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1185 Town Centre DrJ u 1. 26. 2011 1:45PM City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No. 6933 P. 3 Use BLUE or BLACK Ink Etc. Permit it: Permit Fee; Date Recei Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATI: N Date: 7/2 7 // ( Site Address: , I fCS G i.��+^ C4evt kC 0 le - Tenant: frOGfn C -e ifre /b-LC;s,,_ Suite a: PROPERTY OWNER Name: 6- k,rciA Covvt pc%nr'. * Phone: CONTRACTOR A Name: K w i ► ,c l^- i°di IIi .C^Lr License #: 41 (b 1 A kh Address: 7%0 I- .w., 1,I& Or Cily: 61.4-cl State: rytvtZip; SS7(1 Phone: (S ( / G 2 2 f 4 LJ Email TYPE OF WORK ♦ New Replacement Repair k Rebuild Modify Space Work in R.O.W. _ _ Description of work: PERMIT TYPE COMMERCIAL New Construction Modify Space _ Irrigation System ( yes/ no) (_ RPZ / PUB) _ _ 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 nickintl uo meter. Domestic: Size & Type Fire: 1 Avg. GPM Nigh demand devices? Yes ._No Flushometers Yes _No COMMERCIAL FEES: $55.00 Minimum (includes Required - If the Egg)* Egg Is less - If the permit Egg is > $10,010, State Surcharge) OR Contract Value $ x 1% - S Permit Fee on ALL new buildings and boulevard Irrigation systems 4 = $ Radio Meter Read than $10,010, the surcharge is $5.00 = S Meter(s) the surcharge increases by $.00 for each $1.000 Permit Fee Permit Fee requires a $6.50 surcharge) = S Slate Surcharge (i.e. a $10,010411.000 Following fees apply Call the City'; Engineering when Installing a new lawn irrigation system. $ Water Permit Department (051) 6154040, for requited fee amounts. S Treatment Plant S Water Supply & Storage $ State Surcharge TOTAL FEES $,, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ortt I hereby acknowledge that ahts Information is complete and accurate; that the work will be In conformance caret tete ordinances and codes of the City of Eagan: that I understand this Is not a permit, but only an applicatkm for a permitend work Is not to start without a permit; mat the work will be in accordance with the approved plan In the case or work which requires a review and approval of plans. o x S r ve Applicant's Printed Name Rapti ant's Signature S FOR OFFICE USE Approved By: Dater Required Inspections: _Under Ground _Rough•In ; _�►ir Teal Gas Test •_Final PRV Required: Yes — No Page 1 of 3 City of Ea~~~ October 17, 2008 Mike Maguire MAVOR Welsh Construction 4350 Baker Rd Ste 400 Minnetonka, MN 55343 Paul Bakken F Peter Herfurth Trust Managing Partnership Cyndee Fields 1515 Hunter Dr Meg Tilley Wayzata, MN 55391 COUNCIL MEMBERS Thomas Hedges Re: Landscape Inspection CITV ADMINISTRATOR 1185 Town Centre Dr, Eagan MN 55122 In June of 2000 a$S,OOO landscape security deposit was submitted to the City of Eagan in conjunction with issuance of the building permit for construction of the building at the above referenced location. These funds aze eligible for release to the depositor at this time. MUNICIPAL CENTER 3830 Pilot Knob Road p~ease note that the property owner continues to be responsible for maintaining the health Eagan, MN 55122•1810 of all plantings on the property. In accordance with section 11.70 of the Eagan City Code, 651.675.5000 phone the property owner must maintain all landscaped areas, and install healthy replacement s5i.s~s.so~2 fax plants for any plants that die or aze removed due to disease. Maintenance shall include 651.454.8535 TDD removal of litter, dead plant materials, unhealthy or diseased trees, and necessazy pruning. MAINTENANCE FACILRY ~ inspection will be conducted by city staffnext spring/summer to verify that the condition of the landscaping is acceptable under city code. Thank you for your attention 3501 Coachman Point to this matter. If you have any questions, please call me at 651-675-5684 or Planner ea9an, nnN ss~zz Sazah Thomas at 651-675-5696. 651.675.5300 phone ~ 657.675.5360 fax 651.454.8535 TD~ Sincerely, ~n ~ _ www.cityofeagan.com ~ ~ Fran Doherty Plazining Department cc: Sarah Thomas, City Planner THE LONE OAK TREE The symbol of strength and growth in our communify. ~ ~ s~ ~ s ° 2066 COMMLRCIAL PLUNIBINC~i PERMIT APPLICAT[ON CITY OF EAGAN 3830 PILOT KNiOB ROAD, EAGAN MN 55122 651-675-5675 Date I I l Sp~\ _'_l , Sih Address ~ d N GY T I~ Unit # tcV {'b1 t~t^ Tenant Name ~ ~ Fornner Tenaot Name Properly Owoer ~Ql fY1Q. TelepAon~ ~~7 )`j 'Jr~j ~a~ CootraMor ~ p u? 1J ~ ~ 1,1,K11 ~ I Yl%1 V1L Address ~ ~ rj Z ~.Q City ~ ( ~ 1LC sa~ YY1 rJ ziP Telephone # rp I-`"7D `89 License # ~'r'J 3 3~~'~ Espires: I~ 31 '~Qb~ 7Le Appticant is _ Owner _ Conbactor _ O[her Work Type New Bldg _ Modify Space Irdgation Syatem•* Yes No Work in pubiic r-aw / easement? _RPZ _ PVB: New _ Repair/Rebuild Replace _ Remove Rain sensors are uired on lrri don tems Deseriptioe ot Work ~11CLLt ~ Q ~'t''O ` nCSI~( ( I a"1 W~- ~ To inquire if Pressure Reducing Valve is Rquired on new service, 6 1-675-5676 Meten - Ca11651 fi73-S3W to verify that hydrostatic, conductivity, and baaeria tes4s pacsed prior to oklcin¢ un meter. ]rtigation Size &'Cype Avg GPM 2" dubo req'd unless smaller size allowed by Public Works Firo Size & Price 3/4" meter 16 Domestic Size & Type Avg GPM Includes high demaed dev ~ Yes _ No Ffas6ometers _ Yes _ No PRV Required _ Yes _ No ~~S Permit Fet 350.50 mrnimum (ineludes 3Wte Snrchrrge) AU~ I 8 z0p6 ColAractValuc $ .:1(~(/ r x 1% = S ~1~- ~D PcrmitFea $ Meter(s) Required on all n~ bui~d"mgs & boulevard imeation systems $ ~,T Radio Meter Read $ ~ ~Ll State Surchazge If oem~it f~ is kss ILan St,00D, mrehar`e is 5.50 If o~mmrt fee b morc Wpe 51,000, sarcha'ge ic S30 for eaeh 51,000 owed. Followmg fees apply when ioetelliug eew lawe irrigaNon system $ Water Permit Call the City's Fsgineaing Departmen4 651 •67S56d6, for requiiod fa emounts $ Treetment Plant $ Watcr Supply & Storage $ Smte Surchsrge $ ~~~L Total Fee 1 hereby apply fw a Commereial Plumhing Permi~ end az:knawledgc thal Ihc infnmmlion is ~nmplde and ercura~e; Ihnt ~he work will 6e in confwmanm wrth Ne mditmnces aM codes af tl~e Ciry af Eagen and with tlw Plwnbing Codes: that I wderstand this is not a pcmii~, but anly an ap~diiation for a pennit, and wak is m~[ to I GS stert wiltrout a permit: Ilw~ Ne work will be in ecrn a with Ihe approveA Plan in N~c cax of work which rcqui~cs n icw emt appmral of dnns. m ~c.~~ C~l~.f~r,G~-~ A IicanPs Printed ame Applicant's Signature . . . ~ 1~8~ .~q ~ 2~ ~2 2006 COMMERCIAL BUILDIN~i PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ l' P~' . . • . - • - . Struclural Plans (2) sels • Architectural Plans • (2) sets • Architectural Plans (Z) sets • Civil Plans (2) • S[ructural Plans (2) • Code Malysis (1) . Cerlificate of Survey (1) • Civll Plans (2) • Project Specs (~1 . Code Malysis (1) " • Landscaping Plans (2) • Key Plan . Project Specs (1) • Code Malysis (1) " • Master Exit Plan . Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) nol always" . Meter size must be established • Meler size musl be establishetl • Meter size must be established-H applicable J . Project Specs ~ ) . EnergyCalculations ~ f . Electric Power & Lighting Form (7) ~ ) . MasterExitPlan ~ ~ • Emergency Response Site Plan (1) ~ ) . Soils Report . SAC determination - call 851802-1000 • SAC determination - call 651-602-1000 • SAC determination - call 651-6D2-1000 ~ . Fire Sto in Suhmirials Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building InspecNons for sample and if required , Pemiit for new building or addition will not be processed without Emergency Response Site Plan. ~ ~ ~ Construction Cost ~d ~S~ SiteeAddress / ~ /s ~ ~/V ~"?~~Z- Unit/Ste # Tenant Name ~ / ~ l~ ~ er Tenant Name / Description of Work ~Q~~ Property Owner Telephone # ( ) pplicant is: _ ~µ'n~/ ~Contractor Contact (Q?v -1 ontractor City dress State Zip Telephone # ( ) ~ Registration # Arch/Engr y ~ U ( c~Ty /~'l.~rn~o~Fr~L~~ Address ~j~ ~ State ~ Zip _~Gi<~/'~~ Telephone tl ( Q'~ C Ll ~J -~°~y S~ tf Phone Licensed plumber insWlling new sewer/water service: I hereby apply For a Commercial Building Pertnit and acknowledge that the information is comple[e and accurate; tha[ 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 pertnit, 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. ~~A~ / • A IicanYs Signature Ap licant's Prmted Nrame i-,H~; ? 3 t.. ~ , , `1iu? DO NOT WRITE BELOW THIS LINE Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments fY 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bidg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Rep~acement •Demolkion (Entlre Bldg only) - Give PCA handout W applicant Valuation Type of Const ~~y Width Plan Rev 100°/a ? 25% _ Occupancy MCES System SAC Units ~ ~ ~ Zoning ~~r'~'' City Water ~ Nbr. of Units ~ Stories ~ Booster Pump Nbr. of Bldgs / Sq. Ft. ~ PRV ~ Length Fire Sprinklered Required Inspections Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final Footings (deck) _ Insulation Footings (addition) Sheetrock Foundation ~ FinallC.O. Drain Tile _ Final/No C.O. Driveway Apron _ Other Roof Ice Pr Decking _ Insul _ Final _ Pool Ftgs Air/Gas Tests _ Final ? Framing _ Siding _ Stucco Lath _ Stone Lath _ Final - Windows Final CIO Inspection: Schedule Fire Marshal to be present. ~Yes _ No Approved By: ~ Planning Building Inspector - BaseFee l~ Surcharge S S • ~ Plan Review 6 ~ 1 • ~ r SAGMCES SAGCity SIW Pertnit S1W Surcharge Financial Guarantee Treatment Plant StormSewerTrunk Treatment Plant (Irriga6on) - Park Dedication ~ Sewer Lateral Sewer Trunk Trail Dedication Street ^ WaterTrunk Water Quality ^ Water Lateral Water Supply 8 Storage (WAC) Other Total ~ 87 • O q ~q55~ ~I,~~~.yy 2005 COMMERCIAL BUILDING PERMIT APPLICATION ~l 1~ JZ ~ ~ City Of Eagan ~-°t ~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ . r ~ . . ~ . • Structural Plans (2) sets • Architedurel Plans (2) sets • Architedurel Plans (2) sets • Civil Plans (2) • Sirudural Plans (2) • Code Anatysis (1) " . Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Anaysis (1) • Landscaping Plans (2) • Key Plan (1) . ProjeGSpecs (1) • CodeAnalysis (1) • MasterE~dtPlan (1) • Spec. Insp. & Testing Schedule " • Certficate of Survey (1) • Eaergy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) ° • Elec. Power & Lighting Form (t) not aN+ays" . Meter size must be established • Meter size must be established • Meter size must be established-i( applicable 1 • ProjedSpecs (1) 1 1 . Energy Calculations (1) " y • Eleclrit Power & Lighting Fortn (1) " 1 . Master Exit Plan (1) l 1 . Emergency Response Sde Plan (7) 1 1 • Soils Report (1) ! . SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC determination - call 651-602-1000 . • Fire Sto in Submittals Call MN Depl of Heal[h at 651-215-0700 for details regarding tood & beverage or lodging facilities. R4 Contact Building Inspec[ions for sample and if required Permi[ for new building or addition will not be processed without Emergency Response Site Plan. Date / / ~ ~ Construction Cost ~ Site Address T$S Tcx,,I~,/n~I~ e~ k~'~- ~ UniUSte # Tenant Name ~~~'t'~~lC.i.~C L~]~~~yFormer Tenant Name OL1~11~, l Description of Work ~{M.V1/t2-~'~ CACX Property Owner ~ MS p~ ~ ` ~G'~~~P~ane # ( ) ~ ~/Vi C 0 Contractor Q ~ S Address ST ~ ~ ~"Gv City State ?~/L,1~ Zip ~ Telephone #~~R ~ ~ ~ Arch/Engr I Registration # Address lY S'~ CiTy / I M YlE~O State Zip ~ Telephone # (~k ~ - ~i G f ~ L~ ~ - V~ ' l,~ti " a 2005 ~ Licensed plumber installing new sewerlwater service: Phone ( ~ , I hereby apply for a Commercial Building Permit and acknowledge that the inform~tion i~ tete=a~ad urate; 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 a al of plans. '~I~r~~l ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? O1 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Aparhnents C3~7 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ~35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handoLt to applicant ~ Valuation .SS,ooo TypeofConst T6 Width Plan Rev 100% 25% Occupancy ~i _ MCES System I, ~S Census Code 5~37 Zoning City Water SAC Units Stories Booster Pump ~ Nbr. of Units Sq. Ft. - PRV - Nbr. of Bldgs Length Fire Sprinklered ~~S Required Inspections _ Footings (new bldg) Insulation _ Footings(deck) ? FinaVC.O. _ Footings (addition) FinaVNo C.O. _ Foundation Other Drain Tile Roof Ice Pr _ Decking _ Insul Final Pool Ftgs AidGas Tesu Final ? Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final Windows Approved By: ~ planning ~ Building Inspector Base Fee b ~ '~S ~ Surcharge a7 S~ Plan Review ~ SAC-MCES sa,c-ciry SIW Permit S1W Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedica6on Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total ~ ~ I ~7.'f~ l~q ~S~" ~5 -r8~~- ~v 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complcle for. commerciaUindustrial buildings multi-faznily buildings when separate peimits are not required for each dwelling ~mit nate lo ~ 3v ~ a5 Site Street Address 1I85 Tarv Q r~i-ce. Dc. ~a~n ~ MtJ u~~t # Tenant Name (if applicable) ~7C'Chtle ~P C'/~1U1U~CJ~~LA Previous Tenant Name J Property Owner C1 ) ~ ~d ~P 7l 11~QU Telephone # ( ) Contractor Cll~~~ N\Q~~Qn1C(~l Street Address 445 I~l~` Q~~ o~ ~~QP ~G City F~l (1Q State ~l Ill Zip 55q-35 Telephone #(QrJ2 ) t3,~`~ - 3810 Bond ~ CU a(o `7 ~ Expires: 3 ~~o The AppGcant is _ Owner ~ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove """see below ~ Interior Improvement Install Piping _Processed _Gas Nature of Work: 6 f d~~~v vS *"When rnstalling/removing underground tank, ca!! for inspection by Fire Marsha! and Plumbing lnspector P¢I'illlt FCCS: %70.50 Undergfo~nd lank installation/removal $50.50 Minimum (includes S[ate Surcharge) or Contract Value $ _ ~ gfl ~ a c7 x 1% ~o~. PermitFee ~ h . If nemut fee is $1,000 or less, add $.50 ~ $ . 5V State Surchazge If permit fee is over $1,000, add $.50 for every $1,000 permit fce $ ~0 2- •.~j~ Tbtal Fee I hereby apply for a Commercial Mechanical Pemtit and acknowledge that the informaUon is comple[e and accurate; that the work will be in conformance with the ordinances and codcs of the City of Eagan and with the Mechanical Codes; that I unders[and tlus is not a permit, but only an applicafion for a permit, and work is not to star[ without a pernu[; thal the work will be in accordance with the approved plan in ihe case of work which requires a review and approval of plans. ~ ~h ~~`Mn~ Applican['s Printed Name ~ Applicant's Signa[ure (1 ~ n~~ r,~; i~-.I I l ~ V lb 1 A p provedB y: I n s p ec[or Date: ~ Q~~n~5 ~i , ~ ~ 7-l/-c.~ ev ` 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date~/ 0~ l D`Z ^ Site Address I~~_n_~ e wM Ca ~n I/rt`v{ Unit # r~ ~ 5¢~~~~' y Tenant Name (,r u~~~++ i Pltg V 1M0. o~y Former Tenant Name Property Owner Telephone # ( ) Contractor /,-,`//~erY pV(PC ~cwt t~cU 9~ Address y`~ S ~ aJ. ~16 r S Q' Ciry ~r~i ~ N State U~^ ll~ Zip ~ 1S Telephone #(61Z ) 8~3 3~'~d License M 3~~ P9 ~ Expires: The Applicant is _ Owner Contractor _ Other Work Type New Bldg ~Modify Tenant Space RPZ _ PVB New _ Repair/Rebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are re uired on irri ation s stems Description of Work ~ a u~~`"'` To inquire if Pressure Reducing Valve is required on new service, call 651-67i-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to oickina uo meter. Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fue Size & Price 3/4" disolacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes ~ No PRV Required _ Yes ~No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ 1 I tl ~ x 1% . 5~ Perxnit Fee $ Meterts) Required on all new buildings & boulevard irtieation svs[ems $ Radio Meter Read If pemvt fee is $1,000 or less, surcharge is 5.50 $ Sk1tC SuiC}lazge If permit tee is over $1,000, surcharge is 5.50 per $1,000 of the Permit Fee ~ Following fees apply only when installing new irrigation system ~ Water Per[nit ~ Call Jerry Wobschall at 651-675-5024 for required fee amounts $ Treaunent Plant $ Water Supply & Storage $ State Surchazge - $ O ~Tofa1 Fee-~-~- - - I hereby apply for a Commercial Plumbing Pemut and acknowledge that the information is complete an~ ccu t e in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that i unde ~ d this is not a pemut, b_ ly an application for a permit, and work is not to start without a pemilt; that the work will be in ac ordance with e approved plan in the case o work which requires a eview and approva] of plans. By ~y ~l~ VLlO~^'~b IA ~ ApplicanYs Printed Name pA plicant's Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test ~ Rough In ~ Final PLANS SUBMITTED APPROVED BY: ~Z'~ gUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd imgation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A miuimum fee pernut per address is required for the following RPZ's: new, rebtild, reoair, remove. • Water meters include copper hom/s~ainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP I ~ I GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 displacement sm commercial turbine"* Public Works maximum conrinuous mustapprove 10 meter size 2-30 3/4" lawn urigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residenrial gz continuous sm commercial 15 producrion lines 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous gz lg comm bldgs 25 irri arion s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comm bldgs 50 METERS REOilIItING 30.DAY ADVANCE NOTICE PRIOR TO PICK UP ~ I! GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,182.00 6-500 4" compound +300 uni[ bldgs & $3,563.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very lg comm bldgs very Ig comm bldgs 15-1000 4" turbiae very lg irrigaHon 52,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water hun-on, ca11651-675-5300. cc: Main[enance Division Clerical iechnician January 2005 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 a 1 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and co onents to be used Date~l j / Site Address: jrg~ I~~ tti ~ ~ Tenant / Building Name: ~~'`~A-~~~~ ~r 1 Y ~'C~ ~J ~K1~L'd.{~l ~Q.v~T~ Y~ U The Applicant is: _ Owner ~ Contractar _ Other PROPERTX OWNER Address: City: State: Zip: CONTRACTOR l7 I~ Y~CI"~ 1' Y~Q ( C~X MN License No. a Address: ~f'1-~ ~ W (~IT ~ ~ _ l ~ City: ~ ! State: r~' 1 N Zip: SSN~ Phone "J 3g~v ESTIMATED COMPLETION DATE: / / FIRE PERMIT TYPE: ~ Sprinkler System of heads _ Fire Pump _ Standpipe Other: WORK TYPE: _ New J Addition X Alterations _ Remodel Other: DESCRIPTION OF WORK: x Commercial _ Residential _ Educational Other: ~ ~~P~aCT~ l'S~rn2 SPr~-~~ - 6'~CP~ i ~ Please continue on reverse side PERMIT FEE: $50.5o Minimum Fee (includes State Surcharge) i Contract Value $ ~q ~ x .01% _ $ Q~. ~ ~ Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ ~ a I hereby apply for a Fire Suppression 5ystem perxnit and aclmowledge that the informarion 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 pernut, but oniy an application for a pemvt, and work is not to start without a pernut; that the work w' e in accordance with the approved plan in the case of work which requires a review and approval of pl ~ a,~ C~'~l ar~l _ Applicant's Printed Name Applicant's Signahue DO NOT WRITE BELOW THIS LINE ~ • 2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 y{ ~ (o Co 2" 3~ Telephone # 651-675-5675 ~ ~ 1 1~ I.~ Please complete for: commerciaVindushial buildings ~ mule-family buildings when separaze pertnits are not required for each dwelling unit Date / 1 Site Street Address S~' "rn ~i~ rl (',P v1'fYP I~ r i P Unit # ~ ~ O0 r' ~vtdoscopy Ce.v~~Gr *GiniG Tenant Name (if applicabte) S n t~~'~ F 0.S"~" MP,~O Prev@ou3 Tenaut Name PropertyOwner I°6~YWLP.SATO lT[}..SlYD2X1~fF~'D~oQV Telephone#( } Contractor ~~~1P~Y~f' M.[`A'1 Q A'L 4 C`.Cl .1 Yl"~Y ~'~?S ~1G • Street Address y y 5 I Wp,S I b~~ ~ 1~ City E~ i rY,t_. state MAd z~p 55 35 Telephone q cja ) R~.S ` 3 S I C7 Bond '~-I O o~L~n `T I Expires: OJr T6e AQplicant is _ Owner ~Contractor _ Other Work Type ? New Construction _ Underground Tank _ Install _Remove `*see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "*When installing/removing underground tank, call for inspection by Fire Marshal and Plum P¢irttit F¢¢5: $70.50 Underground tank instatla6onhemoval S E P 0 9 2004 SSO.W tnimum (includes Sta4 Surcharge) or Contract Value $ ~ f'~Q~ x 1% I~ I 7n . O Q gy Pemvt Fee ~ • If nermit fee is $1,000 or tess, add $.50 ~ $ U ~ State SurcLuge If pClRllt fee is over ~1,000, add $.50 for every $1,000 nermit fee $ Total Fee I heTeby apply foi a Couuneicial Mechanical Permit and aclmowledge that the infoimation is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand flus 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 wluch requires a review and approval of pl ~~~hn C`-r~rma.,n ApplicanPs Printed Name Applic 'qut's Sy nariue - l% Approved By: , Inspector Date: • ~ ~~93b~s~a , 2004 COMMERCIAL BUILDING PERNIIT APPLICATION U ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C~~ [ 0-~~~" Telephone # 651-675-5675 FAX # 651-675-5694 • . • Structural Plans (2) sets • Architedural Pla~s • (2) sets • Architectural Plans (2) sets • Civll Plans (2) • Slructural Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certifirate of Survey (1) • Energy Calwlations (1) not always" • Soils Report (1) . Spec. Insp. & Tastlng Schedule (t) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be esfablished-if applicable 1 • ProjectSpecs (1) 1 • EnergyCaiculations (1) " 1 1 • ElecUic Power & Lighting Form (1) " L 1 • Master Exit Plan ~ (1) d~ d • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 ~ • SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-~000 SAC detertnination • call 651-602-1000 Call MN Dept of Health at G51-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspec[ions for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. , Date / ~6 Construction Cost I~ 0 00 Site Address //cfS 1 oG e~/ ~ UniUSte Tenant Name ~ o Former Tenant Name Description of Work YJ vwoDL.e~ O 1'L SF ~=X,- ~T 1"eo~nn 0.v~. ~ J~t.~J C wS~ W o+v~ Property Owner ~v` $ P C~o v,nv~n.e-KYrtu--Q Telephone #((p51 ) 2-Qi1 -~8`1 l Contractar We%r'~7 ~oi7S~f~'u~fion L.LG Address 7~0 `7 Cree,~r~~~c ~ic% City ~~/pom+%~afOn State /`~N Zip 55~3 9 Telephone #(`~Sd) 89 7- 7d 5` ~F Arch/Engr G~en~s~~• .4rchi~-<<c~u/[ Registration# ~~T`V"~ Address ~/d°07 ~/ee~/~~a~o c ~iciP City i3lacrnM.~rOr1 State /~/N ~p ssy3 9 Telephone # ( °~31 - ~ Licensed plumber installing new sewer/water service: Phone T ~ 7 Z~~4 I hereby apply for a Commercial Building Permit and acknowledge that the informa ~#~-~~-s~ax ate that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MP Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without ; permit; that the work will be in accordance with the approved plan in the case of work which requires a review anc approval of plans. ~t;~ M_~ 1~~,~~-- ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types G O1 Foundation ? 26 Public Facility ? 30 Accessory Building ~ 14 Apartments L 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging J 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae G 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~i7~O80 ~ Occupancy V MCESSystem ~ CensusCode ~(~7 Zoning ~b CityWater SAC Units Stories Booster Pump Nbr. of Units e Sq. Ft. PRV ~ Nbr. of Bidgs j Length Fire Sprinklered Type of Const ~ ' ~ Width Required Inspections _ Footings (new bidg) /Insulation _ Footings (deck) FinaUC.O. _ Footings (addition) FinaUNo C.O. 1 _ Foundation _ Other ~1+14'Ir ~N'1l~st+W-- Drain Tile Roof Ice Pr Decking _ Insul Final Pool Ftgs AulGas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Fueplace _ R.L _ Air Test _ Final _ Windows Approved By: //`7. Planning ~,~'.$'1~BLilding Inspector Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ocT.14'2004 11:02 612 897 7700 wELSx COMPaariES INC #5692 P.003/003 i ~ __1__ ~ i - O ~ z ' G~ ' ~ ~ ~ u ~ I ~ _ ~ I ~ - { ~ Y a ~ ~ _ - . z ~ ~ -r 99 ~ 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION _ + City Of Eagan ,y Q 3830 Pilot Knob Road, Eagan MN 55122 (~n-D~• Telephone # 651-675-5675 3 S 1 ~"j~ Please complete for: commercial/indusvial buildings multi-family buildings when separate pemtits are not required for each dwelling unit Date _~L / ( l U ~ Site Street Address f~__~ ~(R.~N ~~>Tc~7R~ ~s~ J(/ cs Uni[ # Tenant Name (if applicable) 57~UL /"it/1(~ /U,L U G t~ Previous Tenant Name Property Owner Telephone # ( ) Contractor ~ l/L rn.t y!~ ~ S ~ o G( ~'l 7 c~ Street Address ~ ~J ~C ~(2 ~c (~-E~7 L E7L Qm GP `7'~ - City JT ~U ~ State l~ ~'LJ Zip 1 C7'- Telephone GJ~ )`'f ~"42~I / Bond Eapires: The Applicant is _ Owner ~ Con4actor _ Other Work Type New Construction _ Underground Tank _ Instali _Remove'"'see 6elow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: ~EZ bC,k7c= ( W c7 ~-eo,~/l u ~ i~i i lS ~7~~ "When insta!ling/removing underground tank, cal! for inspection by Fire Marshal and Plum6ing Inspector P¢1'mit F¢CS: $70.50 Underground tank installatioNremoval $50.50 Minimum (includes State Suroharge) ContractValue $ 3~~c~ x 1% PemutFee • If nernvt fee is $1,000 or less, add $.50 ~ $ State Surcharge If permit fee is over $1,000, add $.50 for Total Fee every $1,000 nermit fee $ ~ I hereby apply for a Commercial Mechanical Pernrit and aclmowledge that the information is complete and aceurate; 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, 6ut only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. a'C~ I~P Yv lM A 77Kct e~5 ~!.,~u//~-~~ Applicant's Printed Name Applicant's Si ture ~ ~ ~~~~~~I~ //-L/-~ Approved By: ~ , Inspecror Date: /f Q ~ ~ Z~~4 By-------- 2004 COMMERCIAL PLUMBIIV"G PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ ~ g~ 651-675-5675 Da~e~, r Site Address l~ g~ ~~^+rti ~~Pw^ ~ r" Unit # Tenant Name ~~q~.~ ~,7 La,r,,,a Former Tenant Name ~ ~y~, ~ a~ Property Owner ~ l Telephone ) Contractor ~ t i~ ~ Address ~ gd ~ CJV~et.~._r~~ c(.~,~. G~~^~-LG_. City ~~n= ~Q sca<e /1~-~- z;~SS'~-1.3 9 Telephone #(~SL g°J Z. 3 Z. The Applicant is _ Owner ~ Contractor _ Other Work Type _ New Bldg Add-on" Repair RPZ PVB Irrigation system * ~ ` in sensars r uired, der Wobschafl W ca{culatc tees. Description of Work S~ 5;~+?ILS To inquire if Pressure Reducing Valve is required on n service, call 651-675-5 6 Meters - Calt 651-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed Prior to oickine uq meter. Imgation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fue Size & Price 3/4" displacement $155.00 Domesric Size & Type Avg GPM Inciudes high demand devices7 _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee ~50.50 minimum (includes State Surcharge) 4 ~ ~ ~ Base Fee Conuact Vaiue $ / ~~d . ~ x 1°/a = $ , $ Meter(s) Req~ired on alt new buildings & boulevard irriaation svscems $ Radio Meter Read ~ ° State Surchaz e If base fee is $1,000 or less, surcharge is $.50 $ f b' If base fee is over $1,OD0, surcharge is $50 per $1,000 of the Base Fee Following fees apply only when installing new irrigation system ~~J ~ Water Pernut Contact Jerry Wo6schall at 651fi75-5024 for required fee amoun[s $ Treatment Plant $ Water Supply & Storage $ State Surcharge 90. $ Total Fee . I hereby apply for a Commercial Plumbing 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 Plumbing C es; that I understand this is not a permit, but only an ~ application for a pemut, and work is not to start without a pemvt; chat the will be in ac with e approved plan in the case of work which requires a review and approvaY of plans. ~~^uC.Q ApplicanYs Printed Name Applican ~Signature CITY USE ONLY REQUIItED INSPECTIONS: _ II.G. _ Air Test _ Gas Tes[ _ Rough In _ Final 1 I •-L-a PLANS SUBMITTED APPROVED BY: h~ , BUII.DING INSPECTOR General Information • Radio Meter Read (required on all new buildings 8e boulevazd urigation systems- $141.00 • APZ's must be rebuilt every five years. A minimum fee pernut per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REQUII2ING_A_4-HOUR ADVANCE NOTICE, PRIOR TO_PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation sySt $ ~g8•00 d'ssplacement ;m commercial tabine** ~ust reCrive maximum continuous approval io from Public Works 230 3/4" lawn irrigation $155.00 4-160 2" turUine lg irriga$on syst $ 992.00 ma~mum displacement residenlial & continuous sm commercial production lines rs 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units sm commercial & continuous & lg comm bldgs ZS irrigation stems 5-100 1-1/2" bldgs 25-64 units $488.00 malamum displacement continuous most comm bldgs 50 METERS RE UIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METFRS IISE PPu^,~ GP:4I MET~IiS USE PRICi~, 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 uuit bldgs & $3,749.00 syst & production very Ig comm bldgs linea 1/2-320 3" compound +200 unit bldga $2,407.00 10-1000 6" cOmpound +40D uuit bldgs $6,124.00 very Ig comm bldgs very Ig comm 61dgs IS-1000 4" turbine very Ig irrigation $2,384.00 9y3Y & production lines Comments • To schedule inspecUOn of the insde water line and bacldlow preventer, call 651-675-5675. • To arrange for water tum-on, ca11 65 1-675-5 300. ce: Maintenance Division Clericel Tactuilcian Updated 5l04 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION ~ S ~ City Of Eagan _ • 3830 Pilot Knob Road, Eagan Mn 55122 ~ r~ Telephone # 651-675-5675 FAX # 65]-675-5694 Requirements: 2 complete sets oF drawings and specifications cut sheets on materials and com onents to be used Date 1 ~ / / d~._ Site Address: ~ ~~J I~`ic.~r~ C~~~E Tenant / Building Name: _~c~,i,, l rl ~~04 ~-1 f The Applicant is: Owner ~Contractor _ Other PROPERTY OWNER CG rn~ Address: City: State: Zip: CONTRACTOR ~ mm i~~i tr° _ Tf(~~"~!' al MN License No. 7~ Address: ~~l (~nc,;,?~~ City: L~ut~ ~ State: ./-W Zip: JJ~ ~ I Phone tnC ~'r~ ESTIMATED COMPLETION DATE: 1 L / 6~ FIRE PERNIIT TYPE: ~ Sprinkler System of heads 3, _ Fire Pump _ Standpipe Other: WORK TYPE: New Addition Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial Residential _ Educational - - Other: K-Q~IOCG~~F ~ ~O~ ~CIVfJLG~.~ U r ~i~~ , - Il M ~n~ ~II; NOVOl~U4 Please continue on reverse side ' I PY PERMIT FEE: $50.50 Minimum Fee (includes State Surchazge) ~ Contract Value $ ~i~, x A1% ~ Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ • ~jU I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ~~a~.~ ~~-ti.~-f-~ ~ ~ ApplicanYs Printed Name ApplicanYs Signature DO NOT WRITE BELOW THIS LINE :f_ F i . . ~ . 6&.'.'~'. . ~ , ~ .I~ . €C;...,.~.~- ,.`0~~. A . ~ ~ ~asr$ ~ ~ e~~ t~~°'os~ ' ~ . . ~~~n~i~a~ s~ ~~c : e~mi ' ` ~ 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Ea an Mn 55122 la ~ ~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~O ~ ~ 5~08? Requuements: 2 complete sets of drawings and specifications ~ cut sheets on xnaterials and co onents to be used Date (Q l `2.`J /Q~ Site Address: ~ 5 ~ O W C E M T ~2 E 4/ R Tenant / Building Name: /~t G-,q-s r2o - S E ~ F T2.0 r N DO 5 Go P~ The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR L C3 ~-2T F_ ~~e, rz~ c. MN License No. ~ 3 q 2~o Address: ~ Sl ~/1/ • 7~[i ~ 5 T, City: ~ ~/~4 ~ State: z~p: 55~35 Phone#:~9$2~ $35'38(_O ESTIMATED COMPLETION DATE: / / FIRE PERMIT TYPE: _ Sprinkler System of heads _ Fire Pump _ Standpipe ? Other: F ~ 2E ~'12•~~M c~7 ~ 5 T~M WORK TYPE: New Addition Alterations V Remodel Other: DESCRIPTION OF WORK: _ Commercial _ Res xltia~ ~~~r carional IS ~ Other: 0 C T 2 S 2004 Y Please continue on reverse side ~ _ PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) 10~ O Contract Value $(0 2 O ~ x.Ol% ~c~ , ~ ~ Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ State Surchazge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ ~j p~ Q I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a pemut, 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. 1`~~0.\~ ~ 4~ CZO L. ) ~ ApplicanYs Printed Name Applicant's Signat~`• DO NOT WRITE BELOW THIS LINE ~ Q~ O .p ; , _ . - . _ . . ,p~~: ondi n o ce: ~ ~ ' _ _ _ ~ ~ ~ ~ roo y: B~ ~ 1~.~ ' 1 ~ _ ~U ~ ~ ~j ~O~ 2004ICOMMERCIAL BUILDING PERMIT APPLICATION ~ ~1_ City Of Eagan ~~~O-~ca. liJO~~/J 3830 Pilot Knob Road, Eagan Mn 55122 q~ 1~y c~ ~4 ~ Telephone # 651-675-5675 FAX # 651-675-5694 n n~ r?`~Q~~ Eo ~ ._x~~~... '1-~--' . . • . . . . . - • SWCtural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SWCtural Plans (2) • Code Analysis (1) " • CertificaleofSurvey (1) • CivilPlans (2) • ProjectSpecs (1) . Code Malysis (1) " • Landspping Plans (2) • Key Plan (1) • ProjeclSpecs (1) • CodeAnalysis (1) " • MasterExitPlan (1) • Spea Insp. & Tesling Schedule • Certifcale of Survey (1) • Energy Calculations (t) not always'" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighling Form (1) not always" . Meter size must be eslablished • Meter size musl be estabiished • Meter size must be established-if applicable . b - • ProjectSpecs (1) y • EnergyCalculations (1) " d y • ElecUic Power & Lighting Form (1) d 1 • Master Exit Plan (1) 1 1 . Emergency Response Site Plan (1) 1 1 • Soils Repart (11 l • SAC determination - call 651-602-100D • SAC detertnination - call 651•602-1000 SAC determination - call 651-602-1 D00 Call MN Dept of Health at G51-215-0700 for details regazding food & beverage or lodging facilities. Contac[ 6uilding Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed withou[ Emergency Ruponse Site Plan. Date / / ~ r ~ ConstrucGOn Cost Site Address ~a~ 1~(~l ~,/I.[~f'~ !J/Vt.l/~-e Unit/Ste # G7 0 ~ Tenant Name~L1_~~Q.~~' O QL~~~r Former Tenant Name a os - d/0 -n ~-'''n, ~ QD~„?0~ 5- Description of Work `.P31'~f.~{lQi~.~.LCJL ~ Yu4~C/va.~ ` 1" Pruperty Owner L~I] ( l.p s16~~ ~0~~~ Telephone #((Q(Z) ~~O a Contractor l ?'Vl f~ Address ~ 10(~ ~U City ~ll~n'10GCS~'L` Sta[e ~ VI Zip Telephone #~0~ ~aQ~' ~ Z~ Arct?Engr n Registration # Address ~ p City State ~ VL Zip S-s~'C ( Telephone D JUL 0 6 2004 Licensed plumber installing new sewerlwater service: Phone : I hereby apply for a Commercial Building Permit and acknowledge that the info B accurate; 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 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 which requires a review and approval ofplans. '~64~1 ~l1£~~tThd ~n~- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ' Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Building. ? 14 Apartments ~ 27 CommerciaUInduslrial ? 32 Ext Alt-Apamnents ? 15 Lodging ~ 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interior). ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolisfi (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Vaiuatlon 53l r OQp ~ Occupancy u, MCES System ~ Census Co~e y~ Zoning t~..~'~i-~-fii City Water SAC Units o-' Stories ~ Boaster Pump Nbr. of Units b Sq. Ft. 1~i O2'7 PRV Nbr. of Bldgs ~ Length Fire Sprinklered ~ Type of Const 8 Width Required Inspections _ Footings (new bldg) Insulation _ Footings (deck) ~ FinaUC.O. = Footings (addition) FinallNo C.O. _ Foundation Other MEGN ~ PtMb- Drain Tile Roof Ice Pr Declang _ Insul Final Pool Ftgs Air/Gas Tests Final ? Framing Siding Stucco Stone _ Fueplace _ R.I. _ Au Test _ Final Windows Approved By: Planning C,GR"~Er- Building Inspector - Base Fee 75,9L.9o_ Surcharge 7/2 • ~o Plan Review ~~qU S 9 S MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk 5ewer Trunk Other Total ~ /3,~66 , 7B /!y Metropolitaa Cowtcil - ~ ~ , Building communities thnt work Environmentai Services July 22, 2004 D,,~ ~:~ir~. Dale Schoeppner ~ ~ r ~r~ ~ Building Official ~~`JUL 2 S 20D4 , I I; I~ City ofEagan ~ L';~ 3830 Pilot Knob Road • Eagan, MN 55122 BY---_-_~ Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the 5outheast Metro Endoscopy Center to be located at 1185 Town Centre Drive within the City of Eagan. This project should be charged no additional SAC Units, as deternuned below. SAC Units Charges: Fi~cture Units 67 f.u. @ 17 f.uJSAC Unit 3.94 Credits: Office 10028 sq. ft. @ 2400 sq. ft./SAC Unit 4.18 Net Credit: 0.24 or 0 Ifyou have any questions, call me at 651-602-1113. Sincer 1 , c~~~ Jodi L. dwards Staff Specialist Municipal Services Section JLE: (200) 04072256 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Tim McKee, Timco wanv.metrocouncil,org Metro Info Line 602-1888 230 East Fifth Street • St. PaW. Mlnnesota 55101-1626 •~651] 602-3005 • Fax 602-1138 • 77Y 291~0904 An Eqwl Opportunlty Empioyer ~j ~ • Department of Administration ' . ~ ~~Q~~~~O~~ PROJECT JURISDICTION AGREEMENT ~Lf l~ O C T 2 7 ZOO4 D I COPY TO BUILDING OFFICIAL: h~ __...______._v SchoenUner, Dale R. Date: 10/25/2004 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Project Title: SouthEast Metro Endoscopy Ctr & Clinic Location: City of Eagan Description: Design & build-out of Endoscopy Ctr & Clinic Date Received: 10/25/2004 Assigoed Project Number: 20040429 Dear Building Official: Attached is a capy of the notice to the Architect / Designer of the project described above as to the agreement reached between the Minnesota Building Codes and Standards Division and City of Eagan delegating building code administration to your office as per our agreement on this project. /i E 5 To ww L~ c~v~e- DQ • Yours truly, BUILDING CODES STANDARDS Scott D. McLellan Supervisor, Plan Review SDM:w Attachment PaFormRl Building Codes and Standards Division, 408 Mctro Squaze Building, 121 7th Place East, S[. Paul, MN 55101-2181 Voice: 651 L96.4639, Fax: 651297.1973; TTY: 1.800.6273529 and ask for 296.9929 . ~ . r ~ / sO Department of Admi 's ~tio "'$i:~. O INITIAL APPLICATION FOR PLAN REVIEW ~ ~ Please fill out this application and return it to the Building Codes and Standazds Division approximately four (4} weeks prior to your expected plan review submittal date. '1'his will help us expedite your project while we determine where you will make application for plan review. Failure to submit this form may result in up to a three (3) week delay while we make this determination. ProjeclTitle - ' Pro~eclW .r'JOO o00 . ' $Olltl'YEd.St onstruc[ianValuation S r r z' . Site Locatlon Please be specific! z`AQz; Includeshce[,crossstree[s,ormilesfrom Town Centre Plaza ~ ~ [r ~ . Cfty where located (or N/A) County . . ;d Ea an Owner ~ Owner's Contac[ Person ~ - Minnesota Gastroenterl ",W a, Owner Address ~ ~ ~~e ( ) . ~ ' 7~- ~ Ciry Sbta, Zip . StaN ~AgenaY PP ~cable) . St. Paul MN 1 A S W;;, : Design Pim~ Fixm Contact Person ,=z~, Moha en Hansen Ar Mark Hansen ~n~~4 F~~4'~~~~ Wayzata Blvd, Suite 200 Pnone r952 ~ 'x CiTy~ stace, Zip F~ ~ 952 473-1940 ? Public (state) building paid for by [he sta[e or other state agency as a: ? State Coliege ? Zoo ? D.O.T. ? D.N.R. mk;z- ? State University ? National Guard ? State Hospital ? State Home O Capitsl Complex ? Other, specify N/A ~;-Fy ,O. ? Public school district building of $100,000 or more in construction cost. - N/ A ,a:..rF: p~... ? State Licensed FaciliTy licensed as a: ? Hospital O Nursing Home 0 Correctional Facility O Supervised Living Facility ~Free-standing OutpaSent Surgical Center ? Other; specify ~ - ? New Building Construction O Addition C~ Remodeling ? Other; specify '.`~t_,3%~ ~ IBC Occupancy Classification(s): IBC Type of Construcrion: ~ Project Description: . The project involves the design and build-out of a 10,000 sf Endosco m Center and Clinic. The center will be designed as a freestanding V ambulatory surgery center licensed by the Dept of Health•for Medicar an3 Medic Upon receiving this completed initial application, we will confirm proper jurisdiction for the project, assign it a ' project number for tracking, and determine if the municipality will do plan review, inspections, both, or neither. We will notify you of the project number, where to submit your documents for review; a$d how inspections will be handled. If delegated to the municipality, you will only need to follow their procedures and fee schedule: If your submittal will be to this division, our standard application process will need to be followed. I hereby acknowledge that this applicaNon is nai a Building Permrt, nor does it authorize the start of construction. /~v~- I. •~se w~ r~t? A M~-~:a~ f o 0 Applicant Name (Print) - Applicant Signature Dat Building Codes and Standards Division, 408 Metro Square Building, 121 7`" Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639; Fax: 651.2971973; TTY: 1.800.6273529 and ask for 296.9929 BCSD-PR008 0405 • 2004 COMMERCIAL PLUMBING PERMIT APPLICATION + CITY OF EAGAN \ 3830 PILOT KNOB ROAD, EAGAN MN 55122 S. Sv ~-'~j ~ ~ 651-675-5675 nace ~1 i ? 3 i ~ `1~r^ Site Address ~ ~l~ ~ ~8S~~ 1 O t~ r~ l,,.Q~?'~ ~I'~ I V~ Unit # ~ ~4~ Tenant Name e~x1-h.~py~ ~~/'6 G/I~ASQQ~'( Former Tenant Name Property Owner Telephone # ( ) Contractor lJf 1 r?~.l' l,'1 ' r f~~'t'll~ ~(~X Address In ~ lN ° City _ [~Q State V 1" I(.{ Zip s S~3 ~ Telep6one #(~JS~) ~3 S~ gI CI The Applicant is _ Owner Contractor _ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system * "Jer Wobschall to ca ula[e Pees. R uired merer size ie 2" tur6o unless smaller size rmitfe-d~ b1v Public Works 'i ~ 6V 1 17`Q. ~ r 1 fl S J^~p ~ ~P/w0~'n 1 Yl LV') 1~1 DescriptionofWork i~.4-'nti bu117liroi -Fa'r' YlQ ~ ~'Y~OSY'A~~ ~ To inquire if Pres Reducing Valve i uired on new service, call 651~675-564 Meters - Ca11 651-675-5 300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine up meter Imgation Size & Type Avg GPM Fire Size & Pnce 3/4" disolacement 5155.00 Domesric Size & Type Avg GPM Includes high demand devices? _ Yes _ No F7ushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimu.n (includes State Surcharge) ContractValue $ G'~~ Sd6 x 1% C~~• ~ BaseFee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read If base fee is $1,000 or less~ surcharge is $.50 $ _ ~ o State Surchazge If base fee is over 51,000, surcharge is $.50 per $1,000 of the Base Fee Following fees apply only when installing new irrigatian system ~ Y Water Perxnit Contac[ Jerry Wobschall at 651-675-5024 for required fee amounu ~ ~ ~ ~ y~n ~ Treatment Plant D Water Supply & Srorage JUL 1 9 2004 state surcharge By ~as. sr~ Total Fee I hereby apply for a Commercial Plumbing Pertnit and acknowledge that the in£ormation is complete and acwrate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a pemvt, bu[ only an applicadon for a permit, and work is not to start without a permit; that the work wi 'n accordance with the approved plan in the case of work which requires a review and approval of plans. ~~Anr 6(S6M ApplicanPs Printed Name Ap ic Ys Signature . ` CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: ~ Z'~ BUILDINC INSPECTOR General Information • Radio Meter Read (requued on all new buildings & boulevard urigarion systems- $141.00 • RPZ's must he rebuilt every five years. A minimum fee pemnt per address is requued for RPZ rebuilding or repairing. • Water meters include copper hom/sirainer, remote cvire, and touch-pad meter. METERS REQUIRING A 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residen6al $121.00 4-120 1-1/2" irrigation 5yst S 788.00 displacement sm commercial turbine*• muSt PeCe1VC maximum contir.uous approval ~ p from Public Works 2-30 3/4" ]awn irtigation $155.00 4-160 2" turbine lg urigation syst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 ira ation s tems 5-100 1-1/2" bldgs 25-64 units $488.00 maacimum 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 irrigafion $1,338.00 6-500 4" compound +300 unit bldgs & 53,749.00 syst & production very Ig comm bldgs lines 1/2-320 3" compnund +2U0 unit bldgs $2,407.00 10-]000 6" compound +400 unit bldgs $6,124.00 very lg comm bldgs very Ig comm bldgs 15-1000 4" turbine very lgirrigation $2,384.00 syst & peoduction lines omments • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-675-5675. • To arrange for water tum-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 5/04 6~~~ 2004 CONIMERCIAL BUILDING PERMIT APPLICATION f~ J O City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . • . . - • Structural Plans (2) sets • Architectural Plans • (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Anatysis (1) " • Certificateof5urvey (1) • CIvilPlans (2) • ProjectSpecs • Code Malysis (1) " • Landscaping Plans (2} • Key Pian (1) . ProjectSpecs (1) • CodeAnalysis (1) • MasterExitPlan (1) • Spec. Insp. & Testing Schedule " • Certifipte of SuNey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Tes6ng 5chedule (1) • Elea Power & Lighting Fortn (1) not always" . Meter size must be established • Meter siZe musl be esfablished • Meter size must be established-if applicable 1 • ProjectSpecs (1) • Energy Calculations (7) l . Electric Power 8 Lighting Form (1) d 1 . Masler Exit Plan (1) 1 .l . Emergency Response Site Plan (1) l b . Soils Report (i) y ~ • SAC determination - call 651-602-1000 • SAC detertnination • call 651-602•1000 SAC detertnination - call 651-602-iD00 Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facflities. Contact Building InspecNons for sample and i£required when it states "not always". Pemut for new building or addition will not be processed without Emergency Response Site Plan. Date ~ / / ~T~ J ,~~~L C~on~struction Cost SiteAddress ILJ~/~"I ` l SY?~(~. 1~ I..W~'u'~ UniUSte Z~ TenantName ~ ~`f'Y~ ~ii'~~~s~.6'~/]~ FormerTenantName Zb~2~'J~ Description of Work l\~/ ~~~J" ~ Property Owner % • ~Q.~ Telephone # (U[ 7 - Contractor l `rn~„t.! Address I~'1~~ 'Z,Q~~ ,xl+l/v~- City State T~yt Zip Telephone t~(p3) _~p~~~ U2~,'~'~~ Arch/Engr ~ • n~j~~ RegistrationI .#1- Address ~M d'Jr W~~Y+~u~1 ~~~l1pC J City State ~ Zip Telephone # ~r - Licensed plumber installing new sewer/water service: Phone I hereby apply for a Commercial Building 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 the State of MN Statutes; I understand this is not a pemut, 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. ~G~~~~ ~4~1'~ Ll~s+~'L ApplicanYs Printed Name Applicant's Signature '~-o ~ + t~ 1 oc,~- i C%o~~B~OC~ COMNI~RCIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ ~I- ~aa- ~ (d ~ j~ Telephone # 651-675-5675 FAX # 651-675-5694 l ~ _ ~ ~ t Foundation Onl New Buildin Interior Im rovement • 5tructural Plans (2) sets • ArchitecWrel Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SWctural Plans (2) • CodeAnalysis (1) " • Certificate of Survey (t ) • Civil Plans (2) • Prqect Specs (1) • Code Analysis . (1) . Landscaping Plans (2) • Key Plan (t) • ProjectSpecs (1) . CodeMalysis (1) " • MasterExitPlan (1) • Spec. Insp. & Testing Schedule " • Certifcata of Survey (1) • Energy Calculations (i) not always" • Soils Report , (1) • Spec. Insp. & Testing Scheduie (1) " • Elec. Power & Lighting Form (t) not always** • Meter size must 6e esta6lished • Meter size must be esta6lished • Meter size must be established-if applicable 1 . . PrqectSpecs (1) ~ ~ l • Energy Calculations (1) 1 , 1 • ElecVic Power & Lighting Form ~ 1 1 • Master Exit Pian (1) 1 d . Emergency Response Site Plan (1) 1 1 • SoilsReport (1) 1 • SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dep[ of Health at 651-215-0700 for details regazding food & beverage or lodging facili[ies. Contact Building Inspections for sample and if required when it states "not always". Permi[ for new building or addition will not be processed without Emergency Aesponse Site Plan. Date / ~ / - r` Construction Cost SiteAddress ~c~j` ~7 ~~~'/~~l'~CJ °t~._ UnitlSte # Tenant Name c S , ~ Former Tenan[ Name Description of Work ~~~~Y'~/ ~ Property Owner C~//?77i~9c~1"C'/~ Telephone #(E~~) 0~~7" g~~ Contractor 'L.°(,°' C~~'~S'~~-~°` ~ Address C~/~O-~°~/' % CitY s State ' Zip ~ Telepho¢e # (~J(~- 7`7~7~ Arch/Engr ~?2~-.~ J Registration # Address '7 ~7 ~~''~o-~- ' ~ /~y`G' iQ~ City ,~>i7 State i Zip ~ Telephone # (~e?) ~ ~ ~ ' ~ ~ ls Licensed plumber instal Iing new sewerlwater service: Phone ~ j ~ E C 1 0 2003 I hereby apply for a Commercial Building Permit and acknowledge that the informati ate; 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 pernut, 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 which requires a review and ap roval of plans. ~ ~ b ~ ApplicanYs Printed Name Applicant's Signature ' OFFICE USE ONLY Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ~ 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 Types ? 31 New ~ 35 Int Improvement ? 38 Demolish (Interiar) ? 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 eidg only) - Give PCA handout to appliwnt aa,~ / Valuation ~'~~j BO D~ Occupancy $ MC/ES System v Census Code ~J~ Zoning City Water ~ SAC Units - U'-' Staries ~ Booster Pump Nbr. of Units ° Sq. Ft. PRV ~ Nbr. of Bidgs T- Length Fire Sprinklered Type of Const ~ ' Width REQUIRED INSPECTIONS _ Footings (new bldg) ? FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) Plumbing _ Foundation ? HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ? Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retauvng Wall Approved By , Building Inspector Base Fee Surcharge 7 • .~"D Plan Review /1~3. 3 / MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ~Z2 • 6 l ~\ock + Go~~-i-~-0 o c~ COMMERCIAL BUILDING Permit Application City Of Eagan C~~ c~,_ ,~3 3830 Pilot Knob Road, Eagan Mn 55122 ~ 1 a~~ Telephone # 651-675-5675 FAX # 651-675-5694 o~ ~ y~ Foundation Onl New Buildin Interior Im rovement . SVuctural Plans (2) sets • Architectural Plans (2) sets • ArchitecNral Plans (2) sets • Civil Plans (2) . SWCtural Plans (2) • Code Malysis (1) " . Certificateof5urvey (1) . CivilPlans (2) • ProjectSpecs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeAnalysis (1)" • MasterExitPlan (1) • Spec. Insp. & Testing Schedule . Certifirate of Survey (1) • Energy Calculations (1) not always" • Soils Report (t) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs L • Energy CalculaGons (1) 1 1 • Electric Power & LighGng Fortn (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan L d • SoilsReport (1) 1 • SAC detertnination - call 651-602-1000 • SAC determinadon - call 651-602-1000 SAC determination - call 651-602-1 D00 Cal I MN Dept of Heal[h at 651-215-0700 for details regarding food & beverage or lodging facilides. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will no[ be processed without Emergency Response Site Plan. Date O / Z~ /[7~ Construction Cost I~ @~ ~ Site Address ~~$S ~ E"''"' C¢'~~~ v~ Unit~# I~ / Tenant Name n'7y ~c ~+,k~ .~~w~ a- ~~`j~' Former Tenant Name Description of Work ~y-.t'~er r^--~ Property Owner p~• ~ ~w'~-~ l Telep6one # ( ~~+1 ) y '36 ~ Contractor ~ m c o ~rn- Address /y7Je /}vL - S--~e ~#~/D City ~/(/~'~ct-~-~'~` State /Y!r? z~p STY `r 7 Telephone #('~3 ) 6 9 y-e a-S d Arch/Engr { ~ti..~o ~v-.r-qi-~-~ Re~stration# - Address ~ u ,l 1 Ciry ~ I~~'' State ~ Z~p I~I Telephonel# ( ) ~ Y ~ ~ ' I u Licensed plumber installing new sewedwater service: lo„ t,Cl.~- Ph ~ ne I hereby apply for a Commercial Building Perxnit and acknowledge that the informarion is complete and accurate; that the wark 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 ofplans. ~c ~ K~ R~s~ ~ G~ Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types G Ol Foundation ? 26 Public Facility 30 Accessory Bldg. ? 14 Apartments E/27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 ExtAlt-Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair C~ 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemenl 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation o~ o Occupancy ~ MClES System Census Code 43~ Zoning Bri. City Water sl'~ SAC Units - Stories - Booster Pump - Nbr. of Units - Sq. Ft. - PRV Nbr. af Bidgs - Length Fire Sprinklered ~5 Type of Const ~L'S 2000 =6 ~ Width REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) ? Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Watcr Final Pool Ftgs Air/Gas Tests _ Final ~ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By ~~<<e. , Building Inspector Base Fee ~3 % a-S Surcharge 7• o0 Plan Review /j~/ ~ / MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 39F. ~-6 PLUMBING (COMNIERCIAL) Permit Applicafion City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~j ~ Telephone # 651-675-5675 FAX # 651-675-5674 ~ Date / ~ / o~ Site Address ~ 1 O fA71'~ ~QT ~ Unit # ~ Q/ Tenant Name r'. ~ Former Tenant Name Property Owner Telephone # ( ) Contractor ~ f Address ~ ( ~j{J • City r Sfate Zip SS~3~ Telephone ti (9~ _ g,j S-~ $/v The Applicant is _ Owner Contractor _ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system * * Jer Wobschall to calculate fees. R uired mMer size is 2" turbo unless smaller size ermitted b Public Works ~ 1 Description oF Work ~~1~ ~ i~'1 ~ 1 Yl ~f~ ( I ~ n'~l(.7 S(~ ~ To inquire ~ essure Reducing Valve is required on new service, ca0 651-675-5646 ~ Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and bac[eria tests passed prior to oickina uu meter Ixrigation Size & Type Avg GPM Fire Size & Price 3/4" dis I~acement $156.00 Domeslic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required ` Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Conhact Value $ ~ , (yQ~ x .01% _ $ J~ • Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation svstems $ Radio Meter Read If base fee is $1,000 ar less, surcharge is $.50 $ '~D ST3t0 $lliC113tg0 If base fee is over 31,0p0, surcharge is $.50 per $1,000 oF Ihe 8ase Fee Follawing fees apply only when installing new irrigation sys[em Y~ ~ $ ~ Y Water Petxnit Contac[ 7erty Wo6schall at 651-675-5024 fot requ~ced fee amounts - ~ ~ ~ ~ Treatrnent Plant i ~ r$- ~ Water Supply & Storage ~ cw~ $ I ~i State Surchar e 8 - ~Y - ~ $ " ' Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information is complete and aceurate; tha[ 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 not a permit, but only an application for a permit, and work is not to stan without a permit; that the work will in accordance with the approved plan in the case of work which requires a review and approval of plans. ,~~N Q ~~n . ApplicanPs Printed Nama A li nCs Signature ~ CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: p' ~~l~ BUILDING INSPECTOR General Information • Radio Meter Read (requued 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 horn/shainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residenrial $121.00 4-120 1-1/2" 1ITlg3tlon syst ~ 7g1•00 dispiacement sm commercial harbice"`* must receive maximum continuouG BppYOVa1 lo from Public Works 230 3/4" lawn irrigation $156.00 4-160 2" hubine ]g imgation syst $ 982.00 maximum displacement residenfial & continuons sm commercial producrion lines 15 3-50 1" displacement very lg res $200.00 1/4 to 160 2" wmpound bldgs over $ 1,860.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs z5 imi ation s stems 5-100 1-1/2" bldgs 25-64 units $484.00 maximum displacement & continuous most coxnm bldgs 50 METERS REOIJIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg 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" compouud +2D0 unit bldgs $2,411.00 10-1000 6" wmpound +400 unit bldgs $6,100,00 very Ig comm bldgs very Ig comm bidgs 15-1000 4" turbine very Ig irrigation $2,329.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, ca11 65 1-675-5 3 00. cc: Maintenance Division Clerical Technician Updated 1/03 PLUMBING (C~MMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~j, Telephone # 651-675-5675 FAX # 651-675-5694 Date _ C~_ / S / W Site Address ~ ~~r-C ~ `r" Unit # Tenant Name~Qwr-~ ~ q7-~ Former Tenant Name Property Owner w ~\S~ ~ Telephone # ( ) Con[rac[or ~a ~ ~ Address `-1 g0? C,raeaLr~ ~1 CK ~_,~+c.l~ - City ~~oa^-+,~ State ~/t...~ Zip ~j~3~'7 Telephone k~~G Ql y y~ 3 J`"I The Applicant is _ Owner Contractor _ Othec Work Type _ New Bldg _ Add-on Repair RPZ PVB Irrigation system * " Jer WobscM1all [o calcula[e fees. Re uired meter size is 2" turbo unless smaller aize ermitted b Public Works ~p r ~Q ~ Description of Work 'h 2~ ~J ~ ?1 ~ To inquire if Pressure Reducing Valve is required on new service, ca11 651~75-5646 Meters - Call 651-675-5300 to verify that hydrostatiq conductivity, and bacteria tests passed prior to nickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $156.00 Dotnestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required ~ Yes _ No Per[nit Fee $50.50 minimum (includes State Surchargej ContractValue $ x 1% _ $ BaseFee $ Meter(s) Required on all new buildings & boulevard imeation systems $ Radio Metei Read If base fee is SI,000 or lesa, aurchacge ia 5.50 $ SY3tE SllTG112Sge lf base Fee is over $1,000, surcAarge is $.50 per $1,000 of the Base Fee Following fees apply only when installing new irrigation systemY ~ Water Permit Con[ac[ Jerry Wobschall at 651-675-5024 for required fee amounts 1 f~ ' ~i7 r; 1 $ ' ' ~ _ , ~ ~ ' ~ Treatment Plant $ ~I ! lli~ 1 i `i'~Watei Supply & Storage UU ~ $ I ~ ~ State 3urcharge ' ---------------------------------------°-----------------------------------------------------------'u"r - - ~ - g ~D,~ O Total Fee 1: hereby apply for a Commercial Plumbing Pemilt and acknowledge tliat the informa[ion is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemvt, but only an application for a peimit, and woTk is not to staTt without a permit that the wor ~vtN~ m ac°° ~~rdan approved plan Sn the case of work which requires a revie and approv 1 of plans. k-~~ ~ y„ i^ v'-C c~, rJ~c AppLcanPs Printed Name Apphcant s Signature CITY USE ONLY PERMIT ~ l..% ~ L/ RECEIPT DATE: i EOOE COMb1~CIAL ~Li1M$INH ~EiiMIT A~LICATION CITYoF ~wswft s8so ~aoT t~oe itn £t48i41P. MN SSI SE 63]-681-4875 INCOMPLE7E APPUCAAONS WILL NOT BE PROCESSED Date: I l~ I~^ 0 Z WORK 1TPE New Bidg ~ Addon Repa'v RPZ PVB Irtigation system • Jerry Wobschall ro calculate fees. Required meter size is 2" turbo au less smaller size permined by Public Works DESCRIPTION OF WORK J- hSrl 1, ~ I Ce T~i ~ S j ML To inquire if Pressure Reducing Valve is required o0 oew'service, ca11651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductiviry, and bactena tests passed nrior to nickine uo meter (rrigation Size & Type Avg GPM Fite Size & Price 3/4" disnlacement $152.00 Domestic Size & Type Avg GPM Dces this include hi r~ dcmand devices7 _ Yes _ No FLUSHOMETERS Yes No PRV REQNRED _ Yes _ No Site Address: ~ I~ ~ C~G^ 1J Z+~-~ F 1 aa'r Tenant Name: i.~ r 1'~Mr+'~P~'1S A~'^~~~ L Telephone (Mea Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Installer Name: ~O.t.1 `~~~t..l+~ Telephone ri: l-~c~ ~ N~ S~ ~ (Area Code) . Installer Address: ~ Z~ ~o ~ t11 h i J U C~n,; ~'da,,,~ ~ru~r~ t, State: Zip CodeSS3~l y PEES Contract price $ 4~~, ~s x 1% ($50.00 min) Plbg Permit $ S(' ~UU Meter(s) S Required on all new buildings & boulevard irrigation systems Radio Meter Resd $ Swcharge: $.50 Minimum. If base fee exceeds $1,OOQ calculate at Stste Surcharge S b. 50 cents per $1,000 base. a Sub TotaVl'otal S -S ~'S Supplementary fees for new irrigation system: ~ ~~Y Water Permit $ ~ 50.00 Contact Jerry Wobschall at (651) 681-4624 regarding fees Trestment Plaut $ 540.00 rage-$-I ~ e~u~r~a~e ~ ~ ~an~ ~ N~U 2 0 2002 ~ I hereby aclmowledge that I have-read this application, state that the information is corr ~~,~_and-agree"ta-co~1 applicable City of Eagan ordinances.ItistheapplicanYsresponsibilitytonotifythepropertyownert CityofEaganassumes 'a ~ renydamagescausedbytheCiry during its nomial operational and maintenance acriviries to the facilities co ct under ' e't wi i i erty/right-of-way/easement. SIGNA OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final _ PLANS SUBMITTED APPROVED BY: f r~ Z , BUILDING INSPECTOR GENERAL INFORMATION - • Radio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00 (Acct Code # 9220-4509) • 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 1-20 5/8"displacement residential $118.00 4-120 1-1/2" irrigationsyst 745.00 sm commercial turbine"` '*must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine lg irrigation syst 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 15 irri ation s stems 5-100 l-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 PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6500 4" compound +300 unit bldg,c & $3,562.OQ & production lines very Ig comm bldgs I/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bld~s $5,900.00 very Ig comm bldgs very 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 651-681-4675. • To arrange for water tum-on, ca11 65 1-6 8 1-43 00. cc: Kris Folster, Maintenance Division Clerical TecLttician Updazed 2/02 L~ ~ 1 ~31 oc_k_ i co~RCinr. Go.~~ WOOC~t `j 2002 BUILDING PERMIT APPLICATION c~~ V~~,~n-zsi CITY OF EAt3AN ( u- 3~ ~ ~ S ~ ~ j 651-681-4675 ~ ~ -~U ~ Foundation Onl New Construction Interior Im rovement . SWch~ral Plans (2) sets . Nchilecturdt Plans (2) seb . ArthitetW21 Plans (2) sets . CINI Plans (2) • SWCWraI Plans (2) • Cade Analysis (1) • Certiflpte of Survey (1) • Civil Plana (2) • ProJect Specs (1) • CodeAnalysis (t)" . LandscaDingPlans (2) . KeyPtan (t) . ProjectSpecs (1) . CadeMatysis (1) . Master6dtPlan (1) • Spac. Insp. & Testing Schedule " • CeNfirate af Survey (t ) • Eneigy CalculaUons (7 ) not always•' • Soila Raport (1) • Spflc. lnsp. & Testlng Schedule (1) " • Elec. Power & Lightirg Form (1) not always'• • Meter she must be establfshed . Meter sae must be eatablishad • Meter size must be esfablished - if applipbla • ProjedSpecs (1) 1 • EnergyCalalatlons " i 1 • Electrie Power 8 LlghtlnB Form (1) " i 1 . Master 6dt Plan (1) 1 1 • FreProtectlonPlan (1)" 1 i • SoilsReport (1) 1 • MC/ES SAC determinatlon letter • MGES SAC detertninadon letler • MCIES SAC determination letter call 651~02-1000 ta11 851-802-7 000 cail 651~02-1000 " Contad Building Inspectlons for sample Food & beve age r lodging facilitles - submit plan to MN Department of Health. Call 651-215-0700 for details. ~ATE: WORKTYPE: _ NEW ~ REMODEL CONSTRUCTION COST: ~S,nm 31TEADDRESS: S ~J1J ' ~ vL-` TENANT NAME: ~ J 0!~ (i SUITE =ORMER TENANT NAME, IF APPLICABLE: ~ESCRIPTIONOFWORK~~ !~-vr~-c~FL~-c, '~/fwSPffs ~ t~LULt ~ _ Name: ~h~P/ 6~JL~ ~ ( ~.1L Phone s ( ) / /p.S - C 3 ?ROPERI'Y Last ~ First OWNER SheetAddress: 7(J~ h~ ~ ( City: S 1• ~/¢GL ~ Sate: iv N Zip: ~/U ) Coa~any: In IZ+ ~ Lf- ~'Sd1~ .S7~G C,TI~n.~ Phone#: ( r1S Z)~~/7' ~7~0 ~ONTRACfOR StreetAddress: ~7 ~L~~/h City: "t-Xs_s7111/1 ~~tJl 7Zm~ State: !/1/I N r. _ ip: . ~ 4ItCHITECT/ ( 1 - _ ; . , _ , I cNGINEER Company: ~I~CL~ /~~.1 Phone#: ~ FZ S'~7 Name: /l(19-rl.~,4-,.~ /iiv S~'~ A' Regishation#:~~~ l~ StreetAddress: ~~bl ~ i?L~!!u ~ Z/3 City: L S State: N Zip: S~S ~LU~ Licensed piumber installing new sewar/water service: Phane I hereby acknowledge that I have read this application, state that the infortnatfon is co t, and agr to camply ith licable State of ,Vlinnesota Statutes a~d Ciry of Eagan Orciinancas. Signature of Appli Updated 1/02 OFFICE USE ONLY ~UBTYPE Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. 14 Apartments ~ 27 CommecciaUIndus~ial ? 32 Ext Alt - Apts. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon VORK TYPE 31 New ~ 35 Tenant Impr ? 42 Demolish (Foundation) ~ 46 Windows/Doors 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair 33 Alterarions ? 37 Demolish (Bidg) p 44 Siding ? 48 Authorization 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair ~ENERAL INFORMATION ensus Code 4b'7 Zoning ~ sq. ft. AC Code D # of Stories sq. ft. o. of Units o L~g~ sq. ft. o. of Bldgs. Width sq. ft. onst. (Actual) ~ Basement sq. ft. MC/ES System (Allowable) Fust Floor sq. R. City Water BC Occupancy sq, ft. Fire Sprinklered IISCELLANEOUS INSPECTIONS Gas Service Test ? Heating ? Insuladon 0 Plumbing ~7 Stucco/Stone PPROVALS !anning Building ~ Engineering Variance VALUATION $ ODO ermit Fee urcharge lan Review IC/ES SAC % SAC ity SAC SAC Units /ater Supply & Storage Meter Size IW Pertnit /W Surcharge reatment Plant ark Dedication rails Dedication /ater Quality ~ther opies otal ~~j30 . ~ a S- 1 ~ 1 vc~ 1 G~Q W U COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN ~ v" 3~ ~ ~ ~ ~ 651-681-4675 ~ 1 , l 4 '-1. Foundation Onl New Construction Interior Im rovement • SVuc[ural Plans (2) sets • Architectural Plans (2) sets • ArchitecWral Plans (2) sels • Civll Plans (2) • SWCturel Plans (2) • Code Analysis (1) " • CertifipteofSurvey (1) . CIvilPlans (2) • ProjectSpecs (1) • CodeMalysis (1)" • LandsppingPlans (2) • KeyPlan (1) . PrqectSpecs (1) . CodeMalysis (1) " • MasterExitPlan (1) • Spec. Inap. & Testlng Schedule • Certiflcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighllng Form (1) not always" • Meter size must be esW6lished • Meter size must be established • Meter size must be eshablished - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) " 1 1 • Electric Power & LighUng Form (1) " d 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1)" 1 1 • SoilsReport (1) 1 • MClES SAC detertnination letter • MC/ES SAC determinatlon letter • MClES SAC determination letter call 651-802-1000 call 651E02-1000 call 651-602•1000 " Co~tact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: O 245 UL WORKTYPE: _ NEW x REMODEL CONSTRUCTION COST: SS~ U7~ SITEADDRESS: I/~S5 ~n~ L'E~J~i.t~ ~!t-~r/1% TENANT NAME: l~Lt~rZi~ ~A-~.J ft~V~-~ ~co9-L rY-i SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK ~n,. n.4~ ~C.~ ~/MSNcS~ ~t Gvdl (o~ I Name: 2_:G~t{7L/ r.J~ [ ' iL Phone ( ~ ) ' s~~~ 3 PROPERTY Last First OWNER / Sheet Address: ~ /U' ~~iL l S T City: ST~1~~~LCL State: /~l~ Zip: ~/UI Company:~,tJ(il~/~ (~iYVST~-'C(GTIUh~ Phone#: (~`J~Z- ) t~~/7"~7~a CONTRACTOR StreetAddress:7~J7 ~E/C_,(!/}1 b~ ~l~( L/= City:~-bL~4 svvl ~h~L~ %UJ State: /~VI h-~ Zip: j5'~39 r~; ; ARCHITECT/ ~ ~ ° ~ ,p ENGINEER Company: ~A~(4 ) W~ ~~hone ~ I~ 67 Q/ - gz2 5 Name:~ ~/u}~T~~JIYfL ~~'~uf9 1~1 Regish~ation : o~ c~~5 -1 I Sueet Address: L. ~'~f /1~~- t~~ nJ - ~ _ , State: ?~1 ~ Zi . ciry: /~PLS P 5 Licensed plumber installing new sewerlwater service: Phone I hereby acknowledge that I have read this application, state that the information is cone ncj agre compty i II-a ' ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 1/02 OFFICE USE ONLY SUBTYPE ~ O1 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 ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ~ 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizarion ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION ~p Census Code l~y1 Zoning f' l~ sq. ft. SAC Code 3C # of Stories sq. ft. ' No. of Units o L~g~h sq. ft. No. af Bldgs. ~ Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System ~ (Allowable) First Floor sq. ft. City Water ~ UBC Occupancy Sq, ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insularion q Plumbing ? Stucco/Stone APPROVALS Planning Building U'(~~~ ~~eering Variance VALUATION $ ~S `S, O O G ~ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit 5/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total ~ ~ '-~F `-1. y y~ CITY USE ONLY PERMIT#: ~ ~U4~" RECEIPTDATE: APPROVED BY: I 1~ Z~'~v`~ P, INSPECTOR 8008 COMM~itCI~tL M~EC~i~kNICi41. ~P$gMiT ~~LIC~TION CITY OF ~lk6AN S$SO ~ILOT KAOB iiD ~s~1v,1~1v 55 i EE B51-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: u ~~5 /(~Z SITEADDRESS: /OC.()?U ~~"ltizc.`Z'L~ ~Q l /lc. ZN~/~~~UU2 AWNER NAME: PHONE - TENANT NAME (IMPROVEMENTS ONLl~: ~Q 7/L 1 S~" C~l~/ ~t// ~C~ WAS TI~RE A PREVIOUS TENANT IN THIS SPACE7 _ Y~ N. NAME: INSTALLER: y~1 R.. ~.GA/L~YJ l Z/(h'L~~~~ S S~,/ /Q 7~ STREET ADDRESS: ~ Pt c~2 l°c. (~([ZL. ~ Ir~D CP7~ CiTY: ~"7 /"~l-C.( L STATE: ~ ZIP: %O TELEPHONE • ~i~~-Y ~-~°f I WORK Tl'PE: New constructlon Install U.G. Tank ~ Interior Improvement Remove U.G. Tank _ Processed Piping SpecifyNatureofWork:~L1~0 V(~T7-o,n~c L~XS ~~T~~~~'7Gb0/?IG Fl2UM G~/S7~r~L6 ' iloo7L~p c~•~•~7 -s When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. _ _ . . ~ ~ r Fees: 1% of contract price OR $50.00 minimum fee, wlnchever is greater. ~J1I~[`" r Underground tank removallinstallation = minimum fee ~ 1 ~ r~ ~ Con4actprice:$~-7 ~xl%=$ G~~ (BaseFee) ~_,I _ .,~j2J ' ~ State surcharge ~ S~ calculate at $.50 for each $I,000 Base Fee ~~T TOT ~L,~~~ llvl~//~ SIGNATIIRE OF PERMITTEE ~ ~ ~ T " ~'p ~~-~Y ~1 ~r Updated 1/02 CITY USE ONLY ~ !~~~j PERMIT ~ V ` ~ RECEIPT DATE: , EOOE COMMi3iCIA1. ~LUM$INH ~£RbIIT APPLICATIOP CITY OF £ABRA S$SO PII.OT RftOB RD Bi46R1~, bllY Sb18E 8g1-881-4878 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: ~ I - 1 ~ ~n Z WORK 7'YPE New Bldg Add-on Repair RPZ PVB " Imgation system " Jecry Wobschall ro calculate fees. Requ'ved meter size is 2" turbo unless smaller size pertnitted by Public Works DESCRIPTION OF WORK ~V~~H L~ CI:~T~-~4~ Sy To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646 METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to aickine 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 FLUSHOMEI'ERS Yes No PRV REQUIRED _ Yes _ No Site Address: ~6"'~''~ ~ r L ~ ~ Tenant Name: }~.~,~i u., G~~ I~n Telephone (Area Code) Was there a previous tenant in this space? _ Y_ N. If es, Name: Installer Name: ~ G Telephone ~.sa / y~I S36 ~ (Area Code) InatallerAddress:~Z~~c ~ 1~i City: ~ State: Zip Code~J-3 L~ FEES Contract price $ 3~ ~Q, r x 1°/a (550.00 min) Plbg Permit $ J~ • ~U Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surchazge: $.50 Mailmum. If base fee exceeds $1,OOQ calwlate at State Surcharge S 50 cents per $1,000 base. sO ra Sub TotalfCOta1 $ ~J Supplementary fees for new irrigation system: Water Permit S 50.00 Contact Jerry Wobschall at (651) 681-4624 regarding fees Treatment Ptant S 540.00 Wat e J r ~ $19t y~ Y~H~ To~e ~ NOU 2 0 20~1~ I hereby acknowledge that I have read this application, state that the information is correct, `A~ee,t9-c_ amply~w~ pit~ttr' aa p icable Ciry of Eagan ordinauces.ItistheapplicanPsresponsibilitytonotifythepropertyownerth ~ oFE anass e liab" foranydamagescausedbytheCiry during its normal operational and maintenance acrivities to the facilides con c un er th ertn t w~ ~ p perly/right-of-way/euement. SIGNATURE OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Ges Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: r~ a~~ v='-' , BUILDING INSPECTOR GENERAL INFORMATION • Rsdio 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 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"displacement residential $118.00 4-120 1-(/2" irrigationsyst $ 745.00 sm commercial turbine** **must receive mauimum approval from continuous Public Works ]0 2-30 3/4" displacement lawn irrigation $152.00 4160 2" turbine lg irrigation syst $ 923.00 ma~cimum residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 uniu 65 units ma~cimum sm commercial & continuous & , lg comm bidgs 25 irri tion s stems 5-100 1-1/2" bldgs 25-64 uniu $439.00 maximum dispiacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOT[CE PRIOR TO PICK UP ~ GPM METERS USE PRICE GPM METERS USE PRIi.E 5-350 3" turbine very Ig 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 +4Q0 unit bldgs $5,900.00 vcry ]g comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig imgation syst $2,184.00 & production lines Commenu • To schedule inspection of the inside water line and bacldlow preventer, call 651-681-4675. • To arrange for water twn-on, call 651-681-4300. ' ce: Kris Forster, Mainteoance Division Clerical Technician , Updazed 2/02 CITY USE ONLY PERMIT ~ RECEIPT DATE: APPROVED BY: ~ P I~- f~- INSPECTOR COb1M~iCI!!L M~'C~IiekNIClkL ~~MIT ~4~PLIC~TIOft CITY OP' ~A6u~4R S$SO ~1LOT KAOB ~D ~4H~kN, bIN 5518E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: II I ~ ` STTE ADDRESS: I I~S ~ lU l~ 1'1 ~~M~~ ,1~ ~ OWNERNAME: H?Y1~~1 Q k'1 o Y~~Q0.~~U PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl~: WAS THERE A PREVIOUS TEN IN THIS SPACE? _ Y~ N. NAME: INSTALLER: -Q.~'C' aDnxESS: ~C7 GlI .`7Le~ S rxorrE ~Sa. -~S' 3S- - 3$ I d (AREA CODE) CITY: 6~ STATE: Y u Z1P: ~S WORK TYPE: ~ New conshuctian = Install U.G. Tank Interior Improvement Remove U.G. Tank Proce~ sed P~ ~~,,p u,~ ~-r~i (~QS SpecifyNatureofWork: ~ ~I ~Xa ~ ~I CfZ~~ I/'~U~64 ~a~ VV7~ (~ja~S~ Y~S'T~¢r1" mo,$~ rtl-S When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. - "j ~ - ; ~ ~j ~ ~ Fees: 1% of conhact price OR $50.00 tninimum fee, wluchever is greater. ~ M11 i Undergound tank removaVinstallation = mininnmi fee ~ ~ 9, 2~ f::, ~ 2C;, ~V ~ x1%=$ (BaseFee Contract price: $ ) ~ ! i State surcharge . 5 d calculate at $.50 for each $1,000 Base Fee - C~,rn'E' / , ~.ot- TOTAL $ (O ~•~6 VQ.~ua-'h~~ S G ATURE OF PE ITTEE Updated 1lOl L o~ ~ ~ 1 o c.~ I .~.-1-~`-~_ ~f = i. S~ COMMERCIAL G~~~~p 2002 BUILDING PERbiIT APPLICATION a CITY OF EAGAN a1 1~ ~ a--~ l 1 p I 651-681-4675 ,1 1 Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets • Architectural Plans (2) sets • Architeclural Plans (2) sels • Civil Plans (2) • Strudural Plans (2) • Code Malysis (1) " • CertificateofSurvey (7) • CiWlPlans (2) • ProjectSpecs (1) • CodeMalysis (1)" • WndscapingPlans (2) • KeyPlan (1) • ProjectSpecs (t) • CodeMalysis (1) " • MasterExitPlan (1) • Spec. Insp. & Teating Schedule • CeAificate of Survey (1) • Energy Calculatlons (t ) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighfing Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjedSpecs (1) 1 • EnergyCalculations (1) " 1 1 • Electric Power & Lighting Farm (1) 1 1 • Masler Exit Plan (1) 1 1 • Pire Protedion Plan (1)" 1 1 • Soils Report (1) 1 • MGES SAC determinatlon letter • MClES SAC determination IeNer • MGES SAC determination letter call 651-802-10D0 rall 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: D Z- WORK TYPE: _ NEW ~ REMODEL CONSTRUCTION COST: 00. o~ SITEADDRESS: °vS Tow?~ ~~n~~ or~ti~- TENANT NAME: ST ~~.J~- Z~ • c> ~oa u SUITE I Z~ FORMER TENANT NAME, IF APPLICABLE: N I I~- DESCRIPTION OF WORK r~Nw~tl. UF! i~ ~Gw.. ~ h~O S~^'~?~ ~~r'~pM rr~: To ~.Un (1/?~Y`G r//d'Lp ~ Phone rZ ) t~J p 7~ 7 7.r Z. PROPERTY Last First owrrEx ! pv 1Zv4yvt' / u StreetAddress: 1(rC~ 1' N sr~- Z~ City: 'S~ State: ! v Zip: ~1^l~` Company: ~/l,/~~ C.l~-~"J~-~ Phone#: .~L- v ~7 -7 J r~ CONTRACTOR ~ ~o~ ~ ~ StreetAddress: ~ tr City: ~ ~ ~ , 1 State: 1 • Zip: ~r~ 3 / ENGINEER / Company: L~C11a ~ S H~('L~•T~c~J!'~._ Phone ( 4S~L ) u/7 `~~~r Z Name: ~ A. S~ ~w Z Registration ~ I I~ 3 Stteet Address: /~07 CrGG~+". ~S L, Li ~ C~+ City: ~10 u.~ ~ r ~ ~ ~ State: D ~ APR p 4 00 Licensed plumber installing new sewerlwater service: W Phone I hereby acknowledge that I have read this application, state that the information is rrect, an agre ~ comply wi plicabl State of Minnesota Statutes and City of Eagan Ordinances. Y Signature of Applicant Updated 1/02 OFFICE USE ONLY SUBTYPE ~ ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~ 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 ~ 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Detnolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement 0 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning ~ sq. ft. SAC Code _'~D # of Stories sq. ft. No. of Units o Length sq. ft. No. of Bldgs. 1 Width sq. ft. Const. (Actual) ~ Basement sq. ft. MC/ES System (Allowable) ~ First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCEL~ANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation f7 Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance 20~ ~ Z~ VALUATION $ Y~r666 ~ Permit Fee b Surcharge ~ ~ ~ Pian Review 13G . o r MC/ES SAC I~ .~p , 6=Q % SAC Ciiy SAC I 0 0, o-e~ SAC Units Water Supply & Storage Meter Size S/W Permit SNV Surcharge Treatment Plant . S~~ . o G Park Dedication Trails Dedication WaterQuality ~ ~ - Other ~ Copies Total 26R t . Z~ CITY USE ONLY PERMIT 1~ ` T' RECEIPT DATE: APPROVED BY: `7 P~~ ~ 6-0~, INSPECTOR 2002 COMM~f~C1~PEL MECIi~ENIC~EL ~E~M1T ~~P~PLIC~AxTION CtTY OF ERfiAN S$80 PILOT KN08 IiD ~kfiElN, ~ 551 gs 651-6$1-4s?5 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: ~ Tow ~n CQ.^ f Q2-0. s~- ~ z S OWNER NAME: 5"~: Pa..~ R a~~~ o~ o a~7 PHONE - C' i~ \ q TENANT NAME (1MPROVEMENTS ONLY): cJ~ ~a~` 1~' ~ O\ 00. V WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~ N. NAME: INSTALLER:. f'ac ~ I~~ 2 C~ STREET ADDRESS: '7 Z O~ l?~ Stil~ o~` ~U e CITY: ~ a C t~ \ ~A ~1' ~ ~ STATE: v ZIP: S ~ ~J ~ TELEPHONE / ~ Z - ~~I 7 ` J 3 D ~ ~ ~ ~ ~ ~ U ~ .IUI 1 6 2002 ~ WORK TYPE: ~ New construction Install U.G. Tank _ Interior lmprovement _ Remove U.G. Tank By _ Processed Piping Speci£yNamre of Work: ~X ~aw S'~' ~/~~-t ~ R4 ~~uJO `'C ST ~a n t~`~ S. on L p~ ~ ~.,~s~c c Fo..+~ a t~a. ;~•-~c F+c,.S a ..FGC~,.a•,_s~ sy s~ u~ When instal[ing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and P/umbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee /D~ Contract price: 9J / 1%_$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base F TOTAL $ • ~ SIGNATURE OF PERMITTEE Updated 1/02 CITY USE ONLY PERMIT ~ ~ I RECEIPT DATE: COMM~RCIAL ~LUbI$IF6 PE~b11T 1~k~LICATION C1TY OF f.~48AA 3A90 PILOT KROB RD i.i' 4HilP. E!P 581 ES 651-88t-4875 1nICOMPL~ APPUCA110NS WILL NOT BE PROCESSED Date: Z 3- O Zr WORK 1'YPE New Bldg ~ Add-on Repair RPZ PVB ' Irrigation system • Must completc reverse side of application also. Required mcter size is 2" turbo unless smeller size permitted by Public Works DESCRIPTION OF WORK ~h ~q « z- R¢s[ n s To inquire If Pressure Reducing Valve is required on new service, ca11 65 1-681-4646 ME1'ERS - Ca11 65 1-68 1-43 00 to verify that hydrostaric, conductivity, and bacteria tesu passed prior to oiclone uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disolacement $149.00 Domestic Size 8c Type Avg GPM Dces this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes No PRV REQUIRED _ Yes ~O No Site nadress: j I g S ~ N r t ~e ~C Q.r p r ~ v i~'c ~ Z~ - Tenant Name: S~ ~c~ u Z ~ q~ a ~ o Telephone (nree Code) Was there a previous tenant in this space? _ Y~`. N. If Yes, Name: InstallerName: ~4~~li~Cc-~ Telephone#: pS L- q`? `I-S3~H (Area Code) InstallerAddress:~pZC7b ~4s~: o ~ SU A,~ City: G:. ~ C l-n i r~' L State: / V I N Zip Codess 3~ GG OZ~~V FEES Contract price $ g~~~ ~ x 1% ($50.00 minimum) ContraM Fee $ Meter(s) $ " Required on all new buildings 8c boulevard irrigation syatems (Acct # 9220-4509) Radio Meter Read $ - Swcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Smcharge $ 'sb 50 cents per $1,000 contract fee. _ Total From Reverse New Servlce $ ro~i s $3 ,b7~ I 6ereby aclmowledge that I have read this application, state that the information is correct, and agree to comply with all epplicable Ciry of Eagan ~ ordinances. I 1t~Stheappl' nsibilitytonoafythepropertyownerthattheCityofEaganessumesno 'abiliryforanydamagescausedbytheCity duri ~ i ~m"~ul ~e~tibii'~l 'ntenance acdvities to the facilities co under this it wi ~n ~ propertylright-of-way/easement. I ln i i l JUL 2 4 2002 SIGNA REOFPERMITTEE B CITY USE ONLY REQ y SPECTIONS: ~ U.G. Y Air Test _ Gas Test ~ough In _ Final PLANS SUBMITTED APPROVED BY: S~ 7 Z~- ,$UII.DING INSPECTOR ~ Metropolitan Council Buiiding communities that work Environmental Services April 11, 2002 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagaq MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the St. Paul Radiology to be located at 1185 Town Centre Drive within the City of Eagan. This project should be charged 1 SAC Unit, as deternuned below. SAC Units Charges: Fixture Units 18 f.u. @ 17 f.u./SAC Unit 1.06 or 1 If you have any questions, call me at 602-1113. Sincerely, ~ Jodi L. Edwards Staff Specialist Municipal Services Section JI.E: (200) 020411SD Cc: S. 5elby, MCES Carolyn Krech, Finance Department, Eagan Kurt Hoppe, Welsh Construction p[~(~[~Od~ ~ APR 1 5 2002 ey wuR~.metrocouncil.org Metro Info Llnc 602-1888 230 Eas[ FiRh Slreet • SL Paul. Mim~esula 55101-1626 •(651] 602-1005 • FaY 602-1138 • TTY 291-0904 An Equut Oppnrtuni~y F,mpla~~er L~ ~ ~ ~ ` COMMERCIAL ~ 2002 BUILDING PERMIT APPLICATION , ~ a' CITY OF EAGAN ~ U ~ 651-681-4675 ~ -l 1 C~ 3 ~ Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) sets • Architeclurel Plans (2) sets • Architeclural Plans (2) sels . Civil Plans (2) • SVUdurel Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1) • CodeMalysis (7)" • LandsppingPlans (2) • KeyPlan (1) • ProjaclSpecs (1) • CodeMalysis (1) • MasterExitPlan (1) • Spec.lnsp.&TesOngSchedule" • CertifinteofSurvey (1) • EnergyCalculations (1)notalways" • Soils Report (t) • Spec.lnsp. &Testing Schedule (1) • Elec. Power& Lightlng Form (1)notalways"' . Meter size must be esTablished • Meter s'ize must be established • Meter size must be established - if applicable . ProjectSpecs (1) 1 • EnergyCalcula0ons (1) " ~ ~ n ~7 ~ ~ 1 • Electric Power & Lighting Fortn (7 D ~ LI U 1 • MasterExitPlan (1) 1 ~ . FlreProtectionPlan 1 FEB 2 1 2002 1 . soils Report (1) 1 ~ • MGES SAC determination letter . MC/ES SAC determination letter • MGE5 SAC determ ~ n letter call 657~02-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample By Food & beverage or lodging facilities - submk plan to MN Department of Health. Call 651-2150700 for detai s. DATE: Z Z OZ WORK TYPE: NEW REMODEL CONSTRUCTION COST: Z~'~10o a. v~ SITEADDRESS: $r I C-~~ Dr~?` TENANT NAME: S j. ~pxJ~- • ~ L ~ ti y SUITE I Z~^ FORMER TENANT NAME, IF APPLICABLE: Sl~My-' DESCRIPTION OF WORK I 2 r1lif~ ~N'~~lV J QMtl~~ G~/~M+C~ ~ j r~ C-L-- Name: ~ C.~ ~~oM P14A i t Y'" Phone ( 5.~.) ~9 77 Z PROPERTY Last First OWNER Slreet Address: / ~V ~ C rG C ~1 ~ } L ~i /`L ~ ~~ty: 1~'l~ t,r s~~: l~??•? Z,p: .~S'-i3 ~ Company: /~~`J~ LdI~ J~'~~~JIJ Phone#: (~l~Z )~97`7 tGJ-~ 7 CONTRACTOR n / StreetAddress: / ~U ~ ~ GL~~ ~y L r~ ~ t.... City: C State: Zip: ARCHITECT/ ~ Y ~i ~ Q !JQ ENGINEER Co an : ~ C,/~7 ~ T 1.(/~. Phone ( SZ) / ~ ~ 7~i ~ ~ Name: L ~ J ~D /4- % Registrarion f ~ I Io ~ Street Address: ~~0 ? C.I~G~/'~ ~/~jG L. ~ 11~~ L ~ r~ State: Zip: -rs~/ Ciry: Licensed plumber installing new sewerlwater sarvice: hone I hereby acknowledge that I have read this application, state that the information is c , and a e to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ 7~ Z/~ 0•L Signature of Applicant: ~ Updaled 1l02 OFFICE USE ONLY SUBTYPE ~ ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments 27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lod~ng ? 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 (Foundation) ? 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 ~7 Zoning sq. ft. SAC Code ~o # of Stories sq. ft. No. of Units Length sq. ft. No. ofBldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MCBS System (Allowable) ( I N First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ~ Heating ~ Insularion 0 Plumbing ? Stucco/Stone APPROVALS Plann~ng Building ~ Engineering Variance VALU.ATION b i C~UZ7 Permit Fee "a-`3.. C~ ~ Surcharge 1 y . C) ~ Plan Review ~ ~ 33 MC/ES SAC % SAC ~ City SAC SAC Units ~ Water Supply & Storage ~ Meter Size ~ S/W Permit SNV Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total 1 ( . CITY USE ONLY PERMIT#: N9i~~P RECEIPTDATE: ~-H'O~ APPROVED BY: P 3~ , WSPECTOR CObIM~iCI~kL M£Cii~kNIC~EL ~EiiMiT ~LIC~TIOft CITlt oF ~46lkN 3$SO ~'1LOT KNOB fiD ~s~kN, b1N 55i Ea 651-6$1-4675 Please complete for: all commerciai/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ~I O o~L STTEADDRESS: IIRS ~TOUJN C~NTR~ DR• OWNERNAME: ST. PAUL RRD IoLOfr`I PHONE#: - (AREA CODE) TENANT NAME (IMPROVEMENfS ONLI~: WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: l~'i~(iEkT M~CNANicA~ Co~17KHGTakS ~ 1-MC• ADDRESS: ~{45f W. ~I(OTk ~JT. Pxo~#: qsa - 83s-.~R~o (AREA CODE) CTI'Y: r D~ n)A STATE: M N ZIP: SS~/3S WORK 11'PE: New constmcrion _ Install U.G. Tank ~ Tnterior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNafure of Work ~[(]~C~ '(~/I O CA~ ~ 1 k'~'1.~-~2A~5 When installing/removing underground tank, call 651-681-4675 for inspecHon by Fire Marskal and Plumbing Iinspector. D ~ ~ ~ ~ M ~ ~ Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater. ~J Underground tank removal/installation = miiilmum fee ~A{j Q 1, 2~~z Contract price: $~~Q~ x 1% J~0 ~ (Base Fee) . ey zi State surcharge ~ calculate at $.50 for each 1,000 Base Fee TOTAL 3~~ }~.e v v` - ~ _ W C C- °-'Q~~et Q~ ~ ~ ~ ~ SI NATURE OF PERMITTEE -l/~~t1J ~ ~ ~ ~ ~ Updated 1/Ol a_~s~ / 6 4 3 a p o~-E-c~ ~p .'.-.e'!Ji CTI'Y USE ONLY PERMIT ~ ~ "I I ~ ~ RECEIPT DATE: J " ~ " U C03aM~CIAL ~LUb1~INH ~'ESMIT A~LICATIOF CI'fYOF £A6AA 3$SO PILOT BAOB RD gEk6AA, IiA 581 SE 881-s81-467~ L~ICJ~~iIPG~-IF ~Ppt_1CAT7UNS ~iV1L! nlOT BE PROCESSELJ Date: , ~~`'l I n a _ emodel WORIC TYPE New Bldg ~ Add-on _ Repair RPZ PVB ','i;;gar.on syscem " ~en }`%Jobscb.xll to taleidate ~ecs. Rcquired metzr size ;s turbu anless ,mailcr sizc pcrmitieei b~r Public SUer!;s DESCRIPTION OF WORK ~ P.I O CG1-l ~ L a~ S I 11 I~5 To inquire lf Presaure Reducing Valve is reqtired on new service, ca11651-681-4646 METiERS - Ca11 65 1-68 1-4300 to verify tfiat hydrostatiq conductivity, and bacteria testa passed prior to oicldnP w meter Irrigation Size & Type Avg GPM Fire Size 8c Price 3/4" disnlacement S 152.00 Domestic Size & Type ~ a'y, GP~t Docs :his inciude hi~ dem~uJ dev:ces'? _ Ycs _ Vu FLUSHOMETERS Yes ? No PRV REQUIItED _ 1'es _ Na Site Address: 1 ~ OlU Vl ~/l D r Tenant Name: <~T ~(7 Ll.-~ ~ lGl ~ i(~ L Uq Telephone <a~ c«~) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: InstallerName: lT~ ~ CJ~ 1 T ~"lP~~" 1(a,Vll ~~(X.I Telephone %J"rt~, li ~ 7 ~k "I `t~S ~ V V ( v t h J~ (Area Code) Installer Address: City: F~ Yl A State: M~ Zip Code '"~J.'r7 FEES Contract price z 1% ($50.00 min) Plbg Permit S ~J C7 r Meter(s) S Required on all new buildings & boulevard irrlgation syatems Radio Meter Read $ Surchazge: $.50 Minimum. If contract fee exceeds $1,000, catculate at State Snreharge S 50 cents per $1,000 conhact fee. y~~ Total S ~ ~ '1~~ Supplementary fees if installing irrigation system: R'ater Permit $ 50.00 Treatment Plsnt $ Contact Jerry Wobschall at (651) 681-4624 regarding fee Water State Su ~ .50 MAR 0 5 7~002 Total I hereby acknowledge that I have read this application, state that the information is correct, and W comply with all appli le City of Fsgan ordinances.ItistheapplicanYsresponsibilirytonorifyrhepropertyownerthattheCityofEaganass ' ~ ~e~~Y during its normal operational and maintenance activities to the facilities coastructed 's permiE`~~ifiin Ci hight-of-way/e ent. SIGNA P RMI TEE ~Q ~ IRRIGATION SYSTEM (CON'I') CITY USE ONLY REQi7IRED 1NSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: ~ P 3~ 3~~ . BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buIldings & boulevard vrigarion systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 Sl8" displacement residenual. $118.00 4-120 1-1/2" irrigarion syst $ 745.00 sm commercial turbine'* *'must receive maeimum approval &om continuous Public Worls 10 2-30 3/4" displacement lawn irrigation $152.00 4160 2" turbine Ig irriga7aion syst $ 923.00 ma~cimum residenrial & continuous sm commercial production lines li 3-50 1" displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 uniu 65 units maximum sm commercial & continuous & ]g comm bldgs ?5 irri ation s stems 5-100 1-1/2" bldgs25-64units $439.00 maYVnnm displacement 8c cantinuous most comm bldgs 50 YlE?^v+ ~S RE~(?i:2;tNC; ~IF~AY .a334".~NCE ~()'P~C~ ?Ri(7~2 ?'S~i:IC i~P t.i'"rI ~4E'T~R"a' (15~ PR1CE L`.P:4i Yi~,"TLR9 :.~Sa! :'a2iC3~. ~-)50 _';urbine vcry i~ iiTi;a~ion syst .5:.'14.zi0 ti-~q0 ~t" ~omnor.nd -300 mii Sld~ <c 3~.5bs.U0 & ;?rodpction iincs ~~cry ,g coinm eiu~s 2-~7_0 eumpounAi ?i;i) un~it oid:s S:'fid.30 ~0-101,)U 6" uum,r,ouad ~~.--F00 unie bi~#gs 3~,~(li).il0 •:c^~ !g •.:o~r,rn bi~lgs ~~eri iv co~nm aidgs U00 -1° :urbine ~~~;ry i_ irri~_aticn ;y~t ~2..~ 5~4.=J0 .u, nroducrioc~ lines Commenu • To schedule inspection of the inside water line and backElow preventer, ca11 65 1-68 1-4675. • To arrange for water turn-on, ca11651-681-4300. ce: Kris Forstar, Maintmance Diviaion Claticat Techuician Updated 10/01 : _ ciTV use oN~v ' PERMIT 1~ $ 3 L~ RECEIPT DATE: ~ - O APPROVED BY: ~ P ~ z V 3! d' INSPECTOR COMbI~CI~kL bI~C~lNIC~kI. ~P~ibIIT ~k~~PLIC~ETtON CITY Oi' ~k6AF 3$SO PILOT KNOB iiD ~as~x, anv 55i sa 651-6$I-4675 Please complete for: all commercial/industrlal buildings multi-family buildings when separate permits are not required for each dwelling unit DATE:_ !I ~~~7ICJ1 STTEADDRESS: ~1~5 ~nWn1 [ ENTRE ~R. Isr r~voR OWNERNAME: ~IIELSH Pxo~#: 9sa - 897- 7sai (AREA CODE) TENANT NAME (IMPROVEMENTS ONLI~: T~R. C RUTChF F I E LD o WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y 1IN. Nt1ME: r~- INSTALLER: ~1L0G2T MF(' NF'~tJ~C_AL l ArJ"TRI~CTOkS SNC. aDDxESS: 4~}5~ ln/es-r 76~" Ss rxorrE#: 5a - g35-3$)t] (AREA CODE) CITY: E D i N A STATE: ~ ZIP: SS ~ 3 S WORKTYPE: Newconstruction InstallU.G.Tank Interior Improvement _ Remove U.G. Tank ~ Processed Piping Specify Nature of Work: ~ When installing/removiirg undergmund tank, cali 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1°/a of contract price OR $50.00 minimum fee, wlrichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ i5~ bbb x 1°/a ~~~p, aQ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ ~ 1~/~-t av~.v pc~ ~ ~ - ~ ~ ~ 1 SI ATURE O ERMITTEE ~v Updated 1/01 ~ ~ 1 ~ COMMERCIAL ~-~v~ ~ BUILDING PERMIT APPLICATIQN I O l CITY OF EAGAN '1--~ C~ g~.-- 651-681-46T5 ~ ai ~ ~j~ Foundation Onl New Construction Interior Im rovement • Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) se4s • Civil Plans (2) • SWCNraI Plans (2) • Code Analysis (1) ° • Certifirate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) ~ ProjectSpecs (1) • CodeAnalysis (1) " • MasterEritPlan (1) • Spec. Insp. & Testing Schedule " • Certifipte of Survey (1) • Energy Calwlations ('I} not always" • Soils Report (1) . Spec. Insp. 8 Testing Schedule (7 • Elec. Pov.er & Lighfing Fortn (1) not always" • Meter size must be established • Meter sis must be established • Meter sire must be esWblished -if applicable . PrajectSpecs (1) . 1 • EnergyCalculapons (1) " 1 1 • Electric Poxer & Lighfing Fortn (1) " 1 1 • Master E~dt Plan (1) 1 1 • Fire Protection Plan (1)" 1 1 • ShcsReport (1) 1 • MClES SAC determination letter . MClES SAC datermination letter, • MCIES SAC detertnination letter call 651-602-1000 call 651-602-7000 cali 657-602•1000 " Contact Building Inspections for sample Food & heverage or lodging facilities: Plan must be submitted to Minnesota DepaRment of Health - call 651-215-0700 for details. DATE ID "~C~ l WORK TYPE _ NEW ~ REMODEL CONSTRUCTION COST~Ig ~l / 6O• °v SITEADORESS ~~~s ~ow.~ C~n1~'e J~n~e- TENANTNAME C/K ~Gi~~~P~d ~`A~G~~O~ SUITE# ~ FORMER TENANT NAME DESCRIPTIONOFWORK -1?~~~~o^' `7~°~'+Q^~ y~u~I~-ou~ Name: C~ ~ Phone#: ( 6S~ ) 6 6 S ' S 3`33 PROPERTY Last Fitst OWNER StreetAddress N ~O ~e~~~. City f. State ~N Zip 5 S/ul Company ~i~.co ~~S~Yu~f7~un Pbo~# ~ 763 ~ 69y-O~So CONTRACTOR StreetAddress: ~~/7G0 a` ~j'~' Ay~ /(J. ~-c~p Ciry p~y /~t B~ State ~ A/ Zip ~5~ y 7 ARCHITECT/ ENGINEER Company ~Ch i7 ~'lc Phone 6~a 3 7? - 8aa s , , Name Registration # StreetAddress o2/a/ I~EnnEp» /~/f . ,su-~,~ a/3 1,~~~~~-~' Ciry ~5 Stare N ~ Zip ~j~5-`/D S _ _ ~ Licensed plumber installina new sewer/water service; Phone I hereby acknowiedge that I have read fhis applicalion, state that the information is correct, and agree to comply with all applicable State of Minnesota StaWtes and City of Eagan Ordinances. ~~~~~ii'U b" Signature of Applicant~ ~ Updated 1/01 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~ 27 Commercial/Industrial ? 32 ExtAlt-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 (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 4.3'7 Zoning '~''C~ sq. ft. SAC Code 3~ # of Stories sq. ft. No. of Units ~ Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) '1.j'.• ~.1 Basement sq. ft. MC/ES System ~ (Allowable) r~ First Floor sq. 8. City Water UBC Occupancy ~ sq. ft. Fire Sprinkiered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? 5tucco/Stone APPROVALS Planning Building Engineering Variance ~ I~~a VALUATION $ IB2 ~ 000--' Permit Fee Surcharge al I. O C~ Plan Review 4 . l-{ MC/ES SAC °Jo SAC City SAC SAC Units Water Supply & Storage Meter Size S!W Permit S/VN Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Totai ~ t-{ ~S ~ COMIMERCIAL ~ ` - ~3 _ a ~ BUILDING PERMIT APPLICATION n 1~ YY~ CITY OF EAGAN ~ a ~ 651-681-4675 ~ U ~ ~ Foundation Onl New Construction Interior Im rovement • S[ructural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) Structural Plans (2) • Cotle Malysis (1) " • Certifica[e of Survey (i) • 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 " • Certifirate of Survey (1) . Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Tes6ng Schedule (1) " . Elec. Power & Lighting Form (1)notalways" • Meter size must be estabiished . Meter size must be established • Meter size must be established - if applicable . Project Specs (1) ! • Energy Calculations (7) " 1 1 . Electric Pawer & tigh4~ng Form (1) " 1 L . Master Ezit Plan (1) 1 1 Fire Protection Plan ('I)" 1 1 • Soils Report (1) 1 • MGES SAC determination letter . MGES SAC detertnination Ietter . MGES SAC detertnination letter call 651•602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & be erage or lodging facilities: Plan mus[ be subr~ed to Minnesota Department of Flealth - call 651-215-0700 for details. I~ ~ATE 3 G1 WORK TYPE V NEW _ REMODEL CONSTRUCTION COST ZUi ~ SITEADDRESS /I ~fS~ ~/~tJh.~ ~i~J7~'a~ TENANT NAME ~'(i(/I~J l~ S j/~~77~fK~c SUITE # FORMER TENANT NAME DESCRIPTION OF WORK (,~C.~- j CTV ~14~I N/~ ~ v/~~ CZt~"C_ ~ Name: (,l~i LS F~ ~1'il/L~-'e I~1`~ l~'S Phone#: `J~ 2- 7-~~ S~-- PROPERTY Last First O WNER Street Address ~ p v~ C~~~/ D~~c ~,L(.`. City ~j [,(S~y1 1 (~L/~~ 7 LJ)J 5tate ~ Zip ~ ~J ~ Company (i(/j,`Z,.S/'f (~~J1`?'~F.t~7`IU~-~ Phone# ( /'JZ ) ~1%7-7`7~b CON'I'RACTOR ~y~~ ` StreetAddress:~b 7 ~Y~l~ ~j (~C~~ Cr ~ ec.~ City~~{~7 yl I Yil Co ' i 7 n-J State ~'~/l ~ Zip 5 5~3 / ARCHITECT/ ~n_ / (~,yG ~i ENGINEER Company ~l~lU~~ S`ti~lb(C; 5. Phone #(~P~2- ) l/ 0~ 0~D Name W~ 7't ~~TC~~ Regis~ation # Oc y 5 Street Address Z f(~ l ~~G 1^-+WC~`1 (w /r" ~`-u 1T~ z-~ 3 City ~P( ~ State t~ ip'~~~~t"Il~ P ?ID1~ ~~n ~~~c i~~ j~~~:ii 1 l~,'y II5 Licensed lum6er installinq new sewerlwater service: Phone Il~ I li 4 U I hereby acknowledge that I have read this application, s[ate that the inform ' n is c rrect, and agree t comply with appli. ~c~able S_ltate of Minneso[a Statutes and City of Eagan Ordinances. Y Signature of A hca : _ Updated 1lOt OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaVindustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 NailSalon WORK TYPE ? 31 New ? 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 ¢?~Z Zoning D sq. ft. 5AC Code ~ # of Stories sq. ft. No. of Units o Length sq. ft. No. at Bldgs. I Width sq. ft. Const. (Actual) ZI, . I H'R~ Basement sq. ft. MC/ES System ~ (Allowable) I F}rei First Floor sq. ft. City Water ~ UBC Occupancy ~ sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVAL5 Planning Building Engineering Variance VALUATION $ /~v~ 0 0 a Permit Fee ~','~-l . Surcharge ~ 0 ~C) ~ Plan Review a-O ~'i .~S 1 MC/ES SAC °/a 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 ~~LE (1 -C) ~ CITY USE ONLY PERMIT ~ RECEIPT DATE: ~ 1~ a~ - C~ I APPROVED BY: S~ 2~ , INSPECTOR COMMi'.RCI~41.1VI~C~ilENIC~4I. ~Ef~M1T lk~P~LICiRT10N CITYOF i:ASlkN ~0 7 39.0 3$QO aLOT KPOB RD ~4~tRR, bIN 551 £E 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: ~ I~ a3 ' ~ f SITEADDRESS: I~aS ce~-1-e~ C1r, l~ -F1oc~~ OWNER NAME: PHONE (AAEA CODE) ' TENANT NAME (LMPROVEMENTS ONLY): Al1 Fut~cLS rn6~'~4CS1 P WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~C N. NAME: INSTALLER:_ ~herr'M~X COf.P ADDRESS: 35a'"~-t Ru.l~i~~ ANQ S. PHO~#: sa ~ aa • 06~~ (AREA CODE) CITY: S~'. ~-O~~S PQr[~ STATE: (~'I~1 ZIP: SS~//~ WORK TYPE: New conshucrion Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureofWork: ins-~a(1 a 2one ~v~~e~s ~ rek.~ec~ ci~~n+dr~c, PIa~S ehchsec~ When installing/removing underground tank, call 65I-681-4675 for inspection by Fire Marshal and Plumbing linspecror. Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee ~ o0 Contract price: $~j~ x 1%= $ S 1• (Base Fee) ~ 5 ° State surcharge ~ cslculate at $.50 for each $1,000 Base Fee TOTAL $ 5 ~ , So Z,e.i) lM~~ 1~lSLX ` SIGNATCTRE OF PERMITTEE Updated 1/Ol CITY USE ONLY PERMIT l C~ I` l O RECEIPT DATE: ~ Q"~ ~ COMAI~CI!!L ~1.11M~IF& ~EiiIY~T !l~PI1CAT10F Cf[Ya~F~ABAR 3$90 fQ.Qf HA09 RD f.ABAR, 9tlY SSl ES 68t~8t-~?895 IMCONIPLETE APPLICAAONS W7LL NOT 8F PROCFSSED Date: / ~ ' ~ ~ ~ R'ORK T7'PE New Bldg Add-on _ Repair RPZ PVB * Irzigation systcm ' ~fust complz[e rovcrse side ot application alsu. 2cauired mcter sizc is 2" turbo unless smailcr sir~ pemiitted by Pubiic Wor!~ DESCRIYTIONOFWORK I`Gt`~I'-~'l~ " I~~I~ ~.F' S/u 1 l ~lA~ To inquire if Pressare Reducing Valve is required on new s rvice, call 651-681-4646 ' METERS - Ca11651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed orlor to oicldne uu meter Irrigation Size & Type Avg GPM Fire SizB & T}pe Avg CTPM Domestic Size & Type .a~n_ GP~I Dozs this inc(ude high demand dcvices? _ Yes _ ~o -r, ~ ' I~ ~r - ~ FLUSHOMEI'ERS Yes _ No PRV REQUIRED _ Yes ~ No ~~I I~~~ ;~,~i NOU 1 E [U01 ~ ~ r--. ; „ v~ Site Address: LO i Tenant Name: . ~ u~t'~'~'~`( ~Q l Telephone _ - - ~ - ~ (Area Code) ~ Was there a previous tenant in this space? _ Y~( N. If Yes, Name: Installer Name: ~r'~I I I W~ / I~ 1' r~ ~ ra O Telephone `~J~ a - 1 '"1 J I ~ . ~ / ' (Aree Cade) InStaller Addre City: ~~f ~1~ State: ZipCode SS`('~~ FEES Contract price $.G ~ d pO a 1% ($50.00 minimum) Contract Fee $ (/1 Meter(s) S Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Swcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at Stete Surcharge S ~ 50 cents per $1,000 contract fee. Total From Reverse New Service $ Total $ a I hereby aclmowledge that I have read itus applicatioq state that the infoimation is wsrect, and agee to mply with 1 applicable Ciry of Eagan ordinaaces. It is the applicant's responsibility to notify tLe property owner that the Ciry of Eagan assumes no 1' ility for damages cavsed bythe City during its noicnal operational and maintenance acrivities to the facilities conatructed under ffiis 't within 'ry p /rightrof-way/easement. T PERM TTEE CITY USE ONLY REQUIRED INSPECTTONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Fiaal ~ ~ ~ I I ' ~ I ~ BUILDING INSPECTOR PLANS SUBMITTED APPROVED BY: ~ Metropolitan Council Working for the I3egion, P(anning for the Future - ~ Environmental Services May 16, 2000 Dale Schoeppner' . Building afficial City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 DearMr. Schoeppner: l l~~ ~'"~~/h, Pi 'IA'~r~~=- ~ The Metropolitan Council Environmental Services Division has detennined SAC for the Town Centre Plaza to be located at 1185 Town Centre Drive within the City ofEagan. This project should be charged 15 SAC Units, as deternrined below. SAC Units Charges: Office 36276 sq. ft. @ 2400 sq. ft./SAC Unit 15.12 or 15 If you have any questions, call me at 602-1113. Sincerely, C~ ~ . Jodi L. Edwards Staff Specialist Municipal Seroices Section JLE: (300) 000516S1 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Angela Holtz, Welsh Construction 230 East Htifth Street 5t. Paul, Minnesota 55101-1626 (651J 602-1005 Fas 602-1183 TDD/T'IY 229-3760 An Etyuat Opportunfty 6nplnyer I t_~- r'~ I c~-ek I co~xc~u, ~/S,f ~'3 ~ ~ ~ BUILDING PERMIT APPLICATION ' CITY OF EAGAN ~ ~ 651-681-46T5 ~ ~ ~ 1 - ~ ~ Foundation Onl New Construction Interior Im rovement • SWCWraI Plans (2) sets • ArchitecWrel Plans (2) seLS • Architectural Plans (2) sets • Civil Plans (2) • SWcturel Plans (2) • Code Analysis " ~ (1) • CeNficate ot Survey (1) . Civil Plans {2) • ProJect Specs (t) • CodeMalysis (1) . Landsraping Plans (2) • Key Plan (1) • ProjectSpecs (1) • CodeMalysis (1) ^ ~ MaslerExilPlan (1) • Spec.Insp.BTesting5chetlule" • CertifipteotSurvay (7) • EnergyCalculaGons ~t)no[aiways~~ • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1)notalways" • Meter size must be established • Meler size musi be established • Meter size must be established - if applicable • ProjectSpets (t) 1 ~ • EnergyCalalations (t) 1 1 • ElecVic Power 8 LighUng Form (1) " 1 1 • Master Exit Plan (t ) 1 1 • Fire Protection Plan (1)" 1 1 Soils Repart ('I) 1 . MC/ES SAC determinaEon letter . MGES SAC determination letter • MGES SAC detertninatlon letter call 851-602-1000 call 651-602-1000 call 657-602-1000 " 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 `J O( WORK NPE _ NEW _ REMODEL CONSTRUCTION GOS~'~iSO~ UDC~ ~ SITEADDRESS `T~p, 1...~.. ~rJ J~ TENANT NAME ~ , ~c~„~ I : ~ ~t74 SUITE # ~2_] FORMER TENANT NAME lJc: /'~~.w~ DESCRIPTION OF WORK ~V~i~'i(7r~ T~,vv~...~n.~ }~"v. ~ 5 Name:~n ~,w-tv~ ~~QIa L•L.G. Phone#:r g~sz ~~?7- 77$2 PROPERTY Last First ~;,~.A~ CLrv~2.Sav~ OWNER ~~`J~y Cow.~~nPY.S SheetAddress ~ Inrr~- r~~ 1~ou-~2~Ip,y~ ~r.~~-~C~ ~Da City ~y.E State M~ Zip ~5~37 Company~~Q~~I;r~V~ ~~rn~v~~~2S Phone# ( ) ~7~~3gZy CONTRACTOR ~ Street Address: ~y~ 1~ ~ s~-..s. , s Ciry VY~ /1 ~ ~ i S State ~f? Zip ,-~i J`~y~2. ARCHITECT/ p y ~ r, ENGINEER Com an A S: ~~R"~1,".t 2 r~- Phone # 7i. ' ~ Name j.-, ~ L~7 U' Regi lion S StreetAddeess vt. ~~~Y ~ J~ 1 Ciry ~~.~yn _ - State Zi ~5~~ l~o sy_--- Licensed plumber installina new sewerlwater service ~R,. c~..aa.~ ~w».b,~_ Phone (~0~2 1 I here6y 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[:_~~.~ y- U dated 1I[ P 1 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~ 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 ~ 35 Tenant Impr ? 42 Demolish (Found) O 46 Windows/Doors ~ 32 Addition ? 36 Move Bldg ? 43 Reroof u 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) Li 44 Siding ? 48 Authorization O 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ~Z Zoning sq. ft. SAC Code ~o # of Stories sq. ft. No. of Units o Length sq. ft. No. of Bidgs. 4Vidth sq. ft. Const. (Actual) Basement sq. ft. MClES System ~ (Allowable) ~ First Fioor sq. ft. City Water UBC Occupancy ~j - sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning 6uilding ~ Engineering Variance VALUATION $ ~J5D , ~OC7=~ Permit Fee 3 .-7 S Suroharge 1'7 S~ O C~ Plan Review l 5~j ~ 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 Tota~ '--I I a 41 • COMMERCIAL j ~ BUILDING PERMIT APPLICATION a~~ l~. ~ ~7 ~J CITY OF EAGAN 1_.: ~ 1 C.~ ~ 651-681-4675 ~ n ~ ~ 2~ -d + ~~~~.QJ Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil PlanS (2) . Structural Plans (2) . Code Analysi5 (1) ^ • Certifcate of Survey (1) . Civil Plans (2) • Project Specs (1) . Code Analysis (1) . landscaping Pla~s (2) • Key Plan (1) • ProjectSpecs (1) . CodeAnarysis (1) " + MasterExitPlan (1) • Spec. Insp. 8 Testing Schedule " • Certifcate of Survey (i) • Energy Calculatlons (1) notalways" • Soils Report (1) • Spec. Insp. & Tesling Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meter size must be esta6lished . Me[er size must be esta6lished d- if applicable . ProjectSpecs (1) , l • EnergyCalculations (7) " D ~ ~l 1 Electric Power & Lighting Fortn (1) ~ 1 . MasterExitPlan W~AR I 9 2~~~ l 1 • Fire Protection Plan (1)" 1. 1 . Soils Report (1) ~ 1 . MGES SAC determination letter • MClES SAC determination letter ~iG/ES AC tletermin ti n er call 651-602-1 D00 call 651-602-1000 - " Contact Building Inspections for sample Food & bevera e or lodging facilities: Plan must be submitted to Minnesota Department of Health - ca11 6 51-21 5-0 700 for details. DATE WORKTYPE _ NEW /~REMODEL CONSTRUCTIONCOST ~60~006 SITE AD~RESS a ~ ~ ~~l/ ,~~ll ~ TENANT NAME ~G~- ~'M f{ c~ ~t~ ~t°j~~ J ~T~ti ~ SUITE # FORMER TENANT NAME DESCRIPTION OF WORK /"eN~~ /~Q~ ~~ti ~ ~S"+ Name: ~ I.U ~ C~' ~'~2~ -~lft Z,GE «Phone#: ( ~.SI ) p ~ s f S PROPERTY Last First OWNER ~ ~ ~ / r„ Street Address ~ / { L2'~ S % ~ ~r City S~ J~j~.~ ~ State " ~,V Zip r Compaay ll~'"~' `Sl., CL~~V~I~ Phone# ( r~~ 77~ 2~ CONTRACTOR d / J StreetAddress: p~C.'a ~82M~L.~6~(-/F City p}~M+ ~l~{~ Tp/l/ State --~~I~=-- Zip :~'~"~J / ARCHITECT/ p. ENGI~fEER Company ~ ~ ~ Phone # ( ~ ) / d ~0~ Name ~ Registration # ~7 S~ ~ Street Address /Fy~_fi1iU r~ d~~ City y~,_•,;,d/~~/~}~G ~~~2- State __~/j~ Zip y~~ Licensed plumber installinq new sewedwater service: Phone 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~/'6vG-~"'=% Updated 1lOt OFFICE USE ONLY ~ - ~ SUBTYPE ? 01 Foundation ? 26 Pubiic Facility ? 30 Accessory Bldg. ? 14 Apartments 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 ? 31 New ~ 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 Zoning tf~ sq. ft. SAC Code ~ o # of Stories ~''-~f sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) ~ Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy ~ sq. ft. Fire Sprinklered MISCELLANEOUS INSPE~TIONS ? Gas Service Test Heating ? Insulation ~ Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ ~ Cp 7 ,1'1 Permit Fee ~ `t ~ Surcharge u O. C~ t~ P!an Review y .3 MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter 5ize S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total ~ ~ ~ - ~ ~ APR-02-O1 MON 02~38 PM FAH N0, P. 03/03 y 'S'~ ~ f ~ R R ' 'vi! _ _ ~ - _ eJ..~ 2i01 hennEpln av.nuc cuitF Z13 minncApells, mn 55405 Phc(6i~~99~•8~00 fX:(6121~79'H15~ ~I; tf 27 March z00S n_,~ f J d' 4~~'~ ~ ~Dem+atorogy Con~ultar++ts ' C ~ r~ ' ~ ~ ' ~ 1185 town Centre Drivc S ~~gan, Mhi Code ReView t:d From tablF t0A-UBC ~ O!(iw Area 3288 SF/10tl~33 QCe4parrts R~ui1'ted exits 2 Reception Area p,ssembly area-Less concentrateC lo~ 688 SF!'I5~46 OccuFards Ftequired Ex~s 1 Ex;tt requireA 2 E~cits provided Z Sinoe eiy, atha I 3he , b4 ~ Principal .qS} i~,tljj C`'~1' I';~7ik,t y~ t R~~y 1~ i~t~ ~~1~ t J J F~l' ZQ ~`Jtld ~13NC1 L5S86LBdL9 5i=VL L00Z~LZ/E9 • V f'1~11"Zl~'~rZL v~~ n~f3rv..~~-~ ~?IvLSI~ ~c9h5T2ct~T~v ~S~c~~v N~n-^'( ~ QR'uz Q~ ?4~ SGt~ ~-vo M ~~5, /~N $-S"y~7 , ^ ~ iz , l ~~s 7 v w~v ~ t~~~i:,~~, t.~r2, ~ i~:~`C, ~vr-~- ~-~G- ~ G Gw~ t+ ~ rt3-r.T' . 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 aze to the 1997 U.B.C. It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesting that the following items be addressed. " ~ ~ ~ s~ , g ~.Z2=7"lS~~.~~L GLa?^+i'~~'y'~"i ~~L~~ - 1~ l_ ~F __y t Jr~~,,1 _.e~~1'~' ;i'YU_- - ~ ` t~"~~°- ~ ~ k- ~~M " _ _ _ " . ~ 1-_~_S_T~=~?-,~~ 1~1~~~ _`~'~'!~~~~~13~~~ - _ ~o~I~ --_.w~T_~- --~'r.~ ~~~_r___~~~_~a~_- - _ _ U~.._~_~~__ _ z~~---~ r " ~ . Z~a.t"~_-- --~'=~Urrl _ J~?i~t. ._._,1'`~C~i3?'1,,. .(r~:._._~' ~F_,- ~+~f'~,..._ ~ O~T C . ,~^+a l~~f:ti e , ~~4.. ~~P.~4'~.,a _ j _ r - - ~ ~.1~/SS ~ . ~ ~Oa~we.. ~/~#!~i ` COMMERCIAL L { -~CJ BUILDING PERMIT APPLICATION a~ ,-l ('J L ~ CITY OF EAGAN ~ 651-681-4675 ~ _ ~ ! ~ l Foundation Onl New Construction Inferior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets . Civil Plans (2) . StrucWral Plans (2) • CodeAnalysis (t) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Anatysis (1) " . Landscaping Plans (2) • Key Plan (t) • ProjectSpecs (1) • CodeAnatysis (7) " • MasterExitPlan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (t) • Energy Calculations (1) not always^ • Soils Report (7) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form not always" • Meter size must 6e established • Meter size must be established • Meter size must be established - if applicable . ProjectSpecs t) 1 • Energy Calcula}ions D(~*~ ~ nn ~ 1 ! Electric Power & lighting Form U 1 1 Master Exit Plan (t) ~ 1 1 Fire Protection Plan 1 1 ~ . SoilsReport ,jJAN ~ 1 2001 l . MGES SAC delermination letter • MCfES SAC detertnination letter • MC/ES determination letter call 651•602-1000 call 657-602-1000 calf 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 ~I- b I WORK TYPE x NEW REMODEL CONSTRUCTION COSTi-/ Z Z, oDv . oa SITEADDRESS ~ I~~ % OuJlv ~ •^~~n2r~ TENANT NAME S~ fG sk /acS St~G i A- ~~S SUITE # Z/~ ~~~~C~~ FORMER TENANT NAME DESCRIPTION OF WORK /J e~ ! e'V ~t~ ~ S WffiCE Name: z,( 2 G. 2 • ~ b [J .'C ~ Phone#: ( ~ ~ 2 ) ~ c( 7'' "J P~ ~ PROPERTY Last First OWNER ~/1~ StreetAddress ~~Da /~D2~LfN ! Ciry ~4y ~ r-l ,ii7 ~7'T ,t/ State /?~w 1 Zip Company ~,l) ~ 1 S L G6 ~U C'f-/~ V~?~,`uti Phone 9`5 ~ ~ g~Q CONTRACTOR Sheet Address: G, ~ L, :uG b~wJ .~2 , Ciry State /l~i1/. Zip ARCHIl'ECT/ ENGINEER Company ~~q fi/E Phone # / z Q~- ~~2~~ Name /1t j ~ ~ {,4_ Regisfra[ion # Street Address p ~ ~~i?i(/ f}-~J~ City /?,~,~/q/Gf}~f~r) f S State /"~r?_ Zip .~dC~ 5/6~` Licensed plumber installina 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. c Signature of Applicant~~~~~~~9 ~ Updated 7/07 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 ApaRments ~ 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Ladging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscelianeous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ~ 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bidg) ? 44 5iding ? 4& Authorizatio~ ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code ~ Zoning ~.`'y sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. / Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) - First Floor sq. ft. City Water UBC Occupancy sq. ft. /~dj~ Fire 5prinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance VALUATION $ 020~, O 9~ m~ Permit Fee ~j~-(~~I .2-~ Surcharge 1 ~ . ~ C7 Plan Review "~-2-1 . C) 1 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 ~ ~ ~f . ~ . w.~....... . . . . . ' CITY USE ONLY PERMIT ~ ~ C~ RECEIPT DATE: _ I - ~ 3 - C~ ~ APPROVED BY:_ , INSPECTOR COMM~itCI~4L M£Ci~BTIC~El. ~~MIT ~PLIC~4TION Cp~(y ~ ~ crrY o~ ~s~x s8so ~iLOT ~vos ~n ~~rr. Huv ssi~Q ssi-s$1-as~5 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ~ ` ~1 ' C~ ~ SITE.aDDRESS: ( \ 41 T~jn C.~,~,~- ~ t ~ ~ OWNER NAME: PHONE TENANT NAME (IIvIpROVEMENTS ONL i ~^REA co~e) S~Qt~.r e' ~1 ~c WAS THEI2E p pItEVIOUS TENANT IN THIS SPACE? _ Y~N. NAME: I~i ISTALLER h e~ r~e c~ ~P ADDRE35:?,~5a~i (L ~2.~~ay (~cJe_ s PHOrr~#: sa - ~aa-o6a~ (AREA CODE) ci~: << P~~ ~ sTn~: zrn: S S~-t ( f~ WORK TYPE: New conshuction Install U.G. Tank X Interior Improvement Remove U.G. Tank _ Processed Piping Speci:3•Pda:»rec.`~Jo.k: Ir~S~~tt! e~ir~u~O~K~v~'~~r~t~ ~uT~U.~4- Pla~'lS ehc(uSeC~ . When installing/removing underground tank, cull 631-68Id675 for inspectran by Fire Marsha! ¢ Plumbing linspectar. O ~ ~ ~ ~ ~ ~ Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. ~ UndergroundtankremovaUinstallarion=minimumfee JAN 2 2 2001 c~Q Couhact price: r 1^~0 = r~ ~ (gase Fee) , By State surcharge ` 5 ~ calculate at $SO for each $1,000 Base Fee TOTAL ~ 5 O 5 ~ ~ SIGNATU ~ OF PERMITTEE r Updated I/Ol ~ ~•L - s ~ Depaztrnent of Administrarion ~ ;~y January 17, 2001 Town Centre Plaza LLC 400 N. Robert St., #240 St. Paul MN 55101 RE: Hydraulic Passenger - Elevator ID# 01-06864PT00-01 Site: Town Centre Plaza 1185 Town Centre Dr. Eagan 55122 Dear SidMadam: Minnesota 5tatutes Chapter 16B provides that the Department of Administration, Building Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and manlifts (endless 6elt lifts) before they can be legally used irr Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, BUILDING CODES AND STANDARDS ~ John P. Roche State Elevatorlnspector jpr/kad {CE-2} c: Reid, Douglas M., BO, City of Eagan Schindler Elevator Corp. Welsh Construction ElFOrmCE2 Building Codes and Standards Division, 408 Me[ro Square Building, 121 7th Place East, St. Paul, MN 55101-2181 Voice: 651.296.4639, Fax: 651297.1973;'ITY: 1.800.6273529 and ask for 296.9929 2000 BUII.DING PERMIT APPLICATION (CONIIVIERCIAL) , CITY OF EAGAN ~ ~ 651-681-4675 ~ , S v ~ .Q y l ~5-~~~ Foundation Onl New Construction Interior Im rovem t • SwcWral Plans (2 sets) . Architectural Plans . Architectural Plans Civil Plans ~ (2 sels) (2 sets) • (2 sets) Structurel Plans (2 sets) . CoEe Malysis (1) • Certificate of Survey (1) . Civll Plans (2 sets) . Prqect Specs (1 set ) . Code Malysis (1) " . Landspping Plans (2 sets . ) KeyPlan (t) • Project Specs (1) . Code Malysis (1) . Master Exit Plan (1) • Spec. Insp. & Testlng Schedule . CeAificate of Survey (t) . Energy Calculatlons (1) not always" • Soils Report (1) . Spec. Insp. 8 Testing Schedule (7) . Elec. Power 8 Lightlng Fortn (1) not always•• • Meler size must be established . Meter size must be established . Meter size must be established - if applicable • PrqectSpecs (1) 1 . EnergyCatwtations (1) 1 1 . Electric Power 8 Lighting Fortn (1) 1 1 . Master 6cit Plan (1) 1 1 . Fire Protection Plan (1) 1 1 • Shcs Report (7) 1 • MGES SAC detertnination letter . MClES SAC detertnination letler . MClES SAC deterr~inatlon letter call 651-602-1000 call 651-602-1000 call 651-602-1000: " Contact Building Inspections for sample Food 8 beverage or Iodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-070 for details. DATE: /l - Z 9-c'~ WORK TYPE: S~NEW _ REMODEL CONSTRUCT ~ON.COST: gS~~~ ~~C DESCRIPTION OF WORK: 1 eNFi/~ ~ SPR~~ i~v NeK1 f~l~~'i h TENANT NAME ~ L~/~S._L SUITE ~ FORMER TENANT NAME: SITEADDRESS: /J~~n~.11~ !_G~ ~2 LOT { BLOCK I SUBD GoJ..t iti,--f~~,~~ Nazne: 7r_ ~i2;.U(., / ~~C/ ~Phone#: (c ~z ) g`T7' `1`~~~ PROPERT'1 Last First . ' OWNER ~~A / ~ ~ S~eet Address: ~ Zo a .IIO~N,[~ryt"/~-- ( L j~ ~v ~ Ciry /1~~NN! s}PJ ~'S' ' . State: % /N ~ Zip: SS y/ ~ Company: t,t1 ~ 1 S ~"1 ~ U N 5 1~ U C!-~ ~ Phone ( 6~ z ~ 8 97 ~~~S'~ CONIRACI'OR / /N ~ J Street Address: S~ c~ L. L Ciry ~ Q i N~1 State: /?~H , Zip: ARCHITEC'T/ ENGINEER Company: ~ A~ ~ IL Phone ( F~ ~ ~ ) ~ ~ 9 - ~ 7 ~ Name: al~ I S h! A Registration Sheet Address: Z. l ~,u~v r~Q~N .L} JE ~ City ~,~NBI~~ 5 State: /"1it~ Zip: -~8 Licensedplumberinstallinasewer/water: Va50,J T JM r'N~ Phon ~z, ~3~'~~~OD Meter Size: oooa s ~ noN I hereby acknowledge that 1 have read this applicatio sfate e~forma~t'~on is~orRe Q d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances \_„n (W ~ N~ ~ ~ignat o plicant: , OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bidg. ? 14 Apartments ~ 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof ? 32 Addition ? 35 Tenant impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORM TION Census Code 67 Zoning Sq. ft, SAC Code # of Stories No. of Units o sq. ft. Length sq. ft. No. of Bldgs. -1~ Width sq. ft. Const. (Actual) ~ Basement sq. ft. MC/ES System (Ailowable) First Floor sq. ft. City Water UBC Occupancy 8 sq. ft. Fire Sprinklered ~ MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance VALUATION:$ ~S ~ D~G Permit Fee .-l Surcharge ~ . Plan Review ~ , ~ 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 I (j S~' q ~f COMMERCIAL ~ BUILDING PERbIIT APPLICATION ~ , "a~ ~ ~ CITY OF EAGAN ~ -a ~-Ol 651-681-4675 (1 n L ~._0-~2 Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Slructural Plans (2) • Code Analysis (1) ^ • CertifcateofSurvey (1) • CivilPlans (2) . ProjectSpecs (1) • Code Analysis (1) • landscaping Plans (2) • Key Plan (t) • Project Specs • Code Analysis (1) " • Mas[er Exit Plan (7) • Spec. Insp. & 7estlng Schedule " • CeNficate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (7) " • Elec. Power & Lighting Form (1) not always"' • Meter size must be esWblished • Meter size must be esta6lished • Meter size must be es[ablished - if applicable . ProjectSpecs (1) 1 • EnergyCalculations (1)" 1 1 • Electnc Power & Lighting Form (1) " d S • Master Exit Plan (1) 1 i Fire Protection Plan (1) ^ 1 1 • SoilsReport (1) 1 . MGES SAC determination letter . MC/ES SAC determination letter • MGES SAC determinafion letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must 6e submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE I WORK TYPE ~NEW REMODEL CONSTRUCTION COST yoao, o a SITEADDRESS 1 I1{S T6 r~~ i~efZ ~ 2, TENANT NAME ~/},S~ M$~I'(- 5~2it q(~ SUITE # FORMER TENANT NAME ~ESCRIPTION OF WORK ; I~''~7 b s i2R~~° S~A-c ~ S . itJ ~/1iP'? ~ Name: ZGG,2i.J ~ ~.'C/~ Phone#: 9( .SZ) b( 7~ 77 ~d PROPERTY Last First OWNER SueetAddress $Zaa /vD2F/i}.TJD~~ • City ~~QjOMi~~Tt~~? State /l,~/~ Zip SS'y3 ? Company W~ 1 5~ Gb.u S T 2 J GT/a~U Phone 9SZ 7~~/ ~S~ CONTRACTOR Street Address: ..S'( ~ Li nJ Gd ~N ,Q /Z City ~'Q.`A/f} State Ma/, Zip SS y,3 ~ ARCHITECT/ ENGINEER Company ~ QN ; 5 r~ S Phone # ~S ~ ~ U Name LyN~.I 5!b R~ T Registration # ' I I JHN 1 8: GO1 Stree[ Address .f,S ,t/ LI Ciry i~JA State ~itJ, Licensed plumber installina new sewerlwater service: Phone I here6y 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. c Signature of Applicant:~f~ ~~'l, Updated tlOt OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Pu61ic Facility ? 30 Accessory Bldg. ? 14 Apartments ~D 27 Commercial/Industrial O 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 (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair 33 Alterations ? 37 Demolish (Bidg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 1 Zoning L~ 1~ sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. / Width sq. ft. Const. (Actual) ~ Basement sq. ft. MC/ES 5ystem (Allowable) dV First Floor sq. ft. City Water UBC Occupancy tS~~, sq. ft. Fire 5prinkiered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building ~L Engineering Variance VALUATION $ ~DOT~. Permit Fee ~ `i . Suroharge v ~ Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit SiW Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies . Total Ql ~t . a ~ ' ~ CITY USE ONLY PERMIT ' 1 L'I ~`T ~ RECEIPT DATE: ~~v f APPROVED BY: , INSPECTOR COMbI~CIlkL M~Ci3lkAlC~kI. ~E~iM1T ~!f'~LIC~kTION ~Lf g ~ ~ C1TY oF ~ks14N 8$3Q aII.OT KFOB iiD ~4flAft,1H1~t 551 EE 651-6$1-4B75 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: f~-`b' ~ ' U ~ SITEADDRESS: ~ ~Q~S Tc~~~ C~ev~,-~e~ ~r , Sc~~-~e~ ~~S OWNER NAME: PHONE ` l (AREA CODE) ~ TENANT NAME (IMPROVEMENTS ONLY): ~~'T~ C~ -T l~~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~ N. NAME: INSTALLER: ~1~1 M CY. CU f P ADDRESS: 3 S a~1 ~N E'_ S PHONE #:(n~+5 De) ~ a a, o~~ CITY: ~i ~S ~Gt_trl~ STATE: ~ v~ Z1P: S S~-( WORK TYPE: New construction Install U.G. Tank ~ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureofWOrk: ~n~(l ne c~4~v~erS F C~V~.~i-wv~k.~~4~ne~s~~~~~5 ~n~oSect. When installing/removing underground tank, cal! 651-681-4675 for inspection by Fire Marshal and Plumbing linspector. _ Fees: 1% of contract price OR S50.00 minimum fee, wluchever is greater. ~ I i I-'~' ~ ~ Underground tank removaVinstallation = minunum fee t~ '~iAR 0 2 2001 'Ju Conuact price: $ 5~ c~c70 x 1%= $ SO (Base Fee) S° ;v_ Spte surchazge ~ calculate at $.50 for ea6h $ I;000' ase Fee 50 TOTAL $ SD _ , ~K~ Z~ w~-~ SIGNATURE OF PERMITTEE Updated 1/01 4--~ COMMERCIAL V~'j C- ~ ~1 ~T--T\ ~ BUILDING PERMIT APPLICATION ~ r~ ~~t f ~p~ ~ ~ CITY OF EAGAN ~ a~z l~-eS-C~ 651-651-4675 ~L~~~ a-~-1- d~ Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • NchitecWra 2) sets • Civil Plans (2) , . Structurai Plans (2) . Code Analysis (1) " • Certificate of Survey (1) . Civii Plans (2) . Project Specs (1) • Code Analysis (1) " Landscaping Plans (2) . Key Plan (1) • Project Specs (7) • Code Anatysis (t) . Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (t) . Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing SchedWe (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size musi be established • Meter size must be established - if applicable . ProjectSpecs (1) d • Energy Calculations (1) y b • Electric Power & Lighting Form (1) d 1 . MasterExitPlan (1) 1 1 • FireProtectionPlan (1)" 1 1 • SoilsReport (1J 1. • MGES SAC determinatlon letter • MC/ES SAC determinatlon letter . MClES SAC determination letter call 651-602-1000 ca11651-602-1000 cail 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE Z" ?3 ~ G~ WpRK TYPE NEW REMODEL CONSTRUCTION COST S C7 D SITE ADDRESS G' B TENANT NAME ~ d ~ SUITE # FORMER TENANT NAME DESCRIPTION OF WORK Name: M S P C~'6 M D A.U./ Phone#: ( 6.S G~j S- ~ yQ~ PROPERTY Last F st OWNER u / StceetAddress I b~ d~ , K~b ~/J% ~ T City Sr f/~f~ c/ L State Zip Company f.U ~ lS ~ LC~ Jl~ S~' 2 Phone 9~~ ) g,9 A/" ' j j~ CONTRACTOR ~ StreetAddress: ~zUU //~?l~Nl,q~,J~lq-~ ~U~IJ~~ C~ry ~~hT M~~i 7V State ~t z~p ^<-S 5~3 7 ARCFIITECT/ / p ENGINEER Company N ~ ~ ~ S ~~ZC h Phane # ( ,S^Z ~ 7 ~ 7 G Name ~-/Nn-1 .~i`/D/1- ~ Registr I ~ LI S[reet Address ~60 ~!1 i(i ~ ~tJ p c~ry ~~oe~ ,'a/!'70/1/ stace /'7 II Fzlg ~ 3~nos I..' Licensed plumber installinq new sewerlwater service: Pho : ~ 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. c~ Signature of Applicant: ~T~/~i ~ Updated 1101 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments 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 ~ 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bidg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERALINFORM~ Census Code Zoning sq. ft. SAC Code ~ # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) ~ Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ~ Heating ? Insulation ? Plumbing ? 5tuccolStone APPROVALS Planning Building ~Z Engineering Variance VALUATION $ ~,~f (g~v Permit Fee ~~I . -1 S Surcharge ~ -1. Plan Review 3"~C> .2 °i MC/ES SAC % 5AC 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 Totai ~53~) . ~ L-~' 1 f`j~ 1 COMMERCIAL BUILDING PERMIT APPLICATION / CITY OF EAGAN ~ g ' ~ ~ 7 ~ C~ '~l 651-681-4675 ~ I Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans ! 1_ - • Arohitecturai Plans (2) sets • Civil Plans (2) Slructural Plans (2) - • Code Analysis (1) " • Certificate of Survey • Civil Plans (2) . Project SpeCS (1) • Code Analysis (1) " Landscaping Ptans (2) • Key Plan (1) • Project Specs (i) . Code Analysis (1 j`" • Master Exit Plan (1) • Spec. insp. & Testing Schedule " . Certificate of Survey (1) . Ener Calculations • Soils Re oR 1 . S ec. Ins Testin Schedule 9Y ) not always" P O p p g (i • Elec. Power & Lightlng Fortn (1) not always" • Meter size must be established . Meter size must 6e established • Meter size must be esta6lished - if applicable . ProjedSpecs (1) l • Energy Calculations (1) ^ 1 1 . ElecVic Power & Lighting Fortn (1 a" 1 1 • Master Exit Plan (t) 1 1 Fire Protection Plan (1)" 1 1 . Soils Report (1) • MC/ES SAC detertnination letter . MGES SAC detertnination letter ~ MC/ES SAC detertnination letter call 651-602-1000 call 657-602-100D 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 Z3 -U ~ WORK TYPE NEW /~REMODEL CONSTRUCTION COST F~~ oop .~o SITEADDRESS __l~~S~ 7a~N Ce~/~C7 YJlZ~~~e TENANTNAME _ A- / p; il.~ ~"~02~~~"GP SUITE# /06 FORMER TENANT NAME DESCRIPTiONOFWORK Dr~~~ ~(f-~ .yrl.~J-C ~,~„iJ~ ./q~D.~~ Name: y~l 5 ~ (6 ~Q~.i~> > Phone#: ( ~c~ / ) ~~.~-.S ~/C ~ PROPERTY Last A~irst OWI~3ER / ~ ~ ~ StreetAddress ya o ~/1 j S/' City /~p ~L~ S[a[e A/ Zip ~~S'~T_ Company ~J-J ~ ~ S L i' ~o~J 5 ~A Phone # ~Z ~ / 7_ ~~y , CONTRACTOR / f r Street Address:_ $ 2G G ~y) //~9~~~~~~~ ~ //-i/ ~ Ciry _!5'~i~ o M~'~ ~ i C) A/ State . Zip ___~S y~ , ARCHITECT/ ~ [ / ENGINEER Company /3 ~tJ~Sr~ ~ ~ ~'Tp~¢~GI( Phone# ( 9.SZ ) Q'j`' 7_7,~~y d Name ~y~/f/r(J „5~p~¢ T Registration # , n . • . ~ Street Address 2 b P> E~ - ~ / ~ City ~jOby/ . :t/S Y"f~ 5tate ~Q/ Zip " _ ~S gY - - Licensed plumber installinq new sewerlwater service: Phone I hereby acknowiedge that I have read this applYcation, state [hat the iniormation is conect, and agree to comply with all applicable S[ate of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicant _,~~_i~e. ~~/f~z~ ~ Updated 7lO7 OFFICE USE OIVLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ~~""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 ~5 Tenant fmpr Q 42 Demolish (~ound} ? 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 y3 ~ Zoning sq. ft. SAC Code # of Stories sq. ft. No. of Units G~ Length sq. ft. No. of Bldgs. T Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test O Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building ir5 Engineering Variance VALUATION $ ~"Qy Oor~ . Permit Fee 3 ~ S Surcharge Cl . Plan Review _ ~ L{ 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 ~ LI ~l `c~. (~,nt Metropolitan Council ~ Improue regional competitiueness in a global economy Environmental Seruices March 29, 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 determined SAC for the Dermatology Consultants to be located at Town Centre Plaza - 1185 Town Centre Drive within the City of Eagan. This project should be charged no additional SAC Units, as deternuned below. SAC Units Charges: Fixture Units 21 f.u. @ 17 f.u./SAC Unit 1.24 Credits: ' Office 3962 sq. ft. @ 2400 sq. ft./SAC Unit 1.65 Net Credit: 0.41 or 0 If you have any questions, call me at 602-1113. Sincerely, Jodi L. Edwards Staff Specialist Municipal Services Section JLE: (200) 01032956 , cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Michael Vodnansky, Welsh Companies ww~v.meLrocauncll.org Metro Info Une 602-1888 230 East FiRh Stree[ • SL Paul, Minnesola 55 10 1-1626 • 165p 602-1005 • FaY 602-1138 • TTY 2293760 An Fqiml Opparhutlh~ F.mpbyer ~ CITY USE ONLY ' PERMIT '~1' ~ ~ a' ~ RECEIPT DATE: ~ ~ - V I C~1NM~iCIAL ~I.UMSIFH ~E~Mff R~PL[Ci4TTOF CI'fYOF BABAF 5830 PW~f RAOB $D £RBAP. IIIY S81 t8 881-881-4678 lNGOh9PLE1E APPLIGAAONS WIL NOT 8E PROCESSED Date: Z- l~ ~ 1 WORK 1'YPE New Bldg ~ Add-on Repair RPZ PVB • Irrigation system ` Must complete reversc side of application also. Required meter size is 2" turbo nu less smaller size permitted by Public Works DESCRIPTIONOFWORK ~v•n Wa~~ 11~-QS`~° ~ Co-S)~ I~/`~icW---e/~ Ta inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 ME1'ERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed rior to ic ui meter Irrigation Size & Type Avg GPM /D n ~ ' rs ~ Fire Size & Type Avg GPM D Domestic Size & Type Avg GPM ~AR ~ Zpp~ Dces this include high demand devices? _ Yes _ No B Y FLUSHOME7'ERS _ Yes _ No PRV REQUIRED _ Yes _ b--` Site Address: I I g S I O W'*~ C~'~ Y1 C" Tenant Name: A ~ rZ \ ~ ~ Telephone (Area Code) Was there a previous tenant in this space? _ Y~ . If Yes, Name: F ' ~ "r ~ Tele hone ~ S Z ~ ~ L( ' ~ 3 O Installer Name: qL i~ cc~ P ~ ~ O ~ ~ (Area Code) InstallerAddress: i o,-, v City: C ~ru i r i 2 State: M V~ Zip Code S~~ FEES Contract price $ C9 x 1% ($50.00 minimum) Contract Fee $ S O Meter(s) $ Requ'ved on all new buildings & boulevard Irdgation syatems Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ V 50 cenu per $1,000 contract fee. Total From Reverse New Service $ Totsl $ J~ ~ S~ I here6y acknowledge that I heve read this applicadon, state that the information is correct, end agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibilityto notifythe property owner that the City of Eagan as ~ es no liability for any damages caused by the City during its normal operational and maintenance activities to the faciliries co truc under ih' pen 't ~City property/right-of-way/easement. r j SIG ATU OF PERMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final 3_3~_0~ PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR ' . CITY USE ONLY PERMIT ~`I ~1 ~ RECEIPT DATE: ~J ~ APPROVED BY: ~~'7 , INSPECTOR COMM~CL~tL bI~GH~kNICAL ~P'E~MIT ~k~P~'I1C~ETION (v 5 I oo ~ °g ~''F~ 3$SO ~ILOT KNOB iZD ~~atv, ~uv 55Y s$ 651-6$]-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: ~ ' a ~ ~ ~ ~ SITEADDRESS: ~ ~ C~S ~CXsJn~'Q~'~-'r ~flU~ Svt`~ ~ ~0~~ OWNERNAME: We-~S~ CO ~S PHONE#: - SA,REA CODE) TENANT NAME (IMPROVEMENTS ONLY): De c ma'~ ~oS.t u (,~r~~ ~ C`I~4v~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~C N. NAME: INSTALLER: Th 2~ Me Y~ CCt~ D .a,DD~ss: 35a~ 2ale`~.~.h f~~ 5 rxorr~#: ~CSa -~aa •~~oh (AREA CODE) ci~: S~ . L n~i c P~ r K sTnTE: Yh ~ z~: S S y(~ WORK TYPE: New construction _ Install U.G. Tank Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNahueofWork: ivl (o Zvne ~c~w. e(S f felc~ ~1~x,~-cv~of 3 Ft- +(~I ~ I~~`~~'} IS lJ When installing/removing underground tank, call 651-681-4675 far inspection by Fire'Marshal and Plumbinglinspector. I;'I iviAR 2 8 200~ l~J Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. . Underground tank removaUinstallation = minimum fee ~ Con4act price: $ 1~J~0[~p x 1°/a ~ 50 , (Base Fee) So State surcharge calculate at $.50 for each $1,000 Base Fee So TOTAL $ I S ~ • r ~`~9P Z~.~ utr~~ SIGNATURE OF PERMITTEE Updated 1/Ol , . CITY USE ONLY PERMIT ~-`1~ `i" ~ ~C ~ RECEIPT DATE: ~ - a ~ - ~ ~ CO~E~I~.RCi111k1. ~I.UM$IFH ~6llT iRP'P11CR110F CITYOF EA6RF S$SO fII.OT RFOB RD BA6AP, ~llY 85188 881-88]-48T8 INr(~MPI F7F APP! ICAT)(~NS IA/~LL NOT BE PROCESSED Date: ~ - a~ WORK 7'YPE New Bldg ~ xldd-on _ Repair RPZ PVB • I~rigarion system • Must complete reverse side of app ication also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK fi~ n ~~~T ~:Ji~ ~ fYc,~~ To inquire if Pressure Reducing Valve is requtred on new service, ca11651-681-4646 METERS - Call 651-681-4300 to verify that hydrostauc, conducriviry, and bacteria tests passed urior to oickin¢ uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size & Type Avg GPM Daes this include hi~t demand devices7 _ Yes _ No FLUSHOMETERS Yes ~F No PRV REQUIRED _ Yes k No Site Address: ~~~5~ ~ ~ Y nl+-~ TenantName: .UQ~~-ro~ ~Y ~~SfJ~/R/1'I~ Telephone#: (Acea Code) Was there a previous tenant in this space? _ Y~ N. If Yes, Name: Installer Name: ~f O SC) P~mh lYl~ Telephone ~S~ ~~6 ~~C'~~ 1J ~l !l' ~ T ~1 ~ (Area Code) Installer Address; ~r ' City: ~„~5 State: V~Y1 Zip Code ~S ~y~_ FEES Contract price S'~v x 1% ($50.00 minimum) Contract Fee $ ~~cU U Meter(s) $ Required on all new buildings & boutevard irrigatlon systems (ACCt # 9220-4509) Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ ' s ~ 50 cenu per $1,000 contract fee. Total From Reverse New Service $ Total $ I2K ~S ~ I hereby ac}aowledge that I 6ave read this applicarion, state that the informadon is eorrect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibiliry to notify the properry owner that the Ciry of Eagan essumes no liabiliry for any damages caused by the Ciry during its noanal operational and maintenance acriviries to the faciliries constructed under tlils pennit within City property/right-of-way/easement. C~ SIGNATURE O,P~R~4I~~ 1' I CITY USE ONLY I il~ MAR 2 6 2 i i REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final .S-Z~-O( 8~~ PLANSSUBMITTED APPROVED BY: BUIL YNGINSPECTOR ' ' ' ~ sr FL~R 5 HtX ~"%urs Contractor's Material and Test Certificate for ~boveground Piping A. Proce ure (Con orms to N A 13-1 4 N. Test Description Upon completion of work ~~spec[ion and tests shall be made by Ihe Hydrostadc: Hydrostatic tests shall be made at no[ less than 200 psi (13.6 conUacrots reprosenlative and witnessed by an ownets representative. Al] bars) for two houTS or 50 psi (3.4 bars) above static pressure in excess of defects shall be cocrected and system left in service before contractor's 150 psi Q0.2 bars) for two hours. Differendal dry-pipe valve clappers shal] personnel finally leave the job. A certificate shal] be filled out and signed be left open during test to prevent damage. All abovegound piping leakage by both representa6ves. Copies shall be prepared for approving authori• shal] be stopped. ties, owners and contractor. It is understood the owner's representative's Pneumatic: Establish 40 psi (2.7 bars) air pressure and measure drop, signature in no way prejudices any claim against convactor for faulry which shall not exceed I.5 psi (0.1 bars) in 24 hrs. Test pmssure tanks at malerial, poor wockmanship, or failure to comply with approving au~}tority's nortnal water level and av pressure and measure air pressure drop, which requirements or local ordinances. All "No" answers shall be explained in shall no[ exceed I.5 psi (0.1 bazs) in 24 hrs. the Comments portion of Uus fo O. Tests Pro ert Name: rown Ce~r P/a z2 ~av 2 P Y 1. All piping hydrostaGcalty tested at _ psi for_ hours Property Address: ~~BS fawx Le..h-~ Dr,vc Date: y"6 ~pO z, Dry piping pneuma[ically [ested ? Yes O No B. Plans ~°5'". MN 59~13 3. Equipment operates properly ~Yes 0 No 1. Accepted by Approving Authorities (Names): k'<< <?~~~'fner q, Do you certify as the sprinkler contractor tha[ 2. Address: 3630 PduF k..oe Rd ~a.. . Ma additives and corrosive chemicals, sodium 3. Installation conforms to accepted plans Yes ? No silicate or derivatives of sodium silica[e, brine, 4. Equipment used is approved J~ Yes ? No or other corrosive chemicals were not used for C. Instructions les[ing systems or stopping leaks? ~Yes ? No I. Has person in charge of fire equipment been 5. Drain Tes[: instructed as to locaUon of control valves and a. Static pressure reading of gage located near care and maintenance of this new equipmen[ i9"Yes ? No wa[er supply connection psi. 2. Have copies of the following been left on the premises: b. Residual pressure with valve in test connection a. Sys[em components inswcGons 1~Yes O No open wide ~ psi. b. Care and maintenance insVucGOns ~ Yes ? No 6. Undergrowd mains and lead in connections to c. NFPA 25 Yes O No risers flushed before connection made to sprinkler D. Location af system - Supplies building: piping and verified by copy of form No. 13-U O Yes ? No E. S rinklers 7. Flushed by installer of underground piping fe~'I'es O No Make Model Year Made Orifice uanG Tem erature g. If powder driven fasteners ue used in concrete, ~~~~yf,j~ FIFR y 1or7D 0• 5~ ~'i~l /SS°F has cepresen[aGve sample testing been I; ( FlFR u; ,zcno ~+.5" /SS'F sadsfactorily completed? ? Yes ? No P. Blank Testing Gas ts 1. Number used: 2. Locadons: F. Pipe and Fittings 3. Number re d: l. Type of Pipe: X~ fp~++a "~1O'^' Q, Welded Piping - If welded piping was used in the system, 2. Type of Fitting~• s~'''~'~ ~""°D" compleu [he following: G. Alarm Valve or Flow Indicator 1. Do you certify as the sprinkler conVac[or that T e Make Model Max. Time to O erate Tlvou i Ins . Test welding prceedures comply with the require- He Po~lrr VSR-F S St . menls ofat least AWS D10.9, Level AR-3 ~Yes ? No 2. Do you certify that the welding was performed H. Dry-Pipe Valve by welders qualified in compliance with the re- I. Make and Model: quirements of at least AWS D] 0.9, Level AR-3 ?~Yes ? No 2. Serial Number. 3. Do you ceRify that welding was carried out in I. Quick Opening Device (Q.O.D.) compliance with a documen[ed quality control 1. Make and Model: procedure to insure that all discs aze retrieved, 2. Serial Number: openings in ~he pipe are smooth, slag and other J. Dry-Pipe System Operating Test Without Q.O.D, welding residue are removed, and Ihe intemal 1.'Time to vip through test connecGon•: diameters of piping are not penetrated .~Yes ? No 2. Water pressure psi. Air pressure psi. R. Cutouts (Disks) 3. Trip point air pressure psi. Do you certify that you have a eontro] feature to 4. Time water reached test outlet•: ensure lhat all cutou[s (disks) are retrieved? 1~ Yes O No 5. Alarm operated properly 0 Yes O No S. Hydraulic Data Nameplate ProvideJ 1~Yes ? No K. Dry-Pipe System Operating Test With Q.O.D. T. Date left in service (with al} control valves open): /-S-D/ 1. Time [o Vip Ihrough test conneclion": U. Signatures 2. Water pressure psi. Air pressure psi. Name of sprinkler contractor: 3. Trip point air pressure psi. 2. Tesu witnessed by: 4. 7'ime water reached test ouUet': For prop~cEy owner igned): 5. Alarm operated properly ? Yes ? No Title: %2 ~ h Da[e: _=(~f L. Deluge and Preaction Vaives For sprinkler contractor Si ed): ~ 1. Make and Model: Title: ~ te: /-~:D1 2. Operation: 0 Pneumatic ? ElecUic ? Hydraulic V. Comments Ihis secuon is for addiqonal explanation and notes. 3. Piping and detec[ing media supervised U Yes ? No p~~ ~~No" answers must be explained here.) 4. Does valve operate &om manual Vip and/or remote control statians ? Yes ? No 5. Is ihere an accessible Facility in each circuit for testing 0 Yes ? No 6. Does each circuit operate supervision loss alazm O Yes ? No 7. Does each cireuit opente valve release 0 Yes O No 8. Maximum [ime to opera[e release: M. Pressure Reducing Valve 1. Loca[ion and Floor: 2. Make and Model: 3. Setting: 4. Static Pressure: [nlet psi, OuUet psi 5. Residual Pressure (Flowing): Inlet- psi, OuUet_psi 6. Flow Rate: gpm 'meazured from time inspectors tes[ connection is opened D Check here if comments wntinue on reverse side of Uvs form aUo ~ro pnn ar ssoaaGon, ox , atterson, , orm age o ` ~ • S,QSEMENT Contractor's Material and Test Certificate for Aboveground Piping A. Proce ure Con orms W FPA 13-1 94 N. Test DescripHon Upon completion of work inspection and tests shall be msde by the Hydrostatlc: Hydrostatic tests shall be made a[ not less than 200 psi (13.6 contracmrs representative and witnessed by an ownets representaUve. AII bars) for [wo hows or 50 psi (3.4 bars) above static pressure in excess of defects shall be conected and sys[em IeR in service before conVacWr's I50 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shatl personne] finally leave [he job. A certifica[e shall be filled out and signed y¢ lefr open during [est to prevent damage. All abovegound piping leakage by both representatives. Copies shall be prepared for approving authori- shal] be stopped. fies, owners and contractor. I[ is unde~stood the owner's representa[ive's Pneumatic: Establish 40 psi (29 bars) air pressure and measure drop, signature in no way prejudices any claim against contractor for fauiry which shall not exceed I.5 psi (0.1 bars) in 24 hrs. Test pressure tanks at material, poor workmanship, or failure ro comply with approving authoriry's normal wa[er level and air presswe and measure air pressure drop, which requirements or local ordinances. All "No" answers shall be explained in shall not exceed 1.5 psi (0.1 bazs) in 24 lus. ihe Comments portion of Uus fortn. O. Tests Property Name: Tow.~ Cewk~ p/a z¢ Property Address: %/85 Tow„ [e.,6-c D~-:ve Date: y'6 -o0 1. All piping hydros[atically tested at aO° psi for? hows B. Plans E°Yx" S 5~33 2• Dry piping pneuma[ically tested ? Yes ? No I. Acce ted b A rovin Authorities ~k W le~ fne.- 3. Equipment opera[es properly ~Yes ? No p y pp g (Names): ~ 4. Do you certify as the sprinkler conVactor tha[ 2. Address: 38s0 P~~a! k~.ob Rd Ea~a„ Mal additives and corrosive chemicals, sodium 3. Installation conforms to accepted plans Yes ? No silicate or derivatives of sodium silicate, brine, 4. Equipment used is approved ~ Yes O No or other cortosive chemicals were not used for C. Instructions testing systems or stopping leaks? ~Yes ? No I. Has person in charge of fire equipment been 5. Drain Test: inswcted as [o bcauon of control valves and a. Static pressure reading of gage located neaz i care and maintenance of this new equipment ~8 Yes ? No water su 1 connection PP Y Psi. 2. Have copies of the following been left on the premises: b. Residual pressure with valve in test connection a. Sys[em componen[s insWctions J~Yes ? No h Care and maintenance instnictions ~ Yes ? No open wide ~ psi. 6. Underground mains and lead in connections [o c. NFPA 25 J~( Yes O No risers flushed before connection made to sprinkler D. Location of system - Supplies building: piping and verified by copy of form No. 13-U O Yes ? No E. Sprinklers 7. Flushed by installer of underground piping ,~1'es ? No Make Model Year Made Orifice uanUt Tem erature g, If powder driven fasteners are used in concre[e, ~tl~~l~ FIFR $ ?000 0• S` /5 /35°F has representaUve sample testing been l, ( G(FR Al ,2wo 0.5" 73 /SS'F sausfactorily completed? O Yes O No Rebsble FIFR satc u,acao O. S" / /ss'F p, Blank Testing Gaskets ~ 1. Number used: 2. Locations: F. Pipe and Fittings 1. Type of Pipe: XL ~/T~~+a, -~~o w 3. Number removed: 2. Type of Fittings• Casf £w.. Scr~,,.ed G~-oo;r Q• ~'elded Piping - If welded piping was used in [he system, G. Alarm Valve or Flow Indicator complete the following: Type Make Mode] Max. Time to Operate Tluoup,h Insp. Test 1. Do you cerGfy as the sprinkler conlractor that 1Fc,- 'ISR-f weldine procedures comply with [he ~quire- (Gz~e Pe ments of a[ least AWS D10.9, Level AR3 ~Yes 0 No H. Dry-Pipe Valve 2• Do you certify that the welding was performed 1. Make and Model: GeNrRAL DxY P~Pe vqtvE MapE L pF by welders qualified in compliance with the re- qu'¢ements of at least AWS D10.9, Level AR-3 ~Yes ? No 2. Serial Number. 3. Do you certify that welding was carried out in I. Quick Opening Device (Q.O.D.) compliance with a documented quality conVOl 1. Make and Model: Non,e procedure [o insure that all discs are reu-ieved, 2. Serial Number: openings in the pipe are smooth, slag and other J. Dry-Pipe System Operating Test Withou O.D. l. Time ro tri Uvo~ Welding residue aze removed, and the intemal p gh [ connection ~'eG, diameters of piping are not penetrated J8 Yes ? No 2. Water pressure si. Air press psi. R. Cutouts (Disks) 3. Trip point air pressure ~ psi. Do you certify that you have a eonvol feature to 4. Time water reached test outlet': ~ enswe tha[ all cutou[s (disks) are retrieved? ~Yes 0 No 5. Alarm operated properly es ? No S. Hydraulic Data Nameplate Provided 1~Yes ? No K, ry-P' System Operating Test With Q.O.D. T. Date left in service (with alf conuol v ves open): ~ oS-o/ 1. 'me [o ~ through test co ~ie~tion': U. Signatures L 2 [er pressu si. Air pressure psi. 3. Trip oint air pr ur PS~, 1• Name of sprinkler contractor: ~L ~ 4. Time ler reach st oudet": 2• 7ests witnessed by: For prap~ty owner (Signe 5. Alarm op te roper ?h'es ? No Tide: f v t r~ Dat • L. Deluge anJ eaction Valves / For sprinkler conUactor (Signed . . I. Make d Mo I: Title: .S~ 4 Da[e: ~ S- p 2. Operation: O Pn matic 0 Electric O Hydraulic V. Comments is section is for additional explanation and~ 3. Piping and detecti media supervised' ? Yes O No All "No" answers must be explained here.) 4. Does valve operate t m manual ~rip and/or remote conVo] stations f ? Yes ? No 5. Is Ihere an accessible faci ''m each circuit for testing ? Yes O No 6. Does each circuit ope te supe ision loss alazm O Yes ? No 7. Does each circuit ente valve r ease ? Yes ? No S. Maximum time operate release: M. Pressure Re cing Valve L Locatio d Floor: 2. Mak d Model: 3. S ing: IaGc Pressure: Inlet psi, Oudet psi 5. Residual Pressure (Flowing): Inlet- psi, Outlet_psi 6. Flow Ra[e: gpm "measured from [ime inspectors tes[ connection is opened ? Check here if comments continue on reverse side of this form a[~on ~re pnn er ssoc~at~on, ox , alterson, , - ortn -A age o ~~"'JU"~~ ~ ~,'_l t `l I . Z000 BUII.DII?G PF~IT APPLICJITION (CO~RCIAL) • CITY OF EAQAN ~ • 6d1-681-46TS • ~ . ~ R uiremenls , Foundetion Onl New Consfruetlon Intertor Im rovement . sw~~ w~. a~m~ • aa~ au~,~ (2 ~ab) . a~n+e~ au~ a.~~~ . G~u am~e ~z.en~ . swau~ amr~, a~a) • cuae a+ay~s cu ~ . cunneate or survey ) • a~ru ami., R~m) so~ n~q qnary,~U (t . ~arb~eapinp P~an~ (2 seb) ; Ntaater E,dt Plan I 1 . Sp~x InsP~ 8 TesWp (~Sehadub ^ • Catllla otro SunsY ' (~I » • ~~9Y Ca~wmmro (1)rotawva l • 80~~0.8T~WnpSdiaduts (1I " • EIee.Power3lmhtle9Fam (t)notaMra 1 • po~GgW~ ' (11 ~ ~ ~y.~~... ~ l ~ • EIK4'IC POIM~18 rr•...~ F0111~ ~ . ' ~ j • IAYMEdtPW1 1 j • FYs PrOtedbn Pqn (1) " ~ j ~ 1 • MdES SAC de0emdnatlon Islter • ~ACJES SAC Gllemdna0on btoer • MGES SAC detemrnitlon k1Eet can ss+~eoz-+aoa anes~~oz•+ooo na est.soz-tooo ~ Cantact Buudinp tnspections for sample F Food 8 Devera9e a bdph~p tadlltlee: Plan must bs eubrt~d to Mlturowfe Deparde~nt of Heallh - ea0 851-2150700 tot demUs. DATE: 5!4/00 WORKTYPE: ~ NEW _ REMODEL CONS, _TRUCT~ONCOST. ' ' ~ O) DESCRIPTION OF WORK: ~ 0 ce - _ >ss~s TENANT NAME: N/A ~ SURE: N/A J~c"i n C ~nn.~cr~ .~~Ct~''~ . . FORMER TENANT NAME: N/A . SITE ADDRESS: R S T„~,., r.<.,+ra nr+ve _ LOT f 3UBD Name: '"--a Centre Plaza PhoneAk (y~l.~ 665_550~ PROPER'IY Last ' ~ Faat ` p{ty~~g Attn: Richard Zehring . StreetAddro.SS: Rnn n n t . c r a?«o ~~~0 Clty Cr Pnul $dtC: TAN ~~~,5101 Co~pany: Weleh Conetruc ion LG p~ ~ L452..~ ~ COMltACI'OR . ' ' - - • _ , . g+~ . r' ~9~9~,C . ~e+iyP StreetAddrae: 5666 Lincoln Drive: Suite 205 _ < j . . ~ty Hd3II8 . . $t80C: ~ . . 55446 /~Cl{~~/ E1•1GpdE6g Comp~oy: Geneeie ArchiceceLre Phame#: [ 9s2 ) no~_~a~n • . . • Regi3~tlonM: 1416a ~a°r,y~$iy_:..b: N~; Lynn Sloae . . • ~ . _ ,s!~.:-:: - SaeetAdMeas: a...~e ~nn . , . - , ~i+z . City Bloom.igaten _ SLLh:,~g. 7jp; ~eaA7 . , •y:~' •S~~'': Vnnnn Pl~~h1n~ . Ph011lih. ( OS9 ~ 99N~ Oiflfl ~ $q~yerhvater Ikeneed plwnber • , ~ h-r~::. . ~ i ~ hsreby aknowledpe fhat I hsvs road th4 eppiWdon~ qafe tlat Ihe kdormedo~ b and apros b comply ~q k,.y. a bnr~neeom sroartss.~a clqr or Eapan orau,anee.• '4~~; r' ~ ~~,r.-~~ ' ' ~ °'"~lf~~' . ; . . . ' j'r;'~`• ' . ~3S'.~1:1 • ..«q . • '~sT+~lk':; . ' "-~i ,ti . OFFICE USE ONLY BUILDING PERMIT SUBTYPE • 0 01 FoundaHon O 26 Publlc Facility O 30 Accessory Bldg. ~ 14 Apartments ~ 27 CommerciaUlndusUial O 32 Ext Alt - Apts. ~ 15 Lodging 28 Greenhouse ? 34 Ext Aft - Comm. ? 25 Miscellaneous O 29 Antennae ? 35 Ext Alt - PF WORK TYPE ~f 31 New O 34 Repair ? 37 DemolPsh Bldg. ? 43 Reroof ~0 32 Addition ? 35 Tenant Impr O 38 Demolish (Interior) ~ 44 Siding ? 33 Alterations O 36 Move Bldg. ? 42 Demolish (Found) O 45 Fire Repafr • • ? 46 Windows/Doors GENERAL INFORMATION Census Code 3Zy Zoning ~Q Sq, g, ~ SAC Code 30 # of Stodes Sq, ft, No. of Units ~ ~e~gth Sq ft. ' No. of Bidgs. Width S,{~, Const. (Actual) ~ Basement sq. ft. ' 3 MC/ES Sy ts em ~ UBC Occu ~ anabte) l~ iV Fust Floor sq. ft. 2~ City Water P ~Y ~ S" . sq. ft. z~ 3o t• Fire Sprlnkiered MISCELLANEOUS INSPECTIONS ? Gas Service Test O Heating ? Insulation O Plumbing ? Stucco/Stone APPROVALS Planning Building + ~ Engineering Variance Permit Fee ~ 1 ~ ~ -aS--VALUATION:$ --Z Surcharge 1 1-'j'1 G c: a-, ~l q ci U~ Plan Review ~c; ~ . ~ MC/ES SAC ~ ~ % SAC City SAC SAC Unfts Water Supply & Storage Meter Size • S/W Permit S/W Surcharge - Treatment Plard ~ Park Dedicatlon#~ l Trails DedipUon Water Quality ~ ` c!/~ l~ S'9 f} Other i _ Copies . Total I , I `i ( . _ ~ ~ V . 2000 BUII.DING PER11~T APPLICATION (COMMERCIAL~ ~ CITY OF EACiAN ~ s., L C-. 651-681-4675 ~ Re uirements Foundation Onl New Construction Interior Im rovement . Swch+ral Plans (2 sels) . MchitetN21 PWns (2 seb) . ArMitet4~ral Plans (2 sets) • Civi~ PWns (2 seca) • Swcara~ Plans (2 sets) • CoGe Malysis • Cenifipte al Survey (1) • Gvll Plans ' (2 sels) • Project Specs (7 set) . Code Malysis (7 ) " • lanOscaOinp Plans (2 xLV) . Key Plan ) . ProjeU Specs (1) . CoOe Maysis (1) " • Master Exit Plan . SDec. Insp. 8 TesGnp SUiedule " . CerEAmle af Survey (1) • Enerpy Calalations (1) not ahvays' l . Spec. Insp. d Testlng SC~edule (7) ^ • FJet. Power 8 Lig~tlng Fortn (1) not ahrays' 1 • Prolerl3Pec+ 1 ~ . EnergyCa~alatlons (1) " 1 j . EleNic Pawer 6 Llg~tlnp Fortn (1) ° 1 j • Master Exi[ Plan (7) 1 j . Fue ProteWon Plan " 1 1 ! ! • MGES SAC Oetertninatlon letter • MCJES SAC Cetertninatlon letter • MClES SAG Eetemdnatlon IeUw pll 857-602•t000 pll 651~602-7000 tall 651~602-1000 " Contact Building Inspections for sample r-r: Focd 8 beverdge or tadging fad!ities: PWn must be submi:ted tn Minnesohd Departrnent of Health - call 651-2150700 for detaiis. DATE: 5/4/00 WORKTYPE: XX NEW REMODEL CONSTRUCTIONCOST:~ ~ ` or DESCRIPTION OF WORK: Office buildin¢ without te~n~ant build-o~t 1SFf~ TENANT NAME: N/A SURE: N/a FORMER TENANT NAME: N/A f~""-"~ . SITE ADORESS:1185 Town Centre Drive LOT f LO K ~ SUBD Name: Town Centre Plaza LLG Phone#:( 651 ) 665_55qa PROPERTY Last Fitst OWNER Attn: Richard Zehring SceetAddress: 4nn N R r ct=pp~ c~ ~n City e« v~.,t Spk: NN Zip: 55101 Company: Welsh Construction L.LG Phone~F: ( 952 ) R97-786n CONTRACTOR tj6-2 .r P~1~~B'•C'B Cd.em~v StreetAddress: 5666 Lincoln Drive' Suite 205 ~~'y;eC'~ City Edina State: MN Zip: 55446 ARCHITEGT/ ENGINEER Company: Genesis Architecture Phone ( q52 ) Ro7_7A70 Name: Lvnn Sloat RegislraCOnil: 141b9 $RCetA~7G95• aonn .-_'_'aln Rlvd S i n~00 - City Bloomi,neron State: MN Zip: cci.~~ Sewerhvaterlicensedplumberfiflnstalllnasewerhvatar): Vnwon P7~~mhing Phone#: ( q59 1~I~R-O~~~- I hereby acknow~ed8e that I have read this appliwtlon, state that the informatlon is ct, and agree to compy w!h a0 a plleable State ot Minnesota Statutes and Clty of Eagan Ordlnances. Slpnature of Appllpnt ~ ~ `I I ~ ~-f~ 2000 BUII.~G PERMIT APPLICATION (COMNiERCIAL) ' 1 13 FS I CITY OF EAGAN s 5`-1, ~ ~ 651-681-4675 O ~ 1 Re uirements r/fl~ ~'S (~-~z,~.~0 C.O..Q.~~ ~-a 0 Foundation Onl New Construction Interior Im rovement . SWCtu21 Plans (2 sets) . ArchitecW21 Plans (2 sets) . ArchitecWral Plans (2 sels) • Civil Plans (2 sets) • SWCN21 Plans (2 sets) • CoEe Malysis (1) " • Certifirale of Survey (1) • Civil PWns (2 sels) • Projea Specs (1 set) • Code Malysis (1) ^ • Landspping Plans (2 seLS) • Key Plan (1) • Project Specs (1) • CaEe Malysls (1) " • Masler Exit Plan (1) • Spec. Insp. 8 Testinp Schedule ^ • Certifirate of Survey (1) • Energy Calalations (1)notalways" 1 • Spec. Insp. 8 Testlng Schedule (1) " • Elec. Power 8 LiOhtlng Fortn (1) not aM1Vays'• 1 • ProjeCSpers 1 1 • EnergyCalaWtlons (1) " 1 1 • Electrit Power & Lighting Form (1) " 1 1 • Masler Exit Plan (1) ! 1 • Fire Protection Plan (1) " 1 1 1 1 . MGES SAC detertnina~on letter • MGES SAC Eetertnination letter . MGES SAC detertnlnatlon letter tall 651-602-1000 tall 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Faod 8 beverage or tadging fad!ities: Plan must be submiYed W Minnesofa Departrnent of Health - call 651-215-0700 for details. DATE: 5/4/00 WORKTYPE: XX NEW REMODEL CONSTRUCTION COST:$ ~od}-i vv~ -r ~U u U)-, DESCRIPTIONOFWORK: Office buildine without tenant bui~d-out aa~s-J TENANT NAME: N/A SUITE: ~/A FORMER TENANT NAME: N/A ~~~O~d/ on SITE ADDRESS: 1185 Town Centre Drive LOT P BLO K 1 SUBD Name: Town Centre Plaza LLC Phoue#:( 651 ) 6fi5-5594 PROPERT'Y Last First OWNER Attn: Richard Zehring StreetAddress: i•(1n ra e h r cr ~ c i~ ~~n City St- Panl ~ Sfate: ~.rnT Zip: 55101 G-eo~ts~.Z. q S-a 9~-'~ ~ d Company: Welsh Construction LLC Phone#:( 952 1 R97-7Rfi(1 CoNTRACIOR t~6-2 ~~'7-'~8',C~ O.em~e StreetAddress: 5666 Lincoln Drive Suite 205 O~;en.~ City Edina State: MN Zip: 554'i6 ARCHITECT/ ENGINEER Company: Genesis Architecture Phone ( 952 ) A97-7R7n Name: Lvnn Sloat Registration 1416'i StrCCtAdditSS: $200 NormandalP R1~d Sui+a ~nn City Bloomineton State: tata Zip: 554'~~ Sewer/waterlicensedplumber(Ifinstallinaaewer/water): Vncon P7~„„htng Phone#: ( 95~ ) 99R-9'~nn I hereby acknowledge Nat I have read this application, state that the infortnaUon is ~ ect, and agree to comply 'Ih all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPE ~ 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF WORK TYPE ~,i 31 New ? 34 Repair ? 37 Demolish Bldg. O 43 Reroof ? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding ? 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) ? 45 Fire Repair ? 46 Windows/Doors GENERAL INFORMATION Census Code ~zy Zoning sq. ft. SAC Code 3B # of Stories _ sq. ft. No. of Units !S Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) ~ Basement sq. ft. ~3 MC/ES System (Allowabie) First Floor sq. ft. ~ Ciiy Water UBC Occupancy (3 ~3 2H 0 f'/.a sq. ft. z~ Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance VALUATION:$ ~ Pertnit Fee 1$1- 7-~ Surcharge S • c) J Plan Review MClES SAC lS~ I~n i S OO SAC ~ ° City SAC /S,t / °O '~SAC Units ~r Water Supply 8 Storage ~ Meter Size S/W Permit /4 ~ ? S/W Surcharge , Sb ? Treatment Plant ~5.~ Y9 Z ~ 3~' a ? Park Dedication ~ 29 • ? , Trails Dedication O3 ~O' ~r~~GLf~ p, 7•ZG•~~ Water ~uality ~ T ~~~~p ~fe~ °~f a~~ s~ l 3y9/9 c~t+~er(a.,,61~c~ ~r«.,-+~ o0o r ~~"~Pf Copies Totai 5~-I ? ~ - ~ L.~~ f CITY USE ONLY g~CEIPT I~ l v~ U i SUBD. ~ ~ RECEIPT DATE ' - (7~ APPROVED BY: , INSPECTOR PLUMBING PERMIT # T-~O ~ooo eLUn~suvs ~~rr cco~~xci~L) crrY o~ ~e,~rr s8so ~cLOT xNO~ ~n ~?s~rt,lHlv 55 i s2 s51-6$1-4675 Please complete for: all wmmercial/indusfial buildings multi-family buifdings when separate building permits are not required for each dwelling unit ins[alla[ion of backflow prevenfer in commerciaf azeas or residential boulevards Date: `~~Z~ Work Type: ~ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler _ RPZ Description of Work: To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646. F~f.:S I % of conhact price or $30.00 minvnum Conhact Price: $ ~ )~u ° x 1% _ $ O ~ COMPLETE THIS AREA ONLY IF INSTALLING IINDERGROLIND SPRINKLER SYSTEM Base Fee - $ 30.00 Water Meter: 2" Turbo $897.00 unless plan approved for smaller size $ 1-1/2" Turbo - $726.00 Service: _ existing (if couung off domestic line) OR _ new If "new service" contact Jerrv Wobschall. Finance Consuitant to confirm addinQ fees for.• Water Pernut & Surcharge - $ 50.50 $ Water Supply & Storage - $ 840.00 $ Water Treatrnent Plant Charge - $ 492.00 $ cc: Diane Dawrts~ Ufiliry Bi!ling - underground sprinkler permi~s Base Fee S U C) .C1 ~ State Surcharee State Surcharge $ - ~ $.50 minimum; calculate at $.50 For eacb $1,000 Base Fee Totsl Fee S ~--E U U. [ hereby acknowledge that I have read this applica[ion, state that the infortnation is wrrect, and agree to comply with all applicable City of Eagan ordi nances. It is the appl icanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any darnages caused by the Ciry during its noRnal operational and maintenance activi[ies to the facilities constructed under this permit within City property/righ[-of-way/easement. SITEADDRESS: l"^'~ l.`Q~`t"~'~ TENANT NAME: TELEPHONE (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N NAME: INSTALLERNAME: `l~uV l'~~'~"~~~ ~?tL TELEPHONE#: 4Sz ~3K `~3U~' . (AREA CODE) STREETADDRESS: ~S C,~ ~ S~ ~ CITY: '~Ya-~ Vh ~ STATE: ~53~~ ZIP: Y1~t~ ~~i" L--~~.~l~L ~ C' SIGNATURE OF PERMITTEE CITYUSEONLY ~{333~ L I Bl ( PERMIT SUBD. GQleWoO S RECEIPT# CHK CHG RECEIPT DATE IO`Ib ~OO 5000 ~Lill!$[RH ~ER6QT (CO~RC1141.) ~ 13~1. 50 Ps46lkF, allY 5818E 651-881-4875 INCOMPLETE APPLICATfONS WlLL NOT BE PROCESSED Date: /11 f/$~Gf7 WORK TYPE ~ New Bldg Add-on Repair RPZ PVB " Irrigation system • Must complete reverse side of application also. Required meter size is 2" turbo unless srnaller size permitted by Public Works DESCRIPTION OF WORK f~~~m~IN~/ Wu4'~r?L mEtl'~, ~ To inquire it Pressure Reducing Valve is required on new service, ca11 65 1-681-4646 METERS - Ca11651-681-0300 to veri that hydrostatic, conductiviry, and bacteria tests passed prlor to oickine uo meter / Irrigation ~ Size ~ Avg GPM Fire Size Avg GPM Domestic ~ Size Avg GPM 0~ Dces this include high demand devices? _ Yes _ No FLUSHOME7'ERS _ Yes _ No PRV REQUIRED _ Yes _ No SiteAddress: ~~~S~N,/nJ ['ca~~"re Orri.G Tenant Name: /d~ ~6 ~/rrj,~' ~l~ Telephone (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: InstallerName: ~~SDN /J(~r/yyy~jJ~ Telephone#: 9.~0 (3~~ ~..~y~ (Area Code) Insraller Address: ~t~~ J . ~ ,S . City: ~/(7 ~~NS 8 State: ~N Zip Code ~'S 3~ FEES Contract price $ a 1% ($30.00 minimum) ~e+Rraet2+~F $ 7 Z U Meterls) ~ 2 G ' V ~ Required on all new buildings & boulevard irrigation systems Radio Read $ ~.S ~ Surcharge: $.50 Minimum. If c ntr ct fee exceeds $1,OOQ calculate at State Surcharge $ 0 50 cents per $1,000 contract fee. Total From Reverse New Service $ To~e~ 3 4- • S o I hereby acknowledge that I have read this application, state that the informarion is correct, and agee to eomply with all applicable Ciry of Eagan ordinances. It is the applicanPs responsibility to notifythe property owner that the CiTy of Eagan assumes no liability for any damages caused by the City . during its normal operational and maintenance actlviNes to the facilities construcced under this per it witt ' Ciry property/right•of-way/easement. A AT PERMITTEE CITY USE ONLY ~iVED REQUIRED INSPECTIONS: U.G. _ Air Test _ Gas Test _ Rough In _ Final {~~1 ~ ; 2~00 APPROVED BY: S , BUILDING INSPECTOR L~ gL ` CITY USE ONLY ~ a3 y q PERMIT SUBD. G ~ RECEIPT#: APPROVED BY: t. {`O~ , INSPECTOR RECEIPT DATE: ~ l~ j,.,~ 2000 1~CAANICAL PERMIT (COZ~RCIAL) ~J CITY OF EAGAN 3830 PILOT ~iOB RD EAGAN, ZIIi 55122 651-681-4675 Please wmplete for. all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DAT'E: ~%O WORK TYPE: ~ New construction _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Taak Processed Piping When installing/removing underground tank, cali 651-681-4675 jor inspection by f~e marsha/ and ~ plumbing inspeceor. Descriptionofwork: Sn5-~411 1~1f~C S~S~'~-~U~ neu~b~~~~~~.~ ~~o~hfere~ P`ahS E.KC~~SQ' Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee 00 - Conh~act price: $ I~U~ 000 x 1%_$ ~ i 5 00 l (Ba,Se Fee) [ U c~ j State surchazge calculate at S.50 for each $1,000 Base Fee ~ . ob TOTAL ~ S O SITE ADDAESS: ~ ~ BS ~C7-J~ Cenae~ p< <v e • OWNERNAME: 'TCw~CeR1e~ P I 4 Z~. PHONE (AREA CODE) TENANT NAME (IMPROVEMENTS ONL17: WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~ N. NAME: INSTALLER: ~ hec n'te X Co~~ ADDRESS: 35aCt ~a~'~~SF~'1 f~~ •S- PHOrr~#: sa -~aa~o~~ (pREA CADE) CITY: ~TT LU~1l S P~~~ STATE: M~1 ZIP: SS ~f (~i ~ c~P ~CJ U(r~-~._ SIGNATURE OF PERMITTE~ city oF eagan ~ PAiRICIA E. AWADA August 2, 2000 "'°Y°` PAULBAKKEN . BEA 8LOM9UIST PEGGV A. CARLSON SANDRA A. MASIN MR GEORGE HOENE co~~cn rnembers WELSH CONSTRUCTION THOMAS HEDGES 5666 LINCOLN DR #205 CiryAdmirnstratar EDINA MN 55436 RE: 1185 TOWN CENTRE DRIVE LOT 1, BLOCK 1, GATEWOODS Deaz Mr. Hoene: We have completed our review of the construction documents submitted in pursuit of obtaining a building permit for the above-referenced project. This review is not intended to be an e~chaustive and comprehensive report. Unless otherwise noted, all references aze to the 1997 U.B.G It is our goal that this review will help you in complying with the applicable codes and we aze, therefore, requesting that the following items be addressed. 1. Verify that the floor drain in the elevator pit is a dry pan. 2. Provide details of the handicapped pazking spaces, as well as the signage. 3. Provide details on the storage to be located in the parking garage. 4. Verify that the glazing adjacent to Door #5 is listed and labeled to have a fire protection rating of not less than 3/4 hour. UBC Section 1004.3.43.2.2. 5. The doors leading into the corridors from the tenant spaces will have to swing in the direction of travel if they serve an occupant load of 50 or more. UBC Section 1003.3.1.5. 6. Verify that the garage is ventilated at a rate of 3/4 C.F.M. per squaze foot. MSBC Sec. 1305.0202. 7. . Please provide a fire protection plan on an 8-1/2" x I1" sheet of paper and a floppy disk in Auto CAD dwg release 14 or dxf release 14 as per example sent via fax on 6/8/00. MUNICIPAL CENiER THE LONE OAK TREE MM~NTENANCE FACILItt J830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN 3501 COACHMAN POINT EAGAN. MINNESOTA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (65p 6BI-4600 PHONE: (651) 681-4300 FN(: (651) 681-4612 Equal OppOrtunih/ Employer FAX: (Q5I ) 681-4360 iD0'. (651) 454-8535 www.cih/ofeagan,com TDD~ (W`~) 454-8`a75 8. MSBC Section 1307.0055 requires that the elevator shaft is vented to the outside. 9. The 1/2" squaze steel bus spaced 4-1/2" on center leaves "0" tolerance for UBC Section 5093. The pattem shall be such that a 4" sphere cannot pass through. 10. Provide HVAC, plumbing, and fire suppression plans. 11. MSBC Section 1341.0442 requires 12" on the push side of Door #7. 12. Indicate what size water meter you will be requesting. If you have any questions regarding the above requirements, please feel free to call me at 651- 681-4699. Thank you. Sincerely, ~ o~t. Dale Schoeppner Assistant Building Official DS/js I~I~E~~II~~ t~PEEI~IpIII~I71 ~ . iti MEMO city of eagan TO: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER DIANE DOWNS, 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 FROM: BILL BRUESTLE, SENIOR INSPECTOR DATE: DECEMBER 4, 2000 SUBJECT: FINAL INSPECTION OF 1185 TOWN CENTRE DRIVE TOWN CENTRE PLAZA LEGAL: ~ LOT 1 BLOCK 1 GATEWOODS The Protective Inspections Division will be performing a final inspection of 1185 Town Centre Drive on January 3, 2001. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. tun ` I BL ~ CITY USE ONLY PERMIT ` o~ t SUBD. ~~a~ l,. ~r-c'~~~ RECEIPT#: APPROVED BY: T~ , WSPECTOR RECEIPT DATE: I a- - I 3~ U~ 2000 I~CHANICAL PERMIT (CO1+II~RCIAL) (0 3 g5 ~ CITY OF EAGAN 3830 PILOT LINOB RD EAGAN, 1~7 55122 651-681-4675 Please complete for: all cammercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: I o~ • a' OO WORK 1'YPE: New construcrion _ Install U.G. Tank Interior Improvement _ Remova U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fre marshal artd plrimbing inspector. £ a~'~ Descriptionofwork: SnS~« ~~~wart~~or tcw~M1+ 1o~~~i~~-F ,Se~e. Q~nc.lo5ec P44~S Fees: I%of contract price OR $30.00 minimum fee, whichever is'greater. Undergound tarik removaVinstallation = minimum fee pO o 6 Contract price: S~• x 1%= $~rJ, (Base Fee) State surchazge ~ S~ calculate at $.50 for each $1,000 Base Fee So TOTAL $ ~5' SITEADDRESS: $S T~'~' Cen~er Dr a~~ ~bo r OWNERNAME: PHONE#: - a (nxEw co~e~ TENANT NAME (IMPROVEMENTS ONLI~: `J . ~S • ~ WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~C N. NAME: INSTALLER: T~ ~d ~ M~ C-U ~ tC~ Ann~ss: 35a~ ~~.t~e~11 f-ive-.S• pHOrrE#: ~sa - ~aa-o~o~ (AREA CODE) ir:_ . CITY: ~ ~,S i ~4 ' ~l ~`11 STATE: 1`1~1 Y1 ZIP: 5 f ~ _ + ~jl ~cQP 7~.~irv~-, 1[~EG I Z ~ ~ SIGNATURE OF PERMITTE ;~~1~. , L~_____"" _ " " ~_~."J CITY USE ONLY PERMIT 1 ~ ~ ~ RECEIPT DATE: ~ ~ ~ ~ " v ~ COMM£i~CIAL i'Ll~ffiINH ~E~ibIIT A~WCATIOF CrntoP B~?6~ s85o ~n.ar ~tNOS ~u $we~?A, e!R 88~ $E es~-e8t-4e~s 7NCOMPLE7E APPLICAAONS IMLL NOT BE PROCESSED Date: -~rj I'~ ~ WORK 1'YPE V New Bldg Add-on ~ Repair RPZ PVB ' Irrigetion system ~ Must comptete reverse side of application also. Required meter size is 2" turbo unle.cs smaller size permitted by Public Works DESCRIPTION OF WORK 'vP W SP°~ C'~ To inquire if Pressure Reducing Valve is required on new service, ca11 65 1-681-4 646 METERS - Ca11651-681-4300 to verify that hydrostatic, conducriviry, and bacteria tesu pessed orior to oickine uo meter Irrigation Size 8c Type Avg GPM F've Size & Price 3/4" disulacement $149.00 Domestic Size & Type Avg GPM Does tlris include high demand devices7 _ Yes , No FLUSHOMETE',1R,~~_ Yes ~No PRV REQUIRED _ Yes _ No ' ce~~~~ b~_ s~~- ia~ ' To un Site Address: - Tenant Name: S PaV ~ ~Q Telephone (Area Code) ~ Was there a previous tenant in this space7 ?Y _ N. If Yes, Name: InstallerName: hUGY1Y+1a?f f~Ut~7f~~r/Q Telephone#: ~ra S~~- ~~7~~ P~ POjC ~ ~ ~ (Area Code) InstallerAddress: A ~ City: ~rL 5 State: l~l ~ Zip Code ~~l p ~ x 1/o (550.00 minimum) Contract Fee S FEES Contract rice $ l7 QQ~• Q ~ a V~ a O Meter(s) $ Requ'ved on all new buildings & boulevard irrigation aystems (Acct # 9220-4509) 12adio Meter Read $ Surcharge: $.50 Minnnum. ff contract fee exceeds $I., 00, calculate at State Surcharge $ r~~ 50 cents per $1,000 conua ~ ~ ~ (1J~ ~ I I~ I I i' I ~jpta] From Reverse New Service $ MAY 3 p 20D1 U To~ei $ ,~d I hereby aclmoWledge that I ave read this appliCahon, stat that the information is cortect, end agee to comply with all applicable City of Eagan ordinances. It is the applicant@~,Q sponsibility to notify the pro erty owner that ~ity of Eagan assumes no liability for any dsmages caused by the City during its normal aperarional an~-matntenance~activtti~5'to ~ e facilities cons c ~nder this pe nit ~ ithin C,tity property/right-of-way/easement. ~ . SIGNATURE OF RMITTEE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test Gas Test _ Rough In _ Final ~-go-o/ PLANS SUBMITTED APPROVEn BY: BUILDiNG INSPECTOR , CITY USE ONLY ~ PERMIT ~ ~ ~j ~ RECEIPT DATE: 3 ~ I 3 -C) L APPROVED BY: , INSPECTOR CObIM~CI~I. M~Cii~kNIC~kI. ~PEgMIT !l~~LIC~tTION CffY oF £~k&~41Q ~ y g 3g ssso ~u.oT xivos itn ~sek6A1V.113N 551 EE 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dweiling unit DATE: ~ ?J ` S ` d ( SITE ADDRESS: ~ I~S T(1uJ n C~en-Eer D r. 5~ e 100 OWNER NAME: PHONE (AREA CODE) ~ TENANT NAME (IMPROVEMENTS ONLY): ~`~jy~ ~ Mtl('~-4s~ e- WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y~ N. NAME: INSTALLER: ThefP'te1C CU~P _ nDDx~ss: 3sa5 ~,le~~~'1 ~v~ . S. PHONE#: Sd - ~133 ~ C~~o~ (AREA CODE) ci~: 5-~. ~~~~s ~~rt~ STATE: h'~°~ z~: Ssvi 6 WORK TYPE: New construction Install U.G. Tank i~ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureofWork: in<l4ct G Zone ~4n~(h~sad~c,{~a~~c~o~~ehw +~w'I~u~+ Ena~ne~ e~ec~ P1anS enc~os~ When installing/removing underground tank, call 651-681-4675 for inspection Fire Marsha! and Plumbing linspector. ~D ~ ~ Fees: 1% of con~act price OR 550.00 minimum fee, whichever is greatec ~ ~'-r U' ~ Underground tank removaUiastallation = minimum fee A/~ D 00 00 ~ 9 ZOpI Contractprice: 5~0~ xl%=$ ~RS (BaseFee) By 5~ State surcharge calculate at $.50 for each $1,0 TOTAL $ ~S~So D ~ ~ AR 2001 ~y Updated 1/Ol i , , ~ ~ . ~ , ~ MEMORANDUM TO: KENT'I'HERKELSEN, CHIEF OF POLICE JAMIE VERBRUGGE, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL DIRK HOUSE, PLUMBING INSPECTOR MARK ANDERSON, ELECTRICAL INSPECTOR GENE VANOVERBEKE, FINANCE DIRECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES TOM COLBERT, PUBLIC WORKS DII2ECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR FROM: DALE SCHOEPPNER, ASSISTANT BUILDING OFFICiAi" DATE: MAY 15, 2000 ~3 RE: PLAN REVIEW FOR ll85 TOWN jj~ NTRE DRIVE L ~ l~ ~~~~u'`Q-r-.~1J The conshuction plans for Town Centre Plaza are in our plan review section for your review and comment. Please return this form to mY attention with your signed comments and the date of review. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments• Indicate any fees that aze to be collected with the building permit: AMOUNT ? Yes ? No landscape security required Z O N I N G? ? Yes ? No water quality dedication ? Yes ? No park dedication ? Yes ? No trail dedication ? Yes ? No tree dedication ? Yes ? No Signature Date DERMATOLOGY CONSULTANTS, P.A. DAVID W. ANDERSON, M.D. CHARLES E. CRUTCHfIELD III, M.D. DENNIS M. LEAHY, M.D. LORI R. ARNESEN, M.D. HUMBERTO GALLEGO, M.D. JANE B. MOORE, M.D. JENNIFER A. BIGLOW, M.D. PIERRE M. GEORGE. M.D. HAROLD G. RAVITS, M.D. DARYL A. BROCKBERG, M.D. NOEL A. HAUGE, M.D. JERRY W. STANKE. M.D. APRIL 30, 2001 `l ~ sJ/Z TO THE CITY OF EAGAN RE: DERMATOLOGY CONSULTANTS WAITING AREA OCCUPANCY DERMATOLOGY CONSULTANTS WILL HAVE NO MORE THAN 46 OCCUPANTS IN THE WAITING AREA AT ANY ONE GIVEN TIME. SINCERELY YOURS, ; Z- ERRY ia~. STANKE, M. D. SIDENT, DERMATOLOGY CONSULTANTS, P. A. ~ rr ~ S ~°'~'°J ~=~G~ ~.l~bs~ j~,t9T ~s~. Qaaa~e~ ~,~~4~~ ~F 5~~' -6" 5 ~ ~~r'~ z,. ~~6~ ~ 6~GL Ld G~f~-~~S ~ ~ ~ ~ve, c~- i ~sY`w~r ~ s~~~~~ Visii our web site at: www.dermatologyconsul}on}s.com Si.PHUI-DOWNiOWN: MIDWAYOFFlCE'. MAPLEWOODOFFlCE: BURNSVIILEOFfICE: WOODBURVOFFICE IOISTHST.E.-S7E.210S CENiRALMEDICALBLDG. 15608EAMAVENUE RIDGEVIEWMEDICALBLDG. 7616CURRELLBLVD.k115 SAINT PAUL MN 55101-1885 993 DUN~AP SC N. - SiE. ]20 SFUNi PAUL MN 5510C~1 I]I 305 E NICOLLEi BND. -S7E. 372 WOODBURY, MN 55125 651-291-9166 SAINiPAUL MN 55104-4202 651-]]0-0110 BURNSVILLE MN 55337-8336 651-5]8Q]00 FAX 651-291-9169 6S-64S3628 FAX 651-770-0134 952-4362d33 FfJ( b51S]&707] FA% 651-6dS3620 FAX 952-4351055 ~ ~ CITY USE ONLY PERMIT "t RECEIPT DATE: ~ ' ~ l ' ~ ~ ~-S-a ( APPROVED BY: SPECTOR COMM~tCI~kL 14I~C~ANIC~1. ~~MIT A~PLIC~FTlON ~ 1~ CTfY oF gASlkN n S$SO i~ILOT KNOB i2D ~ CJ 4' ~4~4N, Mft 551 E8 OJ~ 65]-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: July 2, 2001 SITEADDRESS: 1185 Town Center Drive OWNERNAME: St. Paul Radiology pHONE#: - IC fi ~ (AREA CODE) ~ Li ~ TENANTNAME(IMPROVEMENTSONLY): St. Paul Radiology J 9 1~I WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y g N. NAME: J c v INSTALLER: NewMech Companies Inc. Y ~=_~-~J ADDRESS: 1633 Eustis Street PHONE#: fi51/645-0451 (AREA CODE) CITY: St. Paul STATE:MN ZIP: 55108 WORK TYPE: New construction Install U.G. Tank xx Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureofWork: HVAC Wlien installing/removing underground tank, call 651-681-4675 for inspection by Fire Mars/iaf and Plumbing linspector. Fees: l% of convact price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Conhact price: $ 9 5, 0 0 0.~9 o~a (Base Fee) ~50 Stare surcharge calculate at 5.50 for each $1,000 Base Fee TOTAL 3 •5~ "~J ~ s ~ v~~r.."~~ ~Pc~ h ~ ~ y,~ W~ SIGNATURE OF PERMITTEE ov ev p e~-~-~ ,Mcmo9-~ ~ ~ „ ~ Updared l/Ol v, - W ~ ~ - `g~ FIRE SUPPRESSION SYSTEMS Permit Application City Of Eagan ~ 3830 Pilot Knob Road, Eagan Mn 55122 ~ C-~ q~ Telephone # 651-675-5675 FAX # 651-675-5674 ~~U Requirements: 2 complete sets of drawings and specifications cut sheeu on materials and co onents to be used Date ~ / ~ ai / Site Address: ' ~ (.l) ~ cQi~ ~ Q Tenant / Building Name: r'I,l,~ 1 The App!icant is: _ Owner Contractor _ Other _ PROPERTY OWNER ~ o ~ Address: ~n ~ } ' "I City: I te: Zip: CONTRACTOR 1 I~ ~ MN License No. l~ ~ Address: ~ City: I j~ ~4~! 1,~~ _ct State: ~ N Zip: ~5~35 Phone ~ So~ " o J~'~1 ESTIMATED COMPLETION DATE: ~ / ~ / ~ FIRE PERIYIIT TYPE: ~ Sprinkler System of heads _ Fire Pump _ Standpipe _ Other: C$ r'e--~ s~`~ ~~1~- WORK TI'PE: _ New _ Addition ~ Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial Residential _ Educational Other: PLEASE COMPLETE REVERSE SIDE I PERIVIIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ ~ J~ x .Ol% _ $ ~ Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ State Surcharge . If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter $ -gT-1-%-66-- TOTAL F'EE: $ 5 I hereby apply for a Fire Suppression System permit and aclaiowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota BuildingJFire Codes; that I understand this is not a permit, but only an application a pernut, and work is not to start without a pemut; that the work will be i cordance with the approved plan the case of work which requires a review and approval of plans. ~lscs~ Applicant's Printed Name Ap c s ignature ~ ~2 d~ . Dat~ DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS _ Underground Pipe _ Hydrostatic Flow Alarm Drain Test _ Trip _ Pa.np Test _ ~enhal Statioi7 _ Final Conditions of Issuance: Permit Approved by: ~ Date: a'Y / 03 : ' 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~,~1. ~ 651-675-5675 Date ~ ~ / / ~ Site Address ~ ~ 85 TCC.c~ n C~n~r-c P r Unit # Tenant Name S~ E', ~-J-~p F~ ~~p Former Tenant Name - Property Owner ' Telephone # ( ) Contractor ~ ber~ MecJlan~cdl Address ~i ti5 i G~ .-7~~'~ 5-1-- c~ty ~c~ ~'nd scate M N z~p SS~f35 Telephone #(~t5a) g35 ~ 3 8'I ~ The Applicant is _ Owner ~ Contractor _ Other Work Type Iv'ew Bldg Add-on Repair ~ RPZ PVB Irrigation system' `Jem Wobschell to calculate fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public Works Description of Work ~.r1_.S-}~o~ ~ 1 ~(V ~w ~ P~ i'~ he bo er' ~'od"~ To inquirc if Pressure Reducing Valve is required on new service, call 651-6'/SS646 Meters - Ca11 65 7-675-5 300 to vcrify that hydrostatic, wnductivity, and bacteria tests passed urior to oickin¢ uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $155.00 Domestic Size & Type Avg GPM 1ncludes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minemum (includes State Surcharge) ContractValue $ yCJ~~ x 1°/a BaseFee $ Meter(s) Required on all new buildings boulevard ittiEation svstems $ Radio Meter Read Ifbase fec is $1,000 or lesa, surcM1arge is 5.50 $ State SUIC}lar~e If base fee is over $1,000, surcharge is $50 per $ I,000 of [he Base Fee ~ Following Tees apply only when iustalling new irriga[ion system ~ $ ~ Water Permit Contact Jerry Wo6schall at 6SI-675-5024 for required fee amounts $ Treatment Plant ~ ~ ~ ~ ~ i~ Water Supply & Storage ~AN 0 3 2005 State Surcharge $ 0 .S~ Total Fee I hereby apply for a Commercial Plumbing Permit and thaCtMe i~'f'orm n is completc and accurate; that the work will be in wnfonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is not a pertnit, but only an application for a permit, and work is not to start without a pecmit that [he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Pz ,r- ; e ~ d. o ~ r, a r~ Q~.e ~ C~~vrnan--~ ApplicanPs Printed Name ApplicanPs Signawre os ~ ~.~-~~-ya sa SD 20D5 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION ~ City Of Eagan C7„t7~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com nenu to be used Date ~ / 2 S / ~S SiteAddress: ~~~jS ~~l/` ~C1V~~ ~ ~-117~ Tenant / Building Name: C~U~ l-~~ FI [Z ~~~M~~L~~~~ The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR GILBEQ'r ,~~~AI~IC.~L MNLicense#: ~'~/O Address: (~t~, ~(n~ S% City: ~[~!/~1 State: Zip: $S 3~ Phone (Q~Z~$3S- 3~~p ESTIMATED COMPLETION DATE: ~ / ~ ~ ~ OS FII2E PERMIT TYPE: ~ Sprinkler System of heads Fire Pump _ Standpipe _ Other: ~C.OLLET~~g„~ f{F~AS T~/V~~V~ v WORK TYPE: New Addition x, Alterations _ Remodel Other: ~ DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational Other: r r - ~ ~~r~ iL ~ r1I ~ 1 ~ II r ~u' ~I I I ~I ~u~ ~ 2005 i'' ul Please continue on reverse side Ly I ---J PERMIT FEE: $50.50 Minrmum Fee (includes State Surcharge) Contrad Value $ ~ • ~ 0 x .O1 = $ . ~J Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter. - $161.00 $ /V ~ TOTAL FEE: $ ~ I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only, an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. l~I t K~ ~vANS pplicant's Printed Name Applicant's Signature . DO NOT WRITE BELOW THIS LINE ; , I~QI37RE~INS1'EGZ'If3NS ` Hydrosta~~c' F1ow Atarm ; Dr~sn T~est ` Bc~ugh in _ irip - Pwn~i'I~~e Cenr~al ~taf~an ~ ~'inaf ~.r < . Condition s of Tssnanc~ ; ' ' Perm~t Agprou Aa#e ~I ~ r-r`'~ : -~~'S. S ~ ~Q g~~ 2005 COMNIERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: couunerciaVindushial buildings multi-family buildings wltett separate peimits are no[ required for each dwelling unit Date~l Z(o Site Street Address I I R J~ ~O W I~l l.F N T(LF pR . Unit # J() ) Tenant Name (if appticable) ~Yl)~('i~ ~ Z~~ ~Q: Y M Q-~I ~~erious Tenant Name Property Owner Telephoue # ( ) Contractor cr i I be r~ M P~ ~?n h ~ r~~;l C`~~ n~a.C. rs ~ c. Street Address ~ 4-rj ~ W. (p th s~~ CiTy ~C,I i/1 Gl, state r/l f~-~ z~P Telephone q S a) S~J 3 g I ~ Bond Ezpires: T6e AppGcant is _ Owner ? Contractor _ Other Work Type New Construction _ Underground Tank _ Instail _Remove **see below ? Interior Improvemertt _ InstaLll Piping _Processed _Gas Nature of Work: RTI~ Chrz npP n~.LT J **When installing/removing underground fank, ca!! for inspecfion by Fire Marshal and Plumbing Inspecto~ PCI7DIL FCCS: $70.50 Under~ound tank inslallaliodremoval $50.50 Miximum (includes S~ale Surcharge) ar Contract Value $ 7~'JrO~ - x 1°/a ~ 5, Permit Fee • If permit fee is $1,000 or less, add $.50 ~ $ ~ State Surcharge If permit fee is over 51,000, add $.50 For every $1,OW ep rmit fee $ J~ . J~~ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge tttat the infomiaTion is complete and accurate; that the work will be in conformance with the ordivauces and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand [his is not a peanit, but only an applicatlon 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 ~ohn I. ~'-rorm~n Applicant's Prin[ed ame Ap lican[' Signa ~ -7~'Y~ S~ / ~ ~ ~!y i J' ~ IJ 'U L~ ~ Apprwed By: ~ Inspector Date: 4~~a ~a ~O EI ' I~ j ~EP 2 8 2005 ; F Y - 443 Lafayette Road North L ~ I 651-284-5000 St. Paul, Minnesota 55155 ~ TTY: 651-297-4198 www.doli.state.mn.us 1-800-DIAL-DLI . . . . . December 7, 2005 APPROVED FOR USE Town Centre Plaza LLC 350 St. Peter St. St. Paul MN 55102 RE: Hydraulic Passenger - Elevator ID# 01-06864.01AL04-01 Site: Town Centre Plaza 1185 Town Centre Dr. Eagan 55122 Dear Sir/Madam: Minnesota Statutes Chapter 16B provides that the Department of Labor and Industry, Building Codes and Standards Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. THIS APPROVAL APPLIES TO THE INSTALLATION OF THE OIL COOLER. Sincerely, BUILDING CODES AND STANDARDS ~ Bill J. Reinke State Elevatorlnspector bir/rsq (CE-2) Schoeppner, Dale R., BO, City of Eagan Schindler Elevator Corp. ElFormCE2 This information can be provided to you in alternative formats (Braille, large pri~t or audio tape). An Equal Opportunity Employer 7~ 71 ~ 2006 COMMERCIAL PLUMBING PERMIT APPLICATION j Q~ CITY OF EAGAN CtiG~.t,{ 3~t3, CE 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date ? / / ` SiteAddress ~~g~ TdWIV ~~^~n~" p~, Unitt~ 1~~ Tenant Name m/,~/~~(%~~~~ ~~i(.~!1~~ Former Tenant Name Property Owner Telephone # ( ) Contractor j~~~~~/~v ~v`~ r' ~ Address .Sl ~/7 t~~ ~ City ~J~~~2~5 State Zip ~ J~ tl Telephone # ~3 ~ License # ~i~ Eapires: ~ The AppGcant is _ Owner Contractor _ Other Work Type New Bldg odify Space _ Irriga6on System*" _ Yes No Work in public r-o-w ! easemen[? RpZ P New _ Repair/Rebuild _ Replace _ Remove ` Rain sensors are re uired on irri ation s stems Description ot Work ~t'~// 7 To inquve if Pressure~teducing Valve is required on new service, call 651-673-5646 Meter3 - Call 651-675-5300 to verify that hydrostatic, conducGvity, and bac[ecia tes[s passed vrior to nicltiue uo meter. Irrigation Size & Type Avg GPM 2" t~ubo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $167.00 Domestic Size & Type Avg GPM Includes high demand devices? _ 1'ea _ No Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) /C/ ~ Contiact Value $ v 1 v`~ x 1% Pemut Fee ~ $ Meter(s) Required on all new buildings & boulevazd imeation svstems $ ~ Radio Metei Read $ State Surcharge If oertnit fee is leas than $1,000, aurcharge is $.50 If Dertnit fee is more than $1,000, surcharge ia S.SU for each 57,000 owed. Following fees apply when installing new lawn irrigation system $ Water Pertnit Call ihe CiTy's Engineering Deparimenl, 651~75-5646, for required fee amounts $ Treatment Plant ~ ~ ~ ~ ~ ~ ~ D g Water Supply & Storage ~ $ State Surctiarge MAR 2 F $ Total Fee I hereby apply for a Commercial Plumbing Pemiil and a 1 dge that the infortnation is complete and accurete; lhat ihe work will be in confannance with the ordinances and codes of $e City of Eagsn and with the Plumbing Codea; that [ undersland tfue ie mt e pertnit, but ody an application for a pem~it, and work is not to slart withwt a pefmil; tfiat the work will be in accordance with the approved plan in the case of work which r ' ~°f P~a^s~ ApplicanYs Printed Name ~ Applica'nt's Signahi~`~e CITY USE ONLY REQUIRED INSPECTIONS: ~U.G. ~ Air Test _ Cms Test ~ Rough In ~ Final PLANS SUBNIITTED APPROVED BY: S U BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard uriga6on sys[ems may require a radio read -$141.00 • RPZ's must be tested every yeaz and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A miuimum fee pemiit per address is required for the following RPZ's: new, re6uild, repair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOUII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PffiCE 1-20 5/8" residential $130.(K1 4-120 1-1/2" irrigation sySt a 8z~.00 displacement or turbine'* Public Works maximum small commercial . must approve continuous meter size 10 2-30 3/4" lawn irrigapon $167.00 4-160 2" turbine lazge irrigation S 1,040.00 maximum displacement residential system & con[inuous or production lines 15 small commercial 3.50 1" displacement large residenual $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 units 65 units maximum small commercial & continuous & lazge comm bldgs 25 irri tion stems 5-100 1-1/2" 25-64unitbldgs $515.00 maximum displacement & continuous most comm hldgs 50 METERS REOUI1tING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lazge inigation $1,394.00 6-500 4" compound +300 unit 61dgs $3,864.00 system & produc[ion & very lazge lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs $6,436.00 very lazge very large comm bldgs comm bldgs 15-1000 4" turbine very lazge $2,495.00 irrigalion systems & productionlines Comments • To schedule inspection of the inside water line and bacldlow preventer, call 651-675-5675. • To azrange for water hun-oq ca11 65 1-67 5-5 200. cr. Utility Division Systems Analyst lanuary 2006 i ~'3~~ ~ 2006 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used Date / / ~-L,x~~o SiteAddress: _ ~ 'U Q 1-~~ i~)~ f Sr ~Cw~ ~ c~w n e r~ Tenant / Building Name: ~ r~.~i,,,~,~ ~ C'~~~~ ~~iCS ~ The Applicant is: _ Owner ~ Contractor _ Other PROPERTY OWNER D Address: F City: State: Zip: CONTRACTOR _SV~i_e`~~~f.c'fC~`~~~~., MNLicense#: ~01`~ Address: ~~l Z (i(/.. ~c~~~C~ ~d K4 City: (~r~?'I l~,I l~S State: /H N Zip: S 5 / / Z Phone (DS / - (0 3 ~ --7/y~/ ESTIMATED COMPLETION DATE: l ~cYi~ FIRE PERMIT TYPE 1~ Sprinkler System of heads Z(~ Fire Pump _ Standpipe n` r - Other: WORK TYPE: _ New _ Addition Alterations ~ Remodel Other: DESCRIPTION OF WORK: X Commercial _ Residential _ Educational , • ' ~ • ~ ~ . . _ other: ~~~dd and l~~ (of.a~-~ l ./4-•~n ' a,~~s~i~~- i ~~2 ~~~~F ~1~d c~S ~4.e -~v c~~7 ~ /'..ew,~ / Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ SOC3 x Al j~~ •SO Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ ~Sv State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter -$167.00 $ c~- TOTAL FEE: $ SU, Sa I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in acco dance with the approved plan in the case of work which requires a review and approval of plans. ~2 d=t ,~~fvl ~v~ air 5 ~ , ApplicanYs Printed Name ~ Ap canYs Signature DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS ' Hydrostatic , Flow Alann D{aui .3'est Rough In Tnp Pump Test Central Station ~ ~ Fiaal Conditions of Issuance , - ~ r.i' ~ . ~ - Permit Approved by: Date / / , 1 ~ ~ 2Q~6 C~1~F~I RCIAL 1~EC~NICL~ PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaVindushial buildings multi-family buildings when seperate pe~mits aze not required for each dwelling unit nar~~_i-~i OG ~ ~ SiteStreetAddress ~,s ~Q ~„J Ct~~ _ tr Unit# /-ii,l~~-~a~ TenantName(ifapplicable) ~vra..ntT Q~ g[~prdr PreviousTenantName ~//~NO~? Property Owner Telephone # ( ) Contractor ?~.p,Il E~ ~ o G E~j1TO r~ pT ro.v.f~b Street Address ~~~8 ~~,gST ,~r Ni City /Y~,~..~vF~pot~FJ State Mi? Zip SS'//$ Telephone# ( )~7B/ 33.T~ Bond#: ~~o"Z 6 g8 Espires: t~i ~JQ~Z~6 The Applicant is _ Owner ~ Contractor _ Other Work Type _ New Construction ~Interior Improvement _Install Piping _Processed Gas _ Under/Above ground Tank Install Remove When insWlling/removing tank(s), cal! for inspection by Fire Marshal and Plumbing lrtspector Nature of Work: POrtllit F¢es: 570.50 Underground tank installation/remavel 550.50 'nimu (includes State Surcharge) or Conu~act Value S 'y~ 7 00' x 1% ,SO_ p 0 PermitFee S ~J• SZ7 Sta[e Surcharge , If ~ermit fee is leas than SS,000, add $.50 If rmit fee is more than $1,000, surchazge is 5.50 for every SI,000 owed. , ~ j $ ~ i'otal Fee I I hereby apply for a Commercial Mechanical Peanit and ackriowledge thaf ihe information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a pertnit, but only an applicarion 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 appmval of plans. Appl~can°t's Printed Name APPIi~ S~gn~~ ~ Approved By: `"7 ~ T~~--~ ~ , Inspector Date: Required Inspections: _ U.G. C R.I. _ qir Test _ Gas Setvice Test _ Infloor Heat ~ Final i3 2006 COMMERCIAL PLUMBING PERMIT APPLICATION ~ ~ ~ CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 y - Date~/_~/ Site Address ~ ~$-5 ~cJS Vl L' Q~+r~ l~ Unit # Tenant Name ~u rn rn ~'r d I`('~1 6 j~e Former Tenant Name Property Owner Telephone # ( ) Contractor ~ i_9-~ Q h S 4 h ~t" ~ c~~~~ e r Address 9CP ~ S ~c, ~ ba (d 'r' P, c~ey u~l oarn r n~~ ~ ~f Z~P SS 3 Telephone ~i ~ 8 ~ ~ State License # ~I y3 ~s Expires: l~ d~P T6e AppGcant is _ Owner ~ Contractor _ Other Work Type New Bldg Modify Space _ Irrigation System* Yes No Work in public r-o-w ! e9sement? RPZ PVB: New _ Repair/Rebuild _ Replace _ Remove ` Rain sensors are re uired on irri ation s stems DescriptionofWork /l~~'~R~~ (~a5~e ~~'eh~'~ w[e'1''er ~ S/~~S To inquire if Pressure Reducing Valve is requ'ved on new servmq ca11631~75-564G Meters - Call 651-675•5300 to verify that hydrostafic, conductiviTy, and bacteria tes[s passed prior to oickiee uo meter. Inigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter ]67.00 Domestic Size & Type Avg GPM Includea high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surchatge) Contract Value B°~' O v X lo~o = g Pemrit Fee $ Meter(s) Required on all new buildings & boulevazd 'urieation svstems $ Radio Met¢c Re2d g , S o State Surcharge If omnit fee is lesa than 53,000, aurchnrge is 5.50 If pertnit fee ia more then 51,000, aurcharge is 5.50 for each $1,000 owed. Following fees apply whea installing new lawn irrigation sys[em $ ~WBtei Pemnt Call ihe City's Engineering Deparlment, 651-675-5646, for requ'ved fee amounts g Treatment Plant . $ Water Supply & Storage $ State Surckiarge ~ „ ~ ? ~ . , ~ , s 3 ~o ~o TotB~ F~ I hereby apply for a' Commercial Plumbing Pemtit and acknowledge that the information is complete and accurate; that the work will be in conformance with the mdinances and codes of the City of Eagan and wilh lhe Plumbing Codes; [hat 1 understand this is not a pami; but ody an application far a pevnit, and work is not to start withaut a pertnit; lF~at the work will be in accocdance with the approved pian in the case of work which requires a revie~ and approval aFplans. ,~r'/a n S'w a n Sait ~ ApplicanYs Pnnted Name ApplicanPs Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _YAir Test _ Gas Test _~Rough In a Final PLANS SfJBMITTED APPROVED BY: S G~ BTJII,DING IlVSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read -$141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan • A minimum fee permit per address is required for the following RPZ's: new, rebuild, renair, remove. • Water meters include copper hom/suainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/s" residenrial $130.00 a-12o 1-1/2" inigation syst S 827.00 displacement or turbine** Public Works ma~cimum small commercial must approve continuous meter size 10 2-30 3!4" lawn irrigation $167.00 4-160 2" turbine lazge irrigation $ 1,040.00 maximum displacement residential system & continuous or productionlines 15 small commercial 3-50 1" displacement lazge residential $210.00 1/4 to 160 2" compound bldgs wer $ 1,962.00 bldg to 24 units 65 units ma~cimum small commercial & continuous & lazge comm bldgs ZS irri tion s[ems 5-100 1-1/2" 25-64 unitbldgs $515.00 ma~cimum displacement & continuous most comm bldgs 50 METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" [urbine very large imgation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00 system & production & very lazge lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs 56,436.00 very lazge very large comm bldgs comm bldgs 15-1000 4" [urbine verylarge $2,495.00 irrigation systems & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-67 5-5675. • To azrange for water tum-o~ ca11 65 1-675-5200. cc: Utility Division Syriems Analyst ]anuary 20~6 ~i~ I 2~ .~SO.SO 2006 COMMERCIAL PLtTA'IBING PERMIT APPLICATION . CITY OF' EAGAN 3830 PILOT KNOB ROAD, EAGAN NTN 55122 651-675-5675 Date~/_j~/~ SiteAddress ~~"~'~T(1r~^,tJCP~`{G1~ (.~Y1-t1/CJ Unit# Tenant Name 7T-V'D C~ CO 1~ O~Former Tenant Name Property Owner Telep6one # ( ) Contractor ~-t~me 1~~~ +~I u. mb ~ na 1 nc . naa~~ ~4~[0- t5?-'~'~ LCctl rJG c~ty C.f~v-E stace lf`(1 ~1 Zip ~~rx.! Telep6one #~~j 5~ ~-'10~ License # Cx~~"a~YVI Expires: ~ The Applicaot is ` Owner ~ Contractor _ Other Work Type New Bldg Modify Space _ Irri atioo Sysiem** _ Yes No Work in public r-o-w / easement? ~RPZ _ PVB: New ~Repair/Rebuild _ Replace _ Remove Itain seosors are re uired on irri atioo stems ~~2 RelOu~lc~ ?Ui~ ~ ~ Descdptioo of Work To inquire if Press~ve Reducing Valve is required on new service, ca11651-675-5646 • ~ ~ Meters - Ca11631-673-5300 to verify ~haz hydros[atiq conductivity, and bacte~ia tests passed prior [o pickin¢ up meter.. . Irrigation Size & Type Avg GPM 2" hvbo req'd unless smaller size allowed Iry~Public Works Fire Size & Price /3 4" meter 16 . 0 Domes[ic Size 8c Type Avg GPM Includee high demaod devices? _ Yes ~ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes Stak Surcharge) ContractValue $ ~ x 1% _ $ ~'8~ PermitFee $ Meter(s) Required on all new buiidings & boulevard irri ation ssti tems $ yy~ Radio Meter Read $ +~V State Surchazge If miit is kss thao 51,000, surc6arge is $.50 [f UHmit fee ~ more than SI,000, sorcharge is $5(1 fir each 51,000 owal. w~_+..~~~~__~~~~_"~_,_"'°..~'_'~"~'~"""_""'"~_~~~_~~.~~___'_.y._~.~'~"~°""~_._"_"_"__""'"_~~. Following fces appty when installing new lawo irrigation syshm $ Water PetmR Cali the City's Engineering DerynnmenS 65Ifi75S646, for requved fee amounts $ Treatment Plant $ Water Suppty & Storage $ State Surcharge $ ~u ~ 5~ Total Fee i hereby apply for a Cnmmerc~al Piumbing Peimit and uk~owledge that the infometion is complete aed accwa[e; ihat tha wnrk will be in confornrence wrth the ordinances and codes of ihe City of Eagan and with tha Plumbing Codes; ihaz I underetand this is not a pem~it, bu[ only an application for a pertnit, and work is oo[ W start witlwut a pem~it; that the wark will be in accordance wi[h the apDroved Dlan in the c uf ork which requires a review and approval of plans. ~ rkrn ~Gf~ac ( I,~~s+ms~~ ~,~-e~-Gt~r,~~----- ApplicanPs Printed Name pplicanYs Sip~ature JUL. I.L?Ui %:i~l"W tA~'PN Uli~'T! ~f f'%"' " 2 i . $ I~J. ~~17 r. , ~ . ~f19i~e~. ~'D PAn.J~ ~ ~QI L.~I. RJry ~ CATY OF EAGAN y MANbATOR~ PiISPEC7ION OF BRACKFLOW PREV~i TER Test Re~uced Pressure Zont Backflow Preventer vvoxx o'xv~x xun~naEx: ; ~ DATE IM'T: LTNIT ID (ACCOL'NT l~ PROpERTY N.+,NvLE OF BU37NHS9 ADDRESS CONI'ACTED PHONE # ' LE PERSLM - ~ ~ ~ - -f ~5 ~ , ~ BACKF40'GV PBEVkNTER IIVFORMATION TYPB SERIAL NUMBBR MODEL S1Z6 MANPACTUREIt . ASSffivSBLY 'R-PZ _5c I 1~~.~ 2 '/z" 1~1vr-rr~ _ ~RE3PON9IBLE CGMPANI' PHO:^~E 3 nATE OF LAST RPBUILD II ~.IArAi~9 ~s~aOCia~ ~57~-a?l ~ ~e ^ l~ NE'KT ~CfIEDU4EA D6'V[CE S.DCATTON DEVICE SERVES WIIAT SY57 EM , RE6LIII.D ~ ~bL _ f h Vr'i n~a ~d - - ~0.va.q G BACICFZOVB PR~VEN7TR ABSEMBLY 1'EST CHECK VALVE 1 LEAICEb CIASED T7GHT CETECR VAL'VE 2 ();,EAKED ( 1 CI.OSED T1GHT PRESS DiFF ACROSS CHECK YALVE #1 '7 ~ S PSI PRESS DIFF ACROSS CHECfC VALVE ~`l U~ PSI PRESS AIk'F RBLdEF OPEN z ~Z DESCRIBfi REPAIItS e~ U ~ C~ I T-I~R.BBY CERTIFY TI~, i'ORGOING DATA TO BE CORRECT AND T1iAT TF~ TfaSTED DEVICE iS FUNGTIONtNa W11'HIN 1I~ L1MYI'S QF '~lE STANDARAS. ~c~ xa~: ~mt I~~~J~l u,v~nle, ng, ( nc~ .~nn~,ss: 2~~( D- ~52 ~`d LGtr1[ j 1~ ~sr~ BY: ~AA,r~.~ ~{~vt~~ csxn~~carioN ~`j1 Lo~'~r Pxnvr Nan~:'~`l~ ~ e ha e l YJest m!~+-~ DATE'I~ST~U: ~ N~IV pVSTALL TEST RE$UILb REPLACEA UNTT / PLUMBING PERMCT iS REQUIRED FOR ALL RET'AIRS AND ItEBUlI.DS 7ya ~r~ ~ . zoa6 COMMERCIAL PLUMBING rE~iT nrrLicATTON CTTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NIN 55122 651-675-5675 Date~__/~~/ r~~~o h Site Address ~ t b.~ 1°N ^~G V Y' Uoit # ~ TenantName ~ ~ov} ~qaQp`a FormerTenantName PropertyOwner ~ f Vls r ~Y++,...r~~l ~ Telephone#( Contractor ~qe-~ l j f ~a~ Address C~&~~~ C'~e.~tr City~leo~++ State Zip S S y 3 ~7 Telep6one tt (~S"~r , - 3~' ~ License # 3-7? 7 P~I Expires: ! Z-^ d L The Applicaot is _ Owner ~ Contractor _ Other Work Type New Bldg ~ Modify Space _ Irrigatioo System** Yes No Work in public r-o-w / easement? RPZ _ PVB: New _ Repair/Rebuild Replace _ Remove Rain sensurs are re uired on irri ation s stems Description of Work {~wk As-~ ~lw.n. ~ S~'~ ~S~^ ~ S' To inquire if Pressure Reduci Valve is required on new ~vice, call 651-675-564G Meters - Call 651-675-5300 to verify that hydrostatiq conductivity, and bacteria tests passed orior to oickine uo me[er. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter l$ 67.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No - - Pe7mit Fee $50.50 minimum (includes State Surcharge) Contract Value $ 3S~ x 1% _ $ 3S a P~~t Fee $ Mecer(s) Required on all new buildings & boulevard imieation syslems Radio Meter Read $ ~ SV State Suroharge If permit fee is Ins than 51,000, surcharge is $.50 If cermi[ fee is more than 51,000, surcM1arge is $.50 for eacL S1,OOD owtd. '_'""~~_,__"""""__'_""~""~"'~_'_"~'~~7 ' ~ Following fees apply when installing ne I ~j~h~ $ Water Permit Call the Ciry's Gngineering ~eparhnenS 6 I~(j S~~~i fee amou ~ ~ g Treatmen[ Plant JUL 1 4 2006 $ Water Supply & Storage $ Sta[e Surcharge $ ...5 O .r~' Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge lhat ihe information is comple[e and accurate; tha[ tFe work will be in wnfortnance wilh ~e ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that 1 underspnd this is no[ a permi4 nty plication for a permi4 and work is not to s[art without a permil; that the work will be in accordance with Ihe apprwed plan i work w~ch r uir re~ew d approval of plans. ~ ru~e. Kvcl,>'~4~ • ApplicanPs Prinred Name ApplicanPs Sign wre . , CITY USE ONLY REQUIRED INSPECTIONS: ~ U.G. _ Air Test _ Gas Test ~ Rough In Final PLANS SUBMITTED APPROVED BY: 0 . BUII,DING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - 5141.00 . RPZ's must be tested every yezr and rebuilt every five years. Test results should be mailed to Paul Heuer at tLe City of Eagaa • A minimum fee permit per address is required for the following RPZ's: new, rebuild, renair, remave. • Water meters include copper hom/suainer, remote w'ue, and touch-pad meter. METERS REOUIRING 4-HOIIR ADVANCE NOTICE PRIOR TO PICK UP GYM METERS USE PRICE GPM METERS USE PRICE i-2o sis^ resiaen~ $iso.oo a-i2o i-in^ irrigation syst ~ gz~.oo displacement or ~~e~" Public Works maximum small commercial . must approve continuous meter size 10 2-30 3/4" lawn imgation $167.00 4-160 2" turbine large irrigation $ 1,040.00 ma~mum displacement residential sys[em & continuous or productionlines 15 small wmmercial 3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 units 65 uniu ma~num small commercial c@ continuous & large comm bldgs 25 im tion stems 5-100 1-1/2" 25-64 unit bldgs $515.00 ma~amum displacement & continuous most comm bldgs 50 METERS REOUII2ING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lazge irrigarion $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +z00 imit bldgs $2,516.00 10-1000 6" compound +400 unit bldgs 56,436.00 very lazge very lazge comm bldgs comm bldgs 15-1000 4" turbine verylarge $2,495.00 irrigafion systems & production lines Comments • To schedule inspection of the inside water line and bacldlow preventer, call 651~75-5675. • To anange for water turn-on, call 651-675-5200. cc: Utility Division Systems Analyrt ~ Jaouary 200b ~"n• . ~ ~ ~ Cil~- U ~ ~~,.~.f-a, c~-.; ~e~,~ ~ ~C~S~(~-(~ ~o~~ ~4.~a(~.,, i~~~ ~(~d'ttit..~'L ~ yn ~ S1 d,p Sj'?~ F~ vJll~^ ~ `~--W ~ - V j~,l~ - ~S i ~ . I I ~ ' 1 ~ B ~ ~ r ~ ~ ~ o ~ ~ p ~L ~ ~ „ „ ~ ~ ~ ~ 0 ~ 1~~Y~ r~-a- f~ o-~,.~ti ~~Dema 5T• ST~-~- Ta~ 5~.~ ~ ~ , ~ , , . ~''pe.n,~ ~n-.~c-, ^ ~ ~ j-~' ~..n , ~ i~ 54~~~a-,~ ~~:~„r~ x u~~~r ~ra-Y~:Aa-"~' ~ Snt.. 0,5~ ~~p~ C.~s~...`~F- r~~^~''caS1 u G~~ g R~..-r--~ t-~-cl ~iri I,.k~~~ Sv~-~.c • / ~ ~ J . S a ~ H ~ ~ 0 CS7 n . ~ ~ ~ ~ -1. 7 ~ ~ ~ v - c s c~ ~ ~ ;p o ~ 1 G ce. ? `W . ~ ~ ~ ~ ~ ~ . ~ ~ ~ ~ ~ ~ ~ ~ ~ .t[ n ~ ~ ~ i ~ ~ O ~ ~ ~ ~ L ~ ~ ~ ~ ; , ~ ~ ~s ~ ~ ~ ~i~ ~ ~ I t ~ ~ ~ ° ~ ~ ~ _~_o-_ _ , ~ 1 ~ ~ ~ ; t ! ry ! iLl ~g ~ ~~a . 2006 COMMERCIAi. BUILAlNG pE~T ~pLICATYON City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Tefephoue # 651-675-5675 F,AX # 651-675-5694 , ~ ~ . S[ructural Plans • (2j saLa • ArchkeGurel Plans • {2} sets • ArchiteCural Plans SZ) ~ts • Stnld~falPlens (2) • CodeMarysis ~ + CivilPlans t~ (2} . ProjeetSpecs t~) . Cedificste ot Survey „ dspping Plens (21 • Key Plan . Code Anaysu • Mester E7d~ P~~ ~ . ProfBCt SpeCS (1) . COdB Anaysls ~ • EnBfgy ~IcUlBfians (5) not alwsY$° . . Spec. Insp. & Testing Schedule " • Ce~tifice~e M SurveY . Elec. Powar & Lighting Foim (1) not atwayc° . So1s RePort (7) • Spec. InsP. 6 T~ting Schedule M ~~e~ size must be establlSheG-if appllpCie . Met~r size must be 051eb~i~hed • Meter sa0 must be e6tabiished ~ . ProJeqSpe~ 1 ~ . Enerc3Y Cak"lations ~ 1 1 ~ . ElacVic Power S Lighting Fonn " 1 . l . Master Exit PWn ~~1 i j . Emergency Respo~se S@e PWn j , y • SOIISRepoR • SACtleletmination-ta11657~802-1000 . SqCdetermi~alion-ca11651$02-9000 • SACdetetmination-ca1i651.602-~~ . Fire Slo in SubmiHals facilities• Ca11 MN Dept of Aea1f~ at 65t•215-0700 for detsils regardinB food & bevenge or Iodging +y Conracc Build'mg ~.sPat'~ns for sampie end if cequu~ perm~t for a; building or da diti°° will not 6e proceesod withou[ Emergenry 1~SP°nse Site Plazf. f Cottstrnetion Cost _ 000 ~a~ ~ 3° ~ _ vo~tis~ n ao ~ Ct.~, t n 5?te Address 0~"~ Tenant Name /~A-~- a~ Former Tenaot 1~Iame ^ s - onofR'ork ~~J ~e~t L`JS~a, i~ a~J t~' Enj~ ~ 1°"P~+'fti`~ Descripti ~ ~C-~ . r Telephone#(faSl) ~~~^~'~~g Yroperty Owner L''"'~r`~'~' , Contractor ~ 1..~',r~. S^Ti'11~-~ ~N"~ 7 c,? G^e, c.lc.n .~3 e_ C' 'r t. c~cy r' - Address ~ State ~ Zip S-~ 'A'elep6one i! ( F~ ~JF?~ ~ ~ l Ll („ro.. ~'.'~P'., c_i `t # Arch/Eogr .n, C~~, Addms S _ `~b~y~ State Zip n _ ~ ~ phone#: ~~~1- ~icensed plumber ~nstaNing ne _w se~"ie~~water servlce: I hereb'y apply for a Commercial Buiiding Permit and acknowledge that the inPormation is complete and accurate; that tbe work will be in confozmance with the ordinances~and~on foz a pe1nmit,iandfwork is not o starttwithout a Statutes; I understand ilais is not a perniit, but only an aPP permlt; that the work will be in accordance with the aPProved plan in the case of work which requixes a review and approval of plans. ~ ~ ~ ~4nnlirant'c Siima 6 ~PPR/7 'dp~A67.7.'nN°e ~NI S3INVdWO~ HS13M Wd~S Z 9o0z ~oE N~r OFFICE USE ONLY Sub Types ' ? Ql Poundetion 0 26 Public Facility ? 30 Accessory Building 0 14 Apsrtments ~ Commercial/IndustriaV ? 32 fixt Alt Apartments p 15 Lodging ? 28 Greenhouse ? 34 Bxt Alt-Commercial ? 25 Miscellaneous Q 29 Antennae ? 35 Ext Alt-Public Paciliry ? 37 Nai] Salon Work Types Q 31 New ? 35 Int ImprovemeM O 36 Demolish (Interior) O 44 ~Siding ? /3~2 Addifion Q 36 Move Bidg. ?~42 Demolish (Foundadon) ~ 45 Flre Repair Ef 33 Alteration O 37 Demolish (Bldg)` ~ 43 Reroof ? 46 WlnGows/Doors p 34 Replacement `~emolltlon (E~Ire Bldg only) -Glve PGA handoutto applieant Valuation ~ Occupancy 1~ MCES System ~ Census Code ~ Zoning C{ty Water SAC UniGs Stories ~ Boostet Pump = N6r. of UnRs Sq• Ft. PRV Lan ih Fire Sprinklered ~rj N6r. of Bldgs 9 Yype af Const ~ 1M1lklth Required Inspections Footings (new bldg) Tnsulazion ~ Footings (deck) ~ma1(C.O. , _ Footings (addition) ? FinaUNo C.O. Foundation ^ Other ` Drain Tile ~ Roof Ice Pr ` Decking _ L~su1 ~ Final , Pool ^ Ftgs _ Air/Gas Tests ~ Final ? Framing _ Siding Stucco _ Stone _ Fireplace , R.I. ^ Aic Test ^ Final ~ wi~lows Approved By: ~ Planning - N~~! Building Inspector Y~M ~ Base Fee °'~S/, a S' Surcharge r/, 50 P~an Review / ~3. 3 ~ MCES SAC City SAC Water Suppfy 8 Storage (WAC) SJW Permit ~ S/W Surcharge Treatment Plant Park Dedication Traiis Dedication Water Quality , Copies Water 7runk Sewer Trunk Other Total ~ ~aa• 0~ o~C OG77 •nAi ~~ir o7ini'unnin~ uc~]u ie~ll,Lt7 nnn7 •nc •unr -laG~~ ~ ~ )I2~'~`~ 2006 C~MA'IERCIAI. MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercia]/industrial buildings multi-family buildings when reparate pemiits are not requ'ved for each dwelling unit Date `'~,Z 1_~~/~(~ SiteStreetAddress II~S To~n GF.?.)T~Z DR~VE unna Tenant Name (if applicable) /~/iNN ES~T/~ ~a"f45T1ZD Previous Tenant Name i Property Owner J~ V R~lN2~ ~~S'aC~l A~T'~S Telephone ) Contractor ~a I LI3 F~ T M ECH19 N I C r'{ L StreetAddress y'~S/ WEST ~ 5%f$€£'T City -~_D/NA State Zip $~~3~ Telephone# (95Z )~~-38/0 Bond Expires: ~ - r,~ _ ~ ~ ' ~ il n ~ ~ T6e Applicant is _ Owner ~ Contractor _ O[her L~~' 4 r~n ~ ~~~n WorkType - ~ _ New Construction _ Underground Tank _ Install _Remove "`see be/a`~.``~~ ~C Interior Improvement _ Install Piping _Processed _Gas I NatureofWork ~ras'TR~~ Li~) ~m'~TOP un~T, <~vrr a>n+~ AND Ascoc.,qr£~a ~u~Tc.x~:C i *"When instafling/removing underground tank, call for inspection by Fire Marsha! and Plumbing lnspector I l P01'mltFees: S70.SOUndergromdtankinstellatiodremoval 550.50 Minimum (includes S[ale Surcharge) or f Conuact Value $ I1 ~(s9~ x 1% _ $ 11Le ' 9~ Permit Fee $ ~ . 9 S State Surchazge If oermit fee is less than S1,000, add $.50 ~ If ~ertnit fee is more Ihan 51,000, surcharge is $.50 for every E1,000 owed. s iaa TotalFee ~ I hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complete and accuraze; that the work ~ will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is t no[ a permit, but only an applicadon 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. I R.~LS£~ W1)«~R r/'I.t.G~. ~ , ApplicanYs Printed Name Applicant's Signature i Approved By: S ~ ~ ~ , Inspector Date: ~ . Required Inspections: _ U.G. ~R.I. _ Air Test Y cias Service Test _ Infloor Heat ~ Final ~ '~.5/~v~ ~oo~ ~So "S° ,ZQ~ FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and com onents to be used Date~/ 1~ Site Address: ~ 1 F7 U) h~ ~ t"TT~ 1~ I(~p. Tenant / Building Name: 1 vl N ~Q S f'~~ The Applicant is: _ Owner ? Contractor _ Other PROPERTY OWNER ~ [~(YC~Y~d A~so~ - J~fc~ ~-~I-- Address: ~~_~{~Gt ~ ~ lJ - City: ~a<~~ X State: /VI ~i _ Zip: CONTRACTOR ~ I~P -~~irC~ MN License i~ Address: 20 ~~7 1~ ~Q'~ City: ~~.1 J c~ State: .IUI N Zip: Cj / O Phone ~aS~- 7`tCS - 9~4`7 ESTIMATED COMPLETION DATE: / / FIRE PERMIT TYPE: ~ Sprinkler System of heads _ Fire Pump _ Standpipe ~ Other: ~ !L d ~o2,P ~.L~'~ r~~~~~L-1-i~(1La ,~3~ WORK TYPE: _ New _ Addition ? Alteradons _ Remodel Other: DESCRIPTION OF WORK: ~ Commercial _ Residential _ Educational Other: Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ _ 7 ,'~j ~ . OU x .01 = $ ~Q~ (~Q Permit Fee • If Permit Fee is $1,000 or less, add $.50 ~ $ _~Q State Swcharge If Permit Fee is over $1,000, add $.50 per ~1,000 Permit Fee 3/4": Displacement Fire Meter - $161.00 $ TOTAL FEE: g ~ v, 5 ~ I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ) im Q(' Applicant'sPrintedN e pplican's ig e DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS _ Hydrostatic _ Flow Alarm T Drain Test _ Rough In _ Trip _ Pump Test _ Central Station ~ Final Conditions of Issuance: Permit Approved b : Date: / ~ / ~ ~~~~~r 7y~f' 7i 2006 C~M~RCIAL BUILDINC~i PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 • . . . . - . SWCturel Plans (2) sets • Ardiiteclural Plans • (2) sets • Archiledural Pians (2) sels • Civil Plans (2) • Strudurel Plans (2) • Code Malysis (1) " . CertificateMSurvey (1) • CIvilPlans (2) • ProjeclSpecs (1) . Cotle Analysis (t) " • Landscaping Plans (2) • Key Plan . ProjectSpecs (1) • CodeAnalysis (1) ^ • MasterExitPlan (1) • Spec. Insp. & Tesling Schedule • Cerfificate of Survey (i) • Energy Calculauons (1) not aN+ays" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Ligh6ng Form (1) not ak+ays" . Meter sae must be estaDlished • Mefer size must be established • Meter size must be eslablished-if applicable ) . ProjeciSpecs (~f ~ J • EneigyCalculations (7) ~ J • Electric Power & Lighting Form (7) ^ ~ ~ J . Master 6cit Plan (1) J . Emergency Response Sl~e Plan (t) ~ J • Sals Report ~ ; - . SAC tletertnination - call 651-602-1 ODO • SAC detertnination - call 851-6024000 • SAC determinaliom- ceA 65~4603=5 ~ ` _ . FlreSto in Submittals " ~J ~i I~!~ Call MN De t of Heelth at 651-215-0700 for details regarding food & bevengt or lodging facili6es. i~ ~S j Contad Building Inspections for sample and if required - ~ V permit for new building or addition will not 6e processed without Emergency Response Site Plan. 2~~6 ~I J I Date~/~/ 12. ~ ConstructionCost ~ / ~ rty~ ~ ~ ~ Site Address 5 ~OGV /J 1? ~ ,d1 y~ ' UniUSte # ~~Li7N-. " Tenaot Name ~/wN~ SO f+~} ~ Former Tenant Name G rn-s Ko r r 1,d G Description of Work s~~,JJS i ln+ ~ ~~f ~ 4,1' ~~Tra~ ~ N F~ ~~~^'G~ s Property Owner ~ h 1~} G~'~ T~(J L~~- Telephone ~1 Sb -~3oa ~ Applican[ is: _ Owner Contractor ~ Contact ( ~ ~ ~ ~ 7~ ~ Contractor ld~~ ~5~ GcrosTn~?c.~~~M - Address ~t~7 ~~~~~'~(,~F C~~• .City ~Q~S srece Y~j lv z~P SS ~13 Telephone #(~sa} ~°I 7~ 06 Arch/Engr ~n.~G 1 V~ ~QG~ 1~f G T~ Registration # ~ t~~C~ Address 7 7 S£~-I 1~+ ~-~`3 G c~ty Sj ~~tity^ L State Zip Ss~a I Telephone#(~p$~)?Q~ ^~!'~v ) Licensed plumber installing new sewer/water service: Phone [ hereby apply fo~ a Commercial Building 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 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; [hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1~19 ~~1 ~ 1'h ~R L~ Now 54e, ` , ApplicanPs Printed Name Applicant's Signature DO NOT WRITE BELOW THIS I.INE Sub Types ? O1 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ~B' 27 Commercialllndustrial ? 32 Ext AIt-Apartments 0 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ~ 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Faciliry ? 37 NailSalon Work Types O 31 New ~0" 35 Int Improvement ? 36 Demolish (interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AReretion ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement •Damollffon (Entlre Bldg only) - Give PCA handout to appllwnt ValuaBon 30~ oa~ Type of Const 'B Width Plan Rev 100% 25%_ Occupancy -B MCES System SAC Units ~ d - Zoning ~ City Water Nbr. af Units ~ Stories Booster Pump Nbr. of Bldgs 1 Sq. Ft. PRV Length Fire Sprinklered Required Inspections _ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final _ Footings (deck) Insulation _ Footings (addition) Sheetrock _ Foundation FinaVC.O. _ Drain Tile ~ FinaUNo C.O. _ Driveway Apron Other Roof Ice Pr Decking _ Insul Final Pool Ftgs AidGas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final W indows Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes ~No Approved By: ~ Planning l~G1T/G~Building Inspector Base Fee Z •2 Surcharge / `S • e-o Plan Review Z~ ~•`f fa SAC-MCES SAGCity S/W Permit SIW Surcharge Treatrnent Plant Financial Guarantee Treatrnent Plant (IrrigaSon) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Treil Dedica6on SVeet Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total ~ ~ • , ~ ~ c~ ls ~ ~ AP~ 7 ZQ~y ~ i Forg~ttie~,4i~e i Cit af Ea aIl , L~~,,~ ; Pa~,,~: ~~~a ~ ~ ~ U~~cl ~ l~~~s E.c~~ / ~ 3830 Pilot Knob Road I PQ^~~t Fee: `l~' ~ i Eagan MN 55122 ~ j ~ Date Received: Phone:(651)675•5675 i i Fax:(651)675-5694 i ~ StaH: ~ -----------------I 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: Z3 sre naare5s: ! J g s~a+~N _ cCNrt'2 D R Tenant: ~ Q~UL (~~q/~p~„p(~ y Suite#: PROPERTY Name:M,Sp WMMCIZG)f}L%- Phone: OWNER CONTRACTOR Name: ?~~S ~ w L-LG License ~S~~S QN` Address: ~3~ U`'~-*~ J}/~ City: /IAin~,i'~ n~ State/~'~Zip>~3~3 Phone:~SZ~SZ~! S~~Z ContactPerson:V~^J~-L 7~v~i~~ TYPE OF New _ Replacement _ Repair _ Rebuild ~ Modi(y Space _ Work in R.O.W. WORK - Descriptionofwork: ~"t~h l~ Z -5~'^ PERMIT TYPE COMMERCIAL _ New Constructlon ~ ModiTy Space _ trrlgation 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) 675-5fi46 to verity that tests passed prior to oickina uo meter. . Domestlc: Size & Type Fire: Size & Price /4" meter 203.00 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contrect vaiue $ SO00 x 1% = g .s ~ • S~ Permit Fee Required on ALL new buildings and boulevard irrigation systems - Radio Me~er Read - If Permit Fea is less than 51,000, surcharge is $.50 Meter(s) - If Permit Fee is> $7,000, surcharge increases by $.SO tor each $1,000 ~ $1,000 Permit Fee (i.e. a$1,007-$2,000 Permit Fee requires a$1.00 surcharge). ' S Slale Surcharge Following tees applywhen installing a new lawn irrigatfon system. $ water Permit Call Ihe Ciry's Engineering Department, (651) 675-5646, tor required fee amounts. $ Trea[ment Plan[ $ Water Supply & Storage $ State Surcharge TOTAL FEES $ S~ • S ~ I hereby acknowledge that this information is complete and accurate; [hat the work wi~l be in confortnance with the rdinances and codes of ihe City o( Eagan; that I unders~and this is not a permi6 but only an appliCation for a permit, and work is not ~o start vrithout a permit; lhat ~ work will be in accordance wi~h the approved plan in Ihe case ol work vfi\ich requires a review and approval oi plans. \ X~TV CR.~J GY'~i'1~`~ X ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Approved:ey: Date: ~ Z ~ ~ Required Jnspections: _Under Ground ~ough-ln _Air Test _Gas Test ~nal PRY Required; _ Yes _ Na, ~ ~ Page 1 of 3 APR 2 9 2009 ~ Metropolitan Council i~ Environmental Services April 23, 2009 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropoli[an Council Environmental Services (MCES) Oivision i~as detennined SAC for the St. r^aui Radiology to be located at 1185 Town Centre Drive, Suite 125 within the City of Eagan. This project should be charged 1 SAC Unit, as determined below. SAC Units Charges: Clinic 37 f.u. @ 17 f.a/SAC Unit 2• ~ 8 Credits: "Clinic (9/02) 18 f.u. @ 17 f.u./SAC Unit 1.06 ° Net Charge: 1.12 or 1 It is the Council's understanding the clinic is removing the wet x-ray film processor; therefore, it is not included in this determination. The business information was provided to MCES by the applicant at this time. It is the Ciry's responsibility to substantiate the business use and size at the time of the final inspection. ff there is a change in use or size, a redetermination will need to be made. Piease keep in mind trat or Ja~~uar}~ 2010 our SAC credit rules will change. Visit the SAC section of the Council website to leam more. If you have any questions, call me at 651-602-1118. Sincer y, 1(/Y~ ~ on Cappae SAC Technician Environmental Services Division KC:kb: 090433A5 Deterinination expiration: Apri123, 2011 cc: J. Nye, MCES Peggy Fleck, Eagan Kurt Hoppe, Welsh Construction (email) ~c~vw. metrocouncil.org 390 Robert Street Nor[h • St. Paul, IDIN 55101-1805 •(651) 602-]005 • F~ (651) 602-1477 • 7"['Y (651) 291-0904 An F.9uaI OPPormin~y pnipluyer O r_____________'___ ~ Fo~[fice:use ~ ~ City of Ea~aIl ~ Permit# vVg~~ ~ ' ~57 ~3 ' ~ Permit Fee: i ,a ~ 3830 Pilot Knob Road ~ ~ Ea an MN 55122 ~ 9 I Date Received: ~ Phone: (651) 675-5675 i Fax: (651) 675-5694 ~ Staff: i 2009 COMMERCIAL BUILDING PERMIT APPLICAT~~ ~/a~ Dafe: .S f~ Site Address: 1 ~ r T v/ r~ C~n I-~r Dr. v~ Tenant Name: .s) •~4~+ "'n~' a l o~, ~ (Tenant is: _ New / ~ Existing) Suite 1 Z~ PROPERTY OWNER Name: Phone: Address ! City / Zip: Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: ~ er~ n,.r i ~,n`,'6. '(~cro c~ Construction Cost: ~ ~ Goc) CONTRACTOR Name: (~~1C' 1~ C o.. ~r„ -c--: ~a l- l. C- License Address: ~ 3S v ~c t tr IZ-o.. ~ c~ty: M,~~~Va,.~~- State: Mr'' Zip: SS.3`j3 Phone: SS Z~ u S 7~ s~ 7 Contact Person: K?~'T ~a t ARCHITECT 1 Name: ~ ~ ~ Registration ENGINEER ~I ry~,,,~ Pr'e~ Iu-~.~ b ti Sf' ~p.,,` 2n.~ f`~ ti Address: T- City: State: Zip: ' Phone: I~ Z i Z~f SJ Contact Person: ~"Vr ~ S{ r Licensed plumber installing new sewerlwater service: Phone NOTE: Plans and suppoRing documents fhat you submit are considered to be public information: Portions of the information may be classified as non-public if you provide specific reasons thaf would permit the City to condude tha~ the are tra`de'secrets: a 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 worl hich requires a review and approval of plans. X~vrl- Nv1' 0 c~ X Applican~ ed e r^, ~ pplicanYs Signa ure ~ C~~~~~~(~ u 111] i zoos Page 1 of 3 DO NOT WRITE BELOW THIS LINE a SUB TYPES _ Foundation _ Public Facility Accessory Building ~ _ Apartments c~ Commercial / IndusUial _ Exterior Alteration-Apartments _ Lodging Greenhouse / Tent Euterior Alteration-Commercial _ Miscellaneous _ Antennae _ ExteriorAlteretion-Public Facility WORK TYPES _ New X, Interior Improvement _ Siding _ Demolish Building' _ Addition _ Exterior Improvement Reroof Demolish Interior _ Alteretion _ Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Salon Owner Change `Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation g$~ OOO ~ Occupancy B MCES System ~ Plan Review _ Code Etlition 20a7 MS BG SAC Units (25%_ 100%~ Zoning City Water Census Code Stories Booster Pump # of Units 0 Square Feet PRV # of Buildings ~ Length Fire Sprinklers Type of Construction g Width REQUIRED INSPECTIONS _ Footings (New Building) Sheetrock _ Footings (Deck) Final / C.O. Required _ Footings (Addition) ~ Final ! No C.O. Required _ Foundation HVAC _ Drain Tile Other: Roof: _Decking _Insulation Ice & Water Final Pool: Footings _Air/Gas Tests Final ~ Framin 9 Siding: _Stucco Lath _Stone Lath _Brick _ Fireplace: _Rough In _AirTest _Final Windows Insulation _ Retaining Wall Meter Size: Final C!O Inspection: Schedule Fire Marshal to be present: ~Yes _No Reviewed By: (~~hL6 , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee (a~G . ~a Water Quality Surcharge • rd Water Supply 8 Storage (WAC) Plan Review 3Q~. Z3 Stortn Sewer Trunk I MCES SAC 2000 • b6 Sewer Trunk ' City SAC / 00 • 04J Water Trunk S8W Permit 8~ Surcharge Street Lateral TreatmentPlant 735, 00 Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL ,3 ~57~ Z3 Page 2 of 3 ~ Metropolitan Council u Environmental Services Apri123, 2009 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Deaz Mr. Schceppner: The Metropolitan Council Environmental Services (MCES) Division has detemtined SAC for the St. Paul Radiology to be located at I 185 Town Centre Drive, Suite 125 within the City of Eagan. This project should be charged ] SAC Unit, as determined below. SAC Uniu Charges: Clinic 37 £a Q 17 f.u./SAC Unit Z• ~ g Credits: Clinic (7/02) 18 f.u. @ 17 f.a/SAC Unit Net Chazge: 1.12 or 1 It is the CounciPs understandiug the clinic is removing the wet i-ray film processor; therefore, it is not included in this determination. The busiaess 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. [f there is a change in use or size, a redetermination will need tb be made. Please keep in mind that on January 1, 20I0 ow SAC credit rules wil I change. V isit the SAC section of the Council website to learn more. If you have any questions, call me at 651-602-1118. Since y, 1(ir~ ~ on cappae SAC Technician Environmental Services Division KC:kb: 090423A5 Determination expiration: Apri123, 2011 cc: J. Nye, MCES Peggy Fleck, Eagan Kurt Hoppe, Welsh Construction (email) www. metroco+~ncil. org 390 Robert Street North • St. Paul, MN 55101-1505 •(651~ 602-1005 . Fazc (651) 602-1477 • 11'Y ~651) 291-0904 . ~ , An Equ¢I Oppoavruty EmPloyer ' . i--.----.----------, ~ Fm,«~~.~~'109 ' City of Ea~a~ ~ P8`~"' ~.~o ~ ~ Pertnit Fee: 3630 Pilot Knob Road i ~ Eagan MN 55Y22 ~ Date Receivetl: ~ Phone: (651) 675-5675 ~ ~ Fax: (651) 67rr5694 ~ Stan: ~ J 2009 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 05/05/08 g~~e pdd~~; 1185 Town Centre Dr. Terrent: St Paul Radiology Suite Y: ~Z6 PROPERTY OWNER Name: Phone: Address ! City / Zip: Applicant is: _ Owne~ X ConVactor TYPE OF WORK Description of work: Relocate (7) heads on a one for one basis Construdion Cost: s~~~~•~ Estimated Completion Date: OSNOl09 CONTRACTOR Name: ~Pe Fire Protectlon g: C-088 Address: ~ZO CeMerville Rd. ~~ry; Lktle Canada State: MN ZiP; 66717 Phone: 857-771-6874 Contact Person: B?~an Weber FIRE PERAAIT TYPE WORK TYPE X Sprinkler System of heads ~ _ New Fire Pump _ Addition - Afteratlons _ Standpipe X Remodel O~her: Other. DESCRIPTION OF WORK: X Commercial _ Residential _ Educa6onal FEES $50.50 Minimum (includes State Surcharge) OR Contract Value x ~ $ 50.00 Pertnit Fee - Ii Pe it ~ is lees UiOn 51,000, sutcharge is $.50. O.bO - If Permrt ~ is > 51,000. surcharge ir~creases by $.50 tor each State Surcharge $7,000 Pertnit Fee (i.e. a$7,001-$2,000 Permit Fee requires a$7.00 surcharge). 60.60 $ TOTALFEE 3/4" Displacement Fire Meter -$183.00 $ WA Fire Meter S 50•~ TOTAL PEE *RequlremeMS: 2 complete sets of drewings and speciflcations, cut sheets on mat~isls and compon~ris to be used 1 hereby apply for a Fire Suppression Syslem permR arid ackrwvAed9e that Me infom~ation is complete a~ accwate; fhat the wak will 6e in confortnance with the orclinances and cod~ of ihe Ciry of Eegan arid witt~ Me Mnnesota Building/Fre Codes; that I understend tl~is is not a permit, 6u1 onry an application for a permiR end work is not to start without a permih that Me work wiil he in axordaxe with the approved plan in the case of work which requires a review and approval of plans. r~ ' x Brian Weber, ProjeCt Manager x~ ~ v'-~% - Applicent's Printed Name Appli~M's Signamre I - 0, tf~j? For Office Use---------- . i i I t ~ Permit 3830 Pilot Knob Road C 1~ l ~r Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 Date Received: > - o Fax: (651) 675-5694 Staff: -----------------J 2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date: ° 23 .'3 1 Site Address: I 1 g s o JM CEA- T lz D R, Tenant: ST P4UZ_ R,4or oW & V Suite / 2 PROPERTY Name: M S P CO M(Y 1&&127 f L- Phone: OWNER 1 CONTRACTOR Name: We /S)1 t1 L-_C- II License 49, Address: 93SZ5 _a City: JIAin1,t~ ~k State4 Zip-.s-s343 Phone: 52--%Ze2 :5 Z.3 Z Contact Person: 1!>v U e-L 7~v i n k TYPE OF New Replacement Repair _ Rebuild Modify Space Work in R.O.W. WORK - - LL 1 Description of work: T1 3_' / Z si'~ S PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? Yes _No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ '5000 • x 1% _ $ 5 • -5~ Permit Fee Required on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If Permit fee- is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge .S • -S d TOTAL FEES $ 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 th work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. N, x~TV ClZ~a GV~, N\Z.1~- x ' Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: ° Z Required Inspections: Under Ground 1RCough-In -Air Test -Gas Test Final PRV Required: Yes No Page 1 of 3 Date: Tenant: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 01% Tao Permit #: 92 67P Permit Fee: ' Date Received: / 4 -1 -- Staff: /42009 COMMERCIAL PLUMBING PERMIT APPLICATION �%/a Site Address: 1/8/.la7L& Re—TE. Suite #: PROPERTY OWNER Name: 6.6 / l7 /�(� t s C Phone: CONTRACTOR / JI / h� A� Name: C�"/l Y '�T /r (�Glh/a1•`l C '1 License #: 0 '05 g - pfri, Address: 46710, r City: .di'AXi- State: M/•! Zip: 6Cj ' Phone:06--I 0 S6- 3 3 J Contact Person: it?,l e...lAU/ l R /1 TYPE OF WORK New Replacement Repair X Rebuild_ Modify Space Work in R.O.W. ,� .//d % Description of work: ..b'► 4 E. 5‹,e_1A� / f j g/ti 44 is605,, , PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System ( yes / no) ()<, RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? _Yes No Flushometers _Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1% Required - If Permit Fee is less than _ $ 5O. OO Permit Fee on ALL new buildings and boulevard irrigation systems 4 _ $ Radio Meter Read $1,000, surcharge is $-50 = $__ Meter(s) surcharge increases by $-50 for each $1,000 a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ • 50 State Surcharge - If Permit Fee is > $1,000, $1,000 Permit Fee (i.e. Following fees apply eall-the-Eity's-Engineering-Departi when installing a new lawn irrigation system. $ Water Permit ,,errt, (651- 675-56467for-required-fee-uiiuunts— $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ 6D, S® I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xf'r Ce_117,174 Applicant's Printed Name x Applicant'! Signature Page 1 of 3 *City of8atan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ()(12-u NO ll•5101.4a Use BLUE or BLACK Ink For Office Use /j Permit #: 014/6,. G 6/ 53 Permit Fee: j' f / j . �L 5 Date Received: Staff: 2011 COMMERCIAL PLUMBING PERMIT APPLICATION Date: /0/5/1 Site Address: `{ U 5 "urn Pr •219e) Tenant: M 4-a . &a__‘: -Urso so /O ( Suite #: LSC.) -a PROPERTY OWNER +-t � f -at6 t yL -' Phone: Name: CjlLl�i LI fX�VI. �' - f � CONTRACTOR Name: 6 j ILtd— %LIL.Gh 4.4.1c....4 License #: Address: 4451 lig%• 7Le SrCity: EdIk� State: >"*Zip: 55(13.5 Phone: -t J 1— 135-3M Email:L1,C:2M .5r I vt & c r heir i'IZ.er et e- Coivt., TYPE OF_ WORK,. New _ Replacement Repair Rebuild KModify Space Work in R.O.W. _ _ _IIff , Description of work: 111S-kil IOh o SCD i� /,c) .%�S %' as PERMIT TYPE t COMMERCIAL New Construction !` Modify Space P �/ i`ry 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 oickina uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $55.00 Minimum (includes ' / State Surcharge) OR C ntract Value $ /, ? t 5 x 1% Required on - If the Permit Egg is less 171S- l 11(p a 142/ Permit Fee / <J(r ALL new buildings and boulevard irr • ation syste $ Radio Meter Read than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Egg is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5.50 surcharge) $ .�• State Surcharge (i.e. a $10,010-511,000 Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge V tO Li = $ TOTAL FEE v CAH. BEFORE YOU DIG. Call Gopher State One Call at (651) 4540042 for prolest iat5 against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,000herstateonecall.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 , art without a permit; that the work will be in accordance with the aapppro/vved� plan in the of work which requires a review and a • • •val of plans x Adam, f•{I�G/fr rel — � — � Applicant's Printed Name Applicant's._� FOR OFFICE USE Approved By. �'► , Required Inspections: _;_Under Ground Rough -In Air Test _Gas T Page 1 of 3 EiGtAh^ r I Co't'oct train " •pS C0-1-1 r City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 5�0�1 Fax: (651) 675-5694 �a `( Use BLUE or BLACK Ink For Office Use/(� Permit #: C' / 7 Date Received: Staff: fir, 1";,v --(j' ;�/ L 2012 COMMERCIAL BUILDING PERMIT APPLICATION / Date: 5 / al%h-- Site Address: (t 8-5— ¥kjjv cv4�e D f� �G�c�,vt �w iv Tenant Name: Ci ata\ -2- .t \J) 0.2(1040 I -0y LA_ (Tenant is: New`/ J� Existing) Suite #: Q Former Tenant: Name: 60 (, IA CA Cd.G1 �tt Cj Phone: t51— Address 5(.-Address / City / Zip: E-cr5-Pi- g 1C)GLt'Wu. $U, le 4V -F0 kt.P .U41 spa Applicant is: ?, Owner Contractor Name: L u6tA CAA" C'p N r✓C o' ✓� License #: f / Address:5T. £0,4- 50, Le hoc)City: -0-Vav &t.�I..Q State: AAV Zip: Phone: I —60° — (coV Contact: , t t c‘ \A.,— mail: Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: 1 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.qooherstateonecall.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 ,i r a permit,nd work is not to start without a permit; at the work will be in accordance with the approved plan in the case of wo whi requires ajeview and approval of plans. L• tvit Applicant's Printed Name x Applica Page 1 of 3 SUB TYPES Foundation 7 Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% Census Code #of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage •15 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation Ice & Water 17 Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Final Final C/O Inspection: Schedule Fire Marshal to be present: Reviewed By: 1111 , Building Inspector Exterior Alteration -Apartments Exterior Alteration -Commercial �t 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 Zi'v 9 �t5� 2l79 MCES Syste SAC Units O�I10 tMr vAS rev £ d - eeG• L, City Water ✓ Booster Pump PRV Fire Sprinklers ✓ / Sheetrock ✓ Final / C.O. Required Final / No C.O. Required Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Yes / No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality /5" • o-0 303.31 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 11 18r • f'*" Page 2 of 3 6 /3 j >>Metropolitan Council 4 Environmental Services June 13, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for Crutchfield Dermatology to be located at 1185 Town Center Drive, Suite 225 within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. Charges: Office 1527 sq. ft. @ 2400 sq. ft./SAC Unit SAC Units 0.64 Credits: Office (Look -Back Period — paid 6/00) 2053 sq. ft. @ 2400 sq. ft./SAC Unit 0 86 Net Charge: 0 The business information was provided to IMICES 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, A 4°P61 Karon Cappaert SAC Technician Environmental Services Division KC:kb: 120613A5 Determination expiration: June 13, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Mike Eichinger, Gaughan Cos (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 411,11 City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Rc AN 11 it 11. Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ckccp Date Received: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: CO II/ 2 Site Address: I d5 Tow" c Pe— Tenant: rTenant: Suite #: - a,s— PROPERTY OWNER Name: (w,vN Cc vipsw Phone: 4,S ( 4 G q S-7 coo CflNTRACTO ' Name: ICi✓n..e, N1°cc.h 1 License#: Address: ) le 0 (=u J►^ L(( Y r- City: S State:144r4 Zip: S'S -WI' 4 Phone: &c""( '-((l- i (4 Email: PE OF rORK )( New _ Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. _ Description of work: l iel /LrI S, ✓t(c_s c.v. 3 (-...2(n COMMERCIAL _ New Construction )( Modify Space Irrigation System ( yes I X, no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ J 5s , 000 x 1% = $ S—bce- 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) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 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 _ $ 575—, 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 of plans. • SfeoE4V V Le,— x Applicant's Printed Name Applicant's Signature OFFICE USE Required inspections: , Minder Grou inal Pagof 3 .4401, City of Eatan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 4 -,- Fax: (651) 675-5694 101 etc pa 1 1n Use BLUE or BLACK Ink For Office Use) Permit#: G —7-B 1 --- Permit Fee: C -7 Date Received: —/ - Z-31 Z Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 7/Z3 / 1"t. Site Address: To“)}‘ eer 44,- O Tenant: 01 i`.l ueey!' cjl eraf y f PROPERTY OWNER CONTRACTOR O Suite #: 25-S Name: . &'ocwt', Cu covvi ai4,1 Phone: CPP 4(44 Toot Name: K . Cj 1 v License #: Pc 6 ‘f-3 -i SZ Address: 7 44O F«.w•, Me City: S Juicy State: ts.h Zip: S"'S o 7 y Phone: 61`I `(4'L Zt 9g Email: 'PE OF YORK T New _ Replacement Repair — Rebuild Modify Space Work in R.O.W. Description of work: COMMERCIAL New Construction ,)X Modify Space Irrigation System ( yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems PERMIT TYPE • 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 uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers Yes , ,No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ 0;000 x 1% = $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 3 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - if the Permit Egg is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee $ State Surcharge (i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) Following fees apply when installing a newlawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orci I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x S7eve n k Applicant's Printed Name FOR OFFICE USE Required inspections: _Under and Rough - x Applicant's Signature Air Test Gas Test Fin Page 1 of 3 A City otEaRau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 t 2012 COMMERCIAL BUILDING PERMIT APPLICATION CA 1� �� — Date: Site Address: I/ 'RS- �O�� '�.� D - Tenant 1 Name: pi J (,0,05 AII-ev (Tenant is: New/ Existing) Suite #: Ddu Former Tenant: Use BLUE or BLACK Ink For Office Use / / I Permit #: / c‘, Permit Fee: g �lQ' Date Received: Staff: PROPERTY OWNER Name: GuLft\ C..OPPc- -Q S Phone:'�' - L46 LI -- 0c Address / City Applicant is: / Zip: <6 Fc -45-1- g r v✓H oc Av475)-- CA ke ,uv c -vas Owner Contractor TYPE OF WORK Description of Construction work: e I v' CO ft to cc -14c A, (" Cost: ""Si 0c1 c) CONTRACTOR Name: 61t t14 t-', L (- c7M A µv=i S License #: Address: State: S Gs 610(-Jan-Lc-a_6'U ale )cility: Zip: -43-C7 Phone: CSS — 6C'O C 71 2 L7 Contact: J1''42 67:14C, mak(\- ✓ Email: itA4 gc L`I+.-t? ij �� x'194°"` ARCHITECT/ ENGINEER Name: MC14 t1S AeCN • &Vex r Registration #: Address:1A State: NI 1G1 L S CM- .t City: W ZAZTAc- N 3 '95j2 'G�2(, 7400 Zip: �S° , I Phone: Contact Person: 3 ' (15M L)t Email: At o A i._.; e t / . _I Licensed plumber installing new sewer/water service: y Phone #: NOTE: Plans and supporting documents that you submit are considered toa 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 w be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an applicatifor a permit, and ,.rk is not to start without a pern?ihat the work w' be in accordance with the approved plan in the case of w , j h re ire a rev : and approval of plans. x ��i11'�'L \(,`t `^ App icant's Printed Name x App Signature Page 1 of 3 I! IS. 1 WA DO NOT WRITE BELOW THIS LINE /664 SUB TYPES / Foundation ✓ Commercial / Industrial Apartments Miscellaneous Public Facility Accessory Building Greenhouse / Tent Antennae WORK TYPES / New ✓ Interior Improvement Addition Exterior Improvement Repair Water Damage Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100% %/) Census Code #of Units # of Buildings Type of Construction 3S, ooa to- al o- U REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: _Decking Insulation Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant 206'7 n466(... 11.31 MCES System SAC Units 3/L_TVe2 City Water Booster Pump PRV Fire Sprinklers ✓ Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: , 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 520 . S U Water Quality 17 • S b Water Supply & Storage (WAC) 338 .' S Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL Page 2 of 3 A Metropolitan Council Environmental Services July 24, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for the Midwest Allergy relocation to be located at 1185 Town Centre Drive within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. Charges: Office 949 sq. ft. @ 2400 sq. ft./SAC Unit SAC Units 0.40 Credits: Office (Look -Back Period — paid 6/00) 1680 sq. ft. @ 2400 sq. ft./SAC Unit 0,70 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. Sincerel on Cappaert SAC Technician Environmental Services Division KC:kb: 120724C2 Determination expiration: July 24, 2014 cc: J. Nye, MCES Peggy Fleck, Eagan (email) Mike Eichinger, Gaughan Cos (email) www.metrocouncil.org 390 Robert Street North • St. Paul, MN 55101-1805 • (651) 602-1005 • Fax (651) 602-1477 • TTY (651) 291-0904 Art Equal Opportunity Employer 08/21/2012 08:28 FAX 6517489143 S D F 1Q.1002/003 r City of Ea&all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use � Permit #: �t'? 6 ( CC:1 Permit Fee: Op Date Received: Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: $ - 2142_ Site Address: \\SS IOW"- ( e- tri Tenant: P1 16.1�1=St 1 t2�S 4 Suite #: ��S PROPERTY OWNER Name_ 1t11v.-0,-_ Phone: Address / City / Zip: <A-' Applicant is: Owner Contractor TYPE OF WORK Description of work: A L wail ic..,--er.AxAcistiaA]t,.,J Construction Cost: SOO Estimated Com letion Date: ` - (J -- I 2_ p CONTRACTOR , Name: Stalin r f r,--, Protfc.iia _ License #: CL - 075 Address: 1:2_25___P__. City: C,i, .iilII i State: t �r-,Zip: .5�j/0 :2j Phone: &)S/ - 451- / 3?O Contact: Email: FIRE PERMIT TYPE 1%. Sprinkler System (# of heads 3_) Fire Pump_ Standpipe Other: WORK TYPE New __ Addition „k Alterations _ Remodel Other: DESCRIPTION OF WORK; j&.. Commercial_ Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR Contract Value $C) x 1% - if the Permit Fee is less than $10,010, surcharge is $ 5,00 = $ Permit Fee - if the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10.010-$11,010 Permit Fee requires a $ 5.50 surcharge) - $ Surcharge _ $_. jp_O — TOTAL FEE 3/4- Displacement Fire Meter - $231.00 = $ Fire Meter = $ TOTAL FEE "Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be jrreccordance with the approved plan In the case of work which requires a reviewand approval of plans. ` • .t.[9-1L-anki- Applicant's Printed Name X ---/ D/AAcil- Applicant's Signature 08/21/2012 08:28 FAX 6517489143 S D F 41 003/003 `CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wvwv_cgopherstateonec9ll.orq FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: Flow Alarm Drain Test Pump Test Central Station Permit Reviewed b Date: O / / /( Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /DUD / Permit #: /D D07 Permit Fee: Date Received: Staff: I712- 1 2012 COMMERCIALSBUILDING PERMIT APPLICATION 0//0/ I D Site Address: 1163 1.-O )V c'+fl C�✓� l' �'�C' S 0) .14 54-1 RA Pc. Tenant Name: PROPERTY OWNER 01 o `r (Tenant is: New / /Existing) Suite #: P5--- Former 3 Former Tenant: ' Cilt.v4'/' Name: 6a u 6 (Ac^ cp,t'( iG 10 i f S Phone: S-1 - t--16 4-5700 Address / City / Zip: SG, � b rfdc.r r'+.tiu 6-0 r k -i-O 1" e.rt Applicant is: Owner Contractor TYPE OF WORK CONTRACTOR ARCHITECT/ ENGINEER Description of work: AcA V% Construction Cost: Dol Co 0 Name: 66(3%kCi£D/ iP( iAi'-e 5 License#: Address: � 45 � rdc. c,JVc � h _ SU(' 1-2 266 City: -P-01.05-4 Ler k Phone: 66-I-- ( oo 40s -)LA State: J�� Zip: Cce.-1 Contact: Name: Address: City: Email:,nike- €ICL;'^cyr & (oau Ltn Cyvti vti°-e5 Registration #: 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 applicati a n for a permit, and work is not to start without a permi hthe work will L e in accordance with the approved plan in the case of rk �, ich requires a review and approval of plans. c,Ci Applicant's Printed Name x Appli a 's Signature Page 1 of 3 SUB TYPES /Foundation i/ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change vr DO NOT WRITE BELOW THIS LINE Public Facility Accessory Building Greenhouse / Tent Antennae ✓ Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION Valuation c®/OOc Plan Review y.e _S- (25% (25% 100% Census Code o ca Occupancy Code Edition Zoning Stories # of Units Square Feet # of Buildings Length Type of Construction "77-2:4 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System p� , 1 7 _ SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes /No Reviewed By: MuiIdi'ng 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, ,2s /O,DC A.1-0, S/ Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL 3"- q1 7 Page 2 of 3 10 Co c.)7 i 4 Metropolitan Council Environmental Services August 23, 2012 Dale Schoeppner Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for the St. Paul Radiology expansion to be located at 1185 Town Centre Drive, Suite 145 within the City of Eagan. The City will be charged no additional SAC Units for this project, as determined below. SAC Units Charges: Office 1460 sq. f.t @ 2400 sq. ft./SAC Unit Credits: Office (Look -Back Period — paid 6/00) 1460 sq. ft. @ 2400 sq. ft./SAC Unit 0.61 0.61 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 651-602-1378 or email jessica.nye@metc.state.mn.us. Sincerely, Jessie Nye SAC Program Administrator Environmental Services Division JN:kb: 120823A2 Determination expiration: August 23, 2014 cc: File, MCES Peggy Fleck, Eagan (email) Mike Eichinger, Gaughan Cos (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 i* City of Etat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 f. Use BLUE or BLACK Ink For Office Use %7 Permit #: Permit Fee: Date Received: Staff: 1 V . 2012 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1`11'11"' Site Address: (1 %5 Tom N GE N t DRA4E. £ AGrA N , tit N 55 % Tenant Name: t4NCTASTILOONe124U5eS1 (Tenant is: New / is Existing) Suite #: ZOO Former Tenant: NER Name: ti-CL4 /? L i L i Lic.-7 � 5 Address / City / Zip: 5'4 5T �iD I tJ y Applicant is: Owner Contractor Phone: ;s-/ - . 7T0U o f SSD,: Description of work: ANT -11W .. 2E..MG DEL. Construction Cost:17 Name: C % Lt -1-e_ 5-1, Lic,@/Q�. Address: 3433 IJY�'Z`IX�Xly $ ,J CCiittyj: i1�np�5 State: Zip: 55-9/ 3 / Phone: (o it 37D -799 3 Contact: JCA ✓; D Email: dtti e 1114 #f C.Ot COI," Name: Tobp M O HA ara N Registration #: iISO-11A Address: 1b00 rwcwdt 046 CUTER. DP— City: WA`(aATA State: MN Zip: 65 Sat I Phone: 15 '424-74400 Contact Person: g etat4wrgq..�Apt}► N Email: 140K6tEWHANSEN4401.A Licensed plumber installing new sewer/water service: Phone #: ATE Plaas and suppo he information may` i emit are; con, you prow rhe are trade 'sec, id+ Ibiio informati'oh. ould perm/ 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 approv of plans. x Applicant's Signature x b Alio> N4A4, Applicant's Printed Name to l2--3?8' 7"3 i;, J ; -C c ri Page 1 of 3 l I K —row, Cent-�� DO NOT WRITE BELOW THIS LINE SUB TYPES foundation Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review / (25%_ 100% " ) Census Code #of Units # of Buildings Type of Construction _ Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage it/1W! Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Exterior Alteration—Apartments _ Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Reroof Windows Fire Repair Demolish Building* Demolish Interior Demolish Foundation Retaining Wall 1b7377 *Demolition of entire building — give PCA handout to applicant MCES System ti "--5-' 00/ M506-* SAC Units Q '1(/.47,14-, .�ac e.. City Water t's Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required Other: Pool: Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes Reviewed By: Mt ke- , Building Inspector ✓No Reviewed By: , Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 1,0/4.2-5. Water Quality Y1.57) Water Supply & Storage (WAC) 40.57 Storm Sewer Trunk Sewer Trunk' Water Trunk Street Lateral Street Water Lateral Other: TOTAL/ /17 421.24, Page 2 of 3 City of Eap. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ani et C l ) Use BLUE or BLACK Ink For Office Use I Permit #: /t9 /74 / 5 f r - Permit 1 Fee: / _ L ! 45' t_)1 - Date Received: Staff: 2012 COMMERCIAL PLUMBING PERMIT APPLICATION El Please submit two (2) sets of plans with all commercial applications. Date: I f' -/G 'Pa Site Address: J / S5 / 0 Tenant: 222 4/ ai: — 6 - Suite #: J PROP .TY OW i Name: Phone: d ,i,, ` �I�� l,ll 1111 1n,u" Name: J ' g License #: P / CF° 4, 3 6 4^ Name: Address: 7 9/ (t) / ( 1Z4 City: -344. .4- I State: Zip: 55 y 3 Phone: 7 Ike Email: J b i- ea e 1 b d q.,, fi , / u 10 ,,r ' (} " New Rebuild Modify Space Work in R.O.W. Replacemen Repair /' _ _ _ Description of work: _� ` NC 6 (A 1 S R. " '' N. r ace COMMERCIAL New Construction Als Modify Space Irrigation System (_ yes / no) (_ RPZ / PVB) _ _ _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking uo meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ J,i, Jr / S QO c) x 1% Required *If the project =$ ` /,/_,' Permit Fee on ALL new buildings and boulevard irrigation systems - $ Radio Meter Read $ Meter(s) valuation is over $1 million, please call for the State Surcharge $ 5.00 State Surcharge* Following fees apply Contact the City's Engineering when installing a new lawn irrigation system $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge _ $ / /11-55- 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x hQrri/ J3tedc'4 I Applicant's Printed Name Page 1 of 3 4101 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Chc L--�� CE= 17• (Tse'BoritACK Ink For Office Use Permit #: 07 Y6-2- Permit 6Z Permit Fee: Date Received/2—(:::7 Staff:I '4111 2012 MECHANICAL PERMIT APPLICATION © Please submit two (2) sets of plans with all commercial applications. Date: October 25, 2012 Site Address: 1185 Town Centre Drive Tenant: Minnesota Gastroenterology Suite #: Name: Minnesota Gastroenterology Phone: Address / City / Zip: 1185 Town Centre Drive, Eagan, Minnesota 55122 Name: Gilbert Mechanical Contractors License #: 036655 Address: 4451 West 76th StreetCity: Edina State: MN Zip: 55435 Contact: John Gorman Phone: 952-833810 Email: New Replacement Additional X Alteration Description of work: Demo and install HVAC per attached plans RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other upmE oritatior New Construction Install Piping Gas Demolition J COMMERCIAL X Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ / �� x 1% $60.00 Minimum (includes State Surcharge) l *If the project valuation is over $1 million, please call for Surcharge _ $ 173.80 Permit Fee _ $ 5.00 Surcharge* = $ 178.80 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.saopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x John Gorman Applicant's Printed Name Applicnt's ignature lndergr VAC Sc ir City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use )��( Permit #: Permit Fee: (Oc Date Received: Staff: 2012 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date: 11 -tar- i 2. Site Address: 1 S `, Tenant: /v CkAlY P% J Name: PROPERTY OWNER Address / City / Zip: Applicant is: Description of work: Construction Cost: Name: CONTRACTOR Address: ) State: i I( "Z Phone: Suite #: Owner Contractor ,c1d i?tl c Cjib 7 Estimated Completion Date: `! ZO /C00 License #: " LDP. - f -11' s`" i Zip: ` )*.i; "). Phone: Contact• U.,e) 4FIRE PERMIT TYPE II 'tD Sprinkler System (# of heads D) Fire Pump _ Standpipe tiil Other: 1 DESCRIPTION OF WORK: FEES City: Ct i WORK TYPE New Addition X Alterations Remodel Other: '`'Commercial Residential 1'j' 11 $60.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) OR 3/4" Displacement Fire Meter - $231.00 g = $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the wo proyed Ian in the case of work which requires a review and approval of plans. x I(nv1� DPi,c'ft Applicant's Printed Name Educational Contract Value $ /CSC) x 1% $ Permit Fee =$ =$ (vC)— Surcharge TOTAL FEE _ $ Fire Meter rk will be in nce with the ap x r Applicant's Signature /0cOic 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 b FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Reviewed by 1/114-3 Date: // / 9 / /� City of Eau 3830 Pilot Knob Road 12Z 1 -71)T. Use BLUE or BLACK Ink For Office Use Permit #: I D S O 7 Permit Fee: C2C) Eagan MN 55122 Phone: (651) 675-5675 Date Received: 2-01'2* Fax: (651) 675-5694 Staff` f-\"" 2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION* J Date: I I) Z11 I Z Site Address: 1 I tS 5 f¶(}t �n C etrt+r' T r �. ; Eo8 �.Yt Tenant: At((1 fUle-S0�l-� C 2� S'f y oC tic 1�C� �j Suite #: PROPERTY OWNER Name: Al 171y, • ,6' . o � Q Phone: le 12 . 3-18.. /or/ - Address / City / Zip: Applicant is: IlbS Tt`;;t;�n %;nalrm '1E '"Q_, j-.21cs @t yr ii') Owner Contractor TYPE OF WORK Description of work: Construction Cost: " 1 it3 ((alp 1,6' 1.. PIP. D&rte ‘ S ce (k C6Yi' yvvi tt'tt c a }t` I' go �� I1\/i2-. Estimated Completion Date: ......................................... CONTRACTOR �t c Name: T ray-)S'a_{Yvx Vt� License #: \ 5000(..07 - Address: C)O 1 (M.K...AkniS TY- \ City: rt✓::,1"Yl.SV1,e State: / VN.\ Zip: 15.._13-.2)34- Phone: C15-2 .. S4-13. 31 32_ Contact: I) QIA & FNi1k, Email: CI_C..vVYCi Y'4 S , A-rto ! 1. W't , C13w\ WORK TYPE . • New • Remodel %XAddition Other: Alterations _ DESCRIPTION OF WORK: 4_ Commercial Residential — Educational FEES $55.00 Minimum (includes State Surcharge) $10,010, surcharge is surcharge increases Fee requires a $ 5.50 OR Contract Value $ x 1% - If the Permit Fee is less than $ 5.00 = Permit Fee by $.50 for each $1,000 Permit Fee - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit surcharge) _ $ Surcharge = $ (DG . a,12-- 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 BuildinglFire Codes; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x V t, Lkktrir16 V111�f i Applicant's Printed Name (J FOR OFFICE USE k Clam* Applicant's Signature eviewed By:<� Required Inspections: Rough -In Final Fire Alarm Test Date:r t1 %� 1 Oct. 17. 2013 11:20AM City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 676-5675 Fax: (651) 675-5694 No. 1360 P. 1/8 Use BLUE or BLACK Ink For Office Use /,, �j Permit#: Il V�� I Permit Fee; . S (4-4° o Date Received: P-72- I Staff: �j2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: /D ! ^ !3 Site Address: 11 5" OWE �e J b Z-4 ittd 5-51c? 3 (Tenant is: New /„` Existing) suite #: et ?if) Former Tenant: J Tenant Name: ANC ME %.:s L:•.,.....:,,a+.: ? ;t 6 er OWtt G '> M? :.:: :`: w < :° T '?rs ;`, �-. ; J Nam 1 .iJj) (eAic (,o 64(440406Phone: 057 C f • o+4D►,e,.4� ere Address / City /zip: ,/ t3, 4 Pon t� �- Lake ,t1 or A.pilcant Is: Owner Contractor +� ' `Description I Vf C.;iii�.1Yi.�.�Y . `:v:nW:\(f::c11�1:R�•�.1 of work; .o ' (.4) 4 ♦ U -ret �1l 14 Construction Cost , t;. �/ t ( �+,,W t�r0 b �r Work i C. . e)O, 814 , ` ; ;:.;;.' ' _` '• r :: yContra,c„.. ,; '„ u.; . i°..,g 'i>."i;:; d;3 s j•; i-�:°si (I CO "it ctl) �' 22 Name: � t G License #: -54- � ��3 .77 Address: sZ 3 ADIA4-yrs city: ;r sr AiCe State; s "f Al% Zip: O 5— Phone: 1 / • f Contact ••• A .(t.' Email: i. A ,d v l ' c' ::' •,,., �:r, << `; �.> :: K.`s.; ;-� ' kA'1r.y ;a.��f,1.i. 1�•��F,r' , I:7,Itli`i,aJ.lO.„•� ^ryK`; 7� 1 ••.••7.tYi• :a„h;''`°;;;r<i�:;x�';;�ai•:• :; s:�sc; ;%yt ,...=j'k” ii! Name: A Registration #: Address; City: state; Zip: Phone; Contact Person: Email: Licensed plumber Installing new sewer/water service: Phone #: .l: ds.r�o,,:.....iO....a : .. ti ..: ..a.:nter°•.a a0Porla'�•n•'5': • :::.«a.0r:;�,r,,�:va>,h:at•• r3:.a:`;o,vse;�-kn, ar>,xaaGt.�x:,f.r�a1o.n�.:Ixa=b/s .fs %onik? ..G�Cprii, er cif%Xeas )sfhatwdii so. >.rrsw •t:•:a•xd0,?:44' d,b:•C)S,:<�,:�.i..•jC,Oqn,CJ.Ued�41•11 xh" aY.aratla�et �6rgSy.,:ay"�,�n.2kLii?�,r.: ;�r_ '>.,"•_ 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.gopherslateonecall.prq 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 . . permit, a►' ark not to start without a permit; that the work will be In accordance with the approved plan in the case of . r quires . w; '. ap+royal of plans. x3 -0e)" LatitO to( Applicant' Printed Name Page 1 of 3 //f5 771 an DO NOT WRITE BELOW THIS LINE v //1059 SUB TYPES Foundation ./Commercial / Industrial Apartments Miscellaneous WORK TYPES New _ Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage 1.c ?4. lg V45- (25%_ 100%i/) Census Code #of Units # of Buildings Type of Construction 2 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) 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: Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair fi Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System 1145BG, SAC Units City Water Booster Pump PRV Final Fire Sprinklers yo Sheetrock Final / C.O. Required ✓Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall Erosion Control Final CIO Inspection: Schedule Fire Marshal to be present: Yes ✓No Reviewed By: / S C e 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 354.00 /4.30 ,230 .16 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL A7'. a Page 2of3 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 p\.6ios Y' Use BLUE or BLACK Ink For Office Use Permit #: I / / b 1 Permit Fee: /5 9 33 Date Received: [ 8' -11 Staff: f7C "� 11 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: I I' S Tenant .9 247. e- eA 4 Name: Phone: Suite #: a 0 c) Name: t License #: PC. O il d 0 o 1 Address:a 6.,;1 1 4.6" City: »%' State: _ Zip: S5 6, 7 Phone: 1743 1/ v "c9‘ g40 Email: k cl4 ii.`,bred /� _ New _ Replacement _ Repair Rebuild , Modify Space _ Work in R.O.W. Description of work: COMMERCIAL _ New Construction A Modify, Space Irrigation System (_ yes / _ no) ( RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 �� Avg. GPM High demand devices? Yes _No Flushometers _Yes _No COMMERCIAL FEES $55.00 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 $ )Lif'oSt ©Gi x .01 _ $ % L}1/45, 0,i Permit Fee = $ 7., .5 Surcharge* =$ )-54 . J TOTAL FEE Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. 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 aance with the approved plan in the case of work which requires a review and approval f plans. k poice, Appl ant's Panted Name x Applicllnt's Signature Page 1 of 3 41/PPCity otEa ISI 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 114 �j Q /� I� For Office Use .1f r 1-1 • 6 Permit #: Permit Fee: %IV) Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION ® Please submit two (2) sets of plans with all commercial applications. Date: November 18, 2013 Site Address: 1185 Town Centre Drive Tenant: Minnesota Gastroenterology Suite #: 200 Name: Phone: Address I City / Zip: Name: Gilbert Mechanical License #: Address: 4451 West 76th Street State: MN Zip: 55435 Phone: Contact: Russ Miller City: Edina 952-835-3810 Email: rmiller@gilbertmech.com New Replacement Additional X Alteration Demolition Description of work: Add and relocate grilles and diffusers per attached plans aaf,mount Please co RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE J COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Contract Value $ 8,352.00 x .01 _ $ 83.52 Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ 5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ 88.52 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Russ Miller Applicant's Printed Name dfloi City orBaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink L Permit #: Permit Fee: Date Received: Staff: 2013 COMMERCIAL BUILDING PERMIT APPLICATION Date: / D .•,t (1-13 Site Address: 11 g.5/ 70 14) !h &y.)44 -yr A r ?ry c- 15L2 dc' f^)/✓ Tenant Name: / N '?$71 fe e it I1'Y.O A (Tenant is: New / 1,Existing) Suite #: 69P Former Tenant: P aPe // 6.4 v 1,cu Co 2 _ Name: J C7 W+n C'C'�►Fr2' /Gc 2_. hone: 4S-'/ SSG 7a'n Address I City / Zip: 4.3i-- 8"r 04 4.4) 41,,, Applicant is: Owner X Contractor --(1.51— e. Iv Description of work: R ' '141X"2 / <-4164% C r Construction Cost: 2 3 7) 0IC' Co rtra Name: C / 7-0 kj eSaily License #: Address: i` ©t /30X 7 1 City: n7-514/ A � Phone: � �-. 3 b T -moi State: 614 A! Zip: 315-3 13 Contact: A)) G CH ) 7 Email: Ch V CC /04 610rse14' r lca gi Name: M o Lal 7r 't' Registration #: 2 O S 7 Ar. Address: 1000, 7 Y ("r e=c,, h'r City: (A.)(. > y 2 / State: /41 1" Zip: SS 3 t/ Phone: / 5L2-6 )",174e) Contact Person: '�� ,' 'i katlid 4 _ Email: T k o AIA 1i () Ivt 0 Aet , Yti 1414 S -e • co, ,141 Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans attd s CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x � V rC C V 7 x Applicant's Printed Name Applicant's Signature Page 1 of 3 I C�nr�\ K r DO NOT WRITE BELOW THIS LINE l 30 SUB TYPES Foundation ✓ Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition V. Alteration Replace — Salon Owner Change Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair Water Damage DESCRIPTION e Valuation 4f a 311©oa Occupancy Plan Review Code Edition (25%�„ 100%V 7) 7 Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation _Ice & Water _Final Framing Fireplace: Rough In Air Test Final Insulation Meter Size: _ Exterior Alteration—Apartments Exterior Alteration—Commercial Exterior Alteration—Public Facility Siding Reroof Windows Fire Repair _ Demolish Building* Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant MCES System 7 t S SAC Units City Water Booster Pump PRV Fire Sprinklers y �s Sheetrock Final / C.O. Required 1�Finai / No C.O. Required Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Erosion Control Final C/O Inspection: j�Schedule Fire Marshal to be present: Yes ✓ No Reviewed By: MI R/ 1 , Building Inspector Reviewed By: 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 Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL'S / 6. 317 $ 3,2/8.411 , Planning Page 2 of 3 Dale Schoeppner Chief Building Official City of Eagan 3830 Pilot Knob Road Eagan, MN 55122-1810 Dear Mr. Schoeppner: I 036'1 November 21, 2013 The Metropolitan Council Environmental Services (MCES) Division has determined the SAC to be charged for the wastewater capacity demand for MN Gastroenterology to be located at 1185 Town Centre Drive, Suite 200 within the City of Eagan. The City will be charged no SAC Units for this project, as determined below. SAC Units Charges: Office 901 sq. ft. @ 2400 sq. ft. /SAC 0.38 Meeting 934 sq. ft. @ 1650 sq. ft. /SAC 0.57 Total Charge: 0.95 Credits: Office (SAC paid 6/00) 1736 sq. ft. @ 2400 sq. ft. /SAC 0.72 Fixture Units (SAC paid 7/04) 2 fixture units @ 17 fixture units/SAC 0.12 Total Credit: 084 Net Charge: 0.41 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. Karon Cappaert SAC Program Technical Specialist KC: kg: 13112164 Determination expiration: 11/21/2015 cc: Amy Griffin, Eagan (email) David Chute, CCI MN (email) File, MCES Phone 65 1.602. fin Equal Ooportt et North ( St. Pau[, MN 55101-1805 1000 [ Fax 651.602 550 l TTY 651.291.0904 f' METROPOLITAN COUNCIL Tenant: City otEakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: la -n°/0 Staff: 2013 FIRE SUPPRESSION SYSTEM/ SPERMIT APPLICATION* .01 3 Site Address: l %X35 1)0.:-/w1(11 GQ.Vra,e-14.-k Suite #: Zo0 Property Owner- O Name: Phone: Address / City / Zip: Applicant is: Owner Contractor T e of Work Yp Description of work: . , tk `4-111- 1- (. '7 ��`''Y t " LA J� do . -22 Construction Cost: I t�l,�✓ Estimated Completion Date: /3 `, ✓ l Contractor Name: fit r 11- ft �'�- 1`{j C1i 0 i43 License #: C -' t 3g 2)4pi r& Address: �7 \ l� i`' ,&r % IL'` 1U - City: 1 /3_:; State: ;11A1)- Zip: ,`} -,11 q Phone: -76' ` ;./j17 ✓ 0 r (1. Contact: cls V2i G -1J-6114.44)s) Email: 61412- r t 012-D1 /6v 2. -10/2-1 FIRE PERMIT TYPE X Sprinkler System (# of r1 heads / )_ Standpipe WORK TYPE New Addition Fire Pump _/ Alterations /�. Remodel _ Other: _ Other: DESCRIPTION OF WORK: Commercial Residential Educational _ _ FEES $55.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value ***If the project valuation is over $1 million, please call for Surcharge x $0.0005 - $ Surcharge* = $ TOTAL FEE 3/4" Displacement Fire Meter - $245.00 = $ Fire Meter _ $ TOTAL FEE equirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signat Flow Alarm Drain Test Rough In Pump Test Centra( Station City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ForOfflceUfe�� Permit #: Permit Fee: Date Received: /1).74 ( 3 Staff: #(;) IS 2013 COMMERCIAL BUILDING PERMIT APPLICATION ° Q5(\( Date: Site Address: 105- vt C 4re... lrtv-e_.5v11,00 ,vW 651023 40.-' 1 U t1 Tenant Name: M tCk.n..-e,• I GOA1 G z... (Tenant is: New / 11 �/ Existing) Suite #: fly 1rV� Former Tenant: \ / JName:1i,v\ Cram IrL7to esti LLC Phone: 45/ 4' -5700 Property Owner Address / City / Zip: C/0 e, ny(l1Gnlc$ E I�rea�wr{eo^d V%'i Applicant is: Owner Contractor Type of Work Contractor Architect/Engineer Description of work: 1V - A .,b PX �' 'C� 6qC`� Construction Cost: 7 oO � O Name: P Address: 11194l0 ECIfi, l,vc/ City: .AQP(,. LJ&Ll / I State: M A! Zip: SSJaW/ Phone: 41;2 3 7 r F9 eg Contact: c3o,vvvr=S License #: 13C- (o(7.0 1627 Email: WA I- rocs 07 4oI , Name: Registration #: Address: City: State: Contact Person: Zip: Phone: Email: rAS 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 which requires a review and approval of plans. x `"t f lAn L C3 Applicant's Printed Name 0,•i cant's ignature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation / Commercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% i% Census Code #of Units # of Buildings Type of Construction Public Facility Accessory Building Greenhouse / Tent Antennae ✓ Interior Improvement Exterior Improvement Repair Water Damage REQUIRED INSPECTIONS Footings (New Building) Occupancy Code Edition Zoning Stories Square Feet Length Width Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Fire Repair Retaining Wall *Demolition of entire building - give PCA handout to applicant P MCES System y y 4100'% 5®C SAC Units 0 — 0- '* 4 1,3 et, , G Fr-' City Water (C)(45. ` Booster Pump fl PRV Fire Sprinklers Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking Insulation Ice & Water Final Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Final CIO Inspection: Schedule Fire Marshal to be present: Reviewed By: , Building Inspector Sheetrock final / C.O. Required %/Final / No C.O. Required Other: Pool: _Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control Yes No Reviewed By: v , 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 4, 00 IO5 a Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL I f , rII Page 2 of 3 City atkan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: ( 9q ✓�/� Permit Fee: /60 . 00 Date Received: Staff: 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1 / 23 ff5 Site Address: Tenant: JDt`! 4)/i -m E401.JUtj Property / Owner Permit Type Suite #: Name: iinidK1-5D- .6'f}577P.A9�CXlkcJ/t931/11:?/4 Phone: leio-,-(2.ro -gas-7e.,11 €i Name: LS{ib.-121-44.01),411/4//C.:41 License#: F 6-33 g / Address: T '/o/ L ), i& g. Phone: q5'i-��3.� City: tediA/09- State: Al/V Zip: Email: 42 orfr aim go' <t2r-%1? , (�/1 New _ Replacement _ Repair X Rebuild _ Modify Space _ Work i R.O.W. 0 *&/$ /86-9/' £ 605;-: Description of work: COMMERCIAL New Construction Modify Space Irrigation System ( yes I no) ()( RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES $55.00 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 $ q / .C7D x .01 _ $ 55. ©0 Permit Fee = $6-‘// , 00 Surcharge" = $ & o. 0 0 TOTAL FEE Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ %©- OG TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x (1 t d C 1" aA c) t'1 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Under Ground Meter Related Items: Meter Size Approved By: Air Test Gas Test Final „ PR\f Radio Read Manometer Staff; Date:' Page 1 of 3 City of Eaall APR 0 12016 3830 Pilot Knob Road Eagan N 55122 •°1 O 5 Fkid5 Phone: (651)675-5675 11 Fax: (651) 675-5694 IR(Ao.ci - Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: (Uv -f2_5 Date Received: Staff: 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: Site Address: To % wh CRMer 1,lrt V,e Tenant: -11breV`(x,LCt/ Suite #: 1 V`GR-''` ?I -bp -ex Phone: (95 ( L Address / City / Zip:St t:A.s F graccd,jtXJ, Sie Applicant is: Owner Contractor Estimated Completion Date: Address: 6-00 C,. , -rakvPl e'K ThL.4 City: Awls vitt State: Zip: Phone: 9J A/y J/Li A FIRE PERMIT TYPE Sprinkler System (# of heads ) Fire Pump Other: Standpipe DESCRIPTION OF WORK: WORK TYPE New Addition Alterationsemodel Other: Commercial _ Residential Educational FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) 3/4" Fire Meter - $280.00 Contract Value $ /?' z1d x .01 = $ is be Permit Fee _ $ AO -5-Sur rge =$ bb6s = $ Fire Meter = $ TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;,that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Ap licant's Prin ed Name .� -c"'- 9 City of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 NED AUG 01 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: I (22 I IAD Site Address: $ -(.04 O&M 7 '- Tenant: Suite #: /� I vi c • Phone: (t Z55s ^ stela Nae: C� vq Addremss / City /Q Zip: 6a9t Name: (X14 (l i4cavt ;dal Address: `{qs ( Cu 7(i S?: State: to l Zip: s5 -16.--(i Phone: Contact: Email: J License #: City: (952) QS s- ?-61(.) New x Replacement Additional Alteration Demolition Description of work: aefAc.t.'o -furl I•vl ' 441 tv jbt t ti RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed X Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE Contract Value $ 22.1-1 Ott x .01 = $ '2.-21 _ 00 Permit Fee Surcharge = $ ` —Sf$ -3TOTAL FEE =$ (I.3g— I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xvl Applican ' aPrinted Name FOR OFFICE Required Inspe Undergroun ;out Citi of Eaau c) (cull' , 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6 -92016 Use BLUE or BLACK Ink For Office Use C Permit #: 1 t Permit Fee: I 0 •L ' Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 09/07/2016 Site Address: 1185 Town Centre Drive #200 Tenant: Minnesota Gastroenterology Name: Phone: Suite #: 200 Address / City / Zip: Name: Gilbert Mechanical License #: MB005309 Address: 4451 W 76th St City: Edina State: MN Zip: 55435 Phone: 952-835-3810 Contact: Adam Silbernick Email: bids@gilbertmech.com New Replacement Additional X Alteration Demolition Description of work: Renovation of existing clinic space - VVT Boxes and stats, Fire Dampers, Diffusers RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction X Interior Improvement Install Piping Gas Processed Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge _ $ TOTAL FEE Contract Value $ 20,00.00 = $ 200.00 _ $ 10.00 _ $ 210.00 x .01 Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name *City ot6alau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 f 1016 Use BLUE or BLACK Ink FOffice Use Permitort 104 ti L/3 Ts Permit Fee: Date Received: Staff: 2016 COMMERCIAL PLUMBING PERMIT APPLICATION VI Please submit two (2) sets of plans with all commercial applications. Date: 09/07/2016 Site Address: 1185 Town Centre Drive #200 Tenant: Minnesota Gastroenterology Name: Phone: Name: Gilbert Mechanical Address: 4451 W 76th St City: Edina Suite #: 200 License #: PC005309 Phone: 952-835-3810 Email: bids@gilbertmech.com State: MN Zip: 55435 New Replacement _ Repair _ Rebuild I Modify Space _ Work in R.O.W. Description of work: Install piping from existing to new fixture locations, per renovation COMMERCIAL New Construction Modify Space Irrigation System ( yes / if no) ( RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? _Yes _No Flushometers _Yes _No COMMERCIAL FEES $60.00 Permit Fee Minimum $60.00 PVB/RPZ Permit (includes State Surcharge) Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. Contract Value $ 41,500.00 _ $ 415.00 = $ 20.75 _ $ 435.75 x .01 Permit Fee Surcharge TOTAL FEE $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ 435.75 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. \ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Logan Daum Applicant's Printed Name Page 1 of 3 Of , Asp r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit Fee: [g) -1d1. Date Received: g 7 / Permit #: Staff: 2016 COMMERCIAL BUILDING PERMIT APPLICATION Date: 2' -2-6 '47 Site Address: I 1115- To 14 C rti4z' /y' v #4 200 Tenant Name: Al I.NY►Ys o 14 64 sf ro c I17 'rcfo p(Tenant is: New / v Former Tenant: ting) Suite #: 2 -ad 'operty VWner Name: G,A uq 11* C m Phone: Address / City / Zip: Applicant is: Owner 1.---C—o-Wtractor Type of Description of work: All iQc Y / "��C1.51J I•ty St4CT 4N4° 14sJ Oli Construction Cost: 0Lf 9/ MOQ ontraacto Name: �-� //// H Y1"r.Sa 74 -"- 11 e License #: Address: POI r L 9 )C 7( City: (_737'4I !kms State: M W Zip: sS3.i 3 Phone: 6 l 3'' 7 ri /- Contact: 4 4V 1'4 ^ [ 'c Email: clp` c -c-;$ Hti'e>P' cf • fO rc itec Iglnee Name: A c h417.14 Ela N J t L1 Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: GTE: Plans and sup, he information mayi iortnq ocu ents Mat e classified as non{ coned mit are .consider, row de specific e that they are trade secre: ma ions CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x is v r'GQ c, i ‘4.- Applicant's .4 Applicant's Printed Name Applicant's Signature Page 1 of 3 $ �" f I BSc ter, c +r( -0(4-Z-CAD DO NOT WRITE BELOW THIS LINE A [37.57 SUB TYPES Foundation XCommercial / Industrial Apartments Miscellaneous WORK TYPES New Addition Alteration Replace X Public Facility Accessory Building Greenhouse / Tent Antennae Interior Improvement Exterior Improvement Repair _ Water Damage Sa p.e Owner• Change,. , , DESCRIPTION Valuation Plan Review (25%_ 100%<) Census Code #of Units # of Buildings Type of Construction � yy8`o�a 73 R QUIRED INSPECTIONS • nFo$tings (New�uilding) Footings (Deck) Footings (Addition) Foundation Drain Tile • Occupancy Code Edition Zoning $testes • ! ._ . • a '� 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 haridout.tQ pplicant t Square Feet Length Width Roof: Lleoking. {psuJation _Ice & Water _ X Framing X 30 Minutes 1 Hour Fireplace": R.OUgh In-=Air,Test . j!inal Insglation r : ,`w Metter• rter ' w ,. , ,.:. Final C/O Inspecti Reviewed By: i� • �oZ g MCES System SAC Units City Water Boroster Pump PRV Fire Sprinklers Z per �e7� "tlieetrock FiratEC.O.Required )( Final / No C.O. Required Other: • Pool: Footings Air/Gas Tests _Final Final Sidle :;• Stracc Lath Stone Lath Brick Windows Retaining Wall Erosion Control * Vbr Crete Eribtilee+Apron hedule Fire Marshal to be,pre,ept ,/< Yes ,.•... I`!o , Building Inspector Reviewed By: ( Planning COMMERCIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC (z) (z) S&W Permit & Surcharge Treatment Plant (2) Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality 3j9y7 zzyo $ZoY09 '1976 "2- d • d"• Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL: Page 2 of 3 1 MCES USE: Letter Reference: 160919A3 Address ID: 5367 Payment ID: 396221 13a73"7 Date of Determination: 09/19/16 Greetings! Please see the determination below. Project Name: MN Gastroenterology Project Address: 1185 Town Center Drive Suite #/Campus: 200, Town Center Plaza City Name: Eagan Applicant: David Chute, CCI Minnesota Special Notes: na Determination Expiration: 09/19/18 Charge Calculation: Clinic: 135 fixture units @ 17 fixture units / SAC = 7.94 Shower: 1 shower(s) @ 1 shower / SAC = 1.00 Total Charge: 8.94 Credit Calculation: MN Gastroenterology (SAC 11/13) = 0.95 Town Center Plaza (SAC 06/01) Office: 14,571 sq. ft. @ 2400 sq. ft. / SAC = 6.07 Total Credit: Net SAC: 1.92 — or — 2 SAC Due CITY COPY Received SEP 19 2016 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 email me at: tory.mccullough@metc.state.mn.us. Thank you, Cory McCullough SAC Technician Please visit our SAC website by going to: http://www. metrocouncil.org/Wastewater-Water/Fu nd ing-Finance/Rates-Charges/Sewer-Availability-Charge.aspx 390 Robert Street North St. Paul. MN 55101 -1005 Phone 651.602.1000 Fax 65600 .15 50 ( TTY 651.2111 etre ,ouncii erc METROPOLITAN ; \ E!®., ; z e®&c !®,!. _ _ § § t}`}| § ° ` | |f (§cZ q |\ \ .m [: , - \\( In a,:\ In ` ..\: ` ! \ ,zl5Lu.§!CL. ! SECOND LEVEL - FLOOR PLAN CONSTRUCTION DOCUMENTS ?§ q§ « .� PARTITION TYPES CONTINUED n RR. -,0 vpgnio„ I 2:!Tar: SORE OTP.RD. O } }\} � m E[[ , \ .m [: \ 2 // \\( In a,:\ In ` PARTITION TYPES All NEW PARnOOOSARE TYPED UN,. NOTED OTHERWISE 1 THE FOLLOWING PARTITION TYPES ARE BASED ON AN Oa° DEFLECTIONS AND THE USE OF :E' / / M zEl A( t - 0 \\\ / see / \}\ \ City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Lct ktrl: OC1 112016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 571f)' /6-//—/k Date Received: Staff: 2016 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATIO Date: 10/6/2016 Site Address: 1185 Town Center Drive Tenant: MN Gastroenterology Suite #: 200 Property Owne Name: Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Works Description of work: Add/Relocate sprinklers for tenant remodel of existing office/clinic space. Construction Cost: 7650.00 Estimated Completion Date: Dec. 2016 Contracto Name: Gilbert Mechanical Contractors License #: C010 Address: 4451 West 76th St. City: Edina State: MN Zip: 55435 Phone: 952-835-3810 Contact: Greg DeMars Ema l: gdemars@gilbertmech.com FIRE PERMIT TYPE I Sprinkler System (# of heads 410 _ Fire Pump Other: _ Standpipe WORK TYPE New Addition Alterations ✓ Remodel Other: DESCRIPTION OF WORK: KCommercial _ Residential _ Educational FEES $60.00 Permit Fee Minimum Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge $100.00 Residential New (includes State Surcharge) Contract Value $ 7650 x .01 _ $ 76.50 Permit Fee = $ 3.83 Surcharge = $ TOTAL FEE 3/4" Fire Meter - $280.00 = $ - Fire Meter =$80.33 TOTAL FEE **Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Gregory DeMars Applicant's Printed Name FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Trip Conditions of Issuance: c2y Pump Test Central Station �% Final This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer Division of Construction Codes and Licensing REPORT ON PLUMBING PLANS PROJECT: MNGI Endoscopy Eagan, 1185 Town Centre Dr, Eagan, Dakota County, Minnesota, Plan No. PLB1611-00036 OWNERSHIP: SUBMITTER: Gilbert Mechanical Contractors Inc., 4451 W 76th St., Edina, MN 55435 Plans Dated: Sheet Nos. P1, P2, and P3 dated October 31, 2016 Date Received: November 3, 2016 Date Approved: November 16, 2016 This review is limited to the provisions of the Minnesota Plumbing Code, Minnesota Rules, Chapter 4714 and assumes the data on which the design is based are correct. Approval is contingent upon meeting the requirement(s) listed below. A copy of the approved plans and this report must be retained at the project location. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. No plumbing work may be covered prior to inspection. The contractor/installer must obtain all required inspection permits from the City of Eagan Building Official. REQUIREMENT(S): 1. All plumbing must be installed in accordance with the 2015 Minnesota Plumbing Code (see Minnesota Rules, Chapter 4714). 2. Verify that the existing water supply and waste systems are sized to accommodate the added fixtures (see Minnesota Rules, Chapter 4714, Sections 610.5, 610.12, and 703.0). 3. All sanitary drainage pipe within the building must be installed with a uniform slope of at least ¼-inch per foot (see Minnesota Rules, Chapter 4714, Section 708.1). Where site conditions preclude this slope, a minimum slope of ⅛-inch per foot minimum may be utilized for piping 4 inches and larger if approved by the authority having jurisdiction. 4. All sinks, except for lavatories and private-use bar sinks, must be provided with 2-inch minimum vertical fixture drains (see Minnesota Rules, Chapter 4714, Tables 702.1 and 703.2). Laundry tubs also require 2- inch minimum vertical drains. 5. Showers and combination showers-baths shall be equipped with individual thermostatic, pressure balancing, or combination thermostatic and pressure-balancing control valves in accordance with ASSE 1016 or ASME A112.18.1/CSA B125.1 (see Minnesota Rules, Chapter 4714, Section 408.3). The maximum temperature setting must be set or adjusted in accordance with the standard and may not exceed 120 degrees F. 6. Handheld showers must comply with ASME A112.18.1/CSA B125.1. Handheld showers with integral backflow protection must comply with ASME A112.18.1/CSA B125.1 or they must have a backflow prevention device that is in accordance with ASME A112.18.3 (see Minnesota Rules, Chapter 4714, Section 417.3). 7. Hose thread water outlets must be provided with ASSE 1052 non-removable hose bibb-type backflow preventers, ASSE 1011 non-removable hose bibb type vacuum breakers, or ASSE 1001 atmospheric vacuum breakers installed at least 6 inches above the highest point of usage on the discharge side of the last control valve (see Minnesota Rules, Chapter 4714, Sections 603.5.7 and 301.1.2). This includes the mop sink and utility sink faucets. 443 Lafayette Road N. St. Paul, Minnesota 55155 www.dli.mn.gov (651) 284-5005 1-800-DIAL-DLI TTY: (651) 297-4198 MNGI Endoscopy Eagan Plumbing Plan No. PLB1611-00036 Page 2 November 16, 2016 8. Domestic-type dishwashers must discharge indirectly through an ASSE 1021 or IAPMO PS23-2006a listed air gap fitting (see Minnesota Rules, Chapter 4714, Sections 414.3 and 807.4). The discharge may be routed to a waste receptor, to a wye branch fitting on a kitchen sink tailpiece, or to the dishwasher connection of a food waste grinder. If discharging to a sink tailpiece or food waste grinder, the flood-level marking on the air gap fitting must be at or above the flood level of the sink or drainboard, whichever is higher. 9. Above-grade horizontal plumbing piping must be supported as follows (see Minnesota Rules, Chapter 4714, Table 313.1 and the applicable installation standard): a. Plastic drain, waste, and vent pipe: at least every 48 inches. b. Cast iron: at each horizontal branch connection and at every other joint unless over 4 feet, then at each joint. c. Copper tubing with soldered or brazed joints (1½-inch or less): at least every 6 feet. d. Copper tubing with soldered or brazed joints (2-inch or over): at least every 10 feet. e. Copper tubing with mechanical joints: per administrative authority requirements. 10. Valves should be installed permitting the water supply to each individual fixture to be shut off without disrupting any other portion of the building. An accessible control valve shall be installed ahead of each slip joint connection at a plumbing fixture (see Minnesota Rules, Chapter 4714, Section 606.5). 11. Hot water delivered from public-use lavatories must be limited to a maximum temperature of 110 degrees F by a device that is in accordance with ASSE 1070 or CSA B125.3 (see Minnesota Rules, Chapter 4714, Section 421.2). 12. Hubless cast iron drain, waste, and vent pipe must comply with CISPI 301 or ASTM A888 (see Minnesota Rules, Chapter 4714, Table 701.1, Section 701.1(6), and Installation Standard 6). Pipe and fittings shall be marked with country of origin and identification of the original manufacturer in addition to markings required by referenced standards. 13. PVC drain, waste, and vent systems shall comply with Minnesota Rules, Chapter 4714, Table 701.1, Section 705.7, and Installation Standard 9: a. Pipe must meet ASTM D1785, D2665, F891, or F1488. ASTM D2949 PVC is not approved for use. b. Fittings must comply with ASTM D2665, D1866, or D3311. c. Joints must be mechanical or push-on utilizing an elastomeric seal, or solvent welded using ASTM F656 purple primer and ASTM D2564 solvent cement. Schedule 80 pipe may be threaded. d. Above-ground horizontal pipes must be supported at each horizontal branch connection. Restraint fittings or a minimum 24-inch offset using 45-degree fittings should be provided every 30 feet. Expansion joints installed per the manufacturer’s instructions may be installed in vertical runs exceeding 30 feet. 14. The water distribution system must be disinfected per Minnesota Rules, Chapter 4714, Section 609.9. NOTES: 1. The scope of this project consists of a remodel at an ambulatory surgery center. The plumbing includes three exam room sinks, a lab sink, a breakroom sink, a water closet, a lavatory, a shower, a mop sink, and a utility sink. The fixtures connect to the existing sanitary sewer and to the existing water distribution system. 2. This facility is served by existing municipal sewer and existing municipal water service connections. MNGI Endoscopy Eagan Plumbing Plan No. PLB1611-00036 Page 3 November 16, 2016 3. This plan review is for the plumbing systems only and does not pertain to the health care licensing requirements for the facility. Prior to the start of any construction, complete plans and specifications must be submitted to and approved by the Minnesota Department of Health (MDH), Division of Compliance Monitoring. Visit http://www.health.state.mn.us/divs/fpc/engineering/index.html regarding information necessary for plan review and licensing. Please note that changes to the plumbing system may be required as a result of the review by MDH. Changes to the plumbing system must be reviewed by this office prior to installation. 4. The current Minnesota Plumbing Code, Chapter 4714, and related information can be found at: http://www.dli.mn.gov/CCLD/Plumbing.asp Authorization for installation may be withdrawn if construction is not undertaken within one year. Additional recommendations or requirements may be made if changed conditions or additional information make improvements necessary. Approved: Scott Sawyer, P.E. Public Health Engineer Plumbing Plan Review and Inspections Unit 651/284-5803 scott.sawyer@state.mn.us cc: Gilbert Mechanical Contractors Inc. (via email) City of Eagan Building Official (via email) MDH Compliance Monitoring Division (via email) File Use BLUE or BLACK Ink For Office Use Permit#:City ofEapft Permit Fee: C.P �J 3830 Pilot Knob Road RECD" / Eagan MN 55122 Phone:(651)675-5675 Date Received: 7_2 7-I 7 Fax:(651)675-5694 �� 2017 Staff: 2017 MECHANICAL PERMIT APPLICATION X❑ Please submit two (2)sets of plans with all commercial applications. Date: 07.24.17 Site Address: 1185 Town Centre Drive Tenant: Suite#: Name: Gaughan Enterprises, Inc. Phone: 651-255-5571 • Resider t/Ownelr Address/City/Zip: 56 East Broadway Ste 200, Forest Lake, MN 55025 ' r Name: Gilbert Mechanical License#: MB005309 Contractory �� Address: 4451 W 76th St City: Edina State: MN Zip: 55435 Phone: 952-835-3810 Contact: Ed Dahlgren Email: edahlgren@gilbertmech.com 9 New X Replacement Additional Alteration Demolition T e of Wor Description of work: Replace 10 ton H/C Rtu with new 10 ton H/C RTU , _ ,� �, OTE R I o rnted and ground mou ed - 1 1r m CodDe "Please contat th hanicai Inst- or i�hfora o t � kn m m s r e- RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed lerrrtlt Air Exchanger Gas X Exterior HVAC Unit Heat Pump _ Under/Above ground Tank ( Install I_Remove) Other RES1fFNTMI rww* $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 9,170.00 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 91.70 Permit Fee $ 4.59 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 96.29 TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Ed Dahlgren Applicant's Printed Name Applicant's Signature ii y ,fie I"( +s ; FOR OFxFIGE USE RequirednspeGtiO S it eY etillF Cil Ir Underground w r x Rous In - Air Test,N, G is Service;Test it I rHeat Fi al H Screening For Office Use it gee Permit#: 1 � L O A E AGA N Permit Fee: 6t)4 0 0 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsacityofeagan.com L 2018 COMMERCIAL PLUMBING PERMIT APPLICATION El Please submit two(2)sets of plans with all commercial applicati ns. Date: l 1,j t / Site Address: 15- 16 VO vt r'pAiy h v' Tenant: IVt '11-4r0 Suite#: Property ;Owner Name: Phone: • Name: ��.-/ bvir/ F t/G 4 f License#: Contractor Address: 5-2-C1 tA/ 7 9 t City: act,c StateafkZip: fr/ Phone: t� L } �'t (� Email: Y'in(i tM u'i.U" u e 9 i f 4,714A4 /. c.Cs 141 Type of Work —New Replace�ment Repair Rebuild Modify Space Work in R.Q.W. Description of work: t G'rt�e L ti COMMERCIAL -New Construction Modify Space Irrigation System( yes/_no)( RPZ/_PVB) • Rain sensors required on irrigation systems Perrntt Type • 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 uo meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes_No Flushometers Yes_No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum p� $60.00 PVB/RPZ Permit(includes State Surcharge) _$ lei(! Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 4) TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against undergr and utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conforman with the ordinances and codes 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 it;that the work will be in a ordance with the approved plan in the case of irk which requires a r few and approval of plans. X rzr'I ) un t,t t.1". //./(x Applicant's Printed Name App ant's Signature FOR OFFICE USE Approved By Date Required Inspections: -,,,.Under Ground ' Rough In :Air,Test,,,.._,Gas Test Final PRY Required:—Yes No Meter;Related Items" Meter Size. Radio Read Manometer . ,,.. Staff, . Page 1 of 3 - i''' ill r For Office Use ni+g l' ('57 Permit#: U &� `('IA � , i i �; Permit Fee: .--,6,q �(-7 E AG A N �.�. ...s Staff: 9 / ! I Payment Recvd: Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 I Plans: Electronic Paper I j Plan Submittal: eplans(a)cityofeagan.com 2018 COMMERCIAL BUILDING PE VIIT APPLICATION Date: 9/7/18 Site Address: 1185 Town Centre Dr, Eagan, MN Tenant Name: St Paul Radiology (Tenant is: New/ 1 Existing) Suite#: Former Tenant: Unknown Name: Phone: ;fa ` Q99= ' fit Address/City/Zip:Applicant is: Owner Contractor • Description ofwork: Demo/Infill 4 $20,000 Construction Cost: � �- tFlannery Construction BC001347 • Name: License#: ,, 1375 St. Anthony Ave St.Paul Address: City: � � MN 55104 651-259-4288 s State: Zip: Phone: John Noble jnoble@flanneryconstruction.com �„ Contact: Email: r Name: NA Registration#: , Address: City: �; �� State: Zip: Phone: .w.„,„.(...1„,..„.±.1!..,-„-142,..,.„., Person: Email: Licensed plumber installing new sewer/water service: NA Phone,,#, f'-'':"..0%:- . E.- r€ A/ ' # c._ r'J k sr L+ a l {t a( f:Y ':' PZ P r`i.la : om" xI Fa x� s ' h' 'E• Lz,,. d . r ,�,a >1 �asief _sr r R }FF.' S , x n# 3 'fd 1»k ' • x .as k � 6 s = "x x ,,,,,,,,z,,,,,,,.„ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 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. pi apnea hoJoh,1_... Nobe 'C,16 E-hable@eanno.ywactrctlonxan nary COnebucfon,CN.lohn L Noble John L. Noble John L. Nobto BL9au,MN 55106 meanearmlh.eaa�em `-,..InoWe.....„.o.uVuc...can X X . )18.09.0]10:4656-05'00' Applicant's Printed Name Applicant's Signature • DO NOT WRITE/� BELOW THIS LINE., �j f� SUB TYPES // K� idoi\ ?'Ye'6 1 S7+'J��` 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 Zi "aci Occupancy 13 MCES System Plan Review ;i Code Edition 20)5' A f( SAC Units (25% 100%y ) Zoning City Water Census Code Stories -- Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction if Width ®- REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: Siding:_Stucco Lath Stone Lath Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test Final Final/C.O.Required Pool:_Footings _Air/Gas Tests _Final X Final/No C.O. Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes Ye ."' <e No Reviewed By: 41 , Planning New Business to Eagan: Reviewed By: / „I..,---- — ” , Building Inspector FEES is- Water Quality Base Fee .$9 Storm Sewer Trunk Surcharge /1?.- Sewer Trunk Plan Review A . S= Water Trunk MCES SAC Street Lateral City SAC Street — S&W Permit&Surcharge Water Lateral --- .-- Treatment Treatment Plant Stormwater Performance Security -" Treatment Plant(Irrigation) -- Landscape Security Park Dedication - Other: Sir Trail Dedication TOTAL: r. 9. 2__- Page 2 of 3 r � For Office Use 1"1 .y x Permit#: /JY� / Permit Fee: Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EPayment Recvd: _Yes _No (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinqinspectionscityofeaqan.com Plans: Electronic _Paper Plan Submittal:eplans(cDcityofeagan.com J 2019 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 6/25/19 Site Address: 1185 Town Centre Dr. Tenant: MNGI Endoscopy Suite#: 200 Property Owner Name: MNGI Endoscopy Phone: 612-435-3970 Name:• Gilbert Mechanical License#: 058808-PM 3 Contractor Address: 5251 W. 74th St. City: State:Edina Zip: MN 55439 Phone: 952-835-3810 Email: nnord@gilbertmech.com New Construction Addition Modify Space Replacement Repair ✓ Rebuild Work in Right-Of-Way Description of work: Rebuilt RPZ serial#129551 Type of Work Irrigation System( yes/_no)(if RPZ/_PVB) • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5646 to verity tests passed prior to picking up meter. Domestic:Size&Type Fire: 1 Average GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ 750 x.015 $60.00 Permit Fee Minimum 60.00 $60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee $ 0.38 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call City for Surcharge $ 60.38 TOTAL FEE The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant ( Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge .$60.38 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Daniel Kehoe x Applicant's Printed Name Applicant's Signature Page 1 of 4 CP /,9-ris EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 Plan Submittal: eblans@cityofeagan.com RECD MAY 0 9 2018 r For Office Use Permit #: /Li!/ 2.r Date Received: Staff: 2018 COMMERCIAL BUILDING PERMIT APPLICATION 106 Date: 5/1/2018 Site Address: 1185 Town Centre Drive Suite .1; Eagan, MN 55123 Tenant Name: Crutchfield Dermatology CG - (Tenant is: VNew / ✓ Existing) Suite #: 101, 100 1299 Former Tenant: Summit Name: Gaughan Companies Phone: 651-464-5700 Address / City / Zip: 56 East Broadway Suite 200 Applicant is: Owner Contractor Remodel of existing space to include demo, electrical, plumbing, HVAC, Ca toraorro Description of work: Dtti � Construction Cost: St *156i - Name: Gaughan Construction License #: •-rN- i!L �slZ --foil Address: 56 E Broadway Suite 200city: Forest Lake MN 55025 651-255-5562 -6 l '- L S� '� State: Zip: Phone: .D,". Pe‘,t Contact: Joe Bain Email:n@gaughancompanies.com Architect/Engtneer Name: Mohagen Hansen ff-- o ftp r f / rYl n Registratio Address: 1000 Twelve Oaks Center Drive Suite 200 City: Wayzata State: MN Zip: 55391Phone: 952-426-7400 Contact Person: Bob Bailey Email: bbailey@mohagenhansen.com Licensed plumber installing new -ewer/water service: Phone #: NOTE: Plans and supporting docum is that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provie specific reasons that would permit the City to conclude that they, are trade secrets. You may subscribe to receive an elect. tic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A• Trcant's Signature ►pis 411 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Public Facility Commercial / Industrial Accessory Building _ Apartments Greenhouse / Tent Miscellaneous Antennae WORK TYPES New Addition Alteration Replace Salon Owner Change DESCRIPTION Valuation Plan Review / (25%_ 100% I ) Census Code # of Units # of Buildings Type of Construction %( Interior Improvement Exterior Improvement Repair Water Damage Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings _ New Building _ Deck _ Addition Foundation Foundation Before Backfill Vapor Barrier Framing 30 Minutes )t 1 Hour Insulation Sheetrock Roof: _Decking Insulation _Ice & Water _Final Siding: _Stucco Lath _Stone Lath Brick _ EFIS Windows Fireplace: _Rough In _Air Test Final Pool: Footings Air/Gas Tests 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Drain Tile Retaining Wall Erosion Control Steel Reinforcement Street/Curb Cut Inspection Other: Meter Size: Electronic Set of Final Revised Plans Final / C.O. Required inal / No C.O. Required Final CIO Inspection cti"ea - Fire Marshal to be present: Yes No Reviewed By: 0! ;� , Planning New Business to Eagan: Reviewed By: , Building Inspector FEES Base Fee Surcharge ZS Sewer Trunk Plan Review Z Water Trunk MCES SAC Street Lateral City SAC — Street S&W Permit & Surcharge Water Lateral Treatment Plant -- Stormwater Performance Security Treatment Plant (Irrigation) — Landscape Security Park Dedication — Other: Trail Dedication 4 Water Quality „1?56 , Storm Sewer Trunk J TOTAL: Page 2 of 3 MCES USE: Letter Reference: 191013A1 Address ID: 5367 Payment ID: 411791 1L-/(27// Date of Determination: 10/13/19 Greetings! Please see the determination below. Determination Expiration: 10/13/21 Project Name: Crutchfield Dermatology Project Address: 1185 Town Centre Dr Suite #/Campus: #100 City Name: Eagan Applicant: Tim Holter, Gaughan Construction Special Notes: ( This letter replaces the letter sent 5/24/18, letter reference 180524A7. This is based on revised plans. Charge Calculation: Office: 4326 sq. ft. @ 2650 sq. ft. / SAC = 1.63 Total Charge: 1.63 Credit Calculation: Town Centre Plaza (SAC 6/00) Office: 4326 sq. ft. @ 2400 sq. ft. / SAC = 1.80 Total Credit: 1.80 Net SAC: -0.17 = 0 SAC Due 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 email me at: iessica.nye@metc.state.mn.us. Thank you, Jessie Nye Manager, SAC Program Please visit our SAC website by going to: www.rnetrocouncil.org/SACprogram 390 Robert Street North 1 St. Paul, MN 55101-1805 Phone 651.602.1000 1 Fax 651.602.1550 1 TTY 651.291.0904 j An Equal Opportunity Employer i trocouncil.org M E. l_, ROPO1. 1..l AN COUNCIL $/, r h§ )$ �m )ƒ /) .. |;§)( ! |�,. ( mQ .. . ..1, || ° - _ . FLOOR PLAN aCONSTRUCTION DOCUMENTS 0 0 -� — \\}} e §( § ( ) §| !\!! 00. 2�\o£ ::- _ {!! t5W '� ®0 �!■| §§ U. ° } . E 2 11111111111 II|m ( § § , I . \ !� � & V y T-7,7 Z _ § / EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-8535 1 FAX: (651) 675-5694 Email: buildinginspections(citvofeagan.com Plan Submittal: eplanslo'�,cityofeagan.com 4crocil For Office Use 158 24(0 Permit #: Permit Fee: Staff: ssr.� r Payment Recvd: Yes No Plans: Electronic V `/ Paper I 2019 COMMERCIAL PLU NOTERMITAPPLICATION ❑ Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive , Date: 10/1/19 site Address: 1185 Town Center Drive t: Crutchfield Dermatology Suite #: 101 lc Gaughan Companies Name: g p Phone: Kraft Mechanical PC005828 Name: License #: Address: 2441 Ventura Drive City. Woodbury State: MN Zip: 55125 Phone: 651-773-9000 Email: jcascalenda@kraftcm.com , ' New Construction Addition ✓ Modify Space Replacement Repair Rebuild Work in Right -Of -Way Description of work: Cap 4 sinks, install 2 new sinks, change 1 sink to washer box, replace 4 existing sinks w/new. Irrigation System ( yes / ✓ no) ( RPZ / PVB) _ • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meter Required — Call Utilities at (651) 675-5200 to verity tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Average GPM High demand devices? _Yes _No Flushometers Yes _No COMMERCIAL FEES $60.00. Permit Fee 9,800.00 Contract Value $ x .O1) Minimum147.00 $60.00 PVB/RPZ Permit Surcharge = Contract If the project valuation $ Permit Fee (includes State Surcharge) $ 4.90 Surcharge Value x $0.0005 151.90 is over $1 million, please call City for Surcharge $ TOTAL FEE The following fees connecting a new Contact the City's Engineering may apply when installing a new lawn irrigation system or $ Water Permit water service. $ Treatment Plant Department, (651) 675-5646, for required fee amounts. $ Meter Fee $ Radio Read $ StateSurcharge = $151.90 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Clty's website at www.citvofeagan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and 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 plan in the case of work which requires a review and approval of plans. xJim Cascalenda Applicant's Printed Name cant's i at e es of the City of Ea accorda with th an; that I approved Padierge 1 of 4 / D V6, Page 2 of 4 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT EAGAN Permit Type: Building Permit Number: EA158398 Date Issued: 10/11/2019 Site Address: 1185 Town Centre Dr 225 Lot: 1 Block: 1 Addition: Gatewoods PID: 10-28900-01-010 Use: Life Massage Therapy Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Massage Therapy License Description: Census Code: Occupancy: Zoning: Square Feet: 0 Comments: Lisa Mae Jensen 651-226-0427 Fee Summary: Massage Therapy Inspection $0.00 Tota I: $0.00 Contractor: Owner: Town Centre Plaza Eagan LLC 56 E Broadway Ste 200 Forest Lake MN 55025 - Applicant - I hereby acknowledge that I have read this application and state that the 'nformation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature For Office Use - r Permit#: /-g'S 3,6) ‘,. % • ,,- E A„.__ A N ii . , , •.•• •�.� Permit Fee: 1/4111 1 Staff: f 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes _No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56'' CEIVE Email:buildinoinspections(c citvofeacian.com Plans)K Electronic 1SPaper Plan Submittal:eplans(d!citvofeacian.com L__ OCT 1B2019 2019 COMMERCIAL ME .'' ► MIT APPLICATION 0 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email, CD or flash drive Date: 10/16/19 Site Address: 1185 Town Center Drive Tenant: Crutchfield Dermatology Suite#: 101 � Name: Gaughan Companies Phone: 651-464-5700 �� ', � 56 East West Broadway Ave, Forest Lake MN 55025 ,. Address/City/Zip: Name: Kraft Mechanical License#: MB005828 2441 Ventura Drive Woodbury �� City: ' y 5 - Address: = M N 55125 651-773-9000 ,, b State: Zip. Phone: ,ti ','' Contact:Jim Cascalenda Email:jcascalenda@kraftcm.com -,7'7...24.2 New Replacement Additional ✓ Alteration Demolition � a Relocate duct & diffusers for tenant remodel. e : Description of work ti 4 Ix' ;.. '''''':.=-.. r../:TZ t '+ 7# : 4,�4„ .' 7"41-,44:: °i .rt' �-. "p+�°' 'a e,.'y T.' , 1 .:. *;, � *. ,» v ti° ,„ "`"' ,$:, f t:.: ,', ,, , ,,-,, ,,,., cad �}.�^,,,,,, * , f x' : k t t& ''' ...e -ash' .N;:,,,,,4-14'.,i "I'''' * ! 7. . f" 1 , s e ` `1 COMMERCIAL ,�,g x _VA New Construction 0/ Interior Improvement Lit: { yam h _Install Piping Processed „� - f _Gas _Exterior HVAC Unit rte, 'X _Under/Above ground Tank ( Install/_Remove)if r COMMERCIAL FEES 4 250.00 Contract Value$ ' X:O'1.5 $60.00 Permit Fee Minimum $75.00 Underground tank removal,includes State Surcharge =$ 63.75 Permit Fee =$2.13 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 65'88 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit e 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 withou : p= it;th the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xJim Cascalenda x // `// Applicant's Printed Name , scant' Sig f evtewed By (- t � ,� �fs nDa!Requ . � �„ � l ,44,04 b,t ,13:. -C• (,.1 I— For Office Use , `. + ; r s ! , tc,INTE� :::::e: o 4 2019 Date Received: 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: Plan Submittal:eplanscityofeagan.com 2018 COMMERCIAL BUILDING PERMIT APPLICATION Date: 11/4/2019 Site Address: 1185 Town Centre Drive Suite 225, Eagan, MN 55123 Tenant Name: Integrative Therapy Group (Tenant is: ✓ New/ Existing) Suite#: Former Tenant: Crutchfield Dermatology Name: Gaughan Companies Phone: 651-464-5700 Property Owner 56 East Broadway Suite 200 Address/City/Zip: Applicant is: Owner ✓ Contractor Type of Work Description of work: Remodel of existing space to plumbing, wall to fit door, carpet and paint Construction Cost $18,000 Name: Gaughan Construction License#: 1.36 4 7 333 Contractor Address: 56 E Broadway Suite 200 City: Forest Lake State: MN Zip: 55025 Phone: 651-255-5570 Email: timholter@gaughancompanies.com Contact: Tim Holter Name: Mohagen Hansen Registration#: Architect/Engineer Address: 1000 Twelve Oaks Center Drive Suite 200 city: Wayzata State: MN Zip: 55391 Phone: 952-426-7400 7 43c( Contact Person: Bob Bailey EEmail: bbailey@mohagenhansen.com Licensed plumber installing new sewer/water service: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information.Portions of the information may classified as non-public if you provide specific reasons that,would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.comisubscribe. 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name • • icant's Signature • DO NOT WRITE BELOW THIS LINE / c'-. S-- SUB TYPES SUBTYPES iIg1 75 ,i Left`I'k- o,* -7S 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 I/ 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 P Valuation IA/DOfl.a-* Occupancy MCES System Plan Review V Code Edition 2615-Mee- SAC Units D/fie 6/t dt-i/1O ib sit'>tc.LP. (25%_100% ./0 Zoning City Water Census Code Stories Booster Pump #of Units 0 Square Feet PRV #of Buildings / Length Fire Sprinklers Type of Constructionf'6 Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control V Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final ✓ Final/C.O.Required Pool:_Footings _Air/Gas Tests Final Final/No C.O.Required Final CIO Inspection: Sch Marshal to be present: "Yes No Reviewed By: < <, , Planning New Business to Eagan: 7 Reviewed By: l%P911p , Building Inspector FEES Water Quality Base Fee 30q.75 Storm Sewer Trunk Surcharge q.A-o Sewer Trunk Plan Review 2-01 . 7 Water Trunk MCES SAC `— Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant - Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: COP/L-S /O'a-o Trail Dedication TOTAL: $32.41• 6111. /0 •111-47 4‘ 536.61 Page 2 of 3 6906/ r For Office Use • • " s Permit#: /-----eg - 7 EA A N �'' ° � ,� '" '" Permit Fee: ^� Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810rPayment Recvd:)CYes No � (651)675-5675 I TDD:(651)454-8535 I FAX(651)675-5694 (2 EI N j Email:building inspections( citvofeacian.com 9 Plans: Electronic Paper I Plan Submittal:eplansecityofeaoan.com NOV 01 2019 J 2019 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 10/31/19 site Address: 1185 town center drive Tenant: :2-- -i 2�T+v 6 7716,ZT z� 6,16,L(,p Suite#: 225 'S.,,5fn.,4 .,'- 1::,' ':,''.:,'4 ,,''',g,' .' ,, )4,41'• 4', Name: Gaughan Companies Phone: (- Name: kraft mechanical License#: pc005828 ~3 ' ., Address: 2441 ventura drive City: woodbury State: mn Zip: 55125 p44 �s , Phone:6517739000 Email: mark@kraftcm.com tb ry �x�d�: S.'''-2'''‘,.:?f, 4 New Construction Addition ✓ Modify Space ' 1 Replacement Repair Rebuild Work in Right-Of-Way .4 t �� Description of work: Install 2 new hand sinks and associated plumbing ,,k ,� ,t' ,,,., Irrigation System( yes/ I/ no)( RPZ/_PVB) ,, • Rain sensors required on irrigation systems ; , , ' • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meter Required—Call Utilities at(651)675-5200 to verity tests passed prior to picking up meter. " Q :,:;„: Domestic:Size&Type Fire: 1 ,t, :,-1:' Average GPM High demand devices?_Yes_No Flushometers Yes_No COMMERCIAL FEES Contract Value$ 2000 x,015 ,$x60.00 Permit Fee Minimum60 '' _$60.00 PVB/RPZ Permit(includes State Surcharge) $ Permit Fee ks $ 1 Surcharge ‘-sef9lvarge=Contract Value x$0.0005 f , project valuation is over$1 million,please call City for Surcharge $ 61 TOTAL FEE { The following fees may apply when installing a new lawn irrigation system or $ Water Permit connecting a new water service. $ Treatment Plant Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Meter Fee $ Radio Read $ State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaban.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damag= I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordina - 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 permi•that t _ • ''II be in accordance with the approved plan in the case of work which requires a review and approval of plans. Xmark longfellow X Applicant's Printed Name Applicant's Signature Page 1 of 4 e /6 4° 6 'tix `it`d s. �" �' k� ,� "ya �§ �*Td `" 'k`. `"w. 3a � �" .°a- w s e .w profit:;,,,, y .a,:z"^';' * ar,� Z { ,# r '� § a G a t:.<., 's m!fi t t ,� '`ar7'.. � .am u" ..x '*.-` "g �mi3^�k..s...., ua w 3 � -04/4'; x a -47}:' } ,',y �.i„�.q - �r,"`,x'- .,,�;,,, t �t# �, `" '?' firm v� :.44;14 ',1 / . 4\4i,„4:4„„# � �y a . .. 404:11,-4N'',-,' � ts„, k : . -1°,-.;0!-;?' +-%fit 1!''`eu - , ¢. xa m a 2. "''� ¢^f 'ta v '',„4,„;'..74',:,..4;4?",.-,..,,,,,,0„,,,,,i. ,� "yam �v ,,' x s' -?-.1t7": :2,' "� ..,"fr a'`, a:4:1-.1,:t7;!',11-,,,r--.4-4' e T.t ,. c r p4 a5✓.t rc ':. rs k:f' i ;4 a s -, x,`, .` ' E -' ,a,. F. a � x;a `t ¢ � .M., x 4.1 i. '; ,r`f re" ''`. 0-:--,`,-,r-!.'7' .e` ,,, aro"` r ` a a ; ��' '°'£ �t % �"+, n3;,41;::.4-1, ::Z1,-:,71 '.24.1.4;.:o., 7., � r s a°' �' ", fi i. x^, fir' ::A+' `,rr ? y 5xdt .. .. moi, . w- �ay..� ,._. #4z» 4'1,1/44,,:a .,.. ax .� .5. ,.�, . tea. ..e ac •., 3.' 'ID"ae. Page 2 of 4 f " 0\ .(.fU tp For Office Use 1 l CPermit#. / 1 `�: � i �f CC PermitFT '1Lff EAGAN02 ? 20,9B BY: Staff: I "" Payment Recvd: _Yes No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ( I pians; Electronic Paper 651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 I n. Plan Submittal:eDlansCcDcityofeaga com J *1.000°0CS 2019 COMMERCIAL BUILDING PERMIT APPLICATION -�t ��: 12/22/2019 Site Address: 1185 Town Centre Drive Suite 101, Eagan, MN 55123DaV� l'1 1'` , 101 Tenant Name: Crutchfield Dermatology (Tenant is: New/ Existing) Suite#. Former Tenant: Name: Gaughan Companies Phone: 651-255-5570 Property Owner Address i oily/Zip: 56 East Broadway suite 200, Forest Lake, MN 55025 Applicant is: Owner ✓Contractor — P Type of Work Description of work: Demo cabinets and make the wall to grid a half wall,electrical Construction Cost $7,000 Name: Gaughan Construction, LLC License#: BC673337 Contractor Address: 56 E Broadway Suite 200 city: Forest Lake State: MN Zip: 55025 Phone: 651-255-5570 Contact: Tim Holter Email: Timholter©gaughancompanies.com Name: Mohagen Hansen Registration#: 1000 Twelve Oaks Center Dr#200 Wayzata Architect/Engineer Address: city: Zip: 55391 Phone: 952-426-7400 State: MN Contact Person: Bob Bailey Email: bbailey©mohagenhansen.com 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.comisubsaribe. 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.goaherstateonecall.or4 I hereby acknowledge that this information 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 •-rmit;that the work will be In accordance with the approved plan in the case of work which requires a review and approval of.1- x f Applicant's Printed Name - . icant s Sig re ' DO NOT WRITE BELOW THIS LINE SUB TYPES 1( 0 "Cdr', C-4,fire Dr 4 j v / )?1 53 i + _ Foundation — Public Facility _ Exterior Alteration—Aparhnents 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 _24,4_1_ Occupancy i3 MCES System Plan Review / Code Edition lot S AI ge_. SAC Units (25%_100% ) Zoning City Water / — Census Code Stories Booster Pump #of Units Square Feet PRV —� #of Buildings Length Fire Sprinklers Type of Construction ,.6' Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Jr Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water _Final Meter Size: — Siding:_Stucco Lath Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans — Windows Fireplace:_Rough In _Air Test _Final Final/C.O. Required Pool:_Footings _Air/Gas Tests _Final .),(' Final/No C.O.Required Final C/O Inspection: Sch=•ule Fire Marshal to be present: Yes No Reviewed By: �; , Planning New Business to Eagan: Reviewed By: , Building Inspector FEES , t� Water Quality Base Fee � �i17 S Storm Sewer Trunk '- Surcharge 7,—' Sewer Trunk J Plan Review 1 95,0- Water Trunk — MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) — Landscape Security_ >k Park Dedication Other: Rfrir 1,45T S. � Trail Dedication TOTAL: Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinginspectionsCa)_citvofeagan.com For Office Use Permit*: i ' 2-92 Permit Fee: Date Received: Staff: L CROSS CONNECTION CONTROL PROGRAM INSPECTIONS PERMIT APPLICATION Date: 7/15/2020 Site Address: 1185 Town Centre Dr Tenant: Town Centre Plaza Eagan LLC Suite #: 1 J Property ChillierName: - Town Centre Plaza Eagan LLC Phone: (651) 450-2300 Contractor Name: Gilbert Mechanical License #: PC769827 Address: 5251 West 74th St City: Edina state: MN Zip: 55439 Phone: (952) 893-2147 Email: koneill@gilbertmech.com Type of Work _ New Replacement Repair Z Rebuild _ Description of work: Complete rebuild of RPZ, serial #5186, serving irrigation. New #1 and #2 checks, springs, and relief rubber kit. Perna it Type C9MMERCIAL V' Irrigation System (1 yes / no) (1, RPZ / PVB) _ _ • Rain sensors required on irrigation systems • Avg. GPM (2° turbo required unless smaller size allowed by Public Works) Avg. GPM High demand devices? Flushometers No _Yes _No _Yes Permit Fee $60.00 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltvofeatlan.com/subscrlbe. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only en application for a permit, and work is -not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Kristin O'Neill Applicant's Printed Name Project:SIMONMED IMAGING Date:11/15/2021 System:Tech:James Wages Area Served Opening NO. Size Factor Design CFM Preliminary CFM Final CFM 124 1) 8"1 450 403 441 124 2) 8"1 450 412 457 124 3) 8"1 450 416 446 105 4) 8"1 50 168 52 TOTAL 1400 1399 1396 FC-1 Project:SIMONMED IMAGING Date:11/15/2021 System:Tech:James Wages Area Served Opening NO. Size Factor Design CFM Preliminary CFM Final CFM MRI 1) 12"1 600 641 641 MRI 2) 12"1 600 623 623 CNTRI 3) 8"1 200 189 189 CNTRI 4) 8"1 200 202 202 TOTAL 1600 1655 1655 FC-2 Project:SIMONMED IMAGING Date:11/15/2021 System:Tech:James Wages Area Served Opening NO. Size Factor Design CFM Preliminary CFM Final CFM 102 1) 8"1 100 197 92 103 2) 8"1 200 240 192 103 3) 8"1 100 188 108 110 4) 8"1 150 160 139 108 5) 8"1 150 345 138 105 6) 8"1 50 220 47 TOTAL 750 1350 716 VVT-36