Loading...
2919 West Service Rde NATIONAL BUSINESS SYSTEMS W, ?*ieate of ceeupancv Witq of CR agan zoartmtnt of 13afting anbyection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Clamrabm: WM / T D Bldg. Permit No. 33 5 G 7 Occutws:y Type Type Cast. 0w of Buiieinmjz jaw" BISIWcc- cyCi?7tle??a ?SEWIX Rn, F.M.AN Building Ad&. 29 I9 UEM7 SIM= R[O1D I - ity i ills B I , FJICJU?IIW E !'m TNn PR #8 TFYRM 29, INS POST IN A CONSPICUOUS PLACE 1 Kertificate of CccupancV WU4 of cfagan moat i amt $I laziibing anolecdon This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. u. aa,?r ??IHD Bldg. Penmt No. 33547 Oe apaney type Zomg oetria Type Conti. Owner ofBvildi CM 13USIlM SYSMISA, ,..2905 W M SERVICE RD, E9 M ..._-_2q lq WEST 56 M(Z FVAD _JA. B 1. FAGANDW CTR IND )IL #8 A; POST IN A CONSPICIIOLIS PLACE SITE ADDRESS Clf- 7? / ?• 'ew Unit # Permit #C B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS r- V INSPECTION INSPECTOR DATE COMMENTS d - ,r a ' A & , 1 c? ?`` r a _ 574 - _x s . S/ 1 v? •? f?4r? z„ c < 7 ?? ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: n I Date Issued: SITE ADDRESS: K I 01 ; 4 8t.nCK : !it !4OVI1,F R0 ::?,AhlIi1?1 1 t I N II 1: I NDI1S I"R TAI PAi4 N fi PERMIT SUBTYPE: APPLICANT: ,I;, 1 1140 TYPE OF WORK: N 11.1 NAIY(PNAI 101 :Y`, i , I iARF'S: f't.AN ;'f VTf'lII n I;'1 tilf vnFl ?.. I fnMPt VI Aft( I I I I I r1:i ?'14nN17 #7S6-1?!1 rcJ`3a 8 /tr- le -Al 11A & It Holder Date Telephone S API ? s ? Inspection Date Insp. mmen s FOOTINGS t? /V FOUND .sr-ty ? 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST ?1?-? N BSMT R.I. -- - BSMT FINAL DECK FTG DECK FINAL / j?/ 1NSFEUTION REUO RD C WTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 fill I 1 it 1 NG 03'ih111 10/00/90 SITE ADDRESS:' t •N. - Ib-=': ??y-bgol-A! lof . 4 olorK. s 1 ?r :rl- v- irr rio PERMIT SUBTYPE: N EvA! INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR . . N. F,P/I 11INr, I Ii .111 it 1 I UN ra :.I III, 1 :Z I+ Ti'''lt I- fl 1: (.Y CJCAj6 N(;V1?I .,I . ANPER1 AHI'Nl It C. I' CA31 I INf IiI N ;FIRFF 1 N F APPLICANT: TYPE OF WORK: Permit Holder Date Telephone ! PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING p-2f- PLBG AIR TEST Q ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 1J ` Mike Maguire MAYOR Paul Bakken Cyndee Fields 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 fax 651.454.8535 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. September 5, 2008 Property Manager NBS Partnership 2905 W Service Rd.Suite 110 Eagan MN 55121 Re: Landscape Deposit NBS, 2919 W Service Rd. Lot 4, Block 1, Eagandale Center Industrial Park Dear Sir: Eagandale Place, LLC submitted a landscape security deposit to the city in conjunction with the building permit for the facility 2919 W Service Rd. in the Eagandale Center Industrial Park in 1996. After inspecting the site we found the landscaping to be in satisfactory condition. Consequently, the deposit can be released. The refund will be forwarded to you under separate cover. During this inspection, we noticed a few shrubs that had been removed from plantings adjacent to the building. While we are releasing the security deposit, please note that the property owner continues to be responsible for maintaining the health of all plantings on the property, and must replace any plants that die or are removed due to disease. If you have any questions, please call me at 651-675-5684 or Sarah Thomas at 651-675- 5696. Sincerely, V7-he rty Planning Department cc: Sarah Thomas, City Planner 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax 4 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date Site Address: ?I.JPS? SPrd lYe 12Q SPTLn M1 j SS 121 Tenant / Building Name: /?t??Corn l RL s i nr s s Sy s? &r -.s The Applicant is: Owner Contractor Other PROPERTY OWNER 410A to I i?4c1-,35 5'Jv?' Address: oZRos Wee- SP?uiC-c (LA. City: State: M N Zip: SS 12 CONTRACTOR A?Pktj11M PTPE E9.. MN License Address: I A05 CouNTY Q E [..1657 City: St 41-L State: I19itl Zip: S S 1:1to Phone #: (D5/ - y63 -G,gtiS ESTIMATED COMPLETION DATE: i / 101 / 0Z0© FIRE PERMIT TYPE: Sprinkler System (# of heads Fire Pump Standpipe Other: ea A,$ e ye'S ire` Su oo+resSbn S?j?m WORK TYPE: New - Addition Alterations K Remodel Other: DESCRIPTION OF WORK: Commercial Residential Educational Other: v Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ IS- x .01 = $ )S-Lj • S Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ 'S O State Surcharge If Permit Fee is over $1,000, add 5.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ TOTAL FEE: $ L5-.-C, . O r7 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. K\J1e- A- PO %&M94 /A& A - MAAn? Appl cant's Printed Name App cant nt's Signature DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS 11// Hydrostatic h Flow Alarm Drain Test _x Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Approved by,:, Date: ?? / / 0 6 I -I PI ni; 2006 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 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 • SAC determination -call 651-602-1000 • 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 Sunnfesslnn/Alarm Plans $IaA.19 • 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 J 1 1 1 J • SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilil Contact Building Inspections for sample and if required •"" Permit for new building or addition will not be processed without Emergency Response Site Plan. Date f13 / -27 / _ 06 Site Address 2919 Vest Service Drive Tenant Name National Business Systems Construction Cost $90,000 Unit/Ste # Former Tenant Name National Business Systems Description of Work Expand the Server Room Property Owner NBS Limited Partnership Telephone#(651) 6RR-IqqO Applicant is: _ Owner X Contractor Contractor R.J. Ryan Construction Contact #: (651 ) 365-7005 nl1 Address 1100 "Mendota Heights Road State MN city Mendota Heights Zip 55120 Telephone # (651) 638-0200 Arch/Engr Lampert Architects Address 13837 NE Lincoln Street State MN Registration# 13669 city Ham Lake Zip 55304 Telephone#( 763) 755-1211 Licensed plumber installing new sewer/water service: NSA Phone M 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. Applicant's Printed Name plicant'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 ? 26 Public Facility ? 27 Commercial/Industrial ? 28 Greenhouse ? 29 Antennae ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bldg)' ? 43 'Demolition (Entire Bldg only) -Give P a0 Valuation q 0, 600 Plan Rev 100% V 25% SAC Units ? 0 _ Nbr. of Units 0 Nbr. of Bldgs Required Inspections Footings (new bldg) - Footings (deck) Footings (addition) Foundation Drain Tile Driveway Apron / Roof _ lee Pr _ Decking J Framing ? 30 Accessory Building ? 32 Ext Alt-Apartments ? 34 Ext Alt-Commercial ? 35 Ext Alt-Public Facility ? 37 Nail Salon Demolish (Interior) ? 44 Siding Demolish (Foundation) ? 45 Fire Repair Reroof ? 46 Windows/Doors CA handout to applicant Type of Const IT ? ' 5 Width Occupancy 13 ' 'S ( MCES System '? Zoning 71.4 City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Fireplace _ R.I. - Air Test _ Final _ Insulation Sheetrock _ / Final/C.O. _V FinaVNo C.O. _ Other _ Insul - F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath _ Final Windows Final CIO Inspection: Schedule Fire Marshal to bbe` present. _ Yes ? No Approved By: ? • Planning I.?&L&__Building Inspector Base Fee Surcharge Plan Review SAC-MCES SAC-City SIW Permit S/W 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 ? f5?? ry Sewer Trunk Water Trunk (200,gf -1 5212 4 ago 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 Date/ ° 3 / c7 ro l acilq p Site Street Address!' I/J ESE,.; cc_.a; Unit # Tenant Name (if applicable) Iy,4c.ar?a<.? 13.....s•Nesr •?ySrFvti1 Previous Tenant Name Property Owner Telephone # ( ) Contractor NE,_? I'Y'F "cc-1- =?+o- Street Address $BS?? S O . W EJN r-GJOR-\ t. f>r? o City 13-`;,,, State Zip S? (3- Telephone# (?t? ) 8GG (351 ,. CL,.v': ?Coi.l-3c.?.-G -7 c1IG CLLI Bond Expires: 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: ;-A `c n4 D- ti r3.J 1 t?3E2: C rr? rG-Z R ?iTl?•v= 1 r °r S r w( Ac: **When inst fling/regmoking underground tank, call f inspection by Fire Marshal and Plumbing Inspector 1 - 1 l? rv+.. rA o 8 Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ ,.!2 3OC?O • '- x 1% = S f7` ?y Permit Fee $ S ° State Surcharge If eo rmit fee is less than $1,000, add $ 50 If pe rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. .; c $ of 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 ]ans. r Applicant's Printed Name Applicant's Signature Approved By: ;j p Inspector Date: 3 - C> (- Required Inspections: - U.G. A R.I. - Air Test - Gas Service Test - Infloor Heat Final 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit S 30.00 furnace -Additional -Replacement New air exchanger air conditioner heat pump other State Surcharge $ .50 Total S I hereby apply for a Residential 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 plans. Applicant's Printed Name Applicant's Signature PLUMBING (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Date 10 / 27 03 Site Address 2919 West Service Road Unit# Tenant Name National Business Systems Former Tenant Name Property Owner National Business Systems Telephone # Contractor Dakota Plumbing & Heating, Inc. Address 3650 Kennebec Drive City Eagan State Minnesota Zip 55124 Telephone #( 651 )-454-6645 The Applicant is Owner x x Contractor Other Work Type _ New Bldg _ Add-on x Repair _ RPZ _ PVB _ Irrigation system . Jerry Wobschall to calculate fees. Re wired meter size is P' turbo unless smaller size permitted by Public Works Description of Work 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 orior to Picking u p meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement 5156.00 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 $ x I% $ 50.00 Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read ff base fee is $1,000 or less, surcharge is $.50 $ -50 State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required fee D (? (n'? ?' I? vv Treatment Plant Water Supply & Storage OCT 2 9 2003 State Surcharge ----------- ------------------------------------------------ ---------------- 50 . 50 Total Fee I hereby apply ter 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. Paul Rascher Applicant's Printed Name Applicant's Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Finai PLANS SUBMITTED APPROVED BY: . BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation cyst $ 781.00 displacement smcommercial turbine" must receive maximum approval continuous 10 from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" turbine Ig irrigation syst $ 982.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over S 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $484.00 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 $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,329.00 svst & 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 Updated 1/03 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 7 41 (612) 681-4675 Date Issued: 07/31/98 SITE ADDRESS: P.I.N.: 10-22507-040-01 2919 WEST SERVICE RD LOT: 4 BLOCK: 1 EAGANDALE CENTER INDUSTRIAL PARK #8 DESCRIPTION: NATIONAL BUS. SYSTEM Building Permit Type FOUNDATION Building Work Type NEW Census Code 327 STORES REMARKS: PLAN REVIEWED BY JOE VOELS. LAMPERT ARCHITECTS PHONE #755-1211. FEE SUMMARY., Base Fee Surcharge SAC SAC % SAC Units Subtotal VALUATION $162.25 $5.00 $8,000.00 100 8 $8,167.25 $10,000 CITY SAC S/W PERMIT S/W SURCHARGE TREATMENT PL. PARK DIED TRAILS DIED -0-T+ERtAt o!ScofG Total Fee $800.00 $100.00 $.50 $3,552.00 $10,626.00 $2,898.00 $5.000.00 $31,143.75 CONTRACTOR: - Applicant - OWNER: RYAN CONST INC, R J 28664632 NATIONAL BUSINESS SYSTEMS 6511 CEDAR AVE S 2905 WEST SERVICE RD MINNEAPOLIS MN 55423 EAGAN MN 55121 (612) 866-4632 (651)688-1947 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. ;V4?m 4??n APPLICANT/PER EE SIGNATURE t?K uJ "IBSUED BY. SIGNATURE I 1998 BUILDING PERMIT APPLICATION CITY OF EAGAN Submit following to obtain Foundation Oi civil plans (2 sets) code analysis (1) " sods report (1) project specs (1) Special Inspections & Testing Schedule ^ SAC determination letter from MCANS - call 602.1000 New structural plans (2 sets) civil plans (2 sets) landscaping plans (2 sets) code analysis (1) ^ soils report (1) SAC determination letter from MCNVS - call 602-1000 Special Inspections & Testing Schedule (1) ^ project specs (1) energy calculations (1) -?Bi•, I?? -ISM 7S code analysis project specs Key Plan energy calculations Electric Power 8 Lighting Form SAC determination letter from MC/VJS - call 602-1000 (1) (1 set) (1) not allays « (1) not allays Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details DATE: 7 I t ?? `) WORK TYPE: NEW _ REMODEL DESCRIPTION OF WORK: ??; ?? ?g2l7pus?, lo,ooo ?z ?Srsk?t-? CONSTRU ION COST:3 TENANT NAME: 1fa/o?c SITE ADDRESS:" 4)eSt _ __?ru; Cam. ?a. LOT BLOCK SUBD. ga?aa?e CS_44_r lrt?. IiLrr?p,I.D.4 Name: K4Z4?04a`s,??grys Phone PROPERTY Last First OWNER q !p? Street Address: Z l o5 Za xru; c` t- c? City (1 State: X?-9 h?TN Zip: SS-(?k Company:, eaR CO/rSOL. Phone #: IXoI? - t >Z CONTRACTOR A S I ( Ce?4 r I1K Street Address: License # / City 4Clr???? State: MN Zip: SS4Z"s ARCHITECT/ I ENGINEER Company: A rt42t Zr -S Phone #: 755' I ZI I Name: L« Lq?r? Registration #:? 9 C F' '4 CO( 7 YEU , t O Kq State: ty ; ff 6t Zip: S S?, o ? Sewer 8 nsed pl umber (only if installing sewer 8 water): er I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State r Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i Ja 4 P 4 t I+RUa SUITE #: OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ? 18 Comm./Ind. WORK TYPE 0 31 New ? 32 Addition GENERAL INFORMATION ? 19 Comm./Ind. Misc ?alv ? 33 Alterations ? 34 Repair ? 21 Miscellaneous V' ? 35 Tenant Finish ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Variance 32.7 0 0 Permit Fee Surcharge Plan Review MCIWS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size /(0 2 . 71.5 r S Oy Engineering Valuation: $ ?0, O off, ppo f f x reed de gr,o• -T 00. ao . So rtz. oa 8'r IVW Z169S.? S? neo.n ,3? /n0 7. B !'Ama 00 4411ri0i PERMIT -?G CITY OF EAGAN .3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 Base Fee Plan Review Surcharge Total Fee BUILDING 033547 10/05/98 SITE ADDRESS: 2919 WEST SERVICE RD LOT: 4 BLOCK: 1 EAGANDALE CENTER INDUSTRIAL PARK #8 P.I.N.: 10-22507-040-01 DESCRIPTION: Building}Permit Type Building W01rk Type 'UBC Occupancy Construction Type Building Length Building Width Building stories Square Feet CpI'sus Code REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. ARCHITECT: LAMPERT ARCHITECT FEE SUMMARY- COMM./IND. 1-e. ) B'S-1 IIN 308 220 1 42,222 320 INDUSTRIAL VALUATION $1,300,000 $5,837.25 $3,794.21 $620.00 $10,251.46 PERMIT TYPE Permit Number: Date Issued: CONTRACTOR: - Applicant - OWNER: RYAN CONST INC, R J 28664632 NATIONAL BUSINESS SYSTEMS #142) 1 CEDAR AVE S 2905 WEST SERVICE RD NEAPOLIS MN 55423 EAGAN MN 55122 866-4632 (651) I 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. ?PPLIC? ERMITEE SIGNATURE Qt? CLI,-D /-40 UED BY. SIGNATURE J 1998 BUILDING PERMIT APPLICATION CITY OF EAGAN 681-4675 Submit following to obtain necessary permit (COMMERCIAL) n (1 n I _ S? ? lo,aSl ?Fs? 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 (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) energy calculations (1)notalways - Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCANS - SAC determination letter from MC1WS - SAC determination letter from MC/WS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) '• Electric Power & Lighting Forth (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: WORK TYPE: K NEW REMODEL DESCRIPTION OF WORK: ?GF/GE ?G?/?A? E/?p?JsE CONSTRUCTION COST: /V ,90 r ? of 1 SITE ADDRESS: /)9S7" 5ER V/c. LOT BLOCK SUBD. Lcoyi KkA, C e (91 l 1 CJ TENANT NAME: AL#7-ioAl,9-L 8 u5iu1F-55 5Y67-0113 SUITE #: P.I.D. # Name: N ikT lb IQ PVL, b 051 ?JW-,/ '?ff, W-) Phone #: PROPERTY Last First OWNER ?` ?1 II ? Street Address:_ ?S W 1.ce n Ki city State: M I t.J J _ Zip: -5a 1 2-2 I JO ? Company: RJ R yA,?! C' () n1 S ( ' Phone #: &(0 - 632 CONTRACTOR Street Address: ?05(? ? ?py'Q_ ?? , S License t! Gojr;- City ?Zl(?! rF [eu7 State: 5547-VS ARCHITECT/ • • " ENGINEER Company: Ir_AN1 ???( 12? N Phone tJ:.. •i j ??i? _ Name: ?t A Registrat• r Street Address: 'DO-17'? V l M w? 6-r. . . City &?tA LDS C? State: Zip: `? 5 b 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 Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 18 CommAnd. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair ? 21 Miscellaneous 35 Tenant Finish 37 Demolition Const. (Actual) ZT AJ Basement sq. ft. MC/WS System Y (Allowable) First Floor sq, ft. 3&rw City Water X UBC Occupancy 6,)5 1 MFjZ sq. ft. - g &V Fire Sprinklered X Zoning sq. ft. Census Code 3 20 # of Stories sq. ft. SAC Code -4-0 Length -30.9, sq. ft. Census Bldg. Depth 'AO Footprint sq. ft. N9,2,Z2 Census Unit ' APPROVALS Planning 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 Building Engineering r?,`?. 3-T??y.a I Variance Valuation: $ Tvlul sY° q 2,aaa i 0are- dod5v. 3ta 7g41 X 2/,5 0 = 6961 s5 . DFFIGE l /Ll3gd y 53,/s ? 97?g7- 9f-7 U F6d,V,0#T1e+u -P.tRMIT j-Z7yi i?ZC?`/j7$?7 p7 Ocr) 1,a5 9786 % SAC SAC Units Meter Size L ? '? / CITY USE ONLY SUBD. 6 ?tL oo! APPROVED BY:--ZA INSPECTOR RECEIPT #: 9 RECEIPT DATE: S 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3850 PILOT KNOB RD EAGAN, MN 5518E (612) 681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: Q - 2 3- g 3 CONTRACT PRICE: OOp . ?-- WORK TYPE: V/' NEW CONSTRUCTION INTERIOR IMPROVEMENT ;)?,' DESCRIPTION OF WORK: r. , I I - a_ 14 21 Ej-'r P*-A "1i 7DG' STRATr?CA C,.e .+ (--"" k- Sa, FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. _ ` YR, ITT y Processed piping - $25.00 CONTRACT PRICE x 1% Cogo - ?- PROCESSED PIPING PERMIT FEE Lp 4 C)• ?- STATE SURCHARGE • S° TOTAL (a q0. Sao ($.50 per $1,000 of permit fee due on all permits.) SITE ADDRESS: ?D9 I g W- S`r--,i t mac- o OWNERNAME: NrN-r,- IJA? t? - s ???ss Sy5TLt,-PHONE #: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ?55?? 4Tc Yl1c-ct?aN<<A? ?N? ADDRESS: P-°-3°x PHONE#: vv ?- sue'( o0 CITY: (1/a r?P STATE: r ZIP: 537 q SIGNATURE OF PERMITTEE CITY USE ONLY LOT BL RECEIPT #: SUBD. RECEIPT DATE: 199$ MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN SIN 55122 (612) 661-4675 Date: Complete this section only if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air exchanger, i.e. Vanee system, etc. Minimum fee applies to all remodel or add-ons of existing residences State Surcharge Install au conditioning Other $ 20.00 .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: PHONE #: PHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 •L OFFICE USE ONLY C? 9 RECEIPT#: SUBD ??? / RECEIPT DATE' 1997 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: . all commerciaVlndustrial buildings. • multi-family buildings when separate permits are Ogj required for each dwelling unit. • backflow preventer to be installed in commercial areas or residential boulevards DATE: 141 q 1 1 WORK TYPE. V Newq Const _ Add-On _ Repair DESCRIPTION OF WORK: I P?YC(.CI CJ l UYIi(.Yl LfW rX? f /.( IS WATER METER REQUIRED? t/Yes _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes I/ No P LER SYSTEM Vital +-d 13 / INSTALLING METER? V Yes _ No NEW SERVICES _ Yes _ No WATER FLOW. 1 14 v; q GPM Pressure Reducing Valve may be required if installing new service - contact City's Engineering Department at 681.4646. FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE FEES Minimum fee of $25.00 or 1% of contract price, whichever is greater Minimum State Surcharge of S.50 due on all permits. 2 p? /? CONTRACT PRICE. $ ??? x 1% _ $ 'J (pl r U V COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM BACKFLOW PREVENTER FEE $ 25.00 = $ WATER PERMIT (new service only) 50 00 = $ WAC (new service only - per connection) 780.00 = $ WATER TREATMENT (new service only - per connection) 420.00 = $ CITY INSTALLED TAP 300.00 = $ METER: 1$185.00, 2" TURBO = $846.00 = $ / PERMIT FEE $ 366-00 FIGURE SURCHARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT FEE DUE STATE SURCHARGE $ 1 5-C) TOTAL $ ]lO lp r.J LJ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance act ivities t the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 2_q 1 (T GO ? ?-" L C2? ""-'mot TENANT NAME: N V > STE. OWNER NAME: (f INSTALLER NAME' + 1 yy?? ,??'^ V mote-- C TELEPHONE I S S j 0 STREET ADDRESS 1 ' .S-I r V lQ iv-ah cf I l CITY: - STATE. M N 1?/ ZIP: J V v J? APPLICANT'S SIGNATURE OFFICE USE ONLY -REVERSE SIDE OFFICE USE ONLY PLUMBING PERMIT (COMMERCIAL) METER SIZE EM _ Yes _ No Domestic Irrigation UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) 1.1A`4-459-4931 1 Building Inspector :z- 1'7-9 Date To determine meter size • See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a 1" meter will be required If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. re sellin Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on. If meter is over 518, call Public Works and let them know so they can tell you if they have one in stock before plumber goes over there. L ?p B SUBD. (t C11 O APPROVED BY: CITY USE ONLY n RECEIPT #: 7 RECEIPT DATE J 1998 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (612) 661-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate building permits are not required for each dwelling unit backflow preventer to be installed in commercial areas or residential boulevards Date: I p Work Type: Z-_"New Bldg. _ Add-on _ Repair U.G. Sprinkler Description of Work: To inquire if Pressure Reducing Valve is required on new service, call 681-4646. FEES 1% of contract price or $25.00 minimum Contract Price: x 1% = $ RPZ COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM Service: 2 Existing (if coming off domestic line) OR _ New Backflower Preventer Permit Fee»»»»»»»»»»»»»»»»»»»»»> $ 25.00 Water Flow GPM Water Meter f"@-5-F09 69- or 2" Turbo @ $871.00 O O If "new service" add Water Permit State Surcharge WAC Water Treatment 50.00 = $ .50 = $ 807.00 = $ 444.00 = Permit Fee $ D 7 6 ? 0o State surcharge is $.50 per $1,000 of ep rmir fee or minimum of $.50 per permit State Surcharge $ ? .60 Total Fee $ Q C? / V r `{' • 450 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ;?gig Vk) SC d'Le 1Z j TENANT NAME: No!; INSTALLERNAME: A SSDC (y1eGA J TELEPHONE#: STREET ADDRESS: I aS7 1N?0.( S(ta CITY: S L o STATE: {M IJ ZIP: 5 S3 J J TURE OF PERMITTEE CITY USE ONLY COMMERCIAL PLUMBING PERMIT -1998 METER SIZE PRV Yes No Domestic Irrigation 7 UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY) To determine meter size ' See if it is indicated on back of Building Inspections card • Enter address in PIMS Screen 301 to obtain S&W permit # • Check PIMS Screens 110 (Remarks) • If gallons per minute are less than 25, a I" meter will be required. If gallons per minute are more than 25, a 2" turbo with strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing Inspector if Licensed Plumber does not know GPMs. Before selling meter • Check PIMS Screen 320 for approval of inspection results. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Utility Billing Clerk. • Enter meter size, type, receipt #, date & amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing Clerk. Miscellaneous Information • The installer is to contact Building Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Central Maintenance Division may be reached at 681-4300 for water tum-on. • If meter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there. CD/Permit forms/plbg permit (comm) 1998 e 5EP-25-1998 13:-37 BELAIR 6127660769 ?1 y 9? 7 Date: ! S Name: - Company: l..t? ?j .. Address: City, State, Zip Ship Via: Wally/Butch/Ralph/FaxiiMail Your Fax No. 6 f, / - 416 `f ef Your Phone No. _ Fax SUBJECT. NO t; .ft , I 13SA"?ss 5 $,rw. _ Envelope Manila bear Messenger 6127860769 P.01i02 Job Name Job No. Cat. No. Number of pages including this cover page -_. _ For approval __ Approved Call io confirm receipt Sincerely, Name SL _dllt? - Title Central Office: 2200 Old Hight ay 8 New Brighton. MN 55112 (651)786.1300 Fax (65i) 786-0762 E-mail bel=u@belair.enchost.com Approval as noted _ For your files Other West Office: 5401 East 48th Sweet Denver, CO 80022 (303) 394-1300 Fax(303)394-1301 E-mail belwest Qeoncentric.nct Iam(eacesiag)(transmining) Q a at e_ r ).,L `?'-t 5 "t ?2< 5 k Its ?mr n / V&C{ l O $f 6 KS! N {53 Sysr rr f Z[111 'Wt5( $ r c< AAA __.. 6127860769 SEP-25-1998 13:37 BELAIR 4 SERCO Laboratories 6127860769 P.02i02 1931 West County Road C2 Phone (651) 636-7173 St. Paul, Minnesota 55113 Fax (651) 636-7178 LABORATORY ANALYSIS REPORT NO: 83450 09/23/98 BelAir DATE COLLECTED: 09/21/98 2200 Old Hwy 8 DATE RECEIVED: 09/22/98 New Brighton, MN 55112 COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE WATER Attn: Dean Brentenson CLIENT'S ID: 23103 SERCO SAMPLE NO: SAMPLE DESCRIPTION: ANALYSIS: Total Coliform Bacteria 98758 2919 West Service Road Absent Page 1 of 1 All analyses were performed using EPA or other accepted methodologies. Samples that may be of an environmentally hazardous nature may be returned to you. Other samples will be stored for 30 days from the date of this report, then disposed of by SERCO Laboratories. Please contact me if other arrangements are needed. This report may not be reproduced, except in its entirety, without prior written approval from SERCO Laboratories. Report submitted by, ACI-11k2?--r Carol Davy Project Manager < means "not detected at this level". 1 mg = 1000 ug. TOTAL P.02 *b-=, MEMO city of eagan TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, UTILITY BILLING CLERK CHARLIE BORASH, UTILITIES FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: Thursday, October 29,1998 SUBJECT: FINAL INSPECTION OF NATIONAL BUSINESS SYSTEMS LEGAL: '.L4, BI, EAGANDALE CENTER INDUSTRIAL PARK 48 The Protective Inspections Division will be performing a final inspection of 2919 West Service Road on November 20, 1998. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. /j s CD/bldg rasp//final rasp - comm bldgs TO: EAGAN FIRE DEPARTMENT With this letter I give permission to the Eagan Fire Department to conduct a burn on my property. The burn will be conducted for , Fire Department training. After the training is completed, I will accept responsibility for removal of any resulting debris. Also, for safety purposes, I will have the resulting hole filled or leveled. Owner's Signature /l/2'?12G?- BFI • Date Y I Address/Location of Property 2913 - 2919 West Service Road (Lot 4-7 - 13 Block 3-- F•agandale Center Ind. Park Fagan, Minnesota 55121. Farm house and small shed only. 1111261984 City of Eapli `° ri An..0 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Phone: (651) 675-5675 Fax: (651) 675-5694 JAN 0 6 2012 Use BLUE or BLACK Ink Far Office ti Permit #: I o zisW. �yf Permit Fee: 5 - 0 d Date Received: ) -(o. 1 Z Staff 11 2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: I /Slit- Site Address: 2./1' ! V'. S /=/((//C! ; k P. J Tenant: v477'L .S `7S 7/Z /-9S Suite #: PROPERTY OWNER Name: Phone: Address / City 1 Zip: Applicant is: Owner Contractor TYPE OF WORK 9.11-7AL c i III.'- priv'Pf r7 Sr/t /!.//(..e (£-v 4b.J Re Z 4.1a%u- Descnption of work: A "10iK,t 13 (-elk P 1 I,.i r c 44 d ss/n s+1 i 44 /T4 Construction Cost (COO. ‘-: Estimated Completion Date: / (Silk,. CONTRACTOR Name ectio c7 License #: C• 2 4,- Addre a 4d k; "o .N%e. N Cdy State: S C fc.IWI.`>t " Phone: G�L — 2.4--e-- tom, % t: Contact: ('T -/z& I.741,6AIYIof Email: FIRE PERMIT TYPE ,Sprinkler System (# of Fire Pump heads 2) WORK TYPE New Addition Standpipe _ _ Alterations Remodel _ Other. _ _Other. DESCRIPTION OF WORK: > Residential Educational ommercial _ FEES $50.50 Minimum (includes State Surcharge) OR surcharge is $.50. increases by $.5o for each.. Permit Fee requires a $1.00 surcharge). Contract Value $ -49q `� x 1% - If Permit Fee is less than $1,000, �� 0$ - Permit Fee - If Permit Fee is > $1,000, surcharge $ ... State Surcharge $1,000 Permit Fee (Le. a $1,001-$2,000 / x 0 `06$ TOTAL FEE 3/4" Displacement Fire Meter - $203.00 *Ramsiromonf . Z c $ Fire Meter $ TOTAL FEE omp 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 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 with the approved plan in the case of work which requires a review and approval of plans. x %rh voDfIil44 Applicant's Printed Name App cant's Signature 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 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central StationFinal Conditions of Issuance: Permit Reviewed bye_ j -0-44:4"( Date: / /•! / 12/2912011 11:12 C!ty of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 292011 (FAX) P.0031005 Use BLUE or BLACK Ink. For office use) �JC i Permit #: Z XU Permit Fee: 1 f.C)(t,/ Date Received: Staff: LJ 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: -V v., ,1,0 (( Site Address: - I q w 671- jtrrl-J1ck i2M Tenant Name: ►Jtr(toi%t ISGa1Eck 54(71 1'1445 (Tenant is: _ New / \i( Existing) Suite #: Former Tenant: /J IPROPESRTY OWNER 1' 1_ Name: t' 135 Phone: Address / City / Zip: - I 1 �• ''FvWLU 1-h viltp T�4-n1 5S) Z Applicant is: — Owner '\ Contractor -OF iNORK P d 1 t 1 b Il Description°of work: Ljr^'t M�. OPR CES (i)TYPE' Construction Cost: t 1, 4350 'VCQNTRAGTQ�R I' 11 1 11 ;, Name: .01\1 'RS1CfCf CC flL•NLT o t License#: 3( +'1 Address: 4 3 L . W ' 65tC1uckr City: Sr Int Ls 1)1419-4--7 State: Mg Zip: SS41to Phone: (v12- 414 evo� Contact: a Email: W e J J sI - ►efiil LrlrAI •CtT l ARCHITECT l ENGINEER i 1 Name: n/ Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: t 1 Phone #: NOTE ,Plans aad supporting documents that you submit are considered to be public rnformatiyot� Portions of f ,d 1 Pi t',,,,,,,..,r,,,,,-- ' the mformafion may be classified as non public ifyou providespec c'reasons that would permit the C: y to 'r .;... coricludf that the .;ore tradeseccets....: :,. 1 k._ . !V., «..:.._ CALL BEFORE YOU DIG. Call Gopher State One CaII 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 .00r herstateonecall.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 req,ires a review and approval of plans. Appllcant's Pinted Name nt's Signature Page 1 of 3 12/29/2011 11:13 (FAX) -itar uJos r4 DO NOT WRITE BELOW THIS LINE P.0041005 02-61(3 SUB TYPES Foundation Apartments Lodging Miscellaneous _ Public Facility _Commercial / Industrial Greenhouse / Tent Antennae WORK TYPES New Interior Improvement Addition _✓Alteration _Repair Replace _ Water Damage Salon Owner Change Exterior Improvement DESCRIPTION Valuation Plan Review (25% 100% ✓) Census Code #of Units # of Buildings Type of Construction 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: _ Accessory Building 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 S'( MCES System 4- s ,Z0407 /N56G SAC Units N.. y«tt e tido 4. City Water Booster Pump PRV Fire Sprinklers y. yes Sheetrock Final / C.O. Required sr -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 Reviewed By: MI kt- L , 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 ./.a/, .25— ,.op /43,81 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL ..3 71, 06 Page 2 of 3 Date: tyofEaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 0 9 2012 Use BLUE or BLACK Ink For Office Use \ % Permit it /U27Z/ Permit Fee: 2012 MECHANICAL PERMIT APPLICATION 1/5/2012 Site Address: 2919 WEST SERVICE ROAD Tenant: NATIONAL BUSINESS SYSTEMS RESI NT / OWNER Suite #: Name: NATIONAL BUSINESS SYSTEMS Address / City / Zip: 2 919 WEST SERVICE ROAD Phone: Name: AIR CONDITIONING ASSOCIATES Incense #: Address: 55 WEST IVY AVE State: MN Zip: 55117 Contact: TIM PACKER City: ST . PAUL Phone: 651-488-0291 Email: INFO@ACAMN.COM New Replacement X Additional Alteration Demolition Description of work: ADD (1) DIFFUSER & EGC- CRATE IN NEW OFFICE NOTE: Roof mounted and ground mounted mechanical equip Code. Please contact the Mechanical Inspector forte` RESIDENTIAL Furnace Air Conditioner _ Air Exchanger Heat Pump Other New Construction _ Install Piping Gas COMMERCIAL X Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace bumed out appliances, ductwork, etc.) (indudes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank instalationlremoval (indudes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Egg 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) OR Contract Value $ 500 = $ 9?'" Permit Fee _ $ Surcharge = $ 63O TOTAL FEE x1% CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.uoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X ' v\. -1\\\\Q > l� �� ` '���. IJJ xit* Ji �'._ �\— Applican P' Applicants Printed Name gnature FOR OFFICE USE Required inspections: Underground Rough In Air Test Gas Service Test In -floor Heat rAC *City o Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Usel Permit #: (..g• Q �"r Permit Fee: (Q0 Date Received: Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION 111 Please submit two (2) sets of plans with all commercial applications. Date: 10/15/13 Site Address: 2919 W. Service Road Tenant: National Business Systems Suite #: J Name: National Business Systems Phone: 651-994-2000 Name: Summit Mechanical of MN License #: L098-50178 Address: 575 Minnehaha Ave W. City: St. Paul State: MN Zip: 55103 Phone: 651-454-6645 Email: caguilera@summitfire.com New _ Replacement _ Repair X Rebuild _ Modify Space Work in R.O.W. Description of work: Rebuild one (1) RPZ COMMERCIAL New Construction Modify Space 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 uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $55.00 MinimumContract Value $ 500.00 x 1% = $ 55.00 Permit Fee Required on ALL new buildings and boulevard irrigation systems -'l $ Radio Meter Read $ Meter(s) *If the project valuation is over $1 million, please call for Surcharge $ $5.00 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 $ 60.00 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.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. • Celina Aguilera Applicant's Printed Name Applicant's Signature Page 1 of 3 *City of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN u 2016 Use BLUE or BLACK Inkillf For Office Use --7 I /J -C i- /S7? I Permit Fee: /1 C/ 7e: 61 / Date Received: Permit #: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: June 1, 2016 Site Address: 2919 West Service Road Tenant Name: NBS (Tenant is: New / 1/ Existing) Suite #: Former Tenant: Name: NBS Phone: 800-959-8755 Address /city /zip: 2919 West Service Road, Eagan Applicant is: Owner 1 Contractor Description of work: demolition and construction of 5 new offices Construction Cost: 60,000.00 Name: Diversified Construction License #: Address: 4931 W. 35th Street State: MN City: St Louis park zip: 55416 Phone: 612-414-8002 Contact: Jerry Walsh Email: jerryw@diversifiedconstruction.com Name: Houwman Architects Address: 31572 Snowball Road Registration #: 22604 City: Pengilly State: MN Zip: 55775 Phone: 651-631-0200 Contact Person: Nick Houwman Email: nickhouwman@gmail.com Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting -documents :that you submit are considered tube public rnforrnatiort. P ie 'triormation, r ay be; classified as non-public if you provide specific r ... dnclude th that the ` are trade secret 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 req t/i'i s a review and approval of plans. x Jerry Walsh Applicant's Printed Name Page 1 of 3 c9i (Al DO NOT WRITE BELOW THIS LINE 7:‹ SUB TYPES Foundation ✓ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% V) Census Code #of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae ✓Interior Improvement Exterior Improvement Repair Water Damage 0 7l'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 Fireplace: Rough In Air Test _Final Insulation Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Reviewed By: «4 , Building Inspector 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 5, F•1, S' 1 201S- me= atsMezz . 39,58¢ MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock ,Final / C.O. Required ✓ Final / No C.O. Required tz Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Concrete Entrance Apron V 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 Water Quality 7st •7S" 3b •t'it, 4 a i . ,i7 Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: t 2 7 $ • ( 4 Page 2 of 3 MCES USE: Letter Reference: 16063063 Address ID: 5582 Payment ID: 394085 Date of Determination: 6/30/16 Greetings! Please see the determination below. Determination Expiration: 6/30/18 Project Name: National Business Systems Project Address: 2919 West Service Road Suite #/Campus: n/a City Name: Eagan Applicant: Jerry Walsh, Diversified Construction Special Notes: none Charge Calculation: Office: 10,667 sq. ft. @ 2400 sq. ft. / SAC = 4.44 Meeting: 799 sq. ft. @ 1650 sq. ft. / SAC = 0.48 Warehouse: 24,505 sq. ft. @ 7000 sq. ft. / SAC = 3.50 Total Charge: 8.42 Credit Calculation: National Business Systems (SAC 9/98) = 8.00 Total Credit: 8.00 Net SAC: 0.42 —or— OSAC 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: Jessica.nye@metc.state.mn.us. Thank you, Jessie Nye Supervisor, ES Revenue Please visit our SAC website by going to: http://www.metrocouncil.org/Wastewater-Water/Funding-Finance/Rates-Charges/Sewer-Availability-Charge.aspx 390 Robert Street North i St. Paul, MN 55101-1805 Phone 651.602.1000 i Fax 651.602.1550 ( TTY 651.291.0904 I metrocouncil.org An Eo al C.ppo€tttn.i, E. to METROL9 NO.JTAN Citi of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED AUt,032016 elk c`� VL® e (Q`n.-e' Use BLUE or BLACK Ink For Office Use �?`� Permit #: 0 C `1 Permit Fee: Date Received: g;3-1.0 Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 8/1/2016 Site Address: 2919 WEST SERVICE ROAD Tenant: NBS Suite #: NBS Name: Phone: Address / City / Zip: Name: AIR CONDITIONING ASSOCIATES License#: Address: 55 WEST IVY AVE City: ST PAUL State: MN Zip: 55117 Phone: (651) 488-0291 Contact: TIM PACKER Email: INFO@ACAMN.COM New Replacement Additional X Alteration Demolition Description of work: EXTEND DUCTWORK TO NEW WAREHOUSE OFFICES RESIDENTIAL Furnace Air Conditioner _ Air Exchanger Heat Pump Other COMMERCIAL New Construction X Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit _ Under/Above ground Tank ( Install / _ Remove) 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 $60.00 Permit Fee Minimum 60.00 $75.00 Underground tank installation/removal, includes State Surcharge = $ Permit Fee Contract Value $ 5,000 x .01 Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge _ $ 2.50 Surcharge $ 62.50 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 n 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. Applicants Printed Nam x Applicant's' Signature City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 01 2016 Lir, \ar r Use BLUE or BLACK Ink For Office Use Permit #: / 6 Permit Fee: Date Received: I Staff: #i6) 2015 ARE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 7 /z j //c Site Address: Z I/ S I 1Q V l C f= Tenant: 14 QS O. Suite #: Property Owner Type of Work Contractor Name: Phone: Address / City / Zip: Applicant is: Owner Contractor %.Db SWI=W pry_ NI) r fel 5 pat AdRa.r 2/t. hi f/,i(X-- Description of work: b r=1'=/ c as, Construction Cost: 198-1 Name: International Fire Protection Estimated Completion Date: 8 lis -//4 $33 3rd Stied SW, Suite 3 Address: New MN n112 City: License #: G o g 44 State: Zip: Phone: CfL _ Z 4-L — 4- 6 7C Contact:p/= 7f /Z VcsD(z{.!(G/t mail: FIRE PERMIT TYPE Sprinkler System (# of heads — Fire Pump Other: Standpipe DESCRIPTION OF WORK: >Commercial WORK TYPE New Addition ?C,Alterations _ Remodel Other: Residential Educational F FEES $60.00 Permit Fee Minimum i 1 Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge I $100.00 Residential New (includes State Surcharge) 3/4" Displacement Fire Meter - $270.00 Contract Value $ l 7 /S x .01 _ $ GCI. Permit Fee _ $ qC Surcharge _$ ao. 9C **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 pr ? <f 7L t/P /.r/<4 Applicant's Printed Name Applicant's Signature INSPEtTtONSREQUIRED T I.tryipdrostaticFlow Pump TestAlarm Central Dram nTStationest OR OFFICE USE. Conditions of Issuance: Permit Reviewed b Date: ,W3 twa VA onote*Iii Rough Irt For Office Use J� I Permit#: /5 V I 4 r � Permit Fee: Alpi•M.at .Ywsti Staff: =` ECEIVE =========__=== 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: _Yes o I I (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-569 JUL 0 3 2019 I Plans:_ Electronic I Paper Plan Submittal:eplans(d cityofeagan.com L___, t 2019 COMMERCIAL BUIL I I-T APPLICATION Date: t!'aj I ! Site Address: zd g vi4• se&\I%G - Roasa Tenant Name: N ATi br (t t... 5. 54 S4045 (Tenant is: New/ )4 Existing) Suite#: Former Tenant: �j Name: 5 r Pay Tt.ItfSht#PP1 {^� Phone: 1 Ell (,D�ati% Property Owner Address/City/Zip: 1 Ili i O r" `i� LAP-.t/ V eZ stC R`t/fit Applicant is: Owner Contractor KV"(tog os t ,Jf b(2 'Scar., Retaliate wet, risotatit*'+ Type Of Work Description of work: ..114s v t I 1.6" t, c4rw P tk'.) ( O e'►°k6.,T.?0 s'#a3° 1• e 4 4,4"+otcht Sco f-c - Construction Cost: 11 NO,OW Name: 1 r,5 te. 54 (,fv1S License#: Contractor Address: S 614 kilt S'. City: 151 0Orr t t"541:>#1, State: Ma Zip: 55451 Phone: 651, 686-.1e�r,�.Y Contact: b fl s- Email: s , . . Name: Registration#: Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: 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 they are trade secrets. 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.citvofeaaan.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,qophorstateonecalLorq 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 plans. Applicant's Pnted Name Applicant's ;f nature DO NOT WRITE BELOW TIS LINE 156 S-D- 0 SUBTYPES o�q1 c1 �S'1 IZ v'\C� /� • Foundation _ Public Facility _ Exterior Alteration-Apartments ✓Commercial I Industrial _ Accessory Building _ Exterior Alteration-Commercial _ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES _ New _ Interior Improvement /Siding _ Demolish Building* Addition _ Exterior Improvement V 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 40/ 0 06• a'' Occupancy 8 5' I MCES System Alk- Plan Review Code Edition 20/S N?f3C SAC Units (25%— 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings I Length Fire Sprinklers Type of Construction ` d— Width --_._.._............................ REQUIRED INSPECTIONS Footings_New BuildingDeck 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 Electronic Set of Final Revised Plans Windows Fireplace:_Rough In —Air Test —Final Final 1 C.O.Required _ _ Pool:—Footings Air/Gas Tests —Final Final/No C.O.Required Final C/O Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: --- , Planning New Business to Eagan: A/0 Reviewed By: r1--A-!c , Building Inspector FEES Water Quality I Base Fee /24C• 7 S Storm Sewer Trunk Surcharge 1 d . o Sewer Trunk Plan Review O. !'-O Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment PlantStormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: f3 4"1( Page 2 of 3 0 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-56751 FAX: (651) 676-5694 Email: (3 1 !Luk _1 iinw-g—clio ia,,; Al 211 1:11 fe aqp n. com Electronic Plan Submittal:'"'eolan$@gitvo-fea-gan.com r ------------------ For Office Use Permit Permit Fee: I Staff: I Payment Recvd: yes �No I I I I Plans- Electronic I — — — — — — — — — — . Paper I 2021 COMMERCIAL MECHANICAL PERMIT APPLICATION F1 Please submit one set of paper, plans and one set of electronic plans Date: December, 2, 2021 _ Site Address: 2919 W. Service Rd. Eagan, MN. 55121 Tenant- CKC Good Food Suite #: Owner. Name: Phone: Address city Zip: ;60.00 Permit Fee Minimum Contract Value $ 19,995. 00 $ 00 Permit Fe 76.00 Underground tank reX removal, includes State Surcharge 60.. e surcharge = Contract Value x $0.0005 = $ 10.00 Surcharge f the project valuation is over $1 million, please call for Surcharge $ 369.93 TOTAL FEE 'ou 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 a VWW-cItvo Bagan.gom/subscdbe. hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with - the ordinances and codes of the City o *agan; that I understand this is not a permit, but only an application for a permit, and Work is not to start without vith the approved plan in the case of work which requires a review and approval of plans. a the that the work will be in accordanc( -Miles Picotte kPplicant's Printed Name x w. Applicant's Signature