2871 West Service RdCITY OF EAGAN
Addition ,FAIP??
Lot 20 Rik 5 Parcel 10 22500 28&05
sta Eagan, NN 5512
A - . - tC D -
Improvement f Date Amount Annual Years Payment Receipt Date
STREET SURF. 79-00 10 Paid
STREET RESTOR.
GRADING 16.6o 10 Paid
SAN SEW TRUNK ] 175100 5.83 30
* SEWER LATERAL 166-53 15 Paid
WATERMAIN '
* WATER LATERAL 1970 15
* WATER AREA 1 O 15
* STORM SEW TRK 1970 15
.RE STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 1 .00
PARK
CITY OF EAGAN Remarks
Addition EAGANMLE CEWER #1 Lot 21 plk
Owne Street
Q
pie fZ
Improvement
Date
mount
nnual
W
Years
r r i r t/
Payment
v
Receipt
Date
STREET SURF. 20 10 Paid
STREET RESTO .
GRADING 31.4o 10 Paid
SAN SEW TRUNK 22 10*73 30
a
SEWER LATERAL 1} 318-M 15 Paid
t
WATERMAIN
WATER LATERAL 1
WATER AREA 1970
15
* STORM SEW TRK 1970 1
lk STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN FAGAM
Additio??njj l,
Owner SG Je
Lot 22 Rlk
. NAT
rv i t !/ of r ?-• h T C In ? • it /,,o . 177{ v%
improvement
Date v •
Amount
Annual
Years • •
Payment • r
Receipt
Date
STREET SURF. 159,70 10 paid
STREET RESTOR.
GRADING lO Paid
SAN SEW TRUNK 1969- 1 861.80 93.09 20
SEWER LATERAL
j
.;;V
I - _
WATERMAIN
* WATER LATERAL 1
WATER AREA 1970 1
STORM SEW TRK 1 j
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF.EAGAN
Abdition EAGAND
Owner U5. PIL
Remarks Amsymt Of 6.999.90 not -peated-fer A?wve new of 131451?.16
#1 , Lot Elk 9 Parcel 10 22500 230 05
55122
7C1TLL r et St?te T'+aaaA M
V15 J?,TS to V- e, e, a 141 . r,. In Lt ? J
Improvement Date Amount Ann al Years Payment Receipt Data
STREET SURF. 1972 1,597.00 159-70 10 Paid
STREET RESTOR. -AM 1969 3,416.00
-
- 341.60 10 Paid
GRADING 19n- 36
3 .00 33.0 10 Paid
SAN SEW TRUNK o 1968 283-50 9.45 30
• SEWER LATERAL 1 S)
WATERMAIN
* WATER LATERAL 1968
WATER AREA -
1970
58.50
15
.
* STORM SEW TRK 68 19
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
Addition rA%XM GA.U ... ?ra?1 1 Lot-
Owner
:.Street
A.. i 1.... a ..., _ r_ j
l
Improvement
Date
Amount Lf
Annual
Years
Payment
Receipt
Date
STREET SURF.
STREET RESTOR.
GRADING
38 1968 1-;71-
g
71.1c;
SAN SEW TRUNK 1568 5-00 M.16 30
* SEWER LATERAL 1968 20
WATERMAIN
* WATER LATERAL 1968 20
* WATER AREA 19 20
* STORM SEW TRK 39 1968 13.423.16 67:L.15 20 - -A,',7
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: , -.
Eagan, Minnesota 55122-1897 Date Issued: f t
(612) 681-4675; r 10 , ,
SITE ADDRESS: "' a ' ' "' ` APPLICANT:
i it y l '.€ kV I I I kcf
H s r4 l ? it TNDW 'I! ft tAt PAPk"
PERMIT SUBTYPE: TYPE OF WORK: r I TRA r I ON
of ; I r r• 1 r fir; I.. HOOF
Permit No. Permit Holder Date Telephone i?
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
3SMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
This request void yj it). DO ?I 4 saq
18 months from
A 364314 «o, B s, ?0.gAndale Orlto?kg -s-YV
Request Date Fire No. Rpu9h-in Inspection
Re
quired7
e?dy Now Q W111 Nolily le-c-
?
Yes for When Ready
?icensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address. Box or Route No. City 1
J
y .L. CJ
Section No. Township
Name or No.
_
2"s/C?//1 R
ange No.
County
4
Occu a IPRINTI Phone N
o
.
• ?
?
c..
? • cJ ? p
Q OO er
P er Sappller Atldress
lecnic
al Contractor I omgany Name) Contractor's License No.
/
T 'P,
ailing Address (Confricmr or Owner Making tailation)
/ r S
./l7 V
Authorize .$Igna a (Coot r Owner Maki g Installatio Phone Number
c>- G/ 6
5"o
.
0
MINNESOTA STATE BOARD`BF?EEYCTRICITY THIS IISPECTION BEQUEST WILL NOT
Gages-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ak....e 19121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION .r E/B w
/
A00 instructions for completing this form on beck of yellow copy. Y q s a
-i 6. k N -3 1 ? "X" Below Work Covered by This Request 7-S- g y
Maw Add Rep. Type of Bmidmg Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex water Heater Lighting Fixtures
Apt. Building
Dryer M
Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm Ocher Dec. v Cher ISOer;ifyl
t er ppufY Other Other
Compute Inspection!-ee below
g Fee Service Entrance Size ft Fee F eedersrSubfeaders g Fee Circuits
U to 200 Amps 0 to 30 Amps 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 ATp§
Swimming Pool Above 100_Am s Above 100_Am
Transformers Irrigation Booms Partial:Other Fee
Signs Special Inspection
$
^
O
TOT EE
Remtrks ) /J_L?? / / a
NYC/w
certify that the above
3.y. inspection has been
made.
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...--... 0? - ..-o./_----....
Address (present) -?F?.'?.L-......L--------
?...-.. C r -
Builder .. ..... ....... ........ fo
Address :............----.j......?.....................
DESCRIPTION
N° 2028
Eagan Township
Town Hell
Date ----.?f?ar:rr4.-'`'/ / G
Stories To Be Used For _Front Depth Height Est. Cost Permit Fee Remarks
i ' LOCATION
Street, Road or other Uescrlptlon or Location Lot I 15100x I Addition or Tract
i
/x S
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify. 1haf... A- ............_ ................has permission to erect a.r t&g ...!....... ............... ....-........ upon
the above described premise sub jec the prov isions of the Building Ordinance
faganTownship adopted April 11.
1955.
...................... "/ .. . .:.. :?...................--.... Per .................`C :..
...
Chair......... .. an ... of . nwn B card BuildinIns "..nsr,e......eto..r .........................
T ?
[. is.
'ealandiale #6/
.4 o 7''s AI --%3 • SK5
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: August 8, 1969
OWNER: U. S. Plywood
PLUMBER George O'Leary
NUMBER 449
Address Eagandale No. 1
TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercials Residential Multiple Dwelling No. of units
XX
Location of Connections:
Connection Charge
Permit Fee 7_5O pd. 8/8/69
Street Repairs
Total
Inspected by:
Date
Remarks:
sy
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota i
By t
__ i?T (J (/
George J. O'Learv
3354 Glen Oaks Avenue, White Bear Lake, Minn.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
ArAa/e "r/
EAGAN T014NSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
, ne 454-5242
Tale
PERMIT FORAS TTEWER SERVICE CONNECTION
DATE:Augast 89 1969
OWNER: U. S. Plywood
PLUMBER George J. O,Leary
NUMBER rooms 450
Address Eagandale No. 1
TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections:
Connection Charge
Permit Fee
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By C/
YeorgeQJ.
3354 Glen Oaks Avenue, White Hear Lake, Minn.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
J'0t Rk5
i r-ayanda/e
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: August 8. 1969 Number: 319
Billing Name: U. S. Plywood Co. Site Address: Eagandale No. 1
Owner: U. S. Plywood Co.
Plumber: George J. O'Leary
r? Location of Connection
AA A a r = Zo•G? 339/1
SD ri r\ 1I- \ e, r -3 IS
SAG -..e .5:' 4S7
Building is a:
Residence
Multiple No.
Commercial
Industrial X%
Other
Meter
Billing Address.
Meter No. Permit Fee 7.50 pd. 8/8/69
Meter Reading Meter Dep.
Meter Sealed: Yes_ jAdd'l Chg.
NO Total Chg.
Inspected by
Date
Remarks:
Hy:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By: 64Q rr-Ij Q e
George J. O,Le`
335 Glen Oaks Avenue
White Bear Lake, Minn.
Please notify the above office when ready for inspection and connection.
R'
CITY OF EAGAN PERMIT BUILDING
3830 Pilot Knob Road PERMIT TYPE: 032069
Eagan, Minnesota 55122-1897 Permit Number: 05/21/98
(612) 681-4675 Date Issued:
SITE ADDRESS:
P.I.N.: 10-22500-230-05
DESCRIPTION: R E R O O F
Building Permit Type
Building'WOrk Type
,Census Code
t_
}
t,
2871 WEST SERVICE RD
LOT: p,3 BLOCK: 5
EAGAN ENTER INDUSTRIAL PARK
MISCELLANEOUS
ALTERATION
437 ALT. NONRES.
REMARKS:
FEE SUMMARY: VALUATION $93,000
Base Fee $843.50
Surcharge $46.50
Total Fee $890.00
g9C"TWL PROOFING - nppil
3121 29TH ST NE
CEDAR RAPIDS IA 52406
(319) 363-2073
G O 11 L - Q????1FC,,pR
23632073 UCHUlA PACIFIC CORP.
2871 WEST SERVICE RD
EAGAN MN
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
ISSUED BY. SIGNATURE
J
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
681-4675
Submit following to obtain necessary permit
Foundation Only New Construction Interior Improvement
structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets)
civil plans (2 sets) structural plans (2 sets) code analysis (1) ^
code analysis (1) ^ civil plans (2 sets) Project specs (7 set)
port (1) landscaping plans (2 sets) Key Plan
project specs (1) code analysis (1)^ energy calculations (1) not always -
Special Inspections & Testing Schedule ^ soils report (1) Electric Power & Lighting Form (1) not always ^
SAC determination letter from MCNVS - SAC determination letter from MCNVS - SAC determination letter from MCNVS -
call 602-1000 call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1) ^
project specs (1)
energy calculations (1) ^
Electric Power & Lighting Form 1 ^
Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: ?- ?D- 9 9 WORK TYPE: _ NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: 330000 TENANT NAME: `9PJOY9/et- cl"F/L /,OrR
SITE ADDRESS: 987/ W. S e Y U I C e- i. A SUITE
ULOT ? 3 BLOCK SUBD. LC* (? ?Cll?i? IVIALl,?lY141? P.I.D. #
tit
Name: Phone #:
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
r
Company: .V • C ' 10 r-1 N1 Q Phone #: 3
CONTRACTOR ?
i?
Street Address: a. J 71?1 s r Al
i
, L
cense #
City CPSe,&. `e 44O A 7 t"
State: 7''!j /.<, Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (only if installing sewer & water):
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.
Signature of
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 19 CommAnd. Misc.
? 20 Public Facility
k( 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Engineering
FK 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Code
SAC Code
Census Bldg.
Census Unit
Variance
,30
I
d
r .
Permit Fee
Surcharge
Plan Review
MC/WS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
Meter Size
z ?
?
8 _-
J J.33
9J 8 _G
1
Z 007 - -- O C4- S - 0
r %Gro OD' ? at 1 -
3 00
?
0 .- .1/{-
3f 0
00 ?a,Y Sy 1
0 + o _
- ! - a 3 - l oof?_ _ se 00? r E v%b wi
s ,
-a ! - - -, C r - N7IG 0 _ . ._/ /r' q7 7NS ys 3 ylt6 0s?
10
-
11
12 - - -
i µI
- - - - - -- -- - -- ---- - - - -? - --r + - ? I - + - 1 --{?-
I - - , I
13
1 t
4
14 4
15
,- - ..
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RE,:....,`- ie E
D
FEB L x2012
Use BLUE or BLACK Ink
For Office Use
Permit #: / 3_7/t
Permit Fee: 64i 5' 00
Date Received:.
Staff:
2012 COMMERCIAL FIRE ALARM PERMIT
APPLICATION*
Date: 242-31 Va.. Site Address: 2%i ` West Sec v:c,e
Tenant: �vet-5; lec.\Aino`o ►eS
Name: V\wec-S1t'�esl.
Suite #:
Address / City / Zip:
Applicant is:
Owner _ Contractor
Description of work: NUJ Flea— a.\41%r SyS vv -.
Construction Cost: k1 5 000 —oa Estimated Completion Date: : 1 2
Name: •P•CO ec3 License#: T60 1Q{o�i
Address: a95o E +q�nwo.. )0 City: E (K g;vec
State: !VW Zip: 5 S 33 o Phone: (?G3) 4'l t - 2.2_ O
Contact: .ct'av1S� Email: O. J\ se.15 ea-Ngt•Sc: re... Con\
X New
Addition
Alterations
DESCRIPTION OF WORK:
Remodel
Other:
Commercial Residential
Educational
FEES
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
00
OR Contract value $ S' 10 00 -- x 1%
= $ 54( 0 ec Permit Fee
00
= $ s Surcharge
_$ S4S c.TOTAL FEE
"Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the
ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for
a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review
and approval of plans.
x ate, 5BOS 'o�vN.S\
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Rough -In
Applicant's Signature
•
Reviewed By: r
nal V ----;ire Alarm Test
�CityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �
Permit #: [
/t) 3 / 7
Permit Fee: l� I
Date Received:
Staff:
2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: 2-23-2012 Site Address: 2871 WEST SERVICE ROAD
J
Tenant: DIVERSIFIED INFORMATION TECHNOLOGIES, INC.
Suite #:
PROPERTY OWNER''
Name: DIVERSIFIED INFORMATION TECHNOLOG
IES, INC. Phone:
Address / City / Zip: 123 WYOMING AVENUE, SCRANTON
Applicant is:
Owner X Contractor
PA 18503
PE OF WORK
REMOVE EXISTING AND INSTALL (2) NEW SINGLE INTERLOCK PREACTION SYSTEMS
Description of work: WITH IN RACK SPRINKLERS FOR RECORD DOCUMENT STORAGE W/ CATWALK ACCESS.
Construction Cost: $319,780
Estimated Completion Date: 4/01/2012
CONTRACTOR
Name: VIKING AUTOMATIC SPRINKLER CO.
Address: 301 YORK AVENUE
State: MN
Zip: 55130
Contact: SCOTT GOODWILL
License #: C005
City: ST. PAUL
Phone: 651-558-3300
Email: SCOTT.GOODWILL@VI KINGSPRINKLER.US
FIRE PERMIT TYPE
X Sprinkler System (# of heads 1, 6 3 3
_ Fire Pump Standpipe
Other:
WORK TYPE
X New
x Alterations
Other:
Addition
Remodel
DESCRIPTION OF WORK: X Commercial
Residential
Educational
FEES
$60.00 Minirnum (includes State Surcharge)
- If the Permit fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Efte is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR Contract Value $ 319,780 x 1%
_$ 3,197.80
_$ 5.00
.-.
3,202.80
Permit Fee
Surcharge
TOTAL FEE
3/4" Displacement Fire Meter - $231.00
$ Fire Meter
=$ 3,202.80 TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire 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 a... dance with the approved plan in the case of work
which requires a review and approval of plans.
JONATHAN HENDRICKSON
Applicant's Printed Name
x
Applic t'
ic6;, ci. /0-3. LDv7.77
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.ora
FOR OFFI
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test
Trip Pump Test Central Station
Conditions of Issuance:
•
r.
10 tyofEaaau
111'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB Lti2012
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 COMMERCIAL BUILDING PERMIT APPLICATION
Date: a(' — f 9 (1Siite Address:
Tenant Name: `V AU -( (Z•e_A Tv A WwV116Y\
't I CI. J\-- S 'CZt>x-ti.
—CQ.trhroko QST *LAIC_
PROPERTY OWNER:
(Tenant is: / `. New / Existing) Suite #:
Former Tenant: Luf LI A)
Name: otgp..r\ m/) CSP, LI? Phone: 9 n it
Address / City / Zip: (, ;4 Tyr W Q l r' \ � "SAO I L]
Applicant is: Owner X. Contractor
ARCHITECT.
ENGINEER'
Description of work: pike fie- br '�—u ij _ �rA \^Tf... • "-`^O+N4k '1.4 C
Construction Cost: /106h cot
Name: l.. DauS"CeVC. .LON LtlesLLC License #: oLO:i 6c1 SO\
Address: / 36 b X -rd. en Dwl6c.. Aiee. . City: �l ' 40,7's `1G, t L.
State: M4) Zip: S-Sciel (p Phone: a, — 'd (p% " / 360
Contact:_C9_if43S4 We Le -
Email: (7.-3- (k.) €. t R. € lit' netcGST /V E -T" -
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person:
Licensed plumber installing new sewer/water service: Art)
Email:
Phone #:
NOTE: Plans and supporting documents that. you submit are cc
the information may Ise classified as on pt if you provide
arse'?
be public it
on
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. wwev.gopherstateonecaii.ort
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 G moviN 3 Wea.-
Applicant4ePrinVed Name
x
Applicant's ' , nature
Page 1 of 3
%ri
3 " cc,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
/Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Public Facility
_ Accessory Building
_ Greenhouse / Tent
Antennae
/Interior Improvement
_ Exterior Improvement
Repair
Replace _ Water Damage
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25%_ 1 00% V;
Census Code
# of Units
# of Buildings
Type of Construction
7t.B
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking _Insulation Ice & Water _Final
. / Framing Y 0.Ckiri
Fireplace: _Rough�n _Air Test _Final
Insulation
Meter Size:
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
MCES System
2007 MSSG- SAC Units
1$ City Water
Booster Pump
PRV
Fire Sprinklers
les
heetrock
Final / C.O. Required
Final / No C.O. Required
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: V'Yes
Reviewed By: MI k. Le►+G e. , Building Inspector
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
Water Quality
417 64,75-
38'1. oo
4.,i%5-
381.00
310%3.3°i
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOT/ i?, 2 4 &. 1
Page 2 of 3
41,01.
C!ty of Esso
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
�lc�s (cA'
on6civ"
r
Use BLUE or BLACK Ink
For Office Use
Permit #: OK 3q /
Permit Fee: Yg.), 1/
Date Received: 1 L r
Staff
2012
MECHANICAL PEW MITAPPLICATION i
z..�,Mi
Date: +Z Site Address: Q 70 Please submit two (2) sets of plans with alt coriAljegtaaY�
�L1/4 4i3 55 /2
Tenant: 1 V4CsA1t' Acor %4 .4 * n "Teen ,1p 1 e S Suite #:
RESIDENT / OWNER
J
Name: Phone:
Address / City / Zip:
CONTRACTOR ;:
Name: 6;4. t t t�?te.Nk License #: \ C\
�0 S►
Address: 4 -133‘1461/.414 --City: ��Ad1te'TV� t '�' n
State: tiN Zip: 5S 31 3 Phone: T 32- ?4 51- 5'3 0 Y " `�
Contact: WOlbele VAOOKS Email: W%1;4'00k OCASkeO , CO# t
TYPE OF WORK
New K+, Replacement Additional Alteration Demolition
Description of work: NCv3 TAC1iCttV 41/144 VtevAix
NOTE: Roof mounted and ground mounted mechanical equipment is required to bescreened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
)( Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ 4I/
/i' // x 1%
= $ 11/).---t 1 Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee l� 7
= $ L/ . L) TOTAL FEE
(i.e. a $10,010-$11,010 Permit
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without apermit; 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 ‘)itoo\LS
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground Rough In
Reviewed By:
Air Test' Gas Service Test In -floor Heat
Date:
Final HVAC Screening
Date:
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JAN 062014
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 -b
ag
Permit Fee: ll
Date Received:
Staff: ' I`
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Site Address: 7I w
./10,
Tenant Name:1 rati5t cJ 1( v ifif c 6^9(11`5
Property Owner
Type of Work
Contractor
Name: 'D a vy��f'cd alp� v� / =cGr /a r'r) Phone: 70 - 3 3 ,z300
Address / City / Zip: ()3 I,•JyIA, ,4 jc t 5c‘,4K 1/1J / C,-3
(Tenant is: New /
Former Tenant:
Existing) Suite #:
Applicant is:
Owner Contractor
Description of work: X11(. 0144,7 COSI �u� —
Construction Cost:
Name:
faci
Address: -3,4(5 l`)l('
State: Zip: 5 f l Phone:
Contact: r�r ,� �55� rz
License #:
City: -Cc -54.6-1_
Email: cc, ♦vr.Wcc:Gt«rfrc riSCsiNcCe'(-.
Name: /4e'�cf-'"1-(Pr-5c21 // ”-oc c>Jr
Address:
(0 CV%%G c i'r ././
State: /0i '/Zip:
Contact Person:
6-c-3 lC.
Registration #:
City:
Cii cu 3,/,
Phone:
Email: cive 1, 5 -cc(
/
Licensed plumber installing new sewer/water service:
Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
xl' r2_e-12
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation
'Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
/Interior Improvement
Exterior Improvement
Repair
Water Damage
D
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Decking Insulation Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
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
g� s• 1
2067 MS .
MCES System
SAC Units A4 /N (ISE DA ewe, (,• ,roe,
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall
Erosion Control
Final CIO Inspection: Schedule Fire Marshal to be present: Yes No
Reviewed By:
COMMERCIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
, Building Inspector Reviewed By:
ZoC.rev
Water Quality
S -5—o Water Supply & Storage (WAC)
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
TOTAL 3.1..2 -
, Planning
Page 2 of 3
Structural 10900 Noble Avenue North
Champlin, Minnesota 55316
(763) 560-5300 Fax (763) 560-5400
Design
517 Northwest Fourth Street, Suite 113
Brainerd, Minnesota 56401
Associates, Inc. (-'18)824-1585 Fax(218)824-1586
SPECIAL INSPECTIONS FINAL REPORT
Project Name/Address: Diversified Technologies ^ 604 lt*M IT* IA 17WISS
2871 West Service Road 1
Egan, MN
Masonry Openings
Date: MU 16, 2014
This final report certifies that Special Inspections have been provided in accordance with the "Special
Inspection Schedule" for this project.
The Special Inspections were performed by qualified personnel from Northern Technologies, Inc.. Based
upon the observations and reports of the inspection personnel, it is our judgment that the items checked in the
"Special Inspection Schedule" conform, to the best of our knowledge, with the "City Approved" plans,
specifications, addenda, and change orders.
Sincerely,
14394
Registered Civil or Structural Engineer Registration Number
NORTHERN TECHNOLOGIES, INC.
May 15, 2014
Fred Plessner
Protech Enterprises, Inc.
RE: Special Inspections Summary Letter
2871 West Service Road Building
NTI Project No. 14.60553.200
Northern Technologies, Inc. (NTI) is providing this letter of completion for the above referenced
project. As per the International Building Code (IBC) Section 1704.1.2 this document is needed
to obtain a Certificate of Occupancy.
NTI was present at the above reference site, on a periodic basis as per IBC 1702.1, during the
construction phases of the building renovation, beginning in April, 2014. Since that time NTI
was present to perform special inspections, routine materials testing and site observations.
Protech's on-site representative contacted NTI and coordinated our site visits.
NTI performed our special inspections/observations of the construction and materials in general
conformance with project specifications and as directed by Protech Enterprises, Inc. The special
inspections performed by NTI at the project included:
1. 1704.5 Structural Masonry
The individual tests and observations performed for our work can be referenced to the individual
reports for the section of work being observed. Refer to individual reports for specific details of
observations.
It is NTI's opinion that the work requiring special inspection was, for the items observed, and to
the best of our knowledge, in general conformance to the approved plans and specifications and
the applicable chapters and sections of the IBC.
If you have any questions, please contact me at (651) 389-4182.
NORTHERN TECHNOLOGIES, INC.
Kyler Bender, P.E.
Construction Services Manager / Principal Engineer
6588 141" Ave NW 7403 19 streets. 1408 Northland Drive #107 3522 40'Avenue S. 830 4811 Street
Ramsey, MN 55303 St. Cloud, MN 53601 Mendota Heights, AIN 55120 Fargo, ND 58103 Grand Forks, ND 58201
763.433.9175 320.654.9409 651.389.4191 701.232.7288 701.219.0920
763.323.4739 fax 763.323.4739 fax 651.389.4190 fax 701.232.1864 fax 701.775.3774 fax
L~
lC~ s J Use BLUE or BLACK Ink
---------i
For Office Use
I
.ec I Itf
ol EatUPermit
City 3830 Pilot Knob Road ~51 Permit Fee:
R~.C I I
Eagan MN 55122 I
Phone: (651) 675-5675 MAy 13 2t114 i Date Received: a
Fax: (651) 675-5694 I Staff:
I
2p014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION*
Date: Site Address: 5~-r"ke 40440
Tenant: _ 00 iVGrsl Af ,LI! T~I't rt'lF,bn/f/'~ /~llrlC4~s Suite
Name: Phone:
Property Owner Address / City / zip:
Applicant is: OwwneerrContractor
Description of work: /44 k . ,P►!t k4o lbs ge-e-
Type of Work LL,,
s
Construction Cost • Estimated Completion Date
Name: Kk, r Aw/wm4.AZ Ze6-rt ~c4tr G. License L" S
tl )
Address: 4.CAK City:
Contractor
State: MAI Zip: 3-5-13 Phone: 4S7- 61-8- 3.2Kg
Contact: aC'L11 Email:
M
FIRE PERMIT TYPE WORK TYPE
Sprinkler System of headsZE) _ New _ Addition
Fire Pump _ Standpipe X Alterations _ Remodel
I Other: Other:
DESCRIPTION OF WORK: Commercial _ Residential _ Educational
FEES Contract Value $ ~e X.01
1 $55.00 Permit Fee Minimum L
g Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 / t
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 = $ Surcharge*
***If the project valuation is over $1 million, please call for Surcharge
_ $ TOTAL FEE
0, 3/4" Displacement Fire Meter - $260.00 Fire Meter
_ $ 494 TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire 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.
x~t /Lf ~'lOre/) x ~Y
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
J
REQUIRED INSPECTIONS
Hydrostatic Flow Alarm Drain Test , Rough In
Trip Pump Test Central Station V Final
Conditions of Issuance:
y
L
Permit Reviewed by. /2 Date:
i
i~
i
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I ' I
Permit
('~3S 3
City of EI Permit Fee:
3830 Pilot Knob Road RECEIVED
Eagan MN 55122 1 Date Received: I
Phone: (651) 675-5675 APR 17 2014
Fax: (651) 675-5694
1 Staff: 1
L-----------------1
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: l - -1 Site Address: ? ~t° c
Tenant Name: V1% r A (Tenant is: New / Existing) Suite
Former Tenant: z
Name: V r Cct `~C_ Phone:1 3q)
Property Owner
Address /City / Zip: I ~40 rNt 1A k s
Applicant is: Owner Contractor
Type of Work i Description of work: ~ c 6,0✓5 e C
Construction Cost:
Name: rc e' K License
i Contractor Address: ~C) C L\ul L11 c~ City: ~Xr ?,",e, 'I
State: Zip: Phone: l 3 6f 3 C)
Contact: ~s v `tip. ~v - CAA Email:
Name: l" Registration
Arch itectlEngineer Address: o2-e,/ ~q 1M ~ r - City: ~J~ccvu S I
E
State: Zip: Phone: 2L,-13-I /
Contact Person: Email: V55 CU"~_
Licen_sed plumber installing new sewer/water service: _Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wo h requires a review and approval of plans.
xZC~~ES~iGr v x
Applicant's Printed Name App ' n s Signature
Page 1 of 3
2 Lj-
DO NOT WRITE BELOW THIS LINE ;f Z 3
SUB TYPES
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 WAkt-06()5t'~, ?'Avr,"Ajeo' Ct-f E&A rimb S-tat
Valuation [C~~ooa Occupancy 5 1. 8 MCES System
Plan Review ✓ Code Edition 2007 M58G SAC Units ; Y
(25%_ 100%~ Zoning City Water ✓ -
'I -A Census Code Stories Booster Pump
# of Units Square Feet /00 ' PRV
# of Buildings j Length G `f Fire Sprinklers
Type of Construction Width 3Y'
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) ioR Final / No C.O. Required
Foundation Other:
Drain Tile Pool: -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: v Yes No
Reviewed By: Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee /91.75' Water Quality
Surcharge S• a-a Water Sampling Fee
Plan Review jZ •4 Water Supply & Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit & Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant (Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other:
Water Quality TOTAL 37-1• 3 9
Page 2 of 3
Use BLUE or BLACK Ink
1
r For Office Use ,1
-3b ,
of{� aali DEC 0 7 2 #.CityPermit 1 4 V �
3830 Pilot Knob Road Permit Fee: L2 OD
Eagan MN 55122
46
Phone:(651)675-5675 Date Received: �o� ' �"
Fax:(651)675-5694
Staff:
q .,
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commer ial applications.
Date: 107-16, 11(1 Site Address: 947 ( 5orV t C-C--
Tenant: p 1 V e l F-t 6 L ii i-(97,7,414 .-77-,,, , ,,A, Suite#
Resident/Owner Name: '�w�fl C4L. Phone: $-?O.�31- �11 `_
Address/City/Zip:
Name: G.� �(.i�G
(,Q C �� C
License#. /�� � " /
/ City: ��l .
Contractor Address: l �s�e�LGK./
State:-.W__r.J Zip: S51 C7 Phone: (Di.5.-1— 2 14 -7 7 '
ContactIEmail: _ L� L'_
viv
h New Rep cement Additional Alteration Demolition
k 1 ��
Type of Work Description of work: / itt Le. eit0f3 SO i Le
NOTE: Roof mounted and ground mounted mechanicalipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
i sFurnace New Construction Interior improvement
_Air Conditioner Install Piping Processed
Permit Type —
Air Exchanger ^_Gas Exterior HVAC Unit
Heat Pump _Under/Above ground Tank (_Install/_Remove)
i r Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES / /y �V1 x.01
Contract Value$ (/�U�
$60.00 Permit Fee Minimum /O/j�,t/7/ `1
$75.00 Underground tank installation/removal,includes State Surcharge =$ ( r Permit Fee
=$ 3- Ce' Surcharge
Surcharge=Contract Value x$0.0005 //�2
If the project valuation is over$1 million,please call for Surcharge =$ l/G J-Oef' TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without rmit;that th work will in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x «� 10,:-1. x �
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ) l
`
Required Inspections: Reviewed By: Dated 7 1
Underground Rough In Air Test Gas Service Test In-floor Heat ?/ Final HVAC Screening