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4672 Slater Rd , . • uJo:~,~„ ~~vw.~----H `f'~ S~ 2004 CONIMERCIAL PLUMBL~'G PERMIT APPLICATION CITY OF EAGAN ~-•-1~, 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ ~ ~ 651-675-5675 ~ ~ ~ nare _~1L ~ i ~ n Site Address G//s 7,~ ,/.l~~c~ 1~0 a2lJ Unit # ~ Tenant Name Former Tenant Name Property Owner Telephone # ( ) Contractor Address ~ l . ~ Ciry • State Zip b"5~~/5~ Telephone #(G3-/) lvS 3 ~J3 ~ CJ The Applicant is _ Owner ontractor _ Other Work Type _ New Bldg _ Add-on Repair RPZ _ PVB _ rrigation system * * Rain sensnrs re uired. Jerr ~ Wobschall to calcuin[e fees. Description of Work ~(~11~i. To inquire if Pressure Reducing Valve is required on new service, cal! 651-675-5646 Meters - Call 65I-675-5300 to verify that hydrostatic, conducrivity, and bacteria tests passed prior ro picldne un meter. Irrigation Size & Type Avg GPiV1 2" turbo req'd unless smaller size allowed by Public Works Fue Size & Pnce 3/4" displacement S 155.00 Domestic SizC & Type Avg GYM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) ConffactValue $ x 1% _ $ .U O BaseFee $ 30~ .U C7 Meter(s) Required on all new buildings Bc boulevard irrieatron svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ - 5~-~ S[ate Surcharge If base fee is over $1,000, surcharge is $.50 per $1,000 of the Base Fee 1.1 Q"l Following fees apply only w6en installing uew irrigation system $ ~i ~•U C~. Water erm/it Contact Jerty Wobschall at 651-675-5024 for required fee amounts 1 i ~ $ ~ ~ ? 'T'reahnent Pl~~ ~ ~ i~ ( ~ pJ; S,~ ~ yw_„~ D~(~ ~~~lf~ ~ ? ~ V Water Supply~ Storage~ ~ ~ ~ - ~ State Surcharge IL ~Q~-l i~R c+~~ u u ~ -----~~.--~c„_.._4----~=----------------------- -OCT 2 7 2004 - - - $ a. G v Total Fee I hereby apply for a Commercial Plumbing Permit ation is complete and accurate; [hat 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 pemvt, but only an application for a permit, and work is not to start without a permit; that the work w' e in accordance with the approved plan in the case of work which requires a review and approval of plans. l a~i~s ,C~/a s f~~ ~ c~~~ Applicant's Printed~Name plicanYs Signature r I~~ IO 2005 COMMERCIAL PLUMBING PERMIT APPLICATION 'f ~ j-' ~ ~~l7> CITY OF EAGAN ~-~Oy~s i ~ I~, ' ~ ~ 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ CUU5 ~ 651-675-5675 , u Date ~ $ / 11 / O.~ J,~- - 1 `~J SiteAddress ~b7q ,S~Q7~'Y' IQLQ Uuit# ~ Tenant Name 1h OC' oY~ Former Tenant Name Ill pyl P CoFFice Condo PropertyOwner T~1C CDYttfYIU,YII'~y ~SSOCiGi;~~on ('vv~t,~.0 Telephone#( ) Contractor CCn+UNy D1i1 n, bine S~,c Address ~3ay ~ Nelrno AvQ N c~Ty Dakd~le s~~e l~ z~P 5.5/a S Telephone #(d~~ ) 653 -93~iD License # 0037~5 h M Expires: /d,- OS `t ' J~"""e The Applicant is _ Owner ~ Contractor _ Other Work Type _ New Bldg _ Modify Tenant Space RPZ PVB ~ New Repair/Rebuild _ Replace _ Irrigation system Work within public righ[ of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems DescriptionofWork OFGIC~ ~o~no G,N~SN CaaDA~t~m~,akifi['h2nc~n~CSjWAf"P~SUht~~~ ' To inquire if Pressure Reducing Valve is required on new service, call 6i1-675-5646 Meters - Call G51-675-5300 to verify that hydrostatic, conductiviTy, and bacteria tests passed orior to oickine uo meter. Imgauon Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" displacement $161.00 DomesHc Size & Type Avg GPM~ Includes high demand devices? _ Yes ~ No Flushometers _ Yes ~ No PRV Required _ Yes ~ No Pe~mit Fee $50.50 minimum (includes State Surcharge) Contract Value ~ 9. aoo, ~ x 1% 9a~. ~ PermitFee ~ $ ~o~ 'rj • ~ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read If perrttit fee is $I,000 or less, surcharge is $.50 $ e,/ Q $t3tC $uiCi731'gE If permit fee is over $1,000, surcharge is 3S0 per 61,000 of [he Permit Fee Following fees apply only when installing new irrigation sys[em -Y~_~'-~$ Water Permit Cali Jeiry Wobschall at 651-675-5024 for required fee amounu $ TreahneutPlant $ Water Supply & Storage $ State Surcharge a+~- - - ~ Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in confomiance with [he ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a pem~it, but only an application for a pemilt, and work is no[ to start without a pemv[; that the work will be in accordance with [he approved plan in the case of work which requires a review and approval of plans. .I A N ES R L ASE Al A l.v~~ ~/!l~-C~-a•~, /~,~Y~ ApplicanYs Printed Name Appl' 's Signature ~ l-dk `-f - -l ~ l c~ ( Y~ ~ i~ s 33~s w ~ ~ ~ W ~ ~ti~ a~~4-l~' " ~cz'~ ~ f le 5 ~i a ~ 2004 COMMERCIAI. BUTI,DING PERMIT APPLICATION , City Of Eagan ~ . 3830 Pilot Knob Road, Eagan Mn 55122 Ca~~~ 3_.a a~ Telephone # 65 -675-5675 FAX # 651-675-5694 qr ~ (~y-~a- y, 39 t~.~'s~ . • • Structural Plans (2) sets • Architec[ural Plans • (2) sels • 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 (1) • Project Specs (1) • Code Analysis (1) " • Masler Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certifcate of Survey (1) • Energy Calculations (1) not always" . Soils Report (1) • Spec. Insp. & TesUng Schedule (1) " • Elec. Power & Lighting FoRn (1) not always" . Meter size must be esta6lished • Meter size must be established • Meter size must be esfablished-if applirable 1 • ProjectSpecs y . EnergyCalculations (1) " 1~ L . Electric Power & Lightlng Form (1) " 1 1 • Master Exit Plan ~ (1) 1 . Emergency Response Site Plan (1) ~ 1 • SoilsReport (1) 1 • SAC determinatlon - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facili[ies. Contact Building Inspections for sample and if required whcn it states "not always". permit for new building or additlon will not be processed without Emergency Response Sire Plan. Date '~G i Z 3 / 6~ ~ ~ ~ ~ ~ ~ „ Construc6on Cost ~ ~ ~ ~ ~ SiteAddress ~ 'f£~' r-D Unit/Ste # Tenant Name ~~1~ u Former Tenant Name '1 ~ Descriptian of Work IUrGIh~ Co,~+~ ^ TPw(r1 ~~('r ~C~ 5~"~~'~' Property Owner }-)(IC.S ~4`~~ii~Q~~ Telephone # ((~js( ) ~~S' ~ ~('S q Contractor Y~"~,p~.sa.~ g~ ~-S Address ?r00 ~0, ~""'~45~ g~-v0~ Cf~~Q City ~~A~U- State ~ Zip ~j f~ 7 Telephone #((~i l) 7 7S y~~ Arch/Engr / V 1_~A .~/Y~ s,~ f+~~N-c T r~~ Registration # ~ B O 7~' Address 1~( ~ 6~i1S~P ~+~+a~'2.a,~r,o- L!~W11. City V~/~`f7~~T,cs State ~N ~AfJT~ 7KJ Zip~_~_ Telephone # ~ ~ ~ ar ~ p i ~ U i j ' ` 'u ~ 1i..S ni~ Licensed plumber Installing new sawedwater service: 1~~ Phone ~ r!- r)~ ~ j J J4 U ~ I hereby apply for a Commercial Building Permit and aclrnowledge that the inforin~tian is~omplete a~c##accurate that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MI~ Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without : permit; that the work will be in accordance with the approved plan in the case of work which requires a review anc approval of plans. 1~.n-r T~Mp~~ ApplicanYs Printed Name Applicant's Signature ~ . . . ~ . . ~ ~ U ~ ~ .S au~sc i i, aooa ,(,~,d~,~ Pr, e~ o• s RE: WENTWORTH PARK TO WHOM IT MAY CONCERN: This letter is to advise you of address changes for the;Wenf"worth Park-subdivision which is comprised of two commercial buildings on seven lots. ` - ' The City's policy is to assign one address to each building with suite numbers to be allocated by the property owner for individual leaseholders. Due to the unusual platting of two buildings in Wentworth Park over multiple lot lines with separate leaseholders on each lot, it seems practical in this instance to allow separate addresses for each lot and block. Enclosed you will £ind a revised list of addresses. Permits previouslv issued that have a chan¢e of address have been adjusted. Revised permits are enclosed for your records. Please advise your subcontractors of these changes. Note: Separate plumbing and sewer and water permits are required for each address. Mechanical permits already issued appear to be based on valuation for the entire building(s); however, further modifications to individual spaces will require additional a I a~~~ , Q„„ permits based o~address. • ~ 7• ~pu,~r~n e,a,(,~,R, l,~.ti,l:Q, Sewer and water permit fees collected on the building permits to construct the two shell ~$~a 5"a buildings were for one service onlv to each building. As each leaseholder has a separate utility service, an additional fee of $502.50 is required to be paid for o-r`~- e'' ~'d ' individual sewer and water permits on lots 1-7. This fee must be paid prior to issuance r of any certificates of occupancy. Once this fee is paid, separate sewer and water permits ~~j~~-rQ ~'0 • will be issued. ar ~ fj,e, We apologize for any inconvenience this may cause. If you have any questions, please feel free ~ S~ to call me at 651-675-5671. p P~ Sincerely, J D^. Janice D. Severson q~~' 0~{ l~~~~"(~~ Office Supervisor V ~ ~ Encl. Plumbing permits #65648 & 65650; Fire permit 65726; Mechanical permit 65338 ~ ~ G 5.b~` 4 eb y~Y Dale Schoeppner, Chief Building Official ~ i ~~p ~ Craig Novaczyk, SeniorInspector ~-1-~~ ~ J~~,i,(1'k Mike Lence, Senior Inspector ~ / ~ > ~ ~ ~ I , ~ . • . Mailed to: Century Plumbing 444 Maple St Mahtomedi MN SS 115 Ray N Welter 4637 Chicago Ave Minneapolis MN 55407 Mission Hills Development 4570 Churchill Rd Shoreview MN 55126 Brent Thompson Vanguard Builders 300 S Owasso Blvd E St Paul MN 55117 Service Fue Protections 211 Exenium Lane S Minneapolis MN 55305 WENTWORTH PARK 83568 APPROVED 2004 PERMIT DATE & ' TYPE LOT BL ADDRESS 4/04 O10 O1 4662 SLATER RD shell building ~FP ~57a~/M ~ 4533~1 / l5LG,3C. !S ~c,~t I ~ 020 Ol 4666 SLATERRD yti.~ ~,59oy 1~.~~~g-g3(~,,~ c.~y-l~ f 8/04 030 O 1 4670 SLATER RD New Challenges r~~(„ t~ ~ M£ e S9 P~58FSv aP c~~•`t~~! PP~~~L~+~-~-wr,~y~9 aioa 040 Ol 4672 SLATER RD shev b~iiai~g ~ P~~~.> o ~ m~ ~5 3~~ ~~`~`~as ~-tw ~~ti, ~ O50 Ol 4678SLATERRD ~=Q~=,~S°1~ y~n~ coS9~`-1'~}t,~bi~~k2-f~ 060 Ol 4682 SLATER RD ~P ~~s~~ l~ ~~-j-w ~e y-~-) sioa 070 O l 4686 SLATER RD S Todd Rapp, nttoraey F' Q c~ b o~s m¢, t~ s9 0`j ~P c~~~s ~ b~ ~s-,i~ f PP ~st,~-i ~-~w t~ t~~{ 6 `lOlS~ 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan ~`4`~~ • ~0q 3830 Pilot Knob Road, Eagan Mn 55122 ~f~~p~ g~g _ Telephone # 651-675-5675 FAX # 651-675-5694 `kz~''` `~~5- ~ . . • . ~ . . - • Structural Plans (2) sets • Arch@ectural Plans • (2) sets • Architectural Plans (2) safs • Civil Plans (2) • Strudurel Plans (2) • Code Anatysis (1) . CertificateofSurvey (1) • CivilPlans (2) • ProjedSpecs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) • ProjeclSpecs (1) • CodeAnatysis (1) • MasterExitPlan (1) • Spec. Insp. & Testing Schedule " • Cert~cate of Survey (1) • Energy Calculations ('I) not always"` • Soils Report (1) • Spec. Insp. & Testing Schedula (1) • Elec. Power & Lighling Fortn (1) not always" • Meter size must be established • Meter size musl be esta6lished • Meter size must be established-if applicable 1 • Project5pecs (1) 1 • Energy Calculations (1) " 1 1 • Eledric Power 8 Lighfing Form (1) ° 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Sde Pian (1) 1 1 • Soils RepoA (1) l . SAC determination - cali 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC determination • call 651-602-1000 . . Fire Sto in Submittals ' Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facitities. Contac[ Building Inspections for sample and if required ~ Permit for new building or addition will not be processed without Emergency Response Site Plan. . Date / Z7. / 05 Coostructioo Cost ~a' SiteAddress -~~p7Z-- S(~7G~ ~ UniUSte # TenantNameG"QVt,~.v,n_)p[y'' ~S~'ic•. ~ 6~o''~'P ~ FormerTenantNa e'~ r-~ r' n~1 _ r i ~ ly I~ ' I I Jl~i 2 Z.2~C5 i;, DescripHon of Work % i~ ~ v I Property Owner /~l {SSbo~J 1-~IL~C ~~d~o ~Mr~,~ Te ephone # ( , 77 ' / `~.~9 Cootractor 6 1i . N ~ ~ Address i-~'i7~ ~v/~-U'cc f ? ~7~,0 City ~ %~~e State /~/I Zip _y ~ `/3 Telephone # ~ 77 5- ~Q~ rf Arch/Engr ~~n ~GPr~ /~-aYi~l ,~.f Registration# ~~'~74' Address .Fii L-ri4~~7A ~ City (it1~2617i4 Sta e n/ Zip s'/ J// Telephone #(~~"y q?3~ ~S 7- ~ Licensed plumber installing new sewer/water service: ~l~ Phone U I hereby apply for a Commercial Building Permit~and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ~ t~pplicant~s Printed Nat e Apphcant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ ~ ~j'3~ Telephone # 651-675-5675 Please complete foc commercial/i~dus[rial buildings multi-family buildings when separate permits are not required for each dwelling unit Date_~y_l~/ Q~ / / ~ Site Street Address ~ ( 5 ~l7nit # ~ 7G?L~ ~ N/V '7 r ~ ? I Tenaot Name (if applicable) Previous Tenant Name ~ Property Owner /~r J~ O/~( /l-(7 klv~S Telephone # ( ) Contractor ~ "~r,~ Street Address ~ (C City / r' State 1 Zip r~"' ~ Telephone #(`/~i ) Bond 7 a~'~~J~'Y / ~ Expires: The Applicant is _ Owner _ Contractor _ Other Wor Type New Co~struction _ Underground Tank _ Install _Remove **see below Interior Improv¦em~ent _ Inst/all P//ip!i'ng ~ P ocessed _Gas ~ Nature of Work: IV~1J ~dLl~Nl~dZt S~ f. l~. li~t/ ~f (,~~~bl ~2~1j1 **When installing/removing underground tank, cal! for Inspection by Fire Marshal and Plumbing Inspector Pel'mit Fees: 57050 Underground tank installation/removel SSOSO Minimum (includes Sta[e Surcharge) or Contract Value $ 3a. x 1% _ $ ~~Q+ ~ Permit Fee • If en rmit fee is $1,OU0 or less, add $.50 ~ $ ~~D State Surcharge If ep rmit fee is aver $1,000, add $.50 for ~ every$1,000 ep rmitfee $ 3,Z(~, TotalFee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, 6ut only an application for a permit, and work is not to start without a permir, that the work will be in accordance with the ap ved plan in the case of work which requires a review and approval of plans. ~ ~~z App icanPs Printed Name f~ ~ Applican Signature u ~ ~N 2 S 2004 7 G a~f Approved By: , Inspector Date: ~ ~ ~Y i ' liz "~~ii'~I{V~~f i~...,. y- ~ ~ 3x"y' MEMO city of eagan TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SEIVIOR PLANNER CAROL TUNIINI, UTILITY BILLING CLERK TIM PAHR, ENGINEERING TECFINICIAN LEON WEILAND, CONSTRUCTION INSPECTOR CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINAT~DR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR . MIKE LENCE, SEIVIOR INSPECTOR FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: SEPTEMBER 14, 2004 SUBJECT: FINAL INSPECTION FOR BUILDING B 4672 SLATER ROAD LEGAL: LOT 4 BLOCK 1 WENTWORTH PARK The Protective Inspections Division will be performing a final inspection at 4672 Slater Road on Friday, October 8, 2004. If you aze requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. 1~511 !o ~5Zj.5~ 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 PIlot Knob Road, Eagan Mn 55122 Telephone # 651-67~5675 Faa # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com nents to be used Date p / ~9 . : / . OS~' Site Address: ~ 7~ 4r~ Tenant / Building Name: LA~ ~ ~r' ~ ~ ~S S o C . ~o The Applicant is: Owner 1~ C;ontractor _ Other PROPERTY OWNER V~A'7~1..a,,,~~ 1,5u~~ I~ Address: ~(/L2.S~ ~ City: tate: ~ ~lJ Zip: ~~113 CONTRACTOR MN License C_ ~ 2CV1 ~ address: 211 Xenium Lane South c;ty: {ViinneYonka, MN 55305 State: Zip: Phone ~a~v~~- 9acrL~ ESTIMATED COMPLETION DATE: / a"~ / !~S FIRE PERMTT TI'PE: ~prinkler System of heads Fire Pump _ Standpipe Other: WORKTYPE: New Addition ?~Alterations Remodel Other: DESCRIPTION OF WORK: Commercia Residential Educational _ Other: ~-0~.~ `l'- ,/0~~/1 K-~L ~ qo 1"L~d~~ ~ /l~? ~lGQ ~ ~ ~ ~ . ~ Please continue on reverse side - - . ~'~e~---.._. •r ~ 7d ~s~ ~~72 5~-~r~~- `~-D I~~ ~ ~~I~i~~.~.~F~~s ~'r~:~.~ 1110 GREELi'Y AVENUb GLENCOE, b[N 55336 (320) 8G4-SU43 FAX (320) $G4-5673 . BobTi6t~its@Ti6birsEnginaering.com JoePaumenQTiF~bitsEngineering.-corn TRANSMITTALSHEET To: Mike 1~ompson n,~-rr: Octaber 25, 2005 C°"~P~'Y: Glenbrook Lumber ADDRL'SS / E'i~X/L-A4A11.: ~ miket I nbrooklumber c m I.ittfin Truss 2b3293 '1'O'L'~ll, NO.OP PAC3ES INCI.UBING CQVF.R: 6 ~ NO, OF COPIPS: ~ ARE. QENCi.pSING ~SElVDi~iG UNAER SEPARAI'E COVER VuL QNEX'TD111' ?IZLGULARMiiIL ~PAX QL•"-MAIL ?OTHER r-`. 'I'ItMSMITf'ED: ~ ~C)R YC)UR REVlEW & 4;QMIvik;N`PS Q I~~R YOUI2 U5L ltt.11(A ~~RKS - _ Attached 1s a cop~{ of a repalr firr the ~ truss and a revts~on to the repair for the G~uss from ~nformatfon prov~ded to me by Loren af I.Fttfin. 6ob t~bb~ts = lc,tt \ ~ ~ D~ T. 8Y ~ ~ ~~j10~s ' ppT~ , ~ `~Sp r ~ ~8~~~91~~ b ~`J~ , I id~2~l coi~i•.ra. f~fe _ - ~ RafYCr Lengt . ~'OCi PWt - . nxo csi ~stomotiGlenhxook Lbr,& 0.00 010 0.1G TC~ ~z ~ SPF ]1pCP-=.OC 6QUiie ! BC+ 11 2 6PP ]lOCP.1.RC =i6 matin~oua scron a~1~Att y0~avse o.a~ D.11 0.16 ~~t I SD! 3~0(t- ~ selh Po eaeh . 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O.IS ~~'2g ZT50 0.77 0.07 0.~0 M°+ bL 0~21eet1ep L/9f4 ~ t5-2~ 5009 0.{1 O.p9 0.70 ''O•SS s+•t7 soa~ o.sa o.uv o.s~ !1!6 0.~3 0.33 p,)Z =1-31 9763 O.ti 0.06 0.52 ~1-~ 95x5 0.~] 0.07 o.5f 10-19 !06) p,~0 0.09 O.d9 39-18 f715 0,17 0.0! a.55 18-17 17y$ 0.1~ C.31 0.99 - iv-i~ a~a o.~s a.oe as~ r.e roacs reb roaes TYOIcatPanel=28.75" . 16" 1 -10t a-]o -5~9 IJ-4- ~6. ] -3U0 70-10 -758 O IS- 2 1i7~ t0-11 1]11 ~3-4'd =s- ~ -z~f~ u-if -ieis 31-} p 1'=~ 3{SB 19-37 ~ 1 7 d 7~- ~ -~t7 ie. '116 5 6 7 8 9 f0 ' 7~ s i3 xsal ~Z 13 14 -lsff a1-37 ~7Yi] ISz3 IS s-73 11~] i]-1~ 1768 3x6 gS8 u- c i~.sa -»is 6x8 3z6 6xG 3x6 ~~''3x8 ai- e -zo~ 3~-is -io~ Z_a ~ 3:6 Sxd e6 6xG 3zG 6xg I.Sx3 . 0- 0 Sa8 3s6 u 6z8 6x6 ~ 3-0-0 . o~ a$ c~ 4x12 6x6 Sx-0 6:8 ~4 A d ~ Q ~d'°~1181I3x1D ~t.3x6 6x6 ~ D r~ 71'l.$7t3 6 x 1 Z 4k8 ~ y ~ ~ d 1i4 ~ ,5p~ ~=3:6 ~ " ~ h L' ~ , ~ 6 5 q 3 22 31-j•0 224963.50„ i 'Sa~L~& ` 1„a ~ Za i9 8 17 16 ~ b ~ ~~~04,~, ` i ~ ~ v3 •u ~ ~ ` ~~T ~ 580~1+ PLAT88 AtS HiTek ttT]0 ~ ~ a : ~ WAF2Ia:G: ~ " c ~ ~A° ~c.+ ar xx:s Scalc ~ O.IN75 ~~~jV u~ ~ C euYt7xo eax sxcer. w cpvr ov rn:s aanw ~ Sng Jobi . j O':7 ..1 w M ~ +k~ee,~~~Me°'~"y~m~ ~unxaq: m et 3[vt~ m 1P0: 736293 , p ~~r~~~ ~~wJ~n~Nn ~4 Mhmiim~~k~~M~r4w11~4n ~~M40en ~M DS~pttBS 1.'h~[i '1'I/ F • S~~! Of2 ~ dM~arn°D~S~'Wr s R^°" y~ll~~iry M~~ S~" f ~N'°~`M'Meto~i&~ ~w ae i T C L i tl a 7 0. 0 psf LbrlDFao1500 1'C Dead 10.0 psf Plt DFi 1.00 eC Live 0.0 psf O•C•~ 1- 9- 3 Daaiyn~ Natsis l~~yoia ~sd 1p.6 ps£ ~=~95/ZBC-00 . PrafSle h~y~ C~\tYVaSeA.le~a~..,_._. _ TOTAL en~- Codee t4! . ~ N'0:23b29J 17:f - katter Leag[h Lef[ ~ 3L 0. 0 Aafter Length Right : 31- 0- a TC: ~z 1 SDF 7lJOF-7.pC BG 4x 1 SYF T39dF-1.SC Bguaxe Check LeEC = 31• 3-12 Squera Check Right . JS- 3-17 4s 7 Sar 79oUF-a.OC 18-]4 Loading = 70J10/0/SO 1- 7- 3 O,C, DP ~ 1/1 W~mF o 1.15 1x 7 9PH 1650F-1.SC 16-18 V tiBc 4x 7 SPP STAHD (NI 4X Z SPF 16i0F-1.SC 2-35,1{-17 - , Sx 2 SPF #111k2 (H) D-23,5-Z2,11-20 13 -19 TRUSS REPAtR az 2 SPT ]400P-Z.OC a- a ~ v 1, p~rt of bnitom chor~ is broken (missingJ in panc125-2G as indicatetL Trus.s, ns instal[ed, suppo~YS nnly 12" of iloor Ioad. G ~p p U y~ ~ Tcmporarily aLore iruss and real9gn brukcn mcmbci~s as required tu ens~ure safM~• und straight building lines upon compiction ~ 4 v} o of repair. ^~i 7i a. sa 2, Instap 4x2 ~J 1/#2 SPF on top of bottom chord in pancl 25-26 as indicated. (Cut ends and Imn ed~es as required for accurate. snug ~~v~~`" I~ fit. 3. fnstall ncw bcaring al4'-tt"'from left end, to suppon 23d 1 Ibs. 9 ~i~ c;:..~~ p~„ u~,. \ d. Ins[:Wll double ~Fx2 #I/t{2 $PF ~~tb Crom netiti b¢arSng to joint 3 as shotir~n. (Ctit ends accuratelp ta 6ear.) = 4~? ~ i. Apply'/d' APA raled ~ttSl24 she~vhing to caeh faee of hiiss at (2) locatiau as shon n, using eanstcuction xdliesii~e at all contaeting ~~~y L? p t surfaces at~d nailing to e.~cL plc of al1 mcmbcrs niUt !Sd common i~ails at 2" on ccntcr ir~ a staggered pattem. . N„;., ~ 6. Provide for SR9 Ib uplitl at leEt end. ! •E °o. o ~ 7. Relocate strongbnck as indicated. v~ See also shcel I oP 2. J 3 ~ A ; TSricai Panc1=s8.7s~• 13-4-0 E3-aa Laj~~ 31-}0 ' 2 (~•5r 6 7 B 9 10 II 12 13--~~-IS j i ~ 1, x Bx6 G~ r2 1V:3x8 ISx3 ' xb 3z6 5z4 3z6 6x6 3x6 bx8 8y8 3x6 ~ 2'0°~ -0.0 ; ~ y LO-D r ,dx 6z6 4x12 Gx6 5x4 ~g ~ ~Y 3i8 .dz6 6a8 i ~ ~ . ~ ~ 4c12 ~ 3 5 ~=3~ S$9~u1'Gi~~~ ~•50" z~~~ zxa9nasa.. , ~ 3T-3-6 ~ 6 ~ 5 3 2 1 20 l9 S 7 4 ~ ~ I - ~ 5jf~ Z oFL ~ 6%fBPT A9 8~4R7 PL11T@8 AAB MiTek MP20 SCA~C ~ ~.1fl75 rRUSS t~rnia This is a rccixinn to thc hro-pagc rcpnir datcd 9/9/O5. (Sce attached drn~sings.) 3%z" is to bc cu~ G•om right end and pnM af bottam chnrd remoced fur stair. Tcmporaril~• shurc truss as requii~ed to ensurc st~aight Imil~ing lines upon complction of repair. I. Cul 3'~" irom riglit cad ~nid cut off d'u+ganal ~veh a indicatcd. ~ 2. Insialt additional plr to bottwn of top chord as shon°n, asing 4s2 #1!#2 SPP nailed to top cl3ord ~rith (3) 3" x 0.131" mils per lincnl fool in a sta~;ered patteni. 3. Inslall (2) ~~2 iil/#2 SPF ~~ertical end ~ti•eb io dimensions siro~r•n. (Cut cnds accurately ro b~ar.) ' d. Install, (2) d~2 NII#2 SPt diagonal web as sl~o«n. {Cut ends a~urately to bear,) 5. Listall venical ds2 block behv~een bottom eUord suid ne~r diabroual a'eb 7" riglit of intersection bencecn web ~nd 6oltom chord as indiealal. (Cul ends acenr+icl~ to' G. Apph• ~=1° ti~~ide APA rated d8l2# s6eall~ing to each face of tcoss as shonai, using cmuuuctiou aNiesive a~ all comaaing surfaces and naiting to each plr of alt mcmbcrs «itti 8d common nails at I h" on ccnler in a staggered pauem. 7. Support riglil end using truss hanger. Sce also preeious repair details. Z7 3-4 ll A 5 6 7 8 9 Id tl 12~ 3~~ 6. 3 iSx3 4x4 15s3 15~3 4x! Wm3x8 15x~1 6s8 6acE i.5z3 + a- a o ~ 1~~....^ ~ ~ 3x8 4xJ2 3x4 3:d dx12 ~?+~3x8 ' 6x6,~...,~~~~ ' S . ix6 N 3sb ~9 . . ~ ~ ef~n M7V z~ ~-a 2p ~g 18 17 jS 15 4 ~ 7 ut~y cenity ua~ nds Wan WARNING: READ ALL ftOTES ON THI3 SREET. TC Irve no.o psf Daigned By: ~dAeation, a rspoit was prepared A COPY OF TIIIS DRAWING TO SE GIVEN TO EREC'i'l1YG CONTRACTOR TC Dead 7.0 psf me or undar my dkact superv'sion gRpCING WARNING DESIGN [NFORMATTON C6ecked By: ithatlamadWyllae~ed er.raid•••«eti+~.riti..~e«d.,e~.w~.+mr.a.c TWblpbAr~elNhbMMBNK[~mpree~~eAhuliesMdaeM~vA? BCLive 0.0 ptt dessbnelEnplnaeru~arihelavva r+~w.n~~«~rn.ra.xn•~wsi..aRru.wuwa nwn~~bw.dwn.m~wupe.axa.r~..~~awawunn.e.ma> oe~aaw?xa..rto.nnuviaywerlelnR~eipe.. „.re.ne~w~p«~nnawaa.tleww~+nnw.~wv«m4a BCDqd 10A ptt heSletedMlnne9We. t~y.u...a4.w..w..wMw..n.arv.Wrr.aah rW.wdu~e.~waeM..b~w.oa~wm.dn.err..~.rane~d Date: ROBERTl.Tl6 If5 ~m.t~c~..t+.....ae.w.r..e.rbaeaw.mi ~e~uu.~ao`na..yia..m.n«mewaw.ra~ae.aoe.m TOTAI. 57.0 psf a~.e..rwdnww.ee.~ex.rw.~ebmrwart+mne. awawa.en.a~.~.,~u~rn-m..a•nos~ft^uw~.~n++~rr.nw ~++~v M6WnqN~tlnCHq~wmtlqtilvnMNn9~~ m.wron~a.4•ry.e.uun~.wroen.i.~ero.wv~bm• Dw .IVO: tsuNIHIHT?IMFr~petln~w.MdY~n'd~n. ~~+~e~a~.~•~w~p~'^*~+'"•d"d"°a?'"'^u."°' w'~DUILFAC: 1.15 t ..nae.enaewv~•d+~~•nunawm~rbaa NY~6nr~reieryeeralMOW~1snIMY~KmdqMWdb~lknnrdi SPACING: 21.0" ` p 0 `S' '.1112469 N3FS0'OOMMDA~4MMbKWYwM~LJ171 M~YdwM~NN40~NNM~~tltl~M1P~KP~~°~ ~ ri'0:336243 TI:~G ' 1taEtec iwfiyU Lele .=7- 0- S Rattes S.engGy Tttph! = 27- U- l TC~ 1x 7 SPP 23Y0l-I.~C Sqa~xro CEeCk Le£t . 27- 7 Squti! CLpCk ¢iqht . 27• 1- 1 gO¢ {s 9 SPT 1650F-1.SC 9-1I ~ LOi63S9 ' 70J10/D/10 1- 7- 7 o.C. DP e. 1/1 Rl0! R 1.15 ix 3 SP7 S1o07-1.8c 1i-31 itB. 41c 7 SPf 377~aP fNl ~r a,~ u TRUSSREPAIti 2 SPY RJIy2 tx~ x-asa-aa,i~- s , p a~ ra e. . ~ u-ls L II ~ K 9 ~ 3 Ya^ is ro bewt from ri~ht md and p,vt ot bohom cLord remorcd taryYair. 4x z srr 1650D.1.SC 7-RO~il-17 ~ o r~ ~ Tcmponril~~s6ore trnss as requircd ta casure rtrsight buiMing line,v upon completion af repair. c ei ^ c a,~ a Cnt 3%," hpm tigh[ end a~~d cut off diagonai a~eb az indicatcd. ,C 2, Inslall additionvl pl}~ lo Bottom of top chotd as shtmm5t, wing 4ac2 #2!#t SPF nailedto top cknrd t~iUi (3y 3" x 0. i3 l" ntils pcr linral ~ ~ ~ ~ foot in a sla8$eredPaztem. ~ ~ o~ a F ~ 3. Instalt (2) 8~2 MI/M2 SYF t~crtical rnd nrb W dimcnsion sho~tin (Cut cnds aavt~a~elc to bca[) w~ ~ 4. IostaU (2) 4x2 ~ti/tF2 SPF diagonal ~seh as shaw. (Gui ettds aavrately 2o bearJ c n~ ~~2 v~ S. Appig 48" nide A8A ralcd 43l24 ~g to each facc of kuu as sLoan, using construction adhesirc a[ all cnplacting surG~ces N,a ? and oailing to cach ply af all mcmbcis ~vitL 8d common ua7s at 1" on caitw in a staggctCd pariern. ~ g, o G. Support rip~t end using truss hau;cc ~ e~,~ ~ ~ Sec also sheet t vf 2. - ~ ° q~vaeo a~rr~swNS 9/9~s 'nP;~i e~~a=ze.~s^ ! ia-~ao ».-rdo ~-~d tl 1 z 3 1 5 6 7 8 9 IB il (2~ ~ 3~~ j 13t3 S iSt3 3 • I.St3 6~ 6x9 tSx3 ~z4 IKt7 1,5aJ 4xfK'+3a91Sxi . dsS 6z5 1.Sz3 { :.ae ~9 - ~ , z-e.o z-n~-o 6s8 6zS p~g pt~2 3:4 3:1 4zf2 % J K~~ N'~?r8 6x6 {/CfZIF}~ tVR3s6 ~ Z 1%IA~.50" Yg~ ~ ' ' n-~-~ -T as°- ~ 21 20 14 18 17 (6 u 4 b su~r' z v~L •eY?r~ user u aaqcm aau~xs xxe ktr.~c arr.n , suie-o.~wo I 't _ f ~ I tn 1 Gereby Ccrtify tta2t tLis platt, ~ ~ M ~ a`nMlrry~/1Q* VvDqY4NYM ~JP Q(Jµ4 MyDYtlJqMiyY uyw~uvai .y w orrcportwasPmt~'edhymeorundermy w weu»ur~ ~In""~'I'sovC~ L'C~~' ~~.u~~ ..y ~i~rcst supcroisioa and Oiat i am a dnt y .L~ Liansed Professianat E+~p~]~(~Crr ~~~..y~~~/~~ N Y Y~ N+ Y 3~ ~ Y V I~ O p u Y N~ • N M 4~l N N N Q Ga' u~Wl y{(~" OI~OMMUNr.~~.(~ `~NIT6'04~MU~ ONYN4aiA~.y.Np~ la~vs ot thc~S'{}la~~tc+ oCMrinnrs}}o}t~ary.~ Y'~}'~"^ W~•~~ e Q ~ VDP.rR 1( ~l]IJ~C ~NGY4JY~0 aeMOOYMOO OOOfY11000COya•p~ ~ •a OMV6NOYYO~ OVMY 1p~N J6 ~ C:C~~eybJp °evaseneo e O O~O O O 6 e p p a ~ ~~HMOHMµ6~ y y•• y OOUO00Vn M0~1WGWy~sN W~[ _ ~ ~YWNJ~o ~~OpO00p0p O 000qenppN~v Dat~~[~ICCRSCN(1.~~q69 aa~~ewee.°~ ~u~aveWw`.~"iR ~u.°i.a. ,~u"~i +~e ~eon g e~a ~ . $e n e~ ~ ~ ~e ~ ~ ;r w 5~° r MH~~hx ~ C 4G ~~~~~y 4M~lu4 W y tl ~ q`YbRMbptl tl ~ ~ 1~wOR~[~~ ~~~`NYYyYYh ~ //~~~w~~ ~ ~ O ` ~ 1{ ~~VA ~ ry~~MN\~0NL0 a . ~ ge a w~i$i+~ I~ SJ ` µry aa ~d~~"~ MYMM ~P~ \ F ~~N ~-0YNNq r~ ° moi~sy$ ~~"np° 'nnnA. ~~FS ~ W~ y YpsR`+ S~ u n u ~ < M~ ~ ~wy~.n !i Y d a ~ #~g ~ ~ 3. u ~ aFrwr . ~ ~~~~~~~5~ry . x ~ ~ % 4 "'y ~ e se~ wy ; Q ~'s t ~~.'.6 f6 N M YY~~ U i M N C ~ q .l4.p GS ~ 2 . ~ ' O Y i q ~ ~ ~~.~A~t~~ ~ ~ n ~ , i ^ h ~~Z£~~' ~ 9 ~ ~ ~ 4e ~ R ~ q~ • n M a fja ~ J 'w [p~ p `3~ Q~~Y~ gQq y ~ • L• ~~n @ ~ a N r f!~ ~ ew^ ~~4f~C9~.iSK N ,r.~i 8. O Q (L~{ '~V !p~ i• N ~ ~ ~ LL~~M C ~'Y/i H w „ . ~4t ~^>C o W R p }7f~~$}'~~ M f!1 RC` ~/f~ Ip, 4~ ~X1 4 ~~{~~*~~D ~ ~ ~ tl~~~T}p~~ O p~~ M ~ ;NAit~MgPy~ ~ ~ '~~~~t ~ k' ~ j;~ • ~ . .i ~ •C a ' n q ~ n m(/i ~ u r 4 ~ ~ N Mbuti~y 'V ~A'y y+ p ir • reone~od ~ ~~`q~ ~ 4° ° ~ ~ ~ " A N n ~ ~~{~5~+~.:~ a r.}$~~. p . eaen8;'Mn n R ~ ~E N ~r ; M1[ rl W~( M p G~ ~4 p A ~ ~W ~p~ ~ ~~O ~ O ~i [1 A f} M~ n V ~ O Ytt~i pb 1 ~ B~ O 0. ~s ~M y °0 V ~ e O O 9 O M svY~.~~~Y~ O O O O O.~ N q q ~~GOJNNO~ N 1 m YI~wMVMSUj 1{ bbb'tl ~p ~ Fi M1 b M M M N q ~C~ipini0~ q ~1'~ ~ " ~R ~N e ( µQM~ u~~ i ~ H luy 4 1`Y=MMMH 1~}8~ b C N .~..w.~_Y~ J+ lin~~ ~ ~ ' ~r~ MHNYNNYYn n{p~ tlV. N Q N. O YwJJMNtlpR W N tl'9 O W m \~p{I~ ON ~ ~rn~YwoaHpA 4~flJ~~~ y mwrM~nn~tl y ~ 1 4 O O 40 4uWMV• M OW ~ uq.C~~ J~ ~ jj « ~i.. ~ e ~n~uwv~ ~ _ mY-~l~~ V \ City of aau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RCS 0\c3"\l Vet' ftP2- 1 Use BLUE or BLACK Ink For Office Use • %� 2 Permit #: l' l/ /go� Permit Fee: c'� Date Received: Staff: r 3b 2012 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: LI ti )!.ZcI2 , Site Address: 4-41572.; J c Tenant: Suite #: nk Name: Phone: Address / City / Zip: Name: !, E:A Z L 1-t--t—G �" AC- License #: Address: LJ ILIS` t 2)L. Y lit..melt' IAL YCity: E;AetAAJ State: Ai Zip: S'5" 4,3 % Phone: 657 - Sc/ %- 2q.? Contact: t...) )C.-.1 Email: New Replacement ye, Additional Alteration Demolition Description of work: 1, „ t_L _ i C - y -t-- RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL _ New Construction k Interior Improvement Install Piping _ Processed Gas _ Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ 15, Sac,x 1% = $ iS3 Permit Fee _ $ S Surcharge =$ (SF3 TOTAL FEE $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.eopherstateonecall.org 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 0 Eagan; that I understand this is not a permit, but only an application for a permit, and work is not o start without a permit that the work will be in accorta with the approved plan in the case of work which requires a review and approval of plans. x � >r (ia)U (--)1 Applicant's Printed Name x Applicant's Signature FOR OFFICE U Required Inspe Juri 16 12 Uf:U2p Service I -ire GA q Cog- City of Evan etrtos 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 E CEIVED JUN 1 8 2012 b•2544•2 Ji p.L Use BLUE or BLACK ink For Office Use �/ [,�,�� Permit #: ,/1 4 (% Permit Fee: . 00 Date Received: Staff: 4:7, --(Sr 2011 FIRE SUPPRESSION SYSTEMS gPERMIT APPLICATION* Date: -12 Site Address: Li/0r7 S ( G R d�- — CG J Tenant: g -2.t -t; S i S l=J'1 i i2o Suite #: �J PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner X Contractor TYPE OF WORK Description of work: / _-1O CO--cP / Construction Cost: Estimated Completion Date: 6 -3o - l2_ CONTRACTOR Name: e -g -t) i C-9-__ .. ts CLQ f i--0-3,--„_.,_' License #: C � ) Address: ?-L I )(- - i (-4-1%-- Ll- s City: rn ✓1 -� r1cJA - State: Y)i ) Zip: 5S-2. d S--- Phone::Q5) - 6-q/-- 9 1 C1 U Contact: r"" Psi Email: +Same`` e Ser- V i GQ -P; r -c. p ro + c4'1 Or . C '`-" FIRE PERMIT TYPE Sprinkler System (# of heads , ) WORK TYPE New Addition Fire Pump Standpipe .--...Alterations Remodel _ _ Other: _ _ Other: DESCRIPTION OF WORK:V� Commercial _Residential Educational FEES kk $0 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00- surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $ 3 1 64 . bb x 1% - If the Permit Fee is Less than _ $ ?Cg _et) Permit Fee Permit Fee = $ 6 • O 0 Surcharge - If the Permit Fee is > $10,010, (i.e. a $10.010-$11,010 Permit YYI; / $ 106 `151) TOTAL FEE 314" Displacement Fire Meter - $203.00Fire Meter -`- TOTAL FEE 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire 'des; that t 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 accor. : nce with the app , ved plan in the case of work which requi s a review and agproval of plans. Applicant's Printed Name x Applicant's Signature Ora 1)2p Service -Fire ybL544Ly Sy p.3 CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecallorq FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed Date: 6 / / 9 / _ /0? t Use BLUE or BLACK Ink r For Office Usg I Permit I Permit Fee: ~ 3830 Pilot Knob Road I Eagan MN 55122 Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 1 I Staff: t------ ----------1 2013 COMMERCIAL, BUILDING PERMIT APPLICATION Date: 1612-4113 Site Address: 7f 3, q/b 8 Z ~u Ckl~ Tenant Name: (Tenant is: New 1__V_ Existing) Suite Former Tenant: Name: 1.' /Phone: Property Owner Address /City /Zip: `~Z,` ' a41,_ +n SS/ Z -3 Applicant is: Owner Contractor Type of Work Description of work: Te-r cc~, 4 Construction Cost- OOC"_) Name: ]3;k LO hpf`l SfS I YI C_ License t Contractor Address: ~ e - a a( C (.)a+:~l City: Ce m e rU c l i e State: Y71 A Zip: ~~~d 3g Phone: (L (Z.\ 71'0 -aBgS Contact: __"1 0,Vt4-7- Email: i (C0Cav%-{0r r+ PS CtO~iC ~ Name: Registration Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 t ~t+.-~-z x Applicant's Printed Name Applicant's Signatu Page 1 of 3