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
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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
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, 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. ~
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' . . J9d9 S. Va1ley Yew Orive, • E29211, Minnasata 53122
,
. , . . , . ~ .(6121.494-zl40
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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