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4577 Slater Rd06/11/2010 FRI 11:56 FAX Date; City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1ZRECDD) IZI002/005 Use BLUE or BLACK Ink Permit #: gw(21/� Permit Fee: ` 1(0 q Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION� Site Address: `j7 5 5-77 4eY --LSC /, `7 Tenant Name: CAlt (Tenant is: — New / — Existing) Suite #: Former Tenant: PROPERTY OWNER Name: `.-1ni\(a.. .0 N. g;431) LLP Phone: Address / City / Zip: _ Applicant is: Owner L ontractor T TYPE OF WORK Description of work: Deck. FN -(o CeilIVAA5k 4 �/ Construction Cost: / r 5 j 0 0 i CONTRACTOR • Name: 1 -CM/license #: )► 1'11/� L, Address: 3325, /OF,- AM-- N City: 4._ d� `k' ,/r�, State: f V ftf' Zip: '.c.11,5-1 Phone: L7) S'/�b -Lj Q Contact: CS -+V.414 Email: 'I ,r ► S [ I ARCHITECT / Name: I-fAQfj Svv wi t r- �`� ritithn� Re istrabon#:ENGINEER Address: cD \ ,( j L. �, r I Q V" "� SDA. r' v e. � City: %��3) S M� n )� State: r t `G V Zip: S 415 Phone; - %/j�am� (�,, /^ Contact Person: Gj e.r U Aze1 Email: l?2,n - Jl C/C�..� e, .% 9 it . i.', ���--- Licensed plumber installing new sewer/water service: Phone #: v ,if i ans01'1�doriirig�o�i���"0y�sb�tt�lPretyc" �lerreipe pfl�ri;ar`'tafio �!cPaf;ons of „ 117,fn ator�!�b l0sieM� ,,, ubliw.if yos' po0tp 0: sb ;flatwa �O cItyto,rj :: 411`4;. ...;bi tbt.k...,.....::. #Sfi�on tde.that thyarel '40.sepests: '...:.::,1,-t "„; ANNOY P1r. CALL BEFORE YOU DIG. CaII Gopher State One Can 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.ora 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 fora 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. Sf W T ill+ Applicant's Printed Name X L Applicant's Signature Page 1 of 3 M DO NOT WRITE BELOW THIS LINE ( 6-7-7 Ly- ‘-'-/ 6g 0 -4 -e -f_ • SUB TYPES _ Foundation __Fireplace 9Single Family _ Garage Multi__Deck 01 of _ Plex __Lower Level Accessory Building WORK TYPES New Addition Alteration Replace _ Repair Retaining Wall Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous /v 7 ('frz-'t / G ertrr h Interior Improvement Siding _ Demolish Building* Move Building Fire Repair DESCRIPTION Valuation 00 d Plan Review (25%_ 100% ,Y) Census Code # of Units # of Buildings Type of Construction vtiS REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final yFraming Fireplace: _Rough In Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Reroof Windows Egress Window _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: /7,9)q 19 - Permit v Permit Fee: 1! l[/ Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Site Address: X677 S1a.*( Suite #: RESIDENT / OWNER Name: C ►nf)(Amvr - / 16 e, Ef° PCil 6' P.A. A=(0Phone: Address / City / Zip: L1LS ? S)Iti Applicant is: Owner )c Contractor TYPE OF WORK Description of work: ►V t (\,& i R- plti le -mend- d- C;j..i+ n� jee,04(/,',,'i64 Construction Cost: t `T (9/ 00D Multi -Family Building: (Yes X / No ) CONTRACTOR Name: () \e -Ace.. ( (ifky License #: /77f) 10 Address: ( YS / ®t AC City: 1-'01L'M 1/tiIley State: ✓ ' I J Zip: &S.7 7 Phone: (7b?) ,c96 - /-3 OD Contact: S i ' i -V -J f I^ I( Email: �/ (,i1JP G ! Q.iIsit co.. GUS COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Page 1 of 2 - • CITY OF EAGAN . ~t , ~ 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~. PHONE:454-8100 - - ~ ' BUILDtNG PERMIT S~~., gp Receipt #i ; To be used for 12 (JIV IT !~i . U. Est. value Z~ 3~~ Date ~~VEMBER 21 ~ 9 H 5 Site Address ~ S77 ~~'~TER RD Erect U' OCCUpanCy S~'~' 11 ~ 1 j Lot ~s Block 1 Secisub. CINI~AAION RI~E Remodel ? Zoning warcei No. 7TH ADDITIGN Repair ? Type oi Consc Addition ? No. Stories Name CIIVI~:~~~sOP~ RIDGE LTT) PARTNE:RS~II~~e ? Length " ~ ~ ~Demolish ? DBpth o Address ~ " J Irtt Impr. 0 Sq. Ft City Phone Install ? ~ F: _'~.'::1 & .~ONS INC APP~~~+ • o Name $ i Address ~'~'~~'~~T PL DR Assessment Permit S"~ gP ~ ~i;i~: F~~ IL ~~y 227-p655 Water & Sew. Surcharge ~~~#?9f}R T~'ARSCX, A~2~HITECTS Palice Plan Review_~,.. ~ = Name , E Fire SAC ~ o Address Eng. Water Conn. < W City one Planner Water Meter Council Road Unit 1 hereby aeknowledge that I have read this application and state that the B~d . Off. 5T~. PI. information is correct and agree to comply with all applicable State of 9 Minnesota Statutes and City of Eagan Ordinances. APC P8rks , ~ _ _ _ _ ~ Var. Date Copies Signature o( Permittee , ~ ' Total A Building Permit is issued to: FRAI~A 6.~02 J S T i?C on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City o} Eagan Ordinances. Building Official PKmH No. ParmN Nald~r Dtb TN~pAan~ N ~ ~ 3 l.~J - a7 ~L H vr?.c. ~ ) l 1,~.~t-Y.- ~ Electric GL ~ !S ~ l~~a b131 g L ~ a~ ( ,s~ ~ -8.c~~-. ~ o~-• ~ < ^ c . Imp~ctlo~ Dat~ I~up. CommMb FooB~q~l Footlnqsll Foundaflon Framiny ~~6 ' 1.~ s--~s ~ 11ooNng R~,~ ~2i rG ,D.,U Rouyh Htq. 7 Insul. ~ ~~y~ .3 Fkeplsc~ ~ ~ ~ , FMaI Nty. Final Pibp. ~6 ~ • • ~ F~,.~ % d ~ c v c.~. o~. ..~.,-`c~S1 ~-o ~ « / Dsck Fip. D~ck Fm~y. DNerib~ Laeatlo~ wai Pr. Disp. F r ~ _ ~ ~ ' PERMIT# CITY OF EAGAN FEE 5211.45 r MECHANICAL PERMIT --g~.~ , S U RECEIPT # S`~ y Y~ 454-8100 S/C r 2/ j~?~136 MINIMUM RESIDENTIAL FEE - S'10.00 +;.50 TOTAL a~~ y S DATE MINIMUM COMMERCIAL FEE -;20.00 + 5.50 1. Bldg. Type: Res Comm Y'~ Inst 2. New ~ Add Alter Repair 3. Total Bld Price ~~2'a44' S~ 4. Job Address 4577 Slater ~d. (Bldg. ~S) ~.~,1.~c_ Frana & Sons Lot Block ~ Sec ~ 5. Owner - ~ 6. Contractor t~enzel Mechauical, 3600 Kannebec Drivs, Eegan. t~V 55122 (Name) 452-1565 ~St`ee~ (c~ty) (ziP> 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,Q00 BTU's -~24.00. Each additional 50,000 BTU's or iraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's - a12.00. Each additiona16,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ~ x}' HEATING VENTILATING HOT WATER STEAM AIR CaNO. sIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - 51.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS 5.50 STATE SURCHARGE FOR EACH 51,000 OF FEE. , Signed: -~%..1 /~~-~s~ ii 3"7. i r.t.~ for Approved Inspections: Date Rough Insp. Date Final Insp. n _ . ``L+(J(~ ~ /A ( F~+ U~`"' '-~:~.L_tr~ ~-Lk~, ' J i/~y,'~~1.,% !_-c,~ . ./,~J~„~~L...A-._iC I , ~1-=~ . PERMIT # ' PLUMBING PERMIT RECEIPT # J ~ ~ CITY OF EAGAN , ~ 3830 pILOT KNOB ROAD, EAGAN, MN 55121 DATE: '1 ~ CONTRACT PRICE a~ ~~O - PHONE d54-9100 Site Address ~ BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub J - ~ " Res. New x ~ Name f-- ~ ~ Mult Add-on ~ Addr~ ' F~ o u E,' E~~ Comm. Repair c City " ~ ^ Phone " ~ ~V Other FIXTURES TOTAL Name '~T~ < ~ ~ 1,. ~ ~ Water Closet - $3.00 ~ ~ Addr~s,s '49`' ~?Iar ~(G~T u c~ G ~ i~ f ~Bath TubS -$3.00 p3 Cit~i!-dv" ~ % << Phone ~y~ ~ a ~~Lavatory - $3.00 Shower - $3.00 ~ FEES ~Kitchen Sink - $3.00 COMM/IND FEE - 1°r6 OF CONTRACT FEE ~-Urinal/Bidet -$3.00 MINIMiJM - RESIDENTIAL FEE _ $~p,pp ~O` ~undry Tray - $3.00 ~ Floor Drains - $1.50 MINIMUM - COMM/IND FEE - ~~/ater Heater - $1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50 ' BEYOND $1,000.00) 5oftener - $5.00 Well - $10.00 ~ Private Disp. - $10.00 ~ <i ~ ( ( ~ Rough Openings - $1.50 SIGN RE OF PERMITTEE _ ` ~ ~ ~ " FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: J U C~~.: ; ~,~.o~ CITY OF EAGAN .~1~t ~ .,c 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55t21 ~ 1 J. J: C7 PHONE: 454-8100 BUILDING PERMIT SE~.; gp Receipt # ' 12 UrdIT M.D. 1132~ NOVEMBER 21 ' 85 To be used 1or Est Value te , 19 4581 SLP,'rER RD ,.y SEE HP 11325 Site Addre s Erect LT Occupancy ~ot ~ eiock secisub. CINN~IMON RIDGE Remodel ? Zoning Parcel No. 7TH ADUITION Repair ? Type ot Const. Addition ? No. Stories ~ Name CII3NAMON RIDGE LTD PARTNERSHIP~OVe O ~ength W ~ ~ Demolish ? Depth o Address Int. Impr. ? Sa. Ft City Phone Install ? a FRANA ~ SOI3S INC Approvab Fees o Name Addre K DR _ Assessment Permit ~ ~~ry :~~~tIE Water 8 Sew. Surcharge 325 ~a i;? ~;1~:;OR FARICY ARCHITECTS Police Plan Review W W Name - STF. 5 Fire SAC ~ _ ; ; _y~r~~ s Addres~g ~ A ~ - 0 6 5 Eng. Water Conn. i W City ~hone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state thatthe Bldg. Off. STr. Pf. information is correct and agree to comply with all applicable State ot Minnesota Statutes and Cily of Eagan Ordinances. APC Parks ~ , ; ~ , Var. Date Copies Signature of Permittee ' Total NOVF~tB!:K 21, 1985 A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Otticial _ ~ ~ , ~ - ~ T~ r g a s a r~ r r g m s S ~ ~ . S ~ ~ ~ < < < ~ 8 8 w • < ~ n o ~ 3 ~ ~ g~ ~ > 3Q ~ T '11 T 9 S s 7 S o 7 r I~C b n ~ S ~ ~ ~ y ~ ~ n ~ = ~ o S ~ ' ~ o . ~G ~ ~ ~ + n ~v ~ z ~ ~ 'o ~ ` ~ ~ w ~ ^ ~ F Z~ w~ \ ; ~ ~ S g ~ ~ ~ ~ ~ ~ ~ _ ~ ~ ~ E ~ ~ ~ ~ ~ . ~ ~ ` V ~ ~ ~ ~ , , ~ ~ ~ ; ~ ~ ~ ~ ~ ~ ~ ~ , ~ ~ A ~ ~ ~ w ~ ~ . - ' PERMIT # ~ . ~ ~ PLUMBING PERMIT RECEIPT # J ~r ~ CIT1f OF EAGAN , ~7 ~'6 Ys~Jt_. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE:~ PHONE 454-8100 Sfte Addr s y~^ ~ ~~F ~ v~-- BLDG. TYPE WORK DESCRIPTION Lot ~ Bloclt S /Sub ~ ~ ~ Res. New ~ Name ~-r1 E / ec Mult Add-on m Addres 3! ~(f.%y ~~~c t'~'` 4 Comm. ~ Repair c City ~ y s'` Phone y~~ Other NO. FIXTURES TOTAL Name f ~ ~ ; , " , =TWater Closet - $3.00 t 3 Address ~ Y s" L. ~k e f y u ~ r/i~~,,.- ~ ! 5 Bath Tubs -$3•00 p City • i ~ , , • ~ ~ Phone9`1/ - ~ ~ Z ~~Lavatory - $3.00 Shower - $3.00 ~_Kitchen Sink - $3.00 ' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 19b OF CONTRACT FEE ~~undry Tray -~3.00 MINIMiJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 ~yyater Heater -$1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GaES Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 - ` , Private Disp. - $10.00 ~ ~ ~ ' C Rough Openings - $1.50 SI ATURE OF PERMITTEE FEE ~ STATE 51C: ~ GRAND TOTAL: '2~ 3~, FOR: CITY OF EAGAN C1~lf OF EAGAN yVATER SERVICE PERMIT ' 383Q Pibt Knob Road P. U. Box 21199 PERMIT NO.: Eagan, M'+l 55~ 21 DAT~: Zoninp: No. of Units: pM,ner. ~'r.>;t~ .~i:]T]:3 ~~m~ Sft~ /~ddross: _ _ , r ~ 1 y ' . . - ~ ; ; , ~ Plumber: e - SAAeter No.:rf d~s.F(.,g ~ (B ~ ~ . ii';i~ Reoder No.: !1_~ IV ~ ' y ~E,p~-- ~ t~ . . ; I M~w te esw~l~r wili~ NN , 1~5 p-~T arpe: i Q~~1MwOM. ~ MIK. C~101~lS: 't:.. , . ' p;:; TOtO~: ~y ~ Dotr Pcid: Dota Insp.: Irup.: I 7- I ` CITY OF EAGAN WATER SERVICE PERMR j 383U Pilot Knob Road ~ P. O. Box ^.1199 PERMIT NO.: Y ` Eagan, MM 5512'I D~TE: ' Zantr~p: Na. of Units: 1_•' _ i Ownsr. _ /lddrosa: • $ih /hddress: - - ' - - - • c: i:,~ r 7 L ~ Pluml~r. t - - Meter No.: Connection Cho?ye: . ' . Stze: /?craunt Depoait: . i ' Reader No.: Peemit Fee: I ~ 1 M~ ~ ~~h ~ MM CMr ~f 6~~ Sw+choroa: ~ ; ~ _ ; i p~ ~Alsc. Choroa: • Total: ~ i j gy Dat~ fbid: Date of Irup.: 1?up.• CITY OF EAGAN ~ SERVKE PERMR ~ 3830 Pilot K~b Road I P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 p,,~; ' V le ~~o~ No. of Units: ~ ' Owr~r. ~`r 21Y1g ~ ° o S Address: Site /1dd ~,``~?f°1 j~a: ` - , , rE85: ?.u~~;: -:F; 1 ~>:tz : ~UR1~: "~~`}.~.;~C1i.C81. - ~ ) r ~.7.'f: , u~-.. ~,..~~i_:. 1 p~w fo eeinolp wNl~ !!r Cilp oF ~~e~ Connection Chor~e: ; J.~(.': t,;,' OrMw~woM. M.count Deposit: % P~nnk Fea: ' Sundwrye: - ~Y Mlac. G+aroes: : Dnte af I~sp•: TotoL• , , Insp.: Dote Pnid: ~ CITY OF EAGAN , ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eaga~, MN 55121 N~ 113 3 5 PHONE: 454-8100 BUILDING PERMIT SEE BP Receipta ~h~_ 7obeusedlor 12 UNIT M.D. Est.Va~ue 11325 Date NOVEMBER 21 ~g 85 Sitenddress 4577 SLATER RD Erect C~! Occupancy SEE BP 11325 Lot 8 Block 1 Sec/Sub. CINNAMON RIDGE Remodel ? 2oning - ParcelNO. 7TH ADDITION Repair ? 7ypeofConst. Addition ? No. Stories ~ Name CINNAMON RZDGE LTD PARTNERSHPfl~e ? Length i UETTE AVE. ~ STE 200 Demalish ? Depth o Address Int Impr. ? Sq. Ft Ciry S Phone - 5 Install ? - a FRANA & SONS INC npprova~e Feea o Name $a Address ~490 MARKET PL DR Assessment Permit SEE SP ~ ciry EDEN P~~IE 227-0655 Water8Sew. Surcharge 11325 G~ WINDSOR FARICY ARCHITECTS Police Plan Review F w Name Fire SAC ~i Address z$ W STH ST. - STE 375 ~ c, Eng. Water Conn. <W ST Pl~~e 227-0655 planner WaterMeter Council Road Unit 'Iherebyacknowledgethatlhavereadthisapplicationa~dstatethatthe gldg.Off. 1 z Tf.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and~ty~of Ea n Ordinances. APC Parks ~P_ ~ Var. Date Copies Signature of Permittee~ ~YQ-~ Total FRANA & SONS INC A~8uilding Permit is issued to: on the ezpress condition that all work shall be done in accordance with all applic State of Min esot St-a-t74-t-es~ and City of Eagan O~dinances. ~ 8uilding Official ~~5 CITY OF EAGAN ~ 3830 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55121 N~ 113 3 6 PHONE: 454-8100 ~~~s~- BUILDING PERMIT SEE BP Aeceiptu Tobeusedlor 12 UNIT M.D. Estvalue 1132~ate NOVEMBER 21 1985 SiteAddress 4581 SLATER RD Ered ~ Occupancy SEE BP 11325 la 8 elock 1 sec/sub. CINNAMON RIDGE Remoeel ? zoning Parcel No. 7TH ADDITION Repair ? Type of Const. Addition ? No.Stories W Name CINNAMON RIDGE LTD PARTNERSHI~~"e ? Length ~117 MARQUETTE AVE. ~ STE 200 Demolish ? Depth , o Addres In[ Impc ? Sq. Ft City MPLS Pho~e 332-5544 ~nsta~l ? o Name FRANA & SONS INC APPrmals Fees ~a Addres5749O MARKET PL DR Assessment Permit SEE BP city EDEN PF~~IE 941-0282 Water&Sew. Surcharge 11325 Police Plan Review Fw Name WINDSOR FARICY ARCHITECTS Fire SAC Address2$ W STH ST. - STE 375 Eng. WaterConn. aW City ST PAULphone 2Z~-0655 planner WaterMeter ' Council Road Unit - 'Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 11~21~8 Tr.PI. information is correct and agree to comply with all appiicable State of Minnesota StaWtes and Cjty~a Ordinances. APC PaIkS ~ ~ Vac Date Copies . $ignature oi Permittee a~ TOtal A Builtling Permit is issued to: NOVEMBER 21 ~ 1985 on the express condition that all work shall be done in accordance with all applicab State ot Minnes a Stat s and City ot Eagan Ordinances. Builtling Oificial p ~ 18in•naFss[ wid ~~~Q iQ4.~.~~'/y'dts ~~J •VV o ti L~"~~ ~ ~~s33~~-~o~ao Pequest Dato Fire No. Rouph~in InsVe~tio ReQU retl? ~Heatly Nuw ~Will Notilv Inspec- ~ ~ts ~rya ~or When Ready ~`ICe~sed Electrieal Contraetor I hereby request insoeetion of ebova ~i ci(J ? Owner electricel wo~k installed aII S AdAress. Box or Houte NJo. . City y.5~~ + afG~ c~ ecLOn o. 7ownshiD Name or No. flange No. County OCCUpun~~IPRINTI Phune No. ~ Power $upplier ' Address ~'l Eleclncal C~o/nvpac[or ICOmO,a./ny Name) C~~~tracm~'s License No. L'Y- Z ~~Gl./P. C Mailinp AdJress IConvactor or Owner Makinp IretailatioN ~/~j Au[horized ~ na[ure fContmclod0 ~ MakinB ~nstallationl Phone Number ~ /-s'6 ~12, MINNESOTA TATE BOANO O ELECTRICITY . THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bltlg. - Room N•791 BE AGCEPTE~ BV THE STA7E BOARD 1821 Universi[y Ave., SL Paul, MN 651DA UNLESS PROPER INSPEC710N FEE IS Phone 1812~ 297-2'Itl ENCLOSED. S~ia,g REQUEST FOR ELECTRICAL INSPECTION ee-ooau,... ~~s}{.~ ' Sea instmetions for comple~ing this torm on beck of yellow copy. Z ~ ~ ~ ~ " X'" Below Work Covered by This Request c~ 3 3~ P.A4 RN~. TyOe oi BuilCing Apo~iancea Wired Equipment Wiratl Home Range- Temporary Service Duplex Water Heater liyhtiny Fixtures AptBuildinc~ Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Mi Ik Tank Fafm Other pea y , ther ISner.ify) ~ ucci Y Ot er Oth~r omUUte lnspectlon Fee Below p Fea .ServiceEntrenceSita H Fee feaders/Subteetlers k Fae Circui[s 0 to 200 Am s JO 0 to 30 Am s 1~ 0 to 30 Am s Above 2 0 qmps 37 to 100 Amps 31 to 100 A s ~ Swinvning Pool - Above 100_A.mps Above 100_Amps Transrormers Irngation Booms Partia6'Other Pee ~ Signs Special Ins ec ion 70TAL~EE Remarks ~ ~ ~ c~ i / NouBh-in C/ I,the Electricel ~ ~ 3 ~e' ~nsDectoq he~aby cartity tha[ the nbove Final ~ inspeetivn has Oeen _ <~f~6 ~a ThierepueslvolO/6monihetmm . O ~-~~r~~~~ ~'riq~lu~lOT1A 1^ _ ~ ~j ~ (OIIO~DIJ ,~~J ~l.i ~?~O~ oZ. ~ ~ l.G' IY ` C 16 8 2 L 8, g~ C~--~ ~ ~=~v~ o~ 5 Request ~ate FIre No. Rouph-in Inspection -Y Requiretl? ?Ready Nuw Will ~+o(i9~lnsPec- ?Yes ~NO lor Wh~y ~ Licensetl Electrical Conlrac~or I hareby request insoection of above C~vl ? Ownec~ electrical work installed et Sueet Address, Boz or Route No. Ciiy 4577 + 4581 Slater Road Ea an ecuon o. Towns~ip Nama or No. Range No. Covnry Ea an Occupant ~PflINTI Phone Nn. Power SupVlier Atltlress Elechical CnnVacmr (Company Namel Comrar,lor's License No. K' N' R Electronics, Inc. 000 581 4 Mailin0.4dJress (COnhactor or Owner Makine ~~~staila[ioN 2076 East Center Circle Plymouth, MN 55441 !+uthorized ¢igna re IC ntraclor~Owner Making Installa~ionl Phone Number 553-0962 MINNESpTp STATE BOAHO Of ELEC7IIICITY THIS INSPEGTIDN REQUEST WILL NOT GriB9s•Mitlwev Bitlg. - Naom N-781 gE ACCEPTED BY THE STqTE BOAND 1821 UniversitY Ava., S[. Peul, MN 55f 00 UNLESS PqOPEN INSPECTION FEE IS >~.....e 1812) 29]_2111 ENCLOSED. ~y REQUEST FOR ELECTRICAL INSPECTION EB-OUDOl-O4 I! ~ ~ ~ See instrvctions for completing this fqm on beck of vollow <ovY. ~ ~.3 ~ay 1 6 8 2 "'X'" Below Work Coveied by 7his Request - 2,Cj AAtl Nep. Tyoa o~ 8uiltline ADClioneea Wiretl Eq~iument Wiied Home Ranye Temporary Service Duplr,x Water Heater Lighting Fixtures Apt. Building Dryer Electric HeaUn Conunercial Bldg. Fumace Sito Unloader. Industrial 01dg. Air Conditioner Bulk Milk Tank Parm ,nr.r oec~ v .me, ~sw,~.~~rv~ ire ar + e~ uc~~rv me, o,n,;~ TV + Sec ompute lnspectron fee Below # Fee ServiceEntranceSine M Fea Fexdar5~5ubfeeders k iee Circuits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am Above 200 qmps 37 to 100 Amps 31 to 100 Am ~ Swinuning Pool Above 700_Am s A6ove 100_Am s TransPormers Irngation Boort~s PartiaL~Other Fee Signs Special Inspection S Z2, 50 iOTAL E_ emarks r s , d•~.., flough-in I. the E ` ~c . Insoecfor, ~eraby f ~ cartify thet the above final r e~ inspection has Daen made. (MereQUestvoitliBmonthnirom r } p'q ~a ; a? .TNrha ; ~SS~~.C ~ •l~ ~Y ~ Serial # / y ~ ~ ~ ~ ~ , ~ ~ V , ~ ' cnip # - .l~ `3 S ~ S c1 ~ ; . ~ Permit # A-~ Q~ ( ~ , ~ G Pa,Q°- ~J7Q2. ~ ~?ddress:~ y ' 7`7. . S,~a ~ ~l ' ~ • r . AGiiEE TO CQMPLY ~`jr' ^~^'Na~e' ORQII~I~~ga~,n WITH CITY OP EAGAN r 9rt ,y~ + q~ ~~'r~1b1~`:,~~~~ ~,~V ~1"~~ y 'u'~~4c f~M, r ~~.1.~ }'~rA rcy~V~t{~~q3,:,y~~~.l+ ~i~ii, ~ t ~ 3 . , t~ 5{°t~l 11~ a~n 'r n~~ )~z. ~ l.l~ ; i p . i ~ 9 ~ r y"r ' ~ ~ ~ ~ ' - t~ tt . ~~i . ~i~ . . . ,4' ' ~~~:a RV ~ „ ` 1} r~ 1 v~.. 5 l f A I k ~ ~ lS f ~Ifu ~ ~ ~ e ~ ~~rr ~ ..T I~ . t ~.t ~ . . 1 .5~~1~ ' ' ~ '`k~ . Y~. . _ . . S.. . . . 2 ~ i ~ . , - . , . . _ ~ b~ ' ~ F 6' ;i y 1., a ~ ~ . ' f" . . . LOT ~ BLOCK ~ SUBD. .~J~, RECEIPT # D DAT@ 8 ~1rS 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERGAL INSTAlLAT10NS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: ~,~~~/~S~ ~ Commercial GPM 5U - ~v Residential (boulevards) GPM ~5 Existing residential Area/address to be irrigated~~ ~la s- ~ a~- Instailer: /,.~d~ ~u /~ls< _ Owner ? Plumber ~ Street addres~~ °20~" ~d City, state & zip code: Phone ~6 Owner Name• l-~ u~"' o~ ~-4 t ~i~/`~ Street addres~~ LL~' 4~ c~laf« /~U City, state &;:ip code: ~i~ ~'h-~-~ ~S-/d3 Phone R9m a-z Y° Irrigation contractor, 'rf different than installer. ~~-5 - Telephone ! yl - ll ~ ~ 1 hereby acknowledge that I have read this applfcation, state that the information Is correct, and agree to comply with all applicable City of Eagan ordfnances. It Is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabtlity for any damages caused by the City during Its normal operational and malntenance activities to the facllitles constructed under this permit within City propertylright-of-way/easement. ~ _lw °~/G.~ Ap i nYs signature Title Approved by: ~ Date: PRV ? Ye bV~ru service ? Yes ~~AJo Meter Size o~~~4r~& Cost ~~D Fees due: a5. 5 d Calculated by: . .v~. ~a~9 ~.K. PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigatton permit is required - piease contact Protective Inspections at 681-4676. Fees Commerciat proJect: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee oniv if new service is instailed. $300.00 per tap ff installed by City. Residentfat projPCt: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 oer connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover instailation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter will be sold before atl sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt wiil be coded t~ 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The instailer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M, inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. ;r>i v ; 1~5"?~ , . r ~ ~ . , , . . - ~(S~'~ SI~:~~~ ~ur d. , . _ . . . . . ' ' . : SPr i 13 i y s;: i aa. i = t, h : ~ ~~;f~, ~ ~ g~~s. 5 so B' ~ ; ; . n ' ' : ' . ~~a;(*~~~**~~****z~~~'~k'*~~~`*~*** * * ~ . . , : ~ CITY OF EAGAN'~ CASHIER: S TEFHINAL N0~ 129 DATE: 08/16/35 TIMEe 10:44:04 rn: r NAME: AQUA ENGZNEERIN~ INC_ - ~S~-/, ;~,i~~ , 3i 16 9220 ~i~ SLATER RD• 800.00 3212 900i 4,598 SLATER' RI7 2.`i:00 ~~-7 I~( ~ F r 2155 9~Q1 4598 SLATEft RD 1 0.50 / ~ ~Gp P~ 2~Yrn~'~'~ ~ . . ! ~ ~it1 a-~'.~r~; , ~ ~ d °L, r ~rm,r ~ ~ _ , Nd 'l~~ . ~ ' Total Receipt Amasnt 825•SD - . , • ' , - ~ CF.Cl4E9E,0 ~ USFF ID: t~ANCY ~ :K~*~**%~*:k***~*~**~K~***~K***~K***#:k~k~~k%c*~~K . i ~ , ~'l ~(rr `~hy~: l ° l-- ; ~ ?3 ~ ~~ni 7 ~ ~ ~ - . ~ ~ ~ ~y~K:'~Rok:~F?Y*+~_~'~~~FBc:~'.~+lic!<~1;W:N.~.~,~,~,W..~...y~~k'R~~ f,g~k~Yyw~ . f::f.T'Y (:iF" I: h•'.:;At~~ f.:F1i;l~~.1:~:6::~ 'i!i:F+Mr.PlFril._ ~lt]:! i.c.'.`? . ~,~rr: r.~tiia.f,r~:~,`:~ rTi~l-; 10;5~'c~°"2P ` IL~ s , NAMF:a ~[1t.lA IrrJ(;l:t~!f-]':Ii:ftl.G; (Mr: , S~S77 'ii:l.6 '.:~'r'tr.^..(:? .~4=.`..+'.3!'1 4~+!_ATE:I? r~n F7(:1!7..D1] . ~ ~:~c~rr.i. ~~.~i_t~rr::+: ~~r:~ :s,.~:~n s~.i.~.. • i?i.`.'.i5 :P;[11.71. 4:,=r'.1H '.iiL.A?'F'R FiT.~ (l.~`i0 a „ T-~o ~ , , . ~;~,~s ~ . Tpt.?l.l. F14:r..a.1(.71: ~11'(iOl!~1+~` rR04.653r:.17 USI:f;; 7:Ii~ MANGY / ' %K:kV?'K%,~:K*'k~C*~:k#'k#k~'*#~~~#~~#Sa"#e<.^.5~,;.';Y~;f'%k u;;. } y~,;, x ~ en . • 'j ~ ' . ~ , ~ , ' . . - , , , r ~ . " . - . ~ , . , . . . " ` . . ~ *****************k***4k**f*****#*i*f C I TY O F E A G A i~t P~~'~ OF FEE AT 1*ZA~ pF * APPI.ICATION DOES D7DT ~Z(7II; ~ . . APPROVAL OF PF1ZhQT. . APPLICATION FOR PERMIT * . * INSPE~TION OF SEL~R APID/~t S+~1gR ,*f Tt1~'TAT.TATTONS WIId N~P HE~'SC~ SEWER AND/OR WATER CONNECTION ~~~ID UNPSS, PERhffT HAS B~i ' . ~ * APPROVID _ , * » ~ * *w****,r******.~***,iex**:::*,t,t*::w:*e P ease Print ~ 1) PROPERTY ADDRESS: 45$! /5lS~7 Slater Rd. LEGAL DESCRIPTION: fj 1 Cinnamon Ridge 7th Addition _ (LOt/Block/Su~ision or Tax Parce ID ) IF EXISTING SIRL'ClL~RE, DATE OF ORIGINAL .Bt,~ZI,pIA7~.pg2~.~TT ISSC'ANC~: " ' FRESENP ZONING/PROPOSID C~SE: ~~n Year - n CO'~Y~S2CIAL/Rf,Tp2L/OFFICE ~ R-1 $TI~LE FAMILY ~ Q ZAIDC'STRIPy ~ R-2 DOPLEX L~nits) ~j INSTI2L~TIONAL/GpV~ ~ R-3 ~W[g70USE (Three + Units) ( ~y~) ~ R-4 APARTMENT/COI~IDOMINIC~1 (2)( 12 Units) 2 ) ' ~ r' ~i"~= FRANA & SONS, INC. - ADDRESS: 7490 Market Place Dr.iv~' CITY~ STATE~ ZIP: EDEN PRAIRIE, MN 55344 PHONE: 3) ~ y~: For City L~se . ~ME°.~~~,.+icni~Ft r~l HANICAL ' ~ Pltunbers License: P.DDRFSS: 35pp ~~~;~NEuEC DANE, EAGAY, hiiNN.551YL CITY. STATE, ZIP: ' ~ ~i~ ' . Not recorded PHONE: MASTER LIC~T]SE# 001445M2 Sta Initlal 4) • ~w • . ~ i~i~~ . ~ t~~' FRANA & SONS INC ~ ~ ~ _ ADDRFSS: SAME AS !l2 . CITY, STATE, ZIP: ' PHONE: , . "5~ - I!1 Y• ` I 1 M7 • 71• l D • D• " pli ' . ~ QC7 CONNECPION T0 CITY SEWER ~ CONt~IDCpION 2L~ CZTY WATIIt ~ pq~ 6) ~ PLF.ASE HOLD APPROVID PERMIT FC)R PICK-OP BY ONE OF AB(7V$ ~ PLEASE MAIL APPROVID PERMiT ~ 1, 2, ~ 4. ABOVE ' (Circl one) ' 7) r. r• u• - ~Y~ ~ 6/26/86 ' • 7• ~ r • ~ • n • ~ r r~ • • • a i:~• n r ~ ~ • ~ • •,e+a~ i ~ ~ : • • ~ ~ . ' a• • - a~~ . ~OR CITY USE ONLY ~ PERMIT n ISSC~ED ' ' 'd ~ . Pd w/gldg. Permit FEES: $ ' ~ 7' SEWER PERMIT (INCLL~DE SURCHARGE) $ . $ ~~"S 7~ WATER PERMIT (INCLL~DE SURCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL~DE CORPORATION STOP) S $ SEWER TAP $ $ ACCOUNT DEPGSIT - SEWER $ ACCOL~NT DEPOSIT - WATER Lv DO.~D $ WAC I~i ~vr'~O DO S SAC $ $ TRiJNK WATER ASSESSMENT S $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRL~NK SEWER $ $ LATERAL BENEFIT/TRC~NK WATER s_ ~S~~~U~ s WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ~f- `-I , ~ `f-4~ ~ b~ $ ~~2~ TOTAL RE EI T~-- ~ REC~1 T/~~~"-" .DOES UTILITY CONNECTION REQUIRE EXCAVATION ?N PUB:,IC RIGHT OF W,~Y? ~ YES IF YES, THEN A"PERMIT FOR WORIC WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SI:•BJECT TO THE FOLLOWING CONDITIONS: APPROVED gy; ~w,, ~ n~ TITLE: DATE : I17 r City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: ggQQ4 Permit Fee: 71264.6z) Date Received: 3 Staff: 2010 MECHANICAL PERMIT pAPPLICATION J Date: � _ %d Site Address: 75 9S81/ / 7 S8/ Tenant: I V\ SCC vy\ d J(r(5 Suite #: J RESIDENT / OWNER Name611el ` fl a°fp, Phone:�1,,n �/ Address / City / Zip: 900 c ✓n,o Ave S. v r r p i 5 5540o1— �"?'` CONTRACTOR CONTRACTOR Name: % /0o1" eke( e� License #: /'7 QQc 790 EDIICi ' 11-W- Address: c G / ( i1 / / 4 • City:GOP/10i 7k State: /MN Zip: (55337 Phone:9�c2 — 09 2393 Contact: Email: TYPE OF WORK New teplacement Additional Alteration Demolition i.... Description e- `{- / (tet -c Description of work: :TX:. Roof mounted and ground punted• mechanical equipment is required to be screened by City Code.; Please contactthe Mechanical Inspector for information' on permitted screening methods PERMIT TYPE Fumace RESIDENTIAL COMMERCIAL _ New Construction 1---Triterior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas 1 -------Exterior HVAC Unit Heat Pump _ _ Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) 1170$90.50 $.50 State Surcharge) $ /t 7, 000 TOTAL FEE Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ WO 00 x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ / Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ '74e O. 50 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.qopherstateonecall.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 ofplans Applicant's Printed Name .4411110.` isfa. Applican igna FOR OFFICE U Prior HVAC Screening Inspection' C!ty of Faun 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: "(`j 3 103 Permit Fee: g` Date Received: Staff: / ' 7 2010 COMMERCIAL`7 PLUMBING PERMIT APPLICATION Date: 3123/ /0 Site Address: ' 6 7 ja.-1e- - f� f -8 Lf -,_<)-e( Tenant: Suite #: PROPERTY OWNER f r Name: S{, e I -4-ec-Co rPo ro_-1 gar, Phone: 6.S) ' 99 .02-g0 CONTRACTOR Name: / Of cer+ e.cl n�oi1 ; (LL License#: lt.G � Address: J jp /2._ 6 I � tT c El City: (t, c-r\Sv' i le State: n Zip: 5-5-337 Phone: 952 - g5'`S - c/OO Email: do-r:eA ac+00.✓"-ceC /liveckani t4 (, caw) TYPE OF WORK , New / Replacement Repair _Rebuild Modify Space Work in R.O.W. _ _ Description of work: f � 16ce_0 �� (,J � P y 4-h pax p'pe- PERMIT TYPE COMMERCIAL _ New Construction Modify Space Irrigation System ( yes /Ano) ( 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: $50.50 Minimum (includes State Surcharge) OR Contract Value $ er733''+10 x 1% Required - If Permit Fee is less than _ $ D 5, 7 3 Permit Fee on ALL new buildings and boulevard irrigation systems -= $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ ' 50 State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call 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 FEES $_ f _ _- Sb. 3 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 withgut-a permit; that theyaork ''II be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0- ±n 1-79 1\ Applicant's Printed Name ✓J x Applicant's Signatur FOR OFFICE USE Required Inspections: `_Under Ground Rough -In Approved By; Air Test Gas Test ate: Final PRV Required: Yes Page 1 of 3 City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink q 33 (ec Permit #: Permit Fee: 1 n Date Received: Staff: £ ;; L 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: � _ _/0 Tenant Name: Site Address: j -k6 S I r Rd T6' (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER r LLQ Name: Sid i r- C,Drpn!'tnk�.5C inns nv^ (�; �y Phone: Address / City / Zip: %9? sh..+ere.,� EGA I. A, 74 At C.S-7.2 Applicant is: Owner i` Contractor TYPE OF WORK Description of work: Kms' 0 /IOAu:i Cr S -Lr Gt siihmiwts- Construction Cost: 30, 00O CONTRACTOR Name: l� � ,^✓}pu rI1 O 4- d f .14C License ##: / � / ! A //ii Address: 0 / O� 1 J �" V . City: £ o/Crei1 lc lk State: ► r 1 + V Zip: 0--4%c,7 Phone: (_7b c -'V ` /30 t? Contact: -C Sp/%n. Email: ChAS (r G ie) -Ac eit C©- c61y^ ARCHITECT / ENGINEER Name: Registration #: 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 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.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. x S u. \ - Spank Applicant's Printed Name x S7ai Applicant's Signature Page 1 of 3 4,4 3 ofCityhl g' Permit #: 971/041 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: /�pJ Permit Fee: Or 7/, —71 '- 2010 RESIDENTIAL BUILDING PERMIT PPLICATION/2 Date:/2 — 4 / d Site Address: 4/--S4/ — QS -7' S Tenant: Suite #: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: it/1/1 f -r Phone: 95-2 — 3 C8 Address/City/Zip: /la 00 Cra S'S roG k• Applicant is: Owner k Contractor Description of work: 0 . /i /C.! Construction Cost: Fi 0 o t) Name: l cL'r a 4, - Address: CO Sa. el L State: Y / Zip: 3 / Contact: To. ----e gip /! CQ ii,ed 6G 1, Multi -Family Building: (Yes ' / No 0 License #: City: Phone: 6s---/-4/0 D^ /24 t Email: —J e.. r Q. fGra-'CQ J •'!►_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: IF' 17f LR' . Orr 0® m F{ Y:� oA el®dCltr,1P, aul ift 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in co Eagan; that I understand this is not a permit, but only an application for a permit, and wo accordance ' pproved�pial in the case of work which requires a review and approv j6.e 11 1. a 4, %t J.-4 Applicant's Printed Name x ance with the ordinances and codes of the City of of to start without a ;permit; that the work will be in s. Appli c/57-7 ilf4-16, DO NOT WRITE BELOW THIS LINE (?-7402 SUB TYPES Foundation Single Family Multi 01 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation �.y (9 0 Pian Review (25%_ 100% y_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) 4 Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* ` Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector Page 2 of 2 JAN 20 '06 10:31AM 4!IlIbb City of Eatall Date: MO Pilot Knob Rad Eagan MN 55122 Phone: (661) 675.5675 Fat: (651) 675-5694 r P. 2/4 Use BLUE or M1 Ink For Ofllce Use Permit _ Permit Fee: (PO J� Date Received: Staff: FtC1 46, 2012 COMMERCIAL PLUMBING PERMIT APPLICATION Site Address: V5-7 ,Vad PC Tenant Suite e: 1 CALL NFt7R! YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection againat underground utility damage. Cd 48 hours betrort r intend to dig to receive locates of underground utilities. www.gopher tajeonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinancea and codee of to Clly of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start vA hout a permit; that the work sill In accordance with the approved plan in the case of work which requires a review and approval of plans, C Ips ao-, 6t-lsr9-t4th- N Applicemee•Prtntsd Name Applant's Signature Fai4 PAR USE T Approved By: dei: T RsgMwd rp s ons: _Under Ground _Rough -In _Air Test _Gas Test _Final PRV Rsquhed: _ Yaw /141/9/of 3 Name: CA/ gt(.l`�Ct'S^• to Phont: major1)_ alifilrig,IR • -41? / Name: D> 6Alter rl poi $ ICU it?insd*: 05A?LICI'DM Address: 50 7c . 305 1'' L.&A/t JV ity: CCL:'110/'5e State: tv/[v Zip: 55dige) Phone: 7&3- % qy" S-3/11? Email: g.4,1 e€ e.... nil ! I !) t G/•`ef— New x Replacement Repair Rebuild Modify Space Work in R.O..W — _ _ _ : Description of work:ic2.(-� C�}'n ir0 . .2/X(OOa W 4 Std I d �� 4. ' - Vtlh(Lfl ui-f4lVi: iati VV/� COMMERCIAL New construction Modfy Space See �,tiNAte, J ^ Irrigation System (_ yes / no) L RPZ / PVI3) _ _ • 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 uD Meter - Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No FIushOmsters _Yes No COMMERCIAL FEES: $60.10 Min= mum (includes Required on - If the Enna fo is less - If the Essig Eel is > (.e. a S1O 010411,000 yy $5.00 State Surcharge) OR Contract Value $ a ' D[.2. �'//'��) de = $ 410. 00 Permit Fee ALL new buildings and boulevard irrigation systems --> $ Radio Meter Roe than $10,010, the surcharge is $5.00 $ Mater(s) 510,010, the surcharge increases by 5.50 for each $1,000 Permit Fee Permit Fee requires a 55.50 surcharge) $ 5.00 State Surcharge..r► 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 &spin $ State Surcharge_ = $ 6600 TOTAL FEE .1. h CALL NFt7R! YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection againat underground utility damage. Cd 48 hours betrort r intend to dig to receive locates of underground utilities. www.gopher tajeonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinancea and codee of to Clly of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start vA hout a permit; that the work sill In accordance with the approved plan in the case of work which requires a review and approval of plans, C Ips ao-, 6t-lsr9-t4th- N Applicemee•Prtntsd Name Applant's Signature Fai4 PAR USE T Approved By: dei: T RsgMwd rp s ons: _Under Ground _Rough -In _Air Test _Gas Test _Final PRV Rsquhed: _ Yaw /141/9/of 3 *° City of Eaall 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 #: { 15 0 U" Permit Fee: 3 to 4 • 5-0 Date Received: `'ot J 1-3 Staff: 519 2013 COMMERCIAL L BUILDING PERMIT APPLICATION Date: q/t9/1j 3 Site Address: 95s/Jt/s39- S/c1 k- is Tenant Name: 61/14101v, iir, a J 5'c_ (Tenant is: New / Existing) Suite #: Property Owner Former Tenant: Name: 9Le/ /- (t) r(%n,'A 1`•f Address / City / Zip: Phone: 95 - 3 54 - S Ui) /a©0 I/vpl-pis GrUssraud Applicant is: Owner X Contractor Type of Work Description of work: a i dam. 66p an I .5/ ct' l 4 9 Construction Cost: $ V"°1 ga' l a- �/ Contractor Name: i /` ' S&) 60 License #: /9q6 / 6 3 j /� 1'/ 1 its Address: �J � ! � � City: bits/ 17e7 Architect/Engineer State: % Il Zip: 575-4' 9 Phone: 743 — 594-- - 13 �} ,-ii Contact: IA X41 /17'4104-7 Email: & 411 6 fotivism Lo. Chs Name: Registration #: 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 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 064 tU /i(ATI Applicant's Printed Narife x 1. Applicant's Signature Page 1 of 3