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3992 Sibley Memorial Hwy ~ . . EAGAN TOWNSHIP BUILDING PERMIT N? 1772 Ownex AAA EaBan Township Address (Pxecen!) Town Hall ...~°~-,..az Builder r.~/ Dale ..~~/._/G~......_....-~---"-... Addxeas ......:~i~ ~ -5 .....~.^...........C_......--... l DESCAIPTION SioziesI To Be Used For Froni Depth Heigh7 Esi. Cos! Permi! Fee Remasks ~I ~-J' LOCATION 8lseef, Road or olher Desctipfion of Loea2ion I Lo! Block Addition or Traei SeC. 19 J1~f f a , This permit does aot authorise e use of aixeeis, roads, alleps or sidewalks nor does ii give the owner or his agen! the righ! !o creale anp siivafion whieh is a nvisance ox whlch presenls a hazard lo the heallh, ¦efetp, eonveaience and general welfaxe !o anpone in the communiiy. THIS PERMIT MUST BE KEPT O THE PRE~IISE WHILE THE WOAK IS IN PROG ESS. _ Thia is !o cerritp. :....~.5~................ has permiasion !o eseeY e~ _upon the abova desaribed psemisa subjec! !o the provisions of the 8vilding Ordinance for Eaga-n -Township adopYed April 11, 1955. r Per . ' t~ g •"'.•p" ' ~ Chair ~ a of Tnwn Boar~ Buildin Tna ecior G XS ESgari Township PERMIT NO. Dakota Counip, Minnesoia Date ~ ~ ~ -1°~-`-~ Apg~licadoa fo~ Eailding Pesmit Tppe of building or woxk conlemplafed. Circle correci descripiions. Resdenfial Commeraial Induslrial OSher-------°--....----------°'------.....'------...----.._ $uild> Enlargo Alier Aepair Insfall Move Wreck Ofher....__....-_-.__.---.----,.-_.-_-....---_'-.-._-_-.__........ Dimensions-------------_................-----......._.. Cosl...la.~.C~..~:'~......-- Defails or remarks---'~~--~-g.-~) i_...~.---------------..._-----'-"------...-----°-__.....--'-'----"'------..........-°---. 9 % N Location Number Siree2 Be3ween a~hai cxoss siree3s 3iae Es3. Valuation Scc. /9 /D D/~oo aYe o s' Lo! Bloek ~ Addilion RearrangemenY ot Trac! ay~ o~ ~ - 3 9~~-- ~J n~ - O~,Tner ._'-'•!T/.~:.¢..-'__:~'!~c:_..-~-~-.......~........~?:`.'~.-.'_ Address Coniracior ._~.N!z'__~r~~~_.~-i-K-a~c_._, Address '.`?I~.S__."~%~`_^~-s~.-.'.'.i_l.~•~g_~.._.__._....'__"'_."_ The undflrsigned heteby makes applicalion for a permif !o $ do woxk as herein specified, agreeing io do all work in sizici Tofal fee collecfed. aeeoxdanee wilh fhe building ardiaaace adopSed Apxil 11, 1955 bp !he E~gan Tow{n/s]~i Boazd of Supezvisors - Pexmi! fces are noi /~~~'!NU / / ~~~~~Hlv'q/"~ refundablo. ///D7 f , . .1/'.'....__....'.....__.""."'._"_...........__ ~ ~ . ~ Si4ned . . { • ~ EAGAN TOWNSHtP BUILDING PERMIT N° 3099 a . ~ Owner 1 - - - ~ ~ - - - , ~ -Q- Eagan Township Address (Preseni) Toma Hall Builder - -~------J.,.~ Deta 2=.-Aar Addreae DESCAIPTION SSOSias To Be Used For Fxonf Depih Heighf Eel. Coa! Parmi! Fee Aemaeks ~•R-~-r~.~.~ ~e2S0-°= LOCATION Slreel, Aoed or oihex Deseripiion of Loeafion I Lo! Bloek Addition or Trae! oqU Z(!~c;;7bt-) I? , This permi! do s no, aulhosise the use of etreels, roads, alleps or sidewalks nor does it give the owner or hia ageet the righf !o ereale aap sifuafion whieh is e nuisanee or which presenla a hazerd !o the heallh, eafelp, eonveeience aad ganeral welfare !o anyoae ia the eommuniiq. ~ THIS PERMIT MUST BEF4PT ON THE PREMISE WHILE TIiE WOAK IS IN PROGRESS. ~ This is !o cerlifY. !hal..... ....haspermission to eree! ...'..:`.:..9`'.`.::'.'~....... _upoa the abova descsibed premise su6jeM !o the psovisiona of the Suilding O:dinanee for Eagan Township adopled April 11, 1955. ,(J ~p ~ ~J .....................~..:.._.fl.:....... Per 1.`..'.-.5-""'_v._.._.._`..`.........::""..... - { Chairman of wn Soard dj Building Iaspecfor A . • EAL;AN TOWNSHIP BUILDING PERMIT N° 2611 ~ Ownaz 2~.. ~ Eagan Township . . . . p. . - - Address (present) Town Hall Suilder Dete . //I.-VI7 ~ Addreu .~-F-- `t-'~-.L.r DESCRIPTION Storiea To Be Used For Fron! Deplh Haighi Esl. Con! Permi! Fee Remarka LOCATION Slraei. Roed or olher Deseripiion of Loeafion I Lo! Block A d" on or Trac! Sec. /9 f Oy0 D8~ /0 6/9ep OSIo c This permi2 does aot aulhorise the use of alreets, roads, alleys or sidewelks aor does it give the owner or Lis ageni the sighi !o creale anp ei2uaiion whiah Is e nuisence or which presents a hasard !o the heallh, safety, eoavenienee aad general welfare !o anpona in the eommunilp. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGAESS. This is !o eerlify. !hal..kP.:!-,'.e -.-LU-L-3--l-.._P:~.has permission !o the above described pzemise subjec! !o the provisions ot the Suilding Ordinanee for Eagan Township adopfed Aps51 11, 1855. p!= ~ Ch rman of T n Boerd ~ Svildin Ina ac Raceipt MECHANlCAL PERM17 Permit No, CITY OF EAGAN Fee Fill in numbered spaces S/C Type oi Print /egibly ~ Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone ~ 6. Address 7. City State Zip • 8. Building Type: Residential O Commercial 0 Institutional ? 9. Work Descripiion: New D Add ? Alter L'1 Aepair O 10. Describe Fuel Type 11. No, Equinment 8TU - M. Ea. No. Equipment CFM Forced Air ' Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Gand. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. ?ate Insp. This is your parmrt whert numbered and approved. Approved CITY OF EAGAN 454-8100 /I~ - 0~ 5l~ ~ ~G . , - . , ~ i ~ MECHANICAL PERMIT PERMIT # 9U RECEIPT # ~ CITY OF EAGAN /f 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 7I ~g G' ~ PHONE: 454-8100 Site Address 4E BLDG. TYPE WORK DESCRIPTION Lot Bfock ec Sub C Res. New,- ~ Name Mult Add-on m 'Fu Address Agc. Comm. ~ Repair " c c City ~J~. - Phone y ~ Other FEES ~ Name -it z l 1 ~;11A s RES. HVAC 0-100 M BTU -$24.00 c AddreSS ~lz- ~"7 j T r'r l ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW 0 - Citjc L) -CONSTRUCTION) _ GA5 OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1a/o OF CONTRACT FEE APT. BLDGS. - CaMM. RATE APPUES Forced Air :,jjJ,y BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # $ BEYOND $1,000) Other , FEE _J S/C: • ~ SIGNAT F R TOTAL• ' ~ FOR: GITY OF EAGAN . . . INSPECTION RECORD 'CITY~OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE 4F WORK: , . ~ f . ~ i i , i • . , i ~ , , , ltqSPECTION D. • DA 3 1ti1'•1 I 111, , i 1:Ai 1111t o ~ r f . I /i i~ ~ / Q+~• tK,111f :~1 t'A tfl111 !t ~•t ! i. l11:! i:l t~l~ l i~ t II i Illi ANi' I'I IIM{i I Nii UF f I i ~ 1 1; t i AI 14m, F ~ L Permk No. Permit Holdsr Date Tslephone N ~ SM! ~ PLUMBING HVAC ELECTRIC ELECTRIC Mspoctlon Date Insp. CommarKs Faotings I Foundation Framing ~ . s+ - ,C - bL - Roofing r Rough Pfbg. Rough Htg. Isul. Rreplace Fnal Htg. (p+J Orsat Test Ffnal Plbg. 3 3 ~ Plbg" Inspector - Notify Plumber Const. Meter Engr,/Plan 81dg. Finat ! Deck Ftg. Deck Final Well Pr. Disp. w~ .00 , . Wertificate nf Cccuvanc# , Witv of Cfagan ~art~acat of ~Ki[bixg ~~~~reetioa . , ' This Certificate issreed pursuant to the requirements oj the Uniform Building Code " certifying that at the time ojissuance this structure was in compliance wrth the various ordirtances of tfu City regutating building construction or use. For the following: use amificuion:s,nM/TNn Mqr•-~g Bldg. Prnnit No. 24~ 3 00-P-Y T)'PC R? Zoning Disuitt CSIC Type Const. , Owner of Building A~IY'V Ae*TO Address Building Address L,ocalit7-4, Be, oGoNR'mu 1n i Data i ~Wing Official - P06T IN A CONSPICt10US PLACE CITY OF EAGAN Remarks ~P1zzQ A~vt ) ' Addition Section 19 Lor sik Parcel 10 01900 040 08 Owner . Stree State EAGAN MN 55122 ' S ' C5' Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. pAVIN 1975 1729.28 172.92 10 GRADING CEDAR GROVE AC ,w `r 972 617.00 24.68 25 l~C SAN SEW TRUNK 1968 $100. 00 ' $3. 33 30 LAq SEWERLATERAL 1969 714.80 35.74 20 WATERMAIN WATER LATERAL WATER AREA 1972 200.90 $13.39 15 STORM SEW TRK S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sa,c $540.00 1452 5-28-69 PARK i5 re4uesl void /Q~g % 8 mon[hs tmm 0 . 57934 Request ate Fire No. FouPh-in InsUer,[ion Re~~urted? xReady Now Q Wfll Notity. InsDec- ~ C]Yes Nn «a, Whnn Heatlv ~ Ucensed Elec[ncal Contractm I hereby request insoectlon at abova ? Owner electrical work installed at Street AdAress, Box or Route No. 3f9.2 ,54& r7 ecuon o. Townshlp Name m No, Range No. County Occopant I~PPiINTI / Fhone No. r ' Power $upplier Atltlress Electrical C Mractor ICOmpanV Namel Contrar.toe's License Nn. 6lvc#uh Mailing Address IConttactor or Owner Makina Instailationl Authorizetl Signawre IC~~vacio ~Owner M kind Inscallationl Phona NumLer MINNESOTA STATE BOAflD OF ELEC NICITY TMBE AISCINSPECTCEPTEDION flEQl1EST WILL NOT BY THE STqTE BOAND Griges-MiAwey Blda. - poom N•197 UNLESS PPOPEN INSPECTION FEE IS 1821 Universitv Ave.. St Peul. MN 55109 ENCLOSED. Pe..na IF171 5620800 REQUES.T FOR ELECTRICAL INSPECTION /ea~-pooooi-os &L Ill, $ee instroctions tor completin9 this torm on beck oi vellow copV. ~ 9 D 5 7 9 3 4 "x- eeloW Wark Covered by 7his Request Adc1 BBp. Typa OI Buiitlin9 APPlianCe] Wir04 EquiVaienl Wired ass Home flange Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric Heatin Cortnnercial Bldy. Fumace Siio Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm otnxr vec. v lherl5nec,lyl t nr Succi V Other- ompute lnspection fee Below k Fee Service Enbanca5ize n Fee Faxders/Subiexders N Fne Circoits 0 tp 200 qm s 0 to 30 qm s 0 to 30 An )s Above 200 qmps 31 to 100 qmps ItJ4f 31 to 100'Am s Swinnning Pool Above 100_Amps Above 700_/>mPy Transiormers Irrigation Eboms Pertial-Other Fee Signs Special Inspection S~O~Q NerrNrks TO L EE ~O • L HouBh-in ffie Elecvical Inspector, hereby certify thet the above Pinal Oxte ~ inspection hes been mede. •hb repuest voitl 18monthn fram 34638 j~ ~ Repue-l Date Fi e No. Rough-In InpsMion ReqoireE Inspedan Othei Than Rougb-In (VOU ust all inspectar whan reetly) C3 Reatly Naw ? Will NotOy Inspecror Y. ? No Date Reatl I IicCnsed contractor O owner hereby re tzspe tion of above e ctrical work at: Job Atltlress (SVeeL Box or floute CA,h Section No. Township Name or No. Range No. County 0.Ko OccupantlPRINT~ Phone No. (I _ oc..\~ 1~ y.c Y541 J55 39 Power SupPlier AOeress Elecvical Conlraclor ICompany Name) Conlrxtors License No. \ ~l) .._yv~ 2 2. =In t"'f Mailing Atl0 ss ICo VaClor or Ownar Making InJailal ~a7 0- IzUal?p r~?~ Aulh rix tl SignaNre IConuaclor/Owner Making Insiallationj Pbone Number 31 - ~SU MINNESOTA ST E BOIIRD OF ELE FICITY THIS INSPECTION FEQUEST WILL NOT Griggs-Mitlway tOg. - Room 5.173 BE AGGEPTED BY TME STATE BOARD 1821 University Ave.. St. Peul. MN 551 W UNLE55 PROPER INSPECTION FEE IS Fhone (612) 642-0000 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~Ty1~s eaooom oe ~ / ~ imlm`ns lor completing ihis (orm on Oack oi yellow copy. ? 34638 "X" Below Work Covered by This Request e AW &tp. TypeotBuiltling AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Waler Heater EIBCIriC H88ting Apt. Building Dryer Load Menagement Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Oiher (specilyj ('qnUaqor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEmranceSize Fee # Cimuits/Feeders Fee Swimming Pool 0 to 200 Amps jtle) 0 to 100 Amps Transtormers Above 200 _ Amps 00 _ Amps $Ig05 Inspector's Use Only: I TOTAL Irrigation 8ooms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT Olher Fee COMPLETED WITHIN / NT e 1, the Electrical Inspector, hereby Rou9h-in ~ Dafe _ certify that the above inspection has Final n Date been made. OFflCE USE ONLY f!`Ji This request voitl 38 months lmm City of EaRan Pat Geagan July 26, 2005 MnroA Peggy Carlson , ' Cyndee Fields NICKOLAY &_NATALIA BRLJTSKY Mike Maguire [3992 SIBLEY MEMORIAL HWY ? - EAGAN MN 55122 - - ' Meg Tilley COUNCIL MEMBERS Re: Project No. 800R Thomas Hedges Assessment Deferment Agreement Cin AoMirvisrnamn For your files, I am enclosing a copy of a fully signed and recorded Assessment Deferment Agreement. The recorded document number is 2335778. If you have any questions, please contact the Engineering Division at 651-675- 5646. MUNICIPAL CENTEp 3830 Pilot Kno6 Road S1riCCTC1y, Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012fax J dyJe ' s 651.454.8535 TDD ngine ng Secretary Enclosure: Agreement MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360fax 651.454.8535 TDD www.cityofeagan.com THE LONE OAK TREE The symbol ot . strength and growth in our community. 2335178 " ~ ~ ~ a W ? ~ o a z °z ae~~¢ o p ~ y ¢ z V 2 ? ~ o'~eizWO a ~ W W Ti 1"~ jr. azLL~ ~ ~a ¢ v 41 I_ x g H ~ N U 2 V S JO ~ O 3.N-x d v ~ O C'7 w W = V ¢ o CO'7 SV N O F Q$ Q = W m~ W ? O O p ~ ~ W~ m 3 ~ Z r? o ~ x 2 ~~r a U. ~a ~ W W v v U9 3 ~ U- ASSESSMENT DEFERRAL AGREEMENT THIS ASSESSMENT DEFERRAL AGREEMENT ("AgreemenY') is made this AL day of Q.pR,i t-- , 2005, by and between Nikolay Brutsky and Natalia Brutsky, husband and wife (hereinafter "Landowners") and the City of Eagan, a Minnesota municipal corporation (hereinafter the "City"). (Landowners and City are collectively referred to as the "Parties.") WHEREAS, Landowners aze the fee owner of certain property in the City of Eagan, County of Dakota, State of Minnesota and legally described as: That part of the Northeast Quarter of Section 19, Township 27, Range 23, Dakota County, Minnesota, described as follows: Commencing at the Southwest corner of said Northeast Quarter; thence North along the West line of said Northeast quarter a , distance of 198.82 feet; thence East 33 feet to Yhe Easterly right of J way line of Cedar Avenue; thence North 47 degrees East a distance of 270 feet; thence North 18 degrees 13 minutes East a distance of rR 159.4 feet; thence North 40 degrees 55 minutes West a distance of z`ZS 75 feet to a point on a line parallel with and 60 feet Southeasterly of the Southeasterly right of way line of State Highway No. 13; thence North 49 degrees OS minutes East parallel with said ;d-, Southeasterly right of way line 200 feet to the actual point of beginning; thence continue North 49 degrees 05 minutes East a distance of 158.8 feet thence South 40 degrees 55 minutes East a Rf~CEIVED distance of 112 feet thence South 49 degrees OS minutes West pazallel with said Southeasterly right of way line 158.8 feet; thence iJUN 2 3 2005 North 40 degrees 55 minutes West a distance of 112 feet to the point of beginning. QWTA COUNiY 1JFA6URER•AUOITO~iereinafter the "Property"); and WHEREAS, as part of Public Improvement Project No. 800R (hereinafter the "ProjecP") the City is proposing to assess the Property for street improvement costs in the amount of $4,181.76; and DATE RfCENED o S7 DAKOTA COUNTY TREASURER-AUDITOR Lc " . WHEREAS, the City is willing to defer the assessment for a limited time in anticipation of redevelopment of the Property; and WHEREAS, Landowners aze willing to accept the deferment and pay the assessment all upon the terms and conditions contained herein. NOW, THEREFORE, in consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties do agree as follows: 1. DEFExxED AssessMeNT. The Parties agree that the street improvement costs under the Project in the amount of $4,181.76 shall be deferred without interest until the earlier of the following: A. The Property is sold; B. The Property is subdivided; C. The Property is platted; or D. 7une 1, 2008. At such time, the deferred assessment shall be payable in equal installments over a period of ten years with interest thereon at interest of seven percent (7%) per annum. 2. Wnivex. The Landowners hereby accept the deferred assessment far street improvement costs in connection with the Project in the total amount of $4,181.76. The Landowners hereby waive the right to object or appeal the assessments pursuant to MiNN. STnT. § 429.081 and further waive notice of hearing on this Agreement. 3. BiNDING EFFEC'r. This Agreement shall be binding upon and inure to the benefit of the Parties' heirs, successors and assigns and shall run with the land. CITY F EAGAN: LANDOWNERS: By: c~ By: 0!~R-q&r Pat e a Nikolay Bi tsky Its: Mayor By: l7i~ Y(AL'-<2Qti Natalia Brutsky ~ Maria Petersen Its: Clerk • • ! STATE OF MINNESOTA) ) ss. COUNTY OF DAKOTA ) The foregoing instrument was acknowledged before me this ~ day of 2005, by Nikolay Brutsky and Natalia B tsky, sband and wife. bimdimir P1. Bruts~Cy STATE OF MINNESOTA) Rlotary Public ) ss. ~,'0~,,v+~ Minnesa4a COlJNTY OF DAKOTA ) CommienionE ' eaJan,37,Y00B __Jhe foregoing instrument was acknowledged before me this of ~ 4ne- , 2005, by Pat Geagan and Maria Petersen, the Mayor and Clerk of the City of Eagan, a Minnesota municipal corporation, on behalf of the municipal corporation. ~ n~-- N tary P lic APPROVED AS TO FORM: JUDY M. JENKIFS ~ fo NOTARYPUBUC-F~9lWESOTA AtyCommissimEzpruJan.31.1010 City Attorney's Office Dated: l. ( z c S APPROVED AS TO CONTENT: Public Works Department Dated: THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 Apple Valley, MN 55124 (952) 432-3136 (RBB: #206-20268) mm Ir- b~ y 6 ~ COMMERCIAL BUILDING •+o PermitApplication ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ I~•--~~ Telephone # 651-675-5675 FAX # 651-675-5694 c"A-9-4 t.o - l Foundation Onl New Buildin Interior Im rovement • Strudural Plans (2) sets • Architectural Plans (2) sets • Archifecturel Plans (2) sets • Civii Plans (2) • Stmdural Plans (2) • Code Analysis (1) " • CertifiwteofiSurvey (7) . CivilPlans (2) • PrqectSpecs (1) • CodeAnalysis (1) " • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeAnalysis (1)'" • Master Exit Plan . (1) • Spec. Insp. & Testing Schedule ° • Certificate of Survey (1) • Energy Calculations (7) not always" • Soils Report (1) . • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" . Meter size must be estahlished • Meter size must be established • Meter size must be estabiished-'rf applicable 1 • ProjectSpecs ' . (1) b • EnergyCalculations (1) ! . Electric Power 8 Lighting Form (1) 1 1 • Master Exit Plan (1) 1 b • Emergency Rasponse SRe Plan (1) d • Soils Report . (1) ! • SAC detertnination - ca11 65 7 6 0 2-1 00 0 • SAC determination - ca11651-602-1000 SAC determination -ca11651E02-1000 Call MN Dept of Health a[ 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". ' Permil for new building or addition will not be processed withou[ Emergency Response Si[e Plan. Date -r_ / ov / C, Constructio,n )Cost ~!/00• SiteAddress 5q9A :5/bleui~ lftanal 1~~~ .56Q74 /t/N JWA)' Unit/Ste TenantName ,yir~s~ ti1aR~e~,y/v[~• FarmerTenantName AvwIRF _ Descriptioo of Work. IJ2CJVp- d WGZI/S~L~~pkhfe -AQvl'//~ Sarne eiFCfv/ ca~ st~rnc-_~nu+ t. PropertyOwner Telephone#(~SZ) 06 4q93 _ ? Contractor (1,1.t~t.~, C ~ S /I L~~7~~~%C.1/ ~ - Address • 1.~/71 t~T~1 ~l City JC,(V/~I}7./~U~f f _ State Zip Telephone#(6/~) '77D " LI3LI q _ ArchlEngr Registration # Address City WM~M3 scete ztP elehone BY . Licensed plumber installing new sewer/water service: • Phone ( I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and 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; that the work will be in accordance with the approved plan in the case of wo k wh~ic/h requires a review and approval of plansvi~n,~//q NgTALjA 57uT50 Applicant's Printed Name Applic 's Signature OFFICE USE ONLY AM Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments X 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse r-i 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae C 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 RBplacem8nt •Demolition (Entire Bldg only) - Give PCA handout to applicant / Valuation 53000 ot-4P ^ Occupancy 8• M MC/ES System v Census Code '11)7 Zoning F CSG~ City Water ? SAC Units - 0- Stories ~ Booster Pump Nbr. of Units { Sq. Ft. ZO PRV ~ Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const V' 0 Width REQUIRED INSPECTIONS _ Footings (new bldg) ~ FinaUC.O. _ Footings (deck) / FinaVNo C.O. _ Footings (addition) p~umbing _ Founda5on ? HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Au/Gas Tests Final ~ FranunB _ Siding Stucco Stnne Fireplace R.I. Au Test Final Windows (new/replacement) ? Insulation - - - _ Retaining Wall Approved By Building Inspector Base Fee 11 1 - Surcharge 2 . SZ~ Plan Review MClES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication ' Water Quality Copies Other Total '68/14/2003 10:03 6514873283 NAIARCHITECTS PAGE 02 N/~..¦ ARCHITECTS 8/14/03 Re: City of Eagan Esgsq Mi.-usesua Aurhoriration to release inforcnatian. To whom it may concem: NAI Architecrs hereby authonius the release of aay docnracntation that rlie City of Fagan may have on the following pxoperty to Nikolay or NataGa B?ussky of Mmsk Maricet. ° PID #100190004008 agan, Minnesota 55122 l - Y Smc.erelYf f -..f~ n N~Y, r`Fsi~t NAT ARCHI7'ECT'S, INC. KGN/cros 245 EAST ROSELAWN AVENUE • SUITE 30 • MAPLEWOC)D MN sstn . laRn d27_14Dat . cev rac1~ nazaooa /0 0~900 ofro d~ ~ MASTER CARD LOCATIO . 6,/e ,e - e,,•r P99 OWNER AL j 3 STRUCTURE AND LAND USED AS Issued To Permit No. Issued Con}ractor Owner BUILDING ~JAQJ 8-9_7g_ PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANI7ARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING $EPTIC FOUNDATION CESSPOOL FRAMING TIIE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: . . . COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: O REINSPECTION REQUIRED DATE OF REINSPEC710N REINSPECTION REVEAtED CERTI FICATION - I certify that I have carefully inspected the a6we in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requira ments for off-site improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABtY COMPLETED BUILDING INSPECTOR DATE COMMENTS: ~d 1,41 9oe oyo o~ MASTER CARD . LOCATION _ t;~' I / pj(/~A/~~ OWNER STRUCTURE AND LAND USED AS Issued 70 Permit No, issued Con}ractor Owner BUILDING x 9- PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GA$ INSTALLING SANITARY SEWER OTHER OTHER I • Approved Items (Initial) Date Remarks Disrence From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ? TILE FIEID Ff. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUM8ING WELL SANITARV SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOIATIONS • 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 WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPUANCE. BUILDER WILL COMPLY WITHOUT DEIAY. ITEMIZED AND DESCRIBED A$ FOLLOWS: O REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CE RTI FICATI ON -1 certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEGTABLY COMPLETED BUILDING INSPECTOR OATE COMMENTS: ~ ~ sa -qm PERMIT ~56 `l CITY 7FEAG"AN ~~PM4 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024513 (612) 681-4675 Date Issued: 0 9 J 2 9/ 9 4 SITE ADDRESS: 3992 SIBLEY MEMORIAL HWY LQT: 4 BLOCK: 8 SECTION 19 P.I.N.: 10-01900-040-08 DESCRIPTION: (PROWIRE INC) B;u3lding-Qermit Type COMM./IND. MISC. 6uilding Wor_k, 7ype TENAN7 FINISH 'UBC Occupancy\-, B-2 ~ Zoning CSC Building stories 1 i ~ ? r REMARKS: SEPARATE PERMITS ARE REQUIREO FOR ANY PLUMBING OR ELECTRTCAL WORK FEE SUMMARY: VALUATION $40,000 Base Fee $349.50 Plan Review $227.18 Surcharge $20.00 Total Fee $596.68 CONTRACTOR: - flpplicant - OWNER: CLAS3IC BLDRS 27549058 RANCH ROCKY 1507 139TH LN 18901 JORDON 7R ANDOVER MN 55304 LAKEVILLE MN 55044 (612) 754-9058 (612)469-2599 I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with all applicable State of Mn. L Statutes and City of Eagan Ordinances. J ' P CANT/PERMITEESIGNATURE ISSUED . RE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: aurLozNe 3830 Pilot Knob Road Permit Number: 024513 Eagan, Min nesota 55123 Date Issued: 0 9/ 2 9/ 9 4 (612) 681-4675 SITEADDRESS: LoT: a BLocK: e APPLICANT: 3992 SIBLEY MEMORIAL HWY CLASSIC BLORS SECTION 19 (612) 754-9058 PERMIT SUBTYPE: TYPE OF WORK: COMM.JIND. MISC. TENANT FINISH DESCRIPTION (PROWIRE INC) INSPECTION . .A FOOTINGS fRAMING ROUGH IN PLBG ROUGH IN HT6 FINAL PLBG FINAL HTG FINAL 'IREMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING QR ELECTRICAL WORK • F ~ L- -J "t CITY OF EAGAN ~ 1994 BUILDING PERMIT APPLICATION 4~ 14jel~ 681-4675 r/ } SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urveys, copy nergy calcs. SEP 0 7 1934 COMMERCIAL 2 sets of arcfiitectural & structura _W.ans._J set_of specifications, 1 copy of energy ca cs. " / 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 2 qy Valuation of work r Site Address: Ao~/ STREET SUIT Tenant Name: (commercial only) ~?ZbW1/~'~. `~r-cJ' LOT ~ BLOCK SUBD.Jat~t I(~ P.I.D. # y Descri tion of work; 134E- YVIo C6~~ci~1d~t7 The applicant is: Cg Owner O Contractor ? Other (Describe) Name Rftr.1C L~-- PoChu Phone ~t ~a y- Z S9~ Property LpST FIRST Owner Address )25C101 T5e~'Da~j fie'. STREET STE # City j.A1zCVll,l. rz State MiJ Zip SSD~ Company CL,tSS I C. 71;~M K_-p_e~ S Phone 7Sq- y• zr - sTsz. Contractor Address 150-7 I LarJ C_- License # Exp. City l+'*9-Do tIiz-fe_ State h') N Zip 530 Architect/ Company /v al WK C' 4 I'tr-~5 Phone q87 -aZ.s~ L Engineer Name 4r"nJ ~30"Z-pw:j Registration # '77 Address aS~S~~t57- &b-e- C<tw-'1 1F-I/ City -5~r5T . _P A-A l- State P'"AJ Zip 5-57~7 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that-4-have-read lication and state that the information is correct and agree to comply with all app icab e te of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE . .y.. ~ ? Oi Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 Sf Dwg. ? 01 4-Plex ? 12 Multi. M1sc. ? 17 Swim Pool ? 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace L31 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations )3 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) ~ lst F1. sq. ft. City Water UBC Occupancy j~,.-2 2nd F1. sq. ft. PRV Required Zoning c_1 Sq. Ft. total Booster Pump # of Stories T Footprint Sq. ft. fire Sprinkler Length On-site well Census Code " Depth On-site sewage SAC Code 0 Census Bldg / APPROVALS Census Unit ~ Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? Site 0 Footing El Framing LY} Insulation ? Wallboard ~ Final ? Draintile p Fireplace Permit Fee veimc;d,: g Surcharge i 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 Y SAC Units ctrv Or- EracaN caSw.r.r.::R': Js TEF'MTNAI_ N0: 943 UI'+'iE;t 07/30/35 1'1iSE:: 13>07a44 zn : NAMF;; ALC.;OVE Rt70f-"7:NC, & SIIiIMG~ T.NL', 300 9001 3732 Sif.sl...E:Y MGt1 20n25 205 9001 3992 S.r.B«.F_v nen 7.50 r 'ir>ta:l fie:.ce:ipi: Ainouni;t 258.75 CF'04670 Usrfi r.D: ,r,N S 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) aS 3 70 ~-f-~ CITY OF EAGAN ~ 651 681-4675 Qmft Re uirements to buildin ermit Foundation Onl New Construction Interior Im rovement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architecturai Plans (2 sets) • Civil Plans (2 sets) < SWCtural Plans (2 sels) • Code Malysis (1) " • Code Analysis (1) " • Civil Plans (2 sets) • Projed Specs (1 seq . Project Specs (1) • Landspping Plans (2 sets) • Key Plan . Spec. Insp. 8 Testing Schedule " • Code Malysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determina6on letter from MC/ES - call • SAC determination letter from MC/E5 - call ca11651-602-1000 651-602-1000 651-602-1000 • Spec.Insp.BTestlngSChedule (1) " • EnergyCalcutations (1)notalways" . Prqecl Specs (1) • Elec. Power & Lighting Form (1) notalways ° • EnergyCalculations (1) " . ElecVic Power & Lighting Form (1) " . Master Exit Plan • Soils Re oA (1) 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: Z/ WORK TYPE: _ NEW v REMODEL DESCRIPTION OF WORK: 1/ryql/~ 11t7/r4 CONSTRUCTION COST: TENANT NAME: ~ d Lvin 2~,. ~ SITEADDRESS: jS`~/Z S~/e ~1 ~r1r~_z/ l<- SUITE#: LOT ~ BLOCK O SUBD. Vjfflon P.I.D. #LQ - Q I' 1 D0-0 * -68 Name: //.(4 CX~y Phone tl: h S I-~S ~1-- 6 S/ PROPERTY ~ Last First OWNER 1 Street Address: ~~J } 2- City State: f7t.ci Zip: Company: ZA~'719 Z A~>z r ~ JJ Phone 61 CONTRACTOR Street Address: City lGState: Zip: ~5%2Z Ti7S Ci-' ARCHITECT/ ENGINEER Company: Phone Name: Registcation r Street Address: . City State: Zip Sewer & water licensed plumber (onlv if installina sewer & water): I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / l Signature of Applicant _v, ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous ? 27 Commercial/Industrial ? 29 Antennae WORK TYPE ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. 0 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) First Floor sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs. # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Fire Sprinklered APPROVALS Planning Building Engineering Variance I VALUATION: $ Permit Fee 5urcharge Plan Review MClES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant „ Park Dedication Trails Dedication ' Water Quality Other Copies Total CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: FFFR ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: STREET ADDRESS: CI7y; STATE: ZIP: PHONE ( ) ? CITY USE ONLY L BL ~ RECEIPT 34,0 ZZ SUBD. ~J_p-'~%•_rn. ~~I DATE: /~6L? 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buildings. ? mufti-family buildings when separate permits are = required for each dwelling unit. DATE: I ~ CONTRACT PRICE: `~t ~ WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMP OVEMENT DESCRIPTION OF WORK: t' U.~ FEES: .$25.00 minimum fee 2r 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of RgoW fee due on all permits. CONTRACT PRICE x 1% •,50 PROCESSED PIPING STATE SURCHARGE TOTAL . D~ , /p SITE ADDRESS: ~YI1~7 J OWNER NAM E-TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: - I ` O. , ADDRESS: 1 CITY: O STATE: MA~ ZIP:~Y PHONE i SIGNATURE: L /816NATUkE-dF PERMITTEE CITY INSPECTOR ? , . 1994 PLUMBIIYG PERMIT (COMMERCIAL) CT1Y OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMbIERCIAL/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUII..DINGS WI-IEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UN1T. ~ NEW CONSTRUCTION T ADD ON REPAIR woiuc nESCxIMox: h~ck~:.. i h s!- S,.~ k S CONTRACC PRICE: $ S oc~ FEE 196 OF CONTRACf FEE. STATE SURCHARGE $SO FOR EACH $1,000 OF FEE MINIMUM FEE $ 25.00 CONTRACI' PRICE X 1% $ 9 S STATE SURCHARGE a ' ~ TOTAL $ (E~1 •~tS SITE ADDRESS: 39 9 y TENANT NAME: S"1'E. # OWNER 1L'AME: ~ro C.J r ~ INSTALI.ER: YN~ o-'tt4--a ~ o„~. A c_ ADDRESS: ?S-13 p C o-~a~Q v'o--, CITY: ~s~~",~ STATE: M'` ZIP CODE: 5 S o 6~ PHONE L 3• -~`l 3 o FOR: CITY OF EAGAN APPLICANT F= 1994 PLUMBING PIItMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN 14IIY 55122 . (612) 6814675 PLEASE COMPLETE FOR SINGLE FANID_Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTT. NO. FIXTURES F.ACH TOTAL SHOWER 3.00 WATER CLOSE'I' 3.00 BATH TUB 3.00 LAVATORY 3.00 KTTCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • 3.00 ROUGH OPENIlVGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • naLcxy. u~ 20.00 U.G. SPRiIVKLF_R • home ,,wa mm 3.00 ALTERATIONS • w cistwe 20.00 WATER TLTRN AROUND 20.00 STATE SURCHARGE .50 TOTAL: STTE ADDRFSS: OWNER NAME: INSTALLER: ADDRESS: CTTY: STAT'E: ZIP CODE: PHONE ( ) SIGNATURE OF PERMITTEE i /0 D/9D0 D~/D 08' EAGHN TOSdIVSHIP 3795 Pilot Knob P.oad St. Paul, t4innesota 55111 Telephone 454-5242 PERMIT POR SEWER SERVICS CONNECTION DATE: 7YTBp 1 q68 NUMBER 179 OWNER: _pi2z8 gut. Inc. P.ddresa 3992 Sibley Mem. Hwy. PL[1MBER John MeCartv. Plbr. 1YPE OF PIPE cast iron DESCRIPTION OF BUIIAING Industrial Comercial Reaidential Multiple Dwelling No, of units % Location of Connections: Coanection Charge Permit Fee 67050 Pd. 5/23/68 Street Repaira Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the propoaed work in accordaace with the rules and regulations of Hagaa Toc-mship, Dakota County, Mimesota Sy ~ s2o Please notify when ready for inapection and conaection aad before any portion of the viork is covered. , *dtV oF eegan . , PAT GFAGAN August 7, 2003 - • , . Mayor i reccv cuusoN ELITE CONSTRUCTION & REMODELING ' 14874 DODD BLVD ' CYNDEE FIELDS ROSEMOUNT MN SSOGH MIKE MAGUIRE - . ~ . Mec rIuEY RE: THE MINSK MARKET INC. 3992 SIBLEY MEMORIAL HIGHWAY' CouncJ Members . . , ~ TO WHOM IT MAY CONCERN: ' THOMAS HEDGFS We have started our. review of the construction documents submitted in pursuit of Ciry Adminisencor obtaining a building.permit for the above-referenced project. . This review is not intended to be an exhaustive and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the MunicipW Cen«< applicable codes and we aze, therefore, requesting that the following items be addressed: 3830 Pilot Knob Road 1., Provide scaled drawings prepazed by a Licensed Architect who is certified in the Eagan, MN 55122•1897 State ofMinnesota. . Phone: 651.675.5000 Z• Provide a complete Code Analysis. 3. Provide a Key Plan. Fax: 65I.675.5012 4. Provide drawing(s) by the Architect that indicatesthe existing layout of walls and TDD: 651.454.8535 plumbing fixtures. 5. Provide information detailing the use of this space, i.e. is it for food preparation, storage, etc? M""""'"« F°&"Y` 6. There appears to be a stove in one of the rooms; piovide details for its ventilation. 3501 Coachman Point 7. Contractor must sign the building permit application. . . Eagan. MN 55122 Phonc 61.675.5300 If you have any questions regazding these requirements, please contact me at 651-675.- 5683. . Fax:651.675.5360 . TDD:65L454.8535 Sincerely, . . . . - ' www.cityofc+gan.mm J. Craig Novaczyk ' SeniorInspector JCN/js . . THELONEOAKTREE , . r The eymbol of scrcng[h " , . . and grovrth in our - ' , mmmuniry . ' 1 PLUMBING (COMIlIMRCIAL) Permit Application City Of Eagan 3830 Pilot Keob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Date41 / Site Address mc Unit # Tenant Name For r Tenant Name ~i.. ~ Property Owuer IA, d7$h Telephone 6jQ ) oZ7- Contrector ?M/ . Address 0 r City State Ol'1/4 Zip Telephone # ( ) The Applicant is _ Owner zz~\ Conhacror _ Other Work Type _ New Bldg Add-an _ Repair RPZ PVB Irrigation system • • Jcr Wabsrhell lo celculetc fees. R ulred mNer size Is 2" lurbo unless smnller size ermitled b Publlc Works Description otwork S~z iJjl__ S5 STG~ S:?kS To inquire if Prusure Reducing Velve is required on new smice, call 651fi75-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 314" disolacement $156.00 Domestic Size & Type Avg GPM Includes high demand devlces? _ Yes _ No F7ushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcherge) mp Contract Value $ x I% Base Fee $ Meter(s) Required on all new buildings & boulevard irtieation svstems $ Radio Meter Read If bau fec is SI,WO or Ics, surcharge Is $.50 $ Sf3le SUrChazgB If bau fee is over $1,000, surcharge is SSO per SI,000 of thc Bax Fee Following fees apply only wheu iustelling new Irrlgatioo system $ Water Permit Contact Jerry Wobschall et 651 fi75-5024 for required fee emounts M Treatrnent Plant Water Supply & Storage SEP 2 421~3 I ShateSurcharge - - - - - B _ $ Total Fee I hereby apply for a Commercial Plumbing Pertnit and acknowledge that the information is complete and acwmte; that thc work will be in conformance with the ordinenccs and codes of the City of Eagan and with the Plumbing Coda; that 1 understand this is not a permit, but only an application for a pertnit, and work is not [o start without a permit; that the work will be in accordence with the approved plan in the case o( work which requires e revicw and approval of plans. rr pplican s Printed ame Si I CITY USE ONLY REQUIREDINSPEC'f10N5: _ U.G. _ AirTest _ GasTest _ Roughln _ Final PLANS SUBMITTED APPROVED BV: %1a BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum tee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper 6om/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrig2tion sySt $ 781.00 displacement smcommercial turbine'• must reCeive maximum concinuous approval 10 from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine Ig imgation syst $ 982.00 maximum displacement residential & continuous sm commercial production lines IS 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commereial & continuous & Ig comm bldgs 25 im ation s stems 5-100 1-1/2" bldgs 25-64 units 5484.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5350 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 comm bldgs very Ig comm bldgs 15-1000 4" turbinc very Ig irrigation $2,329.00 syst . & production lines Comments • To schedule inspection of [he inside water line and backflow preventer, ca11 65 1-675-5 675. • To arrange for water tum-on, call 651-675-5300. cc: Maintrnance Division Clericel Technicien Updatcd 1/03 COMMERCIAL MECHANICAL Permit Application City Of Eagan ~ a~9 'T 3830 Pilot Knob Road, Eagan Mn 55122 Telephooe # 651-675-5675 eT~~ ~ Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date~_/1~/ Site Street Address ) t ~Jw Unit N Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor ~eLZ 1 Street Address ~e)j City C-1 ~ State nne rb~l 7.ip SSI~1 Telep6one#(CnSk Il-6 Bond E:pires: The Applicaot is _ Owner ~ Conhactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: 9 04F rn "When lnstalling/remoWng underground tank, call for inspeeUon 6y Fire Marshal and Plumbing Inspector P¢rIlllf F2¢S: 570.50 Undaground tank installarionhemoval 550.50 Minimum (includes Sule Surcharge) or Contract Value $ x l% ~.o D Permit Fee • If permit fee is $1,000 or less, add $.50 ~ $ State Surcharge If oermit fee is over $1,000, add $.50 for every $1,000 Demii[ fee $ Total Fee I hereby apply for a Commercial Mechanical Peanit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; tliat I understand this is not a pemtit, but o an application for a permit, aad work is not to start without a permit; tha e 7 g~n~pcp~pr th the approved pla m e case of work which requires a review and approval of plans. D IS U IJ ISr~~ rta- Nf1V 7 i Liu Applicant's Printed Name Applic4tfsrStgenatare B y Approved By: 'S P , Inspector Date: RESIDENTiAL MECAANICAL Permit Application City Of Eagau 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomcs and Condos when permits arc rcquircd for each unit Date Site Address Unit N Property Owoer Telephone # ( ) Contractor Street Address Ci[y State Zip Telephone # ( ) Bond k: Expires: The Applicant is _ Owner _ Contractor _ Other Add-oo, modilication or alteration to esisting dwelling unit $ 30.00 furnace replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand Uris is not a pertnit, but only an application for a perntit, and work is not to start without a permir, 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 ApplicanYs Signature , .OP - - - - - i . i FOf~CBU C~ty of EaiaIl ~ Pe~ft ~ / 3830 Pilot Knob Road ~ Pennn Fee: r= uc4c i i Eagan MN 55122 ~ pate Recei,red: ~ Phone: (651) 675-5675 i i Faz: (651) 675-5694 i stan: i 2008 COMMERCIAL BUILDING PERMIT APPLICATION Dats: s'/r/ap sioenaamsg: 399a Sibjey Memori4l 41!j6waV TenantName:VACqn+(Alrrtrr Minsk MArW) (fenantls:_New/_Existing) Suite#: PROPEFtTY OWNER Name: Q-44 6~ &!jQr1 EDA Phorre: U6I4075^51#75 Address/City/Zip: 3B50'P',lo4- Knob Rnqd . Ea,ian } Mn1 551a.Q Applicant is: _ Owner X Contracror TYPEOFWORK Oescriptionoiwork: QUidln~ DPYnO0lON1 Consvuc6on Gast-, Y 00 . OZI CONTRACTOR Name: DOboszPrtSVi + Son62nc, ucensea: ,daress: q5ao Cou.44 rtaa d i a , c;,y: Lo rrflo smre: Md _Zic: 55351 anone~l~L945 cA aaiii q contactPerson:'Tom 13e1,r,.c 1 ARCHITECT/. Name:Wo~25Si0NqI rjPrvl[G-TYldu.%+rit}~RegistraGOnA: ENGINEER qddress: e'll 41 U1'~evtr81~ rtvC.• In~ AL a05 - cny: 5t. Pau I smte: M11 ziP: 55114 Pnone:l,51-L~Ib-8144 eA II co„wPersor,: Michael 7-juden Llcensed plumber inslalling riew sewedwater serviae: Phorre NOTE: Plans and supporting documents that you submit are consldered to 6e publfc lnformetfon. Porfions ol the inlormation may be classirted as non-pu6!!c H you provide specific reasons that would permit the City to conclude [hat the are trade secreta I nareby acbwwledge mat ws iMOrmaion is comWete and am,rate: maz the xwk wal be in coraomwwe with fne ordlnarwes and codes ot the City w Eagarr, Uat I underslerd this 's rot a pemut, but a4 an appGqtlon ta a permR, and woAC b not to start wltlaut a PermH; tlet the work will be In acordance wiM the approved Plan In the case ot wvk which requtres a review aM apPmval of Ware. % `7l10Nr.44 ~£/~f// x~ Ap~jillcanYs Prlnrted Name App canYs Slgnetu2 Page 1 013 I tiiinnesota Pollution Control A;ency I Notifcation ofIntent to Perform a Demolition r . 7'7pe of 2Volideotlon: 0-Origiml I ) Aaxaded I ] YroJeet C2aeellatiou I Demolition Contrattor: Buildine Intormatioa: . Nanr. ~?~S2Fn~,~c,' q,,,t .5~,,,I Buildin Nunc . B ~/'h G~ i~4,? ~tGS.4'~'i"o...~ IAddrcsr Adtres/Lootion~~do.f 6 - : i ky /kr-, o//q~ H~.iy Ciry,SdlqZ'ry:MN SS/za 3 I Ciry.sutsz;;: 1401 r.q'o I-IN S5?S7 cem7' flAkofa . ConnpPetsore T~+r Tci,~y.~ PhoneNumba(s}. Mfk ~ +:r • I Phone Number(sk 76~ YV- Ic Age of Hid& (yeus~ !r . size'otsld& (54 Rk ~ . Ntmbc of F1oas 1neWcg Basrnxnt Lcvd(zr~~ $II1ldID8 OWDEr: . . ' . PraanUseofBldg::. vaoA,,* ' • Han= . ~ . . Ptioruxorsiag: ~c~e.a-6.'~a-/ A,r,( ndd~ ?o~„~ r_ . • Dates wLen demolitioa or fatentioaai bnrning ~ wID Begin s r o & End r r W • cry,smsz;0:__d6 a.~~ htN SS/23 ~ . Notif atloa mast De postmarked or reeelred tea (3 0) xorkiog drys I Connc~pasom Mf/ n,q 7`'~~(a~„~ beforedemoLBonbe=fcx •SeeStemBS[oremerpeaqdwe88oaL _ Plione Numbc(st 6 S/ 7S -~p~. Soth Seglonin= aad Eadine datesl6ould De tmeaded fu wriHvgKS neeem.ry to retlect evrreat projed datm ' ' If tbere fs>2601Inesr feet o;>160 sqaare feM of Regnlated Asbatos-Containing hlaterial(RAC1i) ia tLe bnildfng . I to be demol'ubed, it must be removed by a lleeased ssbestos rnntraetor prfor to demoli8oa The State of MN- ' Notiee, of Iateat to Yerform an Asbates Abstcment Projeet m¢st be nsed to notify for the asbatos removy, Is noalriable ACM,pramt ia.the strneture to be demolished 2 YFS ~RNO ' lf YES coiaplete itunv I-9. •IfNO eomplete itans 3-9. . 3_ If. ACM wfll be Ieft In plaea for tLe demolition indiate tLe nmortnt of Category I and/or Category II • nonfriable AQV! left in pIaea . . • Gieyl • 3,ieaFat: ' caleg,p • LioarFed Sqome Feet . ~ Sqoare Fut • . . ' CYubieFat Cubie Fea Careperv I fto~R;.I,t. rn.I mms asbestoseonumui8 PackinSs, . Ca~eeerv 11 nonfriebfe Ae7./ means atp' muvial, acludmy , pskar. cesilTau 11 oa eoraing, mid. uphal[ roofm6 Producti; Gtegory I aontriable AQ.l, eontaaiiag moteflhan ooe pa eart coataining more thm one paeent tsbrstoz • Asbatos that, whea dry, annot be erumbled, W hcized. u •Cateeorr 1 oocGiable ACM $ not atlowed te remaia In p1sice rcdueed ro a powdetby hand ptessca for demoGtion Vit ic ia peer eocditSon. . •CateeoryII noofriable ACM fs not s1loired lo rsmatn Io phee ' f>r dqnolltioa if It Lu a bigL prvbabiliry of beeoining eromDled, • ' • paherized,orrtdocedtoapowderdnring demolitloqtnnsport, . . ' ar dirposal (a tnasSte, eemeat, state roofiev . 2- Description & Loeation of ACM remaining iaplaee (indnding tloor # and room . Revised 11199 . • I (-omp2ny%and/or individual that condueted the building inspection aad the proeedure used to determSoe the ~ presence or absence o[ ACM (iacludiag acalytie metLod): 'Prior tv demolition a!l buildings must bt in,fpeaed bv an U. S. EnYironmtntal pro(cctiortAgeney (EPA) accredirtd inspec[or.. ~ _ Pro~~c's,e..,~/ tc. v~ cc Jk -r~nFS T~e /Lelq--/ / s/ / ScG g~'~ - . Deseription of planned demolition and the specific method(s) that will be used: ~ / r.4* 4%*..,s.,qr .a- d urfVPi r . If the demolition was ordered by a governmeat agenry, please ideatify the ageney aad attaeh a copy of the ~ order: 2`Tarne:-Tidr. ~ Authority. - Datc of Order (A4/D1n: • • • Dace Ordered to Begin (M/bM: ~ ~ Notificfloe fer an emergmcy demolidon mast be svDmitted af nrly ss pom'Dte befon dmwUtion Eetinr, botnot httt Wan the ' follewipt workieg day. A danoptfon B considvM aa emergecry ONLY whee the faclliry 6u beea dartxd rtroctonlly oni;pyad and 5n dacter of immiaent col{apse, 1f the sbvctnrally owouod bnfldlne b kaowo te caaWn tnr trgclated ACM or is mspected Io contalp ~ anr retnlated ACTl, speciat procedcres MUST Dc folloned. If yoo are ocaware of the rpectil procedarer, tnstruetfeash%eaUyons mo De obtataed by contaeting the MPCA at tbb addrea or pbone nnmDer Ikted bdovr. ' . . Descriptton ofproeedure to be foilowed ia the event that nnezpected RACM is fonnd or CatII aonfriable ACM becofaa crnmbled, polverized or redoced to powder: . • ~ /k. or,a-i/cC • a,16 ACbfi E . Wute Tnnsporter(s) Iaformation: 8. VVute IPSsposal Informatioa: TranspatiaNamc D422sv4 a t?AS.r: Iy+dfilNamc &rcr LA.J ~7/ . . .7~ar~sportaCowa:_~r;aw Pre+' OemedOpvator. 1?Ac.fIt- MR~..a.v....~!- • . . Traasporta Addrs~ /~22 Wo' AL&. A.v. E oJ weeress/i,oratime j~ 4060 1lwu / 6 9 NW ~ C3q'.Snt4Z;V--Ilo,n,ii/tn~l:g MN SSf// C~tysmsz4p: •C/k Rflrc'-.'P+,v dz,c?so PMne Numbv:_ G i a- G 73 - RPFF • Phone Nianbv: ~6 ~ - ~ _ ~.s~,~.f • ' • I eertify tLat the above tniormatioa is-correet aad l.am a bonafide representative of thedemolition ~ contractor or building owner and have anthority to enter Into agreemeats for my employer,•..:. >i atuis of Contractoi/Owner Dyie' Srnd to: Minnaota Pollution Control Agrncy For questions call: • . Metro Distriets - Regular gacilitia Seetion 651-296-7300 . ~ 520Iafayette Road Nortti . 1-806-657-3864 . SL Paul, MN 55155-4194 • FAX: 651-215-1593 'CB,Removal InformadoL Pofyehlorinared btphmylr (pCBs) murt be ranoved from the building yrior to dmolitioa PC9s ~ wy be jmud fn CgJu ballasrs, tmall eapaeitorsfound fn o!d applimrco. anE trcnsjormc oaL For quvdons ealf !ht MPCt . rd~ardmv Wasie OM 6usineu ¢tsfstmce unit at 1-800-637-3714. . ' 'CS temovct nameladdraslpbone numbc: • 'CB receiver aamdaddirtmJphone nus,ber: ' . E dercnry itemoval Information Mercvr y conrarning mcrvial• musr be removedfrom the bupding prior ro demof;non ~ fQa+ry'mnteining materiaLs may tndudeJluorestenr, meral halide. 6rgh preuvre sodium, neon; memrry vapor lamps. muarry witc6e, thermostat probcs, menometes, endgaga. For, questioas eaf( rhe MPCA HW bvsrness atsf4rence unir of 1•800-637•3724. . %lereury remova nartxladdcesslphorie numbv; . ~ Qereuryreeeivcr'n:meJaddress7phone number; • • tefrigerantslCFCs/HCFCs Recovery lnformation A ctrnfitd itthniciart mvv rttover refrigtrantsfrom rtfrtgcer+on ~ qvtpment and ryrrems in the building prior to Aemolilion. For quetriont ca11 the CFCprogremi et 1•$00.657•3964. :cfriguant rccoverer namc/addtess/phone number.' ;eCrigennt receiver namdaddress/phone number: . . . i'9Z . I . ~ i-----------------i rY 94 of Ealan i ae~~.~'2-~~ i 3830 Plbt Knob Road iPermn Fee: ~ i Eagan NN 55122 Phorre: (851) 6755875 ~ aare Pecenred:_C~ i Faz:(651)675-6694 I I i sran: i L---------------- i 2008 COMMERCIAL PLUMBING PERMIT APPLICATION oem:-5-al-os shenmrm: IC194 Silvef F3P,11+ZJ rarrant 4060-n Re.S+oL..irw,4 suroeM. PROPERTY Name:wQi-llm6ro ffipP./4it4190 8 wv ResrPwne:~~sag3s OWNER corrrAncrop WmeMtj. 6' ' Hea6r%q Licensa n: 0589 s4- PM Aaa.ess:1'+2o W.Th? ?4u.- c;,,,:Shot,ieoP-CA- s~: Ma zp:553~9 Phone: 952 µ'+s q44q Contact Person:?a.vJ Sull wold 7YPE OF Now _ peplacemem _ Repair Rebuild WORK - - mocuh space _ WoAc in R.O.W. Deserlpllonofwaic: ,6uANT Q4~~~-v•,~ Q.4r~.~A~c. aPjfF•U f¢$-rx4QR PERNR TYPE COAlMERGAI. _ New Constn¢tlon ebdlly Space - ird8~wSystmL YeS / _ no) L_RP2 / _ PVB) • qain sensOrs requiretl on irtipation Syslan9 . Avp. GPM _(Y Wrbo reqWreU tmless smaller size allowed by Public Waks) weere can (651) 675-5646 a vaft mat cesn passed oria eo dcwno w meler. DOmBStIC: SizB 8 TypO FlR: Siz9 8 RiOB 4• mCl¢r 183.00 Avg. GPM High tlemantl tlevices? _Yes _No - Ruslnme0ere _Yes ZCNO PHV Requtred _Yes _No COMMERdAL FEES: :50.50 Mlnlmum (nctudes state Surcharge) oR caHrea vadm : t% e S ~00 Pemdt Fee aeyutrea on a~L new nundlnae wa baaevwa iMguon eyscems 4 - $ RacDo nnerer aBaa -11EMEnr2eblessumnr.0010.wwoeIvs.50 ~er(s) - n E~n Ess Is> $+,am. eiaawpa ina~s W aso ror earh $+,aoo ~ V tiAOO rama Fee (~e. a t+.oot42.oo0vmme Fee reqwres e St.oo a~mhmy~l. = g : Smie Snawrge folbwing tees eppfy when InstelOng a rmw lawn Irrlgatlon syslem. E water Peimtt Ceu the GYNs BVkeern9 Deliartmen1. (651) 675-56a6. lar ~med tee mmir4e. $ TreaUnerrt Plarn g wazer suapy a storae $ Ale?0 Sate Surcharse TOTAL FEES S I hOieEl atluqWedOB tlO Nb adwmelbn b amOelB aM aodJ'918: Uat M6 wk W I DB (m mrrAOrmarce w4h ioe9 mb OOOas d tlhe CM' a Eapan; TBI I iatlalatBM tlri9 la ml e pMmK DW adp an Mp6ra0on tr e Dw4 aM ruk le not b SM MOOW e pemdt 00 Cia wk I Ea i eaatlance Nh MB aPVmed 0bo in tlr mm d Mork rttl~~ mquhae a rev4r an0 apGmrel d pem x P~~L it 5V.((W6L.L . AppOeanYs Prlnted Neme eanYs SIgnreWre FOR OFFICE USE Approved By: DaDe:,T_ 4 Required In ona: Under GrourxJ ou h-In ir Test Gas Test Fnal Page 1 of 3