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3908 Valley View Dr S (2) 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . . • Building . . . - • Structural Plans (2) sets . Archdectural Plans (2) sels • ArchRecturel Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certifcate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (i) • ProjectSpecs (7) • CodeAnaysis (1) " • Master Exit Plan (7) • Spec Insp. 6 Testing Schedule " • Certrficate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be eslablished-if applicable 1 • ProjectSpecs (1) ! • EnergyCalculalions (1) 1 • Electnc Power & Ughting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response SAe Plan (1) 1 • Soils Report (1) 1 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 • • Fire Sto in Submittals Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact 13wlding Inspections for sample and if mquired permit for new building or addition will no[ be processed wi[hout Emergency Response Site Plan. Date 0 2_ l O Z l Oz;:- ~ I Construction Cost`~( e p 3~~(p SiteAddress ~6~p$ 1\Z V V'\01-~ pZ SB'Y''T-tt- Unit/Ste # Tenant Name Former Tenant Name Description of Work I[~OaIClNV~Fiir~ 7G Q,C~' (~FNri~n~~J W~rv~ ~DDSS r~D PropertyOwner J'J~rz'w U-c- Telephone #((,pq/ ) ~Sq '2-1 YD ConMac[or l)j evJ QDi a~=L L~-~-- Address ?iGjC~l lh~dFvi i~1Fvw `~Q- City State yr~ ~ Zip S5~/ 2Z Telephone #((f/ )44S~- L1,40 Arch/Engr Registration # Address City State Zip Telephone # ( ) I n I ['S 0 fr, n n Licensed plumber installing new sewer/water service: Phone LIInUI A v~ U I hereby apply for a Commercial Building Permit and acknowledge that the informati Ireyis complete and accu te; that the work will be in conformance with the ordinances and codes of the City of Eagan'and=the-Siaie~f~vlN 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. Applicant's Printed Name IicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments /27 Commercial/Industrial ? 32 ExtAlt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 ExtAlt-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 (Foundation) ? 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 7 DOC LL~V Occupancy e' y MCES System ~ Census Code 7 Zoning City Water SAC Units ~ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered TypeofConst ~z 43 Width Required Inspections _ Footings (new bldg) Insulation _ Footings (deck) v/ Final/C.O. _ Footings (addition) _ Final/No C.O. Founda[ion O[her Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Smcco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning CiW G" Building Inspector Base Fee -07%0" Z 7"? . Z S' Surcharge g • 5~ Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total: Z F17..7 S~ 67 8 ~ ~ ~ 9 * 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . . • . . lnlerior Improvement • Slructurel Plans (2) sets • Architectural Plans (2) sets • Architedurel Plans (2) sets • Civil Plans (2) • Strudural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) . LandscapingPlans (2) • KeyPlan (1) . Project Specs (1) . Code Anaysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testin9 Schedule " • Certficate ot Survey (1) • Energy Calculations (1) not always" • Soils Report (t) • Spec Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not ahvays" • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs (1) i • EnergyCalculations (1) ^ 1 1 • Electric Power & Lighting Fortn (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • SAC determination - call 651-602-1000 • SAC detertnination - call 651-602-1000 • SAC determination - call 651-602-1000 • . Fve Sto in Submittals Call MN Dept of Health at 65 L215-0700 for details regarding food & beverage or lodging facilities. Contact Bwlding Inspections for sample and if required Permit for new building or addition will not be processed without Emergency Response Site Plan. Date L// -2 7 Construction Cost Site Address U J ~ ~ Sa Unit/Ste # Tenaot Name (~i .Bw ~s~n f rt pfj Former enant Name Description of Work 9-4P14[-f ~ 1'~0'`-f 4Oh ~-L L Telephone # (6S/ $~'7 Praperty Owner r Contractor / Z"',J°~f Address 690o w. Is/sf ciry A601? va/>7 State /tiln . Zip Telephone L/s) Y6 e- 8'y; i Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewerhvater 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 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~ Nu ~"1"" ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae 0 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 (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliUon (Entlre Bldg only) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const Width Required Inspections _ Footings (new bldg) _ Insulation _ Footings (deck) _ Final/C.O. _ Footines (addition) _ Final/No C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Smcco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning Building Inspector Base Fee Surcharge - Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total I 2005 COMMERCIAL BUILDING PERMIT APPLICATION 3~~ G. City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 o a. a~. ,x t ' a s o . StmcWral Plans (2) sets . Architectural Plans Y (2) sets • Architectural Plans (2) sets . Crvil Plans (2) . Structurel Plans (2) • Code Analysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Project Specs (7) . Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1) . Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) . Spec. Insp 8 Testing Schedule . Certifcate of Survey (7) • Energy Calcylatiary~d, (i) not always'~ . Soils Report (1) . Spec. Insp. 8 Testing Schedule (7) " • Elec. Power 8 LightiRg Form (1) not always" . Meter size must be established . Meter size must be established . Meter size must be established-if applicable 1 • ProjectSpecs (1) Gc_q•,t .EnergyCalculations-1 °C% (7)" 1 • Electnc PowerB Lightmg Porm (1) " •_~C~l.`. 1 • Master Exil Plan . ~ (1) i 1-- • Emergency Response Srte Plan (1) • SoilSReport (1) . SACdetermination-ca11 651-602-1 000 . SACdetermina4on-ca11651-602-1000 • SACdetermination-ca11651-602-1000 . Fire Sto in Submitlals ' Call MN Dept of Health at 651-215-0700 for details regarding food & 6everage or lodging facili[ies Contact Bmlding Inspections for sample and if required Permit for new buildmg or addi[ion will not be processed without lmergency Response Site Plan. 00 Date 3 /-L~_ Constructian Cost b°10 i Site Address W( UniUSte # Tenant Name Former Tenant Name Description of Work ~-EL .Q Property Owner ~ ~ ~ -<<+ • , ~ \ Telephoue # . :^J , i Contractor Address 1429 MARRHAI L AVE City State ST. PAUL, MN 55104 Zip Telephane ) -5 M)a FAX 646-8575 r.~ r 7-7 i ~ Arch/Engr Registration # ~ I,I II Address Citv I!• ~ i;iAR 6 OU'J IUJ State Zip Telephone # ( ~ ) - i_ _ 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 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. ~ / /'~I Cr+ ~ J ± _ is Applicant's Printe Name Applicant' Signature i I-IJ ' OFFICE USE ONLY . Sub Types ~ ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial R" 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Est Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility D 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 ? 33 Alteration J L ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors C~ 34 ReplaCement A«FS •Demolition (Entire Bldg only) - Give PCA handout to applicant 10 Valuation 69 Occupancy MCES System ~ Census Code Zoning City Water ~ SAC Units - Stories - Booster Pump ~ Nbr. of Units ~ Sq. Ft. ~ PRV - Nbr. of Bldgs Length Fire Sprinklered Type of Const Width - Required Inspections _ Faotings (new bldg) Insulatian _ Footings (deck) FinaUC.O. _ Footings (addition) ?FinaUNo C.O. _ Foundalion Other Drain Tile Roof [ce Pr _ Decking _ Insul _ Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final Windows Approved By: Planning ~ L Building Inspector Base Fee (p/. yU Surcharge • S5~ Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total - dg Pd oF'~ . Ir yo . ' r 1/ ~ • p: . • 1 *P7x ~ ~ .~1 •~s , ~ •B B~ ~ ~ ~ ` • ~ v~ ~<<' ~ . ~C T j50i ~a o cCn i :3 Qpp`•' _ tr do~V Y ~ ,g9 - 16 r.. y 21~ 1t' j j 3~ ' 16 - 1< {>B 3902 s g1: 1 169 • • u~ y . ~1 u fa = . • a sacra m scu;d~a asae - j . . i f ~c<<.S P[.tYCRauvo - eW Q ~ Po~te View Po:, te - ~ , a9a9 S.ValleyYew Dcive •~qan, Minnesatr Sa132 . . . • . (612) 454-2140 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 P 0.. t ~ 6 0 .d 9' . Structural Plans (2) sets . Architectural Plans ~ (2) sets . Architectural Plans (2) sets . Civil Plans (2) • Structurel Plans (2) • Code Analysis (i) " . Certdicate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . CodeAnalysis (1) " • Master Exit Plan (1) . Spec. Insp 8 Testing Schedule " . Certifcate of Survey (1) • Energy Calpulat~ops (1) not always•' . Sods Report (1) . Spec. Insp. 8 Teshng Schedule (1) " • Elec. Power 8'Cighting Form (1) not always" . Meter size must be established • Meter size must be established . Meter size must be esta6lished-if applicable l . • Prqect5pecs ~ n (1) ! • Energy Calculations (1) 1 • Electnc PowerB Lighting Fbrm (1) " ~\~`,\~1 • MasterExifPlan ' • (i) Emergency Response Site Plan (i) d . SoilsReport (1) 1 . SACdetermination-ca11 651-60 2-1 000 • SACdetermination-ca11d51-602-1000 . SACdetermination-ca1i651-602-1000 • Fire Sto in Submittals-. • Call MN Dep[ of Health at 651-215-0700 for details regazding food & beverage or lodging facilities " Contact Buildmg Inspections tor sample and d reqwred ~ Penni[ for new building or addition will not be processed withoulEmergency Response Site Plan Date ~ / / Construction Cost I69'D po Site Address UniUSte # 0 B Tenant Name Former Tenant Name Description of Work Property Owner t" L4 Telephone # ( ) '7 Q . , e„ 2X . Contractor KFI I FR RF41flENTl/!I INf` Address 1429 MARSHALL AVE. City State _ ST_ PAUL, MN 55104 $~b_ Telephone ) Arch/Engr Registration t! Addr¢SS City Ir- State Zip Telephone ; ~iIr'uR 1 6 2005 I- . U Licensed plumber installing new sewedwater 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 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 Printe ame 1__ Applicant's gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility 0 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial 9'' 32 Ext Alt-Apartments ? IS L,odging ? 28 Greenhouse ? 34 ExiAlt-Commercial ? 25 Miscellaneous O 29 An[ennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Z 3 Alteretion ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors 4 Replacement d«C5 •Demolition (Entire Bidg only) -Give PCA handout to applicant Oo n Valuation «g~ Occupancy MCES System ~ Census Code 3 Zoning City Water - SAC Units ~ Stories Booster Pump - Nbr. of Units - Sq. Ft. PRV - Nbr of Bldgs ~ Length ~ Fire Sprinklered - Type of Const yg Width ~ Required Inspections _ Footings (new bldg) [nsulation _ Footings (deck) FinaUC.O. _ Footings (addition) ~FinallNo C.O. _ Foundation Other Drain Tile Roof _ Ice Pr _ Decking _ Insul Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ AirTest _ Final Windows Approved By: Planning ~ Building Inspector Base Fee (p/, 20 Surcharge . SS Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other 6cQ. Ot Total 59 Cities Di ig tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. , - 5+ F . . . . _ . . ~ • . . i ' , . ~ _ r..Jr..::,y^Y i+"'i. , };_~:y. p ~f '~A:e.. , . ' ' . . • ' . e:~.~ :..a11.A~:(.i.t. tR • y • f r "J'~. . . ::I. - ~ . • ~ ' _ rk,',".a'~ q'~'• • . - . . ' • • ~ . . . •.~:;"r ii; ' ~ . . . . - ' ' . ~ . . 97>~ „„;;.~1: . i . ~ 10~ Ofd ~ . . . . . 39~ ' '~':;e, c~:;r,ip•~",'~:i.;;. . . ' - . `i'", 4.'.-~ ~ ~ • ~ ' . • . , ' ; ' ~ 'ii;:..: : r ~ i ~ ~ , ~ . . • . , . 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Y,vtew Diiv"e':.Ea aa ~ • . . ~.:iz.,~3,. :.;~i°:" 4 .li'Gnnaso ~:5a122=K;,~~ ~e . , ~ I~. ~~b?`.'~1!~;FIy1N~::~';w.t <iu. .i', ..r~. • ~'':3;;~ . . . , . 4~ . , 'Y, :~:,~sf..': ~ ~ r• ~d•:. . ••t.~ V ' . . ::1~Q i:~Onn,6'N.'(:`~.i(i "~~i.'C:1~1 :.Pf~i:i.: .l'9' i ~n ~ . ...J:t" ic~ ~ ~ :.Q ~ :eA,.~.r a. . { ' . . . _ . ~ ~ ' . , . . f.r.';r!%~ - S:; . , . , . .~'Ca`.~,}yi~ri.t'FS„'::~;-'.'r.:.:'~.:f~.:~~zta:;.~:.~1~`3~'~ j.l.;~..;.c:6, r-+7`S ' s~.r'• . . . " . . . b'~~~ 'l' . . . 1.~. e_~ .1~ ..d~~. 1•.'.. . t. ~~'P,~I ~ . .,o.,t.,..~ . . . .,..n'. • . . , i... i r L~}.~ :~f~.4 . . . . ...:............1.~~ .,-~:..~.:...,..a:::1: V . • 3(167 ~ ~s- , 2005 COMMERCIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -0.Q6 ~ 8 6 9 6 9 . Structural Plans (2) sets • Architecturel Plans 6 (2) sets . Architectural Plans (2) sets . Civil Plans (2) • Structural Plans (2) • Code Anarysis (i) " . Certifcate of Survey (1) • Civil Plans (2) • Project Specs (i) . Code Analysis (1) " • Landscaping Plans (2) • Key Plan (7) . Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1) . Spec. Insp. 8 Testing Schedule " • Certifcate of Survey (1) • Energy CalcuIations (1) not always" . Soils Report (7) • Spec Insp. & Testing Schedule (1) " • Elec. Power ~YLigMing Form (1) not always` • Meler size must be established • Meter size must be established • Meter size must be established-if applica6le 1 • Project Specs • (1) ~ 1 1 ' • EnergyCalculations ~ - , (i) " . 1 • Electric Power 8 Lighting Form (1) -I',,; 1 • Master Exd Plan P • (1) ~l 1 • Emergency Response Site Plan (7) ! • SoilsReport (1) ! • SACdetermination-ca11 6 51-602-1000 . SACdetermination-ca11 65 7-602-7 000 • SACdetermination-ca11 65 7-602-1 000 . Fire Sto in Submittals • Call NIN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facilities. Contact Btilding Inspections for sample and if required Peani[ for new building or addition will not be processed without Emergency Response Site Plan ~ Od Date ~ / Construction Cost I(0 90 ~ Site Address D <<~~ Unit/Ste # 2-6 Z' 30 ~ Tenant Name ~ Former Tenant Name j Description of Work Property Owner 0, Tclephone # ( ' . . t) ~t V Contractor KELLER RFSInFNTIAI inir Address 1429 MARSHALL AVE. City State ST_ PAUL, MN 55104 579 Telephone ) Arch/Engr Registration # Address City ~ ~1 State Zip Telephone )P~~ . ~ I~~ I' Il I II \1 Il w Onnr I III LUUJ ~J Licensed plumber installing new sewerlwater 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 permit, but only an application for a permit, and work is not to staR without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and apprvvl of plans . O-G Applicant's rinted Name Applicant's Sig ature ' OFFICE USE ONLY • Sub Types G 01 Foundation ? 26 Public Facihty ? 30 Accessory Building ? 14 Apartmen[s ? 27 CommerciaUlndustrial Q' 32 Ext Alt-Apartments ? 15 Lodging O 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Ext AIt-Public Facility ? 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 ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors Er'~34 ReplaCement Dtt:~( 'Demolition (Enlire Bldg only) - Give PCA handout to applicant 0 Valuation I b go Occupancy ip- 7, MCES System - Census Code Zoning -p - y City Water SAC Units ~ Stories Booster Pump Nbr. of Units Sq. Ft. PRV - Nbr. of Bldgs Length - Fire Sprinklered - Type of Const Width ~ Required Inspections _ Footings (new bldg) Insulation _ Footings (deck) FinaVC.O. _ Footings (addition) FinaVNo C.O. _ Foundauon Other Drain Tile Roof Ice Pr Decking _ Insul _ Final Poo] Ftgs AidGas Tests Final v~ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning ~ Building Inspector Base Fee ~ 1. Z 0 Surcharge . Rs Plan Review MCES SAC City SAC Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total Ga. ~ ~rt<:..:i'., Y':4~._ . . ~ . _ ~ • . . ' v • . . . ~ . . • ~ ~;Li'I vrla~~ - " . ' •'s;~.~~f" l'`t"` . . . . . . ; ~ c:'r.' . ~ . ' . ~ Jg7; ~ . ~ . . . . . . . O yo f ~ ~ ~ ' ~ ~ ~ f.,v Ta7 J ~ ~ . ~ C ~ • QO ' J7 ~ o~ . . ~J' ^ ~ f • JB o P ~ \\J O' ~s sy O~ . ~ P~ ~Bd ~aJA .1 sj i~ Q O . c~ Lo~0 , , ~ . ~ r ~~.g 1g0 • r.' ~ . y ~ • ~ ~ 1l , 1~ 4~ -i . > Z y14 ~ •"`cT . 1s9 \ ~ ~ 1 C'l j % ~ \ 1 i56 5' S \ Ah~ 3207 ~o . 51`- ~4g ' ~ . I `S 50 o' ~ a 50vL'r! \SOtl-i H a _ , • N o 29fl6 ' g , . !..~~~51 . ~ . . ~ ~sc=~ -i . ruYCaouxo ' 524 • . . " " ~IGW e . . ' ` . • ~P~inte -V JeW po te ~ - . ~ . . ' . . J9d9 S. Va1ley Yew Orive, • E29211, Minnasata 53122 , . , . . , . ~ .(6121.494-zl40 n _Z . ~ . . . ~ . ' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF E?cari 3830 PILOT KNOB RD • 55122 651-681-4675 New ConsfiucHon Reaulremenh `J. lC~~ Remodel/Reoair ReaulremenN ~ 3 reylstered slte wrveys ahowlnp sq. ft. of lot, sq. R. ol houae ~ 2 coples of plan and gll roofed areas f20X maxlmum lof covemae allowedl 1 set of energy calculaHons for heatetl addltlons : 2 coples of plans (sMw beam R window dzes; poured fnd. design; etc.) 1 sife survey for exfeAor atltliflons & decka t sef ol energy calcWallons : 3 Goplas ol tree preservallon plan il lOf plaMed aNer 7/1/93 DAiE: ~ - Z-bv CONSiRUCTION COST: DESCRIPTION OF WORK: c2 If multl-family bldg., how many unHs? STREET ADDRESS: LOT: ~ 1 BLOCK: 13 SUBD./P.I.D. M: ~ G'~ 0 (S Name: Phone SS-`'7- 17 pROpERTy lmt Flnt OWNER Sheet Address: 7- JS~5- -Po\G~~,-,> 1-~-, -14 1 Oc~) City State: Zip: ~ l Z 3-7-75 6 ~ Company: SU"`~Qr~Le ~i..~ Phone a: J (area code) COMRACTOR SheetAddress: v9 ZZ- ~4 -2~~' 1" ~ N Licensetl 'Y67 Exp. 5 "3G~ Cify State: ~ Iv Zip: ARCHITECT/ ENGINEER Company: Name: Telephone A: ( ) Sheef Address: ReglsfraHon Cly State: Zip: Sewer/water licensed plumber (H installlna sewer/water): Phone L~ I hereby acknowledge fhat I have read thisapplicatbn, sfate thaf the infortnaHon is conect, and agree to comply wilh a0 apptlcable Sfate of Minnesofa Stafufes and City of Eaflan Ordinances. / ~ ~ Siyrature of Applicant VV kit / OPFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Muki ? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex 8 Deck ? 23 Poroh (screened) ? 36 Mutti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10.plex Plbg _V or_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. wo K nrPE 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to apptlcant for demolition pertnit GENERAL INFORMATION SAC Code 0 1 # of Stories sq. ft. No. of Units 0 Length sq. ft. No. of Buildings 1 Width S Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code Y-I3Y (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: it 'r[, . so SAC Units % SAC - • /a lOi9oo- o~l-~o EAGAN FIRE DEPARTMENT 3795 Pilot Knob Road "';"•,Eagan, MN 55122 612-681-4770 ~':.•~:;.F:~. , TDD: 612-454-8535 - city of eagan TO: ALARM SYSTEM CONTRACTOR This form is to be filled out, signed and returned to the Eagan Fire Department, 3795 Pilot Knob Road, Eagan, MN 55122, after the alarm system has been completed and tested by the installer. After you have sent this form, contact the inspector (681-4770) to set up a final inspection and test. The final test is to be performed by the contractor and witnessed by a Fire Inspector. TO BE COMPLETED BY FIRE ALARM CONTRACI'OR: 1. Date S~U PIV Electrical Permit 2. Address of alarm system installation 790~ 3. Date Fire Inspector reviewed plans 4. Name of contractor c- Address qqg I gY~'CZ Gd El~ 'f'!Z`a'/ v Phone Contact Person 0.rC- ~..•-a-.-~- This certifies that the alarm system at the above address has been installed in accordance with applicable city and/or insurance company standards. All devices have been tested and the system is 100% operational. Signed for Contractor r\L-w~ Date q y TO BE COMPLETED BY FIRE INSPECTOR: The system was spot-checked and it operated on this date ~ Witnessed by Inspector g Comments I7\F-Narm.Tst 11/19/91 , o ~La 'M EAGlaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: February 2, 1970 N[1MffiER 555 OWNER: Car-Bor-Nel Address Minneapolis a ey iew par men s ey iew rive PLUMBER i„r;+a~h Pi,,,,,r,;,,g TYPE OF PIPE DESCRIPTION OF BUIIDING Industrial Commercial Reaidential Multiple Dwelling No, of units xoc 24 Location of Connections: Connection Charge Permit Fee 7•50 Pd 2/2/70 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the Lssue arnd delivery to me of the above pexmit, I hezeby agree to do the proposed work in accordance with the rules and regulationa of Eagaa Toi-niship, Dakota County, Minneaota By Mitach Plwnbinrz Osseo, Minn. Please notify when ready for inapection and connection and before any portioa of the work is covered. EAGFN TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minneaota 55111 Telephone 454-5242 PERt4LT FOR WATER SERVICE CONNECTION Date: February 2, 1970 pumber• 405 Billing Name: Valley View Apartments Site Address: 3912 Valley View Drive Owner: Car-Bor-Nel Billing Address Mlnneapolis Plumber: I`'Iitgch Plumbing Location of Connection Meter Size Connection Chg. Meter No.ao ~."4a~' Pexmit Fee 7.50 Pd 2/2/70 ~/3 d/7 o Meter Readingaeaoo Meter Dep. Meter Sealed: Yea Add'1 Chg. NO 1bta1 Chg. Inspected by Date Building is a: Remarka; Residence IQultiple x No, Unitq24 Commercial Industrial By; Other Chief Inspector In conaideration of the isaue and delivery to me of the abwe permit, I hereby agree to do the proposed work ia accordance with the rules and regulations of Sagan Townahip, Dakota Co y nn~?~~ue~a By: Mi .s h Pl ]*nbin¢ Osseo, Minn. Please notify the above office when ready for inepectlon and connection. 2004 CODIMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date g- Site Address ~ U6 1 ~ 9- Ll ~Q ~C. ~U Q~ Unit # Tenant Name Former Tenant Name Property Owner Telephone #M, t~q~L-. ~ `-'f ? Contractor Addresys~ City State ~ 1\ r Zip \ 1 Telephone # The Applicant is _ Owner Contractor ~ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system r '.lenn NVObschall tn calculatr ferc. Rr uireA mMer size is 2" turbo unle,s smaller size ermitted bv PnMic Wor6s Description of Work~~, To mquire if Pressure Reducing Valve is required on new scrvice, call 651 -675-5646 Meters - Ca11 65 1-675-5 3 00 to verify that hydrostatic, conductivity, and bactena [ests passed prior to pickine un meter Irrigarion Size & Type Avg GPM Fire Size & Price 3/4" disolacement $755.00 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) Conh'act Value $ x 1% _ $ Base Fee $ Meter(s) Required on all new buildings & boulevard irrieation svstems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State SuiChaige If bue fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installiug new irrigation system $ Water PeYmit Contac[ Jeiry Wobschall at 651-675-5024 for required fee amounts ~ $ Treahnent Plant $ Water Supply & Storage $ State Surcharge 7~ L $ Total Fee I here6y apply for a Commercial Plumbing Pernvt arid acknowledge that the information is complete and accurate; that the work will be m conformance with [he ordinances and codes of the City of Eagan and with the Plumbing Codes; Ihat I understand this ts not a permit, but only an applicanon for a peimit, and work is not to s[art wi[hout a permit; that the wor will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. ApplicanPs Printed Name Applicant's Signa[ure CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: . BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irriga[ion sys[ems- $141.00 • 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/strainer, remote wire, arid touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8° residential $121.00 4-120 1-1/2" imgltion syst $ 788.00 displacement sm commercial turbine•' mUSL r¢C¢IV¢ maximum continuaus approval I o from Public Works 2-30 3/4" lawn irrigation $I55.00 4-160 2" turbine Ig irrigation syst $ 992.00 inaximum displacement residential & continuous sm commercial production lines li 3-50 . 1" displacement very Ig res $200.00 114 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 unia 65 uniu maximum sm commercial & continuous & Ig comm bldgs 25 irri ation s s[ems 5-100 1-1/2" bldgs 25-64 units $488.00 masimum displacemen[ & continuous most comm bldgs 50 METERS REOUIRINC 30-DAY ADVANCE NOTICE PRiOR TO PICK UP CPM METERS USE PRICE GYM METERS USE PRICE 5-350 3" turbine very Ig irrigation 51,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 sys[ & production very Ig comm bldgs lines 1/2-320 3" campound +200 miit bld;s S2,407.00 10-1000 G" compoand +400 imit bldgs $6,124.00 very Ig comm bldes very Ig comm bldgs 15-1000 4^ turbine ven~lgirripation $2.389.00 SVSI & production lines Comments • 7o schedule inspection ofthe inside water line and backflow preventer, call 651-675-5675. • To arrange for water tum-on, call 651-675-5300. cc: Maimrnance Division Clcrical Techniman Updated 8103