The URL can be used to link to this page

1800 Yankee Doodle RdA City of Eaaail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit Fee:4 Permit #: Date Received: Staff: 2012 COMMERCIAL BUILDING PERMIT APPLICATION (t1 _ Date: 8/13/2012 Site Address: 1800 Yankee Doodle Rd. Tenant Name: Blue Cross Blue Shield Name: Blue Cross Blue Shield (Tenant is: New / Existing) Suite #: Former Tena�t: Phone: Address/City/Zip: 3535 Blue Cross Road. Eagan, MN Applicant is: Owner X Contractor Description of work: Interior Renovation Construction Cost: $150,000.00 Name: C.F. Haglin & Sons, Inc. License#: N/A Address: 3939 West 69th StreetCity: Edina State: MN Zip: 55435 Phone: 952-920-6123 Contact: Gary Gunderson Email: ggunderson@cfhaglin.com Name: Architectural Alliance Registration #: Address: 400 Clifton Ave. S. city: Minneapolis State: MN Zip: 55402 Phone: 612-874-4144 Contact Person: Jon Stone Email: jstone@archalliance.com Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against widerground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the wo codes of the City of Eagan; that I understand this is not a permit, but only an appli permit; that the work will be in accordance with the approved plan in the case of x Gary L nderson Applicant's Printed Name Water Quality ce with the ordinances and d work is not to start without a review and approval of plans. TOTAL 4'0 / 3 ,v`1 - Page 1 of 3 Page 2 of 3 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 1 c DO NOT WRITE BELOW THIS LINE Public Facility Accessory Building Greenhouse / Tent Antennae /Interior Improvement Exterior Improvement Repair Water Damage /Sod 000 D Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile oof: _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 s 2007Ms o� MCES System SAC Units Q//-E7V/ 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 Reviewed By: No , Building Inspector 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 /3SL.7c 15. •-0 8O/•81 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL°.Z3/3.&✓ Page 2 of 3 tMetropolitan Council August 23, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 /65; Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for the Blue Cross Blue Shield 4th Floor remodel to be located at 1800 Yankee Doodle Road within the City of Eagan. The City will be charged no additional SAC.Units for this project, as determined below. SAC Units Charges: Office 457 sq. ft. @ 2400 sq. ft./SAC Unit Meeting Room 1304 sq. ft. @ 1650 sq. ft./SAC Unit Total Charge: 0.19 0.79 0.98 Credits: Office (Look -Back Period — paid 11/99) 1367 sq. ft. @ 2400 sq. ft./SAC Unit 0.57 Meeting Room (Look -Back Period — paid 11/99) 693 sq. ft. @ 1650 sq. ft./SAC Unit 0.42 Total Credit: 0.99 Net Charge: 0 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, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC:kb: 120823C3 Determination expiration: August 23, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Gary Gunderson (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (o9 3 Use BLUE or BLACK Ink Date Received: Staff: 2011 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 7. 7. ZOi1 Site Address: I100 `/AOMI. Doo( t.: Ro Tenant: QLLAE. C(Z.O.)S' ULU€• SH IELO Suite #: PROPERTY OWNER Name: atm'. GRaS f3LuC. SH,TE.Lo of r'► IJ Phone: Address / City / Zip: 3135 IMI.'AE 6A0)1. i .D ST ?Alm. SS 14 M Applicant is: Owner X Contractor , , TYPE OF WORK Description of work: MAC. A TE EXT.ST1.4car SP(1,1/K1.ERC Rost 04,+ C Z1.1wr4. Construction Cost: * 7, 430 Estimated Completion Date: 7. 11. tot% CONTRACTOR Name: SWILLIE FIM KOTECT1o4 License#: C • 00 2 Address: 10100 73"° AVE. N ST6. 108 City: MAPLE. 0.O1E i State: N1 N Zip: SS3(eh Phone: (Z(o5) 42S • 9•'t 1 Contact: Z443014 el ACK Email: SA30,3 e stc-iLigoEF19L. Gc>M FIRE PERMIT TYPE X Sprinkler System (# of heads Lt.) WORK TYPE New Fire Pump _ _Addition _Alterations X Remodel _Standpipe Other. Other: _ DESCRIPTION OF WORK: X Commercial Residential Educational FEES $55.00 Minimum (includes State Surcharge) OR $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Fee requires a $ 5.50 surcharge) Contract Value $ 71 430.00 x 1% - If the Permit Fee is less than _ $ 7''1.30 Permit Fee Permit Fee = $ S.00 Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit $ 71.30 TOTAL FEE 3/4" Displacement Fire Meter - $204.00 $ ---- Fire Meter $ '7i.30 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 JAsc3 iv /VIA G Applicants Printed Name x Applif<ant's Signature 180 yan Jood( Kd 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.gopherstateonecall.orq 99E FOR OFFICE USE .' REQUIRED INSPECTIONS HydrostaticFlow Alarm Drain Test Trip Pump Test Central Station Conditionf Issuance: Permit Review City of kali 3830 Pilot Knob Road Eagan MN 55122 11 ©41g' Phone: (651) 675-5675 ��f— Fax: (651) 675-5694 6c 71'7 Use BLUE or BLACK Ink Permit #: Ci(/5 Permit Fee:17I 55-0 Date Received: Staff: �/ 2011 COMMERCIAL PLUMBING PLUMBIG PERMIT APPLICATION Date: /c�/7 Site Address: , " O /1"..1_,44e Tenant: dAe Cr©,7,2 Suite #: J PROPERTY OWNER Name: leAC Cels J..> Phone: 6(/� CONTRACTOR Name: S el4� y//�� ! License #: Address: Jit ,./i +pc,.h.City: %.•-'<.);".:41 / State:._/Lip: 7.i`" Phone: A - 77(75 Email: ,tfi4 r.� 1E% t.,..44-... Pr•�r eou_-._ TYPE OF WORK �6 6� New Replacement_ epair Rebuild Modify Space _ Work in R.O.W. _ _ _ Description of work: /11, ,� �-, PERMIT TYPE 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 up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ AraC6 x 1% Required - If the Permit Fee is less .$ �� Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read than $10,010, the surcharge is $5.00 = $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5.50 surcharge) = $ 05.0-C" State Surcharge (i.e. a $10,010-$11,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ X.17.." - 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.ciopherstateonecall.orq 1 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 Applicant's Printed Name OR OFFICE USE'. Required,Inspections round Rough.. x Applicant's Signature rproved B r;Test. qui Page 1 of 3 ..rc'P Iv -7072 Use BLUE or BLACK Ink (6 J I S(� 1 For; Office.Us City 6 of la all e l..�t l�Cl ( Pan (✓ ; Permit #: �( Permit Fee. Oka Date Received: (1 C ;i() f Staff: 2010 MECHANICAL PERMIT APPLICATf( 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: , Ay ' AN/ Site Address: jgc' 7 ». IJt Tenant: BLiSr=f' l�Z- Suite #: J RESIDENT / OWNER Name:tae- L,)t 31: ) b1F 1t&i ri% Phone: Address / City / Zip: CONTRACTOR Name:s; > iij117)1 Lill..- License #: j Address: L 1312-M(400,R T 'DR); 11 City: , 7 "1 k..- State: 114-N) Zip: 5 5.-e,'") Phone: iga5/f' c q.c ^ 41.'l53' Contact: s '-51. y'an rv) Email: C 7 t) i p. "i — m /%-. 7/ TYPE OF WORK New Replacement Additional .Alteration Demolition Description of work: —,706)-..,:%* �"r 47(.7h3e, >f g— r>1),Lai77. 110144)%A' 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. 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 ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ 24,130P ---- x 1% = $ c ea3 '--- Permit Fee - If the Permit Fee is less than ��^^'' .. Fee ' W�$ V Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit (, 0(c , 0(y $ V 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.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 ork is not to start without a' ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl s. x 4�r) Applicant's Printed Name 10 �. Ap licant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground ough In Air Test Gas Service Test In -floor Heat' Final Exterior HVAC Screening Inspection CityofEaaall 411' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 4/14/11 15 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 0 I76 2011 COMMERCIAL BUILDING PERMIT APPLICATIONr Site Address: 1800 Yankee Doodle Road Tenant Name: Blue Cross Blue Shield (Tenant is: New / Existing) Suite #: Former Tenant: N /A CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pro ection against un Call 48 hours before you intend to dig to receive locates of underground utilities. www. • • hersta o -`y_ I I hereby acknowledge that this information is complete and accurate; that the codes of the City of Eagan; that I understand this is not a permit, but only a permit; that the work will be in accordance with the approved plan in the cas x Gary Gunderson Applicant's Printed Name rground utility damage. r ance with the ordinances and d work is not to start without a eview and approval of plans. x Ap gnature Page 1 of 3 PROPERTY OWNER Name: Blue Cross Blue Shield Phone: 651-662-2542 Address/City/Zip: 1800 Yankee Doodle Road Applicant is: Owner X Contractor TYPE OF WORK Description of work: Interior Renovation Construction Cost: $400 , 000.00 CONTRACTOR Name: CF Haglin & Sons, Inc. License#: NA Address: 3939 West 69th Street city: Edina_ State: MN Zip: 55432 Phone: 952-920-6123 Contact: Gary Gunderson Email: 9gunderson@cfhagl i n. corn ARCHITECT / ENGINEER Name: Architectural Al 1 i ance Registration #: 20915 Address: 400 Clifton Ave. S. city: Mi nneapol i s State: MN Zip: 55402 Phone: 952-874-4175 Contact Person: Peter Schroeder Email: Licensed plumber installing new sewer/water service: Phone #: NOTE :'Plans`',andsupporting loc uments that yot�submittare consideredfo be public' information yPortions of the information may be classified asnonpublic a provid67,a e specific that would permit the City to conclude that they areltrade secrets: , ? 4.X ; rf CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pro ection against un Call 48 hours before you intend to dig to receive locates of underground utilities. www. • • hersta o -`y_ I I hereby acknowledge that this information is complete and accurate; that the codes of the City of Eagan; that I understand this is not a permit, but only a permit; that the work will be in accordance with the approved plan in the cas x Gary Gunderson Applicant's Printed Name rground utility damage. r ance with the ordinances and d work is not to start without a eview and approval of plans. x Ap gnature Page 1 of 3 DO N T WRITE BELOW THIS LINE qg2 SUB TYPES Foundation Apartments / Public Facility ✓ Commercial / Industrial _ Lodging _ Greenhouse / Tent Miscellaneous ` Antennae WORK TYPES / _ Newy Interior Improvement _ Addition _ Exterior Improvement _ Alteration Repair Replace _ Water Damage Retaining Wall DESCRIPTION Valuation Occupancy Plan Review Code Edition (25%_ 100% ) Zoning Census Code Stories # of Units 0 Square Feet # of Buildings ) Length Type of Construction 1..r • F2 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile / Roof: _Decking _Insulation _Ice & Water Final V Framing /Fireplace: _Rough In _Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: " Yes Reviewed By:6�it�C(o , Building Inspector Accessory Building _ Exterior Alteration -Apartments _ Exterior Alteration -Commercial _ Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Salon Owner Change *Demolition of entire building - give PCA handout to applicant MCES System SAC Units D/1..er/-^, City Water Booster Pump PRV Fire Sprinklers ✓ Sheetrock / Final / C.O. Required V Final / No C.O. Required Other: Pool _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control 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 Zoaao Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL4 4413. L Page 2 of 3 v Metropolitan Council 4A April 22, 2011 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of the City for the Blue Cross Blue Shield board room remodel to be located at 1800 Yankee Doodle Road within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. Charges: Meeting Room 1976 sq. ft. @ 1650 sq. ft./SAC Unit Credits: Meeting Room (Look -Back Period) 1995 sq. ft. @ 1650 sq. ft./SAC Unit SAC Units 1.20 1.21 Net Charge: 0 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, call me at 651-602-1118 or email karon.cappaert@metc.state.mn.us. Sincerely, 4,0&* Karon Cappaert SAC Technician Environmental Services Division KC:kb: 110422A7 Determination expiration: April 22, 2013 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Gary Gunderson, CF Haglin (ema )w.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 An Equal Opportunity Employer *City otEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: -0� Date Received: Staff: 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 'i 15110 C�r�E Site Address: / otC� �v� 6UL Tenant: 1V CTf 3\vEt \nvld Suite #: J PROPERTY OWNER Name: V Phone: L._ tCDS - T� G 1-60,- � b ? CONTRACTOR Name: 1)( 2 \c #: p�� (License Address: \SU1 L 6 €A �`} St- City: `,� `P6 State:M�Zip: .Ifl Phone: 651 AA rl ' it -)4:1, I Email: TYPE OF WORK New Replacement Repair k Rebuild _ Modify Space _ Work in R.O.W. _ _ _ Description of work: 1— PERMIT TYPE COMMERCIAL New Construction X 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 up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $55.00 Minimum (includes State Surcharge) OR Contract Value $ x 1% Required - If the Permit Fee is Tess _ $ Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read than $10,010, the surcharge is $5.00 = $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5.50 surcharge) = $ State Surcharge (i.e. a $10,010-$11,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 55 • �x 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 1 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 \\ c1A\S�''\�` os X �C��-9�� Applicant's Printed Name Applicant's Signature Page 1 of 3 -4pC7 5(c~, CITY USE ONLY L ~ BL E SUBD.~ o b~~ ~f V~''K C"- - RECEIPT#: APPROVED BY: S P , INSPECTOR RECEIPT DATE: 241~C8ANICAL PERMIT (C02QMRCIAI,) aw'p_ CITY OF EAC,ADT 3830 PILOT EQtOB RD Jhlv I(, '~Dva EAGAN, LIDi 55122 651-681-4675 ~ Please complete for: all commerciaUndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit D„TE: 1-7-02 TUB ' WORK T'1'PE: New construction Install U.G. Tank 2me~ I~ ~f X Iaterior Improvement _ Remove U.G. Tank L, _ ProcessedPiping sA) I When installing/removing underground lank, call 651-68I-4675 for inspection by Jir Bmas~ J plumbing inspector. Description of work: Furnish & install unit heaters, humidifer & steam boiler. Fees: 1% of contract price OR $30.00 minimum fee, whichever is greeter. Undergound tank removaUinstallation = minimum fee Contract price: $ 5 2. 9 0 0 x 1%= $ 5~3-'6'0- 2'0+ C) 4ase Fee) State surcharge .50 calculate at 5.50 for each $1,000 Base Fee TOTAL $5-2.YO-~~-9. - - - SiTEATiDRESS: 1800 Yankee Doodle OWNERNAME: Blue Cross/Blue Shi4 PHONE#: 651 - 662-7073 (AREA CODE) TENANT NAME (IIviPROVEMENTS ONL1): WAS TfERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: Harris Mechanical Contractors. Inc. ADDRESS: 909 Montreal Circle PHONE#: 651 -'602-6526_ (AREA CODE) CIT']': S t. Pau 1 STAT'E: aP: 55102 ,g{ -TIEE OF PERMI 2005 COMMERCIAL PLUMBING PERNIIT APPLICATION CTTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Sit Add~r s lUUO~~kee ~ao~le ~d Uoit# Tenant Name Yl ~,(.(_e Former Tenant Name Property Owner Telephone # ( ) Contractor ~{'vl 1e- Address ~Q OVl+ P1e• City ~7T~ I1 ~ State 9'W Zip Telephone #(65j ) 78~I I D~o I License 098 - D(a 69 Expires: The Applicant is _ Owner ConVactor _ Other Work Type New Bldg _ Modify Space _ Irrigation System** Yes No Work in public r-o-,v / easement? ~RPZ _ PVB: New K Repair/Rebuild _ Replace _ Remove Rain sensors are re uired on irriation s stems Description of Work KLKJV I'Cy 4 02-1J To inquire if Presswe Reducing Valve is required on new service, call 651-675-5646 Meters - Ca11651-675-530D to verify that hydrostatic, conductiviTy, and bacteria tesis passed orior to aickine ua meter. Imgation Size & Type Avg GPM 2" [urbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disnlacement $161.00 Domestic Size & Type Avg GPM Includes 6igh demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimvm (includes State Surcharge) Contract Value $ x 1% _ $ 50 'ev Permi[ Fee $ Meter(s) Requved on all new buildings & boulevard irriealion svstems $ Radio Meter Read $ • 50 State Surctiarge If oerRtit fee is leav than $1,000, surcharge is 5.50 If nertnit fee is more than $1,000, surcharge is $.50 tor each $1,000 owed. Following fees apply when installing new lawn irrigatioasys Water Pemtit - Call Jahn Gorder at 651-6755645 for r\`;rCd1n -mounts~ Treatment Plant t~G ~ o~ Zp05 ~J $ Water Supply & S[orage $ State Surcharge $ ~ . Total Fee 1 here6y apply for a Commercial Plumbing Permit and acknowledge that ihe information is complele and accuwte; that lhe work will be in conformance with the ordinances and codes of the Ciry ot Eagen and with the Plumbing Codes; thal I understand lltis is not a permit, bul ody an application for a permq and work is not to start without a permit; that the work will be in accardanee with the approved plan in the case ofe w rkwhic~hj requires a review an approvat of plans. ~V~~ir-11~1 C'S~i~O.~l'l ~N~L~"C~-e''~- ApplicanYs PrintedName ApplicanYs Signature 401""citV oF eagan PATRICIA E. AWADA MayOr PAULBAKKEN BEA BLOMQUIST PEGGV A. CARLSON December 13, 2000 SANDRA A. MASIN . Councii Members THOMAS HEDGES ' City Adminisrratar Mr. Jon Stone Architectural Alliance 400 Clifton Avenue South Minneapolis MN 55403-3299 Re: Blue CrossBlue Shield 1800 Yankee Doodle Road CLot 1" Block 1 Riverpark Office Center ~ Dear Jon: We have received your facsimile of December 1, 2000 and concur with your analysis of the two items in question: 1. We will not require ambulatory toilet stalls in addition to the accessible stalls, since the total fixtures provided were far above the minimum required by the U.B.C. 2. The panes of glass provided around the break rooms apparently are under the 9 square feet threshold that would require safety glass, so the lack of etching is immaterial. If you have any ques[ions or concems, do not hesitate to contact me at (651) 681-4699. Sin'Ely, Dale Schoeppnei~~~~ Assistant Building Official cc: Doug Reid, Chief Building Official DS/ld MUNICIPAL CENiER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PiLOi KNOB ROAD THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY 3501 COACHMAN POINi EAGAN, MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122 PHONE~ (651) 681 -4600 PHONE: (651) 681-4300 FAX. (651) 681-4612 Equal Oppodunity Employer FAX: (651) 681-4360 TDD: (651) 454-8535 WWw.CItyOfBagOn.COm TDD: (651) 454-8535 . . ~1qZ3,91 CITY USE ONLY 'r r L ~ BL ( PERMIT SUBD. Kire.rpurk Officc~'P.h~P.{r RECEIPT#: ~-7 G APPROVED BY: INSPECTOR RECEIPT DATE: 2000 MECHANICAZ PLRMIT (CObMRCIAL) CITY OF EAGAN 3830 PILOT IQ40B RD EAGAN, bIIi 55122 651-681-4675 Please complete for all commerciaUndustrial buiidings multi-family buildings when separate permits are not required for each dweliing unit DATE: a, /10,/0n WORK 1'YPE: _x New construction _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When insta![ing/removing underground tank, call 651-681-4675 jar inspection by fre marshal and plumbing inspec[oi Description of work: WVA~ Fees: 1% of conaact price OR $30.00 miuimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Conuact price: $ 793, 000, 00x I%= $7-,-9-34;-.-oo 7 0.0 j (Base Fee) State surchazge a_T 3-R ~ calculate at $.50 for eac6 $1,000 Base Fee TOTAL $7933.97 - - - - - - - - - - - - - SITE ADDRESS: 1800 Yankee Doodle Road OWNERNAME: Blue cross and slue shield PHONE#: - (AREA CODE) TENANT NAME ([MPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: Harris Air Svsteids - ADDRESS: 909 Montreal Circle PHONE 651 - 602-6500 (AREA CODE) CITY: SL. Paul STA1'E: MN ZIP: 55102 ~ SIGNATURE OF RMITTEE L ? 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) C651 681E 67~ Re uirements to buildin ermit Foundation Onl New Construction Interior Im rovement . Structural Plans (2 sets) • Architeclural Plans (2 sets) • Archilectural Plans (2 sets) • Civil Plans (2 5ets) • SWctural Plans (2 sets) • Code Malysis (1) " • Code Analysis (1) " • Civil Plans (2 sels) • Prqect Specs (1 set) • Project Specs (1) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp. 8 Testing Schedule " • Code Malysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MC/ES - call • SAC detartnination letter from MClES • call call 651-602-1000 651-602-1000 651-602-1000 • Spec. Insp. 8 Testing Schedule (1) " • Energy Calwlations (1) not always'• • Project Specs (1) • Elec. Power & Lighting Form (1) rwtalways " • EnergyCalwlations (1) " • Electric Power 8 Lighting Form (1) • Master Exit Plan • Soils Re rt (1) 1 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Cail 651-215-0700 for details. DATE: ,~t L9 WORK TYPE: V/ NEW _ REMODEL DESCRIPTION OF WORK: n1~„J ~L 7~.,~Ll ~ v'VN0/0172-J CONSTRUCTION COST: !~-W,030 ~ . TENANT NAME: v C s- Uor SITE ADDRESS:- t", '0~ SUITE ~fa1~ t BL ~ ~.e r~ c~ r k C,~~ C~ t~~ LOT OCK SUBD. P.I. . # Name: W"WE 14ugF2 Phone#: (!5;4-1'e~~Z' Z(oo PROPERTY Last First OWNER Street Address:le, 0, Ciry 5-"(- State: or`4 OJ Zip: ,SS/~4 -a S ln~ Company: GLg-k5-/vwvl~~n~ Phone#: 09 ~~-4go CONTRACTOR r/ 33Z Sueet Address: Y ao c fb~•~-a Ae Ciry S~ ~ Pi~vL State: "1 01) Zip: ARCHITECT/ ENGINEER Company:~/~-G~~'~kt YJ,/1 /h- /~~-[~A+-?c~ Phone 6;<Z 5-17, 3 ~ Name: 7^1 AfiQn//' e~uJ Registrarion l6 ~ Street Address: [Foa Sa Ciry ~,_1 PL 5 State: /j Zip: !5-5 -4 3 Sewer & water licensed plumber (onlv if installina sewer & water): i hereby acknowledge that I have read this application, 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: L 'z OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous . ? 27 Commercial/industrial ? 29 Antennae WORK TYPE /1/ef<. /vi Sd-rU 3ti/S 104~41- nec, ¢o Tol., ih l~~ ~ 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) ~ FR Basement sq. ft. 3 3~ amo Census Code -?z rl` (Allowable) ~ FR First Floor sq. ft. soo SAC Code 30 UBC Occupancy B S-3 2., cQ L sq. ft. • 490o No. of Units 27- Zoning -Wi 3 L sq. ft. 73_ ~'.000 No. of Bidgs. / # of Stories 3 sq, ft. MC/ES System 14~_ Length zsy sq. ft. City Water _1-1- Width 30 $ Footprint sq. ft. 3Loo Fire Sprinklered ,d- APPROVALS Planning guilding ~)5, Engineering Variance Permit Fee Z~ VALUATION: $ Q OOo / Surcharge 5 ~ Plan Review , MC/ES SAC /050k Z~ 0'If 6 % SAC ~ City SAC /ObX 29 Do ~ SAC Units -2) Water Supply & Storage Meter Size S/W Permit l00, i • S/W Surcharge . 5 0 . Treatment Plant ylogX Z~~ S9 Z~ . Park Dedication ?13, F' 54 v Trails Dedication Water Quaiity Other (etidsco,~e lecun~v 'YSOoo Copies Total 7y~7 s,35 , ~~-I 3 G- 9 v o I ~ city oF eagan PATRICIA E. AWADA - Mayor PAULBAKKEN BEA BLOMQUIST PEGGV A. CARLSON CHANGE OF ADDRESS SANDRA A. MASIN Council Members THOMAS HEDGES Ciry Administrator E. J. VAN OVERBEKE OLD ADDRESS: 1'-i i G ~C'~'a~k E~ C~UGC~IX'. C3r1~ city ciark NEW ADDRESS: ~~c~~•c~.I-C e~>C~~,ul LOT I BLOCK I pLaT rrAME REASON FOR CHANGE: I'~ ~ ivtnre v„G> ~ + r ~ n ~ ;,v, le~•° : :r. 2(' if)'LMaP . . { G~ sjji )VU (SIG ATURE) (DATE) fn 1INF i ta~5 ~/n~=~l/~i~/i~ D~ 'rnnc (Applicant name - please print) CD/FORMS/CHANCE OF ADDRESS MUNICIPAL CENiER THE LONE OAK TREE MAINTENANCE FACILIN 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE (651) 681-4600 PHONE'. (651) 681-4300 FnX: (657) 681-4612 Equal Opportunity Employer fAX: (651) 681-4360 1DD:(651) 454-8535 TDD: (651) 454-8535 TELEPHONE CONVERSATION DUNHAM ASSOCIATES C(JNSULTIN(i FNGINEC25 PROJECT: BCBS Riverpark Faciliry Comm No.: 04-99104-00 By: Mike Dugan Signed: Talked to: Bill Adams Date: -26-00 Time: 12:30PM Company: City of Eagan Bldg Phone: 612-820-1432 Inspections Placed: B. Adams Received: MPD CONVERSATION: Discussion with regard to the need for a backwater valve in the sanitary system. I indicated that I believed our sanitary system required a backwater valve since the fixtures located in the basement of the building fell below the center line of the curb and the Plumbing Code required the installation of a valve for those fixtures. Bill said that a back water valve was not needed since the City of Eagan had a separate sanitary and storm drainage systems. He indicated that the code was written to pmtect the plumbing fixtures in a lower level when the sanitary and storms systems were combined and a heary rain could flood the lower level without such a backwater valve. He inquired as to what project I was working on and I told him that it was the new Blue Cross Blue Shield building. Again, Bill indicated that no backwater valve would be needed. ]:UvISDOCS~ROJL'CSS09\99104\TCBACK W ASERdoc 8200 Normandale Blvd., Suite 500 ? Minneapolis, MN 55437-1060 ?(612) 820-1400 ? FAX (612) 820-2760 ~ city oF eagan PATRICIA E. AWADA Moyor PAULBAKKEN February 28, 2000 BEA BLOMQUIST PEGGY A. CARLSON SANDRA A. MASIN Council Members Mr. 7on Stone THOMAS HEDGES Architec[ural alliance Cify Adminisfrotor 400 Clifton Avenue South E. J. VAN OVERBEKE Minneapolis, MN 55403-3299 Ciry Clerk RE: Blue Cross Blue Shield 1760 Yankee Doodle Road Lot 1, Block 1, Riverpark Oftice Center Dear Mr. Stone: We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesting that the following items be addressed. Unless otherwise noted, all references are to the 1997 U.B.C. 1. Please provide a detailed code review plan sheet with a master exit plan showing occupant loads, exit widths, occupancy classifications and exit distances. Also include the locations of any raited sepazation walls or floors. 2. Provide a report detailing the atrium exhaust and verify compliance with UBC Section 905. (A preliminazy report was generated on October 12, 1999). 3. UBC Section 905.7.3 requires that the ducts must be leak tested to 1.5 times the maximum design pressure. 4. Be advised that the reports, documentation, and acceptance of the exhaust system will be required; see UBC Sections 905.15.9, 905.15.10, and 905.16. 5. Verify clearances for water meter installation in meter room. Standard plate is enclosed. MUNICIPAI CENiER THE LONE OAK TREE MAINTENANCE FACILIiY 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GRONRH IN OUR COMMUNIN 3501 COACHMAN POINT EAGAN, MINNESOTA 55122-1697 EAGAN, MINNESOTA 55122 PHONE: (651) 681-4600 PHONE: (651) 681-4300 FAX: (651) 68 i-4612 EqVdl OppOrtUniTy Employer FAX. (651) 681-4360 iDD: (651) a5a-8535 TDD: (651) 454-8535 • • 4 6. Provide details on how the required structural and fire resistive integrity will be maintained where penetrations will be made for electrical, mechanical, plumbing and communication conduits, pipes and similar systems, UBC Section 106.33. 7. Toilet room 01-51 must be accessible per MSBC 1341.0405, Item K. 8. The toilet room on the 3rd floor executive area must be adaptable as required in 1341.0405, Item K. 9. Verify that the T.I. concept wall locations on the 3`d floor aze provided with a compliant exiting system; UBC Section 1004.2.2. 10. Provide stairway identification as required in UBC Section 10033.3.13. 11, Provide fire protection plans. 12. Verify that any openings aze protected as required in 100333.10. 13. All doors in the large conference room on level one must swing in the direction of travel; UBC Section 100323.1.5. Review any similar spaces with an occupant load of 50 or more. 14. Verify that smoke and fire dampers aze installed as required by UBC Sections 713.10 and 713.11. Review the one-hour wall between the boiler room and the garage. 15. Verify that any information centers include a 36-inch wide space not more than 36 inches in height; MSBC 1341.0720. 16. Provide an 8%2 x 11 fire protection plan; sample enclosed. 17. Sheet A216 was not included in the package that we received. If you have any questions or concems, do not hesitate to contact me at (651) 681-4699. Sincerely, ~"'v 449~~ Dale Schoeppner Assistant Building Official DS/hm Enclosures cc Doug Reid, Building Official rbo Hra.M MA . a..~.?um~ # NORTFIWOOD DRNB n. o.q. ean.c~~en ¦ • IJ O ~ ~ a~ Me~ee. W ~ fYe AIMn ?wwl 51ao" lwA m 3061 ~ ~ f w:omara.cw..rlbwl 4 o Bullding 8 O ~ 1110 Nafnwood O+ive m 8ulld+ng b ~ 6 ! O 1lulaiMkfplnMkn Natudeys/MNxWs »2p Z f/fYrNd M., L] ; Mon `D O 6vrk~Ow NORYHWOOD DRNE o.~Aw~saw ~ f3R~ps ' o an mom stmoll o ~ C tlnM - LITN- ~.M• POND . sr..ar.n r~ S Promeoade Oalu Townhoasa uN«.W . ~ 1170 - 7170 Northwood Drivs ; . FIRE PROTECTION PLAN Recreatbn Buildlnp on. oe~oroe DWf3 BY: OJK K8~ ~ , . . _ _ . . . Ga . mps PROMENADE ; SHOPPING CENTER KeO ? : o ~s • ~ W ~ " o < ~ ~s " ~ PROMENADE ~ ~ 00 AVENUE POND YANKEE DOODLE g ~ ~ 1 oaROAD 1 n°' ~ 90 - 1 Optional throttling val Upstreom isolation ve, Check valve, or Shut-off valve Fish tra strainer onl BFP or pres5ure P Y Regulator Device (Full Opening) 7 Meter Strainer ~ FLOW --4- I+-10 Oiameters-~ I~-Minimum of ~ 5 Diameters Water meter pownstream Shut-off or isplation volve (Full opening) ~ TO INSURE VALIO REGISTRATION AND PROPER PERFORMANCE, THE FOILOWING FACTORS ARE REQUIRED WHEN INSTALLING SENSUS TUR80/COMPOUND METERS 1) When installing meters in a manifold or battery arrangement, a weighted backflow check valve shall be installed on all but one meter. 2) gp,si~lir~9 t~b~~ters with a strainer, a minimum of ten pipe diometers Psi't'run pipe is required upstream of the meter and five pipe diameters 3) Do not install check valves and pressure reducing devices upstream of the meter. 4) Externoliy weighted check valves and pressure reducing devices should not be closer than five pipe diometers downstreom of the meter. 5) Unweighted check valves,p.r.v.'s & backflow preventers should not be located closer thar five pipe diometers downstream of the meter. 6) Valves immediately upstream of the meter should be only full-open gate valves. i Butterfly valves are acceptable if they are ten pipe diameters or more upstream from the meter. Downstream, fully open gate or butterfly volves can be used. A116 woaKS TURBO & COMPOUND WATER REVISED s P oARc DEPARTMENT METER 1NSTALLATION 2-9s 116 City of Eagan REQUIREMENTS 2000 BUII.DING PERMIT APPLICATION (COD'IIVIERCIAI.) CITY OF EAGAN 651-681-4675 o i l Re uirements c . Foundation Onl New ConsVuction Interior Im rovement • Structural Plans (2 sets) . Architectural Plans (2 sets) • Architectu2l Plans (2 seis) • Civil Plans (2 sefs) . SWCtural Plans (2 sets) • Code Malysis (1) • Certificate oi Survey (1) . Civil Plans (2 sets)' • Project Specs (1 set) • Code Malysis (1) " . Landspping Plans (2 sets) • Key Plan (1) . Project Specs (1) . Code Anatysis (t) . Masler Exit Plan (1) • Spec. Insp. 8 Testing Schedule ° . Certifipte of Survey (i) • Energy Calculalions (1) not always" 1 • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Form (1) not always" 1 • ProjectSpecs (1) 1 1 . EnergyCalculations (1) " ! 1 • EleMric Power & LighGng Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) 1 i 1 1 • MC/ES SAC detertninaGOn Ietter • MC/ES SAC detertnination letter • MClES SAC detertnination letter tall 657-602-1000 call 651-602-1000 cail 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE: o WORK TYPE: NEW _ REMODEL CONSTRUCTION COST: I`L, Soo, c10a ~ DESCRIPTION OF WORK: ~ d2,V O TENANT NAME: ASe-GlLo55 B~l~f St`+/GLB o~r~i? SUITE: FORMER TENANT NAME: -60 SITE ADDRESS,--ff-1AW&A-e 0.:OvP- 09- 10. LOT ~ BLOCK SUBD PG Y O c- Name: ,Iy,QPJE ,Q,~ Phone#: ! Zo 0 PROPERT'Y Last ~ Fi~rst OWNER p Sneet Address:_ 3~3 S~ ~?LVf- City State: d"!nl Zip: 5-57 22 Campany: -/IAn(1~5~,.~ G,•,s7 /'o , Phone c Gs/ ~ 29/- CONTRACTOR n Street Address: 2,oo C P-A-0 /erE City S'7~ PW?L, State: v-i Bi Zip: S~/o Z ~ AItCHI7'EC'T/ ~ ~ ~ EIJGINEER Company: ~l-( I~1LCY,hi~ / A~/VtZ Phone ( j~j( 1 ?S ~ l y 't° 3 Name: CJvS~;k- MRT Regishation#: StreetAddress: ~ea f57"'/ 14-v~ _ S. cicy Nt OLs srau: z;P: Sewer/water licensed plumber (if installina sewer/waterl: Phane I hereby acknowledge that 1 have read this application, state that the information is conect, and agree to comply w' tapplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ! /f-3 / G?. >~?7~ 1,/ ~J Mj'/' ~o~ Sr`fz 6(~2•/zz7 ~ /z• 13 Z, OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~T- 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. O 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF z ORK TYPE 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ? 32 Addition 0 35 Tenant Impr ? 38 Demolish (Inte(or) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORMATION Census Code 3ZY Zoning P ~ 3 IeYB4q. ft. .7 o SAC Code 30 # of Stories 3 sq. ft. No. of Units _L Length zS sq. ft. No. of Bldgs. _L Width 309 sq. ft. Const. (Actual) _IL FR Basement sq. ft. 3 3~a n MC/ES System X (Allowable) ,i1' FR First Floor sq. ft. 3y SOO City Water UBC Occupancy ¢}S-3 2 n k 1eve(sq. ft. 33T j Fire Sprinklered k MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building D S Engineering Variance '6 3 -~1 S VALUATION:$ ( Z SDO, DOd Permit Fee Surcharge o ~ Plan Review 3 MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit ~ S/W Surcharge w/ aU,~ ~ e,01P 4'1 ~e3 Treatment Plant p A ~ Park Dedication Trails Dedication Water Quality Other Copies Total S<s~ --J,TS~. , I Dunham Associates Cansulting Engineers ~ V1 November 16, 2000 Mr. William Bruestle Ciry of Eagan [nspections Division 3830 Pilot Knob Road Eagan, MN 55122 Comm. No.: 04-99104 Project: Blue Goss Blue Shield Riverpark Re: Speciallnspections Dear Mr. Bruestle: This ]etter verifies that Dunham Associates performed special strucmra] inspections on the above referenced project, as foflows: I. Concrete formwork inspections per specification section 03100-3.11-A-3 for all structural cast-in- place and post-tensioned concrete. 2. Conventiona] reinforcing steel inspections per specification section 03200-3.03-A-3 for all structural cast-in-place and post-tensioned concrete. 3. Concrete placement inspections per Unifortn Building Code Chapter 17 and specification section 03300-3.16-A-3-c for all structural concrete excluding slabs on grade, strip footings without transverse reinforcement, and topping slabs. 4. Concrete protection and curing observations per speciFcation section 03300-3.16-A-3-d for all structura] concrete exc(uding slabs on grade, strip footings without transverse reinforcement, and topping slabs. 5. Post-tensioned reinforcing steel inspections, including observations of tendon stressing operations, per specification section 03365-3.08-A-4 for all post-tensioned concrete. Based upon our observations, it is our opinion that the inspected work was performed, to the best of our knowledge and belief, in accordance with approved plans, specifications, field sketches, and the applicable provisions of tlie Uniform Buildir,g Code. Copies of all our daily inspection reports were copied to Mr. Dale Schoeppner of your office. Please feel free to contact us if you have any questions. Sincerely, ~ DUNHAM ASSOCIATES, INC. 8200 Nornandale BoulevarA Sude 500 Minneapolis John Paul Gille, P.E. Minnesota Associate 55437-1075 iel: 952-820-1400 Po.49910a\Coet3wcolSi¢ Repons'.IVapecins~001116.doc Faxi 952-820-2760 d u n ha massociates. com . . copy: t_ Dale Schoeppner - Ciry of Eagan ~ Tom Smith - United Properties Jon Stone - Architecmral Alliance (downtown) Troy Stutz - Kraus-Anderson (via job site fas @ 651-662-1224)J-1 Prz Jane Lundberg - Dunham Associates Paul Thompson - Dunham Associates File ~ Metropolitan Council Working for fhe Region, Planning for the Future Environmental Seruices November 12, 1999 RE~:~I~F~~ - NOU 1 5 1999 ~ Dale Schoeppner ~ Building Official BY: = i City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppnec The Metropotitan Council Environmental Services Division has determined SAC for the Blue Cross Blue Shield Customer Service Facility to be located within the City of Eagan. This project should be charged 29 SAC Units, as determined below. SAC Units Charges: Office 65792 sq. ft. @ 2400 sq. ft./SAC Unit 27.41 Conference 3352 sq. ft. @ 1650 sq. ft.lSAC Unit 2.03 Total Chazge: 29.44 or 29 If you have any questions, call me at 602-1113. Sincerely, 7odi . Edwards Staff Specialist Municipal Services Section 7LE: (300) 99111257 cc: S. Selby, MCES Cazolyn Krech, Finance Department, Eagan Robert J. Fox, Kraus-Anderson Const. Co. 230 East Fifth Street St. Paul, Minnesota 55101-1626 (651) 602-1005 Fas 602-1183 TDD/TiY 229-3760 Ari Equa! Opporhmtty Elnpbyer f t SPECIAL INSPECTION REPORT DUNHAM ASSOCIATES CONSULTINC. ENGMEERS PROJECT: Blue Cross Blue Shield Riverpark Building Comm. No.: 04-99104.03 OBSERVATION INFO: Contractor: Kraus-Anderson Date: February 24, 2000 Contact: Tom Offner Time: 730 am /I:15 pm ObserveP: Jane Lundberg, EIL%~ Weather: 46 degrees, cloudy/fogbY Signed: 92IL10- f Q) Winds 5-10 mph " U NOTF: This lisl is no[ to be construed ac a compkte tabulation of all items requircd for the projec[ completion and does not relieve ihe contnc[or or con[rac[ors of work indudcd in the con[rac[ documcnts. OBSERVATIONS: 1. Others contacted on site: a) Harvey - Kelleher Construction (foreman) b) Dwayne - Kelleher Construction (superintendent) c) Doug Boettcher - L.H. Sowles (post-tension ironworker foreman) 2. Work in process: a) L.H. Sowles tying wall footing steel and placing mild reinforcing and post tension cables for pour 2 on level 1. b) Contractor preparing fonnwork for level 1 framing pour 2, south of grid 5. c) Contractor placing concrete at Level 1 columns at grids Gl, G2, F1, F2, and F3. d) Contractor placing concrete and dowels at Lower Level column at grids CC/HH. e) Contractor preparing fonnwork and placing conerete at wall along grid A from grid 6.5 south to grid 7.2. f) Contractor preparing formwork, placing footing steel, wall doweis, column dowels and concrete in wall footing along grid CC south of grid GG.7 to corner and along grid A south of grid 7.5 to corner. 3. Work items observed: a) Rebar placement at the above listed 2.c., 2.d, 2.e. and 2.f. b) Concrete placement at the above listed 2.a, 2.d., 2.e. and 2.f. c) Remeasured tendon elongation for banded tendons along grid 1 at grids Ll. 4. Items noted: a) Braun Intertec was on site performing concrete testing. b) Approved concrete mix BCB6053 used for above listed 2.c. and 2.d. c) Approved concrete mix 4066 used for above listed 2.e. and 21 d) Pump truck used for concrete placement. , e) Internal vibrator used to consolidate concrete. fl Contractor installed blankets for a6ove listed 2.c., 2.d., 2.e. and 2.f. g) Contractor pumped or drained water out of above listed 21 Due to warm weather, rain, and existing soil, there was some water in the footings during concrete placement. Soil was extremely muddy and most water that remained in the footing was pushed out during concrete placement. Remaining water was minimal. 5. Items discussed: a) None. 6. Uncorrected discrepancies: a) None. Copy: Dale Schoeppner - City of Eagan ' Tom Smith - United Properties 1 UfSDbCS~PROIEQS\99,9910e\Swcanl\Sim Reports~specinsp 022400.Jac 8200 Normandale Blvd., Suite 500 ? Minneapolis, MN 55437-1060 •(612) 820-1400 • FAX (672) 820-2760 11i01i99 17:05 EFGFN ENG+COM DEV 4 612 820 e760 NJ.bal ree~ UVJ= 9PECIjLI. INHPSCTIOH 1ND TEBTING SCBEDDLE (To pe yntd Ln •eeeYdanc• with <he 'Culdalinas for Special Inepeotion and T¢ating•) i ~ ~ &*ECT NO. PROJECI' NAl48 I1)~ i,QCA'[ION p^RHI? NO. 6ASCin1. INSPECtION 6CN6Dt1i.E Repo`t Aaeigned Type of 3 F enc F[rm 41 ' n 2 DeS D3 .il ~ N STixa sCBLDULE TE `!G o33x~ •~~o. b 0 o r ~l ,02 O 10 Not~s~ ihie echedule to be filled out and ineluded i pP ~e p c building permie, unavallable at that Cime to be filled out vhen s 1 inq for a (1) Pernit No. to ba pcovided by tna 9uilding OPiicial. (2) Uee deacriptlons per U.H.C. SeCtion 170,'S (3) Spaclel Snepector, 7eseing Agent oY Fabricator. (A) Fizm ContreCted to perform eervices. /1ClCNONLLDGL34ENT3 Flrme ~iG~? ~ Date: ~ F1Yme Date: Date: L ~ Firm: ~ i:nsFirm: nt eign tlelo.r: Dace: ~ ~ FFllrmrm: : Date:~ Firm: D8C0: ate: y~~,~ Ft ~ cm: D p6 ate- Pirm: 7ate:Firm: Date: F: • The individusl nemae ot all prospgetlve epeclsl Lnepectose and the wark ehey inzend c obaerva muft bo identiElad on the reverae elae oL cnia [orm. Legend: SER - Sttuetucal Englnesr o! Reeord SI ~ Speelal Insp¢cear TA a Se.tin9 h9ant P = Fsbricator ~'OV 01 1999 15=56 651 681 4694 PRGE.02 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 VVi 4.1 Use BLUE or BLACK Ink For Office Use Permit #: '0l�" V� 4917114 Permit Fee: ' I Date Received: Staff: i 1 '`t 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: 2/28/2012 Site Address: 1800 Yankee Doodle Rd C,aA\141 Tenant Name: BCBS" Of Minnesota (Tenant is: New / _ Existing) Suite #: N/A Former Tenant: . N/A PROPERTY OWNER", Name:Blue Cross Blue Shield of Minnesota phone:651-662-2542 Address /City / zip: 3535 Blue Cross Rd, Eagan, MN 55122 Applicant is: X Owner Contractor Description of work Interior Office Construction Cost: $39,000 00 CONTRACTOR ARCHITECT/ ENGINEER Name: C.F. Haglin & Sons, Inc. Address: 3939 West 69th St State: MN Zip: 55435 contact: Gary Gunderson License #: N /A City: Edina Phone: 952-920-6123 Email: ggunderson@cfhaglin.com Name: Architectural Alliance Address: 400 Clifton Ave. S. city; Minneapolis, MN 55403 State MN Zip 55403 Phone 612-871-5703 Contact Person: tiltaflaioZ5 l o�� _ Email: Registration #: 20915 Licensed plumber installing new sewer/water service: Phone #: NOTE' Plans and supporting documents: that yousubmitare considered to be:public information. the information may be classified as non public:if you, provide specific masons that would permit; :"conclude that they are trade secrets.1 CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for prot-ction against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www .• • h- . e•n-call. I hereby acknowledge that this information is complete and accurate; that the ;wo'�jwi be in cont codes of the City of Eagan; that 1 understand this is not a permit, but only an app or a perm' permit; that the work will be in accordance with the approved plan in the case of w,, • h requ' Ohl. liaraprignatu x Gary Gunderson Applicant's Printed Name ce with the ordinances and work is not to start without a w and approvalof plans. Page 1 of 3 4of DO NOT WRITE BELOW THIS LINE 3 SUB TYPES Foundation V 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 39, 000 °641 0 I Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile )goof: _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 8 MCES System 1007 M504. SAC Units el, D u1A+v4E /*/ t4e Qa- er.4. LD. `?b City Water Booster. Pump 52 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 C/O, Inspection: Schedule Fire Marshal to be present: Yes V No Reviewed By: C.i, Building Inspector 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 563 •SO IT. s"v 3GG .ZSR Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL I `7I �• "g Page2of3 10-13 4 City of EaRall 3830 Pilot Knob Road ,(1 9st,.G"""� Eagan MN 55122 \\'01 Phone: (651) 675-5675 0 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: --Z(' 2012 MECHANICAL PERMIT APPLICATION Date: rY{fA ' rel ,P) Site Address: J313- ) JC r P.V'b �? -. - 3 n rum Tenant: II?e:173 4 ®P Mow.) / SOO ir1►) (--6 Suite #: J RESIDsENT / OWNE�t Name: 13e7 , Phone: Address / City / Zip: CONTRACTOR, Name:1ithUS1001 jM,"1-4J1 14t, License #: � l -- Address: -4—I°5I)-fir 1�T �r12 r� City: ' 1 NIA-- State: � Phone: State:Zip: S5®7 , 1--A9?-3133 Email:- 77/0&.•6e44Abeej"1'n ad-. Contact X--2 7 TYPE OFaWORK New Replacement Additional j� Alteration Demolition — Description of work: i t & /9- O 'If C 3114)` ZM v ') D" i` NOTE Rooffmounted and ground mountedlmechanical equ pmerit issrequired to be screened by`City Code Pleasecontact thefMechanical Inspector for information on permitted screening methods RMI PET TYPE RESIDENTIAL Furnace COMMERCIAL New Construction 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) = $ '577f2' 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 $ 35---1 x 1% = $ CA94:90 Permit Fee - If the Permit Fee is Tess than it- Fee - $! _Surcharge = w (QC') 619 TOTAL FEE - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit 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 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. r Applicant's Printed Name piicant's Signature FOR OFFICE USE Required Inspections: f 'Reviewed By: e Date:3 Underground Rough In Air Test Gas Service Test In -floor Heat P'Final HVAC Screening 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Usjl `� Permit #: / b�-Q Permit Fee: �7 Date Received: / f (' L Staff: PIC) 2012 MECHANICAL PERMIT APPLICATION Date:hat( 1,1 is Site Address: Tenant: l fibo YthMinti fi 7a Lr: Rpm) Name: 0435 Phone: Suite #: Address / City / Zip: Name:514a+JiLlii,a License #: Address: 2-2C ib M' 7)41 Ito City: Wil , / Pfhib State: 41A) Zip: C -a6 o7 Phone: /fig,- q133 Contact: N1��u"aC,i//LJ Email:/13na i* `" /ii New Replacement Additional Alteration Demolition Description of work: oof mountediand.groundmiountedlmechanical equipment=is required to be screened'l y`.City' PleasetcontactthetMechanical<.Inspectorfor information,on permittedscreening methods. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction ‘,...-<nterior Improvement Install Piping Processed Gas 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 burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $_324.090 0 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) $60.00 Minimum (includes State Surcharge) - If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by 5.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ e f2 -- _ $ OL/ Permit Fee = $ 14afr Surcharge TOTAL FEE x 1% 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 orinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work inot to start without a permijjkhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x -.014614 Applicant's Printed Name App cant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date :a1/1)-((.2— Underground Ar Rough In Air Test Gas Service Test In -floor Heat Final _ HVAC Screening C!tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 5 Use BLUE or BLACK Ink For Office Use % Permit #: ! 7 60Permit Fee: Date Received: L Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 4-2S—(2... Site Address: `JY) $AA..k_OP C /e_ Tenant 3\j , '^t. tA-it _ri) el J Suite #: Name: Phone: PROPERTY OWNER a Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: 1 ?c>( ) Estimated Completion Date: 1/-- Name: i License #: �. ) CONTRACTOR Address `' 1 i �r`t Gam' -1 �c °`L.; l } . City: { . i c. i State: !, Contact: �« FIRE PERMIT TYPE Sprinkler System (# of heads 4) _ Fire Pump _ Standpipe Other: Zip: ��t ` Phone: Lo-./ _ 3/-_. 1 Email: WORK TYPE New _ Addition Alterations Remodel Other: DESCRIPTION OF WORK. "commercial Residential FEES t $60.00 Minimum (includes State Surcharge) " If the Permit Fee is less than $10,010, surcharge is $ 5.00 1 y 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) 3/4" Displacement Fire Meter - $231.00 Educational OR Contract Value $ 200 x 1% = $ Permit Fee = $ Surcharge = $ 100TOTAL FEE = $ Fire Meter $ 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 inneeprdance with the approved an in the case of work which requires a review and approval of plans. x 1� t Vt--0 l ) 0 x Applicant's Printed Name App rcant's Signature (672 -op 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.qopherstateonecali orq FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station V- Final Conditions of Issuance: Permit Reviewedb*......Dal,C9,1siarjAe-A: Date: 10 / 3 / •� Use BLUE or BLACK Ink � . �� ,�� ForOfficeUse ��D---i v i Permit#: 1 C�� of �a an � ; . �, � � � Permit Fee: � 3830 Pilot Knob Road � I Eagan MN 55122 � I Phone:(651�675-5675 � Date Received: � Fax:(651)675-5694 � � � Staff: � `��J . 2014 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 11/20/2014 Site Address: 1800 YANKEE DOODLE RD RIVERPARK II Tenant: Suite#• ��,�,�.<m,�..�.�..��.,��A��.,�,� .,.�, ' : Name: LOW VOLTAGE CONTRACTORS Phone: , Q��yy�;��,� : 4200 W 76TH ST � Address/City I Zip: `' Applicant is: Owner X Contractor ' �`; Description of work: Replace 2'/2'flow switch in first floor stairwell. � Typ+�+�?f V1��fic '' Construction Cost: 550.00 Estimated Completion Date: 11/15�14 VIKING AUTOMATIC SUPPLY C00005 �` Name: License#: - Carttra��r Address: 301 YORK AVE City: ST. PAUL . ' State: MN Z�p: 55130 phone: 651-558-3300 ZACH SZODY ZACH.SZODY@VIKIGNSPRINKLER.US Contact: EmaiL � FIRE PERMIT TYPE WORK TYPE � X Sprinkier System(#of heads�) _New X Addition _Fire Pump _Standpipe Alterations _Remodei _Other: �� _Other: DESCRIPTION OF WORK: X Commercial Residential Educational ' FEES Contract Value$ 550.00 x.01 $55.00 Permit Fee Minimum _$ 55.00 Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 =$ 5.00 Surcharge" "**If the project valuation is over$1 million, please call for Surcharge 60.00 _$ TOTAL FEE 3/4"Displacement Fire Meter-$260.00 =$ Fire Meter _$ TOTAL FEE *Requirements:2 complete sets of drawings and specifcations,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 wiil be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota BuildinglFire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start withou4 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 (� X Applic nYs Printed Name A lic nt s i n e .,. � ��-�� R�� . REQUIRED IIrISf'ECTIQ1w5 H�d[ostati�: Ftow Alarm 17ra'rn l'est �.Rough iri ` � � Trip' Pump Tes# C�r�trat Statis�n Final . � : , . �,�, �,r,��.. � Conditions of Issuance: : Pemtit i�eviewe��iy: '17ate: -��!�!_��" � Use BLUE or BLACK Ink � -----------------, � For Office Use I I � Clt 0�� Il j Permit#: � � � � � , 3830 Pilot Knob Road i Permit Fee: �0 '� i Eagan MN 55122 I Date Received�' d I Phone:(651)675-5675 � �� I Fa�c:(651)675-5694 �U� � � Z��S L Staff_�Y>___ � ��J 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: (o1Z��1S SiteAddress: �80� �1aNK�c Qaoo�c Qo..o ��t��v, /'NN. S"'S/2 / Tenant: �+Ac ��o.sS Qjkc .5��/ �+�d� P..�x � ' Suite#: Prope�rty� Q ��tOrAth@t` �� . Name: U�K� ��os s � Phone: �` Name: SeH��eq � �J�le�hwn;c•► � License#: S'��{c � P��yy(o2`r' �Otltfa�01' �� Address: 225 B�:O��e Oo�nfi Q��vt City: �o.�-f+. S�- �tsL State: I1�N Zip: SSO?S - �- Phone: Email: New Replacement _Repair �Rebuild _Modiiy Space Work in R.O.W. TyP�af Wc�rk — — /� — Description ofwork: IQe�N�lO to�+e �y� Q�2 5 COMMERC/AL New Construction Modiy Space _ , _Irrigation System(_yes/_no)(_RPZ/_PVB) " • Rain sensors required on irrigation systems Perm�t3Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) _Meters Call(651)675-5646 to verity that tests passed prior to pickina ua meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ 2.5D0 x.01 $55.00 Permit Fee Minimum =$ �S.� Permit Fee "If con`tract value is LESS than$10,010,Surcharge=$5.00 = $ s• °c� Surcharge* "*If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 ***If the project valuation is over$1 million, please call for Surcharge -$ ��'�� TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ State Surcharge _$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. \ 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 ��11L�- .J �'u^""1 X W . Applicant's Printed Name Applicant's Signatur FOR OFFICE USE Approved By: Date: : � Required Inspections: _Under Ground ' Rough-In _Air Test _G,as Test Final PRV Required�_Yes Na Meter Related Items: Meter Size : Radio Reatl Manometer : Staff:- Page 1 of 3 Use BLUE or BLACK Ink t For Office Use [,, :::: ee * Cit of Eaoali6 : 3830 PilotKnob Road t�'" tiL F �, Eagan MN 55122 4 Date Received: /0--020--/71 Phone:(651)675-5675 ( i,•i < It Il Fax:(651)675-5694 Staff: J 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: Ia- 0-11 Site Address: t O l \I A L& �00CtI� ZOO-CI Tenant: -74 ( ' Y S .JI "-t � 1\J� dti Suite#: Name: C 17'x- CA., -e.'ZCivtl( Phone: Property Owner Address/City/Zip: Applicant is: Owner Contractor ti i Descrpon ofwork: Type of Work Gr� l 1 I() Cl CQ . l.Lu� t Construction Cost: J000 Estimated ompletion Date: )S1.-PJ VVIiri Name: SWAMI Ititt. reste.G.'1G4A.- License#: C. . 015 Contractor Address: 518frl1 fi_6 L L3 City: . 'PA/4/ State: Zip: S.S/ 3 Phone: LA t•is1" SSO Contact.i O"\46 Email: FIRE PERMIT TYPE WORK TYPE t.. Sprinkler System (#of heads (6) _New _Addition Fire Pump _Standpipe )4 Alterations _Remodel _Other: Other: DESCRIPTION OF WORK: ?0 Commercial Residential _1, pucational FEES $60.00 Permit Fee Minimum Contract Value$ a x.01 Surcharge=Contract Value x$0.0005 =$ 00 Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ / ' Surcharge $100.00 Residential New(includes State Surcharge) $ [? - TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter =$ 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 A ,i f\k2.. 1 W•Pan At x iatt, 4 Gfd+► Applicant's Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed b • �� Date " . 3 / ,(7 C(�� C-f. Use BLUE or BLACK Ink i 4 (io �`'-" . // For Office Us�e1 /� IG I ::::e : /`7t---_ �`�Cityof Eaali fir4-i4.. - 3830 Pilot Knob Road e. / -� Eagan MN 55122 . . .0 Date Received: /611 --bI Phone:(651)675-5675 On 1 8 7017 Staff: 42)4"*"."---- 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 10/17/17 Site Address: 1800 Yankee Doodle Road Tenant: Blue Cross Blue Shield of Minnesota Suite#: River Park II l '�91�� Name: Blue Cross Blue Shield Phone: 651-662-5000 �) ent/ r ' �'r''�: 1800 Yankee Doodle Road Eagan, MN 55121 iii t(a9i�C ��Y : Address/City/Zip: g rt 'il i alai hI x Major Mechanical License#: � Name: J 141 Maple Grove 41)414 11201 86th Ave N p ( city: a � Address: 141,111,040,0011 ctor , MN 55369 763-760-0188 9010 _ - » State: Zip: Phone: ��I = - Contact: Brent Contreras Email: Brent@majormech.com h iihm �� _ New Replacement Additional X Alteration Demolition h' �� _ Remodel of executive conference room "'[ � , .iliDescription of work: pay'44,J',� �yyJ4 6 N(rt��111 �y I �1 TE:'11��•• 0 e B R ito�n ■o t = F =' e d ii; _11 '1-45(...R.;4:'-,--• 9-u . y.l' ' r y Oii)der.''P�ease onta tl e l c arii .1-1A0,..., r*ar01;711 of in = ;, _ RESIDENTIAL COMMERCIAL Furnace New Construction X Interior Improvement � x ' kms r Air Conditioner Install Piping Processed Y �' ,�, _Air Exchanger Gas Exterior HVAC Unit '" '� � �' Heat Pump Under/Above ground Tank C___Install I_Remove) PI k Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge =$ TOTAL FEE $100.00 Residential New, includes State Surcharge COMMERCIAL FEES 16 500.00 Contract Value$ ' x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ 165 Permit Fee Surcharge=Contract Value x$0.0005 =$ 8.25 Surcharge If the project valuation is over$1 million, please call for Surcharge =$ 173.25 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 fora 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. ' 74€-- x Brent Contreras x rit'' ---6 Applicant's Printed Name Applicant's Signature �I * k 2 r k;, pqq 0414 , '- (�I) : r 4„ Vit- _ '�q �� $ � l 'S..,-0k.31�. ..F" M ll� 1� (II II .,- � d � �— I li�evii p= A� +T S e 1 , III : :1 m •round ,`,1,,, 41.09,t n �._ „,11 iiu1 i est _,, m _ u t ' Use BLUE or BLACK Ink .4001, For Office CiUse pa:), Permit#: l J 6 � � Permit Fee: a cipa 3830 Pilot Knob Road .. : , : Date Received: y-)i-i (1 Eagan MN 55122 Phone: (651)675-5675 ,e ' 1 buildinginspectionsalcityofeagan.com Staff: (tt-eli 2017 COMMERCIAL BUILDING PERMIT APPLICATION 8-23-17 1800 Yankee Doodle Road ")� (/ Date: Site Address: / Tenant Name: Blue Cross Blue Shield of MN (Tenant is: New/ Existing) Suite#: N/A (�-� Former Tenant: N/A Name: Blue Cross Blue Shield of MN Phone: 612-750-3994 'Pfo Ow ; Address/City/Zip: 3400 Yankee Drive, Eagan, MN 55121 Applicant is: Owner ✓ Contractor Description ofwork: Remodel of Existing Executive Conference Room �� oto $209 000 '^ti' `' ,' Construction Cost: ' y _ Name: SullivanIDay Construction License#: 3030 Harbor Lane, #100 Plymouth C,�r� Address: City: ', State: MN Zip: 55447 Phone: 612-750-3994 iContact: Day Email: y@ y' Steve sda sullivanda com Name: Krech, O'Brien, Mueller & Associates Registration#: 50117 6115 Cahill Avenue Inver Grove Heights � � �� Address: City: MN 55076 651-451-4605 State: Zip: Phone: Contact Person: Jon Le Noble Email: jlenoble@komainc.com Licensed plumber installing new sewer/water service: N/A Phone#: 1tOT: 't n,; r� � r f ou l t �� ',15,,,..„:„'„v:!;-7,-,t,;: ,P ��'m ,t �. � �s f s - : '?." / j f � f� #=�� ' �„ �"acs.a,re a � A?1'��" v*•. .. _ r„� , .. r .i sr° .:�z axsrte,,�., is1 r ,. ..... .f.�a„,tii�" ._ �,..r„ ..fi . `' -,-n-: r. +'o-u .-,,. e. hK-' 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.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Applican 514-g-e,g '-' 4,,•? x --- ---,„„.. s Printed Name Applica 's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ii-t (13)- 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 /Interior Improvement _ Siding — Demolish Building* _ Addition _ Exterior Improvement T Reroof _ Demolish Interior Alteration _ Repair Windows — Demolish Foundation Replace _ Water Damage Fire Repair — Retaining Wall — Salon Owner Change i *Demolition of entire building-give PCA handout to applicant DESCRIPTION C Valuation 20qDOCDdC' "" Occupancy $ MCES System ✓ Plan Review ✓ Code Edition 2t 1$ Mbe SAC Units d/£7Kh/R_. (25%_100% ) Zoning ris City Water 1/ Census Code Stories Booster Pump #of Units C Square Feet 15--b PRV #of Buildings I Length Fire Sprinklers ✓ Type of Construction If•A Width REQUIRED INSPECTIONS Footings_New Building_Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control v Framing 30 Minutes /1 Hour Steel Reinforcement Insulation Concrete Entrance Apron 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/C.O.Required Pool:_Footings _Air/Gas Tests _Final —✓ , Final/No C.O.Required Final C/O Inspection e Fire Marshal to be present: i./ Yes No Reviewed By: ( ?.... , Planning New Business to Eagan: /t/ Reviewed By: e"-if-IA , Building Inspector FEES Water Quality Base Fee 1t 116 .11' Storm Sewer Trunk Surcharge 16 i i S'D Sewer Trunk Plan Review /, /// • Ql Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: 2927. 2,-• Page2 of 3 City of Eaaau (651)675-5675 buildinginspections0.citvofeagan.com COMMERCIAL BUILDING PERMIT SUBMITTAL REQUIREMENTS: Plumbing, Electrical, HVAC/Mechanical and Fire Suppression plans are required to be submitted with their respective permit applications. Foundation Only Plans should be to scale, preferably 24"x 36", and New Building AND Additions no la r than 30"x 42" Plans should be to scale, preferably 24"x 36", and 2 sets of scaled Structural Plans no larger than 30" x 42" ❑ 2 sets of Civil Plans ❑ Project Narrative, including a description of the company operation and maximum number of ❑ 1 Certificate of Survey employees on the primary shift ❑ I Code Analysis*" ❑ 1 Soils Report ❑ 1 Project Specs 0 1 Certificate of Survey ❑ 1 Special Inspection &Testing Schedule** ❑ 2 sets of scaled Structural Plans ❑ 1 Soils Report ❑ 2 sets of scaled Architectural Plans ❑ Meter size must be established—if applicable o HVAC units required on building elevation/ site plan Electronic copies of the final revised plans, submitted via email, CD or flash drive ❑ 2 sets of Civil Plans ❑ Met Council SAC Determination (651)602-1000 ❑ 2 sets of Landscaping Plans In tpro ❑ 1 Code Analysis** Interior Improvement Plans should be to scale, preferably 24"x 36",and CI 1 Energy Calculations complying with the 2015 Plarger than 30"x 42"aCommercial Energy Code (Chapter 1323 of the no MSBC) **** ❑ Project Narrative, including a description of the ❑ 1 Emergency Response Site Plan *** company operation and maximum number of employees on the primary shift ❑ 1 Special Inspection &Testing Schedule** ❑ 2 sets of scaled Architectural Plans ❑ 1 Project Specs ❑ 1 Code Analysis ❑ 1 Master Exit Plan ❑ 1 Project Specs ❑ Fire Stopping Submittals ❑ 1 Key Plan Cl Meter Size must be established ❑ 1 Master Exit Plan ❑ Electronic copies of the final revised plans, submitted via email, CD or flash drive ❑ 1 Energy Calculations complying with the 2015 Commercial Energy Code (Chapter 1323 of the ❑ Separate PDF copy of the reviewed and MSBC) **** approved Landscape Plan ❑ Fire Stopping Submittals ❑ Met Council SAC Determination (651)602-1000 ❑ Meter size must be established—if applicable ❑ Electronic copies of the final revised plans, submitted via email, CD or flash drive ❑ Met Council SAC Determination (651)602-1000 * Call MN Department of Health at(651)201-4500 for details regarding food &beverage or lodging facilities. ** Contact Building Inspections for a sample. *** Permit for new building or addition will not be processed without Emergency Response Site Plan. ****2015 Energy Code Compliance Forms are available at www.cityofeaoan.com/permithandouts. You will need the ANSI/ASHRAE Standard 90.1 —2010 to complete the compliance forms. Page 3 of 3 cS Peggy Fleck From: SACProgram <SACProgram@metc.state.mn.us> Sent: Wednesday, September 06, 2017 1:57 PM To: Dale Schoeppner Cc: Peggy Fleck; Amy Griffin; sday@sullivanday.com Subject: SAC: Blue Cross Blue Shield - 1800 Yankee Doodle Dr. Attachments: Blue Cross Blue Shield.pdf We have reviewed the SAC determination application for the above project and location and have concluded a determination will not be required. It is the Councils understanding that the scope of work for this office remodel project will not be changing the use or size of chargeable spaces from those spaces previously charged in 11/1999. Therefore, a determination will not be required nor will SAC be due. Thanks, Cory McCullough SAC, Technician.:, n M IS Finance zoo, Cory',McCuliotagh rn tc.st1ie 1111 t3 P. 661.602 ; <16 j F. 651.602.1.:30 3�0 North Robert S Paul. MN } ctett � � I�C'�LT � Street 1 �� a=� , �b �� 1� Please visit our SAC website by clicking: www. etrocounci .org/ ACprogram , .... Ila ,„_,, For Office Use/.ts P ��'"`I"'""� Permit#: ,-vbVa ,,:t, ; ; :'?,3 3. • eV. v.lw ,i, Permit Fee: E AG A N•...• ...... Staff: Payment Recvd: Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 J n o 6 o (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Plans: Electronic Paper Plan Submittal: eplans(a)_cityofeagan.com t C e j_ L �RA.� / s ... 2018 COMMERCIAL BUILDING PERMIT APPLI CATION C Oi � 7/25/18 at� e_ ter. Date. Site Address: Tenant Name: Blue Cross Blue Shield (Tenant is: New/ ✓ Existing) Suite#: Former Tenant: Name: Blue Cross MN Phone: 651 .662.2542 Property Owner 1750 Yankee Doodle Road Address/City/Zip: Applicant is: Owner ✓ Contractor Install new turnstile securitycheck-ins .�. of WorkDescription of work:ype Construction Cost: $200,000.00 Name: Carlson-LaVene, Inc. License#: Contractor Address: 2965 Partridge Road city: Roseville state: MN Zip: 55113 Phone: 651 .303.8612 contact: Brad Shamp Email: brads@carlsonlavine.com Name: KOMA, Inc. Registration#: ArchitectiEngineer Address: 6115 Cahill Avenue city: Inver Grove Heights state: MN Zip: 55076 Phone: 6517894133 Contact Person: Jon LeNoble Email: llenoble@komainc.com Licensed plumber installing new sewer/water service: N/A 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 concludethat theyare 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Brad Shamp x ,_ Applicant's Printed Name App icant's Sig DO NOT WRITE BELOW THIS LINE Jed / r�& SUBS S , /1 6� C,f�_S 1 - . Foundation Public Facility _ Exterior Alteration–Apartments ix Commercial/Industrial Accessory Building _ Exterior Alteration–Commercial Apartments _ Greenhouse/Tent _ Exterior Alteration–Public Facility _ Miscellaneous Antennae WORK TYPES * cAr c- yt,I%.=.. --,..J c New Interior Improvement Siding — Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building—give PCA handout to applicant — DESCRIPTION Valuation 2 op "'o Occupancy ' MCES System _.— Plan Review 1 Code Edition So•1 Q6,_ SAC Units (25%_100% 4 Zoning City Water ✓ Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction j7 t Width REQUIRED INSPECTIONS Footings_New Building Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final Final/C.O. Required Pool:_Footings _Air/Gas Tests _Final 3„ Final/No C.O. Required Final CIO Inspection: Scheie Fire Marshal to be present: Yes `` No Reviewed By: ,‘---(E , Planning New Business to Eagan: Reviewed By: ./,'";:sit/".., _-- -=- , Building Inspector FEES 75- Water Quality Base Feelb -ri-1 .� Storm Sewer Trunk Surcharge f1 Sewer Trunk Plan Review St, JP i 'Y..Water Trunk e MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: it Trail Dedication TOTAL: Zai J. qtr Page 2 of 3 For Office Use Permit#: ! 76 -7-7 • • E AGAN Permit Fee: 3 •0e) Staff: Payment Recvd: Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Plans: Electronic Paper Plan Submittal:eplans(cY�.cityofeaaan.com L 2019 COMMERCIAL BUILDING PERMIT APPLICATION Date: 09/06/19 Site Address: Riverpark Lawn, 1800 Yankee Doodle Road, Eagan, MN 55121 Tenant Name: Lindsay Lockman grgs (Tenant is: New/ ✓ Existing) Suite#: Former Tenant: Name: Blue Cross & Blue Shield of MN Phone: 952-594-1453 Property Ownerr / 1800 Yankee Doodle Road, Eagan, MN 55121 Address ess City/Zip: (7/r) Applicant is: ✓ Owner Contractor �i( /� y CommunityGivingCampaign Event Tents /. �� Ff '��w� Type of Work Description of work: ✓-� Construction Cost: (p //MY) /P/n /41f.6_ Ultimate Events v Name: License#: Contractor Address: 8933 Lyndale Ave. S pity: Bloomington State: MN Zip: 55430 Phone: 763-559-6206 Contact:Tim Smith Email: tsmith@ue-mn.com 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 maybe 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.citvofeacgan.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.ciopherstateonecall.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. Raheem Khalid .�/- Ojos s 70/ X • Applicant's Printed Name Applicant s i a ure • DO NOT WRITE B LOW THIS LINE /S 76"77 SUB TYPES / aQ f4-ace 1DridI& i2t Foundation _ Public Facility _ Exterior Alteration-Apartments 1 Commercial/Industrial Accessory Building _ Exterior Alteration-Commercial Apartments Greenhouse/Tent _ Exterior Alteration-Public Facility Miscellaneous Antennae W9RK TYPES New — Interior Improvement Siding _ Demolish Building* Addition — Exterior Improvement Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation F(% - Occupancy tit MCES System N/#r Plan Review Code Edition 20 IS 14113C- SAC Units (25% 100% ) -- Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction V•!' Width REQUIRED INSPECTIONS Footings New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof: Decking Insulation Ice&Water Final Meter Size: Siding: Stucco Lath Stone Lath Brick EFIS Electronic Set of Final Revised Plans Windows Fireplace: Rough In Air Test Final / Final/C.O.Required Pool: Footings Air/Gas Tests Final % Final/No C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: % Yes No Reviewed By: CII C • , Planning New Business to Eagan: ------ Reviewed By: G 6 IA, , Building Inspector FEES Water Quality Base Fee 155- Storm Sewer Trunk Surcharge 1 IIJGC,D Sewer Trunk r Plan Review t w G-L-P Water Trunk MCES SAC -- Street Lateral City SAC r Street S&W Permit&Surcharge Water Lateral Treatment Plant ------- Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: At (3 c. ta-o Page 2 of 3 1 --)-40- 1q33- 2 12 u€5 4. For Office Use/ / Permit#: /J 9 SP s i•% it �, .�w F C 1� IVE :: e it 0// r DEC3 2019 i 'ent Recvd: Yes No l 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I buildinginspectionse.cityofeagan.com I ons: Electronic Paper , J 2019 FIRE SUPPRESSION,. SYSTEMS PERMIT APPLICATION Date: I .0 13 /I '? Site Address: 1 b O v avt k € b6D C'i! `e 1Ok C Tenant: 61'4'L Ox-05 61(4-'e S It IV-iti Suite#: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components t I Name: rb1(4.4'L etrO59 IS1 k"C.- Sk f-e i J Phone: Ce id. --3 ( q _ 3 .P0 JAN- ; �® Zi : -35-3 J / k L NO J 7 20 Gv�Address/Ciyp aApplicant is: Owner A Contractor .:" i =� �� Description of work: (`e{//�(4f"<- -ex.,St J)i E- ..... DeL�ceor5 (.&ri `elite} Lia,. 4 ') LL Construction Cost: Estimated Com.letion Date: } , i 1r5 O 50714= - Name: S ,, MJ 0vhv,H4,,5License#: � r S Address: 5-' o v' hct SI 5 1 � A /3)e bJCity: Si. r a State: WW1 Zip: .=5---57 0 3 Phone: "k 5 i— a`$. fs- 0 to L 9 Contact: 3 k i i Email: S"l'! /1 54111 M I-1 tO (k..,9 • CCJWI 1 FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of heads ) _New _Addition Fire Pump _Standpipe _Alterations _Remodel Other: U`-egcip" Other: - ' a a°e vv..-� r DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Permit Fee Minimum Contract Value$ /q k i L o x.01 Surcharge=Contract Value x$0.0005 =$ I I .�}� Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ "` 'S ic. Surcharge $100.00Residential New(includes State Surcharge) _$ V1 ' 1 TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter Radio Rpad(required with Fire Meters)-$190 =$ TOTAL FEE 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.cityofeagan.com/subscribe. 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 fora 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 review and aapproval of plans. x 5 r`�1-e6. t� . 6,h I , x ,C.A- Applicant's Printed Name ' a Signature a u0-- 153 ' X35 '- €�; ``, Y , , ,l * ;,,'5,..,.7=0".:. r '7.R Z, a ''''''':''''''''4-e''''' a r °t ' .o-` kkic+ 11 I at,.c , r ,', `,� RC2: � , 9e �pt „ +} " 's i# a rt 'Y4i7 � fi � {S, �: l : ° " " , I, ....1, ,,H.,,,,„....,...t..,146......--,,- 0 z - Fo k ^ @- . '. � "'� C 1 w � "9 5 ` +' r......,,,,,,,,,,,,,,,,,,,,,.,,...„,,,,,;;:, .F�r.k� $,�,�k.:r%t x � �" ,r (D 1NS 1svr gei ,," . n:S , .tt', h� �„! . ` t ` • •RE" 1 ; '.,a ir fi `+ �ik kt5 YC.4 4 ,, n. �A r. � :v✓s + -K-=� .t't�3yst wdrosa . 6 ., %`4'T' .-�r ° r 4 .i - ,-+ Fr� ^° 4t .�#, �� rt i '� s " ; "' t Sx "f.� . "u � � i, S} ..,...i'4,.,.'''-'4,-,,:...4-. ..";:•".': • 5 k+#irr7 ; s f'`" ^ e"tS < ��F 4` :..st � : sem " r e #" pf sa ��* # r :c r'''':'•' ''': Ak x� zr� � ,� x,s "J °'..s ? '` _ L4 s ,s, -i F{ Y 1z-�5a"zu �; �,u.. �. e .. ,t,i �� `1 ' ,,_...,y,..a {1 •S �.t.^�y : � � .. . ,,.,,,,,,-.','-',.':47,4?'"1 , .t y. . , :a , tK j ',� �, � � ..... ° „ ...., :- ,?D „ ' a w`�$`'�.�« V , +' � " r 4 .n r ' 3 aaur��a+ e ,f� te �# i -- a ` tc iartfa'`' .l ^ftx ' -'.--:!'.1,4,-,,..-,,,.:::,,,,z,=',:::'''... ,4sy :, £ u tY „ att- S " N t s9. r- . X- `S ,;.,,,:;:j:`,..;,;:;,•'• . 'ter r" Yn- ,,g+s :..i �q b :.,--'''''',7-...77,--;',11;3i':2;-..!' -7-,--:;.-'4'. a z c7,X.,Iev ewed Lp. L," ,t >o-Y ,' `": For Office Use (G(,t Permit#: /5-/..-57_5 ''I / T Df '� `�,,; i + ' RECEIVED � Y L :::t iFee: 90/./ ' i `, dor I " ` ....0_, DEC ,r/�, 3 2019 �' .v.�• DEZ r • L. m.-� i Payment Recvd: Yes No II � 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694i I / Plans: Electronic Paper 1 Il i buildinginspections(@cityofeagan.com I f}1Gr ►tin 2019 FIRE SYSTEMS PERMIT APPLICATION t J- y Date: i r� ! � Site Address: L � � '�! �,� `e` = �J d "� 1't,.0 4" Tenant: ()f,(,C Ov-a .. 61(4.-e t't i"c-1 (v Suite#: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components Name: �t✓�, - v`fJ 5 5 1Gt .. ' i-t". t . Phone: . "' q () Property Owner Address/City/zip:^ i(-} (yo Y j 9 0 c 1L Applicant is: Owner Contractor T e of Work Description of work: (. -ef(ct t.-�c '.:, s d . ut+t9,.. IS—cc-04 be-1/..edors t-t)';°1-1t. 6-- yp 4 Construction Cost: Estimated Completion Date: Name: M,' '1 W1,tr)&..v}i`4-.1 License#: i , 0 b t _Iti 4 Address: / ,�,� Vv- v'1 vi 6$La. e ✓'City: - ! L..- Contractor }} j_ State: '1 Zip: ' 5---5-7 _5 C 0J Phone: i - c. 1c,9 Contact: r'Lt`', ,c,, _ 1 Email: } +4 (0,544.,1"V‘ fl e.,0 i &NIA FIRE PERMIT TYPE WORK TYPE Sprinkler System(#of heads ) New —Addition _Fire Pump _Standpipe _Alterations _Remodel f . Other: 1``�" 1,.aL X. Other: f(°.e,e C� ec L' bi- DESCRIPTION OF WORK: Commercial Residential ,^ Educational_ FEES Contract Value$ I�Ci,j..I(r O x .01 $60.00 Permit Fee Minimum Surcharge=Contract Value x$0.0005 = $ I Permit Fee i If the project valuation is over$1 million, please call for Surcharge =$ CI . 5 0 Surcharge $100.00 Residential New(includes State Surcharge) =$ 1 ' I, 2TOTAL FEE 3/4" Fire Meter-$290.00 = $ Fire Meter Radio Read (required with Fire Meters)-$190 =$ TOTAL FEE 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 vexw.cityofeaga n.com/subscribe. I hereby apply fora 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 review and approval of plans. Applicant's Printed Name Applicant Signature - / 9-. ./, 1 -672' L(0 — 1C1-1"),,, j-7-1)r1.• 14/10, I;: S SI • FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by __ 'e,,' Date: /C J.__ I