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3250 Sibley Memorial HwySep. 13. 2011 1:11PM 41/11' City of Eakan - Ca,d4i. 1\1-4 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-5675 Fax: (651) 675-5694 No. 4139 Use BLUE or BLACK Ink Por Office use Permit% #: /0% 11 Permit Fee: Dale Rec- ved: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICAWION Date: Site Address: Unit #: RESIDENT / OWNER Name: 1... 57 Lt 'L,t t ECC— Phone: &i) --2,,?:)---5-444 1 Address / City / Zip; 3.x,1-0 ,1 -4c -e. -y inco,:se. ost. t (( 7r0P) Applicant is: Owner Contractor TYPE OF WORK Description of work: _ t ( Pad) P (Aa f 76i'U! 62:336' 9'-rig'Construction Cost: Multi -Family Building: (Yes _ / No ) CONTRACTOR Company: zem ( "11-te %d,r, ell) 414.- LLL Contact: Lift_ Address: %Z 3 3 Ai 3 S CU City: -A-A State: l"✓ Zip: 553-1 / Phone: 4'/'J - 3s -V-- 519y License #: O? b 3) 89 8'7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If Licensed Plumber: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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 (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.dooherstateonecall.org 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 ah 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 X wM App Mani s Sig =.7 re CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: IN SFL(:TIOIN KLUOKII PERMIT TYPE: Permit Number: 7 Date Issued: %IRI.f Y At I ORIA x !fir *: PERMIT SUBTYPE: TYPE OF WORK: I I I It Itill INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. lit ?•=t?.t; ?. ?•It? }j tit t? ? 1 MAkMAJ : PLAN INF1l'J j 1f 11 HY 14111 AIIAWSy b W P. Vi VM4U1-H 1'1 1IMH 1 N6 #G-AA-4 7 4 V U-0C K f APPLICANT: I IIJ.JV I Permit Holder Date Telephone # PLUMBING ??-F /000 HVAC / [/ ?_?i/?f( Inspection Date In Np. Comments FOOTINGS FOUND ! FRAMING F l a ? A)6,5-0 3,Es? /N5f'6?Y/ /t f1?AJf /VOAJ flL?l¢R/,U( [,?i1iLL5 ROOFING ?0 G717 W14 ROUGH PLUMBING 10-/el Jly PLBG AIR TEST 11 ?? ROUGH HEATING pv s pzc,, D Gt-U r,:,, c7x 1 y oe ff74y w ll y GAS SVC TEST / "I3 INSUL Ki/aq GYP BOARD q FIREPLACE FIREPLACE AIR TEST FINAL PLBG rJ FINAL HTG N/, ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL dft Wer if icate of cccupaucv With of Wagan Toartmcxt of fxitbixg 3*61pection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Ctmificaion- SF DW 32486 Zom ft District R1 Type Coast. WN A4dn= 614VMMM AVE, ST PAIII, MIAL HWY amity L4, B2, IEIR M- #2 Bldg. Permit No. POST IN A CONSPICUOUS PLACE Address 3250 SIEM MMU& HIGHWAY Zip 5512 1 Lot 4 Blk 3 Sub i F'TF'NIM #2 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 11 -i I q g-, Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) f/ Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish V ` Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy CITY OF EAGAN Remarks ) Addition Letendre 2 Lot `* Blk 3 Parcel 10 L4901 01 0 03 Owner iL, Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK tY SEWER LATERAL 1 Q7 q 19,41 -)d 91-57 Po WATERMAIN WATER LATERAL J%Cr 19U 867.21, 57-81 WATER AREA 1977 160.00 . 10.66 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK RESIDENTIAL BUILDING PERMIT APPLICATION ?' pa CITY OF FAQAN 3830 PILOT KNOB RD - $5122' ' 63f-681-+4675: - tew Cooaflur?er?.Rneuifenw?ts .3 regtsWW silesur" dit*tp % It pilot, sq; fl Of f10 w. end al soled areas i2D%mazimumIatcavarag Mww4d) 2 copies of pl??.shmm bum & w mk w *es, wuredioued.dwkA etc.) I se of Energy-tawi tis 3 ttopiee of Tree t?teserwdm Pfau I iot pied 711-M Rips Joist 1i" opd ms*won slted'(bldp Yet !or less unb) GATE 10R SITE ADDRESS S245D 6115109f A F MULTIFAMILY BUILDING, HOW MANY UNITS?. 'ROPERiY O' WNER J . 0 2 copies of ptian - { a sel atEnet9? itsTor.taedte* 1 cite stuvekTor axtedorAd44.deake - - • IndkeleJilianesewedbX.?Ilq's.fat '~ ,' DMGK 'YPE OF WORK FIREPLACE(S) _.2.''-3, %PPUCANY j?cL A „ - , _ t?DDRESS.. D S 1 ? ? - : IPCODE 15 'AGER;# - CELL PHONE # j- FAX f ME RESIDENTIAL BUILDING ONLY - FM L. OUT COMPLETELY Energy (rode Category ? MIlITI MOTA RULES 7670 CATEGORY' I (check e?* - Residential tfentilalbn Category 1 Works host Sub. Energy Envelope Calculations Submitted WiNESOTA RULES 7672 New Enemy Code Worksheet Submitted.: `. , I' L: Plumbing. Contractor: _ Phone #: -- Plumb ng 5}3 ni Licludcsc 't r Sollr tncr " I awn $ptin kler Fee: $90.00 _ WMr Heater _. Na. of M. Baths: M). of Baths A echo kcd Contractor: _ Medr.aucal System Includes: Sewet/Watlsir Cantraoton Aw :Condidonutg Heat Recov&y.Systenn :Phone 4k _ Fei $X0 Phone 111 above Information must be submitted prior -- to processing of application. I,- J • hereby acknowledge that I have read, this opplicaf on, state-that the informotionImwect, acrd agree tQc0mp ; Wfh-, All opplicable-State Of Mnnesota Stotutes and City of Eagan Ordinances. $14nature of Applicant ?eMti tes of Survai5r Recek6d _ Tme Preservation Plan Riecelvieci - t e0u d ~' ' ' ? 'i?tsd 101 OFFICE USE ONLY 3 01 Foundation ? 07 05-plex 3 02 'SF Dwelling: ?_ 08 06-plex 3 03 01 of _ plea ? 09 07-plex 3 0 024ex q 10 08-plex 3 05 ,03,ptex d 11 10-plex 3 06 .04-plex. ? 12 12-0ex ? 13' 1B-plex ? 16 Fireplace ? 17 Garage V 18 Deck ? 19 L ower Lervel Plbg_Y or _ N' ? 20 Pool Q 21 Porch: (3-seaA * 22 Porch/Add n..(4-sea.) ? -23 Porch (screened), ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg 13 31 Ext. Alt = Multi' ? 33 Ext. Alt- SF 0 36: Multi 31 Now a .3.5 3 32 Addition ? 36 3 33 AltergarL,. 13 37- 3 .34 Repla'ccrrrent /aluation ? `-? "ensus,Code - 3AC Wntts [ Jbr, of Units 4br. of.Bldgs -ype of Const tnt Improvement ? 38 Demolish. .(interior).- q 44 Siding Move Bidg. ? 42. Demolish (Foundation) ? 45 Fire-Remo, Qemolish tj1lg) P 43, "f Q 4S, Vy ndOV,+slDo6t! 46 nAlltldn (Erttire 13 1?j of lyj- - G"- 06A hancliketo applicant , J.• r . - f t ,t .l .. . + 1 M I: 1? '% w 1 ? * ? I' Ocqupancy l [ SysleA Zoning City Watef Stories rooster, Pump! Sq. Ft. PRV Length Fine Sprinklered width REQUIRED INSPECTIONS _ Footings (newbldg) Final/C.O. Footings (deck) finaMo C:O. ,IC Footings (addition) _ I'I.un$sing Foundation _ HVAC _ Drain Tile Roof - cc & ?'Vater _ Final _ Other Framing _ Pool! Ftgs: _ AirfGa Tests Final Fireplace_ R. I. _.- A.&Test _ Final _ ;Siding _ Stucco:, Stone b0sulatian _ Windows,(new/repta_c*ment) Approved By' . Building hspectb 3ase Fee surcharge flan Review ACIES SAC :sty SAC Voter Supply & Storage MW Permit &:Surcharge -reatment Plant Numbing. Permit Aechanical Permit kens'e Search :opies ]then. 'otali RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 d lJ 651.681-4675 New Construction Requirements • 3 registered site surveys slowing sq. ft. of lot, sq. ft. of house; and aq roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy calculations • 3 copies of Tree Preservation Plan if lot platted after VIM • Rim Joist Oetad Options selection sheet (bidgs with 3 or less units) DATE 51g ,g- /:z 002- RemodeURemir Requirements of plan • 1 set off Energy Calculations for heated additions 5-31- • 1 site survey for exterior additions & decks • Indicate if hone served by septic system for additions VALUATION SITE ADDRESS 3150 S?(Sle f i?t2Kor&c.9 y MULTI-FAMILY BLDG _Y N TYPE OF WORK 'De c1c FIREPLACE(S) _ 0 _ t _ 2 APPLICANT o? a?10- ';?' \'kY c"?, STREET ADDRESS 32 5L% S P' L eV t? Ae ` CITY C, ?A STATEt ZIP TELEPHONE#(,rl-bg&-?-'+_7'?`CELLPHONE# FAX# Lr'S (_ 6 5 ?-c X12 PROPERTYOWNER ?O Q?c g'`vy TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RtiL.ES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Sewer/Water Contractor: Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System Fee: $90.00 J 8 2002 LMAY'2 Phone -------------------------------------------------------------------------------°-------Icy ------------ c --------- -- --- I hereby acknowledge that I have read this application, state that the information is conect, an mP with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant y 1 OINA V' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Phone # Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex * 18 Deck ? 11 10-piex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous `" • it ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding X[ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation lW Occupancy MC/ES System Census Code 4 Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V j Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 07ZV Y 7L * * * 808.1 .ertificate of Sur/y for i Sos q? _, LAND 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX: 681-9488 LANDSCAPE APC IWCTS 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX: 783-1883 DAN BROWN 3250 SIBLEY 808.0 x 805.6( fi C?r?P 14RIAL HIGHWAY C 1 C 814.0 ?.. f zyf?a 1315. 81;b 815.0 121.43 (plat) 39'54'. 7"E 101.89 (meos) 7.4 tt 81010, '809.3 \ J / v 806.8 Ali iy / .00 1)"43" rZO l by D ^ 3 v? ,i • ; ?y y hC? r ? Pr 07 807.3 a' •809.8 A(tlo ° 05.2 ' ?Q808.1 0.8 0? i y k x 2Q 806.7 2 SJ /BENCH MARK 8146/ ELOEV?821129 J\ l`'? 814.6 l? 826.0 O hP ._ i 818.0„ " 6.x 7 c 814.1 04 I'fwSeD qY i F141-ci 8\$ .2x k NCH MAK OP OF PIPE - a / ELEL .120.46 x „CO 827.1 ?17t 820.0 , 14.2je?_ _ - 823.9x °° U? /(0 4 x 829.9 Q ?(f 3 0 of ff UTILITY EASEMENT PER • ) ° N DOC, NO. 392150 L ,834L2x Y p r / 67.43 28.63 829.1 N89'54'1 7"W 823'1 165.64 (meos) INGRESS AND EGRESS 184.20 (plat) - ----- NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: EASEMENT PER BK. 292 OF DEEDS, PG. 634 PROPOSED HOUSE All N VOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: ?? FOUNDATION DIMENSIONS. ro NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM TOP OF BLOCK ELEVATION: ZG' GARAGE SLAB ELEVATION: / 7 G W i? cp M 0 W X DOD.00 DENOTES EXISTING ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTILITY EASEMENT DENOTES DRAINAGE FLOW DIRECTION -r- DENOTES MONUMENT -$- DENOTES OFFSET HUB WE HEREBY CERTIFY TO DAN BROWN THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 4, BLOCK 3, LETENDRE ADDITION NO. 2 DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS HOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2 ST DAY OFJ JULY, 1998. `?ys ?I Sa r{ f7 • Z ? /y$'' S WED' PIONEER ENPEERIN P.A. SCALE : 1 INCH = 30 FEET IP 827.7' '627• 0 O d r IP 837.9 John C. Vv CITY USE ONLY PERMIT #: q5- q1 RECEIPT DATE: 7^3-01 RnMENTUL MECHANICAL PERNH APPLICATION CITY OF EACzM 393o mar me s RD EAeM MN 5512E 651-6$14675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: rfl ?O I SITE ADDRESS: #: 5? g?OJ??7?Q OWNERNAME: Rik-In bugw TELEPHONE I ?+ ` (AREA C 613E) INSTALLER NAME: 1 ? ni Firs (? LIJI_.tTl t-ldf TELEPHONE 43? (AREA CODE) STREET ADDRESS: CITY: New residential dwelling unit under constructionand not ownerloccupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other ,/ n ,' J n n /? - Pu u ' 24 - V #Lha dd a q j j Nature of work: a l w 2- State Surcharge $ .50 5O.5O ci Total . 1 nni I'Ili Reminder: Call far inspections. Iglu V JI SIGNATURE OF PERMITTEE Updated 1101 CITY USE ONLY PERMIT #: APPROVED BY: RECEIPT DATE: INSPECTOR COMMMCUL MEC CAL PERMIT APPLICATION CITY OF FAGM 3830 PILOT KNOB RD EABAN, MN 551 EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: _ New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Rnspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE STATE: ZIP: PHONEM - (AREA CODE) Updated 1/01 CITY 0 E_ACAN CASHIER: S TERMINAL N0: 791 PATE,; 08/25/98 TIME, 15:05:32 ID: NAME: BLAKE BUILDERS? INC. 225E 9001 3250 SIBLY MEM 31976.71 Total. Receipt Amount: 37976.11 CR09EE54 USER ID: NANCY ?l?[Y,tX(?CY?7?tYf?C%t?t?'(#X??X?1XtM7??X(7K?:?X?X?1X7%M?kMXtXt7X#1%'M?kXf _ GIT_Y, OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-44901-040-03 PERMIT 3250 SIBLEY LOT: 4 BLOCK: LElITENDRE #2 BUILDING 032986 08/25/98 DESCRIPTION: Bu,0,d'1ft?,Permit Type B, ildI ng ,k Type G649truction Tye r onAtsg Building Length 8"uiI dthg width VALUATION 62 34 1 2,108 101 1 - FAM. DETACH € !ea H0.&a as r 'rlf,'? g6"?7 S t*a & I.g =are s¢ mg Y:_q ;r& ..' is ?Swit s wxi a i'. N m K. a v ?w REM REVIEWED BY BILL ADAMS. S & W IS PLYMOUTH PLUMBING #533-4357. PRV REQUIRED. FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal PERMIT TYPE Permit Number: Date Issued: MEMORIAL HWY 3 SF DWG NEW R-3/U-1 VN R-1 $88,000 $812.25 $527.96 $44.00 $1,000.00 100 $2,384.21 ARKS' tTTYPR5 - Appel 614 PORTLAND AVE ST. PAUL MN 55102 (61,2) 986-9722 MISC. FEES $1.,5.92.50 Total Fee $3,976.71 can - ST. LIC. OWNER: 19869722 20145829 BLAKE BUILDERS, INC. 107 614 PORTLAND AVENUE 107 ST. PAUL MN 55102 (612)986-9722 - 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) " CITY OF FAGAN // 3830 PILOT KNOB RD - 55122 681-4675v _ New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservatio Ian d lot platted after 7/1/93 required: _Yes K No DATE: CONSTRUCTION COST; 6 7, 000 .U9 STION OF WORK: S-F l?in/?r 1.1 rJ(6 ?/J? w 015E(ET ADDRESS: 5;2S0 51 g Lrrd AAGAtrte,u ix,- I4t & a I„/a, LOT: BLOCK: 3 SUBD./P.I.D.#: L'or"oz4r. A-mrittJ i o.2 Name: ??ny?515l;f Kuur'ikf( L2r%ig Phone#: 6657-9901 PROPERTY Last Fist OWNER Street Address: City ?7T. j?Aut State: M Zip: ? I ` Company: 6LAk r 64 dI t.O cl I M (G - Phone #: 913'1-b I SS "` 7y CONTRACTOR '1 a ? t yS g ??l Street Address: 6i q Doecn,&n10 /t Jff, 6rfa lb :7 License 4 City . ?/kJV , ,lA r?. State: 55-10 a p: ? IJ ARCHITECT/ ENGINEER Company: P, o 044,x- Yz, l s Phone #: 1 002P-11$C) Name: 1 o u..( C - -AcLe on Registration #: lq`S' S Street Address: 62-5 k Wvj I p IJ rv City State: µ Pi. zip: S 5-4:, Sewer & water licensed plumber (new construction only): Plorawrf{ PLJ Mt31 cid, Penalty applies when address chang and lot change is requested once permit is issued. J 3 3 - 4 X51 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes NV 11VI mcqu11CU OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging (( 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-plex _ ? 14 Fireplace ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE jl? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning _I(( Basement sq. ft. 1177 //N Main level sq. ft. 1172- sq. ft. _ sq, sq. ft. ft. sq. ?. ft. ? Footprint sq. ft. Building 4 Engineering Permit Fee Valuation: Surcharge Plan Review 72 X /S ? G License /I 77 X S 9 Q= MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: /7 63?IZ $g' t? ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility ? 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance OC?UC? % SAC SAC Units r * PIONEER * engineering * 4( * * 808.1 Certificate of Sur/y for: p So51 ?f / yz. / 4A A"% ID SURVEYORS . CIVIL ENGINEERS PLANNERS. LANDSCAPE AROMTECTS DAN BROWN f4RIAL HIGHWAY Z' ED 3250 SIBLEY 808.0 x OVeJ.-V Y ®(0 a IV r i / N 809.3 81 v ? ?`?, 806.8 ?l9 L / / M! yuL / 0 `?c y \J ? i ? 81 / o- ayjr;k T?;p 807.3 a .y 810 9, x 809 8 A(VC o 05.2 Nry Qx 808.1/ I i r 810.8 x 806.7 3AQ a`f n1 ?2 r yt4 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 FAX:681-9488 625 Highway 10 N.E. Blaine, MN 55434 (612) 783-1880 FAX:783-1883 815.0 121.43 (plat) E 101.89 (meas) BENCH MARK ELOEV.? 821 29.1 fir (e 4.6 °i h 4826.0 818.0 6.7 x 4.1 0 ROp O?/?wAYO i /U \ BENCH MARK / TOP OF PIPE / a ELEV.aj320.46 x / ro //,' '171 8200 .n? 827.1 14.21'0 ??- _ - / 823.9x /oti At? x 829.9 3 O UTILITY EASEMENT PER,/ 1/rn 0 DOC. NO. 392150 ur) ^. Iry 1L---_834.2_Y 823.9 N89 54170W 165.64 (meas) INGRESS AND EGRESS 184.20 (plat) W M ?D M O cn ' -- EASEMENT PER BK. NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY, 292 OF DEEDS, PG. 634 PROPOSED HOUSE EL VATI N NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: ZG-G NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 7 SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION - - - DENOTES DRAINAGE AND UTILITY EASEMENT NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -? DENOTES MONUMENT - 9 DENOTES OFFSET HUB WE HEREBY CERTIFY TO DAN BROWN THAT THIS IS A TRUE AND CORRECT?REPRESEN.TATION,.OF,A SURVEY OF THE BOUNDARIES OF: ?aa\?flo-,?I"'•`j?u Lam'" LOT 4, BLOCK 3, LETENDRE ADDITION NO. 2 DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS HOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 21„ST DAY OF JULY, 1998. ?[5s d '0 -24 -Qy- S NED' PIONEER ENG EERIN P. A. S.zw.a- S•ovv- SCALE : 1 INCH = 30 FEET piuwl l 4 98246.00 SWK John C. Larson, L.S. Reg. No. 19828 827.7 O O d r IP 837.9 CONTRACTOR'S MATERIAL & TEST CERTIFICATE PARTS ?A && Cam- SPRINKLER & WATER SPRAY ABOVEGROUND PIPING (Fill Out Separate Certificate For Each Rrser) PROCEDURE UPON COMPLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE BY THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY AN OWNER'S REPRESENTATIVE. ALL DEFECTS SHALL BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN FINALLY LEAVE THE JOB. A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING AUTHORITIES, OWNERS AND CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PREI- UDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPLY WITH AP- PROVING AUTHORITY'S REQUIREMENTS OR LOCAL ORDINANCES. PROPERTY NAME GAT E _ Stinar Comoration _ _ 8-27-$4 PROPERTY ADDRESS ' _ 3255 Hi hwa IL Eagan, Minnesoat 55122 ACCEPTED BY APPROVING AUTHORITY('S) NAMES MN O.S.H.A. ADDRESS PLANS 444 Lafayette Road, St. Paul, Minnesota 55101 INSTALLATION CONFORMS TO ACCEPTED PLANS: YES syy. NO ? ' EQUIPMENT USED IS APPROVED YES CI NO ? IF NO. STATE DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT? YES Q? NO ? IF YES, GIVE NAME. IF NO, EXPLAIN. . INSTRUC. TIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS AND NFPA 13A BEEN LEFT ON PREMISES? YES NO ? IF YES, GIVE NAME. IF NO, EXPLAIN. HYDROSTATIC: Hydrostatic tests shall be made at not less than 200-PSI (13.8 bars) for two hours or 50 PSI (3.4 bars) above static Pressure in excess of 150 PSI (10.3 ban). Differential dry-pipe valve clappers shall be left open during test to TEST prevent damage. All aboveground piping leakage shall be stopped. DESCRIP. TION PNEUMATIC: Establish 40 PSI (2.8 bars) air pressure and measure drop which shall not exceed 1vs PSI (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air Pressure and measure air pressure drop which shall not exceed 11h PSI (0.1 bars) in 24 hours. TESTS HYDROSTATIC: ALL PIPING. ' PNEUMATIC: DRY PIPING DRAIN REQUIRED EQUIPMENT OPERATION: ALL, SERVES BLDGS: - LOCATION MAKE MODEL SIZE QUANTITY TEMPERATURE RATING SPRINKLERS GEM SSU 211 22 1650 OR SPRAY NOZZLES MATERIAL AND KIND CONFORMS TO N. STANDARD PIPE AND IF NONE, EXPLAIN FITTINGS A'L A R M DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE ALARM VALVE TYPE MAKE MODEL MIN. SEC. OR FLOW INDICATOR Vane Notifier WFD ___ OPERATING TEST RESULTSI TIME TO TRIP TIP TIME WATER ALARM MAKE MODEL SER. THROUGH TEST PIPE WATER AIR POINT REACHED OPERATED DRY NO. WITHOUT WITH PRESS. PRESS. AIR TEST PROPERLY Q. O. O. Q. O. D. PRESS. OUTLET PIPE MIN. SEC. MIN. SEC. P.S.I. P.S.I. P.S.I. MIN. SEC. YES NO VALVES IF NO, EXPLAIN OPERATION PNEUMATIC ? ELECTRIC ? HYDRAULIC ? PIPING SUPERVISED. YES ? NO ? DETECTING MEDIA SUPERVISEOI YES ? NO ? DOES VALVE OPERATEFROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS? YES ? NO ? DELUGE gl 15 THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? YES ? NO ? IF NO, EXPLAIN PREACTION VALVES Does Each Circuit Operate Does each Circuit Operate Maximum Time To MAKE MODEL Su ervision Loss Alarm? Vol" Release? Operate Release: YES NO YES NO MIN. SEC. ALL PIPING HYDROSTATICALLY TESTED AT ZOO -PSI FOR 2 HOURS DRY PIPING PNEUMATICALLY TESTED. YES '? NO ? EQUIPMENT OPERATES PROPERLY: YES H) NO ? TESTS IF NO. STATE REASON DRAIN TEST. READING OF GAGE LOCATED RESIDUAL PRESSURE WITH VALVE IN NEAR WATER SUPPLY TEST PIPE: TEST PIPE OPEN WIDE STATIC PRESSURE PSI PSI NUMBER USED LOCATIONS - NUMBER REMOVED TEST BLANKS none WELDED PIPING YES ? NO XX IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIRE- MENTS OF AWS 010.9. LEVEL AR-3? YES ? NO ? WELDING 00 YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AWS 010.9, LEVEL AR-3? YES ? NO ? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CON- TROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED; AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? YES -? NO ? DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS - - NAME OF SPRINKLER CONTRACTOR - Carlson Automatic Fire Protection Company FOR PROPERTY OWNER.(SIGNED) TITLE SIGNATURES FOR SPRI LE CONTRACTOR (SIGNED) - ?? p TESTS WITNESSED BY TITLE DATE ADDITIONAL EXPLANATIONS AND NOTES ( i I PHONE 454-5242 EAGAN TOWNSHIP 3793 PILOT KNOO ROAD ST. PAUL. MINNESOTA 14111 December 29, 1971 Dakota County Auditor Hastings, MN 55033 Attention: Phyllis Dear Phyllis: A list of corrected first payments for street assessments in Sibley Terminal Industrial Park due in 1972 is enclosed. They are as follows: PARCEL LOT BLK 1.X"iRA INTEREST FIRST PATMENT b3267 5 1 43.31 382.26 b3266 6 1 79.65 702.97 b3269 & 70-7 1 51.90 458.05 b3271 & 72-6 1 52.60 464.24 b3273 & 74-9 1 46.04 4o6.36 b3276 11 1 93.91 828.87 b3277 1 2 100.75 889.24 b3278 2 2 52.67 464.89 b3279-A-3 2 39.42 347.94 b3480 4 2 42.31 373.44 b3281 5 2 40.04 353.42 b3262 6 2 34.08 300.77 b3263 7 2 52.81 466.09 b3284 8 2 58,96 520.36 b3285 9 2 76.95 679.16 b3288 10 2 54.92 464.74 SECTION 8 3090-c 16 60806 6?),O)i(69.27 611,43 3091 l b OC0 O6 D/D 7 V 243.97 2147.96 Please correct your records accordingly. We are sorry for any in- convenience this error has caused you. Tours truly, Ann Goers, Assessments /7 _ . . . a . 0•* 258•U0+ 13.00+ 129.00+ _ 2.00+ 402.00* 258.00+ 13.00+ 129.00+ 2.00+ 402.00* . 1 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS i OF UNITS / NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED tTloN OM 2 7?1+0 To Be Used For: Valuation: Date: /S p I Site Address Lot Jl_ Block a _ Parcel/Sub J III&i 6hpA)"n&L j, AL Owner Ii?t es-4 i f os-l . Address City/Zip Code Phone ,?? Contractor C+6 a Address c, A ?lry-.- t` City/Zip Code It Phone Arch./Engr. ht- c_.&L10 Address 1(* MULTIPLE DWELLINGS . 1R' COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. Occupancy Q-Z Zoning -1 Actual Const =-N ! PfQ Allowable A of stories Length X60' Depth 30' S.F. Total Footprint S.F. On site sewage On site well MWCC System City water PRV required Booster Pump APPROVALS Planner Council ? Bldg. Off. W-1 Variance FEES Bldg. Permit 25-6L o0 Surcharge 13,00 Plan Review )P9. 11>D SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies o? SUBTOTAL Penalty - TOTAL 75-9 77-2 f / City/Zip Code Phone # ?? i a ro r - rp? m d ? Y i. d d a ? ? alb d A1d a ? r = o 1 TF1? I PF S Omm s eFA SURF.TIIERT E.C.O. SYMBOL BY DESCRIPTION --------------- 1 J i J YI J l 0 at B? J 3 LL f? r .R &Zffat CORPORATION HIGHWAY 3255 SIBLEY MEMORIAL M, TOLGAACEf . ST. PAUL. MINNESOTA 55121 BATE te-e AS ROTEDI PHONE 612/454-5112 MAW DECAAAL CpMTIMCT MD. MATERIAL COOL ID. M0. CM , FRACTgxAL WMIANG MIA OIIAWiIM MO. Aeon AMauuR r8 "M Avvo 1P F i^7r,?+n,av ilv"AQy MEMO T0: PAT GEAGAN - POLICE DEPT. ED KIRSCHT, SR. ENGINEERING TECH. CRAIG KNUDSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC FORKS JIM STURM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: JtiNC Z8/ /989 The preliminary construction x plans for 30'Xc/0' OPF16E Ar01T/0/l F01Q ST/NAR CORK are in our plan review section for your review and comments. Please return this form to Joe Merchak with your initialed comments and the date of review. Failure to return foam to Joe within five (5) days will be considered your approval. If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problems. Thank-you. /JS ?vt 4_ /:?(f ) (Signature) te) city of eagan THOMAS EGAN Mcvor October 3. 1997 MR LARRY GRELL ECI BUILDING CONTRACTORS 1355 MENDOTA HTS RD 9180 MENDOTA HEIGHTS MN 55120 RE: BUILDING ADDITION STINAR CORPORATION 3255 SIBLEY MEMORIAL HIGHWAY LOT 4, BLOCK 2, SIBLEY TERMINAL INDUSTRIAL PARK Dear Mr. Grell: PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN THEODORE WACHTER Ceunol Memcera THOMAS HEDGES City .Admnstrctor E. J. VAN OVERBEKE ON Clerk This letter is to notify you that I am unable to complete my review of the construction documents submitted to our office for the above-referenced building addition without a complete code summary. As previously discussed in telephone conversations, correspondence, and a meeting at the Municipal Center, a code summary is required on the plans prior to permit issuance. The purpose of a code summary is to show how the architect reached his/her calculations. With this information, I am then able to check these figures against the State Building Code for compliance. For your convenience, I have enclosed a sample code summary. In an effort to expedite this process, I have done a preliminary review of the construction documents. This review is not intended to be an exhaustive and comprehensive report. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: Plans must be revised to show a code summary on the cover sheet (enclosed). A completed Special Inspections and Testing Schedule signed and dated by all involved parties -Sec. 1063.5 and U.B.C. Chapter 17 (enclosed). Doors leading into corridor shall open in the direction of exit travel, have a 45-minute fire protection rating, and be maintained as self-closing -U.B.C. Sec. 1018. MUNICIPAL CENTER 3830 PILOT K110B ooAD EAGAN, rAr PIP ?iti 55122-1897 PHONE. (612) h8 1-4b00 FAX-(612)c31 Aci2 TDD (612) a=sY THE LONE OAK TREE THE OF STRENGTH AND GRONrTFI IN OUR COMMUNITY -4uv1 (3pporfunlfy/Afhrrr.,Fivr A: Yvon Er?f;iC/5r MAINTENANCE FACILITY 35,31 CO;,L:-N1AN POI[IT EAG it i.?'1HESOTA =,.512= FP,G?.E Cc'2i 6A1.43C0 FF?' . ... SO 41 , , - 4. Revise plans to show accessible route on exterior of building - U.B.C. See. 1103.1.1. 5. Show how 3/4 CF1vI per square foot is being met - U.B.C. Sec. 1202.2,4. State amended. 6. Revise plans to reflect dust-collecting and exhaust system and their routes to the exterior. Please note, exhaust ducts shall not extend into or through ducts and plenums as required in Sec. 1202.2.3 and Sec. 307.8. 7. Revise plans to show that smoke and fire dampers will be installed and be accessible for inspection and servicing - U.B.C. See. 713.10 and Sec. 713.11. 8. Show locations of fire department hose connections - U.B.C. Sec. 904.1.1. 9. Indicate locations of exit signs - U.B.C. Sec. 1013.1. 10. Revise plans to show location of roof access - S.B.C. Sec. 1300.4500. 11. On plans, indicate required amount of recycling space above and beyond that is needed for the existing building - S.B.C. Sec. 1300.4700. 12. Provide a section view of roof/ceiling assembly - U.B.C. Sec. 1063.4.2. 13. Revise plans to indicate maximum height of urinal rim is 17". 14. Provide verification that lot combination has been approved and recorded at County Recorder's Office. 15. Revise plans to show what kind of surfaces surround the building and their boundaries. If I can answer any questions or concerns you may have, please feel free to contact me at 681- 4379. Sincerely, Franklin Martin Building Inspector FM/js Enc. cc: Doug Reid, Chief Building Official Dale Schoeppner, Senior Inspector Dale Wegleitner, Fire Marshal ,yea, j,1 ?Zox . -4?4. TO: PAT GEAGAN, CHIEF OF POLICE I`;`72tT JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR ON TDP p? F/1_t5 DALE WEGLEITNER, FIRE MARSHAL ELECTRICAL INSPECTOR Ljj?jJdt/bT p? F'L410 PUBLIC WORKS/ ENGINEERING DIVISION /UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR n /mow' RICH BRASCH, WATER RESOURCES COORDINATOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY FROM: FRANK MARTIN, TEMPORARY BUILDING INSPECTOR DATE: fP4V6T-1J1,1f?7 1P,)D177&V 7D tW--5 7A(Ae The _ preliminary X construction plans for 3255 SrEy7yJ?iy?D/LfigLt/??Y are in our plan review section for your review and comment. Please return this form to Dale Schoeppner with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No ? Yes ? No ? Yes ? No ? Yes ? No landscape security required water quality dedication park dedication trail dedication tree dedication ZONING? ? Yes ? No ? Yes ? No Signature Date WFORMS-BLD/PLAN REVIEW/FRANK M L CITY USE ONLY RECEIPT* ? 7 5 5 SUBD. ??• RECEIPT DATE: APPROVED BY: ,INSPECTOR 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3850 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for all commercial1industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?/- 20- g CONTRACT PRICE: 000 WORK TYPE: NEW CONSTRUCTION X INTERIOR IMPROVEMENT DESCRIPTION OF WORK: NP !-AIDS L) &"k IS Tr .JG ?Bi.?J % 0orx/, FEES: 1 % of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATE SURCHARGE TOTAL 4 U?' 4 ($.50 per $1,000 of Permit fee due on all permits.) SITE ADDRESS: S Z .5S 5/? L?? lY1 ?nlos2 I,a C? 9'1L-x16'1 W f? OWNER NAME: I JA 2 GU21,7-al111 T/0d PHONE #: 4 S4-SI1 Z TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: Z2y S S. N w f' 8 PHONE #: 7 IS- f 8' ? _ y Z/I STATE: 14,& ZIP: S-'¢D2¢ SIGNATURE OF PERMI CITY USE ONLY LOT BL RECEIPT #: SUBD. RECEIPT DATE: 199$ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EABAN MN 55122 X120 (612) 681-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: 32.S5' SIR,[-er l ?yl rkozi¢L Hl t-?qw,e )-4 OWNERNAME: STl N,&/G GC?? 002 rlO.J PHONE#: 4 S9-S // Z INSTALLER NAME: !?;?2Gl.uG -D[YSs a...1 PHONE #s, 71l-) 4 3 - 9 2 I STREET ADDRESS: Z2 ()5- a, S. 1f W,? 8 CITY: ST UZOlX P19 L cS STATE: 4J" IP: -9402 g SIGNATURE OF PERMITTEE ]S/FORMS BLD/MECH PERMIT (RES) - 1998 G tj a L ()CATTY USE ONLY RECEIPT C? /o ,Cdr%- ifZ. 13 t 0 SUBD. RECEIPT DATE: APPROVED BY: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 8630 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: /o, CONTRACT PRICE: /lJ1v; t2o ? WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: A,10Q,4 -.lPr D Wr?6 ' k7kOiOZ4 S e faa a14L-4,f',9i/Z FEES: I % of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: Ivbo' Oo '4 ? /U & /• 00 3ds-j, s, d, ($.50 per $1,000 ofpermit fee due on all permits.) OWNER NAME: S TrAl aZ - . PHONE #: 5/,C-V 2- TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: C A Q?fcr WrZ? e R lC $ Ne ADDRESS: / /I le i Nagy 2.d. PHONE #: eL ¢8' y76 ?l CITY: d H,.rKA STATE: hit n1 G f; ZIP: iS^ . 3 06;? A6 142.91-1 SIGNATURE OF P ITTEE fi`.v?-moo l? . )0`431f CITY USE ONLY LOT BL SUBD. RECEIPT #: _ RECEIPT DATE: 199$ MECHANICAL PERMIT (RESIDENTIAL) crrY OF EAGAN 3630 PILOT KNOB RD EAGAN MN 55122 (612) 661-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' HVAC: 0-100 M B T IT $ 24.00 ADDITIONAL 50 M BTU 6.00 , Gas outlets ( minimum of one required @ $3.00 ea.) , State Surcharge: .50 , TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air exchanger, i.e. Vanee system, etc. Minimum fee applies to all remodel or add-ons of existing residences State Surcharge Install air conditioning Other $ 20.00 .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE OF PERMITTEE )S/FORMS BLD/MECH PERMIT (RES) - 1998 67 N ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxle Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE OF WELL PERMIT APPLICATION DATE: May 25, 2004 TO: Tom Colbert/Wayne Schwanz (EM) RE: Well Permit #: 04-11222646-648 Municipality: Eagan Fax #: (651) 675-5694 Well Type: Monitor well Environmental Specialist: Luehrs The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: WELL LOCATION: Don Stodola Well Drilling Co. 5/20/2004 Time: Time: Stinar Corporation Stinar Corporation PLS Coordinates: SW-1/4, SE 1/4; NE-1/44, SE-114, Sec 8 Town 27 Range 23 Street Address: 3255 Sibley Memorial HWY PIN Number: 106805004002 WELL INFORMATION: Diameter: 2 Casing Depth: 90 Total Depth: 95 Static Water Level: Aquifer: COMMENTS: Connection I Comments I Eagan Building I Eagan dderretopment Permits owner I Eagan Asse JSWes Eagan Property 1 Eagan Parcel ID 1 04002 Address 3255 SIBLEY MEMORIAL HWY Owner 1 Owner 2 Owner 3 Owner 4 Search FIGS P Search House 3255 SIBLEY MEMORIAL HWY 06 dt yjew Tools gpphcations elp 'A It IK.A SK kfu ape STINAR HG INC 3255 SIBLEY MEM HWY EAGAN MN 55121 s,