1190 Yankee Doodle Rd
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: :~~i?
3830 Pilot Knob Road Permit Number: 7~R
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~ ' ~ ' ~ • ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
. I 'it t Vi ot.
; ~ • „Aw 1'1, (lI]tm l Rh
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION • D•
, t t~tllVl~rt I 1~rpl
i,; .tt! (31 ? i~t~ I;~~IIf~!{ I N ?"1 i:~
+ ~+r~l 11 I ~ I 11n~
1eFh1AI~K`~. IJ F'I.I;Ir ht)J;f 1 i,<L:;_~I ~~,hJ
~ J
Permit No. Permit Holder Date Tetephone N
' ELECTAIC 5 /~a •
PLUMBING • G9
HVAC
Inspection Date Insp. Com ents
FOOTINGS
6-,~6
FOUND
C
FRAMING
(
ROOFING
ROUGH
P UMBING 11-6
PLBG
AIR TEST
ROUGH ~/f
HEATING • r
GAS 5VC
TEST d
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINALPlf3G /y)_~/
a~
FINAL HTG ~~-L6 - - - - - . - -
~L- - -
ORSAT
TEST
p. - - - _ I
BLDG FINAI
3
BSMT R.I. r i
I / j - - - -
- -
i - -
,
-~~-~~1~d ~ /'.5~ fTl.~~~r~a~r-C•.~a~~'~l7' 6 ~
l~ ~ s SO 4,ApY_- . a -K.
c
258- 4 4 3 OFFlCE SE O LY This rcquest void 18 monihs fmm validotion dote pamed in this 6oR.
~'~~~'~o G .Z/a
PLEASE PRINT OR TYPE ~ D~
Repomt~ak ' Rough-tn impedian requiredi ? Ves 15No Inspedion Other Than Raugh-M: 0 Ready Now>~Will Call
6 (Yoo must call the mspaclo~ when rmdy) Dak Reodr:
f,.Klicensed confmdor ? owner hereby requesf inspeciion of fhe a6ove elecFriml work af:
Job Pdd mss Slreet, Bw, or Roub No.) /f Ciry ~ Zip Code
i
n
Sedian No. Townehip Name or No. Range No. Fire Na. Caunry }L
CO4q
OccupaM 1 T ~ v I Phone No.
y 2-
Power Suppliar Address
Elecmml Cnantmclor (Compony Name) j o ConhanorLianse No. Mashr Lic Na. (Planf Eletl. Onlyl
Mailing Pddrcss (Conrvoclar ar Owner Pedortning Inebllatlon) .
ass-s i 3
A.Ihorixed Si onkacro Owner Perfo ' zbllafian) Phone No.
' • ? 6cF'J v
EB-00001A.10 6/95 EBOAROC -SEEINSTRUCTIONSONBACKOFY0.LOWCOW
II II II I I I I I I I I i I I I IY~ f II I I fN BEt QUEverSsiry Ave., Rm. S- ~i~BASt. IPaul P, MN Tu 04
~p 2 5 8 4 4 3 L* Phona.(612) 642-0800 p
Home Duplex Apt. Bldg. 61her: New Addn
Commercial Indusfrial Form Remod Re air
AirCond. H}g. Equip, Water Wr. Load Mgm}. Other;
D er Run e Elec. Heaf Tem . Service
"X" above the work covered by fhis requesf. Enter remorks in this spoce and on the back ol the whife copy only.
Calculate Inspecfion Fee - This Inspection Requesf will nof be accepfed wifhouf the mrtect fee:
Olher Fee 3 $ervice Enhance S"rse Fee # Circvih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps c'J[~
Streel Lfg./FmHic Sig. Above 200 Amps Above 100 Amps
Transfortner/Generator INSPECTOH'SUSEONIY TOTAL~
$ign/Outline Lig. Xfmr. 00
Alarm/Remote Confrol
Swimming Pool I hemb mM ihai I im ml inswlloeon desmbed herein on the daks sbled
IRigafion Boom Ro~gh.ln
$pecial Inspection
r~~noi
Investigative Fee
THIS INSTALLATION MAY BE ORDERE SCONNECTED 1 COMPLETED WITHIN 78 O S.
2[' Q~~ O Q ~ OFPI USE5 OpLY 7}:is rcquest void 18 monMz from validalion dvh pnnled in~b r~~~
~J O 8f~`~O % d
:
PLEASE PRINT OR TYPE
Req.t Dak Rough-in Impeaon requimd2 Ves ~ No InspMion Olher Than Rough-In: 0 Rmdy Now~ Wll Call
7.~. 2,6,_ 9j rYo~ muzt mll Ihe inspeclor readyl Dak Rmdy:
I, I$;licensed confractor ? owner hereby requesf inspedion of the a6ove electrical work at:
Jo6 AdrJress (Street, Bo~, ar R~/ oule No.)Le CiM Zip Code
119n
Sedion No. Township Nam<ar No. Range No. Fire Na. Covnry ~
O
O~cvpont p ' 1 ' PMne Na.
p~ W 2 2f `~S l
PownrSupplie I Addrees
1} nl
ElecMwl Cponhacror (Compony Name) Conkonor Licenae No. Mmter Lic. Na ~Plam Elen. Only)
Dra~z C D3l
MofGng Mdrexs (Controdor or O.ner Performing Inswllafon)
3Vti l,.v nV-9
Aulhorized Sigm Conhu or Owner rtning InsAbOnnon) Ph^on~e No. ~T
EB.OOOOIA-10 6/95 ATE60M OPY-SEEINSTflVM10N30NBACNOFYELLOWCOPY
I II I~~I~'~Ifll II III I I I II ~II~ i~ REQUEST FOR ELECTRICAL INSPECTION j/ol
Minnesota State Board of Electricity it
1821 University Ave., Rm. 5-128, St. Paul, MN 55104 ~
* 0 25 8 4 Z 8 2 * Phone (812) 842-0800
Home Duplez Apt. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hlr. Lood Mgmt. Olher:
D er Ran e Elec. Heat Temp. Service
"X" a6ove fhe work <overed by this reque~t. Enter remarks in fhis space and on the bvck of ihe whife copy only.
. N Q w S?'an e. ,Z~UA~ -
r
CalculaM Inspection Fee - This Inspection Requesf will not be accepted withoW the corzect fee: 1 a ~
OHier Fee # $ervice Enhance Size Fee &Aba~~! Circvih/Feeders Fee
Mobile Home Park Stall ~ 0 to 200 Amps 00 Amps ~
$heef Lig./TraHic Sig. Above 200 Ampz M0 Amps
Transfortner/Generator INSPECTOp'SIISEONLV ~ TOTAL
$ign/Ou}line Lig. Xfmr. ~
Alarm/Remote Conirol
Swimming Pool i hercb «m ~ha~ i~~: < ihe mnmm d: o ih. daro..
Irriga"on Boom Rough-In
$pecial Inspeciion
Final oore
Invesligofive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1B O THS.
sertal # j~ 3 a bi y5
Chip # Q~6SvUyo
Permit # - a 7 08.
~ Address: 11qo-1,Jqv,1w OoG~/~ ~Soa ~
1 AGREE T C PLY W H CITY OF EAGAN
ORDINANCES
i
Signature:
llnGfl ~ ~ / ~CLIAn : Ca ~ 3~+jn ~brn rvt7t2.~ ,
- Serial # a
cnip # D649509'~
Permit #
~ Address:
1 AGREVTOOM?Lk WITH CITY OFEAGAN
ORDINAN
Signaturecl+a..,«/
~ e. I i PERMIT C20,f85-ePq
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
?
Eagan, MinneSOta 55122-1897 Permit Num6er: 027758
(612) 681-4675 Date Issued: @ 6/ 10 / 9 6
SITE ADDRESS:
1190 YANKEE DQOOLE RD
LOT: 1 BLOCK: 1
TOWN CENTRE 100 14TH
P.T.N.: 10-77063-010-01
DESCRIPTION:
.,~(BI6 WHEEL ROSSI)
~iuildini,Permit Type COMM./IND.
'~BuiltFing Wor_k Type NEW
,i U6G occupancY`', B
t' Constructioo iif"pe V-N Zoning PD
Bu3lding Length 60
` Building Widtli ~t lee
p B,uifdinq szories 1
`-'Sq~~;re Fee"t6,000
Cens`us ,Goc~e 327 STORES
`
REMARKS:
S& W PLBR - KOBER EXCAVATION
FEE SUMMARY:
VALUATTON $310,000
Base Fee $1,937.25 CITY SAC $200.00
Plan Review $1.259.21 S& W PERMIT $100.00
Surcharge $155.00 S & W SURCHAR6E $•50
SAC $1,800.00 TREATMENT PLANT $792.00
SflC % 100 ROAD UNIT $880.60
SAC Units 2 WATER QUALITY $6.740.00
Subtotal $5,151.46 Total Fee $13,864.56
CONTRACTOR: - Applicant - OWNER: VANMAN CONST CO 25419552 TRIPLE S INVESTMENTS LLP
9211 PLYMOUTH AVE 2300 P2L0T KNOB RD
GOLDEN VALLEY MN 55427 MENDOTA HEIGH7S MN 55120
(612) 541-9552
I hereby acknowledge that I have read this application and state that the
infbrmation is correct and agree to comply with all applicable State oP Mn.
L StatUtes and City of Eagan Ordinances.
'L r 1 ~~~,I iT~--
APPLICANT/PERMITEE SIGNATURE ISSUED 6Y: IGNA URE
CITY OF EAGAN
jLqqsi 1996 BUILDING PERMI68 ~ ~15ATION (GOMMERCIAL)
The following aro required wfth appropriate certifiation for all pM eonshuction:
. 2 each: arChitedurel plans; mech. 8 elec. plans; ire sprinkler plans; structurel plans; sRz plans; landscaping pians; greding/dreinegelerosion control
plan; utility plan
~ 1 each: set ot specifica0ons; set of energy wlculations; ebc[rical power & lighting form; Special Inspedions 8 Teating Schedule
~ Letter irom MC/WS (phone #222-8423) indicadng SAC dete'mination
~ Code anelysis indicat)ng: Codes used; occupancy dassficationa; setbacks; maximum allowable area as per Building and Ciry Codes along with sq.
R per floor; type of consWdion (synopsis of conswdion components) & any ocapancy or area separetion walls;
occupancy loads; exit synopsis with a diagram indicating exHing loads from each room or area, travel paths & all reted
cortidore; plumbing fixtures; and parking.
DATE: -E>J13 WORKTYPE: _Z'~NEW _ RE`MODE+L
LZj.d=
DESCRIPTION OF WORK:
CONS i RUl:7"iON COST: TENAiVT NAME:
~
SITE ADDRESS: 119
TxEF! >R/
LOT I BLOCK SUBD. P.I.D. #
~T~~ i..a i ~aDD~-f[d•.~
PRoPER7Y Name: ~iR-2E. S 1aJ~s-rrl~-?T's I--•L•PPhone
OWNER ~ f1ReT
Street Address
City: ~6~7-,-1t>.STA H~?c~'nsState: t'rr-1 Zip: SS1Z~
CoN'rRAC7oR Company: vL,~1Hp•,-1 Phone
StreetAddress- 9Z1
City: zip: S Z
ARCHITECT! Company: v~ ~-0-110AhlI~S Phone
ENGINEER
Name: ;ZAz ' ~ Registration 10 Z-
Street Address• 92_~
City; State: Zip: 5547--4
Sewer & water licensed plumber. F'-'n2i-' ` a^'
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 11SE ONLY - ' ~ _ ;
BUILDING PERMIT TYPE
0 01 Foundation ? 19 Comm./Ind. Misc. ? 21 Miscellaneous
~ 18 Comm./Ind. 0 20 Public Facility
WORK TYPE
~O 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) I/N Basement sq. ft. MC/WS System
(Allowable) 77717 First Floor sq. ft. City Water
LE~i~.
~ - v:.wu~
~
diiGy s^, a, ci~fS cJpi~c^•~~iytrrc,'u
4 i
Zoning Sq_ ff. Census Code 32 J
# of Stories sq. ft. SAC Code 34
Length (so sq. ft. Census Bidg. ~
Depth Footprint sq. ft. ~ Census Unit i
J
APPROVALS
Planning Building Engineering Variance
- !e 1
Permit Fee Valuation: $ 3/~ ~~l e~ z g 2 3,
Surcharge
Plan Review
MC/WS SAC
City SAC 2M -Zy ~Oo ~
Water Conn.
S/W Permit //o
S/W Surcharge 5n ~i
Treatment PI. z 2~ - s 9 e
Road UnR
Q2r!c Dsd. - Na
Trails Ded.
Water Qual.
Other '
Copies
~
Totai: 1.9l,j,5G
% sac ~
SAC Units 7-
Meter Size
LOT J- BLOCK SUBD.,~au5~n... (
RECEIPT # C¢ d3O DATE e 71 ~
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM
_ Residential (boulevards) GPM
_ Existing residential
Area/address to be irrigated: UrIL I, LJAL -Rk
Installer: Owner ? Plumber x
Street address:
Ciry, state & zip code: 6~4~9tty d'fh. . 5-5-3 7°I Phone L( K3''YCfit 2
Owner Name• - 6o
Street address:
Ciry, state & zip code: Phone
Irrigation contractor, if different than installer:
Telephone
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 ot 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.
61-/ner
Ap t's signature Title
Approved by: Date:
PRV ? Yes ? No New service J*A`es JWNo
Meter Size & Cost ~Sa
FPes due: c,Calculate cy:
9-/ g- 9G
f'e,b Go 7CS(~-/ ~'Ya Rk-
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit is required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
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. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective 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 and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
\00
~J
?
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RO
EAGAN, MN 55722
(612) 681-4675
Please complete for. ? ali commerciaUndustrial buildings.
? multi-family buildings when separate permits are nM required
for each dwelling unit. `
~
DATE: CONTRACT PRICE: ~ ~o •
WORK NPE: X/ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: Z' •U~~~ G~-`?~~+^~
FEES: ?$25.00 minimum fee QL 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Wmjt fee due on all permits.
~
CONTRACT PRICE x 1% /M
PRQCESSED PIPING
STATE SURCHARGE , 5v
TOTAL ~/O~ • 5 v
SITE ADDRESS: r I 50 640c K-ck_
OWNER NAME: l TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY;~ wk'e eA -ROS S-
INSTALLER: ~("r /p,~^an
ADDRESS:
CITY: ~Loecy STATE: iln. ZIP•51~3?1
f
-PHONE#: r'/Y5-` 69Z
SIGNATURE:
A URE OF PERMITTEE CITY INSPECTOR
/ OFFICE USE ONLY
L. /
? I BL ~ RECEIPT ~ Sc~
~ ' oUBD. rA(lGUYL~~. ~OD DATE:
7996 PLUMBING PERMIT (COMMERCIAL) T° C.~" J
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ~ all commercialfindustrial buildings.
. multi-family buildings when separate permits are ng1 required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: -14 NEW CONSTRUCTION ADD ON _ REP IR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED?YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _X NO.
FAILURE TO PROVIDE THIS INPORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES X NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°a 110 0, 0
STATE SURCHARGE , s O
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME: T-14Ie S 1A.ve5lr,p~ C lP _Z?[b A'ld &c6 Icet' &&SCCT
INSTALLER: 1~(ajt~ M[c.~~je.j 9`c11 C Un 0P S6&.liDeeG
ADDRESS: S~`I J Lvhc~rA..
CITY:1Sh,.~otreY. S ~ZIP:
PHONE#: 61Z-'yNS`-ybi Z SIGNATURE:
ANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
7r ~
,e.~ •
a-.6
.
/0 D 14 ~
MEMO
- city of eagan
TO: DALE SCNOEPPNER, SENIOR INSPECTOR
DALE WEGLEITNER, F1RE DEPARTMENT
RICK BRADLEY, ELECTRICAL INSPECTOR
PAUL OLSON, SUPERINTENDENT OF PARKS TJu/+v CE'11'rQE ~DD
PUBLlC WORKSlENGINEERING DEPARTMENT I3T14 ,q-6411,
DIANE DOWNS, UTILITY BILLING CLERK
MIKE RIDLEY, SENIOR PLANNER
BOB KRIHA, UTILITIES
FROM: BILL BRUESTLE, SENIOR INSPECTOR
DATE: 9///J/9Cv
SUBJECT: FINAL INSPECTION - &g wke~ I~ossi
The Prote tive Inspections Department will be performing a final inspection of
J~0
4nkPe oo~~e oad on A
Certificate of Occupancy will be issued following our approval.
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.
Seniar Inspector
WB/js
FINAL-FM.15T .
~ Metropolitan Council
Working for the Region, Pfanning for the Future
Enviroremental Services
May 22, 1996
Mr. Joe Voels
Construction Analyst
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Voels:
The Metropolitan~Council_Enuironmental Services Division determined
SAC for thelB39 Wheel Auto Store%to be located within the City of
Eagan.
This project should be aharged 2 SAC Units, as determined below.
SAC Units
Charges:
Retail
4592 sq. ft. @ 3000 sq. ft./SAC Unit 1.53
Storage
720 sq. ft. @ 7000 sq. ft./SAC Unit 0.10
Total Charge: 1.63 or 2
If you have any questions, call Jodi Edwards at 229-2113.
Sincerely,
V ~
Roger W. Janzig
Planner, Municipal Services Section
Wastewater Services Department
RWJ:JLE
960522SB
cc: S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Tad Swedin, Vanman Companies
230 East FSfth Street St Paul, Minnesota 55101-1633 (612) 222-8423 Fas 229-2183 TDD/TTY 229-3760
An Fqual Opportuni[y Emplayer
- _..5~..
MEMO
_ city of eagan
T0: PAT GEAGAN, CHIEF OF POLICE
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR
DALE WEGLEITNER, FiRE MARSHAL
ELECTRICALINSPECTOR
PUBLIC WORKSlENGINEERINGNTIGTIES/STREETS 1
GENE VANOVERBEKE, FINANCE DIRECTOR
RICH BRASCH, WATEft RESOURCES COORDINATOR ~
MIKE RIDLEY, SENIOR PLANNER - g
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: DALE SCHOEPPNER, SENIOR INSPECTOR
DATE:
SUBJECT: PLAN REVIEW
The _ preliminaryX~(- construclion pians for f--t>e5 ~OSSi
are in our plan rewew sedion for your review and co ment.
Please notify the Protective Inspections Division if you have any reason that these plans should not be approved and
resolve any problems with the affeded parties. If you are requesting that issuance of the building pertnit be heid, please
fill out the proper "hold" request farm.
Comments: ~gJrDVa ~J4, S l9'~
~
Yl1e I~ Y'•,,.,arY,ePriht C~~f• ~Yi~;, l"f
Indicate any fees that are to be collected with the building permit:
Amount
? Yes ? No landscape security required
? Yes ? No water quality dedication ? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No
5-2 3-q~
~ zg~
Signature Date
i
plan+ev.iew
MEMO
_ city of eagan
TO: PAT GEAGAN, CNIEF OF POLICE
JON HOHENSTElN, ASSISTANT TO THE C1TY ADMINISTRATOR
DALE WEGLElTNER, FIRE MARSHAL
ELECTRICALINSFECTOR
PUBLIC WORKSlENGINEERINGIUTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR
RICN BRASCN, WATER RESOURCES COOROINATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: OALE SCHOEPPNER, SENIOR INSPECTOR
DATE: S ~ 0
SUBJECT: PLAN REVIEW
The _preliminary /-Y- cons2ructionplansfor ~,vsSr _
are in our plan review seccion for your review and comment.
Please notify the Protedive Inspections Division if you have any reason that these plans should not be approved and
resolve any prablems with the affected parties. If you are requesting that issuance of the building pertnit he held, please
fill out the proper "hoid" request fortn.
Camments:
Indicate any fees that are to be collected with the buiiding permit:
Amount
? Yes ? No Iandsppe securiiy required
? Yes ? No water qualiry dedication
? Yes ? No park dedication
? Yes ? No trail dedication
? Yes ? No tree dedication
? Yes ? No
Signature Ciate
pILVW.IM
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~
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~ CT_TV nl= E::AGAN
1
r:;ASH.r.Fr.,: , 1'1=1;MINAl... Nf:lr, "541.
I.iCi T'E: 0£407/96 l' INiF::: I.i! : 42 s Cl6
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3716 9220 :1.1.90 YNF'I'f.:: LiTq..f::: i.t3r .nl.) '
~ 37:L6 9220 :1.191:] YNKEEf: D1?I_F. L`i:l.f..l[I
3i:?ii? `31701 i.i90 YNY.f:E .T.Q?l_f: 20.0II
21.55 9001 :I.j`)I) 't'nlfElii: L!I:q._f' i). `il]
2212 9001 1190 YNI.EEi Ul!Lc 5,.00
'
Tota:l. Iierceilot Aror>Untr. 358.50
fFiC)63304
I.ISEIi SX1: NFiN('Y
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RECEIPT DATE , ~71~ ~
. r'. _
. 1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMEfiCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LlCENSED PLUMBER
Date:, Commercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: OAIL N/L
Installer. Lr,2j.,QP.- L4"f.F.tiAL~( Owner ? Plumber ~
Street addcess: 623t G~ `~~d^ LOL
City, statc & zip code: Otn. . 5'S3 >°I _ Phone Ll q.~'YWZ
Owner Name•_
Street address:
City, state & zip code: Phone
Irrigation contractor, if different.than installer:
Telephone # ' y }#y (ry ,,s
Ziu~P
.~"r j .7~ r,ry ;flryvZ45~., `1~i~~~54~ ?'T.'x..'"~AV ~"I~'~VS'f1 ~ ~.r IJ -}i1RfS~-'['~CYL, t'~r 1~: t~~.~
. . . ' . . . .
f hereby acknowledge that I have read this application, state that the information i"s 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.
6 ?.i e r
Ap t' signature Title
`6'
Approved by: Date: 5S-0'
PRV ? Yes ?No ~Newservice =PWes .VNo
Meter Size & Cost ~
Fees duec_(:7~ 7 50Calculat ay: '
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CIL 76 C /d For Office Ua�q[-��60 i
- 471/!!!/1 City of£aau A0 �! 'j'1 Permit#:
3830 Pilot Knob Road Permit Fee: `,
Eagan MN 55122 RECEIVED s' . /-/
Phone:(651)675-5675
Date Received: _
Fax:(651)675-5694 MAY 0 4 2017 Staff:
J
2017 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with all commercial applications.
Date:S/A#ikCf Site Address: iI Ra VAS koae p d( 1?00.4
Tenant: O(C C I I Y 'A -4ts i).Gtc 45 Suite#:
Resident/Owner Name: Q trek \y ,AW46 Pat 43 Phone:
Address/City/Zip: Z33 a'?a-1 ''e k 5 0,4.'1 t Q i ' P, A 1`'\C 6.5xd.2
Name: 4C1te\v1A Ca iv.�(aVl..3 14License#: /1/1.-g GS(01iaco
Contractor Address: ?C) I oma± City: COl a c)
State: /1/1 ,/U Zip: 5753 ` Phone: 6,ta" g 7 —''% -4-
Contact:,A)40-4
Contact:,/Vc0"l' Email: JUL/442C,V\ SO(11,i(i3115Ce. 5 0I.. C.OfV(
New > Replacement Additional Alteration Demolition
Type of Work Description of work: ,-e/9r4(? 1 is goO00, V",'1•, A)® Cu<f 5
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
permit Type —Air Conditioner Install Piping Processed
—
Air Exchanger Ga qJ � Exterior HVAC Unit
_Heat Pump —Under/Above ground Tank ( Install/—Remove)
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 Contract Value$...--/ e)0 x.01
$60.00 Permit Fee Minimum / o 0
$75.00 Underground tank installation/removal,includes State Surcharge =s (v Permit Fee
=$ / - 5?-67Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =s �✓ ,7-
e o 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 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
J7e C-�✓1` e x .----
_ _....
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE .. / J
Required Inspections: Reviewed By: Date: /
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