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1121 Town Centre DrCity of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 2 0 Use BLUE or BLACK Ink Permit#: /00 4-/q3 Permit Fee: r 6'Q ' 7; Date Received: Staff: t 2011 COMMERCIAL BUILDING PERMIT APPLICATION Date: l9 cOif Site Address: Tenant Name: /4,/7"— Tower ��. ,E- -�� — 4.74G44/ .47/v e4 W C'G //V/C (Tenant is: Existing) Suite #: a Former Tenant: .44L/i✓44 PROPERTY OWNER Name: erf�.44/ ,''/4C 'e..ePhone: f/„,-- 9r0 -.5'/9 Address / City / Zip: /mac 1/ 72r -)k)41.1" c--'--ev�'E Qce Applicant is: k Owner Contractor TYPE OF WORK Description of work: •Ede-eleie L 00 Construction Cost: Q Y � �© CONTRACTOR .4-W 00. 1 /^' ,¢C • d9Z.46 X 4e. Name: .11 ,�,, License #: Address: /5 -ext -- .-'7"P4 4AV City: .-1-61—' State: /r//JJ Zip: ,<3."4,2c,2 Phone: 4.-iv2' P'O _3-79 Contact: G. -3t4%; Email: / 17s' /7i/�67 c c-isr- A/4'7 - / ' -ARCHITECT ARCHITECT/ ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing .427.57".""r new sewer/water service: "1/ 4740C Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One 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.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 revie d approval of plans. _derdr - .011111 Applicant's Printed Name Applicant's : gnature Page 1 of 3 Art /1.21 -Tetvr) 6,/f1G : DO NOT WRITE BELOW THIS LINE /c cid SUB TYPES Foundation Apartments Lodging Miscellaneous WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ✓ ) Census Code #of Units # of Buildings Type of Construction Public Facility / Commercial / Industrial Greenhouse / Tent Antennae "Interior Improvement Exterior Improvement Repair Water Damage U 1 V•A REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation Framing Fireplace: Rough In _Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Yes 1No Occupancy Code Edition Zoning Stories Square Feet Length Width Ice & Water Final 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 a 2007 lit S /3G Lt3 r ZZfiZ- MCES System SAC Units 0/1-E7Teg... City Water 1� Booster Pump PRV Fire Sprinklers Sheetrock ✓ Final / C.O. Required Ale Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Reviewed By: �G , 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 339.2 / p . a -o 22-0 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL1 54 I.7% Page 2 of 3 1 Metropolitan Council August 2, 2011 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 /00 Lo -(3 Environmental Services Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC on behalf of the City for the Minnesota Health Clinic to be located at 1121 Town Centre Drive, Suite 205 within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Office 1659 sq. ft. @ 2400 sq. ft./SAC Unit Credits: Office (Look -Back Period — paid 8/01) 2200 sq. ft. @ 2400 sq. ft./SAC Unit 0.69 0.92 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. Sincere y, kY1 COrt44--- on Cappaert SAC Technician Environmental Services Division KC:kb: 110802C1 Determination expiration: August 2, 2013 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Greg Preusse (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 d') City of Ea�all Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. July 28, 2011 Greg Preusse 1745 Crestridge Lane Eagan MN 55122 RE: THE MN HEALTH CLINIC TENANT IMPROVEMENT 1121 TOWN CENTRE DRIVE Dear Greg: We have started 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. Unless otherwise noted, all references are to the 2006 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the following items be addressed: 1. Provide a SAC determination letter from Met Council. x Provide a code analysis (example enclosed). Provide a key plan. The key plan should distinguish the area of work from the rest of the building. A! The height and width of your pass through counter will have to meet Minnesota accessibility requirements. Provide an elevation detail of pass through and counter. Provide dimensions of the entrance vestibule. Thank you in advance for your attention to these items. If you have any questions concerning this letter, please call me at (651) 675-5683. Sincerely, Craig Novaczyk Senior Building Inspector Cc: Dale Schoeppner, Chief Building Official Minnesota Health Clinic 1121 Town Center Drive Eagan, MN 55121 August 3, 2011 City of Eagan Building Department 3830 Pilot Knob Rd. Eagan, MN 55122 Re: 1121 Town Center Drive Tenant Improveme We understand the occupant load shall be 9 to 10 people. If we exceed 15 people we would be required to add an additional restroom. Minnesota Heath Clinic (~I ~7~](~Qn .~"l~nO~ tlp' . ~ PertnR#. F7 U 7J ~ ~ flb(!li i ~ 3830 Pilot Knob Road I Permit Fee: J`~~. ~ r Eagan MN 5' 122 Phone: 651 675-5675 I Date Received: ~ Fax: (851) 675-5694 . - . . I Stafi: . . L 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: ~O~.3D Ua :SiteAddress: U,2I '~Td" dr,7l@ Tenant: Suite PROPERTY Name: Phone: OWNER CONTRACTOR Name:~~am d1wLJr+I License#:6.58.,~~"p,(YJ _ Address: `d 0~30 12~/¢ ,`/vc c;ry: /.nEiXlLc. state:Aj,&~ Zip: S•`l~ PhDne:9s~y~y"~19A9' CantactPersorr. TYPE OF New Replacement _ Repair Rebuild ~lodify Space Work in R.O.W. WORK - - - Descripdon ofwork: eol'yx-1~7 o ' PERMIF TYPE COMMERCIAL ` _ New ConstrucSon Modify Space Irrigatlon System f yes / _ no) i2PZ / -PVB) • Rain sensors required on irtigation systems . . • Avg. GPM _(2' turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prlor to oickEnc uo meter. Domestic: Size & TypeFire: Size & Price 3/4" meter 1$ 83.fl0. Avg. GPM High demand devices? _Yes _No Flushometers Yes _No PRV Reqvired Yes No - CO G FEES: $50.50 Minimum (in udes State Surcharge) OR conuactvalue ~t100 x 1 % . _ $ Pertnit Fee Required on ALL new buildings and bouievard irrigation systems 4 Radio Mater Read - If Permit Fee is less than $7,000, surcharge G5 $.50 Mater(s) - If Permft Fee is> $1,000, wrcharga increases by $.50 for each S1,000 $1,000 Aertnit Fee (i.e. a $1,007-52,000 Pertnil Fee requires a$1.00 surcharge). = $L Sfate Suroharge Following fees appfy when insfalling a new lawn irrigafion system. . 8 Water Pertnit Call the City's Engtneering Oepariment, (651) 675•5646, for required Tee amomrts. $ • Treatment Plant g - Waler Supply E. $torage - g State Surcharge . ~ 70TAL FEES $ O O hereby acknowledge fhat MIS in[o[mation is compte[e and accurale; thal Ihe wprk vrill be in canformance wNh the ordlnsnces and cotles of the Chy of Eepen; Iha[ I underslantl lhis : no: a Oertnit, bul anly an app6raUon 1or e permil and woilc Is not M start wifhoul a permit; Nal tna work wlll be in accortlante with ihe approved plen in the case of vmrk whlch quires a /reJview an~d /approval of plens. . . X 4/ ~l/6'//!l~..L_ X p~anYs Pr nt Name Applicant's Signature . F,2equ~red Inspectrons +~~Unller,GroUnd ~toug,~~mx ~.~,?:qirRTest+,~,n ut Ca;~T,e,st , Fanal~, Page 1 of 3 1001100'd 0664 694 Z56(Xtld) Ieo!ue4aaW aamgoW S0:4L 800Z10EI04 0667 69b ZS6 / r i I EOC(3~fiCR.(i ~7 City of Ea~an ; Permit# l ~ ' ' I Permd Fee: ~ 3830 Pilot Knob Road I ~ i Ea an MN 55122 ~ 9 I Date Received: I Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 j starr: i L 2008 COMMERCIAL BUILDING PERMIT APPLICATION SiteAddress: 1141- O~'T~ C~~ Q 4f~' Date: Tenant Name: S-4T N.4 sISY j Tf~JC. (Tenant is: V/ New L E)dsting) Suite • p (VA - • 96:G PROPERTY OWNER Name: ~i~641f' Phone: Address 1 City I Zip: ~`c~~ i~~?U G~~Fe ~C4 -~~~'""9~/ Applicant is: X Owner _ Contractor TYPE OF WORK Description ofwork: 115d w«/ ~-2r- .POC.e. .V&.~? Ft~~'.J" Construction Cost: 41 zSOC~ CONTRACTOR Name: Z.~5'/Oti~G 44V- License#: (DwNsl(~ Address: `YS~- °G'v City: State: /~?~/lf~ Zip: G'.E'E6 Phone: - ci/-5~/ ~ Contact Person: \ ARCHITECT! Name: Registration#: ENGINEER , Address: City: tate: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTEr Plans and supporting documents that you submit are considered to be public iniorrriation. PoRions of the information may be classified as non-public N you provide speciric reasons thaf would permit the City to condude ihat the are trade secrets. 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 oniy an application for a permit, and work is not to start without a pertnd; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. . ~ I x O'~~C-6zy z - ~ ,.15,~. ApplicanYs Printed Name ~ ApplicanYs gnature I~E 00, CE D nr.r i 't 2oos Page 1 of 3 I / DO NOT WRITE BELOW THIS LINE 0-7/ (2 SUB TYPES: ? Foundation ? Public Facility ? Accessory 8uilding ? Apartmenfs A Commercial ! Industrial C) Ext Alteretion-Apartments ? Lodging ? Greenhouse ? Ext. Alteration-Commercial ? Miscellaneous ? Antennae ? 6ct. Alteration-Public Facility ? Nail Salon WORK TYPES: ? New ~ Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demofish Foundation ? Replacement ? Windows ? Water Damage ` Demolition (entlre building) - give PCA handout to applicant DESCRIPTION: Mi Valuation ~SjaQD Occupancy MCES System Plan Review ~ Code Edition SAC Units ? (25%_ 100% lv~) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) ~ FinallC.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation _ Final _ IceNJater Pool: _Footings Air/Gas Tests _Final ~ Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes % No jfel§160~, Building Inspector Reviewed By: Planning Reviewed By: (f COMMERCIAL FEES: sase Fee 304. qf Surcharge , 00 Plan Review ?A r.'f SAC-MCES SAC-C ity SIW Permit Financial Guarantee S/W Surcharge Storm SewerTrunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) . Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality Water Supply & Storage (WAC) Total ~ r'J~ • Page 2 of 3 ~ Metropolitan Council ~ / 7 Environmental Seruices October 21, 2008 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mc Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for t!:c Sat- Nam Sisters to be located at Eagan Professional Building- 1 121 Town Centre Drive, Suite 100 within the City of Eagaa This project should be charged no additional SAC Units, as determined below. SAC Units Charges: Fifiess (no showers) 1524 sq. ft. @ 2060 sq. ft./SAC Unit 0.74 Office 240 sq. ft. @ 2400 sq. ft./SAC Unit 0.10 : . . Total Charge: 0.84 Credits: Retail (8/0 1) 1936 sq. ft. @ 3000 sq. ft./SAC Unit .0 65 Net Charge: 0.19 or 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 char.gc in use o: siz;,, a redetermination will need ta b: marle. If you have any questions, call me at 651- 602-1118. Sincerely, c'? ~'Y1~~ Karon Cappaert SAC Technician Environmental Services Division KC:kb: 081021A8 Eca J.Nye,MCES OCT 2 2 v2008 D Peggy Fleck, Eagan Greg Preusse unvw.metrocouncil.org 390 Robert Street North . St. Paul, MN 55301-1805 •(651) 602-1005 • F~ (651) 602-1477 • 1"fY (651) 291-0904 An Equa! Oplmrtwitg Employer *dtV oF eagcin Zoning, Comprehensive Plan and Flood Zone PATCFAGAN Designation Confirmation Letter Mayor To: Lisa Delton PEGGYCARLSON Solimar Wellness Spa CYNDEE FIELDS 1121 Town Centre Drive, Suite 105 MiKE n,ucuiaE Eagan, MN 55122 MECTaLEY Subject Property: 1121 Town Centre Drive Council Members THOMAS HEDGES Zoning: LB, Limited Business Ciry Administncor Comprehensive Guide Plan Designation: SA, Special Area Flood Insurance Rate Map: The property appeazs to be in Zone C MuniciPal Cen1er: (source: Ftood Insurance Proqram-u.s. Shown on map panel nizmber: 270103-0001-B Dept. of Housing & Urban Development Date of Map: August 11 ~ 197g 3530 Pilot Knob Road Federal Insurance Administration) Eagan, MN 55122-1897 Comments: The Propertv identified above is located within the comorate limits of Phone: 651.675.5000 the Citv of Eaaan The City ZoninQ Code does not specificallv address "soa" as a Fax: 651.675.5012 listed use Based on the scope of services nrovided and the intensity of activitv TDD: 651.454.8535 generated bv the business City staff has determined that a spa could be considered similar to a clinic which is a nermitted use in the Limited Business zoning district. Mvnunance Cndiiry: The above informatiart is believed to be accurate at the time ojwriting. The City assumes no liabiliry 3501 Coachman Poinc jor emors or omissions. All information was obtained from public records. Ijyou wish to review the Ciry's records pertaining to this parcel, you may do so by appointment at the Eagan Municipa! Center, Fagan, MN 55122 bebveen the hours oj8:00 a.m. and 4:30 p.m. Monday through Friday. In addition, the Ciry's Phone: 651.675S300 Municipal Code is accessible on dhe internet at www.cilvo(eaFan.com. Fax: 651.675.5360 TDD: 651.454.8535 Signed: Date: June 3, 2003 Pamela Dudziak Planner www.utyofeagan.wm THE LOIVE OAK TREE The symbol of streng[h and growth in our communiry r ~ ACCiJRATE CONSTRUCTION DESIGN & CONTRACTING SERVICES 1 Aprii, 2003 City of Eagan Pilot Knob Road Eagan, Minnesota To whom it may concern, This letter is in response to a phone conversation and meeting with Mike on Mazch 31' 2003 regarding the plan review for permit for the Solimar Wellness Spa. The floor plans have been corrected to address the issues that were raised in that meeting. At this time we are making new selections (plumbing fixtures) to address your requirements that all Bathrooms be accessible, not just those previously designated. In the interest of keeping the pernut process moving forwazd, an' ce wncerns regarding this project were related to the accessibility issues in the bathrooms I would like to offer that all bathrooms will be made compliant. This information be forthcoming in the next few days. If you have any questions about anything, please do not hesitate to ask. her At( Ca?,CerNf W-ert ?SeL4?e,p Sincerely TO ACC+rr,bd7,lcf, ~ Qgt4p Issaec w4al , c--- oa dr,awiays. Bill Brueggeman lt~~ ~i~IG~a3 3921 Ottawa Avenne South • Minneapalis, MN 55416 teL• 952.922.0632 0 fez: 942.9as.o446 *dtV oF eagan r.AT c,&Acnrr Apnl 16, 2003 titayor PEGGYCARLSON MR WILLIAM BRUEGGEMAN 3921 OTTAWA AVE S cYVDEe FteLDS ST LOUIS PARK MN 55416 MIKE MAGUIRE MECTILLEY RE: SOLIMAR WELLNESS SPA 1121 TOWN CENTRE DRIVE Council Members Dear Mr. Brueggeman: THOMAS HEDGES We have completed our review of the construction documents submitted in pursuit of Ciry Adminiscramr obtaining a building permit for the above-referenced project. This review is not intended i to be an exhaustive and comprehensive report. Unless otherwise noted, all references aze to the 1997 U.B.C. It is our goal that this review will help you in complying with the Muni applicable codes and we aze, therefore, requesting that the following items be addressed. cipal Cencer: 3830 Pilot Knob Road 1. The code analysis submitted shows Type of Construction "VB". Original eagan, MN 55122-1897 construction of this building is Type V 1-hour and tenant build outs should also be Phone: 651.675.5000 1-hour. Under the new IBC, this classification should be V-A. 2. A portion of the main assistance counter shall be 36" long and a maximum 36" Fas: 651.675.5012 high. MN State Rules 1341.0720, Subpart 1. TDD: 651.454.8535 3. One shower shall meet accessibility requirements. MN State Rules 1341.0458. 4. Lavatories and mirrors shall be provided and meet the requirements established in MN State Rules 1341.0454. Mainrenance Faciliry: 5. Size of toilet rooms and stalls and arrangements of side transfer toilets shall meet 3501 Coachman Point accessibility. Mn, State Rules 1341.0450. Eagan, MN 55122 6. Check cleazances at doors as noted on reviewed drawings. - 7. " For fixed storage facilities, refer to MN State Rules 1341.0466. Phone: GSL675.5300 g Check the City copy of reviewed plans for additional notes. Fax: 651.675.5360 TDD: 651.454.8535 If you have any questions, please call me at 651-675-5676. Sincerely, www.ciryofeagan.<om ~7 ' ~^'C'r/ Mike Lence Senior Building Inspector THE LONH OAKTREL The symbal of strength - MI'/]S and grow[h in our communiry ~ Metropolitan Council Building communities that work February 28, 2003 Enuironmentai Seruices Dale Schoeppner Building official ,[VI]iR D 3 ZOC"; i I,i ~ City of Eagan 3830 Pilot Knob Road ~ Eagan, NIN 55122 5Y Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Solimar to be located at + ithin the City of Eagan. This project should be charged 2 SAC Units, as deternuned below. SAC Units Chazges: Cutting Stations 4 stations @ 4, stations/SAC Unit 1.00 Manicure/Pedicure 5 employees @ 14 employees/SAC Unit 036 Showers/Wet Room 40 f.u. @ 17 f.u./SAC Unit 2.35 Total Charge: 3.71 Credits: Office 4128 sq. ft. @ 2400 sq. ft./SAC Unit 1•72 Net Charge: 1.99 or 2 Ifyou have any questions, ca11 me at 651-602-1113. Sinc rely, L..~d ~ . Jodi L. Ewards Staff Specialist Municipal Services Section JLE: (95) 03022856 Cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Bill Brueggeman, Accurate Construction ..metrocouncil.org Metro info Line 602-1988 230 East Fifth Slreel • SL Paul. M1nne,sMa 55 10 1-1626 • (651) 602-1005 • Fax602-1138 • TTY 291-0904 . • - An Gqudi Oppnrtunity Cmplnycr Lo-~-1 r~1c~~- ? ~3 h' V`'~`e 012002 BUILD NG PERMIT APPLICATION CITY OF EAGAN 651-681-4675 i Foundation Onl New Construction • Interior Im rovement • Shudural Plans (2) sets • Architeclurel Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Malysis (1) . Certifipte of Survey (1) . Civil Plans (2) • Pfojecl Specs (7) • Code Malysis (1) . Landscaping Plans (2) • Key Plan (7) • ProjeclSpecs (1) • CodeMalysis (1) " • Master Exit Plan (t) • Spec.Insp.BTestlngSchedule • CertificateofSurvey (t) • EnergyCalculations (1)notalways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be esta6lished • Meter size must be eatablished • Meter size must be established - if applicable • ProjedSpecs (t) y ~ • EnergyCalculations (1) 1 • EleGric Povrer 8 Lighting Form (1) 1 r • Master Exit Plan (7) l 1 ° • Emergency Response Site Plan (7) 1 • Soiis Report (1) 1 . MGES SAC determination letter • MGES SAC detemlJnatipn letter • MC/ES SAC deterrhinati on letter ca11657-602-7000 ra11 6 51-6 02-1 000 ca11651802-1000' Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. • DATE: WORK TYPE: K NEW REMODEL CONSTRUCTION COST: Z7`f 606 SITE ADDRESS: T w?1 d2m~'- ~it TENANT NAME: 66" tu t66Jt T Vl SUITE I~S FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK&u-i 4Wd-44J-bvJO•61)~ Nazne: f,6-dA,vi f!a 7E55luN ~ tg ~'1 L Phone ((oS~ ) C~ 86' 6Z4 PROPERTY st ' Firs Sheet Address: W YI ~ oWNER IBY~F!i City: State: ~I'- Company: JJGLA1 JWO.-4" UmS/ Phone ( 957 - CONTRACTOR r ~ ~ S • Street Address: ~ ~Jb3 10 City: (5ck! ?1 C'- State: H'1 Lk-f Zip: !5734~ ARCHITEC'T/ ENGINEER Company: f~ ~ H £ Yo V ?L Phone '(3 Name; nn fLL Registration Street Address: ~/I)+~ -7-la s~- City: ~%~l! vl 6~' State: No Zip: Licensed plumber installing new sewer/water servlce: Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to mply with a applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica Updated 7/02 . / OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. G 14 Apartments iX 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code A3j Zoning p - D sq. ft. SAC Code _SO # of Stories sq. ft. No. of Units ! Length sq. ft. No. af Bldgs. --4_ Width sq. ft. Const. (Actual) V•{ WfL Basement sq. ft. MC/ES System ? (Allowable) V• t 4~-~L First Floor sq. ft. City Water ~ UBC Occupancy ~ sq. ft. Fire Sprinklered l~G D ,I MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation 0 Plumbing ? Stucco/Stone APPROVALS Planning Building cAq~~ Engineering Variance VALUATION $ Q0 D ~ Permit Fee ~ QI (o Surcharge Plan Review 3c) MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality ~ Other Copies Total 3 3 g C-! . 4~ ~ _ I CITY USE ONLY ~ PERMIT RECEIPT DATE: COMMEftCllkl. PLUMBIN6 PEfiMIT APPLICRTION CITY OF P.146AF 5880 PILOT KNOB RD PABRN, b1F 551E2 851-681-4e75 lNCOMPLETE APPLICATIONS W1LL NOT BE PROCfSSED nate: %d4,n1.. /9, a0oa~ WORK TI'PE New Bldg Add-on Repair RPZ PVB ' Irrigarion system ']erry Wobschall to calwlate fees. Requ'ved meter size is 2" turbo unless smaller size pertnitted b Public Works • ~ yoA11~ pc~.u X-) ~ .c~t.aY~d.C~ ~ 3 `k~~ `e(~..o~ w,J c~.s..aca DESCRIPTIONOF WORK /7 n :1L&~) 4; bn ~ /k .'.6.1_a .la c `~s*»~- ~h> To inquire if Pressure Reducing Vslve is reqmrld ojP new service, call 651-6814646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tesu passed arior to nickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $152.00 Domestic Size & Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS Yes No PRV REQUIRED _ Yes _ No Site Address: Tenant Name: a lLw7 n~ 9,G e~`~ / n~~ r 1 n, Telephone ~ (Area Code) Was there a previous tenant in this space? _ Y?N. If Yes, Name: Installer Name: J)n ~Ud ult) 44t~ J4~~ ~ 4iL0 , • • Telephone l051 't~.2~3 - 37C4t~ (Area Code) InstallerAddress: /~a40 ~wlrbAilYi~ ~h'2 i-• City: S4 kv rv &,t jf` , State: `_t A _ Zip Code .S5O6~ FEES Contract price ODa.O() x 1% ($50.00 min) Plbg Permit $ 3~JD • 00 Meter(s) $ ~ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If eontract fee exceeds $I,OOQ calculate at State Surcherge $ 50 cents per $1,000 conuact fee. v. tel Supplementary fees if installing irrigation system: . 70e2 SEP ~ ter Permit $ 50.00 Tre tment Plant $ 540.00 Contact Jerry Wobschall at (651) 681•4624 regaiding.fee~-~ f Water Supply & Storage S State Surcharge $ •50 Total S I hereby seimowledge that I have read this applicatioq state that the infoanarion is colrect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibiliry to noefy the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry dwing its normal operational and maintenance activities to the facilities construeted under this pertnit within City property/right-of-way/easement. / JLF SIGNA'PUR OF PERMITT CITY USE ONLY PERMIT ~ -7 L J RECEIPT DATE: APPROVED BY: ~ 0 R -z ~ 1--INSPECTOR 2002 COMbIEEtC1AI.14IEGHMICA1. PEfiM1T APPLICATION C11'Y OF EkeM S$SO PILOT KNOB tiD EA(L", Mx 5512$ 651-6$1-4675 Piease complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: //c>-)/- OWNERNAME: ~ PHONE#: ;~J_ TENANT NAME (IMPROVEMENTS ONLI): ~~'~3+~'~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ YX N. NAME: INSTALLER: W6-/-z-'6z_ _'9~ STREET ADDRESS: _5~4~y%- CTTY: STATE: ZIP: TELEPHONE ~r' G~45~ 9m ~ WORK 11'PE: New construction _ Install U.G. Tank ~ Imerior Improvement _ Remove .G. T _ Processed Piping Specify Nature of Work: 14ve~4C' When installing/removing underground tank, cal[ 651-681-4675 for inspecrion by Fire Marsh _a~ Plumbing inspectar. I' n~ ~,(a~~ i~"I' Fees: 1% of contract rice OR $50.00 minimum fee, whichever is eater. ~ 1~ p Sr P 2 6 200 2 Underground tank removallinstallafion = minimum fee ~ ~ LI Contractprice: $xl%=$ (BaseFee) 6y ~ State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ ~ SIGNATURE OF PERMITTEE Updated 1/02 U~ ~ 1 ~ ~ ~,,~,L~-~,,. COMMERCIAL ~^(~~Jr~ ~ j 00 I~Pr'2°~`LDING PERMIT APPLICATION CITY OF EAGAN o:;- 651-681-4675 a - ~ 3 \O Foundation Onl New Construction Interior Im rovement . SWCtural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SWCtural Plans (2) • Code Malysis (1) " • CertiBCateofSurvey (1) . CivilPlans (2) • ProjectSpecs (t) • Code Malysis (1) • Landscaping Plans (2) • Key Plan (1) • ProjectSpea (1) • CodeAnalysis (1)" • Master Exit Plan (1) • Spec. Insp. & TesUng Schedule • CeAifirate of Survey (1) • Energy Calculations(1) not always" • Soils Report (1) • Spec. Insp. & Testing 5chedule (1) " • Elec. Power 8 Lighting Form (1) not aN+ays" . Meter size must be established • Meter size must be established • Meter size must be established - if applicabie • Project5pecs (7) 1 • EnergyCalculations (1) 1 1 • Electric Power & Lighting Form (1) j • Master Exit Plan (1) 1 1 • Emergency Response Slte Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC detertninatlon letter • MGES SAC determination letter • MClES SAC delertninaUon letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Confact Building Inspections for sample. Pertnitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: - Z ~95L WORK TYPE: If'NEW REMODEL CONSTRUCTION COST: 438.600•60 SITEADDRESS: IIZI /OWN ~f'~? O?lU-C. TENANTNAME: AJa/AP?!1 &cl.o (A CV C46Awt&P?0F(.dol4N'Wte--SUITE#: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK /-2-s+"~ c6,40 ovY Nazne: "41 /'/a /"QSS' m96 N4 Phone PROPERTY Last Firs OWNER ~~Z( SheetAddress Td GM IPMfP? City: i~ LA~I State: Zip: y Company: ~iWy! WftN.[ U(1'15 f Phone#: ( Q5~- ) Q`Fl • Z(12 corrTxncroR 73 S4eet Address: (03 ~t vr~r1 ~i.~ - S• ~d~ City: G(yl NG" . State: j4-1^J Zip: SW315P ARCHTTECT/ q ENGINEER Company: 6 o y Phone ( I SZ- 93 - qoL o Name: ( J~A! / (-P? ~57V lM wl Re L1 T Fn ; sueet.e,daress: Y510 U/• -77d- 2 4 2002 11h ~ ciry: ~GL,ti q state: Licensed plumber Installing new sewer/water service: Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to co ly with all a icable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: lJpdated 7/02 OFFICE USE ONLY SUBTYPE ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments 27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous 0 29 Antennae 0 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ~ 35 Tenant Impr ? 42 Demolish (FoundaHon) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding 0 48 Authorizadon ? 34 Replacement ? 38 Demolish (Int) ? 45 Fue Repair GENERAL INFORMATION Census Code 'W7_ Zoning sq. ft. SAC Code 3 G # of Stories sq, ft. - No. of Units G Length sq. ft. No. ofBldgs. i Width sq. ft. Const. (Actual) V• f1t9- , Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Hearing ? Insulation 4 Plumbing ? Stucco/Stone APPROVALS Planning Building it/~ Engineering Variance ~ Permit Fee VALUATION $ 00,9 Surcharge Plan Review ~3~ a8 MC/ES SAC % SAC City SAC SAC Units O Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies 7otal S d Z. ozj CITY USE ONLY PERMIT TS 1 RECEIPT DATE: EOOE CObIMEiCIAL PLUMSINH PERMIT RPP11CAT10N CITY oF i:AGAP 9830 PI.OT ICNOB i{D $AHi4N, bIN 5518E e51-681-4875 !N('nMPLETE APPLICAAONS WlLL NOT BE PROCESSED Date: ~II ~O I~ Z WORK TYPE New Bldg Add-on _ Repa'v RPZ PVB •[rrigation system " Jerry Wobschall to calculate fees. R quired meter size is 2" turbo uWess smaller size permitted by Public Works DESCRIPTION OF WORK / nIS A 02 -'IL &T7(6 ~ o~ -5 M~~5 I G~5 ~t w~S ~i P.? To lnquire if Pressure Reducing Val e is required on new service, ca11 651-68 1-4646 ME7'ERS - Ca11 65 1-68 1-43 00 to verify that hydrostatic, conductiviry, and bacteria tesu passed orior to oickine uu meter Irrigarion Size & Type Avg GPM F've Size 8c Price 3/4" disolacement $152.00 Domestic Size & Type Avg GPM Does this include high demand devicea? _ Yes _ No FLUSHOMETERS _ Yes ~y No PRV REQUIRED _ Yes _ No Site Address: ~ I'), 1 TO W tJ C EN 711e, 'b12- 16 Z- Tenant Name: am 01 {u L, 11 "o Telephone (Area Coda) Was there a previous tenant in this space? _ Y~ N. If es, Name: Instatler Name: IAPjj~fLk1 flAWELS "D_1Ci Telephone 6v0 '7 23 "373 0 (nrea Code) . . InstallerAddress: 1523U G(a~(lAwSEL W~ City: WpS`ewtO4Nf State: HrJ ZipCode 6 $ FEES Contract price $ 2 S 0• 0 o x 1% ($50.00 min) Plbg Permit $ '-1 _X Meter(s) $ Required on all new buildings & boulevard irrlgatlon systems Radio Meter Read $ ~ Surcharge: $.50 Minimum. If base fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 base. Sub TotaUTotel S Supplementary fees for new irrigation system: W Water Permit ~ S 50.00 Conlact Jerry Wobschall at (651) 681-4624 regarding fees Treatment Plant $ 540.00 Water Supply & Starage $ _ State Surcharge D T C(~$ ~Torai AU6 2 0 2002 I hereby acknowledge that I have read this application, state that the informarion is coaect, end agree W c ty wit~ znphcabie~iry~f Eagan ordinances. ItistheapplicanPsresponsibility tonotifythepropertyownerthattheCity ofEag sumesnoli bilityforat~y agescausedbytheCiry during its normal operational and maintenance acdvities to the facili6es constructed under 's ermit within Ciry prope /right-of-way/easement. 6y .W~ SI NATURE F PERMITTEE CITY USE ONLY REQIDRED INSPECTIONS: _ U.G. ~ A'v Test _ Gas Test _jy, Rough In ~ Final PLANS SIIBMITTED APPROVED BY: e -X- z f PU y, BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • RPZ's must be rebuilt every five years. A minimum fee permit (per address) is required £or RPZ rebuilding or repairing. • Water meters include copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 518" displacement residential $118.00 4120 1-1/2" irrigation syst $ 745.00 sm commercial turbine"* •*must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn urigation $152.00 4160 2" turbine lg irrigation syst $ 923.00 maximum residential & continuous sm commercial producaon lines 15 3-50 1" displacement very lg res $199,00 1/4 ta 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig wmm bldgs ZS irri ation s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIR[NG 30.DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg ircigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very ]g comm bldgs I/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very lg comm bldgs vcry lg comm bldgs 15-1000 4" turbine very lg irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-68I-4675. • To arrange for water tum-on, ca11 65 1-68 1-4300. cc: Kris Forster, Maintenance Division Clerical Technician Updated 2/42 CITY USE ONLY PERMIT#: RECEIPTDATE: APPROVED BY: S P , INSPECTOR 2002 CObIMEftCIlkL 14IECiAAICAI. Pi3ibIlT APPLICATiOA CITY oF EAHAIv 3$30 PILOT KAOB RD EaeM, auv 55 122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNERNAME: ~~g~e~_S~~[ 41f44~;PHONE - TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y)< N. NAME: INSTALLER: WE~t/2e~ L STREET ADDRESS: CITY: L~i`~i6'al/ STATE: /CII1/ ZIP: TELEPHONE i D 1J ~ li WORK T'YPE: New construcrion Install U.G. Tank AUG 2 3 2002 c! __2g' Interior Improvement _ Remove U.G. Ta Processed Piping BY SpecifyNatureofWork: ~yGu-°ti/lCta/Q U41v- '0/4 When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OX $50.00 minimum fee, whichever is greater. Underground tank removaUinstallarion = minimum fee Contract price: $ y8~~ ~x 1%= $ /G~(Base Fee) Sbte surcttarge 1 s0~ calculate at $.50 for each $1,000 Base Fee TOTAL $ ' SIGNATiJRE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT N: RECEIPT DATE: EOOE COMMERCIAL PLUMBINH PERMIT APPIICATION CITY OF £A6kA 3830 Pu.oT ?txos Rn fJk&AN, MN 85188 881-6$1-4878 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSfD Datc:~ QZ WORK TYPE New Bldg _ Add-on Repair RPZ PVB X' Irrigation system • Jcrry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size pertnitted by Public Works DESCRIPTION OF WORK (1^(rI qGitl[1by JY~fI~j p Ct,~ To inquirld if Presaure Reducing Valve is required on new service, ca11651-681-4646 METERS - Call 651-681-4300 to verify that hydros tic, condy~ctivity, and 6acte~a tests passed nrior to nickina uo meter l( C~ vvu Imgation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $152 00 Domestic Size & Type Avg GPM Dces this include high demand devices? Yes No FLUSHOMETERS _ Yes _ No PRV REQUIRED Yes No Site Address: 112,1 TO W Cc .~p e40• Tenant Name: Co Y e UC' ) Pi Telephone (Area Code) Was there a previous ten t in this space? _ Y~ N. If Yes, Name: InstallerName: h11'MW-_0 Qf~r.l~e~~ r43(l Telephone6~_/ 373v InstallerAdndress: /$230 Ll'a raauSd f,J (nree coae) City: /(o5LLa4zt State: p7~ ZipCode ,S 6 FEES Contract price $ x 1% ($50.00 min) Plbg Permit $ U C) Meter(s) $ 1_( C) C7 Requ'ved on all new buildings & boulevard irrigaHon systems Radio Meter Read $ (L) U Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge 50 cents per $1,000 contract fee. Sub TotaUTotal $ Supplementary fees for new irrigation system: Water Permit ~.$50.00 ContaclJerry Wobschall at (651) 681-4624 regardingfees Treat 540.00 1- ~ Water ySforage' I ~L aL) 44 oQ'L q~d State S ar*pl 0 7 L(sJ u, Totel c) C~ I hereby acimowledge that I have read this application, state that the infonnadon is cone, B gree to comp y-i ttratt-applicable City of Eagan ordinances. ItistheapplicanPsresponsibilirytonotifythepropertyovmerthattheCityof assumesnoliabiliryforanydamagescausedbytheCiry during its normal operational and maintenance activities to the faeilines constructed und • iis p ' w'thin Ciry prOD/~rty/right-of-way/easement. •L //~-°"Q SIGNATUIj OF PERMITTEE *dtV oF eagen , August 7, 2002 1'AiRIC1A E. AWADA Mayor Pnut nntucert Mr. Loren Kjersten PEGGYCARISON Beacon Construction BOX 174 CYNDEE FIELDS Loretto, MN 55357 MEG TILLEY Council Members Re: Landscape Escrow, 1121 Town Centre Drive Dear Mr. Kjersten: THOMAS HEDGES ciryAeminimtor , This letter is to inform you that an inspection was performed at the above I referenced property to determine compliance with the approved landscape plan I dated May 7, 2001. Overall, installed landscaping appears consistent with the ~ number of plantings proposed on the plan, however, one Black Hills Spruce tree Municipal Cen[er: I located along the north property appears to be under stress and in need of replacement. 3830 Pifoc Knob Road Eagan, MN 55122-I897 Please make certain the tree is replaced no later than September 30, 2002. STdff Phone: 651.681.4600 will perform another inspection to determine compliance with the approved plan prior to the release of the landscape performance guarantee. Fax: 651.681.4612 TDD: 65I.454.8535 i Should you have any questions regarding this letter, please feel free to contact ~ myself at (651) 681-4696 or Pam Dudziak at 681-4691. Maintenance Facility: SIRCCCfly, - 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Cynchia R. Kircho , CP Faz: 651.681.4360 Planner . TDD: 651.454.8535 c: Parcel File, 1121 Town Centre Drive www.ciryofeagan.rom I THE LONE OAK"fREE "Ihc symbol aFstrcngh and grow[h in our mmmuniry CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: " ~ ~ ? y~~ ~ INSPECTOR 2002 COMMEftCIAiL, MECHAN1CAtL PERMIT ArPPLICATlON CITY OF EAHihN S$SO PILOT KNOS ftD E46AN. MP 5512E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: /_~j~..p4 STI'E ADDRESS: OWNER NAME: 4rz& PHONE - TENANTNAME (IMPROVEMENTS ONLY): Z L -'~'f'~ ~ / LZ ~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y)< N. NAME: INSTALLER: STREETADDRESS: crrY: e!!54e~R~ sTaTE: zIP: TELEPHONE#: lo?`~~'--~`~-~~°~- WORK TYPE: New construcflon Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-6814675 for inspec Plumbing inspector. n_ , i~ ~ 2 II Fees: 1% oF conffact price OR $50.00 minimum fee, whichever is greater. I f I l , I ~ 2 8 NOz Underground tank removallinstallation = minimum fee U U \ Contract price: $~rC)CJ ~ x 1% (Base Fee) BY State surcharge calculate at $.50 for each $1,000 Base Fee r TOTAL $ (~,~~o SIGNATURE OF PERMITTEE Updated 1/02 ~Tp W ~ "14^ COMMERCIAL BUII.DING PERMIT APPLICATION CITY OF EAGAN L I l ` 651-681-4675 ~ tA9 'a ,7~(, 0 l Foundation Qnl New Construction ' Interior Im rovement • Sfruclural Plans (2) sets . Architectural Plans (2) sets . ArchitecWral Plans (2) sets • Civil Plans (2) . SWctural Plans (2) • Code Analysis (1) • Certificate of Survey (1) . Civil Plans (2) • ProJect Specs (1) • CodeAnalysis (1)" • LandsppingPlans (2) • KeyPlan (1) . Project Specs (7) . Code Analysis (1) " • Master Ebt Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy CalculaUons (1) not always'* . Soils Report (1) • Spec. Insp. & Tesfing Schedule (1) " • Elec. Pov.er & Lighting Form (1) not always'* • Meter siae must be esta6lished . Meter sim must be established • Meter size must be established -if appllcable • PrqectSpecs (1) i • EnergyCaiculatlons (1) ! • Electric Poxer & Lighting Form (1) 1 • Master Ezt Plan (1) l 1 • Fire Protection Plan (1)'" 1 1 • SailsReport (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC detarmination letter call 651-602-1000 call 651-602-1000 call 657-602-1000 Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be su6mitted to Minnesota Departrnent of Health - call 651-215-0700 for details. DATE Iz- Z/ - o l WORK TYPE NEW REMODEL CONSTRUCTION COST I0; d~ • o a SITE ADDRESS aWh TENANT NAME cl rUe 5 SUITE # ~Q a FORMER TENANT NAME DESCRIPTION OF WORK Name: '~"A,vi OnG151un~ 64 LC ~ Phone#: PROPERT'Y ~I. st First OWNER StreetAddress 112 l 76-;aM ~ u. Lfr- 4-t • Ciry L4p~, State e"A./ Zip 1~~G a~ a~l Company W YVLC (.d/151 L~~ Phone# ( PSZ-- CONTRACTOR r~ StreetAddress: ~3~3 (~1~~?I?!q~ , ~ Cak.'~2" City ,~yfv11111 State M~J Zip ARCffiTECT/ ~ ? ~ Q~ ENGINEER Co anY 1~~55 1 aNZ Phone ) Nazne Registration # Street Address City Sbte Zip Licensed plumber installina new sewer/water service: Phone 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 Applican . OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments W 27 Commercial/Industrial ? 32 Ext Alt -Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New J~ 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 3-7 Zoning D sq. ft. SAC Code so # of Stories sq. ft. No. of Units 1 Length sq. ft. No. of Bidgs. b Width sq. ft. Const. (Actual) i-w- Basement sq. ft. MC/E5 System ? (Allowable) V- I HR- First Floor sq. ft. City Water ~ UBC Occupancy Fr sq. ft. Fire Sprinklered ~ MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance I~j 0 0 O~ Permit Fee D L3 VALUATION 9 $ . 5urcharge 9,00 Plan Review 19 C) _(o ~ MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total CITY U5E ONLY PERMIT it-4 C ~ L; ~ RECEIPT DATE: APPROVED BY: S P INSPECTOR 2002 CioMMERCIAL MECiI'1ANICiAL PEftMrr APPIIriATIoN CITY OF E1kH1kN 3$30 PILOT KNOB $D EAsA1v, bfrl 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ?a~--~{~ SITEADDRESS: //o?/-.,?~JGU~J ~~a?'~P s~~" - OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: W!;;/761- ~~tlG 4-(10 ~ STREET ADDRESS: 'S~/~/- D.Cd • y/ ~~~~?r/!~ ~..,~'4/ crrY: sTnTE: •~°~v z8: TELEPHONE WORK T1'PE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping SpecifyNahue oFWork: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshaf and Plumbing inspector. [BY Fees: 1% of conhact pnce OR $50.00 minimum fee, wlucLever is greater. Underground tank removallinstallarion m;n;m„m fee 2 8 2002 Contractprice: $ ~C7 xl%$ (BaseFee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT#: RECEIPT DATE: C) CObIMEtCIAL PLUM$IN6 PEftMIT RPi'11CAT10N CrrY oF EAeax [a 7" 3830 PaoT Krroe Ru ewsRR. MN SSi sa 681-881-4875 1NCOMPLE7E APPLICAIIONS WILL NOT BE PROCESSED Date: T ~ ~ ~ WORK TYPE New Bldg Add-on Repair RPZ PVB • Imgation system * Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted 6y Public Works DESCRTPTION OF WORK To inq Pressure Reducin-- g Valve ia required on new service, caI1651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatiq conductivity, and hacteria tests passed prior to oickine un meter Irrigation Size & Type AOW~_ Avg GPM Fire Size & Price 3/4" disvlacement $152.00 Domestic Size 8c Type ! 1~h..K Avg GPM ~ _-F-.c iA a ~v-E-S Does this include high demand devices? _ Yes k No C. (,a 7' FLUSHOMETERS X' Yes No PRV REQIIIRED ~Yes _ No Site Address: I ~fJGtl L 61~w 191,-, , TenantN Telephonetl: 6p5-~ ec 4/ -er/J /v (Area Code) Was there a previous tenant in this space? _ YN. If Yes, Name: InstallerName: 4a T4e51 Lhj`fi/5 _17iycL Telephone#: 65I_ 523- ~2,30 ^ / (Mea Code) Insta7ler Address: 1 S230 C llii't7(/S C',/ ~?/C~+i ~p ' ro City: S Crr+'~ Ov"Y7z State: //r! Zip Code 5 ~D P FEES Cootract prlce B e~ O t 04 x 1% ($50.00 min) Plbg Permit g S0.00 Meter(s) ¢ `l 3 9-&-4 $ 41 3$ U-D Required on all new buildings & boulevard irrigation systems Radio Meter Read $ /57.00 Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. S 0 Total $ Supplementary fees if installing irrigation system: Water Permit - $ 50.00 Treatment Plant $ 540.00 Contact Jerry Wobschall at (651) 681-4624 regarding fee Water Supply & Storage $ State Surcharge $ .50 Total S I hereby acknowledge that I have read this application, state that the infoanation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applrcanPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during i[s noanal operarional and maintenance activiries to the facilides constructed nndCt this permit,5jth' ity property/righbof-way/easement. ~ _~V L,.< % SIGNATURE OF PERMITTEE IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED pppROVED BY: ~{J 0'BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 92204509) • Water meters include copperhorn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-I/2" irrigation syst $ 745.00 sm commercial mrbine** *'must receive maximum approval from continuous Public Works ]0 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg nrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $199.00 1/4 ro 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irri tion s stems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICS 5-350 3" turbine very lg irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very lg comm bldgs 1/2-320 3" compound +Zpp unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs I5-1000 4" turbine very Ig irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water tum-on, call 651-681-4300. cc: Kris Forster, Maintenance Division Ckrical Tec1mician Updated 10/01 MESSAGE CONFIRMATION 12i31/2004 13:45 ID=ERGRN ENG+COM DEU DRTE S,R-TIME DISTRNT STRTION ID MODE PRGES RESULT 12i31 00'34" ERGRN MRINT FAC CRLLING 02 OK 0000 12i31i2004 -13~44 ERGRN ENG+COM DEU 4 PUBLIC WORKS N0.993 1?01 FAX COVER SHEET City af Eagan 3834 Pilot Kno6 Road Eagan, MN 55122 Phone: (651) 681-4600 Fax: (651) 681-4694 TO: Paul Heuer Fax#: FRQM: Linda Dralle Fax #:(651) 681-4694 DATE: Qecember 31, 2001 RE: Plumbing permit for 1121 Town Centre prive Dr. Becker Office Building QRS ::~:r:iv,~~ry:Yr.r~~rrraravcrviarwar:r~EUSwwni-n~ i iE.waer~r ae.a:w~r~rvar>:ir.<a'nmrvrm~•Rrr.nn~ires.u~'ri~'v.aesao~exa CITY USE ONLY PERMIT RECEIP"f DATE: CObdMB{iClAi. PI.UAlSiFH PERM1T lkff11CA710N CITYOFEIRBAP 3890 PII.O'f H1POB 8D SA6AN: MR 55l YS asia9i-aa~s i~ WCOMPLFlE APPLiGAAONS WILL NOT BE PROCESSED Date: 06A. . ~0 ~ di00 / WORK 1'YPE New Bldg Add-on Repair RPZ PVB ' Irrigetion system ' Must complete reverse side of application also. Required meter size is 2" hubo unless smaller size pernutted by Public Works DESCRIPTION OF WORK 1t. , h 1, a, 4 ~ I'i-~` ~ ~ ~-~'1 Yo inquire if~resseeae RiAlucing Val e is required on new service, ca11651-681-4 6 METERS - Ca11 65 1-68 1-4300 to verify that hydrostatic, conductiviry, and bacteria tests passed nrlor to nickine uo meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size c& Type Avg GPM Dces tlua include high demand devices2 _ Yes _ No FLUSHOMETERS Yes No PRV REQUIRED _ Yes _ No Site Address: / Tenant Name: Telephone ~ (Area Code) Was there a previous tenant in this space7 _ Y? N. If Yes, Name: Installer Name: 7H 4 j. e . . ~ i / ~ • Telephone 651 `173 • 3730 n (Area Coda) Installer Address: 16"^~R ('ii 1 w i ')L 1.. City: ~W~, A-h State: r Zip Code SSa(o ~ FEES ContraM price 99~00 x 1% ($50.00 minimum) Contract Fee $ So.GO Meter(s) s Required on all new buildings & boulevard irrigation systems liadio Meter Read $ Surcharge: $.50 Minimum. If c nt t fee exceeds $1,000, calculate at State Surcharge $ 6D 50 cents per $1,000 conuact fee. Total From Reverse New Service $ Totsl $ I hereby ecknowledge that I have read t6is applicarion, state that the information is oorrect, and agree ro comply with all applicable Ciry of Eegan ordinances. It is the applicanYs responsibility to notify the properly oumer that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its normal operadonal and maintenance activities to the facilities consWCted under this pertnit within Ciry property/right-of-way/easement. SIGNA ' RE F PERMITT " CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. ` A'v Test _ Gas Test , Rough In _ Final PLANS SUBMITTEB APPROVED BY: 'S 'p "a - -7 - ~ T 1 BUILDING INSPECTOR CITY USE ONLY PERMIT RECEIP'f DATE: COMb1ERC1AL PLUM$INH PP.gM1T !lPPI1CATION C11'Y OF BABAF 3830 eao'r [caoe Rn gAHl4P. MlY 55122 651-891-4875 !h'r'Oh"PLETE APPLICAAOIk WILL NOT BE PROCE~~D /o I Date: I a A WORK 7TPE New Bldg Add-on Repa'v RPZ PVB • Irrigation system •]ecry Wobschall ro calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK 0E~7o-S. Gli.j'~-L 7-r-tJ4 n/T ;sk To inquire If Pressure Reducing Valve ts required on new service, call 651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oickina uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS Yes -~No PRV REQUIRED _ Yes _ No Site Address: 1 I,a ! Tow,j CE,rrE- Dr TenantName: 9cc.ksr (7a ro,. Telephone 6 (nres Caae) Was there a previous tenant in this spacel _ Y ?FI. If Yes, Nazne: Installer Name: (.~tF)! ,rc~ a i ~ ~f 7T Telephone 6 S/- ~/.SY (Ares Code) InstallerAddress: 3.d50 /~~vERSC 7~r City: .E ! State: M~J Zip Code FEES Contract price $ So, 4x-'zr x 1% ($50.00 min) Pibg Permit $ Meter(s) $ Required on all new buildings & boulevard irrigaNon systems Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at Stste Surcharge S ' S 50 cents per $ I,Q00 conuact fee. Total S Supplemeotary fees if installing irrigaHon system: Water Permit ` $ 50.00 Treatment Plant $ 516.00 Contact Jerry Wobschall at (651) 681-4624 regarding fee Water Supply & Storage S State Surcharge $ .50 Total S I 6ereby acknowledge that I have read this applicadon, state ihat the information is cortect, and agree m comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to no6fythe property owner that the City of Eagan assumes no liability for anydamages caused by the Ciry during its nortnal operarional and maintenance activities to the facili[ies consWCted under this peanit within City properly/right-of-way/easement SIGNATURE OF PERMITTEE IRRIGATION SYSTEM (CON'1) CiTY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ A'v Test _ Gas Test _ Rough In _ Finel PLANS SUBMITTED APPROVED BY: / J2 u/ , BUQ.DING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $153.00 (Acct Code # 9220-4509) • Water meters include copperhom/strainer, remote uire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $115.00 4-120 1-I/2" irrigarion syst $ 727.00 sm commercial turbine•' *'must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn urigation $149.00 4-160 2" turbine lg irrigation syst $ 899.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $194.00 1/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 uniu 65 units maximum sm commercial & continuous & lg comm bldgs 25 irri ation s stems 5-100 1-1/2" bldgs 25-64 units $428.00 macimum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigarion syst $1,184.00 6500 4" compound +300 unit bldgs & $3,476.00 & ptoduction lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" hubine very Ig irrigation syst $2,132.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water tum-on, call 651-681-4300. m: Kris Foreter, Main[enance Division Clerical Tec6nician Updazed 9/01 . CITY USE ONLY PERMIT H O~ V( RECEIPT DATE: APPROVED BY: INSPECTOR CObIMMCLAkL MECE"CAI. PERM1T APP11CATION C1TY OF £A&AN 9$30 MOT KNOB diD EAsAv. Huv 551Es 651-6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: 0.114 -a Y• SITE ADDRESS: 7a%%^/ CAISVP •BaC OWNER NAME: 64"J 04`b1'G506rr4t ifAdK-~pHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y?N. NAME: INSTALLER: YG~~t£< 4494,--~ 14-16 nDnxESS: CV" s;'AA19jy PxorrEa: G.S/ -&'jW-S€'Ff (AREA CODE) CITY: fice,4_-) STATE: A~ ZIP: J4We:J'-.- WORK TYPE: New conshuction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: AovQT a .r.6 ;;r~ When installing/removing underground tank, cal[ 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of conhact price OR $50.00 mintmum fee, whichever is greater. Underground tank removaUinstallation = minimum fee ~nJU , , Contractprice: $ .0.SGd" xl%=$ .5-0.4 (BaseFee) State swchazge calculate at $.50 for each $1,000 Base Fee ~ TOTAL $ ~ SIGN TURE OF PERMITTEE Updated I/Ol , CITY USE ONLY PERMIT ^t O~Z) RECEIPT DATE: APPROVED BY: 'S P 1 k"a 7 ''0 f , INSPECTOR CQMM£ftCIAL MECHA1VICAL PEitMIT APPL[CATION CITY OP £ACi4N 3$30 PILOT KNOS RD EAHAN, MN 55188 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: -C7 k/- S1TE ADDRESS: //ol OWNER NAME: 4'4444 ^E9/LS90,,~ &4618. PHONE - (AREA CODE) TENANTNAME(IMPROVEMENTSONLY): C//c°"S f WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y!i1Q. NA:'~IE: INSTALLER: Gt/k+ZEG 'Ve4r,-U~-a ~IVOAC fwDxESS: S/1j1- D e.o asi,r,cy rxorE#: f 5i (AREA CODE) CITY: 6oxi AW•- STATE: ZIP: ~'~.T/o?'-N WORK TYPE: New construcrion _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of W ock: When installing/removing underground tank, cal! 651-681-4675 far inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater. Undergound tank removaVinstallarion = minimum fee oo` Contract price: $SaOoa x 1%_$ Jr6~0 (Base Fee) State surcharge -5 0 p calculate at $.50 for each $1,000 Base Fee TOTAL $ J!'~ SO SIGN OF PERMIT'fEE Updated 1/Ol i CITY USE ONLY PERMIT 4SEU RECEIPT DATE: APPROVED BY: S 2 ~ -y "I INSPECTOR COMMERCIAL MECHkN1Ci41. PE{iM1T APP11CATION C1T51 oF £A6m 3$30 PILOT KNOB ftD EAHlEP, MN 5518E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dweliing unit DATE: SITEADDRESS: OWNER NAME: 46*:OJ 4*9 !er PHONE ~ - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): 6NA:29~ru? WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: W'=?L'LL /~ZQ7wd 064G annxESS: yGp/- dp zo SAd2A4 y rxorrE 45l -6W-9Vsae (AREA CODE) CITY: STATE: -41 ZIP: -5~rotpt,1 WORK T'YPE: >C New construcrion _ Install U.G. Tank ~ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureoFWork: ~vo O~Jn4~r~/ When installing/removing uxderground tank, ca11 651-681-4675 for inspection by Fire Marshal and Plumbing lenspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee EJ-~ Conffactprice: $ oA:5-cnD , x 1%= $ S~ (Base Fee) State surcharge S~ calculate at $.50 for each $1,000 Base Fee TOTAL $ 's0 S~ SIGN TURE F PERMITTEE Updated 1/Ol CITY USE ONLY PERMIT RECEIPT DATE: ~~'o7y CJ/ APPROVED BY: INSPECTOR COMMEftCIiRI. MECHANICAI. PERM1T APPLICATION CTfY oF EA8m 9850 PILOT KAOB ftD EkfikN. MA 5518E 651-6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: "0 "ov,' -p/ SITE ADDRE3S: OWNER NAME: ~q6' 4U/ 423,~~ -eleV-V PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI): 416p - oi o*'O~ ~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y 1;"'N. AME: / INSTALLER: nDnREss: dea s~.~.~y ~l/£~°0C PHONE#: <S/- - (AREA CODE) CITY: STATE: -'~N ZIP: WORK TYPE: New construction Install U.G. Tank t--- Interior Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of Work: ft3 /°i~°~6 Tb ~'iY s'¦+~~3 ~45 ~6l~ When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUiastallation = minimum fee ,c-~-~ lXA ~ ' Contract price: $4~ aMa x 1%= $ (Base Fee) State surcharge ~ , So calculate at $.50 for each $1,000 Base Fee TOTAL $ /P3 ~ fla~~„ ~ SIGI ATURE OF PERMITTEE Updated 1/Ol T, W vt ~~~~v-e I b U I~~ COMMERCIAL BUILDING PERMIT APPLICATION IC)' ~-0I CITY OF EAGAN --l 9 o ~ 651-681-4675 Foundation Onl New Construction Interior Im rovement • Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Pians (2) seLs • Civil Plans (2) • Struclural Plans (2) • Code Analysis (t) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1) . Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey ('I) • Energy Calculations- (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always'• • Meter size must 6e esfablished • Mater size must be establlshed • Meter size must be established - it applicatile • ProjectSpecs (1) 1 • EnergyCalculadons (1) L • Electnc Power & Lighling Form (1) ° i 1 • Master Exit Plan (1) ! 1 • Fire Prolection Plan (1) 1 • Soils Report (1) • MGES SAC tletermination letter • MGES SAC determinetion letter • MGES SAC detarmination latter call 651-602-1000 call 651-602-7000 call 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 '0 `1 ' - 0 1 WORK TYPE Z NEW _ REMODEL CONSTRUCTION COST I S QOO SITEADDRESS I j~.I j ewvi C,*L Xe TENANT NAME lJaj 13fGKoM Cf I NI C ~l SUITE 1 FORMER TENANT NAME Qc jpv F i DESCRIPTION OF WORK 1n - / / By_ eJ T/--/~ Name: ti(e/r Phone#: (~c S t ( S7 f~7 PROPERTY Last First OWNER ~ ~ StreetAddress r 1 l A1rV 9, 1 Ciry L'G~aM State Zip 5S1,2~ - l`1/b Company Ft46(71,1, (0145 fVln.A W Phone # ( CON'fRACTOR StreetAddress: An Lr7~ 0 S L~ ~'ak a• ciry 64h srace R// z,P .55351 ARCHITECT/ c , ENGINEER Company Phone # ( 6 0` ) 3 7R - q 2 3 3 Iw ~ Re ishation # I ~ y/ Name ~et TN S o 8 StreetAddress /X4lVe?SI M !Yv-,e S~ 260 City 4'v, LA eq t [15 - State 0/~ Zip SS'7~ r _61 Licensed plumber installinst new sewerlwater service: Phone 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. ~ J Signature of Appiicant: Updated 1l01 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bidg. ? 14 Apartments "M,27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New 45, 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 437 Zoning 17. D sq. ft. SAC Code '~io # of Stories sq. ft. No. of Units ~ Length sq. ft. No. of Bldgs. I Width sq. ft. ~L Const. (Actual) _ I li-p., Basement sq. ft. MC/ES System (Allowable) l ~i'f- First Floor sq. ft. City Water UBC Occupancy 6_ sq. ft. Fire Sprinklered ~ MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building CeA* Engineering Variance ~s`-- ZIS~ ~ bU u Permit Fee ( -2~ , 1 t- VALUATION $ Surcharge l U '"Z _ ~Z~ Plan Review ~ b L{ . 24 MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total a-~j~ c}. ~ _ 01i16!02 15:21 F_XX 952 541 9554 "L .4SSOC.A'1'ES..7NC. ~ 002 . 2000 FlRE RESI3TA14CE DIfiIECTORY i 254 pqE pEMSTIWCE DIRELFJRY (BXRH) < RNERESISfAMCE DIAEC'fONY (B)(PN) Fue Resistance Ralings - A.NSiIUL 263 (BXLiV).-l'anrinurJ Fue Itesistancc Ratinf;e - ANSlf UL'263 ()3XSJPj-ConHnued ke oc mnin'onnex.'14+: 96 0''4 in. lo:~'edapt¢s ere miended Desii ived x{eL atcew joisq tu a mex. 6cni shess of 22X0 psi . dd;;ln8- I by I in, stee7 angln, wdded to mp and boM~m chord oE !or use wifh ¢oea tees a main w+nere. xspectrvely. .5 H CII[GCOMrzTALLICCOEY-1'ype165C. - 'eachmst. r. 12C: Sicel Fra~ningMmabert" - Fillex ships- (Not sho~n) (tJptional) - 6. Dnd: SuppoRe - Nom. 1.6}'1 hy 1/6 i. ldck st¢et an~es or tio. 2f Ios ux with Tyyc 165L metal panc. FiL'er strips aze QClB to 0.024 tr,. IvCSG mld-nrlled sted channels, -:/2 iv. dzep, stopended !mn lowex tluck, steel or e?uam~4 13/12 or 5/8 in. deep by 3/4 ¢t. trde, pfarsl dwri of juists -nilh No. L S(KC galvaaizrd sMC2 viue fo form a h.- :gth of dud an3 at ai duct 98 ai. ~~.m ~m~ pez.!; spaced notever OC along len CHIGGO ME LLIC CO7tP-I e 1650 attd. ~ 12~: Sted Fcuning Membe=e* - Fac use wi ~nuhic svxFanE's de%mbed ? CoL:I Rulled chunnele -(Aiot Slwwny No. 16 u5G mlc: rolled vnder Item 14A. Moin:uaners non 3E01) mm long spaoed 1M mm s[eel 3iannei L-li 2 in, dtep wirh I6 in. 4nnges locared us fweded OC. Cnoss tees nem 72G0 ma: ]ong ir.tel:ed petpeimcular antin.nm- [a p;iovide meati of attac.~.ir.enf for !wRger •.rm locatedaway flam ners en~ epaced 600 mm OC. - Fo: 600 by12W mm lay-ir. panels. s[?el 7oists. Ilace3 an :or nnd ~vted ro kwer choxd of joisfs vr'~yo. r CGC INTEAIOR4, DN OF ~ Itl 5YVG galianizecl >teel wue , I h' CGC iNC-I'voes OXL,PX,Z 5D7C1. . ' I P. Hu:gv Wire- No 11 SWG. galvqnizzd sfi~v. wiee, h~'19t I tOIONW ~ - USL L'V'CE1llC1R5 L~iC -Typ~ DXL, DXLZ: SDX~. tha,d of.jouts apaac. cwi uva 48 in. OC aiolg main !urnine a3iacent - li. K'all Mold'uig- (Not s}nwn) - h1n O.U16 m. 1 (7.6 gau~) to aoss !ze utte~eclc:s. !f not alerady pms.~4 h~~qz^ i`"~ `-18U ~eo pairted s~et ang:e vMh .'i B in. iPgs, or nun 00? u u~. t}~,:tk geuge) be ~.ro%iled at the four mmas o.` ligh, fixtuics, xt of cros? krs ' pa;Med sleel channeL 1•1!2 ui. deep wnh 1 m. botram fla~ge an3 S 14 wppLTt[ng the Jong sides of ligfK flz:ures and ot ttntcr af aoss tees m:top Fl,^°P adjL~centto au.3.sluuUelu . - - ;i 14. Gypaum Willbnazd" - Nominal ?A ky 48 in: la j in pmels. ecxda o, Aii pad _ No 22 A]SG ru~ . gnlvanized s',ed. :ctil axcuef duct Faneb mipporled at walle bv wall moldvuc (i~m 13). cpeliiRgs Jwi W.eucr3 113 se. m, per lOC s; R. of tt'vng sea. Arei d AMEA4CAN GSPSUVK CO 112 in-'i~'pe 4C G' imii,vidwil duc: xrenmg nat to ex:eedi.3 m7 .n. Lfax, dimension of GPAIIL COAP-7 \5ny'.roc: X. , ' • }'Pe opnwLg 72 in. CELO'I'k7! CORP-1ype PRP. 10. Danryec- No, lb:;!:iG 3alvanized aHeL tized to ova'iap duct op' CtffCACO ME7'ALI.~C COAP-'Iype Er~diue. . 's 6i. utinuuum. °rolecle3 01 Soth. sur`'i~es with 11 ]d in. Shicx CONT[NENGIL GYP5UM C03ll'ANY -Type C6.4. - j G-P GYPSUM CORI; 9I1B OF , czxaaic fibz^ paper mid k,rld mpen w:tn e Fuaihle Link (beering the II1. G6D&GIA-YACIfIC CORP -Type 5. i.ist:ng Mark} LAFA1tCE GYPSIJ!4Y, DIV OF . ( 11. F'ixturns,. Receased liglu -(rra^ T, tlie UL L'lrtiiig !Nark.) Fluneeecent LIFARGE CORP-'1 LC;:~GC - lam,p tjpe, strelhrn:suig, 2 bs 4 fk.,sixe. Fixt~aes'~mc so tfiei: azea f~AT[ONAI. GYPSIJ I~ CO-TCFes F53:-:.. FSVJC: ' due:> n•;t exceei "4 ac. 8. pec eac~. _0~ eq.,k.ci critng aiea. Wued USG INTEAID&5 L^IC -l i 2 iiType FC{'A. ' cun'visan.e vnth de Nationel 9eCUCm Cade. 74A.GypeumWallbwrdl'-(NotS7wHn)-Asanaltei :nIkml4. I' 12,E7xkuteProtecHon-Awu+dcalMatedel' Samcas Ihml4.Cut . r.om NJO by 2200 mm lay-in.pantls. Bon_'er paneix snypuxled at wulls urio piece:, :o torm a tlupe,dded eacosure'wifh opm ends and 4ag- I!;' by wroil molding (item t3'} :coi3a~ s aac+-xction Fuhae F~~on consisls of a 133; 9 b.~ USG INTPRIORS II~C -12.7am: i 2 in .1khick'type FCCB. 4;•2i 4in. sp piea, two 47-314 s. long sidc pieces of a wid;h v,,hictt 17ie metr.c size panele auy onha 6e asr•l xiih me"--.ic sve steel r-il] nvide a~nin 516 :r, eleerance cetween 9ie tap ~e and d+e F,.'w ~ kamaig mem6ers a.~ deun"h?d under frem D. ~y~y- ~au~qye side yiefes aze plviced again5t kne sidee of the Hxtius I li. SPaaker Aeaem6lies' -(n7et Shown) Optlohel. Y7ie apeaker essem- and r}e top piece is plnttd oA top of th_ if e piewi piecea a^e h(ks ts.~sist of speekers, spea'uc mdnxmes und Iliel aw~es:ori6, '[he net 1:c~ethert'S' Ed nail9:,ier she tono¢ sd neaz the ends ot eadi ceill[!g penetretiwt Eoc tlx s~ker ennxutt shall na exceed 11-7/8 bv . . ll-i /8 m. (m' the squaze speaker mdosui:s en312 rtn in diaa: for tne lor.g side of U¢ fi ' mxid epeeicer encloaums. The sQcuker assemoGea aze uuiaf.ed 'm .13. Stecl Fremlag Memben' - Muin rurmexs, nom 12 ft 7a4} epaced 6 k i ecco[dance wikh dte lnstllxtion insWCtione proviGed. A manmum oL GC. Croas teey mm 4 R]anp, i:utnlledperprr.dicular m main narners rwo 144 sq, ii, ape¢ker asaenbliei 1(!0 sq & oi ntiling ezea is and epaceL A' OC. Ctuss Eeea, na.n2 ft lung, rcns:slled.petpend:culaz i allowe[. W Eie 4 E aoes tees end soaced - R DC. . ' i. . " A11A3/501JTiI)OLIER, D1V OF CGC INIEI1IOliS. DN OP . ~ . pMER[CACi 7RAQING k PItODDCTLON COAP CGC Q3C=7ypes DXLT D;GTh C)(1.'t4 DX[.TZA. 'See 9peakei Ayxemblies Fur F'ue Reeistance (^••fl.vliJ, At1mT' CHIGGO MET4T.11C CORP -1~ e 9050. J~ Soundoliri. Div af Am~i~n ikadicg & Produ~ian Ccip- foi eperifi< USG 1NT&It10&61NC,-Types D~T, DXC7e1, DXL.T.'L, DXLIZA. f.a' *3eaTdng ~ the UL Q2SSifi(35.on , 14: Aa~tieet Matmal"- Noei ZR by 24by 5!8'v~..ox 314 in. Nrick ivll;king ' ley-ir. penels. Bmder pand, suppomd at walln by min 0 0.6 ui: th.'dc - (';.d MSC) pactcd md ~g:e vnd+ 3l4 and 1 m legs; ur aun U Uiti in. DesigrlNU. G262 d~ick (26 MSG) paicced ateel cha.TneL 1-5/8 :n: ceep with 1 t bottoci I: Reatr~imed .~~embip Ratlng - t:1.ll21ic ~fee Item I4) fler.gc ~id 3l4 in, rop flnrge iyp,e AP•1 for 1 fir. Rescruvied.and urst ea L'n*ectrained Assembly RaHug 7 1-1I2 I$. lSee. lhm lA) sb'eined As.'+cmb:y xahnEs onl: 1^dii U%LT.4 or DXLTLI_ atm' hmvng membees. , . , . 5/15' PaulDm.+enalo~Nem~h.. 1ypee i/Y 24b 24I S1Sa3J4 F4-&x~GR-1 :4by.9ry3/4 I: < E'MCO LTD --Types AP-1, F&E3. FR•Xl, CT.d. See Acquednl Materiais (HY'iT;. EMC0 Ltid., fo( speifie tlle de(ailai to 6 p~ USfi INIF.RIORS INC-'hpeq AP-l. FR-, PR-X7, GR-7. See B io-va` ' 4muslcd Materiss rB'sTt, L'SG Inlexiocs, irs: (or apeci6c tll: i. 6 . ~ demili , . Bcan:ng tiie l'4 Qaesilicutiu" Marlan„ . 13 __"~I'. . . ' . ~ i. Nawl Wdght Conaete- CerbonaM or si;iceaus aggrega+x, 150 - o: 3 pcf unit wc~g?4 3500 vui wmp.~eesi~e st:ength.. ~ . ~ ~ 2. Welded {Vise Fabnc - 6 x 6•W2 9 z W 14 or hemiez . . . - 3. Sieal Fam Uai1a - Mu+. 9116 in deep mrsugated imite, ins.. IQo WV qa; Aa rsruuC eterl. Welded m.scppa[~ wrth 112 in. pudme wd I . . . , - 4vougl ewlding washers. Welds iraMl at earh joist Adjecect unib - , . . . - ovetlapeed one maus.Nion al Ihe s3r~.. . ,1. Sdeel 7oiet- 7'ype BA3 min. a'vx; speced 24 ui. 0~. welded ro end . , , aupporta. . . LOOK FOR TNE UL':MARK OI`I Pfi00UCT E! I 01/i6%02. 15:22 F93 95: 541 9504 WCL ASSUQIdTES. 1NC. , Q1003 ~ . 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GaaL •~:1 2130 S'! 9~ 4- a5 .,9! i~kde G H! 4!°f £ C~ I,89 iNhAe d 41M FlADARTIIB 1~5R1 12-%11"YNfl' B9S9n '29B0 SD,K, 4C~3)44 IA B C !B J E F ~ G ~H 1 d IXINNaC%' I I DoRN0X1° ~o~U+pXaf jCaJ~Fia~EE' 6ovneX [)oun01Z ceu1FICTE FIx,~N["1!e F~Ne ~a!ao I ~ ! fiid ProFN ODMOns ~E17D NSIMEIZWdasellkeWr, Inpmielrveght ' f6ormalreei8aue ~ Fao0WC5 SafetyFrvlt TyyEIl,Porm2.Pa!temG9 SL 811h/tte~Ca051B R7-&5(S/8"prCdxYS) tA4;vl~~vzifetiei•Wbl'eCnY. f'~'i~upoftlsnaryartl ASSMEB4YUAtce6umin5 mnds~ 30 ._3 i'=.mm;MJAic~al 2 .LRvalUf5~ia5MWf1a5 a.ULLUA li3'A.sildit2:;i;z: G6fic@lisYCS :.CU!G :`IDa:&ADr4' 9 .7.18(3/i'P:cdxsl abage!. ~ini~pnard R'~dmsmisn3ot CIasA pirm:31 Maclmum4ackqalin~~ 35w 319 _c~.cr2,-..cV si,':z,^taartly+tNn.:TaO Flemespraec:7-..' i.tCDr ~ClassAw lii; =ECN'2'r1.nryNrc~ln~.s. i5CI15% ILVl'rc(emWT&icn. ~=:e,q.ftautiVrsEnc ' SrcvkP,tlpvPWp:u:10 Lf5W./I!,FiPECEUE MaiNererne 439:,-10'm2lor~mYw xv.rCleepymprLxFc6cna; `arm~n5'e"p;nels) qerteclesaatl~;siqnvYh ru:ryedwrm isomfljWd n-c~r~rewiFmem~ M6trkMai9~ a;b'b+'6ha:acujin. ontK'm~mra~.'mn~l reP.~O.HaB~r•~atalai5atetp es4 Sil~(U (Sl%254i. 'ta'asAeaSanorsWIlw' °a1` 45NrymI (011 15nmi;rnilsi +whW P'~Iema[rv. !immPD npdeelatefo~re .eitl~.~4,2~oUa6i -EStedt.. s;~enlc^fa~nnllmv.r,nlla4a^. 3,WD~:YC55'AS:A71YL16i. I W1111% ~~I'IIIGY~Li7JY i I~ [ v;:1w MtlIISf. ~23619r6(YI USGCorparation ~mvars ~aa~ a~oou,c~nmro=x. )$~rtlt¢qfbN".. QM~~[[ ~pH.6nJF.J%lM,~~ frink~ ueT 175 SCU'~F~2M.1 M1 SbYRI FI[ NE FWF w, W~A t u. P.7.~u+.+u7c rw~.-..., n enean nn ~ n 01/16/02 15:20 FA% 952 541 9504 fYCL, r1SSOC[.l'CF.S, IYC. R001. A.`TiQ WCL . Loren KJersrsn Beneon Cof16RUCtbn :\SS'iC41TE5. !NC. 4710 Soulh Lakv Sarah D'rro _ Maple Plain. NiN 65359 phlfdx: (763) 479-3836 Intedors Tr8f1S111itt8l Eagan Profeasionel Bullding , We: are sending ~ p PrinU Q 7mnapamncies ~ Spe0c[i0wa Q Shop Urawinps o „x„ e 5ksi UifkeVP.f Q Ful! Siza U Corr*sP',ndance Q Vi2 : C) Fadan: Ezpress Q rl3ssenger ~ Mai' Q Mantl Ddivery Q PickuF F~ " 4 Noof Pa9Bs Adionrequrced: 0 FotYarapp:md lb Fayuuruv- O Fcr)rourrcNiew ~ Aerequlealad ~ FordislridNon 200068.01 ~fqaci Loran, . .------.__---_...----------.1-- - 1 ceiled USG leehnea 5»rvim l6]0.874 49afl1 ~M aSkfitl fcrsoi help. He ou3gestad usrp7lne UL Oeaian na ^262 tc 9e~ our'. haur rehng with Me$atf tilc. , Tne Assamby Cr,nsbuctlon oi.lma talls rer a e t, mrerete etael crc< etarJois1524e, c. 16 Jan.. 2002 . I ldc him he heve 9 712" wrKrero and arJoiafe rnn 60` O.C. end he seumed to tniNc fhat l a _ Dehf extra carstrate would'maMe up fir the_greeter spacin9. ~ frn faxing oi '.he UL shnet snd into from US6, ylve me a ceil if you hme quesliona. - CHAD S. From - - - uucu f,vanua s. N!nnesW:IS.:NN5541fi . Fu'.(612) 541-ifi64 . . . _ PiqnB: fE12I 011-BYtl9 BPECIAL INBPSCTION AND TESTINa SCHEDULE i (To ba used Ln accordanoe with the 'Cuidelinee for Speclal Inepection and Testinq") PROJECT NA148 ER,p~LL Pnt£SSIQ1A.al &11Gti11M- PAO.TECT NO. LOCAT ION -T J I.Z I r ~N ~t aiV ~L= (1) IU1V 5-5 I.Z,?, PERHIT NO. ~T SPECIIIL INSPECTION SC88DULE ication Type of Aeport Aesigned ect o Desc tion 2 m Fr uenc Firm a W ' 4Jrls TESTIN6 SCHSDULL Notss: Thie schedule to be filled out and included in the project epecifieation. Informati: unavailable at that time to be filled out when applying for a buildinq permit. (1) Fermit No. to be provided by the euildinq Official. (2) Uee deecriptione per U.B.C. Section 170f (3) Special Inepector, Teatinq Agent or Fabricator. (4) Firm contracted to perform eervicea. ACICNOWLEDGEMENTS rach appropriate r eentative must sign tielow: 1~~^ Firm: Date: owner: ~ Contractorx ,;~Firm: f3eacu.a Date: E S C Archit Ct(~ GLg~~G_ . FLIm: WGL G GDat9: (i- Z6 - ~ SER: ~el'.a,.~ Firm:~ •H 1l~.Ck.EY'OY`~SCS _Date: • SI: ~ Firm: ' Date: • gi; Firm: Oate: . r' 6 ~a}^ tp,u.ut Date: s Q TA: Ftrm:. S TA: Firm: Date: F: Firm: Date: F. Firm: Date: • The indlvidual namee oE all proepective epecial inepectore and the work they intend : obeerve muat W identiLied on the reverae eide of this form. Legend: S6R ~ Structural Engineez of Record SI ~ Special Inspactor TA ~ Teoting Agent / F~ Fabricator nccepted tor the Buildinq Oepartment ey Date:V_2-~, ~ 1 , GDIDELINEB POR BPECI7IL ZNBPECTION I?ItD TLBTINa PonPO9Ee To provide s method for eanplying with the •pecial inepection and ' tastinq requlramente ot the Unlfocm euildinq Coda (U.B.C.) and othar raquired structural LnspactLone es authorlssd by O.B.C. Ssction ;-`b.3•5 oEIORE 7? PEnx2T GN SE ISSUEDi The •nqineer of record shall caoplate the speciel InopacGion end Teetinq Scheduls. Tha canpla<ed eehsdula is an slomen[ of the conetruction doeuments and after parmit imsuanee, bacanee part ~E the buildtng depertmant approved plane sad epaclfieatione. The complatad •chadula •hall Lnclude the followinq. 1. ]1 specifie lieting of the ltams requirinq obaervation and testinq. 2. Shs seeocieted epeeifieation section snd erticle vhich definee the epplicabla standards by whieh to iudqa conformance wlth the appcoved vlens end epeciticatione in aceordanee with U.B.C., seetion ; - ?he epecilicstione section shoald aleo include the deqree or beeis of obsarvation snd testingt 1.e., lntermittent/v.ill-eall or Lull-time/coatinuoua. The frequency ot reportinq, i.s., intermittent, weekly, monthly; per floor, etc. 4. The partiee reeponeible Lor parfocming the obeervation snd teeting work. 5. The required acknowledqemente by each deeiqnated party. REQViRE?dNTS: "Speeial Inepection" (r+ock requirinq obeervation and judganent) and "leetinq" (vork analysing mateziale in aceordence with approved etandarde) ehall meet the minimum raquiremente of the Hinneeota State 8uilding Code which includee U.B.C. Section ..'•t and the approved plane and epecificatione. (NOte: Observation and tasiing work doee not prevent he normal field involvement and record reviev proceee of the Sngineer of Aeeord, nor shall it relieve the contractor of any reeponeibility !o compleie the work in accordanee aith the approved dravinge and epeeifieatione.) _ RESPOFSIHSLITIES: A. Special Inepector 1. obeerve the work aseigned for eonformanee with the building department approved plene, speeificntione and applicable Wockmanehip provisione of the U.S.C. 2. Submit inspeetLon zeport• to the bullding official, the etruetural enqineer of racord, and other deeignated pereone in acaocdance vith the Speclal Snspection Schedule. -3. ering noneonforming Lteme to the immadiate sttention of the coneractor for correction, then,..i! uneorreeted, to the engineer of reeord and to the buildinq official. -4. Submit a Einal eigned report •tnting vhether the vork requlrinq speelal inepection wne, to the beet ot hie/her knowledge, in eonformanae with the epproved plane, speeifiestione end the epplicable vorkmanehip provieions of the code. 8. 4eeling Aqent 1. Teet the `+ork neeigned for eonformanee with the building dapertment appcovad plans and spaelficatione. 2. Submit reporte of the test zaeults !o the building official, the atrueturel anglneer of reeord, and other deeignated pereone in accocdance with the Teetinq Schedule. ~ Metropolitan Council Improue regional competitiueness in a global economy Environmentai Services June 11, 2001 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has deternuned SAC for the Eagan Professional Building to be located at Town Centre Drive within the City of Eagan. This project should be charged 7 5AC Units, as determined below. SAC Units Charges: Office 16392 sq. ft. @ 2400 sq. ftJSAC Unit 6.83 or 7 If you have any questions, call me at 602-1113. Sincerely, Jodi L. Edwards Staff Specialist Municipal Services 5ection JLE: (300) 010611SD cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Loren Kjersten, Beacon Construction Inc. www.metrocouncil.arg Metra Info Line 602-1886 230 East FIRh S[reel • St. Paul, Minnesota 55 10 1-1626 • (651) 602-1005 • Fac 602-1138 • TIY 2293760 An Eywil Opportunlty Employer G S't--~-J '4 Lq 4A- COMMERCIAL U ( a BUILDING PERMIT APPLICATION ' CITY OF EAGAN 1-4 g. ~ 0 651-681-4675 ~ GO l Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets ArchiteUu21 Plans (2) sels • Arciiifeclu~al Plans (2) ses • Civil Plans (2) SWCtural Plans (2) • Code Analysis (1) " • CeNfcate otSurvey (1) Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landspping Plans (2) • Key Plan (1) • Project Specs (1) • Code Malysis (1) • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculationa (1) noi aiways" • Shcs Report (1) Spec. Insp. 8 Testing Schedule (1) " Elec. Pow r rm (1) notalways" • Meter size must be established • Meter size must be esWblished isheC - if applicable .A~ Prqect Specs (t) {n ~ 1q411 1 g~ • Energy Calculations (1) " K 1 r? • Electric Power 8 Lighting Fortn (1) " 1 t Master Exit Plan (1) 1 • Pire Protection Plan (1) " g~ I 25 I 1 SoilsReport (1) . MGES SAC determination letter ~c MC/ES SAC detertnination lelter letter ra11 65 7-602-1000 t~ ca11651-602•1000 o(wv 1 i ca11651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Heallh - call 651-215-0700 for details. DATE i'I - OI WORK TYPE ~ NEW _ REMODEL CONSTRUCTION COST~pn+f9 SITE ADDRESS ~ Z I ~e wvt (e Dn ~ TENANT NAME SUITE # FORMER TENANT NAME U DESCRIPTION OF WORK New MI d O ff(.L 17/dr-5 Name: UE'Glf"rA- Phone#:( Ll ~G ) ~l 3-3'2 '~W ~ PROPERTY Last First OWNER StreetAddress 2-:7ZS "`J f1f'-fL C City ` 6Nc, Z/l..~f E State X4'v ~ Zip S~ S-b Company //Pdlqq, CmSfY`U (sWl Phone 7(3 ) q- 3g3b CONTRACTOR StreetAddress: So Scvr d, 8 S3S7 City State ~ Zip S53S~ ~ ~8 ARCHITECT/ J ENGINEER Company ~i(//*SSOC, Phone # Nazne /ai ~PX5tM- Regisuauon # Sheet Address 3 < ~ ~ i h I i ~ .l City ~ • State Zip Licensed plumber lnstallina new sewerlwater service: Phone L~ I hereby acknowledge that I have read this application, state that the information is correct, and aqree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 1/( 1 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Pubiic Facility ? 30 Accessory Bidg. ? 14 Apartments X 27 Commercial/lndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE Pf. 31 New ? 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ZI 32 Addition ? 36 Move Bldg ? 43 Reroof ^u 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) 0 44 Siding ? 48 Authorization ? 34 Replacement 0 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning L /3 sq. ft. SAC Code # of Stories _c5l, sq. ft. No. of Units Length Gs"I_ sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) kri, Basement sq. ft. MC/ES System ~ (Allowable) ? 9 uiL First Floor sq. ft. ~ City Water VIC5 UBC Occupancy -Q_ 2NQ sq. ft. ~!/,,-b Fire Sprinklered -r11-W-w n,Lvh MISCELLANEOUS INSPECTIONS d~~~/ ;K Gas Service Test 79' Heating ? Insulation ~Ef Plumbing ? Stucco/Stone APPROVALS Planning Building T z- Engineering Variance VALUATION $ ~~S P~OO Permit Fee g: (j . ~ Surcharge 33' 4°8 Pian Review qt ~ 2., Ir MC/ES SAC ~ f SO x, 0,6,00 % SAC 64, City SAC ~0 0 j( 7 70V49~ SAC Units Water 5upply & Storage , 5-7 Meter Size S/W Permit 400 ~ o~ S/W 5urcharge ~ s L)7 , ! O 1,;,•~ t~.~ RC C 1'4re464- Treatment Plant S14 X 7 ~ b~ Park Dedication ,Z Q a Trails Dedication Water Quality Other a L/firvfJ SG#00r~z 10. Copies Total Y o l1-e_ d ( I q r ~ .~r ~a a~'s a.~~ ~,F ~ =m, ' •ir~n _ ~'r . se ~ s' ~ . .~."..,`,TO: KENT THERKELSEN, CHIEF OF POLICE #I3 JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR TOM PEPPER, (ACTING) FINANCE DIRECTOR MIKE RIDLEY, SEIVIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: TERRY ZELENKA, BUILDING INSPECTOR DATE: JUNE 5, 2001 RE: PLAN REVIEW -1121 TOWN CENTRE DR - MEDICAL OFFICE BUILDING The plans are in our plan review secrion for your review and comment. Please return this form to mv attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on ttris form and notify and resoive these issues with the affected parties. If you are requesting that issuance of the building pernut be held, please fill out the proper "hold" request form. Comments• Indicate any fees that are to be collected with the building permit: AMOUNT ? Yes ? No landscape security required Z O N I N G? ? Yes ? No water quality dedicarion METER SIZE ? Yes ? No park dedication ? Yes ? No trail dedicarion ? Yes ? No tree dedication ? Yes ? No PRV Required Signature Date *dtV oF eagen PA7RICIA E AWADA .Tuly 2, 2001 Mayor BEACON CONSTRUCTION rAUL BAKKEN p O BOX 174 rEGCYCna1SON LORETTOMN 55357 crNnF-E FiE.os RE: 1121 TOWN CENTRE DRIVE MEG Tlr r EY CoWcil Mffnben To Whom.It May Concem: We have completed our review of the construcrion documents submitted in pursuit of ohtaining a TtiOMAS HEDGFS building permit for the ahove-referenced project. This review is not intended to be an exhausfive and comprehensive report. It is our goal that this review wil] help you in complying with the c~rynd,n~ri~ror applicable codes and we are, therefore, requesting that the following items be addressed. Unless otherwise noted, all references aze to the 1997 U.B.C. 1. Type V 1-Hr. construction dictates that all exterior soffits have two layers of type x' M"«pal Cenu:: sheetrock with staggered seams. 3830 Pilot Knob Road 2. All supporting columns and beams shall be wrapped with two layers of type `X' sheeh'ock Eagan, Ntrt 55122-1897 with staggered seams. (Section 704.2.6) Phone: 651.681.4600 Fax: 651.681.4612 3. A 1:10 maximum slope is required on the side panels of the curb ramps. (MSAC 1341.0430, Subpart 5) . TDD: 651.454.8535 4. The attic access shall be a minimum of 22" x 30". (Section 1505.1) Maintenance Facility: 5. Door hazdwaze shall comply with MSAC 1341.0442, Subpart 9. 3501 Coachman Point 6. Submit a soils report signed by a Registered Soils Engineer. (The copy you submitted to Eagan, MN 55122 the Ciry was unsigned). Phonr. 651.681.4300 Fax: 651.681.4360 7. Please provide a fire protection plan on an 8-1/2" x 11" sheet of paper and a floppy disk - dxf Auto CAD release 14. This will assist emergency personnel responding to the site. An TDD: 651.454.8535 example is enclosed. Itetns 1-5 are redlined on the approved plan. Feel free to call me with any quesrions or comments ww.+:cityofeagan.wm at 651-681-4683. Sincere~ ~ J. Craig Novaczyk THE LONE OAK"I'REE Senior Building Inspector 11u rym6o1 oFavengch and grovrth in out wmmunity . *dtV oF eagcin PATRICIA E. AWHDA Ma}ror JLli1C 11, 2001 PAUL B,4KKEN PEGGY CARLSON Beacon Construction CYNDEE FIELDS p0 Box 174 n,tec-ni.t,er L,oretto NIN 55357 Council Members Re: 1121 Town Centre Dr THona.as HEDCFS To Whom It May Concem: CiryAdminisvator We have started our review of the construction documents submitted in pursuit of obtaining a building pemut for the above-referenced project. This review is not intended to be an exhaustive and comprehensive report. Unless Municipal Center. otherwise noted, all references are to the 1997 UBC. It is our goal that this review will help you in complying with the applicable codes and we are, 3830 Piloc Knob Road therefore, requesting that the following items be submitted: Eagan, MN 55122-1897 Phone: 651.681.4600 1. Spec Inspection and Testing Schedule. Far. 651.681.4612 2• Energy Calculations. 3. Electric Power and Lighting Form. TDD: 651.454.8535 4. Fire Protection Plan. 5. Soils Report. Main[eaance Faciliry: 6. 5'AC DCt011Il1TldtlOri L0tt0T. 3501 Coazhman Poinc Final platting of property must be completed prior to a building pernut being Eagan, MN 55122 ISSUC(1. Phone: 651.681.4300 Fae: 651.681.4360 Please feel free to call me with any questions or comments at 651-6814679. TDD:651.454.5535 Sincerely, www.cityofeagan.com Terry Zelenka Building Inspector THELONEOAK TZ/hm TREE The symbol of strength and grcrvnh in aur mmmunity • CITY USE ONLY : ~ PERNIIT 14- (,--1 RECEIl'T DATE: O " --~-o ' U 1 COMMERCIAL PLU1K$IN& PERMIT APPLICiRTION C1TY oF ElkBAA 3830 t+aoT itxos Rn sAsM. Mx ssr ss 681-88t-4875 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEI) Date: $ ~ 7l0 ( WORK TPPE ?New Bldg Add-on Repair RPZ PVB " Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo u s smaller size permitted by Public Works DESCRIPTION OF WORK l•SE- De.NCa-k G 1 i~ ~pvb I:~ rcfs-n"c,-m,^-a- To inquire lf Pressure Reducing Valve is required on new service, ca11 65 1-681-464 6 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductiviry, and bacteria tesu passed orior to oicldne un meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disolacement $149.00 Domestic Size & Type I/ Z ~ cs~ Avg GPM AU G u L 001 Does this include high demand devices? _ Yes No FLUSHOMETERS _ Yes No PRV REQUIItED _ , No ~ Site Address: Ta w,j C~u-rrE ~/r. TenantName: EAGq,.f Telephone#: ? (nrea Code) Was there a previous tenant in this space? _ Y c-N. If Yes, Nazne: InstallerName: D.a~<c-,r~ PI~ g Hra Telephone#: G,SI-`!,S`7'6GY5 (Area Coda) InstallerAddress: 36SU Dr'City: F~ac, A„j ScSla- State: Zip Code FEES Contract price lS~zr a 1% (550.00 minimum) Contract Fee $ lkr UQ Meter(s) $ ev Required on all new buildings & boulevard irrigatlon systema (Acct # 92204509) Itadio Meter Resd $ +~V Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 conuact fee. Total From Reverse New Service $ Total s &l- 50 I hereby acknowledge that I have read this applicarion, state that the informauon is coaect, and agree to comply with all applicable City of Eagan ondinances. It is the applicanYs responsibiliry to notify the properiy owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry during its normat operadonal and maintenance activities to the facilities constructed under this peimit within City property/right-of-way/easement. T~ ~ 1~1XiCI tU pH ~'b"UI -N1'n SIGNATUREOFPERIv31`CTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMTTTED APPROVED BY: ~7 P B[III.DING INSPECTOR J . FAX COVER SHEET City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Phone: (651) 681-4600 Fax: (651) 681-4694 TO: Kris Fax#: FROM: Linda Dralle Fax (651) 681-4694 DATE: August 20, 2001 RE: 1-1/2 Displacement Meter for Eagan Medical Clinic 1121 Town Centre Drive iviaimevivavrma , vnvuiaiweioimrsii isisie,yiiivmvroiieisriieimi imm~siiimioieieieorvoiwiiui~is i.vsimoiiiisism~ ~~vu.~vsyd i Kris, I received this permit in the mail with the check. S& W permit # 46738 and they have not had any inspections because I just printed it. I have no idea when they will be in for their meters. Just FYI - , ~~;a p ~i.i 4,i i,.: d}I;~ ~ ~ city of eagan MEMO TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUMINI, UTILITY BILLING CLERK BOB KRIHA, CONSTRUCTION INSPECTOR STAN LEXVOLD, CONSTRUCTION SUPERVISOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: JANUARY 15, 2002 SUBJECT: FINAL INSPECTION FOR 1121 TOWN CENTRE DRIVE " TQWN CENTRE MEDICAL BUILDING - LEGAL: LOT 1 BLOCK 1 TOWN CENTRE 10019TH The Protective Inspections Division will be performing a final inspection at 1121 Town Centre Drive on Friday, January 25, 2002. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or deparhnent, requesting the hold is responsible for notifying and resolving any problems with the affected parties. CDPoldg insp/misc/final insp - comm bldgs PLUMBING (CODMEERCIAL) Permit Application City OfEagan 3 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Date SiteAddress Unit# <atU" .L~Lo0p Tenant Name Former Tenant Name Property Owner Telephone ) Contractor ~.TGrJ Ls 1~ ,t~ o~C65 - ~ ~;~sBCnrG Address GrJ• l~Ufr~vtirui~,v,+r ~',P,rrvy City d'GI~LS State Zip Telephone it ( 612 )Lf''-3 -1eOkk~ The App?icant is _ Owner Contractor _ Other Work Type _ New Bldg _ Add-on _ Repair RPZ PVB Irrigation system ' der Wobschall to calcula[e feea R uired me[er size is 2" turbo unless smeller size ermitted bv Public Works DescriptionoFWork B?SA~MVIU'i y4&,DyBtn1E, To _59c-49Av To inquire iCPressure Reducing Valve is required on new service, ca11651fi75-5646 Meters - Call 651-675-5300 to verify [hat hydrostatic, conductivity, and bacteria tests passed orior to oickine up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $156.00 Domestic Size & Type Avg GPM Includes high demand devices' _ Yes _ IVa Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) ConhactValue $ Z25~ 1 UpU x 1% oPb'6-c" BaseFee $ Meter(s) Required on all new buildings & boulevazd irrieation svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ $t3tB $WCl78TgC If 6ase fee is over $1,000, sureharge is $SO per $1,000 of the Base Fee Following fees apply only when installing ew iingatiou system i lI $ Water Permit Contact Jerry Wobschall at 65Ifi75-5024 for :::j--------- $ Treahnent Plant $ Water Supply & Storage ---------------------------------Sbte Surcharge - - $ Total Fee I hereby appty for a Commercial Plumbing Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is no[ a pertnit, but only an application for a permit, and work is not to start without a permi77; "ll ti in accordance with the approved plan in the case of work which requires a review and approval of plans.G'~~- Applicant's Printed Name plicant's Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANSSUBMITTED APPROVEDBY: 'J0 ~0~ BIDLDINGINSPECTOR Geueral Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper hom/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE I-20 5/8" residential $121.00 4-120 1-1/2" irrigation SySt $ 781.00 displacement smcommercial turbinexs must 1'ece'IVe maximum continuous appCOVaI io from Public Works 2-30 3/4" lawn irrigation $156.00 4-160 2" hubine ]g irrigation syst $ 982.00 maximum displacement residential gt connnuous sm commercial production lines IS 3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commercial gi continuous & lg comm bldgs 25 im ation s stems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,329.00 syst & production lines Comments • To schedule inspecuon of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, call 651-675-5300. cc: Maintenance Division Clencal Technician Updaced 1/03 L~ ~ (31 a cL ~ 10 0 IC44MMMERCIAL BUILDING Permit Application ~ City Of Eagan rj J TY,- 4.~ S 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 -~-4J_ Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) seLS . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SVUCtural Plans • CertifcateofSurvey (1) • CivilPlans (Z~ • CodeAnalysis (1)" (2) • Project5pecs (1) • Code Analysis (1) " • Landscaping Plans (2) . Key Plan (1) • Project Specs (1) . Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " . CeNficate of Survey (1) . Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1)" . Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be esfablished • Meter size must be established-if applipble L • ProjectSpecs (1) L • EnergyCalculations (1) " y L • Electric Power & Lighting Form (1) y • Master Exit Plan (1) y 1 • Emergency Response Site Plan (1) 1 . SoilsReport (1) y • SAC detertnination - call 651-602-1000 . SAC detartnination - call 651-602-1000 SAC determination - call 651-602-1000 Call M1V Dept of Health az 651-215-0700 for details regazding food & beverage or lodging facitities. Contact Building Inspections for sample and if required when it states "not always". Permit for new 6uilding or addition will not be processed without Emergency Response Site Plan. Date 03 / L-/ / p3 ons[ruction Cost VS04,6Lo 60 _ SiteAddress //L// 71X.l.Y6 ~=~t1l,ftL-" /d2((.G /U//76 /Qr UniUSte # 16$- Tenant Name J0[,I'HA}2, H,A_. r-y f,4g Fnrmnr Tonan4 Nv_ma l/ !_Qcu-0O/IeD Description oT Work C /e~2 &fr! L/--S}' Property Owner Telephone # ( ) Contractor CLU .-,7 , ~~~KLS"XLC7Y~~ Address 2-1 0939(,ew 46. q77Jy City ~r J State ,tlt.(„$dTW Zip SS Telephone #((p/2 ) 306 - ZS~O .AA6qp/Engr ~ Registration #/J cqo Z~ A r,ess /4J,W. City /(A/l9SL~ Zip 55353 Telephone #(~3) License I mbcF Iitstalling new-se I erlwater service Phone I hereby apply for a Commercial Building P'etmit and acknowledge~~at the information is complete and accurate; that the work will be in conformance with tbe ordinances and cod~ of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas f work which requires a review and approval of plans. ~iua~AJ r-7. IJ -S~c~~1_7AJ , Applicant's Printed Name ('17- 30$-2 sao Applican t's Signature OFFICE USE ONLY Sub Types E Ol Foundation -1 26 Public Facility ? 30 Accessory Bldg. - 14 Apartments C 27 Commercial/Industrial L] 32 Ext Alt - Apts. C 15 Lodging 7 28 Greenhouse G 34 Ext Alt - Comm. ~ 25 Miscellaneous ? 29 Antennae Ll 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appliwM 00 Valuation Gw- Occupancy ~ MClESSystem ~.1 eS T- Census Code -7 Zoning l..P2 City Water ~w s SAC Units ~ Stories t Booster Pump Nbr. of Units / Sq. Ft. 4/6 5~ PRV - Nbr. of Bldgs / Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS _ Fooangs(new bldg) ~ FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framin8 _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wal] Approved By ~ • , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - Base Fee 11i J 36 / S Surcharge /Sa, ed Plan Review ,3$ffl .r0 MGES SAC Z w.,1 j5 aLSSD, Ot7 ; City SAC e~OJ, ao Water Supply & Storage Wa9•60 S&W Permit & Surcharge - Treatment Plant License Search Copies Other Total ~ MECHAPiICAL (COMMERCIAL) Permit Application City Of Eagan r- 3830 Pilot I{nob Road, Eagan Mn 55122 C)~ ~ 9Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commerciat/industrial buildings multi-family buildings when separate permits are not requved for each dwelling unit Date I-a ! -O_'~ In I 1 I Site Address Unit # E DS- Tenant Name (if applicable) Previous Tenant Name ?J~r9~ Property Owreer -044f Telephone # ( / ) lD~9~ Contractor StreetAddress State I-e-len/ Zip ?r,iE,7,;- Telephone # The Applicant is _ Owner Contractor _ Other Work Type ` NPwconstruction UndergroundTank _Install _Remove V-'11'nterior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: P¢7mriY F¢C $50•50 Minunum Fee (includes State Surcharge) ~ a ContractValue $_A~ x 1% PemutFee il ( 1 4[uu~ • Ifpexxnit fee is S1,000 or less, add $.50 ~ StateSurcharge If pernut fee is over $1,000, add $.50 per $1,000 Permit Fee gy Total Fee I here6y apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernut, 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 wfiich requires a review aad approval of plans, ~5 G',~'~C.-~'y ~a;~ , .968' 10- ApplicanPs Frinted Name ApplicanPs ' ture Approved By: 'Q S- Inspector Date: ~,a C:?-'' MIRROR FACTORY, INC. 72725 16th AVENLIE NORTH • PLYMOUTH, MINNESOTA 55441 (763) 557-1155 • 500-452-1644 • FAX (763) 559-2201 July 23, 2003 Mike Lence City of Eagan RE: Laminated Safety Glass / ACCURATE CONSTR. - Eagan Professional This is to inform you that the tempered laminated glass in the doors meets the requirements for Cat. II glazing materials. Mirror Factory has the capabilities to laminate glass in house and our certification reads as follows: MF 16CFR 1201-II ANSI Z97.1 1984 SGCC 1915 - 7/32U If you have further questions, please call. Sincerely, MIR OR FACTORY, INC. X~~ 4"~ Lance Smith LS:rh 4- ~ Metropolitan Council Building communiiies that work February 28, 2003 Enuironmental Seruices Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Solima.r to be loc.a,ted a uxuan: n re;~ ~ nu within the City of Eagan. SKO-he lCS' This project should be charged 2 SAC Units, as deterntined below. SAC Units . Charges: Cutting Stations 4 stations @ 4 stations/SAC Unit 1.00 Manicure/Pedicure 5 employees @ 14 employees/SAC Unit 036 Showers/Wet Room 40 f.u. @ 17 f.u./SAC Unit 2.35 Total Charge: 3.71 Credits: Office 4128 sq. ft. @ 2400 sq. ft./SAC Unit 1.72 Net Charge: 1.99 or 2 u you have any questions, cali me ai 55 i-6G2-1 i i3. Sinc rely, Jodi IL. Edwards _ Staff Specialist Municipal Services Section JL,E:_(95) 03022856 Cc: S. Seiby,lvlCES Carolyn Krech, Finance Department, Eagan Bill Brueggeman, Accurate Construction www.metrocuuncil.org Metro Info Llne 60& 1888 230 East Fifth Street • SL Paul. Minnesota55 10 1-1 626 •(65 q 602-1005 • Fax 602-1198 • TIY 291-0904 An EqualOppartuni[y Einpln~er ~ 7~~ 2007COMMERCIAL BUILDING rE~nT nrrLicaTrorr City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. . . • f(ilfi . . p . - • Structural Plans (2) sets • Soils Report (1) • Arohitec[ural Plans (2) sets . CivilPlans (2) • Cert'fiicateofSurvey (1) • CodeAnalysis (1) " • CertificateofSurvey (1) •Structural -Plans (2) • ProjectSpecs (1) • Code Analysis (1) " • Architedural Plans (2) sets • Key Plan (1) • Project Specs (1) 1- HVAC units req'd. on bldg elev. / site plan • Master Exit Plan (t) • Spec Insp & Testing Schedule (1) • Civil Plans (2) • Energy Calculations (1) not always" • 5oils Report (1) • Landscaping Plans (2) • Elec. Power & Lighting Form (1) not always" . Meter size must be established • Code Analysis (1) " • Meter size must be established-'rf applicable 1 • EnergyCalcufations (1) " y . Emergency Response Site Plan (7) 1 • Spec.lnsp.&TestingSchedule (1) 1 • Electric Power & Lighting Form (1) y . ProjedSpecs (1) ~ L . Master Exit Pian (1) 1 . SAC determination - wll 651-602-1000 • SAC detertnination - call 651-502-1000 • SAC determination - call 651-602-1000 • Fire Stopping Submittals • Fire SuppressionlAlarm Form . Meter size must be established Call MN Dept of H,ealth at 651-201-4500 for details regazding food & beverage or lodging facilities. Contact Building Inspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ~ Construction Cost Site Address M1\. i~ti C ~,J(- 4 1 v UniUSte # Tenant Name Former Tenant Name \1ytnr. C \AJQLA v~St , ~ Description of Work ~ ~~1~~~y~"C~~ \2 ~ PropertyOwner Cpv~n~wv: e5 Telephone#(6'SI ) O~I~ ~ Applicantis: _ Owner _ Contractor Contact#i: ( ) - Contractor ~~VY1 Address City State Zip Telephone # ( ) Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone U I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accuraie; that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ` C ~1 % A ~Q ~ Applicant's Printed anie ~ Applicant's 5ignature 706e6~ ,~Z) 2007COMMERCIAL PLUMBING rERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Do not combine inside and outside plumbing on the same application; separate applications and permits are re uired. Date 10 '7 SiteAddress 117 f Tnuin rontPr nC Tenant Name 3BL C' Unit # OMOqn i P S Former Tenaut Name Property Owner 3- 6 PDM p4n 1' e f Telephone#(6)2 ) 770 _ytag Contractor /~j~,~w Deni`,~ 15 Address C'QrrO ISP l h/Qy State ~p/ City~6SpMnor)~ 2'ip ssTetephoneft((;s'1 ) `l13-37~d License#_3Q~JqPM Expires: IZ 3 07 The Applican[ is Owner - _ Contractor _y~'p~er Work Type _ New Bldg Modif S ace ~Z Y P _ Irrigation System _ Yes No Work in public r-o-w / easement? - - PVB: _ New Z,/-Repair/Rebuild Re lace Rain sensors are re uired on irri ation s stems - Remove Description o}• Work ` )eP? To inquire if Pressure Reducing Valve is required on new servicc, call 651-675-5646 Me[ers - Call 651-675-5646 ro verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uo meter. Irrigation Size & Type . Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fue Size & Price 3/4" meter 174.00 Domestic Size & Type qvg GPM Includes high demand devices? Yes No Flushometers _ yeS Na _ _ - PRV Required Yes No Permit Fee $50.50 minimum (Includes State Surcharge) Contract Value $ h _ x 1 % $ Permit Fee Required on a(I new buildings & boulevard irri ation s stems $ Meter(s) $ Radio Meter Read ICoermit $fee is less than $11000, surcharge iSS.50 SlliCh2i'gC If oetmit fee is more [han $1,000, surcharge is $.50 for each $1,000 owed. - _ ' ' ' ' _ ' ' ' ' ' ' , ' _ ' Following fees appty when installing new lawn irrigation sys[em ~ Call the City's Engineenng Department, 651-675-5646, for required fee amoun[s $ V?ater Peimit $ Treatment Plant $ Water Supply & Storage $ State Surcharge y g $ Tota1 Fee I here6 aPp1Y for a Commercial plumbing Pertni[ and aclmow]ed e[hat the information is complete and accurete; that [he work wili 6e in confortnance wi[h [he ordinances and codes of [he City of Eagan and with [he Plumbing Codes; tha[ I under5tand [his is not a pertnit, but only an application for a permit, and work is not to start without a pevnit; Ihat the work will be in acwrdance with [he approved plan in the case of w which requires a ie d approvai of plans. rr,p vdr ,'1 i,; P Appticant s Pnnted Name D, t-' t ApplicanlsSignature • City of Mall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /673 2— Permit Permit #: Permit Fee: Date Received: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: ) \1 / I1.- Site Address: \ t2h 1 CMA") V'v 0A1,1-) Tenant: ., PROPERTY NOWNER ame: 1b1-- LOIVvpCAA n. Name: LQ.0 1.41CS 11(\R,C/h01.f1‘ta\ Address: (LSISc W 123e City: A Phone: CI °51_- % -Ss.sD Email: CONTRACTOR, Suite #: Phone: b12- Cle 09ILI License #: 1DC 104-Sko0 State: rtuJ Zip: i,3, 151 TYPE OF ' I _ New _ Replacement _ Repair )< Rebuild _ Modify Space _ Work in R.O.W. WORK .�p� Description of work: PERMIT TYPE COMMERCIAL New Construction _ 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. Modify Space Domestic: Size & Type Avg. GPM High demand devices? _Yes _No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) Fire: 1 Flushometers Yes No OR Contract Value $ x 1% _ $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) i - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge LT.,000 Permit Fee requires a $5.50 surchar.e 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 .$ IoD. TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o dans. Applic Olt • , x Y-1651. -OC Applicant's Printed Name re FOR OFFICE. USE Required Inspections: Under Ground Rough In Approved By: Date: Air_ Test s Gas Test! Anal; PRV Required: Yes Page 1 of 3 • Use BLUE or BLACK Ink r For Office Use++ Permit I V -75 City of Ea a~ I ~g ~5 e1 ~ I Permit Fee: l~ 1 ca , 3830 Pilot Knob Road I Eagan MN 55122 I ~I3 I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 I I Staff: L----------------- 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 117--i _TU V," CC,f 1-C Tenant Name: testa I+ G' chl r u, ` !'a C. f c (Tenant is: New / Existing) Suite Former Tenant: 9Tt ~,~i- y~ f(<~ Name: C7 ce- Phone: Property Owner Address / City / Zip: ~e(ci,i tt Applicant is: Owner X Contractor Type of Work Description of work: h of , r cJ.~ G'u''r 3 `GG : _ I Construction Cost: G, Name: ' 1 X (License iG ? 1 7 ~l Contractor Address: 1.3 C /to, City: J` _ State: Zip: b 0 Phone: r ? V • rJ~ i Contact: , ) 1 e^.-, Email: ► ; . _ e>C ~1 G~ ✓r 1 • a"~ Name: ( `0C', rI Registration t Arch itectlEngineer Address: IL 1t ~~,.1 City: State: l J Zi ~ p: Phone: I Contact Person: Email: Licensed plumber installing new sewer/water service: Phone M NOTE: Flans 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 l conclude that they are.trade secrets. , CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 bei^^n accordance with the approved plan in the case of work which requires a review and approval of plans. X ii{{iM ('I) ~~7[F .l X f Applicant's Print Name Ap " ant's Sigrat re Page 1 of 3 DO NOT WRITE BELOW THIS LINE labs 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 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 000 a' Occupancy 45 MCES System ✓ Plan Review - / ✓ Code Edition 2&7 M 566 SAC Units (25%_ 100%w Zoning t. City Water Census Code Stories Booster Pump # of Units o- Square Feet Z i PRV # of Buildings Length Fire Sprinklers Type of Construction V-,4 /h-S) Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) / Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation V7' Other: L *1%'5 "AII I& Fr,G)r~~~ ~"T'/ 40,0A/ Drain Tile Pool: -Footings -Air/Gas Tests -Final Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick ✓ Framing Windows Fireplace: -Rough In -Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: /No Final C/O Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: 6w,/ , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee `T/3 • Oft Water Quality Surcharge V Water Supply & Storage (WAC) Plan Review ZG$, 'f Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication y~ Water Quality TOTAL 93. f Page 2 of 3 Dale Schoeppner April 19, 2013 Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has reviewed the SAC assignment for Hilltop Chiropractic. The original letter for this determination was dated April 17, 2013, letter reference 130417A9. This project is located at 1121 Town Centre Drive within the City of Eagan. The City will be charged no additional SAC Units for this project, instead of the 1 unit originally assigned. The SAC review is based on new information. SAC Units Charges: Office 1222 sq. ft. @ 2400 sq. ft. /SAC Unit 0.51 Massage 1 station @ 5 stations/SAC Unit 0.20 Total Charge: 0.71 Credits: Office (SAC paid 08/01) 2489 sq. ft. @ 24000 sq. ft. /SAC Unit 1.04 Net Charge: -0.33 or 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, 1~16el~ Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC: kg: 130419A2 Determination expiration: 04/19/2015 cc: J. Nye, MCES Jim Angrimson, J&D contracting (email) Amy Griffin, Eagan (email) L, Paul, 390 Robert Street North I St. Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 - • • • • ME RO[ OU1 1 Equal Opportunity Employer U N c ► 1 C) (Y15 Dale Schoeppner April 17, 2013 Chief Building Official City of Eagan WMt_-F, 3830 Pilot Knob Road D~ 4/10/3 Eagan, M N 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Hilltop Chiropractic to be located at 1121 Town Centre Drive within the City of Eagan. The City will be charged 1 SAC Unit for this project, as determined below. SAC Units Charges: Office 1222 sq. ft. @ 2400 sq. ft. /SAC Unit 0.51 Massage 1 station @ 5 stations/SAC Unit 0.20 Showers (multi-user) 1 fu @ 17 fu /SAC Unit 1.00 Total Charge: 1.71 Credits: Office (SAC paid 08/01) 2489 sq. ft. @ 2400 sq. ft. /SAC Unit 1.04 Net Charge: 0.67 or 1 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, ~~Cr~ Karon Cappaert SAC Program Technical Specialist Environmental Services Division KC: kg: 130417A9 Determination expiration: 04/17/2015 cc: J. Nye, MCES Jim Angrimson, J&D Contracting (email) Amy Griffin, Eagan (email) 390 Robert Street North I St. Paul, MN55101-1805 o U N ( t t ' Opportunity An Equal Employer { p Ir fl, 46 <CD acCD r e X *Lay afhp, 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: I 10 T2/) Permit Fee: Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. -Z-j3 Date: 4 fZ ( 113 Site Address: 112i ` A -L ( YCy2.> Tenant: Pit..L'�TaP 'FA"; st_Y !-b 12,pT ,Ac�Y/_. 4(7 Suite #: J Resident/Owner Name: Phone: Address / City / Zip: Con ctor Name: WEAIZEL 1-1-1-4 rl- A&., License #: Address: 4j1 S c74. Si 131.10/y City: 4lIke, An/ State: GAJ Zip: SS/22 Phone: 5/ 8947/- 9 848 Contact: 74,4,e45/4 7v c.44 Email: c jtac ilrAbJefiZelhVAe-. C-ca01 / Type of Work New Replacement Additional Demolition ,Alteration Description of work: Y < (d cG, • 4 ( E Fut t'YS' t q "--5 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL Furnace COMMERCIAL New Construction ). Interior Improvement Air Conditioner Install Piping Processed Air Exchanger X Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State burned out appliances, ductwork, etc.) (includes Surcharge) $5.00 State Surcharge) = $ TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $70.00 Underground tank installation/removal $55.00 Minimum $1 million, please call for Surcharge esso _ Contract Value $ %200 x 1% .00 = $ 5$ Permit Fee *If the project valuation is over = $ 5.00 Surcharge* = $ O ��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.nopherstateonecall.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 tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x /`t-QtcDt4 3 c...) Applicant's Printed Name pli ant's Signature FOR OFFICE USE Required Inspection Underground r Rough In HVAC Screening City of aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1A? 0 8 Use BLUE or BLACK Ink For Office Use Permit #: I 1 03 Dq�% Permit Fee: 15,00 Date Received: 5 (' 3 Staff: or -7 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 7M Aol Tenant: Jew R,t6Irceow". u.v.b, 4144( kUw'�,�� Site Address: '1 B OW,r\:V- Property' Owner Corttracto Name: Type of Wor Permit Type Name: �ntrr .MfClav1.'C;A, Phone: Suite #: (Air C,hl License #: 0 786SO Address:3$O KevtnebC: City: er Fi...."-- Email: Phone: (GS/ 7 ?a`) S New Replacement Repair Rebuild C Modify Space Work in R.O.W. Description of work: COMMERCIAL New Construction )C Modify Space jA Irrigation System (_ yes / no) (_ RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) /VA Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Avg. GPM High demand devices? _Yes State: WV/ Zip:,>$ la'a Nt:N- iAC•CO`v"- COMMERCIAL FEES: $55.00 Minimum Fire: 1 Flushometers Yes Contract Value $ ` 1)12(7 = $ iO , /DO Permit Fee x 1% Required on ALL new buildings and boulevard irrigation systems + $ Radio Meter Read If the project valuation is over $1 million, please call for Surcharge $ Meter(s) $ 5 0 0 $5.00 State Surcharge* Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage State Surcharge =s c45. o o 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 work is not to start without a pe it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicants Printed Name x Appi s Signatur FOR OFFICE USE proved Required Inspections: j/Under Ground )`Rough -In Air Test Gas Test Final PRV Required: — Yes _ c Page 1 of 3 Use BLUE or BLACK Ink For Office Use t j _ I ~I it o Eat dR i Permit 0 I -7 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 i Date Received: 1 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1 Site Address: ~Z 1 6W01 Tenant Name: (Tenant Is: New ! Existing) Suite Former Teront: - - - - - - Name: ~~1rV 'e r'~" ' !O~ Phone: {`1) Property Owner ~1~~ l.`tC5 t ~G9~W11V~ WAN 55~*-1 Address / City / Zip: -3 Applicant is: Owner Contractor Type of Work Description of work: RR Construction Cost:! ~ u Name: License Contractor Address: City: State: Zip: Phone: i Contact: Email Name: Registration t 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 informaSon. Pons of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude #hat )~ha are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (631) 434.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.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 and"and this is not a permit, but only an applicabon for a permit, and work is not to start without a permit; that the work will be in accordarce with the approved plan in the case of work whic equires a review a roval of plans. X <>'~ecy G- .4.s As x Applicant's Printed Name Applicant's nature Page 1 of 3 .e^� �, , ' Use BLUE or BLACK Ink � r----------------^ I For Office Use � � � Permit#: /tyT�1JNf � Clt of �a a� � . /a � ys- � Y � � Permit Fee: lf �� 3830 Pilot Knob Road RECEIVED � � Eagan MN 55122 � � I Date Received: i Phone: (651) 675-5675 201� Fax: (651) 675-5694 .1UN 1 , � Staff:' j �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION �"��,�' J Date:__�� --j 7 "�� Site Address: J 1 Z-� � ��n Ce n`-��' .�f' " �� 1 � Tenant Name:�U,�CN'C� 1 0��.� (Tenant is: New��Existing) Suite#: ��_ , - Former Tenant: � ' Name: l7��c l ��ti� Phone:_ � ��. ��f a-� �/ � � g P('Op@1'�y OWttel' Address/City/Zip:_ �'��u✓ti v Applicant is �Owner Contractor � Type of WoI'k Description of work: �Ca�'►G�� 1 : __ _ Construction Cosfi �, � Cl U Name: � �.tJ ��f,�f t��t!,,/`1 h �n G, License#: �� 7 � 70' y 'Contractor Address: f 3`(! � �2�'r !�c;`�cn �c.� city: ��o��o, �✓n �i"y u State:�Zip: � a�� Phone: � �� — '7.�L� � �,��G�S ` Contact: J �� Email: � � ��/'G �%�t!'a syec�<��iC ..-y� 4 Name: Registration#: Architect/Engineer '; Address: City: State: Zip: Phone: Contact Person: EmaiL Licensed plumber installing new sewer/water senrice: , Phone#: NOTE:Plans and supportinq documents that you submit are considered to be public information. Portions of the information may ke.,classifietl as non-qublic.:if you provide specific rea�ons:that wouJtl permi,t#he City to conclude fhaf fhe 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r-- , x e^.�m e� f1�C �'1 �'Y►S`G� X ApplicanYs Printed Nam p i nYs Si ature Page 1 of 3 �'/a 1� i�,rJ,� �`c�� .� DO NOT WRITE BELOW THIS LINE f��' SUB TYPES Foundation _ Pubiic 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 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 Zsj 600� Occupancy U MCES System � Plan Review `� Code Edition ZeO7,lys�G SAC Units � (25%_100%� Zoning L„� City Water Census Code Stories _� Booster Pump #of Units � Square Feet '�� PRV #of Buildings � Length Fire Sprinklers �6 Type of Construction �/�,/� //y,�� Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof: Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: � Yes �No Reviewed By: ��i , Building Inspector Reviewed By: - , Planning COMMERCIAL FEES Base Fee 4/3 .� Water Quality Surcharge /Z. Yd Water Sampling Fee Plan Review Z b$•`{S'� Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit& Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL �43 �G� Page 2 of 3 , . . . i��s�� July 1, 2014 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Edward Jones to be located at 1121 Town Centre Drive, Suite 100 in Eagan Professional Building within the City of Eagan. The City will be charged no SAC Units for this project, as determined below. SAC Units Charges: Office 1039 sq. ft. @ 2400 sq. ft. /SAC 0.43 Credits: Sat-Nam Sisters (SAC paid 10/08) 1114 sq. ft. /1936 sq. ft. = 0.58 x 0.84 SAC 0.49 Total Credit: 0.06 or 0 The business information was provided to MCES by the applicant at this time. It is also the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. If you have any questions email me at iessica.nveCc�metc.state.mn.us. Sincerely, . �� C..1 Jessie Nye Supervisor, ES Revenue (SAC) JN:fa: 140701 B4 Determination expiration: 07/01/2016 cc: File, MCES Amy Griffin, Eagan (email) Gregory L. Preusse, Eagan Professional Bldg (email) ��.`�`-�-- •� -..- -- . • � :� • . - . �.� �� . . �.� � . • �•�- - . . . . t�ETRC?I�C�I,ITAC`� , . .... .. - c c� u r�t c � � . . . . �- �� /��` � � x y 3�-3" 20�-7� 3�-1' � � �` w m Cd � p '.,d �p �O I. �1 � � ' ° Z ' t�7 �, � N (T1 :, -+ � : � W �� W O 0 d � �. _� PASSAGE �� O p a; 103 � O � D -i '� � c°n r I �' m � ,. _� �� -mi/ 0 � O oo °>�� T � + � � � � � cp 23'-6" U. .s�_8• U. ��_p—J� Y°o-0'� 'L �y ° PARTITION PLAN Z� y �/s°=�'—o° _ � � � Z (7-�-�C Of-�N N-` t0 tL V— Of= (l� ? 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EMAIL � D SQUARE FOOTAGE �ZOO PHOTO TO LEASING COORDINATOR TO ��:3. 18. � 4 CONFlRM WORK COMPLEfION. 07/22/2014 13:00 ti2994 P. 001/001 Use BLUE or BLACK Ink � �^ForOfficeUse ----�----j � �-�� Cit of�a a� �' ; P��,t#: � t �ss�.� ; Y � � � � 3830 Pilot Knob Road RECEIVED � Pe��t Fee: , � Eagan MN 55122 I �ate Rece�v�d: Phone:(6S1)675-5675 I � I Fax:(651)675-5694 �U�- 2 � ��► � Staff: � L------------- -- � 2014 COMMERCIAL PLUMBING PERMIT APPLICATION �� ❑ Please submit two(2)sets of plans with all commercial appltcations. � '�� t� Date: 7 '�a�� SiteAddress:—�� To:.,7� {r�.�t'F-.2+� ar�✓�. .�v�,i�-t. ��j �) 7enant: �cc � ,,• Suite t�: wa..r _....------....._.�....__...._._.._„_..:.,._..._____......._�,....,....�.._-----_,_�,_...---__..._,_..._-._.,__._.______....w.,.— Property ' __�_._.__.�.�.,__�._..._.._.....�....��... QWn@r : Name: Phone; � Name: � , SL'cense#:_ ��C�('� COntfaCtO►' Address: ,�� N f„�r ,V� Cit Ea ci� =R� . S�'��. Y��, State: �9nl� Zip: ; , , Phone• n s��-�7� -��2,�Email: 3�n CSL � • Y1a.r �.-n r.rrt n. c:�... �. --...�..,.....,.�.....,..,_..�.�........�....�_._.-.—•—_....___.._..,..,,....,.._, Typa of Work .Y New _Replacement ,_,,,Repair _Rebuild V Modify Space _Work in R.O.W. � -_ Description ofwork: �o� .Sa�G°�»�S'i.�./� 1��r°u.rr; l�.� �o��in Jr �� ~f ^ H T,�COMMERCIAL _~New Construction � ✓ Modity Space� Y _ �Irrigatlon Systcm�yes/_no)(T RP2/�pV8) • Rain sensors required on irrigation syslems Permit Type . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) ' _Meters CaU(651)675�5646 to veriry that tests passed prior to�icking ua merer. Domesdc;Size&Type Flre: 1 Avg-GPM High damand devlces9 Vas No Flu6hometers Yea No — _ _.,..............,...w..,.,.,....,...,.,.......w__.._..._,.__._.....---•-- --_...---�—..-,.,-,......_.:..,.,.,..,.,.........,,,�.........,._....—_—•----- -----____._......__.._._.__.�...... COMMERCIAL FEES Contract Value$ `J,�� ~ x.01 $55.40 Pe.mit Fee Minimum .�- �o _$ �.� Permit Fee `If contract value is LESS than$10,010,Surcharge=$5.00 =$ �� " � Surcharge' "`°If contract value is GREAT�R than$10,010,Surcharge=Contracl Value x$0.0005 ��.y "'If the project valuation is over$1 million,please call for Surcharge =$ �Da TOTAL FEE .._...�,,.._�_..,.....,..__..__..,......_..._.._.._. ,._� _�_,__—_..._.._..____...._.__.�.._....__._.._...._.._.,��,....,...,.,.,.. Following fees apply when installing a new lawn irrigalion system $ Water Pennit Contact the Citys Engineering Department(651)675-56q6,tor required fee amounts. $ 7reatmenl Plant $ Water Supply 8 Storsge . $ S1ate Surcharge _$ TOTAL FEE � .,..�.�,,.�....W...,......__..._.....,,....,_..�.�_........_.._...�..�..._..�__._— .._ ..—. _ —._._..---...__...._..__...__.__._._.._._.,_._.._.._:.........._...._.. CALL BEPORE Y�u OIG. Call Gopher State One Call at(657)4540002 for protection against underground utility damage. 1 I hereby acknowledge that lhis information is complete and accurate;that tha work wilt be in confortnance with the ordinances and codes of the City of Eagan;that I understand tnis is not a permil, but only an applicalion for a permit, and work is not to staR without a permit; that the work will be in accordance with the approved plan in the case of work whlch requlres a review and approvaf nf plans. x J�� t`6�w r.s�� x Applicant's Printed Name Ap ant's Signature FOR OFFICE USE �� Approved sy: -j Date: � � Required I�specdons: .�Under Ground 1"Rough-In �Air7est �Gas Test �Finel PRV Requiled:_Yes_No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 i �� lse B�UE ar BLACK Ink �____�._�..- _,, �� „,n � For�iftc+r U�e �_, �,�. i � � �� , /' I �1� V��lit (lll ��,�� I Perrr►►t#; �/ ! �, t W I 3830 Pilcst Knab Road h � Pe�rnit�ee: �(,�,, ' ��an M�ss�z� A'JG 1 � ��14 ' --�� ' Pnone:{ssi)s7s-5s7s i ��tQ�'�„�: � Faxt{651)675-5694 i I �i St�ff.____L i��° ;�`' 2t}1411��,�HA�IC�4L PER�ItIT APPLICAT�QN ❑ Please su mi�twa(2}sets of plans with atl commerc�al ap�fications. Date: *��___-__Stte Address: �1°. _: � t r'1 :;+ --"� �! �I ` Tenant� �. ..�c-5,�`S Se��ts#: �� _.� � � : F��;_.,.,� � _.._,_ �� , � � �� Name: �"hor�e: �� '� :�� t�� ,rr,�� ,:"�� ,„ �'�_ _ Addres�s 1 City!Zip: s � _: 7�.�"�`��u`� �� r , -�� ( � Name: tt� �l �L H�S-� "`'�C�- ��l'1 Lit�nse#: , �a�fry�� ,�� Address ��'��t"'+L.LI ��L-.�"',�' .�C,�,� Ci1y: ��3 iq111iI�Y �,��II`ll�� :�� r�. � � .. .. � �� '� ��, �} ��_<< State �.�,�""�"� Phone� �Si '�"� �`� � � �, Zip: -'�"i e�"`�i`° � . � � "'V I .' �r�y -� �� : ,... . .. . .. � : ,,,�,w . �e�; . n:_.�� Contact: �~°a � c EmaiL �'-�_ .�,�a+'� Z�.. �..�,,.. �...�� ; �� , �. � � � c'�fir 1 k i�.x � w.......,�.�...�., .. ... , .. ..�.�. �. . . ...,. . . ...._ . .:,. . . . � i Nk ' r ��•l � ! ... .. ., ..„ �� . ,; ��I�N,, ,' New ��Replacement Rdt�itianal ,�Alterati4n Demoti�ion' µ �' �?.�1, � � �� ro � �� N�:- �� " Qescri tion t�f wark:�� ` _ "� . ,.."" , ,: 7`yp+��`,��1�11'cN'k" P �. ��2�-' �"_ ,�"�,5" �,s, ' i�t t�( �" ��,i f� � r�re , ��. '.��`�.R��+�k�aht+�c�_and gro�nd rr�csi�rrCed mec#��n��a��m�nt��i�.��i�`�� "r�;�r� y�,�tf�� _ ,�«„u��7y'. -,, .�,�� : �� ,�l� �!�,e�is��v��ct i�h�M��ia�l�at��n�pe�tar�r Inf+�r"�►a��►�M"�r�i�t�td'�cr��t�t '' �ik,d� , _ �. r - - �_ �^ M � ��r��""�` ° ��V�� F2FSlD�NTlAL CC3M?�J�RC/AL ,� . � [�{�Fe� ''. r r � . ��i`� �.� �� Fumace i T New Construction _,�,,�nterior Irr7pravement � � �" �� n� m,�� cktiutla�� _ � � ��+��.�� Air Gondifinr�er Instali P'tping Processed � _ ��4 ' „:f h"�� = A[r Exchanger �Gas ��erirar FtVAG Unit � ��I<< _ �Neat Pump TU{iderlRt>tsv�:grvund Tank {�install/,Remt>ve} ,`; � �7,i�V � � Other �F,,� +y�,�, � F`�c`fS�C�EN�"I�QL.FFESi' � $6fl,0{I M1n�mum Add ar alteration to an existirxx�unit(inc#udes�5<nfl 5ta#e Surcharge), .. � � 5100.80 Residentiai l�ew{includes$S.Op State Surcharge) , =ffi 7A7AL�EE � . _ _.. , � , : ; � coMnn��C�AC.��s : • � ; : Contract Va1ue� �„t-�S�`°'� ,x.01 � �5�.i30 P�srmit Fee Mir�imum *� � � $7tl.E3f3 Undergraund tank instaEla��Io�/removal =$ J�� `�' Permit Fee � `if cgnU�ct value is LESS t�an$1 t1,�1 Q Surcharge=�6.00 =$ .� �"""""""�' Surcharge' � '"!f ca�stract�alue is GREA7ER than$1q,01tJ, Surcharge=Contrac#Va�ue x$OA005 � ' "*ff the praj�ct valuation is ou�r$1 million, please cail for Surch�rge � _ . -��..��' �'_._--- Tl'�'rpL F�F' � a�.�...�..�.�.---- .�...�.�.�_.___.. ° " � � hereby adcnawledge that this information is cv�nplete and accurete; that the work wifl be in c formance u+ith the ordinances and cades of the City of Ea�g�n',that I urxferstand this is�tia�a permit,but only an applicafion for a permif,and woiic is naf start r�ithout a permit;that the wc�rk will be in ac:cord�nce with the approved plan in Yhe case of work which requires a review a��approvel Q#plans. (� .�.�r---�, .�"' ,� ��.� C:��:.�;�� x _•��.. Appi#cant's Printed Name �lican#'s Signature � �lY � p5 VPbR � " '� .�1A a'P ; '*r ��S�F'�f�� 3J�S�`b d I' p .Y .. � : � �' �k � $ �t� � �[�� .� t ��{`b�'�y�"9 � x k�Yd � rh r a — axq M U � �' * ' �t� � � ��u�ra��.��,,��t�'�� .� e,� � � �f��riewe�t�yw�' ��< <��;s r�� U�. � �� y�. .��,�� .p� � a! ,.!:y� �!s.. ('� `. y'�M y�{�,�,�;�ye�7� { .v.�� {�j yy �'� � 5,,.:, �K�� 4L7��,...t�M ��.��!��,, ��i ��sZi ,...��.w,L7{xV,V�ik,#A.Vg�G�T� .�r�w��.115J�i [tiiiai-.<` x ., I" {�'f�R� � �Cl��'iF :wY�.�'�1X"iY'w, `.�... . ` �IT�i� � " � . ��. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT Permit Type: Building 40" Permit Number: EA138134 Date Issued: 08/11/2016 CityofEaan Site Address: 1121 Town Centre Dr 202 Lot: 1 Block: 1 Addition: Town Centre 100 19th PID: 10-77068-01-010 Use: Simple Journeys Massage & Wellness LLC Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: Census Code: Occupancy: Zoning: Square Feet: 0 Comments: Elizabeth Viktora 651-295-4888 or 651-452-7141 Fee Summary: Massage Therapy Inspection $0.00 Total: $0.00 Contractor: Owner: EAGAN PROFESSIONAL BLDG LLC 3440 FEDERAL DR STE 250 Eagan MN 55122 - Applicant - I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature