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1389 Town Centre Dr ~ 3830 Pilot Knob Road P O. Bo~2G-A1 9, Eagan, MN 55121 NI 2 12965 PHONE:454-8100 BUILDING PERMIT COMMERC IAL Receipt # Tobeusedtor LUBE/OIL BLDGEstvalue S160,000 Date DECEMBER 15 1986 Site Addsess 1389 TOWN CENTRF DR Erect lm Occupancy H4 Lot 1 Block 1 SeciSub. TOWN CENTRE 70 Remodel ? Zoning C,cr Parcel No. 6TH ADD Repair ? Type of Const. Addition ? No. Stories ,r ¢ NIIDWEST iyANAGBMEMT Move ? Length W 46 O~Y) Name Demolish ? Depth ; Address 7100 WAYZATA HLVD Int. lmpr. O Sq. F+ 44 ° city GOLDEN pSfibk 546-3446 Install ? 4,048 Z o Name CONSTRUCTION 70 INC Approvals Fees Address 1430 W CTY RD C Assessment Permit . 0 0 OT- ~ city ST PAU4none 6 3 6-4 39 0 Water & Sew. Surcharge • 0 0 ~ Police Plan Review7-2-M 5 p W Name K.K.E. ARCHITECTS Fire SAC ---5.00 ~a Address 300 FIRST A1T8'. NO Eng. WaterConn. A <W ciry MELS Pnone 339-4200 Planner WaterMeter V~' CouncilRaad Unit N A I hereby acknowledge that I have read this application and statethatthe gfcig. Off. Tr. PI. ~ 00 information is correct and agree to comply with all applicable State of N A Minnesota Statutes and City oi Eagan Ordinances. APC PaYks Var. Date Copie -Signature of Permittee TOtal ~ • ~ CONSTRUCTION 70 INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~r Permk No. PermR Hoidsr Date Tilephone, k Piunxbjng i H.V.A.C. ElecMc /:,7_, 4 $OflMeI Inrpection Date Insp. Commenea FooHngsl Footinys 11 Foundation Framinq A~k FRoojfIn:g Rough Plbg. Rough Htg. Insul. Finplace -?f - . S^ Flnal Htq. ~/'Y/S'Z Z42e Final Plby. ~ Bldy. Final ~ Cert.Occ. _ y ~.4d4r-•a[.~ ,Deck Ftg. Deck Frmg. Well Pr. Disp. , ; ~ ~.c~ ~ ~~o ,~(n'?tCl~ti O. I87 - CLf+%,-'vGt.f Y tT ' t~~i~J?~: . . .f r ,^J'r' j ' , . . . ; . , i .r . . , . i . ? 'r, , , . - . . ~ x PERMIT # PLUMBING PERMR RECEIPT # CITY OF EAGAN 13830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE 454-6100 Site Address ' BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New ~ ~ Name - Mult Add-on ~ Address Comm. ~ Repair q City . ~1 r Phone"' Other FIXTURES TOTAL Name Water Closet - $3.00 ~ 3 Address Bath Tubs - $3.00 p City Phone =~yatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES COMM/IND FEE - 196 OF CONTRACT FEE Urinal/&det - $3.00 Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10•00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES ~7_Gas Piping Outlets -$1.50 BEYOND $1,000.00) Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: J F ~ j µ ' C1TY OF EAGAN . 3830 Pilot Knvb Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDiNG PERMIT Receipt~ ~ , ' G To be used for Est Value Date OFFICE USE ONLY Site Address On Site Sewage _ pccupancy Lot BIoCk Sec/Sub. ' j MWCC System _ Zoninp ParCel NO. On Site Well _ 7ype of Const City Water _ (ActuaQ c Name (Aliowable) ik ot Stories 3 Address Length ~ ° City Phone Depth S.F. Total p Name • ' ' Footprlnt S.F. o ~ Address APPROVALS FEE$ 0 , i". : : } P City Phone Aasessments _ Permlt ~ Water/Sewer _ 5urcharpe F W Name Police _ Plan Review z Fi?e _ SAC, City i - Address .MC W City Phone Engr. = SAC, MWCC Planner Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bidg. Off. Roed Unit that the informatfon is correct and agree to comptywith all applicable APC - Treetment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTALa A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City vf Eagan Ordinancea Building Offlcial Permft No. Permit Hotder Date Telephane 7t Pluanbing ~ H.v.ac. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing «~e / 1774,,& Roofing ~ - Rough Plbg. Rough Htg. Isul. 3 ,/c~d clc•~~~=~ r• g-~r..tiT Fireplace Final Htg. ~ Z,) Finat Plbg. -8'p L• 8ldg. Fina! Cert.Occ. ~ . Temp. LP Deck Ftg. Deck Frmg. Weli Pr. Disp. PERMIT # , , , • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PF11CE PHONE: 454-8100 Site Address ' ~ ~ ~ ~ = ' L"` BLDG. TYPE WORK DESCRIPTION Lot ~ Block 5ec/Sub Res. New Mult Add-on D Name v ~ ~ ~ Comm. ~ Repair Address c City -Phone 233' " nO Other FEES Name r L RES. HVAC 0-100 M BTU -$24.00 - 3 Address ~ ' ' : • L ' ' " ADQITIONAL 50 M BTU - 6.00 p City ~ Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19'a OF CONTRACT FEE ForCed Air M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPL,IES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas.Piping Outlets # BEYOND $1,000) Other , . „ , : • FEE - , S/C: SIGNATt1RE OF PERMITTEE TOTAL• s ' FOR: CITY OF EAGAN ~ ~ ~ . ~ ~ . 1 • 5>r~d>d -7/0 -W-rsq"? ~9-?7+.&ZL "V o C 5Ow-ez . 1 + - s.... - , ~ . fgtr#tftraft uf (Orrupanry Ctp of (Eagatt mpvwrb"ti of sitdding iwpriintc This Certf~"rcate issued pursuant 10 ?he requirements of Secnon 306 of the Uniform Buildiag Cate certifying that at the time of issuance tlus structure was in complianre witk rhe various ordinances of the City regulating building construction or use. For the following.• ~C?L`"'L•'cZl ; - i;Fi' use cluieceboo 'li , J _ sMg. Flrmit No. i 6 Cmz o~~ Tra 2°~r°O"a ~m ; It1(} Wr~YA'l.c ~ ~JD, C~Tt~:y Btdkhng naare« 1389 jL7Y 4 i ; T`4,r.":; L Ip B 1, 'PJIJP: tq;*!"1.~ 7~ ~ DW: 1tlLY 8, 1487 euaaing oMc;.i POST IN A CONSPICUOUS PLACE ~ ~ "V f~rdifiratit n# Mrrupanry , Citp of eagan , Drpartmmf of lutlding JWPriimt 1 This Cerlificate issued pursuant to the requiremeRu of Section 306 of the Uniforrn Building I Code certijying that at the time of issuance this seructure was in compliance with 1he various ordin4nces of the City regulating building construction or use. For the following.• 1 • . ltrmii Mo. tbe Clagsificaaoo Bkle 0-uWncYTYPc ZosinB Disuitx T Cwet. ow~oreuam~g;`'-`1•:r5; ~m -1~~0 HIL4'D., CA,. :.1, $1, TO+nt C71M 70. i;Tr'. Bwlding Add= . L=+1ib are: JOW, 1 I jn~ BuBdioB Official POST IN A CONSPICUOUS PLACE ~ ~ ~ F . .1 1 j . ~ . _ . . . . . . " . . . , ~ t . . . . ~ , ~ . : • d u, , _ I ' " 'ci'•' ~ff:~'~} i Pt . .~1; . ? . ~1 CITY OF EAGAN Permit No: Date: 3830 PBot Krn3b Road Meter No: 3 72 7 3Z{( SiZe./ o c P.O. Box 21199 Reader No: CL S N74 D. S.3 Date: J;7 i EaQan, MN,a5121 i Ownec ~_~Ctrncf-'r,n ; i;' Site Address: L * ? A ~ • - r h Plumber. nVa ? » Conn. Chg: ~EWng: . . Acct Dep: Permit Fee: E'10 « surchar ~ TELEPROTEn-M b f~IC - GAS ~t~~ 9 ~aq+ree tocomply wRh the Cltp of Eagan Tr. Plant iiyir. ~~c~~~ Meter. Qr,1~lP.l,~°r~ fG.e~"/-' 73 ~ `1`~ nnisc.: By ~ia ~.o a WATER SERVICE PERMIT ~ ~fFr*"( b~ CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilo1 Knob Road 17 5'j P.O. Box 21199 PERMIT NO.: Eayan, MN 56121 DATE: 4-1'87 , 2oning: r;'No. of Unlts: Owner. CoAStnsction 70 Address: „r' SiteAddress: 1219 Tovn Centre Drive Ll A1 Toyra Centre 70 6Lh. Plumber. !'skota P1umbinF. 69107 & 71727 3-20-37 F 12-16-0£ 7f)0.00Pt; I agrae to comply with ths qy ot Eayan Connecdon Charge: ~,•~~~5 -~Fts~ Ordinances. Account Deposit: Permit Fee: Z~ - OnAd Surcfiarge: _ Stlp'j ; By Mlsc. Charges: Ppre] r1[1„0¢~e Date of Insp.: Total: , Insp.: Date Pald: ~36408 ~~5 y Repuest Date Fire No. Fough-in Inspection Fepuiretl? ~ ? Ready W. ill Nodly Inspeclor ~ Ves o K'hrn Ready9 ? I E ensed contractor ? owner hereby request inspecfion ot above elec[rical work at Jab Atltlress (Sneeq 9ox ar Aoule Na.) City /fa~ ~GV.C Z~~6 G -~r Section No. Township Name or No. Range No. Coun~~ OccuddM (PPINT) PhOne No. i ~ ~G~ Power polier Atltlreu Electneal ConVaotor (GOmpany Name) CAnVeclorS Licrensa No_ ~ L~~Gc.~-iG GSS~z G~.(' ailinp qatlress rCOnVador /or, Owner Making Inslalle0on7 AuOr etl Signat ICon~rocto~/Owner Ing Inslaltafion~ i Phox NumOer MINNESOT ATE BOAPD DF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriggrMiGway Bltlg. - floom S-113 BE ACCEFTED BV THE STATE 80AFlD 1821 Univeroily Ave.. Sc. Paul, MN 55/00 UNLESS PROPEF INSPECTION FEE IS FWne(61Y)6C2-0800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe ~ ? See inshuctions for cqnpleting ihis lorm on Oack of yellow mpy, 36408 "X" Below Work Covered by This Request ~ -ew gdtl Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater ElecMc Heating tApt. Building Dryer Other (Specify) mm./Industrial Furnace rm Air Conditioner er Isyeciryl ConVacWrE Remarks' IZae-~ eK C-ec G~ ~1- Compute Inspeclion Fee Below: ~ - ~ / # . Olher Fee k ServiceEniranceSize Fee # CircuRSiFeeders Fee Swimming Pool 0 W 200 Amps / 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspector's Use Onty: 7p7pL Irrigation Booms /J . ~rstl Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oate certify that the above inspection has F;nei oet~N been made. OFFlCE USE'JNLY This request voitl 18 monNS irom rnns da.ast ,.oia 18 months from C 8414 2 1 i 7D ~ ~ ~ . . y~~ R,epdest Oate - Fire No. Roqghetl?lnsoection Dqeady Nuw IA W~II Notify Inspec- m4K4, i6 Yes ~NO tor When Ready icensed Elec[rical ConVactor I hereby request inspaction ot above Ownei elactricel work insfellad eC Streei AAdress, Box or Route No. Cfty ~-~~9 ^awv~ G~n t ection o. I Township Name or No. Hange No. County Occuoant IP111NT1 Phone Ne. S' ~ Power SuOP~ er Address ei y3oo o-7b sf I,JFST. Elec«ical Contractor (Company Name) Gonfracbr's License No. Standard Electric Co. 40837 Mailinp Address (Contractor orOwner Makin9lnslailationl 2672 Maplewood Dr., Maple od, Mn 55109 Authorized S~g~ e 1 ~ r ing Installationl Phone Number 484-8044 MINIVESOTA TE gOAND F ELECTRICIiY THIS INSPECTION qEQUEST WILL NOT Oripps-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAND UNLESS PflOPEH INSPECTION FEE IS 7821 Unlveraitv Ave., St. Peul, MN 65104 Phona187Y1842-0800 ENCLOSED. /y,'7 REQUEST FOR ELECTRICAL INSPECTION JV% es-oooo/i-os IW f-0. If See instructiens lor completing Ihis torm on beck of vellow copy. - a "X" Below Work Covered by This Request AAtl ABp. Typ¢ ol BuilOlne ADClianees Wired Equipment WireC Home Range Temporary Service Ouplex Water Heater Lightiny Fiztures Ap4 Buildfng Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank F8lfil iber Peci y Uther ISper.ifYl t er Sueu y Ner Other ompute Inspection fee Below Y Fee Service EnbanceSiza d Fee Feeders/SUbfeetlers N Fee Circuits ~ CPO . 0 to 200 Am s 0 to 30 Am s - 0 to 30 Am s Cilit Above 200 Amps 37 to 100 Amps 31 to 100 Amps Swimmin Pool Above 100-Amps Above 700_/>m ' TrensiormerS rri ation Boorcis o Partial.`Other Fee Signs Special Inspection S~so 70TAL F J emBrks ~ pough-in 35 ~ate frJ 1 ihe ElecVical ( j InsOectoq hereby cerlilv «t the above Final Oat inspection hes Eaen ~ haaa. mls rpuasl voiE 18montM Irom 7his request void 611 y ly, 702- 18m78586 i C ~ ~I ,~~n ltr ~U G~ Ret,4uYSt ete Pire No. Rovph-in InsVection - equired? fleatly Nuw Q Will Notify, InsOeo- `]4N ?Yes N. tor When NeaAy Licensed Electricel Controctor I hereby request inspection of ebove Owner eleetrical work inatelled at: Sueet Address, Bax or Route No. Cbn%kQ 0Q j,• City 1.3 ~lk za\ E . ecuon o. Townshjp Name or No. flan9e No. Counry Occup'ant (PPINT) Phone No. c~AR C4AF. Cgn`~(~ C-7a ~36-~f396 Power Supplier S~ AdCress £~fZic GL Elecirical Contractor (COmpany Name) Convar.tor's License No. Standard ElectricCo. 40837 MailinB Address IContractor or Owner Making Insiailationl 2672 M wood Dr., Ma lewood, Mn 55109 Authorized a~ur tor Owner k4arking Installation) Phone Number 484-8044 MINNESOTA STqTE BO HD OF ELECTPICITY TMIS INSPECTION qEQUEST WILL NOT Grieas-Mldwey Bldp. - Xoom N-791 BE ACCEPTED 8V THE STATE BOAHD 7821 Unive.sitv Ave.. St. Peul. MN 55106 UNLESS PROYEN INSPECTION FEE IS Phone(672)642-OB00 ENCLOSED. -~VS'7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 p`~. . 1 See inatruetions for coMpletinB this torm on beck of vallow coOY. C 7,8 "X" Se/ow Work Covered by 7his Request ~ tiAtl Neo- 7vua of Building AOClioncea WiraE Eouipmenl Wired Home Range Temporery Service Duplex Water Heater Lighting Fiztures Apt. Building Dryer Electric HeaUn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank F3rm iher ueci y ~her (SOCr.ily) t . UecJy ther Other ompute lnspection fee Below N Fee Service EnlrencaSize tt Fea feadera/Subleedars N Fee Circuitn 0 to200qm s 0 to30Am s 0 tn30Am Above 200 qm 37 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Am s Above 100_.Qm s Transrormers Irngation Booms y3 Partial.'Other Fee Signs Special Inspection S rks TOTAL F / peme '/6M ~R.V1C1E Rougb-in Date 1, the Electrical Inspector, hereEy cBrlilY thet fh0 9bOVB Final ( Oie inspection hes been mada. ThM repuesl volE 78 monthe Irom • ~ I For:t3~flce~se ~ City of EapIl ~ Pertnit # / J T 6) 1 -3 ~ 3830 Pilot Knob Road i Permit Fee: I Eagan MN 55122 Phone: (651) 675-5675 I oate Received: Fax: (651) 675-5694 j i ~ Staff: L 2008 COMMERCIAL PLUMBING PER IT APPLICATION Date: l~ Site Address: ~I4X 7/ J~ Tenani / Suite PROPERTY Name: Phone: OWNER i CONTRACTOR Name' / License Address. i fate: "Contact Person: TYPE OF -New -Replacement Repair Rebuild _ Modify Space Work in R.O.W. WORK Description of work: PERMIT TYPE COMMERCIAL _ New ConstrucUon _ Modify Space _ IrcigaUon 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 oickinq up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00 Avg. GPM High demand devices? _Yes _No . ' Flushometers _Yes No PRV Required _Yes No COMMERClAL FEES: $50.50 Minimum (includes State Surcharge) OR contract vaiue E X 1% _ $ Permit Fee Required on ALL new buildings and boulevard irtigation systems 4 Radio Meter Read - If Permit Fee is less than $7,000, surcharge is $.50 Meter(s) - - If Permit Fee is >$1,000, surcharge increases by $.50 for each $1,000 $1,000 PertnR Fee (i.e. a$1,001-$2,000 Peimit 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 TOTAL FEES E I hereby acknowledge thal Mis in(ormation is wmplete and accurate; that the work will be in con(ortnance wKh the orEinances and codes of Ne City of Ea9an; Nat 1 understantl Mis is not a pertnit, but only an application for a permit, antl work is nol lo start withou[ a permit; ihat the work will be in ac5:o{tlan with the approved plan in [he case of work which requires a review a approval o( plans. X - x ApplicanYs Printed Name Appii nY ignature FOR OFFICE USE' APproved Date: Required Inspections: _Under Ground _Rough-in : _Air Test _Gas Test _Finai Page 1 of 3 i yQ 2006 COMMERCIAL BLTILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Esgan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 . • . • Strudural Ptans (2) sets • Archdedural Plans (2) sets • Arohitectural Plans (2) sets • Civil Plans (2) . Structurel Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Projed Specs (1) • Cotle Analysis (1) " • Landscaping Plans (2) • Key Plan (1) . ProjectSpecs (t) • CodeAnalysis (1) ° • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certficate of Survey (1) • Energy Calculations (1) not always"" • Soils RepoA (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 establiahed-if applicable J . Projed Specs (1) J • EnergyCalculations (1) J . Electric Power 8 Lighting Fortn (7) ) • Master Exit Plan (1) ) ) • Emergency Response Site Plan (1) J 1 . Soils Report (1) 1 • SAC determination - call 651-602-1000 • SAC determination - pll 651-602-1000 • SAC determination - ca11651-602-1000 . Fire Stopping Submittals • Fire Su ressionlAlarm Plans Call MN Dept of Health at 651-215-0700 for detaiis regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required permit for new building or addition will not be processed without Emergency Response Site Plan. Date A1 / ~ ConstructiooCost~~, Site Address J3g,q T[~y~ C.EnfTKE I;~RiVE UniUSte # TenantlYame JIFF`( LuLiE _,5EeVIL aP(7E2 FormerTenantName Description of Work ~)EF_ A-rrM ugD SV1E_.~ ProperlyOwner EA62pN A#_tm I"fAL C% F~RK ("liDV.1E5T Telephone#(-7b3) $4-IS EAL EST Applicant is: _ Owner ~ Contractor Contact 413- So80 Contractor DQLRGC ~ 9-Ih1L n1L Address Z28S T,)ANIFL5,_<~'T Cityl.6hJ6 L'E. State m IJ Zip5S3s(o Telephone#(952.) -4-13'808d Arch/Engr AI"11~SE LT1.~ • Registration # Address -1Wi OiAt`ls L.AIJEi 4::~u1TE i9J City nI11f4EP.F)0US State in J~J Zip rj.S I Z'3 Tekphone #((a1 't,) $09 -(0340(0 Licensed plumber installing new sewer/wdter service: Phone ( 1 hereby apply for a Commercial Building Permit ago apkpoWlQd#0 *at (he 1Nformgkipp is cpMplet6 &q0 7Goprate; t}1qt the work will be in conformance with the ordinances and codes of'tNe Ci'ty of Eagan and ttse State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. JOu E )F aE9, ApplicanYs Printed Name ~cant's Signatura DO NOT WRI I'E BELOW T'HIS LINE Sub Types ? O] Foundation ?~6 Public Facility ? 30 Accessory Building ? 14 Apartments a~ 27 CommercialMdustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" V 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Giva PCA handout to applicant ValuaGon Type of Const Width Plan Rev 100%= 25%= Occupancy MCES System - SAC Units Zoning ` City Water Nbr. of Units Stories - Boaster Pump Nbr. of Bldgs ~ Sq. Ft. PRV Length 1 Fire Sprinklered ~ Required Inspections _ Footings (new bldg) _ F'veplace _ R.I. _ Air Test _ Final _ Footings (deck) _ Insulation Footings(addition) _ Sheetrock Foundation FinaUC.O. Drain Tile ~ FinaVNo C.O. _ Driveway Apron Other Roof Ice Pr _ Decking _ Insul _ Final _ Pool Ftgs AidGas Tests _ Final _ gram'mg _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final Cf0 Inspection: Schedule Fire Marshal to be present. _ Yes --_'~No Approved By: Planning Building Inspector Base Fee Surcharge SO Plan Review SAGMCES SAC-City SIW Pertnit SIW Surcharge Treatrnent Plant Financial Guarantee Treatment Piant (I(iga6on) Storm Sewer Trunk Park Dedicatlon Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Waier Lateral Water Trunk Water Supply & Storage (WAC) Other rotal 3i~5.75 SCOPE OF WORK Jiffy Lube Job #06-017 EXISTING @ JIFFY L UBE: • Metal deck • 1/s" perlite insulation • 5" EPS • Rubber w/ballast DEMOLITION @ JIFFY L UBE: • Tear off existing rubber and ballast down to existing insulation. • Cut back existing membrane on wall so we can overlap new membrane (2/1) refer to detail • Perimeter metal to remain in place INSTALLATION JIFFY L UBE: • Loose lay 1" isocyanurate insulation over existing • Sump roof drains • Loose lay 45-mil reinforced EPDM membrane over the isocyanurate insulation ' • Bond field ply of 45-mil reinforced EPDM membrane up and over the perimeter. • Flash and tie into all existing penetrations as per manufacturers details. • Install new prefinished metal flashings 2004 COMMERCIAL PLUMBING PERNIIT APPLICATION CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 -7 , 30 , o`/ Date _ F/n Site Address / 3 g/ TU6Ur? G2n/7v` /C (U-e_ Unit # Tenant Name ? i F f"`! L~(34_~ ST-Ug-e- Farmer Tenant Name PropertyOwner /yJUf,v~, Telephone#(~~) Contractor t / V 1)('PC,111'NlCiYz~ .?C ~ nddress 79Y6 city ~4~uvc ff% ~ S[ate ~1 i/?N~ Zip J S V 77 Telephone #(6s1) Y3~- The AppHcant is _ Owner ~ Contractor Other Work Type _ New Blda _ Add-on Repair RPZ _ PVB _ Irrigation system * • Rein sensors re eired. ]er Wobschall m ca Description of Work /L RP~ ~A 5-- yel'?A S'e/(U(C~ To inquire if Prcssure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostaric, conduc[ivity, and bacteria tests passed urior to oickina un mecer. Irrigatioo Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3!4" disi)lacement $155.00 Domestic Size & Type Avg GPM includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (ineludes Sta[e Surcharge) ContractValue $ x 1% _ $ ~~•66 BaseFee $ Meter(s) Required on all new buildings & boulevazd irrigation svstems $ Radio Meter Read IFbase fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply onty when installing uew irrigation system $ Watet Pem'ut ~ Contact Jeiry Wobschall at 651-675-5024 £or required fee amounts $ Treatrnent Plant $ Water Supply & Storage $ ~ State Surcharge ' $ 50 -SU Total Fee 1 hereby apply for a Commercial Plumbing Permit and admowledge that the informafion is complete and accurate; that the work will be in confomiance with the ordinances and codes of the City of Eagan and with [he Plumbing Codes; that I understand this is not a pemtit, but only an application for a pertnit, and work is not to start without a pemut; that [he work will be in accordance with the approved plan in ihe case of work which requires a revicw and approval of plans. ~ f'?l~~~2 ~i~' ~ T=~ m'~~s~J ApplicanYs Printed Name ApplicanYs Signature CITY USE ONLY , REQOIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , SUILDING INSPECTOR General Information • Radio Meter Read (required on all oew buildings & boulevard irrigation systems- $141.00 • RPZ'S must be rebuilt every five yeazs. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOUIRING A J-HOUR ADVANCE NOTICC PRIOR TO PICK OP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" irrigation Syst $ 788•00 displacement sm commercial wrbine** mu9t reCeive masimuin contiouous approval 10 from Public W orks 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine Ig irrigation syst $ 992.00 masimum displacement residential & continuoiis sm commercial production lines IS 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 & Ig comm bldgs 25 irri ation s stems 5-100. I-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 MfTCRS RFOUfR1NG 30-UAY ADVANCE NOTICE PRIOR TO PICK UP CPM METERS USG PRICE GPM METERS USE NRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.011 syst & production very Ig comm bldgs lines 1/2-320 3" compound +Zpp unit bldgs $2,407.00 10-1000 6" cumpound +400 unit bldgs $6;124.00 very Ig comm bldgs very Ig wmm bldgs I5_1000 4^ [urbinc very lgirrigation $2,384.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, cal I 651-675-5300. ce: Maintenance Division Clerical Technician Updated 5/04 RCUVI.CU t"YCCJJUtCC tSHI.KrLUVV F'KCVtN I CK I CJ I Ktt'VK I ANU TESTABLE DOUBLE CHECKS + SAINT PAUL REGIONAL WATER SERVICES vice Name: Sl ~F y ~,1•~'~~= Contact PersoNTele 6Sl- 6~ '~Z{~i ~ Jress: i3C60I TOc.Jti COUJ-r_R DR. ciry: EA GpA) State: M~Zip; »Id3 oice Location: J~'n'1 ~ Serve what system: CA 2 LtJ~ kl :ount Number. Serial Number: ~i L/ )e: Make: WxMfS Model: 06ci Size: tall Date: l~A) ~AJC),j /J Air Gap Installation Date build Date: 7 1 2$ ~ dy Tesi Date: 71ZA616t/ 4nnual Check Valve #1 Check VaNe #2 Difierential Pressure Relief Valve R2port 0~y~ / Pressura D j Pressure CLUc~~'J/ Opened at ~AbPSid reduced pressure. T 1('j HDid not ooen Cleaned Cleaned Cleaned Replacad Replaced Replaced R Disc Disc ' ^ Dlsc, Upper E Spnng SP°n9 Disc, Lower p Guide Guide Spring A Pin Retainer Pin Retainer ' Diaphragm, Large I Hinge Pin Hinge Pin Lower R Seat Seai Upper S Diaphragm Diaphragm Diaph2gm, Small Other, descnbe Other, descnbe Lower Upper Seat: Lower [.cj~1 Upper Spacer, lower Other, descnbe L/ I Sign and daie Tag ~ ie above is certified correct. Signed DateTesied: :sted hy (Print Name) _~/G}(~~ ~ 0~= Certification Number :mpany Name: U I 'Cb YV\~C.. License Number -F OO 31 o15-f/n ~mpany Telephone Number 6.S 6ft 161 I sections of this report must be cample'ted. Number of Devices Fee oer Device :tum to: Saint Paul Regional Water_Services First $ 30 8 4th St E Ste 400 Devices 2-21 $ 25 Saint Paui, MN 55101-1007 22 and over $ f 5 atum with fee: payable to the Board of Water Commissioners. fiRE HARSHAL DIVISION E m"V1 EWE D~"' , STATE OF lfINNESOTA DEPART?ENT Q+ p(JBLIC SAFET7 ;;U??JECT TO FINAL INSPEC710N MarkeL Houae A;dD ANY CHANGES NOTED. 289 EasC Fifth Street • St. Pau2, !QI 55101 o CONTACT LOCAL FiRE AUTHORITY 612-296-7601 PRIOR TO PROJECT START. MINNE TA STATE FIRE MARSHAL • FLAl41ABLE AlID COltBUSTIBLE LIQUIDS Oe PLAN REVIEY CUIDEGINE gy;_r.a~-A Date: Pleaee fill in the folloving Snformation completely. Where not app11ca01e mark NA. Sncomplete intormation will reault in tha plans Deing returned. Date ! / /(eh-7 Par: Company ~ ( n pf Addresa ! r)W n Dr. ~ _DQGK-(J0J JJY . CSLy Contact Phone / J3 - 7 OC)U / Sank Into: Slze 1 9/X ZI 2 ~-O ~7 1C ln 3(P 7 X(~ Capacitr 000 /UOG} ZUr;~ ~;j•,r • ,itG ~r Product b~ a-cTe_ C)i ~ 57 lu 3G a~ ~ /G uJ 36 oki Constructioa 3( 1- PZ cJ77, Pi_ STl n n ! - Equipment: Submeralhle wetion PiDing(material) ~a~U a*~lZ-Pd'`~ 4IJ'ItfdD ~ ' Yqye: Full Serae 3e1f Serve_ Corroaion: Soil Type Teat Equiyment ~OHK/CM ProtecEion: Type Anodes ZnaWlled, Tank piD1nB APR o° ~ %,~987 1`3 • All material submitteG ahall be leglble anG in duplicate. 6f • Include plot plan of property ahowing location ot adjacent atreets, highxaya ~C bullGingn, aurtace watera; and other Dertinent immediate aurroundings. ~FO£bZ82L2 0 SuperAmerica Group, Inc. 0 1240 West 98th Street Bloomington, MN 55431 SUPERAMERICA, (612) 887-6100 (612) 887-6158 FAX August 26, 1992 City of Eagan 3830 Pilot Knob Road Eagan, NIN 55122 RE: EAGAN AUTO MALL Regarding the re-designing for the stacking for the Jiffy Lube entrance at the Eagan Auto Mall, this letter is to inform you that SuperAmerica will advise its employees not to park within the remaining three stalls at the eastern most corner of the site. 'ncerely, Hansen, ea Manager JH/lc c:Douglas Sailor, Midwest Management SUBSIDIARY OF ASHLAND OIL, INC. ' 46 /~/l !/G=GL`7L_ ~f/tiL _ 1800 2ND STREET S0. (612) 933-4800 HOPKINS. MN 55343 /Ua Cty. Rd. 3 lua/ Wrst uf Cty. RJ. 19) . EARTH RESSSTIVITY DATA SHEET ~-~'TO: 5~':T~ °T? M1`'SF?^,T:, 121y6 University Avenue DATE: 4// /1 ST P.'1iiL, MN 55104 JOB LOCATION: :s-, ('~v 1,wRr? ~mc?~3~c,wfa~+i,J~Y'~ ~CS-u~"' ° "d Dr~ ~ / / ~~l ' SUBJECT: Resistrvit 7'est wae accaopTishe roug t e use of a four puint ~ vibroground tester that work5 on a null-balance principle oE operation. , This test measures reaistance of a hemisphere oE :>oll. RESULTS: Pk0[tE PLACF.MENT RFADINC ~ 'res•r n: /o X i2 X. 5~ ~C i~/• 9 ~ i ~`~pEC'~~~N •0~ \ p la, ~p , TEST B: /O X /Z ~ . 7'Z ~ ~ / ~•'l ai j.(C~'AGt$~~1'A00 . 'v O o D~~~ Lf1T~EPjpFtt. ~ ~ 0 z r.oj ~'0cpO~~°~ a o ~ F'or la = Probe Placement in feet x y~ 1 a cuhic c eters { 0, AN/?_,Q,~.-°-~ Condue~ Y I i/ l Date , ineeriApproval Date ~~V'- I~ -y ~ h ` o . kf~ ~ - N i v Q. 77 I ~ ~ 0 0 ~ CP r.0s 4 EO6~' Y~Y~1• FuelinR Syptems - E.~pcfranic CauginQ~ ~PEO Srf/ Seru Eqteip m,en( - ('nmpn•ssors Inirnfary Conhafv - Fibrr lass Tankq Rc Pi ,r„ Aum l,ijts & Porl.. - Srrvirr Sttitinn {lump. / CITY OP EAGAN N° 12965 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT CQMyERCIAL Receiptu 1To be used tor LUBE/OIL BLDG Est. Value $160,000 Date DECEMBER 15 ,1986- SiteAddress 1389 TOWN CENTRE DR Erect m Occupancy H4 I..ot 1 Block 1 Sec/Sub. TOWN CENTRE 70 Remodel ? Zoning rc~- Parcel No. 6TH ADD Repair ? Type ol Const--I~mk. Addition ? No. Stories ,j, ~ Name MIDWEST MANAGEMENT Move ? Length 46 ONLY) W Demalish ? Depth 46 = 7100 WAYZATA BLVD o Address Inl Impr. ? Sq. R. Cih, GOLDEN NA& 546-3446 Install ? 4.048 °C CONSTRUCTION 70 INC APProvals Fees o Name $a nddress 1430 W CTY RD C Assessment Permit $ 583.00 m C;ty ST PAUIQnone 636-4390 water&Sew. Surcharge 80.00 Police Plan Review 291.50 WW Name K.K.E. ARCHITECTS Fire SAC 575.00 Address 300 FIRST AVE" NO En9. WaterCOnn. N/A `aw City MPLS Phone 339-4200 Planner WaterMeter N A Council Road Unit N A Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Oft. 12/8/86 Tr.PI. 156.00 information is correct and agree to comply w'(h all applicable State of N/A Minnesota Statutes and City of Eagan Ordi hces. APC Parks Var. Date Copies_~ Signature of Permittee Total a 1,685.50 A Building Permit is issued to: CO STRUCTION 70 INC on ihe express condition that all work shall be done in accordance with all applicable Stateyg~\Minnesota Sta tes a City of Eagan Ordinances. Building Official ,v 4 p p , ~ ~ n _ ~ 1986 BQILDING PEAIiTP APPLICAYIOB - CITY OF EAGAN HOT6: ALL CONTRACTOHS MQST BB LICENSSD WITH THE CITY OF EAGAN SINGLS FANID.Y DiiE[.[.IIdGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SDRVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DWELLIPGS - RESIDENTIAL EEdTAL [IDIITS FO& SALS OLIITS INCLUDE 2 SETS OF PLANSt CEETIFICATE OF SIIRVSY - CHBCB WITH BLDG. DSPT., 1 SET OF SNERGY CALCULATIONS CORMCIAL - INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND CAI-tMEPU Al.. To Be Used For: Lur36~101L- f3f-,?Ca. Valuation: ~(~O,QOO Date: Site Address n89 -Towu C.ctJTRE pR. OFFICE DSE ONLY Lot ~ Bloek ~ Ereet ? Oceupancy H 4 Remodel Zoning GSC. Parcel/Sub TOwI.c C.~TIzL- -Ic) (oTM Repair Type of Const Addition _ 4 of Stories I_CBS" T. q+L-Y) Owner Move _ Length 4(o Demolish _ Depth 4 4 Address Int.Impr. _ Sq Ft 4c~8 Install City/Zip Code Phone APPAOVAIS FEFS Contraetor Assessments Permit 5 L45 3, Water/Sewer Surcharge F30. Address Police Plan Review Z°11• 91 Fire x SAC 5? 5 City/Zip Code Engr Water Conn N/a Planner Water Meter N/n Phone Counciload Unit N~ Bldg Off ~ reatment P1 IS(o. Meh./Engr. APC Parks N/A Varianee Copies Address 10?9L 114065, r= City/Zip Code Phone ~ NOTS: ADDEESSES FOR CORNE9 LOTS - CONTRACTO8/HOAlEOiiNER MQST DESIGNATB HHICH ADDRESS IS DfiSIRED. HO CBANGES WILL 'AE ALLOiiED ONCE BIIILDING PEEMIY IS ISSIISD. ' (~r~2rniT ; - 1 oo, o00 433 lp0, 000 583 st33 o X, s = ~o 8o PcAu P-evIGLJ 5 83 = 2 = 2`1 I.~ Zq 1. SO ~ `7AG 575 575• IrJ A C I~s /A ~ h7 G'f~fG N ~fa rzoao u~JIT 2oaD uN i'r P~D Fo(L i.,ii'n-~ PE~zra,t Fo(L l3`Iq fouN G~'krn.c 'D2. ' ThL • Pa.a fc N~P~ -`PP.rzk-' Pc-50. PX (o Fo(L i~(7~-+ Pa tA c I Fcr2 (391`j ToGJnc 6~~'~T[c- ~2. ' CITY USE ONLY ~ L / B ~ ~CEIPT SUBD d,/p{,(ty{ RECEIPT DATE APPRO VED BY: INSPECTOR PLUMBING PERMIT # 1999 fLUbi$IRfi PEEthiIT (COhih3ERC1AL) CITY fJf EAcfiAN S$SO PILOT KNO$ ftD EAEL"; huv ssiSQ (651) 6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate building pennits are S required for each dwelling unit installation of backflow preventer in commercial areaz or residential boulevards Date: y- Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler ~ RPZ Description of Work: -;&~~e.v.o,~ ll-3,.}f. ?"~-1~r To v`^cy@v ~ To inquire if Pr ure Reducing Valve is required on new service, call 6814646. .F'BES ~ 1°/o of contract price or $30.00 minimum Contract Price: $ x 1°/a = $ COMPLETE THIS AREA ONLY IF INSTALLING LINDERGROLIND SPAINKLER SYSTEM Backl7ow Preventer Permit Fee - $ 30.00 $ Water Meter: 2" Turbo - $ 889.00 unless plan approved for smaller size $ Serrice: _ existing (if coming off damestic line) OR _ new If "neiv seivice". contact Jenv Wobscleall. Finarace Consadtant to cmtTr•m addrnefees or: Water Permit & Surcharge - $ 50.50 $ Warer Supply & Storaee - $ 825.00 $ W ater Treatment Plant Charge - $ 468.00 $ Permi! Fee $ State surcharge is calculated from Pemut Fee at right - State SurChaTge $ S.50 for each S1.000 with a minimum of $.50 due Total Fee $ - I hereby acknowledge that I have read this application, state that the information is coaect, and agree to comply with all applica6le City of Eagan ordinances. It is the applicanPs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operational and maintenance acAviries m the faciliries constructed under t6is permit within City propertyhight-of-way/easement. SITEADDRESS: Tnllv~caJ~t nr TENAA'T NAME: L... v4e TELEPHONE (AAEA COD6) INSTALLER NAME: GwInX~ nzc-~.a~; c.Lk TELEPHONE Co 51- -1 `b(o- 35S S (AREA CODE) STREETADDRESS: CITY: L.. np L~V-eS TE: ZIP:550~ SIGNATURE OF PER flT"I EE CITY USE ONLY DOMESTIC METER SIZE COMPOUND TURBO PRV: Yes No • Contact Utility $illing Division for price: 651- 681-4631. IRRIGATION METER SIZE: • 2" riubo unless approval for smaller meter granted by Public Works. • Contact Utility Billing Division For price: 651-681-4631. PRIOR TO SELLWG A n1ETER: • Enrer site address on Screen 301, Permit Inquiry, to obtain sewer and water pennit number. • On PIMS Screen 320, enter sewer and water pemut # to check that hydrostatic, conductiviry, and bacteria tesu have been approved. If not, do not issue meter. Miscellaneous Information • Meter larger than 5/8" - ask plumber to wait while you call Central Maintenance (ext. 300) and verify that one is in stock. • To schedule inspection of the inside water line and backflow preventer, ca11651-681-4675. • To schedule watertum-on,ca11651-681-43o0. CD(Permit formslplbg permit (comm) 1999 cirv oF ~aca~ CASfdIEF2: F:F. DA7'E: 04/13/99 rER+YTNAI Tl'p(E,4 IL; i~:~~:53 NAMEP ~aLAXI~ /i ECFff~NICflI °'j J 9P2 ~z 3212 ATE 90U3 WAT `-'f5~ EFi METEFi 9(]Ui , 4c'3.0(3 WATFF: METER 30.Q0 JO r°+- CR1pb3Z7R?eceip+, Amouni;; USCR IL. };A7NI 453.50 / **#f****#**W****~**********##*t#**#~ ° C I TY O F~ E A A N PAYMFKf OF FEE AT TIME pF ~ APPI.ICATION DOFS D]OT ODNSTi= * * APPROVAL OF PII2NBT. i ~ APPLICATION FOR PERMIT * * INSPDGTION OF SEWIt ADID/OR Fp,ZER * . * a r.ramr021S Wad, NC7r BE Sam- ,*f SEWER AND/OR WATER CONNECTION UMM PERMIT HAS BM * . * r,2Pxovfn. » * » ~ rt *trr:,t,t* t,r**w***r,r***,ek,t,t,e**r*t** *,r** P ase Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: , Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRCM ME, DATE OF ORIGINAL HUILDING PEI2MIT I55L'P.NC'E: " ~ PRESENP 7ANING/pROPOSED C'SE: (hbn Year) ~ COMP7ERCIAL/RETAII,/OFFICE ~ R-1 SINGI.E FAMILY . Q IPIDCSTRIAL ~ R-2 DL'PLEX (Ztao Units) n ZNSTIZ[,*PIONAL/GOVIIRNMENT R-3 Tf)WNHOL~SE (Three + Units) ( Lnits) . q R-4 APARTMENP/COPIDOMINIUM ( Units) 2' ~ ' NF1PE: ~ • ADDRESS: I r~ • ~ ~ L. crrsr, srATE, zIr: t~~l1CL~ . ~~(13 - _ PxorE:L~2Q ` i~O • 3) • u c _ : For City Use . . ~W~~~a Plumbers License: ADDRFSS: Active FScpired i CITY, STATE, ZIP: Not recorded PHONE: *~g- ~j MASTIIt LICETISE# ~tial q) • • rrarE: _ ADDRFSS: ciTY, sraxE, zIP: PxorE: - -5) ~ r• ~ a• : a • a~ - ~ CONNECTION Z+0 CITY SEWIIt tC'00NNEg,TION TO CITY WATIIt pTMR ' . 6) ' PLF,ASE HOID APPROVEa PII2MIT FOR PICK-CTP BY ONE OF ABC7VE PLEASE MAIL APPROVID PEfiMIT ZU 1. 2, 3, 4, ABJVE . (Circle one) 7) r.r-~~ Z C ' 7; • r• r. ~ . ~ ~ r as u• • a i~• . u r ~a~• . . ~ • I. 10. ~ ~ : Y M'/• •,tl]~ 1 1 1 ~1' • ;A' ' ` . . FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /O ',S-o SEWER PERMIT (INCLIIDE SORCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ - ACCOUNT DEPOSIT - WATER $ $ WAC $ asL-~ $ SAC $ $ TRUNK WATER ASSESSMENT - $ $ TRC'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRDNK SEWER $ $LATERAL SENEFIT/TRDNK WATER Y' 3 (o OC7.` $ WATER TREATMENT PLANT SLRCHARGE $ $ oC0 • O O OTHER : A~ $ 6S70 O $ e TOTAL .I/Q 7"~ 7~ 7 7~ / S~ RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERIN~G_n n p NO DIVISION. LIST AS A CONDITION. (J/ SUBJECT TO THE FOLLOWING CbNDITIONS: C~lzL~i~i' c ~ ~ _ C.F d2J APPROVED BY: TITLE: p~`~) LLJ~ DATE: 7 /,3 1 1-f e~ ~ CITY USE ONLY L / BL ~ y RECEIPT#. 91~0 7 SUBD. ,i1DfAiN RECEIPT DATE: / d 1998 MECHANICAL pERMIT (COLMRCIAL) RECEIVED CITY OF ZAc,Ax M4Y 1 3 1933 3830 PILOT xiRos xn EAGP,N, bIId 55122 Blr; (612) 661-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required far each dwelling unit DATE: 5 `ra ^ ~ ~ CONTRACT PRICE: $$~~FD ~ WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: /Cewor9e Gcta~v.~aror..~ I~, ,D T~~S FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING ~ PERMIT FEE G~S STATE SURCHARGE s~ (S.SO per 51,000 ofneimit fee due on all permirs.) 0 TOTAL C-75 g~ - - - - - - - - - - - SITE ADDRESS: J`OWNER NAME: PHONE (o D O Z C ~ TENANT NAME (IMPROVEMENTS ONL1): pm6te0m-,j-t a.nDxESS: 2~73 1 G~.s. At-1y 2 rz ~ PHONE#: .~2~-S(oL - ZS( s~ 6!Z -7SI - /5'86 CITY: Sfe(,JUm 1 STATE: //K/t ZIP: SICII A RE OF PERM TTEE CITY INPECTOR ~ ~f G? i~ CITY USE ONLY . . LOT BL RECEIPT It: SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQiOB RD . EAGAN MN 55122 (612) 681-4675 Date• Complete this section onlv if you are installing HVAC in single faznily, townhomes or condos under construction and not owner loccupied • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete tlis section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residentia] units; but is required for the following: _ Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: PHONE STREET ADDRE55: CITY: STAT'E: ZIP: SIGNATLJRE OF PEAMITTEE 1S/FORMS BLD/MECH PERMIT (RES) - 1998 Au ro 1"IA-w w {~L~N To NS W C.G OC~up~v~tGY - 1`~• 4- ~/>e~:n r~~N~c:r% ~¢esror~i~ f Ruin t~c;kPr±ricE Ov~2Fl~W DR~NS Gj1:C,~( S7~2ucT, Tai-r,-rT _-=)E-"P WALLS - - \IALU~'Ro~.1_ - - -~LO,~C~O-- - ----SNCi,.C_ ou~Y-- _ • - _ I~I'(F~ZJOL_ (?1ycCt TS- - - - - - _ _ MEMO T0: JAY BERTHE, POLICE"DEPT. ' TOM COLBERT, DIRECTOR OF PUBLIC WORKS ~ JIM 3TURM, PLANNING DEPT. KEN VRAA, PARKS & RECREATION DEPT. ' JOE CONNOLLY, WATER DEPT. . ' JON HOHENSTEINt 6DMINISTRATION . FROM: llAL,E PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: The preliminary constructioa plans Por Ca< C/~RE `-~h{'f~?~ - D(1G4I,-1G27D ~"r'o11N CEFC70E are in our plan revlew section for your review and comments.° Please return this form to Steve fianson with your initialed cos d the date oF review. Failure to ret~sn form to 3teve within Pi (57)Z 11 be considered your approval. rw.. Thank you. •R'r~W"Y~.~sM,~.v.:.:•.d+wi..'..:: .f.a~a,v:e:.~, ~ . ~ ~ - /JS ,1~ ~ ~i"rn V? ~R : ;:n4 ~ J. ~ Fa'Miw Li"~` Y)`F j'~=f it.~y. ~ .4 f~.~.Y'~t•~. h' . . . - . , . . . _ ~ ' : ' . . . . . ~ , ; Y.'. y Y ~ ~ , • • ~ • " . . .l _ . 1 . e . . ~ ; - : . . . . . ~ . , ~ ' ' . . x :;i... _ . . , o . _ . ~ . . . . > - . ' . . r . ~ ~ r $,~Y, ! { ~ ~;~yl' ~ t ~y,~.. ~ . e qx..... . TT° RIaLy~.4~T~~F~trG~~' ~.'~~T~.. . n . r " J.. . .l~. .1.. . x •YN.W S~~fYU". M.. MEMO T0: JAY BERTHE, POLICE'DEPT. _ TOM COLBERT, DIRECTOR OF PUBLIC WOAKS JIM STURM, PLANNING DEPT. ~ KEN VRAA, PAHKS & RECREATION DEPT. JOE CONNOLLY, WATER DEPT. ' JON HOHENSTEINt ADMINISTRATION C~ FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE ItJSPECTIONS DATfi: T6e preliminary construction ~ plans for l&< CI~RE ~TE(t - DuGKfA1G17p D2_ ~'rpi1N CENTM t)?,, are in our plan review seetion for qour review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve rrithin Yive (5) days vill be considered your approval. - Thank you. ~ ~ ~.w~•w. ' . V . . . , . I.cVi.,r.• ,isx..4'-a.: ...l.~Y . .,.Y+,rir.a.. n . S, <:r. . . . . - . . . . . /JS ,~I ~ ' . * , _ ~ ~f +f~'•`1~' k1, , ~ P~lLq;lA1E D ~C € ~:~a+~. s . : rt k s~6l~Y' _ T E G ~C10 ,B ~ N 1°k o T f , 4;7 ! : , •>a . : . . ; , , Yovn'. 4ly.: 'ar m~ rsr':~'~,...~r - . ~ . , . , _ _ . . r`~. L ` , . r'( . -+r r ~ ' ' . . . _ . . . - . . . : i.:" . ~ . . q „ ~ 'i . : L-...:. ' - _ t . ' . . , . ' : . . _ r < "~'t:io r'k . . . . . r . . . . . . x ~?~xF . : ' . . - C-.r~orL. Bc-Pb or~r(-y 7GLU PaNL~( : . . ' Z 1 61 Touu G5N'r'06' 'i b(o TN HYDRAULIC D[SIGN INPORAIATION SHEET . NqME Lk. MIA l. L DATE 3-2~-87 LOCnrinv I LO i KNO B feZA-D _D1.1C K_WOO~ ~~I V P PA r-AN M N BUILDING SYSTEf.4 NO. - ' CON7f.AC70R a ~K~ F~ RE MTSC1 lU1J CONI'RACT tJO. CALCULATEU E3Y 57N E ~EI L OFAYtING NO. CONSTRUCTION: • ? CO'.:I3USTIDLE NON•COb1BUSTIOLE C[ILING HEIGFIT F7. occUr~nNcY AurO (~PAi~ . NFPA 15: 0 LT. HAZ. ORD. HA2. GP. ? 1 ? 23 ? EX. FiAZ. 0 NFP.4 231 0 NFPA 231C: FIGURE , C VE z S2 ~ OTfiER (Specify) u r-J cncr;IclC RULlN;~ fAA-DE DY DATE_ ~ AREA CF SPRINKLER OPERATION ISOO SYSLM TYPE UENSfTY • Z~ ~g V+ET ? DRY ? DELUGE ? PRG-ACTIOFJ y AREA P[RSPRINKLEA : YLlliX f30 SPfiINKL[H OR NOZZIE }iOSE ALL01'fANCE GPA1: INSIDE FdAKE MODEL • HOSE ALLOti'(AF;CE GPt.t: OUTSIOE SOO SIZE_~j-~ K-FACTOR.___ ' RACK SPRINI<LER ALLOtVANCE TE1.~PGRATURE HATING CALCUI.ATION GPMR[QUIR[D 12.o 97 PSI REOUIRLD .179. I S AT B.ASE OF RISER.. SlJ1„AARY "C" FACTCR USED: OVERHEAD_ J 2F~ UNDERGROU`70 I¢O WAIEfl FI 01Y TEST P11mp nATA 1'AIJI< OR RES[fiV91a J DATE 8 TIti!E 5/86 RATGD CAPACITY ' CAPACITY STATIC PSI _AT PSI [LGVATION j R[SIDUAL PSI - [LEVATION . WELL y GPM FLOYfING 46 1 0 GPf.t W ELEVA710N PROOF FLOW . F ~ LOCATION_ PII.OT K-NOB `I- ~Ah~KEE Dm-DLF- SOURCE OF INFORMA710N COA4MOD IT Y C LASS tOCAT 104 AISLSTOFiAGE Fi[IGfiT AfiEA C 5'tIDTH w RACK 0 $TORAGE A1[TFIOD: SOLID PILED °k PnLLGT1ZE0 % _ ¢ 0 0 SINGI.E R01Y CONVENTIONnL PnLL[T ? AUTOM1inTIC STORAGE ? EPJCAPSULAT[U `n ODUf3LE HOl`7 0 SLAV[ PALLET C] SOLIU SIiGLViNG 0 EWCAPSULATLC ~ MULTIPL[ ROY! 0 OPGN ' 0 Y 0 ANCG F~f~0A1 70f' OF STpRACE TOC[IIINC' 2 ¢ FLIIE SPACINGININCIi[S CLErtR FT. In. V cc LONGI7UDINAL 7iZANSVLIZSE _ HORIZONTAL DARRI[FtS PROVIDEU CONTRACT NAME: ALlTO-MALL (CAGAN Nn: 120 115 110 ~ . 105 . . , 100 95 C?i su Pc.4: . SP= Lz 90 kP- 56 85 ~ 80 GQM = 4610 75 ~ ~ c 6~ . N 60 u a 5~55~ S 6PM HIOSE fiC.l.0uJ~9NC 45 ~ 4035 ~ • SP IN~ E(Z. 1~ ~tAN s c"' O~ R( 62 30 ~ F~ Z ~ o 5~ 3 a.0. 9'7 GP ~4T 5q. 18 15 Scole Used_ • 10 5 0 ~ ' 100 200 300 400 500 600 700 , 800 900 1000 k.lc A 200 400 bpp Epp 1000 1200 1900 1600 18OO 2Goo SWIIIIIIII 400 fi0'J 1200 1600 2000 2900 2800 ' 3200 3G00 4000 ~~~11W Fa. Ne. 3016 FLObV - GPM ~ i / 66.75 41.91 i~,a8 6.8~ 31.21 14 i 3 7 I 66.75 2 ~9 31.24 ~oZ 5 T 6 ~ S s ii 66.78 $20,97 41,93 i7.49 4.89 3~,26 ~ T 133,52 Q 62.5'I ~2 ~1 ~0 9 103 Q 9 8 7 ~2 I 68.46 43_45 5_43 30, I 3 101,98 ~ 106 ro7 /oS 320.~ } 3zo.97 zj 92,63 ~ 11 8.~ 9 3 /a 17 i3 9 6 0. 99 34, 6 3 S9.o i Q S8, o I 58,0 ( AUT9-MALL (EAGAIV) OU'fLET TAKE OUTLET # K-FACTOR PP.ESSURE FLUW ELEV. (LRS'.) 1 5.500 18.937 24.37 7.81 2 5.600 18.915 24.36 7.81 3 5.600 19.039 24.43 7.81 4 5.600 19.662 24.83 7.81 5 5.608 18.955 24.36 7.81 6 5.600 18.933 24.37 7.81 7 5.600 19.057 24.45 7.81 8 5.600 19.681 14.84 7.81 9 5.600 19.145 24,50 7.81 10 5.600 19.130 24.49 7.81 11 5.600 19.<72 24.58 7.81 12 5.600 19.939 25.01 7.81 13 5,600 22.157 26.36 7.81 AU70-MALL (EAGAN) LEG TAELE PR,'.CTIt)N FRICTIUN 'JcLOCITY I_E6 NU. DIAMETER LENGTH FLOW GPM C LOSS/FOUT l_USS/TOTAL FcET; SECOWD 1 1.687 12.33 -6.87 120 -.0018 -.022 1.0 2 1.687 12.33 17,48 7.20 .0100 .124 2.5 3 1.687 12.33 41.91 120 .0506 .624 6.0 4 1.687 12.33 -6. 88 120 0018 02s 1.0 5 1.687 12.33 17.49 120 .0100 .124 2.5 6 1.587 12.33 41.93 120 .0506 .624 6.0 7 1,687 12.33 -5.63 120 -.0012 -,015 .3 8 1.687 12.33 18.87 120 .0116 .142 2.7 9 1.687 12.33 43.45 110 .0541 .667 6.2 10 1.687 44.00 31.24 120 .0294 1.293 4.5 il 1.687 44.00 31.26 120 .0294 1.294 4.5 12 1.687 44,00 30.13 120 .0275 1.209 4.3 13 1.687 44.00 34.63 120 .0355 1.564 5.0 14 1.687 249.00 66.75 120 .1197 29.797 9.6 15 1.687 249.00 66.78 120 .1198 29.821 9.6 16 1.687 237.00 68.46 120 .1254 29.720 9.8 17 1.687 274.00 60.99 120 .1013 27.745 8.8 f8 1.627 316.00 58.01 120 .0923 29.170 8.3 19 2.635 9.60 31.24 120 .0033 .032 1.9 20 2.635 9.60 62.51 120 .rc',121 .116 3.7 21 2.635 9.60 92.63 120 .0250 .240 5.4 2t 2.635 9.60 58.01 120 ,0105 .101 3.4 23 3.260 9.00 66.75 120 .0048 .044 2.6 24 3.260 9.00 133.52 120 .0174 .157 5.1 25 3.260 11.00 201.98 120 .0375 .413 7.8 26 3.260 12.00 118.99 120 .0141 .169 4.6 27 3.260 10.00 58.01 120 .0037 .037 2.2 28 4.260 54.00 320,97 120 .0240 1.296 7.2 29 6.000 90.00 320.97 140 .0034 .307 3.6 30 8.000 300.00 820.97 140 .0049 1.430 5.2 AUTC7-MALL (EAGAh) ROUTE Nu. 1 DESCRIPTION Q-pD;) I7TA l' PIPE Pl OU'fLET REFcRcNCE LGSS/Fl" E FSTTS PE PE Q-TOTAL C--FACT LT TtiTAL PF PO h14TE5 C'v ;LET 1 24.37 1.687 18.94 K= 5.60 002 0.00 0.00 LEG i -6.87 120 12.3 --.02 18.44 - OI:TLET 2 14.36 1.687 18_91 FC= 5.60 .010 0.00 0.00 LEG 2 17.48 120 22.3 .12 18.91 OISTLET 3 24.43 1. h87 19.04 K= 5.60 .051 0.00 0.80 :.EG 3 41.91 120 12.3 . 62 19.04 OUTLET 4 24.83 1.687 19.66 K= 5,60 .120 0.00 0.00 LEG 14 66.75 122' 244.0 :::9.30 19.66 P.EF 101 0.00 3.260 49. ttb .005 . 0.00 LEG 23 66.75 127 9.0 .04 REF 1212 66.73 3.260 49,50 .017 0.00 LEG 24 133.52 120 9.0 .16 REF 103 68.46 3.260 49,66 .m38 e.o0 LEG 25 2D1=98 120 13.0 .41 REF I05 118.99 4.:'_b0 50.07 ,024 7.81 LEG 28 320.97 120 54.0 1.30 REF 106 0.00 6.000 59_ 18 .003 0.00 LEG 29 320.97 140 40.0 .31 REF 107 500.00 8.000 59.49 .005 0. 00 . LEG 30 E20. 4",' 140 300. Q7 1.43 6fD.92 AUTO-MALL (EAGAN) ROUTE IVO. 2 DESCRIPTIOIV Q--FDD DI A T P I f'E f' T !>UTLET .EF5RED,'Cc L!?SS/F'T E FITTS FE PE Q-TOTAL C-FACT LT TOTAL_ PF PO NnTES OUTLET 5 24.33 1.687 1096 K= 5.60 -.002 0.00 0.00 !_EG 4 -5.88 120 12.3 -.02 18.96 OUTLE? b 24.37 1.687 18.93 K= 5.60 .010 0.00 0.00 LEG 5 17.49 120 12.3 .12 18.93 OUTLF_T 7 24.45 1.687 19.06 K= 5. bD .051 0.00 0.00 LE6 6 41.93 120 12.3 .62 19.06 OUTLET 8 24.84 1.687 19.68 K= 5.60 ,:20 0.00 0.00 LEG 15 66.78 120 249.0 29.82 19.68 P.EF 102 49.50 AUTO-MA!_! (EAGAN) RCiUTE N0. 3 PESCRIPI'ICihl Q-fiBD DSA T PIPE PT C'UTLCT REFEREyIC_ LO, S/F"f E FITTS I'E s'-TU"fAL C-FACT LT TOTAL PF PU NOTES OUTLET 5' 24.50 1.667 19.15 1i= 5.60 -.001 0.00 0,00 LE6 7 -5.63 120 12.3 -.02 19.15 OUTLET 10 24.44 1.687 14.13 K= 5.60 .012 0.00 0.00 LEG 8 18.87 120 12.3 .14 19.13 OUTLET IS 24.53 1.687 19.27 F<= 5.60 .054 0.00 0.00 LEG 9 43.45 120 12.3 .67 19.27 OUTLET 25.01 1.687 19.94 K= 5.60 .125 0.00 0.00 LEG :6 62.46 1::0 237.0 2"9.72 19.94 ftEF 103 IFT. fab AUTU-MMI-L (EAGAN) RUUTE N0, 4 DESCRI°TIGI,I Q-ADD DIA "f PIpE PT OUTLET RErcRENCE LO95/FT E FTTTS PE PE ta-TOTnL G-FACT L"I" TOTAL PF FO NGTES _>UTLET :3 26.36 1.687 22.16 k= 5.60 .101 0.00 0.00 LEG 17 60.99 120 274.0 27.75 22.16 REF 104 58.01 3.260 49.90 .014 0.00 LEG '<C 119.99 120 12.0 .17 REF 105 50.07 L1, B1, TOWN CTR 70 6TN t lE2f0 T0: TOM WLBE@T, DIRECTOR OF PQBLIC WORB.S JITI STORM, PLANNING DEPARTMENT BILL 9BINS, II.ECfHIC9L INSPECfOH CRAIG MOASEN, ENGINEERING TECH FEO[!: DOQG REID, BQILDING INSPECTIONS DEPT DATE: JliNE 11, 1987 The Protective Inspections Department will be performing a final inspection f or oceupancy of 1399 TOWN CENTER DR & 1389 TOWN CENTRE DR on 6/18/87 Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Building Inspeetions Department when all requirements have been taken care of. Thank-you. DR/js ? APPROVAL: IAL: (SIGNATURE & D E) (SIGNATURE & DATE) ~ City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For"O lice Permit #: eZ2 3 7 J Permit Fee: f'/ `6-z Date Received: / 62 z2 ` L. Staff: 1 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: Tenant: Suite #: RESIDENT / OWNER Name: s Z u h Phone: Address / City / Zip: 1315 9 1- c) i) N C P or -e 1 r EA AU IVO S5)2-• CONTRACTOR Name: ) /1J V , 1 s_9 4 eA F i ems, i 1✓ c Address: 2.3 y7') o Al r o S i License #: City: C L1< .A1 t r, Phone:-? 63-'tr-1 r ^ b3 State: /')i Del Zip: 5 53 b Contact Person r J TYPE OF WORK PERMIT TYPE New Replacement Additional Alteration Demolition Description of work NOTE: Roof mounted and Code. Please contact th round mounted mechanical equipmen Mechanical Inspector for information on .i RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other / AJ ly 9 ned by. City ming methods. COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / _ Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.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 p1 1 l x CJ IU l G 1 C 2.rs x ern I�1 Applicants Printed Name Applicants Signature FOR OFFICE USE Reviewed By: , Date:' Required Inspections: Under Ground Rough in .: Air Test Gas Service Test In -floor Heat ' F. Exterior HVAC Screening Inspection City ofEataa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 ()6 1 Permit Fee: 42 C Date Received: 2 61— Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please ubm't two (2) sets of plans with all commercial ap plications. Date: Site Address: ; 2a 1 10.'f) 64.4.urt-, II Tenant: Lit IA_ e Name: Name: Suite #: Phone: (0551 4C6—ipqr Lhnse #: Address:° 33E / cZ s ~rvv, is State: Email: re 1 1 1 l.`tV I (ter l Lb vIA Phon _ New _ Replacement Repair 0) --Rebuild Modify Space Work in R.O.W. Description of work: COMMERCIAL _ Newstruction _ 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 Dickina up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers _Yes COMMERCIAL FEES: $55.00 Minimum rer—otki — Required onhe�v tidings nd o�ei/a irri ati tri+ - $ $ •A -t- �✓ ,,L�. Il1fit.4$ *If the project valuation is over $1 mi lion, please call for Surcharge $ Contract Value $ Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. (3 , $ x 1% Permit Fee Radio Meter Read Meter(s) $5.00 State Surcharge* $ Water Permit Treatment Plant Water Supply & Storage State Surcharge = $ l(JV OD 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 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a •rk 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 aper• a f plans. r t 1 4-04 Applicant'sPri e x Apply ignature Page 1 of 3