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3435 Washington DrCity of aaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 541,0 7097 cop fi-kre d(d/ Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: 2/1.3 k Staff 2011 COMMERCIAL PLUMBING P RMIT APPLICATION Date: 0 t Site Address:34 , S– rPf > h i/v.3 ei Tenant: Suite #: J PROPERTY OWNER / tt --7 Name: S . c- ! Phone: A [) - / LP -4:54;?(/ CONTRACTOR Name: / . Lic; .se #: 0C, , 9/ 3 — iPP �. Address: ♦ A/ 'A �� City: �� G;I, t• State�Ztp' � � , Phone: (` _6 ` email: OA' gab. e �% (- (0, -7 TYPE OF WORK New_ Replacement Repair Rebuild Modif ,Space Work in R.O.W. _ _ _ escription of work: 2 $< �OC'¢+1 Pe r e. (''moi PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System ( yes / no) (_ RPZ / .1 PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 67515646 to verity that tests passed prior to picking up meter. Domestic: Size & Type / I Fire: 1 Avg. GPM 35 High demand devices? _Yes _No Flushometers _Yes,No COMMERCIAL FEES: 62 $55.00 Minimum (includes State Surcharge) OR Contract Value $ . x 1% Required - If the Permit Fee is less = $ 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) = $ State Surcharge (i.e. a $10,010-$11,000 Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start witho plan igtase of work ich requires a review and approval of plans. he pec (eL/ Afiplicant s Printed Name a permit; th�,k will be in accordance with the approved Applicant's Signature FOR OFFICE USE Required Inspections: _Under Ground ough-In = : Air: Test ; Gas Test Final PRV Require Page 1 of 3 Peggy Fleck O From: Linda Dralle Sent: Wednesday, February 16, 2011 3:22 PM To: Peggy Fleck; Keisa Nippoldt Cc: Scott Peterson Subject: 1" Irrigation meter We have decided that a 1" displacement will work for the irrigation system for 3435 Washington Drive. I called Alec from Voda Plumbing and told him he would have to pull a commercial plumbing permit and that I would get the meter ready, so after he gets his permit he can swing by and pick the meter up. Thanks, Linda LL,wda DraLLe c%tj of EaeavL- ttLLLties 3419 coackvwavv Ro&U Eagai& MN 55122 (651) 675-5200 LolraLLePcitidcfeaaafr .covU_ 1 C1TY t]F EAGAN WATER SERYICE pERMIT 3795 Pilof Knob Rood PERMIT NO.: Eagcn, MN 55122 DATE: Zonrng: No, of Units: Owner: - Address: Site Address: Plumber. ~ Meter No.: Connection Charge: Size: Acoount Deposit: Reader No.; Permit Fee: 1 agr$e to oompir with the City of Eogan Surchorge: ' O?dinances. Misc. Charges: Totol: BY Dete Paid: Date of Insp.: Insp.: CITY LF EAGAN SEWER SERVICE PERMIT ?745 Pilot Knob Rood PERMIT NO.; Eogan, MN 55122 DATE: Zoning: No. of Unitr. Owner: Address: ~ Site Address: Plumber: ~I agree to eompty with the City oF Eagan Connection Charge: Ordinnnees. Account Qeposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Totol: Insp.: _ Dote Poid: CITY OF EAGAN SFWER SERVICE AERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: ~ - , Zoning: ~ No. of Units: Owner: Address: ~ Site Address: : ~ . . . Plumber: ~ 1 agree to eoinply witb Fhe City of Eagan Connection Charge: Ordinanees. Account peposit: Permit Fee: 5urcharge: ` " ° • By Misc. Chvrges: Date of Insp.: Total: insp.: - Dote Poid: C1TY OF EAGAN Remarks s~~'9 -~c-'~F--•i.r`i~#~~'~~ Addition $I~ENTMMlAy azH Annr1 Lot ~ Blk ~ Parcel 10 14003 010 01 ner- e JStreet 34 15 Washington flrivP State Eaqan, N'II~i 55122 'r! ~ ,x- ~u i , , t Improvement Date Ar116unt Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. jZl 1977 3057.99 305.80 10 GRADING SAN SEW TRUNK 1970 154.80 6.19 25 * SEWER LATERAL 1977 2182.72 21$,27 10 WATERMAIN * WATER LATERAL lg']'] * WATER AREA 1977 * STORM SEW TRK 1977 * STORM SEW LAT 1977 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. # s,ac 1275,00 13996 _ g PARK CITY OF EAGAN 3795 Ptlot Keeb Raed Eoses, MN S5122 N2 5160 PHOMLt 45&8100 BUIILDING rERMIT Receipt # Te be aSW foe Est. Volue Date 19 Site Addre ss ~ Erect Q Occupancy IZ Lot Block $ec/Sub. ~ -nnia-1 At1 Alter ? Zoning ~ ~ # Repair ? Fire Zone ' Enlorqe ? Type of Canst. W Nome Move ? Stories Z3 qddress Demolish ? Front ft. b Cit Phone 132-3= 00 Grade ? Depth ft. Approvals Fees °C Name o v~ /lddross Asseument Pertnit _ ~ Ci Phone Water & Sew. Surcharge Poliu Plon theck , W Nome Fire SAC u1 Addroas Eng. •1/1 ~ ~ Water Conn. tW ~ ph~ Planner ` I Wnter Meter Council I hereby ocknowledge thot I have read this opplication ond state that gldg, pff. the informotian is correct and ogree to comply with all opplicoble ••7. n r $tate of Minnesoto Statutes and City of Eagan Ordinances. ;APC Total ~ ; ~r=• ~ ! Signature of Permittee A Building Permit is issued to: on the express condition ihat all work sholl be done In accordonce with all npplicable Stote of N4innesoto Statutes and City of Eagon Ordinances. Buildir?fl Officiol . . Po.n # oore i.n.e r.mnh. lumbing 9lE{) S'o~ 7 g L J ~1~/~'~ echonicul 3RZ S- 2- ~1--7 ~ (L ass.An c. 7 A -~~-'74 a ~-e_ INSPECTIONS DATE INSP• Rouph-In Final FOOtings - -1+ ~7.7 Date Insp. Dota Irup. FOUfldOtlOfl PlUTbiflg Frame/ins. Mechonical Final i Remorks: r 7 7 . 7 _''ii~i~ ~~5 1~P~t - c? ~(w~ d sc«) 4 9 1 ~ 7- . ~ , cirir oF E+?GaN 3795 Pilof Knob Road Eagae, MinnesoM 55122 Phone: 454-8100 PERMIT No• 340 , Date: 5-24-~ ReceiPt No.: 14186 14 35 * Single I Site Address: Residentiol Lot I Block ~ Sub/Seci~+`~`~ 4~ Multi Res., Comm./Ind. ~n' I 'ic 11S"A.T':z Name ~{r 'rqm of :.~t. p311.1 New/Alter./Repoir ~ ndd~u 200 GrW P.timue 7,040.40 Cost of Installation City St. ?arul Phone: ?~31-7088 Permit Fee 70.00 ~ Nome ' L J ~atz CorprjrattAcn 5urchorge .50 . ~ dress 2032 .it. CZ.air At7Pnt]E' ~ ~ • ^'l~.i~~ - , 1.~ . . . .f~. ^~.1 n'n City Phone: Total ~ This Permit is issued on the express condition that all work shall be done in accordance with oll opplicable Stote of Minnesoto Statutes and City of Eagan Ordinonces. Building Official I . ' ' • CITY OF EAGAN , 3796 Pilot Knob Rood Eogon, Minneoota 96122 ' Phone: 454-8100 MIMI. ?-JgLTIM PERMIT No. 342 5--24-79 ld_ 072 Oa1'e: Receipt No.: WM*dMgtM DriVe Single I $ite Nddress; Residentiol I , . I 4th flQ'~1't Lot Block Sub/Sec. _ Multi Res., Comm./Ind. `rY'ciLs'A]Ge25m OL at. Pc3Lt1 A1M Nome - New/Alter./Repair. - ~M Cj:Wjd AveslM 13,40t~.0~ ; Address Cost of Installation ~ St. Pall.l 2/'31--70 8" 12I.00 City Phone: Permit Fee A].l,tt17 H'~g_ & I~.C. . Name Surchorge . Address e "Ir City Phone: Total This Permit is issued on the express condition that all work shall be done in occordance with oll opplicoble Stote of Minnesota Statutes ond City of Eagan Ordinances. Building Offitiol CiIn OF EAGAN 3795 Pilot Kao6 Raad Eagan, MN 55722 N2 5 160 PHONE: 4548100 BUILDING PERMIT APPUCATION RQ~~P~ To M usad 4or Office Bldg.. Est. Vaiue 257,000. oate 4-17-_- t9_12 Slre Address ~•..3,5-- t-„'' erea occuvontv B2; II-N Lot I- Block 1_ Sec/SubRi rantpnni al dfh Alter ? Zonin9 PD Porcel # Repair ? Fire Zone 3 Enlarge ? Type of Const. V rc Name Bill BTandt Move ? # Stories 2 3 Address Demolish ? Front $9 ft. ° Ci Prior Takp Phone 4-19-32nn Grade ? Depth . 45 ft. ~ Nome KY.'i114-AnAPYCIIn nf St _ Panl ('n _ Approvab Feea ou Address 200 Grand AvenuP Assessment Permrt 372.50_ ul Ci St. PdUl Phone 291-70RR Wnter & Sew. Surcharge 128,50 ~ Police Plen check 186.25 ~w Name Fire SAC 1575.00 Addres~ E„9, 4/16/79 Water Conn. eW Ci Phone Planner 4/17/79 WaterMeter Council 123 T i 5_00 I hereby ackrrowledge that I.have ad this upplication cnd state that gldg, p{}, the informotlon is correcpond 9ree to comply 'th 1 apPlicable APG Total ~~87_2S State of Minnesota Stat'tes d Ci of E ga O liir, ces• AttAi112Y 4/16/%9 Signature of Permitte ~ aus- ~kid f St. Paul Co. o„ the ex ress condition thot A Buiiding Permit is issued o: P oll work shatl be done in oc rrce/, with plimble State of Minnesota Statutes and City of Eagan Ordinancea. Building Offitial ~ ."J 'fX' ; • ~ . : ~ . _ 7 [tG' DATE BL'ILDItiG PERMIT APPLICaTION Include 2 se[s of plans, 1 site plan w/elevations and I set of energy caicuations. To be used Eor ~ Valuation 257 AA-v . . _ jy I 3~i35 Site Address: 5 6,~~~~~ 1 Lot / Block ' Sec./Sub. Parcel \umber Owner r~).(,'~~ ~cy-tLW' Telephone Address p Con[ractar Telephone ? Ac'3ress a-~-~-C. 5S t s ~ Arch/Eng. Telephone Address OFFICE L'SE ONLY Erect ~ Occupancy Alcer 2oning Repair Fire Zone Enlarge Type of Const. V Mave # of Stories Demolish Fran[ Grade Depth r _ ../S a-' Da[e of Approval and 2nitial Fees - Assessment Permit - . _ . . , a sv Water/Sewer Surcharge Police Plan Check 19'6 u t~ Fire SAC 2ko ..-4 3 0 i-8N Engineer 4-/4 7? Water Connectian n r i Planner Nater Meter Council Bldg. Of f. 1-I 7"71 . A.~ TOTAL ci~o- f R• • DER ¦ • R• ¦ oNr~c~yT~ o January 24, 1979 OEVF~oPERs Building Inspector City Hall of Eagan 3795 P91ot Knob Rd NTTN: Dale Peterson RE: Brandt Office Building Located Pilot Knob Rd. & Yankee Doodle Rd. Gentlemen: Enclosed please find a print of the proposed office building in Eagan. At your convenience.we would appreciate your review of this. If there are any areas lacking the tocal codes, we wou1d appreciate you contacting us as soon as possible. We will be su6mitting our pirce on this project to the owner on February 2, 1979. Prior to this time, we want to make sure we have covered everything. If you have any questions on this plan, please contact me at your convenience. Very truly yours, U5-AN ERSaN aF S;PUL C0. i Robert J. Fox RF/bg . 200 GRAND AVENUE ST. PAUL, MINN. 55102 PHONE: 612 291•70BB . . ~L/ 33 I/Ja~A;nr^~ EASEMENT qGREEMENT This EASEMENT AGREEMENT (this "AgreemenY") is made this&- day of May, 2008 by and behveen Storchak, LLC, a Minnesota limited liability company, ("Storchak") and Superior Collision and Paint, Inc., a Minnesota corporation ("Superior") Storchak and Superior are each referred to herein as "Owner" and collectively referred to herein as "Owners". RECITALS: A. Storchak is the fee owner of a certain tract of real property legaliy described as: Lot 1, Block 1, BICENTENNIAL FOURTH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota ("Burdened Parcel"); B. Superior is the fee owner of a certain tract of real property located adjacent to the Burdened Property and legally described as: Lot 1, Block 1, SJOLSETH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota ("Benefitted Parcel") The Burdened Parcel and Benefitted Parcel are at times referred to herein as "Parcels"; and C. Storchak has agreed to grant to Superior, and its successors and assigns, as owners of the Benefitted Property, a nonexclusive appurtenant perpetual easemenY') for sanitary sewer purposes ("EasemenY') over, under and across a portion of the Burdened Property as described herein. NOW, THEREFORE, in consideration of the Recitals, which are hereby made a part hereof, and for other good and valuable consideration, the receipt and sufficiency of which are here6y acknowledged, 5torchak hereby declares that it and all present and future owners and occupants of the Burdened Parcel shall be and hereby are subject to the terms, covenants, easements, restrictions and conditions hereinafter set forth in this Agreement, and that the Burdened Parcel shall be maintained, kept, sold and used in full compliance with and subject to this Agreement and in connection therewith, Storchak covenants and agrees as follows: ~ Al 1. Grant of Easement. Storchak does hereby establish an easement and grants and conveys to Superior, and its successors and assigns, a non-exclusive appurtenant perpetual easement for sanitary sewer purposes over, under and across that portion of the Burdened Property legally described as: "that part of Lot 1, Block 1, BICENTENNIAL FOURTH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota, lying northeasterly of a line drawn from a point on the north line of said Lot 1, distant 40.46 feet westerly of the northeast corner of said Lot 1, to a point on the east line of said Lot 1, distant 53.39 feet southerly of said northeast corner, as depicted on the Easement Exhibit Sketch attached hereto and incorporated herein by reference as Exhibit A(the "Easement Area"). Storchak agrees not to allow any improvement or obstruction that would block, obstruct or othervvise affect sanitary sewer drainage within the Easement Area. 2. Construction Easement. Storchak hereby grants and conveys to 5uperior and its respective successors, assigns, and contractors a non-exclusive, temporary easement in, to, on, over, under, across and through the Burdened Parcel for the purpose of demolition, development, installation, construction and modification of the sanitary sewer drainage system within the Easement Area. 3. Maintenance. Storchak also agrees to provide Superior, or Superior's designated contractors, subcontractors, engineers or other parties engaged by Superior or any applicable governmental authority with access to the Easement Area to complete any necessary or routine maintenance and repair of the sanitary sewer. 4. Indemnification. Superior agrees to defend, protect, indemnify, release and hold Storchak and its assigns and successors (the "Indemnified Parties") harmless from and against any and all injuries, obligations, claims, causes of action, dehts, demands, actions, lawsuits, judgments, settlements, losses, liabilities, damages, and expenses (including, without limitation, reasonable attorneys' fees, expenses, costs and disbursements), or any other proceeding of any kind or nature, whether in contract or tort, law or equity, that arise out of or relate to the demolition, development, installation, construction, and modification of the sanitary sewer drainage system or the performance of any maintenance or repairs related thereto by any other contractors, subcontractors, engineers, or other parties engaged by Superior to complete such maintenance and repairs. 5. Term: Parties in Interest: The terms, conditions, covenants and easements herein shall run with the land and shall be binding upon the Owners and all persons or entities claiming under them in perpetuity. The Easement created hereunder shall only terminate upon the joint written agreement of the Owners, which termination shall be recorded in the office of the County Recorder. The ownership of both Parcels held by one individual or entity shall not be deemed to merge the interests created hereunder with the fee title to the Parcels. 6. No Public Dedication. No provision of this Agreement, nor the easements granted herein, shall be construed or deemed a dedication of any rights to the general public or for any public use whatsoever, it being the intention of the Owners that this Agreement shall be strictly limited to the Owners. 2 7. Amendment, Modification or Waiver. No amendment, modification or waiver of any condition, provision or term of this Agreement shall be valid or of any effect uniess said amendment is made in writing, signed by the Owners to be bound or their duly authorized representative(s) and specifying with particularity the extent and nature of such amendment, modification or waiver. Any waiver by any Owner of any default of another Owner hereunder shall not affect or impair any right from arising from any subsequent default. Nothing herein shall limit the remedies and rights of the parties hereto under and pursuant to this Agreement. 8. Headinqs. The headings of sections of this Agreement are for convenience of reference only and do not form a part hereof and in no way interpret or construe such paragraphs. 9. Severabilitv. If any provision of this Agreement is held to be unenforceable or void, such provision shail be deemed to be severable and shall in no way affect the vaiidity of the remaining terms of this Agreement. 10. Governinq Law. This Agreement shall be construed and enforced in accordance with the internal laws of the State of Minnesota. 11. Notices. All notices to either Owner shall be delivered in person or sent by certified mail, postage prepaid, return receipt requested, to the other Owner at that Owner's last known address. If the other Owner's address is not known to the Owner desiring to send a notice, the Owner sending the notice may use the address to which the other Owner's properry tax bills are sent. Either Owner may change its address for notice by providing written notice to the other Owner. 12. Counterparts. This Agreement may be executed in one or more counterparts each of which when so executed and delivered shali be an original, but which together shall constitute one and the same instrument. [Signatures on following pages] 3 IN WITNESS WHEREOF, the parties have executed this Easement Agreement as of the date setforth above. Storchak, LLC, Superlor Collision and Paint, Inc., A Minnesota limit liability company a Minnesota corporation ~ 0~/ BY. • By: ~ Name:v~6~6sZ- Name: b_ e"n S ;a(Sc'~~ Its: Zh~~ ns: P.ztisi a r--~ 67 G:IWPDA7A\SVSUPERIOR COLLISION 1 28 2610 0 71bOCS\EASEMENTAGREEMENT.DOC STATE OF MINNE50TA ) ) ss. COUNTY OF DAKOTA ) UlaoQ.~3t' S~Vorct%,k P~ / The foregoing was acknowledged before me on 5 t~`o 8 by ~4' th of Storchak, LLC, a Minne ota limited liability company, on behalf of the company. 6Z 46 r Signature of pers n i ' g acknowledgment AdMkL STATE OF MINNESOTA ) ) ss. . recar.E~,iratlGlt COUNTY OF DAKOTA ) The foregoing was acknowle ged before me on ~[l(tlf9S by ,iLah S,ao ~sctf, the p.r~es.~ of er- Co~L3~o, , a Minne ta limited liability company, on behaif of t e comh pany. 5ignature of person taking acknowiedgment This fnstrument Drafted By and upon recording retum fo: WWRymam KRASS MONROE, P.A. UMP" Attn: Shanna L. Strowbridge 8000 Norman Center Drive, Ste 1000 Minneapolis, MN 55437-1178 (952) 885-5999 4 EXHIBIT A EASEMENT EXHIBIT SKETCH 5 Easement Exhibit Sketch t ' I z 0 ~ ~ I .j I ~ ( oz ~ I Li .i i Np . L C ~ V North fine of tot 1, Block f, BICENTENNlAL FOURTH ADDlTlON •-•....,,Y ' _ 3 40.46 l ~ I x ....z Proposed sonitvry sewer easemenf • ' .~,:......._.y ~ so .z~ \ x < o° J OZ 0 15 30 60 90 qU Scale in Feet W~ Rehder and Associates, Inc. CNIL ENGINEERS AND UND SURVEYDRS ]HO FMhnl Wlvs • SNta 110 • Ea9an, Ylnnerota . Phons (651) 452-50.51 ~ -ay CITY USE ONLY PERMIT U RECEIPT DATE: APPROVED BY: S7 , INSPECTOR 2002 C(DMMEftCIAL 14IECHANICAI. PERMTf Pt#'P1.1CATION ccr}rof EAfiAN AA -,,S 19 3 S$SO PILOT KPOB $D ~ go 4.15- EAsAv, Mrr 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit 1DATE: l.~ 'J' ~ d d-- STI'E ADDRESS: OWNERNAME: PHONE - TENANT NAME (IMPRO V EMENTS ONLY): WAS THERE A PKE VIOUS TENANT IN THIS SPAC$? I' N. NAME: INSTALLER: V-~Pa~ Z~~X 1"5V ~ STREET ADDRESS: crry: STATE: M~ . ZIP: TELEPHONE WORK TYPE: New construc[ion Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank Processed Piping f Specify Nature of Work: eAQ C e_ When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal ¢nd Plumbing inspector. Fees: 1% of contract price OR $50.00 cninimum fee, whichever is greater. D~~ I~~~~ D Underground tank removaUinstallarion = minimum fee M qY 2 8 2002 OC~ Contractprice: $~~dC~1 x1%=$J~_ (BaseFee) State surcharge -calculate at $.50 for e TOTAL -t-Zj T ;eP ATURE ITTEE V 1~~~ ~ k Updated 1/02 CITY USE ONLY PERMIT RECEIPT DATE: 2002 EtESI1DENTlAL MECHANICAL PERMIT APPE.[CAT401Y CTfY Of EAfiAN S$SO PILOT KAO$ RD gAflAN MN 5512E 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: TELEPHONE INSTALLER NAME: TELEPHONE STREET ADDRESS: CITY: STATE: ZIP: Place a check mark next to the permit work type Add-on, modification or alteration to existinq dwelling unit $ 30.00 • iumace raplacement • • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50` rotal $ SIGNATURE OF PERMITTEE vo2 L( G ~ COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681 7 4 - L~,- c) Z Foundation Onl New Construction Interior Im rovement • Slruclurel Plans (2) sets • Architectural Plans (2) sels • Archi[ectural Plans (2) sets • Civil Plans (2) . StrucWral Plans (2) • Code Analysis (1) " • CertificateofSurvey (1) . CivilPlans (2) • PmjectSpecs (1) • CodeAnalysis (7)" • LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) • CodeAnalysis (7) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils RepoA (1) • Spec. Insp. 8 Testing Schedule (7) " • Elec. Power & Lighting Form (t) notalways" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • Energy Calculations (t) 1 1 • Electric Power & Lighting Form (1) " 1 1 • Master 6cit Plan (1) ! 1 • Fire Prolection Plan (1) " 1 1 • Soils Report (1) 1 . MGES SAC determinatlon letter • MGES SAC determination lelter • MCJES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: L~k-fV~l Z j, 2-(-~' WORK TYPE: _ NEW ~'REMODEL CONSTRUCTION COST: a~r l S~' SITEADDRESS: 3LI 'S WGC~~( 1pV1 T~ TENANT NAME: L- L• suiTe FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION O~WORK CS~V1'~YV~QII'(~. ~ Y~YY~DY'e- U'Lp - Tj'IS~au I YZ r' ~socyattiu~ i ra"~~ w i vwu-4o~F:cn erc~czc~ c vV~v\S+~:x.ti aa~y etolv ~ . x- 1-^ Name: J~I..,L C • Phone ( (v,5_1 1 2 _7(o - OR 9 ?5 (t PROPERTY Last First OWNER I StreetAddress: ~Lj[66_ City: ~ State: Zip: Company: A ~ ILIS C~- Phone#: CONTRACTOR ~^~c+ ,/J p Stree[ Address: j 0~0 /~LZ - City: &',_y%l$v; State: Mn Zip: SJ 3b7 ARCHITECT/ ENGINEER Company: Phone ( ) 1 A~ Name: Regishation Stceet Address: ~ r7Ir UM ciry: state: APR 2 3 2002 ~ Licensed plumber installing new sewer/water service: Phone B I hereby acknowledge that I have read this application, state that the infortnation is corr ct, and agree to com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: «Updated 1102 OFFICE USE ONLY SUBTYPE Ll Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments X, 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addirion ? 36 Move Bldg X 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding 0 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMA~ION Census Code 31 Zoning P• D sq. ft. SAC Code - # of Stories sq. ft. No. of Units a Leng[h sq. fr. No. cfBldgs. T Widuh sq. ft. Const. (Actual) 7~Z •t4 Basement sq. fr. MC/ES System (Allowable) ~ First Floor sq. ft. Ciry Water UBC Occupancy $ sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone APPROVALS Planning Building C(~ Engineering Variance VALUATION $ 22~bo0 Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total *dtV oF eagan PnrRIcu E. nwnDn Mavor ~ PAULBAKKEN PEGGY CARISON CYNDEE FIELDS MEG77LLEY AllgASt 1, 2002 Council Members Mr. Vladimir Storchak THOMAS HE?GFS MVR Home Health Care c;ryndm;Nstrator 3435 Washington Drive Eagan, NIN 55122 Dear Mr. Storchak, Municipal Cencer: 3530 Pilot Knob Road I am in receipt of your letter dated July 22, 2002 regarding MVA Home Health Eagaz,, Mtv 55122-1897 Care's proposal to operate an "adult day center" within the building at 3435 Washington Drive. According to your letter, the facility will be located in a Phone: 651.681.4600 tenant space of 1200 square feet, have no more than 20 participants, and have Faz: 651.681.4612 operating hours beriveen 8:00 a.m. and 5:00 p.m. TDD: 651.454.8535 This property is zoned for office use within a Planned Development. We find that your proposal is compatible with zoning of the property. However, a building ivtaintonaace, Faaliry: permit may be required for some of the remodeling you will be doing within the 3501 Coarhman Point building. Please contact our Inspections Division at 651-681-4675 with any eagan, MN 55122 Questions you may have about building permits. Phane:651.681.4300 Sincerely, Fax:651.681.4360 ~ . TDD: 651.454.8535 . Pamela Dudziak www.ciryrofeagan.com Planner THE LONE OAKTREE T7u rymbol ofarengdi and growth in our communiry 3435 Washington Drive ~ Eagan, MN 55122 1~~ID Home 651.994.9583voice l~l V 1\ HealthCare 651.994.9581 fax July 22, 2002 Pam Dudziak City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Pam, We propose to operate an Adult Day Center within the building at 3435 Washington Drive. The facility will be located in a tenant space of 1200 square feet, have no more than 20 participants, and have the operating hours between B:OOa.m. and S:OOp.m. Given the overwhelming need for community services designed to assist Minnesota's burgeoning elderly population, we feel this program would be an added benefit to the City of Eagan. Sincerely, Vladimir Storchak President Home Health Care Adult Day Services Transportation / S'~C2lVe-d ~ra23(03 ~u1lllUtiu'Y' l o~~~ Minnesota Department of Human Services October 30, 2002 Zoning Administrator City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 Re: Zoning Notification of Application for Department of Human Services Program License This is to inform you that the Department of Human Services, Division of Licensing has an application for a program to be licensed under Minnesota Rules, parts 9555.9600 to 9555.9730 from MVR Adult Day Services, 3435 Washington Dr, Suite 104, Eagan, MN 55122 to provide day care for adults. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Chapter 245A. If you do not contact the Division of Licensing within 30 days of receipt of this letter, we will consider this facility to be in compliance with your local zoning code. If you have questions regarding the facility or its location, please contact Vladimir Storchak (contact person) at (651) 994-9583. Sincerely, Julie Reger, Supervisor Division of Licensing (651)296-0156 r nQv o ~ z002 ~ ~ ~444 Lafnyrtre Road Nnrth • Sanrt Paid, Minrierota • 55155 • An Equnl OPParcwtity t'mylayer /~~-0 3 0~0 -g! MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: DECEMBER 29, 1992 SUBJECT: REVISED REF FOR LOT 1, BLOCK 1, BICENTENNIAL 4TH ADDITION 3435 WASHINGTON DRIVE OWNER - EAGAN E LIMITED PARTNERSHIP I have recomputed the REF's for Lot 1, Block 1, Bicentennial 4th Addition located at 3435 Washington Drive. The total REF's for 3435 Washington Drive should be 3.2 instead of 4.1. My computations are based upon the City's 1/4 section and 200 scale contour and planimetric maps flown April 15, 1990. The total lot area is .80 acres of which .5 acre is considered impermeable surtace (.5 acre is 63% impermeable surface which equates to 4.04 REF's/acre). Ed Kirscht cc: Mike Foertsch EJK/jf i . i ~ _ ~ - . ~ ~ ~c-- - , J ~ 3( y ~ ~ r~ _ ~.70---~---- - -----=1 - ~ v ~ c7R EL 7LNC. PFINTING . T. S. I . C o. Jow ES rr1GT_ , ~q CONT 2oL DA-T"A i- ~ M_ K.TooLS~----=_--_~ to ~ 1--- - ~ , c.ossto,M, sign. inc. . j z yL 1016d CMtnt Aw. N.E. . MqmoopoiR MN 66434 a1a7"n4s ~ ; . 4111~dtV oF ecigcin PATRICIA E. AW.4DA I Mayor PAUL BAKKEN PEGCY CARLSON CYNDEE FIELDS November 16, 2001 MEG TILi F'v . " Comcil Members L}nTle Z11ri111eI1Tlan Common Sense Services for Seniors 724 19`h Avenue North #100 THoM"S HE°GES South Saint Paul, Minnesota 55075 CiryAdminiitrator Dear Ms. Zimmerman, I I am in receipt of your letter dated October 30, 2001 regarding establishing an Municipal Center. I adult day center for seniors at 3435 Washington Drive. According to your letter, 3830 Piloc Knob Road the facility will be located in a tenant space of about 1,000 square feet and have Eagan, MN 55122-1897 no more than 25 participants. Please note that you aze responsible for obtaining the necessary state license to operate the proposed facility. Phone: 651.681,4600 Fax: 651.681.4612 This property is zoned for office use within a Planned Development. We find that TDD: 651.454.8535 Your proposal is compatible with zoning of the property. However, a building permit may be required for some of the remodeling you may be doing within the building. Please contact our Inspections Division at 651-681-4675 with any tVtaintenance Facicry: questions you may have about building perxnits. 3501 Coachman Point ~ Sincerely, Eagan, MN 55122 ~ Phone: 651.681.4300 ~vvf Fax: 651.681.4360 Pamela Dudziak TDD: 651.454.8535 planner ~vwrv.cityofeagan.wm THELONEOAKTREE . The rym6ol oFsvengrh and growth in our mmmuniry COMMON SENSE SERVICES FOR SEIVIORS 724 19°i Avenue North 4100 South Saim Paul Minnesota 55075 i Phone:651-552-0288 Fax:651-552-0192 October 30, 2001 , Pam Dudziak City of Eagan 3830 Pilot Knob Road Eagan, MN 15522 Dear Pam, Thank you for your informative telephone conversation on October 25, 2001 regarding a day center at 3435 Washington Drive in the Planned Development Area. Storchak, L.L.C. has space available that can be easily renovated to meet the requirements of a licensed adult day center for seniors. This program will provide an opportunity for soaialization and support to assist elders who wish to remain living in their own homes. The amount of space required is approximately 1000 square feet, with a maximum attendance of 25 participants. Given the overwhelming need for cctmmunity services designed to assist Minnesota's burgeoning elderly population, we feel this program would be an added benefit to the City of Eagan. Please contact me if there are any questions or concerns regarding the development of the day center. Sincerely, NoV , e Z' an, President Common Sense Services for Seniors COMM0NStNSESERVULE4 FOR9EN[OR3LSANON.PROFITORGANI7A'f10NASU6CRUM iNSEC770N501e30F7}IEIMERNAI.RC4CNUECOUE - ` Use BLUE or BLACK ink �----------------- i�;d I For Office Use I I r � � Permit#: �� v � (,�s� Clt of �� ; .�-,-, Y � � Permit Fee: ��' �� 3830 Pilot Knob Road ��E►�1�� Eagan MN 55122 � � Phone: (651) 675-5675 ,JUN 2 3 9�11G. i Date Received: I Fax: (651) 675-5694 j Staff: j �-----------------�� 014 COMMERCIAL BUILDING PERMIT APPLICATION Date:� 2'� �� r Site Address: �� / 2 2 Tenant Name: n (Tenant is:^ New/ E�cisting) Suite#: - ' Former Tenant: Name: ��l�'�. � [� C Phone: �Z ��/ Property Owner ��3�' C�,��f'j�`,/�`�a�,✓G�. �c�G�}-Y✓ �2. Address/City/Zip: � . Applicant is: Owner ' Contractor Type Of WOI'IC Description of work: ��G`'� �i°/`�� -Ci��'!�- Construction Cost: � G J�� ` t ' Name:��C�Z,E�� FS IV�R.�f�i �6NST - 11�IG • License#: '-Contractor aaaress: gZl L 2.C�TN" �t+'� - t� , c�ty: l�G t"� L�'1��, State: �� Zip: 5 Sl�� Phone: C�i5 I � �} �� - ?,71� ! Contact: L�� (.�"�_Email: '` _Go Name: �d�� Registration#: ArchitecUEngineer ' Aadress: City: � State: Zip: Phone: ' Contact Person: Email:, Licensed plumber installing new sewer/water service: Phone#: NOTE;Plans and supporting documents.that you submit are considered to be public information. Portions of the information may be classified as non-public if you pravide specific reasans that would permit the City to . conclade that the are trade sec�ets.l CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permi 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 requir a review and approval of plans. x ��1� ��➢ZG�cr� X f /`" ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 r� �l� ` �l } �� `-��r� � DO NOT WRITE BELOW THIS LINE � �� SUB TYPES Foundation Public Facility Exterior Alteration-Apartments �Commercial/Industrial Accessory Building Exterior Alteration-Commercial Apartments Greenhouse/Tent Exterior Alteration-Public Facility , Miscellaneous Antennae i — — WORK TYPES New Interior Improvement Siding Demolish Building* �Addition _ Exterior Improvement _ Reroof _ Demolish Interior Alteration Repair Windows Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant � DESCRIPTION T�� '�'��-� Valuation `,��'-�.�ib•d�f.� Occupancy �,l MCES System � � Plan Review +' Code Edition �AQ7�(�G SAC Units (25% 100°fo� Zoning City Water Census Code Stories � Booster Pump #of Units � ''� Square,Feet a(� PRV #of Buildings � Length t2� Fire Sprinklers Type of Construction '�' 7 Width � REQUIRED INSPECTIQNS ' . . Footings(New Building) Sheetrock Footings(Deck) �Final/C.O. Required �r✓ Footings(Addition) �!, Final/No C.O. Required y�,�F Foundation . Other: Drain Tile Pool: Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _�inal Siding:_Stucco Lath _Stone Lath _Brick Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: � ` Final C/O Inspection: Schedule Fire Marshal to be present: Yes �' No � � Reviewed By: �-�� , Building Inspector Reviewed By: �� " , lanning COMMERCIAL FEES Base Fee B��S'� Water Quality Surcharge � '�� Water Sampling Fee Plan Review �� •�� Water Supply & Storage (WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk SS�W Permit 8� Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL ��1''�"'l• f� Page 2 of 3 Use BLUE or BLACK InkC ......._. r For Office Use Permit:e. City ‘10 Permit y) 15c%a S'I C✓ 3830 Pilot Knob Road ,ttiit� Eagan MN 55122 Date Received: —1-)11'11 6 Phone: (651) 675-5675 JUL' 3 21)17 Fax: (651) 675-5694 Staff: Rri I i 2017 COMMERCIAL ^BUILDING PERMIT APPLICATION Date: :.. / //, Site Address: J (,Z!!- h t 1-6-to,TUi'� t'1{ 4/v 6' ti . /t' /`' n��'�l j'{�'(� J� Tenant Name: ,:-'12.c Llfitic- (Tenant is: New/ ` Existing) Suite#: Former Tenant: t Name: (`l L"G( �'� t/G: Phone: , A Property Owner ( - Address/City/Zip: 3 ii 3 i~ 6A- 4. A E ftp � 04 ti 45 e ex l a /' II 1 Applicant is: Owner Contractor i Type of`Work' ` Description of work: 12-x' t Chu ' 1 Construction Cost: $ 1 —(� 1 ` .yAsuBCavnti qtr .v t Name: A (JCA`(,e,p Cfc).4 '(f..;,' t.UJ�' License#: Address: / 0 L ii S7' �'�- City: yC{/� r Contractor I State: Hp 6�' Zip: i,�Ci 1Phone: 6C 2. - 2--:cc/...- G ro r 1 .. ..M.,, Contact C.Z`F Email ,1 eic t vAldt, C�✓t fi=uC (C) 1 l Name: Registration#: , IArchitect/Engineer ` Address: City: , State: Zip: Phone: i 1 _t Contact Person: Email: _ _ Licensed plumber installing new sewer/water service. �� Phone#: �� NOTE:Plans and'supparting documents that you submit are considered to be public information. Portions pof the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that their are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application fora permit, and work is not to start without a p !3 accordance with theM es a review and approval of plans. �s ,... ..,. permit; the workwill be in approved plan in the case of work which requires 1 -::;:----"--7.1-4 ...-..- eel , (L r x i JIe-ISilAt) eel x i Applicant's Printed Name Applicant's Signature Page 1 of 3 V3sEBEL SINE i1 Y 3 DO NOTWRIT BELOW�HIS LINE �f SUB TYPES • Foundation Public Facility Exterior Alteration–Apartments V Commercial/Industrial Accessory Building Exterior Alteration–Commercial Apartments Greenhouse/Tent Exterior Alteration–Public Facility Miscellaneous Antennae WORK TYPES New Interior Improvement Siding Demolish Building" Addition Exterior Improvement ✓ Reroof Demolish Interior Alteration Repair Windows Demolish Foundation Replace Water Damage Fire Repair Retaining Wall — Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION a.v Valuation 531 DOa Occupancy B MCES System N0ir Plan Review — Code Edition Zb/S M4'3G SAC Units (25% 100% ) '--" Zoning City Water Census Code Stories Booster Pump #of Units D Square Feet PRV #of Buildings I Length Fire Sprinklers Type of Construction rr •13 Width REQUIRED INSPECTIONS Footings_New Building Deck Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Concrete Entrance Apron Sheetrock Other: V Roof:_Decking Insulation _Ice&Water ' Final Meter Size: Siding: Stucco Lath _Stone Lath Brick_EFIS Electronic As-Built Plans Required Windows Fireplace:_Rough In _Air Test _Final _ Final/C.O. Required Pool: Footings _Air/Gas Tests Final Final/No C.O. Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes VNo Reviewed By: 1V/A' , Planning New Business to Eagan: Ato Reviewed By: ne-A1.6, , Building Inspector FEES Water Quality Base Fee 76 V. Z-5- Storm Sewer Trunk Surcharge LL • 3-6 Sewer Trunk Plan Review d• e•-•O Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit& Surcharge Water Lateral Treatment Plant Stormwater Performance Security Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: ` 73 0 •?sr Page 2 of 3