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3880 Sibley Memorial HwyCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675. Fax: (651) 675-5694 Permit #: (1,1 / 1 G1 Permit Fee: Date Receiv Staff: , 5 ) 2008 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 'Z'nVel Site Address: MtiYa6b te.1 tiltirw 01LXA L y Tenant: 4 4,146.EA► etLbtT .)147001 Suite #: PROPERTY OWNER Name: OC EAtc$011 1► Phone: Address / City / Trp: Applicant is: Owner Contractor TYPE OF WORK Description of workR 4 LL k CM►D4 4:72,111D1tE14 'erttc lit,DS Construction Cost: Estimated Completion Date: 3IS( to CONTRACTOR Name: O3:ACZ14A4_ _R3a License #: _COCDO S Address: 3l'd l 439-w- 114 E City: �. iaL State: Inti, Zip: -S 130 Phone: Wit•- SSS - 110b Contact Person: Zet1416 PtItA►zta FIRE PERMIT TYPE V Sprinkler System (# of heads ) WORK TYPE New Fire Pump — -Addition — Standpipe Alterations — Remodel - Other: X Other: Woke -tut. tkt.aDS k rzslot DESCRIPTION OF WORK: %(Comnerdal Residential —Educational FEES $50.50 Minimum (includes State Surcharge) OR surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). A, cc.„ -r..... ke . Contract Value $ x 1% - if Permit Eeg is Less than $1,000, = $ Permit Fee = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 3/4" Displacement Fire Meter - $183.00 $ 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 Qty of Eagan and with the Minesata Bnikringirwe Codes; that I understand this is not a permit, but only an application for a permit, and work s ix* to start without a permit that the work INN be in accordance with the approved plan in the case of work wt" uires a rewiard approval of plans. 4111111. 4/0, x Applicant's Printed Name 2 Cgs S; Wr . J n:, ~ ;iyr z~r TY OF EAGAN Remarks f- ''1 Addiciort_Section 19 Lot~ ~ elk Parcei- Owner 5treet State i~ Improvement Date Amount Annual Years Payment ReceipC Date STREETSURF, - ldzz STREET RESTOR. ~ • GRADING \ SAN SEW TRUNK SEWER LATERAL WATERMAIN / WATER LATERAL t W,aTER AREA 1972 5$.80 3..92 15 STQRM SEW TRK STORM SEW LAT j' CURB & GUTTER ~ SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K CITY OF EAGAN Remarks Cedar Grove ACquiSlf,10ri A88@SS WtY' area whPn lat ig CC1riri. Addition C~~~.e Office Park Lot ~ Bik 1 Parce~ 10 16850 nl1n rn Ii ~ Owner Street State li Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1975 235.91 23.59 10 STR EET RE-STOR. 1976 434-17 43 -42 10 GRADING sidewalk 1975 3. 3 3.64 10 SAN SEW TRUNK 1968 assessed under 3257 1 30 SEWERLATERAL WATERMAIN WATER LATERAL 1972 1. 1 .02 Z WATER AREA 3 1977 43.80 4.38 10 STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks~- ;Tl- ~~5'~ Minnesota Federal Addition CFDARVAI.F. 2ND Anj?N. Lot 4 Rlk 1 Parcel 10 16901 040 01 Owner Stree ~`60 5 i ~E ~ /~lF M . ~ ~5tete r - i I r„ ~ , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. i&&** S tY' 1985 Pavin 5AN SEW TRUNK SEWER LATERAL Cedar Grove A ` WATERMAIN * WATER LATERAL 1972 ' * WATER AREA 1972 STORM SEW F$0Lq 1985 874.02 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 00• - ' PARK ~Y OF EAGAN Remarks Additio~i , Section 7_9 Lot plk Parcel 10 01900 020 05 ~ Owne r Street State Improvement Date Amount Annual Years Payment Recei Date STREETSURF. , STREET RESTOR. pAVING 975 5254.30 525.43 10 PAID GRADING Cedar Grove Ac . 1972 " 352.00 14.08 25 PAID SAN SEW TRUNK 1968 5.60 2. 52 30 PkfD SEWER LATERAL WATERMAIN * WATERLATERAL 1972 1279.80 85. 15 PAID * WATER AREA 1972 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIdEWALK STREET LIGHT WATER CONN. BUILDIN ER. Sa,c $1600.00 11754 9- -24Z74 RK INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: ,------3830 Pilot Knob Road Permit Number. "C-14'4 Eagan, Minnesota 551 22-1 897 Date Issued: (612) 681-4675 : 61 i~,•~~~ t a~ .j ; SITE ADDRESS: APPLICANT: N1FMr?R'1AI F{WY , • , . i , ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• . DA ~ ~ Permit Holder Date Telephone M PLUMBING II HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL This reQuest wIA IZI,q zn~ eCJV ~8 mon[lis7r4 61 7o Reqvest Date Fire No. Rauph-i Inspection Re~U.irc ? ReatlY Nuw ? Wi!I Notiiv Insuec- ~Z ( El Yis El No lor When Ready Licerivetl Elecv r.al Contractor 1 hereby raquwst iiispection of abova . . Owner elechicel work instollad nL $[reet Address, gox or.POSe No. Cit J'BcPo ' /3' ectinn o. . Townshi0 me or No. Ranye Nn. Counly C% Occupnni IPflINTI Phone Nn. Pmver $upPlier Address G~ Flectriqal Contracm Comuany Namnl Cnnvacior's Licensa No. D'.s - a z J` Ma 'ne AdJress (Contra tnr or Owne MakfnN Installution) ~ ip tI` j~' . da~~- SSI(fs- Amhorized Sign. [ure IContractor/Own MzkinB I~~stnllationl ~ Phone Number 'b'3/. J-8--'o MINNESOTA STATE BOANO OF ELECTRICITV ' THIS INSPECTION HEQUEST Wll.l NOT Griggs.Midway Blda• - poom N-191 BE ACCEPTED eY THE STATE BOAflD 1821 University Ava., St Paul, MN 55104 'UNIESS PNOPE0. INSPECTION FEE IS o.___ 'aivi ooa»l• ENCLOSEO. REQUEST FOR ELECTRICAL CTION EB-00001-03 T 7 0 4 61? See ins[ruc[ions for cumpleting [his form on back ol Yellow copy. "X" Belbw Work Coveled by 7his Request 10$q nw Adtl Rep. Typ¢ oi BuilAing Appliancxs Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bidy. Air Conditioner Bulk Milk Tunk Fann OMer Spuci v) iher ISpecifyl ther uer.ify Othcr Other Compute lnspection Fee Below tt Fee SarvieeEntranceSize k Fee Fenders/5abfanders fl Fea Circuils 0 to 100 qm s 0 to 30 Am )s 2. O 0 tn 30 Am - 101 So 200 Amps 31 to 100 Amps 37 to 700 Am Above 200 qmps Above 100-Amps Above 100_Amps Transrormers Remote Control Circ. O PartiaL'Other Fee Signs Speciallnspection $ en~i.ks ~~J~ 0 TOTAL F ~ flough-in Date 1, the Electrical Inspector, haraby certily that the above Pinal J~J7~''{') ( D'(lt° inspection has been J J: { , n ~ /O^l,~ made. This request void 18 nwnNS fmm ~ 1 0 7 ~ ~ Pequesl Oate Fire No. Pough-in Inspeclion Requiretl? ? Ready Now ~Ylill Notiy Inspector i Yes .0-NO When Reatly? 6-=iieensed contractor ? owner hereby request inspection of above electrical work at Jae Atltlress (Street Bax ar e Na.) / City Q/' Sedion No. . Township Na or No. Range N Coonry / / Fo Occupant PRINT) ~ Phone No. Power Supplier AOtlress Eiecvicai C ra r (GOmpany nlame) Contractors License No. r C Manmg Adtlress fCOnVe or or pw ar Ing Installalion) AuID rizetl Siqnalur onv cr/(5wner Makin stall n) Phone Number MINNESOTA STATE BOAflO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigge-Mitlway Bltlg. - Room 5-0]] BE ACCEPTEO BY THE STAi'E BOARD 1831 University Ave., 5t Peul, MN 55106 UNLESS PPOPER INSPECTION FEE IS Piwne (612) 662-0B00 ENCLOSEO. REQUEST FOR ELECTM%L INSPECTION e`.~n "NQ EB-00001-08 f O1 ~q ?$ee insVVaiions for crompleting Ihis lorm on back ol yellow cnpy. /e~ J'/J V "X" Below Work Covered by This Request ~.IB` .eo-•+11 ew Add Rep. TypeofBUiltling AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Other-{Specity) Commllndustrial Furnace Farm Air Contli[ioner Other (syecity7 Convacrorg Remaeks- (,,,f7/')n~ tc1vt4 Compute Inspection Fee Below: Q a' # Other Fee # ServiceEntrenceSize Fae S Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers A6ove 200 _ Amps Above 100 _ Amps SignS Inspector's llse Onq: 7p7qL Irrigation Booms S.-E, Special InspeCtion Alarm/Communication THIS INSTALLATION MAV 8E OR ONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rouqn-in oare certify that the above inspection has Final oa~e ,i been made. OFFICE USE ONLY This request wi0 18 momhs fmm 6 414/ 0 0 / y ' "°l `$~~s ° 91 Request Date / Fire No. Rough-in InsOeclion fiequired? ? Reatly Nav IMQ4Vill Notiry Inspector g~ ? Yes o When Ready? I)Oicensed contractor ? owner hereby request inspection ot ahove electrical work at: Job Atltlress (Street Box or Route No-) Ciy E-A G.lAI Section No. TownsM1ip Name or o. qange Na County /f ho~a Occupan) [PRI) T 1 Phone No. Power SupPiier Mtlress Elacincal Contractor (COmpany Name) ConvacWrs License No. PREMIER ELECTRICAL CORPORATION 2 Mailing Mdress fCOmractor or Ownar Mekinq InstallationJ 3400 - 98th,Avenue No. M 1. MN 5542-9 Autho~izec n onV tpw , inq Installaiion) 1Pnone Number ~ (612) 537-8818 MINNESOTA STAT APD OF ELECTRIQTY THIS INSPELTION PEpUEST WILL NOT Grlgga-Midway g. - poom 5-173 BE ACCEPTEO BV THE STATE BOAFO 1821 Universlty Ave., SL PaW. MN 55104 UNLESS PROPER INSPECiION FEE IS PMne (812) Ut!-(ta00 ENCLOSEO. ~/8'/SQ REQUEST FOR ELEQTRICJ1k INSPECTION 4,~'" yee-ooom-o7 ? Sae inshuctlons for comple[ing Ihis lorm on back ol yellow copy. 1,.'~T~ 9~a qi " e 41400 "X°Be/ow Work Coveled by This Request ew,Add R TypeofBUilding AppiiancesWired EquipmemWired Home Range Temporary Service Duplea Water Heater Electric Heatinq ApL 8uilding Dryer Other (Specity) ?G Comm.llndustrial Fwnace Farm Air Conditioner . Olher (spacity) Gontreotor's Femarks: Compute lnspection Fee 8elow: A40 Od-/4~ ~ # Olher Fee # Service EntranceSize Fee # Circuits/Feaders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Amps 0_ Amps Signs InspecmrsusaOniy. / r Ov TOTAL~ 50 Irrigation Booms J ~ Speciallnspeaion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT Other Fee COMPLETEO WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn-" oate certify that the above inspection has F;nai oaie p been made. OFFICE USE ONLV . This request void 18 monlhs Ira. /0 D/9Q6 D~o 05 o Th~s reque~t void 18 months from ~~('1 Date of this Request 45' R 79777 1, as UScensed Electrical Contractor OOwner, do hereby request inspection of the above electri• cal wiring installed at: r Street Addreu or Route No '_?X80 . City~y Section ' Township Range C nty Which is occupied by - (Name of 9ccupanq Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call Power Supplier Address Electrical Contractorl/'j~,~~~~2L Co. Contractor's License No._ (Com any me) ~y Mailing Address 1 v (Elactrical ontractor or ner Making Tnis Inrtalla n) Authorized Signature Phone Nap/ ~ D (ElectrF~ital Contractor or Owner Making Thls Installatlon) `;~V~(}r ~~~~;y~s~ This inspeetion requestwill not he accepted 6y the State Board unless proper inspection fee is endosed. i Minnesota State Board of E)ectcicitx. 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 j~GC~-7/ REQUEST FOR ELECTRICAL INSPECTION D 797'77 CHECK BELOW WOAK COVERED BY THIS REQUEST Il Type oP Building New Add. Rep. Check Appliances Wired For Check Equipmenl Wired For Home ? ? ? Range ? Temporary W'ving ? Duplex ? ? ? Warer Heater ? Lighting Fixtures ? Apt. Bldg. ryei ? Electric Heating ? Commeiciai Bldg. EW' Fumace ? Silo Unloader ? Industrial Bidg. Av Conditioner ? Bulk Milk Tank ? List List Fazm , ? ? ? p Othec ? ? ~ Heiefs~ _ (hers~ COMPUTE INSPECTION FEE BELOW Secvice Enttanm Size: x. Fce ers& f Fee Circuits: # Fce 0 to 100 Am s. 0 ~ 0 ro 30 Am eres 101 to 200 Amps. 1 31 to 100 Am ies Above 200 Amps_ ove A6ove 10Q_Ampa Transfoxmers RemoteConuolC"uc. Partialocotherfee c Signs Special lns ction Minimum Cee .00 ~ SO /~Y~~'G' r 7'OTAL FE , ~O ~i SO X I, the Electrical [ pector ereby certify that the above inspection has been made. (Rough•in) r Date (Final) Date This request void 18 months from ~--T' CITY OF F.t1GAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PEHNIIT N0.• lgq The Ci4 ~y of Eagan hereby grants to Atkins Plumbinq 6 Heatinq Co. ol 2531 Marshall St. N.E., Mpls. 55418 ` MECHANICAL ~ a PLG. & HTG. Permit for: (Owner) MINN. FED. SAVINGS & IAAN at 3880 Sibley Mem. HwY• , pursuant to application date3 10/3/74 Fee Paid: S250.00 dai:ed this 4th day of October ~ 19 74 , + .50 s/c ~ Building Inspectoz Macr aiical Permits: Bid Total: $40,000.00 CITY of EAGAN rv~°- 3404 ' BUILDING PERMIT Ownee V9 3795 Pilo! Knob Road Eagam Mimmesola 55122 Addreu (Psesanl) 454-8100 _ ~y Bullder Dale _ Address ..............................................-......~v..:~~~::~~.:. DESCAIPTION Stosies To Be Uced For Fron! Dapih Heigh! Eti. Cosl~ ~Permi! Fea Remarks 6._-411 170 7G ~ ao6 ~ i,~-` ~c. / 49•0~ c. LOCATION a-r Slreel, Roed or other Descrfpiion oi Localion I Lo! 81ock Additioa or Tract U do~~~ci7r~nJ T6is permit does nof auShorise the use of s2reetc, roads, alleps or s[dewelks aor doea !t give the owner os hif agan! the sigh! !o creale anp siluation whiah is s nuisenae or whieh presenis a hasard fo the healfh, sefaly, eoaveafenn and genexal welfare !o aapone in the communilp. TBIS PERMIT MUST BE KEPT OE PREMIS$ WHILE THE WOAK IS IN PROGRES~S`~_ • ' This k !o cerlifp. !hal. has pesmLsSon !o erect a.........-._:•• ...._.._uPoa the above described premise subjeei to the provisions of all applicable Ordinanees for fLe Cifq of agan. < 'p -a-_ _ par `:":.~''..~..........--y~----_ Ma or ~ Svildinp Impsctor 615 VILLAGE OF EAORN SEWER SERVICE PERMIT 3795 Pilot (rob Rood PERM[T NO.: 2354 DATE: 10/4/79 Eagan, MN 55711 ZoNng: Cl No. of Units: 1 Owner: mi'l Address: Site Address: --3$$n 5ibla Plumber: 7~thins Plbq F fIY-. Rec. #11754 I agna ro comply with tM Villoga af Eagan Connection Charge•1 tiM nn ia o/~e~, Ordimncas. Accvun[ DeposiC Permit Fee: 10.00 T)d Surchazge: .50 Pa By, Misc. Charges: Date of ]nsp.: Total: Inep : Date Paid: . VILLAGE OF EAGBN WATER SERVICE PERMIT j 3795 Pilot Knob Road PERMIT NO.: 1594 i Eogan, MN 55122 DATE: 10/4/74 . Zoning: Cl No. uf Units: ~ Owner. Midwest Federal Savin s& Loan Address: _ /0 01,7rin ~ o-T Site Adaress: 3880 Siblev Mem HWY P] bec tq eter No./-~' Connection Charge: Size: Account Deposit: R erp.7 o Permit Fee: 10• 00 pd ~/y r ~red ?6 complr with/the i~~a9e af Eagan Surcharqe: •~0 Pd prdinanc~ Misa Charges: ~ To[al: Date Paid: Date of Insp.: Insp.: SUBJEGT: CONDITIONAL USE PERMIT/VARIANCE APPLICANT: NORWEST BANK 14 3 L/5~~ LOCATION: 3880 SIBLEY MEMORIAL ffiGHWAY (LOT 4, BLOCK 1, CEDARVALE 2ND ADDITION) EXISTING ZONING: COMMUNITY SHOPPING CENTER (C5C) DATE OF PUBLIC HEARING: FEBRUARY 25, 1992 DATE OF REPORT: FEBRUARY 12, 1992 COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: Separate applications have been submitted requesting a Conditional Use Permit to allow a 27' tall 125 sq. ft. identification pylon sign and a Variance from the Sign Code spacing standard of 3W. This site is located south of Cedarvale Boulevard at Rahn Road. As proposed, the sign meets Sign Code standards for height and size. BACKGROUND: On February 5, 1991, the City Councii approved a Variance from the Sign Code allotment of one building mounted sign for each major street frontage by allowing Nonvest Bank to replace the First Minnesota bank signs with Norwest Bank and logo signs on all four sides of the building. COMMENTS: The applicant believes that due to a steady decline in the busiriess environment of the Cedarvale Mall area, any effort to increase the visibility of the existing businesses is necessary. Due to the proximity of pylon signs on either side, the proposed bank pylon cannot meet the 300' spacing requirement. The space between the proposed sign and the epsting pylon signs for Firstar Bank and Perkins Restaurant is approximately 160' and 70' respectively. If approved, this Conditional Use Permit shall be subject to the following conditions: 1. The Conditional Use Pemvt and City Council resolution shall be recorded with the Dakota County Recorder within 60 days of approval. 2. The sign shall meet the required 10' setback from property lines. 3. The sign shall be subject to the one-time sign fee of $2.50/sq. ft. 4. All other City Code requirements shall be applicable. - FINANCIAL OBLIGATION • 19-CU-7-1-92, Nocwest Bank Based upon the study of the financial obligations collected in the past and the uses proposed for the property, the following charges aze proposed. The chazges are computed using the City's existing fee schedule and connections proposed to be made to the City's utility system based on the submitted plans. Improvement Use Rate Quantity Amonnt None ~Q -i'_ ' ra E 1. . . _ _ _ 't.~t .~oc• ~~~a• . ~a' _ \ ti~\ .`o.nr~ . . ti nt! e ~ +~I•~ 1' 13 o ,•~!J =i',;;' ..l',.. • _ t; ' ~ ; ( r~r , ~1' .i ;r ;C;:: , n, _ r - e ~ n'~v~.,'. c'•u-~..' 3 -1+"' o .~t : ~ _ • w.o., , 6 n.. - y~ i.. I~F~~j'iUJU ~N . • . i ~ _ + ~4 - ~ ~ f . . VICINITY MAP - CEDARVALE BLVD ,s" ~ - - ~ , ,--Yi.\ ~ ,I----. - ~ = • , ~6" tl'. ' a , ~ FIRSTAR : 1 i - ~ 1 ~ . • .4 ~ , O m CEDARVALE ~ 2 ' . LANES ~ ~ ~ ~ti-`------- Q ~ cc , „ . . . ,•i . . . .~r. ~ I'1 I ~ ; , SUBJECT: VARIANCE ~ APPLICANT: LEROY SIGNS, INC. LOCAITON: 3880 SIBLEY MEMORIAL HIGHWAY LOT 4, BLOCK 2, CEDARVALE 2ND ADDITION EXISTING ZONING: CSC (COMMiJNITY SHOPPING CENTER) DATE OF PUBLIC HEARING: FEBRIIARY 5, 1991 DATE OF REPORT: JANUARY 30, 1991 COMPILED BY: COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION SUMMARY: An application has been submitted by LeRoy Signs, Inc. requesting a Variance to City Code 4.20, Subd. S.A., "Building Mounted Business Signs, Standards. A. Number Permitted. No more than one business sign for each major slreet frontage shall be permitted on a building for each business located within such building". Currently, there are four sets of internally illuminated ]etters reading "First Minnesota" and the logo on the north, south, east and west elevations. The applicant is proposing to remove all four sets of letters and replace them with single face internally iiluminated sign cans reading the Norwest logo, Norwest Banks. Each can will be 4' high x 24'8" wide, for a total of 99 square feet. The applicant feels that it is incumbent upon Norwest Banks to install , enough signage to allow motorists a chance to recognize the bank identification in time to properly slow down and exit. They also feel that for a bank to be a viable and proper business, eaposure is eatremely important and signage on the south facing Beau D'Rue Drive, on the east facing Silver Bell Road, and on the west facing Rahn Road, is essential for proper identification. Removal of the old "First Minnesota" signage and installation of the new "Norwest" signage will reduce the total existing square footage by 200 square feet. If approved, this Variance shall be subject to all applicable Code requirements. I CfDAR.VALE SOULEVARD ~i nnsrnrmer Pole ~ (Over{read Power line _ * ~ San Sew Monhole Nydranf I o ri' I CNO. BRG ° S48°39'12"M~ I p = O°16'23„ ...--_L_109.99 R'23,0"70.62 ~ ~ . i Fla rPo(e o ?C. ~ W ork I Jl. . ~ ^ .-,9.'s4 `N is. o • ~2 10-1 ~P I 22i1 Q O4S7-.- o V T N 1..-t ip OO Slory a S~9~n ~ W ~ $rick Builcling ~ 4 2 J 1. 1 ~ . 0.94'_ _ . . /3 12 ~0 6$ 94 ~ I 7i ~S C r COlIC / m - ~ p`P ~ Wolk Si9^ .NnO p l d _ . c0Zr Cona CurS ~ - _ - I 8i /um inous ---Nof Tonge4 COnCreiP ' ~ Q t a~ Bifuminous Parkirg m i ~ N 1 ~ W . O 7 000~ ` too~ o ro v v~ , , - ~ - I f, 4; ~ urrlu:enn4-~O%V4 No:9.zb ' Address: 3860 s4ft.rTMMW?a.~ , . j ~ HAq i ~ Sign No.: OZO-Z Rpprox. Size: 3b~ K~~~on Type: ~~L3TTPr,RS P~-41,AI.Rr[ Rep(ace: Yes~„ No_ Repaint/Reface: Yes No Type: $ Page 2 of '5 I_ ` ~Ps ~ I~~I a + j i 1LI~LJ'I + • ~ : i S'9H'• ~ a C _ a ~ ~ ol : . I `'i' ~ E r , - ° ; r y ~ 1 I D ~ 3 ~ OM i~ aE . ~ 2 9 u o ° a ~ a , x ~ - ~po,2~ ~ ^ f~ m !4 I ~ { C I t I ~ ! i l Y Il . ~ : ~ , t a A~ ~ Y M1~ • ~4 v , . T 4 ~ ~ + _ - .r ~ I/ I}f~ T~ ? y . ~ R W" . . . . ' " . ` ~ t _ . . 4 . . . ~A /o oiqod ~aa os MASTER CARD LOCATION,S~-~~P1/ ~/~P ~YII4 p~d~D ~t..°C j4 7 OWNER STRUCTURE AND IAND USED AS Issued To Permit No. Issued Contrattor Owner BUILDING PLUMBI NG T- CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING O GAS INS7ALLING SANITARY SEWER OTHER OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING 1 ~ SEPTIC FOLINDATION 3'74 ,Z7?J 7'~ CESSPOOL FRAMING ;7 TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING S- WEII SANITARY SEWER - Violations Noted on 8ack COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ~ NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR ~ DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E OEIAYED flY CONDfTIONS BEYOND CONiROL. ? NON-COMPUANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -I certify that I have carefully inspected the above in which I have no interes[ present or prospective, and that I have reported herein all significant conditions observed to 6e at variance with ordinances of xhe Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BLIILDING INSPECTOR OATE COMMENTS: aa 41~ CONTIZACTOR'S MATERIAL & TEST CERTIFICATE ' PART "A" GENERAL PROCEDURE IIPON COMPLETION OF WORI(. INSPEGTION AND TESTS SHALL 9E MADE BY Tt1E CONTPACI'00.'S R2PRESENTATIVE AND WITNESSED BY AN OWNER'S RL'PAESENTATIVE ALL DEPECTS SHALL BE CORRECTEU AND SYSTEM LEFT IN SERVICE BEPORE CONTRACfOR'S MEN PINALLY LEAVE THE 106. . A CERTIPICATE SHALL BE FILLED OUT AND SIGNED 0Y BOTH REPpESENTATIVES, COPIES SHALL BE PREVAPF.D FGR APPROVINC AIITNORITIES. OWNERS dNp CON'I'RACTOR. IT IS UNDEPSTOOD THE OWNER'S R2PRPS8NTATIVE'S SIGNATURE'IN KO WAl' PPEIOOICES ANY CLAIM AGAINST CONTRACTOR FOR PAULTY MATERIAL. POOI1 WOAKMANSNIP. OR FAILURE TO COMPLY WITN APPPOVING AUTHORITY'S REOIUIREMENTS OR LOGL ORDINANCES. PHOPF.NTY NAME DATE MlnnmsOLo FOders) 3/12/75 PPOPERTY AODHE55 ' - tsdervale Shopplng tente? fsgen. Minnesota ACCEPfED BY APPROVING AUTHORITY("S) NAMPS Imuranes Sarriees Ofttee of Minnesoto ADD0.E55 PLANSjKOIY6 SpYjI1 SIXCFI Stl'!!L --ROwm 1229 Mpls.. WTrm. 55402 IN51'ALLATION CONFOPMS TO ACCEPI'ED PLAN& . yEy M np 0 EQUIPMENT USED IS APPROVED x[5 ~ rvo ? IF NO, STATE DEVIATIONS MAS PERSON 1N CHAPGE OP PIPE EpU1PMENT BEEN INaTRUCTED AS TO LOCATIOA OP CONTROL VACVES AND CARE OP'CHIS NEW EOUIpMENT? v[s ~ na ? IP NO. C%PLAIN INSTRUC- TIONS HAS A COPY OF INSTRUCTION AND MAINTENANCe CHAPT BEEN , LEFf AT PLANT? vss ~ vo ? IP NO. EXPLAIN FI.UHHIVG: 1'Io,ILr iwquIrM .,Ie untii wvter in clear :w inelirnted Gy nn enllecllon of lnrciBn ma[ezlal In burlap M1flB- nt outleta auch nn ns' rents an blow-otta. Flnnh xt Oowa nut lenu thnn ]un i:1'pl Lm 6-inah piPe and smnlleq 1000 OI`\f (or 9-0nch UiOe, 1000 OP[d }or 1.0-Inch Ti?e, flnn 21100 OP11 Inr li. tl'h PIper. N'he11 ~UIiItI\' illuol nron„o„ fiiinmiAtea now 1'x11, (111:1111 IIlfl%lflllllll iIVTIlAl11P. 't'ES'r H\'DROSTA'I'If: H)'drns[atic LeMe shull Le mnAv nt nnt L- LA.ui "_UO PSI Ort v n houre or 60PBI above elnllc prceaurc In excess of 150 P51. Differen[ial Ci'>'-TITe aqhve clnPPe,rn xpnll ye IeB oVen tluring trvi tu pi'evem d:unn6e. AII 4noverrouna PlplnH IenknBe xM1allbe bloPPed. DESCRIP- newxwct:: New nun.. iida wnn rw,iorx~Axr1«a lomaK ..n:ai, u nin. +..rknown.n, i, n:ah.rxcaor, e.vc IiWe n no IeakaBe al the lninte. TOr xniannt nf leukxge :u the ]ointe nFxli nnt exeeed : nnarta per hunr ner 300 )ninta Irreepectieely ot ylpe Qlametee The lenkage xhnll ee din- trlbutetl ncpr nll jnintu. If x1vM1 lexknge n n[ a lew julntr tbe inelnllfl[lon xtwll bn conxideied Ynentlefrtetop' nntl k- nq~ repnirx TfON ina°e. ~ew ~,il,e laia wim ~~nuiaea leaa cir pe,.a~dueKtume l~nimr ..n,u, ie <ne workmanehIV ie .+~tisrncmrr, na.~e ume or o ie~~xage :.i me JoAntx. wn)' }ant M1avinH lenkx6e or more thpn a"a11RM1t drip' i weepinR' sheII be reDalred. Llaknse ehall nn[ exceed t n. tG(piltl ie. n ure) uer huur per Inch of ploe diemeter' per )nlnt. The leaknge xhnll he dlnlriLUted over all ]oinU. I} aueh lenkage oixurx nlinuuteu- ' llrely xt a few ju6R», lM1e Inxtollntlon nhxll Le ennnideretl u»n:nUnfnrtnp' and nereexury repalra mude. V]Y;l!>IATIC: F,etxbllsh 40 PSI alr prensure Yfld lI1CAAl11'P 111'up WIIIfA BIIAII IIOL PSfPPC SA FSl In 'Lf M1nurn. Teat preesurc tanks 8t mOrmal . wa[er level and eir Preesure and mexeure air pn-vure iirup whloh eM1all nn[ exceed ]K P51 In 21 hours. PART "B" - UNDERGROUND PIPING FEEDS BLDGS. L°C^TI°NUy Meehante.) eoneraeeor PIPE TVPtS ANO CLA55 ~ TYPE )OINT UNDER- GROUND CONPORMS TO $TANDAPD YES ? rvu ? IF NO. E%PLAIN , PIPES , EEDING AND AJOINTS WITH CHORAGE CIAMPED. STRAPyTAN ARDACKED IN ves ? no ? .TOINTS IF NO. EXPLAIN TESTS FLUSHING HYDROSTATiC . LEAKAGE REQUIftED NEW ONDEPGROl1ND PIPING FLtJSHED ACCORnING TO_ STANDARD yEy ~ BY (COMPANYI HOW ELIISHING FLOW WAS OBTAINED: PUBLIC N'ATf'.x ~ iANR f1M 0.F.SEPVOIR E) YIPE PUMr C3 THROUGH WHAP TVPE OPENING: FLUSHING , Hro. eun. ? oreh rIee ? LEAD-INS FLI35HED ACCOkDING TO STANDARO yEg ~ TESTS tlY (COMPANY) HOW FLIlSHiNG FLOW W'AS OHTAINED: ' PG6LIC WAiEP ? TAP'A OP XESF.R4U11i ? "PE PLMP ~ IHRDIIGH WHAT TVPEOPENING: ~ . Y f.ONN. TO l & SPIf.Oi ~ OPEB PIPE ? Porm Na. 85 R<v. Mq. 1973 . . . _ ' . . . - . . ' Pnmed m U S.A. HYORuSTA'TIC ALL NEW IINDERG0.0pN0 PIPING HYDROSTATICALLY'lPSTED AT ~ TEST P51 POR HOIIRS TOTA1. AMOIINT OP LP,AKAGE MEASUREp LEAKAGE . ceis. linuns TFST ALLOWABLB L8A1(AG8 ' " . GALS. HOURS NIIMBE0. INSTALLED TYPE AND MAKB HY?RANTS ALL OPF:qATE SATISPACTO0.1LY xEe ? eo ? IVATF.P CONTPOL VALVES LEPT WIDE OPEN: ygg ~ NO ? CONTRUL II' NO. STATE REASON ' VALVES HOSE TMREAOS OP FIRP. DEPAPTMENT CONNE[CI'IONS ANO IIYDPANTS INTERCHANGEABLE WITH THOSF. OF PIRE DEPAPTMENT ANSWERING ALARM? Y[5 ? x0 ? 1 DATE LEFf IN 58RVICE . REMARKS I PAR75 A& B ""Me or SPRiNKLER COMRACTOR POR PROPERTY OWNER (SIGN8D) TITLE I POR SPRINKLER CONTRACTOR (SIGNEO) DATE SIGNATl1RE5 TESTS WITNES580 BY TirLe nAre PART SPRINKLER 6 WATER SPRAY ABOVEGROiIND PIPING (PILL OUT 58PARATE PAPT "C" POR fiACH RISPRI - LOCATION ~ ~ -~~SERVPS BLDGS.: .~~~`a Qlor ~~FM`ly . •fESTS ITYDROSTATIC: ALL PiPING. , REQUIHEU PNEUMATIC: DRY PIPING. DRAiN: EQUIPMENT OPERATION: ALL. MAKE MODEL SIZE QIJANTITY TEMPCPATLIRE SPRINKLERS pATING oR Mliabl• A 1/2" Orlti 37 165-212 Degtaes SPRAY Stsr D 1J2" or1I1 25 165-212 Uegreas NOZZLES PIPE AND MATERIAL AND KIND CONPORMS TO N. F. • • 51'ANOARO FITTINGS IP NONE, E%PLAIN A L A R M O E V 1 C¢ MAXIMOM TIME TO OPERATE THROUGH TEST PIPE ALARbf VAIAE - - O8 FI.OW„ TYPE MARE _ MOOEL MIN. _ SEG. INDICATOR VaM POtt~~ 3 1/2 _ G -$0- , OPeRATING TPST R85ULT5, DRY MaKE MODEL SER. T PIOIIGHOTEST PIPE WATER AIR ppIM WATCR ALARM R8ACH8D OPERATEO NO. WITHOUT WITN PR855. PRE55. 'VQ TEST PROPERLY PIPE p. O. D. Q. O. D. PRESS. OOTLLT MIN. SEC. MI:1. SEC. M.I. P.S.I. P.S.I. MIN. 5¢C. YES NO VALVF.S IP NO. E LIIN OPEPATION: PryEUMATIC ? ELECT61f. ? HYMALWC ? PIPING SUPEPVISBD: yqy ~ No ? DETECfING MEDIA SIIPEPVISED: ygg DELUGE ppES VALVE OPERATE F0.0M TNE MANOAL TPIe AND/OR REMOTe CONTROL STATION51 ygfi ? Ho ? & IS THERB AN ACCESSIBLE FACILITY IN EACH CIPCIIIT FOR TC•STINGI rH8 ? no ? IP NO. E%PUIN PREACTION VAI.VE$ ' T F.4('iI qRCt11T OPEPATE DO¢S EACH CIWCUIT OPER/~T8 MA%IMOM TIME TO MA%C MO~F.[. tillPeaVI510N LO55 ALARMI "ALVE R8L8AS8i OPERATE RELEASE: YES ND YES NO MIN. SEC. ALL PIPiNG HYD0.0STATICALLY TESTED AT P51 POR HOIIRS DRY PIPING PNEUMATICALLY TESTED: Ves ? no Q TESTS EQUIPAtENT OPERATES PROPERLY: ycs ~ no ? IF ND. STATE REASON DRAM TF.STR2ADING OF GAGE LOCATFD NF.RR WP'I'Ifk 511PP1.1'TF1T IIIPE RESIDIIAL PPCSSURE WITH VALVE IN T[ST PIPY.OPYN WIUY STATIC VRESSIIPE PSI P51 NIJMBER USEO None LOCATIDYS NOMBER REMOVEO BLANK TESTING wriA,En on nnezeo 4riNc - _ rk- p „a IR YF.S, Tll y011 (`F.R1 I1+v AV TfIP•. Sl'RINI:I.F,R I'IF9`ItA' TCiH'191A9' THF: WF.I,D2H5 OH HRAZERfl ARF. QiIAi.IF1ED FOR WEI,1l CAShI'.TS IN,: !iR IIItA%IN(I IN A,'I'~1ItPAYCF: \VITN TIIS 1WQIIIIi.P:11F:N9'K Of' ASNF. PNLfiR AND PRESSURE VF.SSEI, t`ODF.. RF.Cq'IU\ Ir. t1UA1.IF'WA'f104 STARUAIiP F'OR WE[.PIKI: AYn IiRALINI: 1'it0I9K1r111<t:F, WI•;LPF.ItS, llRAZERS. AND WELDINI] ANI] NHAZINI: 1n'F:Hd'fOflS-1969 F:D1990N. YC! ? MO 0 UATF. IPFI' IN SF,RVICE \\'IT11 All. CONTROI. VAIVFti OPEN. REMARKS ~t ER ` ORA ' R PPOPERTrr/„,,O ~ ISIGNED) TITL PART .~C~~ ~j~"-~-..ccrYG SIGNATURE$ ' TFOR SFRINKLER CONT IiSTS WITNESSED B TITLE DATL~-~" . 'l FERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: ~ U~ 9~ ~ N G (612) 681-4675 Date Issued: 0 7/ 0 6/ 9 8 SITE ADDRESS: 3880 SIBLEY MEMORIAL HWY LOT: 4 BLOCK: 1 CEDARVALE 2ND P.S.N.: 10-16901-040-01 DESCRIPTION: REROOF B,uildirr§?._.Permit Type MISC. building Work Type ALTERATION :"'Cer1sGS Code~~~437 ALT. NONRES. J.. l'.. . .mr-_ . : . . -i .n'.!'. - v.". . . ~ . i : ~ 1 . REMARKS: , FEE SUMMARY: - ; Base Fee Surcharge Total Fee . . . . 'C~!. . . '('}..l:t( . . COIATRACTOR: - Ai UWNER: A'PLUS ROOFING .._-.ov36 ZIMMER DAVE 10b3 E CLIFF RD 3880 SIBLEY MEMORIAL HWY BURNSVILLE MN 55337 ERGAN MN 55122 (612) 894-5435 (612)686-0100 I hereby acknawledge that I have read this application and state that the informatian is correct and agrae to comply with all applicable State oF Mn. Statutes and City of Eagan Ordinances. APPLICANT/PEFMITEE SIGNATURE ~ S D BV: SI E 3zq2q 1998 BUILDING PERMIT APPLICATIOIQ (COMMERCIAL) 2• ~ CITY OF EAGAN 681-4675 Submit followin to obtain necessary ermit Foundation Onl New Construction Interior Im rovement structurel plans (2 sets) archiledural plans (2 sets) archilectu2l plans (2 sets) civil plans (2 sets) structural plans (2 sets) eode enalysis (t) " code anatysis (1) " civil plans (2 sets) projeG specs (1 set) soils report (7) Iandscaping plans (2 sets) Key Plan project specs (t) code anatysis (1) " energy calculations (t) rrotaMreys " Special Inspedions & Testing Schedule " soils report (1) Electric Power 8 Lighting Fortn (7) not aAveys " SAC detertnination letter from MGWS - SAC detertnination letter from MCIWS - SAC detertnfnation latter from MCIWS - cali 602-1000 ca11 602-7 000 ca11602-1000 SpeGal Inspectfons 8 Testlng Schetlule (7) " project specs (1) energy calwlations (1) " Electric Power 8 Li hting Fortn (1 " " Contact Building Inspections for sample Food 8 Beverage or Lodging facilities: Plen must be submitted to Minnesota Department of HeaRh. Call 215-0700 far details. DATE:_'? ' 6 ° 9t?~ WORK TYPE: _ NEW REMODEL DESCRIPTION OF WOR~ 9~leppj 1~~/pv~ ~1g Z~w.w.&k CONSTRUCTION COST: o~Z~S00a 0 0 TENANT NAME: M/;, C?.E~S~i~T(.tnJc~ SITEADDRESS: 9S'$0 Sil3Ls /n e,e~s~1 a? _ SUITE LOT--~- BLOCKSUBD. P.I.D.# Name: z/r+v+EYc' l~AUC, Phone ((D~o~~ (D 96' O/ Oo PROPERTY Last F'vst OWNER SueetAddress: ~880 S.QLEy mrr~o~~.aL gu!/ Ciry rA(rA,) Scace: Zip: Company: _n /_l N S ROO/~,J(r' Phone 4/o2~ CONTRACTOR Street Address: jQ03 E. e1 i%% Q5J . License # City 12uRn74?,LLe` State: M~ Zip: 55~3`7 ARCHITECT/ ENGINEER Company: Phone ti: Name: Registration Street Address: City State: Zip: S ( y'rf installing sewer 8 water): 1 a ed e` I h ad this application and state that the iMortnation is correct and agree to comply with all applicable State of M ta~tesjr~ 'f, o a n Ordinances. Signature of Appliwnt: d. OFFICE USE ONLY ~ " ~ BUILDING PERMIT TYPE ? 01 Foundation 19 Comm./lnd. Misc. ? 21 Miscellaneous 0 18 Comm./Ind. ? 20 Public Facility WORK TYPE P2.1 O 31 New 3 Alterations ~ O 35 Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zonin9 sq. ft. Census Code # of Stories sq, ft. SAC Code d Length sq. ft. Census Bldg. / Depth Footprint sq. ft. Census Unit ~ APPROVALS Planning Building A Engineering Variance ~ Permit Fee Valuation: $ Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: °k SAC SAC Units Meter Size ~ ~ tr ~ v Address: NE Corner Rahn Rd. & Besu-d-rt:s Date 3-8-79 Owner: D.C.R. company Order No. TO 26460 GENTLEMEN: PLEASE COMPLETE THIS PENDING AND/OR SPECIAI, ASSESSMENT SEARCH AND KINDLY RETURN IT TO US ALONG WITH YOUR STATEMENT OF CHARGES T0: NORTH STAR ABSTRACT & TITLE GUARANTY, INC. 501 Second Avenue South Minneapolis, Minnesota 55402 SPECIAL IMPROVEMENTS On all that tract or parcel of land lying and beinq in Daknta County, Minneaota, described as follows to-wit: See Attached: parcel k 10 01900 O11 OS SPECIAL ASSESSMENTS 1 ~ This ie to certify that- -3~-have-examined_the--recorda-in`the office of the Clerk, Villaqe/City/TOwnahip of , _DAkota County, Minnesota, and from such eearc cer i y t a t e ol ow ng spec a assessmente appear unpaid with reapect to the above deacribed tract or parcel of land: (If none, write "NONE".) Total Amount Unpaid Original Subsequent to Kind of Improvement Term Be innina Amount interest Current Year NONE PENDING ASSESSMENTS I further certify that according to the records of said office, the followinq improvementa are contemplated or pendinq in council, and are now in the process of planning or completion: (if none, write "NONE".) Approximate Date of Approximate Cost Kind of Improvement Confirmation or Completion of Imnronement NONE Dated this 13th day of Harch~. 19 79 . erASSESSMENT CLEP.K Charge•_ $5.00 Paid Village/City/TOwnship of c;rx of Faga., NS-TZ 116A V /w`7~ CITY USE ONLY ~ L ~ BL ~ RECEIPT#: ~919U SUBD. N~l"--- Cx' RECEIPT DATE: 1998 MECBANICAI, PERMIT (CO1+MERCIAI,) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, !N 55122 (612) 681-4675 Please complete for all commerciaVindustrial buildings multi-family buildings when separate permfts are not required for each dwelting unit DATE: 1/0 `-3 9e CONTRACT PRICE: ~ -T WORK TYPE: NEW CONSTRUCTION ?/INTERIOR IMPROVEMENT DESCRIPTION OF WORK: -fr-NA..114Q r/.ELcQ4C:~s' ~f.?O ~f/'a~v C'6v/Jw..i.B ~/'U1~. FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 ~ CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE r STATE SURCHARGE ($.50 per $ 1,000 of Pennit fee due on all permits.) TOTAL SITE ADDRESS: OWNERNAME: PHONE#: TENf1N'T NAME (IMPROVEMENTS ONL1): INSTALLER: ww_ C' AnDxESS: PxorE#: CITY: STATE: -4~VAJ- ZIP: SIGNAYUltE OF PERMITTEE CITY INSPECTOR CITY USE ONd.Y LOT BL RECEIPT SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IQd08 RD EACAN MIIt 55122 (612) 661-4675 Date• Complete this section onlv if you are installing HVAC in single family, townhomes or condos under consWction 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.) • 5tate Surcharge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical pemut 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 Surchazge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: PHONE STREET ADDRESS: CITY: STATE: ZIP: SIGNATCJRE OF PERMITfEE 1S/fORMS BLD/ME.CH PEINffC (ItFS) - 1998 City of Eapi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 3 (itr46/ I Use BLUE or BLACK Ink Permit # 6: C/31 ((9 Permit Fee: Date Received: - Staff: l� 2010 COMMERCIAL P MB G PER 1T PPLICATION ID : 3 0 ��Y \ Site Address. Tenant: Suite #: PROPERTY OWNER Name: Phone: CONTRACTOR ` Name: 1r \� \ "IP° I License #: ECX5Address:''' [ I 0 t `� 1 n d • V� `+ City: 0.`m Stater • Zip; .2 Phone:C5 )"' 3)9— 111 3 ( Email: TYPE OF WORK _ New Replacement Repair ! Re uild Modify Space in R.O.W. _ _Work t-of work X t- �e 5 4- � i vv PERMIT TYPE COMMERCIAL New Construction _ Modify Space Irrigation System ( yes / no) ( RPZ / _ PVB) _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. _ Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% Required - If Permit Fee is less than = $ Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ 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). = $ 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 $ 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.copherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conforms t understan• is is not a permit, but only an application for a permit, and work is not to start without plan i =se •f rk ch requires a review and approval of plans. x rice wit Applicant's Printed Name e inan s and codes of the City of Eagan; that I a will be in accordance with the approved is Signature FOR OFFICE USE Required Inspections: Under Ground _Roug'h-1 r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit* Permit Fee: Date Received: Staff: 17(� 2013 SEWER AND WATER REPAIR / DISCONNECT PERMIT Date: Fee: $65.00 City Sewer City Water Repair Disconnect Description Of Work: /2j SL & C i.7�,e' , 1V9 /� 4 4��,e - Street Address for Proposed Work ?ST.�— Owner Information Name e2g42 �`%/ti C411"/11/11/.77 Address / City / A47, Applicant is: Owner Contractor _ Licensed Pipelayer Master Plumber Name: d 5,4?``—� Property Owner Phone: yey Address / City / Zip:. .;2 ' — 7,M,c ' 67 57.1.447,1,=4 iw• 13.212 Pipelayer Training Certification Card #: or Master Plumber License #: I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a permit, and work is not to start without a permit. g,41 y Applicant (Print Name) Applicant's Signature CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground, utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: OG) Permit Fee: Date Received: 4'1°11)3 Staff: I!� 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 5%/,3 Site Address: snv 32by_6-frimcgmL Iii/owz<JA y Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: 94/7 6fJV/O// Name: wr Phone: Address / City / Zip: 1.2,2* --Tali / ✓' E OR, Ue EA4i4N Applicant is: Owner `4 Contractor Description of work: PM/04/ 77U1 - Construction Cost: it 3Z 00C Name: )gA77--nG7iv6— / 4T) vtl,E5 License #: Address: 5205 'Plat 1City: Lf'%7ZE et4A44 State: 41/1 % Zip: S.-57/ 7 Phone: 6S-1-9 f" 1-1-0 4P1IS Contact: G /3 Email:d1/'/5 i('r/er ethViCev. Yte'S . cool Name: 11%4 Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE:Pans ntd.sup irting'd um rt'ts>> u, ubmit corirsi tEri fn r isnr-', .� 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 con ance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application p %`F, and work is not to start 'thout a permit; that the work will be in accordance with the approved plan in the case of w. res a review and appro o tans. x490?/5 Me -Mg -A/D Applicant's Printed Name icant' ignature Page 1 of 3