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3931 Valley View Dr NSep 15 10 09:46a Bruce Nelson Plumbing & H 6517312804 p.2 44' City of Etan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED SEP 15 2010 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: r Date Received: 6— / to Staff: JJ 2010 MECHANICAL PERMIT APPLICATION q //S/l0 Site Address: &Q ?) O V`2 ) (.J 11r e tJ 1✓1!'�Z Suite #: RESIDENT / OWNER . Na e: U r e £ .) 120 G'*M(n 1 Phone: Addre i i Zip: !- CONTRACTOR Name:Or✓ec A)ti o Ply -t) 0-•0-4., Pc' :.� License #: 6s --,2'o3 Address: So . / oH) D...:• lar /QA. City: S71- /9, .11State: .01)._ I��"j`.,M Zip: S S /) 01 Phone: 6.j ?-ri— 7,V" 9._?1 V !" 4 ii11.1 Contact i1)C. Email.• TPOh/'z,e- le C�f�Ce.nc.4io "t TYPE OF WORK IQ x New Replacement Additional Alteration Demolition l t,!1.tc..5 Description of work: __Tide c n Z -W /3` y #+'zi A efir^� e NOTE: Root mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction Interior Improvement i Install Piping — Processed Air Conditioner _ Air Exchanger )4 Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank (__. Install 1 Remove) _ Other _ "" When installinglremoving tank(s), call for inspection by Fire Marshal and Plumbin. Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork. etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge Increases by $.50 for each 51,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ 3o, UOa x 1% =$300,00 Permit Fee - If the Permit fee is less than Fee = $ qps. 00 Surcharge - If the Permit Fee is > $10,010, (Le. a $10,010411,010 Permit =$ 3O' Lt) TOTAL FEE CALL BEFORE YOU DIG. Cali Gopher State One CaII at 4651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq hereby acknowledge that this information is complete and accurate; that the work wilt 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 t. - with a permit; that the work will be in accordance with the appy plan in the case of work which requires a review and approval of plans. % ;r [L' Applicant's Printed Name App'(ic-nt's gn:ture FOR OFFICE USE Required Inspections: _Under Ground Rough In _ Air Test Gas Service Test In -floor Heat Final Exterior HVAC Screening Inspection Reviewed By: "YC Dats: Sep 15 10 09:46a Bruce Nelson Plumbing & H 4161C1ly of ban 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r=OFIVFD 6517312804 p.3 Use BLUE or BLACK Ink For Office Use Permit Fee: ,-5151/0 C Date Received: 0-1.5. _70 Staff: !' Permit*: 2010 COMMERCIAL AlillaNG PERMIT APPLICATI Date: O h0 Site Address: 3931 —.6.4 V c' G Jc_W Or•V Tenant: Suite #: PROPERTY OWNER /{ Name: v► ctJ Poj,�)" Ape-, 1r•-• (" J Phone: CONTRACTOR Name: Orvc,. ,(fit Lfryn / .,nnt,„.5 ex."J, Ike kJ #: 6 5:403 (4.? License Address:• :.e% 1 w, . R ity: J4- /W) State: MA) Zip: S -.fl ci Phone: (;S)-„..5 %3s N Email: P-treArty € hruc e.1e%A. Gam TYPE OF WORK New Replacement Repair . Rebuild Modify pace Work in R.O.W. _ _ _ Description of work: 10,91--e 11eGt -'V - P ir�j,,VA i V..... PERMIT TYPE COMMERCIAL. New Construction Modify Space Irrigation System {_ yes ) no) (_ RPZ I PVB) _ _ • Rain sensors required on irrigation systems • Avg. GPM (2” lurbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers _Yes No COMMERCIAL FEES: a $55.00 Minimum (includes State Surcharge) OR Contract Value $ Si 000 x 1% Required - If the Permit Fee is Tess = $ .Sb •I)0 Permit Fee on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read than $10,010, the surcharge is $5.00 = $ Meter(s) - If the Permit Fee is > $10,010,.the surcharge increases by $.50 for each $1,000 Permit Fee Permit Fee requires a $5.50 surcharge) = $ S-. tib State Surcharge (i.e. a $10,010-$11,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. S Water Permit Department, (651) 675-5646, for required fee amounts. S Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ £SS. 01) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the orcinances 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: tha the • k will be in accordance with the approved plan in the case of work which regLires a review and approval of plans. x t2ai1Lc Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Approved By: Required Inspections: Under Ground Rough -In Air Test _Gas Test f=inal PRV Required: _ Yes _ No Date: TbS 1,11 Page 1 of 3 `q-0 i~0 2005 COMMERCIAL MECHANICAL PERMTT APPLICATION C I~ ~ Pu City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date 8 /3 / ~J Site Street Address 393113935 V j(ey ~ew ~ 1~ Unit# ,r-- Tenant Name (ifapplicable) Previous Tenaot Name Property Owner ~ 40(VN(~t- Telephane # ( ) Cantractor ~71- {"'CtJ~ PlVff1b%?-~G7 'r OeGt-,'ll1~ Street Address CA C) I l18 City f::k P~,J' State M^j Zip !~IUS Telephone# ((g$!) c~oZcs-9 Bond ?A Expires: 7',31- OC-) The Applicaot is _ Owner ~ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below _ Interior Improvement I _ Install Piping _Processed _Gas Nature of Work .c-E~~d rDpF ~er1~5 "When insfalling/removing urtdeiground tank, call for inspection by Fire Marshal and Plumbing Inspector P¢r1171t F¢¢5: $70.50 Underground tank mstalia[ion/removal 550.50 Minimtem (mcludes State Surcharge) or Contract Value $/_nY~- a> x 1% _ $ (a-100 • 00 PermitFee • If pe rmit fee is $1,000 or less, add $.SD =Z> $ 1SQ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ SD Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accura[e; that the work will be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~,r.he ll e r(lclnn Applicant's Printed Name Applicant's $ignature ApprovedBy: Inspector Date: 1~1 i GII„ 0I; 7MS ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family du•ellings & townhomcs/condos whw permits are rcquired Cor each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond tt: Expires: The Applicant is _ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air conditioner _New _Replacement other State Surcharge $ .50 Total $ 1 hereby apply for a Residential Mechanical Permit and acknowledge [hat the informa[ion is complete and accurate; that the work will be in conformance with [he ordinances and codes of [he City of Eagan and wi[h [he Mechanical Codes; [hat I understand [his is not a permit, but only an application for a permit, and work is not to start without a permir, that the work will be in accordance with the approved plan in the case of work which requires a raview and approval of plans. Applicant's Printed Name Applicant's Signature :4 o -~so:so 2005 COMMERCIAL PLUMBING PERMIT APPLICATION y 21 CITY OF EAGAN 3830 PLLOT KNOB ROAD, EAGAN MN 55122 651-675-5675 1/ Date 3 / c57 Site ~,ddress 3R 3J~ 343s ~~liC y l/lC w ~ v~ll Unit # Tenant Name Former Tenant Name Property Owuer ~-4 'H~ ' f-'C(,\, Q(-r-I`ne(1Telephone#( ) Contractor ~ ~~v ~ ~ M~J~ Cj ~ kg Qh nG Address L7~rvj- Pv e- Ci .ty !--'c-cJ/ State MVI-) Zip S~ ~OS Telephone O ~a OU License# a4z3t35 Expires: cX0 The Applicant is _ Owner ~ Contractor _ Other Work Type New Bldg _ Modify Tenant Space RPZ PVB New Repa'v/Rebuild _ Replace _ Irrigation system Work within public right of-rvay/easement _ Yes _ No Rain sensors are re uired on irri ation s stems. DescriptionoSWork EX4-cn~i wY\blYly Ven~S ~~(~fU?Gh 1n(W 1f.hSPs To mqmre if Pressure educmg Valve is quved on new sernce, call 65L675- 646 Meters - Call 651-675-5300 to venfy that hydrostanc, conducnvi[y, and bactena cests passed orior to oickine uo meter. Irrigahon Size & T}pe Avg GPM 2" turbo req'd unless smaller suze allowed by Public Works Fue Size & Price 3/4" disolacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 mrnimum (includes Sta[e Surcharge) L Contract Value $ 0a60 ' U(D x 1% _ $ Permit Fee $ Meter(s) Required on all new buildings & boulevird irrieation svstems $ Radio Meter Read If pertnrt fee is $1,000 or less, surcharge is $.50 $ •")l_J State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee Following fees apply only wheu installing new irrigation system $ Water Permt[ Call Jerry Wobschall at 651-675-5024 for required fee amounis $ Trealment Plant $ Water Supply & Storage S State Surcharge - - - - - - - ~ S~• JTV Total~Fee' n rn rs ~I I hereby apply for a Commercial Plumbing Permrt and aclaiowledge that the mformation is complete and accurate; Ithat the1workwill tie ~n~ conformance with the ordinances and codes of the Crty of Eagan and wrth the Plumbmg Codes; that I understand this is, not a permit, but only ari application for a permit, and work is not to start without a permir, that the work will be m accordance with the approved plan1iri the case of~woik which reqmres a review and approval of plans. ~ir_kelle_ I~Y~Gr~ :?%11~~i~"~~~.- - ~ ApplicanYs Printed Name Apn~t s Signature L ' - CITY USE ONLY REQUIRED INSPECTfONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: BUILDINC INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tes[ed every year and rebuilt every five years. Test results should be mailed [o Paul Heuer at the City of Eagan. • A minimum fee peanit per address is required for the following RPZ's: new, rebuild, repair, remove. • Water me[ers mdude copper hom/strainer, remote wire, and touch-pad meter. ,YiETERS REOUIRING 4-HOUR ADVAA'CE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM vIETERS USE PRICE 1-20 5residential $125.00 4-120 1-1/2" imgatiOn SySt S 735.00 displacement sm commercial turbine** public Works maximum must approve con[inuous me[er size 10 2-30 3/4" lawn irrigation 5161.00 4-160 2" turbine lg irtigation syst $ 931.00 maximum displacement residentia] $ continuous sm commercial production lines ]5 3-50 1" displacement very ]g res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 uniu 65 units maximum sm commercia] & continuous & Ig comm bldgs 25 irri ation s srems 5-100 1-1/2" bldgs 25-64 units $429.00 ' maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE YOTICE PR[OR TO PICK UP GPM METERS USE PRICE GPNI METERS USE PRICE 5-350 3" turbine very Ig irriga[ion $1,182.00 6-500 4" compound +300 unit bldgs & S3,563.00 sys[ & produc[ion very Ig comm bldgs lines 112-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs 15-]000 4" turbine very Ig irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To anange for water tum-on, catl 651-675-5300. ec: Mamtenance Division Clerical Technician January 2005 2005 COMMERCIAL BUILDING PERMIT APPLICATION 4ct City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 -I I (~V~ Telephone # 651-675-5675 FAX # 651-675-5694 ~t~AC-' a1,~ . e ~ • Stmctural Plans (2) sets • Architectural Plans • (2) sets . Architecturel Plans (2) sets • Civil Plans (2) • Strudural Plans (2) • Code Analysis (1) ° • Certificale of Survey (1) • Civil Plans (2) • Pmject Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (1) . Project Specs (1) • Code Analysis (t) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • CeRifcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always" . Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 • ProjeclSpecs (1) I . Energy Calculations (1) " 1 1 • Electric Power & Lighling Fortn (1) " 1 ! • Master ExR Plan (1) 1 1 • Emergency Response Sde Plan (1) 1 • Soils RepoA (1) 1 • SAC determination - call 651-602-1000 • SAC detertnination • call 651-602-1000 • SAC determination - call 651-602-1000 . Fire Sto in Submirials Call MN Dept of Health a[ 651-215-0700 (or details regarding food & beverage or lodging facilities Contact Building Inspections for sample and if required . Permit for new building or addition will not be processed with'out Emergency Response Site Plan. Da[e ( l/15 / \ Construction Cos[ 2!~/~ Ooo Site Address 3'q/ 3i Vall eY !'t~? IJ r N UniUSte # Tenant Name V1 eW Former Tenant Name Description of Work e~,6,4 9e eX~Wl'j PropertyOwner ~'f^CIOvv~~ . ~~Rf7779z°s'~'~S Telephone#( ) -i - Contractor / 4 e bOP1,e Address 2701 3~i-~-4 A-2 ~ City ~%/ajtecy~o~'S ~ State IY//V Zip Telephone#(6/2) Arch/Engr \ Registration # Address City \ State TeJ~phone # ( ) % , Licensed plumber installing new sewerlwater service: g Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that tfie 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. ~ ~ o f t Wf~~~~r Applicant's Printed Name Ap ical nt's Signature OFFICE USE ONLY ~ - . Sub Types 0 Ol Foundation ? 26 Public Faciliry ? 30 Accessory Building n 14 Apartments % 27 CommerciaUIndustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial ? 25 Miscellaneous ? 29 Antennae ? 35 Gxt Alt-Public Facility O 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Z~_33 Alteration ? 37 Demolish (Bldg)' ? 43 Rerooi ? 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant LLAd Valuation 2101 0 Occupancy IL~ Z MCES Syslem Census Code ¢37 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 _ Footings (new bld-) Insulation _ Footings (deck) Final/C.O. _ Footings (addi[ion) ? FinalMo C.O. Foundation Other Drain Tile Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final ? Framing _ Siding _ Stucco _ S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning (.-IcMV__Building Inspector BaseFee /609 •75' Surcharge ~d ~ • PlanReview o7-. T ZYFoic- si.ti.c.*x. P4w-n/ 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 -24 17 . ~ iIntui nonu souni 13141Hntaci_ i SUUTII SOUIII ~ ~ ~ N 11.° 111C ~OZ ~ 1NN po ~ d~c - uR . 6~/•~~' ~^~.~`~o,~ y~ ` a 4` i ' ~ ~ - 3900 _ o . ~ O,F n: rl g1~ ti ryy'~~ vrcc o w ~ ~ o 9810 3- . VO~s~~ , ~C~ C ; " ~ ~ 392U i • U qJJ ~g7 I ~w~Y 4- ,'j~^ F- l.~ f nos ~G^ ~ 395~ ~ oY m , 951 ~ ' ' 2005 COMMERCIAL BUILDING PERMIT APPLICATION SeG~i bY( City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 . e . - • Structural Plans (2) set5 • Architectural Plans ' (2) sets • Archdedural Plans (2) sets • Civil Plans (2) . Struclural Plans (2) • Code Analysis (1) " • Certifcate ot Survey (1) • Civil Plans (2) • Project Specs (1) - • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec, insp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils RepoR (1) • Spec. Insp. 8 Tesfing Schedule (1) • Elec Power & Lighting Fortn (1) not always" • Meter size must be eslablished • Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs (1) 1 • Energy Calwlations (1) 1 • Eledric Power & Lighting Form (7) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) ! • Soils Report (1) ~ ~ • SAC detertnination - ca11651-602-1000 . SAC detertnination - call 651-602-1000 • SAC defe ~ inalion - call 651-602-1060 7, . Fire Sto in Submdtals • Call MN Dept of Health at 651-215-0700 fordetails regarding food & beverage or lodging facilities. i•7 /1j` 4 1I/ Contact Building lnspections for sample and if required ~ - •:I15 f+l ll~~ Permit for new building or addition will no[ be processed wi[liout Emergency Response Site Plan. U w`~onsMUCtion Cost /a, 6on Date 3 /OS l O S ~1 Site Address Unit/Ste # Tenant Name Former Tenant Name Description of Work 4aw-4`~' " 34 "To'2-67 Property Owner ,411~ A{O~ ?129v~ Telephone #((,SI) a0?S- ~aa 7 Contractor A~eL(.e t& [lu.scna~ Address / yTi/ Y~`~` J~aGcc /~O City ~~'/rL]~ State "/N Zip SS~~,Ga Telephone # qU) Arch/Engr ~{4nAQ 2~4_~-.c..eD7ti Registration # Address a~ /c~-Lt vJ•~T1~t.,, ~ ~ City v[il,Of~d State 41 AJ- Zip 5SLI ~ Telephone # 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. 74~3 Z& lzo~~4194 4~z 4)pu &azg~ Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public FaciliTy L~' 30 Accessory Building ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext AIt--Commercial ? 25 n4iscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) C3~44 Siding ? 32 Addition ? 36 Move Bldg ? 42 Demolish (Foundation) ? 45 Fire Repair LY' 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /Dl 6 DO Occupancy _L~ MCES System Census Code Zoning ~ City Water SAC Units ~ Stories - Booster Pump - Nbr. of Units - Sq. Ft. PRV - Nbr. of Bldgs - Length Fire Spnnklered - Type of Const ~ Width ~ Required [nspections _ Footings (new bidg) _ Insulation Footings (deck) Final/C.O. _ Footings (addition) f Final/No C.O. Foundation Other ~ Drain Tile Roof Ice Pr _ Decking _ Insul _ Final Pool _ Ftgs _ AidGas Teszs _ Final ? Framing Siding _ Stucco _ Stone _ Fueplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Yk t- Building Inspector Base Fee f 9.S 2S Surcharge S. 5D Plan Review Zs% ~f•y~l MCES SAC City SAC Water Supply 8 Storage (WAC) S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 12 ~9•S~ /~3 , B lad-Io L-s S~ L2~ 'o n 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . Hd.. • . . .a • Stmctural Plans (2) sets • Archdedural Plans • (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Anatysis (1) " • Certificate of Survey (1) • Crvil Plans (2) • Project Specs (1) • CodeAnalysis (1) " • Landscaping Plans (2) • Key Plan (1) . Project Specs (1) . Code Analysis (7) " • Master Exit Plan (1) • Spec. Insp 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meter size must be established . Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs (1) 1 • EnergyCalculations (1) ! • Electric Power 8 LighUng Form (1) 1 • Master Ezit Plan (1) 1 1 • Emergency Response Sde Plan (1) 1 • Soils Report (1) ~ • SAC determination - call 651-602-1000 • SAC detertnination - ca11651-602-1000 • SAC deterrnination - ca11651-602-1000 • Fire Sto in Submittals • Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. 5 Con[ac[ Building Inspecuons for sample and if required , 'z 200 Permit for new building or addition will not be processed wi[hout Emergency Response Si[e Plan. Date 3/ u l OS ~ / Construction Cost l~, loDZ1 ~ Site Address 3~ yj I ~ UW 4A-)V UnitlSte # Tenant Name Farmer Tenant IYame Description of Work ~ au,et„ !od - 551 t„ I -LS Property Owner ~T 6O'LL(.C Telephone #((=>S~ a~T 47 S - S,R.;t -J Contractor u~t -'n~ Address lli( ~ - Xd~e AJv City State dL(AJ Zip '5SLIL4 Telephone # (763) 4&-77-1723 Arch/Engr Registration# 17-7$$ Address ~ City ?l[~ State Zip ss`11s Telephone #(612} s$D Q 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. p,,in g t.l,k pbe~Le,-.. ApplicanYs Printed Name AppLcant's Signature I OFFICE USE ONLY Sub Types ? 01 Foundation ? 26 Public Facility C? 30 Accessory Building C 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial Q 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Faciliry ? 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 i33 Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ROplaCemenl 'Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation /,0 600 Occupancy tA MCESSystem - Census Code Zoning Ciry Water - SAC Units Stories I 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) Final/C.O. _ Footings (addition) ? Final/No C.O. Foundation Other Drain Tile Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final ? Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning filL Building Inspector Base Fee 19S.as" Surcharge 5. 56 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 S4 \ 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN ~ 651 681-4675 Re wrements to buildin ermit Foundation Onl New Construction Interior Im rovement . Structural Plans (2 sets) • Architecturel Plans (2 sets) . Architecturel Plans (2 sets) . Ciwl Plans (2 sets) Structural Plans (2 sets) . Code Analysis (1) . Code Analysis (1) " . Crvil Plans (2 sets) . Project Specs (i set) . Project Specs (1) Landscapinq Plans (2 sels) . Key Plan . Spec. Insp & Testing Schedule " • Code Analysis (1) " • Master Exit Plan . SAC determinahon letter from MClES - • SAC determination letter from MC/ES - call . SAC determination letter from MClES - call cal l 651-602-1000 651-602-1000 651-602-1000 • Spec Insp.BTeshngSchedule (1) " . EnergyCalculations (7)notalways" • ProjectSpecs (1) . Elec Power8li9htingFOrm (1)notalways" • EnergyCalculations (1) " Electnc Power 8 Lighting Form (1) " Master Exit Plan • Soils Re ort 1 " Contact Building Inspections for sample Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: WORKTYPE: _ NEW --~'REMODEL DESCRIPTION OF WORK: 6cLnA-S S aa.0o0 CONSTRUCTION COST: J0JM0;t= TENANT NAME: SITE ADDRESS: _ 3G31 -35- 1~'rr)I...` U;.euf Dr. SUITE LOT BLOCK lU SUBD. _S-e 4-i d Y~ I Q( P.I.D. # Name:_ 6)e-0'- Asp-v<, Phone PROPERTY Last First OV'NER StreetAddress: S• 1}R11,c~ l1;-L-0 bt- Ciry State: Zip. S5 / a A. r Company:_~}~) Phone 6q1,-3S 3'J CONTRACTOR StreetAddress:_g;t0 CkcAk\.1„5 City l'ji. Rdutkk State. u_ Zip: Sl)y ARCHITECT! ENG]NEER Company: ~ Phone q: Name. Registration Street Address. Ciry State: Zip: ~ SE° I 3 ; Sewer & water licensed plumber (only if installinq sewer 8 water). I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all apphcable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Q)i OFFICE USE ONLY . . _ ' ' BUILDING PERMIT TYPE ? 01 Foundation ? 26 Public Facility ? 28 Greenhouse ? 25 Miscellaneous C3"27 Commercial/Industrial ? 29 Antennae WORK TYPE ? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 SidinglSoffits/Facia ? 32 Addition 0 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors ? 33 Alterations ? 36 Move Bldg. B' 42 Reroof ? 45 Fire Repair GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) First Floor sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs. # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee 3~4 C~ VALUATION: $ Surcharge I t. U C~ Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size SNV Permit S/W Surcharge Treatment Plant Park Dedication ; Trails Dedication Water Quality Other Copies / Total Aw -a~~ /5, c(f~ /c o ~fC7 %v EAGliP] TOidNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON ~A3 DATE: November 5, 1968 NUMBER 233 Valley View Apartments c/o Bldg. 3 OWNER• Car-Bor-Nel P.ddres's 3935 Valley View 6enrt L7e- PLUMBER ; h Plumbing .o. TYPE OF PIPE Caet Iron DESCRIPTION OF BUIIA ING Industrial Commercial Residential Multiple Dwelling No, of units 24 Location of Connections: Connection Charge Permit Fee 7.50 Street Repairs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Tormship, Dalcota County, Minnesota By. ~vii+an}~ Plnmhin8 G ~'~y~~9 _ ~+h C+ C F ~ (laaon Please notify when ready for inspection and connection and before any portion of the work is cwered. O /v /o EAGFN TOWNSHIP 3795 Pilot Knob Roud St. Paul, Minnesota 55111 Telephone 454-5242 PERt1IT FOR WATER SCRVICE CONNECTION Date: November 5. 1968 Number: 122 Valley View Apartments c/o Bldg. 3 Billing Name:-Bon`-Nel Site Address;_;5c;5 Va11o4T Owner: Lar-Bon:Ne1. _"o. Billing Address 1600 E. 78th St. Mpls. Plumber: Mitsch Blumbing Co., 332 - 5th St. S. E., Osseo Location of Connection Meter Size Connection Chg. Meter No, Permit Fee ~50 Meter Rezding Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks; Residence t4ultiple x Ao. Units 24 Commercial Industrial gy; Other Chiet Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Mitsch Plumbing Co. - . . ssea Plea;;e notify the above office when ready for inspection and conneeti.on. ~ 2004 COMMERCIAL BUILDING PERMIT APPLICATION(--~L~ y-D7 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 c', p19. Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) seLS • Architectural Plans (2) seLS • Architectural Plans (2) sets • CivilPlans (2) . SWCturalPlans (2) • CodeAnalysis (1)" • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) . Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule . CeAifcate of Survey (1) • Energy Calculalions (1) not always" • Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not always" • Meter size must be established • Meter size musl be established • Meter size must be established-if applicable 1 . ProjectSpecs (1) d • EnergyCalculations (1) 1 • Electric Power & Lighting Fortn (1) 1 . Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) ! • SoilsRepoA (1) 1 • SAC determinalion - call 651-602-1000 • SAC determination - rall 651-602-1000 SAC determinalion - call 651-602-1000 Cal I MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if reqwred when it staces "not always". Permit for new building or addition will not be processed without Emergcncy Responsc Site Plan. Dat4_1 a/ / ~ ~y 'r Construction Cost Site Address / ,3 ~J V -u~r-~ Unit/Ste # ~C27•- 3no 7 Tenant \ame ' Former Tenant Name Descrip[ion of Work A~ Property Owner Telephone #(7c~i3 ) 3S5/ -5 5OO Contractor .7 Address 12 9 ~y ,7j('j 7'5~ S 7" ~ City State Zip Telephone # W,;Z) h , Z Arch/Engr Registration # Address City r State " Zip Telephone # ( ) i , i 'A'F'R Yi ~ YW1Y14 ~ Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is comp e e an ac u a e; 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. Ei- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ` J ' . Sub Types : Ol Foundation ' 26 Public Faciliry = 30 Accessory Building ~ 14 Apartments E 27 Commercial/Industria] ~ 32 Ext Alt-Aparcments 15 Lodging 28 Greenhouse ~ 34 Ext Alt-Commercial El 25 Miscellaneous ~ 29 Mtennae ~ 35 Ext Alt-Public Faciliry ~ 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ~1 1 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair '6'K 33 Alteration 9~~CC"GS p 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg only) - Give PCA handout to applieant Valuation ~ V V Occupancy MCES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width Required luspections Footings (new bldg) _ Insulation X Footings(deck) Final/C.O. ~ _ Footings (addition) ? Final/No C.O. Foundation O[her Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Smcco _ Stone _ F'ireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning ~ Building Inspector - - - - - - - Base Fee Surcharge Plan Review MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 (r y. ~ ~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~ ~ Foundation Onl New Buildin Interior Im rovement • SWctural Plans (2) seLS • Architecfural Plans (2) seLS • Architectural Plans (2) seis • Civil Plans (2) . SWCtural Plans (2) • Code Analysis (1) • Certifcate of Survey (t) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) . CodeAnalysis (1) ^ • MaslerExitPlan (1) • Spec. Insp. & Tes6ng Schedule " • Certificate of Survey (1) • Energy CalculaGons (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Fortn (1) not always" • Meter size must be established . Meter size must be esWblished • Meter size must be established-if applicable 1 . ProjeClSpecs (1) 1 • EnergyCalculabons (1) " ! 1 • Electric Power & Lighting Form (1) " 1 1 . MasterExdPlan (1) 1 1 . Emergency Response Site Plan (1) 1 1 • SoilsReport (1) 1 • SAC determination - call 651-602-1000 . SAC determination - call 651-602-1000 SAC detertnination - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging tacilities. Contact Building Inspectrons for sample and if required when it states "not always". Permit for new building or addi[ion will not be processed without Emergency Response Site Plan. Date 0Z Construction Cost Site Address 377 • ` UniUSte # Tenant Name ~ Former Tenan[ Name Descripfion of Work i Property Owner OwN.r.rlkf.,.r., Telephone #(7d3 )'j i51-S 53M Contractor ..7 ~ Address Q ~ f City State Zip Telephonei/Z) -~Z~'vf Arch/Eugr Registration # Address City State Zip Telephone # I; i ~~J4 Licensed plumber installing naw sewerlwater service: Phone APR 2 I hereby apply for a Commercial Building Permit and acknowledge that the info p e e 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. S e- 0IlL 6,el .[1 -e. r- ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY • Sub Types :1 01 Foundation 26 Public Facility C 30 Accessory Building ~ 14 Apartments 27 Commercial/Indush-ial 32 Ext Alt-Apartments ~ 15 Lodging : 28 Greenhouse 34 Ext Alt-Commercial C 25 Miscellaneous 29 Antennae ~j 35 Ext Alt-Public Facility 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair A 33 AlteraGon pgtAr~ ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replecement •DemoliHon (Entire 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 of Const Width Required Inspections Footings (new bldg) Insulation ~C Footings(deck) FinaUC.O. _ Footings (addition) ~ FinaWi o C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fwming _ Siding _ Stucco _ S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning Building Inspector - - - - - Base Fee Surcharge Plan Review ~ D MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ~ • 2004 COrIMERCIAL BUILDING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 o ~ ~ y. o -t) a Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Archdectural Plans (2) sets • Architectural Plans (2) sets . Civil Plans (2) . Structurel Plans (2) . Code Analysis (1) " • Certifcate of Survey (1) • Civil Plans (2) • Projec[ Specs (1) • Code Analysis (1) . Landsraping Plans (2) • Key Plan (1) . Project Specs (1) . Code Analysis (1) " . Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lightlng Fortn (1) not always" • Meter size must be established . Meter size must be established • Meter size must be established-if applicable ! . ProjectSpecs (7) 1 • Energy Calculations (t) l • Electnc Power & Lighting Fortn (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan ('I) 1 • SoilsReport (1) 1 • SAC detertninaGOn - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC detertnination - call 651-602-1000 Call MN Dep[ of Health at 651-215-0700 for details regardmg food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition wtll not be processed wi[hout Emergency Response Site Plan. Date ~ / ConsUuction Cost ~x 5 ~d ~ SiteAddress v UoiUSte #~06 366 Tenant Name Former Tenant Name Descrip[ion of Work Proper[y Owner Telephone Contractor _!5~z) Address ~ Z 9 7y Jc) V, s/10- City State ~ilL Zip 5 S 00/ Telephone # (610) 'eiS -er z '^-5-- Arch/Engr Regis[ration # Address City State Zip Telephone R N 2 Y~04 j II Licensed plumber installing new sewerlwater service: Phone ) By I hereby apply for a Commercial Building Permit and acknowledge that the information is complete an 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. ~ ~ G O Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types • Ol Foundation 26 Public Faciliry - 30 Accessory Building ~ 14 Apartments ' 27 Commercial/Industrial _ 32 Ext Alt-Apartments . 15 Lodging ~ 28 Greenhouse , 34 Ext Alt-Commercial :1 25 Miscellaneous ~ 29 Antennae ~ 35 Ex[ Alt-Public Facility 37 Nail Salon Work Types ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair K 33 Alteration p? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation LU Occupancy MCES System Census Code ~Z Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const V~L Widlh Required Inspections Footings (new bldg) _ Insulation ~c Footings (deck) FinaUC.O. Foo[ings (addition) ~ FinalNo C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ F[gs _ AidGas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning 1(' Building Inspector T Base Fee Surcharge Plan Review o /TLL6 69 c) v MCES SAC Ciry SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total ~ 2004 COMMERCIAL BUILDING PERM[T APPLICATION City Of Eagan 3530 Pilot Knob Road, Eagan Mu 55122 ~ j~G J Telephone # 651-675-5675 FAX # 651-675-5694 °i. 3-5 . • . • Building . Improvement • Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Anatysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) ^ . Landscaping Plans (2) • Key Plan (1) . ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule • Certifcate of Survey (1) • Energy Calculations (1) not always" • Soils RepoA (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" . Meter size musl be established . Meter size must be established • Meter size must be established-if applicable 1 • ProjeclSpecs (1) 1 • EnergyCalculalions (1) 1 • Electric Power & lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) ! • SAC delermination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC determination - call 651-602-1000 Call MN Dept of'lieahh at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact 6uilding Inspections 1'or sample and if required when it states "not all+ays". Pennit for new building or addition will not be processed without 8mergency Response Site Plan. ff 10 Date N C nstruction Cost Site Address Unit/Ste T ~ e ~ #~3 _•''~3 Tenant Name Former Tenant IVame Description of Work ~444ec~ ih-,J~ Property Owner Telephone #(76j) 35 y.7WV Contractor .V,~F Address City State ~ Zip !j 5Oof Telephone #(j'1Z) 6~E ~e Z~ Arch/Engr Registration # Address City State Zip Telephone # ( Licensed plumber installing new sewer/water service: Phone : PR ~i y t004 I hereby apply for a Commercial Building Permit and acknowledge that the info ccurate; that the work will be in conformance with the ordinances and codes of the City o 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. SUa ~ G'~A •-e~ ~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ~ Sub Types • ? 01 Foundation ? 26 Public Facility 0 30 Accessory Building 14 Apartments ? 27 CommerciaUlndustrial C 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext AI[-Commercial ? 25 Miscellaneous ? 29 Mtennae ? 35 Ext AI[-Public Facility ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair 33 Alteration Oryv(CZ ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors / ? 34 ReplaCement 'Demolition (Entire Bldg only) • Giva PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Unils Sq. FL PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth Required Inspections Footings (new bldg) _ Insulation X Footings (deck) FinaUC.O. ~ Footings (addition) FinaUNo C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Slucco _ 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 S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 2004 COMMERCIAL BUILDING PERMIT APPLICATION ' City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~ . . • ' . . Interior Improvement • Structural Plans (2) sets • ArchdecWral Plans (2) sets • Architeclural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certficale of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) • Key Plan (1) . Project Specs (1) . Code Analysis (1) " • Master Exrt Plan (1) • Spec Insp. & Testing Schedule " . Certdicale of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. 8 Tesling Schedule (1) " • Elec. Power& Lighting Form (7) not always" • Meter size must 6e established . Meter size must be established • Meter size must be established-if applicable 1 • ProjectSpecs (1) 1 • Energy Calculations (7) " 1 1 • Eleclnc Power 8 Lighting Fortn (1) " 1 1 • MasterExRPlan (i) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) d • SAC determination -ca11 651-602-1 000 • SAC detertnination -ca11651-602-1000 SAC determinalion -ca11651-602-1000 Call MN Dept of Health at 65I-215-0700 for details regarding food & beverage or lodging facilities Contact I3uildmg Inspections Fur sample and if required when it states "not alwayi" Permit for new building or addition will no[ be processed without Emergency Response Site Plan Date Construc n ost ' C Site Address -319 3 S ~ v q1D Unit/Ste N~(~ Tenant IVame Former Tenant Name Description of Work Property Owner Telephone tt (`763) 35~~ `J~~i- LICJ Contractor Address City State Zip ~SDB/ Telephone # ( J~JlZ) ~~'"45~ Z, ~J Arch/Engr Registration # Address Citv State Zip Telephone # ( ) 1 r. 1 Licensed plumber installing new sewer/water service: Phone tuu~ ~ pPR 2 LA I hereby apply for a Commercial Building Permit and acknowledge that the inform is complete and ac6rate; that the work will be in conformance with the ordinances and codes of the City o Eagan and the iate.n~f' MN Statutes; I understand this is not a permit, but only an application for a permit, and ~ o 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. S~ " 0-e ~~.?1-e~ ~~2~~/ ApplicanYs Prmted Name ApplicanYs Signature OFFICE USE ONLY - Sub Types • ? 01 Foundation ? 26 Public Facility ? 30 Accessory Building 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Att-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt~ommercial ? 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 r? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alterahon 046L~ ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolilion (Entire Bldg only) • Give PCA handout to applicant Valuation U Vl7 Occupancy MCES System Census Code 037 Zoning City Water SAC Units Staries Booster Pump Nbr. of Units Sq. FL PRV Nbr, of Bldgs Length Fire Sprinklered Type of Canst ~ Width Required Inspections Footings (new 61dg) _ Insulation ~ Foo[ings (deck) Fina]/C.O. _ Footings (addition) X FinaUNo C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Sidmg _ Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows Approved By: Planning T_Ze Building Inspector Base Fee Surcharge ~ Plan Review 2, ~ ril~Sfr~G MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Capies Other Total , 2004 COMMERCIAL BUILDING PERMIT APPLICATION - City Of Eagan 3830 Pilot Knob Road, Eagau Mn 55122 ~t ~L Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) seLS • Architectural Plans (2) seis • Civil PIanS (2) • Structural Plans (2) • Code Analysis (1) " • Certifcate of Survey (1) • Civil Plans (2) . Prqect Specs (1) • Code Analysis (1) " . Lantlscaping Plans (2) • Key Plan (1) • PrqectSpecs (1) • CodeMalysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always" • Meter size must be established . Meter size must be esiablished • Meter size must be established-if applicable 1 . Project Specs (1) ! . EnergyCalculatlons (1) ! . Electnc Power 8 Lighting Farm (1) " ! 1 • Master Exit Plan (1) 1 d • Emergency Response Site Plan (1) 1 1 • Soils Report (t) 1 . SAC detertnina4on - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determina[ion - call 657-602-7000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. " Contac[ Building Inspections for sample and if reqwred when it states "not always". +s« permit for new building or addition will not be processed without Emergency Response Si[e Plan. Date Constr ction Cost ,/i-f Site Address 937/ J UniUS[e # ' Tenant Name Former Tenant Name Description of Work Property Owner V Telephone #35 Y" J-J`~ Convactor Address , Z 9 1 y~ -t? City ~ State Zip Telephone #(6lZ) Arch/Engr Registration # Address City ' ryil LS State Zip Telephone ) ~ ~ I ~ ~ AP 1,LIJU7 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. ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types . 71 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 C 25 Miscellaneous ] 29 Antennae ~ 35 Ext Alt-Public Faciliry ~ 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 ,K 33 Alteration 0155aGS ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 RBpIaCBment •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation /~C::r c> L~p Occupancy MCESSystem Census Code y 3~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type af Const Width Requiredlnspections Footings (new bldg) _ Insulation ~ Footings(deck) Final/C.O. _ Footings (addition) ~ Final/No C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina] _ Framing _ Siding _ Smcco _ Stone _ Fireplace _ R.I. _ AirTest _ Pinal _ Windows Approved By: Planning Tl, Building Inspector Base Fee Surcharge Plan Review y/co il MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C y-~ Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Archilectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) . Code Analysis (1) " • Certifcate of Survey (1) . Civil Plans (2) • Prqect Specs (7) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) • Projecl Specs (1) • Code Malysis (1) " • Master Ezit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculatlons (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (7) " • Elec. Power 8 Lighting Fortn (1) not always" • Meter size must be established . Meter size must be established • Meter size must be established-4f applica6le 1 • ProjectSpecs (1) 1 • Energy CalculaEOns (1) " ! 1 • Electric Power & Lighting Form (1) 1 1 • Master Ezit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • SoilsReport (1) 1 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC delerminatlon - call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Bmlding Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed wi[hout Emergency Response Site Plan. Date 571 / -0-~/ Construction Cost Site Address UnidSte #,~OS =.~0~ Tenant Name Former Tenant Name Description of Work Property Owner Telephone #(;7Z(j) 35y'- 53700 Con[ractor F Address 9'7 ~J 7jQ7~f ~ s City State ~i0~ Zip S 5~4~ Telephone #i~lz ) z B'S- Arch/Engr Registration {t Address City State Zip Telephone # ( ) APR 2 4 Licensed plumber installing new sewer/water service: Phone ) By 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 ofplans. ~ G /4/- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY . Sub Types ~ :1 Ol Foundation = 26 Public Facility 30 Accessory Building X 14 Apartments 27 Commercial/Industrial ~ 32 Ext Alt-Apartments ~ 15 Lodging ~ 28 Greenhouse 34 Ext Alt-Commercial C 25 Miscellaneous ~ 29 Mtennae 35 Ext Alt-Public Faciliry 37 Nail Salon Wark Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair A 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bltlg only) • Give PCA handout to appliwnt Valuation Oa~ 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 of Const ~C! Width Required Inspections Footings (new bldg) Insulation ~ Footings(deck) FinaVC.O. _ Footings (addition) ~C FinaW, o C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning Building Inspector - - - - - - Base Fee Surcharge Plan Review 0 ty~ MCES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total 2005 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 . . O • . . Interior Improvement • Structural Plans (2) sets • Architecturel Plans (2) sels • Architectural Plans (2) sets . Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Certiflcate of Survey (1) . Civil Plans (2) • Project Specs (1) • Code Analysis (t) . Landscaping Plans (2) • Key Plan (1) . Project5pecs (1) • CodeAnalysis (1) • Master Exit Plan (1) . Spec. Insp & Testing Schedule " . Certificate of Survey (1) • Energy Calculahons (1) not always" • Soils Report (1) . Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not atways" • Meter size must 6e eslablished • Meler size must be established • Meter size musl be established-i( applicable 1 • ProjectSpecs (1) 1 • EnergyCalculations (1) l • Eleciric Power & Lighting Form (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 delermination - call 651-602-1000 • SAC detertnination - call 651-602-1000 . Fire Sto in Submittals Call MN Dep[ of Health a[ 651-215-0700 for details regarding food & beverage or lodging facilities. f* Contact Building Inspections for sample and if required Permit for new building or addition will no[ be processcd without Cmcrgency Response Site Plan. Date 0? / 0 2/ Construction Cost 5~ , FS`7 ~ Site Address 21°l 3(-~°J 3S J4,14 ~ 2 fJ~, e_tH Unit/Ste # Tenant IVame Former Tenan[ Name Descriptian of Work ~ avFautiv ~n~?! ~F VQ-U I/iSl~)-~ 'p4QFri04- Praperty Owner nil F AQ y4'~?in Fr?C~ L~C-- Telephone # Q~/J !)4 3z( Contractor gtt) ~alAf(-L &2'iLJ' mC~S LL~ Address 3' 7(~- City gv+~~ State MvJ Zip ~5~ 2 2 Telephone #(LS 1)~ c- 5z( -2r-/D Arch/Engr Registration # Address City State Zip Telephone # ( ) F~ r I~I L`~ V LS u u u I Licensed plumber installing new sewerlwater service Phone FCR j 2n f1~, I II J I hereby apply for a Commercial Building Permit and acknowledge that the information ~,s3 omplete and accurat ; that the work will be in conformance with the ordinances and codes of the City of Eagaand-the S e'ta~N 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. -A, " i Ap~ plicant's Printed ame A plican's Signature OFFICE USE ONLY Sub Types ? Ol Foundation C 26 Public Facili[y Ll 30 Accessory Building ? 14 Apartments 27 Commercial/Industrial 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ~ 34 Ext AI[-Commercial ? 25 Miscellaneous ~ 29 Antennae C 35 Ext Alt-Public Facility C 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 Rerooi ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 17J0110 ~ Occupancy MCES System ~ Census Code !~37 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 _ Footings (new bldg) Insulation _ Footings (deck) ~ Final/C.O. _ Fwtings (addition) _ Final/No C.O. Foundation Other Drain Tile _ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding _ Smcco _ Stone _ Fireplace _ R.I. _ AirTest _ Final _ Windows Approved By: Planning ~ Building Inspector Base Fee 27 q, 25~ Surcharge ~ • y~ 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 2 S7 ' -7