter. Domestic: Size & Type Fire: Size & Price 314° meter Avg. GPM High demand devices? __,_yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value x 1% -'ermit Fee Required on ALL new buildings and boulevard Irrigation systems 4 $ Radio Meter Read If P rmif Fee is less than $1,000, surcharge is $.50 = $ Meter(s) If Permit Fee is> $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). State Surcharge Following fees apply when installing a new lawn irrigation system. water Permit Call the City's Engineering Department, (651) 875-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage State Surcharge ack TOTAL FEES $ _ 1her nowt - hereby edge that this information is complete and accurate; that the work will be in conforrmar~ with the ordinances and codes of five catty of Eagan; inat l understand this is not a permit, but only an application fora permit, and work is not to start without a rmil; that the work will be ' accordance with the approved plan in th of work which r a review and approval of plans. r Applicant's Printed Name icanVSlqta~-tur97 FOR OFFICE USE Approved By: Date: Required Inspections: -„Under Ground Rough-ln Air Test _ _ teas Test -Final PRY Required: _ Yes + No Page 1 of 3 CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner: Site Address: Plumber: Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc.: P By a 0U % r i..Fiv Qfll 'A ER SERVICE PERMIT CITY OF EAGAN Permit No: 3830 Pilot Knob Road Per No: Date: P.O. Box 21199 Date: Eagan, MN 55121 Owner: Site Address: Plumber: MWCC: City Chg: Zoning. De : No. of Units: Acct. Permit Acct. Fee: I agree to comply with the City of Eagan Surcharge Ordinances. Misc.• By SEWER SERVICE PERMIT Use BLUE or BLACK Ink E For Office Use i I t~~ j Permit I ll00_ City of ~I Permit Fee: (flo I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: 15I 13 Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff---- ---------j 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. WO# 47299 Date: 6-3-2013 Site Address: 3475 Golfview Drive Tenant: Town Centre at Lexington Suite Property Owner Name: Town Centre at Lexington Phone: Ron Buchholtz 651-308-7319 Name: Northland Mechanical Contractors, Inc. License PC643880 Contractor Address: 9001 Science Center Drive City: New Hope State: MN Zip: 55428 Phone: 763-544-5100 Email: ap@northland-mn.com Type of Wo New Replacement _ Repair 1 Rebuild Modify Space Work in R.O.W. rk - - Description of work: Tested (2) RPZ's - S/N B29780, B29745 / Rebuilt (2) RPZ's - S/N 00024, 137292 COMMERCIAL New Construction Modify Space _ Irrigation System yes / no) RPZ PVB) • Rain sensors required on irrigation systems Permit Type . 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 Contract Value $ 1,200.00 X.01 $55.00 Permit Fee Minimum = $ 55.00 Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ 5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 60.00 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 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 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.oooherstateonecall.oro 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 Michael Tieva Applicant's Printed Name Applicant's Signature FOR OFFICE USE ApproVeBy Date: Required Inspections: _UndeF,.roupd;; ` Rough-In aS Test Frr1a# PRV, Required: _ Yes _ No Page 1 of 3 Use BLUE or BLACK Ink -For Office Use j I I, yc033 City of EPermit I Permit Fee: I 3830 Pilot Knob Road v Eagan MN 55122 I ~oj 3 I Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 Staff: r/ 2013 FIRE SUPPRESION SYSTEMS PERMIT APPLICATION* Date: - Site Address: '54'7!5 L r- y f e L4_) z=, t V c Tenant: I~x.:.~t AT 9L (sue p..i Suite M Name: Phone: Property Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: AleMc ye A r4z a .Az.,F, tJi1W ~ ¢ ve_ 5 Construction Cost: _ Estimated Completion Date: Name: MAC-- '~_PeV-4 A . 4CZ-F License Contractor Address: 1,9~4p j 6-06-y ✓ iZ.j;:,, city: (x~T~fT~ ~%ais~►~ Z..~l.~. State: M13 Zip: 5,51lG Phone: ZP51 4E ~.~S-10-3 Contact: I FWAVL; ,T- Email: «3 ~ P` ~ac~ t + ? c' ~~z~f yPrtas(~t ~ r~ . c c FIRE PERMIT TYPE WORK TYPE Sprinkler System of heads) _ New _ Addition _ Fire Pump _ Standpipe X Alterations _ Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational FEES $55.00 Minimum Contract Value $ • ® x1% *If the project valuation is over $1 million, please call for Surcharge = $ Permit Fee 5.00 Surcharges ~C•-7 = $ I ^..OTAL 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 t ap v plan i the case of work which requires a review and approval of plans. mil- x~~ PFE t✓~ L.'~ x Applicant's Printed Name Applica 's = t ~i=J 1 LV 3J FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station _ Final Conditions of Issuance: Date: Reviewed by::]-- ! I Use BLUE or BLACK Ink r---------------- i I For Office Use ' - I 5 5 Permit 1 City of Ea an .L>q I 1 Permit Fee: 3830 Pilot Knob Road' - I Eagan MN 55122 r i Date Received: 1 Phone: (651) 675-5675 s ' 2011 I I Fax: (651) 675-5694 j Staff: I L----------------~1 2013 COMMERCIAL BUILDING PERMIT APPLICATION ,S1 Q r~ Date: /jc>/J.~ Site Address:J~;'Zdr 1!054`~1C V l e&d - W, Tenant Name: (Tenant is: New / Existing) Suite M I}} Former Tenant: Irv. Name: t it &~A) G C Phone: (9S1~ L „Q O l fU Property Owner 7S i Address / City / Zip: Ul ~i[ Applicant is: Owner Contractor . , . Description of work: ~C~STI rl G v Lib ~i~ Type of Work w.o Construction Cost: 1 b 0 w.. Name: b,2 (4SZ 1.~~1Lu G 00 , ,61k License W12 J 35 W Contractor Address: 2GTLl city: do" State: jL* A) Zip: 55 129 Phone: 4 51) 7 q -7 3A of T--T- ContactAelt lr-- td 136t( Email: ale-_.e belts cal e C o,) } Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email Licensed plumber installing new sewer/water service: Phone _ NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours befor u intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I he y acknowle g41hat information is complete and accurate; that the work will be in conformance with the ordinances and co of the City Et I understand this is not a permit, but only an application for a permit, and work is not to start without a pe i ; that the work ccordance with the proved plan in the case of work which requites a review and approval of plans. App cant's Printed Name Applicant's Signature Page 1 of 3 -3q -7 P DO NOT WRITE BELOW THIS LINE S SUB TYPES _ Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial / Industrial _ Accessory Building Exterior Alteration-Commercial Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility _ Miscellaneous _ Antennae WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* _ Addition Exterior Improvement Reroof _ Demolish Interior _ Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy • Z MCES System Plan Review / ✓ Code Edition 2-OV7 MSU, SAC Units (25%_ 100%~✓ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings G Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) ~l Final / C.O. Required Footings (Addition) ✓ Final / No C.O. Required Foundation Other: Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath Brick Framing Windows Fireplace: -Rough In -Air Test Final Retaining Wall Insulation Erosion Control Meter Size: / Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee 1.752.9 S~ Water Quality Surcharge 3 •°O Water Supply & Storage (WAC) Plan Review $G •z9 Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL 72-7- o Page 2 of 3 Use BLUE or BLACK Ink l For Office Use Permit U I City of EaEd an Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I I Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 Staff: - 2013 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: Site Address: 3 A- Tenant: -r®WJS 6EJJT6-V- Q?' L9SX 1 JQC-YTz~ 0 Suite Name: Phone: Property Owner Address / City / Zip: Applicant is Owner Contractor Type of Work Description of work: IXIST- L-L.., !►sS~~c.T S TEST L04AJ6G-.T(C)1A Construction Cost: © 74 Estimated Completion Date: lt~ t r 3 Name: -QL 1!5Q 1AS K- 6-r- License 4f,4~2- Contractor Address: l e P.3 g-,it->. City: 114 a0 t-Tr+ 59S4r L.QV-~ State: "l J Zip: 5S`/© Phone: 16054 - SIC->-3 Contact: r LAC Email: (fie ri''q V 4 0, 94,4&v- p J sprj n JC Ltr • CO r+> FIRE PERMIT TYPE WORK TYPE X Sprinkler System of heads 0) _ New Addition _ Fire Pump _ Standpipe Alterations _ Remodel Other: Other: DESCRIPTION OF WORK: x Commercial Residential Educational FEES 1 a5T'AL.L 1 NS '~~Tt~t~S "66~T © ,4,T7 ~c. D9-Y SY5 . $55.00 Minimum Contract Value $ 0740-`C> x 1% l *If the project valuation is over $1 million, please call for Surcharge = $ r~ Permit Fee i 5.00 Surcharge* _ $ 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 ~ hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that thework 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 Ian in the case of work which requires a review and approval of plans. x~H-r T Applicant's Printed Name Applica 's natu e :.©Z-- 7.~;8>8 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test ~ Rough In Trip Pump Test Central Station I/ Final Conditions of Issuance: Permit Reviewed by: Date: 0/ Use BLUE or BLACK Ink �-----------------, � For Office Use � �l� 0���. �Il IE C IE 1 V E /���ii ' � � � � Permit#: I WO# 51830 � / /, >� � I Permit Fee: l�!/� �C� � 3830 Pilot Knob Road r � /� ��,I Eagan MN 55122 �UN 2 v LO�� � Date Received: � Y'�T� Phone:(651)675-5675 � I Fax:(651)675-5694 � Staff• �Y: �----------- ----� 2014 COMMERCIAL PLUM$ING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 6-25-14 Site Address: 3475 Golfview Drive Tenant' Towncentre at Lexington Apartments Suite#• ���� � Name: Towncentre at Lexington PhOne: 651-452-8778 �3�i��. .,,�#....� ��m . . �. .. . . � .. . . . .. � �a„ Name: Northland Mechanical Contractors, Inc. LlCense#: PC643880 ��' �� s �' ;� ��� Address: 9001 Science Center Drive�jty: New Hope State: MN Zip; 55428 � E ��` 5 ' Ph0112: �63-544-5100 Email: ap@nortland-mn.com New Replacement _Repair X Rebuild _Modify Space Work in R.O.W. ��e�� � .�^;, Rebuilt, test and certified (2) RPZ's - S/N B29780 & S/N B29745 �� Descriptionofwork: Test and certified (2) RPZ's - S/N 137292,5/N 00024 �; COMMERC/AL New Construction Modify Space �, _Irrigation System(_yes/_no)( X RPZ/_PVB) ,, '' � • Rain sensors required on irrigation systems �'�"#�1��fi�����' . Avg.GPM (2"turbo required unless smaller size allowed by PublicWorks) - ` °°; _Meters Call(651)675-5646 to verity that tests passed prior to picking up meter. <: Domestic:Size&Type Fire: 1 ' Avg.GPM High demand devices?_Yes No Flushometers_Yes No COMMERCIAL FEES Contract value$ x.01 $55.00 Permit Fee Minimum _$ 55.oo Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ 5.oo Surcharge" "If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 """`If the project valuation is over$1 million, please call for Surcharge =$ 60.oo TOTAL FEE 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 _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; th the work will be in accordance with the approved plan in the case of work which requires a review and approval of pfans. Michael Tieva J��' X x F ApplicanYs Printed Name Applicant's Signature �..�;��' a � f .����� ,"' � �' -�g�`�'z'�' � �� �"�"aa'�'� �' �m� -� � `�'� a`"� �� zs �:.. � � � ,,���`� �� f,� s, ,��x �'��,".—����` . � � . � � 4� ����� �.�������"�`���'°"� fi � �� � � � w a� �. � � ,��� � � � � � �� ,� � .� ��� � ��� ; ����� � � 5� � ������ �t��'�+ �� � �� �� �;�'���" � �� {� �� Page 1 of 3 '�;^� �j rt..,�i:�� _ Use BLUE or BLACK Ink --, � n � For Office Use I ��6 ���� �� C��G Iv�`/ j Permit#: /'���� � y � 2 RECEIVED � , 3830 Pilot Knob Road 2�C (1� � Permit Fee: � � Eagan MN 55122 � �` OCT 1 91015 , ' Phone: (651)675-5675 C� � � Date Received: � Fax: (651)675-5694 '� � I � Staff: � L----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications Date: (� L Site Address: � �f 7� C�6!1'V C��J �Y�� Tenant: � � G'G Suite#: Resident/Owner Name:��CL�vL�1�' Q���i� hone: ' Address/City/Zip: � Name: 1 V��'�l �Gt.L�1,U( ��GC�iV1,Gt,vl t'C��) /�,License#: C011tt'aCtOY Address: ��� �(?{�(,�� (.��"Gi/� ,�/'� City: �f-l+� State: � t�l Zip: � "�-.��2-� Phone: t'�(p,3"S�� 'S« Contact: �L�L2.1 ��r,�-�� S Email: r 1�' /� D '!!'1 .�� New �Replacement Additional Alteration Demolition Type of Vlfork Description of work:�i� � �L{P � 2S��vl f�C �/ �S h1OTE:1�oof�noun#ecl and�r,ound rnounted mechan'rc�tl equipment;�is;�eq�iie�t to:lie scresr�e"d byCi#y ' Code. Please contact the M�cl�anical Inspe�#ar for in#armation,on petmi#ted scre�n�ng rite.°thotls. RESIDENTIAL COMMERC/AL _Furnace New Construction Interior Improvement P�1't111t Typ-� —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 or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ ���� x.01 $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ � � Permit Fee _$ �r g� Surcharge Surcharge=Contract Value x$0.0005 Q �'', If the project valuation is over$1 million, please call for Surcharge =$ C�� f C�---TOTAL FEE �I 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 ��'������.�5 X ApplicanYs Printed Name Applicant's Signature �OR 4��aCE�1��� �� �� � ' .:7 � '. <�� �, � . � �� ��. � , ° Reqwir�c�lnspecti�r#s: t��irt!���:d�3y I��� � °�ait��,b , Und�rgt-otand R�u�h In �ir Te�t. G��S�rvi��T�st,";;�-,=,-'Ir�;fl�qr��at Fa�t�# �'UA�.wc���ni�a� ,. , . , �,a-�-�.. �. � .