1590 Thomas Center Dr2005 COMMERCIAL PLUMBING PERMIT APPLICATION
4 CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
A S7Lr. S o
Date /t3 / Z7 / _0_ r //
Site Address /S9O Tho„.As 64t,- D,-"ue Unit#
Tenant Name Vol e_ Former Tenant Name
Property Owner Telephone # TaX yo + (y'S7 ) Sil(7 _ 9 t/ 9 (o
Contractor rISsuo,',d,ec
Address P. 0 /3 v i a ?7 City r L
State 11l7/(/ Zip S-r7 7 9 Telephone # (91Z) t/ S- r-/Co
License # 2g92 AM Expires: Z Y/
The Applicant is Owner Contractor Other
Work Type _ New Bldg _ Modify Tenant Space _ RPZ _ PV-13 _ New Repair/Rebuild _ Replace
_ Irrigation system Work within public right of-way/easement _ Yes _ No
Rain sensors are required on irrigation systems
/
Description of Work ?ns: plc R / v-d i sequired `,
To ingmre if Press Reducing Valve i r on new service, call 651-675-5(A6
Meters - Call 651-675-5300 to verify 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" displacement S161.00
Domestic Size & Type 1 :/,' 5 c- 5 r Avg GPM Includes high demand devices? - Yes - No
Flushometers Y Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ Z7 r '7O) x I% _ $ x/37 °o Permit Fee ll ?C
-7 ° Qc?
$ o< ? ? ° Meter(s) qGq
00
Required on all new buildings & boulevard irrigation systems $ I L-1 Radio Meter Read
If permit fee is $1,000 or less, surcharge is $.50 $ '50 State Surcharge
If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee
Following fees apply only when installing new irrigation system S Water Permit
Call Jerry Wobschall at 651-675-5024 for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
----------------------------------------------------------------------------------------------------------------------------------------- -----------------------
$ 5-,l 7, S y 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
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an
application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
D,. /- e-1 'd;11? LL
Applicant's Printed Name Applicant's Signature
0
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final
PLANS SUBMITTED APPROVED BY: :?'P );-/.o-<-
1- /. O -<- , BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $125.00 4-120 1-1/2" irrigation Syst S 735.00
displacement sm commercial turbine" Public Works
maximum must approve
continuous meter size
10
2-30 3/4" lawn irrigation 5161.00 4-160 2" turbine Ig irrigation cyst $ 931.00
maximum displacement residential &
continuous sm commercial production lines
15
3-50 1" displacement very Ig res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & Ig comm bldgs
25 irrigation systems
5-100 1-1/2" bldgs 25-64 units $429.00
maximum displacement &
continuous most comm bldgs
50
METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine very Ig irrigation $2,226.00
syst
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, call 651-675-5300.
cc: Maintenance Division Clerical Technician
January 2005
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date I ? / 5
Site Street Address C???L?-`Y-O M L S- v -C r ye Unit #
150 _j ovvvcaS Cer kC? fir. ?7eY Je -<_c??
Tenant Name (if applicable) Previous Tenant Name
Property Owner `` (n? Telephone # ( )
Contractor SSOO'C:l?
Street Address ` ?C? I^? S t l\ ?Z \ City S t' ?Ka c?
State Zip 5 S 3) Telephone# (?SloL) L) (I S S 0?
Bond Expires: "' rnV ?C
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank 4 Install -Remove **see below
_ Interior Improvement _ Install Piping _Pr cessed -Gas
Adco exlnz??s? a
Nature of Work: /t S or F? Fy ??l a n to **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ 1 G t3-t1-'a x 1% _ $ j Permit Fee
State Surcharge
If permit fee is less than $1,000, add $.50
If oe rmit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
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, 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 1o_f work which requires a review and approval of p/laannnssj. x
Applicant's Printed Name Applicant's Signature
Approved By: /' I I I , o- r Inspector Date:
Required Inspections: - U.G. 4R.I. - Air Test `G Service Test
1 1-1 i
Infloor Heat Final
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permi? are required for each unit
Date I
/
?
Site Address ? 0. h YVldlI-? eri f Vt Unit
Property Owner Telephone #
?
nn
Contractor C>L
Street Address aS (Y( 6L t S Uv?tfi L ?z Lk itl
y
Slate fil 1 l ?LCS 0 HeN
Zip S53
T ephone # (q$?) L
S ^ 5 (6Q
Bond #: Expire
The Applicant is Owner X_ Contractor er
Add-on or alteration to existing dwelling unit $ 30.00
furnace Additional Re ent ew
_ air exchanger /
air conditioner
heat pump
other S4 /G' u
n. Ic r S
State Surcharge $ .50
Total
I hereby apply for a R sidential Mechanical Permit and acknowledge t the information is complete and accurate; that the work will
be in conformance th the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only application for a permit, and work is not to start ithout a permit; that the work will be in accordance with the
approved plan i he case of work which requires a review and approval of plans.
Applicant's Printed Name App i s Signatur
MEMORANDUM,.
TO: DAVE BENNET, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN CORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: MIKE LENCE, SENIOR INSPECTOR
DATE: SEPTEMBER 9, 2003
RE: PLAN REVIEW F_OR THOMASLAKE EXECUTIVE CENTER
1590 THOMAS CENTER D_RIVE_ J
LOT 3--BLOCK-1- SAFARI AT EAGAN 3RD ADDITION
The plans are in our plan review section for your review and comment.
#27
Please return this form to my attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No PRV Required
6P
Signature
CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE
ZONING?
METER SIZE
Date
REVISED 8-03
?_?- 3
coSa t
CJ?
c"I I "? 1_? a
COMMERCIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX,# ?/ 651-675-5694
4 t, - 9 ) t ( nl LY) 9 1 -'5
?L47
Q_ nQ q- 30
Foundation Only New Building Interior Improvement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) Project Specs (1)
• Code Analysis (1) • Landscaping Plans (2) Key Plan (1)
• Project Specs (1) • Code Analysis (1) Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always-
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established-if applicable
l • Project Specs (1)
1 • Energy Calculations (1) l
l • Electric Power & Lighting Form (1) " l
1 • Master Exit Plan (1) d
1 • Emergency Response Site Plan (1)
l • Soils Report (1) l
• SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000
Call MN Dept of Health at 551-215-0700 for details regarding food & beverage or lodging facilities.
°• Contact Building Inspections for sample and if required when it states "not always".
••• Penmit for new building or addition will not be processed without Emergency Response Site Plan.
03
Date I Z9 / 0 l
Construction Cost
?
Site Address 15-10 Unit/Ste #
Tenant Name Former Tenant Tame
II
t7
M
ROAD
/Odd
Description of Work
?,Ll-
L ?1 A D
/
_ /
,
Property Owner _' ,LEI a Z44;e e6raa3? 6Y , L r? Telephone # (7SL) - / ?9?
Contractor J011A1_60AJ By/?a/ s7 /7 S
Address ,0S9d ',
City /?// A+
State Zip 5S3oS Telephone # (j5Z)
L
Arch/Engr Registration #
Address ?i? ??¢? /YDtOC? ' '"
4ie AOoV IV
o?
?
State )qx) Zip ° 9 Teleph
ne
>k (I?/?)?
hltr ? Inr
Licensed plumber installing new sewer/water service: L Phone #: S S?lr'1-?a ?
?? ?r(4 a >
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. /\ -
obe?L A . 34hs,?
Applicant's Printed Name Applicant's Signature
F
OFFICE USE ONLY
Sub Types
? 01 Foundation
C 14 Apartments
15 Lodging
? 25 Miscellaneous
7 Wo .k Types
131 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 26 Public Facility
F,-"27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 35 Int Improvement ? 38
? 36 Move Bldg. ? 42
? 37 Demolish (Bldg)' ? 43
'Demolition (Entire Bldg only) - GI,
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
Demolish (Interior) ? 44 Siding
Demolish (Foundation) ? 45 Fire Repair
Reroof ? 46 Windows/Doors
to PCA handout to applicant
Valuation 101000 Occupancy MC/ES System r S
;ensus Code 3Z4 Zoning City Water
SAC Units Stories t Booster Pump -
Nbr. of Units Sq. Ft. S 7(. PRV -
Nbr. of Bldgs I Length r / 02 / Fire Sprinkfered /20
Type of Const -Tr3 Width ?a
REQUI RED INSPECTIONS
/
? Footings (new bldg) _ Final/C.O. -
Footings (deck) _ Final/No C.O.
_ Footings (addition) Plumbing
_? Foundation _
_ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests
Fina
- Framing _
- Siding _ Stucco _ Stone
Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By M4 (ce Lee? "'- Building Inspector
Base Fee $ I . a S ?
Surcharge S.00
Plan Review
MC/ES SAC . SSD, 0 0
City SAC X00, DO
Water Supply & Storage
SAN Permit ico. 06 ?
S/W Surcharge .5-0
Treatment Plant 00
Park Dedication
Trails Dedication
Water Quality
Copies
?
6 n
-Ag
scAFe Secuv
Other }
Total
7 5
T.Lj
trY i4 R"k?aLt Per
MEMORANDUM
TO: DAVE BENNET, UTILITY CONSTRUCTION INSPECTOR
DALE WEGLEITNER, FIRE MARSHAL
ERIC MACBETH, WATER RESOURCES COORDINATOR
GREGG HOVE, CITY FORESTER
JOHN GORDER, ASSISTANT CITY ENGINEER
KENT THERKELSEN, CHIEF OF POLICE
MARK ANDERSON, ELECTRICAL INSPECTOR
MIKE RIDLEY, SENIOR PLANNER
PAUL HEUER, SYSTEMS ANALYST
SCOTT PETERSON, BUILDING INSPECTOR
TOM COLBERT, DIRECTOR OF PUBLIC WORKS
TOM PEPPER, CHIEF FINANCIAL OFFICER
FROM: MIKE LENCE, SENIOR INSPECTOR
DATE: SEPTEMBER 9, 2003
RE: PLAN REVIEW FOR THOMAS LAKE EXECUTIVE CENTER
1590 THOMAS CENTER DRIVE
LOT 3 BLOCK 1 SAFARI AT EAGAN 3" ADDITION
The plans are in our plan review section for your review and comment.
#27
Please return this form to my attention with your signed comments and the date of review
within seven days. If you have any concerns with these plans, please so indicate on this form and
notify and resolve these issues with the affected parties. If you are requesting that issuance of the
building permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No landscape security required
? Yes ? No water quality dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
ZONING?
METER SIZE
? Yes ? No PRV Required
Signature
Date
CD/FORMS/BLDG INSP/PLAN REVIEW /MIKE LENCE REVISED M3
Ply C'y ?-,L?Y12004 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 15 -D Q 3 0
`• D Telephone # 651-675-5675 FAX # 651-675-5694 la
. Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
. Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
. Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
. Code Analysis (1) . Landscaping Plans (2) . Key Plan (1)
. Project Specs (1) . Code Analysis (1) •' . Master Exit Plan (1)
. Spec. Insp. & Testing Schedule " . Certificate of Survey (1) . Energy Calculations (1) not always-
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) . Elec. Power & Lighting Form (1) not always''
. Meter size must be established • Meter size must be established . Meter size must be established-if applicable
1 • Project Specs (1)
1 . Energy Calculations (1)
y . Electric Power & Lighting Form (1)
1 . Master Exit Plan (1) 1
1 . Emergency Response Site Plan (1)
1 • Soils Report (1) 1
. SAC determination - call 651-602-1000 • SAC determination - 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 facilities.
++ Contact Building Inspections for sample a nd if required when it states "not always"
++" Permit for new building or addition will n ot be processed without Emergency Response Site Plan
Date 1( t / IJ / Construction Cost ?t&-o
Site Address /S ?Io Aond-S ???""??e Unit/Ste #
Tenant Name Former Tenant Name nre_
F? n)
deg -
Description of Work
s 1111 °v 2 4 2004 11111
1_ ! "lI
Property OwneM,(t,6
r y
Telephone # (11545--
lI ?/? (
Contractor JC1GI YLv?L'YI /?t/I??CS`
S ?itf?
Address 6) ahe $jC`f'?
State p? Zip 3 ci?J City ? l /NYI ? y f- /
Telephone # / ? ,7 V - 7 Ql 10
J1?(/r S G4Je?
Arch/Engr PJ
L . N t
Address .f9
,r ???
State k4 1 V1 V\ Zip J?n
Registration # -7
city
T
3?7 "j ?7?J
Telephone # (&12-)
Licensed plumber installing new sewer/water service1? Pe f? t. Phone #: (Z )ZZ
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
proval of plans. -1 `
Applicant's Printed Name Appliea5lfs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 26 Public Facility 0 30 Accessory Building
0 14 Apartments e 27 Commercial/Industrial ? 32 Ext Alt-Apartments
? 15 Lodging 0 28 Greenhouse ? 34 Ext Alt-Commercial
0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Wo kTypes
r
f
31 New ? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applica nt
Valuation 3S DOD Occupancy g MCES System e-.
Census Code 324 Zoning City Water y cs
SAC Units - Stories I Booster Pump -
Nbr. of Units ?- Sq. Ft. -5,616 PRV _--_
Nbr. of Bldgs Length I t2' Fire Sprinklered &10
-
Type of Const y-IS Width 5p
Required Inspections
_ Footings (new bldg) _? Insulation
_ Footings (deck) Final/C.O.
_ Footings (addition) Final/No C.O.
_ Foundation _ Other
_ Drain Tile
_? Roof / Ice Pr _ Decking _ Insul , Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing - Siding _ Stucco Stone
Fireplace - R.I. _ Air Test _ Final Windows _
Approved By: Planning nl ke L-"-Building Inspector
Base Fee 1 1 Scl. r75
Surcharge 1'1,.50
Plan Review rM. 3L?
MCES SAC
City SAC
Water Supply & Storage (WAC)
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Water Trunk
Sewer Trunk
Other
Total
a 830.59
ao8 2-,
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
A,,-In elo
Date SjL l1,K l oe? ?y
Site Street Address /570 Unit #
Tenant Name (if applicable) X0/7/4.5 ;EXO C,ye, Previous Tenant Name
•
Property Owner Pc maf /u.-ke ?XeG t? C pn?j/' Telephone #(9.t t)
Contractor
Street Address 2,57 /rKw/'f{,ifl City
State 2W11 Zip Js 3 ?2 Telephone # ( 29 p?, 3110
Bond #: Expires: ?y
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _Install -Remove "see below
Interior Improvement - Install Piping -Processed -Gas
Nature of Work: _Z-0/2
?? y /£jn?t pil /IjG 7?t7 SO? p/l yy ?C? L%?MO 1
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit tees: 570.50 Underground tank instalation/removal
SM-50 Minimum (includes Slate Surcharge)
or
Contract Value $ ?Se JOO x 1% $ ?-0 •00 permit Fee
$ State Surcharge
If Simi[ fee is less than $1,000, add $.50
Ifoermit fee is more than $1,000, surcharge
is $ 50 for every $1,000 owed.
$ 140 ' SO Total Fee
I hereby
- --------- ----••°•••--• • ?•••••• a•••. - IVwieugc mac 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 1 understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wl hj
the approved plan in the case of work which requires a review and approval of plans.
Applicants Printed Namk/ Ap c is Signature
Approved By:
Required Inspections: U.G.
Inspector
R.I. Air Test
1
Date:-
Gas Service Test _ Infloor Heat Final
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755 7Z '-006 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 1 f l
Telephone # 651-675-5675 FAX # 651-675-5694
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• Project Specs (1)
• Spec. Insp. & Testing Schedule "
• Soils Report (1)
• Meter size must be established
1
1
l
1
1
1
• SAC determination -call 651-602-1 000
• Architectural Plans (2) sets
• Structural Plans (2)
• Civil Plans (2)
• Landscaping Plans (2)
• Code Analysis (1) "
• Certificate of Survey (1)
• Spec. Insp. & Testing Schedule (1) "
• Meter size must be established
• Project Specs (1)
• Energy Calculations (1) "
• Electric Power & Lighting Form (1) "
• Master Exit Plan (1)
• Emergency Response Site Plan (1)
• Soils Report (1)
• SAC determination - call 651-602-1 000
• Fire Stopping Submittals
• Fire SuooressionlAlarn Form
• Architectural Plans (2) sets
• Code Analysis (1) "
• Project Specs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always-
• Elec. Power & Lighting Form (1) not always"
• Meter size must be established-if applicable
at
1
1
l
d1
• SAC determination -call 651-602-1000
reeardin¢ food & beverage or lodeine facilities.
** Contact Building Inspections for sample and if required
**+ Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date /O 5 / 0(. Construction Cost /4, C)C p
Site Address 4$ D ,
0 r v7em&o (Y?? ev_ 100 V_el Unit/Ste # /02
Tenant Name For r
TrV Rrp
u
D
Description of Work e/- ea,3-(f, 12C /7 s O C T 5 2006
Property Owner J %U W4 4 ?X6:'llJ Telephone # ( 9
Applicant is: _ Owner X Contractor
so
h
J
Bd? d Contact #: (%73Z) oc;?-
Contractor n
o y,
j
Address cc
city d3 ?I//r
?fh21e.
State /'"/ ,"eI "/ Zip,, Telephone # (?fZ )
;' - ? 33
Arch/Engr f 1 Registration #
Address C P TG / ?(] City el'
State Zip _ Telephone # 6k) 37 7 - 3 3 33
/11
4
Licensed plumber installing new sewer/water service: ,
Phone #: ()
1 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 MAT 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. /) n
Applicant's Printed Name Appl'icant's Sign t
j
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments / 27 Commercial/Industrial ? 32 Ext Alt-Apartments
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous ? 29 Antennae C 35 Ext Alt-Public Facility
? 37 Frail Salon
Work Types
AJ? 35
t ? 38 D
li
I
t I
h
I
t
?
i
4 Sidi
? 31 New mprovemen
n
emo
s
(
n
or)
er
4
ng
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
1
1L 600, ?
1
Valuation
t Type ofConst
Width
?
Plan Rev 100%
25% Occupancy MCES System
_
b 7-
fy
t/
SAC Units City Water
Zoning
Nbr. of Units Stories Booster Pump
Nbr. of Bldgs Sq. Ft. PRV
Length Fire Sprinklered
Required Inspections -
Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
_ Footings (deck) _ Insulation
_ Footings (addition) _ Sheetrock
Foundation Final/C.O.
_
_ Drain Tile _ Final/No C.O.
Driveway Apron - Other
Roof _ Ice Pr _ Decking _ Insul Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_? Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
Windows
``
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes
! No
i
L
l GR1l?B
I
t
ildi
ann
ng
Approved By:
P nspec
or
u
ng
l,
Base Fee ,
Surcharge
Plan Review
SAC-MCES
SAC-City
S/W Permit
SM Surcharge '
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
?l`fS . t
?.? s. Z s'
tY . s-•o
77 ??
l
City
Pat Geagan
MAYOR
Peggy Carlson
Cyndee Fields
Mike Maguire
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CITY ADMINISTRATOR
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 tax
651.454.6535 TDD
MAINTENANCE FACILITY
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
of Eap
October 11, 2006
BOBJOHNSON
JOHNSON BUILDING CO
460 FORD RD # 102
ST LOUIS PARK MN 55426
RE: CORNERSTONE CHIROPRACTIC & REMAX
1590 THOMAS CENTER DRIVE
Dear Mr. Johnson:
We have started our review of the construction documents submitted in pursuit of
obtaining a building pen-nit for the above-referenced project. This review is not intended
to be an exhaustive and comprehensive report. Unless otherwise noted, all references are
to the 2000 I.B.C. It is our goal that this review will help you in complying with the
applicable codes and we are, therefore, requesting that the following items. be addressed
for each tenant space:
1. This building requires a rated corridor per Section 1004.3.2.1. Provide a listed
and tested rated wall assembly, including the fastening requirements.
2. Provide locations of rated walls.
3. Provide a door schedule, including hardware provisions.
4. Provide the location of the service sink.
Sincerely,
J. Craig Novaczyk
Senior Inspector
JCN/j s
cc: David Phillips, 227 Colfax Avenue, #100, Minneapolis, MN 55405
Dale Schoeppner, Chief Building Official
7_56-1 0-
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: cotnmercial/indu arial buildings
multi-family buildings when separate permits are not required for each dwelling unit
4?6 , /D
Date 10 / -L6- /
1?
Site Street Address /S CIO 1-4 nhhdP Cc n'r. r /Jr.
Unit #
Tenant Name (if applicable) / Lt .I d S L d lC ? C ? ? I, r Previous Tenant Name
Property Owner Telephone # ( )
Contractor Al fol f cf J j AA t 4? el.I td ?
Street Address 2 5 7 A4,i rJC h d f l R r 1
city fh d k
State M IV Zip 1 1379 Telephone# (9sz) li c/I-?/00
Bond #• Expires:
The Applicant is Owner X Contractor Other
Work Type
New construction -Interior Improvement - Install Piping -Processed -Gas
_ Under/Above ground Tank Install _ Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature of Work: A.4 ? tiork
Permit Fees: $70.50 Underground tank installatiordremoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ 9SG X I%
= $ q5. G0 Permit Fee
n (? ?/ $ , 50 State Surcharge
D
?'
l If permit fee is less than $1,000, add $.50
W
CT I s 2??6
O CT If permit fee is more than $1,000, surcharge
[1 S.50 for every $1,000 owed.
$ ?ry
1Q Total Fee
,
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, 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 plan//s.
z" flrot,ni„ ?i_- '-
Applicant's Printed Name 9 Applicant's ature
Approved By: !?;P le-46 -e)& , Inspector Date
Required Inspections: _ U.G. d R.I. - Air Test C; Service Test Infloor Heat Final
. T
2006 COMMERCIAL BUILDING PERMIT APPLICATION
7 S 7 / City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
D?j?
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• Project Specs (1)
• Spec. Insp. & Testing Schedule "
(1)
• Soils Report
• Meter size must be established
1
1
1
1
1
l
SAC determination - call 651-602-1000
• Structural Plans (2)
• Civil Plans (2)
• Landscaping Plans (2)
• Code Analysis (1) "
• Certificate of Survey (1)
• Spec. Insp. & Testing Schedule (1) "
• Meter size must be established
• Project Specs (1)
• Energy Calculations (1) "
• Electric Power & Lighting Form (1) "
• Master Exit Plan (1)
• Emergency Response Site Plan (1)
• Soils Report (1)
• SAC determination - call 651-602-1 000
• Fire Stopping Submittals '
• Fire Sucoression/Alarm Form
Call MN Dent of Health st 611-201-4500 far details re.pardinp fond & heverape or lodpinp
• Architectural Plans (2) sets
• Code Analysis (1) "
• Project Specs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always"
• Elec. Power & Lighting Form (1) not always"
• Meter size must be established-if applicable
i
l
1
1
• SAC determination - call 651-602-1000
Contact Building Inspections for sample and if required
••" Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date /0 / .5, / 04 Construction Cost ocu
Site Address /Svo Unit/Ste # 103
Tenant Name&:vwee: r& e av opraz7? Former Tenant Name _41/4
r IC \V/
Description of Work zleaS B'
Property Owner L44_1 4EJCeL'CJ le
611 Telephone #'052-) 6og-A
Applicantis: _ Owner Contractor
Contact #: .( f?L) ?7S' X831
? ??
Contractor 4 1w?
Address j4!D t5gell tj, /OZ, City 5i7a
State Z?Jo .
(??) S?? 1083
Zip Telephone #
Arch/Engr rr?rr CLS 11 /G4 Registration ## 7381 _
/
Address M _? MA°_ ?)- dq TG City / / k
State /?/IA011 -f
Zip Telephone # 44i,) -37 / - 333,3
XJ
Licensed plumber installing new sewer/water service `,?4 Phone #: ()
:
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an
application for a permit, and work is not to start without a pemut-, that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans. /1 n 1 n n A
Applicant's Printed Name pplicant's Siinatu
1
I
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
? 26 Public Facility
27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Building
C 32 Ext Alt-Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ?35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
-0
B
V
8
?.??()()
Valuation - -
Type of Const
Width
? $
Plan Rev 100%
25% _ Occupancy
MCES System
- C) - ICI'
SAC Units Zoning
City Water
Nbr. of Units 6 Stories Booster Pump
Nbr. of Bldgs Sq. Ft. PRV
Length Fire Sprinklered
Required Inspections
Footings (new bldg) Fireplace
R.I.
Ai r Test _ Final
Footings (deck) _
_
_
_ Insulation
Footings (addition) Sheetrock '
_ Foundation _ Final/C.O.
_ Drain Tile _ Final/No C.O.
Driveway Apron _ Other
Roof _ Ice Pr _
/ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing
V _ Siding _ Stucco Lath _ Stone Lath -Final
- Windows
_
VI
Final C/O Inspection: Sch edule Fire Marshal to be present. - Yes
NO
Approved By:^ Planning Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAC-City
SNd Permit
S/W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
J2/• z1r
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
oL
Sewer Trunk
Water Trunk
• /D a-o
city
Pat Geagan
MAYOR
Peggy Carlson
Cyndee Fields
Mike Maguire
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
CRY ADMINISTRATOR
MUNICIPAL CENTER
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
651.675.5012 fax
651.454.8535 TDD
MAINTENANCE FACILRy
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
of Eap
October 11, 2006
BOB JOHNSON
JOHNSON BUILDING CO
460 FORD RD #102
ST LOUIS PARK MN 55426
RE: CORNERSTONE CHIROPRACTIC &.REMAX
1590 THOMAS CENTER DRIVE
Dear Mr. Johnson:
We have started our review of the construction documents submitted in pursuit of
obtaining a building permit for the above-referenced project. This review is not intended
to be an exhaustive and comprehensive report. Unless otherwise noted, all references are
to the 2000 I.B.C. It is our goal that this review will help you in complying with the
applicable codes and we are, therefore, requesting that the following items be addressed
for each tenant space:
1. This building requires a rated corridor per Section 1004.3.2.1. Provide a listed
and tested rated wall assembly, including the fastening requirements.
2. Provide locations of rated walls.
3. Provide a door schedule, including hardware provisions.
4. Provide the location of the service sink.
Sincerely,
J. Craig Novaczyk
Senior Inspector
JCN/js
cc: David Phillips, 227 Colfax Avenue, #100, Minneapolis, MN 55405
Dale Schoeppner, Chief Building Official
-?- S ?-o 2
2006 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
*o. 5 0
Date /0/ 2 3 /067// JJ
Site Address /e9 /-? Unit#
Tenant Name T/i, . 5 4.kr>lr"-."ar n r t,"'c Former Tenant Name
Property Owner 97;, X n s / //#` rA fj T Telephone # ( )
Contractor A550 e 1 a TdCpt Lhc + 'Cam / `/
Address A D %7dx ?- 3 7 City ??/n?A=D o PQ
State I?t Al Zip S5- 37 Telephone # (9S2) YYr- St O U
License # 7 8 9 a P m Expires: _ f o
The Applicant is Owner Contractor Other
Work Type _ New Bldg _ Modify Space -Irrigation System** _Yes -No Work in public r-o-w / easement?
RPZ _ PVB: _ New - Repair/Rebuild _ Replace _ Remove
Rain sensors are required on irrigation systems
Description of Work 9," 5-iL k tt j /d'/-cl -? ?V? r a. ro(l A?
To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5300 to verify 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 167.00
Domestic Size & Type Avg GPM Includes high demand devices? - Yes - No
Flushometers Yes No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ 4 2'/0 ' x 1% 2 .t/D Permit Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
$ State Surcharge
If permit fee is less than $1,000, surcharge is S.50
If permit fee is more than $1,000, surcharge is S.50 for each $1,000 owed.
----- _---------- --------------- --------------- ----------- _------ -_----------- -_____---- ____-__---------- -_____----------- -__
Following fees apply when installing new lawn irrigation system $ Water Permit
Call the City's Engineering Department, 651-675-5646, for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
I?fnsu OCT 2 3 2006 U $ State Surcharge
$ SQ, SO Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and aceumte; that the worn will ce in eomormance with the
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to
start Twithout a perm-it; that the work will be in accordance with the approved plan in the case of work whw{hiequires a rev w an d Dapproval of plans.
er
Applicant's Printed Name Applicant's Signature e
CITY USE ONLY
REQUIRED INSPECTIONS: U.G. Air Test - Gas Test Rough In _ Final
PLANS SUBMITTED APPROVED BY: `/jP BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $141.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper horntstrainer, remote wire, and touch-pad meter.
METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $130.00 4-120 1-1/2" irrigation syst $ 827.00
displacement or turbine" Public Works
maximum small commercial must approve
continuous metersize
10
2-30 lawn irrigation $167.00 4-160 2" turbine large irrigation $ 1,040.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irrigation systems
5-100 1-1/2" 25-64 unit bldgs $515.00
maximum displacement &
continuous most comm bldgs
50
METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
METERS USE PRICE GPM METERS USE PRICE
F3505- 3" turbine very large irrigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs $6,436.00
very large very large
comm bldgs comm bldgs
15-1000 4" turbine very large $2,495.00
irrigation systems :„ ..
& production lines
Comments
• , To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, call 651-675-5200.
u: Utility Division Systems Analyst
January 2006
JUL-20-2006 20:47 JOHNSON COMPANIES P.04/06
I Legend
1 CN '? w?
t Put door in middle. Have Electrical Outlet Needed
door swing away from j Phone Jacks Needed fl Q
reception area. Should
have 7 feet on both sides High Speed Internet
Extend W II of door. Needed .? W
v
11 7x11 7x8 3: th
1 A;ik !li h. O
< In
Must Lock from I Massage Bed j)
inside feeder Area Q
roam 4 z
13.65 Q. !?tl!}
7)c
d
I ( Da Room V
5.6 11.5 ?y
X•Ray Room
Must be 11.5)c sting
8. If the space Roo 1 42
isn't long X-Ray Room 6n
enough we tn
cannot make the 8 x 11.5
room shorter, ( 9.2 x 17.8 Si
4x6
Place hinged C1 in 4n>-
cushioned bench w- 4 x 6 0
in each feeder assage Room ?1!C ?,Q 7 x 11.5 I
3[[
4x6
I Office Q Use Space that q U?
4x5 Is left over W. _M6 WU *1L. ADWa
1/2
Must havo 30 Adjusting
in. to (rang this Room 2
view box. 9•2 x 15.5
Make the '
feeder room I
bigger it
neeeded
a
JIL-20-2006 2048
JOHNSON COMPRNIES
P.06/06
Specifications
O
'.may
W
Darkroom
11OV ISA duplex
at counter height
1 r
1 /
1 1
1 1
1 O r
1 1
o
0 0
1
I 1
1 1
1 1
r r
L . . . . . . . r..... .i
Utilitv sink with hot and
cold ivater located under
a hinged countertop
Automatic xilm Processor
Processor feedtray
I IoV 15120A outlet
Check: product specs to
verily power requirements
Inside Dimension s.s ft.
Need two exhaust fans
in the dark room-
One on each side on
the roam. Need ten
complete air changes
per hagr
Lighting:
- Usefluorescent
Utility Sink:
- Utility sink with hot
and cold water locates
under a hinged eounte
top. Include a locking
mechanism to keep
countertop up during
sink use
Ceiling:
- Drywall ceiling to
eliminate light leaks
Power:
- One. power outlet (near
film processor) far film
processor. Processor uses
a standard 120vac. 60hi.
IS amp. 3 wire grounder
outlet.
- Another power outlet
(near sink at countertop
height) for the dark room
safelight.
Drain:
-A drain suitable for
dumping pholgraphfc
chemical wastes.
-Standard 1 - 112 in.
floor drain or wall drain
using pvc material.
Cannot drain Into copper
pipes. A wall drain
should not exceed 12 In.
above the floor. The
drain mouth should be 2 -
3 in. In diameter.
TOTAL P.06
2007 COMMERCIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
AP &00F
Date2 2 0 7 Site Address Tenant Name Spy . ) i f d' e Former Tenant Name
Property Owner Jo`i..3Vn a'/ra. ! o. Telephone #( 9S2) sHS- 5 35_
Contractor ?a re a l 4 ?eC L/TM. 'cr C //
Address 0 ?aJ Z 77 City
State Zip S'S -S 7 g Telephone # ( 9T?-) c/i/5--5A0v
License # 2 F-9 Z PWZ Expires: /z c. The Applicant is Owner X_ Contractor Other
Work Type Y New Bldg _ Modify Space _ Irrigation System" _Yes _ No Work in public r-o-w /easement?
_ RPZ _ PVB; _ New _ Repair/Rebuild _ Replace _ Remove
Rain sensors are required on irrigation systems
Description of Work Q CU Go <Fe e S. ? L 7`o Px "T / c D& m L i1v r
To inquireif Pressure Reducing Valve is required on new service, call 651-675-5646
Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter.
Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller al_1t}vy? b?P?blic Works
Fire Size & Price 3/4" meter $174.00 ?lj S' npjR
Domestic Size & Type Avg GPM Includes high demand devicegiA" Y.. NoFlusbometers _ Yes -No . PRV Required Yes _ No
P
Permit Fee $50.50 minimum (includes State Surcharge)
Contract Value $ ?0 0 . d° x 1% = $ Permit Fee
$ Meter(s)
Required on all new buildings & boulevard irrigation systems $ Radio Meter Read
$ State Surcharge
If permit fee is less than S1,000, surcharge is $.50
If hermit (ee is more than S1,000, surcharge is $SO for each SI,000 owed.
Following fees apply when installing new lawn irrigation system ^ $ Water Permit
Call the City's Engineering Department, 651-675-5646, for required fee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
$ .50 S ;-D Fee
--a ,....,..,... ,6?e the -.n ,All he in conformance with the
! hereby apply for a Commercial Plumbing Permit and actmowledge mar me mrumnanmm m co...... .. ?•? ??--•-• •••_...._ .. _... -__ _- _.
ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to
start without a permit; that the work will be in accordance with the approved plan in the case of work?w h require/ieew and approval of plans.
Applicant's Printed Name Applicant's Signature
REQUIRED INSPECTIONS:
PLANS'SUBMITTED.
CITY USE ONLY
U.G. Air Test - Gas Test _ Rough In Final
APPROVED BY:1' (- ?3 y - , BUILDING INSPECTOR
i
General Information"
• Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00
• RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan.
• A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair, remove.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter.
METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $136.00 4-120 1-1/2" irrigation syst $ 855.00
displacement or turbines' Public Works
maximum small commercial must approve
continuous meter size
10
2-30 3/4" lawn irrigation $174.00 4-160 2" turbine large irrigation $ 1,063.00
maximum displacement residential system &
continuous or production lines
15 small commercial
3-50 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00
bldg to 24 units 65 units
maximum small commercial &
continuous & large comm bldgs
25 irrigation system
'
5-100 1-1/2" 25-64 unit bldgs $532.00
maximum displacement &
continuous most comet bldgs
50
METERS REOUERING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very large' irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00
system & production & very large
lines comm. bldgs
1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unitbldgs $6,623.00
very large very large
comm bldgs comm bldgs
15-1000 4" turbine very large $2,533.00 6" turbo $4,090.00
irrigation systems
& production lines
Comments
• To schedule inspection of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water tum-on, call 651-675-5200.
cc: Utility Division Systems Analyst
December 2006
t
2007 COMMERCIAL BUILDING PERMIT APPLICATION
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• Project Specs (1)
• Spec. Insp. & Testing Schedule "
• Soils Report
(1)
• Meter size must be established
1
1
1
_
t
1
2 •y,v
• SAC determination - tail 651-602-1 000
a '.3
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
• Architectural Plans (2) sets
• Structural Plans (2)
• Civil Plans (2)
• Landscaping Plans (2)
• Code Analysis (1) "
• Certificate of Survey (1)
• Spec. Insp. & Testing Schedule (1) "
• Meter size must be established
• Project Specs (1)
• Energy Calculabons (1) °
• Electric Power & Lighting Form (1) "
• Master Exit Plan " •1 • (1)
• Emergency Response Site Plan (1)
• Soils Report
?;_
(1)
• SAC determination - call 651-602-1000
• Fire Stopping Submittals
• Fire Suooression/Alanh Form
• Architectural Plans (2) sets
• Code Analysis (1)
• Project Specs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always-
• Elec. Power & Lighting Form (1) not always-
• Meter size must be established-if applicable
l
y.
• SAC determination -call 651-602-1000
Call MN Dept of Health at 651-201-4500 for details regarding food,& beverage or lodging facilities.
Contact Building Inspections for sample and if required 1`
*** Permit for new building or addition will not be processed without Emergency Response Site Plan.
N
Date / / / /
0
Construction Cost a 00
/ / /?A
y
Site Address O
GW C'e?? -Jpl eJ Unit/Ste # 11Z-
?
Tenant Name _ ?fl NG?[ i /?S Former Tenant Name (/UR/if?
Description of Work -L?
Property Owner Telephone # (PI-) S ? bg
Applicant is: _
Owner Contractor Contact #: 5 a
/
r
Contractor v ?1??t/ ®vr?d! G i ,CII S
`
Address _ d ?I?d Y?<vr :qty ST, Lo dl S /- ng-
State A41MAI Zip Telepl,oue' (yS7? .5?.??Gg
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewer/water service: Phone #: ( )
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of Nfbl 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. /",) A / n n A
6 ?
Applicant's Printed Name Applicant's Signa re
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Public Facility ? 30 Accessory Building
? 14 Apartments C 27 Commercial/Industrial ? 32 Ext Alt-Apartments
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous D 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New
ff' 35 Int Improvement ? 3
8 Demolish (Interior)
? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 4 2 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 4 3 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition Building - Give PCA han dout to applicant
Valuation ?000 M-
Type ofConst?B
Width -'
Plan Rev 100% ?25% _ Occupancy MCES System yr 5-
SAC Units Zoning City Water
Nbr. of Units Stories I Booster Pump ---
Nbr. of Bldgs - Sq. Ft. 501 PRV
Fire Sprinklered A0 Length
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
_ Footings (deck) - Insulation
Footings (addition) Sheetrock
_
Foundation /
Y Final/C.O.
_
Drain Tile _ FinaVNo C.O.
_
Driveway Apron _ Other
_
Ice Pr
Roof Insul _ Final _
Decking Pool _ Ftgs _ Air/Gas Tests _ Final
_
_
_
Framing _
- Siding _ Stucco Lath _ Stone Lath - Final
Windows
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes ? No
Approved By: _/ Tl Planning AL Building I nspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAC-City
SM Permit
S1W Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
118,00
2.'50
Z-16
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
197, Zo
Sewer Trunk
Water Trunk
9614 2007 COMMERCIAL BUILDING PERMIT APPLICATION/ 7a' ?42
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ( !l
Telephone # 651-675-5675
Plans are considered public information unless you state they are trade secret and why.
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• Project Specs (1)
• Spec Insp & Testing Schedule (1) "
• Soils Report (1)
• Meter size must be established
1
1
1
1
1
• SAC determination - call 651-602-1000
• Certificate of Survey (1)
• Structural Plans (2)
• Architectural Plans (2) sets
r HVAC units req'd. on bldg elev. 1 site plan
Civil Plans (2)
Landscaping Plans (2)
• Code Analysis (1) "
• Energy Calculations (1) "
• Emergency Response Site Plan (1)
• Spec. Insp. & Testing Schedule (1) "
• Electric Power & Lighting Form (1) "
• Project Specs (1)
• Master Exit Plan (1)
• SAC determination - call 651-602-1 000
• Fire Stopping Submittals
• Fire SuppressiordAlarm Form
• Architectural Plans (2) sets
• Code Analysis (1) "
• Project Specs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always-
• Elec. Power & Lighting Form (1) not ahvays-
• Meter size must be established-if applicable
1
1
1
1 '
• SAC
Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. u/ j I
Contact Building Inspections to see if it is required and for a sample. "•* Permiffor new building dr addition will not be processed without Emergency Response Site Plan. BY
Date 7 / - / 6;7 Construction Cost 3 ?
;
14
Site Address /,:F90 2%,n. C,is-IG? 1
1y, Unit/Ste #
Tenant Name 7-07AL ?f DC?L1 Former Tenant Name
Description of Work tEE? ?e &4S /l hn t LV tU /lli1( 36,m C--of
Property Owner 7;L4 a.8 L /lfeO ZZ L 07 Z-
Telephone # (V? ) 38 z ri Z y ?
t
Applicant is: Owner
?- Contractor Contact #:(6( L) 302-`j ZIT-?
{
? !?IZA
/.I
Contractor d?
.14 Co
_
A
-
Address 4 (? Alz-o /4c t1/ 0Z- City si ?out<
State 171-1 /
Zip W Telephone # (&L--4 352-9283
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewerlwater service: Phone #:
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an
application for a permit, and work is not to start without a permit; that the work will be in accord with the approved plan in the case of
wor which requires a review and approval of plans.
o
Applicant's Printed Name (/a'pplicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation if 3?5'0U
Plan Rev 100% 25%
SAC Units
Nbr. of'Units
Nbr. of Bldgs
Fire Sprinklered
Required Inspections
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
Foundation
Drain Tile
Driveway Apron
? 26 Public Facility
E?"27 Commercial/Industrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Building
? 32 Ext Alt-Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 37 Nail Salon
t7 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition Building - Give PCA handout to applicant
Type of Const V $ Width
Occupancy _1 MCES System ?-fYJS
--
Zoning City Water
Stories Booster Pump ?-
Sq. Ft. ?- PRV ?-
Length
Code Edition A
OQ(o i8
Fireplace _ R.I. _ Air Test _ Final
Insulation
_ heetrock
_ Fina]/C.O.
_ Final/No C.O
Other
Roof _ Ice Pr _ Decking Insul - Final
Framing
- Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco Lath Stone Lath Final
Windows
Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes w-No
Approved By: 72?17 - Planning r, Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAC-City
S/W Permit
SIW Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
/03.25'
67. !/
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
7.?. 36
Sewer Trunk
Water Trunk
`# 15hone: 952/445-5100
l
SSOCIATED
mechanical contractors, inc. ORSAT TEST RECORD Fax: 942/445-5119
1257 Marschall Rd • Shakopee, MN 55 79
L
G
r
B
F
"
Q F
P"r od
ADDRESS J?? OOR CITY
APT SUBURB
Aq?
t
OCCUPANT 90 / on ,Ps Ce. fe.- v OWNER
HEAT LOSS - DATE HTG INST.
SOLD BY (J , 4t O- 01' /Y! ¢? A A S 3 D C i a Ad
INSTALLED BY e.,
Electrical Work By ?-
Gas Line By J e c a ?e d l Ke-
UNIT HTR. OTHER
TYPE OF HEAT GA FA_X HW STEAM SPACE HTR.
GAS DESIGN " //
4!L E6M7ERSTaN
MAKE ?d??i e? MAKE Gfm+iRf?lER/'/ LU"?'%E?•?
/o !/ 6
/.3
Model Sb M C Model 3 G 3 24
?^1
!
__75 ZI Serial 0? /'1 Q Sy ZY Max BTU Ratna ? 9.0s46F
INPUT pOJ MAKE OFFFIRII* E EUQ /-'/t V
Model C r s - e z/0
TSrh ret N AGO -c CONTROLS SN (
4"Pj.3=7,;
THERMOSTAT ?'{•? e,6eat Plug ?- Vent Size r?'_
Valve ei v ?i Ei KIND OF LINEIR -' SIZE NONE -?
Limit Belt Size V Regulator
_
Limit Setting 220 /' Filters Size/ X20~X2SNum6er C9 4r
Fan Setting ti ?^•? elo K 0 Chimney Location Inside Outside
Pilot Type K?L Chimney Construction
Pilot Make
Pilot ModeO LC R 1A1.3,32 G DO l Smoke Bomb Wiring
Pilot Timing '/ SQL 6,j2J Draft Test Tag L1
L.W. Cut off - Door Pressure Lighting Inst
Pressure 313 rr Lt! L Percent CO2 r Y/ Date Tested '? Z Z -06
Input CFH Percent O
Y's Company Testing S s G L-r a e0l /7-7
e'_ L1
z
Stack Temp f y r J Percent CO / z P RA'L Name of Tester To 41- a
------------------------
'd1.1? 0 J 0i 4k3°, 11=.p
SITE
i? lkl?2/ CIOt 1?: 33: 5R
Feel: naturai 4as
u-'ref .: s. fi'
CKma2.: 11.71:
------------------------
117.2 OF T stark
7.C,2 C0
=.4 % cx4yer, i/?
i .or;, CU 4
8?.1 . EFF
• ______________________
neat, transf °F: -----
------------------------
------------------------
0 St_, ---- ---=--------
3?T=
Fuel: Naf.ural yas
Q2ref • a%:
cn 2mmax:
------------------------
114.5 OF T sfa d
41 coa
5.5 % Ox'_.5en
2 P'm CC,
•i -:.1 EFF
------------------------
.-,eat transf.°F: _____ OF
--------------
SSOCIATED " Phone: 952/445-5100
mechanical contractors, inc. ORSAT TEST RECORD Fix: 952/445-5119
1257 MarschalllRRd^• Shakopee, MN 55379 LA 0 -
2-ADDRESSW" .0 S 4gkz ?2n?P? APT. ^ FLOOR - CITY SUBURB E;g yQ
OCCUPANT /5-' 70 ThOA$,a, Ce.,101 A' OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY i q oo) /Yt c? INSTALLED BY .$S O c iqI ec/ M e/1A
Electrical Work By Gas Line By A-5 3 0 ?a1leo/ C?-L
TYPE OF HEAT GA FA-,,k' -HW STEAM SPACE HTR. UNIT HTR. OTHER
[_q e . P GAS DESIGN
MAKE
Model 5 9 M Lj6 0
Serial 3 ?Sf 054 G SY '2 7
INPUT / 6 01 '9Oy
1-3 TA T-(-,L Al Acor-C
L U Y ;,,.,CONTROLS
THERMOSTAT Heat Plug
Valve Lip, (??. e,
Limit L O0 01
Limit Setting ZV /=
Fan Setting ! Nye{{ d 4
Pilot Type S 1
Pilot Make
Pilot Model k Q 6E R A L 3.3Z 7001
Pilot Timing -fCdC. 5.2,5
/
L.W. Cut Off -
Pressure 1 3- 1i N./ Percent CO, 7i O '2-
Input CFH Percent O2_! Y
Stack Temp. Percent CO PP M-
? C
Model
MAKE-t F RrTA(' ( ?d
Model to Cl? ?S
?vie?
SE 3Sr/8
AaP
YR -e laid
,$? N lvo oS ?"//0 tl b'
Vent Size 3 ,J 1
KIND OF LINER PY L SIZE '- NONE
Belt Size '0r'?fd A?? Q Regulator /?'ux%Y?o/ 323 -3
Filters Size 1 51'7-0)(2-5 Number
Chimney Location Inside _C- Outside
Chimney Construction
Smoke Bomb
Wiring
Draft ?i Test Tag
Door Pressure Lighting Inst.
Date Tested Z O
Company Testing Ay C' c. , d C Q t_
Name of Tester n !M
,p
testo 530-1
V', --12-- _ _ -_V 1014156%U`A
SITE
06/22/2 0Q 12:05:39
Fuel: Natural gas
02rei.: 5;0:
C02max:
-------
----- .I.-,%
---=----
1".7
OF ----
T Stick
6.13 _ C02?
1e1.3 % Uk4geri '
5 Tara Ci' 3
8819 % EFF
heat trans4.°F:------ °F
________________________
________________________
'est0 }•3 Qp-1
V+.12 " ilG!-q3r/115A
------------------------
S:TE
06/22/21406 12:42:42
Fuel: Natural gas
02ref.: 3.0%
CO A: I 11.7%
------------------------
113.9 OF T stack,.
5.46 % C02
4.4 : Oxygen
6 ppa rr
c'9.1 % EFF
------------------------
Heat trans4. ----- .°F
------------------------
SSOCIATED 44 2
mechanical contractors, inc. ORSAT TEST RECORD J
1257 Marschall Rd - Shakopee, MN 55379
ADDRESS I 41 0 ki.,,o G a I? p 2 APT. FLOOR CITY
OCCUPANT IS`I U 1-4 u y o > Le. e., Dr OWNER
MAKE
Model
HEAT LOSS DATE HTG,INST. -
SOLD BY o a a {P G7 ?P /-. INSTALLED BY1 PQ Ila.??
Electrical Work By Gas Line By A it S O [..'a feoy M e- Lu
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE L,, r i!e?
Model M C 6 /00 - - . 0 ///a .5- 9 Serial ?r3 0 S 600
INPUT--J/O0r 000
rsrq rccN/-/c 0/-C CONTROLS
THERMOSTAT 40'10,'e! Heat Plug
Valve Cd/?:.:
Limit 6ood
Limit Setting 2 2 O
Fan Setting 7,'/-, Qe,( Or^ O
Pilot Type ></ S
Pilot Make
Pilot Model Y D L /? CH 332 &,00/
Pilot Timing _ZS e
L.W. Cut Off -
Pressure 3 t5 "W IL Percent CO, _6, /3
Input CFHjow- Percent O, /0
Stack Temp 7. Percent CO S PPIV1
Phpne: 952/445-5100
Fax: 95a/445-5119
SUBURB C 4
{-0PW?R516t?
MAKE 6F-91 RWAGE A Pf-
ModgI r {?$ 2
f n) -rco as ft's 11 a
Vent Size 3,,1- Pit/ c-
KIND OF LINER SIZE NONE
Belt Size 190 / Regulator Mdvrb/o .3?=-_
Filters SizeLx 20 "23Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag Cl
Door Pressure Lighting Inst.
Date Tested ^ Z 2 -? 6
Company Testing --y- -5 S O C a ?IO? 1>7e-e k
Name of Tester / d ?++
SSOCIATED
mechanical contractors, inc. ORSAT TEST RECORD
1257 Marschall Rd • Shakopee, MN 55379
ill:` y
ADDRESS ? b ft ?'o S R f o LP ft fe APT. FLOOR -CITY
OCCUPANT 15 470 Cgo . ?i D i OWNER
HEAT LOSS DATE TG INST
SOLD BY? 55 0 <0. ?Oe? /' 2 P ' k INSTALLED BY `R
Electrical Work By Gas Line By o c- "CE tied etr ?'t
TYPE OF HEAT GA FA K HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE Ca ?? " 0-s
model S S /Vt c /3 / 6 o __ o /! 6
Serial ".13 0 s-A o 0 5',S
INPUT / O 0 , 6 00
-G6Mb
MAKE bf'BURMER C Ld ?r i G..?
Model Ck e- '&'Y'? 70
SN/ge',Sh
? 46
MAKE OF ftrcrACE IFv.-rP OP
Model oc r'5-8, Y$ - C 2 /U --
TS I-A 7- C C N,4 Z. CONTROLS
THERMOSTAT Ccx e - el Heat Plug r
v..l„o e-. Ir:c?
Limit &OC d
Limit Setting 2- 2.0 /=
Fan Setting Ti e0i, O C/r-
PilotType FI SL
Pilot Make
Pilot Model Y6 c E A LN 33? G oo /
Pilot Timing 7 Ze 6'f 2'r
L.W Cut Off
Pressure .?5Y??^
Input CFH -
Stack Temp. 7 r Percent COz y
Percent 02
Percent CO (0
/Open
6/N b1905-At l/047(5
Vent Size .3. ,-5 P 0
KIND OF LINER SIZE - NONE _
Belt Size J9110 Regulator
Filters Size/)( ZO A 2J Number 0 K P
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Draft
Wiring
Test Tag
Door Pressure - Lighting Inst.
Date Tested (o - 2 -2- - 0 b
Company Testing S S O,- - ,ct 4 2 t_ H
Name of Tester -Ft, Ai q B
Phone:952/445-5100
Fax: 952Y445-5119
SUBURB ?Q? "
4SSOCIATED
mechanical contractors, inc.
1257 Marschall Road, P.O. Box 237 • Shakopee, MN 55379
Phone: 952/445.5100 Fax: 952/445-5119
November 2, 2006 Z?LCity of Eagan by_ _
3830 Pilot Knob Road
Eagan,MN 55122
Att: Scott Peterson
RE: Thomas.Lake Chiropractic-
a l 590 Thomas Center-Drive-
Plumbing Permit #EA075702
Scott:
Please see the attached MSDS information requested for the chemicals being used and
disposed to the sewer on this project for X ray developing.
The owner claims that 40 gallons of "Fixer" and 40 gallons of "Developer" will be used
annually.
If you have any estions, please contact me.
Don Leidner
Project Manager
Bus(952)445-5100
ASSOCIATED Fax. (952) 445-5119
mechanical contractors, inc.
1257 Marschall Road. P.O. Box 237 • Shakopee, MIN 5:
PLUMBING - HEATING -AIR CONDITIONING
"Excelling in Design Build"
Don Leidner Direct: 952-233-3107
Project Manager Cell Phone: 612-363-0467
dleldner@associatedmechanicel.corn Nextel ID #16280
Excelling in Design Build For Over 30 Year
- 24 HOUR EMERGENCY SERVICE -
NOV-02-2006 01:30 JOHNSON COMPANIES P.04i13
FROM :LAKE SUPERIOR XRAY 1-HA Hu.
II I S D V H.R. Sffntm and Com any, Inc. (600) •638-9460
3515 ite e° Iie?iIanryccolIaan? 2230
for cherllEbel,Eht,6rgency: (600) 424-9906
Section 1 Identification:
Chem 'cat Nama?0hemblend2 Developer Part A ChomItal Family: 'Aqueous Solution
MSOSNumber. S60-D45A .S95•0111A Gate 10.04
S60-046RWA S50.095A or 087 '
P4D1 SOO-080
SecUOn 2 Composition (Ingrondlerits.raquIrgell
?Nc Name 'A CAS Number I Awm (TLV) OSHA (PE L) Acid 2-10 100434ti.0 None None
Hydrotulumv 4.6 126.21-111 2mglm', 2mgAn'
Potassium Hyd(oxlde 6.12 131048-3 2mgfm, 2m9/m''
Sodium alsumte ` 2545 7601.57.4 Smglm' smehn'
Sootier, 3 Hazards Wentlilcativn:
Wamingt I:orltahq Mydraqulnone(tzaat•s), Po199aWm Nydioxlde (191()`58-3),
Sodium alsuifits'(7661474)
Harmful irswaitowed
Causes.eya 6 skin ImtaOon . .
Sectlon4 FrstAid Messuiss:
eyor Immvdiataty oush eyes with waterfor* teen ailnutes. Soek medleal help,
Skin: Remove comaminated clothing. Flush skin fa fifteen minutes. If symptoms .
Persist, seek medical help. '
Inge"011.' Conscfous subject immediately givelargq eriounts of..wetai Bpd induce
vomltlno., unconscious person; C611.6i m'edtcal heir, krrm•ediately. Do.nW
give aii t ing by mouth to an unconsciouaper4on, '
InhalatfontR•emove subject to fresh air. it symptoms p'ersfsl, seek medical: help.-.
Sections Fire Fighting Moisuros:
Flash Point none
r-?9uWhir19Madla: Use modra for SLVroundlna mcterizf '
Fire Flghtfng ftwAduaa: NO speofal procedures '
Unusual Fire and Explosion Hazards: none
Section 0 Accidental Release Measures.:
Small spills may be mopped up. Soak spill with saw dust, dan4. oil dry. orpny other absorbent material.
Dispose matorlel orreeoverad material In accordance vAth ell I4tl9ial. state aindlochl'regulalfons,
Seetion 7, Handling and w6mga:
No special storage repuirenranis. .
&"Ilan 6 Exposure Controls: .,
No epooiel ventilafion is neceesery, except In small eneiosad or.Poo where.a, lows exhaus(mn should be
used. Use latex or neconme gloves, safety gleaoirs wilh side-sfrlaidi or o6emica190991es. Weir a
chemical feSlstant apron. .
NOV-02-2006 01:30 JOHNSON COMPANIES
FROM :LAKE SUPERIOR XRAY FAX NO. :2185253335 Nov. 01 2006 04:37PM P8
MS DS . H.a Imon and ity, Inc. (800) 6313=9460
3515 Marmeitco CQG?
Baltimore, Mary30
tor chemical Em la ntl 212arBertcy: (800) 424-9166
,
Seetbn 9 Physleal Ctaarrlrsl Prapettin: . Chilm'•Blendi Developer Part A
OwTmgl'oft. >2129
Appearance: Clear Ii0uld
Specific Gravely: 1.28 0 15.5°C
Section 10 Stability and Roactivity:
Solubility 14Wafor:' C6mplete
'odor, Sllghtlndlellnqsuishable odor
PH Le4el: 11.2 @•259C
Ohm" ebblrily_ stable Incompatibility; strong slkalilre materials
Hasardmm Po"eruatlon: will not occur '
Section 11 Twdeare" Infonration:
Hahnluf if swallowed May cause initation tothage SbVmtEmtinjI and digactive "etc- May esuee irritation
10 eyes and shin. May COL" allergic reactions in Sonia people: lnhaladon may 'cause adverse
readloas In auscepdble individual,, eapaclally a3Mrlratics '
?Sectlon 12 Ecological lnfot*mftn:.
CProduct dlluted with large arflounts of Waller and followed by sooondary waste treatmentshnUld not c@use
?e?dreree envirpmnentel elfaC4, ., - - .
? 9ectron t3 Disptml GorlelAeiafians; ,
Dispose of recovered material in accordance with.foderal, stets and local regulations.
Section 14 Transportation Information: .
For transportation,lnfamlation regarding Ihla product, contact WR. Simon B company, Inc. (600) fi3&9460.
Goodwn 16 Regulatory lnformatbn: .' . .
Materials known to ebb of California to CAU50 cane"; 'None
..
Matergb known to data of eawn la to cause edvaras ,reptedudlvi eReCli; N?ne
(;;*m genimy Closairm tion(ejm7wmnis Artisan: M o. f% or moil):.. .
International Ago" f"ReaiearrYi of Caileef'(IARC):
Arilerlrm Cardetenee dGovemmeMal IMUNone .
' . .
its (ACG1lg: tone "
M*WGITC.-Mlogy Prevem IN*: None
OCCUOatbrial SaWy.end Haan Adminl,*atien j0tF1A): Nohe .. .
ROOM oraaWn t repor6ag raquireraanra of
Rearlalefa9Gan Act SsC1wrl 511 or ti¢ le Othelk*rfund,Amdndments and
(SAR/y 01108a andetlCFR Psn 812: arv TitleyulnQne: ,
cocoa" Is offIer Daft;
4PPA HAURD COIaES (M.EASTt SaWOST)
HEALTH-1 .
FLAMMA911 nY-0 .
REACrTVITY=O
SPECIFIC MAURO.()
P.05/13
NOV-02-2006 01:30 JOHNSON COMPANIES P.06i13
FROM :LAKE SUPERIOR XRRY rrix Mi. :el=e0a» ?• t---
1-,vDS7 51.'SSim-gnn tanndd Wany, Inc. (aoo) 998=9460 Mar ortwre, =-.-GO
on;
rche on; Jt:al Emergency: (800)•424.9500
oSeefien 1 Identificati
Chemical Name: Chemwnd2 Developer Part B Chelnjoal Family: Aqueous Solution
MSD$ Number. -380.0456 --'595-00213 ' Date: 01-03
980 0456 S50-0968 Sfi0-050
P402 S60-045RISO
Section 2 Composition' (Ingredients required)
Noma CAS Number ,. ..• NCG91(n.Y) . OSHA (PEL)
ouugle:0=1: 111-6a-6 Now Noce .
1.8 Fl=0010 111.008 d.t PP?I 0.1 ppm
sodium 9livirdo 7661-574 Smgliri' amolm' '
Section J Hazards Identification:
Warning! Contains Sodium Bisulfile (7881-571),.1,5 perltanedial (11130-8)
Mar,,. it swanowed
Causes severe eye a skin kritation
May cause allergic skin reaction.
Section 4 First Aid Measures:
Eyes: Immediately flush eyes with watef far fifteen minuks. Seek medical help.
Swn: Remove contaminated clothlnp.. Flush sfdn ;tor 'teen minutes. If
symptoms persist, seek medical help..
ingestion: Corucious'subject: Immediately give large.anictrits of vrater..' Do not.
induce vomitin'g'. Unconscious Person. C;Wfor:mddipaf fiefp.inlmeQ alely.
DO not gibe anyUng by mouth to an uncgmoloUs.persbn,
Inhalation: Remove subject to trash air.. if symptalftis persist: seekweidlcal hglp.
Section S Fire Fighting Nleaswes
Flash Point: none
Extinguishing Media: Use media for surrcundhig matehal
Fire Fighting Procedures: Weer full proteclive,gaal with iaeeraask
UnusualFlre and raWi6sion Hazards; none .' .
Section 6 A&i6ritat Release Measures:
Small spills may be mapped up. Soak spill with saw dusl,'sand: olt dry. at aby other
absorbent material: Dispose of recovered material Irl'aeeoidance Wth"10100 ral, state and local
regulations. ..
section 7 Handling and 6teragr.
No special storage raqulremenls.
Section a Etposure Controls:
No special ventilation Is necessary, eltcepl In-small enclosed areas where a,focai exhaust fan
should be rued. Use tales or neoprene gloves Safety glaesea with side-shields or chemical
9099108. 'Wear a bhemical resislarrt apron.
NOV-02-2006 01:30 JOHNSON COMPANIES P.07i13
FROM :LAKE SUPERIOR XRRY FAX NO, :21135253335 Nov. 01 2006 04:39PM P10
MS DS. H.R..5Sitnon and Comprtany, Inc, (600) 1334:9460
3gs??rmpen?nd2i230
for chemical Viand 21230 (800) 424-9300
S90601 19 lahyafcal Chemlal Prnpartlea: Chum-Blend? Developer Pan B
110M V PoIM: 1-212OF 9oflibl0ry'ki Water: Complete
APPearaneS: C1411Iryoliowlsh114uld YSdon slightaldanydeodor
Specific Gravity;1;12®Irx5C PHLleveC.1.7 25cc
Section 10 StablitV and Reao&k..
Chemical stability: stable incompa6hllt(y: oxidising agentd, strong dkotine Materials, strong voids.
Deeompooitlon Preducfs: Carbon dlaxide, carbon monoxlde; oxides of sulfur In combustible
en*onmant. Hazardous poyMertaation: will not 6=Ur
Sectten 11 Tdslcolopy Inforrmpon: .
Harmful it swallowed, May cause Irritation to the, gastrointestinal anq dtg'estr4 tracts. Ctlms
Inita00n f6 thA eyai. May =use C6nptnctlvitia or redness to;ey'es.' play cause irritation to 6kin.
Vapor may be irr(taf ng to re;pirawry tract. May Cause auerilid reactlons<inseme people.
Inhalation may cause adverse reactions in susceptible iridivlduala: espbdaly as(hmatids.
Section 12 ecologipt IMOImatfon: .
Product diluted witf -ferya amounts of water and followed by MCendary waste treatmentshovld not cause'
ldverse en*onmental.eNeets - -
Section 111 Diepwal C9nglderoN0n3:
DISPCSe of recovered material In aecordence.whh federal, state and,local regulalipne.
Section 14 Tninsporfaeon Information; .
For transportation InfbrFn8Mn regarIng Iris, product, contact A.R, Srmon 6 Company, tae..
(a00)
698=9460.
Section 15 Reodiatory Infonnathm:
Materials known to state of California to cause cancer, Norte' .
Materials known to state of Callfamleto cause adverse -rspiodot tive effects: None
Corclnogerrldty C13401 cation (components present at 0.1% brrnorey, .
International Agency' for ROSoorch.cr cancer(IARC):„None ..
American Conference of Governmental Industrial
Hygienists (ACGm): None.
National Towicology Program (NTP): None .
Occupational Safety and Health Administallon (OSH+A)a, None. .
ChemlW la 9ubtacl (01ape}(Ing requlramenta of Becton 313;oY TNe 411.6( the Superund Amendments
and Reauthorization Art (SARA) of 1986 and 4DCFR Pai1372; Nono
Section 16 Other Data:
NFPA HAZARD CabES (0AXAST: ¢14087) .. ..
HEALTHe7
FI.AMMAINLrtYao .
REACTIVRYto '
SPECIFIC HAZARD4 '
MaK' ire lrOW Ir1at ?' OCII nrWlrevh. W baawl?ir?hwMt,WlnMwq wnwtM V wawa
aavaara. rrnq,eor+iwowrsyis Pbadmobernr4aVmloagnxM le??ee S?g01>IQrflllaa
ev.wre'aodhwdrRw. 7uGaegMnn,mm+[eMArpawianw npgla,a .
rh a7P0 i Came a M,bnW a. ve•? W u ?,e k MFwad a Ce
eaaN ti rWllHe?el>aY lN[ hu RvGa wrearo a,
NOV-02-2006 01:30 JOHNSON COMPRNIES P.08i13
PROM :LAKE SUPERIOR XRRY FAX NO. :2185253335 Nov. 01 2006 04:3BPM P11
Note: This M805 Rptee enN to Iw malarW haraln, dnd ON$ not retete.In comanetionwitn eny.gnetlnalen9}pr process. This MODS it
In beathis ad on reaped. rr Since netlon prowded-by us and p belevsd td ha &=rata. epheuptl ne pue dnlae uMernnty II preWded or imppod by the company
e. Sudr mndlOena muiena Must ct Cmomplink y y wilph all all t in
povarn m the
nl repuktlaneaha tla". of the u"r, d.ll the mot's responsibility to delermh q the Condlheris Of safe
me.
NOV-02-2006 01:30 JOHNSON COMPANIES
t-KUM :LHKV bUMK1UK AKHT rHK rw. .etw?»»>
MS DS
H.R imon and ompany, Inc. (800)'636-9460.
o , macro ia 21
Rirn 230 :' '
for cherrtirat ErnQWncy: (800) 4244300
P.09/13
]R V. GG AK 11 • GGn?
section 1 Idet"caBon: '
Che
MSDO NuNumbNaina: Chamblend F1ter Part 7 Clurmic it Family! Aquaaus Solution
er: SOO-042- - - S60448' pate: 01-03
$60-040RW 560-081 $t1oA51
8G0.050 $88-002 A72.0287
SSZ-002 S9i002 560.165
SPRAX P-4FA .
Section2 Composition Qnpredisnig, raqulr4tg ,
Narrir 7f, CASS• .ACCiWL%9 -08HA(pal .
Ammonium Thine Palo 40-60 7735•16-11 notestablishad not established
Aeolic Aeld d 64.19:7 , ndteatablished -not established
Sodfum Sainte c$ 7767-111}7 :notettebllshed not Oe4lbflanee
Section 3 Ite=erda Identllication: .
D21190N Contahtb; Sodium Blstdilte (7x131-80-5) .
May irritate eyes.and akin.
lnhahtion may irritate respiratorytract
Section 4' Flmt Aid Wastim;
Eyes: lmmediatdly flush Cyea with water for fifteen minutes. Seek, medical halp.
Skin! Remove contaminated clothing f lush skln f i4sen minules:.If:aympt9ms persist,
seek medical help, . T .- .
ing" lon: COnsdous subject immediately give largd amounts ofWeter. induce •vomiling.
Uriebmrl0tra person: rail foi rradiral help Iiiiniodiately. 06 netGive anything
by mouth to an unLronseloy3.peLSOn
Inhaiagon: Ramovo oubieol 10 fresh qir. Mgymptoinsperslst, seek medical help,
6*0100 S Fire Fighting bleasurea! .. .
F.tashleohrt none
P?ttingubMng Media: l)se media for surrounding metenaf
Fire ?9hrie9 Procedures= FUII Nmaul CtaBNoneting and SGeA(Sett•Gonleihed Breath A
Unusual Fih anpparMUS)
d Btploafen ttaaida
Season 6 AacWwntal.Release IlAaaalltm. .
Small spills may be mopped up. Soak spill with saw dust; slick-oil drj ; er,..enyother absorbent materiar.
Dispoeo of teccwred mated .at In accordancewith en 'kder3i,.cfaleend lbcarregohitions.
Apgtlah T tf "CRItig and Storage: ..
No speclaustorago Of handling needed,
8wtiond Eilpoaurecontrols: . .
NOISH approved respiratory for mists. NO 9p0681 veh$1860h isgtedessahy, exoept In smQll enclosed
areas when a local exhaust fan should, Ca used; Vae latex ti rneirprene'glevab, safety presses with dde-
shields or dramical goaalaa. AFQora ehgmicel resistant apron.
NOV-02-2006 01:31 JOHNSON COMPANIES
rr1 'l .LI J CmlU ARMI rH^ NW. •Litl7G».]J?
MS D$ M.R. Mman and•CAmip
8615MarrftencDCor any, M6 (804) 938 9460
forr tlle m)caIMBF.n(Mand 21230
ergency: (800)424.93'00'
P. 10/13
NOV. bl LGrA rR1. JDrI'i re
Suction $ Physicef Chemkaf Prbpergn:. .
Cham.gyad Rrer Pen 1
6o91ng nPoint N21291'
ice; pal@ yellow Bulublpty In Water. Collimate
SpelfiAPOOannc Gnavlty; r:e: ; Y Odor. Ammonia Odor
1.31 ®16.5oC PH Level: 4.9 a 2500 '.
Section 10 Slab ally and Rejelift;
Chemlgl atilbilfly, stable. brcempet)blfny: Strong alkafine,matOrlaio.
DaeomPOsition PMdue%; none R urdo" PolymoMzetilon will not occar. . .
Section ll To:ioology fofis matiol;
May rage eyes, skin and respiratory pact. May muse rash to'skin. May esvea oUergk raaCNona In'somo
Ooopk. inhalation may Huse etlveree reecltars In gosespllble Individ s; eaDCCially esthmatlu.
Section 12?ECelOgical Infuffrmn
all quentltles diluted with water followed by a secondery;weete treadnant system ah'ould -not cause
averse emdrorunsn(al efreCLi. l
Section 13 Disposal Canalderatlene:
0100"e Of remver6d mater1014 through a licensed contractor or a waste'Ireapnenl 6YStcm. GomPIY with
80 federal. state and leed regulations.
Section 14 Trww rayytion hnfonnatim.
For hansparlatlon infoitnNion for thb Rroducr, p1e386 call N. R: Slmom and Cm. Ina 1-600-636-9460.
Suction 15 Regufatery Ififenealloh:
Materials known to state of California le tauxsancer: None `
Materials known to atalo of Ca1HoFnia to cause adveise roprOduetlve eltetts: Noire'
CarCiPOgeniuty Classifeatlon (mmponent piesent at 6.1°%or'mcre):
IntumaNmrel Agency for Research of Ganef pA'R%. None. '
American Cbnlerenoe of Governmental Industrial
Hyglerdsts (ACGOC: Naha
National Tsnioolcgy Program(NTP): Nona •.. .
OormPefional Safety and Health Adminkr1ration(OS fiA): ;None. '
Chemicals subject to On rebmtit requirements of Section 313?oi Title III of he Superfun0
Amondmenta ReeuUor"Non Act (SARA)'o f 1996 and 40 CFR Sian arr. Nona
Section 16 Other Data.
.
NFPA (WARD CODES (D=LUST; ""Off n
F AMMABIUTY.O
RFACTM1Ya0 .
SPECIFIC NAZARD•0
NOV-02-2006 01:31 JOHNSON COMPANIES P.11/13
FROM ;LAKE SUPERIOR XRAY rHA NU. .ciwc.+JJo •, ---- -
• 1 V DS H
R
.
. Simon and Company, Inc. (Boo) 63.6-9460'
3515 Marrnence, Court
Baltimore, Maryland 21230
for chemical Emergency: (15001,4244300
Section 1 Identification:
Chemical Name: Chamblend Fixer Part 2)
M508 Number; T&IN12. 660
M
-
? Chemical Family: Aqueous SotL6ons
-
,
-
S60.049RW S60-081 Diatat. 01 -03
560=057
960-090 • 560.091 ,
372.028
S72-030 S89-002 592-062
595.002 SPRAX P4FB
Section 2 Compoahton (Ingredlents required); " .
Aluminum SWISte . 40-50 010043-01-3 A Zmid/m' Not EN?bllshed
Section 3 Hazards Identification: .
Warning[ Contains: Aluminum Sulfate
May IMrate ayes or skin
Inhalation ritzy irritate respiratory tract
Section a First AM Memieures
Eyes: Immedlataty flush eyes with water for,fiROen nunules. Seek medical help,
Skin: Remove Contaminated clothing.' Flush skin for fifteen minutes. lf.symptoms
persist. seek coed coal help.'
Ingestion: Conscious subject immediately give large amCunts:ofwafer. ; Do not induce
vomiting. Unconscious person: tall for medicai,help hrimedraiQly b6 not'give
Inhafatlon: Remove subject to R an air If si person,
symptoms perslsl,'seek medical help.
Section 5 Fire Fighting Measures:
Flash Point: None
Extinqulahing Media: Use media for surrounding material
Fire Fighting Procedures: No special prdoedunes
Unusual Fire and Explosion Hazards: Norie
Section 6 Accidental Release Measures:
Small spills may be mopped up. Soak split with saw dust; sahd, oil dryw.or any othenabsorbent material.
Dispose of recovered material in accordance with all rederal, Stitte; and, local regulations.
Section 7 Handling and Storage;
No Special storage requirements.
Section 8 Exposure controls-
NOISH approved respirator for mists. No special Ventllation,19 neceSSaly, eiiapt in small enclosed areas
where a local exhaust fan should be used.. Use latex neoprene groves. safety ylaesas with side-.hiolds or
dremicnl goggles. Vyear a chemical rasiciant apron. ..
Section 9 Phyaicai Chemical Properties: _
Boilind Point: > 212 degrees F SolupiliH in Water. Complete
l?+PD?ratrce; Colorteas Odor, A
specific Grevilyc 1.27 15°0 PH lever. 2.3'(t'25",P
NOV-02-2006 01:31 JOHNSON COMPANIES P.12i13
, ,..,n, ..1 ?.' ?.1..,.' . 'n. rr 1, . .uwcww? '?. ua cwo cn..+arri rv
M S D S H.R. Simon and Company. Inc, (600) 636-9460
11's"imo a Maryland 21290
No, Chem16.81 Emergeney: (800) 424.9300
&0011011 10 Stability and Reacwty bem-Blend Fixer Part 2
Chemical Stabll Stable
Incomrpatihility;jtdd?(ng Materials, Strong Alkaline. materials i and most metals.
Deoomposltion products: Carbon bhWde Carbon Mnnoxlda, and Ottfdes of &uHur.
section 11 Toxicology Information-.
May irritate eyes, skin and respiratory tract,. May cause skin rash.. May cause alleric reactions in
some people. Inhalation may r atrse adverse reactions in•a g
usceptible individuals, especially asthmatics.
Section 12 Ecological Information? \ .
Smell n emental nttl effect ff Octs wit; water lollawed by seconda
environmental waste t(estment system should not cause adverse ?
C- ?
Sectib '13 Disposal Censidanations-
Dispose of recovered materials through a licensed contractor'er'a waste.waler'treatment system: Comply with
30 federal, atato and local reputations.
Section 14Transporwion Information:
For transportation regordxrg this product, contact H.R. Simon & Company, Inc. (600) 638-U60•
Section 15 Regulatory Information:. f
Materials known'to state or Caldomia to cause cancer, None
Materials known to state of Calliamia to cause adverse reproductW efjecls;, None
Carcinogenicity Classification (components present at'0.1% cr'mbre):
International Agency for Research of Cancer (Ia pq: Norte, . .
American Corderenee of Govemmental Industrial' Hygienists (ACGIH):'..None
National Toxiodogy Prograrn (N-rp): None '
DC0Upational'S%fetj'and'Health Administration(OSHA9: None
Chemicals subject to the reporting requirements of Section 3f3 cr.rme.lll of
Una 4uperfund Amendments Reauthorization Act (SARA) of t9as a,ndAd CFR
Part 372: None
Section 16 Other Data;
NFPA NAZARD,ICODES (pSLEAST; AftmoBT) '
HEALTHc2
FIAmmAO3IUTY-0 .
S EC FIIC HAZARD-0
Nell: Tr,x alEbe Matey mar to pn nwMa negb, and drier rot roles k, aombNetlon WprAny qne? malkbtor. ufawae. 1MaM505 h baamrpn nbmlilyn nRtided by
ee a.,p a bem.a ro bea?.al,
eaMeldd.ewv, a to thv OWSnaperoihdny' is d/tm*j*? y "ppMYiOed Or Ynpfyd E%Ne. m,rWe?M;In NIsiuPeel SkCa AI,?YGS ar!{d1 Y,'?'Cf is In lie AGo:Aa
ennErtene of 1&4 we• b.cli lanealche rlipa0emgy with er,tlovel.,mrl,t r?p„brion,y
NOV-02-2006 01:31
hRUM :LWi! hLM1'FJ(lUK XKHT
JOHNSON COMPANIES P.13i13
FHA NU. :L2tl7C7.73» NOV. Ul 9=0 V4-_Drl'i rO
MpK 11Vp 115¢SNmesmM4lrmw.t+lm?, mgid M WYI.ep?mp,F NM W,m1m[mMlmbpp0h; tkNJCDSn MmOOnlbnaGen pq?},m P/VI mMk ?e1mn0Alu
mmnn.p?ttpnq? O'mnokm y m,tprytM?A hiuw RHlDfoL.lnftodc'"eemmmMime,Xn uw uW+mgvr?m
TOTAL P.13
C/tee
111101 City or Eagan a9/7
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JAN 1 71011
r
Use BLUE or BLACK Ink
For Office Use
00
Date Received: /1.2
Permit #:
Permit Fee:
Staff:
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
1/11(zv�S°I6 ( C° 4 C��
Z—Site Address:
Tenant:
T
Name:
Name:
Address: `S !"
Phone: ytJ -_ c"/ Z (�
New Replacement
Phone:
Suite #:
16 State: '' Zip:
,.
Description of work: rV k I <, - e- to
COMMERCIAL New Construction
Irrigation System (_ yes / no) (_ RPZ / PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Modify Space
Avg. GPM High demand devices? Yes
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge)
OR
Required on ALL new buildings and boulevard irrigation systems -
- If the Permit Fee is less than $10,010, the surcharge is $5.00
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge)
Flushometers _Yes
Contract Value $ % 42 x 1%
= $ Permit Fee
$ Radio Meter Read
$ Meter(s)
$ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ 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.qopherstateonecall.orq
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 approv
x
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120103
Date Issued:01/16/2014
Permit Category:ePermit
Site Address: 1590 Thomas Center Dr 101
Lot:3 Block: 1 Addition: Safari At Eagan 3rd
PID:10-65827-01-030
Use:
Description:
Sub Type:Commercial
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Bar sink
Mike Schiltz
P.o. Box 22172
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Olson Commercial Properties Llc
1779 Beecher Dr
Eagan MN 55122
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
4,b) City of Etgli
Permit Type: Building
Permit Number: EA120393
Date Issued: 02/06/2014
Site Address: 1590 Thomas Center Dr 106
Lot: 3 Block: 1 Addition: Safari At Eagan 3rd
PID: 10-65827-01-030
Use: Golden Essence Healing Arts
Description:
Sub Type: Commercial/Industrial Construction Type:
Work Type: Massage Therapy License
Description:
Census Code: Occupancy:
Zoning:
Square Feet: 0
Comments: Deanne Kroll 651-238-7710
Fee Summary:
Total:
Contractor:
Owner: - Applicant -
OLSON COMMERCIAL PROPERTIES LLC
1779 BEECHER DR
Eagan MN 55122
1 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.
Applicant/Permitee: Signature
Issued By: Signature
Use BLUE or BLACK Ink
--------- .
j For Office Use
• I ��� 1
Clty of�a�aIl ; Pe�tt#: ,
, ,
i Permit Fee: �� I
3830 Pilot Knob Road i �
Eagan MN 55122 � Date Received: �
I
Phone:(651)675�675 �
Fax:(651)675-5694 � Staff: �
' �-----------------�
vK��c,� �
2014 e BUILDING PERMIT APPLICATIt?N
Date: S1te Address: � J l � �"`��'"14 3 �-'�r' �f Unit#;
� - � ` "� 2 ' y�
` � ` ' Name: Phone:
r
�� Address l City/Zip: � �� �
$� , � : Applicant is: Owner Contractor
���� :
Description of wo�ic: �. (C:�--
Y ; Construction Cost: ' 'e� - Multi-Family Building:(Yes /No � )
x ��..
, � � : Company: , h'' . Contact•. � � �C�.r+
' ` ?� �S� '��r��� _� , c��,: ��--��-t-,,�__
������� Address:
' ,72c-2�f
� � �
State:�Zip:�S hone:�pc� �� EmaiL-
� /�r pp,�,^� . � r
$ License#.
'�_�7�1.°��G�'o' Lead Certificate#: �' �����-[ "�
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COIIAPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
�Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
�1����SS�k�i��� � 1��� ' ``�I�� �'� , � �� � *��k.
���'t��t�+ �7��� ,; ��`�'y��F�-� � � �� �# � ��
ri � _��M���1qE, � f�g � �. �
:�,�. �^a .'"4 � � ,�: Y i ,y
��. . . . ....: y„�
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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.qopherstateoneca0.orq
I hereby acknowledge that this ir�formation 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 onty an application for a permit, and wark 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
� �
X G�' . _
ApplicanYs Printed Name Applicant ' n ure
Page 1 of 3
411.
City of Eaail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Fofice Use (�
Permr Ofit #: ! e.5 1;614
Permit Fee:
Date Received: /0 —//1
Staff:
2016 COMMERCIAL BUILDING PERMIT APPLICATION
Date: t�' /� • �j Site Address: l7 to 7-#4C4445 A'rE,j'L.. / I/!1
Tenant Name: 7t? Lam/3?'►GS
chitect/Engineer
J
(Tenant is: New / /./Existing) Suite #:
Former Tenant:
Name: 01-50A1 'C•L ,rkt. ?r{dp 1 Phone:
Address / City / Zip: 1�3S1l f l,- %$'r- �" � 3 G1e'e4 7i"A)
Applicant is: Owner L/ contractor
Description of work:
Construction Cost: ?411P(19
Name: VG774.4.1
License #:
Address: 6V j V 41161 City:. tIi 37
State: itfk Zip: 5j51 6 Phone: 6' 57^
Contact: A S? Email: te. las'e'r iTR t)c. 7A ),
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person:
Licensed plumber installing new sewer/water service:
NOTE Plans
the information may be class:
Email:
c
de that theys
are co
Qvide
tri
Phone #:
is infor (ion. Port
t would
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.qopherstateonecall.orq
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.
Applicant's�
Applicant's Signature
Page 1 of 3
SUB TYPES
i
Foundation
V Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
166411 .
DO NOT WRITE BELOW THIS LINE
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
v Interior Improvement
Exterior Improvement
Repair
Replace _ Water Damage
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
•/'
Y8
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Drain Tile
Roof: _Decking _Insulation _Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test Final
Insulation
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheetrock
Windows
Exterior Alteration—Apartments
_ Exterior Alteration—Commercial
Exterior Alteration—Public Facility
Siding
Reroof
Windows
Fire Repair
Demolish Building*
Demolish Interior
Demolish Foundation
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
Final CIO Inspection: Schedule Fire Marshal to be present:
Reviewed By: etilite , Building Inspector
MCES System to/
SAC Units e /NI ekikcce.IN VSE OR
City Water ✓
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
i/ Final / No C.O. Required
Other:
ljo
Ott. lA .
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath Brick _ EFIS
Retaining Wall
Erosion Control
Concrete Entrance Apron
Meter Size:
Electronic Plans Required
f
Yes No
Reviewed By:
, Planning
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
73.75"
• A-0
47.44
Water Quality
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL: l2-7 . G 9
Page 2 of 3
r.
,ll�
For Office Use til il 3,
Permit#: /SCS f f d
i i , CEVED ' /`7:::t1
' 7,(7i,,,,, E AG A N
DEC30209
�� \IJ i I i E I r l I f/9/7, - I Payment Recvd: _Yes o '
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Plans:_Electronic ,Paper
Plan Submittal: eolans(a�cityofeaoan.com i__ J
2019 COMMERCIAL BUILDING PERMIT APPLICATION
Date: /2/3O)2a/ Site Address: /S--yL) Thonl o egstles- fie-- i &'4 as, AA/
Tenant Name: COr/lev it.on,t.. Lill^o prc..c�-car- (Tenant is: New/ Existing) Suite#: //0
Former Tenant: 4/e.,-
Name: QISoh Contittcrried Py r; /1e1eil Cllsop Phone: ‘,5"7-2,G`1- 7 -/
° Address/City/Zip: I�e 5 Mom-4s C.eyd.o.- OR. /4iO/ J k c a,—) in"(
Applicant is: Owner Contractor
iv
Ori Description of work: bine r .4o p ,Si Lidr tti lk "ec v' -tEjy)t:,,,670 A.
Construction Cost: -42p,o;,C
F` Name: An,Lrum eetbi(.eeG,w,i A0,24 P6.43- License#: cc)e/12-5 Ste)
Address: Z`fice/ ('1 ce ' 4/10 City: QoSe-utl ..._.
State: /h/V Zip: S //3 Phone: 6s'/-'/e2 -9��/� .
t�It�h. C clew
,> r Contact: ei --J, �•4-i`o Email: coil-ruin c� d '
«t JI
Name: /v /A Registration#:
Address: City:
, State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
Ile Mat i as .:• to bit pails /Iwilfons
i ; ari rr lie til 44a a 3 wws that wouwould ;' Ills f N�►11s Ibet/Meir are semis t„ '
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.orq
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 ��� /�n krvmx ,c- ��C
Applicant's Printed Name Applicant's Sigrure
DO NOT WRITE BELOW THIS LINE /-5-47_ 5-6 .
SUB TYPES /6C6)711 Fi'%'d/5LS 4 / ti / //,G) •
Foundation _ Public Facility _ Exterior Alteration-Apartments
/Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New V Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair _ Windows _ Demolish Foundation
Replace _ Water Damage _ Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 70,Bod.A..• Occupancy B MCES System t/
Plan Review ./ Code Edition 20!S MP.. SAC Units 0 JLt-7TE�IL
(25% 100%_) Zoning rb City Water V
Census Code Stories I Booster Pump
#of Units _ 0 Square Feet 270 3 PRV
#of Buildings I Length Fire Sprinklers d6
Type of Construction V.B Width
REQUIRED INSPECTIONS
Footings_New Building_Deck Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
✓Framing 30 Minutes ✓1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof:_Decking _Insulation _Ice&Water _Final Meter Size:
Siding: Stucco Lath _Stone Lath _Brick_EFIS —7 Electronic Set of Final Revised Plans
Windows
Fireplace: Rough In _Air Test _Final ✓ Final I C.O. Required
Pool: Footings Air/Gas Tests Final Final/No C.O. Required
Final CIO Inspection: Schedule PgMarshal to be present: Yes ✓ No ,
Reviewed By: W**,..- ^
, Planning New Business to Eagan: 4
Reviewed By: r6, , Building Inspector
FEES Water Quality
Base Fee ' i{.2. Storm Sewer Trunk
Surcharge (0 . tt0 Sewer Trunk
Plan Review 21-6.S''I Water Trunk
MCES SAC Street Lateral
City SAC Street
S&W Permit& Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: $ 36 9.710
Page 2 of 3
MCES USE:Letter Reference: 200122A5 Address ID:357689 Payment ID:429821
Date of Determination:01/22/20 Determination Expiration:01/22/22
Greetings!
Please see the determination below.
Project Name: Cornerstone Family Chiropractic
Project Address: 1590 Thomas Center Drive
Suite#/Campus: 110
City Name: Eagan
Applicant: Mod Feders, Buetow 2 Architects, Inc
Special Notes: na
Charge Calculation:
Office: 2,553 sq.ft. @ 2650 sq.ft./SAC=0.96
Total Charge: 0.96
Credit Calculation:
Thomas Lake Executive Center(SAC 10/03)
Office: 2553 sq.ft. @ 2400 sq.ft./SAC= 1.06
Total Credit: 1.06
Net SAC: -0.10 = 0 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size,a redetermination will need to be
made. If you have any questions email me at:toni.janzig@metc.state.mn.us
Thank you,
Toni Janzig
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
390 Robert Street North I St. Paul. MN 55101 1805 211
Phone 651 602 1000 I Fax 651.602.1550 I TTY 651.291.0904 metrocouncil.org METROPOLITAN
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