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7975
12 01/01
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxie Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING APPLICATION
DATE: November 12, 2010
TO: Tom Colbert/Wayne Schwanz (EM) Fax #: (651) 675-5694
RE: Well Permit #: 10-H288437
Well Type: Domestic
Municipality: Eagan Environmental Specialist: Demuth
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) 891-7557. 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: KIMMES BAUER INC.
Date Application Received: 11/10/2010
Anticipated Drilling Date: Time:
Anticipated Grouting Date: Time:
Property Owner:
Well Owner:
City Of Eagan
City Of Eagan
WELL LOCATION:
PLS Coordinates: 1/4, SW 1/4, NE 1/4, NE 1/4, Sec 19 Town 027 Range 23
Street Address: 3900 SIBLEY MEMORIAL HWY
PIN Number: 100190001006
WELL INFORMATION:
Diameter: 4
Casing Depth: 222
Total Depth: 239
Static Water Level:
Aquifer:
COMMENTS:
8524
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 ' ' ' ' • ' "
9 Date Issued:
(612) 681-4675
SITE ADDRESS: F APPLICANT:
iltl f.Y Mt"MORiA1 HNY
, , i ,:i, ~ , , ~ • ; ..,i : i • i
PERMIT SUBTYPE: TYPE OF WORK:
, . ~ ~ . ~ , ,
INSPECTION .A .
~ ~
Permit No. Permlt Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
inspectton Data Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'
INSPECTION RECURD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued: '
(612) 681-4675
SITE ADDRESS: APPLICANT:
MF Mr?r'lAt MlV
~ , ~ ; ~ , ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A . DA
~
I -
PermR No. PermR Holder DaUe Telsphone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Commerita
Footings 1
Fou?xiation
Freming
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
8ldg. Final
Deck Ftg.
Deck Flnal
weli
Pr. Disp.
INSPECTION REC4RD
CITY 4F EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
. ~111V Y MPMOR7AL FIWY
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
, GO S~
~ '
Pertnit No. Permit Moldsr Dete Tslephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGN
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
tNSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTCi
ORSAT
TEST
BLDG FINAL . ...~,p ~
BSMT R.I.
~
BSMT FINAL I
~
DECK FfG I
DECK FINAL I
~
~
I
#
~Ce~.~- ~ J~Va
,p~
~ o PERMIT #
1~~U1p.9
IJ~`'& MECHANICAL PERMIT RECEIPT # f CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: y
CONTRACT PRICE PHONE: 454-8100 For Office Use Only:
Site Address 'BLDG. TYPE WORK DESCRIPTION
Lot 81ock Sec/Sub Res. New
Mult Add-on
y Name Cornm. Repair
Address
c City Phone ` Other ~ t
FEES
~ Name, J RES. HVAC 0-100 M BTU -$24.00
c AddreSS ADDITIONAL 50 M BTU - 6.00
p City Phone - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # •9EYdND $1,000)
Oth@r
FEE:
SIGNATURE OF PEfiMITTEE;
, f
S/C: -
;%E:t
TOTAL• U~' y~ FOR: CITY OF EAGAN
~
~
~
~
v
EAGAN "r'OVI/NSHIP
N° 1382
BUILDING PERMIT
Ownex "'--'_11="--~L~.`.....~'~...d..'...---------`--'--------------------- EaBan Township
Addcess (presenS) _~ttc^.~-„~._.C.41.4~:.~.~a~ Town Hall
Buildex ---..--lr'.~V..fx!carC'.. .:....~t'.:--d`-
`
^ Dafe
Address
.Z-Z3.:7
DESCRIPTION
Sfoxies To Se Used For Fron! Depih Heighi Esi. Cosf 'Permi! Feu Remarks
~ / i ? ~C-rJ / Ga L ~o ~A9oj *'°`o l~l _1`.H "~7,
~
LOCATION
Sfreel, Aoad ar other Descriplion af Localioa I Lo! Slock Addifion or Traei
X~/(/E~ ~.Lc„. /9 I 10 9 1900 030 0
This pesmif does not aufhorize the use of sireeis, roads, aileps or sidewalks nor does if give the ownes or his ageaS
the right !o areafe anp sifualion which is a nuisance or which presenSs a hasazd !o the healih, safefy, convenience end
general welfere fo anyone in the communify.
THIS PERMIT MUST BE KEPT ON THE P,pREMISE WHILE THE WORK IS IN PROGRESS. ,
! erect a ---._.upoa
This is io cerfifp, lhaf..-7~ - S4r~~:-------.._'- ..haa Permisaioao
!he above described psemise su6jecfo !he provisions of the Building Ordinance for Eagan To+Anship adopfed April 11,
1955. /J / /~~~y~ .........'-'--'....--"_-'...,~!1c~...Q..~.`.Cl.~^.^.'__......... Per --'---~'s~-{-~-'..._Q~-fg~
Chairman of Town Board < Buildin Ins eefor
&-6
EAGAN TOWNSHIP No 1541
BUILDING PERMIT
.l.
Ownex ._.JQ'~ =^'JG.~. . Eaqan Township
Address (Presenf)- ..-33~"._.~1.~~..-...~I._.-' Town Hall
Buildez
Dala
Address
DESCRIPTION
Siories To Se Used For Fronf Depih Heighi Esi. Cos! Permif Fee Remerks
LOCATION
Sireef, Road or olher Descripiion of Locafion I Lo! Block ~ Addiiion or Txaei
o/O o%
This permii does noi auihorise the use of sireeis, roads, alleps or sidewalks aor does it give the owner or his agen!
the xighiio creale any siivalion whieh is a nuisance or which presenfs a hesard !o the healih, safely, convenience and
general welfase !o enyone in the communiip.
THIS PEAMIT MUST BE K£PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlify, lhaf.../_..4&. .............haspermission !o ereet a._x.....~...6.......~-.......'....................... upon
the above deseribed pzemise subjee! 2o the rovisions of the Suilding Ordinance for Eagan Township adopled Apxil 11,
1955.
fl.4:~G. u ~.?m~!C:c. w!`~..._......____.
. f......'_"'
1:: . .~..b.-..,..-_.._....... Per
Cheirman of awn Board Building Inspeefor
' /3 .
16 ai9cIa oia
TOwN OF EAGAN
3795 Pilot Knob Road
st. Paui, Minn. 55111
PEWIT NO.: 20
'Phe Board of Supervisora hereby grants toWenzeL_k,Lymping..blleaLiugiTne.
ef 195,Z` Sha, ctee Roado, St_ Paul 55111 a Plumhina
Permit Por: (Owner) DCit (Mr. Steak) at 3900 SihiPy MpmTWr_
purauant to application dated
Fee Paid: ~i~Q,00 Dated this 30th day of octahar, ~ 197Q•
Suilding Inspector
f
EAGAN tOWNSHIP
BUILDING PERMIT N~ 2785
Ownex ..y.._ ....~...._9.~../4L~.e...~~.....lY~..Eagan Township
? ! ~~/J /
Address (presen3J .....fl1...9Q.Q.._r7...u(FL[1 Town Hall
£/a-f/fr.~,~ ~79~ • .S's' / ~h-'~ %
Builder / ._....G:C.1.
' - Dale
Addrass ...~V`.~....1~?/.." - ' DESCRIPTION
Sfories To e Us d For Fronf Depih Height Esl. Cost e mii F Aemarks
~ -co
~ • 3~ba,° 9'afg7 a
LOCATION ~
Street, Aoad or oiher Descripiion of Locelion I Lot ock Addition or Tract
1'his permit does nof av2hoxize !he use of ~ ireels, roads, alleys or sidewelks nor does it give the owner or h[s egen!
the righ2to create anp silualion whieh is a nuisanee os which pzesenfs a hezard !o the dealfh, safetp, coavenieaca and
general melfare !o aapone in the eommunify.
THIS PERMIT MUST BE P5L.~~ TH PR/EMISE WHILE THE WORK I5 IN P RESS.
Tbis is to cerlifp. ffiei. 0nf.R...-.° .............has permission !o erect a...~NA1~..~.., _npoa
the above described pse~q~s subjee! !o the provisions of the Bu' rdinanee for Eag T wnsiup ad ted April 11,
1955./ ///~/_/44.
lCF. ...fY°-- Per ~JCI ~.d~ j~:
-
Chairman oE Town Board Suilding
Inspacior
Eagan Township pEAMIT NO. .~7
Dakoia CovnSy. Minnesola Dafe
- - J
Application for Bnilding Permit
Tppe of building or work conlemplafed. Cirele corsect descripfion3.
~
Aesideatial Commercial ~ Industrial OfOer----------------------
~
Euild Enlarge Aller Repair Insiall Move Wreck OShec-------------------------- "
~
Dimeaeioas.__---- Cosi.~~ n~. d C'
°
Delails or remarks...- -----/_.Y~.C.iL.....__....... R 1
~
Location jfi~
Number Sfree! y Beiween whet cross s Si Esl. Valuafion
7l00
Loi Block Addifion Rearrangemen2 or Txac
Ownes
~1--'---""'-'-°'-- Address
Address .
f~ ~~r, s p -
~C a'• S~ The undersigeed herebp makes apalicalioa for a permif !o
7~s do work as herein speeified, agreeing !o do all work in siricf
T013 r a ecSe aceordance wilh fhe building ardinance adopled April 11, 1955
bp !he Eagaa Township Board of Supervisoss.
r a o!
- ~ l,f--l~...".'"i- ' - - - .
--j~~
1 SiSne
EAGAN TOWNSHtP
BUILDING PERMIT N°• 2565
Ownax 4~~.._.'.'----_....._ . . . . . . ' Ea4an Township
v • ~
~
Address (Preseni) .t3.1........°-.--•------------ ----~!!.t,.G.:r~---------------- Town I3e11
Suilder
, Dale 1
....~.°..~.`(...~7
Addrees .........~..~.`.......r.!-':
i%
DESCRIPTION
SSOSies To Sa Used Fos Fronf Depih Haigh! Eei. Coe! Pesmii Fee Aemarks
I/
LOCATION
Streel, Roed or olher Descrlpfion of LoaaSion I Lo! Slock Addliioa or Trac!
c-9 ,:~c.~~., ~7+~-,-Y. • /54,.{r- D/O p!s ~ /d 01900 o/o o &
This permit does noi au2hori:e the use of slreels, roads, alleye os sidewalks nor doea it give the owner~ or hia agen!
the righl !o ereafe anp siluation which is a nuisaece or whieh presenfs a haaard to the health, safelp, coavenienee aad
general welfare !o anpone in the eommunify.
TFIIS PERMIT MUST BE ~KE!7PTpq, N, TH_EPREMISE WHILE THE WORK IS IN PROGRESS.
This is fo eer3if fhal.,,K:... .d.._ `
.....has ermissIon fo ereei a
y' P 1.:r ................°°----upon
the above described psemise euejeci !o the provisions of the Building Ordinance for £agan Township adopfed AgrA 11,
1955.
~j- ~q~
Per ~Y.
1.""""" 1,7
~
. _
Chairman ~ Rnwn Board ~ Building Inepector
~
EAGAN TOWNSHIP
BUILDING PERMIT N° 2001
Owae= . . ~2~~?... ? Ea4an Townahi
~ ....-e`0~
Address (presen!) _.......2...:.:d......""`.^. Town Hall
. . P
Suilder -..'-----S~o.-r..-4Z.----- S /8 lC
Dale
Address
DESCRIPTION
Siosies- To Be Used For Froni Depih Heighl Est. Cos! Permit Fee Remarke
y 7,
LOCATION
Slreef, Aoad or ofher Descriplion of Locaiion I Lo! Bloek Addifion or Trae!
Ola O(o Z oiJ »
This permit does aot aulhorise the use of sireels, roadn, alleys ar sidewalka nor does it give the owner or his aqen!
the sight to ereaie anq situation whieh is a nuisance or whieh preeents a hazard !o the heetth, safefp, convenienee and
general meltare !o anpona in the communify.
THIS PERMIT MUST B,~E/ ~K~gpp T ON THE P MIS WHILE THE WOAK IS IN PROGRESS.
Thls u!o eerlifp. !hel.../l.....~"_...._2!:'.C.._...~j..J1.7..`.~.._._...has Permission !o essela~_.' .`.~:'.^.7.'.`.."~..._"_"_""."_".._upoa
the a6ove deseribed premise suLjec2 fo the pcovisiom of the Building Ordinance foz Eagan Townahip adoptad April 11,
1855.
4S Per 1 x
f y~d
o
hair n Tnwn o Building Iaspecior'
r~
P ~
HAGAN i'OWl0.RSiP
3795 Pilot Rnob Road
St. Paul, Minnasota 55111
TelBphoae 454-5242
P$RFIxT FOR SWBR SSRVICS CONNSCTION
DATB:- lalkfBBR~_
OWNER:,.,& tiddreafi 3' ldg Si aL eg AY.ra_
PIumSSR'19lPE OF PIPB
` DHSCRIPTION OF BITIIDINO
\Industrial Comaercial Reaidential Multiple Daelling Np. ex unite
, ' - 1 - •
Location of Costnectioam: Connectioa Cherge
Permit Fee~ - "
Street Repaire
Tota1 ~
InsPected
bYdSa-19- ~
;3a' nece /3o 16 7 _
Remarka;03A~t,
sv ~
Chie Inapectot
In cnnr::,aeration of the issug aad delivery to me of the ebove pexniC,- f
hereby agree to do the prop.^sed work ia eccordance with the rulea and
regulatioas of 8egan Tot,nahip, Dakota County, Minneeota
i
.r.al,.,. ~
Pleasn notify when ready for inepaction and cormecti.on end befor~ an_- Portias
of the work le cwered.
~
- ~
~
_ EAGEiN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATS: October 27, 1967 NUMBER JE
A O1J2C SS" C/~~~vr.c~ Ui?i r,
OWNER: DCR Co., Address 3900 Sibley Mem. Hwy, St. Paul, Minn.
PLUMBE1Qonsolidated Plbg. TypE OF PIPE Ext. Heavy Cast Iron
ttneapo is, DESCRIPTION OF BUIIAING
Industrial Commercial Residentiel Multiple Dwelling Na. of uniCs
X
Locatiou of Connections: Connectioa Charge
Permit Fee 7-5n Pd. 10/27
Street Repairs
Total
Inspected by:
Date
Remarke•
By
Chief Inspector
In conex3eration of the issue and delivery to me of the above per_dt, I
hereby agree Co do the prnoosed work in accordan.^.e with the rules ar.d
regulations of Eagan Township, Dakota County, Minneaota
By - - -
Pt-ase r..nt.i.fy wl?en ready for inepectic+n and connecC3.en an3 beiare any por:5.c:a
os Ch: rmrk is covered.
EAGEiId TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&7ER SERVICE CONNECTION
DATE: Nov. 5, 1968 NUMBER
OWNER: DCR Co. P.ddress 3900 Sibley Mem. Hwy.
(Condominium Bldgs.
PLUMBER L. J. bicNulty Co. TyPE OF PIPE ext. heavy cast iron
DESCRIPTION OF BUIIAING
Iadustrial Commercial Residential Multlple Dwelling No. of uniCs
x
Location of Connections: Connection Charge
Permit Fee 7•50 Pd. 10/31/68
Street Repairs
Total 7.50
Inapected by:
Date
Remarka•
By
Chief Inspector
In consideration of the iasue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules aad
regulations of Bagan Toemship, Dakota County, Minnesota
gy 60 JiicNult Co.
2 Concord Blvd.
Inver Grove Heights, Minn.
Please notifq when ready for inspection and connectioa and before any portion
of the work is covered.
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55I11
Telephone 454•5242
PERMIT FOR SEFTER SERVICE CONNECTiON
DATE: November 18, 1969 NUMBER 528
OWNER:DCR AddressValley National Bank, 3900 Sibley Mem. Hwy.
PLUMBER Wenzel Plumbing & Heating TYPE OF PIPE cast iron
DESCRIPTION OF BUI1A ING
Industrial Commercial Resideatial Multiple Dwelling No, of units
Location of Connections: Connection Charge
Permit Fee 7.50 oa 1j/i8/69
SCreet Repairs
Total
Inspected by;
Date
Remarka•
By
Chief Inspector
In consideration of the issue acul delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulatione of Bagaa Toi-inship, Dakota Coanty~ Minaeaota ~
By
enz 1 Plumbin & Heatin Ine.
1955 Shawnee Road, St. Paul 55171
Please natifq when readq for inspection and connection and before any portion
of the work is covered.
PERMIT .;ITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minne*ta 55122-1897 PermitNumber: 031300
(612) 681-4675 Date Issued: 12 / 19 / 9 7
SITE ADDRESS:
3900 SIBLEY PIEMORIAL WWY
L07: 1 BLOCK: 6
SECTION 19
P.I.N.: 10-01900-010-06
DESCRIPTION:
8uilding'~P,ermit Type COMM./IND. MISC.
Building, War~h Type AITERATION
Census Cade 437 A`LT. NONRES.
,
;
,
CITY Of' ["AI.,r1N
~
CASH'fE~ie Jg "`y.~~ ~~lC,~r~
T.F,.RMIhI~I_ N0: 61., r V"
nAri_- 12ii.9i`.77 'r'1:ME;, 15;96:36
FD:
REMARKS: Narse; DrVEhsIF:i:Fr3 F-larNTFRS & RLMDI'FI_
HANDICAP RAMP,
3210 9001. 3900 SIFi Mf::M E{pI ""•,jcW 1 2j.JJ 9001 ;33C10 ST
FEE SUMMARY: Es MFM F•IW I~"'-~c5
5 OD
ease Fee
Surcharge
Total Fee
To9,;y7. Re.r.eipt Ama.lnt.
' CR0s34E,.`i8 167.25
1J5ER ID; JFlN
~
CONTRACTOR: - Applicant - vvviv~r,.
DIVERSIFIED PAINTERS & REM 26870006 SIBLEY MEMORIAL HWY LLP
3944 BLACKHAWK CIR 3900 SIBLEY MEMORIAI. HWY
EAGAN MN 55122 EAGHN MN 55122
(612) 687-0006
I hereby acknowledge that I have read this application and etate thaC the
information is correct and agres to comply with a11 applicable $tate ofi Mn,
L Statuta-s and City ot Eagari tlydinances. J
APPLICANT/PERMITEE SIGNATUFiE ISSUED 8rIG ATU E
1997 BUILDING PERMIT APPLICATION (COMMERCIAL) 30im CITY OF EAGAN
~ 681-4675
The following are required with appropriate oertifieation for all new conatruction:
• 2 each: archkecturel plans; mech. 8 elec. plans; ftre sprinkler plans; sWCturel plans; ske plans; landswping plens; grading/drainage/erosion control
plan; utility plan
~ t each: set of specificetions; set of energy calwlations; electrical power 8 lighting tortn; Speciel Inspections & Testing Schedule
~ letter from MCANS (phone #222-6423) indicating SAC detertnination
• Code anatysis indicating: codes usetl; occupanq Gassihcetions; setbadcs; meximum allowable area as per Building and City Codes along wkh sq.
R. per floor, type of construction (synopsis of consfrudion wmponen[s) 8 any occupancy or aroa separation walls;
1 O SOIL'S oceupancy loads; exk synopsis with a diagram inCicating exking toads from each room or area, travel paths 8 all rated
REPORT corridors; plumbing fixtures; and parking.
DATE: Ia ` I 9 r WORK TYPE; _ NErv ~ REMODEL
DESCRIPTION OF WORK: 4eL2
CONSTRUCTION COST: TENANT NAME:
SITE ADDRESS:
LOT~ BLOCK ~ SUBD. .~1DA' ~Q P.I.D.#
PROPERTY Name: 114011s uDllllbll,fAA UP Phone
OWNER u., FA..
Street Addres
City: State: Zip:
contrw?croR Company: A"d~APhwone e~P7
Street Address: cfyyy ~~AC7~ ha w~ ~r ic
CI~/. / Ol G G Y1 ~ ZiP.
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (only if installing sewer 8 water):
I hereby acknowledge that I have read this application and state that e information is corcegand ree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applica : •
.t
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ~ 19 Comm./Ind. Misc. ? 21 Miscellaneous
? 18 Gomm./Ind. ? 20 Public Facility
WORK TYPE '
n 31 New ,d~`33 Alterations ? 35 Tenant Finish
0 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
Zoning sq. ft. Census Code
# of Stories sq. ft. 5AC Code
tength sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
5urcharge
Plan Review
MCNVS SAC
City 5AC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
~*~x****~*~****~~~~~*~***~~x**. . . • cirv oF EacaN . . ' • •
.CA5HIERa"5 . TERl1IHAL P{0:' 12 .
DF1TEc 11/16/96' TIME: • . iW1:42.
, . . .
J •
~NAm' M.INTR CRTqT.IidC . ,
-3210 9001 8900 5IB MEM HW 593.50.
•Ek53 9001 3900 8IH MFM HW' . 26.50
3430 9Q0! S90'a 3I8 MEM HW .!.SCF .
, F' . . • ~ .
Total• Receip` Amour,t: . .7 '621.54
CR46[,833 ' . • • . -
lI5ER LD: kANCY . . • . ,
, ~#~k#*~k***~k****~k'##*%C****~B#~~rAcM*~k~k~*'
. . . . , , 'i . .
PEIZMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 2 3 6
(612) 681-4675 Date Issued: 11 / 15 / 9 6
SITE ADDRESS:
3900 SSBLEY MEMORIAL HWY
LOT: 1 BLOCK: 6
SECTION 19
P.I.N.s 10-01900-010-06
DESCRIPTION:
(ROOFIIVG)
B„1dirfg, Permit Type COMM. [IND. MISC.
rBuilding Wo,rk Type REPAIR
~ Gensus Code 437 ALT. NONRES.
i }
I' ' . . .
;n t` r/
"
~Cli~~
~
REMARKS:
FEE SUMMARY:
VALUATION $53,000
Base Fee $593.50 COPIES $1•50
Surcharge $26.50 TaCal Fee $621.50
Subtotal $620.00
?
CONTRACTOR: - Applicant - OWNER:
HUNTER CONST 26431216 ALBJER6 LEROY
6015 ASHER CT 1680 OflK AVE
INVER GROVE HTS MN 55077 ARDEN HTLLS MN
(612) 643-1216
S herebq acl3now].e~dge thatS haWe rsad t~his tsppli=Cation end state Cfiat the
information is correct and agree to cnmply with all applzcable State of Mn.
Statutes and City of Eagan Ordinances.
AM(
LICANTlPEFMITEE SIGNATURE --~EO SIG ATUR
CITY OF EAGAN
~ ~ 1996 BUfLDING PERMIT APPL1CATlON (COMMERClAL)
681-4675
The following are required wiN appropnate certification far all new construction:
~ 2 each: architec[ural plans; mech. & elec. plans: fire sprinklar plans; structural plans; site plans; landscaping plans; gradingPorainage/erosion control
plan; utility plan
~ 1 each: sM of spedfications; set of energy calculations; electrical pawer 8 lighting fortn; Special Inspections 8 Testing Schedule
~ Letter from MGWS (phone #222-8423) indicating SAC determination
~ Code analysis indicaGng: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq.
R. per tbor, type of constNdian (synopsis aE construdion wmponents) & any occupancy or area separation walls;
occupancy loads; exit synopsis with a diagrem indicatlng exitlng loads from each room or area, travel paths 8 all rated
corridars; plumbing fixtures; and parking.
DATE: II ^/S - 9(o WORK TYPE: _ NEw _ REMODEL
DESCRIPTION OF WORK: TEA2 OFF `I' Ee- -420F
~
CONSTRUCTION COST: 5.3.~0~ TENANT NAME:
SITEADDRESS: 3900 51g~."y
STIQT 9lE ~
lOT BLOCK SUBD. U P.I.D. #
PROPERTY Name: ALEs-ceCs Phone
OWNER '"a' ""°T
Street Address• 60$0 OA)" Av6.
City: Aill ?`E1 "s State: MAJ • Zip:
CONTRACTOR Company: /WT~R_ &n1S7e0C.770~1 Phone#: `457'00sl
Street Address* 601s ASMSIL C~
City: Zip: S-S077
ARCHITECT! Gompany: Phone
ENGINEER
Name: Registration #D
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant: ~
I
pFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 19 Comm./Ind. Misc. ? 21 Miscellaneous
? 18 Comm./Ind. ? 20 Pubiic Faciliry
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL lMFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Fioor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkfered
Zoning sq. ft. Census Code
# of 5tories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
SNV 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Metsr Size
Please complete these forms and return them to this office.
9 o C - `j I 0 'O C.o
REQUEST FOR UTILITY IMPhOVEM„"2Ir'TS
I/G1e hereby request of Che Baard of Supervisors, Eagan Township,
Minnesota, utility 3mprovemeats on and over property owued by me/us as
follows: (Mention type of improvement e, g. water, sanitary sewer eec,)
sewer coxnection
The location of said utility improvements shall be gnerally as follows:
D.C.R. Company
Valley National Bank Building
39QO.Sibley Memorial Highwaq
St. Paul, Minnesota 55111
I/we hereby waive notice of aay anl all hearinga necessary for the
inatallation of said improvemenCS and further consent Co any asseasments
necessarily levied by the Township of &agan for such improvements.
I/we further agree to grant to the Towxtship of Eagan any easemenCs
necessarq for the inatallation of such improvements.
IC is further understood thaC this request shall be reviewed by Lhe
Board of Supervisors of Eagan Townehip or its agent and I/we will be given
reasonable notice as to whether thia request is possible under preseat
utility planning as to timing, location, etc.
D.C.R. COMPANY
DaYed• BY
Request accepted by Date
Esgaa Township
Request referred to Town engineer: Date
Copies: 1. Townahip
2. Town Eagineer
3. Applicant
5--citV oF eagen
3830 PILOT KN08 ROAD THOMAS EGAN
EAGAN, MINNESOTA 55142-1897 Mayor
PHONE (612) 454-5100 DAVID K. GUSTAFSON
FAX: (612) 454-8363 P,4MEl/+wtcOtEA
TIM PAWLENTY
THEODORE WACHTER
Couricil Members
March 18, 1991 THOrnPS HEOGEs
Cry AdministraNr
EUGENE VAN OVERBEKE
Ciry Ckrk
Cedarvale Business Owners and Renters:
T'he City of Eagan has been contacted by many individual property owners and renters
regarding the Cedarvale area in general. Their concerns deal with the physical
characteristics of the roadways and access, as well as the economic viability. The City would
like to have a collective meeting in order to discuss these concems.
The City has been working with Mr. Mike I.arkin, president of Firstar Bank, who has agreed
to host the meeting at their facility. The meeting is schedu]ed for 2:00 PM, April 4, 1991.
It will be in the community room of the Firstar Bank located at 3900 Sibley Memoria]
Highway.
Sincerely,
:h,z ,f-L
Dale C. Runkle
Community Development Director
DCR/m8
THE LONE OAK TREE...THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNIN
Equal Opportunity/Affirmative AcTion Employer
REQUEST FOR UTILITY IMPaOVIIWTS
I/We hereby request ot the Board of Supervisors, Eagan Towaship,
Minaesota, utility improvemeata on and over property owned bq me/us as
followa: (Meation type of improvement e. g. water, sanitary sewer etc,)
cra-•ior nnnnweYlnn
The location of said utility improvements shall be gnerally as follows:
D.C.R. Company
Valley National Bank Building
3900 Sibley Memorial Highway
St. Paul, Minnesota 55111
I/we hereby waive notice of any and all hearinga necessary for the
inatallatioa of said improvements and further conaent to any assessments
necessarily levied by the Township of Eagan for such improvements.
I/we further agree to grant to the Toc:+nship of Eagan amr easements
necessary for the inatallation of such improvements.
It is further understood that this request shall be revieFied by the
Board of Supervisors of Epgan Township or its agent and I/we will be given
reasonable notice as to whether this request is possible under present
utility planaing as to timing, location, etc.
D.C.R. COMPANY
n
Dated• B
Request accepted by Date
Eagaa Township
Request referred to Town engineer: Date
Copiea: 1. Township
2. Town Engineer
3. Applicaat
I
REQUEST FOR UTELITY IMPnOV~'TS
I/We hereby request of the Board of Supervisors, Eagan Township,
Minnesota, utility imprwemecta on and over property owned by me/us as
follows: (Ment3on type of improvement e. g. water, sanitary sewex etc,)
cneror+ rtnnnmcYinn
The location of said utility improvements shall be gnerally as follocas:
D.C.R. Company
Valley National Bank Buildlnr
3400 S3bley Metaarial Hi_r,hmay
St. Paul, PSinnesota 55111
I/we hereby waive notice of any and all hearinga neceseary for the
installation of said improvements and further consent to any assessments
aeceasarily levied by the Township of Eagan for such improvements.
I/we further agree to grant to the Township of Bagan any easementa
aecessary for the inatallation of such improvements.
It is further understood that this request shall be reviewed by the
Board of Supervisors of Eagan Township or its agent and I/we will be given
reasoaable aotice as to whether this request is possible under present
utility planning as to timing, location, etc,
D.C.R. COMPAMY
Dated: gY LA~A
Request accepted by Date
Eagan Towaship
Request referred to Town engineer: Date
Conies: 1. Towaship
2. Town Engineer
3. Applicant
,~-f-L~ .sZ>
Permit# ReceiptDate: %r4/
2007 Sewer/Water Repair/Disconnect Permit
City Of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Telephone # 651-675-5675
Date~l~~ Fee: 50.50
X~ City Sewer City Water _ Repair ~ Disconnect
Description
Street Address for Proposed Work IlyrW Owner
Name C/ TX 'n 7
Street Address
City ~F/qyi8 4 State /l/1 dv Zip Telephone )
Licensed Pipelayer ;Y Master Plumber _ Property Owner _
Name,~/?0A 1~- T C4.5 `t~ pn~~ S u-)6-741-°t -t- ~¢c) E-u'(-
Street Address / / IW lo~ ~Q-d~- C T '
Ciry /0 v/ /1 S(J State 1/t/1/V zip 5 5~~?relephone #(G ~ y 9~ a 9 a~
Pipelayer Training Certificadon Card # or Master Plumber License #.~i~r' 3
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 tlie State of MN Statutes. I understand Uus is not a pemvt, but only an applicarion for a
permit, and work is not to start without a pemut.
Applicant (Print Name) ApplicanYs Signahue
10i17i2007 16:05 ERGRN ENG+COM DEV a 97634249938 N0.941 091
2007 COMMERCIAL BUIY+DING PEitMiT APPLICATION a
C9ry Of Eagan . ~
3830 PUM Knob Aoad, Esgao Ma 55122
Telepboue # 6S1•675-4675
Plans are considered publlc iniormation unless you state they are trade aecret and why. ~
~
. BYUdui61 Plwu ' W Mla . Bsps flepoR (1! T=CWrel VIM (a) xm ~ .
~ cbn plant (7) , canM+aa ot 9wvey (V 1 Cob Aftlyrols M °
. CeNYCeoeofSuney (1) •SWatunlPlen6 (f) . ProJatlSpea (tl
. Caas aneryde (q ~ - ArcAtbeartal Pana (z) eem o Ker rnn It1
. aroeu soeea 4 rrvAe unioe reeti. on woy orov, r aie oan . Mulef 6dl PIan 1+1
• 90oeMep6TestUySdutluk (1) " . GvOPkne (Y) • EnWBYCekylstlona {t)notaAsaya••
I QOQ6 RepOA (1) r L'B11dOppMp PIBIIB .@lac. Power S LiphVnp Foim (1) AOl BAMeyOw
I Meter atemwtuaKtobtllhed . CodoAN1y61B (1) ^ . . M'etar ahemusllaeale06a~eMYepPltpDlo
.
• EnerpyCebWelbns (t)
) . Emaroaney qeoponm 611e Wen . (1)
. )
f . . 8pe0,InCp.lTeatlng8ahotlul0 (t) ~ . 1
~ . ElsdiicPorrerBlqhGnyFmm (1) ^ )
1 a PrpfSq6pen 41? _ ) 1 • Mastrt Ed1 Pun (1)
1
. 8AC deUrminatlon -r~U 69trp2-f000 - 6AC detuminttlan • oil B81 .602.1000 . SAG Aalortninedon • oeQ 861l02-1000
. Flre 8ro00lr0 8u0nYtW1o
. Ftro SuppressioNAmnn Fam lfthed
. Meter~tremuetaeeole e1 Depl of Heelth x 42 1-45 0 dnallo ragarding faad & 6ewnge or lodgin` fuiBqa. I
' Coaqa Budd3ng leepeaiau m ex tf it ia mqWxA wd br a wnpte.
Pamii for M building m o Ait n will nat he pioKOed wltliout Emergenoy Rapoaae S(te Plen.
Dpte /D IoV~lU-7 CO4atrecdoA Cost ~(09 .0 S07 ~
8ite Addraa ~ OO S+ IsLS mfieY1!]Q iA {-I L(/`~ UniV9te C
Toaoat Nome VA „An~T Barmer Tenent Name
Descripltos of Work Q&ffh'? i-N'flnn-) b F Q U 1'LQINC-,
~
Propcrtpdwner 0A4D1YA PnunJ1`f CDP\ TeMpboaep(69-1) G-K``4LIb7 ~
Applieaatis: ~ Ownv _ Canhrnelor CopteetS: ( ) ~
ConVAemr A -s-~ C.~ niT PIaCT i ni L Lc-
Addrae 10 90C7 g G_"T-I Ai/~`fz JIkILTA Cky /11AQLF &QL7i/Y
Stne /Y\ f\j 2ip 9~3(kfi Teleplone N ( 703) VM" 9 of °SSr
AtehlEogr S 1 ~ Aegfandoo #
AddreBa 10901) -7 3 RA Avf M.tF, cu~ M*c,f- &2 vvC
Sate Mlv ztp 5~36 Tekpeooea7763) 315- 3
Ucensed plumber nsfa Ing go eewsdwNer seMce: Phone W. [ f
I bercby apply 8or a Commemid Huilding Petmit end uknwledge qhat the inforinetion is wmpkro ead taurah; tbdt the work wiU be in
con[ormmea with t6e ordinanoas ond eodea oG1111e Chy of F.Wn ond the Stak of MN Stetutes; I undastend this 7a not s pmmit, but only an
epplioadon For e permly and werk is nn ro sten without a penNr, thae tha work will be i uoordenoe witd rhe epproved plan in d~e aese oi
W0k W~C~) (CqU~fp 9 rOViEMI Md 8p(1lOV8l Of ~BAS. 111,4 M
Applicaet's Prlnted Name plicant's Signamm ~
10i172007 16:05 EAGFlN ENG+COM DEV a 97634249938 N0.941 002
DO NOT WA1TE HELOW THIS LINE .
Sub Types ~
0 Ol 'Fowndpdon 0 26 Publlc Pacility ? 30 Aceessory EuiWirtg
0 14 Apartmenta 0 27 CoduncroieUJndustriol 0 32 Fx Alt-Apqrtmprts
0 15 Lodging 0 28 Cheonhouae 0 34 'EquplhCommaciwl ~
? 25 Miaeelleneous ? 29 Anunnae 0. 35 Fact AIUPubIiC Faoiiity ~
0 37 Nail Saloa
Work7ypa ~
0 31 N9W ' O 79 Intlmprovemont O 38 Oemoflsh(Interior) (3 44 $Iding
O St lmtllIIOn O 36 Moue phlg, O 48 Demollsh (Fountlatlon) O 65 Fire Repalr
0 33 ARerBdon ~ 97 pemoil6n (BiOg)', O 43 Reroof O 46 WinAoN100013
O 34 R6pl00ement `oemoliGon 8ulldlng - OM PCA Ilaaanut 10 appltam
Valuaqon Type ofCOnst Widln
Plan Rev 100%T, 2591 ~ Oaaupairoy MCE8 6ysiem
SAC UNIs Zening Cqy yyatat
Nhr. o/ UnRC SrorieB Booclpr Pump
N6r, of Bldgs Sq. F4 PRV ,
Fre Sprinidered ~~~h
ReqLLIfCd In&[ICCilIqDB •
_ Pocdnge (new bldg) Piieplace _ R.I. _ Air Tast _ Final
_ Poesinga (decY) bsWedon
_ Fomiap (oddipon) Sboetook
_ FoundaGon FinaUC.O.
_ Dnio Tile FinelMo C.O. +
_ brlvoway Apron Otlier ~
_ Aoef fee Pr _ Deok{ng _ Imul FiAOI - Peel Fep AidGae Taft Final ~
- pmOiikg Siding SNew Lrth ! 9toan Lath _ Final
, Windows . J
Flnal 00 Inepeotiom Sahodula Fire Maroh01 io ba preeeM. _ Vee _ No '
Approved By: Plannin9 Bufldfng Inspeetar~~_»_-
Basa Fee
SurcAarge
Plen ReVnr
SAC-MC63 .
. 6ACChy
SMYPeft SrW SU1diYge
Treabnent PIan1 pUan~l Ouamtee
Treabaent Plant (Impeypn) Startn $Cregt TNnk
Perk pediatlon Sewer laleiel Sexer Tnmk
Trad DedipGon ~
Sbaet p
Water Quallty ' Water Leteral Wata. Tronk
M'atm 6upply 6 6lerege (WAC) pybr
r«e~
, ~
I
PLLJMBING (COMMERCIAL)
Permit Application
City Of Eagan \
3830 Pilot Knob Road, Eagan Mn 55122 ~
Telephone # 651-675-5675 FAX # 651-675-5674 ~ v
Date "J~ l~ l O y
Site Address '2~C/00 S/Llel/ / "(e/rv/LC1 l I-A'ul Unit #
Tenant Name j/ ; i Url ~nm~ICe /l i e5 Former Tenant Name
PropertyOwner ~~S~C~/~ COM,OGn~Cs Telephone#(~/)
Contractor _-ru-1- pc v ~ P~ L)Y'")bI,1)G ~ 14P4
Address ~O~U G(/Y1 /~VC City
. / ~
State 9vl /~-i Zip Telephone c~~~-~[>1a 7
The Applicant is _ Owner Contractor _ Other
I
Work Type _ New Bldg Add-on epau RPZ PVB Irrigation system *
" Jer • Wobschall to ca culatc fees. Re uirecl metcr size is 2" tur6o nnless smaller xi>e ermitted b Public Works
U~ G/U Z~-11~'1e
Description of Work 1~P./Y~/)?~ !~C!(~~~G1tiJ ~/U/Y~ /rl-1CJGf 74
To inquire if Pressure ReAucing Valve is required on new service, ca1"51675-5646
Meters - Ca11651fi75-5300 to verify that hydrostatic, conductivity, and bac[eria tests passed prior to oickiue uo meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $156.00
Domesric Size & Type Avg GPM Includes high demand devices" _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surc6arge) ~
Contract Value $ x .Ol% Base Fee
P $ Meter(s)
Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read
If base fce is $1,000 or Ipa, aurcharge is 5.50 D State Surcharge
If base fee is over $1,000, surcharge is 5.50 per $1,000 of the Base Fee~ --Lg ~
Following fees apply only when installing new irrigation system kfA~, Water Petxnit
Contac[ leRy Wobschall at 651-675-5024 for required fee amounts V
~y $ 7 20 TreatmentPlant
$ Water Supply & Storage
$ Srate Surcharge
- - - - - - - -
$ ~ U • ~ U Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowiedge that [he information is complete and accurate; that the work will be in
confonnance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is no[ a permit, but only an
applicarion for a permi[, and work is not ro start without a permit that the work will he in accordance with the approved plan in the case of work
which requires a review and proval of plans. .
ApplicanPs Printed Name Applicanf'S Signatiue ~
CITY USE ONLY
REQUIRED INSPECTIONS _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: . BUILDING INSPECTOR
General Information
• Radio Meter Read (requued on a71 new buildings & boulevazd imgarion systems- $157.00
• RPZ's must be rebuilt every five yeazs. A minimum fee pernut per address is required for RPZ rebuilding or repairing.
• Water meters include copper hom/strainer, remote wue, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residenrial $121.00 4-120 1-1/2" irrigation syst $ 781.00
dispiacement sm commercial turbine** mUSt reCeive
maxunum
continuous appiOVel
ip from Public
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00
maximum displacement residential &
continuous sm commercial producrion lines
15
3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 '
bldg to 24 units 65 units
maximum sm commercial &
continuous & 1g comm bldgs
25 ation s tems
Lcont 5-1001-1/2" bldgs 25-64 units $484.00
liniujous mum displacement &
most comm bldgs
METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig wmm bldgs very lg comm bldgs
15-1000 4" turbine very lg irrigation $2,329.00
syst
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water tum-on, call 651-675-5300.
cc: Maintenance Division Clerical Technician Updated 1/03
, PERMIT
' ~A'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number: 0 ,0 s q
(612) 687 -4675 Date Issued: 0
SITE ADDRESS:
3~r~?i1 S].F'tI.EY iNtI+1oR7.nl Hbdv
LOf: 7. BLUi;i<: 6
5LC'*iUN 19
F."f,.M1l.: 1a-{A1S41C~--~11~U-Hb
DESCRIPTION:
FIRST7;R I-IOI+1E MQftT
BUildi'taQ. PFrmi.i: l"vpe C011MI.N O. P;Ia(:.
~ Buildi.no~`.Work '1'ype AI- TERflTSOPI
UBC flc:cup,ani^y [';-2
1
REMARKS:
FEE SUMMARY:
VHLURT"ION $50,000
3ase 1=ee $i114.569
Pl.an Revi_e;w $;36A.4'3
;u:-cFierye ;,15Y.NN ~
1'oCa1 PEe s,70 173
i~
l~>
0
CONTRACTOR: - A Ppl. ;ca n t- OWNER:
EvERcs'r corasr 26:165500 rzrs°rE,R Hnme MoRrcac~E
G8E I..C11Nt= I.AKL Rp 3900. SIBL.FY M[rORIHL IIWY
ROSEVILLE MN, 55113 EAGFlh! hiN
(67.:2) 636-5500
I 17eraby aeknowledge [hat: T hav2 rwad this aFplicat::on antj stUCa t;h,i t L1ici.nPorirao tiinn j s correc, t e, nd ayiea to cnmply w i L h aJl ill_.;~.,;
Stat uti.es und CiCy p' Eaga n Ord iriances..
C~ztii,~ r fJL~tan ~i~'~~~ ~
~ APPLICANT/PERMITEE SIGNATU ISSUED B: SI NAT pE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: F u t t 9 ic
3830 Pilot Knob Road Permit Number: 0 ^ c?:: p e
Eagan, Minnesota 55123 Date Issued: Fa 2±'? s J~a s
(612) 681-4675
SITE ADDRESS: APPLICANT:
~or~ 1. P, L ocK: r,
39110 $ICiLEY IhEMOf~IAI_ HWY EV1:REST COidS7
S PC1 I.ON 7.9 (612) 636 5500
PERMIT SUBTYPE: TYPE OF WORK:
coiq m./zN n. m ssr... flL reranrr.oN
DCSCf2IPiI01+1 F:CR STAft H Dh!r '+I
INSPECTION . .A
FRAMING FS14AL
F
J
L
REACTIYAT' : CITY OF EAGAN
P€RMII'T ' 1993 BUILDING PERMIT APPLICATION 3
' 10-349 681-4675
SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date rE43, /I93 Valuation of work
EA6qN
site Address: 39 00 s/6LE/ ~1~~o21AL 4w41
STREET SU1TE /
Tenant Name: (commercial only) I/!Z 14o YvI F n') n RT G A 6 E
7AT BIACK SIISD. fq P.I.D. k
!
c9.PPE7' A c c ~9in/ E'r/ f L.
Descri tion of work: E~'1 F FOkrri B/IN /N TFcc u z <c f' oF
The applicant is: ? Owner aContractor ? Other (oeaorfbe)
Name Phone
Property LAST FIRST
Owner pddress
STREET STE !f
City State Zip
Company e_1V6PFS7- coNST. Phone 636-SSO~
Contractor Address a68-` z-anv6 xlD. License # Exp.
City .Pas i E State Zip -ssz/~ _
o N. EoC5
Company ~vn11 s layiuSOiv /c'/x- riEWL Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
5ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
~a? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 1~6'ds'~fient finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessary 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace 019 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New *Z33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repalr ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ~ Znd F1. sq. ft, PRY Required
Zoning Sq. Ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SA^ C-Code
APPR-OVALS
Ct~w? K«~t ~
Planning Building z 22-33 bS Assessments - Engineering Variance
REQUIRED INSPECTIONS
0 Site ? footing -~Framing ? Insulation
11 Wallboard /11:Final ? Oraintile ? Fireplace
Permit Fee y/ti. _C0 vaiu.cion: $0V 00
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
EAGAN TOWNSHIP
BUILDING PERMIT
Ownax ........ X1.`."-?..?.....?.Q.:"` -'--,.,.......-'---......'--"---'--"`-?'-?'."""'
Address (Present) ...,,?1?....?..'a....:!?e?-?5,'..
Builder
....... ----- ?? ? -- .. .- -- .............
Addrass "
...... .----'-- ••--° -----------°--°"°---°---....-'---°----.....-°----
DESCAIPTION
N° 1961
Eagan Township
Towa Hall
n8te ...... ??i °1?.9_.
Siozies To Be Used For Fxani Deplh Heigh! Est. Cosf l
*
loe Remazks
I - a3` p
,
,
S Uv
/ i
? LOCATIOPr '•- - - " • • -
Slreet, Road or oiher Descripfion of Location I Lo! B1ock Addifian or Traet
.3 9 o S' f1- / /31
i_i /_ .?.??'_ _ /J_ _1 _
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/w /r44n A21 Dl
This permit does not aulhorise the use of sizae}s, roads, alleps or sidewalks nos does if give the owaer or his agen!
the righi !o creafe any silualion which is a nuisanee or which psesenSs a hazard !o the healih, aafetp, convenience and
genesal welfare !o anpona in the eommunily.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PRO'G/RE S.
This ia 3o ceriiip, iha!_?. ..r..??-...... hasparmissioa !o esect a?-y..........._--_-.-_ .............. -'upon
_ ...---'- -
the above desc=ibed premise subjec! o the provisions of the Building Ordinanee for Eagan Township adopte Apsil 11,
1955.
"......"""""""""'..
..._........._..._'..._ ....."". "'. . . ?r.?:? ................. Per ---- .........._......42??- .....,{ g _' .......
Chaix of Tnwn Soard vi1B din Ineelor
jd 1 !5