3425 Washington Dr
i Y OF EAGAN WATER SERVICE PERMIT
..95 Pilot Knob Roed PERMIT NO.:
Eagan, MN 55122 DATE:
zQn++,g: No. of Units:
Owner. -
Address:
5ite Address:
Plumber:
Meter No.: . Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
1 agree ta eornply wilh the City of Eagan Surcharge:
Ordinonees. Misc. Chorges: TotoL' ~
gY Date Paid:
Date of Insp.: Insp.:
M
'TY OF EAGAN SEWER SERVICE PERMIT
4795 Pilut Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: -
Site Address:
Pf umber
1 agree to aomply wifh the Gty of Eogan Connection Chorge:
Oedieances. Account Deposit:
Permit Fee:
Surcho rge:
gy Mist. Charges:
Dote of Insp.: _ Total:
Insp.: - Date Paid:
• CITY OF EAGAN 3795 P11ot Knob Raed Eagan, MN 55122 N2 4855
PHONE: 45"100
BUILDING PERMIT Receipt
i~
19
To be uaed for . Est. Vnlue - ' Date
Site Address v~ Erect Occupancy
Lot " Bixk ~ Sec/Sub. ~icPnnt~tl~?~~;I .i Alter p Zoning
parcel Repoir ? Fire Zone "
Enlarge ? TYpe of Const.
W Name `v • Move ? # $tories _
; Addreu ~ 'zu Demolish ? Front k.
b •~~2"a::u;i
Ci Phone Grade ? Depth ft.
p Nome Approvab Fees
Address Assessment Permit
~ Ci Phone Water & Sew.t Surcharge v
Police `:`"y 76 Plon check -
yVjW Ncme Fire SAC
~o Address Eng. Water Conn.
aW Ci Phone Planner Woter Meter
• Council ~ j€'~
I hereby ocknowiedge that I hcve read this application and stote thot gld Off6F1 2 f 7'
the information is correct ond agree to comply with oll applicable APC lf 7`5 Total
State of Minnesota Stotutes ond City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
cll work shall be done in accordance with all opplicable State of Minnesoto Statutes cnd Ciry of Eagan Ordinonces.
Building Official
r
PlrIllih # pCF! IpYld re(aM}N
Plumbing
Mechanical
INSPECTIONS DATE INSP. RoupMln Final
Footings .40_ Date Insp. Dafe Irap.
Foundotion Plumbing
Frame/ins. - ~ Mechonicol
Finol
•
Remarks:
. ` CITY OF EAGAN
3796 Pilo1 Knob Road
Eoyaa, AAinnesota 55122
Phene: 454-0100
MECHAP _ T r. _ PERMIT No. j 5
Dote: Receipt No.:
4: S 11a5I11P,tpP, I)r. Single I
Site Address: Residential
Lot Block 3 Sub/Sec. cer:.*.ennL ~ Multi Res., Comm./Ind. T T'`.'. I v
Nome r:'1 Co ,
New/Alter. / Repair
0 7i0 South PZa?,-i 12,770.
Address Cost of Installation O
Cityer.dota Hts. 551 ? n phone, Permit Fee 11 ~'~S
;dress e " Pher Heatinf~ 5u~~ .5~~
.
~ P 't 0-1S W. 12 3rd St. _
0
V r.... • '
Ciry Phone: Totol
This Permit is issued on the express condition thot all work shall be done in occordance with oll applicable State of
Minnesota Stotutes and City of Eagon Ordinances.
Buildiny Official
CITY OF EAGAN Remarks ~ • ' ' '
Addition - 1 Lot 2 elk 3 Parcel 10 14002 020 03
Qwner - Street J 25 ti'Tashington Drive State
?sJ .~.Z' X f? / ~C . 'Z:y r
gee, Improvement ` Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~
~
* SEWER LATERAL 1
WATERMAIN
WATER LATERAL 1977
* WATER AREA 1277
* STORM SEW TRK 1977
* STORM SEW LAT 1977
STORM SEW LAT 1984 584.30 58.43 10
CURB & GUTTER
SIDEWALK STREET LIGHT
WATER CONN.
BUILDING PER.
SAC - -
PARK
INSPECTIUN RECORD ~
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Raad Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION „
I ~
L
~1
Permlt No. Pe?mit Holder Dete Telephone t
S/W
PLUMBING
HVAC
ELECTRIC 7
/QI ~
.
ELECTRIC
Inspection Dats Insp. Comments
Footings I
Foundation
Framing • 2~.9 $ p~
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 1 0 H i t
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1!~ i . 1+1 ~ii t.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
fi .
F
. . . . . . : . . J
L
Permk No. Permit Hotder Dats Telephona A~
ELECTRIC
PLUMBING
HVAC
Inspectfon Dan inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIH TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
dECK FINAL
. cirr oF EAcwN
3795 Pilot Kaeb Road Fa9an, MN 53722 N! 4855
PHONEs 454-8100
BUILDING PERMIT APPLICATION Receipt
ro be una fo. Service Ba S Est. Value 90,000.00 ~te 6 21 1978
as ngton Lir. S-4
$ite Address Erect [79 Occupancy
Lor 2 Blxk 3 secisub. Bicenntennial 3 Alrer ? Zoning pD
Pamel # Repair ? Fire Zone 3
Enlcrge ? Type of Const. IvN
s Name F2d Land Co Move p # Stories
Z Address 750 South P1d2a Demolish ? Pront 112 ft.
~ C. 55120 Phom 452-3303 Gmde ? Depth 50 - ft.
o NQ~ S~e Apprmoh Fees
~ Assessment Permit •
~u Addreu 45'00
Ci Phone Water & S w. Surcharge 5 25 78 k~100.00
ww Name lagers, McGee and Pope, Inc. Poi;Firem N~~ 00.00
tz 533 St. Clair Ave.
qddrea Eng. Water Conn.
aw q $t. pdUl phone Planner WaMr Meter
C,uncii 5718 78 Road Unit
I hereby acknowledge tFwt I have read this applicotion and state that gldg. Off. 6 21 78 56 acres - 126.00
the information is correct and agree to comply with all applicable AP~ 5 11 78 7oto1 24']j.50
StaM ofi Minnesota SMtutes and City of Eapan Ordinonces.
Signoture of Permittee A Building Permit Is luued to• on the express conditlon that
all work shall be done in rdance v( upplicable Stat of Minnesota Statutes and City of Eagon Ordirwnces.
Building Officiol
~ . .
>
DATE O
SUZLDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and I set of energy calculatiohs
gv 70,
'
7b be used fo Valuation
Site AddresE; ,34) S vl/ °''K.:S ~!/u-i~ ~ Jitl if t
Lot~~- Block-*At See. Sub, Parcel Number lD /fr00SL- 4o10 D3
Ox+ner Q d Telepho ne .~~2 d~
Addrese 7n s- Pr"o of
yd
Contractor md:Telephone
Address
Arch. /F.ng. 4c l .4 - { P ' 0 PIO Telephone
Address
. OFFICE USE
Erect Occupancy &4
Alter Zoning Pb
repaiZ Fize Zone
Enlarqe Type of Const. 4fte
t4ove # of stories
Demolish E'ront
Grade nepth 6'D
OFFICE USE
- Ikite of ApproVal & Initidl FEES
Assessment Permit ';?00
Water/Se Y Surcharqe
Police - plan Check -tO h
Fire SAC
Eng, _ Hlater ('onn-
Planner _ Waj~er Meter
Counci;/
Pldg, ff.
A.P.C. .f TOTAL
~
(o ~ ~.5A Ci ,t.-n...~~
~l
For Office Use ~
Clty of Eapn I Permit# D~/U/ ~ I
j Perrnit Fee:~ ~ 7 I
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:Q
Phone: 651 675-5675
Fax: (651) 675-5694 ~~p Fr•° JC ~ Staff:
9-5/
7l 0~;2 ceF4- MEss~~zc ~C,4
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ~`17-CEr Site nddress: 3125 W'A5H*,~47Z)N nrt
Tenant Name: (Tenant is: New Existing) Suite
PROPERTYOWNER Name: AQ'v 53oL.5ErH Phone: 66/-`~52-~SSS
Address / City / Zip: 3G4 25 1-14614%KJ *y Dr , E,¢(,q,u ,N,?. 5 Jr~ ZZ
Applicant is: _ Owner Y, Contractor
TYPE OF WORK Description of work: QeMCapt 4-pir8~r G OQ7 5 F AootNb oQe¢ i'3,000 sF
Construction Cost~ / ~ LYJO
CONTRACTOR Name: LAti.16EtZ CONS7Ra9GT~D~J License
Address: 6'y EIIST Mo2E44.up AL~s
City: wr--9T 'E." pi4~l-- State: i`94/ Zip: 6-S'//e
Phone: 65/• 4*!;7'6-7113 Contact Person: 11U/27-ARCHITECT / Name: C.N H .4AR6NjtEG75 Registration
ENGINEER qddress: 73av w q,r7 $r, $v-r-rF 60y
City: *PJ°eE VAUfYState: 4(A/ ziP: 5512y
Phone: a 2-~131-yy33 ContactPerson: QLxui'-+Hv+-6on.~
Licensed plumber installing n ewer/water service: Phone 6'sl' qUS"- l~00
NOTE: Plans and supporling documents that you su idered to be public informa[ion. Porfions ot
the intormation may be classified as non-public if you provide specific reasons that would permif the City to
conclude that the are trade secrefs.
I here6y acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinanCes and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. x M.9-1i4EX! ,30aAUC. - 4ssz67ANT PQo1&r ly.a,v.6~612 x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
\
~
DO NOT WRITE BELOW THIS LINE
SUB TYPES:
? Foundation ? Public Facility ? Accessory Building
? Apartments 9~'Commercial / Industrial ? Ext. Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility
? Nail Salon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building'
~Addition ? Move Building ? Reroof ? Uemolish Interiar
? Alteration ? Fire Repair ? Demolish Foundation
? Replacement ? Windows ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation OLYl. pQO 00 Occupancy QMCES System NGS
Plan Review Cade Edition P04 SEY, .7041 ftBrSAC Units 3
(25%_ 100% ~ Zoning City Water
Census Code Stories Booster Pump ~
# of Units Square Feet PRV ~
# of Buildings Length Fire Sprinklers
Type of Const. Width 14
REQUIRED INSPECTIONS
Faotings(new bldg) Sheetrock
Footings (deck) ~ FinaI1C.0.
~ Footings (addition) Final/No C.O.
.~FOUndation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
? Framing Siding: Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
? Insulation Retaining Wall
Final C/O Inspection: Schedule Fire Marshal to be present. ? Yes _ No
Reviewed By: L , Builtling Inspector Reviewed By: Planning
COMMERCIAL FEES:
Base Fee S9S~ 9.S
Surcharge 50, pU
Plan Review 33
SAC-MCES
SAGCitY
S/W Permit /00.00 Financial Guarantee o~
5/W Surcharge d Storm Sewer Trunk
Treatment Plant 'fD,QQ Sewer Lateral
Treatment Plant (Irrigation) Street Sewer Trunk
Park Dedication Water Lateral
Trail Dedication Other - WaterTrunk
Water QualitP"
y et'/ -N av,
Water Supply & Storage (WAC) Total
v / Page ? of 3
-7 7-~ ~y
f
Mdtropolitan Council
u
Environmentai Seruices
May 20, 2008
Dale Schoeppner
Building Official
. City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
~ The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the
Superior Mechanical and Collision to be located at 3425 Washington Drive within the City of Eagan.
This project should be charged 3 SAC Units, as determined below.
SAC Units
Chazges:
Office
1282 sq. 8. @ 2400 sq. 8./SAC Unit 0.53 +
Car Wash Bay ~ 02
4 cars/day x 3.5 gal./min. x 20 min. @ 274 gal./SAC Unit
Service Bays (fast) 3.75
25 bays x 30% @ 2 bays/SAC Unit
Service Bays (major) 125
25 bays x 70% @ 14 bays/SAC Unit
Total Charge: 6.55
Credits:
SAC Paid (6/78) 4.00
Net Chazge: 2.55 or 3
The business information was provided to MCES by the applicant at this tnne. It is the City's
responsibility to substantiate the business use and size at the time of the final inspection. If there is a
change in use or size, a redetermination will need to he made. If you have any questions, call me at 651-
602-1378.
Sincerely,
Jessie Nye
SAC Coordinator
Environmental Services Division U I i D
JN:kb:080520A1 MAY 2 12008
cc: File, MCES ~g T
Peggy Fleck, Eagan y . _
Kurt Nash, Langer Construction www.metrocouncil.org
390 Robert Street North • St. Patil, MN 5 51 0 1-1 805 .(651) 602-1005 • Fax (651) 602-1477 • TIY (651) 291-0904
. AnFqu¢lOP~mnilLEmployer . .
PERMIT
~ CITY OF E'AGAN
3830 Pibt Knob Road PERMIT TYPE: e u i Lo i ro G
Eagan, Minnesota 55123 Permit Number: 0 2 0 9 T 8
(612) 681-4675 Date Issuetl: 0 5/ 2 0/ 9 3
SITE ADDRESS:
3425 WA5HINGTON DR
LO?: 2 BLQGK: 3
BICENTENNIAL 3RD
P.I.M.: 10-14002-020-03
DESCRIPTION:
r--~ AMOCO CERTICARE
B,u'I ldirr't,p Permit Type COMM. /IND. MISG.
Puiida,ng ~Wr~~rk Type ALTERATION
F'UBG Accupency\-' B-2J13-1
f ~ "C
~
ti?
FL
TN% D(ff (Z-
REMARKS:
FEE SUMMARY:
VALUATION $14,000
Base Fee $153.06
Plan Rev3ew $99.45
Surnharge $7.00
Totsl Fee $259.45
CONTRACTOR: - ApplicanC - OWNER:
FENDLER CONST 28904364 WILLSHIRE INC
4839 W 124TH ST 9425 WASHINGTON pR
SRVAGE MN 55378 EAGAN MN 55121
(612) 890-4364 (612)454-5522
I hereby acknawledge that I have read Chis aRplieation and state that tMe
infqrmatipn ie correct and agres to eomply with a11 appTicabke State of Mh.
SCatutes and City nfi Eagan Ordinanaes.
l AP ZAN E MITEE SIG ATURE ISSUED BYAIGNAPCIRE
REACTIVA7E _ CITY OF EAGAN
PERMIT 1 • , 9993 BUILDING PERMITAPPLICATION ~Uq.41
v O ss1-as75 ~r
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s Ly.ey_5,_1copy of ergy
calcs. _ "
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Yaluation of work 13 . -750
Site Address: 2 S-_ ~
STREET SUITE 11 ~
Tenant Name: (commercial only) ZL6) C
IAT ~ SIACK 3 [SUBD. L.~~Aaa'r P.I.D. At
Descri tion of work: ~ Il-) t- M ?Z.- -
The applicant is: ? Owner Contractor O Other (Descri6e)
Name (A)Id_s'A M, -4 e _ Phone
Property LAST F,RST
Owner Address 3S~as uJas~~~ ii~ An
STREE7 STE Y
City 6_~02il State vW4- Zip
Company TTJA~.r CoA5~1`-LPhon ugo-~3~y
Contractor Address Y83(7 Cc)• s~License # R~ hJ Exp.
City / State i'J'117• Z i p 7
Company (h t'oe)PT 1~S50C.- Phone 'W3- 7~qu
Architect/
~
Engineer Name Registration #
Address 936 /a~rr ~^ew s~
City State 2ipSS/,76
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w~tA all applicable 5tate of Minnesota Statutes and City of
Eagan Drdinances. ~
Signature of Applicant:
OFFICE USE ONLY ,
•r ~
BUILDING PERMIT TYPE
? OI Eoundation ? 06 Duplex ? 11 Apt./Lodging'„„ 1_6 Basemcft Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
0 03 5F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ~19 Lomm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'l. ? 15 Deck 20 Public facility
13 21 Miscellaneous
WORK TYPE
O 31 New ~ 33 Alterations ? 35 Tenant finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq, ft. PRV Required
Zoning 5q. ft. total Booster Pump
of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code~
APPROVALS
Planning Building Assessments
Engineering Yariance
REOUIRED INSPECTIONS
? Site ? Footing ~Framing ? Insulation
? Wallboard Ix Final ? Draintile ? Fireplace
Permit Fee .OJ voiuac;a,: S 00
Surcharge , o
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit S/W Surcharge '
Treatment P1. Road Unit
Park Ded.
Traits Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031088
(612) 681-4675 Date Issued: 11 J 0 7/ 9 7
51TE ADDRESS:
9425 WASHINGTON qR
LDT: 2 BLOCKc 9
BIGEN7ENNIAI 3R0
P.I.N.e 10-14002-020-03
DESCRIPTION:
~ (ROOFING)
~~•ls~xJf~Rermit Type COMM./IND. MISC.
TYPe REPAIR
~j~~~ I io44,`- 437 A'LT. NONRES.
[ P x
I 4 $
Y
dy. 9 ;p p~~y;
~
~
~ j ~
~~$r
~ . ` . .
a ~
REMARKS:
FEE SUMMARY:
VALUATION $23,000
Base Fee $324.75
Surcharge „111.50
Total Fee $336.25
r
1
CONTRACTOR: _ Applicant - OWNER:
S M I CONTR 27310730 TRApER MARY
734 N MCKNIGHT RD 3425 WASHINGTON OR
MAPLEWOOD MN 55119 EAGAN MN
(612) 731-0730 (612)457-6286
. . . k i2 rv i u
~ e`ro W'1'ac ts~~rw~vdge ~1,~t~M
h
~n ' E P
' ~ta'ta~~~`s 'af,
-
A PLICANT/PERMITEE SIGNATURE - ~ SSUEL)~n: SI ~ AT ~URE
31-0 97 BUILDING PERMITAPPLICATION (COMMERCIAL) ta, ZJ'
CITY OF EAGAN
681 -4675
The following are required wkh appropriate cartfication Tor all new construction:
~ 2 each: erchitedural plans; mech. 8 elec. plans; fire sprinkler plans; atructural plans; sRa plans; IanESCaping plans; gradingJdrainage/erosion control
plan; utility plan
~ 1 each: set of specificetions; set of energy calwlations; electrical power 8 lighting tortm; Spedal Inspedions S Testing Schedule
~ Letter from MCNJS (phone 0222-8423) inCicating SAC detertnination
~ Code analysis indicating: oodes used; occupancy dessifications; setbadcs; maximum allowable erea es per Bullding and Ciry Codes along with sq.
ft. per floor; type of construction (synopsis oi conslruetion components) 8 any occupancy or area separetion walls;
140 SOIL'S occupancy IoeCS; exH synopsis wdh a diagnm indicating exNng bads irom each room or area, travel paths & all reted
REPORT corridors; ptumbing fixtures; and parking.
DATE: 111E3-1/ :2 WORKTYPE: _ NEw 41~REMODEL
DESCRIPTION OF WORK: LQN Q V-Q(f~', 12c.~ (~~Qg~ P.OOP
CONSTRUCTION COST: bD TENANT NAME:
SITEADDRESS: UjQS~cKeaLat Dx,
LOT-1- BLOCK gL SUBD. J')I~ P.I.D.#
PROPERTY Name: ~eaot t 2 Phone S^ r7
OWNER .~s= .
Street Address: - y~ S WQS~gw:2 A"" O'e
City: n State: 07r ,PL- Zip:
CoNTRaCTOR Company: Phone 23 1-223 0
Street Address: ~004
City: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (only 'rf installing sewer & water):
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. ~
SignatureofApplicant:~ -
CITY USE ONLY
L a8 BL 3 d RECEIPT
gr
07 ~
SUBD. DATE: a 945
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are = required
for each dweliing unit.
DATE: 9y- CONTRACT PRICE: a°2 Ge -
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee pj 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State 5urcharge of $.50 per $1,000 of permit fee due on all permits.
rn, r~rnnrr oolrc p(S'~-
,
PROCESSED PIPING
i
STATE SURCHARGE . SD ~/3f 9s _
TOTAL s? ~"3/-~S~.~JQ ~ 'D~`x~
SITE ADDRESS: 3 y°1 S ~~~~'l"'•' ~~h
OWNER NAME: 6f S-e TELEPHONE
TENANT NAME: (iMPROVennENTS oNLv)
ADDRESS: G J`~c x 3/ _
CITY: f' f~ ct~ STATE: A?-\ ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
City of Ea~an PB`n'~`#: r;
Pertnit Fee:
3830 Pilot Knob Road 1
Eagan MN 55122 n I,~ ~ Date Receivedo '0 ' W ~
Phone: (651) 675-5675 D~C~V~ ~ Ly
i
Fax: (651) 675-5694 ~ ~ s~,,.
2008 FIRE SURPRESSION SYSTEMS PERMlT APPLICATION*
oate: 1 -31-b T Site Address: 3tf Z S W ,t-i _H W6 '1an+ 'I 2 % ~J ii-
Tenant: Jvelt JZ icY,, C-e LLIS I 04-3 Suite
PROPERTY OWNER Name: 500~ ~I 01Q_ C6C.(. I S(6`/-1 Phone:
AddresslCity/Zip: 317,5' c.-7A-34tiN6Tbq1~ 'b2 F.ttiA~nti . ivtnl s`3-tz3
Applicant is: _ Owner ~ Contractor
TYPE OF WORK Description ot work: (/S'ssxF-t.L_ N&_W f I a ff 5Vljl Nk . S 457kM 114 400111oN tCx N~
Construction Costf 3Z, GAJ-0 Estimated Completion Date: 9' I-6S SN ~`fli~g
CONTRACTOR Name: i<I NIAdZMAtl SVrLW TCLF2License#:
Address 13 b f ('cN( t Q,J'f 5 T
City: Jt _ Qq+.. L_ State: M(%J Zip: ST4 (1
Phone: b'~_+ -1 ZContact Person: -9'Fns ~.ICG~"~ p 5~1`ti
FIRE PERMIT TYPE WORK TYPE
~ Sprinkler System of heads13~) X New
Fire Pump _ Addition
Alterations
_ Standpipe Remodel
Other: pther:
DESCRIPTION OF WORK: 'F Commercial _ Residential _ Educational
FEES
$50.50 Minimum (includes State Surcharge) OR Comrect Vatue $3i~ x t°k
3]~ . J O Permit Fee
- If Permi fgg is less than $1,000, surcharqe is $.50. ~r~1
- It Perrnit Fee Is> E1,OOQ surcharge increases by $.50 tor each J v State SurChefge
$1,000 Perrnit Fee (i.e. a$t,OD1-$2,000 Pertnit Fee requires a$7.00 surcharge).
$ 50 TOTAL FEE
3/4" Displacement Fire Meter -$783.00 $l?3b0 Fire Meter
$ SU 3' S~ TOTAL FEE
'Requirements: 2 comptete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Suppression System permit and acknowledge that Ihe Information is complate and accurate; thal the work will be in
conformance with the ordinances and codes of the City ot Eagan and with the Minnesota BuiMing/Fira Codes; thai l understand this is not a permit, but
only an application tor a permit, and work is not to start withoul a permit; that ihe work will 6e in accortlance with ihe approved plan in the case ot vrork
which requires a review and approval of plans. rn
x` R N Tt~"~'Q56N x 1..!
~
ApplicanYs Printed Name Applica s Si ture
.FOR'OF.FICE.USE
.
~ klbQiREb 1NSPECTIOMS
Hydrosfatic.. FlodaAlar"m DramTest .,Roughin :
~ -~np 'Pump Sssf , , ~~nYr'al Stat{bn , Rnal
' ~Conditions:of Issuance :i
40
~
y.
PertmLReviewedby 7 =lOlt z A
`x a
r ~~Gc..~ TGI/Y'~7 /.i I/ .i'~T, ~1.~ i. r~ ,
I '4
• j Permit
City of EaiaIl AUG o s 2008 ~ ~
~ Permft Fee: ~
3830 Pilot Knob Road
Eagan MN 55122 j Date Recei~ed: I
Phone: (651) 675-5675 BY i ~
Fax: (651) 675-5694 - I Staff: ~
1
2008 MECHANICAL PERMIT APPLtCATtON
Date: Site Address:
~ • ~
Tenant: Suite RESIDENT/OWNER Name: ~ (4 Phone:
Address / City / Zip: ~Z
CONTRACTOR Name: L
Address: /ov/z Cienul; 10/w (y
City: ' State: ~~r Zip: ~~7 L-1
t~-a~- ~v1
Phone: r-7E/J ~ Contact Persorr. r~~~~V/ !
` TYPE OF WORK New .-)(Replacement Additional ANeration ° Demolition
. Description of work: kh/AG-,U& O O ~->GY1
• . , ~ ' . .
REStDENTlAL COMA9E CIAL
PERMITTYPE Furnace - yL New Construction ~Interior Improvement
J_( Install Piping - Processed `
. _AirConditioner -
- _Air Exchanger Gas ~ Exterior HVAC Und
HVAC unfts must be Screened
_ Heal Pump ~ Under ove ground Tan InstalV _ Remove)
Other " When in nk(s), call tor inspeGion by Fire
Marshal and Plumbin Ins ector
RESIDEMIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surcharge)
$90.50 File lepair (replace burned out appliences, duchvork, etc.) (includes $.50 State Surcharge)
$ TOTAlFEE
COMMERClAL FEES: ~
$70.50 Underground tank installation/removal '7 OR Contract Value $0~5'Opfl x 7x I
$50.50 Minimum (includes 5tate Surcharge) 6°, i
• H Permit Fee is less than $1,000, surcharge is $.50.. /ODPermit Fee
- N Per iF_U is a$1,000, surcharge increases 6y $.S0 for each $tdte SUrCh71'ge
$1,000 Permit Fee (i.e.. a$1,ooi$2,o00 Permit Fee requires a$1.0o surcharge). .
- . " $ "U OTAL FEE
I here6y acknowledge that [his iniormation is camplele and accurete; Ihat fia work will 6e in conformance with the ortlinances es oi tha City of Eagan; that
I understantl this is not a pennN, bW only an appibation for a permit, and work is not to start withou[ a permR- e in accordance with the approvetl
' plan in 1he case ol work whiCh requires a review and a v ol lan~. XcS~ a 76
ApplicaM's Prinied Name i ~ D App icanf's Signature
~ ~ x
. ~
, ~R„n~: ,
City of Ea~a~
3830 Pilot Knob Road /Vo ? Pertnft Fee: ~ ~
Eagan MN 55122 ~
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 6755694
O(o•.3~ Cu~ICCC.. ; scatr. I
1
2008 COMMERCIAL PLUMBfNG PERMIT APPLICATION
Date: (a I9SiteAddreas: 342S WI~SEFI~T09J oYL-lUa
Tenant: _ ~1~~(~O G6L.U S (oN Suite
PROPERTY Name: ~~P1"LVGYL COlk-(SICKN phone:
OWNER
CONTRACTOR Name: t"CI4S-Cfa'1~ ~L1~1.-~f~}Q~II~-iH'L ucenseik 5096 Pvr\
Address: '10271 rr C-.YV1,Lr--1 l P-V City: L. e-, Pth1 State: t"INzlp; ~t !
Phone: OET 2-j6 ContadPerson: ~G~IJ ~t1lJ"IL~~-
7'YPE OF _ New _ Replacement _ Repair Rebuitd
WORK ~aodify Space _Work in R.0_W.
-
Descrlptton of work: pdcv ITCai-) PW Yh 13 )1'~
PERMI7 TYPE COMMERGAL .
New Conshuctlon ,JLModITy Space D ~ ~ ~ ~ v
_ irrigation System _ yas no) RPZ PVB) - ' D
6 Rain sensors required on iMgation systems D
• Avg. GPM _(Y turbo required untess smaller s¢a allowed by Public Works) J U N 2 4 200
_ Meters Call (651) 675-5646 to verlty that tests passed Rrlor to n(rkiha uo matar. .
DomesBc: Size & Sype Fire: Size & Price 3(4„ meter 5183.00
Avg. GPM Nigh demand devices9 Yes _No Flushometers_Yes_No PRVRequired,_Yes_NO COMMERGAL FEES:
$50.50 Mirtlmum (includes Siate Surcharge) DR Convact value SS21 x 1%
OC) PertnR Fee
Requkred on ALL new bulldings and bouleward Irrigation systems 4= $ Radto Meter Read
- H PermR Fes ls Iesa than S7.000, wrtharye is $.SO = E Meter(s)
- NPgpn$ El@ ls > 57.000, surcharge lncreases by3 50 fw each $7A00
$1,000 Pertntl Fee (I.e. a 51,00742,000 P87nft F08 roqUVES a $1A0 eutcharye). = $ SWte Surchatge
Following fees apply when instaliing a new lawn IrtigaHon system. $ water Permtl
Call the CitYa Engineminp Oepartrnenl, (851) 873-5846, fur requlrad Pee amwMs. $ Troatrnent PIaM
S Wffier Supply 8 Sforage
a i State Sureharge
TOTAL FEE3
I heraby aanvMetlye Nat Nia Mfortnatbn b cachpWo d ;,thalc ' in ombrmance wiM the adtranros end oodes M Ne Cip~ o( Fapen; lhat I urtlmstaM thfa
IS not a yermil. Dul only en LppIlCeUOn fOf a plrtnli, en i tY~ yertnit Ciet 4ml walARM In.e nce wilh fhe epproved plan in Me case of work whkh
requiroaa rtvlow mrdapprovalNplans x YMN M1;;J'l x ~r
AppllcanYs Prlnted Name Appli9 M's Signature ~
i . ~•~k.
.n+ ~ $
Page 1 of 3
. I For~,47fee`lk,s"`~,' I
I ~ I
Clty of Eapn I Permit# (
3830 Pilot Knob Road i PermitFee: ~ - SCJ I~-C
Eagan MN 55122 i I
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 675-5694 j Staff: j
2008 COMMERCIAL PLUMBING PERMIT A~PLICATION
Date: SiteAddress: !J2 ,
Tenant: Suite PROPERTY Name: Phone:
OWNER
CONTRACTOR Name: i{/ILicense#: !50g9~~Y1
Address: ~ e7kkAHA-0City: e5W5?*V State: A'JN Zip; ~/Zl
Phone: 6~/- Y~?. ContactPerson:
TYPE OF New Replacement Repair Rebuild Modify Space Work in R.O.W.
WORK - - - - - -
Description of work: PERMIT TYPE CQMMERC/AL
New ConstrucGon Modify Space
~ Irrigation System yes no) RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _ (2' turho required unless smaller size allowed 6y Public Works)
_ Meters Call (651) 675-5646 to verity th/at tests passed rior to ickin u meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00
Avg. GPM High demand devic s? _Yes _No
Flushometers_Yes No PRVRequired_Yes_No
COMMERC/AL FEES:
$50.50 Minimum (includes State Surcharge) OR contract vame $
_ _ $ ~Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 ftadio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 ~C, Meter(s)
- If Pennit Fee is >$1,000, surcharge increases by $.50 for each $7,000 J~.
$1,000 Pertnit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.OD surcharge). /6 CJ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ ~ter Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. y,r-."r~~ `
• 9$ lv'TU°' -TreatmentPlant~»v
Wa(er Supply & Storage
$ -75State Surcharge
TOTAL FEES 20 1
I hereby acknowledge that this inPormation is complete and accurete; that the work will be in conformance with [he oreinanCes'and cotles ot the Ciry of Eagan; that I untlerstand this
is nol a petmit, bul only an application for a pertnit, and work is not to slart wiNOUt a pertnit; that the work accortla th the approvetl planJn lhe case of work which
reqX res a revi w and appro of plans.
S ~ X
ApplicanPs Printed Name Appli s Signature .
FOR:OFFICEUSE Approv,edBy v`.x~ ~ f~:f~pate
•iw ep' k sx r~ s-Regu_iretl In'sp"~ctions `_UndecGrountli J`."Rou.
gh,l,n ~~11~AirTesGas7est., linal~
Page 1 of 3
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i hereby certi4y Eha4 Yhis plan, specifilcation, Or tepoat was preparad by me or un,der my diPect supervision ~~te
and that f am a duly Re$istete6/Arehi4ect under thei
laws of the 5tate of Minnesota;' COm~ no
IY
Qete f ` RCg. NO CP6L'C4t@~~~ ; I
~ . . . . , a,~..: . . . . . . . . .
May. 14. 2015 1 :31 PM No. 2999 P. 2
�� _ Use BLUE or BLACK Ink
' ����� v e-C� � For Office Uee I
��`-�_C� j Pet�nll#: � � �� �
City of Ea�a� �—�� � ��� ,
3630 Pllot Knob Road MAY 1 4 1015 � Permit Fee:
i
Eagan MN 55122 I � 1 �'�
Phone:(651)67b•8675 � bate Received:� - �"l — ��'�
FaY:�6b1)676-6694 � � i
� Staff
I����������������J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(Z)sets of plans with all commercial applica ions.
Date:cJ �T Sito Address:�J VI/ f�1,1 d!� i P ,
Tenant: ��v • �'G�i/ �efrU�G� lr'��/l� �ilr' 3ulte#:
.� . �:: .:.� ;•�:.:�. � Name: Phone:
�.'Residei�fl,Q'�rr�e,�':;:. .
:"<°�;;;`', Address/City/Zip:
<>..
''.,�':iA�ty '��k��j� c� �l\
��.�ih':1,`:��p � V
�:,,:�:,�:. Name: �� .�C- G License#: � �
'kv;,,,;f. ��„%',, �
;��;�' ;;:;;;';i�:;i;�:.`i>::;`.:;,:.�.�' p� p .
�':a�'k�r ;;:i�'�.: f
a�< `>' ':�:?'�?. Address: b a G O w (r'�2 C o✓ Ci S 4
�„�;`:'`. . ::.°; ,.� ty.
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�?��.:�i1i��,* Yn.�:iyi .��•w'i!i `I�F� r / /� �. /� /
�:,��� ;�'>;:. <<�<i>>" State: � �f Zi �b�.� Phone: (O �L� �0� (��0 b
'rr:<s ••�;�,':,;;i p' �
;,,�•f ; y"V""'"_
�<;ti:F .+`�f4r�u:yi,':�,J`` :;:"Y�T..n / /1/ /
���.i� �,*,.�,�;;�i`.yu�• .�.f;^:,R:j:i�'�'��„
;.i`� ,;,Y,,,x,„ Contact: Email:�jSe.�ttbLLC-�.w-�i �ltil .C.� C.aL�I
�;,,;
' `•'���� � �;�':;?.s!;; _New _Replacsment _Additional �Alteration Demolition
�� ;`Typa of Work�.�"�:';� Description of work:
• . ;.� ; ,.. .,., , v.,, .;.. ,,. t,.
� •� . •� �N;0,7E;.R,00f.'nno;unted aand;grou�d mounte.d mechanic,al equipment is reqiii,red;o,;'De:��;C��e;anetl;,Gy`.�ify��;�
. ., ,; .. , .. ��
, ., • . •
•. � �.�Cod'e,;Pl,ease:con�aCt;th'e"Mechanlcallnspectoifor,information:o�,p���,i➢tted,�c�eajjin�g;;riletiiods;� :,?
, . , ,,,
°;::�: . RESIDENTIAL CONrM�RCIAL
� ^�;,};; .�.`�;.�;. _Furnacs _New ConsUucUon _Interlor Impravement
''S�t,:`,:.>, <�;�;;,iti�;','i,��;::c. >ii,.':
"• "�`�'' ��<=': �s�:'�`::�'':'r•:"'. AlrConditloner InslallPlping Processed
�;�°;°;;�Pekcn `� e':;;;;�`�'; — — —
<;;;,.;:F�.,;�::,: ;;��, �p�:>>� °��:`�;
;,..:r.,k: �a' .;.i„:'��'�.;�;:,,,;A K::i.. ,
,;�?�;.�:. ,,,s;,,;,.,,,,,„w,�,�;,; _AI��xChanger �Gas � EXterior HVAC Unit
.:a.;}:✓:�C,4%>";.i%;'s??.:r:>;:s:>',S. "'>.:e�' _
,'�MI:'�\:ni!i�y :f':/;.:`..�:.:i.:<isi:i.:;'.��.,�'':
;�1Y. K!�'•:;v'.""� '
'`%z;>�,��;r F �::�,;;;.<;�:-<.:x:�s, :�;.::r�: _Heat Pump UndedAbove grouind Tank L Inslall/_Removej
..:�;�. .:::�:;�::,>^::..;;F:
''s�:'.� ;:;�'�;�:::::.;.,;�...>.:;. ;�;;,;. —
;:��::::<:i �'��°,H>i Ofher
RESIDENT/AL FEES
$60.00 Minlmum Add or alteration to an existing unit(includes$5,00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Gontract Value$ . �� ' ..�G x.0'+
$55.00 Permlt Fee Minlmum �^ �
$70.00 Underground tank installatPon/►'e►noval =$ ��7 Permif Fee
"IF conuact value i5 LESS than$10,010,Surcharga=$5.00 �� � ! Surcharge`
�'�'If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 /' �.o
'�°"If the project valuation is over$1 million,please call Por Surcharge =$ � V � TOTAL FEE
I hereby acknowledge that Ihi9 inFonnation is camplele a11d&cCUrate;tFl�t lFre wdrk wfll be in canCormance wilh Ihe ordinances and codes of the Cily of
Eagan;lhat I understand Ihis is not a permit,bul only an application for a permit,and wo�C is not to s1aR without a perml h�at the work wlll be In accordance
witn In�approvsd plan In the case of work whlch req�res a revlew and approval of plans.
i `
x P.(r l x
Applicant's rinted Name Applicant's ign ture
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...�,;x>..::.:,;: .
OR OFFICE USE. .
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,...,,: >l�'nde.,....�.,...., . • ., , , ,,... � ,.•
°°t"�> rpu�d;.., .'; Rougn'In �'Afr Test �Gas Servlee Test ' In-Boor Heat Fl�al:' � ':HVA�;�c�een ng .
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