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3410 Surrey Heights DrBUILDING PERMIT To be u@W for CITY OF EAGAN f; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipt * UNIT AF Est. Value 1 r 050 r 0 NO 90 ft Site Address Erect Occupancy Lot - Block 7Sub. Alter ? Zoning Parcel O Repair ? Fire Zone Enlarge ? Type of Const. a Name W - '? Move ? # Stories Z '%ddress Demolish ? Length I? y 1 ' City Phone Grade C1 Depth t Sq. Ft o Name Approvals Fees oU Assessmen t Permit Address Uj F City Phone Water & Sew. Surcharge -?; 00 W me N Police Plan check SAC 0 0 W a W =Z Address Fire Eng Water Conn. _ !- Z 00 <W City Phone . Planner Water Meter ,, Council Road Unit I hereby dtknow ledge that I have read this application and state that Bldg. Off. the information State of Minne Is correct and agree to comply with all applicable sota Stotutes and City of Eagan Ordinances. APC Total Signature of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in accordance with all app! icable,State of Minnesota Statutes and City,of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing y? l ?) Co r\S(, l (r,, r a t y H.V.A.C. 7 Well Water 7 Disp. Sewer Electric i a. Inspection Date Insp. Other Footings S ?a _ 6 s Foundation r Framing Rough Plbg. n a-,; ;ter . Rough HVAC JR r?rh c .? _ Kt Insulation d a' 4C? Final PI ? l 1 - (Q V , Final HVA Final Water Water Describe Location: 0j well ?,G S 0,Z I i- , Sewer Pr. Disp. C'• 'ty rEotR ?? 'M?Aecu 4?1t ? ?a ? Gi'i. c'neti-• ?? 2 _ Receipt l? U MECHANICAL PERMIT Permit No. c / CITY OF EAGAN ,I J Fee Fill in numbered spaces S/C Type or Print legibly Tot. ?J ?> O 1. Date 2. Installation Cost ,42, 00n _ nn 3410 &-'SWM Surrey 11ei hts Dr. J, ( t.t ' 3. Job Address Lot;_Blk. ?_ Tract 4. Owner CONSOLILti i J I=LL'1lil:i.J 5. Contractor FREDFJKXSON HTG.&A.C. Phone 452-2775 6. Address 4030 Beau D' Rue Dr. 7. City Eagan State fin Zip 55122 8. Building Type: Residential A CommercialAR Institutional ? 9. Work Description: New 19 Add ? Alter ? Repair ? 10. Describe Ventilation Fuel Type 11. No• Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 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. Date Insp. This is your permit when numbered and approved, Approved CITY OF EAGAN 464.8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C 0 Type or Print legibly l Tot. ' L 1. Date Y 2. Installation Cost y/ 5 O ra t. t ' a 3. Job Address 3111o far• ?Y //'lot o2 Blk. f' ?ract'y" Ur_ 4. Owner y=??+ k r ?oo.?/P a 5 `? C 5. Contractor Con So/i c/4 /'°d b..,,4,",,ftone $ 9% -3.?CG 6. Address /,f- 30 o'57 C/ .l X J h 7. City &,o5v, //P State Mh zip 8. Building Type: Residential )1 Commercial ? Institutional ? 9. Work Description: New Sl Add ? Alter ? Repair ? 10. Describe &7 +1 oT,o/ A'--J" Fuel Type /YaT ,,"o S 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust I_ Unit Heater c d A e Mfg./„ : j „ N Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply witb?all . - ances and codes governing this type of work. Signed: i -?L for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT. • Permit No. CITY OF EAGAN Fee r Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date s, y 2. Installation Cost ;9r , 3. Job Address _ V.16 5-??? N1 >Lot Blk. Tract 4. Owner A, 5. Contractor l i"._l A70r h _ Phone ? y % i i 6. Address-,", J ?o Commercial El Institutional ? 78.. City Building Type: Residential B'- State Zip 9. Work Description: New Er Add ? Alter D Repair D 10. Describe M No. Fixtures No. Fixtures 11. Water Closet Cesspool/Drainfield i; Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets Signed: _ ?'?Y! ~ for 12. I hereby certify that the above information is true and correct, and I agree to comply with-All ordinances and codes governing this type of work. Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 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 ! ?! ?I11 {i1 r i{t 1 ??11 i '. Itt rtll VE Y 6ARD1 W. PERMIT SUBTYPE: APPLICANT: t??l.?') Lrlrl Nil,l TYPE OF WORK- 111 '•1 I, I I' I I (III Irll 1 t Ir 1 ??Ir H.'1=.rIAr. [1A l??4 l?a R•, D LA, a n e_ t1 PA11: ill' 1 (+i1 I HO 1?AMA10 I:1 141wl A '4 I'AliAI I I'i I: M I I I •, fit. 1111) 1t1•(1 1 (11? AN'/ I t 1 1 1 1y 1 1 Al oli 1't 1II.ll? I No, Ijill:k Permit No. Permit Holder Date Telephone M ELECTRIC l?' ?gZ •y 5 IF Q° 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 ' > .3•='?1?{•'1r ?='Q ??! q'ty'' " A+C +' ? - % ?' CITY OF EAGAN , 3830 Pilot Knob nob F .F oad WATER SERVICE PERMIT P, O. Box 21199 Eagan, MN 55121 PERMIT NO.: 54 P Zoning: P. 4 DATE: Owner: Yankee Doodle AasocNo. of Units: Address: Site Address: 3410 Surre HRta y Drive L B urrey tar ens a;7 '°'" Plumber: Cone011dated M v Meter No.: Size: Connection Chogge: " '11 t 544. Reader No : Account Deposit: . agree to CM Ph' With th Cit Permit Fee: 10. 0 P e y of Eepae O rdlnoaea. Surcharge: Misc. Charges: By Total: Date of Ins Date Paid: p.: I? Insp.: r. a V jib .. F° ',? f_ CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6643A P. O. Box 21199 PERMIT NO.- .-4: - 4 Eagan, MN 55121 DATE: Zoning: ' No. of Units: _ Owner: -fa'" '+cre,Jle . ssac Address: Site Address: to exreohr wuh the Ciy of Eagan of 1 nsp.: eills Connection Charge: " Account Permit Fee:?t: i . pd t: . Surcharge: Misc. Charges: Total: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: 4 Eagan, MN 55121, DATE: 5-•4 614 Zoning: No. of Units: ; Owner: _.. . ' S'S C!C Address: Site Addi Plumber: I "M to mnply wkb the Cky of Begs Ordinances. By Dote of Insp.: Connection Charge: 14,960.00 pd Account Deposit: n„g nd Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN ° .: :.::: .:....... _ , --- 3830 Pilot Knob Road WATER SERVICE P T P. O. Box 21199 ERMIT "IMIN 55121 PERMIT NO.: .' Zoning: DATE: - 01 Owner: ?•• :,,t, ? i „ ? t?,nNo. of Units: Addresw Sit* Address: i'i'i spr'c1' Plumber .I_: re>v ax?pr? Meter No • a Site: Connection Charge. 7, . I.• Reader No.. L Account Deposit: 1 agree to ON.* with Permit Fee: I '.' . `i e" ordleences. t2 avef Ea Su?Chorgs; szCGaa? Misc. Charges: _Fi3- ) i.rtia? By Total: Date Data Date of Insp.: - - Paid- y, 1 HOUSE HEATING TEST RECORD 3410 Surry Heights DR Eagan ADDRESS APT. -FLOOR CITY SUBURB OCCUPANT Surry Gardens AAts OWNER Yankee Doodle Assoc HEAT LOSS DATE MTG. INST. SOLD BY Consolidated Plumbing & Heating INSTALLED BY Consolidated Plumbing & Htg. Electrical Work By Rule Electric Gas Line By Consolidated Plumbing & Htq. TYPE OF HEAT GA _ FA -HW xx STEAM -SPACE HTR. -UNIT HTR. -OTHER Slant Fin GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating INPUT r MAKE OF FURNACE Model CONTROLS THERMOSTAT L4080B New Plug Vent Size 8 Valve E55EX 5x242Nt KIND OF LINER Galv. SIZE 8" NONE Limit L408OB-1014 Draft Hood X Regularor none Limit Filters Six*- Chimney Location Chimney Construction Inside u+r Outside - Class B Metalbestos Fan Setting - Pilot Type Thermocouple Pilot Make Honeywell Pilot Modal Pilot Timing 38 sec. L.W. Cut Off Smoke Bom6 Draft - XX Wiring Test Too_ XX Door Pressure Lighting Inst. XX Pressure 3.5" Percent C04 7.0% Date Tested 1/18/85 Input CFH 300 Percent 04 9.0% Company Testing Consolidated Plumbing Ho,+ing Stock Temp. 400 Percent CO 0.0% Name of Tester 5 Form 235 ,. HOUSE HEATING TEST RECORD ADDRESS 3410 Surry Heights. Dr. APT.-FLOOR CITY SUBURB Eagan OCCUPANT Surrv Gardens Apts. OWNER Yankee Doodle Assoc HEAT LOSS DATE HTG. INST. SOLD BY Consolidated Plumbing & Htg. INSTALLED BY Consolidated Plumbing & Htg. Electrical Work By Rule Electric Gas Line By Consolidated Plumbing & Htg. TYPE OF HEAT GA FA HWXX STEAM OTHER SPACEHTR UNITHTR _ - . - . - - GAS DESIGN CONVERSION MAKE Slant Fin MAKE OF BURNER Model GG 300 Model Serial 511113 Max. BTU Rating INPUT 300,000 MAKE OF FURNACE Model CONTROLS THERMOSTAT L4080B Heat Plug Vent Size 8a Valve ESEEK 5x242Nt KIND OF LINER a v SIZE NONE Limit L40SOB-1014 Draft Hood xX Regulator None Limit Setting 180 Filters Size 00 Number Fan Setting -- Chimney Location Inside XX Outside Pilot Type Thermocouple Chimney Construction Class B Metalbestos Pilot Make Honeywell Pilot Model Pilot Timing 42 sec. L.W. Cut Off Pressure 3.5^. Percent C02 8.0% Input CFH?Percent 02 10.0% Stack Temp. 425 Percent CO 0.0% Smoke Bomb Wiring XX Draft Test Tog_ XX Door Pressure- Lighting Inst. XX 1/18/85 Date Tested Company Testing Consolidated Plmb.& Htg S Name of Tester Form 235 HOUSE HEATING TEST RECORD 3410 Surry Heights DR ADDRESS - Eagan APT. -FLOOR CITY SUBURB OCCUPANT S ur ry Gardens Aots OWNER Yankee Doodle Assoc. r HEAT LOSS DATE HTG. INST. SOLD BY Consolidated Plumbing & Hting INSTALLED BY Consolidated Plumbing & Ht. Electrical Work By Rule Electric Gas Line By Consolidated Plumbing & Ht. TYPE OF HEAT GA-FA_HW xx STEAM- SPACE HTR. UNITHTR. OTHER Slant F?AS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model - - Serial 511124 Max. BTU Rating INPUT 300.000 MAKE OF FURNACE Model CONTROLS THERMOSTAT L4080 Heat Plug Vent Size 8Volvo E55Ex 5x242Nt KIND OF LINER Galv. SIZE 8 NONE Limit L4080B 1014 Draft Hood xx Regulator None Limit Setting 180 Filters Size - Number Fan Setting 77 Chimney Location Inside xX Outside Pilot Type Thermocouple Chimney Construction Class B Metalbestos Pilot Make HW Pilot Model -- Pilot Timing 3652 L.W. Cut Off _ Smoke Bomb Draft Door Pressure Wiring XX Test Tog_ XX Lighting Inst. XX Pressure -S Percent CO2 R_ n& Date Tested 1/18/85 Input CFH?$g Percent O2-q.-DS Company Testing oncol lnmhing c_Ht-g Stock Temp. 47' Percent CO n-n& Name of Tester Q. Ci,. Form 235 Y.11r- 492 cc O ss Re t Hate Fire No. Rough-In -Re' u'so (YOU,Tnbs pectar when reatly) Inspection Other Than ough-In ? Reatly Now ? Will Notify Inspector Y ? No Cala Reatl I licensed contractor ?owner hereby request inspection of above electrical work at: Jab Add ess (Street. Box r Route No.) CI f Section No. Township Name or o. Range No. C /cv-(rVx?I ?I Power Supplier Address al Can r for (C ey N e •?-- ? ContrgGtor' Lic nsg N ? I Mpl7in ess (C or r Making Installation) /v1!/ I MI1 IQ?* 4 !l 1 l!(f i i(" P04 ? ' etl SignaWr (Cool' cto ne a nginslellation Phon - ELECTRICITY THIS INSPECTION REOUnST WILL T 8 n II II II I I I II III II II II I II II I ACCEPTED RO III? 55100 Iive University Ave., St, Pau, MN 1899U UNLESS OPER INSPECTION FEE shone !6121 6620800 ENCLOSED. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # e?0?? To be used for 44 UNIT APT Est. Volue $1, 050, OOQ)ate APRIL 26 , 19_$_9_ Site Address 3410 SURREY HEIGHTS DR Erect ® Occupancy R1 Lot 2 Block 1 Sec/Sub. SURREY G ARDENS Alter ? Zoning R4 Parcel No. Repair ? Fire Zone Enlarge ? Type of Const. V 1hr w Name YANKFF DOODi F. ASSOC Move ? # Stories 3 Address 1020 F 146TH ST Demolish ? Length_ V LS - 33,871 b City B NT ?Tl il'FPhone 412-R1 11 Grade ? Dept h-iARAW FT. -1A r 000 m CAMP Approvals _ Fees O O? u? Name _ Address City - Phone Gw I Name KORSVSKY KRANA ERICKSON FE--- Address 570 GALAXY BLDG <W City MPLS Phone 339-4200 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. Assessment - Water & Sew. Police - Fire Eng. Planner - Council Bldg. Off. APC Permit S 2,80A.00 Surcharge 520.00 Plan check 1,404.00 SAC 18,480.00 Water Conn.16 , 544 . 00 Water Meter N/A Road Unit 9.152.00 Total $48.908.00 Signature of Permittee I A Building Permit Is issued to: YANKEE DOODLE ASSOC on the express condition thin all work shall be done in accoplarim with all op¢rl4ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official ?DID CITY OF EAGAN U BUILDING PEPMIT APPLICATION aJ To Be Used For q¢ uk?? /y /? Valuation 0,sD' -p Od Site Address: Y WA14#711 D,t. Lot L Block 6ae./Sub. S4 srir Erect Parcel #: Nbr A=xAnx? Owner: MOM bOO&S 1,1692,472 -C Address: /eie rBAS-Y /f1 STAEAr city/zip code: $UIINS/?/s A//NN, Phone #: _42;j. 9'131 Contractor: YANAat D00441 A1S6L147X_f Address: /&1a EArs / ti srxAgT City/Zip Code: &/AN,jYItL E .; McAM ?, Phone #: 012 .4/,3 / Arch./Eng.: kftdWAY ID&AIA ZAt6A'SeAN Address: et4c GALAXY 44-04 City/Zip Code: N pL t,;_M IA/,1V tZya / Phone #: 439 -/12Q0 Alter Repair Enlarge _ Move Dermlish _ Grade Include 2 sets of plans, 1 Certificate.of Survey & 1 set of energy calculations. Date AyKiL Z60 /UV OFFICE USE ONLY Occupancy ?- Zoning Fire Zone Type of Const. # Stories Front ft. Depth - - ft. APPROVALS FEES -- Assessn,ents Water/Sewer Police _ Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan Check SAC Water Conn. Water Meter Road Unit This ralluest void 1 ths•ftom Y U X065008 +-? G c c?? `?3a.c? 1 at Ron7b7)1 Fire No. nuugh-i nspection ul red ?Ready Now Will Notlfy. In- , !11b for Wh 0 Yes []No 4 en aLicensed Electrical Contractor lIWJjj la,r} 1 hereby request Inspection of above :[] Owner P6 ? 6Lt(3 6 -P -(re , qa ork instal led at: Street Address, Box or Route No.' ??"" 3q10 Stir/2 rye t CiI a 4 rl Section No. Township a e or No. RangeiNf Count w ¦ Oc pant (PRINT) a (Joad s Phone No. Power Supplier Ld4-0- Addres- Ela rice Contrap tar (Company Nemel ? ontrector's License No. V 3 ?! ?etXr1 c tc ! Mailing Address (Contract or Owner Maki ng Insta' anon) T4 SSIl3 OK o Au ed SID^atura I,C/p nira for Owner Making Installation) _i 1, /J Phone Nurnberr 4401-401y 1 MINNESOTA STATE BOARD OF ELECTRICITY l 'nt (t. IjF a? THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 1 BE ACCEPTED BY THE STATE BOARD 1821 Univeralty AVa., St. Paul. MN 66104 (Y?3b, o UNLESS PROPER INSPECTION FEE IS Phone 18121287.2111 FVdn! ENCLOSED. ((/ %T) REQUEST FOR ELECTRICQL'ASUCTION EEte-100001.04 -I + Q See inetr t, for completing this form on back of veil ow copy. 8 S;W ?e/ow Work - overed by This Request 1 Add Rap. Type of Sui id ino Aooliancee Wired Eouipment Wired ex Ilk A Fee Service Entrance Size tf Fee Feedera/Subfeedera # Fee Circuits 0 to 200 AMPS 0 to 30 AM US 0 to 30 Am Above 200 m is 37 to 100 Amps ,l 31 to 100 AMPS Swimming Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms Partial,'Other Fee Signs I 4t Special l/nnppect $ TOTAL FEE errerke 1/3 A, ? k,/ ? Rough-in t to the Electrical Inspector, herebv Final t Dar_a? 3 e????a,u,.t.y that the above pec tion has been made. This nlluest void to months from q aa mac! r11, j,6 _cc , -4,1 ??d ?S YQ C.SOY4 0 t This regyesl void Y 3 3 ?. ` La 2 I dt I _ ?i// ?O (J 18 rtwnthfrom ll J G v 12 (?Q.C.t?/ 1 W O ?1 ????.. lo. aol. A N.1 91 7 3y10 Reque t O to ^' /[p Fire No. Rough-tt Ins ct ion Requ cd7 ZReady Now QWiII Notify Inspec- x V v ?yes We for When Reatly Licensed Ele rical Contractor I hereby rso uest inspection of above ? Owner electrical work installed at: St:' Ayydress , g?ox or oute No. GNUC.? City e`tion No. Township Name or No. range No Co tly? y ,,C?J ! O cupan1 (PRINT) Q (? l4ssscae acs @,Mg l 41 oo.. Phone N Y3a - 4'131 Pow r Supplier ?o?ik ?lav??ic, Adtlre rk-A Ele 'cal Contract ICgmpa ray Namel 6 Contractor's License No. o' 3 ? Mailing Address ICont ra ctor o Owner Making Instal ation) ?Wif k "54' kostuk- mlu SSIt3 1 A Ized Signatu Icon acto Owner Making Installation) Phone Numb MIN4SOTA STATE BOARD OF ELECTRICITY 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 (612) 297-2111 ENCLOSED. r REQUEST FOR ELECTRICAL, INSPECTION ES-00001.4)4 { h , See instructions for comr.letir>f Ns form on back of yellow copy. W5-t4 $?e A --) 1 7 "X" Below Work Covered by This Request ,vq N. Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heahn Commercial Bldg. Furnace Silo llnloader - Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Cher aeci y Other (Specify) t yr Su f,fv Other Other ompute Inspection Fee Below k Fee Service Entrance Size p Fee FeedersrSUbleetlers # Fee Circuits 0 to 200 Am s- 0 to 30 Am s 0 to 30 An s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Amps Transformers Irrigation Booms I Partial. Other Fee Rams rks Signs Special Inspection ? S{a af p ? t TOT EE q D r W Rough-in Date 1, the al Inspects" harsh, certify that the above Final / or1ia's J sgection has been ade. This request Vold 18 months from U r is ?? G;1 6 (?5 4 3 Requ9e [re No. R h-in Inspection iretl7 yi - LBJteatly Now ? Will Notity Irrspector ? Wh R d Yes en ea y I (licensed contractor O owner hereby request inspecti n of above electrical work at: Job Accress (Street. Bow or Route No.) city Section No. Township Name or No. Range No. County Occupan (PRINT) k 0 i? Erb 2,O.?iS? Phone N0. ?5? Sy?a Poway Supplier ,D/3?Ti5` Cd o,? Address ??? Sp y ??7c yTr ,d,2 Electrical Contractor (Company Name) Contractork License NO. O Z77- Mailing Address (Comrador W Owner Making Installation) "0?/ Bcoc.? tic 6? ?.r? ss??? Authorized! Signature (DOnlf ng Insta ion) Phone Nu`mmoeer z /y- ? - K /l V_ MINNESOTA STAT OARD O ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlvsi slly Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plane (612) 642-0800 ENCLOSED. G911-01 REeQUESToFORoELECTRthis rm ICAL hINSPECTION of yellow copy. H 5 0 5.4 3 z" Below Work Covered by This Request `??" ? eoooo -0e e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) OL Comm./Industrial ' Furnace umPs Farm Air Conditioner r Ispeclty) Contractor's R marks OdG o646 - Compute Compute Inspection Fee Below: ?LEZ/C?yG G?/JLG /?/C'C ySo2-O/?Y # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps - 0 to 100 Amps a Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only. dn? TOTAL Irrigation Booms F ?7 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby Rough in Date L 114 r certify that the above inspection has been made. a oa e Final OFFICE USE ONLY This mquast voA 18 months from flv? ??7 41?, REQUEST FOR ELECTRICAL INSPECTIONTf 00 See Instructions for complefin : s form on back of yello v copy. "X" Below Work ded by This Request Ne Add Rep. Type of Building Ap s 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 Remati s: Compute Inspection Fee Below. 1 v? 1 v V # 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 Inspectors Use Only, , TO Irrigation Booms O'c fe- 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 Oal y ?? certify that the above inspection has been made. Final Oate OFFICE USE ONLY This request void 16 months from 2006 COMMERCL4,L PLUMBING PERMrr APPLIcAnoN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675 ;1.75 Date__ff__/?' Site Address y d 'w y L it 40 4 ik fJ by Unit # Tenant Name Former Tenant Name Property Owner /vl? Telephone #d5jz)2-/2-7(POk Contractor JW4 6 J" Address ? °;04 X11 - City IL4K State Ad (V Zip Telephone # ((,l/)`2.2 3 License # Oqz -'E- O (S Expires: 2 - j -LXo The Applicant is _ Owner _)? Contractor - Other Work Type _ New Bldg Modify Space _Irrigation System** Yes No Wmk in public r-o-w /casement? T RPZ _ PVB: _ New _ Repair/Rebuild _ Replace _ Remove Rain sensors are required on Irrigation systems Description of Work I n J4AA P- P To inquire if Pressure Reducing Valve a required on new service, call 651-675-5646 -- Meters - Call 651-675-5300 to verity that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price /3 4" meter 16 Domestic Size & Type Avg GPM Includes high demand devices? T Yes - No Flushometers - Yes -No PRY Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) An' Contract Value $ x 1% _ $ t Fee $ Meter(s) Required on all new buildings & houlevwd irrigation systems $ Radio Meter Read $ State Surcharge ifmmit The is leas than $1,000, mrchnrge is $.50 If permit fx is more than $IAK surcharge is S50 for web $/,000 owed Following fees apply when installing new lawn irrigation system $ Water Permit Call the Citys Engineering Depmmcnt, 651-675-5646, for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ C: ;L Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge dot the information n 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; drat i understand this is not a permit, but only an application for a Pernik and work is not to start without a permit; that the work will be m accordance with the approved plan in the cars of work which. requires a review and approval of pleas. - Ja_ A Cro+U'vs c*DtheJ-s Appli s Primed Name Ap igradme OFFICE USE ONLY D L ? BL ? // RECEIPT* SUBD. u DATE' (0/ g?9s 1995 PLUMBING 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. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES X NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ZNO. 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 ,,a NO. 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 rmi fee due on all permits. CONTRACT PRICE x 1% C;?5 STATE SURCHARGE . TOTAL c-15-50 SITE ADDRESS: TENANT NAME: f7?i54TE. # 6;916 OWNER NAM INSTALLER: ADDRESS: ?/0,0 / "? J? CITY: STATE: ZIP: PHONE #: fSIGNATURE: APPLICANT / ,O,/FFICE USE ONLY METER SIZE: DATE: ?'7ZS - s_S INSPECTOR: CITY USE ONLY L BL RECEIPT #: SUBD. DATE: 1995 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 pen-nits are required for each unit FIXTURES EACH 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 20.00 U.G. Sprinkler * home under const. 3.00 Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE TOTAL NO. TOTAL .50 SITE ADDRESS: OWNER NAME: INSTALLER STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 025405 04/20/95 SITE ADDRESS: 3410 SURREY HEIGHTS DR LOT: 1 BLOCK: 1 SURREY GARDENS P.I.N.: 10-72995-010-01 DESCRIPTION: it FIRE DAMAGE-APT 204 rmit Type APT./LODGING KlSl Type REPAIR w_t_ " Yf -r e" I V- F. 3 F , r 'r } 1 r %_'< t F F tf ? REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $271.50 $14.00 $285.50 $28,000 CONTRACTOR: - Applicant - OWNER: LINDSTROM CONST 25448761 D H GUSTAFSON CO 9621 10TH AVE N 14661 CHICAGO AVE S PLYMOUTH MN 55441 BURNSVILLE MN 55337 (612) 544-8761 (612)432-8240 hereby acknowledge that i have road this application and stato, that the information is correct and agree' to comply with all applicable State q1 ,Mn. tatUtes and City o:f Eagan Ordinances. u ?U " APP ANT/PERMITEE SIGNATURE ISSUED 8 SIG TUHt 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: LOT: 1 BLOCK: 1 3410 SURREY HEIGHTS DR LINDSTROM CONST SURREY GARDENS (612) 544-8761 PERMIT SUBTYPE: TYPE OF WORK: APT./LODGING DESCRIPTION BUILDING 025405 04/20/95 REPAIR FIRE DAMAGE-APT 204 REMARKS. A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK CITY OF EAGAN "404 1995 BUILDING PERMIT APPLICATION (COMMERCIAL)_ 561-4675 R E C E1 VIE 11 The following are required with appropriate certification for all an construction: APR 12 1995 411-6 o do 1 r, 4-1q • 2 each: architectural plans; mech. 8 elec. plans; fire sprinkler plans; structural plans; site pla s; landscaping plans; gradingl ainage/erosion 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: g?/3/9,5 f WORK DESCRIPTION OF WORK: V" REMODEL CONSTRUCTION COST: TENANT NAME: ?? SITE ADDRESS:/ ° -?u2.?t1?? ??5 e ?? %..c- ?O mrcn e*e LOT BLOCK SUBD. P.I.D. # PROPERTY Name: ?f`/Si?La °d Phone #: OWNER UST FIRST Street Address ?? l C_?>7?/f?o l S City: State: Zip: 5'37 CONTRACTOR Company: ?i O Sv 5 Phone #: Street Address- ?/s_ ARCHITECT/ Company: zo? 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 information is correct nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , ;1 Signature of Applicant: 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 A c- f, b Planning ? 19 Comm./Ind. Misc. C91- 21 Miscellaneous ? 20 Public Facility 1%12-r-- 'blh-ki?96E- 13 33 Alterations ? 35 Tenant Finish X34 Repair ? 37 Demolition Basement sq. ft. MC/WS System First Floor sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. Census Code sq. ft. SAC Code sq. ft. Census Bldg. Footprint sq. ft. Census Unit I" §& t4 n e ..// nrt, A,cSP. (4 fiNAZ) Building Permit Fee Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: Engineering Variance w Valuation: $ Z 80? S?? 7 r O % SAC SAC Units Meter Size 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: _3 //D !at YIP S/ e/ y.6TJ /Jy LEGAL DESCRIPTION: L p T .2 d' O cff / Sa rre ??a r of P y f (Lot/Block/5utxllvislon or Tax Parcel I.D. Number) is EYIS=-.0 STRL'CTL^:2E, DATE OF ORIGI:AL EUILD= P=--_-ii- ISS"?>\C°: ? R-1 S11IG7,., F. _ 1 Y ? R-2 DUPLEX (71'.0 UNITS) ? R-3 TU7iiIHCUSE (THREE + UNITS) ( UNITS) ? R-4 AP7.R^_".1F=/CONDC,,LT\iII 1 ( Le UNITS) -L?- Q COMML=IALJREPAII,/OFFICE ? =US-IRIAL ? INSTITUTIONAL/G04'ERNt,!ENS 2) AFPLS= (PLEASE PRINT) NAME: Ya/! e e A04,,* ADDRESS: /O g?- CITY, STATE, ZIP: BH rh S v/ %/ P /Nh ??3 PHONE: yl.Z 3) PiZ,mBER NAME: PLEASE PRINT) CON fo%'d sled Mj/ t? FOR CITY USE ONLY ADDRESS: G/' PLUMBERS LICENSE: Active CITY, STATE, ZIP: Expired - PHONE: R'N3i[n PLUMBER LICENSE H /O !Y40 Q t f Record arr nitia 4) OCCUPANT/Cr,,WNE.R NAt+T' (PLLASE PRINT) n : . 4c 1 -o? ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: N,CCNNECITON TO CITY SEWER CO:.?VECPION TO CITY WATER diT',II2 (PLEASE DESCRIBE) STdrM Se+..e/ b) 1NDiCiVil: 0:Z: 7) SICZ?T[.'RE: PLEASE HOLD APPROVE) PERMIT FOR PICT:-UP BY ONE OF ABOVE PIEASE .ARIL APPROVED PER%LIT TO 1, 2,03 4 AW,/E > (Circle one) DATE: .3? 3 ?y ! F O R C I T Y U S E O N L Y PERMIT A- ISSUED FEES. $ $ n S'? $ -cc?a?cYJ / fo ? $ f d Ll?d_ CJG $ SEPiE? D?IITTT (I?ICLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK 19ATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER 0THEP $ TOTAL $ AMOUNT PAID/RECEIPT $ s?? ? ? ?a DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? L YES IF YES, THEN A "'PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE:---" .. ,h? DATE: ?X =?' - ?JC MR sw "RAN lMsnlwl=lw-mmm-,m l4M¦!f!lw06 w_i RMPl wig wP4 R+m wE w 7l w?" wLa pt @V rl w A w? TO: RICHARD HEFTI FROM: LORNA OLSON DATE: APRIL 27, 1984 RE: YANKEE DOODLE ASSN - BLDG PERMIT 9009 & 9010 for 3420 and 3415 SURREY HEIGHTS DRIVE L1 & 2 131 5urrfj (ardcn5 Z & S MANAGEMENT - BLDG PERMIT 9011 & 9012 Ll B1 DUCKWOOD TR II - 1105 & 1125 DUCKWOOD TRAIL IT IS OUR UNDERSTANDING THAT THE SEWER IS PUTTING IN THE SEWER & WATER CONNEC' BUILDINGS. THE CONTRACTOR MUST OBTAIN EACH CONNECTION. A. SEWER PERMIT $10.00 plus WATER PERMIT $10.00 plus & WATER UTILITY CONTRACTOR LIONS FROM THE STREET TO THE A SEWER & WATER PERMIT FOR .50 SURCHARGE .50 SURCHARGE THESE LINES SHOULD BE INSPECTED BY OUR SEWER & WATER DEPARTMENT. CC: JOE CONNOLLY ,F°? 1989 SPECIAL ASSESSMENT OBJECTIONS FINAL ASSMT TYPE OF APPRAISAL VALUE OWNER Sc1SGA[, PROJ # HEARING IMPROVEMENT AMOUNT OF BENEFITS 89-1 Ken Applebaum 427 9-05-89 Storm Sewer, $ 50,816.37 1020 E. 146th St. Yankee Doodle Streets, suite 240 Road Trail Burnsville MN 55337 #10-41300-120-01 89-2 Dan H. Gustafson 427 9-05-89 Storm Sewer, $ 33,402.13 14661 Chicago Ave. S. Yankee Doodle Streets, Burnsville MN 55337 Road Trail #10-72995-010-01 89-3 Dan H. Gustafson 427 9-05-89 Storm Sewer, $ 22,248.37 14661 Chicago Ave. S. Yankee Doodle Streets, Burnsville MN 55337 Road Trail #10-72995-020-01 STATUS/ACTION ,i CONSOLIDATED PLBG. & HTG. CO. PLUMBING 1530 E. CLIFF ROAD HEATING COOLING MECHANICAL CONTRACTORS TO City of BURNSVILLE, MINNESOTA 55337 (612) 894-3200 LETTER OFT NA SMITTAL GATE JOB NO. 1 Jan. 24. 19851 ATTENTION Heating Inspector RE: drsat tests Surrey Gardens GENTLEMEN: WE ARE SENDING YOU...... ® Attached........ ?Under separate cover ? Shop drawings ? Prints ? Plans ? Samples ? Copy of letter ? Change order ? ? Specifications the following items: . COPIES DATE NO. DESCRIPTION . L._ -- _.. J -60 I? THESE ARE TRANSMITTED as checked below: ? For approval ? For your use ? As requested ? For review and comment ? FOR BIDS DUE REMARKS: ? Approved as submitted ? Resubmit copies for approval ? Approved as noted ? Submit -copies for distribution ? Returned for corrections ? Return corrected prints ? 19 PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE! V 1 RECORD OF COMPLAINT Date z - 1 3 - ? -3 Complaint taken by e K Z? n m = Type of building Name -?- Address ?ylye4?? ??! 1 Legal description Phone number 2L J6 IM-) 3 D H Action taken Comments Signature -4 L? r A new e - w _e JL? - (-,) i 117 a / W/ /Z[- M BUILDING COMPLAINT GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City complaint form. FEB-24-1993 06:40 FROM N61A CFS ACCOUNTING TO i I 96814612 P.01 (,?)7A4-0030 (F/? rosy -e^?? y .... ??x.J 7a7-Go?15' Sue-Ee r ', ./Ye/fr Go s s Je KdiT GL,/.C. G:VnGIM J COI 0a0?meo S(J?? c?rrd?: t- S 0. a ?-s?F1.. CIO. Y o K 6 vgf%v 4 Sew or c_ Cr,..?.__ j 1»P ale . yesfclr?a? wlie+? OK GeXEC . du f Ypat fi'/4P the ]? Coi't? . ooc Wi w o y? .tile °?.... ?... ..., t . aka ? fa c-heek / -? .. 6-U ? 1r 4 khOk? . r.J R:V'Po. Tw d/O _ Iles-?. ?w cad q-kt ftfteels&t 7?-(0-0030 ... --_.. [Yoe.., ?.?..? ( .. . . TOTAL P.01 612 727 6045 02-24-93 06:43AM P001 1104 City of Eagan ox, owes 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Permit #: Permit Fee Date Recei Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATION ttS °1F Tenant 5u,,vYL.L� L 1LLI'C.A r Date: 11 Site Address: 34 (0 SuxiAet3 r Suite #: PROPERTY OWNER - -1—k- C3°- SOrm 152 . 1 2 . J Q Name. Phone: CONTRACTOR�eS Name: ( p� )�i yy9 �)/� �, ��/ 2 ,�" •1 ,(/N / / LILk:9l idAdticense #: U0149 ...J 0 � FCS l - 1 Address: 2✓tCity: rrl p 1 s State: t')t\I Zip: 55 4 ( Z ,,,�3 �M,, t Phone: 1P 2 ` 522 ' "O ' 1 Email: TYPE OF WORK _ New Replacement _ Repair r Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE COMMERCIAL Irrigation New Construction Modify Space System (_ yes f _ no) (___ RPZ / PVB) sensors required on irrigation systems GPM (Y turbo required unless smaller size allowed by Public Works) Call (651) 675-5646 to verity that tests passed prior to piddna up meter. . Rain Avg. Meters Domestic: Size Avg. GPM & Type Fire: 1 High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: S55.00 Minimum (includes State on ALL new buildings than 510,010, $10,010, the surcharge Permit Fee requires Surcharge) OR Contract Value 50 x 1% Required - If the Permit Fee is less = S t: ---Del .00 Permit Fee and boulevard irrigation systems 4 S 'S .0D Radio Meter Read the surcharge is S5.00 S Meter{s) - If the Permit Fee is > increases by 5.50 for each 51.000 Permit Fee S State Surcharge (i.e. a 510,010-S11.000 a 55.50 surcharge) Following fees apply when installing Contact the C.ty's Engineering Department. a new lawn irrigation system S Water Permit (651) 675-5646, for required fee amounts. S Treatment Plant S Water Supply 8 Storage S State Surcharge =5 b5`V0 TOTAL FEE 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.00pherstateonecalLorq I hereby acknowledge that this information is complete and accurate: that the work will be Eagan: that I understand this is not a permit, but only an application for a permit, and accorda ce with the approved planthe case of work which requires a review and approval Applicant's Pfinted Name III Applica s Signature conformance with the ordinances and codes of the City of is not to start without a permit: that the work will be in plans. FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground _Rough -In _Air Test Gas Test Final PRV Required: Yes — No Page 1 of 3 Use BLIfE or BLACK Fnk r__——_.,.�.�.---_—...—�_�. � � FOI Of[1GB USe t� I E, � ; Pe��t�: r �a � �3 � C�� of �� '„� � � Permit Fee:, �C � �� 3830 Pilot Knob Road i t Eagan MN 55122 � C1ate Received: � �C I E' Phone: (651)675-5675 I � Fax: (651)675-5694 j staff: � I._._______... __�__! 2014 CC}MMERCiAL BU�LDING PERMIT APP�ICATION �s'��•'��_SiteAddress: �'Q E��fi T3 17.lV€ #J1� Ik Q �1�1��31 Date• ' "rJ't/�� / � / Tenant Name:' (Tenant is.; New/ Existin�j Suite#: Former Tenant:' �P` _�e .�a_..u� �:�AU��i�x�so��.��...�..�,_.�_.__�.�..�___.._....a_�.__.. _.��....��. .�_.��._�.�..�.m.�:.�� _ �e .�� , �NJ��Gr i Name;�/�111C�f�t� �00S11� J�}$.��?C. t.l-P �Phone;�J�i��9�"$��•� � ! � � , Rrpperty C7wner � Address!City 1 Zip:/,5''o�i !�'�eA�D�t�WS �P�1�J. S u!TE/0 0 � 5 � �3vrnsr�tte� �1�! ,SS337 �' s w_� �..,r.x.�.-�.@. ._. ; Appiicant is:' _Owner ��ConUactor ��,� s~ � ��scription of work- (��"'1��r+ � : TYpe af Wark � g G � : x �j s E � Construction Cosi'.T � � �_�.�_._,....._V�.w.,.,�..�.,� ,.�,��,m,...�.....�-.�.,�_..�.._.e:��...._ �:�;._...�...�;.�_.....a.��.....�.�,...�....:,�,,,�w....x,.�..,w.�.,�,.�..:,�„�......�,�...v:� ; , � ; Name:'r1wiERlZAIiI �It.1�1N&'�N'�Q�f�,SLicense#: ��r0'��5�[� .�-- � r �' ? ' Address:�1pa ,+,I,��Q1L!14L R�- "�� City: �' , � Contractor � � � E � P-�i"'� ' c�:t�'3��C1'�"' ��S� � ` ;g State:�Zi . Phone: � , Gontact��.� Email��,,ar++L� ABG•1�.�1��"JItY�' � ;....�...__,_._.,.-_.._._...,...�..�<.._�_.._. �� ° ,...-..,a..�j ;. � ` $ Name: Registration#: � �.. A.... . . . . . .. . . . ... . . J ` � Address: City: , —, ; � ArchitectiEngineer � � s � ; , x � � 5tate; Zip: Phone: � _ M � Contact Person" Email: .:r�� .,..,.....�.;.......�.,..,.,�.-s��.�.,,u�.�..,.-_._.�:..H.,,..............s:'...�..�.�,.�.d�,w._...,....�.w.v....._...._._;-i...�,....,k.r.�.,m,..._....�;.�.�.��._......,,,,.x�x�.r��,..�.....�..�,.�..��,,.�.m..�.>».�.,� � : Licensed plumber instailin�newssewerlwater service: Phone#: i =.w:.�...._,...aa�...,.....�...�....,._,...a...�.,.�_........,.,...,..�.�.�,.......�..�_._�„�,o......;........,�.._,�;..n..,N,_....,�...�......._..�..Y:.�,�.....�..��.�..._�_.....,.� � NDFE:Plans and supparting documents ti�at you submlt are cansldered fo be p�bllc information. Portions of � ;' the information may be cl�ssi�ed as nan public if you pra�ide spec�c reasons thaf would permit:the Gity to +; eo�cfude.that t�are trade secrets.��.....�,.,�,�y..,��,..M��..�..y.m.,�.,..,,�.�,.� CALL BEFORE YOU D1G. Cap 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 af underground utilities. ww�:v:goph�cststeon�eali.or { hereby acknowledge thaf this information is complete and'accurate; that the uvark wilt be rn conformance with the ordinances and codes of the Ciky of Eagan;that I understand this is nat a permit,but only an applicativn for a permit,and wark is not to start without a permit;that the wofk wii�be in accardance with the approved plan in'the case nf work which requires a reviewand approval o�plans, X ��,�/e-� ��/�� x ApplicanYs Printed Name Ap II anYs 112�tUre Page 1 of 3 ... . �9 � . � ♦ Use BLUE or BLACK ink -------- � For Office Use j C� I Pertnit#: �� `�/ I �t of �ap�� Nti ��g �.�#Q7g � . (� �� ; � ° � " � PeRnit Fee: 4 �� 3830 Pilot Knob Road ��,� �,� � i Eagan MN 55122 � Date Received: � �� I v � Phone:(651)675-5675 �� O � ZO��i �� I I Fax:(651)675-5694 � S�, � �`.. � . _"_.._.._.�.,- i��.�� J 2014 COMMERCIAL BUILDING PERMIT APPLICATION �e: 9/4/2014 sneadd�:3410 SURREY HEIGHTS DRIVE, EGAN, MN 55122 Tenant Name: (TenaM is: New/ Eadsting) Suite#: Former Tenarrt: ►vame: �A��E� D�ODLE �1SSN P��. 952-892-1200 PropertyOwner Aad��ic�tyiz�p: 1500 M�ANDREWS ROAD WEST BURNSVILLE, MN SUITE 100 55337 Appiican#is: Owner X Contractor Type ot Work �es�riptio�ofwork: REPLACE EXISTING WINDOWS Construction Cost: C9 /, �� Na�r�e: DEFINITIVE BUILERS, INC �icense#:MN #20511976 Contrac#or A�dre�:1340 27TH STREET �;�y. HUDSON state:WI Z�p: 54016 Phone: "42H-1183 �o��:NICK SJOBECK Ema�i:nick@definitiveremodeling.com Name: Registration#: Architec#lEngineer Address: �;ty_ State: Zip: Phone: Contad Person: EmaiL Llcensed plumber installing n w sewer/water service: Phone#; NOTE:Pfans and supporting documenfs that you subm�t are conslder�d to be pub/JG information. Portlons of the informaflon ntay be claSSified as non-publfc if you provide specffic r�+esons that Mrvuld permlt the elfy ta conclude that are trade secr�ets: CALL BEFORE YOU DIG. Call Gopher State One Call at(65t)454-OQ02 for rotection a ainst unde round utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gonherstateoneca0.orq I hereby acknowledge that this infortnation is complete and accurate; that the work will be ' conformance with the ordinances and codes of the City of Eagan;that 1 understand this is not a permit, but only an applicatio permit,and work is not to start without a permit;that the work will be in acxordance with the approved plan in the case of work ires a iew and approval of plans. X TERRY DUNN ApplicaM's PriMed Name ApplicaM's Sign ure Page 1 of 3 . r� � �� S�r �-�i�� r• . � � a � � 71 ` _ D O N O T W R I T E B E L O W T H I S L I N E SUB TYPES _ Foundation _ Public Faciiity _ Exterio�Alteration-Apartments Commercial/Industriai _ Accessory Building Exterior Afteration-Commercial X Apartments _ Greenhouse/Terrt _ ExteMor Alteratfor�Public Facility MisceUaneoua A�fennae WORK TYPES _ New interior lmprovemerrt _ Siding _ Demolish Buildtng* _ Additfon X Exterior improvement t�roof � Demolish Interior Alteration _ Repair X Windomrs Demolish Foundatlon X Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Chatt� •Demolition of entire bufldtng-give PCA handout to applicaM DESCRIPTION Valuation Occupancy �` � MCES System y�L /I- Plsn Review Code Eclition `�'�'7/v!5/� SAC Units (25%_100%� Zoning City Water Census Code Stories Booster Pump #of 11n1ts Squere Feet PRV #of Buildings s � Length Fire Sprinkie�s type of Construct�on Existing Width REQUIRED INSPECTIONS Footings(New Buiidtng) Sheetrock Footings(Deck) Final/C.O.Requlred Footings(Addition) �Final/Na C.O.Required Foundatfon p�h�: D�ain Tfls Pool:�Footings Air/Gas Tests _Final Roof:_Decking _insulation _Ice&Water _Final Stding:__,_Stucco Lath _Stone Lath _Brick Framing X Windows Flreplace:_Rough In Air Test _Final Retaintng Wall Insulation Eroaion Corrtrol Meter Size: Final C/O Inspection:Schedule Fire Marshal to be present Yes ✓No Revfewed By: �`�� , Buliding Inspector Revfewed By: .Planning COMMERCIAL FEES Base Fee ��(,�_�Sr Vl/ater�euatity Surcharge 3 L ��c% Water Sampling Fee Plan Review Q �� Water Suppty&Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Plant y�� Treatment Plant(irrigation) Street Park Dedication Water Laterai Trafl Dedication Other: Water Quality TOTAL �� 7 SA Page 2 of 3