1971 Silver Bell RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I tit 1.1 RD
II VI k tit if. L IN II I; (6t1) v-.. l tys
Ilk, i I 1' 1144;
1
PERMIT SUBTYPE: TYPE OF WORK:
P.IICRAII(IN
Permit No. Permit Holder Date Telephone k
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing p IOWGr Wall C7
r, s
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final !?E Q
Deck Fig.
Deck Final
Well
Pr. Disp.
TI»srequest void t???? LIi g(? GAVc?- bF1` CCr? /8t`??
18 months from 2-7 7 ?-6
Date of this Request 11-11-81 Fire No. S 7 2 7 7 "
I, as ® Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1971 Silver Bell Road City
Section Township Range County
Which is occupied by
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier Dakota Electric ASSOC. Address
Electrical Contractor Laughlin Electric Co. Contractor's License No. 40250
(Company Name)
Mailing Address 980 North Dale St., St. Paul SS f l
(Electrical nt rector or w , Making This Installation)
Authorized Signa re Phone No. 489-1303
???? ?'BO'?? This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Oectricity
Griggs Midway Bldg. - Room N191
1921 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
-r FEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02,
S 72773
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? 12 ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? Hehers? p
Herers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedets& Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps . 0 to 30 Am res • 0 to 30 Amperes 3 7.50
101 to 200 Amps. 31 to 100 Amperes 5,00 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers 15 Remote Control Circ. Partial or other fee .50
Signs Special Inspection Minimum fee $5.00
Remarks TOTAL F . j0 19.00
I, the E tffc e y certif + W the pv in ection has been mkde?
(Rough') Date (1- JG- yj
(Final) f Date_ J_ C. This request void /
18 months from
This request void ?I - I S ?V ?cbf l? cE- ???? 22 D l
18 months from 1 $ ` S
2 7 7 4
Date of this Request 3-3-82 Fire No. S' 72774
1, as D Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri.
cal wiring installed at:
Street Address or Route No. 1971 Silver Bell Road - Unit 3 City. Eac)an
Section Township Range County Dakota
Which is occupied by
(Name of occupant)
Is a roughin inspection required on this job? No ? Yes D Ready Now D Will Call D
Power Supplier Dakota Electric ASSOC. Address
Electrical Contractor _Laughlin Electric CO. Contractor's License No. 40250
(Company Name)
Mailing Address 980 North Dale St., St. Paul
(Electric Contlacto or Owner Making This Installation)
Authorized Signature Phone No. 489-1303
SATE (EI tYlcal Contractor or Ow r Making This Installation)
U'?!, ?? ?? ?? This inspection request will not be accepted by the -
w'u State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
Griggs Midway Bldg. - Room N191
University Ave.. St. Paul, Minn. 55104 - Phone 297.2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-q-uw.. _
S 471 ? 4
Type of Bu®ding New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? 99 ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
List List
Other ? ? ? pp
%hersI Otehers#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee FeedersBSubfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eres 3 7.5
101 to 200 Amps.
1 31 to 100 Amperes
1 1 5.00 31 to 100 Amperes
Above 200 Amps.
Above 100 Amps.
Above IOQ_Amps.
Transformers
LALI
. 3. bU 1
1 Remote Control Cite.
Partial or other fee
Signs 1 1 Special Ins ction Minimum fee S
Remarks
TOTAL F .)_O :
;19.00
I, the Electrical Inspector, hereby cert at th b e inspection has been
I X-
Date - a y yZ
(Rough-in)
(Final) If-, Date &
This request void vt?a
18 months from
0 1
Cie- ,
Request Date Fire No. Rough-inlnspectbn
ReouiretlP
yes ? No ? Ready Now ?WIII Notify Inspector
When Ready,
I A licensgd contractor ? owner hereby request inspection of above electrical work at: 1 61? -
_I
Job Address (Street. Box or Route No.) city
1'9'-71 S1 tv& 1?U. D 'CAWW"x...
Section No. Township Name or No. Range No. County
Occupant (PRINT, Phone No.
I'llLwo (Viii
Power Supplier Address
69 A11A,0 06/x, /nAXGuhU. ?Ur yW14: C-7
Electrical Contractor (Company Name) Contractor's License No.
S C T/CI C D
Mailing Address (Contractor or Owner Making Installation,
10 i
Authcnzed aNre IConVa Per M? ing Inetall bn) Phone Numher
..camp em `Ftb' ?) to 7 z
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS -
Phone (612) 642-01100 - ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION S `fie n ppp?EM0001 oe
? See instruelions for rompleling this Corm on beck or yellow co,,,
?,pZ a
L 512 51 le'low Work Covered by This Request ?• y?j
New Add Rep. Type of Building AppliancesWlred Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specily) Contractors Remarks:
Compute Inspection Fee Below: „21- '?yMN/N? r 'p 5
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection L?
Alarm/Communication RDERED
THIS INSTALLATION III DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Rinal Date j
Dare N 7%
^ 7 -`l
OFFICE USE ONLY
This request void to months from
This reque' 18 months from Date ttif his Request 6 816
I, as A Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. l ?7l . eiG'7 ??f' /1 Cite-S
Section Township Range County
Which is occupied by 11?E
(Name of Occupant)
Is,a roughin inspection required on this job? No W Yes ? Ready Now ? Will CaUA
Power Supplier
Electrical Contractor Tl(///V I_A j?Flj6 « Contractor's License NO. 387a8
(Cgmpany Name)
Mailing Address
Authorized
-
5-This Installation)
Phone No. 7 f
,?,(Electrical'Contractor or Owner Making This Installation)
STATE BOARD COPY This inspectionesrequest s will inspection accepted the
State Board unless proper nspecti tion fee is enclosed.
Minnesota State Board of Electricity
P!46niversity Ave., St. Paul, Minn. 55104-Phorte 6145.7703
1 _QUEST FOR ELECTRICAL INSPECTION
t nW WORK COVERED BY THIS REOUEST
Home /
Duplex %
APtlalg.
?
?
Commercial Bldg. ? ?
Industrial Bldg. ? ?
Farm 0 El
Other - O ?
Check Appliances Wired For
Range ?
Water Heater ?
Temporary Wiring ?
Lighting Fixtures ?
Electric Heating ?
Silo Unloader ?
Bulk Milk Tank ?
For
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers 1 1 Remote Contiol Circ. Partial of other fee
Sips .-r- 1 1 Special Ins ection
Remarks R ? '
TOTAL FEE gq
1, the Electrical Inspector, hereby certify that the above
(Final)
This request void 18 months from
has been made.
pQte
A l
..,nths from .-
_.? of this Request $ 4 8 r 3 4
I, as Licensed Electrical Contractor El Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. f 9 712 SlLG/ LC-R`?( ity?
Section Township Range County ?iYG*Tf?
Which is occupied by
_/'?/` /?j7/ j
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier Address
Electrical Contractor Contractor's License No. _
(Company ame) _
Mailing Address
or
Z
Authorized
Phone
Iuaacacai s.unaracsor Or?lUWner Ma10ng Tnls Installation)
ME O L-il?D ON This inspection request wi0 not be accepted by the
?/ State Board unless proper inspection fee is enclosed.
p
Minnesota State Board of Electricity
195$ University Ave., St. Paul, Minn. 55104-Phone 645-7703 pr78tS'
CH K BELOW WORK COVERED BYELECTRICAL
THIS EOUEST INSPECTION S A R /1 Q
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Hotne
Duplex
Apt. Bldg.
Commercial Bldg.
Industrial Bldg.
Farm ?
?
?
?
?
C1 ?
?
?
?
?
13 ?
?
?
?
?
? Range ?
Wate ter ?
Dry
Fu
Au Pndti AID
List
)}
o
h Temporary Wiring
Lighting Fixtures
Electric Heating
Silo Unloader
Bulk Milk Tank
List ?
?
?
?
?
Other
?
?
? t
ers
Here ) Others
Here
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feede78' bfeeders: # Fee 1 1 Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eyes 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200
Amps. Above l00 Amps. Above 100 Am s.
er
o_
S" s Remote Control Cire.
Special Inspection Partial or other fee
Minimum fee
TOTAL F (E p?
I, the Electrical Irfspector, hereby certify that the above inspection has been made
(Final)
This request void 18 months
Date
Dhte W, 9- o-z -&G
This requbst void 18 months from
Daje 9fttais Request 2 6 7 9 5
1, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street AI
Section-
Which is
Is a roughin inspection required on this
Power Supplie
2tr?
Electrical Cont
Mailing Address
(Ele<trM
Authorized Signature
No,14 Yes ? Ready Now ?
y C7
Contractors License No. _
or wner Making i nis Innauanonj Z < -?
G Phone No.
(ETectrical Contractor o/Owner Making This Installation) p(9_ p,+lqo
STATE BOARD - COPY This State Board Boardion unless pro rss proper eIlMot hoe inspection fee is d by cl the
ee is endosed.
?, .
"? --
? S '? ..
? Q? ,
? ??g
y' ?
cS; d.??
? ? o? ? ?
F innesota State Board of Electricity
ersity Ave., St. Paul, Minn. 55104-Phone 645-7703 /
UEST FOR
, ELECTBYRICAL
INSPECT CHE BE OW WORK CO
TH S REQ EST ION s " 2 6 7 9 5
Type of Qpilding New Add. Rep. Check Appliances Weed For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt:-Bldg.
Commercial Bldg.
Industrial Bldg. ?
?
? ? ?
?
? Dryer
Furnace
Au Conditioner ?
?
? Electric Heating
Silo Unloader
Bulk Milk Tank ?
?
?
Falm
? E] E] List List
Other-
[--]
?
?
H pperers? pp
Herreers
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Amperes 1 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partialor other fee 4
S" ns Special Inspection Minimum fee $
Remarrks TOTAL F 0V .? ?d
certify
(Final)
This request vgid_1 ?rt?o1 ths 3 oo7I
e ab m`spettion has been mnade?
cJ ?-?/mot. to
Date °? 2 v
This request void 18 months from C&
Date of this Request / 0
I, as 06icensed Electric ontr ctor ? C
cal wiring installed at:
Street Address or Route No. 197/
Section Township
Which is occupied by
Range County
I% a roughin inspection required on this job? No O YeX Ready Now ? Will Call N"
Power Supplier _D0.A-CAa- E ( e-r-, Address
Electrical Contractor ` (Jr,J 44•L__ ?eL Contractor's License No.
Company Name) _
Mailing Addresses ?' P I t o r? ?? j1 v
(Electrical C?on?'(act or Own aking This Installation) [/
Authorized Signature ?? W A Phone No. yy7 31 5
(Electrical contractor or owner making This Installation) "
M MOO ?j ?PY This inspection request will not be accepted t
tJ \l, State Board unless proper inspection fee is enclosed.
rJ
/x'470
"R 31165
wrier, o hereby request inspection of the above electri-
e5i)tier $g L( Skoef,:vjCe"Alp
S: ?Oer City-?"
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
&ECK BELOW WORK COVERED BY THIS REQUEST
i87-7v
'R 31165
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt.ildg. 11 El ? Dryer 13 Electric Healing ?
Commercial Bldg. 9 ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Condit ? Bulk Milk Tank ?
Farm ? ? ? List ""'
- List 1'1? VHCCU Pt
O her ? ? El Others
Here 111111 -a Others
Here 111
BELOW
0 to 100 Am s. 0 to 30 Am eres 0 [a 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amos. 1 11 Above 100 Amos. Above 100 Amos. -?
Remarks TOTAL FE
. nst7 1 ?? b
I, the Electrical Inspector, hereby certify that the above inspection has been ma .
(Rough-in) Date
'(Final)
71 Date ) - /?~ f~D
This request void 18 months from
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
For Office Use _I
I
I Permit #: Z 70//
I C I
Permit Fee: So J D
I
Date Received:
I
I I
Staff:
-----------------
2008 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION"
Date: ICS-IIo-OK Site Address: Y?- 5 Wgt-bell.
1r4 Ae-?-e+" Suite #:
Tenant: i less, `(`
PROPERTY OWNER 'Name: E-4me- Phone: -
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: C 1G &-P1,La 4,=i Q u ,'Cy-
00 Estimated Completion Date:
Construction Cost: //
CONTRACTOR //
Name: Cumin } rfe PC)i-Pc"hC/A License#: l' ?ry5
Address: s'75 f nnc"c- A)c; IJ
S'
i
l State: IA-L Zip: 65163
- ui
ty:-
C
Phone: ?OSI'r?"lU Contact Person :
FIRE PERMIT TYPE WORK TYPE
Sprinkler System (# of heads LrL) _ New
Fire Pump _ Addition
_ __x Alterations
Standpipe Remodel
Other: Other:
DESCRIPTION OF WORK: X Commercial _ Residential _ Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Contract Value $ I !po x1%
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Perini Fee is > $1,000, surcharge increases by $.50 for each = s. State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
0
TOTAL FEE
$150 • -%
3/4" Displacement Fire Meter - $183.00 $ Fire Meter
$ TOTAL FEE
-J
'Requirements: 2 complete sets or orawmgs ano specmcauons, cut sneers on matenars anu pwn,pvuc„ .
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire 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 i -ocordance with the approved plan in the case of work
which requires a review and approval of plans.
\J
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
REQUIRED INSPECTIONS
Hydrostatic
Trip
Conditions of Issuance:
Flow Alarm
Pump Test
Drain Test Rough In
Central Station 1 Final
Permit Reviewed b?) C?9-Q?? Date: X) 14 O 1(3 IR
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,
O "4 ?•
Ted W. Tinker
TWT/jmm
SFP ?
9531 West 78th Street • Suite 350 Eden Prairie, Minnesota 55344
Telephone(952)835-4111 Fax(952)835.6733
E-mail: wallingfordproperties.net
PERMIT CITY USE ONLY
APPROVED BY: -/ P t d l c 2 . INSPECTOR
RECEIPT DATE:
8008 COMMERCIAL MECHANICAL PERMIT !APPLICATION
CITY OF EMAN
3$30 PILOT KNOB RD
KAHAN, MN 5512E
651-681-4675 oo d 10 C?
r??l
Please complete for: all commercial/industrial buildings
y9 multi-family buildings when separate permits are not required for each dwelling unit
DATE: 7/30/0-,/7-
V
SITE ADDRESS: ??--2 / dEI-
OWNER NAME:'
TENANT NAME (IMPROVEMENTS ONLY):
GHQ
2
#: 63 'l - `fS Z- f330
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: [/,e, tpf/ Q l ?i e s AecA a 41 C l4 L 1 tf c.
STREET ADDRESS: I / / b D I` r0 j? NZ G // b S O
CITY: et/-- t0 0 STATE: / olm , ZIP: J Soo/
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
_L,-Processed Piping
C
Specify Nature of Work: /?o O G QJ/CsS, 57 ZefAm for G P r MOO \ W /?
Ex r S _I-•-?-_ -
When instLingreoving underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. I
??05
Underground tank removal/installation = minimum fee S E P 3 0 2002 I j
Contract price: $? x 1%= $ (Base Fee) LLL
State surcharge calculate at $.50 for eac eCe
TOTAL $ O ae
R441M /YI
SIGNATURE OF PERMITTEE
Updated 1/02
CITY USE ONLY
PERMIT #:
RECEIPT DATE:
2008 RESIDENTIAL MECHANICAL PERMIT APPLICATION
CITY of $ABAN
3$80 PILOT (KNOB RD
BAGAN MN 5512E
651-691-4695
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
Place a check mark next to the permit work type
ZIP:
Add-on, modification or alteration to existing dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge $ .50
Total g
SIGNATURE OF PERMITTEE
TELEPHONE #:
TELEPHONE #:
1102
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
e nDi
020890
05/11/93
SITE ADDRESS:
1971 SILVER BELL RD
LOT: 1 BLOCK: 1
SILVER BELL CENTER
DESCRIPTION:
VIDEO UPBEAT
Building_Permit Type
Building Work Type
UBC Occupancy
l\
C
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
COMM./IND. MISC.
ALTERATION
B-2
\ JLa `? _: \-mss L,i ?N, L
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
VALUATION
$600
$17.00
$.50
$17.50
COPY $.50
Total Fee $18.00
CONTRACTOR: - Applicant -
TOMASCHKO. SAMANTHA 24521393
1971 SILVER BELL RD
EAGAN MN 55122
(612) 452-1393
OWNER:
WALLINGFORD PROPERTIES
1971 SILVER BELL RD
EAGAN MN
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances. AIL
0m, SIGNA E
application and state that the
with all applicable State of Mn.
o ,aAll171etf
SUE Y: GNAT R
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 020890
Eagan, Minnesota 55123 Date Issued: 05/11/93
(612) 681-4675
SITE ADDRESS: LOT: 1 BLOCK: 1 APPLICANT.
1971 SILVER BELL RD TOMASCHKO, SAMANTHA
SILVER BELL CENTER (612) 452-1393
PERMIT SUBTYPE: TYPE OF WORK:
COMM. IND. MISC. ALTERATION
DESCRIPTION VIDEO UPBEAT
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FRAMING FINAL
7
REACTIVATE V5LCEOVED CITY OF EAGAN
PERMIT ,V -' 993 BUILDiNG PERMIT APPLICATION $R-00
MAY 0 5 1993-- 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
` G 2
l uation of work
Date ?M Va
_
a
S n
1? ?Z
? -?? y `
? ,
i l
3?X
.
Site Address:
STREET SUITE /
1
Tenant Name: (commercial only)
r
LOT _L
BLOCK i
SUBD. )j?CN p r
CC lW
P.I.D. M
Description of work:
The applicant is: ? Owner ? Contractor Other (Describe)
Name WW?WQ,(;-ArA Phone
Property LAST FIRST
Owner *
Address
-
STREET STE N
City 1:fA :k?? State N Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a PPlication and state that the information is
correct and agree to comply with all applic le State of Minnesota Statutes and City of
Eagan Ordinances. f
il
Signature of-Applicant:
OFFICE USE ONLY
f "
BUILDING PERMIT TYPE *r?;
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement F44vrl
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage /Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plea ? 14 Fireplace 019 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New P?33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1, sq. ft. City Water
UBC Occupancy R Z 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3
Depth On-site sewage SAC Code,
APPROVALS
Planning Building Assessments
Engineering Variance
.?®8
REQUIRED INSPECTIONS 7Z.1,,P
? Site ? Footing Framing ? Insulation
? Wallboard F7iFinal ? Draintile ? Fireplace
Permit Fee Irj,cc)
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies ;o
Other
Total:
Valuation: $ e .;o y
SAC %
SAC Units
i? •
EJ
i
7
?I
Silver Bell Center
f.
Site Plan F'
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16. X17 ?j ?:?
13 \ rn vi
136 \, T?
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11 ,.
5.
6.1
CITY USE ONLY
L BL RECEIPT #:
SUBD. AL /& jw? DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings.
? mufti-family buildings when separate permits are = required
for each dwelling unit.
nATF: CONTRACT PRICE:
WORK TYPE: r NEW CONSTRUCTION _Z'INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee Q[ 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of garlic fee due on all permits.
CONTRACT PRICE x 1% 4 I-?'&
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
I -TO
OWNER NAME: (//r/% ?tJi/ S TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: l=2_ ZIP:1.zY Z
PHONE #:/?-??
SIGNATURE: a
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT*
SUBD.
DATE:
1995 MECHANICAL 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
New construction Add-on furnace
Add-on air conditioning .odd-on air exchanaer. i.e. VanAe 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 #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE: ZIP:
PHONE M ( )