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1969 Silver Bell RdINSPECTION RECORD . Dili ?.illl, CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ` (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: t PAIR Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: s i? i ? f:t ??r f ; -?II.VFk tit II UFHit R fbl?) 993-AH00 f3i+1I HINr. H14, F L PERMIT SUBTYPE: TYPE OF WORK: NFW !?! t, 3 t I s.+N l OW, PUMP t:ANOFY-J,.. Permit No. Permit Holder Date Telephone k ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING ??p1S 76 PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG / A FINAL HTG ORSAT TEST BLDG FINAL l BSMT R.I. BSMT FINAL x DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I ,., 1 , ?t I ,,, h , APPLICANT: 11 vu k fil 1 i I I W I V N (>J f 1) li;th *300 PERMIT SUBTYPE: TYPE OF WORK: ri; ., r: t 4 s „r, tt11 r 1 11 1 Nri 0,'HHH4 0'4 '1' 4 / 96 Pit Tf RA I I (IN (mt-61 w) INSPECTION DATE INSPTR • TYPE DATE INSPTR. . r ???+,,N 1N Ilr,, F rfvPtir i•i „?. t !M11 It1 IAi)l OtHARKS? CF T1 THI WAI 1. F1.OOR F L Permit No. Permit Holder Date Telephone • ELECTRIC a9g(1(r(? 9/"f PLUMBING g (e • /5 IS -73 3 HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL MC G'S A ?e?ti?icate v? ?ccu?anc? CPO) of Wagan MCOVOWtxt of exi[bi" anote ox 77tis Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classifica ion. COMMAND 1MPR Bldg. Pe mil No. 28884 r.• y Tea Zoning District Type Coest. Owner of Building B1 LL MCGU1RE Adder 1969 SILVER BELL RD.. EAGAN, MN Building Address 1969 SILVER BELL RD miry L1, Bl, /SILVER BELL CENTn em?a otr+ / POST IN A CONSPICUOUS PLACE INSFEU I ION KLU()KII CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 Hit 1 1. It I Nfi t N Jk' ; ait SITE ADDRESS: ;11 kU PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: J --------------------- S : Nf 00111 1 N(i MI]PPI NG f.E N if k till 1 I H I N[ I Of of 1w 1 ..1 913. AN" 1'?: r? . PC MARI Permit Holder Date Telephone U PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone I 6. Address r i L/ w 7. City 8. Building Type: Residential ? State Zip _ Commercial Ct Institutional ? 9. Work Description: New ? Add 10. Describe 11. Alter ? Repair ? No. Fixtures >:4v- CC Water Closet LJ ( to S 3 3 No. Fixtures Cesspool/Drainfield Bath tubs Ma Atr g t6c, Septic Tank Lavatory 2- Softner Shower Well Kitchen Sink Urinal/Bidet _ Other Laundry Tray ?- Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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._ DateInsp. This is your permit when numbered and approved. Approved CITY Ok dEAGr 454-8100 <vp e- o- t x- ?yc? D c c vP/a y .l7Pp.?dsw 1 o n .? dit . U CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for GI PuFYd'P Est. Value Date NAY 30 19 Site Address 1g69k SILVER & Lot 1 Block 1 Sec/Sub. Parcel No. W Name -QLA n rWWrnraac.a Address 5201 Y 73RD o City EDIMA Phone 835-4111 o Name PUMP & METER SERVICE Address 11303 KXCHLSIOR BLVD City POPKINS Phone 933-4e(?(; Name W Address i W City Phone I hereby acknowlege 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 Pennitee A Building Permit is issued to: runr ar ac AL.A Qanv iv r. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Aclual) Cons! (Allowable) * of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance CUP OFFICE USE ONLY 3-219 FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit SM Permit SrW Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL I I. L r_ . AZL97V Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ??U O _ 7 Y ?C ' U 1 ELECTRIC Inspection Date Insp. Comments l Framing l Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Fig. Dec* Final Well Pr. Disp. PERMIT # - MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG, TYPE WORK DESCRIPTION Lot Block Sec/Sub A a?? rN Res New y Name Mutt Add-on Comm. Repair Cn Address Other c City Phone S Name FEE 00 HVAC 0-100 M BTU -$24 RES c Address ' I . . ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & 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 # BEYOND $1,000) Other FEE -- SIGNATU OF PERMR'TO / SIC: L , TOTAL `>' FOR: CITY OF EAGAN OLA?.. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 c1 1029 7 PHONE: 454-8100 BUILDING PERMIT INT. Receipt # To be used for PHOTO STUDIO Est. value $7,000 Date SE:P i I :NIBc:,Z 8 19_9 6 Site Address 1981 1/.- SILVER BE."L RD Erect ? Occupancy Lot 0_ Block 0-Sec/Sub. SILVER BELL CT 'Temodei ? Zoning Parcel No Repair ? Type of Const . Addition ? No. Stories a Name hiETRAM PROPERTIES ,^_O Move ? Length li h ? D th D Su ? it 3 Address 7401 METRO BLVD, S i''E 315 o emo s ep Int I Sq. Ft ? pm r ( City E OINA Phone 835-4111 Instali ? o Name P . C . KFNNEL)Y Approvals Fees $ ¢ Address :Z T #1, BOX 43 515/9134-6248 ?QL°( CM*x Assessment Permit '' `' S '' City ne Water &Sew. urcharge ti = Police Plan Review F Z Name Fire SAC i Address m C t Eng. Water Conn. i y Phone Planner Water Meter I hereby acknowledge that I have read this application and state that the Council 9/8/76 Road Unit information is correct and agree to comply with all applicable State of Bldg. Off. Tr. PI. Minnesota Statutes and City of Eagan Ordinas. APC Parks 11. - Signature of Permittee _ -_ Le 4, Var. Date Copies z Total A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone 8 Plumbing HMA.C. Electric -z e J X07.0 Softener Inspection Date I.P. Comments FootingsI Footings 11 Foundation Framing X146 Rooting Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. , Deck Fig. p ?s ea CI { G v SC r l-,4 a, r ? Deck Frmg. I Well 0 ?{ i ' ' GI lir r 1 Pr. Disp. i le l C ad ?l INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: + > > (612) 681-4675 SITE ADDRESS: till. i APPLICANT: i ?• Iff I I RD S11.VFR 811,t 1 1:1-HIt R hH'. 4.'3'3 PERMIT SUBTYPE: TYPE OF WORK: Iri ?,? ;• ? ? + 1 ?:FJ ? ?? i?u1 i flip 1 Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING J ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL " ?J (?! _ OFFICE USE ONLY This request void 18 months from mliy{ation daOprinlod in this hox. . && 6'x . 1 ' 1111111I11111111111111111111111111111v%5 * 0 4 2 3 6 3 9 4 s PLEASE PRINT OR TYPE D Rel.., Date Rauglsin inzpecfion required" ? Yes o Inspection Other Than Rwrgh4n ? Ready Now Will Can -. )You must toll the inspector when ready) Date Ready: I,y licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Cade 1969 SILVER BE+...f... ! RG[:1•lITIN Section No. Township Name or No. Rmge No. Fire No. Count' 0c r,rrnl Ph. No. KUX ... .... ° ......... .... . r r.. Pa. supplier Address Electrical CoNractar ompany Name) Con rarnr license No. Master tic. No. tRant Ebct. Only) Moiling Address (Cash for or C., Performing Instillation) Ci ?i l'1 r,;-.I N„ 1-1M 5511.6 Authodaridd 5 re (C gilifier performing Installation) Phb^a No._'7° ) `lt'" A_11 8/96',-- STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION / 423 C A Minnesota State Board of Electricity O J 14+ 1921 University Ave., Rm. 5-128, SL Paul, MN 55104 - Phone (612) 642-0800 42/ gam.{ Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re it Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Traffic Sig. Above 200 Am s Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I here 1 e eledncal inslallafian dexri6ed hari n on the doles stated Irrigation Boom RoLi Wn Dole :I eciallns ec tion S "'Z D f p tiv e Fp I ee nvestiga Final Dale. 2f THIS INSTALLATION MAY 8E )FIDEREDDISCONINEiCTIE-CrV NOT COMPLETED WITHIN 8 MONTHS. 0 9 26 8 Reque Dat /? ?i 7 Fire N ough•In-Inspection equiretl (You must call inspectrn when reatly) Inspection Other The ugh-In ?Reatly Now ill Nobly Inspector /fI Q ? Yes No Da a Reatl I ?.licensed contractor ?owner hereby request inspection of above electrical work at: Job ciders (Street, Box or RNo.) - l 17481& 2 city Flit a -e - : O Section No. Township Name or No. Range No. Count Vq I tN 0/ a- OccupanWINT) Phone o. Power Supplier Address Elegtlcal Q traclor Company Name) Contractor's tense No Mailing Atltlre (Contractor or net Malting I s ion) 5? L Pk /y/V 550 /41 ato Aumonzetl Signature omract wn a ng Installation) Phone Number MINNESO TE B D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs ay Bltl Raom 5-128 BE ACCEPTED BY THE STATE BOARD 182N vers e., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS REQUEST FOR ELECTRICAL INSPECTION Ia,, Ee-00001-09 'See instructions for completing this form on back of yellow copy. ".le Below Wiwi Covered by This Request Ne Add Rep. ype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner other (specify) Contractor's Remarks e Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 t 100 Amps a Transformers Above 200_Amps Abo 100 -A Signs inspector's use Only. TOTAL /'Q` Irrigation Booms 4. O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby. tif th b i ti h Ronyh-m Date cer e a ove nspec on as y made. been F;nal ?? , Dale YJ OFFICE USE ONLY This request void 18 months from ? y? 0 2 66 ` 0 C Sao `° Request Data Fire No. Rough-in Inspection Required? NOTICE: You Must Cell Electrical Inspector II A Rough-In Inspection - - 93 ? Yes , No Is Required. I XI licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 96 S I /- ?Elf v Fly (511,111 Section No, Township Name or No. Range No. County Occupant (PRINT) Phone No. r? v ? 8'7 ys? - ? y/3 Power Supplier Address Electrical Contractor (Company Name) CoMrador5 License No. D E E 7- ? c a C l1 ! ?? Mailing Address (Contractor or Owner Making Installation) W e 6? 2 s / R vv : Zova 40Zs+ iP N l la Auttwr¢ed '- arum (CO a er Ma g Installation) Phone Number Sao- Y MIN OTTE BOARD OP ELE' (CITY THIS INSPECTION REQUEST WILL NOT gs-MI Idg. - Room BE ACCEPTED BY THE STATE BOARD 621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424800 ENCLOSED. Q c? REQUEST FOR ELECTRICAL INSPECTION A ! " ee-Doom-oe v ( See instructions for completing this form on back of yellow copy d A_Z y I. 0 Q 6 6 .X„ Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) C qq Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders as Swimming Pool 0 to 200 Amps 0 to 100 Amps - Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Special Inspection c Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Hough-in certify that the above inspection has been made. Rest Date OFFICE USE ONLY This request void 1a months from 07292 d 471P 4 l _ z 5 Request Date Fire No. Rough-in Inspection ' NOTICE: You Mus Call Electrical Inspector Required? / If A Rough-In Inspection . o ? Yes 0 Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) < City Se io o. Township Name or No. Range No. Coun Occupant(PRINT) Phone No. Y? Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. z enaoizz, G O Mauling A (Contractor or Owner Making Installation) Author ignaturr n or n Making Installation) Phone Number ? O W NNE OT TATE BOARD OF RICITY THIS INSPECTION REQUEST WILL NOT Griggs- dway Bldg. - Room BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55180 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0880 ENCLOSED. ?REQUEST FOR ELECTRICAL INSPECTION ? - E ? B-00001-08 I? See instructions for com„ietigg this form on back of yellow copy. M 0 7-29 2 °x" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contr ra Remarks: 8 Compute Inspection Fee Below; # Other Fee # Service ntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps Signs InspecloYs Use Only: TOTAL ` Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Date ?_ OFFICE USE ONLY This request void 18 months from 2 9 J - 6 6 6 07, US ONLY This request void IS months from validation date printed in this box. dV PLEASE PRINT OR TYPE Request Date Rough-m inspection required? Yes ? No Inspecion Other Than Rough-In ? Ready Now [3 Will Call A011 r NO (you must cull a inspecbr when ready) Data Ready: I, ? licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Sheet, Box, or Raah No.) City E Zip Code s3iA a Section No. Township Name or No. Range No. Fire No Caren, Occupant Phone No. L , Power Supplier Address Elearical Contractor (Company Name) Contraabr License No. Master tic. No. (Plant Elect. Only) ? ?? oo S Mailing Address (Contractor or Owner P ing Installation) / 5s la/ ?I ?d aster - s . .? Authorised Signomrc trod or Owner Performing In 100, Phone No. 33?- EB-OOOOlA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONSON SACKOF YELLOWCOPY . FOR ELEC ?IIII I II II II III I I I) I II II I I I? II I rl Minnesota State Boa d o Electricity 1821 University Ave., Rm. S , St. Paul, MN 55104 s 0 2 9 9 6 6 6 8* ehone (612) 842-08 e Duple: Apt. Bldg. er: New Addn mercial Industrial Farm Remod Re air ond. * Htg. Equip. Water His. Load Mgmt. Otl,4: Dryer Ran a Elec. Heat Tem Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # Ciraits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps /J`19- Street Ug./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'SUSE TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I ereb cerN Ih e r e elecfiml tnsbllanon described herein on the dotes smkd Irrigation Boom Ro„g -e Dote S ecial Ins ection p p Investigative Fee Fiml Dore/ I' l' THIS INSTALLATION MAY BE ORDERED DISCONNE D IF NOT COMPLETED WITHIN 18 MONTHS. OFFICE USE ONLY This request void 18 months from validation date printed in this box. _ .SUS 7 ' 4 f?l> 9 Vcao/941, 0 41 5 ff- PLEASE PRINT OR TYPE , Request pate(} Reach, inspection required? Yes ? No Inspection Other Than Rough-lm ? Ready Now ? Will Call 1 -Ig ? (You must call the inspector w hen reatly) Date Ready: ,y, I W licensed contractor ? owner hereby request inspection of the above electrical work at: Job Mums Street. Box, or Route No) Rd $ `I Qty Zip Oode - ver I s, e)I I:f OLCIA n a3 8egiou T ship Name or No. Range No. Fire No. rty Occupant I Phone No. S Power Supplier Address Electriatl Contractor (Company Name) Tr E e e +? Contractor License No. C o b7 Master tic. No. (Plant Elect. Only Mailing Address (Contractor or O n Pgrformirg Installation) b ?7 3 6( Al ( 0 a Aut wrize Signature (Canty or Owner Perf mmlg Installation) Phone No. ? 3au Sy-s- 4? 4 i E&OWDIA-11 8/96 STATE BOARD COPY' SEE INSTRUCTIONS ON BACK OF YELLOW COPY I?nllll?? I?I I I'II IIII? IIIIIII' *03523057* REQUEST FOR ELECTRICAL INSPECTION G r? Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 -F/?/f Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat emp. Service "x, above the work covered by this request. Enter remarks in this space and on the back of the white c y Doty. waved as d,'sp?nse?s? canopy i1 Fs? +ank mono or Calculate Inspection Fee - This Inspection Request will not be accepted without the conect fee: Other Fee > Service Entrance Size Fee n Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps I C/ 0 to 100 Amps 5-.60 Street Ltg./Traffic Sig. Above 200 Amos Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL $ign/Outline Lig. Xfmr. Alarm/Remote Control Swimming Pool I hereby certify that ion described herein on the dates stated Irrigation Boom Rrngh-lh ()ate i l I ti S pec a nspec on t D Investigative Fee a a THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. IV -7 / __y"esr void 18 months from , E ' C f n tj Date•of this Request S 37608 1, asAicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wrong installed at: ? - - - Street Address or Route No. Section Township- Range County Which is occupied by Is's roughin inspection required on this job? No ? Yes ? Ready Now AA . Will Call ? Power Supplier Address Electrical Contractor Mailing Address Authorized Signature or Contractor's License No?L No. This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 045.7703 REQUEST FOR ELECTRICAL INSPECTION r C C ECI'BELOW WORK COVERED BY THIS REQUEST v 7 O 3 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? emporary Wiring ? Duplex ? ? ? Water Heater ? ighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Heating Electric, ? Commercial Bldg. ? ? ? Furnace j ? lo Unloader ? Industrial Bldg. ? ? ? Air ConditionjOW& ? ulk Milk Tank ? ¢e. Farm ? . ? ? ) List List n .. Other ? ? ? } Heiers ereers? COMPUTE INSPECTION FEE BELOW F. ` 1A Service Entrance Size: # Fee Feeders&Subfeeders: # :? Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes -y-4 0, 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above IOQ_Amps. Transformers Remote Control Circ. Partial or other fee L> Signs S Special Ins ction Minimum fee $5.0 R t 647t TOTAL FE ?-,Ow / iJ0 1, the Electrical Inspector, hereby certify that the above inspection has been mane (Rough4n) Date (Final) 79 7) t.' This request void 18 months from °" 2 9 9 - 660 This reque void 18 months from volida on dote p n /d in his box PLEASE PRINT OR TYPE Request Pak Rough-in inspeaion re quired2 ? Yea No Inapectian Other Than Rough-In: ? Ready Now D Will Call Zj?g fyov must call the inspeckr when ready) Dak Ready: IRI licensed contractor ? owner hereby request inspection of the above electrical work at- Job A, rev (Street, B., or Rovle Na.) City Zip Code Section No. Township Nome or No. onge hl ? Fire Na. Coi.mr, ? J L! ?O Ogvpant f Phone No. Power Supplier Address Eleetreal Contractor (Company Nam.)) Contacor License No Mask, Lie. No. IPlaot Elect. Only) / _ ?<? !P Mailing Addrev (Contractor or Owner Performing InsN afion) lwNtodxed SignaNre ear o ner Performing Inset Phone No. 33a? EB-00001A-10 6/95 STATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOWCOPY II I IIII III III Illllll???llrll REQUEST innei 5? Bo ad? 3?R2icity ul, MN O? s 0 2 9 9 6 6 0 1 * Phone (612) 642-0800 9// M Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: D er Range Elec. Heat Tem. Service "X" above the work cove//red by this request. Enter remarks Jn thi space and on the back of the white copy only. e 17/K1ce Jam' l Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee ¥ Service Entrance Size Fee # Circuits/Feeders Fee - Mobile Home Park Stall 0 to 200 Amps - 1 901 0-taP A Street Ltg./Troffic Sig. Above 200-Amps Above I00 Amps Transformer/Coenerator INSPECTOR'S USE ONLY 6 TO Sign/Outline Ltg. Xfmr. aboomw? Alarm/Remote Control 4 Swimming Pool rb I here cedi Ih 1 ins etldml Inslallafion desmbed herein on Ih< d Irrigation Boom Rough-In Dote S ecial Ins ection p p Investigative Fee Flno _ Dok THIS INSTALLATION MAYBE ORDERED DIS ONNECTED IF NOT COMPLETED WITHIN i6 M NTHS. s °? 649 51 / A!i %5 Request Date it/ y Flre No. Rough-in Inspection Required? (Ready Now ? Will Notify Inspector Wh R d ? / - (f ? Yes No en ea y l I licensed contractor El owner hereby req uest inspection of above electrical work at: Job Address (Street, oe or Roule No.) City / 9 s - <R 8r' L. r`A6,I Al Section No. Township Name or No. Range No. County T Occupant (PRINT) Phone No. n Power Supplier Address Electrical Contractor (Company Name) Contractors License No. sA1D £ £ 1. ir cr ?? c? a39 33- Mailing Address (Contractor or Owner Making Installation) E S o,2 !J ST, Go v;5 MA1 Authorized na a ICOntractoi a g Ins tionl Phone Number MIN TA STATE BOARD OF ELECTRI THIS INSPECTION REOUEST WILL NOT '-MlCway Bltlg. -Boom S-170 BE ACCEPTED BY THE STATE BOARD 21 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 512.0800 ENCLOSED. REQUEST FORELECTRICAL INSPECTION y Rear ea-ooootov ? See instructions for cor{kYng this loan on back of yellow ml j Q 6 4,--q 5.1 X'I Below Work Covered by This Request eW Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace d Farm I Air Conditioner Other (specify) Contrac r emerks: - Compute Inspection Fee Below: # Other Fee # Service Entranc ize F e # Circuit Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in _ Date certify thatthe above inspection has been made. Final Da OFFICE USE ONLY This request void to months from This eves void 18 months from / tl C . Q( Si?uEr 601 Cie ??.' .?- 3ZZ? U w i A'9 1 - 3 / ?6tob , RCqucst Date fa /?/? / ^pJl Fire No. Rough-in Inspection Required Yes u ?RCady Now NotitY Inspec- or When Ready Licensed Electr T ical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address,Zox or Route No. 11 67 9 V ?4tr17 ?q pie CL City 4 Qh. ectmin o. Township Name or No. Range No. County 0r, cyp3nt (PRINT) Q\NZ \ er PwSV -770 Power Suppli ie r Address Electrical t r (Comps Name) t? Contractor's Licoonnse No. A/0 Mailing Address (Contractor or Owner Making Instailation( 1 z 6r) A hori Si atur, (Contra ctor/Owner Makin, Installation) P Mme Number ©a qa M94NESOTA STATE BOARD OOILECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 18121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ER-00001-03 J ,Sec instructions for completing this form on bock of yellow opy. p X' e!66 ;w { o3 r4 Covered by This Request 32 Z l N Add Re P. Tvan of 8uiltling Appliances Wired Equipment Wiretl Home Range Temlwrary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Faun Other per. y Other (specify) I r Spe J y Other Other Compute Inspection Fee Below n Fee Service Entrance Size k Fee Feadere/Sebfeetlers # Fee circuits 0 to 100 Amps 0 to 30 Am>s 12 6610 0 to 30 Amos 101 to 200 Amps 31 to 100 Amps 31 to 100 Amps Above 200 Am 1s Above 100_Amps Above 100_Am s Transformers Remote Control Ciro. r Partial: Other Fee Signs Special Inspection 5 Q OTA F Remarks L ED Rough-in t p / Date L -Q 'V ec rical sPOCte he raby -certify that the above Final Dune/ F -W?• inspection has been made. This request void V " w0' w.-wb / 18 months from - • CAH RECEIPT • TY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 l 1 DATE ?G _L 19 AMOUNT & DOLLARS loo ? CASH ? CHECK wn C !,A / ,. hft?Payem N° 94907 Wel° 9Cooppy RMc-File OWy Thank Yo?.1,? VOLP CONSTRUCTION CO., INC. VENDOR: EAGAN 022992 OUR REF. NO. YOUR INVOICE NO. INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISCOUNT TAKEN NET CHECK AMOUNT 7137 PLAN FEET 11/14/89 143.00 143.00 .00 143.00 CHECK TOTAL 143.00 1 JOB #89020 PDQ #287 ATTN: Doug Reid Plan Fee PDQ Store #287 1969 Silver Bell Road, Eagan w ;y Vd-yyV?' 4 / BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # 13,000 N? 16536 -?)b5 Site Address 1969' SILVER BELL RD Lot 1 Block 1 Sec/Sub. SILVER BELL CNTI Parcel No. w Name METRAM PROPERTIES Address 5201 W 73RD 4111 o City EDINA Phone .. 835-4111 to Name PIINP t4 MF.TF.R SERVT CE 0 Address 11303 EXCE STOR HT.VO City HOPKINS Phone 933-4A00 ww Name za Address a W City Phone N I hereby acknowlege that ave read this application and state that the information is correct an gree to comply with all applicable State of Minnesota Statutes and r of Eagan Q din nce 1 91 Signature of Permits 7 A Building Permit is issued to: TMp P. TER VTC'.F. on the express condition that all work shall be done in acc ance with all applicable State of Minnesota Statutes and City of Eagan dinances. Building Official :ENi 9f (?„? ? Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance CUP OFFICE USE ONLY FEES Bldg. Permit 144.00 Surcharge 6.50 Plan Review 72.00 SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S1W Permit S1W Surcharge Treatment PI Road Unit * Park Dad. Copies 2222.50 TOTAL 3-21- R9 d38oq 2008 FIREWORKS SALES AND STORAGE APPLICATION Applicant requirements ?4- An application must be completed and returned at least 30 days prior to outdoor sales and/or storage of fireworks. ?2+ An applications for indoor sales of fireworks must be submitted between April 1st and June 1st to obtain a permit. -f'- A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. -3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. {s- A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6 The Fire Marshal or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 7 A criminal record check will be done on all applicants. 8. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: ?O/ O 1.. Business Name: Ne W- M Q R l Telephone#: (?5J) Y??? b T I3 Display Address: 969 -S//Vet? Re 1?0 0, 4 Applicant Name: 1.. 4 a ?- / -es .T/q- C d 1?s 7 0 0 E-. FFS r es -f- SS f city: eelle P/ ,q l h -P Street Address: State: VIA t\f t Zip: s6 0 0 Telephone #: (7S g 73 - 3 o a 5- Retail seller selling exclusively consumer fireworks: _ Yes No Indoor Sales 0 PQ S°Gia(? Outdoor Sales Dates:09 to (2 3t V2 to to Please check the selections that apply to this permit Outdoor Sales $410.50 )< All other retail sellers $100.50 (includes: $280.00 Fireworks Permit; $128.50 Tent Permit; $2.00 State Surcharge) Sign Permit $ 25.00 Temporary outdoor event means an exhibition or sale with a duration of 10 or less continuous days which does not occur more than once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks). Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. I understand and agree to comply with all the provisions of this application @nd the i qu ements of the issuing authority. Ap icant Signal ----------- I FOffice Use I I ? Permit #: I I I Permit Fee: I I I Date Received: I I I I Staff: I t-----------------I 2008 FIREWORKS / PYROTECHNICS APPLICATION Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: _ Display Address: APPLICANT I SPONSORING ORGANIZATION Time of Display: Name: Address / City / Zip: Phone: AUTHORIZED I Name: AGENT SUPERVISING Phone: Address / City / Zip: Name: Number: Manner & place of storage of fireworks / pyrotechnic special effects prior to display: Type of fireworks / pyrotechnic special effects prior to display: Type of fireworks / pyrotechnic special effects to be discharged: Quantity: Permit Fee:' - '" - - (includes $.50 state surcharge) *If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. Date: x Applicant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Date: Fire Chief / Fire Marshal a feet - Mort Fireworks Application Page 2 of 9 Tennessen Warning License Application Minnesota law requires that you be informed of the purposes and intended uses of the information you provide to the City of Eagan (the City) during the license application process. Any information about yourself that you provide to the City during the license application process will be used to identify you as an applicant and to assess your qualifications for selling fireworks within the City. If you wish to be considered for a permit to sell fireworks, you are required to provide the information requested in the permit application. If you refuse to supply information requested by the City, it may mean that your application will not be considered. All individuals in the City who need to know information will have access. ?/iojoa z Applicant Signa Date Authorization and Consent for Release of Information I, e Gt r / f J Y/9 C d b,S , freely and voluntarily authorize the City of Eagan to conduct an Name of individual authorizing release investigation to obtain the following information for the purpose of determining my eligibility for a permit to sell fireworks: Name: 7-AQ 6 a S C l -A eI e,j DO Vl k? d Last First Middle Date of Birth: ??/d?/ 97[ Driver's License p8 #: r? / 56 II (/-2 0 State M A// I also release the City of Eagan from any and all liability for its receipt and use of information and records received pursuant to this consent. I further acknowledge that I have carefully read this release, fully understand its terms and legal significance, and execute it voluntarily. Executed this / 0 day of To rV ?> , 200 6. gnature Fireworks Application Page 3 of 9 The Police Department has conducted a criminal background check on the aforementioned applicant. Comments: Department Representative Date Conditions of Issuance: Background check completed and approved by EPD: -?eRi*rg?ppravaf- Facility inspection complete and all violations corrected Insurance policy approved Need Site plan, sign permit and written permission of property owner ties-#erient- License approved by f _ Yes No Yes No L----"yes No Yes No L.?Yes No Yes No Date approved: Gt', 0 6- 9-08: 8:29AM;STATE FARM ;952 895 8345 # 2/ 2 CERTIFICATE OF INSURANCE . „.,... This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ? STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ,....< ? STATE FARM FIRE AND CASUALTY COMPANY, Aurora, Ontario ? STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ? STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below; Policyholder New mart Inc Address of policyholder 1969 silver Bell Rd Eagan, MN 55122-167 Location of operations Same Description of operations Convenience Store The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described In these policies is subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by anv paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effecdve Date I on Date LIMITS OF LIABILITY (at beginning of policy period) 93-KV-0315-1 Comprehensive 04/29/08 04/29/09 BODILY INJURY AND Business Liability j PROPERTY DAMAGE This insurance includes: ® Products - Completed Operations ® Contractual Liability Each Occurrence $1,000,000 ® Personal Injury ® Advertising Injury General Aggregate $2,000,000 ? Products - Completed $2,000,000 ? Operations A ate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date ; Expiration Data (Combined Single Limit) ? Umbrella Each Occurrence $ ? Other Aggregate $ POLICY PERIOD Part I - Workers Compensation - Statutory Effective Date : Expiration Date 93-LD-2300-9 Workers'Compensation 04/29/08 04/29/09 Part II- Employers Liability and Employers Liability Each Accident $100,000 Disease - Each Employee $ no, 000 Disease - Policy Limit $50o,000 POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period) THE CERTIFICATE OF INS URANCE IS NOT A CONTRACT OF INSURANCE AND NEITH ER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 K any of the described policies are canceled before their expiration date, State Farm will try to mail a written notice to the certificate holder 10 days before cancellation. If however, we fail to mail such notice, no obligation or liability will be Imposed on State Farm or its agents or representatives. ?lP+ -W L?? ct= Signature of Autho d Repreme lve Agent /09/08 rdte Date Kirk W Detlefsen Agent Name Telephone Number 952-890-2800_ Agent's Code Stamp AgentCode 23-7066 AFO Code F729 558-994a.6 Pdntad In O.s.A Rev. 05-09-2086 06/09/2008 10:29 9528356733 WALLINGFORD PROP PAGE 01/01 Chaska Investment FAX TRANSMISSION Fax. No. 952-873-3501 June 9, 2008 Mr. Chuck Jacobs NEW MART 1918 Silver Bell Road Eagan, MN 55122 Dear Chuck, 1 Page As you prepare to get your city permit for the sale and storage of fireworks, please consider this letter as the Landlord's approval of same. Sincerely, d%CUj. Ted W. Tinker Controller TWT/la 9531 West 78th Street • Suite 350 • Eden Prairie, Minnesota 55344 Telephone (952) 835-4111 • Fax (952) 835-6733 www.waldngfordproperties.net FEB-09-2008 02:25 From: Distributing, Inc. Item Description Qty per set Dazzler 4 Kids Delight 12 All Star 12 Boomer In the Mix 4 The King 4 Boomer Mix it Up 4 Sizzler 4 Fairy Fountain 7 POPPOP 60 MN60 Fountain 4 Water Lilly 4 USA Flag Fountain 4 Crazey Valley Fountain 4 127 Total Gross product weight 310 LBS Total pyrotechic weight 78.S LOS To:9526733501 Pa9e:313 Please contact 651-641-0930 with any questions FEB-09-2008 02:25 From: UN0336 Dale Prep"W; March 11,1999 Hazardous Componaula: Contains mot, ignited. These items a!C classified as UN03. No cheWW composition is exposed during Solubility In Water: Slight APPearance and Odor: Alt pyroteciedc Xydagurshing Medle: Tlood wM water rF a emal SPecial'i'e InOti ng Procedures: Do aot„w su amouar ofhawot?a are involved, allowthem to bi Vona! Firs and Fkplodon Unardsr Fkwwork: Stability: Stable T Candidons to Avoid? Open tames, 'T lgasmPadbWty (Materials to Avoid): Exposure Haxardow DecomposMan or Byproducts: Smo1 Hazardous Polymarinrtion: WM not oocat, , Health Hazards: Exposure to 69sl ad items does K Steps to be Taken in Cates Material is pilefted a mstenat. Garda pick up and Place spited dame it with a nauvaL, 9w bnah. A, Waste Disposal Method: Map es by butaiug in Precautions to be taken in Handling and Star* 120 degrees 1). Keep *IPPlag Uf cool and: Ilmnlimtnve wMF¦/N{nq. M.. .4..t -A.. T,IT'd 0b60109TSM :01 To:952B733501 Pase:2/3 4 •{. y i •!?-•'A1?A?: /> ..:lu Vii. I ? .. .4 • r..'r 'I ?? (S, ' ?Jlft -.q .. . „ wrr rr."r J EI?tlI1?71 rn0MLPc: ' ^?.. '4 'N?d r' ii F M' ' Por- i s JK ?.. slpoaltiar;-ssolr3?aomae.'ofoxidi:kr;n.d atbetya buraif. Fa?avvor'?i?41y'?Tj.S,?P•?o?tdoa. is contained in a coaCd ' ' . E ?r.; LL M. cm ofilraa V&A is >C8t10a metbod9? davIoes eatttaia t11eS n, ?. and pnrveat :plead of>?iro:; . ? Igalatge.. tL?dbL1b1(i I?A,h ' ' s .. cK water may cause items to deledarata odtrogea wtidet, and Mftr oxides ma n a • Y bayproducett insy}fi1reh, l pgBa any bcalih hazard iPWed: No amof g ar q= flaw I vi ty of epnllbd_ ar?oard C#l'tona Sweep vp any se? e6emiq? ', w ,.- 41 ?rt$utad ,a.. >r QyBtfOe with 9tgte sad 10081 Ot19. geoid open games, Makmg, .end•'WO t a y. 2T£2029 S I?:uo+d OS:bt gem-S6-Nnr .r? (\few- M&P--r ?orl-OkI 1j iK (ZA(k P?au,?e? b7 Vft? c?aR. rG,?Y w,// ?Vo? b? S?er?d a(A?W4Pre PIIP ?h q SRS ?uN?S I)'0o Z >o OK .. -? y?ITa?:ur E ? ? _ ., ?• a J .- ,I_ or Chaska Investment September 8, 2006 City of Eagan Building Inspections Department 3930 Pilot Knob Road Eagan, Minnesota 55122 Gentlemen: As owner of Silver Bell Center (1969-1989 Silver Bell Road), we recognize the building to be 111-B, mixed occupancy non-separated between occupancies (M, B and A2). Sincerely, Ted W. Tinker TWT/jmm R ZVzao ?? SFp I '70p0 9531 West 78th Street • Suite 350 Eden Prairie, Minnesota 55344 Telephone (952) 835-4111 Fax (952) 835-6733 E-mail: wallingfordproperties.net PLUMBING (COMMERCIAL) Permit Application City Of Eagan qJ? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Date I/ O q / Q 3 n/In Site Address l 6 Unit # Tenant Name Former Tenant Name Property Owner "&(22o y„ -9( yAt4e Telephone # ( ) Contractor Address City jew/lkhq State Zip Telephone # q6;L) $1 ?57_ 3 (b _ The Applicant is Owner Contractor Other Work Type _ New Bldg _ Add-on _ Repair RPZ _ PVB _ Irrigation system Q/?? . Jer Wobschall two ca'lcuullate reees. Required meter size is 2" turbo unless smaller size ermined b Public Works Description of Work labt-u "1- 4 1 PCI r2i( j\?.? To inquire if Pressure Reducing Valve is required on new service, call 651675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking u(f meter Irrigation Size & Type Avg GPM i / Fire Size & Price 3/4" displacement $156.00 ' Domestic Size & Type Avg GPM Includes high demgnd devices? _ Yes - No; Flushometers _ Yes _ No PRV Required _ Yes -No CC Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge -------------------------------------------------------------------------------------------------------------------------------------------------------------- $ 6-41 SO Total Fee 1 hereby apply for a commercial Plumbing Pemtit 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 Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a'review and approval of plans. Applicantg Printed Name Applicanf Signature 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 (required on all new buildings & boulevard irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 I-1/2" irrigation cyst $ 781.00 displacement sm commercial turbine" must receive maximum approval continuous from Public 10 Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine Ig irrigation syst $ 982.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 V 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 & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bidgs 25-64 units $484.00 maximum displacement & continuous most comm bldgs 50 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 lg comm bldgs lines 1/2-320 3" compound +200 unit bidgs $2,411.00 10-1000 6" compound +400 unit bidgs $6,100.00 very Ig comm bldgs very Ig comm bidgs 15-1000 4" turbine very Ig 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 turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 1/03 CITY USE ONLY PERMIT #: RECEIPT DATE: COMMERCIAL PLUMBING PliPJW APPLICATION CifYOFKKQ" 8$80 PUM KNW RD I o iHA6AN, MlI 661 EE ( ' 881-8$1-4676 C?_??v-c,? ??.? ? t.•l`_ INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: 02/22/01 WORK TYPE _ New Bldg X Add-on _ Repair _ RPZ _ PVB • Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK RUN INDIRECT WASTE FOR POP MACHINE, To inquire if Pressure Reducing Valve is required on new service, call 651-6814646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Type Domestic Size & Type _ Does this include high demand devices? FLUSHOMETERS -Yes -No Avg GPM Avg GPM PRV REQUIRED - Yes _ No Site Address: 1969 SILVER BELL ROAD Tenant Name: MCG' S Was there a previous tenant to this space? _ Y X N. If Yes, Name:, Installer Name: RICHFIELD PLUMBING COMPANY htstallerAddress: 509 WEST 77TH STREET City: RICHFIELD State: MN Zip Code 55423 FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ 50.00 (TIME AND MATERIALS) Meter(s) $ APPROX. 250.00 Required on all new buildings & boulevard irrigation systems (Acct # 9220-4509) Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse State Surcharge New Service Total $ .50 $ $ 50.50 I hereby acknowledge that I have read this application, state that the information is correct, and We to comply with all applicable City of B ordinances. It is the applicant's responsibility to notify the property.ovMer that the City of Fagan assumes no liability for any damages caused by the during its normal operational and maintenance activities to the facilities constructed r this pen t within Ci o?.n ?`• ght-oFwayl ?? SIGNATURE OF PE , ITRW D CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In e'y ---Final--- 3-1-01 PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR Telephone #: 651-492-6413 (Area Code) Telephone #: 612-869- (Area Code) - Yes No IRRIGATION SYSTEM (CONT) Service: - existing (if coming off domestic line) OR - new If new service" contact Jerry Wobschall, Finance Consultant, to confirm adding fees for.' Water Permit & Surcharge $ 50.50 $ Water Supply & Storage - $ 860.00 $ Water Treatment Plant Charge - $516.00 per SAC unit $ Fees to be added to front side of application $ GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 92204509) • Water meters include copperhom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-1/2" irrigation syst $ 727.00 sm commercial turbine" ''must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines IS 3-50 1" displacement very Ig res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm. bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displacement & continuous most comm bldgs 50 GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines very Ig comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very lg comm. bldgs very 1'g' comm bldgs' 15-1000 4" turbine very lg irrigation syst. $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-6814675. • To arrange for water turn-on, call 651-6814300. cc: Kris Forster, Maintenance Division Clerical Technician Updated 1101 C,11Y OF T?I'it'i:[h.Fl.... v„):I .,._ " ': *Jp,ml-'r SPEET METAL 1, ROCI'. rmf, rr,:C .:.c:..I.O 90CI :, .., (....? ?.., ... ill..A... t .3716 ,.r..r 911-11. 1.9U9 SLVIR Rl 7-1. :;A -) nt cc- _ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 029230 Date Issued: 12/03/96 SITE ADDRESS: 1969 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: (ROOFING) ermit Type rk Type COMM./IND. MISC. REPAIR 437 ALT. NONRES. .-M WQ4 REMARKS: FEE SUMMARY. Base Fee Surcharge Total Fee VALUATION $376.75 $14.00 $390.75 P $28,000 CONTRACTOR: - A p p l i c a n t - Q & 8 SHEET METAL/ROOFING 26824233 210 CENTENNIAL DR BUFFALO MN 55313 [612) 682-4233 State-"s wr d, Cl:t*, Jbf ]Eaq €i OrXl t A OWNER: WALLINGFORD PROPERTIES 5201 W 73RD ST EDINA MN 55435 (612)835-4111 CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) ,r(r 681-4675 if. 0 C/I i, / The following are required with appropriate certification for all !lily construction: 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MCANS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of oonstryction components) & any occupancy or area separation walls; occupancy bads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: OCTOBER 1, 1996 WORK TYPE: NEW X REMODEL /REPAIR DESCRIPTION OF WORK: RE-ROOF CONSTRUCTION COST: $27,980-00 TENANT NAME: SILVER BELL CENTER SITE ADDRESS: 1969 SILVER BELL ROAD LOT BLOCK SUBD. 4;)L)AL Cli Ix. P.I.D. # PROPERTY Name:WALLINGFORD PROPERTIES Phone #:835-4111 OWNER ' T Street Address- 5201 WEST 73RD STREET City. EDINA State: MN Zip: 55435 CONTRACTOR Company:B&B SHEET METAL & ROOFING, INCPhone #: 612-682-4233 Street Address, 210 CENTENNIAL DRIVE City-BUFFALO, MN Zip: 55313 ARCHITECT/ Company: ENGINEER Name: Phone #• Registration Street Address- City: State: Sewer & water licensed plumber: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to applicable State of Minnesota Statutes and City of Eagan Ordinances. N/A Signature of Applicant: DANIEL N (draf OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 19 Comm./Ind. Misc. ? 20 Public Facility 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MCNVS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance ?. y y3? 30 Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. SNV Permit SM Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ ?. ?`?® ?* ?k>kM?kYFX?X(MYFYdYFX?Yd # M YFXt Y?:{<Kt.k ?*M kCk:>X ?YF?kYF>RK(Y„$c &t? CITY OF EAGAN CASHIER: S TERMINAL NO: 793 BATE, if.)/OW% TIME: 15:09:50 ID: NAME: SHEET METAL & ROOFING INC 3210 9001 069 SILVER BEL 484.75 2155 9001 069 SILVER BEL 2000 Total Receipt Amount- 504.75 CR09 '9£13 USER I% NANCY %kYF?k?kYn7kX?YFX?'KXcYFYFYFXtY,t>k?kMXC?7XhYYkM"a<hYYddYYf.B:HCY,:'>.'Ck?fXMY"ht CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 033561 Date Issued: 10/02/98 SITE ADDRESS: 1969 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: -* REROOF Bu1ld1nd'',,Permit Type Building Work Type Census Code i -fY1,L.4-c- , REPAIR 437 ALT. NONRES. LI / _ Z` REMARKS: REROOFING SHOPPING CENTER WHICH INCLUDES: 1971,1973, AND 1975. FEE SUMMARY: Base Fee Surcharge Total Fee $40,000 CONTRACTOR: - Applicant - B It B SHEET METAL/ROOFING 26824233 210 CENTENNIAL DR BUFFALO MN 55313 (612) 682-4233 OWNER: WALLINGFORD PROPERTIES 7301 OHMS LANE STE 390 EDINA MN 55439 (612)835-4111 I 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 Mn.. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE VALUATION $484.75 $20.00 $504.75 Qa?1? ISSUED BY, SIGNATURE qq CITY OF EAGAN X996-BUILDING PERMIT APPLICATION (COMMERCIAL) S? ?• ?? ''` _ 6814675 The following are requi? with appropriate certification for all new construction: V 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan t each: set of specifications; set of energy calculations; electrical power & lighting forth; Special Inspections & Testing Schedule Letter from MC/WS (phone #222.8423) Indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. fl. per floor; type of constructlon (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: DESCRIPTION OF WORK: CONSTRUCTION COST: SITE ADDRESS: WORK TYPE: NEW REMODEL - F-UcAi? 5?vfAe -- TENANT NAME: 9 5'LvIE/L ?hPLL Z6-cl LOT BLOCK ? SUBD. P.I.D. # X21' ---L i PROPERTY Name: ?Ac6l,?, I?? D T 20A? 9-7 I Cc Phone #: 3s 1 ? ? OWNER FIRST Street Address- 6N NI S 11,4 x/2 5u, zAE 3 y U City: `1?6 rhl,4 State: Zip: 5?5-l39 CONTRACTOR Company: eeeaet r„ &FMF.r...._ Phone #: 607--42-33 -RIS toQI1MIIiIIDdn Street Address, ?IM City: Zip: ARCHITECT/ Company: Phone #• ENGINEER Name: /V A Registration M Street Address City: State: Zip: Sewer & water licensed plumber. I hereby acknowledge that I have read this application and state that the information is correct nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r WeBL?? ?fl? F'TFie OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building LN- -? 5 Variance Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit SNV Surcharge Treatment PI. Road Unit Park. Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Engineering Valuation: $ ?g6etlteACtR PdrP2 HM,dhGQG'9 ,a) LA -1 S, -i ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MCNVS System City Water Fire Sprink!ered Census Code SAC Code Census Bldg. Census Unit JOE. NUMBER RR#855 1 14IAP; I IB-108 PERMIT, YES JOB TYPE ?: MAT TEAR-OFF ROOFING SYSTEM ?: CARLISLE GENERAL CONTRACTOR OR FIRM TO BE BILLED CONTACT PERSON NAME: WALLINGFORD PROPERTIES ADDRESS: 7301 OHMS LANE EDINA, MN 55439 TED TINKER PHONE M 835-4111 ARCHITECT: OR ROOFING CONSULTANT: CONTACT PERSON OWNER: NAME: N/A ADDRESS: PHONE #: FAX #: NAME: WALLINGFORD PROPERTIES ADDRESS: 7301 OHMS LANE CONTACT PERSON SUITE 390 EDINA, MN 55439 TED TINKER PHONE M 835-4111 FAX #:835-6733 PROJECT(JOU PROJECT MANAGER / SUPERINTENDENT: TED TINKER NAME: SILVER BELL CENTER ADDRESS: 1969 SILVER BELL ROAD EAGAN, MN 55122 SUITE 390 FAX #:835-6733 PHONE:# 835-4111 COUNTY: DAKOTA FAX #:835-6733 WARRAN : YE ,5) / NO WARRANTY & ROOFING SYSTEM INFORMATION T PRICE: soxm-w 32. y Uy a? MANUFACTURER: AREA: 15372 SQUARE FEET CARLISLE HOW LONG ? 10 & 20 YEAR DATE: 08/27/98 i?Y{:9`mTTM1? T T+I?T mMMT/I?T?TT/j??ry??fMM`I?M'I?mMT^'M]?I'i?M1<? CITY OF EAGAN CASSHIL-R. S TERMINAL NO", 57 DATE: 09/12/96 TIM 11:0904 IM. NAMEe N G HOUSENGA 3210 9001 1969 SLVR BELL 02.25 342:'_ 9001 1969 SL..VR BELL, 131..0 r^..9.;`i5 9001 1969 SLVR BELL 9.00 Total Receipt Amoumtn 402.38 CR064 0 7 USER IM NANCY ?n kRc?.?k:.??k?kKk+X?YF%t?k??, 9FM?X?M?CXtX??X>'??X%k?X??k%A?1XYF?kMX?Xc CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Datelssued: BUILDING 028796 09/10/96 SITE ADDRESS: PERMIT 1969 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: (GAS PUMP CANOPY) uilding-.Permit Type COMM./IND. MISC. uilding o-rk Type NEW P t.._: U 'j LD REMARKS FEE SUMMARY- VALUATION Base Fee Plan Review Surcharge Total Fee $262.25 $131.13 $9.00 $402.38 $18,000 CONTRACTOR: - Applicant - OWNER: PUMP & METER SERVICE 29334800 MCGEE'S 11303 EXCELSIOR BLVD 1969 SILVER BELL RD HOPKINS MN 55343 EAGAN MN (612) 933-4800 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 Mn. SStattutes, and City of Eagan Ordinances. Y Y a 11l4Pilt ?o?`r? APPLI ANT/PERMITEE SIG URE IgStIED : I TU IS19t CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) ?? O Z 681-4675 The following are required with appropriate certification for all new construction: • 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion contrci plan; utility plan • 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule • Letter from MCMS (phone #222-8423) indicating SAC determination • Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: L-3 'I WORK TYPE: NEW y/ REMODEL DESCRIPTION OF WORK: ?`'? CONSTRUCTION COST: q 2/ 2"j z) TENANT NAME: y//le, SITE ADDRESS: Aae LOT BLOCK 1AVebld P.I.D. #1 V?WV PROPERTY Name: Phone #: OWNER lT Street Address. City: G? State:. Zip: ?z CONTRACTOR Company: -e4kA " l Ad? 9461,?` Phone #:pG Street Address 11363 City: Zip: ARCHITECT/ Company: Phone #: ENGINEER r-"v-(C Name: Registration # Address- State: Sewer & water licensed plumber: Zip: 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. 2 Signature of Applicant: 4 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New A 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS '9!19 Comm./Ind. Misc. ?? 20 Public Facility R&, ceej,?l ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building .k ? wy iY ? ° ? 5y ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MCNVS System City Water Fire Sprinklered O S Census Code SAC Code Census Bldg. Census Unit Engineering Variance Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: Valuation: $ ?M 6 % SAC SAC Units Meter Size e ? ?s r . \ :%;Xkckc;':::,c;X,u??s;,"c?F>'d?F?k??Y•?Xc?:;;.:k?; ??k?%k>kYC>%W?cM%:<Yc>X# CITY OF EAGAN CASHIER S TERMINAL NO: 29 DATE: 09/24/96 T:MI.c 0:405? M NAME: M F .:101-INSON CON',T RJC 380 9001 1969 SILVER BEL 287„25) 342E 0001 069 SILVER BEL iG6.71 2155 9001 1969 SILVER BEL MOD Tr:rial. Receipt Amount: 48:13.96 CRO64 r 94 USER M NANCY r N PERMIT CITYOF'EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 8 8 4 (612) 681-4675 Date Issued: 09/24/96 SITE ADDRESS: 1969 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: w? (MCG,S) 61`'lildin6-."?P.,ermit Type COMM./IND. MISC. ,Building Wb,r,k Type ALTERATION ,Census Code 437 ALT. NONRES. t" REMARKS: CEILING WALL FLOOR FEE SUMMARY. VALUATION Base Fee Plan Review Surcharge Total Fee $20,000 $287.25 $186.71 $10.00 $483.96 CONTRACTOR: L OWNER: - Applicant - MCGUIRE BILL 1969 SILVER BELL RD EAGAN MN (612)835-0300 I hereby, acknowledge that I have read this application and state that the informatidn is correct and agree to comply with all applicable State of Mn. Statutes a;nd City.of Eagan ordinances. APPLICANTIPERMITEE SIGNATURE iSSUED BY. t6 RAT?RE.I MA- 184. CITY OF EAGAN , J3 ?}? 210 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) `F `f 681.4675 wv "J- 4°'25 The following are required with appropriate certification for all new construction: 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting forth; Special Inspections & Testing Schedule Letter from MCNVS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram Indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: ?lS WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: Wlti) GE'i inaS 6011" dC2'C5? ciU / Oo?t U rn E G 35 l 6417 'PQ'LC CONSTRUCTION COST: 000 TENANT pNAME: SITE ADDRESS: t Srr%?[J?er I9??/ d?C? I '71 LOT J_ BLOCK SUBD. 1 i lllyn _?)u P.I.D. # a?• ?.vn,? ehl b PROPERTY Name: n c C-x-1: re 6-M Phone #: 636 OWNER "` Street Address G 5' ?Ue? i3,elyCf City: 6-eA94 a r State: Yn I ' Zip: CONTRACTOR Company: Phone #: Street Address- Zip: ARCHITECT/ Company: ENGINEER Name: State: Street Address- City: Sewer & water licensed plumber: I fe ck aI have read this apPlication and state that the ,{e a lcable Stat of Mi? esto Statutes and City of Eagan Ordinances. S? 99SI Signature of Applicant: ------- Phone Registration #• Zip: information is correct and agree to comply with all OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm.And. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth .,owo-19 Comm.And. Misc. ? 20 Public Facility 00?-S3 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Engineering l?; y ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MCNVS System City Water Fire Sprinklered Census Code 4/3,7 SAC Code 3v- Census Bldg. Census Unit Variance Permit Fee Surcharge Plan Review MC/WS SAC City SAC Water Conn. SNV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: Ljf 0 Valuation: $ Z0,000 % SAC SAC Units Meter Size 9edd4;gj-06 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN y mr plGn reoiefd Ia?s fJe Jed urkr SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVE' 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL 11 NOTES ADDRESSES FOR CORNER IS DESIRED. NO CHANGE I SEWER & WATER PERMIT FEES \ PERMIT FEE. PROCESSING TIM BEEN COMPLETED INDICATING A FOR SALE UNITS - CONTRACTOR/HOMEO E ALLOWED ONCE BUI ACCOUNT DEPOS R SEWER AND W PENALTY APPLIES WHEN: PERMIT IS NOT PA V LOT CHANGE IS REQ E To Be Used For: Valuati Site Address 1969 Silver Bell Road Lot 1_ Block I_ Parcel/Sub Owner PDQ Food Stores MULTIPLE DWELLINGS FOR IN 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. Address 6640 Shady Oak Road - Sine 450 City/Zip Code Eden Prairie Phone 941-3343 / 55344 Contractor Volp Construc:Li Address 14000 21st Ave. No. City/Zip Code Minneapolis, MN 55441 Phone 559-9600 LJ?"V1 Arch./Engr. Charles Novak, Architect Address 14750 So. Robert Trail City/Zip Code Rosemount, MN 55068 Phone # 423-2254 AUG 3 1 1989 COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. # OF UNITS MUST DESIGNATE WHICH ADDRESS ES WILL BE INCLUDED WITH THE BUILDING PERMITS IS TWO DAYS ONCE A PERMIT HAS E MONTH IT IS REQUESTED. PERMIT IS ISSUED. $85,000.00 Date: 8/29/89 Occup?pcy $-Z FEES Zoning Actual onst Bldg. Permit 59ZIL All owa 11N Surcharge 11 Of sto of stor es Plan Review t Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S. Water Meter Acct. Deposit On site sewag S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water Road Unit PRV required Park Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner TOTAL QQQ.S? Council 3,?1.br4 cu Pexr«T Bldg. Off. d ?S Variance CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C120 So fc- &' BUILDING 026800 12/01/95 SITE ADDRESS: 1969 SILVER BELL RD LOT: 1 BLOCK: 1 SILVER BELL CENTER DESCRIPTION: (ROOFING) Building''P.ermit Type Building Work, Type i i F f r a "t COMM./IND. MISC. REPAIR £ _s _ Lg Z7 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $520.75 $22.00 $542.75 $44,000 CONTRACTOR: - Applicant - OWNER: B & B SHEET METAL/ROOFING 26824233 WALLINGFORD PROPERTIES 210 CENTENNIAL OR 5201 W 73RD ST BUFFALO MN 55313 EDINA MN 55435 (612) 682-4233 (612)835-4111 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 Mn. L_ Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 026800 12/01/95 SITE ADDRESS: LOT: 1 BLOCK: 1 1969 SILVER BELL RD SILVER BELL CENTER PERMIT SUBTYPE: COMM./IND. MISC. IROOFING APPLICANT: B & B SHEET METAL/ROOFING (612) 682-4233 TYPE OF WORK: REPAIR DESCRIPTION (ROOFING) a 00 CITY OF EAGAN -, 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) IC1 f 6814676 The following are required with appropriate certification for all DU construction: 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainageterosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MCNVS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq, ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: lff - RIC Ejj` CONSTRUCTION COST: TENANT NAME: ?' ?ycnE l SITE ADDRESS: 11(0,7 C'?)-Iaz'' /3c// 4o'`-y . P.I.D. # LOT BLOCK SUBD. j ing)J-? )k n?PA"?1PN PROPERTY Name: Phone #: OWNER w?v70? 4Jt3f -7 Street Address- city: State: Dom!/ Zip: CONTRACTOR Company: ?? os`r? istE LVwi Phone #: B2 `733 Street AAddress city: Zip: ?a 3/ 3 ARCHITECT/ Company: Phone # ENGINEER Name: Registration #' Street Address* City: State: Zip: Sewer & water licensed plumber. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. correct and agreejo-cFhiply with all Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation d9'T9 Comm./Ind. Misc ? 18 CommAnd. ? 20 Public Facility WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition . Repair GENERAL INFORMATION ?/ e ? Const. (Actual) Basement sq. ft. _ (Allowable) First Floor sq. ft. _ UBC Occupancy sq. ft. _ Zoning sq. ft. _ # of Stories sq. ft. _ Length sq. ft. _ Depth Footprint sq. ft. _ APPROVALS ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code X137 SAC Code Census Bldg. / Census Unit b Planning Building Engineering Variance Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ ad t 0•* 144.00+ 6.50+ 72 00+ 222 5Uo 18U•UU+ 0.50+ 403.00* 4 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN /43'3 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. MLTIPLE DWELLINGS RENTAL UNITS FOB SALE UNITS Date: 57-3 0- d j NOTEt ADDRESSES FOR CORNER LOTS - CONYRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.- SEWER 5 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHENt PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. C A'40 Py `0 &P- &A' JO&,NE %-f'?) `L[6 6Ci To Be Used For: A Valuation s?o I % 69 esa-: ?? ?rr Q A t OFFI, Site Addr _ i YQ? kJR :^ Lot I Block 1 Parcel/Sub 51Lu r P?)I Cent er AA47, Owner Nc-4ram Qropof"+,rS Address .5 20 1 W 7 3 z„ City/Zip Code 4 A, p, a 55y 3S Phone S U II ( ?Ma, 7., ka CpI ,u?Pd Contractor - Address //?6A T City/Zip Code *x/. S?51 43 Phone f 3 Arch./Engr. 3 fir'' Address City/Zip Code Occupancy Zoning Actual Const Allowable ! of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System City water PRV required Booster Pump Bldg. Off. Variance COMMERCIAL Z 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. ! OF UNITS FEES Bldg. Permit / Y Y. Surcharge 4,.50 Plan Review '72.00 SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL z z 2.5V Phone A FIRE MARSHAL DIVISION STATE OF MINNESOTA DEPARTMENT OF PUBLIC SAFETY Market House 289 East Fifth Street St. Paul, MN 55101 612-296-7601 FLAMMABLE AND COMBUSTIBLE LIQUIDS PLAN REVIEW GUIDELINE Please fill in the following information completely. Where not applicable mark NA. Incomplete information will result in the plans being returned. For: Company Address City Contact Tank Info: Sisi ?? Date T' Phone 9?3 f Q o0 1 534, Capacity /a //000 al-11 Product Construction Equipment: Submersible ? Suction- Type: Full Serve Self Serve Corrosion: Soil Type j-L?^ T Protection: Type Anodes Installed, 2 /z Don/ cc?i 3 fx "6 %Z ooh Q t?J Piping (material) REVIEW ED ® SUBJECT TO FFINALINS?EC`+.ION AND ANY CAANGRS NO' e All material submitted shall be legible and 1 AP, _ 161 ce M" 114 '4 89 p N F/re u IC [t_ ? JP 19 0 4' MA?bai ° y • Include plot plan of property showing location of ad abent streets, hi buildings, surface waters; and other pertinent immed ate surroundings. All plans submitted must show at least the following information when applica- ble. Check each item below that appears on the plan or mark NA if not appli- cable. Give measurements from tanks and dispensers to: Property. Lines, Buildings, Driveways, Surface Waters, Self-Se rve Attendant Location. Yes N/A Yes N/A (?) ( ) Scale ( ? ( ) Vent Pipe Termination Height ( ? ( ) Property Lines ! (V, ( ) Vent Pipe Size / ?YJ ( ) Building(s) (w ? ( ) Piping Layout ( ? ( ) Tank Size ( gallons / Location of Dispensers / (`? ( ) Tank Size (dimensions) ( ) (" Waterways C? ( ) Product in Tank (?f ( ) Dispenser Protection (>?( ) Tank Bury Deptli (? ( ) Signs: No Smoking-Shut off Motor,. Minimum age for self-serve (? ( ) Concrete Thickness 16 years old Over Tank (? ( ) Tank Fill Opening (?) ( ) Fire Extinguisher M' C ) Driveways (v ( ) Self-Serve Attendant Location (? ( ) Emergency Controls (?? ( ) Underground Tank Locations & Clearances By: ?iuc?1( a/ Company: tGsa as WC_ ? y_rD / Address: //3o 3 ( Y/S/__JcaY?' r? / S S ?5?3 City, State, Zip: Phone:--,Z, ED m SUESJECT TO FINAL INSPECI'IDN REMARKS: AND AN CN. UGFS ?I©T1-D. , F7 A.:1 I'I F 0 CON' CT A s.CT C":1 P IOR T MINN SOT - T BY: Date: S3. 7 4A\ Ml?? Q 1%9 , re AfR he! y J L ? ??fX? q OFFICE USE ONLY RECEIPT #: SUED. X1.1; ,L?2 &-t?¢N DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: * all commercialtindustrial buildings. W mufti-family buildings when separate permits are not required for each dwelling DATE: unit. CONTRACT PRICE: 000, WORK TYPE: NEW CONSTRUCTION -2!? ADD ON REPAIR DESCRIPTION OF WORK: AfP411- 11! @. _ rf.i Z? ? . IS WATER METER REQUIRED? _ YES KNO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? - YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES XNO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of {Ig®it fee due on all permits. CONTRACT PRICE x 1% 150 STATE SURCHARGE TOTAL SITE ADDRESS: / ` G `fi 0/ /& 0r /906/ A TENANT NAME: Mc 6s- ?1 _ STE. # OWNER NAME: INSTALLER: .4Q ADDRESS: ?/r- 'eze ? Zr-7`o ti CITY: Mil r STATE: M?g zip: PHONE #: ??- SIGNATURE. ?e >1 APPLICANT OFFICE USE ONLY METER SIZE: --)L" DATE: /'A/ - ? INSPECTOR: CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 'x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE TOTAL .50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS- CITY: STATE: ZIP: PHONE #: ( CITY USE ONLY L BL RECEIPT M a SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681.4675 Please complete for. all commercial/industrial buildings. ? multi-family buildings when separate permits are nd required for each dwelling unit. DATE: ? +l2 -9b CONTRACT PRICE: 3/ OOd WORK TYPE: DESCRIPTION OF FEES: ? $25.00 minimum fee Qr 1% of contract price, whichever is greater. Y. Processed piping - $25,00 ? State surcharge of $.50 per $1,000 of Asj71t fee due on all permits. oG VV YY\Pi Y Y 1\iVLA YIY PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: /(?, r OWNER NAME: t?/JLtj TELEPHONE #: TENANT NAME: (I RO\ INSTALLER: ADDRESS: 3 d 3 CITY: PHONE #: _ gr 3 c0.O /V I V W? JW SIGNAT S? Y? c1 SIGNATU E OF PER E NEW CONSTRUCTION ?/) o 310Z() ONLY) /f STATE: ZIP• S S 3 0- .00 yia 3 u-6 'RA CITY INSPECTOR 9- ?1? CITY USE ONLY L BL RECEIPT M SUED. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-46T5 Please complete for., ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? 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 M INSTALLER NAME- STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( ) L I BL CITY USE ONLY RECEIPT #: SUED. i?" & RECEIPT DATE: 1998 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate building permits are not required for each dwelling unit backflow preventer to be installed in commercial areas or residential boulevards Date: T„n o T Z, I 99g Work Type: _ New Bldg. _ Add-on Is Water Meter Required? _ Yes _X No Water Flow To inquire if Pressure Reducing Valve is required on new service, call 681-4646. FEES 1% of contract price or $25.00 minimum Contract Price: $ x 1% = $ COMPLETE THIS AREA IF INSTALLING UNDERGROUND SPRINKLER SYSTEM Service: _ Existing (if coming off domestic line) OR Backflower Preventer Permit Fee Water Meter V @ $185.00 or 2" Turbo @ $846.00 If "new service" add Water Permit $ 50.00 = WAC $ 780.00 = Water Treatment $ 420.00 = City Installed Tap $ 300.00 = _X Repair R ?Z U.G. Sprinkler GPM New Permit Fee $ 25 .0 0 State surcharge is $.50 per $1,000 of ep rmit fee or minimum of $.50 per permit State Surcharge $ , 50 Total Fee $ 25.50 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of- I we 4 emet)t. a Z e e n SITE ADDRESS: i9O6 Silver Bell Plaza TENANTNAME: Wallingford Properties INSTALLERNAME: Village Plumbing, Inc. STREET ADDRESS: 2999 Yorkton Blvd. CITY: Little Canada, TELEPHONE#: (612) 482-9169 STATE: MN ZIP: 55117-1072 SIGNATURE OF PERMITTEE CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE Domestic Irrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) REVIEWED BY: Building Inspector PRV Yes No Date To determine meter size * See if it is indicated on back of Building Inspections card * Enter address in PIMS Screen 301 to obtain S&W permit # * Check PIMS Screens 110 (Remarks) * If gallons per minute are less than 25, a V meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Before selling meter * Check PIMS Screen 320 for anuroval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. * Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information * The installer is to contact Building Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Central Maintenance Division may be reached at 6814300 for water turn-on. * If meter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there. JS/Forms.bld/plbg permit (comm) 1997 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U:T. NEW CONSTRUCTION ADD ON x_ R FAIR WORK DESCRIPTION: Relocate 2" Floor Drain CONTRACT PRICE: $ Soo.oo FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: S•50 FOR EACH $1,000 OF FERNY!' FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% STATE SURCHARGE TOTAL $ 25.00 $ so $ 25.50 SITE ADDRESS: 1969 Silver Bell Road TENANT NA IE:_, P . D . 0 . CT.°. OWNER NAME: INSTALLER: Richfield Plumbing Company ADDRESS: W. 77§ Street CITY: R _^ f I A STATE: MN ZIP CODE: 55423 PHONE #: VIA FOR: (i a CITY OF EAGAN APPLI4 O,lle, 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------ O. FIXTURES SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum . 1 ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • DaLCty. lic. U.G. SPRINKLER • home under const. ALTERATIONS • to ecisting WATER TURN AROUND STATE SURCHARGE EACH OTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 .50 TOTAL: SITE ADDRESS: OWNER 114 iANiE: INSTALLER: ADDRESS: CITY: PHONE #: ( STATE: ZIP CODE: 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U",'-,T. NEW CONSTRUCTION ADD ON WORK DESCRIPTION: sink CONTRACT PRICE: $ 900.00 FEE 1% OF CONTRACT FEE. STATE SURCHARGE $.SO FOR EACH $1,000 OFR.ER1?iPt FEE MINIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ 25.00 Min. STATE SURCHARGE TOTAL SITE ADDRESS: $ •50 $ 25.50 1969 Silver Bell Road TENANT NAME. P.D.Q. Store OWNER NAME: INSTALLER: P.D.Q. STE # Richfield Plumbing Co. ADDRESS: 805 West 77} St. CITY: Richfield STATE. MN ZIP CODE: 55423 PHONE #: 869-7517 FOR: CITY OF EAGAN 2-27-75 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN S5122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CL OSET 3.00 BATH TUB 3.00 -- LAVATORY 3.00 - KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum . > 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dskcv. iic. 15.00 U.G. SPRINKLER • home under cont. 3.00 ALTERATIONS • to ousting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: ?rl L INSTALLER: ADDRESS: CITY PHONE #: ( STATE: ZIP CODE: SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: /YI/??/ mss'/ Receipt # Date -3? \ Permit # Commercial: $25.5,0 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. Existing residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbin permit, WAC, and water treatment plant fees. y41 ,?as -- ?sdy s G l Hsf 979 ?./vas J Si)DIr, Vr11 iP'1 AZf3 (Address to be sprinklered) Installer Name: m l9?CK ( )o? Yi 4 e, Phone #: Li k9 - 9 Street Address: q qq q lLojz k TCW 39l u d City, State, Zip: L:77'/1: CQ.#V 4W ^AIA1, Owner Name: (?1 >;o 12C? l? V I? e'cr f F, Street Address: o u) 93 STs2 5E T 1/1/h m IvN 6S9,31 q Phone #: Irrigation Contractor: Ka tit y, k ?y. Co Phone #: q,-? y b ? _ 9 z f, a?a zsy ?p 6 y p I hereby acknowledge that I have read this application and state that the information is correct and agree to com ly with all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) BEA BLOMOUIST MAYOR THOMASEGAN MARK PARRANTO JAMES A. SMITH THEODORE WACHTER COUNCIL MEMBERS October 7, 1981 CITY OF EAGAN 1195 PILOT KNOB ROAD P.D. BOX 71199 ..EAGAN, MINNESOTA PHONE 454.8100 4,t ..- THOMAS HEDGES CITY ADMINISTRATOR EUGENE VAN OVERBEKE CITY CLERK MR JIM SHELTON P D Q FOOD STORE 607 E 77TH ST RICHFIELD MN 55423 Re: P. D Q- Food -Store --Request for Amusement Device License at r D Q food btores #'Z14-& #Zd/ Dear Mr. Shelton: In official action that was taken by the Eagan City Council at a regular meeting held on Tuesday, October 6, 1981, two (2) amuse- ment device license applications for a P D Q Food Store #214 located at 4160 Pilot Knob Road and #287 located at 1969 Silver Bell Road; were denied. It was determined by the City Council that a game room/amusement device was not a suitable use for a convenience grocery store. If you have any questions regarding the application, please feel free to contact the Director of Finance/City Clerk or me at any time. Sincerely, Thomas L. Hedges City Administrator TLH/hnd cc: E. J. VanOverbeke, Director of Finance/City Clerk THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. 0 minnesota department of health 717 s.e. delaware St. (612) 296-5221 May 10, 1983 charkist Corporation Limited c/o Ms. Patricia A. Leahy 19893# Silver Bell Road Eagan. MN 88122 Dear Ms. Leahy: Certified Mail #593801 On May 4, 1983, an inspection was conducted of the facilities at Charkist Restaurant located at 1989# Silver Hell Road, Eagan, Minnesota. During the course of the inspection, it was noted that equipment was installed and other alterations had taken place in violation of the Rules of this Department (7 MCAR g 1.183 u), which requires that plans and specifications be submitted for review and approval prior to any remodeling or alterations. These plans and specifications are required to be submitted in advance of construction to identify and eliminate any deficiencies or improper installations which may resuft in needless time delays and un- necessary expense to you. Since this inspection revealed a recently installed, improperly vented oven, we must require compliance with the following order by June 1, 1983;' Provide a canopy and exhaust system over the pizza oven. The canopy must extend over the entire oven and the con- struction must meet the applicable standards of the Sational Sanitation Foundation (NSF). The installation must also be in accordance with the requirements of the Minnesota Building Code (SSC-7114) covering commercial kitchen ventilation systems. in addition, this Department had received complaints alleging smoking in the food preparation area and the lack of hair restraints•on food service personnel. This is to again advise you of this Departments requirements concerning the aforementioned items: a) Employees shall not use tobacco in any form while engaged in food preparation, service or utensil cleansing, nor while in areas used for equipment or utensil washing or for food prep- aration. Employees shall thoroughly wash their hands with soap and warm water before starting work after smoking. minneapolis 55440 an equal opportunity employer • f Charkist Corporation Limited may 10, 1983 Page 2 W All food service personnel engaged in food preparation and/or utensil cleansing must wear effective hair restraints at all times while on duty. We will conduct a reinspection on or about June 1, 1983, to determine if the establishment is in compliance with the minimum requirements. If you have any questions concerning this matter, please communicate with us at 823-8658. Yours very truly, James J. Witkowski, R.S. CHS Consulting Sanitarian Environmental Field Services ccc ale Peterson, Bldg. Inspector, City of Eagan minnesota department of health O 717 &e. delaware St. minneapolis '55440 (612)296.5221 October $, 1982 'Ns. Pat Leahy Silver Sell Bakery IgtoY?y -19SS Silver Bell Road Fagan, MN 55122 Dear Me. Leahy. This is to confirm our meeting and discussion of September 27,1982, concerning your proposed restaurant facility to be into, ted in the existing Silver Bell Bakery lotaai sd a i?9518 ve-006-h Ea?aa, Dakota County, Minnesota. The following is 4 list of dis-orepaneies which must be corre ted before a license to operate this facility can be issuedt 1. Replace the missing six Inch sanitary legs on the stainless steel work table. 2. Repair the hole in the stainless steel mechanical ventilation exhaust hood. 9. Assure that all lights it-the exhaust hood are in good working order and are provided with vapor proof enclosures, 4. All exposed wood surfaces of the front service counter must be covered with a properly installed plastic laminate material. 5. A four inch rubber base tile with a k inch radius must be installed at all wan floor Junctures. So Replace the badly worn gaskets on the under counter refrigerators. 7. Provide evaporator units for the condensate drains on the refrigerators. 8. Assure that the. refrigerators are capable of maintaining ambient air,temperatures of 400 F or below. 9. Assure that all other items of food aervice equipment U.e. broasters, convection ovens, fryers, exhaust hood, etc.) are in good working order. 10. Provide an NSF approved three compartment utensil cleansing sink with inte;oal drainboards at both ends. Please note, the existing two compartment sink in the bakery is unacceptable for this purpose. 11. Provide accurate thermometers for all refrigerators. an equal opportunity employer Ms. Pat Leahy October 5, 1982 Page 2 12. The open stud wall in the, bakery mast be properly finished off by installing gypsum bioard, taping and painting with a high floss enamel paint or epoxy resin material. Additionally, as discussed, it may be necessary to increase the re- frigeration capabilities of this establishment for bulk chicken storalle if the.exiating facilities prove to be insufficient. Also, we request that plans and specifications on the most recent changes to this establishment be submitted in accordance with Minnesota Statutes Section 157.09, as soon as possible. Any delays encountered in the required submission of these plans may result in a delay of your schedule to begin operations. If you have'hny questions concerning this matter, please communicate with us at 625-5842. Yours very truly, James J. Witkowski, R.S. CHS Consulting Sanitarian Section of Environmental Field Services JJW:m? j? cc:?/ a Peterson, Bldg. Inspector City of Eagan X;-" 2021 East Hennepin Avenue Minneapolis, MN 55413 Engineers , n4a612-331-8660 / - / 7 / ! ' / invoice- L? Assodatea, by- FAX 331.3806 Planners ,. i? hours ^28,7 per hour Factor This invoice City o-,- Cagan Attn: Tom Col:iert 3330 Pilot Kroh Road O(-?-.?' /z-z" - mot in conjunction eri;:h reviezr of parldim, lot lcyout- to allm'+ P'-'1 Store to c.:f rcc ur 'ih2 PC') story is in the Silver i1ell Cc•ncer along Siiv-_r 'cll or tin ronth Of Jon."ary, 193. 0MECT PE"SC;;':EL CASTS. J. ;?i nCtird Y? Lkv?( Orr 2021 East Hennepin Avenue Shceje 1 Minneapolis, MN 56413 Engineers Mayemdt 612-331-8660 Surveyors AsiodabM mc, FAX 331-3806 Planners S_TO ?C Invoice d" C January 2.0, 1S S City of Eagan Attn: Ton Colbert 3330 ?clot Knob Road Eagan 55122 r,^ .7 do conjunction wit) revietl of pcrkincq lot layout to allot-Y PDQ Store to arld : Cat '71:rno, ho Prj 3tor3 is in the Silvar Dell Contcr nlon? Silvcr "ell Bold. lil- nn .rinws s for the :.:onth nr' Caccr, "acr, MC. D%P ECT PERSC" INEL COSTS: J, t1injard 3.00 hours ^ $27,50 user dour $ 32.:+C Factor 2.2E This Hnvoic2 ^ 1s5.G3 or-?3t>? -i?p? ? TOTAL 6t7MUNT OF 111S MIMIC-, CASH RECEIPT ?J CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 GATE L clq rea?o AMOUNT $ S. s 8 DOLLARS ? CASH .HE ? '!3't%HECK i Thank You BY (; 13699 Whiw-_Peye,e COPY Yellpe._Ppyy^9 C° y Pink--File Copy SERVICE • SALES • INSTALLATION 1800 2ND STREET SO. - (612) 933.4800 - HOPKINS, MN 55343 (On Cty. Rd. 3 - Just West of Cty. Rd. 18) March 21, 1990 City of Eagan 3630 Pilot Knob Rd. Eagan, MN 55122 Attn: Building Department This is letter serves as notification- tha-"e--h ve-star-t-J?work on the PDO fueling facility pro,ject'at 1969-1-12-Silver Geld--Rd Eagan as of 3-21-90. Your permit number on this project is 16536. Thank you. Sincerely, PUMP & METER SERVICE, INC. Joseph B. Radermacher .,.BE, Fueling Systems - Electronic Gauging & ??' Self Serv Equipment - Compressors Inventory Controls - Fiberglass Tanks & Pipe ,?,? Auto Lifts & Parts - Service Station Pumps s A.t? CRI zc' COMMERCIAL BUME)ING PERMIT APPLICATION CITY OF EAGAN '\\ 651-681-4675 Q U Foundation Only New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets . Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) Key Plan (i) • Project Specs (1) . Code Analysis (1) •' • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Forth (1) not always- • Meter size must be established . Meter size must be established Meter size must be established - if applicable • Project Specs (1) 1 . Energy Calculations (1) •' 1 1 • Electric Power & Lighting Form (1) •• 1 1 • Master Exit Plan (1) 1 l • Fire Protection Plan (1) • 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 vvrua?r ouuwny nlJpeldlU[lB roc sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE yI B d I WORK TYPE _ NEW REMODEL CONSTRUCTION COST 1000-°-° SITE ADDRESS SI ]U-e-' i3e..t?11- Roo-ei Q (DD' o10-tl j TENANT NAME FORMER TENANT NAME DESCRIPTION OF WORK SUITE # Name: ( kal-4 S?It/G?I yYUVn? "O t. I'GL?'f-herShl? hone#: 9( S 2- ) 9 3 S- q l / I PROPERTY Last First OWNER I StreetAddress '7301 O k rK 5 LeLyt-g- . 39 0 City e4ki K4- State 1M Vl Zip 5E`J 3 Company Wa, l 1 i itic To Vt, t"V-o 10.4.t/Tt 2.S 60, Phone # ( ''7 SZ ) 83'S7--'411 I CONTRACTOR Street Address: x7301 ©'twts [.arse-- #3?n city Ed 1 't-ic State VVl rX Zip SStf 3 ?j ARCHITECT/ ENGINEER Company Name Street Address City Phone # Registration # 3y- State Zip Licensed plumber installing new sewer/water service: 0 10 Phone #: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appli ble State of Minnesota Statutes and City of Eagan Ordinances. GhC s ( Srr ??s I ,rte f Lfr,?. t r-F . Signature of Applicant: W •^- TEce W . % i*7 X4,4, Updated 1/01 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New 35 ? 32 Addition ? 36 ? 33 Alterations ? 37 ? 34 Replacement ? 38 GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy ? 26 Public Facility ? 30 Accessory Bldg. ® 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors Move Bldg ? 43 Reroof ? 47 Repair Demolish (Bldg) ? 44 Siding ? 48 Authorization Demolish (Int) ? 45 Fire Repair Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone Engineering Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ ?i IO 6 ® v % SAC SAC Units Meter Size Total Site Plan '74&310 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 il 7? !. g F • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule •• • Soils Report (1) • Meter size must be established 1 1 l 1 l 1 • SAC determination -call 651-602-1000 Health at 65 • Architectural Plans (2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) " • Meter size must be established • Project Specs (1) • Energy Calculations (1) " • Electric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always- • Meter size must be established-if applicable 1 1 l 1 1 • SAC determination - call 651-602-1000 regarding food & beverage or lodging facilities. ?oumct ouuumg inspections ror sample ano it required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. 7 Zo Date / / 0 6 Construction Cost -,490,700 . ?`-' Site Address 11969'/2 S 1-1ye? gell Unit/Ste # Tenant Name p - rQIVICK p? , YYII.t/YILIQM, Former Tenant Name _Allaa's ('?IS* d-b c` C?ecPa.r ?r ? Lt u.UVs Description of Work ?! w Iw / )00 0 0 Property Owner Ly611t 4 _Z41 y'251M,01x L G? zl /u ?fyl?r5l?y? Telephone # (15- 2_) S-/f/// Applicant is: /i Owner Contractor Contact #: ( 515-2) _E3 S-0/ / Contractor e4o _7;ve 5 C o/ CLi Yf?2i5` - Address 13/ Gd- 7g?/ ?f 0 3 D City Eo?9 /Llrr/P State /??q, zip 553 S«f Telephone # (?7SZ) b 3S-?f/t/ Arch/Engr Rr?GI;lEd? ur? ( (?riSerflUt+I - /(Q"k/w /?n?le/Sdrl Registration# 2Z.ZQ.S Address 9o/ /d. yl;/-w.0. 'rtiyv r City State /fl/7 zip 56YO) Telephone # (6 / 2.) 1f36-'4030 D .. Licensed plumber installing new sewerlwater service: hone #: [) r hereby apply for a commercial tiuncling Yerrmt 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 work which requires a review and approval of plans. _? W,?4L?2? 1?W _ dll? Applicant's Printed Name Applicant's Signature DO NOT WRI'T'E BELOW THIS LINE Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments 9' 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New Tr' 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundati on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant _ Width Valuation 0 Od Type of Const 'r Plan Rev 100% f 25% nA Occupancy M MCES System _ !? SAC Units Zoning F ! City Water _ 1j&*S Nbr. of Units - Stories _ Booster Pump Nbr. of Bldgs Sq. Ft. o?T 9g PRV Length -? Fire Sprinklered ?YGs Required Inspections Footings (new bldg) - Fireplace _ R.I. _ Air Test - Final _ Footings (deck) _ Insulation _ Footings (addition) _ Sheetrock Foundation _ Final/C.O. _ Drain Tile _ Final[ No C.O. _ Driveway Apron - Other Ice Pr Roof Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ _ _ Framing _ Siding _ Stucco La th _ Stone Lath _ Final _ Window s _ ,- N Final CIO Inspection: Sc o edule Fire Marshal to be present. Yes w Approved By: T - - Planning M L_ Building Inspector ------------------ ----------------------------------------------- - ---- ------------------------- r- -------/--------r------------- ---------------------------------- . . 40 Base Fee ' Surcharge 15, 3-0 Plan Review oT. d3 SAC-MCES SAC-City SiW Permit SIW Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total 7bt??S- tV A '75o7(,?,, 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • Structural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) " • Project Specs (1) • Spec. Insp. & Testing Schedule • Soils Report (1) • Meter size must be established l b 1 1 l l • SAC determination - call 651-602-1 000 • Architectural Plans (2) sets • Structural Plans (2) • Civil Plans (2) • Landscaping Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Spec. Insp. & Testing Schedule (1) • Meter size must be established • Project Specs (1) • Energy Calculations (1) • Electric Power & Lighting Form (1) " • Master Exit Plan (1) • Emergency Response Site Plan (1) • Soils Report (1) • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Fire Suooression/Alan Form 3, a96. 77 • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable 1 1 l l l • SAC determination - call 651-602-1000 Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. ** Contact Building inspections for sample and if required *** Permit for new building or addition will not be processed without Emergency Response Site Plan. X Date _? / 't$ / Lsb Construction Cost A4Stxo Site Address /Q(m - ! Q8 - Si XL'6,, A 61& 456 U&Ste # n - `-" -t I j s h P J Tenant Name - Former Tenant Name uUG ? 200 ?? Description of Work Sic 0 L* Property Owner Telephone # () Applicant is: _ Owner Contractor Contact#: (4!:Ax -Ja-1631St -•/?? Contractor 1 /alit .2 0::Cf - Address /0.- `AJ 671-A ?. ,. / - City ?pi6h _ `` ' State /t pK, Zip -5,5 318 Telephone # ( - 144?- -293-2 Arch/Engr , /, (_- , Registration # ? - Address gel 3 r $k, = city p ?S ,4 re State i1A Zip Telephone#((??) -ge$/e-• ??Q$0 Licensed plumber installing new sewerlwater-service: Phone #: C------) 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 Statute ; 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 ' ordance with the approved plan in the case of work which requires a review and approval of plans. 4 J, 1-,MrTVRRAL> Applicant's Printed Name Y DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments e' 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 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 ,E'33 Alteration (LXT1 ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ZLS? °-G Type of Const Width Plan Rev 100% ? 25%- Occupancy MCES System SAC Units Zoning CGS City Water Nbr. of Units O Stories Booster Pump Nbr. of Bldgs Sq. Ft. !ate PRV Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace, R.I. "Air Test, .`Final Footings (deck) Insulation - Footings (addition) _ Sheetrock _ Foundation _ Final/C.O. Drain Tile Final/No C.O. _ Driveway,Apron , .. ..?:',. .-., •j _.. Other. ,?..... .:?: Roof Ice Pr Decking Figs _ Aix/Gas Tests _ Final Pool Insul Final _ _ _ ? Framing _ _ _ _ Siding Stucco Lath Stone Lath Final windows ,. Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes -No Approved By: Planning Cgti& ° " Ing Inspector Base Fee 1 7 Surcharge 13 Z, 1?rO - Plan Review 2 ?? 5 SAC-MCES SAC-City SM Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total Sewer Trunk Water Trunk 10/09/2006 09:19 6514579122 TOTAL REFRIGERATION PAGE 02/02 r'- . 5H'' 7.q COMMERCIAL MECHANICAL.. PERMIT APPLICATION ? 5 ? • S O City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcasc complcle for: contnlclcial/iudu5Uia1 buildings multi-family buildings when separate permits are not required for each dwelling unit Date / C / (A Site Street Address ((?? `? Z Unit # ? Tcnani Name (if applicable) ?p?r^.r Previous Tenant Name 2d C'?? , Property Owner Telephone#c6Sj ) IgC>S- 09 9,-3 Contractor Jti_ }? p ?r; Hn?c -ato.? S'?err. s Inc _ Street Address city 5. 5-} State 1Yl(1 P Zip SS[a7-5? Telephone# (A 5( )_4S`2 -`2 &041 Bond #: __ I.0 3 O!I I??Z Expires: .2D The Applicant is Owner A Contractor Other h ) n„l rJ ?? , ,'l Work Type New Construction ` Underground Tank _Install -Remove e beloavJ Interior Improvement _ Install Piping -Processed _Gas Nature of Work: - /N F}rr?c "When installing/remolerng unde?rou tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $7050 Underground tank installatioNrevaval S%Z0 Ma/mbar (imlud¢a C ate Cu rhn a.) ' or Contract Value $ y0ap, 00 x 1% _ $ So.ot? permit Fee • If permit fee is SI,000 or less, add $.50 => $ , SO State Surcharge if ermit fee is over $1,000, add S.50 for every 51,000 Qermit fee S C). Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurdtc; 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 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 ill the case of work which requires a review and approval ofplans.. -- I 4e Applicanrs Printed Name Applican 's Signature Approved By: Sc c o _ _ -II duo Inspector Date: 10 Ml 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 . Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date i o / i3 / 0 (g Site Street Address A 5r ( t""?[? fl unit # Tenant Name (if applicable) N P -- Previous Tenant Name N Property Owne r Telephone # ( 95'2) 3S- Yl// er/ ?? Contractor ?I yJ-?t? ?f?52.co?N? U? Street Address t-(qS I ? 6 e t' 4 p City r cS?nov State /YS N Zip ?SY3 S Telephone# ( -) Q ?S Bond #• Expires: The Applicant is Owner Contractor Other Ql Jl ir? l,? All r '' lQ li Work Type n 1(,?Cp //?/ 6 ? - New Construction interior improvement Install Piping Processed? Ga - _ \? _ Under/Above ground Tank _Install _ Remove When installinq/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector nip Nature of Work: -'-rosy ? ? D?rc ce f sw. t c Permit Fees: d tank installation/removal 550.50 hfmlmum includes state Surcharge) or Contr t Value $ ? qla, on x 1% _ $ x`1-7 L'f Permit Fee $ D..SU State Surcharge If permit fee is less than $1,000, add $.50 Ifpja=t fee is more than $1,000, surcharge ' p `nn` $ ??• ?d is $.50 for every $1,000 owed. $ d75. a0 Total Fee I hereby apply for ommercial Mechanical Permit and acknowledge that the information is will be in conf, ce with the ordinances and codes of the City of Eagan and with the Mech not a permit t my an application for a permit, and work is not to start without a permi •,tbl the ap r inn the case of/work/whicrequires a review and approval of plans. Gt:t,t.L' cl ?J Ktl Ui G t? Applicant's Printed Nam mart's Sirmatum Approved By: Inspector d accurate; that the work ;s; that I understa?nd,F?is is will be.in accordhtrtd with Required Inspections: _ U.G. - R.I. - Air Test Gas Service Test Infloor Heat Final Use BLUE or BLACK Ink For Office Use I EC~,I V Permit I Q C it of Ea Ul6 Ul pn J? 3830 Pilot Knob Road VEQ Permit Fee: ~L 0 Eagan MN 55122 APR 2 4 and 1 i,. 1 Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 I Staff: j 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: h Ji 4 1/ Site Address: Tenant: C,- fc.e f S Suite Resident/Owner Name: J e- ~-a c e,f- S Phone: U92) 3 `77 IM? Address/ City/ Zip: 1160 owl 30` Name: Atos6ttG- Mc.C Ly," I License Contractor Address:: ?3w 0L.S 1,.,- City: Cdok, State: I' Zip: it 55,437 Phone: t(, 1J5~ ) -6 ~ I 0 Contact: ~®r-- W; L Email: Sbex'sty.0 4105 ine -k New )4- Replacement Additional Alteration Demolition 0 (N Type of Work Description of work: C10 c ' •"T - S (,J t eLi NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction - C- Interior Improvement Permit Type -Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES Contract Value $ 900,0o -X.01 $55.00 Permit Fee Minimum ~~Ud Permit Fee $70.00 Underground tank installation/removal = $ r~ *If contract value is LESS than $10,010, Surcharge = $5.00 500 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge ,`i C) TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x\a5 x Applicant's Printed Name Appl' nt's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Jr- Final HVAC Screening �. (e-30 , For Office Use EAGANC o D JUN S 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 l TDD: (651) 454-8535 1 FAX: (651) 675-5694 Email:bulidinginsoections(citvofeaoan.com Plan Submittal: eplansfalcItyofeaoan.com Permit#: Permit Fee: Staff: Payment Recvd: Yes No Plans: — Electronic _ Paper to )-NI 2020 COMMERCIAL PLUMBING PERMIT APPLICATION O Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: '-30 -20 Site Address: 1gj 1," //11 1 51 Mar 13.2.1l 1CJA . Tenant Name: 0/AA) L V `O t Yr) at '1.L. Suite #: (PM ^ 60$ ^ 4700 c.) 1r Phone: 1051 " 4 E 2- I 3 Name:Ti t e_hkr t U.M•1 W • License #: Pe.. (04412, Address: PLVID A,.t;hy *•AOD Phone: ` t62-. $ $ "-3 5 EmaO: - New Construction Addition Modify Space Replacement Repair Rebuild Work inn.C'Right-Of-Wa____�. •y ,,,, Description of work: .► /. �. 'D . �iI',.elhAL1T It.Q tL.) .. Irrigation System (. yes / _ no) (RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meter Required - Cali Utilities at (651) 675-5200 to verity tests passed prior to pickina up meter. Domestic: Size & Type Fire: 1 Average GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES $60.00 Permit Fee Minimum $60.00 PVBIRPZ Permit (includes State Surcharge) Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call City for Surcharge The following fees may apply when Installing a new lawn Irrigation system or connecting a new water service. Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. Contract Value $ l l i x $ Permit Fee Surcharge TOTAL FEE Water Permit Treatment Plant Meter Fee Radio Read State Surcharge _ $ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webatto at www.citvofeaaan.com/subscribq. CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a'review and approval of plans. ✓ '2p.�'U L le �,3D -20 x x Applicant's Signature Applicant's Printed Name Page 1 of 4 Page 2 of 4