1120 Town Centre Dr41'
C!tyofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit Fee: 5(�,l- , -75
Date Received:
Staff:
2011 COMMERCIAL BUILDING PERMIT APPLICATIONCO
Date: `') —°7 — 11 Site Address: l 2r7 ����
(.04%0 l /I e,!OR-
Tenant Name:
(Tenant is: New / Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: V -C A cog 1f0 Phone: g52g S 11--- d SIC
Address / City / Zip: 6140 Ck CIT'/ %. 65r PAR-Ic krr q1l, ED) PRtiP.t€
SU ITC ro'..
Applicant is: ,e. Contractor
TYPE OF WORK
-Owner r
Description of work: R`' OFF 14 P (8001- Of &W. L D)N 0 ANS C6,46(1—
Construction Cost: 5Z(S®o . 00 el 6.
CONTRACTOR
Name: WALKER ROOFING CO INC License #: LJ 229
WES1 WAY tX I tHIURS INC
Address: 2274 CAPP ROAD City:
SAINT PAUL, MN 45114
State: (6Zip51-0
Phone:
f910
�-!�
Contact: � ✓��C Email: il r6 5+ G w (-ICa'-( Drib . CeivI)
ARCHITECT /
ENGINEER
Name: N/A Registration #:
r
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing
new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of -`
the information may classified as non-public if you provide specific reasons that would permit the City to '
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whi requir = a review and approval of plans.
X AND/ 0,6666
Applicant's Printed Name
x
Applicant's Signat
re
Page 1 of 3
(grr#tf tra#t uf (Orrupanry
Cirp of tagan
lorvotonf of %i1.d'utg 3nwrdiatt
77tis Cartfiaate issued pursuani Lo de requinemertls of SecYion 306 of Jhe Unifonn Building
Code certilyin8 rhat et the fine of t.auance this slructwr x+as in conepliance wrth tlre various
ordinanas oj the City regulaiing bullding rnrrstrudion or use For !he following.~
use cbsifficIdw AF'ARIlMNT HUIIDIlM-22 iIlVITS BWC, fdail rb. 18526
PD V 1 Mt SPR
o~ B~ WAIERI~ APr? ~ 4 16 ~ AVE, WDUOM
BmUingAdd= 1120 TOWN (FNM DRIVE . L2, BI, I10Wf1 aTVM 100 5Ti
. ~D 3/4/92
euaai.a offioi.1
Posr w A coNSPICtous PucE i
- -
' T'* . -.n,. ~ .
.
CIT,Y OF EAGAN iQ 18533
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PE PHONE:454-8100 Receipt # pAy~ WIRBD 11/13/90
F, ~IZ,3
To be used for GAM8 Est. Value Date WY 9 , 19 M
Site Addr ss 1120 ''diita CLNTitE DR
Lot ~ Block Sec/Sub. T~ C~~E 1 OFFICE USE ONLY
P3rCel No. Occupancy M-1 FEES
iTA4,~$~~~Ll A~ARTMI~ITS Zoning PD~+ ,
W Name ~p (Actual) Const ~ Bldg. Permit 15.00
o Addr (aawabie) • SQ
-r
City Phone # or stories Surcharge
Length Pian Review
Q BOIC-SOfi GOfitPANIL~S ~
Zo Name Devth r~ snc. cay
oci Address S.F. Total
U1- City Phone S.F. Foolprints sac, nncwcc
On Site Sewage _ Water Conn
~
W W Name On Site Well - Water Meter .
W
Add1'@SS MWCC System - ,qcct. Deposit
i W City Phone - ciry water -
PRV Required _ SJW Permil
I hereby acknowlege that 1 have read this application and state Ihat the Booster Pump - glyy 5urcharge
information is correct and agree fo com wdp all applicable State of
Minnesota Statutes and City of Eagan. • Tor. Treatment PI
Signature of Pertnitee APPROVALS Road Unit
A Building Permit is issued to: BOR-SON CO!lPA34IE$ Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable Slate of Minnesota Stalutes and City of Eagan Ordinances. gld9. pff, _ Copies
13.50
~ . Variance - TOTAL
Building Officia?
Permit No. Permit Hdder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Footings I
Foundation "
Framing
Roofxg
Rough Plbg.
Ragh Htg.
Isul.
Fireplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Deck Ftg.
Oeck Final
weli
Pr. oisp.
-.-...-.*F --..-r .----~~-r:• ; ~
• , , CITY OF EAGAN 1e 532 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PE PHONE:454-8100 Receipt # pw~~ WIggO 11/13I90
F~~~R
To be used for ~ARAG8 Est_ Value Date NOY 9 19 90
Site Add~ess 1120 TOWN Ei~l''R!! OR
Lot ` Block Sec/Sub. OFFICE USE ONLY
p~~.4 FEES ~
Parcel No. occuPancy
1dATERFOiiD "ARTH14M CORY Z0"`g -1r_-N 15.00
W Name (Adual) Const Bldg. Permit 3 Addres (Allowable) -r Surcnar9e
° - Y o1 stories
City Phone ~yp ~
Length Plan Review
Z~ Name Depth ~t= SAG City
coj s AddC@SS S.F. Total SAC, MCWCC
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
W W Name On Site Well - Water Meter
AddreSS ~nWCCSystem - ~ ~ Sit .
<W City Phone ~ Cirywater - P°
PRV Required ~ S/W PermR
I hereby acknowlege that I have read this appiication and state that the Booster Pump - S/W Surcharge
intormation is correct and agree Ib__~ply~ ith all applicable State of
Minnesota Statutes and City of Eagan r,c~in~fnces. Treatment PI
Signature of Permitee APPROVALS Road Unit
BOR-80i COWAMZZ$ Planner
A Building Permit is issued to: - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj. pFf, _ Copies
f , •
Building Official " 1' Variance - TOTAL
r
Pe?mk No. Permit Holder Date Telephone N
WATEFi
SEWER
PIUMBING
H.V.A.C.
ELECTRIC
kmpecNon Date Insp. Commanta
Footingsl
Foundation
Framing
Roofing
Rough Plbg.
Ra+9h m9•
Isul.
Fireplace
Final Htg.
Fnal Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Oetk Fir?al
Well
Pr. Disp-
19
~
CITY OF EAGAN 1853 1 ~
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ a
PHONE:454-8100 p~~~ WIRBD 1~/13/90 ~
BUILDING PEF~1~ ~IT) Receipt #
j
To be used for C-OACE Est. Value Date NoV g , 1990
Site Adiress 1120 1'Oiiil CEN'TRE DR
Lot Block Sec/Sub. 00 OFFICE USE ONLY
P3fCel NO. Occupancy pp~~ FEES
WATZM~ Zoning
¢ Name (Aduai) Const ~ Bldg. Permit 1~~~
~ Address i G~~~ A~ ~ surcner
9e
Cit
° s ' ~3 # ot stories ~
y WPUP11C GNM Phone Length -We Plan Review
o Name SOIt SOiI CWAKEa oaptn !-w sac, acy
~Q Address S.F. Total snc, MCwCC
~ City NAMINOM Phone S.F. awm" Fooyprincs ,
Qr~ Site Sewage Water Conn YI~i DA1~itI8LS ~0lJSSARO - '
~ W Name On Site Well - Water Meter
W W
~z Address MWCC System - Acct. Deposit
<W City Phone " Cicywater -
PRV Hequired _ SJW Permit I hereby acknowlege that I have read this applicafion and state that the Booster Pump - 51W Surcharge ~
inlormation is correct and agree t co ' ply with all applicable State ol
Minnesota Statutes and City-of-Erdinances. TreatmeM PI ~
Signature oi Permitee APPROVALS
~ Road Unit
8O11~-SOl'1 CON~wPIE$ Planner - ~
A Building Permit is issued to: Park Ded. ~
on the express condition thal all work shall be done in accordance wilh all Council
applicabte State of Minnesota Statutes and City of Eagan Ordinances. gldy, pff, ^ Copies ;
Building Dfficiaf I ~ ~ ~ j ^ Variance - TOTAL i
Psrmit No. Permk Holder Date TelephoM #
WATER
SEWEFi
PLUMBING
H.V.A.C.
ELECTRIC
Inspxtion Date Msp. Comm"ts
Footings 1
Foundation '
freming
Roofing
Fiaa9h Pb9•
F4ou9h Hig.
Isul.
Fireplace
Final Ntg.
Finai Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
.T,,,~~iF--_~s•,-•,m,n,~r.,,.f.._,,._"~;,'.: k.iF•,,_..x.,~f,P~l,.~yrlil,,r,ss7.,,.r...._~,....,... v .z-,-Y{ --r~-- .
2G Virli
CITY OF EAGAN ; :;w' 18526
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIN PNONE:454-8100 Receipt # FAY~i6NT WIRLD 11/13j90
~'a PERMIT I
l4AAi4~l~NT DLDG
To be used for Est. Value $814'WO Date HM 9 , 19 90 ~i
Site AdI ess 1120 TONN CBNTItE DR
Lot Block Sec/Sub. OFFICE USE ONLY
P2rCel NO. Occupancy P~~~ FEES
0: Name WATIRFORD APARTMZM CM (nccual ) consi '-ust-M Bldg. Permit 2,982.00 Zoning W )SVENOR A
o Addre (Allowable) ~ ~7•~
3+•Surcharge
City CAR%Uk Phone 12' # or stories , 1,938.00
Len9th Plan Feview
Q R-5OK C0NPANISS 471 2,200.00 {
o Name Depw sAC, city
~
ACldf@S S.F. Total 13,200.00
I
u< ~Z~ SAC, MCWCC ~ CItY Phone S.F. Footprints - Water Conn 13,750.00
I
~ IPINN DANILLS SROUSS/1R0 On Site Sewage -
W W Name On Site Well ~ Water Meter
i Z Address MWCC System I
u = Acct, peppsit I
a W City PhOn@ - Gty Water - 30.00
PRV Required _ SM~ Permit ~
I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge .information is correct and agree to comply with all applicable State of 3,544.00
Minnesota Statutes and City of EagaojQrdKances. Treatment PI
- ~
'Road Unit 7.820.00
Signature ol Permitea APPROVALS
A Building Permit is issued to: ~ ~"ON CAMANIE& Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable State of Mi t esota Statutes and City of Eagan Ordinances. g~y, pff_ _ ~PieS 47 ~
Building OffiCial Variance - TOTAL ~ .
~ Permit No Permit Holder Qate Telephaw #
WATER
SEWER
PLUMBING
H.VAc. ' 8 8 9i e9 - 9000
, o
ELECTRIC
Inspection Date Insp. Camments
Footings I -71 (tt
Foundation Framing
Roofing
Rough Pibg-
Rough Htg.
~replace
Rnal Htg. 2 S
Fnal Pibg. 7 - 9 7
Consl. Meter Plbg. Inspecta - Notily Plumber
EngrlPlan
Bldg. Final
Declc Ftg.
pecJc Final
wen
Pr. Disp.
SEWER_& WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 29116191
3830 Pilot Knob Rd.
Eagan,.MN 55122-1897 CHIP # PERMIT # 12284
~ METER SIZE B.P. RECEIPT #PYMNT iJIRED
VCiV V, 1••"o ISSUE DATE IX*XAN=T DATE 11! 13 /90
DATE ~
- PRV - BOOSTER PUMP
SITE ADDRESS 1120 TGa1N CL`2TF.F Dt? PERMIT REQUESTED
LOT ' BLOCK 1 SEC/SUB
a SEWER ~ WATER - TAPS
APPLICANT:
ADDRESS: X COMM/IND - RESIDENTIAL
CITY, STATE ZIP _ NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MAJOR HSCHANICAL INC Ahead of Domestic Meters on Water Line.
ADDRESS: 10650 COUNTY ROAD 81 Credit W}i..L NOT be given for Deduct Meters.
CITY> STATE MAPLE GR0VE "N ZIP 553b9
PHONE: 424--6680 -
I AGREE TO COMPLY WITH CITY OF
OWNER: ~JAT: RFQRD AFA1jM::01'S EAGAN ORDINANCES
ADDRESS: ~'16 GROSVBNQP AVE
CITY, STATE SqI Pdt:I FEG CANAD.A ZIP r s"• 4
PHONE ~~`•'4i 452-'~ 503 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # vl s PERMIT DATE 09 / 16 /91
383UPi1ot Khob Rd. a'1 l1 fo ~
' PERMIT # iC284
Eagan, MN 55122-1897 CHiP#
METER SIZE 2i~C ~ B.P. RECEIPT #PMT WIREli
ISSUE DATE @'(7RMOQOMDCf DATE 11 / 13 /9Q
DATE (',V
_ PRV - 800STER PUMP
SITE ADDRESS 1 i%C TGWK C~i~Tl:4 UIS PERMIT REQUESTED
LOT -BLOCK , 1 SEC/SUB 'ro • y ~~catI:L 100 STtt
X SEWER X WATER - TAPS
APPLICANT:
x COMM/IND - RESIDENTIAL
ADDRESS:
CITY, STATE ' ZIP _ NEW - EXISTING
PHONE: ,
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~ MAJOR HECHANICAL iNC Ahead of Domestic Meters on Water Line.
ADDRESS: 10650 COUNTY ROAD 81 Credit W~ Ad • T be given for Deduct Meters.
CITY, STATE "-1APLE GROVE MN Zip 55369
PHONE: 424-6680 Mft* EE TO CO PLY WITH CI7Y OF
OWNER: k'A~I;RFURI: APAATMI:NTS COEF EA ORDINANCES
ADDRESS: 916 ~~ROSVEdOK AVE
CITY, STATE j3i FdNFFEG I;AIQAIYA ZIP "3~'' nu4
PHONE: !~C1~ [,~~._Qs~3 S ATU W METERISSUED
PLEASE ALLOW 'TA WORKING DAYS 00RpR6C SSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONT*T ENGIJIEERING DEPT.
r.- - - - -
f~~50393 ~ / ~5~ ~ y ~ ~
.a
Requert Date ~ Fire`Flo. Rough-in Inspection
Raquiretl9 ? ReaGy Now ? WIII Nolity Insper.tor
? Yes ? No Men Featly?
I F] licensed contractor ? owner hereby request inspection ot above electrical work at:
JoE Fddress (Street, Bm or Roule NoJ Ciry
//•~..[7 iGev'~ L'T/:. cNG'rgn)
Seclion No. Township Neme a No. Range No. Cau\nry
Uah,U7,:?_
OcwpeM (PHINT)~I Phone No.
!Jj~-C/f[~rc~ /GCln'I 7tic-a.l 'J.,'.J • 5'1~4
Power Supplier / 1pddress
Ff L /rC'f~/c_ 4/dG'OCc." ~r" S-fx !'/'~l=mlrl~~.
E cel Contrador (Compeny Name) ConVactor5 Liwnse No.
L' ~ L° G' 3ys 3
Mailing Adtlress (COntrector or pw & Making Installa~ion)
ANhoriEed Signeture (COMredor/Own`e,r ~ Making InatalIlation) Ph/onB Number
/ /IX I r
U 4?
W~~ 1~ -~'~-4~
NINNESOTA 5fATE BOAPU OF ELECTHICRY 1H15 INSPECTION REQUEST WILL NOT
GriggrMltlway 81dg. - Naom 5113 BE ACCEPTED BY TNE STATE BOARD
18Y7 Unlvpalry Ave., SI. Peul, NN 55104 UNLESS PROPER INSPECTION FEE IS
Phow (612) 6t2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee` j? -o~,,
? sea in:m,a~s ror ooma~u~ mis mm on o~ m yanow ~ay. •/pj~ocOd"
P75033 X" Befow Work Covered by This Fequest
ewA_dd.q Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
aner (sPeary) Contrflcior5 Remarks:
Compute Mspection Fee Below: ~ - (1!2! ~
# Other Fae Jt ServiceEntrence5ize Fee # Circuits/Feeders Fee
Swimming Pool ,Z 0[0 00 AmpS 60 to 700 Amps N_ J 15-
Trenstorme5 Above 200 _ Amps bove 700 Amps 73~,
$iyn5 Inspedor5 Use Only: ~TOTAL/
Ir
rigation Booms /j 7 ~
Special Inspection ~ ~
Alartn/Communication r
Other Fee
I, the Electrical Inspector, hereby Rough-in oate '
certify that the above inspection has Fnai r oat
been made.
OFFICE USE ONLY r ' i"-
This raquest wi018 months from
CITY OF EAGAN [1~0 1 g531
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINGPERMIT Receipt# PAYMENT W7RF.T1 11/7'/9p
(EAST UNIT)
To be used for GARAGE Est. Value Date NOV 9 , 7 g3-Q-
Site Address 1120 TOWN CENTRE DR
Lot Z Black 1 SeGSub. TOWN CENTRE 100 OFFICE USE ONLY
Parcel No. STH occuPancy -H-1 FEES
Zoning PD R-4
m Name WATERFORD APARTMENTS CORP (Actuap Const V-N Bldg. Permit 15.00
~ Address 916 GROSVENOR AVE (aiowabie) V-N o Surcharge .5
City WEtEPEC CANAM Phone (204) 4 -9 03 s ot Stories _1
Len9Ih Plan Review
, o Name BOR-SDN COMPANIES oePCn sac, crty
va Addfess 2001 KILLEBREW DR S.F. Total 1~~ SAG MCWGC
~ City BLOOMINGTON Phone 854-8444 S.F.Footprinis 1,2Q0
On Site Sewage _ Water Conn
12w Name FINN DANIELS BROUSSARO OnSiieWell - waternnater
zz Address 2324 UNIVERSITY AVE STE 109 MWCCSystem -
a~ City ST PAUL Phone 641-1 39 CilyWater _ AccLDeposit
PF1V Required - S/W Permii
I hereby acknowlege Ihat I have read this application and state that Ihe Boostar Pump - SNJ Surcharge
intormation is correct and ag co ply with a11 applicable State ol
Minnesota Statutes and dinances. TreatmentPl
Signature ol Permitee / APPpOVALS Road Unit
A Building Permit is issue to: BOR-SON COMPANIES Wanner - park oed.
on the ezpress condition thal all work shall 6e tlone in accordance wilh all Council
applicable State of Minnesota StaWtes and City of Eagan Ordinances. gld9, pry, _ Copies
Building Official rfxiq 6Y ~ ~1 rn0 Variance - TOTAL 15.50
~
CITY OF EAGAN NO 18526
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Receipt # PAYMF.NT W7RFD 11 /1 4/90
Tooeasedfio. MAWTMENT BLDG Est.value $814,000 Date NOV 9 , 799
Site Address 1120 TOWN CENTRE DR OFFICE USE ONLv
Lot 2 Black 1 Sec/Sub. TOWN CENTRE ST R-1 FEES
PdfC01 NO. Occupancy
Zoning PDR-4
w NBme WATERFORD APARTMENTS CORP (ACWaI) Const V~~ Bldg. Permil 2y 989 - 0
I AddresS 916 GROSVENOR AVE (Allowable) V 1Ha-SPR Surcharge 407_00
0 Cily WEWMG CANADA Phone (.704) 459_950 3 aoisiones 3+71SMT
Langth j_921 PlanReviaw l..43.8...00
o Name BOR-SON COMPANIES Deplh 471 SAG City 2,200, 00
Address 2001 KILLEBREW DR S.F.7otal z8,640
o~
a snc,MCwcc 1'+,2nn_np
ur Cjty BLOOMINGTON PhOnB 854-8444 S.F.FOOlprinls 7y208
On Site Sewage _ Water Conn 13, 7sn _ no
WW NBme FINN DANIELS BROIISSARO OnSileWell - WalerMeter
Address 2324 UNIVERSITY AVF. STE 109 rnwccsysiem -XL
c+ Acc1. Oeposit
aW City ST PAIIL Phone 641-1339 cirywaier X
PRV Required - SlYJ Permil 30.00
I hereby acknowlege thal I have reatl Ihis application and state that the 8ooster Pump - SMl Suroharge - 50
information is correcl and agr t comply with all applicable State ot
Minnesota Statutes and Ciry of r inances. Treatment PI 9,544_ 00
Signature oi Permitee APPROVALS Road Uni1 7 8110 -00
A Builtling Permit is is5ued to: ROR-SON COMPANIF.S Planner - park Ded.
on ihe express condition thai all work shall be done in accordance with all Council
applicable State of Minnesota Sptatutes and Ciry,rof Eagan Ordinances. Bldg. On. _ Copies
Building 01(iCial I\T ~A• I~ya{ Vanance - TOTAL 47,861. 50
\
PLUMBING (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 \
Telephone # 651-675-5675 FAX # 651-675-5694
Date 7 / Z3 / 6 3
Site Address [I. '2_D _TbvtJN Unit #
Tenant Name -INo r Former Tenant Name
Property Owner wt4'~s°_(~~0 !-8- Telephone # ( (as()
Contractor kttJ Y '':>(^p 'S
Address O b ~SS City YV~/laZ' Sf'8 d'e
State KAN Zip Telephone #(]~~2 ) STy g QQ n
The Applicant is _ Owner Contractor _ Other
Work Type _ New Bldg Add-on Repair Z PVB Irrigation system *
` Jer Wobschall [o calculate fees. R uired meter size is 2" turbo unless smaller size crmitted b Public Works
Description of Work 12-4,6 .t+~c 4 (ZFZ
To inquire if Pressure Reducing Valve is required on new service, ca11 65 1-6 7 5-5 646
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria rests passed prior to nickine uo meter
Irrigation Size & Type Avg GPM
Fue Size & Price 3/4" displacement $156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (iucludes State Surcharge)
Contract Value $ x 1°/a Base Fee
$ Meter(s)
Required on all new buildings & boulevard irrieation systems $ Radio Meter Read
iCbase fee is $1,000 or less, surcharge is 5.50 $ State SUichaig0
If base fee is over $1,000, surcAarge is $.50 per $1,000 of Ihe Sase Fee
Following fees apply only when installing new ircigation system ~ $ Y Water Pemilt '
Contact Jerry Wobschall at 651-675-5024 for reyuired £ee amounts
$ Treatment Plant
$ Water Supply & Storage
$ State SurcLarge
$ T', v Total Fee
I hereby apply for a Commercial Plumbing Pecmit and acknowledge tha[ the information is complete and accurate; that the work wi0 be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an
application for a pemvt, and work is not to start without a pemilt; that the work will be i ance th he approved plan in the case of work
which requires a review and approval of plans.
~ 01"~AJ ~V av
ApplicanPs Printed Name pplicanYs Signat re
1990 BUILDZNG PERMIT APPLICATION
CITY OF EAGAN .
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL '
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & 5TRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
Z_7,_# OF ItENTAL UNITS
- # OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS AEQUESTED, BUT NOT PICKED UP BY LAST WORf:ING DAY
OF MONTH IN WHICH REQUEST ZS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
ApA-~zTm ENr
To Be Used For: &I-DG,. PFK,.n,r Valuation: oQ~ Date: 9•?..0-7,o
Site Addressl' _ ICX'-'-!- (~,~p.E. D2~•,g ' OFFICE USE ONLY
Lot Z Block ~ EES
Occupancy R'~
1-0.a+3 C'ONT'eL Voo F+ha ACv zoning Pa R-4
Parcel/Sub Actual Const V-114SFR Bldg. Permit aa-sz-.00
1n]Prsg'a-C-oat~, PP/Aa:rr~;S Gorif'- Allowable V-1HR SP~ 5urcharge 407,o0
Owner # of stories 3+$$/y~'r Plan Review 19?~ 8.L
Length SAC, City o p,0'D
Address °Jijy Depth 147 SAC, MWCC J p, -0
J
S.F. Total 2(o~ (c~ Water Conn 13r750, 0~
City/2ip Code lP r_ . (.~,~„fl, Q~3M Footprint S.F. 2 Water Meter `
Acct. Deposit
Phone 4-) t}SZ- 96D3 On site sewage_ S/W Permit 30,00
On site well S/W Surcharge ,50
Contractor S.„J C~p,~,,,nrs MWCC System Treatment Pl. 55yy,GU
City water -~z Road IInit 7`g10,0 0
Address 'znp1 PRV Park Ded.
Booster Pump Copies r-
City/Zip Code ~tr,vr.n,,.IGra,~) , Y~1uJ. 554v; SUBTOTAL y'796),Sd
APPROVALS Penalty
Phone ( (Q1Z1 F"s4 - 844 Planner TOTAL
Council
Arch /Engr, Bldg, Off.
Variance
Address Z324 Ur4t.i5'¢_~,Yy p,.nS '4`k~,q
City/Zip Code
Phone
'
~r,A.v,l ~E W- 3 .
EATING TEST RECORD
LIDII i
ADDRES, - APT. -FLOOR CIT7 SUBURB ,
OCCUPANT , _OWNER HEAT LOSS DATE HTG. INST.
SOLD 8Y INSTALLED BY ,r-- ~
El.crricol Work ey Gas Line By V/K
TYPE OF HEAT GA _ FA _/_HW _STEAM -SPACE HTR. _UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE ~A Vl~ MAKE OF BURNER
Modei Model f
Smial Mex. BTU Rating
INPUT ~ MAKE OF FURNACE
~ Model
CONTROLS
THERMOST THeyt Plug Vsnf Size d
Valre ~ ~f aI~CTNI?~i KIND OF LINE SIZE NONE
Lim{f q~ TA DroftHood ,~aR,egulaTor
limit SaHing Filtars $ize Zd X 7c~Plumber
Fan $ettiny ~Mw e Chimney Location Ins~de Outside Pilet TYPe ~4~'R+~ Chimney Consirvction ~
PiloiMoke go L°hA
Pilot Model Smoke Bomb -Wiring
~ Droh _ Test Tag , ~ ~ ~
Pibf Ttming
L.W. Cuf Off Door Prossure u29tirin9 t„se. ~Prsasura A,I Peresnt COZ ~ Dote Tesred
InPUf CFH y:J61'f Peresnt 0~ Company Tesling
Sfack Temp. Percant CO ~ Name of Teseer
Fo.m 235
. ~ CITY OF EAGAN NO 1 g533
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~
BUILDING PERMIT Receipt a PAYMENT WIRED 11/13 /90
(WEST UNIT)
To be used for GARAGE Est. Value Date NOV 9 ,~g~{~
Site Address 1120 TOWN CENTRE DR
Lot 2 Block 1 Sec/Sub. TOWN GENTRE 10~ OFFICE USE ONLY
Parcel No. S~` b o~~pancy Fees
Zoning
~ Neme WATERFORD APARTMENTS CORP ~pcmapCOnst V-N e~dg.Permit 15_00
W 916 GROSVENOR AVE
o Address (Allowable) ~ Surcna~ge .50
City ~~~1 Phone ~Z~'+) 452-95D3 ~ oi sio~~es 1
Lengih Plan Review
o Name BOR-SON COMPANIES Dep1h Snc.c~ry
~a AddreSS Z001 KILLEBREW DR S.F.TOtai 1~ ~
~ BLOOMINGTON phone R54-R444 S.F. Foolprints 1 2~pp snc, rncwcc
City
On Si[e Sewage _ ~'~'aler Conn
FINN DANIELS BROUSSARO
W w Name On Site Well - Water Meter
z~ Address 2324 UNIVERSITY AVE STE 109 MwcCSys~em
~w ~ity ST PAUL phone- 64~-133~ CiryWater _ /+cct.Deposit
PRV Raquired - S/Yd Permil
I here6y acknowlege that I have read th~s application and stale that the Booster Pump - yyy Surcharge
information is correct and agree o y wit all applicable Slate of
Minnesota Statutes and Ciry of i //7/9~ Treatmenl PI
Signature ol Permitee APGROVAIS Road Unit
A Building Permit is issued to: BOR-SON COMPANIES Planner - park Ded.
on Ihe express condition that all work shall be done in accordance with all Council
applicable Slate of Minnesota S[aNles and~ /Cy~ity~of Eagan Ordinances. Bmg. Oft Copies
I ~A(I~ R.DLL~I III.~U Variante _ TOTAL LS.SO
euiltling Otficial
1990 BUILDING PERHIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEIS REGISTERED SITE SURVEYS - 6 STRUCTORAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
lAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE 47HICH ADDRESS IS
DESIRED. ATO CHANGES WILL BE A7.:LOkTED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEGTER 6 WATER PERMITS IS TWO DAYS ONC£ A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOL] A LICENSED PLUMBER.
b9-ra,Cr-+&b GAszAGtc
To Be Used For: (we6T uNIT) Valuation: + Date:
Site Address j OFFICE USE ONLY
Lot ? Block ~ FEES
Occupancy M' k
C.t?NTEe- 10o ZoninB PD R-t-I
'Parcel/Sub Actual Const V-N Bldg. Permit 6,00
V.JPnE¢-Fooq Gof+P. Allowable V-'N Surcharge ~SO
Owmer VLx-1rAy.+f3 12F.ic.oPr~s.-r C~P• # of stories I
Plan Review Length A fl SAC, City
Address 91(y [~p:oc,•?e•1o~+ p~t,zs~~ Depth Zo SAC, MWCC
S.F. Total 20 o Water Conn
City/Zip Code i - 3 Footprint S.F. I-t-00 Water Meter
Acct. Deposit
Phone (~,p4-) 452- °1503 On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor S_ 3 e-~or+....asrs MWCC System _ Treatment Pl.
City water _ Rosd Unit
Address ~~01 ~N'u.wp,r'e„r pe,..s PRV _ Park Ded.
Booster Pump _ Copies
City/2ip Code M,.3. 554 SUSTOTAL tSSa
APPROVALS Penalty
Phone o21 954- EA44- Planner _ TOTAL
Council
Arch /Engr. fi~ Bldg. Off.
Variance .
Address 'ZBZ* Ur4i.r6C_S,T`;' P,-nS 4`jo"~ City/Zip Code Sr PF!~ Mti. .S'5114 * 1:NCWp0D iN A?ARZM VALuA-ncxi
Phone tt((9~?.~
~ '
CITY OF EAGAN N0 18532
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT Receipl # PAYMENT WIRED 11/13/90
(CENTER UNIT)
To be used For GARAGE Est Value Date NOV 9 , 19-9p_
Site Address 1120 TOWN CENTRE DR OFFICE USE oNLY
Lot 2 Block 1 SeGSub. TOWN CENTRE 100
Parcel No. JTH Occuvancv M-i FEES
Zoning PD R-4
w Name WATERFORD APARTMENTS CORP (Actual) Consl ~N eldg. Permit 1 5_ nn
o Address 916 GROSVENOR AVE (Allowable) V-N
Surcharge .5
n
City W~~ Phone (204) 452-9503 • oi srories
Length 60 ' Plan Review
o Name BOR-SON COMPANIES Depth 40' snc, ciry
~a Address 2001 KILLEBREW DR S.F.TOtai 2,400
a BLOOMINGTON snc,MCwcc
Ciry Phone 854-8444 S.F. Footprints 2,4Q0
On Sile Sewage - Water Conn
~w Name FINN DANIELS BROUSSARO OnSiteWell - WaterMeter
x~ AddreSS 2324 UNIVERSITY AVE STE 109 MWCC System -
Acct De osil
aW City ST PAUL Phone 641-1339 City Water - P
PRV Fequired _ S/W Parmit
I hereby acknowlege Ihat I have read this applicalion and slate that the Boostar Pump - SNJ Surcharge
information is correct and agree J~ ply/with all applicable State ol
Minnesota Slatules and Cily of ai ~ nces. ireatmenl PI
Signature of Permitee ~ APPpOVALs qoad Unit
A Buibing Permit i5 issued BOR-SON COMPANTF.S Planner - park Ded.
on the express condition that all work shall be done in accortlance with all Council
applicable Stafe of Minnesota Statutes and City of Eagan Ordinances. giyg, plf. _ Copies
BUilding Official ,(Vtq~~! 1~ Variance - TOTAL 15.50
1990 BUII.DZNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINCS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS ` REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUlATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
BENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
lAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT M115T SHOW A LICENSED PLUMBER.
DC-'f"ACk-lED GqRA6C
To Be Used For: CCENrER Ut4l T) Valuation: ~ Date: q•?p-"1o
Site Address jcw~ C~a,-.a£.e.. 'L~~••~ OFFICE USE ONLY
Lot Z Block ~ FEES
Occupancy M-(
NT,~.r loo Zoning YD Q-'-4
Parcel/Sub C.ZFNFT* h'r Actual Const V- N Bldg. Permit MOD
Wlkre-¢{oap /~PAarrrv,~ Goof'. Allowable V-11 Surcharge
Owner !~(2 Vw~-IYIwp~ # of stories I Plan Review
Length ~ 0 ~ SAC, City
Address °fi(P Up~•J~IoF_ A~nsw : Depth OT SAC, MWCC
S.F. Total L~ItYj Water Conn
City/Zip Code Wj,,jtP~. f -,^^c 93M Footprint S.F. 2L400 Water Meter
r Acct. Deposit
Phone t}e;Z- °)5p3 On site sewage_ 5/W Permit
On site well _ 5/W Surcharge
Contractor z,..,c"_„cs MWCC System _ Treatment Pl.
City vater _ Road Unit '
Address zp,c> t PRV _ Park Ded.
Booster Pump _ Copies
City/Zip Code f5A~r.n,..1e.o.J m,.3. 554 SUBTOTAL ~
APPROVALS Penalty
Phone (f o5Z1 gc~d - F!44d- Planner _ TOTAL
; Council
Arch /Engr. fi,~,,, ~,-u Csc~n~ Bldg. Off.
Variance .
Address 23~4 UN1.iEO_s,r- p,.,W
City/Zip Code Sr Prju., tH~. -;si14 *:UNCIUVEA iN AFWKMENT VAc.uATI00
Phone Co41-~'~3ct T7ra.~ i~F~.r . ~ -
. .
1490 BUILDING PERMIT AYPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLP.tdS 2 SETS OF PLANS 2 SET& OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS ~ REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUiATI0N5 1 SET OF ENERGY CALCS
# DF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOk~ED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEGTER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLIJMBER.
Dir-iA,cHE'D GAAaac
To Be Used For: ~rLAE;r UNfT) Valuation4 Date: 9•?0-Olo
Site Address14'O jcx,.+a (&'np.E, OFFICE USE ONLY
Lot Z Block ~ FEES
occupancy M -I
'„t' „kJ C.t3N7"- 100 f+FnF PA% Zoning PD T2-14
Parcel/Sub Actual Const V-N Bldg. Permit MOD
w/kT€a-FoaQ PPra¢~ C.oryi'_ Allowable V-N Surcharge So
Ocvner # of stories I Plan Review
Length 60 SAC, City
Address 9I(9 [~p~s•?~-!o~ ,4Depth ZO SAC, MWCC
S.F. Total 1Zo0 Water Conn
City/Zip Code Wi„r,JIPer~ p,3t1 Footprint S.F. 1200 Water Heter
Acct. Deposit
Phone t}SZ- On site sewage_ S/W Permit
On site well _ S/W Surcharge
Contractoz MWCC System _ Treatment Pl.
City water Road Unit '
Address znpt PRV _ Park Ded.
Booster Pump _ Copies
City/2ip Code ~m„.-N.554a, SUBTOTAL lS,.Sfl
APPROVALS Yenalty
Phone ((pi21 ~is4 - F3441- Planner _ TOTAL
Council
Arch /Engr. Fi~ Dr,,,,-,s, F2Z~,,,,_., Bldg. Off.
Variance .
Address 23:¢
City/Zip Code Sr pn,-x, rN~. ''k' $rJcLUaED IN APAR7MWn U~L4A-nou
Phone # ((pl?-) 6¢I-i33c7 T--~
~ I
Lot g Block ~ - - `
Subd. 2zvn (zi~.
UNDERGROUND SPRINKI.ER SYSTEM ~
PLUMBING PIIiMiT
Date /0 dvn e-
~ Receipt #
~ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
_ Fadst~'ne residential: $15.50 (Plumbine nermit not required if hackflnw n*evP.n±or was
previously installed). '
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees. n
awn Ce~li?Q 'J'ri'vC-
(Address to be sprinklered)
Homeowner/Plumber: C4 S C 0 4- r7
Phone
Sueet Address:
City, State, Zip:
Owner Name: 'Street Address:
Phone
Irrigation Contractor:
Phone
7- 2 3- `l 2 ~z c c~ ~ 2 S ?
I hereby acknowledge that I have read this application and state that the information is
co t an agr e to comply with all applicable City of Eagan Ordinances
cc: Eng?neering Department
~ CASH RECEIPT ~
.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~ i p~1 ' ~_•,l/
DATE 19 ~
(~~'nt ' .y l
AMOUNT S q~~ 61E
1/~ z
' ..41"Lll jlCiw[l l(L(J~-"-LqlY"-!`~~1" PL~ 8 L~ DOLLARS ;
? CASH XCHECK ;
i
~
J,, f
w
Gl-tL- al.
~ Pl/ND 08JECT AMOUNT
CC,
Thank You
_ C 017466 ' m,,~pa,~Copy ~
YeOOw--POelvq ('.oPy
~ PiNk-Fde Copy •
4-
4-
CZTY OF EAGAN FOR CITY IISE ONLY
3830 PILOT*KNOB ROAD
EAGAN MN 55122, PERMIT #
PHONE (612) 454 8100 RECEIPT #10o7_5517
WM~~ DATE: azff4 /
IEkS,SAEATT~l~S.': PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
. . : . . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST _ ADD-ON MINIMUM $15.00
ADD ON kiVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME:
SUBTOTAL: $
SITE ADDRESS: STATE SURCHARGE: .50
IAT: BIACK SUBD. TOTAL: $
INSTALLER:
ADDRESS: SIGNATURE OF PERMITTEE
CITY: ZIP:
PHONE
G4AIId~~t,CIAL~~ITb'CTS~'K~A~.'~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: '!~S ~ IoO FEES
OWNER NAME: '601- ',J~ 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: ~ Io~O ~OLlll'I C~in~ti ~l~L EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: ~ BIACK ~ SUBD./~WIL(~/G. $25.00 MINIMUM FEE.
INSTALLER: SEn~,~lAlICK CONTRACT PRICE x 18 $ ~SJ.GA
HEAT2lG & A!R CO10RIONING C0.
ADDRESS : 89101VENrr;JATH avE. s0. STATE SURCHAAGE $ • SD
IIYIY M I
CITY: ZIP:
TOTAL: $
PHONE -
levt na, 6 o-? ~i~.G!,G .
FOR (SIGNATURE)
4//i'°~Z~L~~ ~
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
. 3830 PILOT KNOS ROAD
- EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /Da? oz-
gpgHZNG. tgpv DATE:
USN`!`PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST X ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: _ KITCHEN SINK 3.00
_ LA[SNDRY TRAY 3.00
SITE ADDRESS: _ HOT TUB/SPA 3.00
57ATER HEAT_ER 3.00
LOT: BLOCK _ SUBD. _ FLOOR DRAIN 3.00
GAS PIPING OUT,
INSTALLER: _ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
ADDRESS: _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $
Li~MMERCIt3.LjIN17USTRTAL:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: JI~rJ~s -~ix. ~vuA-L~e~2l 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: //.20 L4 EACH $1,000 OF PERMIT FEE.
LOT:-4?,- SIACK ~ S U B D ? ,PWri_(,:/K.. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 u-O
ADDRESS :A5 Ia ~ D C-B'L~ [Y P I STATE SiIRCHARGE $
CITY: ZIP: 'SS3Ls Y '
TOTAL: ~
PHONE /011 (S GNATURE)
FOR:
CI OF EAGAN
MEMO T0: DIANE DOWNS, UTILITY BILLING CLERK
FROM: EDWARD J. KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 26, 1991
SUB.7ECT: REF COMPUTATIONS FOR LOTS 1 AND 2, BIACK 1;
TOWN CENTRE 100-5TH ADDITION AND LOTS 1
THROUGH 4, BLOCK 1; TOWN CENTRE 100-8TH
ADDITION - LOCATED AT 1110 THROUGH 1160
TOWN CENTRE DRIVE - WATERFORD APARTMENTS
OWNER-VENTANA DEVELQPMENT CORPORATION
This memo is to inform your department to start to invoice the REF's for the
following 6 parcels effective October 1, 1991 in the Town Centre 100-5th and Sth
Additions. My computations are based upon a site plan dated September 4, 1990
prepared by .7ames R. Hill, Inc.
Plat and Parcel Address Area Imuexm. REF's Total
Acres ur ace Acre REF's
Town Centre 100 - Sth
Lot 1, Block 1 1110 Town Ctr. 2.02 Ac. .68 Ac. 2.38 4.81
Lot 2, Block 1 1120 Town Ctr. 1.71 Ac. .77 Ac. 3.04 5.20
TOiAL 10.01
Town Centre 100 - Sth
Lot 1, Block 1 1160 Town Ctr. .97 Ac. .43 Ac. 3.00 2.91
Lot 2, Block 1 1150 Town Ctr. 1.31 Ac. .68 Ac. 3.44 4.50
Lot 3, Slock 1 1140 Town Ctr. 1.26 Ac. .66 Ac. 3.44 4.33
Lot 4, Block 1 1130 Town Ctr. 1.33 Ac. .65 Ac. 3.26 4.34
TOTAL 16.08
(,l~~~ ~F-G~-td
Edward J. Kirscht
Sr. Engineering Tech
cc: Michael P. Foertsch
EJK/jf
I
MEMO T0: DIANE DOWNS, iTTILITY BILLIN6 CLERR
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGIIST 23, 1991
SUBJECT: Streetlight Energy Charges for Lots 1 and 2, Block 1, '
Town Centre 100-5th Addition and Lots 1 through 4,
Block 1, Town Centre-8th Addition - Located at
1110 through 1160 Town Centre Drive
Waterford Apartments
Owner - Ventana Development Corporation
This memo is to inform your department that effective October 1, 1991 you can
start invoicing the streetlight energy charges as listed below to the following
6 parcels in the Town Centre 100-5th and Sth Additions. These parcels are to be
billed at the continuous streetlighting rate of $18.00 per acre per quarter.
Plat and Parcel Address rea Rate Stlt. Otrly.
Ac es Acre Energy Charee
L1, B1, Town Centre 1110 Tn. Ctr. Dr. 2.02 Ac. $18.00 $36.36
100-Sth
L2, fll, Town Centre 1120 Tn. Ctr. Dr. 1.71 Ac. 18.00 30.78
100-Sth
L1, B1, Town Centre 1160 Tn. Ctr. Dr. .97 Ac. 18.00 17.46
100-Sth
L2, B1, Town Centre 1150 Tn. Ctr. Dr. 1.31 Ac. 18.00 23.58
100-8th
L3, B1, Town Centre 1140 Tn. Ctr. Dr. 1.26 Ac. 18.00 22.68
100-8th
L4, B1, Town Centre 1130 Tn. Ctr. Dr. 1.33 Ac. 18.00 23,94
100-8th
TOTAL QUARTERLY STREETLIGHT ENERGY CHAAGE $154.80
The City is currently being billed by Dakota Electric for the streetlight energy
cost along Town Centre Drive.
~j Q-K/Z4~
Ed Kirscht
Sr. Engineering Technician
cc: Michael P. Foertsch
MPF/jf
/oo s
fire department
ity oF ectge s
n
3795 Pilot Knob Road
Eagan, Minnesota 55122
TO: ALARM SYSTEM CONTRACTOR
This form is to be filled out, signed and returned to the Eagan Fire Department, 3795
Pilot Knob Road, Eagan, MN 55122, after the alazm system has been completed and tested
by the installer. After you have sent this form, contact the inspector (454-5274) to set up
a final inspection and test. The final test is to be performed by the contractor and
witnessed by a Fire Inspector.
TO BE COMPLETED BY FIRE ALARM CONTRACTOR:
1. Date Electrical Permit #
2. Address of alarm system installation
3. Date Fire Inspector reviewed plans_/o -,a`1 `(?l
4. Name of contractor I~LIs ~`e cT'el C -
Address C'q o,sJ ~'e /~vC
Phone 1 Contact Person
This certifies that the alarm system at the above address has been installed in accordance
with applicable city and/or insurance company standards. All devices have been tested and
the system is 100% operational.
Signed for Contractor ~.lJo~¢1C
Date 2,2
TO BE COMPLETED BY FIRB INSPECTOR:
The system was spot-chec ed and it operated on this date
)JL
Witnessed by Inspector
Comments
FI\F-Alarm.Tst
THE LONE OAK TREE. ..THE SYMBOL OF SiRENGTH AND GROWfH IN OUR COMMUNIiY
5~-
1[BlIORANDIII[
TO: TOM HEDGES, CITY ADMINISTRATOR
FROM: DOUG REID, CHIEF BUILDING OFFICIAL ~
DATE: OCTOBER 31, 1990
RE: ~ WATBRFORD lrPARTMENTS & THE 1988 BUILDING CODE
~ , . _
Following is a list of events that have taken place with reqard to
the Waterford Apartment project and the applicant's request not to
provide the buildings with a fire sprinkler system.
1. The Waterford Apartment project has been submitted to the City
on and off for approximately two years.
2. On July 16, 1990, the 1990 State Building Code was adopted.
The requirement for fire sprinkler systems in the Waterford
Apartments is part of that Code.
3. The Eagan City Code requires compliance with the State
Building Code and is currently being updated to the 1990 State
Building Code by the City Attorneys Office. At present, it
requires compliance with the 1987 State Buildinq Code.
4. The Ventana Corporation should have been aware of the
requirement for the fire sprinkler system as it is stated in
the 1988 edition of the U.B.C. which is adopted as part of the
1990 State Building Code and has been available since 1988.
Although the process for adopting the State Building Code can
be very lengthy, it is possible to track it and be aware of
the timing of its adoption.
5. After adoption of a new Code, the City generally allows a
grace period for development that has been in the planning
process. The length of time allowed has depended on the type
of project, how lonq information on the new codes has been
available to the public, and when the new code documents are
available for purchase.
6. Zn August 1990, the Ventana Development Corporation contacted
Dale Runkle regarding the requirement for Pire sprinkler
systems in all, or part, of the project. At that time, they
were informed that the two buildings proposed for tha platted
lots could be built without the sprinkler system. The
remaining buildings would have to comply with the requirements
of the Code in effect at the time of permit issuance.
Although no date was set as a deadline for applying for the
first two permits, it was our understandinq from the urgency
of their request that it would be within the month of August.
The next contact we had with Ventana was in mid-October when
James Stirton met with the Inspections Department to again ask
about deleting the fire sprinkler system from the project. At
this time, we informed him that we would still honor the
aqreement to allow the first two buildings to be constructed
• without the sprinkler system if the permits were issued by
November 9, 1990. We also informed him that we could not
approve the request for elimination of the sprinkler system on
the remaining buildings because by the time the platting was
completed, it would be too long after the July 16, 1990
adoption of the new Code to justify it. We discussed his
options as follows:
a. Request the council to approve iasuance of the permits
for the remaining buildinqs immediately upon completion
of permit application submittal and prior to platting.
b. Request the Council to overrule the State Building Code
requirement.
c. Pick up permits for the first two buildings by November
9, 1990, building them as agreed, and build the remaining
units with the fire sprinkler system.
d. Discontinue the project.
It is the opinion of the Inspections Department that unless the
Council approved issuance of the permits for the remaining
buildings prior to platting, we should not allow those buildings to
be built without fire sprinkler systems. If the Council chooses to
do that we would like the following conditions placed on the
approval:
CONDITIONS:
1. The permits for the first two buildinqs must be paid for on/or
before November 9, 1990.
2. The permits for the remaining buildings must be paid for by
November 16, 1990.
3. The plat must be recorded by a date approved by the Council.
4. Construction of the remaininq buildinqs must begin within 30
days of the final plat.
We would like the Council to understand that if there was a fire in
one of the buildings, and the question of why they were not
sprinklered came up, it would be their responsibility to provide an
answer to that question.
DR/js
Serial# 5'
Chip # rJ S Q
Permit #
10 Address:11GQ l1,t11'1 ~1~m ~rr ,ri ~l \ f~
~ 1 AGREE TO COMPLY WITH CITY OF EqGqN
ORDINANCES
Signature: _
.t ,
Serial #
~ 0 3 l~ ~~/t ~~~11 cnip #
2~ ~ '+t Permit # j r,{ k ~r Q/m; f
10 Address:
~ I AGREE TO COMPLY WITH CITY OF EAGAN
'.1 , ~ ~ ORDINANCES
Signature:
R 3L o ~ 5
/of) -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1120 Town Centre Dr
Lot: 2 Block: 01 Addition: Town Centre 100 5th
PID:10- 77054- 020 -01
Use:
Description:
Sub Type: e - Underground Sprinklers
Work Type: Rebuild
Description: Rebuild
Meter Size Meter Type Manufacturer
Comments:
Fee Summary:
Contractor:
LeVahn Brothers
12700 Bass Lake Rd
Maple Grove MN 55369
(763) 551 -8990
Serial # A00825 for lawn irrigation located outside of building. (ld)
Loren LeVahn
12700 Bass Lake Rd
Maple Grove, Mn 55369
PL - Permit Fee (Res Modifications)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
$30.00 0801.4087
$0.50 9001.2195
$30.50
Owner:
Waterford Apartments
1 199 St lames St
Winnipeg Canada R3H 01C8
Issued By: Signature
Plumbing
EA089265
05/20/2009
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
401'
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit Fee: 5/ 6 �5
Date Received:
Staff:
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Cz
Date: L I' Site Address: � � .2-0a
TO �tU CE rd- ® - LI << 1I
, �
Tenant Name: (Tenant is: New / Existing) Suite #:
Former Tenant:
PROPERTY OWNER
Name: V—C A cog- 1.10 Phone: q5a. - 5 (I-" 056%
Address/City/Zip: 6LIOcc CITY 1..i "r- PAM -K A1// EDl PPAIP.16
0 ITC owl.
ntractor
Applicant is: Owner j< Contractor
TYPE OF WORK
TYPE OF
Description of work: W OFF 14NIP 94POOF of 8u 11- D)& 0 Pity')
Cost: "32/sol) . 00 Ca�AIi G'I 6.
CONTRACTOR
Name: WALKER ROOFING CO INC License #: `7 21-9
W ES I WAY tX 1 tHIURS INC
Address: 2274 CAPP ROAD City:
SAINT
PAUL, MN 45114
(651)251-0910
State: Zip: Phone:
Contact: 12 6)C Email: Ar SC@WAI.ICo-oriN\iq .Ce,/r
ARCHITECT /
ENGINEER
Name: f1/4)/A Registration #:
III
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing
new sewer/water service: Phone #:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One 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
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 whicjh requirfl a review and approval of plans.
x ANDY (2
Applicant's Printed Name
x
Applicant's Signattire
Page 1 of 3
See 1130 Town 4 y /I/Las% r iVa�,ar.
4,11 City of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
104
Permit Fee:
Date Received: MAY' 0 2012
Staff: rg
/ 2012 COMMERCIAL BUILDING PERMIT APPLICATION
.�J 6 /2- Site Address: )120 'D � l et'L' ft -t--- t�--
Tenant Name:
(Tenant is: New / Existing) Suite #:
Former Tenant:
Name: AJ l 4)L Bela v_` v" ./ one: (e—
Address / City / Zip: Ago Ci" C°411'‘. 612(47'
Applicant is:
Owner
Contractor
Description of work: Ralikd t
oat
C -,rte(/
1
vciar
Construction Cost: -V 0
4_0
Name: /( l
Cj,(;Jw L 4--t1 (- License #
Address: %8-&
/5
City: 4 /8J
State: MA/ Zip: c /z I Phone: G` 2 69- --
Email:
Contact:
AL C -
•
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person:
Email:
Licensed plumber installing new sewer/water service: Phone #:
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wp hi iew and a. o royal of plans.
ma(
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
/o4 3
SUB TYPES
_/Foundation
✓ Commercial / Industrial
Apartments
Miscellaneous
WORK TYPES
New
Addition
Alteration
Replace
Salon Owner Change
DESCRIPTION
Valuation
Plan Rev'ew
(25% V100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Public Facility
Accessory Building
Greenhouse / Tent
Antennae
Interior Improvement
Exterior Improvement
Repair
Water Damage
go,000
ties
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (,Adm AJ. -fee -a'% 1t) .
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
r otic rvisgc--
PD
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
6/ Other: rig -C C n od k
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 l No
Reviewed By: Mi Ge L
-
, 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
339, as
10. 00
55, a
Water Quality
Water Supply & Storage (WAC) i
Storm Sewer Trunk
Sewer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other:
e -
TOTALS 14 :7
Page 2of3
9/25/15 04 :23AM PDT Allan Dorney Construction -> 651675569
Pg 5/9
Us�BLUE or 6LAGK I�k
�__-�-------------,
( Fo�OAIa�uN I
� j Perm�#: 1�� I
C�t of �a �Il � - ;
� � � P6nnR Fie: �''�• �
5880 Pllot Knob Rosd � i
�sD.n MN ss�a� i �
Phon�:(6S1)6�5•6875 1 �°�°�00�:
Fax: (861�a7S-5694 � i
I staR: �
L....__-,_____....__.._,+
2015 COMMERCIAL BUILDINC3 PERMIT APPLICATION
Dabe: �''/�s;/� 91ta Addnu:_1�a C' Tnuin._.t..,,Y,p�Ti� /✓/'•�
Ta�aM Nsmo: • (T�nant Is:_,_,_New/�xlotlnp) 8ult��M:_.__..r._.
Formn T�nset:�
Name: �re9�/'�i.l N�Crri. T.drt�f+ PhOf1e:
Proporty Ownsr t�ddrees�cKy�z�: �1��1.a,���. �.�._ S�����,�1 J ,s''/O.Z
�
ApDllr�nt Is: Owner Conbac.tor
� 'nl�lO.Of WOf'k ' Descriptbn of werk:JC r.•+e�r�._ a.�,�I�r�,,� S.�a�.:,,, e Ga.�.�c�S
Conetrucdon Co�C� 1 �
• �m•: /1//�I< �0/w I�/ [ �N.C�r4�71NA ��1/y/'��1{itlne0 R:
r
COM�ClOP Addreos:/TP�� ��tt�r��•a S+�' �� Clty: ��/l M �'!X�
� S1�ts:�ZJp: SS 3 D� PAons: li/w�-7�/-/��''�'
COMad; f�� / w S�� �Emeli: vi.• � 4►��q q �i/'/1 v , tv�"1,
Name: Rep�vtra�tpn�;
A�ahlte��lr�eer Addroas: Ciqr:
� 3ta�a: Ylp: Phone:
' Contaaf P�roon. Emali:
Llo�nMd plumbK InsLeNinA�eswsr/wetAr esrvroe: Phon�N4
, N07ff:P11fls O�Q sup,�pv/�Hrp d�•qy�t•�r,al��:a�.�d t�0�.4a�publl0.MIb�M�ov�.. ., 0/
w.�.ero�,n�.r�:.ea.�.a�►�a��.�.�'��+�:�'�u,.e,�,�:ca:�+ca�►�.
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CALL BEFORE,Y4U DIO. Cai Oophsr steb On�Gdl st�661j�d1,�000z for proEsctlon�p�lnsl underg�und udUp�4+Amsp,.
can 4e houre aefone ycu�ntend b alp b�rsoe�vs�«�tss of unaerpround umltlss.
1 hsreby acknowledge thal lhie Inbn�etlon la oompete and ecourete; tl►et Ihe w�o�c will pe In coMormance wiU�the ordinoncsa and
o�de�oi ths Clty ot Eepan;tl�st 1 undorstend thls ie not e psrn�t�bu1 ony an appllcatlon tor e�p�nnit,end work Is not to aoert v�ithout a
pemnit;thet Ihe wo�ic wpl De In a�a�rd�no�witl►the approwd pi�n In Ihe eass oF w�orlc wfNch�quln�o rsvlaw a�d epwavd o/pl�ne.
h � � Tk ,� r
�a��.�.���a�, �.��.�.
Pepe 1 of 3 ••
Use BLUE or BLACK Ink
r
For Office Use.
401°' City t
Permit#:of
Eaaall permit Fee:
C3830 Pilot Knob Road
Eagan MN 55122r 6 `1017
Phone: (651) 675-5675 _` `'., w� Date Received: �` '
Fax: (651) 675-5694 Staff:
6_ J
2017 COMMERCIAL BUILDING PERMIT APPLICATION
Date: 03-06-2017 Site Address: 1120 Town Centre Drive
Tenant Name: Waterford Townhomes (Tenant is: New/X Existing) Suite#:
Former Tenant:
r,� ,, sI Waterford Place Townhomes 651-294-3284
to,t,, Name: Phone:
e▪ ' i 616 Lincoln Ave, St Paul, MN 55102
',:,::,,,„,,,,-...6..:i.,,;„„,„...,,,,,,,..„.4,,,,, ,,,{� y
Address/City/Zip:
..� t" 3r� y
▪ 4��, ii.. Applicant is: Owner X Contractor
' Description of work: Remove and Replace Siding on Front and Sides of Building
}.. $19,500
ri
,.,, ,' Construction Cost:
d ,s, Allan Dorney Construction MN, Inc., x 4 31� Name: License#:
` r � ¢ � `�t 14818 Waconia St NE Ham Lake
�' ' Address: City:
kfx y,� „4 �
, MN 55304 612-741-1784
r ti State: Zip: Phone:
•ii r Daniel Tousignant Email:
° Contact:
,,, ,.
P 4 Name: Registration#:
Address: City:
I be61 ',"j --...!,*!,,,,,,,,,,,,,4.W
' : State: Zip: Phone:
L'.
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
x t + r .a J ;',,,,!.,.;,Pr-
e c ` j r ry q :.„,.,,.-,,,,:„,;'!:i4,
,e s :f d° �� #
r :: 7� z C s 21 te r r a �p n t .5 P #s 9 ° r # - '1,:,?,,,, b a`° F i d� ,l 9 ,; `,,.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit,but only an application for a permit, and work is not to start without a
permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
_....----• _Tousignant _........--"---
x
�x
Applicant's Printed Name ',.4f4"-.1."—Signa or".."--
Page 1 of 3
Use BLUE or BLACK Ink
t
For Office UseDF
* : Permit#: /67(72-S-
d t
'',
< ji ��
d Permit Fee: //
/ 4/
0 1.41 $9„,,40 Y v” (,1VjI1/4 '(5L . Date Received: f t(
3830 Pilot Knob Road I Eagan MN 55122 ( / Staff:
''.7 -J
Phone:(651)675-5690 I Fax:(651)675-5675
buildinginspections@ciityofeagan.com
2017 COMMERCIAL FIRE ALARM PERMIT APPLICATION
12/8/17 1120 Town Center Drive
Date: Site Address:
Waterford Place Townhomes
Tenant: Suite#:
0 Requirements:2 complete sets of drawings and specifications,cut sheets on materials and components
At Home Apartments, L.L.C. 651-294-3287
r Name: Phone:
616 Lincoln Ave Saint Paul, MN 55102-4700
Address/City/Zip:
X
/i
i Applicant is: _Owner Contractor
Update fire alarm to addressable &communicator to cellular
*. ®Description of work:
$3,481.81 1/30/18
' Construction Cost: Estimated Completion Date:
- Electronic Installations, Inc. TS000227
/ 4 Name:
License#:
i
', <a'aitk - 11545 Lakeland Drive#102 Maple Grove
Address: City:
MN 55369-3663 763-425-8850
State: Zip: Phone:
Chris Meehl chris@eiisecurity.com
\W,
Contact: Email:
New Remodel
'/ Work _ — —
Addition Other:
4 VAlterations
DESCRIPTION OF WORK: ❑✓ Commercial Residential ❑Educational
FEES Contract Value$3481.81 x.01
$60.00 Permit Fee Minimum 60
=$ Permit Fee
Surcharge=Contract Value x$0.0005 1.74
*
If the project valuation is over$1 million,please call for Surcharge =$ Surcharge
61.74
=$ 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.corn/subscribe.
I hereby apply for a Fire Alarm permit and acknowledge that the information isi 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.
Chris Meehl /�
x x
Applicant's Printed Name A r e licant's Signature
� S �` '' z` f1 i A ,, /fi r y V //i':‘,44•27' "`
�y ,