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1140 Town Centre Dr4111° City of Ea�all Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office t1 Permit #: .6".4/ Permit Fee: 0/S 7-6-- Date Received: Staff: ft k 2011 COMMERCIAL BUILDING PERMIT APPLICATION u-11 `7 ,7 * 11 Site Address: Tenant Name: (1-1 00 To c4A) & T OP— (Tenant . (Tenant is: New / Former Tenant: Existing) Suite #: PROPERTY OWNER Name: V C R co,` LTD Phone: t(92.-- 5 II-- 05-8t 6 Address/City/Zip: Ce CiTaj t.J65T- PAg-1= , 4 f11 PP4,f2 r Applicant is: Owner Contractor 601 1-6 / TYPE OF WORK Description of work: OFF AV POCOIC of 8U C. P)A1 ti /4itfi (6 Construction Cost: '37_ soi� .. 00 6' CONTRACTOR Name: WALKER ROOFING CO INC License #: L 71-9 WES I WAY EX 1 ERIORS INC Address: 2274 CAPP ROAD City: SAINT PAUL, MN ;,5114 State: (651)251-0910i5Phone: Contact: `' f2! )C Email: A L2 -6656-G, WPLICat oriNiq .Cti~/h ARCHITECT / ENGINEER Name: f)Jf Registration #: 1 Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be be in accordance with the approved plan in the case of work ��h �h �o�"_ .o,,,o,.� and approval of plans. x ANP ).6 Applicant's Printed Name x_ Applicant's `Signat'Gre Page 1 of 3 fhAi 1 (gtr#ifixa#e vrf (O.rrupattry Citp of (eagart ` ~tprhttrd n# guritaang jn,eEprdiott This Certifiaate iuued pursuanl m the riequinerrrents ojSection 306 of 1he Unijorrn Building C',ode cer~rf17n8 ihac a111te tinre of issuwwe rhisslructune wns ut carrpliaxce wi11i 1he various orduraurars of tlre Ci[Y regukdn8 bur7dk8 conmucdon or usa Far tJu followiW WC Qw-smd00 AT ~ DTT'!lT'['rENT aITIaBrNG '^"Y RI~II NO. F024 0"""1'a-7 •7M !el ZOGiOg DWA~ RD.4PA - Typc C=w vi--'iUL-ira ow= a awan 4ieIEUM APTS OW A"= Ql.6 rsarxWU avR- WrnrMMr_ B.adi,g Ad&,~. 1140 'IClN (MIIIt IRTvF? ~ i 3, B I, lIIE MTffit lOD 81H lhadin p" i , POST IN A OONSPICUOUS PLACE . , . 1 : - ~ ~ ~..,....,..,r._ r . . _ . -•,•_:,_-••..-~„-.-.~,s~,••--_ ,..,~.,..-----,.-~...~.r.~*-P.rm+~Y~1~l~~•---•., ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 (MZST 11N1T) Receipt # To be used for AETACHSD GAB Est. value Date JUNQ 17 ,~g 91 Site Address »b CBi!'iRE DRllle Lot _3 BloCk _1 Sec/5ub. ~I'OYlI CTR 100 OFFICE USE ONLY ParCel N0. Occupancy FEES CC Name IiATESfORD APt3 CORP/11aNiAliA DLii Zoning -PO R-4 f 15.00 W (Actual) Const _WL Bidg. Permil ~ Address 416 GROiVZNOR AVH (204) (Allowable) ~dn_. S„rc~,rge City WINniPEC Phone _ 452-9503 # ot stories Plan Review L to Name wa-s0l1 00lItAt41ES DePtr, ~ sAC. cicy Address 1001 [ILLEE~L?M Dit S.F. Total ~=pp sAC, MCwCG ~ CIty ~p Phone 6-%-"44 S.F. Foolprints -to-200 Waler Conn On Site Sewage O W Name F1[+N DON161.S D14[lS9ARD on sae wen - waier n~ter Address 2324 UNIVERSIt1f A1I6 r109 Mwcc systerr, <W City 9i PAU4 Phone 641-1339 City Water _ Acct. Deposit PRV Required _ S/W Pertnit I hereby acknowlege that I have read this pplication and slate that the Booster Pump - SnN Surcharge information is correct and agree to y with all axiplicable 5tate ol Minnesota Statules and Cily ol Eaga inances. ~ APPROVALS Treatment PI Signature of Permitee Road Unit A Building Permit is issued to: N 1Rs Planner - park Ded. on the express condition that all work shall be`cfone in accordance with all Candl - applicable Stale al Minnesotatalutes and City of Eagan Ordinances. gldy. prl. _ Copies s. ~ ~ Building Otticial Variance - TOTAL . ' . PKmk No. Permk HoMe? Oate TekphorN N WAAR SEVYER PLUMBING H.VAC. ELECI'RIC tnspection Dafe Insp. Commants Footings 1 Foundatan Framing ' Rooting Rough Plbg. fiough Htg. Isul. Firepface Final Htg. Orstat Test Final Pby. Plbg. Inspector - Nolify Plumber CQ,nst. Meter EngrJPlan Bldg. Final Dedc FSg. Oedc Final weli Pr. Disp. SEWER & WATER PERaAIT OFFICE USE ONLY CITY OF EAGAN METER # 4(S6 f'3s ~ f pERMIT DATE 3830 Pitot Knob Rd. ; Eagan, MN 55122-1897 cH~P # a~i~ ~a y3 PERMIT # 1281 • METER SIZE ~ ~B.P. RECEIPT # c: t Gf,9I DATE ' ISSUE DATE L -7- B.P. RECEIPT DATE J01171 3 I PRV _ BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT ' BLOCK 1 SEC/SUB 'I:OGiri r SEWER WATER - TAPS APPLICANT: ADDRESS: COMM/IND - RESIDENTIAL CITY, STATE X ZIP - NEW _ EKISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ?~~a~C-',• l1i:C::AP'I~,AL iNU Ahead of Domestic Meters on Water Line. ADDRESS: 10650 C( +I I~TI' RO?.U 81 Credit WILL N.QT bG given for Deduct Meters. CITY, STATE iiAi'LE G[?:`J! : ~ZIP ;•t ,y _ , PHONE: 42 4-C I AGREE'T'O COMPLY WITH CITY OF OWNER: GIATERFOR.D Ax AZTI:EN ~ o~ EAGAN'ORDINANCES ADDRESS: 916 GROSVEiVOP. AVE ~ CITY, STATE 4iLNNIPEG CANA!)A ZIP ..~t• C'Yi; j 4 5: `i PM04E: SIGNATURE WHEN METER ISSUED - - . . i PCEASE ALLOW TWO WORKING'DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONIAGT ENGINEERING QEPT. SEWER & WATER PERMIT OFFICE USE ONLY ~KnGob Rd. METER # PERMIT DATE OG/ 16/9l 3830 P ot Eagan, MN 551 22-1 897 cHiP # PERMIT # 1 2281 ' t METER SIZE B.P. RECEIPT # ISSUE DATE B.P. RECEIPT DATE ~L~ t DATE +Li~1 ~ L, ~ 1991 _ PRV - BOOSTER PUMP SITE ADDRESS 114-0 T'JW'' ~;F liTlDR PERMIT REOUESTED LOT ~ BLOCK 1 SEC/SUB ~ENTi'••E 100 3T}L SEWER WATER - TAPS APPLICANT: J ADDRESS: COMM/IND - RESIDENTIAL CITY, STATE ZIP NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: HAJGR AF-CP.AN[CAL It:C Ahead of Domestic Meters on Water Line. ADDRESS: 10650 COiJIJTY RQAD Ell Credit WILL NQvT be given for Deduct Meters. CITY, STATE MAFI.E GROVE HN ZIP 55369 r~ - PHONE: 424-6680 I AGREE TO.COMPYY WITH CITY OF OWNER: WATEkFORD At•AItTVENTS CGkP EAGAP}'ORDINANCES ADDRE55: 916 GRdSVENOR AVE ~ CITY, STATE I~INNIPEG CANADA Zlp ^"s:± ON4 PHONE: '2d~+) 452-0403 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. '~-„4t71'~'~"„~y . . . . . . . . . ~.T:!V.y. vl4 ' -'rv . + •N". °4.' W~`r . • . : y,. cl w ~ 22 RlTq'[AL ::N1TS CITY Of EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21 9 -199, Eagan, MN 55121 PNONE: 454-8100 BUILDING PERMIT Receipt # - - ~ To be used for APABT!'lF.NT DI.DG Est. Value $814+000 Date JUNE 17 19 91 Site Address 1140 ?OWN CEN?RE DRlV'6 Lot 3 Block I Sec/Sub. IMM C" 100 OFFICE USE ONLY • Parcel No. occuPancy R-1 FEES Zoning ~~-k W Name ~rE~~ ~S ~~'/VMAHA DBV (p~uat) Const Y-I AA SPRg~g. Permit $ 2,982.00 Address 16 CR4SVRNOR A116 (aiowenie) Y-1 IIR SPR 9 447.00 ° City iillirtlPBG Phone 52' # ot Stones 1*~l1"[ Surchar e 1.938~00 Length 1 sZ- Plan Review ~ DOtt-SO~1 OOFIPAI3I~S 2200.00 oU Name ~1 iC1LLEDIt6W DR °8°'h 470- snc, ciiy ' U¢ Address S.F.Total 28,40 SAC,MCWCC 14,300.00 ~ City D'LMTN Phone 854'644 S.F. Footprints -1 On Si1e 5ewage ~ Water Conn 14+520•00 yVj W Name FI NTV DANIE!„S HROUS8ARD on sile weu - water Meter Address 2324 UIiIVERSI.I`Y AyE #109 MwCCSystem XL_ g W City S'I PAUL Phone "1-1334 c~y water ~`t. °e~'~ PRV Requirad _ S!W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNN Surcharge 050 in(ormation is correct and agree to comply/tivdh all applicable State of Minnesota Statutes and Ciry of Eagan Ordiplknces. Treatment PI 6,072s00 ..i , Sgnature ot Permitee APPROVALS Road Unit a1100 •00 A Building Permit is issued to: Pla""er - Park Ded. on the express condition that all work s all be done in accordance with all Council applicable State ol Minnesota Statutes and City of Eagan Ordinances. Bfdg. Olf. - C0P'es Variance - TOTAL = ~1• 589 • ~ Buildmg Official - ~ Permit No. Pennit Holder Dste Telephone # WATEF SEWER PLABING H.V./1.C. • ~ J- 000 eLEcrRic Q / 9 /Co / So inspecllon Date Inap. Comments Footings I 3A Foundation Framing Roo(ing Rough Plbg. - - L e ~ Rough Ht9• [5ul. ~ -2~_ ~ w'al9i Fireplace Fnaf Htg. 1//~ 017~0 Q tC~ • _ Orstat Test Final Plbg. '/,,,O~5-- , Plbg. Inspector- Nolify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Dedc Final weu Pr. Disp. S / ~ ~ d./c~~(a.~ r. .~-~T'~Rn~.-~v~ . . . . . . . . T~~~r7 .'1~1.- . -R v~ s~ ' ri.ST~w . ..-~n-~`~R~~~~ , , CITY OF EAGAN ~ ~ ~ ~ ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' v"' PHONE: 454-8100 BUILDING PERMIT (~gT Util?) Receipt # ~ ' 1 To be used for DStACHBD GAR Est. Value Date J~~B 1 ~ ~ g 91 Sile Address _ 11~4 ZO~iN CE~i~ Dt~VE LOt BIOCk _L- SeC/SUb. $ OFFICE USE ONLY Parcel No. occupancy l4e.L_ FEES ¢ Name j1ATS~1~'ORD AP73 CO~d/YZl1'CA19A DBV Zoning P~R-d : 15.00 W 916 GR~OSV~NOR Ail~ (°`~t"a~? ~°"St ~ Bldg. Permit ~ Address 0 (wiow~ie} , s0 Ci WIHltIPBfi s~rc.r,~`ye ty PhOne ~20~~ asZ-4~03 +~olStones Length 6~ Plan Review ~p Narne ~~~s~ +~'lp~~gs Depth ,j,~ SAC, City Address~~l ~~B~gW 1~~ s.F.7ota1 ~ Clty Phone 8~~~a S.F. Footprinls ~Z~ SAC, MCWCC ~1~ Q~~~ ~s~~ on s~te sewaqe ~ wate~ Conn Name s~~e we~i - wa~e~ Mecer Address~3Z4 tIN2VL?ilS1tY Ai/a #~109 MWCCSystem - City ST lAUL Phone ~1-1~39 City Water _ Acct. Deposit PRV Required _ S/W Permil I hereby acknowlege that I have read this a lication and state that the Booster Pump - SMI Surcharge information is correct and agree to compl with all appl' hle State of Minnesota Statutes and City ot EagaiOr ances. % ~ Treatment PI SignaNre of Permitee - APPROVALS Road Unit A Building Permit is issued to: ~'~~lES Planner - park Ded. on the express conditio~ that all work shall !7e done in accordance with all Council applicable 5tate of AAihnesota Statules and City ol Eagan Ordinances. g~, pK. _ Copies Building Official '-*`-:r s~~ V~^~ - TOTAL ~ 1~• ~ , S Permit No. PermH Holde? Date Telephone k WATER SEWER PIUMBING H.VAC. EIECTRIC Inapsction Date Insp. Comments Footings I Foundation Framing Rooling Rough Pibg. Rough Htg. Isul. Freplace Final Htg. Orstal Test Final Plbg. Pibg. Inspecta - Notify Plumber Const. Meter EngrJPlan Bldp. Firtai Dedc Ftg. Dedc Final Well Pr. Disp. ---~--,i~M-,..•~.T-- : . . . • . . . , . , .T . .--^.~-n..~--q..i~S'~IE_~[R_•..-., ' CITY OF EAGAN 104271 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT (CEN'i'BR UN1T) PHONE: 454-8100 Receipt # ` To be used for DZTACHED tiAlt Est. Value Date JUNE 17 19 91 Site Address - 1140 1OM L'6IRR8 DQIVE Lot -3 Block I_ Sec/Sub. 'IOi1l1 C?g 100 m OFFICE USE ONLY Parcel No. occuParvcy HML FEES Zoning rl-Jt-4 W Name ~TBR!'OitD APTS CORP/VL?ti'TANA DLY tnccuaqconst ~ BIdg.Permit iS.00 ~ Address 916 GRO$VSI~Q AVE (Allowable) surcnar9e City WINN1PEG Phone (204) 432-9503 # oistories 1-- Plan Review length ~ _ t~ Name DOR-SON COlIPAl~ilRS r~tn 4~ sAC, ciry 00i Address 2001 K1LA11M OR S.F. Taal ~ City ~TN Phone g~""" S.F. Footprints sac, Mcwcc On Site Sewage Water Conn ur), W Name FINl1 DANI19LS UOII$BARD on sae weli _ w Water Meler Address 2324 UNIIVSRSIIY AVB 1~109 h,~WCC System _ iW City $t pAUL Phone 641-1139 Citywater _ p"ct'Depos't PRV Required _ S/W Permit I hereby acknowlege that I have read this appf ation and'State that the Boos?er Pump - SMI Surcharge intormaiion is correct and agree lo comply vAh all aoolicabl State of Minnesota Statutes and City ot Eagan Ordin~ces. ~ t Treatment PI r Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: Planner - park Ded. on the express condition that ali work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Olf. - C0pies 1 s. Building Official - ~ ~ Variance - TOTAL : Permil No. Permit Holder Date Telephone k WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspsction Date Insp. Commer?ts Footings I Foundation Framing RooGng Rough PI6g. Rough Htg. tsul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector- Notify Plumber Consl. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. y ro/9i oa ~o p 75031,L3, /3/~0 Repuest pate ' Fra No. Roughtin Inspeclion ~ RaquiredT O(ReaEy Now ? WII Notiry Irrspector ` ? Yes ? No When ReedyR I I~I licensed contractor ? owner hereby request inspection oi above electrical work at: .bb Address (SIreN, Box or Routa No.) Ciy //W TOIV !Ti2 ~fIC11R .V Section No. Township Neme a No. Hange No. C nry ";z OcCUpertl (PRIN Phone No. Power Supplier Atldress Eleclriral CoMracior (COmpany Name) Conlractor5lkens o. 1 s 7~ 4",C- a o-3 47-5 - Maifing Adtlress (Conhaclar or pvner Making Installalion) 6 . i 'v ~ AulM~riz °SgnaWre (COnttaclorRlwner Making Iretellaibn) Phone NumCer ~~2 F 6/~ - - ,a G ~.L MINNESOTA SfATE BOAflD OF ELECTHICRY THIS INSPECTION REQUEST WILL NOT Grigga#1ltlwey Bltlg. - Raom S-1]3 BE ACCEPTED BV THE STATE BOARD 1821 Un{venRy Ave., St Paul, MN RiOC UNLESS PROPER INSPECrION FEE IS PMne (812) 602-0800 ENCLQSED. REQUEST FOR ELECTRICAL INSPECTION eeaw,,,-.. ~/~/91 ? See inswdions br complefing (his form on beck of yellow copy. fD ~J OOQ 04 J j ~ G 7_5 0 31 X" Below Work Covered by This Request e Add Rep: TypeofBuildin AppliancesWired EquipmentWiretl Home ~ Range Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial Furnace Fartn Air Conditioner OUier (specify) ConVactor9 Remarks: Compute Inspecfion Fee Below: # Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool ,2 0 to 0 Amps o ro 100 Amps e~- 3iS Transformers Above 200 _ Amps Amps 'JA Slgns Inspeaor6 Usa Onty: /OTAL Irrigation8ooms 1 ~~lD~.T ~~17 Special Inspection AIarMCommunication Olher Fee ~ I, the Electrical Inspector, hereby Rough-in ~ e 30 ~ certirythattheaboveinspectionhas ole 6een matle. Ji OFFICE USE ONIV ~ rTis requeat void le monms Iro. CITY OF EAGAN No 19272 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT (WgST UNIT) PHONE: 454-81 00 Receipt # a l T To be used for LFTACHED GAR Est. Value Date JUNE 17 1991 Site Address 1140 TOWN CENTRE DRIVE Lot 3 Block 1 Sec/Sub. TOWN CTR 100 HT OFFICE USE ONLY ParCel No. Occupancy M-1 FEES w Name WATERFORD APTS ^.ORP/VENTANA DEV zoning (qctuapCOnst PD~ R-4 BIdg.Permil $ 15.00 ~ Address 916 GROSVENOR AVE (204) (qllowable) -yn- 50 p _ Surcharge . City WINNIPEG Phone 452-9503 roistories -1- Lergth Plan Review o Name BOR-SON COMPANIES Depth SAG City ga Address 2001 KILLEBREW DR S.F. rotai -"00 sac, Mcwcc , City BLMTN Phone 854-8444 S.F. Foalprinls T200 yyater Conn On Site Sewage - 0. Name FINN DANIELS BROUSSARD onsaewen ~uw - WaterMeter Address 2324 UNIVERSITl AVE #109 MwCCSystem - aw City ST PAUL Phone 641-1339 Ciywacar _ oepos~~ PfiV Required - SM' Permit I hereby acknowlege ihal I have read this pplication pd state that the Booster Pump - SAN Surcharge iniormation is correct and agree to y with all ¢licable State of Minnesota Statutes and City of Eag dinances. Treatmem PI SignaNre of Pefmitee ~ ~ APPR~~A~S Road Unit A Building Permit is issued to: -SO vOMPANIE$ Planner - park Ded. on the ezprass condition that I work shall be done in accordance with all Council - applicable State ol Minnesot S tutes and Ciry Eag Ordinances. Bldg. Olf. _ CoPies Builtling Official variance - 707A1 ~ 15. 5~ ~ * CITY OF EAGAN NO .19271 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8700 C / ~Da~' BUILDINGPERMIT (~ENTER UNIT) Receipt# To be used for DETACHED 6AR Est. Value Date JUNE 17 ~ 9 91 Site Address 1140 TOWN CENTRE DRIVE Lot -.3_ Block I_ Sec/Sub. IQWN CTR 100 8TH OFFICE USE ONLY PdlCel NO. Occupancy M--j_ FEES Zoning Pn WATERFORD APTS ^ORP/VENTANA DEV -g-~+ 15.00 w Name " (Actuap const V 916 GROSVENOR AVE n- Bldg. Permil ; Add!@SS (Allowable) ytq- Sumhar e . 50 0 City WINNIPEG Phone (204) 452-9503 AolStories 9 Length Plan Reviaw o Name ~R-SON COMPANIES pavth ke- saGCiry g~ Address 2001 KILLEBREW DR S.F.Total ~ City BLMTN Phone 854-8444 S.F. Foolprinis r~0 snc, nncwcc On Site Sewage Z,-4DO Water Conn ~W Name FINN DANIELS BROUSSARD w W On Site Well - Water Meter i~ Address 2324 UNIVERSITY AVE #109 MwcCSystem - aW Ciry ST PAUL Phone 641-1339 cirywater _ Acccoeposn PRV Requiretl _ S/W Permit I hereby acknowlege that I have read this app ication an tate that the eooster Pump - S/W Surcharge inlormation is correct antl agre e to crorpply dh all ap ' abl ~ State of Minnasota Statutes and City of Eagan ces. , TreatmeN PI Signature of Permilee APPROVALS Road Unit / A Building Permit is issued to: BO ~ ANIES Pla^^ar - Park Oed. on the express tontlition that all work shall be done in accordance wilh all Council applicable State of Minnasota wtes and Ciry of agan Qrdinances. Bidg. 011. _ Copies ~ 15.50 Vari - Building ONicial ~ ance TOTAI • ' CITY OF EAGAN NO 19270 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT (EAST iTNIT) PHONE: 454-8100 Receipt # / ( To be used For DETACHED GAR Est. value Date JUNE 17 19 91 Site Address 1140 TOWN CENTRE DRIVE LOt 3_ BIOCk 1 SeGSUb. TOWN CTR 100 8T OFFICE USE ONLY PefCBI N0. Occupancy PL-L FEES 2onirg PSL.E-4 w Name WATERFORD APTS CORP/VENTANA DEV (qctua1) Const pn BWg.Permit $ 15.00 3 Addfess916 GROSVENOR AVE (Nlowable) .50 ° Cjry WINNIPEG phone (204) 452-9503 rofSmdes Surcharge Lenglh 60_ Plan Review $ Name BOR-SON COMPANIES Deplh 2tr- SAC, City ga Address2001 KILLEBREW DR s.F.roiai .700 snc, Mcwcc ~ City BLMTN Phone 854-8444 S.F. Footprints 11- On Site Sewage 1+00 Water Conn ~w Name FINN DANIELS BROUSSARD 0nsiteWel1 - WaterMeter x? Address2324 UNIVERSITT AVE #109 Mwccsystem _ Pd~ City ST PAUL Phone 641-1339 Ciry Water _ ~ Deposi~ PfiV Required _ S/VJ Permit I hereby acknowlege that I have read ihis lication and state that the Boosrer Pump - SM! Surcharge information is correct and agree fo comp with a app ~ able State ol Minnesola Stawtes and Ciry ot Eaga nances. ~ Treatment PI Signalure of Permitee ~ APPROVAL' Road Unil A Buiiding Permit is issued to: -S COMPANIES %a^^er - Fark Ded. on lhe express condili all work shall e done in accordance with a11 Council 4ha applicable Scate ol nnesot tatutes antl City f Eaqnn rdinances. Bldg. OH. _ Copies ~ 15.50 Buildinq Oflicial Variance - TOTAL S " "22 RENTAL UNITS CITY OF EAGAN N2 19269 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHONE: 454-8100 Receipt # 7o be used tor APARTMENT BLDG Esc Value $$14, 000 Date JUNE 17 1991 Site Address 1140 TOWN CENTRE DRIVE LOt 3 BIOCk 1 SeGSub. TOWN CTR 100 S OFFICE USE ONLY Parcel No. ocaPancy R-1 FEES Zoning PD R-4. WATERFORD APTS CORP/VENTANA DEV V-1 HR SPR $ 2,982.00 w Name (AC1uap Const Bldg. Permit ~ Address916 GROSVENOR AVE (aiio.anie) V-1 HR SPR 407.00 ° City WINNIPEG phone 204) 452-9503 ,roistones 3+~MT Surcharge 1938.00 Lergth 152, Plan Review + o Name BOR-SON COMPANIES Oepth 471- snc, air 2,200.00 AddressZ001 KILLEBREW DR 14 S.F.Total 28+~ sac,MCwcc ,300.00 ~ City BLMTN phone 854-8444 S.F. Footprinls 7-206 On Site Sewage Water Conn 14,520.00 IN Name FINN DNIELS BROUSSARD OnSiteWell - WaterMelar Address ?324 UNIVERSITY AVE #109 MWCCSystem City ST PAUL Phone 641-1339 City water Acct. Deposil 30•~~ PRVRequireO - S/Y?Permit I hereby acknowlege that I have read this a lication and stale that ihe Booster Pump - 50 S!W Surcharge . inlormation is correcl and agree to compl with all I able State of Minnesota Statutes and City of Eagan r' ances. ~ APPROVALS Treatment Pi 6,072.00 SignaWre ot Permitee Roatl Unit 8.140.00 A Buildinq Permi[ is issued to: Planner - park Ded. on tha express contlitior7}h t all work shall be done in accortlance with all Council applicable State ol Mi 6e t Statures and Ciry aga mances. Bldg. OH. _ Copies Building Official variance - TOrAL $50, 539.50 i ForOTfics~U" ~ CitY ~ of Ea~Il ~ Permit# I I Permit Fee: ~ 3830 Pilot Knob Road i i Eagan MN 55122 Date Received: ~ Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 I Stafr: ~ L---_ 2009 MECHANICAL PERMIT APPLICATION Date:2-Z3 en SiteAddress: ~ ~-Iv UK•~ Lc, Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: License#: Address: 1 b7 3 ~~d a City: State: ~ Zip: Phone: /7 3~~ Contact Person: L1'~r+ay~S TYPE OF WORK _ New _ Replacement _ Additional _ Alteration _ Demolition Description of work: 4!~~ Q:"-~ NOTE: Bofh roof mounfed and ground mounted mechanical equipment is required fo 6e screened 6y City Code. Piease contact the Mechanica! lnspector orohe of the ` Planners foi information on ermitted screenin mefhods. PERMIT TYPE RESIDENTIAL COMMERCIAL ~urnace _ New Construction _ Interior Improvement ir Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ EMerior HVAC Unit Heat Pump _ Under! Above ground Tank Install Remove) - " When installinglremoving tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Flfe fep8if (replace bumed out appliances, duclwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - - If Permit Fee is less than E1,000, surcharge is $.50. - If Permit Fee is > E1,000, surcharge increases by $.50 for each State Surcharge $1,000 Pertnit Fee (i.e. a$7,001-$2,000 Pertnit Fee requires a$1.00 surchar9e). $ TOTAL FEE I hereby acknowletlge lhat this infortnation is complele and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan; that I undersUnd this is not a permd, but only an application for a pertnd, antl work is no[ ro staR without a permfl; that the work will be in accoNance with the approved plan in the case of work which requires a review and approval of plans. X X", Applicant's Printed Name ApplicanYs Signature ' FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _ Rough In _Air Test Gas Service Test _In-floor Heat _Final Exterior HVAC_Screening Inspection 7635214090 ,62/16/2007 FRx 11:10 FAX 7635216090 MngeniC MN U001/001 Request for IQfarmation Date: February 16, 2007 To: City of Eagan, Code Enforcement Telephone (651) 675-5687 / Fax (651) 675-5694 Fmm: Teri Hovanec, The LTM Group 4150 Olson Memorial Highway, Suite 500 N1lIlIIeapolis, Minnesota 55422 Telephone (763) 398-4961 J Fax (763) 201-5842 Re: Waterford Place Apartments 1110, 11120, 11130,1140,1150 and 1160 Town Centre Drive Eagan, Minnesota L.JM Project Number. 07.03.0676 The LJM Group is a cansulting fum currently conducting a Property Condition Survey of the above referenced properiy. As part of the due-diligence process, and based on the Freedom of Informalion Act, we request your assistance by providing the following information from your files. For your convenience in responding, you may complete and retum tLis form or you may respond on another form, referencing the property name and location. Is the subject property regularty inspecbcd by your depar7nent? &1&&.U.UraP?CIlOlQ~.. CO-Yes [:[No Date of most receot inspecGon: bmr¢ f4 R ' 40 At!.) A-e-c.H 2~-"4 FY I Li I. h'rl Vl6l-?a`Il~N ~ ~ CO(¢. Are you aware of an unresoived buadin code violadons at ihe property? Yes tdo ff so, please list violations below and/or a ach of a copy of your inspec onU report SEE r+T7)0d-(+eO L1?itrR* • . Additionalinformation: iii-C 6 1136- ~ArF R Mm Pdf Q?9?rftM PUrr.cT Sq89fo LqewA ON 5Lf319 iAFiRJY+LS M &LTEt4R 61-06 llkD A>0 P4.fiLYbLtTS PULI.150 F6'~ ~ YT go ITI OE 1JtOLWTtnn)C PR~~aTU Mi41NT"FAS}f?L'!fP. !ue other documents aflached to this response fortn? ..............................................:.....RYes ?-No RespondentrFitle: MRRUAS!-C-JSR C~E E71~~A7i TFLtF Date:63-130'~ . Thanks so much for your assistance. August 15, 2002 VIA FACSIMILE: 763-546-0623 GIERTSEN CO 2010 E CENTER CIlZ #440 PLYMOUTH MN 55441 RE: 1140 TOWN CENTRE DR, UNIT #1 TO WHOM IT MAY CONCERN: I recently made an inspection of Apartment #1 at 1140 Town Center Drive and found that the carpet was soaked, sheetrock was wet, and there was 40% moisture in the wall cavity 2' high. Mold and water stains were present. It is our understanding that this is an ongoing problem. You need to find a solution to this problem so flooding of these apartments does not continue to happen with the rainstorms. The City of Eagan is asking that all wet items be replaced and that you apply for a building permit to fix problems in all units damaged by the flood. Please apply for a permit within the next ten days, or no later than August 30, 2002. Once a permit has been issued, you aze required to ca11 65 1-68 1-4675 for an inspection of these units. If you have any questions, please contact me at 651-681-4679. Your anticipated cooperation is greatly appreciated. Sincerely, Terry Zelenka Building Inspector , TZ/j s cc: Dale Schoeppner, Chief Building Official 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagau 71.41 rs p 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. commercial/industrial buildings multi-family buildings when separate permits aze not required for each dwelling unit Date -V / Gq Site Street Address 1144) 44 Unit q Tenant Name (if applicable) Previous Tenan[ Name Property Owner Telephone # ( ) Contractor , ~ _ ~ Stree[ Address A'' . • CitY .ineepw, i State ~ 8$1~ Telephone # ( ) r Bond Expires: The Applicant is _ Owner ? Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *'see below Interior Improvement _ Instali Piping _Processed _Gas . Nature of Work: **When installing/removing undergr nd tank, call for inspection by Fire Marshal and Plumbing Inspector P¢rlnlt F0¢S: $70.50 Underground tank installa[ioNremoval $50.50 Minimum (includes Sta[e Surcharge) or ContractValue $J~_ x 1% dCCGOd PermitFee • If ep rmit fee is $1,000 or less, add $.50 $ +1529 State Surchuge If permit fee is over $1,000, add $.50 for every $1,000 pe rmit fee $ -.LlJ Total Fee 1 hereby apply for a Commercial Mechanicat Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work ~ ill be in accordance with the approved plan in the case of work which requires a review and approval of plans. , `S9IW&r( Applicant's Printed Name ApplicanPs Signature Approved By: lnspector Da[e: ~ JUL 15 20~4 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS TNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS ~ Z2~_# OF RENTAL UNITS - # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE YERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. APqRTMC-NT To Be Used For: BLDG,. FEr-,r.n,r Valuation: ooQ!~ Date: IA_..., Site Address 1c~'~ OFFICE USE ONLY 1991 Lot 3 Block ~ FEES F~S - Occupancy R-I 1Q,xJ GZNT,--V- 10o Zoning PD R-H Parcel/Sub ~ Actual Const -1!i S R Bldg. Permit $ O V~'a W/~¢~oa.p /~Wr~2sr-u-~i Gof+P. Allowable V-1HR SP(Z Surcharge 4lo~, H07.01 O~aner L/~ VL'1-IT/b-~R ~.ie.aPr~sr+- GacP• # of stories 3+ BSMT Plan Review I S. 38-~ Length ISL' SAC, City 2 W• O Z~a Address °f1(.v C~p~oc.-?~-io~+ A~n,-,_wE Depth y7` SAC, MWCC 1 OD, q 3~'0 S.F. Total Z$640 Water Conn ~ 0, O 452~.a City/Zip Code Footprint S.F. ~20$ Water Meter Acct. Deposit ~ Phone 452- 950-5 On site sewage_ S/W Permit o0 30•00 On site well S/W Surcharge 150 150 Gontractor y--~.,J MWCC System v Treatment Pl. $ 400 7Z•a City water ? Road Unit 9 O 00 y0 a Address Zc>ot PRV _ Park Ded. Booster Pump Copies - ~ City/Zip Code ~1rx~rn~..l~ra..~ i v`~Ir~• 55du', SUBTOTAL 61.. 0 APPROVALS Penalty Phone ( 021 RS4- F3~{tki- Planner _ TOTAL Council Arch /Engr. Fi,.x~ D&~z-u Bldg. Off. Variance Address -ZS74 U~1,J6PSi1- Pr-,tS City/Zip Code Sr Arau,r~~. Ss~~4 Phone #((yl~~ 64I-f33-1 T--3r~~ L~~r_ i ~ ~ ~ (y 1990 BUILDZNG PERMIT APPLICATION CITY OF EAGAN . SINGLE FAMILY DWELLINGS ?SULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFTCATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY lAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES IdILL BE ALLOWED ONCE BUILDING YERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SH012 A LICENSED PLUMBER. DETACHEIJ GARACa'E To Be Used For: (T-AST E,INIT) valuation: yk Date: 9 -zxn' --To i lllC Site Address I cwa 6'6~ ¢,r-- 'D21.~6 OFFICE USE ONLY Lot .3 Block ~ FEES 199-- °~5 Occupancy M-I GzsVTe-r 100 2oning PD R-4 Parcel/Sub Actual Const V-N Bldg. Permit ISiOD V•Jnn~ /jPA=-r~..xS G.opn. Allowable V-N Surcharge ,50 Owner Vl?-I'rAw~R ~..e.oPr~c,~ C~vP• # of stories ( Plan Review Length ~p SAC, City Address °)i(y GP,o=rJe,toa Depth 20 SAC, MWCC S.F. Total I ZDO Water Conn City/Zip Code Wi.,J IPEC~. P,3M Footprint S.F. 12 00 Water Meter Acct. Deposit Phone °1503 On site sewage_ S/W Permit On site well S/W Surcharge Contractor Enry--S.'-3 MWCC System _ Treatment Pl. City vater _ Road Unit Address zc>ol PRV _ Yark Ded. Booster Pump Copies City/Zip Code 554 7., SUBTOTAL ~ o APPR07ALS Penalty Phone ( oZ1 9,:74- 84" Planner _ TOTAL Council Arch /Engr. f i,w„ D~,a.s, E-C~n,;,., Bldg. Off. Variance • Address 23r4 Ur-ii.r6e_s,TM PAS ~ Il`kWDEP ` ?N . APAr<%rcNf- VAlURT1c>N City/Zip Code Sr Priu, r,%. <5s114 Phone 3t ((91?) (a¢I-~33~~ i ! 1990 BIIILDING PERMIT APPLICATION CITY OF EAGAN . SINGLE FAMILY DWELLINGS . TfULT2PLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS ik OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. lAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORR'ER LOTS.- CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOk' A LICENSED PLUMBER. DETACHEp G~R~G,E To Be llsed For: (CEN-rM UN IT) Valuation: ~ Date: 9•zo-C?o 110 Site Address 'I ca,.~a C&vc L1yu..'6 OFFICE USE ONLY Lot 3 Slock ~ FEES I4191 Rm Occupancy M-I 100 ~~Apc Zoning GD R-4 Parcel/Sub Actual Const V-N Bldg. Permit DO Wn~¢_(-'o¢p '/aPFxcrN.sR1 Go-f'. Allowable V-M Surcharge ,SO Owner L/~ Vt,~-Ft/wt+, ~.~e,aPna~ G.orP. # of stories I Plan Review Length (10 SAC, City Address °Ji(y GjAJC>-1•./e~40a Depth yp SAC, MWCC S.F. Total 2400 Water Conn City/Zip Code Wl",JlPas. ~~i.,Ar», p.'aM Footprint S.F. 24100 Watez Meter Acct. Deposit Phone tkZ- 95o, On site sewage_ S/W Permit On site well $/W Surcharge Contzactor MWCC System _ Treatment Pl. City vater Road Unit Address ?A>oI ~u.Z7p,¢e.~, r>a.,,,c PRV _ Park Ded. Booster Pump _ Copies City/Zip Code Me,-5.554 SUSTOTAL 1 SO APPROVAI.S Penalty Phone S(o%71 q":;4- f44zt Planner _ TOTAL Council . Arch /Engr. fiw„ L~a~-u F~C. .sp~ Bldg. Off. Variance • Address ~Z3:k Ur~~.i6~_s,-r+ ~S 4`1,,c1 (3ity/Zip Code Sr Pnsu., f"~,~. Ss~A k 1NCI.UDG,~D lIq AP4(2'TMEW A1.UA'n0S Phone 3t (o¢I-0,15:3c) T-)^,~ nF.~ i ! 1990 BUILDING PERMIT APPLICATION CITY OF EACAN SINGLE FAMILY DWELLZNGS TNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SUAVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS 7F OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANCE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER MSJST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. DC-rAr- HED (A a'RAGE To Be Used For: (WEST UN IT) Valuation: Date: 9-?.L-)-°lo 110 Site Address 1 OFFICE USE ONLY Lot 3 Block FEES 1951 Fe@S Occupancy M' G,s,J Czr'T&r_ bo Ew"WJir Zoning P'p 'R-4 Parcel/Sub Actual Const V- N Bldg. Permit 15,00 1n~nresr{oa~ pPA~rr~Sw~S C..oeS'. Allowable V-N Surcharge )SO Owner Vo-It'fwp~ 12Eve.,oPr~s'+r GerP• # of stories I Plan Review ' Length (m0 SAC, City Address 9i(y Up.oc.•,/g.do~ 14,n,tDepth 30 SAC, MWCC S.F. Total IZOa Water Conn City/Zip Code Footprint S.F. 1200 Water Meter Acct. Deposit Phone (10 ¢ On site sewage_ S/W Permit On site well S/W Surcharge Gontractor MWCC System _ Treatment Pl. City vatet _ Road Unit Address ?'='01 PRV _ Park Ded. Booster Pump _ Copies City/2ip Code 554 SUBTOTAL I550 APPROnALS Penalty Phone ( 021 R,=74 - 84dd- Planner _ TOTAL Council Arch /Engr. f i;w, D2,~,-u, Fy~c.~ Bldg. Off. Variance • Address 21Z-F Ur4l.ims.YY A-tS '`i0c1 , City/Zip Code Sr Qmx, M~. <;s jj4 ~TNCLUDE'D i N ApA'R7ME47` 1/ALUqTlcr4 Phone # ([p1?~ Co41-1':53c1 T.--*).aa rx~~ i ! CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT KNOB ROAD . ' EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O J~l kSg"mm DATE: ~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON _ SHOWER 3.00 REPAIR _ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: _ HOT TUB/SPA 3.00 WATER HEATER 3.00 LOT: BLOCK SUBD. _ FIAOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: _ OTHER WATER SOFTENER 5.00 CITY: ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE SUBTOTAL $ - -ST.•SURCHARGE .50 ' SIGNATURE OF PERMITTEE ' TOTAL: $ POMMERGZA7,~fiNDUST&IAT.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ~ ' MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. lo _ CONTRACT PRICE: J`~CJ fo (1 /J FEES OWNER NAME: ~~'S ~ 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: ~~7`G ~8Zt1Y1 ~v .CY~? . EACH $1,000 OF PERMIT FEE. LOT:~ BLOCK ~ SUBD. L60$25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ S64' •0_0 ADDRESS : ~ Lo ~U C~@ 7.c~« ~N ~ ~ _ STATE SURCHARGE $ CITY: ZIP: ~ S~ ~ • `~L> PHONE 44 TOTAL: GNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD ~ • SAGANf.MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # d o75 DATE: xu . : <c . PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ SITE ADDRESS: STATE SURCHARGE: .50 LOT: BIACK SUBD. TOTAL: $ INSTALLER: ADDRESS: SIGNATURE OF PERMITTEE CITY: ZIP: PHONE CoHM~CtplIAI.PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRICE: 6'SA'~~ - FEES OWNER NAME: Ag-1-.L'» 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR SITE ADDRESS: II 4IU ~//yL11_1ya ~1,.n~iA~ not. EACH $1,000 OF PERMIT FEE. LOT: ~ BLOCK I SUBD.OGhL $25COOSMDNIIMUM N FEE, $25.00 INSTALLER: nr~4iTis,K CONTRACT PRICE x 18 $ ~S3.G0 ADDRESS : HfA?MG 6 AIR CONDITIONING C0. S„a p'rqnynA~~ sp STATE SURCHARGE $ elra LfiNNFAPOLIS, MN 55420 CITY: L'-M ZIP: TOTAL: $ ~s~Iv PHONE os' 4zL)~.ri( • ~ll2l~m~~, . (SIGNATURE~ FOR : CI OF EAGAN MEMO T0: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AIIGUST 23, 1991 SUBJECT: Streetlight Energy Charges for Lots 1 and 2, Block 1, Town Centre 100-5th Addition and Lots 1 through 4, <3 Block 1, Town Centre-8th Addition - Located at 1110 through 1160 Town Centre Drive Waterford Apartments Owner - Ventana Development Corporation This memo is to inform your department that effective October 1, 1991 you can start invoicing the streetlight energy charges as listed below to the following 6 parcels in the Town Centre 100-5th and 8th Additions. These parcels are to be billed at the continuous streetlighting rate of $18.00 per acre per quarter. Plat and Parcel Address Area Rate Stlt. Otrlv. Acres Acie Energv Charee L1, B1, Town Centre 1110 Tn. Ctr. Dr. 2.02 Ac. $18.00 $36.36 100-Sth L2, B1, Town Centre 1120 Tn. Ctr. Dr. 1.71 Ac. 18.00 30.78 100-Sth L1, B1, Town Centre 1160 Tn. Ctr. Dr. .97 Ac. 18.00 17.46 100-8th L2, B1, Town Centre 1150 Tn. Ctr. Dr. 1.31 Ac. 18.00 23.58 100-Sth L3, B1, Town Centre 1140 Tn. Ctr. Dr. 1.26 Ac. 18.00 22.68 100-8th L4, B1, Town Centre 1130 Tn. Ctr. Dr. 1.33 Ac. 18.00 23.94 100-8th TOTAL QUARTERLY STREETLIGHT ENERGY CHARGE $154.80 The City is currently being billed by Dakota Electric for the streetlight energy cost along Town Centre Drive. Ed Kirscht Sr. Engineering Technician cc: Michael P. Foertsch MPF/jf MEMO T0: DIANE DOWNS, UTILITY BILLING CLERK FROM: EDWARD J. KIRSCHT, SR. ENGINEERING TECEi DATE: AUGUST 26, 1991 SUBJECT: REF COMPUTATIONS FOR IATS 1 AND 2, BLOCK 1; TOWN CENTRE 100-5TH ADDITION AND LOTS 1~ THROUGH 4, BLOCK 1; TOWN CENTRE 100-8TH ADDZTION - LOCATED AT 1110 THROUGH 1160 TOWN CENTRE DRIVE - WATERFORD APARTMENTS OWNER-VENTANA DEVELOPMENT CORPORATION This memo is to inform your department to start to invoice the REF's for the following 6 parcels effective October 1, 1991 in the Town Centre 100-5th and 8th Additions. My computations are based upon a site plan dated September 4, 1990 prepared by James R. Hill, Inc. Plat and Parcel ddress Area Imperm. REF's Total Acres Surface Acre REF's Town Centre 100 - Sth Lot 1, Block 1 1110 Town Ctr. 2.02 Ac. .68 Ac. 2.38 4.81 Lot 2, Block 1 1120 Town Ctr. 1.71 Ac. .77 Ac. 3.04 5.20 TDTAL 10.01 Town Centre 100 - 8th Lot 1, Block 1 1160 Town Ctr. .97 Ac. .43 Ac. 3.00 2.91 Lot 2, Block 1 1150 Town Ctr. 1.31 Ac. .68 Ac. 3.44 4.50 Lot 3, Block 1 1140 Town Ctr. 1.26 Ac. .66 Ac. 3.44 4.33 Lot 4, Block 1 1130 Town Ctr. 1.33 Ac. .65 Ac. 3.26 4.34 TOiAL 16.08 u~ Edward J. Kirscht Sr. Engineering Tech cc: Michael P. Foertsch EJK/jf /DO 8 ~ KSHO RANDIIlt TO: TOM HEDGES, CITY ADMINISTRATOR FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: OCTOBER 31, 1990 RE: ~ AIATERFORD APAItT!lENTS`& THE 1988 BUILDING CODE Following ie a list of events that have taken place with regard to the Waterford Apartment project and the applicant's request not to pzovide the buildings with a fire sprinkler system. 1. The Waterford Apartment project has been submitted to the City on and off for approximately two years. 2. On July 16, 1990, the 1990 State Buildinq Code was adopted. The requirement Por fire sprinkler systems in the Waterford Apartments is part of that Code. 3. The Eagan City Code requires compliance with the State Building Code and is currently beinq updated to the 1990 State Building Code by the City Attorneys Office. At present, it requires compliance with the 1987 State Building Code. 4. The Ventana Corporation should have been aware of the requirement for the fire sprinkler system as it is stated in the 1988 edition of the U.B.C. which is adopted as part of the 1990 State Building Code and has been available since 1988. Although the process for adopting the State Building Code can be very lengthy, it is possible to track it and be aware of the timinq of its adoption. 5. After adoption of a new Code, the Cfty qenerally allows a grace period for development that has been in the planninq process. The length of time allowed has depended on the type of project, how lonq information on the new codes has been available to the public, and when the new code documents are available for purchase. 6. In Auqust 1990, the Ventana Development Corporation contacted Dale Runkle regarding the requirement for fire sprinkler systems in all, or part, of the project. At that time, they were informed that the two buildinqs proposed for the platted lots could be built without the sprinkler system. The remaininq buildings would have to comply with the requirements of the Code in effect at the time of permit issuance. Although no date was set as a deadline for applyinq for'the first two permits, it was our understanding fram the urgency of their request that it would be within the month of August. The next contact we had with Ventana was in mid-October when James Stirton met with the Inspections Department to aqain ask about deletinq the fire sprinkler system from the project. At this tfine, we informed him that we would still honor the aqreement to allow the first two buildinqs to be constructed without the sprinkler system if the permits were issued by November 9, 1990. We also informed him that we could not approve the request for elimination of the sprinkler system on the remaining buildings because by the time the platting was completed, it would be too long after the July 16, 1990 adoption of the new Code to justify it. We discussed his options as follows: a. Request the council to approve issuance of the permits for the remaininq buildings immediately upon completion of permit application submittal and prior to platting. b. Request the Council to overrule the State Building Code requirement. c. Pick up permits for the first two buildings by November 9, 1990, building them as agreed, and build the remaining units with the fire sprinkler system. d. Discontinue the project. It is the opinion of the Inspections Department that unless the Council approved issuance of the permits for the remaininq buildings prior to platting, we should not allow those buildings to be built without fire sprinkler systems. If the Council chooses to do that we would like the following conditions placed on the approval: CONDITIONB: 1. The permits for the first two buildings must be paid for on/or before November 9, 1990. 2. The permits for the remaining buildings must be paid for by November 16, 1990. 3. The plat must be recorded by a date approved by the Council. 4. Construction of the remaining buildinqs must beqin within 30 days of the final plat. We would like the Council to understand that if there was a fire in one of the buildinqs, and the question of why they were not sprinklered came up, it would be their responsibility to provide an answer to that question. DR/js ` Cq~ 3121 ~ D D/1 q q ~ ~ r7F a TF- ~ q,i. CASH RECEIP7 C;ITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE nECE J ~ L ~'Le L ~ ~ ~I/ AM~OUNT S ~KEE DOLLARS / m ? CASH \~(CHECK ~ C-t--c-- AMOUNT FUND OBJECT ~ ~s ~ 9 S"a i Thank You C 016407 . vvww'aY°" c°°" Yelbw--P~M coPY Y , Pink-FJeCWY . August 15, 2002 V1A FACSIMILE: 763-546-0623 GIERTSEN CO 2010 E CENTER CIR #440 PLYNIOUTH MN 55441 RE: 1140 TOWN CENTRE DR, UNIT #1 TO WHOM IT MAY CONCEFtN: I recently made an inspection of Apartment #1 at 1140 Town Center Drive and found that the carpet was soaked, sheetrock was wet, and there was 40% moisture in the wall cavity 2' high. Mold and water stains were present. It is our understanding that this is an ongoing problem. You need to find a solution to this problem so flooding of these apartments does not continue to happen with the rainstorms. The City of Eagan is asking that all wet items be replaced and that you apply for a building permit to fix problems in all units damaged by the flood. Please apply for a permit within the next ten days, or no later than August 30, 2002. Once a permit has been issued, you are required to call 651-681-4675 for an inspection of these units. If you have any questions, please contact me at 651-681-4679. Your anticipated cooperation is greatly appreciated. Sincerely, Teny Zelenka Building Inspector TZ/js cc: Dale Schoeppner, Chief Building Official City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office U Permit #: Permit Fee: 7-5 Date Received: Staff: 2011 COMMERCIAL BUILDING PERMIT APPLICATION ,11 Date: `J — (" I I Tenant Name: Site Address: ItLtc Tvc4A) C; r� pp_ J (Tenant is: New / Existing) Suite #: Former Tenant: PROPERTY OWNER Name: (2 -CA CogLT 0 Phone: q512..:- 5 (Z A 05-6t ` Address / City / Zip: f� 1 O cc cal? Tl' t 1 P, -K u/4, foray PitAup-16 Applicant is: )c Contractor gf."1 TE (o'% TYPE OF WORK -Owner Description of work: rAg-o f AMP JP tfRUcl-- Of �U i t- D)Ai ti i4Ni7 CG+NT - �+ Construction Cost: J1,tsoii .. 00 MCI 6' CONTRACTOR Name: WALKER ROOFING CO INC License #: 17 219 WES i WAY EX I EHIURS INC Address: 2274 CAPP ROAD City: SAINT PAUL, MN :,5114 (651)251-0910 State: Zip:!! Phone: Contact: 16)C Email: A $i -G WA( -IC --(t-ivoriNLI , ColK `� 12 ARCHITECT / ENGINEER Name: iJ/A Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whi�h^^^ ^ •^ ^ •� and approval of plans. x ANDY Applicant's Printed Name x Applicant's'$ignatiire Page 1 of 3 �i30 1)r 1,11 City of Eaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 (0343(-f r M#4st r Use BLUE or BLACK Ink For Office Use Permit #: 104,233 Permit Fee: 404 • 37 Date ReceI ECDV D Staff: MAY 1 0 2012 56 t I 2012 COMMERCIALr,BUILDING PERMIT APPLICATION .✓ ! 0 l 1 -- Site Address: 1 Ili c (_ � � C't% '� ✓t s� �--. Tenant Name: (Tenant is: New / Existing) Suite #: Former Tenant: Name: AP/e&-ell'/K4/1 w • one: Address / City / Zip: /(300 Com" tit'kC`2 r,' V�-- Applicant is: Owner Contractor Description of work: Re MO ' Construction Cost: 2 ) 0 (Jc4(1 ; Lk at/cid( Name: /) At Cal`Skit-INkt"-( - License #e(--171-57/5 City: /&' &a-10 6 /2 - 65- f7& - Address: / 8 L �' State: / /A) Zip: Contact: fr- 4l Phone: Email: • Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of w yvhi re r s �j iew and a • z royal of plans. Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES /Foundation I/ Commercial / Industrial Apartments Miscellaneous WORK TYPES New /Addition 1f Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan ReVow (25% 100%) Census Code #of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage d42 000 ys REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) / Footings (Addition) ,4ti '� Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Decking _Insulation _Ice & Water ✓Framing Fireplace: Rough In _Air Test Final Insulation Meter Size: Final Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant ,�Oo7 %►1580- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: ///Z£Ca Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes t No Reviewed By: /i4(k L- , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 33c1,025- 10.06 3c1,as 10.06 537 /0. Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL LA 37 Page 2 of 3 Cly of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 12-26-13 DEC 302013 Use BLUE or BLACK Ink For Office Use Permit*: "GG0 5 Permit Fee: V% 0,(3) Date Received: 1 ?1" J' 3 Staff: 2013 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Site Address: 1140 Town Center Dr. Tenant: Waterford Place Townhomes J Suite #: Name: At Home Apartments Phone: 651-225-8227 Address / City / Zip: 616 Lincoln Ave., St. Paul, MN 55102 Applicant is: Owner XX Contractor Description of work: Fire alarm system upgrade Construction Cost: $2,145.54 Estimated Completion Date: Name: Electronic Installations, Inc. License #: TS000227 Address: 11545 Lakeland Dr. #102 City: Maple Grove Zip: 55369-3663 Phone: 763-425-8850 Contact: Chris Meehl New Addition X Alterations DESCRIPTION OF WORK: Email: chris@eiisecurity.com Remodel XX Other: update fire alarm to addressable and add cellular communicator XX Commercial Residential Educational FEES $55.00 Permit Fee Minimum *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ 2,145.54 x .01 = $ 60.00 Permit Fee = $ 5.00 Surcharge* = $ 65.00 TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Chris Meehl Applicants Printed Name FOR OFFICE USERev Required Inspections: Rough -In " Final x Applicants Signat re 9/25/15 04:23AM PDT Allan Dorney Construction -> 651675569 Pg 7/9 *City 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-3675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Moe Use Fend -5311 7 ' -z Pent Fee: `�� Date Received: Staff: L 2015 COMMERCIAL BUILDING PERMIT APPLICATION Date: 'f" a 5- / S Site Address:_ 1, 9O lawn tr �{//'� �•� Tenant Name: (Tenant Is: New / _211;dsting) Stilted: Fonar Tenant: Property Owner Name:4/Pf 6 ece_ a sadue.ze Phone: _ Address / City / Zip: G/G iir.r t4.4Ab .10.• 5/ A.,1 Wt) .5",5-1/0 A. Applicant le: Ovmer . Contractor 'type of Work Description of work: Aron ere_ a., d lets pIse * S •'d. 3 is ,►► GQ.•ts w• S Construction Cost / - • 3 Address: r/r �R c:v� J'� S/ 44 Cily; J 6 M /t'9 Contact: „_�(!� �t lakJ'_ h s yEmall; Ae I l e r/h •r c6r,i ✓ . t ai ArchitteatIEngineer Name: Registration #: Address: City: State; Zip: Phone: Contact Person: Email: Licensed plumber Installing ogly sower/water service: Phone #: NOTE: Plana and auppordn9UOCWfl i„ ta..N atyou aubnftaa conakfirravdtlo i:bapublia Intonnadon.. PPOOdonp of the letbnatlon may ba cleadlf as 'netiPublio ll you proWW/* speedo s thatwauld pa m t tha.01Y to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4640002 for protection against underground utility damage. Call 48 houm before you Intend to dig to receive locates of underground utilities. www.sooherstateonecallorg 1 hereby acknowledge that this Infomtaton le complete and accurate; that the work will be In conlornance with the ordinances and codes of the City of Eagan; that 1 understand this la not a permit, but only an application for a permit, and work le not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. x Llai VU r/ /oi r h n Applicant's Printed Nam( Page 1 of 3 Z/ZZ/16 U:3tiAM Per Allan Dorney Construction -> 651675569 Pg 4/5 QtyofEa,an 3130 Pilot Knob Road Eagan MN 55122 Phone: (651) 6764675 Fix: (651) 6754694 RECEIVED v03111°1' r 1 Use BLUE or BLACK Ink For Ms Use Permit ft: )g Pump Fee: OsI, Received: , 117° Mat 2016 COMMERCIAL BUILDING PERMIT APPLICATION Ode: 62-02a 6Me Address: Tenant Name: (Tenant Is: New lj Erdabng) Sults!: Former Tanent: 1 Property Owner Name: ii/ S/,1 ,J Ar` T.rALo..+,f LLQ__ Phone: , Address / City / Zip: 4,i , .4.n c ski ,isoci ,S/. Owe *V 6'S%0-- AppUcant is: Owner k-conasetor Type of Work �. Description of workitmodA0 40•d/ /111141, or SU; Q^ Ar7"1 'q.+•4%ll o r hi.:1,/,'� Construction Cast:' / � SOO ' Contractor .-.� ... Nems: r it t/iw ANN . ps License # Address: M''/' h/.ycon)o Si we City; igtotifilt State: /'1't Zip; SS 304 Phone: p/d' 74J'/719' Contac i T •, 01 It k n f Email:: l P- 1 A- - A P 1 C o 10'1 ArchltectlEnglneer ,_ Name: _ Registration #: Address: : State: ZIp: Phone: Contact Person: Email: Licensed plumber Instating 11G0t aewerMwter service: Phone t;: NOTE: Plans andsupporgng documents that you submit are considered to be public btbnnatlat. Parona of the information maybe classified as non-pub/ie /f you provide apawMe mesons that would penton the CNy to conclude nkat they are nada secreta. CALL BEFORE YOU DIG. Call Gopher State One Call at loll) 494.0002 for protection against undargrotwnd utility damage. Call 48 hours before you intend to dig to receive locates of underground utilitias. www 000herstateonecall:ora I hereby acknowledge that this Information ie complete and accurate; that the work will be in conformance with the ordinances end codes of the City of Esgen; that 1 understand this le not a permit, but any an application fora permit, and work le not to start without a permit; that the work will be in accordance wth lite approved plan in the case of work which requires a review and approval of plans. x Opntt.. / 241, s', S A_ t 7 Amiliasnfe Printed Name Page 1 of 3