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4185 Braddock Tr'* City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 1 0 2014 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: V- 7�/4( Site Address: Tenant: 'tqA.3 /4Si.S Vas tekwio00,,t 7A0,9:4 Suite #: Property Owner Name: _ZS� °t/9,‘ Phone: 6/Z — — /o Name: LJE//2eL /T /A ott// 04)ze. , License #: #/`? Cab45:5 Address: /96, ....<14t./*t/*.E #may City: a440er c/ State: Mit/ Zip: 4£522 - Phone: 6.%'3/9- y/37 Email: GA1/GLe_.Cf:31 w/�e-f/t/ New _ Replacement _ Repair X Rebuild Modify Space Work in R.O.W. Description of work: "1°,Z COMMERCIAL New Construction Modify Space Irrigation System ( yes /_ no) ( RPZ /_ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo 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 $55.00 Permit Fee Minimum *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ 047 Permit Fee ort. = $ S, Surcharge* o+v _ $ TOTAL FEE Following fees apply when installing a new lawn irrigation system Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Water Permit $ Treatment Plant $ Water Supply & Storage $ State Surcharge =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. \ 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 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 pl ns. (L /ItCet" Applicant's Printed Name x Applicants Signature FOR OFFICE U.S equired Inspection Meter Related Item'! nder Groun Teter Size. proved By: irTest Gas Test Final Staff: PRV Required:_ Yes Page 1 of 3 CITY OF EAGAN Remarks ~ 'K TAX e_)(pw2T;, Addition Section 23' ik Parcel 0 02300 01~ 03". Owner ` Street y State EAGAN MN 55123 i3 ' r b / qq< Improvement Date Amount Annual Years I Piyment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION REMRO CITY OF EAG/o1Nis1T TYPE: ~fi t.~' t~ is F 3830 P" Knob Roes iartsbr: 4~ , r} L612) 681-447S tot 3 ADDRESS: N. : 10 4 30 41141 01. APPLICANT: k~ f> €,t;; J~ cs h t": K i'#w [3 i i- fit, f t 1 f 4 i k 0 N 3 1: t~f~Ptf+t I13i!8~f ~,;.tttifll:. !tksf ia<"~.. `,},y 3 PERMIT SUBTYPE:` TYPE OF WORK: 1Y ti Y #"at'tT f N 6 f't141# f?A1 nf# 'ii~`,Q3s did ~i,tud n i+i{4r±#e~t i'~' litr # t f# F HAj F 3~Melnit iFo. #11~IIO1K ~ ~ ~.EyC~IIC PLC HVAC r FaU D liG S PLOD P LOG AIR ?~''.'M ` ROUGH HSXr Ci GAS SYC Fes! MIS. SM"OOMP Fwo"Am of WKL Dow FOUL DWKIFM DOW MWAL INSPECTION RECORD CITY OF gAgAN PERMIT TYPE: 1 t`# c 3830`-Putt Knob Road Permit Number 4 4401 Eagan, Minnesota 55123 [fate issued: ti I z 's 4 - (612) 681-4575 SITE ADDRESS:' APPLICANT: 1,0 f t. t{ k a i f #.t u (i.. .f r N ft t b # :i t:~ t E`# `1 t t:r # '196 PERMIT SUBTYPE: TYPE OF WORK: 1►~ ,i:l'<i~rltl ti1t:A# ii1,P3tt, t~~i ~0 t t. 04 V 1 ttx t l; r 1~ t,A111N i ~p[~1 iNU Ot i31 zP# 4d`lf E AL l-, t043 f r i H a €i l ti 3 4 t t. 1~l~A1 1$ K 11 PrF7ATV t0M.t1" 414E f?FQIJtpf f's 4t k ANy f=i ut''TRia Af fIH !j# lfl~N[~ti PANMO Ak). ptol"NNW € ow arras S(w PUAMM WAG -44 `r~asga'l~g. r4ugh leei. Firm ~ s. r -I9fr *IF* RAW .14 40 R'0f V~ ~ 3 PI F Diw INSPECTION CORD GtTY OF EAGAN - PERMIT TYPE: 3830 pilot Knob Road Permit Number: 0-,"4440 f~agan, Minnesota 55123 Date Issued: 4 (612) 681-4675 SITE ADDRESS: APPLICANT: - I i#, PPAistJOt.,K it f, .",t..l1# tat" t .t # i.fgt t dice( t##kilt ` C ti(lt)#. C;90 PERMIT SUBTYPE: TYPE OF WORK: # ys>,# #S (.fit #t 1.'1 0i it1,V# ION ( 1A011,114..01 #-pit N#-1e'w~ i=7t~att ,t t@+ 7~- F ~i`t#P r", C l t~l'd ~a)tt~tl I Pt 1~1 C t►###113 # #R# 1# fi4a f i."At pt Ho # 1!I# tl t ? I1;#AI f-4 SLPARA fL PE MI iii APA' RtQt.#IC RLD f 0E4 ANY # t-E_C'i'i, f~ h 1 OR P3_tSd".tNO WORT i iM. #M~r1it 1M i Dow PUJMOM WNW r:.-- kit Foauk" Fb4*00' Fv" r EVE Ik PGA PERMIT Control No. CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: €~ta It P r~i~t Permit Number: 0 fh 30 - 0 Eagan, Minnesota 55123 f ~ (612) 681-4675 Date Issued. i1 7 1~r SITE ADDRESS: 4 18% l11,(AVr)0CIK' Ilk ~ ~itF~i'~ t#~~P€ :ye t{[l~tttw DESCRIPTION: 1.0 1/6 94 N 11 0 p ~fl~j-1414,1 cj Pr.,rttjtt, tYrp °t W114i I! FAcII IIY td ti 1. 4i t4 r~4 0 aass .L i REMARKS: At of tt#"a1 t (TiV.; 3; tii. `1 1 tt1V 1 t f 1 t 1. Nk ,i,p t 0f,B1 1t1;:€;1 t1,1 # t' 0.1°##I0 *t'6.000,00 FEE SUMMARY: V A 1 0A f ION $3,/00,000 1:t"at,o V tF*' $0,9-19-so C T t Y SAC sti' oo Ott # r t # rr t ;;1 *1,34000 1° ti t A ! M,1V t H: / t WI 1_ . 000 . 0 At'. $C'.000.00 toil at rofo S$AC t1## t x 0 1 I p con i ' 1101 I A~.1: 'zHORf PKWY 'i! 1% } 4 4 4£'> 111 l ANON1) PA 11-1 10:t tr'1<'l 44ti# 4400 _C'~ :1..-~_!'z'.~~.J ~_Hi1 ;3 fC~ ~~S t~~. 7~. f 1t~,• f"_:~'~ k~}i,: ':4 ~"~°_-.I :.'1 G, 5e~t! p3 i9Y~ .r ~'Y f;,.F' i'i):tF ~ ~ ? t{ t :a r mo t: A. cs 2 1 #.a ri 7" v'ot ~l f"l m tit "1:.tt Q4'j*hp I V # r~ L4i O )A. Sapp , 11, 4'4 it V ~ Z 8.T 4;~ f pin C1 t'Y;?r t~ ru a 9A t v }M 4 m v. v 1. ? a a' if.i t Or • I -77" L APPLIG RMI EE ATURE ISSUED BY. SIGNATURE INSPECTION- RECORD TTControl No. 0 = 3 " CITY OF EAGAN PERMIT TYPE: 113.1 r, f Ii t Hr+ 3830 Pilot Knob Road Permit Number: 00 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t 3) 1 t 8 t r r; t: APPLICANT: t A4,! to 111('01 . f1s1 0l, (6121) 449-4400 PER111~1I~~TYPEt' s TYPE OF WORK: t ; s tYi ':~rPetisI110W > r } /0 I& 9 4 a :~10 INSPECTION t r39"1I Ttit; FRAMING t I+'"chi s I t 0 f I HA 1.. Flt` MA 3~. ; ACTUAL CONSTRUC I ON 11,+ it ,..1 NP pk ci / .1 k rs fr is t. C t T l~ i T " ,l At t E. r 00 0. 08 Permit No. Permit Holder Data Telephone # S/W PLUMBING 9 ~ j,r HVAC ELECTRIC ELECTRIC %~1~. /E y Y r!~ Inspection Date inap. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Rig. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector Notify Plumber l Const. Meter EngrJPtan / ,2 d k/- 4 3 4L I / 4 Bldg. Final 7o`~ / 404 c !KA.;~'t,216-0 5 Deck Ftg. Z) / Deck Final AX k✓ c S ' well t - 3 l~ -c3 Pr. Disp~ i MS CTIO RECORD ~IT'Y OF EAGAN PERMIT TYPE: 3830 PHot Knob Road Permit Number: Eagan, Minnesota 55 1 22-1 897 Date Issued: (612) 681.4675 SITE ADDRESS: APPLICANT: it 10H "c"00L t~j-j 6H 9 12 PERMIT SUBTYPE: TYPE OF WORK: d°a C t IC f Af 1,k f! ki H r e 1f"t Y T 14 a pno +f~ C t ltd~i'•1 1 'i 0 f, E' Fe lt I) tµ, fZ l f R(0104 tM 1440 `j t 1~eit 3elronp ~t r, PL UMMO FD=.. i ROUPIP4 r; ZMST MT t MOAT IE W, Wr Rd. VT MA . MCK FTG: DUCK F i7: i INSPECTION RECO D I If CITY OF EAGAN PERMIT TYPE:H 3830 Pilot Knob Road Permit Number. Eagan, Mionesota 55122-1897 1 Date Issued: (612) 681-4675 ; t SITE ADDRESS: I APPLICANT: 1' i"i 144 C PERMIT SUBTYPE: TYPE OF WORK: UP A FfH6 ~t~t1likl ~ 4~t ~fff1 ' .li3[1:~~i lfb Sb:to 1 ~i ULBG 1. rf ' III $s ~ ~ td~€ ; REPARKS 'C' LASS A0014/8ATHROUN et~e Tie # 'Lt+l 1*114 W fR a FOODS Moor) MAW* ROUW P RLBG ARJEST HE= GYPS P F A't HTO OMAN TEST FtHm MTRI. 6"T FN- DECK FTO OJECK P &L CITY OF'EAGAN Permit No: O t~ Dater 3830 Pilot Knob Road Meter No: Size: i P.O. Box 21199 Reader No: Date: I Eagan, MN55121 OwnSer. PI) SCA Din", 196 Site Address: Plumber. Timis 14W CH Conn. Chg: Zoning. "I • Acct. Dep: No. of Units: {''d Permit Fee: Surcharge. nc I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter Misc.: By WATER SERVICE PERMIT 11318 12/13/8 CITY OF EAGAN Permit No: Date 87405 3830 Pilot Knob Road B/P No: Dates P.O. Box 21199 r Eagan, Irhk21 SC8 DIST 196 f4 -Ift Owner. Site Address: 4185 BRADDOCK TER. 9 L1, B1, -AGAN H.S, Plumber. MWCC: NA HE $94,050.00 Pd Zoning P.E. City Chg: 17,100.00 %)d No. of Units: Acct. Dep: 1 agree to comply with the City of Eagan Permit Fee: Surcharge: 050 c) Ordinances. Misc.: By SEINER SERVICE PERMIT w ' CITY OF EAGAN Permit No: 1~13 - Date: 12/13/88 --r- ' 3830 Pilot Knoll Road 6/P No: } 5` Date: r P.O. Box 2119% , Eagan,' MN 551' 1 Owner: IND SCH DIST 196 Site Address:- 4185 BRADDOCK TR., L1, B1, EAGAN H.S. Plumber: RARRIS MECH MWCC: $94,050.00 pd Zonings P`. F . t City Chg: 17,100.00 pd No. of Units: Acct. Dep: 10.00 pd I agree to comply with the City of Eagan Permit Fee: ' .50 pd Ordinances. Surcharge:, Misc.: By SEWER SERVICE PERMIT /f CA 110179 12/13/88 OF fsAGAN Permit No: Date: 3838r'Pilot Knob Road' Meter No: /a-' Size: P.O. Box 21199 er No: Date: (0 -a? Eaganj AN 55 Owner. INN S: 1 DISf 196 Site Address: 4185 BR-t-DDOt K TR.. , L1, B1, EAGAN HIGH SCHOOL- Plumber HARRIS MECH Conn. Chg: Zoning: P.F. Acct. Dep: No. of Units: HIGH SCHOOL Permit Fee: $ ti r; _ n nd Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT to CITY OF EAGAN Permit No.: Date: 3830 Pilot Knob Road Meter No.: ` Size: P.O. Box 24199 Date: 3ead6r No.: ' EaJan, MN 55121 Owner: `.-Sitd Address: L Eii : { `-1' Plumber: SPRINKLER (water only) METERS ARE TO BE INSTALLED AHEAD OF I agree to comply with the City of Eagan DOMESTIC METER ON WATER Ordinances. ' LINE. CREDIT WILL NOT BE GIVEN FOR DEDUCT METERS. By r~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt # To be used for HUM CHWL. Est. Value V1125,939,000 Date SEPT 12 Site Address 4185 BRADDM TR OFFICE USE ONLY $--I A-2 Lot I Block 1 Sec/Sub. VICA-K, uli. SCIROOL On Site Sewage Occupancy 33- R MWCC System _ X Zoning Pf ` Parcel NO. On Site Well (Actual) Const U II 1 Name ISO 4196 City Water X_ (Allowable) 3 Address 24445 DIA11014 f PATH PRV Required # of Stories 3 O City ROSEMO T Phone 414 i(I~y : T011 W'ILS foster Pump Length 750R Depth ' o Name ` CF, CMSTRUCTIV4 S-L ACES a IBC S.F. Total , 700, o u Address 9330 J"S AV 5 Footprint S.F. ~LiJfC uF City 8IZONINGTO Phone_ +1W1-92(fl.'! (JAMIE $I %ROVALS FEES a Engr./Assess. _ Permit 39,212 vw Name _ Address Planner Surcharge 3, J42 U W City Phone Council Plan Review Bldg. Off. SAC, City 17,100 ! I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 94,050 information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City Of~n Qrdmances. ' Water Meter Signature of Permittee Road Unit 9082` Q A Building Permit is issued tcx Treatment P1 34 884 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. e Building Official TOTAL 'OFIA AN QITY 3830 PRl t Knob Road,. P.O.'Bax 21-199, Fagan, MN 55121 Xa. PHONE: 454-8100 Btu OIN61. E t~ Receipt # 19 , To be used for .11PROVEMM Est. Value • Data sum TR Site Adc ess 183 Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. O=JiXU1Cy - - FEES . Zoning Name (Actual) Const Bldg. Permit lolls [ILMMM PM t 11~ . I Address'' 123 77Q2 (Allowable) Surcharge City Phon 0 of stories - Plan Review Length Name t Depth SAC, City Addre S.F. Total SAC, MCWCC rawmaluirm U3;;2122 City Phone S.F. Footprints On Site Sewage Water Conn Name on site Well Water Meter Address Mwcc system - - Acct. Deposit City Phone CRY water - PRV Required SM Permit I hereby acknowlege that I have read, this application and state that the Booster Pump S/W Surchargq information is correct and agr to comply with all applicable State of Minnesota Statutes and City an Ordinances. TPtmelmtSi y APPROVALS Signature of Permitee. Road Unit .3 < A Building Permit is issued`to: Planner Park Ded. on the express condition that all work shartbe done in accordance with all Council applicable State.of=Mi~n(mesota Statutes and City of Eagan Ordinances. Bldg, Off, Copies Building ° i r of 4 Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER , H.VAC. ELECTRIC Irtspectimm paw htisp. CommIMts Footings i Foundation Framing Z-Al ~S Raging Rough Wig. Rough Htg. Isul. ' Fheplace Final Hlg. R nW Pft. Cyst. Meter P ft. hrspedor - Notify Plumber evipim Bldg. Final 2 1l1~ Deck Rg. [?edct=mal 'I id Pr. Disp. J +d ~i'rt 4 ts4R+.wa n.-.r.~ r S3v~r?"'!x°71 y F v < <tia 38W Pilot Knob Rio t P.O. Box 21-M, Eagan, ~IQN X339 ~ ~ PHONE; X454-8109 Bi;1"LOING p # RnirfTn, ~~ot Wit,. j t~ ~ T°beusedforr° $C~,00tsl4~, Rk :t ,ter' D$t+r!,t9 SiieAddre s t ~ ~ h fJttlO OFFICE USE OKY E-1 A-- i 1 Lot- BlcscK _ Sec/Suq iE~y ~i+ On SIt Sewage OccfuPancy MWcxr system, Zoning F'arcet N q: On Site WeII octual)Cohst i Y Name City.Water tAllowable) a PR1l Required 0 of Stories r z 'Ayddress { ""k. . p 1 i~ i i f~hUnB - i ~ vi'M MIA ~ r t~P Rk9fh'p a""n . 'j;i~~'~'1 - m IS Name Pat S, ~~~t~t~t a.",a+'~ Iri S~F.Total Address Footprint SY, T . q city -_h~~rs~."~ va~~ FEES 4 r,¢ /Assess.' Permft ~Aa Name a U1 Planner Surcharge ~ x Address ai'a Council Plan Review 44 W lC[ty I?#tipne BICIg. ENf. 5AC, C[ty 1 d hereby acknowledge that P,'haveregdthis application and stat@',thatthe Variari~°e - SAC, M4VCC information 4s correct and agree tb comply with all-applicable 'State of Water Conn. T Minnosota Statutes and City of Eagan Ordinances. Winer Meter Signature of Permittee toad Unit _ A:Bailding Permft is issuedtp:"' t Trel4frteritt i ort the express condition that all workshall be done in aoporda w€th all applicable State of, Minnesota Statutes and City of Eagan Ordinances: Building Official ° FIfi~Ak 1f 1 t....,,.~r.. ~ ire' ,.r..,.t~k!~LW.i.:~ ~i~~~1 ~ _ .,&:~di~~alldl kiL;i~un1~. t i ~ l ' r Permit No. Permit Holder Date Telephone** fto6ing 761k r - AI.4: C. ~o ~0 9 s p 9q a Electric 8 . Inspection Date Insp. Comments Footings I flue. 'Footings II h aG, 8 Foundation i Framing Roofing Rough Plbg. Rough Htg. Isul.i Fireplace Final Htg. . Final Pibg. Bldg. Final Cert. Occ. Temp; LP Deck Ftg. I ` (o v Well . 0 978 90 V9 00 ~ , C_z PERMIT # Y i PLUMB114 PENMIT _ RECEIPT # 21 CITY OF EA"N 3830 PILOT KNOB ROAD, EAG1AN, MN $5122 'DATE CONTRACT PRICE: PH r. ONE: 464-8fi00 Site Add ' 4 d o e- k. 3LDG TYPE i4flK DESCRIPTION Lot~_-Block Sec/Sub -Res:. New Muk Add-on (Name comm. Repair Address e s e,'. t ,N , , + Other h o x .5. w aJ_ c City "'J Phone R PLOD. ONLY -COMPLETE THE F .OWIt~tsi: N FIXTURES T A tT" L Cer Closet = $3:C}0 Nam .1 r y~z , . r c f /Tr i6 Bat Tubs - $3.00 c Address Lavato $3.00 C x t Shcur Kitchen Sin $3.00 FEES Urinal/Bidet - .00 COMM/INS FEE -1% OF CONTRACT FEE Laundry Tray - APT. DLDGS - COMM RATE APPLIES Floor Drains - $1.50 TOWNHOUSE & CONDO' RES. RATE APPLIES Water Heater - $1.50 MINIMUM -RESIDENTIAL FEE s - $12.00 Whirlpool - $3.00 #AtNlMLtM_- J`E.I Gqt Pipipg STATE SURCHARGE PER PERMIT .50 (MINIM M PER PER (ADD $.50 S/C IF PERMI'T`PRICE GOES Softener - $ . BE1.OQw $1,000.QO} -Well - $1 Private isp. - $10.00 y w3 a.~ ~c Rou Openings - $1.50 SIGNATURE OF PERINRITEE FEE:_ x.31 AT, O OF` AG7 N "*D TOTAL. Yw.;,~},ruc uRi 2~,r~~*„s~ 9. t-• ;,y0~ ?~'~~'i~ ei~.iV"t ~ ~i -7?I1. • N PERMIT# - ' MECHAN1 'P001W RECEIPT. `5 CITY. IPA' - 6 2f ov • 3830 PILOT KNOB ~IOAD, EAGAN, MN 55121 DATE: CONTRACT PRICE 1, 250, 000 HONE: 454-8100. 418.5 Tr 11 Site dress oC SLOG-TYPE ` WORK DEWRIPM61 -i Lot-s--- Block / u6 Ree, Metal C T. New_ l t, Name 23.30 Muir : Acid-off Address LoiY arnue Ai Comm Repair.--.- C i ine5~ao'ii ~cc~o1` Phone Other n r Sofidol Di'tridt -It 1 a- Narrle 'FEES . Address 14 615 .Diamond. ; Penh. RES WAG . 0-100 M STU 4.OD. Al City doiiioun~ Ph ne ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24BTU - 12.E i+ &,BTU ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air ' COMMA/IND FEE -1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE 10.00 Unit Heater -M BTU MINIMUM - COMMAND FEE - 90.00 STATE SURCHARGE PER PERMIT - .50 Air Cond. _77 M BTU (APIA$.50 S/C IF PERMIT PRICE .GOES Gas Piping Outlets # Other 50 FEEt &#S NATDR~ OF P ITTk J,aine, p,. I,£CCa 1 12aSCIB .0(f President TOTAL- FOR: CITY Of E►f~iAPW > ~ ~yi4~~~~g .~ry.;,aw•~. k~~. i 4a~,~~y~'`i ~'~~;z,.,.~,- v n PER # MECH PERMIT RECSPT # 1J'9J 1o CITY .15 r- . EAGAN -Jo PILOT KNOB /1D, EACIAAN, MN 55122' DATA F? G'ONTRACT P ICE` PHON 'x454-8100 r Sfte Add iq' z_ { BLDG. TYPE' WORK DESCRIPTION `Lot - Block Sec/Sub Sc av,. Ftes. New L Mint Add n Name RA&A r a o,4-,j 'e A Address Comm. Repay City 57' ~-~fi.JB I. PhonQ Other FEES Name -0 r J9 RES. HVAC 0-100 M OTU - $24.W i c Address ADDITIONAL 50 M BTU: O . City 'phone I CONSTRUCTION) INCLUDES //CON NEW G AS OUTLETS (MINIMUM ~ i: F CERMGl~ 1.50 EA j TYPE OF WORK COMM>IND FEE - 1% 0 Ot?ht`fR1#CT FEE I Forced Air . M BTU APT. BLDG& - COMM. RATt APPLIES e TOWNHOUSE & CONDS P RATE APPLIES _ Boiler : M BTU '.i MINIMUM RESIDENTIAL IF ALL ADD-ON & j Unit-Heater M BTU ' REMODELS - 42.0011 Air'Cond. M BTU+iMINIItAUM COMMERCIAL Fi=>i - 21500 i Vent CPjyl ~f~li$TATESURCHARGE'PER PaAMIT •50 ,t (ADD $.5b S/CIF PEiRMIT PRICE GOES Gas Piping Outlets # 'wBEYOND.$1,OtM?) . Other ~ ; N► e..e rr:~ 'FEE `[`3 ~ 7 - .~--'X.~-. G[VATUR OF PERMIT CfE ,i p;TOTAL u: 4 t( R CJTY_ OOF E/~~aA V r I ~w.~• rry~ W.r -'r~~'r. ±i9'+F..~'. _ w ~ Gny VY) (ta n , llllttt~ "two M Ceni issued urs uant to 6tjte ~.f ~ e . ther~ulfrements of ~ Section 3 ni orm B ' 'Idin P g C W code d , fyMg that as the time of>:SSUance Yfirs stracture» sin co~np ce *ft the various mft a,wve of-Me iC' ) regulating hrli#Xding oonsttc#on or use For dli *Wmr- 1 l{`'' H~dg. P~rtnit Nb. {7 `OI', a!tat>ms.naa ~A5 WM= Lip ~~p Ltxsitty r l' \t f ( .1 batr offic, POST IN A CONSPICUOUS PLACE F~yy i JIB COP of (tagart M Certlfuaalecsued pursuant to theregWirlemeatsof Section 346 of the Uniform Building Code at the time o ~S AN of tce sslructtire was In comPfiance with the various ordi of the mil' regdating bung conot udion`or use For the following. ux stag. A7mk Nm 15597 IA2 1 PF y Too Z.a.s ni, ~ Type cwa:Y jj T~ ~ . i Ow=Or dew z 1 saa > IM 4!$5 L1, B1, E,M H= SOM LO-rq n4, I 27, 1"0 POST IN A CONMCUQUS PLACE j N s: Cate c aatc lot , pursuant to the requirements of the Un' ornt wilding Code cemfying that at the. time of assuance'this `swwwre was in compliance x*h the various ordinances of the City neguloWng building construction or use. 'For the following:', j - uwe gym,: PUBLIC FACILITY s r~u t4a 1620 'T' RD BWIA g Aat r arity " ► SCHt3E3L f 1993 c M ARC (qe.l } Datm POST IN A CONSPICUOUS PLACE 401' ,3jtt*d This Gee L=Wpur=Wto tke mqt* n:entsof&cdon 306ofift Untfom &dlftg Co* mr0bg *&,w the Hine of tce A& mmeam twasiit,~pmpll'am mm the M*W of ~ reg~$' brdl~ngd corrstiudiors or umForthe folowl ' 10~J UftCi eion `P=CFA Smom - Type E1 SD # 196 oat 41~ 1 1 1f. 8 HI Cffi J~ H ft C POST IN X CONSPICUOUS PLACE N\\ i M _ Callan t >t~ ~ tg p4 but 27ds,C a Lssued pursuantto the r Wmmwt0gf 'ors' Ae &n(f" BA"g Codeeer*ing thdt w the tb»eofi'sswtcethtsOncan was bi cgppl once lp tka at various of the Cftyrm"ft dWl&g mmoucoa or use For Die follotvln . " i ~ SktX rxaac xa f _ 142,6 i Use chsSmution PgHLi~ FALIIY g~S. MITI( OOMPIVICY Type I /B2 Zoning D"irt p 'typo Co" ~ rt Owner of Oaft IM : IDISr 196 Address 14445 DIAI4 PAIH RD9 R L[ PO*Y IW A wm PLACE., r.~ INSPECTION INSPECTOR DATE COMMENTS 7-7-7e aef- Arc-?," 6-X•92 SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS 14- 3 GJ C or, - 200 y t f i a ° ~ C~~~ca#e n~ ~ccu~anc~- I r o~ ~RgRn aeut aF ~!>~b~g ~n~eet~sa This Certificate issued pursuant to the requirements of the 'Uniform Building Code cen4*g that at the Anw of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use Gassif 177 ISM& Pemut No. 29M r Occupancy Type Zoning Disaia Type Cam. owncraB rift SM DIST M Address 14445 DID P~fl POST IN A CONSP=JOW PLACE 4 fi a CITY OF EAGAN 3836 Pilot Knob Road, P.O: Box 21-199, Eagan-MN S5121 PHONE: 4548100 .D1)fit3 P Receipt# #+J °t tis8d for Value ft.Date 6 t9 r m ;fib site: Address ffi Sec/Sub.WAX HIGH 40M OFFICE USE ONLY Block RarceF No. Occupancy. 2 ITtas . Name S=Wil DIST 1% zoning - 26546E r' (Actual) Const Bldg. Permit • ' re 14445 DUN= PATH Add ss (Allowable) 1~~~ City Surcharge ° 423-"02 # of Stories Phone Length Plan Review, Name bE CTIt Depth 1o' SAC, City Address 701 Bffi ST S.F. Total SAC. MCWCC City FAMMM- Phone "3-212 S.F. Footprints Water Conn On Site Sewage, Name ftairl" ftnk On Site well Water Meter MdreS3 1 ffi A'S TV mwcc system - 1 A.W. Deposit • `C4 Roe"Mt Phone 443-2254 city water . PRV Required SJW Permit O*Y adcnowlege that I have read this application and state that the Booster Pump - S/W Surcharge M"10110 is correct and- agree to comply with all applicable State of Miirmesot Statutes and City ofagan Ordinanceg. Treatment PI wept Permitee f r a ~ APPROVALS Road Unit L9ffi ! PI r~er an i , .Permit is issued to: Park Ded. orr.. rasa condition that all work shall be done in council exp accordance with all appllcabi . State of Minnesota Statutes and City of Eagan Ordinances, Bldg, Off, copes 'S Building Of Dal ' e Variance TOTAL permit Into PermR Holler Date TelePNo w # YJATER SEWER PLUMBING 44 H.V.A.C. ELECTRIC V, dll/ d, 4 Inspection Date Insp. comments FoothW I Foundalon iFraming ~,2 d Roofing Rough Plbg. Rough Htg. IwA Fireplace Final Htg. Final Plbg. Const Meter P1bg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Ftg. Deb k Final Won Pr. Disp. s fit i citp f Cagan TES a*'IOue iP=wN b gwregrdr sof&c&n.M of&e Clot mwaayding 1 Catecerttfyin8that~the8meafi~suanceflrlsslruc~iretausbtcompCtanae ~hthe.various ordinances o. of the fS!}'regUk t$&,"W'con on wam Foiae,fo&wr . . OW=or ff-.4%- RdlftAddm III Post IN A CONSPICUOUS PLACE m k _ 1 STEEL STM WALL CITY OF EAGAN No 1858a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ! Z2 -3 INTERIOR To be used for IMPROVEMENT Est. Value $3,000 Date DEC 3 194 Site Address 4185 BRADDOCK TR Lot 1 Block 1 Sec/Sub.EAGAN HIGH SCH00 OFFICE USE ONLY Occupancy E1 FEES Parcel No. Zoning - W Name I S D #196 (Actual) Const Bldg. Permit 54.00 o Address 14445 DIAMOND PATH (Allowable) 1.50 Surcharge City APPLE VALLEY Phone 423-7702 # of Stories Plan Review Length R Name LEIBFRIED CONSTRUCTION Depth SAC, City 0004 Address 701 EIGHTH ST S.F. Total City FARMINGTON Phone 463-2122 S.F. Footprints - On Site Sewage - Water Conn W w Name On Site Well Water Meter Z Address MWCC System Acct. Deposit U-M City Water a W City Phone y PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City o a an Ordinances. Treatment PI / APPROVALS Signature of Permitee Road Unit A Building Permit is issued to: LEIBFRIED CONSTRUCTION Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official -01p I Variance TOTAL 55.50 SITE ADDRESS Unit # Permit # ` 158 Lte ►Z~B~ L B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS !x 9 Y~ INSPECTION INSPECTOR DATE COMMENTS 12-Z? 9 22-76 , 2Z 0017 y P - A INSPECTION DATE INSPECTOR COMMENTS PNP IJ 2G®' .tom 1 cl-w f SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBIL ROUGH HTG. INSUL FIREPLACE FINAL HT6. FINAL PLB6. UNIT FINAL CERVOCC INSPECTION DATE INSPECTOR COMMENTS SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTS. INSUL FIREPLACE FINAL HTG. FINAL PLBB. UNIT FINAL CERVOCC ` F - INSPECTION DATE INSPECTOR COMMENTS ` sr h 7 2 a f 4 i SITE ADDRESS Unit # Permit # L B Sect/Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERUOCC t INSPECTION DATE INSPECTOR COMMENTS • J''d G -Q ~ r v~ zz mot,, c 12 Gc).~ y~ SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ~1~ ROUGH PLBO. ROUGH HTO. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC ~ s r INSPECTION DATE INSPECTOR COMMENTS =L $ 160 Z) 7 /gl L SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC r -SITE ADDRESS _1 F5 o/~r Unit # Permit # 2S5 91 L B Sect./Sub.M-T INSPECTION DATE INSPECTOR OTHER FRAMING f rJ` C✓-~'zir ROUGH PLBG. ROUGH HTG. c _ INSUL J . J_X, ~z FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL a -r1 CERVOCC _ l INSPECTION DATE INSPECTOR C MMENTS - -~8~ ~ - g` ~ 1 Lt G, r ~z c. o ~l/G i! - G U _J t "SITE ADDRESS! g ' i(40• Unit # Permit #w`J' S L B Sect./Sub. 61 INSPECTION DATE INSPECTOR OTHER FRAMING c~ ROUGH PLBG. ROUGH HTG. INSUL ZA) &nit Z,~~ ~5 FIREPLACE FINAL HTG. j , FINAL PLBG. UNIT FINAL m c G CERVOCC INSP6 ROM, DATE INSPECTOR COMMENTS 125, c 13 21 er 6P r G/ f /o SITE ADDRESS -!le- Unit # Permit # Y~ L f B Sect./Sub. &2~ INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLOD. ROUGH NTO. 3 8 G INSUL FIREPLACE v -'r cf- FINAL NTG. o. FINAL PL86. Z Z e,,-, r UNIT FINAL CERVOCC' INSPECTION DATE INSPECTOR COMMENTS c/ 2 sue' 1~ /o t Aj J/ 6 '''y 76 INSPECTION :GATE INSPECTOR COMMENTS `a s /;7 /Thl rZ-12 e -i - -az 2 Z 8` 2MY- de; SITE ADDRESS Unit # Permit # L B Sect./Sub. INSPECTION DATE INSPECTOR OTHER FRANNG ROUGH PLBO. ROUGH HTG. INSUL FIREPLACE FINAL HTG. FINAL PLBG. UNIT FINAL CERVOCC CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199,-E"an,,MN $5121 PHONE: 454.8100 BUILDING PERMIT RecelPt # ` `:rte ~`TRUCTURAL To be used for STM% Est Value $2.447 * Date JULY, Site Address 4135 " TIT OFFICE USE ONLY AD D . On, Site Sewage occupancy Lot Block Sec/Sub. H.S. MWCC System Zoning Parcel No. On Site W®11 (Actual) Const m Name motown t S 'D'ISTPACT, 1% City Water wowable) . z AddressF - NDa PRV Required # of Storm c City t~S phone 423- .g.... Booster Pump Length Depth c Name L S SOULU C (mlvM 'DvOMIN) S.F.Total Address 2$13 BRYAN? AV.E Footprint 8.F. 61ty HPI Phone ?,,72.!--4656 APPROVALS FEES w Name HAMMELO GRr~N 4 ASRAwAansotJ,ZNC. Engr./Assess. Permit Z Address IZOI HARo tuW PLACE Planner Surcharge W City MPtS "Phone 33Z- 3984 Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC Information Is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances Water Meter Signature of Permittee ll Road Unit A Building Permit Is Issued to- L . .S0W141°s Treatment Pt j on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Park& Building Official - TOTAL - t~+armit ttha. , ~n~iiai~tar ' data 'tetne at' '1 - P1utAg - - KVAC. t ~ - Safterter " t ate t Commerce Footings I Footings 11 Foundation Frdnting t . Rooting ! Rough Plug Rough.Htg. IsttL . Fireplace Final Htg. Final Pft } Olft Final Geri Occ. Tenm LP Deck Ftg. Djp*FM Well Pr. _ CITY OF EAGAN °3830 Mot Knob Road, P.O. Box 21-199; Eagan,, Ma 98121 PHONE: 48 T00~ 1 X11 1Ne PACkiir Rewipt # lie used f©e Est Value Date l° sY Ate $Is ' Bi t Redress 11 . $ i o Cw TRAIL, OFFICE tISrE OJI& Lai s_ $iQC~t =.800$ub t,AN W a S. OnSite Sewage O r~ay MWCC System Zoning r lv~ OnSite -Well _1_ (Actual)Cona! City Water (AUowaEde) ae Name a0.ddress ; F PRV Required a of Stories t;ity' Phnrte g a, Booster Pump Length Depth NaMrte S.F. Total Addresfi Footprint S.F. a city APPROVALS fIESS Engr./Assess. Permit ts Address Planner Surcharge Council Plan Review. coy Phone :I Bldg. Off. SAC, City t t,eraby s0k nowledge that a have read this application and state that the Variance SAC, MWCC inforrfnatioi, IB'bo?v 4't. arid} agree to comply with all applicable State of Water Conn. Mires Stdhdds WW City of Eagan Ordinances. Water Meter Siofigiture of Pera ttee (toad Unit A Bonding Permit is issued to Treatment P1 on the express oondrtion that allwork shall be done in accordance with all appJioable State c>tMinnes+cts, Statutes and City of Eagan Ordinances. Parks TOTAL . Building Oifk~ .1 iii ' • t^Ql Ullf dtlla _~'F111U[uWF~mDow V - EIOFCW l ie comments, ~ootlrrgsi a4g Four i^ - Pte. Rough Htg sul. 41 f=ireplace (z - l & JCaX%Z 8 Final`Htg Final Pl ~ ~ f ,Pl►~ .rte Final r. SAO' ~t Hoff - - - - This request void e 18 months from 7 Y E 9738 y A . j/ 11~e100-4-*2,m- - - - 11~o ff-OW Request D to Fi No. Rea . n I pection Rired? Ready Now VWill Notify. Inspec- 2D 1 EYes No f for When Ready Licensed Electrical Contractor 1 hereby request inspection of above ❑ Owner elect ical work installed at; Street Address, Box or Route No C i y ` U 'mil coon No. Township Name or No. Range No. County Oc upant (PRINT) ' one No. `p Power S plier Address Electri Contractor ompany N e) Contractor's License No. Mailing Address (Contractor r Own r Making -In i n) Aut or zed Signature (Contracto O ner Making Installation) Phone Number f-s g MI SOTA STATE BO RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD Gri gs-Midway Bldg. - Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul. MN 55104 Phone (612) 642-0800 ENCLOSED. ~g/9v REQUEST FOR ELECTRICAL INSPECTION r« EB-00000011-06 See instructions far completing this form on back of yellow copy. 9738 "X" Below Work Covered by This Request Now Ad 'Rep. -Tvpe of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank_ Farm Other (Specify Other (Sr)er ifyl Other Specify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_ Amps Above 100_Amps Transformers Irrigation Booms -,iY'u Partial,"Other Fee Signs Special Inspection S Remarks r TOTAL rwf~/ Rough-in - t. at '7 1. the Electrical " nspector. hereby ifv that the above Final ate cr paction has been made. This request void 18 months from • 9a T 98510/ / 7 1 9 b - , Request 'date 7~_ Ro gh•in In ction ~ q~ Required? 11 Ready Now 11 Notity Inspector ❑ Yes No When Ready? ! icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Addr s (Street, Box or Rout&4L". r City 'Section No. Township Name or No. Range No. Cou Occu nt (PRINT) / Phone No. Power Suppli Address Electrical Contractor RIC INC. Contractor's License N 7600 Unity Avenue North Mailing Address ( ontrac or or wne i g 1 a Authori d Signature (Contract n aking Ins of n) Phone Number 1 S MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-00001-08 ► See instructions for completing this form d11 back of yellow copy. H(71 G "X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner O r (sp if Contractor's Remarks: ✓O Compute Inspection Fee Below: fJ /7 # Other Fee # Service Entran a Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 1 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection 15 Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final ~d oat p ! been made. G OFFICE USE ONLY This request void 18 months from G- 7 3 0 7 6 a?8 Request Date Fire Roug -in In p ion ~r fired? ❑ Ready Now. AQWiII Notify Inspector es ❑ No / `When Ready? I Xlicensed contractor ❑ owner hereby request inspection of above electrical work at: Job ddress (Street, ox or Route No.) City (K R RAD ocx -TRAlL- A4AK Section No. Township Name or No. Range No. CounTt ~/'/'j, J/AO `v Occupant (PRINT) Phone No. Power Supplier Address N/A N, A Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) V U-E ozzeK IRD. WOODBu IAN Sit Aut rued Signature (Co tractor/Owner Making Installation) Phone Number 43 6- I ®t MINNESOTA STA OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BI g..- Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Qf~O ,/~+O REQUEST FOR ELEGT$~,~,~ '!SPECTION EB-00001-07 O / ► See instructions for completing this forr_••'' yellow copy. ig a 73076 X" Below Work Covered by This Request ew Add Rep. . Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner / t Other (specify) Contractor's Remarks: FRSSS OOX LW LIWG AT 'FboTBu. Compute Inspection Fee Below: PELb - SEPLUKE 13Y OTReK # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 17 0 to 10 s Zy. Transformers Above 200 Amps ve Amps Signs Inspector's Use Only: - o TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final D b C~ heen made. USE ONLY hb_,;t.,d 18 months from H5/52K0324/ Request Date e ire Rough-in Inspection egwred? ❑ Ready Now ill Notify Inspector 12 - 2 Yes ❑ No When Ready? lxrlicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or oute No.) 6 City r 1.57 l vLC&1' 6 k- e4 Cat P7 Section No. Township Name or No. Range No. County e~ 2 et ~y 1 v Oscupant(PRINT) Phone .>o. A Power Supplier Ar 'kt 1(~ -,CA HIS Electrical Contractor (Company Name Contractor's License No. _ ili Address (Contractor or Owner Making Installation) ;Authorized siinlTature (Co ator/Ovine ing Installaf n) Phone Number 33 41 NESOTA STATE BOARD OF ELECTRiCITV THIS INSPECTION REQUEST WILL NOT j,fts-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD sity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 0 ENCLOSED. 69 5 RecIA-st Date ire No. Rough-in Inspection Re fired? ❑ Ready Now ilhen tReadspector Yes G No Y? licensed contractor owner hereby request inspection of above electrical work at Job Address (Street. Box or Route No.) Section No. • Township Name or No. Range No. Occupant (PRINT) Phone No. .Ca Power Supple Address Elect Contractor (Company Name) Contractor's License No. VIE, qj~'~ zexc_ is. Mailing Addr ss (Contractor or Owner Making Installation) Authorized nature (Contractor/Own r Making lnstallatlo) Phone Nu ber MINNESOTA STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD - 1821 University Ave., St. Paul. MN 55104 . UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. K 1384 /d 80`0 Request Da a rir o;- Rough-in In ction Required? ❑ Ready Now Will Notify Inspector DECEMBER 10, 1992 ❑ Yes jNo When Ready? I "licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) city 4185 BRADDOCK TRAIL EAGAN Section No. Township Name or No. Range No. County DAKOTA Occupant (PRINT) Phone No. EAGAN HIGH SCHOOL Power Supplier Address DAKOTA COOP FARMINGTON, MN Electrical Contractor (Company Name) Contractor's License No. ELECTRIC REPAIR & CONSTRUCTION CO., INC. CA 00585 Mailing Address (Contractor or Owner Making Installation) 4024 ,WASHINGTON AVENUE NO TH; MINNEAPOLIS, MN 55412-1790 Authori 5 nature (Contra riOwner Making In -II n) Phone Number 612 522-6511 N OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlg -Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 182 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. EB- REQUEST FOR ELECTRICAL INSPECTION r 000Ot See instructions for completing this form on back of yellow copy. ; /io S, R- K 21384 X" Below Work Covered by This Request y U New Add Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) contractors Remarks: ROOF TOP UNIT CONTROL WIRING EAGAN HIGH SCHOOL NEW GYM SOUTH END #7234 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms $23.50 Special Inspection Alarm/Communication THIS INSTALLATION MAYBE ORDERED DISCONNECTED IF NOT Other Fee )COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. `lJ OFFICE USE ONLY Cl/ This request void 18 months from K 4 0a©~o Re est ate Fire No. Rough-in Inspection Required? ❑ Ready Now I Will Notify Inspector 4-7-94 Yes G No When Ready? I alicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 4185 Braddock Tr. Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Eagan High School Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Hilite Electric Inc. ~I"^°45 Mailing Address (Contractor or Owner Making Installation) 1953 Shawnee: Road Eagan, M 55122 Authorized Signatu ntractoriOwnet ki Installation) Phone Number /,lilZt, I•/VY) i 452-688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 8T"ery'r EB-00001-08 ► 0 See instructions for completing this form on back of yellow copy. ov R `XX"Below Work Covered by This Request New idd ep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other {Specity) X Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: i # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0.00 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps . 7- Signs Inspectors use only: TOTAL Irrigation Booms t l 42.50 Special Inspection i' Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee 15 COMPLETED WITHIN L4'MONTH r I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has F Final Dat been made. OFFICE USE ONLY This request void 18 months from 31 -0 (D 7 FN 2 3171 _ ,L a T Request Date- Fir o.. Rough-In Inps Required Inspection Other Than RougpAp n O ' (You must inspector when ready) ❑ Ready Now ill Notify Inspector 7-/9 Yes [:3 No Date Ready I censed contractor ❑ owner hereby request inspection of above electrical work at: Job A! (Street, Box or Ro No.) City Section No. Township Name or No. Range No. County n A~"~ Occ (PRINT) Phone No. C Power Supplier Address Electrical Contra ELI-EL; Contractor§ cense No. 17928 82ND PL. N. S Mailing Ac APLn FtGf 1&VEak irMNaII66II1 1 Authorize Signature (Contractortow ing to alla - n) Phone N r 1 0 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 - BE ACCEPTED BY THE STATE BOARD - 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. EB REQUEST FOR ELECTRICAL INSPECTION 4 T"> -00001 -08 P- Seeinstructions for completing this form on back of yellow copy. N 2 3171 X° Below Work Covered by This Request , b New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Pemarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms G/ ~FDISCONNECTED Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORIF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from KOV/?eO9~1 4z 52 _ - - 19:09 F asquest Dateppp~~~ Fire o. Rough-in Inspe n Req ired Inspection Other Than Rough-In (You must call Inspector when re y) Ready Now otify Inspector r C] Yes Date Read Pid-nsed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route ) City Section No. Township Name or No. Range No. County m (PRINT) Phone No. Oc F1'pA0_'r1_ Y'S., Power Supplier Address RYAN El ;=r.TR1r. Electrical Co rector C iCo U to' icense No. 2ND PL- N. 16 Mailing Address jP~ 5311 on tractor or Owner Makin Installation) Authorize ignature (Contractor/Own r nstallation Phon7~o / MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842-0800 ENCLOSED. fir' REQUEST FOR ELECTRICAL INSPECTION'. EB-00001-09 See instr-tions for completing this form on back of yellow copy. y 0 6 5 2,'~ t. 3 "X" Below Work Covered by This Request »~:F New Add Rep. Type of Building Appliances Wired Equipment Wired 1 Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: r Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps S~l Transformers Above 200 Amps A 0 Amps Signs Inspector's Use Only: OTAL CC) Irrigation Booms 0( 50 Special Inspection I 127C Alarm/Communication THIS INSTALLATION MAY B D ONNECTED IF NOT Other Fee COMPLETED WITHI ON I, the Electrical Inspector, hereby Rough-in Datef, c, Si A 4V certify that the above inspection has Final Date 0 been made. OFFICE USE ONLY This request void 18 months from i This request void 18 months from 1,0 jl~ e6 V li _D 82379z~ .5 Request Date rire&o. Rough Inspection Req fired? []Ready Now Wi11 Notify Inspec yes ❑ No Xtor When Ready icensed Electrical Contractor I hereby request inspection of above ' ❑ Owner electrical work installed at: Street Address, Box or Route No. City . -5/ ection o. ownship acne or No. Range No. County Occupant (PRINT) hone No. g Ala AzW1d5&^1 htl t~~G4 S Power Supplier. Address EI trical Contractor (Company N e) Con act is License No. ~;4s'. Mailing Address J~ont~a for orrMaking Installation) A th d Si ture ( o act Own M king Installation) Phone Number a5 I MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPACTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE-ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1827 University Ave.. St. Paul, MN 55104 Phone (612)'642-0800 ENCLOSED. lel:2/f ~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 ~g Ii, See instructions for compleOng this form on back of yellow copy. BgeZ?5 O 2 3 7 9 "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Other pec~ y Other (S prrify) Farm t er specify Other Other ompGte Inspection Fee Below p Fee Service Entrance Size s Fee Feeders /Subfeeders Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100, Amps Above 00--.-..Amps r Transformers Irrigation Booms m Parti - e Signs : Special Inspection 3 5+~ V Remark TTM~ TOTAL EE '&I Rough-in Date I, the Ele rical r Inspector, h y certify that the above Final Date ate, > spection has been e G ! de. This request void 18 months from jJ This request void 9/_ 18 months from , r/Y`~' 04 (1 U ~5, D 218 0 ~ 1 a Request Date R N Rough n pection Req ed? [:]Ready N- Will Notify. Inspec 6 - . Z Yes ❑ No for When Ready tensed- lectrical Contractor 1 hereby request inspection of above 0 Owner electrical work installed at: Street Address, ,*x or Route No. City l 6 1 Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. /4 Aas Alm G A Power Supplier Address El rica1 Contractor (Company Name) Contractor's License No. Q/c CA4"Ic. C"n Mailing Address ontractor or Owner Making Installation) 7 7`1 Au ri d Signature ( ntr cto /Owner Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-001-os '*.,See instructions for completing this form on back of yellow copy. -2, p, 2 3® ,"X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) Other Specify Other Other ompute Inspection Fee Below # Fee Service EntrenceSiza it Fee Feeders /Subfeeders # Fee Circuits 0to30Amps Oto200Amps Oto30Amps Above 200_Amps ' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100_._Amps' Transformers , Irrigation Booms Partial- Other Fee Signs Special Inspection Remarks _ TOTA ERough-in Date e Ele ctor. hereby 4e 1 V ~:k fy hat the above F inal /ection has been de. This request void 18 months from i JJ %d E52657~~~ h 9 equest Fire No. Rough-ininspection S( Required? ❑ Ready Now ❑ Will Notify Inspector U ❑ Yes ❑ No When Ready? C I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Bo r Route No.) _ City Section No. Township Name or No. Range No. C ty I IOccupant(PRINT) Phone No. Power Su' r r Address e i Contragto\(Compan Name) Contra License No. //nn r'' as Mailing Address (Con r, or Owner g Installation) e ber 1T/ Aut ignature o actor ner Making Installa ion) P MINNESOTA STATE BOAR OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 12) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eB-00001 -07 l < 10. See instructions for completing this form on back of yellow copy. 52 . 5 X" Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) I^ Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps ion Booms+ ®U '00 Lbeen Inspector's Use Only: OTAL al Inspection Olt 50 /Communication rt Fee lectrical Inspector, hereby Rough-in r Date at the above inspection has Final Date de. E ONLY void 18 months from IWIC9 576 5 6 Request ate Fire No. Rough-in Inspection Required? ❑ Ready Now ❑ Will Notify Inspector ❑ Yes ❑ No When Ready? I Licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box Route City 1 a , 'Tr-e l mdol Section No. Township Name or No. Range No. Co ty ll ty 0cc t (PRINT) Phone No. Power Supp Address Enrli~;' Co mpany ~510 a) Contractor's License No. Mailing Address (Contra or n g Ins ion) 5 ~ T?~,4 /V 30 Autho gnature ( ntrad n Making Installation) Phone Number 53-0 /C;) r' MINNESOTA STATE BOARD OF LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. a~9 REQUEST FOR ELECTRICAL INSPECTION A09% QEB-0000001-07 ~ JO- See instructions for completing this form on back of yellow copy. u /cJ'c~ E _ 5 2 6 5 6 `X" Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: AL ® - Irrigation Booms t~ Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from Request Date Fire IRough-in Ins on r Ct Required? ❑ Ready Now dill Notify Inspector j Ys ❑ No When Ready? I194icensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City '4105 A> 12, d 0` k- f:fs~ . Section No. Township Name or No. Range No. County AA f/ GA-- ~ ` -v Occupant (PRINT) Phone No. Power S ier Address Electrical Contractor (Company Nam(e) r Contractors License No. F7.91`r © o ^L «q Mailing Address (Contractor o Owner Making Installation) fi-+ S VA N • `S'SA I uthorized Signature (Contra downer Making In allation) Phone Number - 5^i MINNESOTA AT BOARD OF ELECT CI THIS INSPECTION REQUEST WILL NOT Griggs-Midw I . - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 7/7/8'9 REQUEST FOR ELECTRICAL INSPECTION •r-« era-ooolol /o~ ► See instructions for completing this form on back of yellow copy. E 7 7 4 4 2 `X" Below Work Covered by This Request New A Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner I I Other (specify) Contractor' Remarks: rn b•11( r1r~~n2{ar~~y Compute Inspection Fee Below. ov, 4.c\ ` ~ f1 Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 30. Special Inspection Alarm/Communication Other Fee Rough-in imp D5 I, the Electrical Inspector, hereby certify that the above inspection has Final , Date . been made. OFFICE USE ONLY This request void 18 months from This request voidy~~ Q 18imonths from > F' /U 5 217 O Request Date Fir o.` Rowh Itsvection Requ,,, t? Ready Now E] Will Notify. Inspec- t] Yes ONO ter When Ready ® Licensed Electrical Contractor LOW Voltage 1 hereby request inspection of above : 0Owner electrical work installed at: Street Address, Box or Route No. City 4185 Braddock Trail Eagan Section No. = e or No. Range Na. County Dakota Occupant (PRINT) Phone No. EAGAN HIGH Power Supplier Address Electrical, Contractor (Company Name). Contractors License No. K' N' R ELECTRONICS, INC. 000-581-4 Mailing Address (Contractor or Owner Making installation) 810 Tower Drive e, Minnesota 55340 zed Signature 4 ractor Owner Making Installation) Phone Number 478-2058 ESQTA STATE BOARD OF ELEC ITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg, - Room N-181 ° BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St.. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED.: 7 QI REQUEST FOR ELECTPJC" INSPECTION es o0oo1-os V See instructions for cotstplrt~jts t /gym on beck of gel low copy. 1-7 0 "X" Below Work C wed by This Request Add Rep. Type of Buihding Apphkenaea Hired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer, Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial. Bldg. Air Conditioner Bulk Milk Tank Farm. Other peci y other (Specify) t er, SUeci y Other 16 1 Other ire Compute Inspection Fee Below Fee- Service Entrance Size .k UAbove feeders ii Fee Circuits 0to200Amps s 0to30Amps Above 200 Amps' mps 31 to 100 A. s Swimming Pool -Am s Above 100-mps Transformers oms Partial; 'Other Fee Signs ection- $615.50 TOTAL E Remarks J, Rough-in -°•'^',a+y~, ate T I. the Elect Inspector, hereby certify that the above Final D e inspection has been made. This request Vold 118 months from -022 L ~ O-D 0~ 1 A Lf~ 9 1, S, ~J. J. R@qu st Date Fire No. Rough-In Ins tion Required Ins action Other Than Rough-In T (You must-call inspector when ready) Ready Now Lj Will Notify Inspector ❑ Yes ❑.No Date Ready I licensed contractor ❑ owner hereby request inspection of above electrical work at: Jo Address (Street, Box Route No.) City G Clv~~ Section o. Township Name or No. Range No. my C7v Occupant PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. fling Address (C dtor or Owner Making Installation), Aut or' ed Signatur nractUner Making Installation) Phone Number MILAN TATE BOARD OF ELECTRICITY I I I ( THIS INSPECTION REQUEST WILL NOT Griggs-Midway Room 8 BE ACCEPTED BY THE STATE BOARD 1821University Ave., St. Paul, MN 55104 VIII II(il VIII II III VIII VIII VIII VIII VIII (III. UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED 111 111 11 III L'P;-;- REQUEST FOR ELECTRICAL INSPECTION EB-00001 s 10- See instructions for completing this form on back of yellow copy. . .elf W" Below Work Covered by This Request aw,~ NO Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee 'Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps , 100 -Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/ mm ication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT L Other F MPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Da been made. OFFICE USE ONLY This request void 18 months from 911 40 OFFICE USE ONLY This request void 18 months from validation date printed in this box. C f' 7/~z I~IIIIIIIIIIIIIIIN111111111111111111l1111111 00 0 4 1 3 4 5 8 1* PLEA PRINT OR TYPE Requ~sf Date ` Rou Mn inspection required? ❑ Read Now C`~}/~J_ g 11 Y. o Inspection Other Than RougMn: Ready (You must call the inspector when ready) Date Ready: I, g3licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job 27 )Street, Box, or Route city Zip Code r e.q n -qa Section No. Township Name or No. Range No. Fire No. co~fi Occu nt I Phone No. Power uppl' r Address Electrical C AyN a f^= Co a License No. Master Lic. No. (Plant Elect. Only) 17928 A2ND PL, N. Mailing VA"' 1GA0VE'P%1VV&"T1 Authori Signature (Contractor or er Pe in Installation) Phon o. E&OOOOIA-1 1 8/96 STATE BOA COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY G -11~~9/ ~ REQUEST FOR ELECTRICAL INSPECTION 413-458 1 Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 = Phone (t '2) 642-0800 __M w Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Nec. Remod Re air A ir Cond. Htg. Equp. Htr. Load Mgmt. Other: Dryer Range eat Temp. Service "X" above the work covered by this request. Enter emarks in this space and on t e back of the white copy onl . , - , 0- Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps O to 100 Amps Street Ltg./Traffic Sig. Above 200 Am s Above 100. ` Amps Transformer/Generator INSPECTOR'S USE oNyc TOTAL Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool/ I hereby cerfi Ctls a elec ' nstallation herein on the dates stated Irrigation Boom RoughMn Date Special Inspection Da Investigative Fee Final THIS INSTALLATION MAY BE ORDERED DI CONNEC IF NO OMPLETED WITHIN 18 MONTHS. 0 073 743 7 Request Date Fire No. Rou -In inspection quired Inspection Other an ugh-In X (Yo mu call inspector when ready) ❑ Ready Now Will Notify Inspector V 9 Yes ❑ No Date Ready I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) / City Section No, Township Name or No. Range No. County " fC.o dr• Occupant (PRINT) Phone No. Power Suppli Address Electrical Contractor (Company Name) ~C Contractor's Lic nse No. f` Mailing Address (Contractor or Owner Making Install ion) / c 4 A- Authorized Sign ~racOwner Making Installation) Phone Number sx MINNESOTA STATE $OARD F ELECTRICITY IIH I , THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128. ~I r BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 I, f UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 - ENCLOSED. r REQUEST FOR ELECTRICAL INSPECTION 11 EB-000011-0 See instrkCtions for completing this form on back of yellow copy. 0 073 743 "X" Below Work Covered by This Request 't w 759 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: kcmcaj~ i8a-1 - a. ~Jo~r lc~ s Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Ab v Amps Signs Inspector's Use Only: Ccl TOTAL 0,0 - Irrigation Booms W1, O Special Inspection Alarm/Communication JR BE ORDERED DISCONNECTED IF NOT Other Fee NTHS. I, the Electrical Inspector, hereb oatg~ 1 certify that the above inspection as Final Da been made. OFFICE USE ONLY This request void 18 months from OFFI E US ONLY This request void 18 months from validation date printed in this box. J ~;jX91~ 6 AI e$__ PLEASE PRINT OR TYPE ~y R uest Date Rough-in inspection required ❑ Yes MweT Inspection Other Than Rough-In: 0 Ready Now v 9 1(0:::7 (You must call the inspector when ready)_ I Date Ready: I, icensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Addres (Street, Box, or Route No.)/9 f / Cwt r Zip Code /19 qM Section (4o. Township Name or No. Range No. Fire No. County ant y ~ Phone No. U Power Su i r Address Electrical Co r a C tra r License No. Masfer Lic. No. (Plant Elect. Only) 17928 82ND PL. N. Mailin~L1etet ~;etlFAiuiig m>ti7311 Authorized gnature (Contractor ~tR lvVloortCO~wne~rr Peep rmiinn~o; Illation) P on EB-0OO01A-10 6/95 STATE BOARD C - SEE INSTRUCTIONS ON BACK OF YELLOW COPY MIi +I I 11 +I I+ REQUEST FOR ELECTRICAL INSPECTIONO~ . I II III II III III II III II III III II III II III III Minnesota 21 Un asity Ave, Rm. S-1 8, ,S 8 t Paul, MN 55104 *-0 3 1 1 6 3 1 6* Phone (6121642-0800 *Dryer Duplex Apt. Bldg. Other: New Addn ercial Industrial Farm Remod Re air nd. Htg. Equip. Water Htr. Load Mgmt. Other: Range Elec. HeatTemp. Service W' above the work d b t ' r quest. Enter remarks in this space a don the back of he w .bite cop only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps 6hQxe 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TQT~. Sign/Outline Ltg. Xfmr.~ v Alarm/Remote Control Swimming Pool I hereby certi a the ele ncal installation described herein on the dates stated Irrigation Boom Rough-In Date Special Inspection Final Dare Investigative Fee THIS INSTALLATION MAY BE ORDERED I D IF NOT COMPLETED WITHIN 16 M NTHS. I /1 OFFICE USE ONLY This request void 18 months from validation date grin in this box. IIIIIIIIIIIINI~IIIIIIIIIIIIIIIIiIIINlllllllllllu~~f~~-~~~~ * 0 4 1 3 4 6 9 8* PLEASE PRINT OR TYPE C~f O Request Do Rough-in inspection required? ❑ Yes inspection Other Than Rough-In: ❑ Ready Now ClAI/NI'CaJI ' (You must call the inspector when ready) Date Ready: I, tcensed contractor ❑ owner hereby request inspection of the above electrical work at: ` Zip Code Job Addre s (Street, Box, or Rou o.) city Section No. Township Name or No. Range No. Fire No. C Ck nt f Phone No. O r~ Power Suppl' Address AM C1 ="Co Electrical Con i n N. Contract Licensee No. G~ Master Lic. No. (Plant Elect. Only) 92% PL ®1/ Mailin s r e i I. o f Autho Signature (Contractor or r Perfor ng nstallationJ Phone No. ~4w -9sss E 0 1 A-11 8/96 STATE BOA COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY FOR ELECTRICAL INSPECTION J m . ~1 pZO~ (9 REQUEST - 413-469 ® Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (61-2} 642-0800 Home Duplex Apt. Bldg. Other: c N Addn Commercial Industrial Farm JC.'_ Q Rew emod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. a.A~ JjAac- , A40TY'- ~o~ , yU1 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE Y, 1 7_ TO Sign/Outline Ltg. Xfmr. Londescribed b 60 Alarm/Remote Control Swimming Pool I hereb certi that ins ected the electrical iherein on the dates stated Irrigation Boom Rougirln Date Special Inspection Final Date „ / G~ Investigative Fee C.h~ THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF OT COMPLETED WITHIN 8 MONTHS. 1 OFFICE USE ONLY This request void 18 months from validation date printed in this box. if ~ IINII NINIIIIIIIINIIIIIIIIIIIIIININII~IIL~{~~f ~ ~ 0 4 4 4 6 7 6 L* PLE FLINT OR TYPE Request Date Rough-in inspection required? /7/ ~ ❑ Yes Llgo5lo- Inspection Offer Than RougMn: ❑ Ready Now a (You must call the inspector when ready) Date Ready:. I, censed contractor ❑ owner hereby request inspection of the above electrical work at: Job Ad ress (Street, Box, or Ro No.) City Zip Code Section No. Township Name or No. Range No. Fire No. CounC ,14 TOcc nt L Phone No. Power Suppli Address Electrical Con ( ra. License No. Master Lic. No. (Plant Elect. Only) 17M 82ND PL. N. 9 Mailing MAK&ANWOUSSOM I Authorized Si ature (Contractor or Owner Pe i n Ilan n) Phon o. EB060 I k H 8/96 STATE BOARD COPY - S INSTRUCTIONS ON BACK OF YELLOW COPY a19 REQUEST FOR ELECTRICAL INSPECTION g F 444-676 1innesota University Ave., Rm. S-128, St. Paul, MN 55104 Phu (612)642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered y this request. Epter remarks in t is space and on the back of the wh' a copy only. r ` G J Y Alt,- ~ C A, rY~ Iq l talculate Inspection ee - This Inspection Request will not be accepted without the correct fee: Other fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps to 100 Amps Street Ltg./Traffic Sig. Above 200 Am s ove 100 Amps Transformer/Generator INSPECTOR'S US T SO Sign/Outline Ltg. Xfmr. Alarm/Remote Control ntrol Swimming Pool I hereb certi I installation described herein on the dates stated Irrigation Boom Ro -n j Date Special Inspection Date Investigative Fee Final THIS INSTALLATION MAY OK UERM DISCONNECTED IF NOT COMPLETED WITHIN 8 M THS. /q CJ OFFICE USE ONLY This request void 18 months from validation date printed in box. O~ f ~ f'',,,2 ~ I III I I II III II III II III II III I II III ILIA I IIII~/~f, da-dx,y * 0 4 1 3 4 7 5 5 * PLE PRINT OR TYPE o~O Reque Date Rough-in inspection required? ❑ Yes o Inspection Oilier Than Rough-In: ❑Ready Now all 0 (You must call the inspector when ready) Date Ready: I, icensecl contractor ❑ owner hereby request inspection of the above electrical work at: Job" d (Sheet, Box, or Rt City Zip Code 01 ( a c~ Section No. Township Name or No. Range Fire No. County O pant Phone No. d, Y7 Power Su ier Address Electrical Con y Co actor en No. Master Lic. No. (Plant Elect. Only) MW PL. ls~ Mailing V YGef I 1 7 ~1nrf Authoriz Signature (Contractor or rto 'n nstallation) Phone No: E A-11 8/96 STATE BOA OPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY ~A2°2I REQUEST FOR ELECTRICAL INSPECTION nnesota State Bard of E 413-475 182 1 University Ave., Rm. SI 28,ISt. Paul, MN 55104 P,ttone (6'g) 642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the wo,Fk covered by this request. Ent rks in this space and on the back of the white copy only. r Ca late Inspection Fee - This Inspection Request will not be accep d ithout the correct fee: I~J Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 100 Amps Street Ltg./Traffic Sig. Above 200 Am s Above 100 Amps Transformer/Generator INSPECTORS uSE O T T.AL SO Sign/Outline Ltg. Xfmr. Alarm/Remote Control Swimming Pool I hereby certi that I ins the electrical installafion described herein on the dates stated Irrigation Boom Roughan Date Special Inspection Final D Investigative Fee THIS INSTALLATION MAY BE ORDERED DIS O ECTED IF NOT COMPLETED WITH 18 M NTHS. - G~ -7 OFFICE USE ONLY This request void 1 B months from validation d11 printed in this box. J / /J~ IIIIIIIIIIIIIIIIIIIINIIIII . [Us. III ~ 11111 III II III I illl 0 4 4 4 6 8 1 1~ PLEA PRINT OR TYPE 0 61-5,70 Request Date Roughin inspection required? ❑ Yes o Inspection Other Than Rough-In: ❑ Ready Now all 4 - (You must call the inspector when ready) Date Ready: I, 051censed contractor ❑ owner hereby request inspection of the above electrical work at: Job Addre s Street, Box, or 9-) _ k city Zip Code Section No. Township Name or o. Range No. Fire No. o ty 1~~a NCO 7~-R.. Occupot-A r Phone No. Pov%er Supplier Ad ress Electrical Confr Contractor ense No. Master Lic. No. (Plant Elect. Only) 17926 82ND PL. N. H Moiling Ac.j to Authorized Si alure (Contractor or rmi 1 taRation) P ne ~7- D -ass EB-00 i 8/96 STATE BOAR PY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY REQUEST FOR ELECTRICAL INSPECTION 444-681 ® Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod I I! Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other. Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee It Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE O ITCOA o Sign/Outline Ltg. Xfmr. co/-u Alarm/Remote Control Swimming Pool I h Zebycerfify thatl ins ecf c ica installation described herein on the dates stated Irrigation Boom R ghln Date Special Inspection Final ift Dcit G Investigative Fee THIS INSTALLATION MAY BE ORDERED I ONNECT 4FETED WITHIN 18 MO THS. BLDG. PERMIT O. / 01-3210 Bldg. Permit / 00 01-3422 Plan Check 41~ 0 t 01-3445 Surch./Adm. 01-3446 SAC/Adm. 177" 0 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ,3 ~d ✓ 20-3865 Water Conn. 20-3868 Water Trmt. 00 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. l~ )00 00 28-3855 Park Ded. TOTAL 3 0 jQ0 Il City of d E October 17, 2008 Mike Maguire MAYOR ISD 196 14445 Diamond Path Paul Bakken Rosemount, MN 55068 Cyndee Fields Re: Landscape Inspection Meg Tilley 4185 Braddock Trail, Eagan, MN 55123 COUNCIL MEMBERS Thomas Hedges In December of 2004 a $7,500 landscape security deposit was submitted to the City of CITY ADMINISTRATOR Eagan in conjunction with issuance of the building permit for construction of the building at the above referenced location. These funds are eligible for release to the depositor at this time. Please note that the property owner continues to be responsible for maintaining the health of all plantings on the property. In accordance with section 11.70 of the Eagan City Code, the property owner must maintain all landscaped areas, and install healthy replacement MUNICIPAL CENTER plants for any plants that die or are removed due to disease. Maintenance shall include 3830 Pilot Knob Road removal of litter, dead plant materials, unhealthy or diseased trees, and necessary Eagan, MN 55122-1810 pruning. 651.675.5000 phone 651.675.5012 fax An inspection will be conducted by city staff next spring/summer to verify that the 651.454.8535 TDD condition of the landscaping is acceptable under city code. Thank you for your attention to this matter. If you have any questions, please call me at 651-675-5684 or Planner Sarah Thomas at 651-675-5696. MAINTENANCE FACILITY 3501 Coachman Point Eagan, MN 55122 Sinc rely, 651.675.5300 phone 651.675.5360 fax 1~1 651.454.8535 TDD Fran Doherty Planning Department www.cityofeagan.com cc: Sarah Thomas, City Planner THE LONE OAK TREE The symbol of strength and growth in our community. For Office Use j I I 1 Permit City ' I t J, vn I Permit Fee: o 3830 Pilot Knob Road 200 Eagan MN 55122 jffi I it, Phone: (651) 675-5675 j Date Received: j Fax: (651) 675-5694 By I Staff: 1 -----------------J 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: 10 ' D 8 Site Address: A1195' 1,3rQddG~k Tea, / Cell y+ , IN 5 51 a S Tenant Name: MS i'-> apt A to (Tenant is: New/ - X- Existing) Suite m PROPERTY OWNER Name: .1 S b & i 9(.n. Phone: G S i - Lt 2 3 -1.7' oo Address /City /Zip: I HY Y S &a. wY, or. d fl, GcJ~s f-~ /Qc~ScrnoK n , M N 5Sb Lp' Applicant is: Owner X Contractor TYPE OF WORK Description of work: M:r.or ev-.oCls o-P ~v cs~-t;,,, re a.., h Sc~ oo l Construction Cost A N I. L 10O W2- Lee's t TWO CONTRACTOR Name: LI,G License Address: -75 b ;d•~.~~~\ S~. City: _'S,k . Q, \ State: A t Zip: 55 l0-1 Phone: 9.5'et - 7 3 t~ - -7-1 x 5 Contact Person: A v-,ct ra. ARCHITECT/ Name: C Jotd AtrcL.;~u'~5~ ~~•.a~r.~rrcRegistration#: x3989 ' ENGINEER Address: :305 S~. P-e-4-a r City: S4 . Q11` State: M N Zip: SS t o~ Phone: -la-i - -7-77' Contact Person: W Eck 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 provide specific reasons that would permit the City to conclude that the are trade secrets. 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 without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and applic ans. Applicant's Printed Name Signa ture I Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ❑ Foundation Public Facility ❑ Accessory Building ❑ Apartments ❑ 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 ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Demolish Foundation ❑ Replacement ❑ Windows ❑ Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: OLP Valuation DOa Occupancy MCES System ✓ Plan Review Code Edition ZflG*7 /41eb SAC Units 10 (25% 100% Zonings. City Water ✓ Census Code Stories Booster Pump # of Units G' Square Feet PRV # of Buildings I Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) V~' Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation Final - IceMater Pool: -Footings -Air/Gas Tests -Final V 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: (o' , Building Inspector Reviewed By: , Planning COMMERC/AL FEES: Base Fee 5 Surcharge j/, A0 Plan Review 3'87. Z SAC-MCES SAC-City S/W Permit Financial Guarantee S/W Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Water Trunk Water Quality Water Supply & Storage (WAC) Total `®03 Aft-61 Page 2 of 3 , 7: J 2007 COMMERCIAL BUILDING PERMIT APPLICATION r" (lam t City Of Eagan ' 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 C +^r ='~J l'~ Plans are considered public information unless you state they are trade secret and why. Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Soils Report (1) . Architectural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) ✓ . Code Analysis (1) • Certificate of Survey (1) • Structural Plans (2) . Project Specs (1) • Code Analysis (1) • Architectural Plans (2) sets r/ . Key Plan (1) • Project Specs (1) d* HVAC units req'd. on bldg elev. ! site plan • Master Exit Plan (1) • Spec Insp & Testing Schedule (1) • Civil Plans (2) ✓ • Energy Calculations (1) not always** • Soils Report (1) • Landscaping Plans (2) ✓ . Elec. Power & Lighting Form (1) not always- • Meter size must be established . Code Analysis (1) -NlA • Meter size must be established-if applicable J • Energy Calculations (1) **N/4 J J • Emergency Response Site Plan (1) -14114 J • Spec. Insp. & Testing Schedule (1) N1~ J J • Electric Power & Lighting Form (1) J . Project Specs (1) ri J J • Master Exit Plan (1) "ibi J • SAC determination -call 651-602-1000 . SAC determination - call 651-602-1000 • SAC determination -call 651-602-1000 Fire Stopping Submittals • Fire Suppression/Alarm Form • Meter size must be established Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. Contact Building Inspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 1170 D 7 Construction Cost A91 Site Address 2,-0010 Q<- raA 14, r ~,q &A-,4 r 41J j3 /a 3 Unit/Ste # Tenant Name _4`7-4:3l:7' M06 /G. /T`/ Former Tenant Name ~W [ r14 Nc d(_6 Description of Work 6- 5 E ee-,,j ? cE ¢ S£e'r 1,J LY cz,,-►. G" [ cA rz a--+-j Sx t- Property Owner =mil y EPAntJt~l Sc 4-COC D1S_e'1C-r 1 ~,P Telephone # ((pal) y-13 - 7-':7-113 E ~ So t;•U Applicant is: _ Owner _4 Contractor Contact ([Q,~/) 3 Contractor ~LGs~~-C~ ntSttLT/>\F6r=C Sh t j~ aG(-ti► Address S a y ~i(~.t i✓ L• S/ T 4v,✓ iJEs f City S g N T~ State k-1 ^J Zip SS/ 1 Telephone # ((AY/ ) d$ T- WITS-- to Arch/Engr (~.c.T E [ t;, &6fL.5 - i 60LE Y &A-4-5 Registration # Address S-A v t (5~4-5 T 2 [ u e-- ,&,g-n 3 0 ' City State i'V1 /V Zip SWYd-t Telephone # (9413} S S?TU Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work be in accordance with the approved plan in the case of work which requires a review and approval of plans. _11U UL-1 11 V 8UUf Applicant's Printed Name App icant's Sign DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility Work Types M ONO PO LV- f:6g-- 60 JA M , ❑ 37 Nail Salon 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 (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors 34 Replacement "Demolition Building -Clive PCA handout to applicant Valuation 000 ` Type of Const Width Plan Rev 100% 1/ 25% Occupancy MCES System SAC Units O Zoning_ City Water Nbr. of Units Stories Booster Pump Nbr. of Bldgs Sq. Ft. PRV Fire Sprinklered Length Rerired Inspections ✓ Footings (new bldg) _ Fireplace _ R.I. -Air Test -Final - Footings (deck) _ Insulation Footings (addition) Sheetrock Foundation Final/C.O. Drain Tile Final/No C.O. Driveway Apron _ Other Roof -Ice Pr - Decking Insul - Final _ Pool _ Ftgs _ Air/Gas Tests _ Final - Framing _ Siding _ Stucco Lath _ Stone Lath - Final _ Window/s Final C/O Inspection: Schedule Fire Marshal to be present. Yes 1! No C Approved By: - Planning Building Inspector Base Fee S 7 `7 • 75' - - Surcharge 20 •60 Plan Review 5174, SAC-MCES SAC-City S/W Permit SM Surcharge i Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other _ Total q &7t~ Page 1 of 1 Barbara Kalstabakken From: Dale Schoeppner Sent: Thursday, January 24, 2008 12:02 PM To: Barbara Kalstabakken Cc: Craig Novaczyk Subject: FW: Buell Consulting Request's BP Name Change Attachments: Building Permit Change Letter.pdf i Barbara, Will you please make this change? Thanks, Dale From: Shelley Spaulding [mailto:sspaulding@buellconsulting.com] Sent: Thursday, January 24, 2008 12:02 PM To: Dale Schoeppner Subject: Buell Consulting Request's BP Name Change Hi Dale: Per our recent conversation, I have attached my letter formally requesting that Buell Consulting's name be removed as the contact for Building Permit EA081163. I have also mailed you a hard copy of this letter. Please let me know if you have any questions. THANKS! Shelley Spaulding Shelley Spaulding Project Manager Buell Consulting, Inc./AT&T Mobility Project 2324 University Ave. West, Suite 200 Saint Paul, MN 55114 651-209-6767 - Desk 651-895-6823 - Cell 651-225-0795-Fax i 1/24/2008 BUELL CONSULTING, INC. 2324 University Avenue West Suite 200 Site Acquisition . 1991 • Saint Paul, Minnesota 55114-1854 Permitting Est. 1991 (651) 225-0792 Fax (651) 225-0795 January 24, 2008 City of Eagan Attn: Dale Schoeppner Inspections Division 3830 Pilot Knob Road Eagan, MN 55122 RE: Building Permit No. EA081163 Dear Dale: Please be advised that Buell Consulting requests that their name be removed from Building Permit No. EA081163 as we managed the acquisition of this Building Permit but we are not the actual construction contractor that is responsible for building the site Please replace our name on this Building Permit with the construction contractor's name as follows: One Way Building Services, Inc. 6811 Washington Ave. South Edina, MN 55439 952-942-0412 Please let me know if you have any questions. Sincerely, Shelley Sp di ' Project Manager Buell Consulting, Inc. i PERMIT City of Eagan Permit Type: Building 3'830 Pilot Knob Rd Permit Number: EA081163 Eagan, MN 55122 Date Issued: 11/20/2007 (651) 675-5675 ERju www.ci.eagan.mn.us I o Site Address: 4185 Braddock Tr Lot: I Block: 1 Addition: Eagan High School PID: 10-22430-010-01 Use: A T & T Mobility Description: Sub Type: Commercial/Industrial Construction Type: Work Type: Replace Description: Monopole with building Census Code: - Occupancy: Zoning: PF Square Feet: 0 Comments: Ulteig Engineers, Reg.#43119 5201 East River Road, #308, Minneapolis, MN 55421 763-571-2500 Fee Summary: BL - Base Fee $574.25 0801.4085 Valuation: 40,000.00 Plan Review $373.26 0720.4222 Surcharge - Based on Valuation $20.00 9001.2195 Total: $967.51 Contractor: - Applicant - Owner: Buell Consulting Inc Ind School Dist 196 2324 University Avenue West 14445 Diamond Path St. Paul MN 55114 Rosemount MN 55068 (651) 209-6823 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i Applicant/Permitee: Signature Issued By: Signature 2007 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS CW a PERMIT APPLICATION City of Eagan /'/V 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 A . mlication must 'eted a nd returned at least 15 days prior to date of dis lav and include- • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardant NFPA 1126: 4-3.2 Date of Display: Time of Display.' /q Display Address: 'tl(ML C71`f~lklf ~e„~ ~ /z ~ t 2/Ej C ~~jt3 45 Applicant (sponsoring organization): 1,~ A-V l SUY Address: i~DQCCL r-OklL. (Z3 Telephone °'C/, eU City: State: Zip: Authorized Agent: nra-l' .C" i-, `z Address: at S~ L K Sfi city: 3f-"' State: A4,,J Zip: AD I 1 Telephone 3 1 13 Supervising Operator: ~,tl~ 1~'`~Z IFP Certificate No.13o Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: Type of Fireworks/Pyrotechnic Special Effects to be Discharged: Q~~ 5( i 1 ~LJ45 A PC S Quantity: Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, -ftA/ ZLVtf~ understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or pro rty r stitute a nuisance. Date: 5 107 Ap cant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any, Date: Fire Chief / Fire Marsh i 2007 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state theY.are trade secret and why. O - Interior Improvement • Structural Plans (2) sets • Soils Report (1) • Architectural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) Code Analysis (1) • Certificate of Survey (1) * Structural Plans (2) • Project Specs ` (1) • Code Analysis (1) . Architectural Plans (2) sets * Key Plan (1) • Project Specs (1) HVAC units req'd. on bldg elev. / site plan * Master Exit Plan (1) • Spec Insp & Testing Schedule (1) • Civil Plans (2) • Energy Calculations (1) not always** • Soils Report (1) • Landscaping Plans (2) * Elec. Power& Lighting Form (1) not always- • Meter size must be established Code Analysis (1) • Meter size must be established-if applicable * Energy Calculations (1) J • Emergency Response Site Plan (1) • Spec. Insp. & Testing Schedule (1) ) • Electric Power & Lighting Form (1) 1 . Project Specs (1) J • Master Exit Plan (1) 1 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 . Fire Stopping Submittals • Fire Suppression/Alarm Form„ • Meter size must be established Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. * * Contact Building Inspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 10 / Z6 /07 Construction Cost !1~25, 000 _ Site Address y195 /YD?iC ld,04- Tk u Unit/Ste # Tenant Name ~ s l Jj G~ Former Tenant Name ~T. /*A 14A CX Description of Work f7rn i ll n 0r s Property Owner 0 S0 / 916 Telephone # 9 9 Applicant is: _ Owner Contractor Contact (olS/) ~ 1 Z - -70 Contractor lrlsd~'l n Address 1~ • Jej A h tni~ city A!V0004'1,,- State i~ Zip 5-:5,1Z Telephone #lof) y r?Z- 04_~_ Arch/Engr Registration # Address City State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone ( ) a I hereby apply for a Commercial Building Permit and acknowledge that the information is comple , 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 ' accordan a with the work which requires a review and approval of plans. YC D Applicant's Printed Name Appl'c 's Si n Wr By DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation Public Facility R---3 0 Accessory Building ❑ 14 Apartments" ❑ 27 Commercial4ndustrial ❑ 32 Ext Alt Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work-Types fH.* 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation)` ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition Building- Give PCA handout to applicant Valuation a 404> Type of Const- Width Plan Rev 100% 25%o Occupancy tA MCES System SAC Units Zoning - r City Water r--s Nbr. of Units Stories a. Booster Pump Nbr. of Bldgs _ Sq. Ft. /a. PRV Fire Sprinklered Y40 Length 3'o+ Required Inspections Footings (new bldg) _ Fireplace R.I. - Air Test _ Final _ Footings (deck) Insulation + _ Footings (addition) - Sheetrock _ Foundation Final/C.O. _ Drain Tile ~Final/No C.O. ' Driveway Apron Other Roof Ice Pr Decking Insul Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding Stucco Lath _ Stone Lath Final Windows AJO Final C/O Inspection: Schedule Fire Marshal to be present. Affes V __'N0 Approved By: Planning PA4eL Building Inspector -----------------M~__x►k Base Fee ~N3.D 0 Surcharge /it. SO Plan Review .Z rB SAC-MCES SAC-City S/W Permit SMI Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total 3.9 2007 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION _0_ City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122. Telephone 651-675-5675 Fax #t 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: G 7 Time of Display: S-U Display Address: q i ~ L , 4 Applicant (sponsoring organization): C%~,✓6'c"/ C yoc~L Address: ~C0 City: 6',1G11**- o State: t~`'t'✓ Zip: <'3-1 L 3 Telephone 6A 3 '69 Authorized Agent: R(:FS S1ec4 lLi- yil RJZ2 VI-A S S Address: 57- / ' ; . City: &&e- State: Zip: S ~C5 f ( Telephone Y,;7A fj 7~ 3~( ff Supervising Operator: ~/orr.~ /~~4 ► 2'-'f'a'- Certificate No. Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: Type of Fireworks/Pyrotechnic Special Effects to be Discharged: l /T k 2v CGS Quantity: Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. understand and agree to comply with all provisions of this application and the requirements of the iss u ority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or pr pe r constitute a nuisance. Date: APP cant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: .Date: Fire Chief /Fire Marshal 2007 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardanc . (NFPA 1126: 4-3.2) q Date of Display: l ZJrr7 Time of Display: Display Address: t_( ~~'s /~a~oG[c -?Y~ i L Applicant (sponsoring organization): AA) 56 0 C) Address: Y41K ,3WAO City: C 'G.Q y✓ State: Vl► - Zip: S~~ej_? Telephone Authorized Agent: C-5 Address: a (59r 996 V" City: ACL4L ` State:/-l/\/ Zip: Telephone P5":2 -_3 11 ~G Supervising Operator: Af Certificate Na 1.t~s~Lt Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: Type of Fireworks/Pyrotechnic Special Effects to be Discharged: G'1511 obi ' G tX35 Quantity: / w Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, ~/olJ~✓ l2~rz , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or roe or constitute a nuisance. Date: 9/! APP cant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Date: Fire Chief / Fire Marshal %erfifiraft of (Orrupattry Citp of Cagan l p ttrtmpttt of Nuilbin ,fin prtiott This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building i Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: 15597 Use classification 'HT M ?(A -1?AdTAir T RS' MIDDU Bldg. Permit No. Occupancy Type E 1 /A2 Zoning District B102 PF Type Const Owner of Building ISD 196 Address D * PAM, LX= Building Address '4 1 135 BRADDOCK TRAIL Locality L 1, B 1, EAGAty 'ftfG H SCFWL _ Date: SEFI . 1 1989 t Building Official j POST IN A CONSPICUOUS PLACE l f j ~ xftfira#r of (Vrr~~r~♦`~~ Citp of (Eagan Ervatmpttt of Wunitto Attoputiott This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. Use aa,s.W.,k. S Bldg. Permit No. 15597 Occupaxy Type E 1 f A2/B 1 /B2 Zoning District: PP Typo cn - . OwneraWding ISD # 196 Address R0041UNT, M-` Building Address 4185 BRAM= TRAIL, i oaf ry L 1, B 1, EAGAN HIM SaiOClL Data- NM M 27, 1990 Wig, 7/~ POST IN A CONSPICUOUS PLACE 3 0.2~ 2006 COMMERCIAL BUILDING PERMIT APPLICATION Cwt r o/2_3 ..~+J City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation Only New Building Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 • 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 established • Meter size must be established-if applicable 1 • Project Specs (1) y • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 y • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) y y • Soils Report (1) 1 • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000 • Fire Stopping Submittals • Fire Su ression/Alarm Form Call MN Dept of Health at 651-201-4500 for 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 without Emergency Response Site Plan. nstruction Cost Date / D ///()/o oZLS8D Site Address ) Unit/Ste # Tenant Name Former Tenant Name b~)qU/ h of Work / jb/7 6 Description Tifil Property Owner Z;%~l ~1~/ / Ul)1 Telephone # ( ) Applicant is: _ caner _ Contractor Contact ( ) ' Contractor _ LA) PV ) Address City / State Zip SI Telephone # FCCp ~Sv oz~_) C - j_ 3 e;, Arch/Engr Registration # Address - City State Zip Telephone # ( ) Ey Licensed plumber installing new sewer/water service: Phone ( ) I hereby apply for a Co ierc al-BU11dirig P-ernut 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. D~ Applicant's Printed Name Applic s gnature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation M-"26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon W rk Types 31 New ❑ 35 Int Improvement 0 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) Give PCA handout to applicant Valuation - al, -5-go Type of Const ~ Width Plan Rev 100% 25%0 Occupancy MCES System SAC Units - Zoning City Water Nbr. of Units Stories Booster Pump Nbr. of'Bldgs Sq. Ft. PRV Length Fire Sprinklered Required Inspections - Footings (new bldg) _ Fireplace _ R.I. - Air Test Final Footings (deck) Insulation - Footings (addition) Sheetrock Foundation ✓ Final/C.O. _ Drain Tile Final/No C.O. - Driveway Apron Other _ Roof Ice Pr Decking Insul _ Final Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding Stucco Lath Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. Yes ✓No Approved By: Planning M I- Building Inspector Base Fee 3 Tl , 025 Surcharge Plan Review SAC-MCES SAC-City S/W Permit SM Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC)- Other Total 4_3&0,2,5- 2006 COMMERCIAL BUILDING PERMIT APPLICATION(~t(_4 R/2~ j City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Foundation • Interior Improvement Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets Civil Plans (2) • Structural Plans (2) • Code Analysis (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 • 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 established • Meter size must be established-it applicable y . Project Specs (1) y • Energy Calculations (1) y . Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 y . Emergency Response Site Plan (1) 1 y e Soils Report (1) 1 SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Fire Stopping Submittals Fire Su ression/Alarm Form Call MN Dept of Health at 651-201-4500 for 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 without Emergency Response Site Plan. Date Construction Cost '9 L/ Site Address Unit/Ste # Tenant Name4 &ADp_~ Former Tenant Name ~onnf Description of Work Property Owner ~ e_ Pte. SdLeO( 0,3f,,j -t Telephone # ( 4.S1) L/ Z ~ - 7700 Applicant is: X Owner _ Contractor Contact (,,/0, 5 " r) Y -z- 77° Z -N ;ke S6'L., L= Contractor ✓ 's C-c' Ze" l~h Qu . IG( Address Z 7 ~z~, aw, le- 4,ze city g0Y nuh fi State Z4/) Zip S~~o Z Telephone # ( C, 51) Z 3 ~go 1 Arch/Engr V~ b ~lQ ✓ d .uiti enn, S Registration # 7 C~ /S Address .365- 5-,v. Pe- S~ City Sf. State /V1 A/ Zip Ssl/~ 2 Telephone # Q/-eSO Z Z 7 77 7 ~ Licensed plumber installing , sCCei'r/wa er ice: AV Phone I hereby apply for a Commercial Buil i t and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City-agan 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 ill be in accordance with the approved plan in the case of work which requires a review and approval of plans. /tms Siature Applicants Printed NLame M DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 3.2 Ext Alt-Apartments 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt--Commercial 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work Types ❑ 31 New Z35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant e Valuation J~y/000 ~ Type of Const - Width Plan Rev 100% 25% Occupancy MCES System SAC Units U Zoning P- City Water Nbr. of Units y Stories Booster Pump Nbr. of Bldgs Sq. Ft. PRV Length Fire Sprinklered Required Inspections - Footings (new bldg) i Fireplace _ R.I. -Air Test -Final - Footings (deck) _ Insulation - Footings (addition) _ Sheetrock _ Foundation _ Final/C.O. Drain Tile Final/No C.O. Driveway Apron _ Other _ Roof _ Ice Pr _ Decking Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. = Yes _ No Approved By: Planning e"X-7e-uilding Inspector Base Fee Surcharge Z~ • °"y Plan Review lB • 7& SAC-MCES SAC-City S/W Permit S/W Surcharge Treatment Plant Financial Guarantee ' Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total b d 8* Eagan HiLyh School Door Modification Project Schedule Note: It is our intention to follow this construction schedule. PHASE I On October 19th, 2006 we will begin the project and intend on completing the three (3) doors that are in the sheet rock walls. The intent is to have this phase of the project completed at the end of the MEA break, which is October 23rd, 2006. PHASE II On December 22nd, we will begin on the remaining two doors and will complete the remainder of the project on or before January 1St, 2007 (Winter Break). i DOSCO Design Build 9-21-06 J4 a-3 '7~~~ i O 1 Od I 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 , F: G. FVUP6* 70W Ow • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 • 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 established • Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) l 1 • Electric Power & Lighting Form (1) 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 determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Oy Date Construction Cost ~4 Site Address OGAt~ . s Unit/Ste # Tenant Name SCHM1_ Former Tenant Name Description of Work AoramaLx. F UT? RAMS t F; t3iJ Li L~, Property Owner l 1' { Telephone # (COV ) ya3-' -7 O NSCRu~-Tlo►.,~ f11AtJt~'R. u C--~011h 2t o~ D Address t SSS- W jST 9 S STkeET City M yziyJ- \N-r,)~ State Mt t..-) toe&c N Zip J~5' 3 Telephone # Fj52) 83t- S;40?) 1 J•- o sup 4 z• 7il d• 55°'11 3 Arch/Engr Wol.t-) r,RGKAM ~Cat~Q~s Registration # Address ZF ST PETER. "PIE City S"C. pk(Au State mis3oeso-rfF t Zip 455'1O~ 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. U pJ ' ~a Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation 26 Public Facility ❑ 30 Accessory Building's ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding x 32 Addition s ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation .1 co O' • 2=7 Occupancy MCES System Census Code *3 -7 Zoning_ City Water SAC Units Z Stories Booster Pump Nbr. of Units Sq. Ft. 3 f PRV z Nbr. of Bldgs Length Fire Sprinklered Type of Const 8L"w 4V -1s.749 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 _ Air/Gas Tests -Final Framing _ Siding - Stucco - Stone Fireplace _ R.I. -Air Test -Final _ Windows Approved By: A"" Planning Building Inspector oN---- Base Fee 8~ • ZS' 'i~7L- fDOR-TT°it/ Surcharge 57 • © C) Plan Review • MCES SAC Al, coo. 06-6 City SAC 2-1 o oo . a.c.~) Water Supply & Storage (WAC) S/W Permit S/W Surcharge Treatment Plant 74o • Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other tmD cArojN Ted • a-c Total ! . Z i Metropolitan Council Environmental Services October 14, 2004 Dale Schoeppner Building Official j a f z City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services Division has determined SAC for the Eagan Ilighschool Addition located at 4185 Braddock Trail within the City of Eagan. This project should be charged 20 SAC Units, as determined below. SAC Units Charges: Classroom 5616 sq. ft. @ 30 sq. ft./student @ 14 students/SAC Unit 13.37 Lab 4936 sq. ft. @ 50 sq. ft./student @ 14 students/SAC Unit 7.05 Total Charge: 20.42 or 20 If you have any questions, call me at 651-602-1113. Sincerely, ? Jodi . Edwards Staff Specialist Municipal Services Section JLE: (365) 041014S1 cc: S. Selby, MCES Carolyn Krech, Finance Department, Eagan Rob Gemelke, Bossardt Corporation www.metrocouncil.org Metro Info Line 602-1888 230 East Fifth Street • St. Paul, Minnesota 55101-1626 • (651) 602-1005 Fax 602-1138 TTY 291-0904 An Equal Opportunity Employer 1 v31 ock- i 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan (p 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 - t-V 13" r, , ,T~x~ wt rr oN ~ a- - • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 • Certificate of Survey (1) • Energy Calculations (1) not always** • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elea Power & Lighting Form (1) Pot always** • Meter size must be established • Meter size must be established • Meter size must be established-if applicable 1 e Project Specs (1) / • Energy Calculations (1) l 1 • Electric Power & Lighting Form (1) l • Master Exit Plan (1) l 1 • Emergency Response Site Plan (1) 1 y • Soils Report (1) 1 • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". * Pen-nit for new building or addition will not be processed without Emergency Response Site Plan. Date /Q l l oLl_ Construction Cost Js 4 l -1 21 1 . Site Address gleS- j3pf tjt~oc K --rgg1L , &y Unit/Ste # Tenant Name E tJ SCktM _ Former Tenant Name Description of Work Atxx-Reta6 e~w MS fit- t r 9 t Property Owner TJ 419( i Telephone # (CaSi r ~ ~t NstRtNC.-rtoQ mAUt iz e~-c ~'3 t - l 2- 5' nnP c~ os • D (~t1JtJCR~LLS Address f3sss- 11)E&T S~ &t 1 Eor M- - City State lYlttJt~ESesl-F~ Zip err' ~-'v Telephone # ( SZk) get" S740g ) I M - 6 S t3 is 6 I .L 2.9 b• x%"1 3 Arch/Engr W©L b f ?,RG6R1"fL~~~ Ate E~36t130.ebk'S Registration # Address Z Sr. N_rm SIRS City S"[ PN-Lit„ State M%_) hQSQ:r h Zip BSI 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; of MN that the work will be an conformance with the ordinances and codes of the City of Eagan and the State Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Applicant's Si~ature Printed Name III OFFICE USE ONLY Sub Types ❑ 01 Foundation X 26 Public Facility D 30 Accessory Building ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt Apartments ❑ 15 Lodging D 28 Greenhouse 0 34 Ext Alt-Commercial D 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility 37 Nail Salon Work Types ❑ 31 New ❑ 35 Int Improvement 0 38 Demolish (Interior) 0 44 Siding X 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PGA handout to applicant yob nU©, e~ Valuation Occupancy MCES System V Census Code Zoning City Water - SAC Units Stories 3 Booster Pump" Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ( Length Fire Sprinklered V Type of Cons Width Required In pcfloti"s Footings (new bldg) Insulation Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O Foundation Other Pw 4w- _ _ Drain Tile ✓ Roof Ice Pr V Decking Insul _ /Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing - Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test Final Windows Approved By: Planning Building Inspector - - - - - - - - - - - - - - - - - Base Fee , -4-1, Surcharge Plan Review 9 4. 1 MCES SAC City SAC Water Supply & Storage (WAC) SM Permit SM Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Water Trunk Sewer Trunk Other Total 3'Z ~-9 ~"1. T13 2004 COMMERCIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn X5122 c Telephone # 651-675-5675 FAX # 6511675-5694 • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 • Certificate of Surrey (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 established * Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ? l 29 Construction Cost Zy~~Oo Site Address 1 Y f6,J Unit/Ste # Tenant Name /E 41/ . 00 Former Tenant Name Description of Work Property Owner A p 4~ Telephone # Contractor 6W!5-1 Address ~/0/0 City -5-7 Axl/ State A141 Zip 525/'/T Telephone # (ls/)ASS OOs`~/ ArchXng (lv % r /O/ U AC/ il/Gi ~t~S Registration Address ~~Fij05 S1 City ~ AU1 State /0&/ Zip ,5/02 Telephone # ((~S/ '15 io) 5 ~ o U Licensed plumber installing new sewer/water service: Phone J L 2 9 2004 I hereby apply for a Commercial Building Permit and acknowledge that the infonn ate; 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. /*Ieftlxl-lt~ . 4~~- Applicant's Printed Name Applicant's Signa e I~ OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ;K 27 Commercial/Industrial ❑ 32 Ext Alt Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work Types ❑ 31 New X 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding D 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors 0 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Z6,000 ° Occupancy C MCES System Census Code 45-7r_ Zoning City Water SAC Units c Stories Booster Pump Nbr. of Units ea Sq. Ft. PRV Nbr. of Bldgs I 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 Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. -Air Test Final _ Windows Approved By: Planning CAW&--Milding Inspector - - - - - - - - - - - - - - - - - - - - - Base Fee awl k- Surcharge 1-)_ Plan Review ~j 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 ~~~.CJ fo \ Q \ O CJ's-- 520 4 CO MERCIAL BUILDING PERMIT APPLICATION City Of Eagan C,, 3830 Pilot Knob Road, Eagan Mn 55122 ~yJ ~-a- Telephone # 651-675-5675 FAX # 651-675-5694 cl9 • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets Civil Plans (2) . Structural Plans (2) • Code Analysis (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 • 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 established • Meter size must be established-if applicable 1 • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Master Exit Plan (1) l 1 • Emergency Response Site Plan (1) 1 1 • Soils Report (1) l • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. Contact Building Inspections for sample and if required when it states "not always". Permit for new building or addition will not be processed without Emergency Response Site Plan. Date / fJ / Construction Cost 3 00 _ Site Address rL - r~ ~~7 PG/~ 1Y Unit/Ste # 9,91w f! Tenant Name Ay ra Former Tenant Name Description of Work & , / /oSe Pat Z s ~ Property Owner sd l 14; 0/ o br,4 jZ elephone # ( ) Contractor y ,~h l//L ~i1 `16 Address City -,!00 State k7 Zip Telephone # (4i og) Z Z Arch/Engr N Registration # Address city 2 State Zip Telephone # JUL 0 juu Licensed plumber installing new sewerlwater service: Phone I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pen-nit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation 0 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt-Public Facility ❑ 37 Nail Salon Work Types ❑ 31 New ❑ 35 1nt Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair El 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy 1i MCES System Census Coda Zoning City Water SAC Units Stories - Booster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered .e s Type of Const =-8 2000 3:4, 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 Air/Gas Tests -Final Framing _ Siding Stucco _ Stone Fireplace _ R.I. Air Test Final Windows Approved By: -ff5- Planning /rt C_- Building Inspector - - - - - - - - - Base Fee 917. Zs Surcharge 2. op 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 S~ COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plan (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 & Lighting Form (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 1 . Soils Report (1) 1 • MC/ES SAC determination letter • MC/ES SAC determination letter • MC/ES SAC -determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details, Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: ~P ® WORK TYPE; NEW _ REMODEL CONSTRUCTION COST: O/f, SITE ADDRESS: I,Ia5rG r TENANT NAME: ,5lt 6 ;%~,U7 j~yo®G 001--5w1G 7 SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK i~/57z« 4~,1G/L 7c" S?Zi t5 00' lyilQG,L ~7 d~'/jr#~LG f Name: __5 ~ Phone 5-1 ) j~o? 3 - 7 74,E PROPERTY Last First OWNER ly7 Street Address: /~i /7lNi T, City: 1f,rjlSU~9 State:/iii Zip:® Company: A11.4,00 Phone#: q'17. CONTRACTOR 9S 5 - ~f StreetAddress: ~7GP ~ S7 ~ ~ -SG917~ l~ l City: n4 U~LL~Y State: Zips ~ ~o? y ARCHITECT/ ENGINEER Company: 'Oel e_e Phone ( ) Name: Registration Street Address: City: State: Zip: Licensed plumber installing new sewer/water service: Phone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: n/i /1/~/-4L_r . ~TT Updated 7/02 OFFICE USE ONLY SUBTYPE 1 01 Foundation 26 Public Facility ❑ 34 Accessory Bldg. 14 Apartments ❑ 27 Commercial/Industrial ❑ 32 Ext Alt - Apts. -1 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt -Comm. 1 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ❑ 37 Nail Salon WORK TYPE C AJUL-tom 5Tef'b P.-Art L4 N &S er Vcors Lk, r-ra.4> 1 31 New 0 35 Tenant Impr ❑ 42 Demolish (Foundation) ` ❑ 46 Windows/Doors 32 Addition ❑ 36 Move Bldg ❑ 43 Reroof ❑ 47 Repair X 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization j 34 Replacement ❑ 38 Demolish (Int) 0 45 Fire Repair GENERAL INFORMATION Census Code Zoning ' sq. ft. SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy t sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS Gas Service Test ❑ Heating ❑ Insulation 0 Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance permit Fee VALUATION $ © Cp U '1.~5 I ZS Surcharge Plan Review V . o U 'Y\-O MC/ES SAC % SAC, ^ity SAC SAC Units Nater Supply & Storage Meter Size 31W Permit S/W Surcharge Treatment Plant ?ark Dedication Trails Dedication ,Mater Quality Dther opies Total COMMERCIAL/ 2002 BUILDING PERMIT APPLICATION 6-5501 CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) • Landscaping Plans (2) a 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 & Lighting Form (1) not always** • Meter size must be established • Meter size must be established • 'Meter size must be established- if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 1 • Electric Power & Lighting Form (1) d 1 • Master Exit Plan (1) d y • Emergency Response Site Plan (1) 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plana Ask Building Inspections for requirements. DATE: 7 3 6oZ WORK TYPE: NEW G` REMODEL CONSTRUCTION COST: 3r s' , o 0 SITE ADDRESS: l Lc. r'/ y~- TENANT NAME: Gt SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK ~~~5`TTX-r mD eWC&e-C, a e t' ~ Name: 1-0/0 J~si (ZyL~Pi 91 Ae_ Phone # PROPERTY Last First OWNER ly p _ Street Address: tl1 m t~ City: ~Oy2lno Stater zip: Company: o . t F ~e c Phone .S~oZ mil' ~ `7 CONTRACTOR s~ Street Address: b~ City: 61wle r~Yt Stater Zip: ARCHITECT/ ENGINEER Company: Phone ( nnl Name: Regis ~ L- O LJ Street Address: .l a i_ _ 2 3 2002 IN I City: State: Licensed plumber installing new sewerlwater service: Phone ( ) tate of S I hereby acknowledge that I have read this application, state that the information is correct, and agreM:Xi= Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~o Updated 7/02 OFFICE USE ONLY SUBTYPE ❑ 01 Foundation 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 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 hnpr ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors ❑ 32 Addition 0 36 Move Bldg p 43 Reroof ❑ 47 Repair 9"~ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION Census Code 44,3 Zoning sq. ft. SAC Code llk5 # of Stories sq. ft. No. of Units Length sq. ft. No. of Bldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS 11 Gas Service Test ❑ Heating ❑ Insulation Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ 31.5-es- od Permit Fee q~f, aS Surcharge 1,00 Plan Review MC/ES SAC % SAC City SAC SAC Units Water Supply & Storage Meter Size SM Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Total ~Sr l ' I COMMERCIAL 2 0 BU TNG PERMIT APPLICATION N'c~ITY OF EAGAN J `~O 651-681.4675 Foundation Only New Construction Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 . Certificate of Survey (1) • Energy Calculations (1)'notalways" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter site must be established - if applicable Project Specs (1) 1 • Energy Calculations (1) _ l 1 • Electric Power & Lighting Form (1) Y t 1 • Master Exit Plan (1) i t • Fire Protection Plan (1) 1 1 • Soils Report (1) l • MC/ES SAC determination letter MC/ES SAC determination letter • MC)ES SAC determination letter call 651-602-1000 call 651.602-1000 cal 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for de4ils. DATE: _ 31 WORK TYPE: X NEW REMODEL CONSTRUCTION COST: Z15Q,0W3A SITE ADDRESS:. 1S s tt TENANT NAME: Lli(~ E ~ 4~ `~L~r1Ca t SUITE M FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name 3~ S C r 1 t C1 ~ 1 S Phone 6 96A PROPERTY Last First OWNER Street Address: ~t Coqan City; Stater Zip:~:5 / i Company: 6.re5'r d' deye old-501 t y Phone { 51 ) `~J '7 CONTRACTOR StreetAddress JJ City: r. ~ State: } zip: 51d ARCHITECT/ ENGINEER Company: 4e-- C* {s Phone ( L~ U Name: a-Y t t , r\ i.l 5 & J`t Registration Street Address: City: State: z Licensed plumber installing new sewerl'water service: Phone I hereby acknowledge that I have read this application, state that the information is co and ag ply< th all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican Updated 1/02 OFFICE USE ONLY SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility 0 ; 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 CommerciaUlndustrial ❑ 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 Addition ❑ 36 Move Bldg ❑ 43 Reroof ❑ 47 Repair 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) D 45 Fire Repair GENERAL INFORMATION Census Code 3 2-14 zoning ft. SAC Code 3o # of Stories 2 .sq. ft. No. of Units f Length sq. ft. No. of Bldgs. l Width sq. ft. Const: (Actual) 3I • nl Basement sq. ft. MC/ES System (Allowable) - First Floor sq. ft. f q t City Water UBC Occupancy A4 '2 f' fLsq. ft ~ t L--S _ Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation 4 Plumbing ❑ Stucco/Stone APPROVALS Planning Building C(2) Engineering Variance i 0o-© VALUATION $ 00 Permit Fee 8 Surcharge 5. oo T~•, FDUAIDWr 160,.1 0A1L.,a/ Plan Review d6d MC/ES SAC -2,400-0-0 % SAC DD °d City SAC 200 , SAC Units Water Supply & Storage Meter Size SM Permit I so ° d S/W Surcharge ► So Treatment Plant 1060 o 0 Park Dedication do Alt- Trails Dedication OtilF_ Water Quality Other Copies Total r!(0.75- t city of eagan i PATRICIA, E.AWADA April 23, 2002 Mayor PAUL BAKKEN MR QUINN HUTSON PEGGYC_ARLSON CNH ARCHITECTS 7300 W 137TH ST #504 CYNDEE FIELDS APPLE VALLEY MN 55124 MEG TILLEY Council Members RE: EAGAN HIGH SCHOOL BASEBALL GRANDSTAND 4185 BRADDOCK TRAIL THOMAS HEDGES Dear Mr. Hutson: City Administrator 1. The City will require revised drawings concerning: a. The aisle steps within the grandstand, subject to the 1997 Uniform Building Code, Section 1004.3.2.5.2. Municipal center: b. The accessible ramp landings, subject to the Minnesota State Building Code, 3830 Pilot Knob Road Chapter 1341.0432, Subpart 4, Items B and C. 2. Plumbing plans Eagan, MN 55122-1897 3. Civil drawings Phone: 651.681.4600 4. Soils report Fax: 651.681.4612 5. Special Inspections and Testing Schedule 6. Please provide a fire protection plan on an 8-1/2" x 11" sheet of paper and a floppy TDD: 651.454.8535 disk - dxf Auto CAD release 14. All drawing objects associated with this plan should be sent as one drawing file. This will assist emergency personnel responding to the Maintenance Facility: site. An example is enclosed. 3501 Coachman Point If you have any questions regarding the above items, please feel free to contact me at Eagan, MN 55122 651-681-4683. Phone: 651.681.4300 Fax: 651.681.4360 Sincerely, TDD: 651.454.8535 wwwcityofeapn.com J. Craig Novaczyk Senior Inspector JCN/j s THE LONE OAKTREE The symbol of strength and growth in our community x 411~dtV of eagan PATRICIA E. AWADA April 23, 2002 Mayor PAUL BAKKEN MR CLYDE THURSTON PEGGYCARLSON 4712 PENKWE CIR EAGAN MN 55122 CYNDEE FIELDS MEGTILLEY RE: EAGAN HIGH SCHOOL BASEBALL GRANDSTAND Council Members 4185 BRADDOCK TRAIL Dear Mr. Thurston: THOMAS HEDGES City Administrator 1. The City will require revised drawings concerning: a. The aisle steps within the grandstand, subject to the 1997 Uniform Building Code, Section 1004.3.2.5.2. b. The accessible ramp landings, subject to the Minnesota State Building Code, Municipal Center, i Chapter 1341.0432, Subpart 4, Items B and C. 3830 Pilot Knob Road 2. Plumbing plans 3. Civil drawings Eagan, MN 55122-1897 4. Soils report Phone: 651.681.4600 5. Special Inspections and Testing Schedule Fax: 651.681.4612 6. Please provide a fire protection plan on an 8-1/2" x 11" sheet of paper and a floppy disk - dxf Auto CAD release 14. All drawing objects associated with this plan should TDD: 651.454.8535 be sent as one drawing file. This will assist emergency personnel responding to the site. An example is enclosed. Maintenance Facility: If you have any questions regarding the above items, please feel free to contact me at 3501 Coachman Point 651-681-4683. Eagan, MN 55122 Phone: 651.681.4300 Sincerely, Fax: 651.681.4360 TDD: 651.454.8535 J. Craig Novaczyk wwwcityofeagan.com Senior Inspector JCN/j s THE LONE OAKTREE The symbol of strength and growth in our community MEMORANDUM TO: KENT THERKELSEN, CHIEF OF POLICE #24 TOM PEPPER, CHIEF FINANCIAL OFFICER JAMIE VERBRUGGE, ASSISTANT CITY ADMINISTRATOR MARK ANDERSON, ELECTRICAL INSPECTOR DALE WEGLEITNER, FIRE MARSHAL SCOTT PETERSON, PLUMBING INSPECTOR MIKE RIDLEY, SENIOR PLANNER GREGG HOVE, SUPERVISOR OF FORESTRY ERIC MACBETH, WATER RESOURCES ARNIE ERHART, SUPERINTENDENT OF STREETS AND EQUIPMENT PAUL HEUER, SYSTEMS ANALYST BOB KRIHA, CONSTRUCTION INSPECTOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: APRIL 22, 2002 RE: PLAN REVIEW - 4185 BRADDOCK TRAIL EAGAN HIGH SCHOOL GRANDSTAND The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required Signature Date CD/FORMS/PLAN REVIEW CRAIG N UPDATED 4-6-01 COMMERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ' 0. iltS ice; (o ~l Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (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 " • Certificate of Survey (1) • Energy Calculations (1)notaiways'- • Soils Report (1) . Spec. Insp. & 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 • Project Specs (1) 1 • Energy Calculations (1) " 1 1 • Electric Power& Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) " 1 1 Soils Report (1) 1 • MC/ES SAC determination letter MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATES WORK TYPE_ NEW _ REMODEL CONSTRUCTION COST ~SS U2IZ~ SITE ADDRESS o- r TENANT NAME h J SUITE # FORMER TENANT NAME J DESCRIPTION OF WORK ~t1 - V Name: 'A , Phone#: PROPERTY Last First OWNER Street Address ( n Vritc~ City :L) s c w o State )0 /v zip Company Phone # S CONTRACTOR Street Address: e l City State zip ~d G ARCHITECT/ ' ENGINEER Company >r S Phone # Name Q tr n c- e- Registration # m / Street Address City V\ o ~q 2 i ~S State '<7 Zip 5-s 1 Licensed plumber installing new sewer/water service: X04 Phone ( ) I hereby acknowledge that I have read this application, state that the information is come , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. A Signature of Applicant: Updated 11( OFFICE USE ONLY SUBTYPE ❑ 01 Foundation 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments ❑ 27 Commercial/Industrial ❑ 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 )~r31 New ❑ 35 Tenant Impr ❑ 42 Demolish (Found) ❑ 46 Windows/Doors ❑ 32 Addition ❑ 36 Move Bldg ❑ 43 Reroof u 47 Repair ❑ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION sq. ft. Census Code Zoning P j SAC Code sv # of Stories ! sq. ft. No. of Units d Length SD sq. ft. No. of Bldgs. l Width .6 sq. ft. Const. (Actual) Q Basement sq. ft. MC/ES System VV cr.v2 (Allowable) y7/ First Floor sq. ft. I1 900 City Water w e,r„ e UBC Occupancy ,g-z/s- sq. ft. Fire Sprinklered wa MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation ❑ Plumbing ❑ Stucco/Stone APPROVALS Planning Building 6& Engineering Variance _ VALUATION $ 5 S~Odr~ Permit Fee Surcharge; Plan Review 19 MC/ES SAC % SAC d 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 1 1 1-- I (O JC COMMERCIAL r` SCt BUILDING PERMIT APPLICATION S _ CITY OF EAGAN ~S . 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis " (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 " • 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 established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) " 1 1 • Electric Power & Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1) " 1 1 • Soils Report (1) 1 • MVES SAC determination letter . MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 p11651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health call 651-215-0700 for details. DATE ` 7/-740) WORK TYPE _ NEW REMODEL CONSTRUCTION COST . SITE ADDRESS TENANT NAME J--5D ` j ~~jjJ ,Z l1~r t 14 - S • SUITE # FORMER TENANT NAME ) DESCRIPTION OF WORK 1 P LM, f' LL B r ! Icl) C~~~ l~ /4L)4- AOO LS) h~ /11&glooye. Name: 4__ Phone#: ( ) PROPERTY Last First OWNER Street Address ~ ~ ;GL►'Y~a~ ~ City-~Rr~ 0AftV/,Z State r N Zip b~D cs Company "Phone # (--7 UEi ID CONTRACTOR Street Address: ~S^ Au" -t-V1 V `e City 4fAAU4 State Zip 7 ARCHITECT/ I ENGINEER Company 1~1~~.,., t~ Phone # to yq - `7Jo Name . L)1.?,y Registration # Street Address t j✓ J1J City State zip MAY 2420101 Licensed plumber installing new sewerlwater service: Phone hereby acknowledge that I have read this application, state that the information ' orre t, and a ree to g0Imply ith aJt applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applica Updated 1/( K° OFFICE USE ONLY SUBTYPE ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Bldg. ❑ 14 Apartments g 27 Commercial/Industrial ❑ 32 Ext Alt -Apts. ❑ 15 Lodging ❑ 28 Greenhouse ❑ 34 Ext Alt -Comm'. ❑ 25 Miscellaneous ❑ 29 Antennae ❑ 35 Ext Alt - PF ipAF7, N (0"', ~CEr~t~ I S ❑ 37 Nail Salon WORK TYPE ❑ 31 New 35 Tenant Impr ❑ 42 Demolish (Found) ❑ 46 Windows/Doors ❑ 32 Addition ❑ 36 Move Bldg 13 43 Reroof ❑ 47 Repair ❑ 33 Alterations ❑ 37 Demolish (Bldg) ❑ 44 Siding ❑ 48 Authorization ❑ 34 Replacement ❑ 38 Demolish (Int) ❑ 45 Fire Repair GENERAL INFORMATION Census Code Zoning P F sq. ft. SAC Code # of Stories sq. ft. No. of Units V Length sq. ft. No. of Bidgs. Width sq. ft. Const. (Actual) • Frt Basement sq. ft. MC/ES System ✓ (Allowable) • Fit. First Floor sq. ft. City Water UBC Occupancy E sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ❑ Gas Service Test ❑ Heating ❑ Insulation ❑ Plumbing ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee VALUATION $ Oro g Surcharge . U 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 1 . ,t Howard R. Green Company CONSULTING ENGINEERS May 29, 2001 File: 812640J-0329 Mr. Craig Novaczyk City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 RE: CONSTRUCTION DOCUMENT REVIEW FOR SCIENCE LAB RENOVATIONS AND ADA ACCESSIBILITY IMPROVEMENTS FOR SCHOOL DISTRICT NO. 196 Dear Mr. Novaczyk: During our phone conversation on May 24, 2001, we discussed the above-mentioned project, specifically the sites of Eagan High School and Dakota Hills Middle School. The work under your jurisdiction at these sites consists mainly of handicap accessibility improvements within the existing toilet rooms. We reviewed the wheelchair accessible compartments at each specific location at the High School and Dakota Hills Middle School. Currently all of the wheelchair accessible compartments at these locations do not allow for 48-inch clear space directly in front of the water closet, as required by code. This could be achieved. However, it would require the removal of an additional water closet, or the removal of two water closets per toilet room. This would reduce the number of water closets, as required by the current load for each toilet room at each specific site. In our conversation, it was agreed that because of this, the 48-inch clear space directly in front of the water closets would not be required at these sites. During our conversation, you noted that any toilet room that has six or more water closets and/or urinals would require one ambulatory accessible stall. Upon further review, I agree with this requirement, and we will provide an ambulatory accessible stall for the men's and women's restroom on the main level and lower level for both Eagan High School and Dakota Hills Middle School. The shop drawings by ComTech Industries for the solid plastic toilet partition walls indicate that at each of these locations, there will be a stall 36 inches or wider, which meets the requirements of the ambulatory accessible stall. At these specific locations, we will ensure that the existing door is out-swinging, as required, and will provide additional sets of grab bars. Currently, we are seeking a change order cost from the contractor to provide these additional grab bars as needed in addition to what is shown on the construction documents to meet the requirements of the ambulatory accessible stalls. I will be conducting periodic inspections during the construction of this project. I will ensure that the requirements for ambulatory accessible stalls are met. Please feel free to contact me if you have any further questions regarding this matter. Sincerely, yHoward ree Company verson, AIA t Architect Ltr-052901-Novaczyk.doc 1326 Energy Park Drive • St. Paul, MN 55108 . 651/644-4389 fax 651/644-9446 toll free 888/368-4389 iq6341 CITY OF EAGAN 1996 BUILDING PERMIT APPLICATION (COMMERCIAL) 10. 19 681-4675 CAN ,0 The following are required with appropriate certification for all new construction ► 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; gradingldrainageterosion control plan; utility plan ► t each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule ► Letter from MCANS (phone #222-8423) indicating SAC determination ► Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) any occupancy or area separation wail$; occupancy loads; exit synopsis with a diagram Indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: i ob R CONSTRUCTION COST: 2 i7S _ TENANT NAME: °l2 SITE ADDRESS: r oc '7;~" STREET. LOT. BLOCK SUED. P.I.D. PROPERTY Name: s 4,, Phone OWNER LAST ""T Street Address- 1'~s D &,J, e City: Y\& gro-,D. State: . Zip, 5-6"Q6 ' CONTRACTOR Company: t.: Y` ` i..o. -FV'~c. Phone I'LL- 92 L 3 Street Address' 17--216' dl'o'o l el be 5,24j~' City: &Ir asv, Ile L6 Zip: .332 ARCHITECT/ Company: =U A) t 1 Phone a ? ? ?3 ENGINEER Name: Registration Street Address t`s L~ - - - - - - City: 5 State:LV4 - Zip: Sewer & water licensed plumber: I hereby acknowledge that I have read this application and state that the informati is correct n agree to comply, with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i OFFICE USE ONLY < .a BUILDING PERMIT TYPE . 0 01 Foundation 0 19 Comm./Ind. Misc.` 0 21 Miscellaneous 0 18 Comm./Ind. 20 Public Facility WORK TYPE 0 31 New -zm"S3 Alterations 0 35 Tenant Finish 0 32 Addition 34 Repair 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) First Floor sq.-ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code f-37_.. # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. __.L Depth Footprint sq. ft. Census Unit Qom. APPROVALS Engineering Planning Building Variance Permit Fee Valuation: $ Q e a Surcharge Plan Review MCNVS SAC City SAC Water Conn. SNV Permit SNV Surcharge Treatment Pl. Road Unit Park Deal Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size CITY OF EAGAN NO 18266 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # PRESS BOX & To be used for CONCESSION Est. Value $27,000 Date AUG 16 119 90 Site Address 4185 BRADDOCK TR Lot 1 Block 1 Sec/Sub. EAGAN HIGH SCH00 OFFICE USE ONLY Parcel No. Occupancy B-2 FEES Zoning W Name INDEPENDENT SCHOOL DIST 196 (Actual) Const Bldg. Permit 265.00 o Address 14445 DIAMOND PATH (Allowable) Surcharge 13.50 City ROSEMOUNT Phone 423-7702 # of Stories Length 24' Plan Review 172.00 ZF Name L •IB RT D CONSTRUCTION Depth 10, SAC, City 0~ Address 701 EIGHTH ST S.F. Total City FARMINGTON Phone 46-3-9199 S.F. Footprints SAC, MCWCC am, On Site Sewage Water Conn F W Name Charles Novak On Site Well Water Meter Address _ 14750 S Robert Tr MWCC System M W City Rosemount Phone 423-2254 City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of agan Ordinance Treatment PI Signature of Permitee~ APPROVALS Road Unit A Building Permit is issued to: LEIBFRIED CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 450.50 _ ~ t ► 9 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan; Minnesota 55122-1897 Permit Number: 0 2 9 0 3 2 Date Issued: 10/29/96 (612) 681-4675 SITE ADDRESS: 4185 BRADDOCK TR LOT: 1 BLOCK: 1 EAGAN HIGH SCHOOL P.I.N.: 10-22430-0`10-01 DESCRIPTION: (EAGAN HIGH SCHOOL) Building Permit Type PUBLIC FACILITY Suildinq Work Type ALTERATION censuT i:ode 437 ALT. NONRES. REMARKS: CLASS ROOM/BATH-ROOM FEE SUMMARY VALUATION $27,000 Base Fee $367.75 Plan Review $239.04 Surcharge 13.50 Total Fee $620.29 CONTRACTOR: - Applicant OWNER: C M CONST CO INC 28958223 IND SCHOOL DISTRICT #196 ?2215 NICOLLET AVE S 14445 DIAMOND PATH W BURNSVILLE MN 55337 ROSEMOUNT MN 55068 X612) 895-8223 I hereby acknowledge that I have read this application and State that the information is correct and agree to comply with all applicable State of Mn. Statute:, and of Eagan Ordinanues. ` A ICANT RMITEE ISSUED SIGNATURE iog'NATTT ri 7 I t I r 1990'BUILDING PERMIT APPLICATION CITY OF EAGAN , SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF'PLANS, 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS` REGISTERED SITE SURVEYS & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.)' 1 SET OF'SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS` 1 SET OF,ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED.UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO-CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A'PER.MIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. A U @ Q 9 RECD To Be Used For: _ C~,~yesJ Valuation: zZ. Date Site Address lam' OFFICE USE ONLY Lot Block_ FEES Occupancy ,g Zoning Parcel/Sub :Actual Const Bldg; Permit Allowable Surcharge Owner of stories Plan Review ma l Length 2 SAC, City Address Depth 10" SAC, MWCC S.F Total Water Conn City/Zip Code x!T' Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor~F~i~ MWCC System Treatment Pl. City water Road'Unit Address %a PRV : Park Ded. Booster Pump Copies City;/Zip Code SUBTOTAL APPRJQVALS Penalty 'Phone ~j' Planner TOTAL Council Arch. /Engr . G°'~Zl L2 Bldg. Off. $/f4 Variance Address City/Zip Code f Phone #iz- • Al amRV of eagan 3830 PILOT KNOB ROAD THOMAS EGAN EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 DAVID K. GUSTAFSON FAX: (612) 454-8363 PAMELA McCREA TIM PAWLENTY August 15, 1990 T"Co~RMemberrss ER n THOMAS HEDGES CHARLES NOVAK, ARCHITECT City Administrator 14750 S ROBERT TR EUGENE VAN OVERBEKE City Clerk ROSEMOUNT, MN 55068 Re: Eagan High School Concessions and Press Box Dear Mr. Novak: I have reviewed for code compliance the plans submitted for the above-referenced project. The comments listed below refer to documents which comprise the Minnesota State Building Code and applicable codes and ordinances of the City of Eagan. Certain code deficiencies may not have been included in this report, but this shall not be construed as an approval of such code deficiencies nor relieve the responsible parties from complying with said codes. • Stairway must be provided with grippable handrails on both sides of stairs. Handrails must comply with UBC Section 33060). • Additionally, the stairways and landing shall be protected by guardrails constructed such that a sphere six inches in diameter can not pass through. See UBC 3306(k) and UBC 1711. • Consideration should be given to providing toeboards on the platform. Compare, for example, UBC Section 3323. • Verify that the design of the structure, including exit balcony and stairs, complies with provisions of Chapter 23 of the building code. Sincerely, n t Joe Merchak, Construction Analyst Protective Inspections cc: Leibfried Construction Steve Hanson, Independent School District #196 JM/mg THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer PERMIT 'CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L n I N 0 Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 3 3 (612) 681-4675 bate Issued: 05/06/97 SITE ADDRESS: 4185 BRA0D0 C -K T fP. LOT. 1 BLOCK- 1. P>I.N 10--22430 010 0 DESCRIPTION: L3ui,I'tri i'`a:j, jJ-vps- IaUiILI(: FACILITY E3u1_ldLi q tJc Ty pQ'. ADDITION REMARKS: FEE SUMMARY Base f3' Sur,charge Total Fee F87 7~5 GD~ TRACTOR: OWNER: , - A p p l i c a n t TSD #196 1444.5 DIANOND PATH R(:18FMOUNT MN 55068 (612)683---6912 ~I._r Lj a C::n,adt~c at.. I iEavu i _hr?s1". the iri ~~'ol°m~.tlo~ _ic,urr~:.rL sand ~yK~:~£~ t c) f M n APPLICANT/PERMITEE I ATURE 1 D [jY. SI A E CITY OF EAt. AN CASHIER: S TERMINAL NO: 53 DATE: 05/06/97 TIME: W50io ID NAME. EAGAN HIGH SCHOOL. 2155 9001 4185 BRADDOCK T 2.00 i h Total Receipt Amounti 87.75 } USER .{.O: NANCY I a 1997 BUILDING PERMIT APPLICATION (R NTfAL) ;~A-733 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fed. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 4 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ! 4),o , Tef')(e `G S> >C /a A A) S74 0/ u ^I f?ni STREET ADDRESS: l < S LOT BLOCK SUBD./P.I.D. 4aa44L= PROPERTY Name: 9(' Phone* OWNER IAST FWST Street Address:- 111 ° V'- City: 1 ` L State: Zip: CONTRACTOR Company: V V 0I < LfN Ice-- Z* Phone , f~q,~ r Street Address: License f3"° s 1/t as City: State: Zip: ARCHITECT/ Company: f Phone ENGINEER 1 Name: ~ru ~T S Registration Street Address: N re c,/ l / .5 7;e,, L / . City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information ' rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No 1997 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory X 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace n 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE:. ❑ 31 New ❑ 33 Alterations ❑ 36 Move Ay 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System r (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg I Census Unit r APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge? Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) °L ~ CITY OF EAGAN 651 681-4675 Re uirements to building permit -9 9 Foundation Only New Construction interior I rovement • Structural Plans (2 sets) Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) " • Code Analysis (1) " Civil Plans (2 sets) • Project Specs (1 set) • Project Specs (1) • Landscaping Plans (2 sets) a Key Plan. Spec. Insp. & Testing Schedule Code Analysis (1) " + Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MVES - call : SAC, determination letter from MC/ES - call call 651-602-1000 651.602-1000 651-602-1000 • Spec. Insp. & Testing Schedule (1) Energy Calculations (1) not always " • Project Specs (1) Elec. Power & Lighting Form (1) not always " • Energy Calculations (1) • Electric Power & Lighting Form (1) • Master Exit Plan • Soils Report t " Contact Building inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: ~~/I Jqq WORK TYPE: NEW - REMODEL. DESCRIPTION OF WORK: t o- o CONSTRUCTION C;(;~%T TENANT NAME: SITE ADDRESS: 4!;- ;C G 1 Cj Ce,I SUITE LOT BLOCK SUBD. P.I.D. # Name: G/vt p?' Phone PROPERTY Last First OWNER 1~ y "C` Ct I,1 Street Address: ll City 4! State: Y , ` AJ Zip: Company: J Nylc- Phone CONTRACTOR Street Address: 2qt>D City State: On Zip. ARCHITECT/ ENGINEER Company: ,l rr- ~u Phone #:&51- Name: Registration Street Address: i. City State: Zip. Sewer & water licensed plumber (only if installing sewer & water I hereby acknowledge` that I have read this application, state that the information is eorre , and agree to co y with ail a Iicable State of Minnesota St a ROCSITMIDC m nances. MAY 14 1999 Signature of Applicant: BY:-kACp' OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 26 Public Facility CI 28 Greenhouse ❑ 25 Miscellaneous ❑ 27 Commercial/Industrial ❑ 29 Antennae WORK TYPE 0 31 New ❑ 34 Repairs 0 37 Demolish Bldg. ❑ 43 Siding/Soffits/Facia 32 Addition ❑ 35 Tenant Impr CI 38 Demolish `(Interior) 0 44 Windows/Doors j 33 Alterations 0 36 Move Bldg. Q 42 Reroof 0 45 Fire Repair GENERAL INFORMATION Const (Actual) Basement sq. ft. Census Code 7 3 (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 b4--- Engineering Variance VALUATION: $ , aec) Permit Fee 70L. Js Surcharge dg,~ 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 j r' 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 60~45i-rP.ue,!r 5MS-. 7WO WAI.A, To Be Used For: Classroom Valuation: $'2'T Date: November 26, 1990 Eagan High - 4185 Braddock rail Site Address Eagan, MN 2 OFFICE USE ONLY Lot ~ Block I FEES Occupancy :at4 Zoning Parcel/Sub Actual Const Bldg. Permit 54y'00 Allowable Surcharge Owner Z.S.Q. #196 # of stories Plan Review Length SAC, City Address 14445 Diamond -Path Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Apple Valley, MN 55124 Footprint S.F. Water Meter Acct. Deposit Phone 423-7702 (Steve Hanson) On site sewage- S/W Permit Leibfri.ed Construction & On site well S/W Surcharge Contractor Engineering, LTD. MWCC System Treatment Pl. City water Road Unit Address 701-8th Street PRV Park Ded. Booster Pump Copies City/Zip Code Farmington, A4N 55024 SUBTOTAL APPROVALS Penalty Phone (612) 463-2122 Planner TOTAL Council Arch./Engr. N Bldg. Off. x(/27 Variance Address City/Zip Code Phone # CITY OF EAGAN No 5 2 9 L f, ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 9-5-~ 0,-?- To be used for STRUCTURAL Est. Value $2,447 000 STEEL Date JULY 1 g 88 Site Address 4185 BRADDOCK TR OFFICE USE ONLY Lot Block 1 Sec/Sub. EAGAN H. S. ADD - On Site Sewage Occupancy 1 MWCC System Zoning Parcel No. On Site Well (Actual) Const INDEPENDENT SCHOOL DISTRICT 196 City Water (Allowable) cr Name 3 Address 14445 DIAMOND PATH RD PRV Required # of Stories Booster Pump Length City ROSEMOUNT Phone 423-9400 Depth o Name L H SOWLES CO (MIKE DVORKIN) S.F.Total o a Address 2813 BRYANT AVE S Footprint S.F. dity MPLS Phone 872-4656 APPROVALS FEES r- ¢ Engr./Assess. Permit 6,580 W W Name ~ z Planner Surcharge 1,034 Address 3 , 290 Q w City Phone Council Plan Review X - Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: L H SOWLES CO Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes ay~nd City of Eagan Ordinances. Parks 10 904 Building Official ~.t~ ..~~yyr- TOTAL 00 ..j~~jyµyy(.. .(yyW tiy}. tqyi3~. i.p,r' 'L{y vr y.ty 1 .AFT TR+~~T~~MR+'FT~TTT7 ~>i~ ~T~TTT~~.T+ri•TM+M1ff"•~.'~ CITY OF EAGAN CASHIER.- S TERMINAL Not, 685 DATE: 05/26/99 TIME". i5:06-.:L4 r ILA 4 Np a 3 S CATE!:> MNST I# 32iG 9001 4 385 BRADDOCI' T X06. 3422 9001. 4M BRA~)DOCK T 453.3 RM 9001 44EM BRADT.,('C!< T 2.3. a g Total Receipt Amoi.mt, e cRio "Mo USER ID: NANCY 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN I 1~~~ 15 z 4 I t SINGLE FAMILY DWELLINGS qzw INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPEC~TF~C~TI,ff SMOL 1 SET' OF ENERGY CALCULATIONS ttDAHAKOIITVVAFhi 11 HILLS GF}~I To Be Used For: ,'SjY1 ` Valuation: Date: 6/28/88 Site Address 41 15 h n-r LYL J ~ Z 447e. 000 - OFFICE USE ONLY Lot Block On site sewage Occupancy MWCC system Zoning Parcel/Sub On site well Actual Const INDEPENDENT SCHOOL City water Allowable Owner DISTRICT #196 PRV required # of stories Booster Pump Length Address 14445.._ DIAMOND RAIM ROAD Depth S.F. Total City/Zip Code ROSEMOUNT, MN 55068 Footprint S.F. Phone 423-9400 APPROVALS FEES Contractor L.H. SOWLES COMPANY Engr/Assess Permitr r' P Planner Surcharge 10 3W Address 2813 Bryant Avenue Smith Council Plan Review 37,.30 Bldg. Off. SAC, City City/Zip Code Minneapolis',-MN 55408 Variance SAC, MWCC Water Conn - Phone 872-4656 Water Meter Road Unit Arch./Engr. HAMMEL, GREEN & ABRAHAMSON Treatment P1 - Parks Address 1201 HARMON PLACE Copies TOTAL i a, 4 0 - City/Zip Code Minneapolis, MN 55403 Phone # ~q9- ~Q4a yN'7M KZ,2 3Z.5fo Su~GNA a LN71000 x ,ooh t 3 ~-I Io3t{ PLAQ u, PERMIT ~ ~o ~q q ~ <UtTY 3 8 OF EAGAN Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 5 2 (612) 681-4675 Date Issued: 07/03/95 SITE ADDRESS: 4185 BRADDOCK TR LOT: 1 BLOCK: 1 EAGAN HIGH SCHOOL P.I.N.: 10-22430-010-01 DESCRIPTION: (HIGH SCHOOL) Building Permit Type PUBLIC FACILITY Building Work Type ALTERATION REMARKS: FEE SUMMARY: VALUATION $1,800 Base Fee $56.75 Surcharge .90 Total Fee $57.65 CONTRACTOR: - Applicant - OWNER: DIVERSIFIED CONST 29297233 EAGAN HIGH SCHOOL 7010 HWY 7 4185 BRADDOCK TR ST LOUIS PARK NN 55426 EAGAN MN (612) 929-7233 it I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances< L I L APPLICA /PERMITEE SIGNATURE ISSUE BY: IG URE CITY OF E N 1995 BUILDING PERMIT APPL FMWV LF EC E D 16451 ss1-as 5 JMo 2 6 1995 The following are required with appropriate certification for all new construction: _ _ - _ _ _ _ 2 each: architectural plans; mech. & elec. plans; fire sprinkler plans; structural plag plans; grading/drainage/erosion control plan; utility plan ► 1 each: set of specifications; set of energy calculations; electrical power & lighting fort; Special Inspections & Testing Schedule ► Letter from MCMIS (phone #222-8423) indicating SAC determination ► Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor, type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated corridors; plumbing fixtures; and parking. DATE: ~ WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: tr~/tt~% ~✓u ~ ` ~ t 7 CONSTRUCTION COST: TENANT NAME: a.~f SITE ADDRESS: ~'fJG~iJ'~ er STREET II STES LOT. BLOCK SUBD. L I.D. e-4 ad Phone PROPERTY Name: E2 I q r) OWNER LAST FIRST Street Address City: State: Zip: CONTRACTOR Company: e Phone 3 Street Address- city: l moo!Fib /Q Zip, ARCHITECT/ Company: _ /V A Phone ENGINEER Name: Registration # Street Address City: State: Zip: Sewer & water licensed plumber: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: L,rr4PP~~ wiJ OFFICE USE ONLY BUILDING PERMIT TYPE 01 Foundation a 19 Comm./Ind. Misc. o 21 Miscellaneous o 18 CommAnd. 20 Public Facility WORK TYPE 0 31 New c~33 Alterations ❑ 35 Tenant Finish 0 32 Addition ❑ 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code y37 # of Stories sq. ft. SAC Code _ 3 0 Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ L r Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit SMI Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size - PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D Permit Number: 024401 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 08/25/94 SITE ADDRESS: 4185 BRADDOCK TR LOT: 1 BLOCK: 1 EAGAN HIGH SCHOOL P.I.N.: 10-22430-010--01 DESCRIPTION: (TICKET/INFO BLDG) Building Permit Type PUBLIC FACILITY Building Work Type NEW REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $12,000 Base Fee $135.00 Plan Review $87.75 Surcharge 6.00 Total Fee $228.75 CONTRACTOR: OWNER: - Applicant - IND SCHOOL DISTRICT 196 4185 BRADDOCK TR EAGAN MN 55123 (612)683-6902 I hereby acknowledge that T have read thl_5 application and ~~tate that the information is correct and agree to comply with all, applicable State of Mn. Statu es and City of Cagan Ordinances. L I APPLICANT/PER SIGNATURE ISSUED B SIGNATURE I CITY OF EAGAN 1440, 1994 BUILDING PERMIT APPLICATION 681-4675 r, 4 y t,; SINGLE & MULTI-FAMILY 2 sets of plans, 3 register d site survey opy of energy V L1 calcs. AUG : 5 19~~ COMMERCIAL 2 sets of architectural & -rcctur.~1_plans, 1 set of specifications, I copy of energy - 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 August 12 1994 Valuation of work $12,000.00 Site Address. 4185 Braddock Trail, Eagan, MN 55123 STREET SUITE Tenant Name: (commercial only) Eagan High School LOT BLOCK SUBD. P.I.D. # J~k Description of work: Construction of ticket/information building The applicant is: O Owner ReIp Contractor El Other (Describe) Name Independent School District 196 Phone 683-6902 Property LAST FIRST Owner Address 4185 Braddock Trail STREET STE # City Eagan State MN Zip 55123 Company _ Independent School District 196 Phone Contractor Address License # Exp. City State Zip Architect/ Company Hammel, Green and Abrahamson, Inc. Phone 337-4100 Engineer Name Mr. Kurt Rogness Registration # Address 1201 Harmon Place' City Minneapolis State MN Zip 55403 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 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r~ 4 Signature of Applicant: T w OFFICE USE ONLY w BUILDING PERMIT TYPE ❑ 01 Foundation 0 06 Duplex 0 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool' ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory U 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Flex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi: Add11. 0 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE Tcke ~~;1~ ,b 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair '0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft, MWCC System All owable ( ) lst F1. sq. ft. City Water UBC Occupancy 2nd Fl. sq ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 3 Depth On-site sewage SAC Code ~D Census Bldg ! APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ .Site ET Footing J~r Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace I Permit Fee valuation: $ l 2 Oo0 Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units l PERMIT ary 6F' EAGAN 3I1e S 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 4 4 0 (612) 681-4675 Date Issued: 08/25/94 SITE ADDRESS: 4185 BRADDOCK TR LOT: 1 BLOCK: 1 EAGAN HIGH SCHOOL P.I.N.: 10-22430-010-01 DESCRIPTION: (STADIUM BLEACHERS) Bu.ildinq Permit Type PUBLIC FACILITY Building Work Type NEW REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $150,000 Base Fee $814.50 Plan Review $529.43 Surcharge 75.00 Total Fee $1,418.93 I CONTRACTOR: OWNER: - Applicant - OUTDOOR SEATING CO 25846765 IND SCHOOL DISTRICT 196 RTE 1, P 0 BOX 95 4185 BRADDOCK TR SARGEANT MN 55973 EAGAN MN 55123 (612)683-6902 I hereby ac{<nowledge that I have ioad this application and state that the information is correct and agree to comply with all appiicahle State of Mno Statutes and --ity Fagan Ordinances-NATURE ISSUED SIGNATURE CITY OF EAGAN f 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e c ECY f energy cal cs . a 15 COMMERCIAL 2 sets of architectural & struc ural plans, T"set f specifications, I copy of energ r- Penalty applies: I) 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 August / 12 / 1994 Valuation of work $150,000.00 Site Address. 4185 Braddock Trail, Eagan, MN 55123 STREET SUITE # Tenant Name: (commercial only) Eagan High School LOT_ BLOCK_ SUBD . Q P . I . D . # _4&4* Description of work: Erection of stadium bleachers The applicant is: C7 Owner ® Contractor 0 Other (Describe) Name Independent School District 196 Phone 683=6902 Property LAST FIRST Owner Address 4185 Braddock Trail STREET STE # City Eagan State MN Zip 55123 Company Outdoor Seating Company, Phone (507) 584-6765 Contractor Address Route 1, Box 95 License # Exp. City Sargeant, State MN Zip 55973 Company Hammel, Green and Abrahamson, Inc. Phone 337-4100 Architect/ Engineer Name _ Mr. Kurt Rogness Registration # Address 1201 Harmon Place City Minneapolis State MN Zip 55403 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 with all applicable State of Minnesota Statutes and City of Eagan Ordinances. • &41A Signature of Applicant: OFFICE USE ONLY b. BUILDING PERMIT TYPE. 0 01 Foundation ❑ 06 Duplex 0 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex 0.12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-flex ❑ 13 Garage/Accessory 18 Comm./Ind 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE J2~ 31 New ❑ 33 Alterations 0 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair .0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1_. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y Depth On-site sewage SAC Codea APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0 -Site Footing ❑ Framing O Insulation ❑ Wallboard ta Final ❑ Draintile O Fireplace Permit Fee vahle"«n: $ O 000 - Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit t' S/W Surcharge , Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total; SAC % SAC Units PERMIT ' Control No. 0783 (CITY°OF t-AGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001020 Eagan, Minnesota 55123 (612) 681-4675 Date Issued: 07/19/92 SITE ADDRESS: 4185 BRADDOCK TR LOT: 1 BLOCK: 1 EAGAN HIGH SCHOOL DESCRIPTION: ~ 50 x 170 & 94 x 210 Building Permit Type PUBLIC FACILITY Building Work Type ADDITION UBC Occupancy E-1 B-2 Zoning P Building stories 2 Square Feet 46,700 REMARKS: C) r) v i ACTUAL CONSTRUCTION - II-F II-1 HR SPR 06/12/92 RECEIPT $ C 019370 $66,000.00 FEE SUMMARY: VALUATION $3,70@,000._ Buse Fee $8,939.50 CITY SAC $6,000.00 Surcharge $1,340.00 TREATMENT PLANT 18 000.00 SAC $42,000.00 Total Fee $76,279.50 SAC % 100 SAC Units 60 Subtotal $52,279.50 CONTRACTOR: - Applicant - OWNER: STAHL CONST CO 24494400 IND SCHOOL DIST 196 601 LAKESHORE PKWY 375 14445 DIAMOND PATH RD MINNETONKA MN 55343 ROSEMOUNT MN 55068 (612) 449-4400 (612) I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITE IGNATURE SUED Y: (GNAT RE PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION a ,r 4 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once ermit is issued. Date June / 1 / 1992 Valuation of work $3,700,000.00 Site Address: Eagan High School (Expansion) STREET STE 0 Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. Description of work: Remodel and Addition The applicant is: ❑ Owner ® Contractor ❑ Other (Describe) Name Independent School District #196. Phone Property LAST FIRST Owner Address 14445 Diamond Path Road STREET STE City Rosemount State MN Zip 55068 Company Stahl construction Company. Phone 449-4400 Contractor Address 601 Lakeshore Pkwy_._Suite ~,75_ License # Exp. LA. W\ j+V Minnetonka State MN 7ir) 55343 Company Hammel, Green & Abrahamson, Inc. Phone 332-3944 Architect/ Engineer Name Dave Leschek or Ted Rozeboom Registration # 14076 Address 1201 Harmon Place City Minneapolis State MN Zip 55403 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have re this application and state that the information-is correct and agree to comply & pplica State of: Minnesota Statutes and City'of Eagan Ordinances. Signature of Applicant: z r`~.rs OFFICE USE ONLY AIR, BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish O 13 Comm/Ind New ❑ 02 SF Dwg. Q 06 Garage /Accessory ❑ 10 Swim Pool ❑ 14 Comm/Ind Add ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add. ❑ 15 Comm/Ind Rem ❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Res. Porch 'f 16 Public Fac. ❑ 17 Agricultural WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Move g32 Addition O 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual)3r-,FP, Ir-IHR sPR Basement sq. ft. MWCC System , (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy E-( .B-2 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total 7oO Booster Pump # of Stories Z Footprint Sq. ft. Zg4oo Fire Sprinkler Length 5 xx 170 On-site well Census Code Depth q~ x zoo On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS A k RSA uc. A Nt~ A MM ❑ Site1 Footing Framing IN Insulation IN Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee &9 341, 5 y Valuation: s o of 0~)o Surcharge 1340#00, Plan Review licence MWCC SAC y ZtoOL-) City SAC .Water Conn. Water Meter ~~a 1~'v Acct. Deposit S/W Permit C P__,Y S-1,A716- CO S/W Surcharge Sint Treatment P1. I$ Road Unit Park Ded. 1 76.,. _ l 0, Trails Ded. Copies ,G;) t.t Other Ciq r"0rT.- Total: 0 r SAC % C."t~''t (,9 SAC Units J o C- K 6-t~.-~ 12ecE. ~ CaIR3ry CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N? 15597 PHONE: 454-8100 ,l eceipt# BUILDING PERMIT Se~0L-~ R `t To be used for HIGH SCHOOL Est. Value $25,839,000 Date SEPT 12 19 88 Site Address 4185 BRADDOCK TR OFFICE USE ONLY E-1 A-2 Lot 1 Block 1 Sec/Sub. EAGAN HIGH SCHOOL On Site Sewage Occupancy B-1 B-2 MWCC System X Zoning PF Parcel No. On Site Well (Actual) Const II-FR I HR ¢ Name ISD #196 City Water _X (Allowable) SYKLLV i 14445 DIAMOND PATH PRV Required # of Stories 3 Address 730' o City ROSEMOUNT Phone 454-0038 (TOM WILS lpf'Oster Pump Length J,r Depth 596' °C Name PCL CONSTRUCTION SERVICES, INC S.F.Total 483,7 0 .o o a Address 9330 JAMES AVE S Footprint S.F. 205,6 0 U ~Cl ~ City BLOOMINGTON Phone 888-9200 (JAMIE SI 'APPROVALS FEES CC Engr./Assess. _ Permit 59, 212 wW Name 2,542 ~ Planner Surcharge g Address 5,254 U Z Council Plan Review a w City Phone Bldg. Off. SAC, City 17,100, I hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC 94,050 information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of 70 inane Water Meter Signature of Permittee v~"' 90 X246 ~ Road Unit 4 A Building Permit is issued to:P .L. C_ R CTION Treatment P1 34,88 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. 303,288 Building Off icial,Q_(_~__ TOTAL 1988 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, T SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS OMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL a STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 19 To Be Used For: _+\k(nk 5Cl1pbL Valuation: ZS•t839, OOO 2°Date: - 2- 81D Site Address OFFICE USE ONLY Lot I Block On site sewage Occupancy 13-1z -,w MWCC system Zoning PF Parcel/Sub l~1~3 On site well Actual Cons t] ' -~,HR . SPR. City water A Owner __=.-=k?) 5"1 q PRV required # of stories Booster Pump Length 730 Address _ 14-+S- ~I x ©An Depth ~59/a S.F. Total City/Zip Code ]KCf9pVO Footprint S.F. p pp Phone _ 4 64 "003 $ 4•23 -q4 co APPROVALS FEES NC• Contractor GL Cots 'S'RLcr(ON - ~ G. Engr/Assess Permit 5 2/2, Planner Surcharge. Address 933o Jrarn~cs Aycf. ~Jeau'C! Council Plan Review 17~/OC? City/Zip Code $L,~rn►t.,,-1'oN Bldg. Off. SAC, City .t` N 55g3l Variance SAC, MWCC Phone 888- app -1AmtE StPES Water Conn Water Meter Road Unit p b Arch./Engr. Treatment P1 3y Parks Address 1Z01 VJAMmokA ~,&cLe- Copies TOTAL 3032 City/Zip Code JY\%N►t ►gaPnL, r 35463 Phone # 332 - 394 4 Mi i ns` $ 39, OaP VA L UA-MOM I sr 1, ~a o, oa p _ 33Zy a4~ fs3ci nn,A ?.2S Ssass Z x so'76 Z 9 6o~ ap 30/8 ~sA P.F-UtrJ FEES C. RE~~r GPu ~Spyy 3~ o cRebrr T' - Z/o6~ V1 s 2 5y TVrAL 'Dcu C Ac wq n-s r Cam; i'7l X / 00 - 17/ /ao It7/ x SSO i 9 y 0 5o TREAT . , - x zoY~ 3~1 eay r r4 I' 2 A- 9 7,S 1A 0 Z- 14 Metropolitan Waste Control Commission 350 Metro Square Building, 7th and Robert, St. Paul, Minnesota 55101 612 222-8423 February 19, 1988 Mr. Steve Hanson Asst. Chief Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Hanson: This letter is to inform you that the Metropolitan Waste Control Commission has made a SAC determination for the Dakota Hills Middle School/Eagan High School to be located at Braddock Trail within the City of Eagan. It has been determined that 171 SAC Units should be assigned to this building. It is our understanding that this building could increase its capacity by 800 students by adding classrooms alone. This determination was made as follows: SAC Units Charges: School (Secondary) 2400 students @ 14 students/SAC Unit 171.43 or 171 At such time that the additional classrooms are added, the SAC assignment should be re-reviewed based on actual usage. If you have any questions, please call. Sincerely, Donald S. Bluhm Staff Engineer DSB:RWJ:blm cc: S. Selby, MWCC W. K. Johnson, MWCC Ted Rozeboom, HGA r r ' RM STATE OF MINNESOTA DEPARTMENT OF ADMINISTRATION CONSTRUCTM'%Fftb*IZATION BUILDING CODES AND 406 METRO SQUARE STANDAE"PrISM BUILDING OFFICIAL : 7TH AND ROBERT STS. ST. PAUL, MN 55101 Phone. !612/2964639 Reid, Douglas Michael DATE 04/22/88 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Project Title : Dakota Hills Schools Project Descr.: Project cp-l,cp-2,cp-3 Location : Eagan Date Received : 011288 Plan Review Number: 880007 Dear Building Official: The construction documents, for the project described above, have been reviewed and found to be in substantial compliance with requirements of the Minnesota State Building Code. Enclosed is A signed copy authorizing construction of the project. Such authorization by this office does not relieve the Building Official from the responsibility of checking the construction documents for code compliance as required in UBC Sec 303, prior to issuing the building permit. Yours truly, BUILDING CODES & STANDARDS Thomas R. Joa m Supervisor, P an Review TJ:p attachment: Application For Plan Review Form Form BDB0013A D APR 2 7 AN EQUAL OPPORTUNITY EMPLOYER PLAN REVIEW COMMENTS PROJECT TITLE: Dakota Hills Middle/High School Construction Packages CP-l, CP-2 and CP-3 Eagan BCD PLAN NO: 88'v'07 P.E. PLAN REVIEWED BY: omas G. 44/cdeonwt- Code Administrator The comments listed below refer to documents that make up the Minnesota State Building Code. Certain code deficiencies may not have been included in this report, but that shall not be construed as an approval of such code deficiencies. This review does not relieve the Building Official from checking the documents for compliance with the requirements of the Building Code. 1. The documents indicate compliance with the Minnesota Building Code regulations. TGV:p x+/21/88 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. I" z ,a.~'Sit~~ .'o i, - ~ r ,~~;~Yi~~,cm:v"T'~r,,rrr•ws•"."'~`~'°-°~'~ ~.+.:;e ai s~:sat i s. 06T Q A. y Building Codes & Standards Division FOR OFFICE USE LY r ' 408 Metro Square Building Proi Date 0 Q ( 4-9 o 7th & Robert Streets St Pout; %nnesote 65101 Amount Check Check Nym6orr , C612t 296409' Received Construction Cost iOIt~ 'o'rstructl'on Authorization: t , APR4.lCAT16N FOR PLANRIEVIEW i , CONSTRUCTION AUTHORlZATION;Y STATE AGI+RX OR LOCAL. GOVERNME Project Title Dakota Hi 11 s Mi i3N~1 ` 5cIlool /pagan kigh School City CauntY Construction Cost 1!11 I EAcgan, MjnkiesofaDakota taunt Kati re of Architect/En~Irteer,Firrrr Phone No. • 3.`; r en and Abrahamstln trlcq Irl , ~ ''R=~• Ad'dr~s of Firm" city. State, "Zip', 1Q~ Harmon, Place ~~iinea o1i~s9 Minnesota r 1. ~ # DI G EXISTING BUILING AL,LOWAk FLOOR AREA ypsl8l'Of Cbn*tm ctign Type(s) of Construction Basic Allowable Floor Area! a ps . oy Ca orris n Y. Occupancy Classification (s) Increase, ver ne-StoryNumbiq bfst Number of Stories' Increase For Open Sides tj' A2 B11 B2 90 SE 4, 0' P, 0 3 I r Area Maximum Allowable Flpor'Area ~ Sq. . ~r Ocdu~ancy Sq. Ft. Per Floor Total Floor t4ir~r1~9t r C Tote{ F 'r p1* Yes No Rated Area Separation Wall Rating (s) CrrldOfS Y" Nb C{ ang@ Of Occupancy Separation Rating s) Mew Building Occupancy 01/E 3 our. 'vb L tt u Area Se oration Yes ' N° Sprinklered for One _ p 'Add walls Hour Construction Sprinklered for Area so Increase rin'kle a t ~ rtrikl red d ~lOedli~) Additional I"formadorl UBC i Cha. 23 Roofs (baSif; .9n0W o-s) - ps For i,.onstrcctiop packfka es CQ 1, CP-2g CP-311 SF n Oc~u anc,r SF Rar Floor Clatts dome, Offices _ ~i 3. psi * 20;psf Pay' ;i ions E1 _ 4U .,Oa round ue A2 1d, 200 Mai n. Level 170,69-0 Cct-lridt>> so ~.o Ole 61 4 I6UQ Upper Level 'a I S rsU4~`pf b2 28''d70Q Fan:' Root,: ~ 12,51 psi' f-~ud~cpri,4lm.a4~t~l1g - U p5f ~l;!c 7D4ita Is om,. Pool Se --ink} 100 psi h ~ I7 AR HP!' CT/ENGINEER: As the plan prepares I hereby certify that reasonable care has been gi~1 n to compliance with a' IiGab laws, ordinances, and buildin codes relating to design. Nain®'fFlt►t) Signature ~Date ) Registration No. i heodor ' Pl, Rcz,-t o Betaim"11,00s)~1 J.- Bulldlrtg Offlcrel ' I' L. U Sowles Company ste~i STEEL ERECTION 2813/2817 Bryant Avenue South Minneapolis, Minnesota 55408 Phone (612) 872-4656 June 28 1988 City of Eagan Administrative Office 3830 Pilot Knob Road Eagan, Minnesota 55122 ATTN: Mr. Doug Reid RE: Eagan High School Building Permit Dear Mr. Reid: Please find enclosed our Building Permit Application. As you confirmed in our phone conversation on June 28, 1988, you have received all the required plans and specifications from Hammel, Green & Abrahamson. We are planning to commence the work at the construction site the first week of July. As you indicated, the permit will be issued within this week. Thank you for all your cooperation. Very truly yours, L.H. SOWLES COMPANY Mikhail Dvorkin Project Manager I h t t + Mr~w p STATE OF MINNESOTA DEPARTMENT OF ADMINISTRATION SAINT PAUL CONSTRUCTION AUTHORIZATION BUILDING CODES AND 406 METRO SQUARE STANDAgDOSPDYVISTO BUILDING OFFICIAL : 7TH AND ROBERT STS. ST. PAUL. MN 55101 Phone: 61212964639 Reid, Douglas Michael DATE 08/04/88 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Project Title : H.S. & Middle Schools Project Descr. Project cp-4 Location : Eagan Date Received : 050488 Plan Review Number: 880193 Dear Building Official: The construction documents, for the project described above, have been reviewed and found to be in substantial compliance with requirements of the Minnesota State Building Code. Enclosed is a signed copy authorizing construction of the project. Such authorization by this office does not relieve the Building Official from the responsibility of checking the construction documents for code compliance as required in UBC Sec 303, prior to issuing the building permit. Yours truly, BUILD CODES & STANDARDS Thomas R. J9Pn m 4~~ '04 Supervisor, Review TJ:p attachment: Application For Plan Review Form Form BDB0013A AN EQUAL OPPORTUNITY EMPLOYER PLAN REVIEW COMMENTS Y PROJECT TITLE Dakota Hills Middle School/Eagan High School Updated Documents 7/26/88 (CP-4) Eagan BCD PLAN NO: 880193 0 PLAN REVIEWED BY: Tomas G. VincePE. Code Administrator The comments listed below refer to documents that make up the Minnesota State Building Code. Certain code deficiencies may not have been included in this report, but that shall not be construed as an approval of such code deficiencies. I This review does not relieve the Building Official from checking the documents for compliance with the requirements of the Building Code. 1. Refer to UBC 3305(8) and (h). Loop corridor 1045 (sheet XA2.3) shall be fire rated as spelled out in the regulation. 2. The construction authorization is released with this memo. Please officially respond to Item 1 to complete our file on this project. TGV:p 8/4/88 STA'lEOFti Building Codes & Standards Division FOR OFFICE USE ONLY Project Numbe Q 408 Metro Square Building ~ 7th & Robert Streets Amount of Check Check Number (j' St. Paul, Minnesota 5510 1 to $ ® eNdl V~~~ 7 O (612)296-463 . Received By ICcnstruc:ion Cast • ;a.~? Department of $ AdmftliStration Constructio utnorization: t~0100r' APPLICATION FOR PLAN REVIEW a CONSTRUCTION AUTHORIZATION BY STATE AGENCY OR LOCAL GOVERNMEN ) Protect Tine Dakota Hills Middle School Eaaan Hich ho - ZoV dOG City, County I Con truction ost Eagan. Minnesota Dakota Co ntv Name of Architect/ Engineer Firm (P one No. Hammel Green and Abrahamson. Inc. 1(612) 332-3 as Address of Firm City, State. Zip 1201 Harmon Place Minneapolis, Minnesota 55403 NEW BUILDING EXISTING BUILDING ALLOWABLE =LOOR ARE.--I Typeisi of Construction Typetst of Canstrucl:on Bask Allowable Floor Area Type II FR, Type II 1-hour 45 200 SF 20,200 SF Occupancy Classification (s) Occupancy C!assificanonis) increase Over One-Story E1, A2 B1, B2 Q'0-!'-400 SF 40.400 SF Number of Stories Number of Stones Increase For Open Sides 3 180,800 SF 80.800 SF So. Ft. Per Occupancy So. Ft. Per Floor Twat Floor Area Maximum Allowable Floor Area See ~.'IrAkh ow See AXXgfiR 361,6 0 SF 161,600 SF Total Floor Area Yes I No Rated Area Separation Wall Ratingisi 483,700 I Corridors 4 hour Yes No 1Change of Occupancy separation Ranng(si X New Building I Occupancy B1 E 3 hour B2 /E 1 hour Area Separation Yes No Sprinklered for One Addition I I Wails X I Hour Construction Sprinklered for Area X Sprinklered I I Sprinklered X I ( Increase Design load(s) Used' Additional Information UBC Chapt. 23 Roofs (basic snow loads) - 40 psf For Construction Packag QGP-4 ind - 80 mph lassrooms, Offices - 0 psf + 20 psf partitions orridors, Lobbies, Stairs - 100 psf an Rooms - 125 psf Sr' Per Occupancy SF Per Floor E1 - 440,900 Ground Level - 205,600 uditorium Seating - 7 psf A2 - 10,200 Main Level - 178,600 ecture Room, Pool Seating - 100 psf B1 - 4,600 Upper Level - 99,500 B2 - 28,000 eight and Wrestling R oms - 150 psf ARCHITECT/ENGINEER: As the plan preparer I hereby certify that reasonable care has been given to compliance with applicable laws, ordinances, and buildin codes relating to design. Name (Print) Signature Date Minnesota Registration No. heodore R.. Rozeboom -rtJ~ 4~418c 015108 BC-00049-01 (8/861 20t ,Harrison P v, Minneapolis. P;L r so`. :p,-? elepnone 61 x,332-spa, ax 6? 332-00 3 0 10% w Q~j TO: Dakota Hills Middle School/Eagan High School HGA Commission Number 320.137.00 BY: Peter Graffunder ?6 DATE: 23 May 1989 SUBJECT: Meeting on Occupancy of the Middle School PRESENT: Doug Reed (Eagan) Joe Merchak (Eagan) Steve Hanson (Eagan) Dale Wegleitner (Eagan) Bill Bruestle (Eagan) Jamie Sipes (PCL) John Cunningham (PCL) Peter Graffunder (HGA) A meeting with the City of Eagan was held on 22 May 1989 to discuss August occupancy of the middle school while construction on the high school continues. Dates of .occupancy were discussed: - August 1, Move in furnishings. - August 15, Teachers move in. - September 1, Students arrive. The-areas to be turned over, and likely locations of fire walls were pointed out on the construction documents (marked on set by PCL). The City personnel were concerned that occupants will be safe. All life safety systems must be complete and functioning, including exiting system, fire protection system, fire alarms, exit lighting, as well as plumbing and HVAC systems. Fire-department access must be maintained. The owner is to complete a fire exiting plan and hold a fire drill as soon as the building is occupied. ae/me/48/38 cc: Those Present Ted Rozeboom Tom Wilson f fire department KEN SOUTHORN Chief DICK SCHINDELDECKER Assistant Chief .-City of eagan DAVE DI IoLA District Chief 3795 Pilot Knob Road VAC ELLISON Eagan, Minnesota 55122 Mayor Phone: (612) 454-5274 THOMAS EGAN DAVID K. GUSTAFSON PAMELA McCREA THEODORE WACHTER Council Members THOMAS HEDGES City Administrator Dr. R . J . Rehwa 1 dt EUGENE VAN OVERBEKE Superintendent City Clerk School District 196 14445 Diamond Path Rosemount, MN 55068 RE: DAKOTA HILLS Dear Dr. Rehwaldt: According to PCL, the automatic dampers (which shut down the air makeup systems throughout the entire school) are not in working condition. In the event that the fire alarm is activated, we need to know what procedure/policy will be used for system shut-down. PCL has indicated that it may be three to four weeks before the system is fully operational. Your written policy should be sent to this office before the start of school. If you have any questions, please contact me. Sincerely,] 0 Dale Wegleitr er Fire Inspector DW/tp THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY CITY OF EAGAN NO 14 5 9 9 IL ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454--8100 Receipt # R I I S CF' To be used for FOUNDATION Est. Value $934,000 Date FEBRUARY 10 19 88 Site Address 4185 BRADDOCK TRAIL OFFICE USE ONLY 1 1 EAGAN H.S. ADD. On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Const cc Name IND. SCH. DIST 196 City Water (Allowable) z Address 14445 DIAMOND PATH PRV Required # of Stories City ROSEMOUNT phone 423-9388 Booster Pump Length Depth o Name W.A. MORTENSON S.F.Total o a Address P.O. BOX 710 Footprint S.F. City MINNEAPOLIS Phone 522-2100 APPROVALS FEES Engr./Assess. Permit $467.00 W U Name HAMMEL GREEN & ABRAHAMSON INC W i Planner Surcharge Address 1201 HARMON PLACE _ v i Council Plan Review cc W City MPLS Phone 332-3944 Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City agan Ordinances. Water Meter Signature of Permittee 46 Road Unit A Building Permit is issued to: IND- SCH- DIST 196 Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City o Eagan Ordinances. X467.00 Building Official c- TOTAL T 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN arrr SINGLE FAMILY DWELLINGS /VS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used footings and Valuation: 000- -Date:Rn FEB 9 For: f o u n d a r, o n -T Site Address OFFICE USE ONLY Lot 1 Block 1 On site sewage Occupancy MWCC system Zoning Parcel/Sub Eagan High School Addition On site well Actual Const City water Allowable Owner Independent School District 196 PRV required # of stories Booster Pump Length Address 14445 Diamond Path Depth S.F. Total City/Zip Code Rosemount, MN 55068 Footprint S.F. Phone 423-9388 APPROVALS FEES Contractor MA MoRTEAJSON Engr/Assess Permit r?° Planner Surcharge Address P.0 • got( 7 /O Council z 9 ap Plan Review Bldg. Off. Gj{a SAC, City City/Zip Code M)NNEAPoLl S S5 44 o Variance SAC, MWCC Water Conn Phone 5 Z2 - Z/ oy Water Meter Road Unit Arch./Engr. Ted Rozeboom Treatment P1 Parks Address 1201. Harmon Place Copies TOTAL City/Zip Code Mp1_s., MN 55403 Phone # 332-3944 ed MEMO TO: JAY BERTHE - POLICE DEPT. CRAIG KNUbSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STORM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: JAW. 19 ~ 1988 The preliminary construction A plans for DAKOTA HILLS MIDDLE SCHOOL FA6AA1 1116y SCHOOL- are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve within five (5) days will be considered your approval. If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problemis. Thank you. /is G NY: • ed MEMO TO: JAY BERTHE - POLICE DEPT. CRAIG KNUbSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STURM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: JAN• 19~ 1988 The preliminary construction plans for DAKOTA HILLS MIDDLE SCHOOL FAGAN H/Gy ScHOOL- T are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve within five (5) days will be considered your approval. If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problems. Thank you. /JS . ~ , R I'd j - "S MEMO TO: JAY BERTHE - POLICE DEPT. CRAIG KNUbSEN, ENGINEERING TECH. TOM COLBERT, DIRECTOR OF PUBLIC WORKS JIM STORM, PLANNING DEPT. JON HOHENSTEIN, ADMINISTRATION BILL AKINS, ELECTRICAL INSPECTOR JOE CONNOLLY, WATER DEPT. FROM: DOUG REID, DEPARTMENT OF PROTECTIVE INSPECTIONS DATE: JAN• 19~ 1988 The preliminary construction _ A plans for DAK01,4 HILLS MIDDLE SCHOOLS FAGAN k/-6-Y- SCHOOL- .are in our plan review section for your review and comments. Please return this form to Steve Hanson with your initialed comments and the date of review. Failure to return form to Steve within five (5) days will be considered your approval. If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problesrs. Thank you. /is R6C0 F H McMENOMY & SEVERSON A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW EDWARD B. MCMENOMY REID J. HANSEN LARRY S. SEVERSON* REPLY TO: MICHAEL E. MOLENDA 7300 WEST BOX 24STREET JAMES F. SHELDON P.O. BOX 24329 JAMES C. LOFSTROM MICHAEL V. SOVIS APPLE VALLEY, MINNESOTA 55124 DENISE L. REUTER JOHN E. VUKELICH (612) 432-3136 KEVIN P. CARROLL TERENCE P. DURKIN ❑ REPLY TO: KEVIN W. DALY BERNIE M. DUSICH 14450 SOUTH ROBERT TRAIL MICHAEL J. LUIKENS MICHAEL G. DOUGHERTY P.O. BOX E CHARLES L. FRIEDMAN *ALSO LICENSED IN IOWA ROSEMOUNT, MINNESOTA 55068 PAUL J. STIER **ALSO LICENSED IN WISCONSIN (612) 423-1155 OF COUNSEL: LEONARD F. BIERNAT February 5, 1988 City of Eagan 3830 Pilot Knob Road P.O. Box 21199 Eagan, Minnesota 55121 Attn: Mr. Doug Reid Re: The Eagan High School Plat - Footing and Foundation Building Permit Our File #11G-03375 Dear Mr. Reid: Enclosed please find the Building Permit Application for the footings and foundation. As we had discussed, I am leaving the valuation portion open until such time as the bid has been awarded and the dollar amount for the work is known. We are asking that you process the permit with the understanding that prior to the permit actually being pulled, the School District will furnish you with the appropriate fee based upon the known valuation. It is my understanding upon having talked with Mr. Hohenstein that the variance for the footing and foundation permit has already been granted by previous action of the City Counsel. Would you please confirm that with Mr. Hohenstein and if there are any miscommunications or problems involved, please be in contact with me. Thank you for your consideration and if you have any questions, please call. Sincerely, McMENOMY & EVERSON, P. . ti M'chael G. Dough MGD/vmg Enclosures cc: Tom Wilson Ted Rozeboom CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 (f J DATE - Z 19 RECEIVED FROM AMOUNT"--C & DOLLARS CASH -1- b2HECKS '00 FOR FUND OBJECT AMOUNT Thank You By C 2683 White-Payers Copy Yellow-Posting Copy Pink-File Copy 4 7 7 APPLICATION FOR PERMIT NOTE: *PAYME3Tf OF FEE AT TIME OF * APPLICATION DOES NOT CON- * STITME APPROM OF PERMIT. , * INSPECTION OF SENER AND/OR WATER SEWER AND/OR WATER CONNECTION << * INSTALLATIONS WILL NOT BE SCIDUIM *k fit; * UNTIL PERMIT HAS BEEN APPROVED. c1ty ®E eagan (PLEASE PRINT 1) PROPERTY ADDRESS : LEGAL DESCRIPTION:. z.C Lot Block S vision o Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE , R-1 SINGLE FAMILY Q INDUSTRIAL E] R-2 DUPLEX (Two Units) INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) : 0ft' - ZHU NAME: A PL P-,'% ADDRESS : va 3 o o T r_'j' 7 q L c. CITY, STATE, ZIP: u .41-V PHONE: / For City Use 3) NAME: ",4 L t n°'d3A, c _ Plumbers License : ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE : MASTER LICENSE # Cad Z.Z,qWl 8tafInitial 4).. i • 1sa .i. x:11 NAME : -JA) c~,('a , Sc- f1c S 12 'c, ADDRESS : CITY, STATE, ZIP: PHONE: 5) s ' ' ' = N'• STORM SEWER PERMIT - CONTACT ENGINEERING CM CONNECTION TO CITY SEWER ~ CONNECTION TO CITY WATER ~ TAPS * THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. * PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. FOR CITY USE ONLY s , PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ D 3-6 WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ ! ! Q $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT f $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ p2 TOTAL V 7 RECEIPT- RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : (1 0 t . December 14, 1988 HARRIS MECHANICAL CONTR 2300 TERRITORIAL RD ST PAUL, MN 55114 REs 4185 BRADDOCK TR., L1, B1, EAGAN HIGH SCHOOL ADD. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW COMMERCIAL PROJECTS ONLY XXXX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. Please come to City Hall to pay for whatever size meter you will need for this project. The size must be confirmed by either our Public Works Dept. (454-5220) or Bill Adams (Plumbing Inspector - 454-8100) before issuance. Sincerely, Jan Severson Secretary is 2007 COMMERCIAL PLUMBING PERMIT APPLICATION S~ n ~O CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 FEB 16 2007 651-675-5675 Date; M Site Address unit # g r 1 Tenant Name / Former Tenant Name U J Property 'Owner Telephone # ( ) Contractor yymR4 me,, W Address city il2aq~ State M/AI Zip Telephone # (h502~/ License # OTT) PM Expires: io2 3~ V7- The Applicant is Owner Contractor Other Work Type New Bldg _ Modify Space _ Irrigation System' - Yes _ No Work in public r-o-w / easement? ~PZ PVB: _ New V-,Repair/Rebuild Replace _ Remove Rain sensors are required on irri ation systems ~ LLt,cs~' Description of Work To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, conductivity, and bacteria tests passed prior to pickine up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes , No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% Permit Fee g Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read $ .5b State. Surcharge if permit fee is less than $1,000, surcharge is $.50 If permit fee is more than $1,000, surcharge is $.50 for each $1,000 owed. Following fees apply when installing new lawn irrigation system $ Water Permit Call the City's Engineering Department, 651-675-5646, for required fee amounts Treatment Plant $ Water Supply & Storage g State Surcharge $ r Q. no Total Fee I hereby apply for a Commercial Plumbing 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 with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit; and work is not to and a rov quir s rev e k which re PP i start ithout a p e1 7nit; that the work will be in accordance with the approved plan in the case or Applicant's P inted Name Ap is nt' S gn t re CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings. Boulevard irrigation systems may require a radio read - $153.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair remove. • Water meters include copper hom/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $136.00 4-120 1-1/2" irrigation syst $ 855.00 displacement or turbine" Public Works maximum small commercial must approve continuous meter size _ 10 2-30 3/4" lawn irrigation $174.00 4-150 2" turbine large irrigation $ 1,063.00 4 maximum displacement residential system & continuous or - production lines 15 small commercial 3-50 _ 1" displacement large residential $219.00 1/4 to 160 2" compound bldgs over $ 2,018.00 bldg to 24 units 65 units maximum small commercial & continuous & large comm bldgs 25 irrigation systems 5-100 1-1/2" 25-64 unit bldgs $532.00 maximum. displacement continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very large irrigation $1,411.00 6-500 4" compound +300 unit bldgs $3,956.00 system & production & very large lines comm. bldgs 1/2-320 3" compound +200 unit bldgs $2,577.00 10-1000 6" compound +400 unit bldgs -$6,623.00 very large very large comm bldgs comm bldgs 15-1000 4 turbine very large $2,533.00 6" turbo $4,090.00 irrigation systems & production lines - Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5200. cc: Utility Division Systems Analyst December 2006 2005 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN r - 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date Site Address Unit # Tenant Name A6,4tV /y/ 54, c)U Z Former Tenant Name Propert Owner . 51 /10 , I Telephone # ( ) yy~ D µ Contractor e ,&M r Address /7)Q A L l k Aaj3t 4L.. &d city 19A 6 41V. State M N. Zip Telephone # (bt)) 4&a-°/,!5r(0 S License # Expires: y 906 The Applicant is Owner Contractor Other Work Type New Bldg _ Modify Tenant Space _ RPZ PVB _ New _ Repair/Rebuild _ Replace _ Irrigation system Work within public right of-way/easement _ Yes, No Rain sensors are required on irrigation systems Description of Work P/- ' I I & - :51"Ok m To inquire if Pressure Reducing Valyt is required on new service, cal 651-67 -5 6 e f C Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed vrrior to uickine un meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 33/4" displacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? - Yes ` No Flushometers _ Yes - No PRV Required _ Yes ' No Permit Fee $50.50 minimum (includes State Surcharge) 2 Contract Value $ 30z) 1 000 x 1% _ $ t) ~0 Permit Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee T - Following fees apply only when installing new irrigations stem Water Permit - Call Jerry Wobschall at 651-675-5024 for required fee amounts i (7 (fin Treatment Plant AN z ! Water Supply & Storage $ L./ State Surcharge 'VQ- $ 6 l 6-25 Total Fee I hereby apply for a Commercial Plumbing Permit and acknowledge that the information ' mplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing a 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 b n a rdance with the approved plan in the case of work which requires a review and approval of plans. GARY Applicant' rinted Name h a CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test Rough In Final PLANS SUBMITTED APPROVED BY: BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for the following RPZ's: new, rebuild, repair , remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOURUNG 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP L GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 displacement sm commercial turbine" Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum set commercial & continuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $429.00 maximum displacement & continuous most comet bldgs IL 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very lg irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ff 3830 PILOT KNOB ROAD, EAGAN MN 55122 h 651-675-5675 " Date Y Site Address Unit # Tenant Name C s3~ s2 CL' V+ \1 S JK_004 rmer Tenant Name Ile% Property Owner S ~ //10 Telephone # (GSl ) U 3- 770 Contractor ZC'' FyWL~IJi t ~~CcV AN Address 170r Aej(QA6AtL City I&Cah. State N Zip S Telephone # (~js() y f f J`r The Applicant is Owner Contractor Other Work Type _ New Bldg Add-on _ Repair _ RPZ _ PVB _ Irrigation system * Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless smaller size permitted by Public Works Description of Work P1 lj, {11 K 6 V~ G, O i To inquire if Pressure Reducing Valve is required on new service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $155.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes No Flushometers - Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ ~ x 1% $ A Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 $ State Surcharge If base fee is over $1,000, surcharge is $SO per $1,000 of the Base Fee Following fees apply only when installing new irrigation system $ Water Permit Contact Jerry Wobschall at 651-675-5024 for required D 0 M 0 T M Treatment Plant ( AUG 3 1 2004 Water Supply & Storage L~J --SO State Surcharge ' Total Fee I hereby apply for a Commercial Plumbing 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 with the Plumbing Codes; that I understand /6)i is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will b in accordance with e p ed plan in the case of work hich requires a review and approval of plans. e "y%Zal Appli ant's Printed Name A p ican Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. Air Test Gas Test , Rough In Final PLANS SUBMITTED APPROVED BY: f-o ! , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 518" residential $121.00 4-120 1-1/2" irrigation syst $ 788.00 displacement sm commercial turbine** must receive maximum continuous approval 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine lg irrigation syst $ 992.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs alines 1/2-320 3" compound +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00 very lo comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig irrigation $2,384.00 svst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician Updated 8/03 CITY USE ONLY PERMIT ! `"T t RECEIPT DATE: C~ 5008 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF loll GAN 3630 PILOT KNOB RD KAGAR, MN 5513E 651-661-4675 INCOMPLETE AFPLI ATIONS WILL NOT BC PROCESSED Date: WORK TYPE _ New Bldg _ Add-on _ Repair RPZ _ PVB Irrigation system * Jerry Wobschall to calculate fees. Required meter size is 2" turbo unless mailer size permitted by Public Works DESCRIPTION OF WORK jo!~&jt To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to picking up meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" displacement $152.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS Y~s No PRV REQUIRED _ Yes No Site Address: (a~~1 ~i T12 Tenant Name: Telephone K2I' &03-051 (Area Code) Was there a previous tenant in this space? _ Y N. If Yes, Name: f,, I Installer Name: elepho ie IY S1_ 2 ~/~SCJ (Area Code) Installer Address: City: State: Zip Code oC FEES Contract price $ x l% ($50.00 min) Plbg Permit $ Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ t 50 cents per $1,000 contract fee. Sub Total/Total $ - - - - - - - - - - Supplementary fees for new irrigation system: Water Permit $ 50.00 Cont 681-4624 regarding fees Treatment Plant $ 540.00 D Water Supply & Storage $ APR 0 1 2002 State Surcharge $ Total $ I h a ave read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's. responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance ti 'ties to the acilities constructed under this permit within City property/right-of-way/easement. SIGNATURE OF PERMITTEE II IRRIGATION SYSTEM (CONT) CITY USE ONLY REQUIRED INSPECTIONS: - U.G. Air Test Gas Test _ Rough In Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR GENERAL INFORMATION • Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00 (Acct Code # 9220-4509) • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $118.00 4-120 1-1/2" irrigation syst $ 745.00 sm commercial turbine** **must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn irrigation $152.00 4-160 2" turbine Ig irrigation syst $ 923.00 maximum residential & continuous sm commercial production lines 15 3-50 1 "displacement very Ig res $199.00 1/4 to 160 2" compound bldgs over $ 1,798.00 bldg to 24 units 65 units maximum sm commercial & continuous & Ig comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $439.00 maximum displacement & continuous most comm bldgs 50 METERS REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,214.00 6-500 4" compound +300 unit bldgs & $3,562.00 & production lines very Ig comm bldgs 1/2-320 3" compound +200 unit bldgs $2,264.00 10-1000 6" compound +400 unit bldgs $5,900.00 very Ig comm bldgs very Ig comm bldgs 15-1000 4" turbine very lg irrigation syst $2,184.00 & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water turn-on, call 651-681-4300. cc: Kris Forster, Maintenance Division Clerical Technician Updated 10/01 1 CITY USE ONLY I; ~ 1~ B ~ PERMIT SUBD. ~ 00 ISSUED: / O~ 30- OCR ~HIq CHG 2M iPLU1MNS PERMT (COMMERC LAW C17Y OF i3i GAN 8$SO PUM KNOB RD KA GAK XN " 1 i1;8 651.661-4675 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date: CD I ZQ_ / Ltl~u WORK TYPE _ New Bldg Add-on _ Repair RPZ PUB _ Irrigation system • Must complete reverse side of application also. Required meter size s 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK. To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nicking un meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size & Type Avg GPM Does this include high demand devices? Yes _ No FLUSHOMETERS -Yes -No PRV REQUIRED Yes _ No Site Address: q 1rgAdoCjL T12 Tenant Name: f q 2-n 4S Telephone (Area Was there a previous tenant in this space? _ Y N. If Yes, Name t ) Installer Name: Q ~e~/(11 y1 Telephone ~2 " /(Os- (Area Code) Installer Address: City: O /1 State: Zip Code ~C2 Z o~ FEES Contract price $ x 1% ($30.00 minimum) Contract Fee $ Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge : $ 50 cents per $1,000 contract fee. Total From Reverse New Service $ 1 Total $ -1 1 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under th' ermit within City property/right-of-way/easement. -17 X SI NA URE,OF PERMITTEE CITY USE ONLY ~ REQUIRED INSPECTIONS: U.G. Air Test Gas Test Rou In I OCT 2 6 2000 APPROVED BY: lM~-► BUILDING INSPECT6R 7. IRRIGATION SYSTEM (CONT) Service: existing (if coming off domestic line) OR ` new If "new service", contact Jerry Wobschall,' Finance Consultant, to confirm adding fees for? Water Permit & Surcharge - $ 50.50 $ Water Supply & Storage - $ 840.00 $ Water Treatment Plant Charge - $ 492.00 $ Fees to be added to front side of application $ GENERAL INFORMATION Water meters (includes copperhorn/strainer, remote wire, and touch-pad meter) GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $114.00 1-1/2" irrigation system $ 726.00 turbine** **must receive j approval from Public Works 2-30 3/4" displacement lawn irrigation $148.00 4-160 2" turbine Ig irrigation $ 897.00 residential system & production lines 3-50 1" displacement very Ig res, $193.00 1/4 to 160 2" compound bldgs'over 65 $ 1,761.00 bldg to 24 units units & sin commciial & - Ig comm bldgs irrigation systems 1-1/2" 5-100 bldSs 25-64 units & $426.00 displacement most comm bldgs METERS REQUIRING 30-D ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation syst $1,180.00 6-500 4" compound +200 unit bldgs & $3,459.00 &production lines very Ig`comm bldgs 1/2- 3 compound 200 unit bldgs $2,222.00 10-1000 6 compound ..200 unit bldgs $5,797.00 320 very Ig comm. bldgs very Ig comm bldgs 15- 4" turbine very 1g irrigation syst $2,130.00 1000 & production lines Radio Read $159.00 (required on all aew buildings & boulevard irrigation systems) Comments • To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • To arrange for water turn-on, call 651-681-4300. cc: Kris Forster, Maintenance Division Clerical Technician CITY USE ONLY y n • L , B PERMIT l ~ -1,0 SUBD. o. j. V1 ISSUED: 10- 3~o- GD CHO (COI M$IiClilkL) 5000 PLUMING PEFJW CITYOF1 AG" 31830 PH= KNW RD Et4GM, HN W 185 atS~-e81~e~tlS INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Date:- WORK TYPE _ New Bldg _ Add-on _ Repair RPZ PVB * Irrigation system * Must complete reverse side of application also. Required meter size is 2" turbo unless smaller size permitted by Public Works DESCRIPTION OF WORK To inquire if Pressure Reducing Valve is required on new service, call 651-681-4646 METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to Wckina up meter Irrigation Size & Type Avg GPM Fire Size & Type Avg GPM Domestic Size & Type Avg GPM Does this include high demand devices? Yes _ No FLUSHOMETERS -Yes No PRV REQUIRED _ Yes No Site Address; ~ jg & ock T~ Tenant Name: Ea C021 Telephone (A Code) Was there a previous tenant in this space? - Y N. If Yes, Name: Installer Name: We z _d eC~I O,n r CQ.I Telephone (Area Code) Installe~~r++Address: PP 2A City: Ill a State: Zip Code FEES Contract price $ x 1% ($30.00 minimum) Contract Fee $ Meter(s) $ Required on all new buildings & boulevard irrigation systems Radio Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $ 50 cents per $1,000 contract fee. Total From Reverse New Service $ Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that-the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under permit within City property/right-of-way/easement. - SIG ATURE OF PERMITTEE CITY USE ONLY QED REQUIRED INSPECTIONS: U.G. Air Test Gas Test _ Rough Ix ' (j 2®®® APPROVED BY: ~L1 , BUILDING INSPECTOR B ; IRRIGATION SYSTEM (CONT) Service: - existing, (if coming off domestic line) OR new If "new service", contact Jerry Wobschall, Finance Consultant, to confirm adding fees for: Water Permit & Surcharge $ 50.50 $ Water Supply & Storage $ 840.00 $ Water Treatment Plant Charge - $ 492.00 $ Fees to be added to front side of application GENERAL INFORMATION Water meters (includes copperhorn/strainer, remote wire, and touch-pad meter) GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" displacement residential $114.00 1-1/2" irrigation system $ 726.00 L turbine" "must receive approval from Public Works 2-30 3/4" displacement dawn irrigation $148.00 4-160 :2" turbine lg irrigation $ 897.00 residentialsystem & production lines 3-50 1" displacement very lgres, $193.00 1/4 to 160 2" compound bldgs over 65 $ 1,761.00 bldg to 24 units units & sm commciial & - lg comm bldgs irrigation systems L 5-100 1-1/2" bldgs25-64 units & $426.00 displacement most Comm bldgs i METERS REQUIRING 30-D" ADVANCE NOTICE PRIOR TO _PICK UP I GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation syst $1,180.00 6-500 4" compound +200 unit bldgs & $3,459.00 I & production lines verylg Comm bldgs 1/2- 3" compound +200 unit bldgs ` $2,222.00 10-1000 6" compound +200 unit bldgs $5,797.00 320 very lg comm bldgs very lg;comm bldgs 15- 4" turbine very lgirrigation syst $2,130.00 1000 & production lines i Radio Read $159.00 (required on all new buildings & boulevard irrigation systems) Comments To schedule inspection of the inside water line and backflow preventer, call 651-681-4675. • ° To arrange for water turn-on, call 651-6814300. cc: Kris Forster, Maintenance Division Clerical Technician OFFICE USE ONLY L L / RECEIPT SUBD. 119 ~V'U~ DATE 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) `681-4675 Please complete for. ► all commerciallindustriai buildings. ► mufti-family buildings when separate permits are gQt required for each dwelling unit. DATE: 10-2-96 CONTRACT PRICE: $4,500.00 WORK! 'r~PF-. !,3=-w covSTRUCTION X /ADD ON Rl`R)I lR DESCRIPTION OF WORK: IS WATER METER REQUIRED? YES x NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS' TO BE INSTALLED? X YES _NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES x NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whicheNvr Is greater. State surcharge of $.50 per $1,000 of ReLmd fee due on all permits. CONTRACT PRICE x 1% 45.00 STATE SURCHARGE .50 TOTAL 45.50 SITE ADDRESS: AQAN.I1 TENANT NAME STE. OWNER NAME I .,iS D #196 INSTALLER: MIDWAY MECHANICAL INC ADDRESS: 593 NORTH FAIRVIEW AVENUE CITY: ST PAUL STATE: NN ZIP: 5510 ij~✓✓%~ PHONE 642-9768 SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: f6 9 - INSPECTOR: CITY USE ONLY L BL RECEIPT SUED. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings townhomes and condos when permits are required for each unit FIXTURES EACH TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tub/Spa 3.00 :c - Water Heater 3.00 x _ Floor Drain 3.00 x Gas Piping Outlet" minimum - t 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal Dakota cty. license 65.00 (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE ( } SIGNATURE OF PERMITTEE OFFICE USE ONLY L BL RECEIPT #:7LG3 SUED. DATE- !o„a3~1 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 66122 (612) 681-4675 Please complete for: ► all commercialfiindustrial buildings multi-family buildings when separate permits are BM required for each dwelling unit. DATE: 0/e' CONTRACT PRICE: ~z' 00 WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: ~.LsyS t6.1. G~9A'f-<Lr~ C~ tr[ d ~ 1o iLk&y IS WATER METER REQUIRED? _ YES <~-NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULTIN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES ,,I-NO. it SU, YUU MUS l APPLY FOR A SEPARATE U.U. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per' $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: All i'~ J~ f~~ TENANT NAME:/`~i",,A, STE. # ✓(/tN` lPmo';O'2/ OWNER NAME: INSTALLER: / ~ d (rJ ADDRESS: T rJ` vi 1 rI fi CITY: zS STATE: AVI ZIP: PHONE yo2 _ Gl °J SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE:" DATE: INSPECTOR: 14 CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH Nil TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x - Lavatory 3.00 x Kitchen Sink 3.00 - Laundry Tray 3.00 x Hot Tub/Spa 3.00 :c - Water Heater 3.00 x Floor Drain 3.00 a Gas Piping Outlet * minimum -1 3.00 x - Rough Openings 1.50 x - Water Softener 5.00 x - Private Disposal * Dakota Cty. license 65.00 - (new and refurbished systems) U.G. Sprinkler * home under cont. 3.00 Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME:. INSTALLER NAME: STREET ADDRESS- CITY: STATE: ZIP: PHONE ( ) L BL CITY OF EAGAN CITY USE ONLY ` PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT ,___pC SO DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 _ LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: }pQET1Jn1 4- 4wQ'j*7)Jnf ,$R, Nf(6K ,S=etA3:3 ' OWNER NAME : Se AW 6 A47, l'/ eT CONTRACT PRICE: SITE ADDRESS : d.~ 44.4 ,0D O C /C. 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: OIr~ wr*rl ola*O► AP404 A CONTRACT PRICE x 1% $ Sao ADDRESS : 4/2 IJ*f#VlA . ?l fw S~ r STATE SURCHARGE $ So CITY: ZIP: TOTAL: $dJ . PHONE I s 7o FOR : (SIGNATURE) CITY OF EAGAN CITY OF EAGAN L-4 B-J_ MECHANICAL PERMIT RECEIPT # D(4~, 441 SUBD. (612) 6814675 DATE .9--- r _ Y RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMM ARE REQUIRED FOR EACH DWELLING UNIT. OWNER FEES SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00 CONSTRUCTION ONLY) INSTALLER: HVAC: 0.100 M BTU 24.00 PHONE ADDITIONAL 50 M BTU 6.00 ADDRESS. GAS uU'i'i:cl'S - MurIvium 1 (w $s irA. CITY. ZIP SURCHARGE: $ .50 SIGNATURE: TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALJINDUSTRLAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. WORK DESCRIPTION; CONTRACT PRICE: $450,000.00 FEES Install heating, cooling and ventilation 1% OF CONTRACT FEE. systems according to the plans and $4,500.00 specifications as prepared by HGA STATE SURCHARGE IS $.50 FOR EACH En g i nee rs . $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.80 MINIMUM FEE - $25.00 WNER: Eagan Schools TOTAL: $.50a.5v SITE ADDRESS: 4185 Braddock Trail f--oQ TENANT: SUITE 0 INSTALLER: Metropolitan Mechanical Contract si ADDRESS: 7340 Washington Avenue South CITY: Eden Prairie ZIP; 55344 PHONE 612 -70 0 CITY SIGNATURE- SIGNA ~zy ff.~s~ 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION ~090 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date / - / DS- Site Address: -0".0,W ,k -r"I(_ Tenant / Building Name: CaAnJ /Gy 5c.gloo(- The Applicant is: Owner X Contractor Other PROPERTY OWNER .;!;vra vg SL Hoot ~is > `/gyp Address: l yYy - Di -,Y0,v.G 'P,4M eJ City: T State: %t/ Zip: ~ 70 CONTRACTOR 0 ,-~C,7i o MN License C3.0 7 c5' Address: 730/ s1~c~~ d Cr City: G~,vo 6Ak,--s State: 11A ~ Zip: ss-o Phone -?.rl / 8~ B ESTIMATED COMPLETION DATE: 9 / FIRE PERMIT TYPE: Sprinkler System of heads .3yy) Fire Pump - Standpipe Other: WORK TYPE: _ New Addition _ Alterations Remodel Other: DESCRIPTION OF WORK: _ Commercial _ Residential Educational Other: PQ R~ Q Please continue on reverse side By PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ ~(Q~ ~ x .Ol = $ y?&g Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ -E~- TOTAL FEE: $ 768 g` I hereby apply for a Fire Suppression System 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 with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without apermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ,50A&W '0 :B-1Ye7-;E -4,., Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS' Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: Permit Approved by:~ Date: 1 / 2004 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 , ('01::S '9 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date g / y / 0q Site Address: ql W 6nTenant / Building Name: 86k rv- The Anplicant is: Owner _ Contractor Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR 'F; -e-- ( y4g-~ S r t n K MN License No. C Address: tj y4ct- City: ~Q . State: Zip: 5'Sl0 `'1 Phone ESTIMATED COMPLETION DATE: R- / (,),S, / 01/ FIRE PERMIT TYPE: Sprinkler System of heads 10 Fire Pump _ Standpipe Other: WORK TYPE: New Addition _ Alterations Remodel Other: DESCRIPTION OF WORK: Commercial Residential Educational Other: i Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ f , x .01% _ $ s®• Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $155.00 $ TOTAL FEE: $ sO. 5-0 I hereby apply for a Fire Suppression System 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 with the Minnesota Building/Fire 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. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE REQUIREI) INSPECTIONS Hy(lrostatic - Flow Alarm Drain i est In Trip Pump Test Central Station Final Conditions of Issuance: I Permit Approved by: FIRE SUPPRESSION SYSTEMS Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used Date ~2) / ,.1 / eDl . Site Address: k4 ( " „ y- Tenant / Building Name: The Applicant is: Owner Contractor Other PROPERTY OWNER Address: City: State: V14ja I Zip: Z. 13 CONTRACTOR v-,- MN License No. C-csq Address: a \ L~ isb~ -~'~C' - V City: ice'[ L~ State: Zip: ,SL -D Phone Ala-~~L'~[ l ESTIMATED COMPLETION DATE: FIRE PERMIT TYPE: X Sprinkler System of heads t } Fire Pump Standpipe Other: WORK TYPE: New X Addition _ Alterations Re ader, } i _ Other: 13y DESCRIPTION OF WORK: Commercial Residential Educational Other: 'a 'S ,P -!SC> E- aA PLEASE COMPLETE REVERSE SIDE PERMIT FEE: Contract Value $ x .01% = $ Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ State Surcharge If Permit Fee is over $1,000, add $.50 per $1,000 Permit Fee 3/4" Displacement Fire Meter - $156.00 $ TOTAL FEE: $50.50 Minimum Fee (includes State Surcharge) $ I hereby apply for a Fire Suppression System 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 with the Minnesota Building/Fire 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. Applicant's Printed Name Applicant's Signature Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS '0~9 ' Hydrostatic Flow Alarm Drain Test Trip _i Pump Test Central Station Final Conditions of Issuance: \b~~ 1A b-,4fJ k- Permit Approved Date: / 6z, ! O~(4 /2- 50,so 2005 COMMERCIAL MECHANICAL PERMIT APPLICATIO City Of Eagan j 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings - - wi multi-family buildings when separate permits are not required for each dwelling unit ( Date 271 o5 Site Street Address 13 ,12.,,4 lI o c 2 4 i c Unit # Tenant Name (if applicable) 2,-q G -j /-I,(, y 5 c y o o ( Previous Tenant Name Property Owner S D # / 5 6 Telephone # ( ) Contractor Z i c. /2t,un'i,3 ~,J 6 H.~ ,9: 112(, / ,J C . Street Address / 7 / U 14 (_,s_ X j ,Z o A ,7 City State 1411.) Zip SS ) Z I Telephone # ( 6,,5 5 Z - 5 6 5- Bond TA 9 5 3 / Expires: 9/-7/05- The Applicant is Owner ✓ Contractor Other Work Type New Construction _ Underground Tank _ Install Remove **see below interior improvement Install Piping Processed ✓Gas Nature of Work: H YWlZ o~I C Nf A i uo i_, v 121 P i a **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ / Z S cw o . oo x 1% _ $ / 2 50 . oo Permit Fee • If gLt~rnit fee is $1,000 or less, add $.50 $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 permit fee $ 2 50. 5y Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I and stand this is not a permit, but only an application for a permit, and work is not to start without a per it; that the work ill b in cordance with the approved plan in the case of work which requires a review and approval of plans. QAJf- -5 H0 J6 ~ LL Applicant's Printed Name ApphcariFs Signature Approved By: `"J - 0 , Inspector Date: L/ 2 k ~U_S 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City ( ) State Zip Telephone # Bond 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 $ I hereby apply for a Residential Mechanical 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 with the 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. Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 1~ 1 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 12- / 2.2- / O 4 C'a9qY1 k-t ig U1 S~/1 b0 ~ Site Street Address-A- 1 $ Sa q !~W O d< T-fej C---q 9q'n M N S'S 123Unit # Tenant Name (if applicable) Cg!, w y) I-i (!iOA 541 cm ~ Previous Tenant Name Property Owner 1-t~ c~2o Q71c~pJY)F- Sc om I Dill- .4 1 q C, Telephone # 1+2--5 -7 70 0 Contractor ~-Cu-rn 4-c M e c lr> Q V6 C_a-k- Street Address _,%7-7. S U) 3__~ S l're-ot city (V ~~,J 8Y1 State (Y) t's Zip g' S' 112 Telephone # (x.57 ) C. 36- 6 S-64- Bond Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank - Install -Remove **see below Interior Improvement - Install Piping -Processed _Gas Nature of Work: Hal Pr C- Wbyl< PEP- PL_A-f,3S Z SPC-C 1 Ft C A-n pm S **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ k q 1.2 7• DOj x 1% _ $ 1,9 12- S7)1- Permit Fee • If permit fee is $1,000 or less, add $.50 $ t5 C) j State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 ermit fee $ 1 tq I Total Fee I hereby apply for a Commercial Mechanical 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 with the 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 Lo::~ AoJ o k Applicant's Printed Name Appli ignature Approved By: " S 5 , Inspector Date: 12-12-2404 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond 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 $ I hereby apply for a Residential Mechanical 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 with the 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. Applicant's Printed Name Applicant's Signature a-00 COMMERCIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 C) ; v i. ~-5~ Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit - Date 2- / 2 l 03 Site Street Address 4 a S 'yFf~ D b 0 Cry. :k Unit # Tenant Name (if applicable) C,eAn/ Z'~ S, DA 1-r„ o Tq f% S Previous Tenant Name Property Owner FA (nAA 1 44 .5. /M XOT.4 Ms. Telephone # ( ) Contractor ~fNEi2~t k16-66 I- Mere Street Address 23 30 Loy151itN1'k Ar,E, AJ, City W LS . State MN Zip ~S 2 7 Telephone # ( 76 ?j ) gw( -.8 ~ - Bond Expires: The Applicant is Owner Contractor Other Work Type New construction -Install -Remove Underground Tank Interior improvement Schedule inspection during installation or removal of tank _ Processed Piping Nature of Work: KfPl-Ac._ (4) (0ji-S ~ ~ahi FY 0U TSI bf A ffZ OqA,,,gcA S Permit Fee $50.50 Minimum Fee (includes State Surcharge) Contract Value $_50 , DO O x 1% _ $ 500 Permit Fee • If permit fee is $1,000 or less, add $.50 $ '50 State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee D p $ co, r. Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is co lete and accurate; that the ~ork will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanic des; that s is not a permit, but only an application for a permit, and work is not to start without a permit; that the wi a in accordance with tcase of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: 5 P 1 - S 0 , Inspector Date: RESIDENTIAL MECHANICAL Permit Application - City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Contractor Street Address City ( ) State Zip Telephone # Bond Expires: The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical 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 with the 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. Applicants Printed Name Applicants Signature CITY USE ONLY PERMIT V RECEIPT DATE: APPROVED BY: 6 ° -y(-INSPECTOR 2008 COMI UMCIA L, MECELAMCAL P£riUIT APPLICATION CITY OF EACI N 3$30 PILOT KNOB KD EMM, MN 55128 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required' for each dwelling unit DATE: 16 Q Z SITE ADDRESS: A(~&-A p D C) C (C 2 OWNER NAME L=r%G, A N K ; S. PHONE TENANT NAME (EWPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: C'IG'N E.Q4 L- S t4F -T N& T R STREET ADDRESS: _ 2 7>'3o h.,o u t S P A N A Iy CITY: PLS. STATE: AJ ZIP: SS `f 2.'7 TELEPHONE (-7(,_;) 6q q -,S-7q 7 WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: I nl5- mL - FAr j 5 &O UV aes 1,64 Q W& When installing/removing underground tank, call 651-681-4675 for inspection by- and Plumbing inspector. " ~n Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee r of ~41L~ Contract price: $ 5000 x 1%0 = $ 50 (Base Fee) State surcharge .5o calculate at $.50 for each $1,000 Base Fee TOTAL 5O4in SIGN OF RMITTEE_.,./ Updated 1/02 CITY USE ONLY PERMIT RECEIPT DATE: 2002 RSIDMIAL IMC "CA PFJ= APPLICATION CITYOF iPAGM 38M PUM KNOB 6D KAGM RN 55122 651-6$1-4675 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 existing dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surcharge $ .50 Total SIGNATURE OF PERMITTEE 1/02 J~ L BL CITY USE ONLY RECEIPT b (J CIS SUED. RECEIPT DATE: a.S APPROVED BY: INSPECTOR MECHANICAL PERMIT#: t 1999 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3630 PILOT KNOB RD EAGAN, MN 55122 (651) 661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: /'0 ^ as 9 9 CONTRACT PRICE: IO~ 000+ WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT ' DESCRIPTION OF WORK: wit<> fi7a~ ,2 7zv4 FEES: I% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE ®0 0~_ STATE SURCHARGE ($.50 per $1,000 of Qermit fee due on all permits.) c> TOTAL - vda 99- ~3 / SITE ADDRESS: /72~/L OWNER NAME: ~~Ati Gy ~~yc~ PHONE SI - 6S~ - 6 9G (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): T~~L~7i✓ INSTALLER: ADDRESS: 7-?VO PHONE (AREA CODE) CITY: ~ ti /~oz,97/zf,~ STATE: ^1N ZIP: 3,, S'y ee SIGNATURE OF PERMITTEE CITY USE ONLY LOT BL RECEIPT SUBD. RECEIPT DATE MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESIDENTIAL) CITY OF E.AGAN 3630 PILOT KNOB RD I AGAN MN 55128 n (651) 661-4675 Date: s Complete this section only if you are installing 1 VAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New V Alteration Repair s Other Reminder: Call 681-4675 for inspections. Furnace Air conditioning Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) INSTALLER NAME: PHONE - (AREA CODE) STREET ADDRESS: CITY: STATE: ZIP: SIGNATURE OF PERMITTEE I CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O _ OHAi+<II'E DATE : 7.2 RV RSDETIr PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ SITE ADDRESS: STATE SURCHARGE: .50 LOT: BLOCK SUBD. TOTAL: $ INSTALLER: ADDRESS: SIGNATURE OF PERMITTEE CITY: ZIP: PHONE QSMERCZWINDUS A PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: I'73U. 00 FEES OWNER NAME : E a q an H l qh 6ch ©o l 1% OF CONTRACT FEE. STATE SURCHARGE s $.50 FOR SITE ADDRESS: &actbc.k_ _(_a t_. I Cagat) EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT : BLOCK` SUBD. $25.00 MINIMUM FEE. INSTALLER: ~i -l d'LP~ = CONTRACT PRICE x 1% $ ADDRESS: 520 STATE SURCHARGE CITY: ZIP: 63_11q TOTAL: PHONE 13 L~L 1 (►~~!`2 C ce( U (SIGNATURE) FOR: / ' CITY OF EAGAN f 7(tl(ll god? FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: ' l /S / C~)_7 Time of Display: yo , ate Display Address: $Z7Z 3 Applicant (sponsoring organization): Gy 64-J 61160` .S~C Address: Gyof city: State: Zip: S_-~_7Q Telephone GS -J3 Authorized Agent: kcs Aql~~(Nl cS Address: 7f S S City: State: Zip: O Telephone Supervising Operator: T)'*V ~ Z Certificate No. ~0% Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: -u~ Type of Fireworks/Pyrotechnic Special Effects to be Discharged: 6,tX 3S L3), F-t~JSs/~~7i Ci~ Quantity: Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I,~~✓ i} , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. Date: -1 Applicant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Q~ Date: 1 Fire Chief / Fire Marshal 2006 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS f1 PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardant NFPA 1126: 4-3.2 e /0//' 'Ole 5--1'%-7, "181 "f-Z, ~ l1~ Date of Display: Time of Display: / C y Display Address: { S~,2J4 (rJi~i C Applicant (sponsoring organization): L rJ AM/ ~eefovL Address: L. ~S1-G~3 City: i=e&41-- State: Zip: 3 Telephone Authorized Agent: Address: Z i T95- ?,rnC 4!~ S4 City: XCIZ/ ~(~/r✓c-~ State: Zip: 5'60, I Telephone sJ'(7 -&7-5 `3 11-7 Supervising Operator: `/cal / f z L", Certificate No. t? 01 S~ Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: 6F0~5 C 7;~-" Type of Fireworks/Pyrotec is Special Effects to be Discharged: G` 71<:,0/1 S/114/L ~Ni>'t t Quantity: ea S a. ✓ Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, -J d k,.. /CA72t.9~i ' understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are arge tl t D Ll~~ will not endanger persons or property or constitute a nuisance. V" If Date: O C T 1 7 7006 pA icant /Agent ~~tt Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Date: 3 ® 6 Fire Chief / Fire Marsh 4l • 2006 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. NFPA 1126: 4-3.2 Date of Display: / / Time of Display: -7 , ,20 Display Address: ` ' _q E Applicant (sponsoring organization): J (j Address: City: State: r r irv Zip: C~=L Telephone Authorized Agent: Q,(1 AA Address: J C> 1 C~ V City: ~ State: Zip: Telephone l L Supervising Operator: _ kl- ry,. a,4`TZC-/,q- Certificate No. 3 or6 Map er & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: Type of Fireworks/Pyrotechnic Special Effects to be Discharged: Quantity: Permit Fe $10cludes state surcharge) watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, _ JG 1 ~t r understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or prope or titute a nuisance. Date: A icant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Date: Fire Chief / Fire Mar al t ~,ToLV p~(PC) 6(1 T 47- d/PAK-. T lj t f e ` ` f~~• 31, 30 71- ? 2006 Application For Fireworks Sales And Storage f City Of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Return pages 1-3 only j Applicant requirements 1. This application must be completed and returned at least 30 days prior to sales and/or storage of fireworks. 2. A letter from the property owner granting permission to the applicant to sell and/or store fireworks on the property shall accompany the application. 3. A floor plan designating the area where the fireworks will be sold and/or stored shall accompany the application. 4. A list of the fireworks that will be sold and/or stored along with the name, weight, quantity, and material safety data sheets (MSDS) shall be included. 5. A copy of the certificate of insurance coverage as per City of Eagan City Ordinance No. 387, Chapter 6, Section 6.53 Fireworks is required. 6. Fee upon application for retail sellers selling exclusively consumer fireworks-$350; all other retail sellers-$100 per vendor annually payable to the City of Eagan. Sign permit for outdoor sales - $25.00 7. The Fire Marshal or his/her designee will inspect the proposed location for selling and/or storing fireworks to determine if it is a suitable location. 8 A criminal record check will be done on all applicants. 9. A copy of the City of Eagan license (permit) shall be displayed by the register. Date: 104 Business Name: ?r) / t ~,+{aOL Telephone#: ((;-f/ Display Address: ya-!!~' /~Q'JOGt~L ---------------------------------I---------------------------------------------------------------------------------------------------------------------- Applicant Name: ~ah`~✓ / ~zc--Ar< S s~~7'-(rCc~7+'firJ~Cs Street Address: Z 5-- 'F6 Sr City: zfcalr LAG State: _1,Ai✓ Zip:d 1 I Telephone (S fj 73 r 3(/ 3 Retail seller selling exclusively consumer fireworks: -Yes No Indoor Sales Outdoor Sales Dates: to to to Please check the selections that apply to this permit Outdoor Sales $350.50 All other retail sellers $100.50 (includes: $280.00 Fireworks Permit; $69.00 Tent Permit; $1.50 State Surcharge) Sign Permit $ 25.50 JUL Temporary outdoor event means an exhibition or sale with a duration of 10 or less continuous days which does not oc0 cur mn once every 30 days and more than three times per year or a combination of 20 days total in a calendar year. (See Outdoor Sales of Fireworks). Fireworks are regulated by MN Statutes 624.20-624.25. In addition to these state laws, all displays, sales, storage and use of fireworks shall comply with City of Eagan Ordinance No. 387, Section 6.53 Fireworks and NFPA 1124 Standards. I understand and agree to comply with all the provisions of this application and the requi ements of the i suing authority. licant S g tur J ("01 /&0, 5D 1006 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. Date of Display: / 3v# / OG Time of Display: S `off (5;-.?C) Idw+ Display Address: / SG dL K f~ s ~VA4')bCtC -(P t-A~G4,,,I 51 Z3 Applicant (sponsoring organization): ~i7fC41-) j6(f 5'C (farr C, Address: Lit S y"f'00 GGC City: C4~A State: G"I--~ ~t L'-3 Telephone 657 693 '6 9 Y6 Authorized Agent: ~~C~ ~CC~ f Z/- ~`//1U(C{,J r C S Address: -Y`j City: ~E&Lt~ &t.AC State:,4A,-) Zip: 55'41 Telephone 0( 73 Supervising Operator: Certificate No. G 74 Z_~~G c~Ns~T~ Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: Type of Fireworks/Pyrotechnic Special Effects to be Discharged: 7,~)a w2 - e,,;~ " /K x 6 cocty Quantity: 72,)xC, Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of gMilc=dperator c fled by the State Fire Marshal. SAY 8 INS I, /O a J ~t A,~=d` , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. Date: 6 App cant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if anZ: 4 ~a K-( ~ Date: Fire Chief / Fire Mar ha FROM :RES FAX NO. :9528732859 May. 25 2006 12:22PM P2 TMwD ACORD,w CERTIFICATE OF LIABILITY INSURANCE 5/25/2006 ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Britton-Gallagher and Assoeiatee, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6240 SOM Center. Rd. HOLDER. TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cleveland OH 44139 INSURERS AFFORDING COVERAGE NAIC # INSURED _ INSURERA: Lexington Insurance Co _ RES Spectalty Pyrotechnics Inc INSURFRa: Granite State Insurance Co. 21595 286th Street INSURERC: Arch Specialty Ins Company _ Belle Plaine MN 56011 INSURERD: MN WC Assigned Risk Plan INSURER E: COVERAGES THE POLICIES 06 INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PHRIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY BER'2AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE'I'N IS SUBJECT TO ALL TyN TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LsMxTS SHOWN MAY HAVE BBSK. REDUCED BY PAID CLAIMS, [NOR D' POLICY NUMBER POLICYEFFE E PO EXPIRATION UNITS _ jj& I= A GENERAL LIABILITY 6990042 5/1/2006 5/1/2007 EACH OCCURRENCE 61,000,000 X COMMERCIAI. GENERAL LIABILITY PREM1 F T (Re'NT= 6 5 0 000 CLAIMS MADE I X I OCCUR MED EXP (Anyate on) S PERSCN_AL.AAOVINJURY S 1,000,000 GENERAL AGGREGATE $2,000,000 OEN'L AGGREGATE LIMIT APPLIES PER: PROD 11CT8 -COMPIOP AGG 01000,000 POLICY X P LOC B AUTOMOBILE LIABILITY CA9 3 8 4 8 314 5/1/2006 5/1/2007 COMWINE0 SINGLE LIMIT $1,000,000 X ANY AUTO (ft aaaldanl) ALL OWNED AUTOS BODILY INJURY 6 _ SCHEDULEDAUTOS (Parperr+:n)' X HIREDAU os BODILYINJUNY S (Per eccltlenl) X NON-OWNEDAUTOS FHOKRTY DAMAGE (Par acawant) GARAGE WASILM AUTO ONLY-EAAOCIDENT S ANYAUTO OTHERTHAN .A fCC $ AUTOONLY: AGG S C MWE88MMBRELLALIABILITY ULP000636500 5/1/2006 5/1/2007 EACH OCCURRENCE S 4, 000, 000 X OCCUR F7 CLAIMS MADE AGGREGATE _ S 4, 000, 000 S DEDUCTIBLE S X RETIN"ON $10,000 S D WORKEROCOMPEN"I'loNAND MNAR0000002124 11/9/2005 11/9/2006 X W TATU- OTH 0 EMPLOYERS' LIAMLITY E.L. EACH ACCIDENT $500,00 ANY PROPRIETORIPARTNERIexEwIIVE SOU, 000 OFflCERIMEMaF.RExt3LUOED? E.L.DISEABE-EA EMPLOYEE S It YeB deembe andel SPE~I Fd.,171.^+kASE - POLICY LIMIT S 5 0 0 , 0 0 0 ALPROVISIONS 6a w OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSSMENTI OPECIAL PROVISIONS Ploplay Dates: :tune 3rd, Jude 4th, 2006, Times Each Day: 2:30, 5:30, and 9:00 PIN Location of Display: Eagan High School, 4185 Braddock Trail, Eagan, MN 55122 Additional Incured: Eagan High School, ISD 196 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HIS CANCELLED BEFORE Tlix 9XPIRATION DATE THEREOF, THE ISSUI14CA INSURRR Spotlight Production Studio W114I, ENDEAVOR '1'O MAIL 30 DAYS WRITTEN NOTICE TO 'PHIS 2950 Lexington Avenuo CERTIFICATE HOIPRR NAMW.33 TO AX LEFT, BUT FAILURE TO DO 90 Ragan MN 55121 SHALL IMP08M NO OBLIGATION OR LIABILITY OF ANY KIND U11ON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORQEO REPRESENTATIVE ncnon ~c MnnwMR1 0 ACORD CORPORATION 1988 . 5 ~ ~ S ~'~oa , so 2005 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. Date of Display: (a / 13 / G ( Time of Display: Display Address: ~/7_?, Applicant (sponsoring organization): Address: 57- 7 City: E;zx a 4r-01 State: W ✓ Zip: 2.7- Telephone P Authorized Agent: S a rn c Address: City: State: Zip: Telephone Supervising Operator: r _t/cxr y Certificate No. -5-37 Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Di y: e-ro 6) Type of Fireworks/Pyrot chnic Special Effects to be Discharged: 4. 3 r' /~.oc Quantity: Permit Fee: includes $.50 state surcharge $100.50 * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, / y l r V~ - ,understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. ~ent . Discharge of listed fireworks on the date and above location is hereby approved subject to the following conditions, if any, V'~(Q 0 Q 'V, Date: Fire Chief / Fire Mar a 2005 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of dis la and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. J-LbA ► (--V% a5 • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. Date of Display: 1G~ t` 6 Time of Display: Display Address: A,-) SC 'i Gl(6I' W- Ate T Applicant (sponsoring organization): 6"ety) 6f{ 5Ct0c t, Address: q(o L ~ v City: (L-A&W State: l ,A) Zip: S 7 Z-3 Telephone 4,51-W-048 Authorized Agent: Rox 5r4.- w H Vila-, t-C U/J i t'.% Address: City: 3cC -C 19Le!h State: vhf Zip: S' p 1 Telephone ~i'So2> ?3° LIB Supervising Operator: a-t l 2C„+Z~~" Certificate No. O'No (f 51 !'~i `1 FXv r tg G-ODEIZ Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: PIGV i/f7t 'yo <1 TV G-*Cft ~.C~ S, Type of Fireworks/Pyrotechnic Special Effects to be Discharged: F,r ~~GGrzi~ S- 5en t~r~J~P~ / ~o C' Lto Permit Fee: includes $.50 state surcharge $100.50 * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal 1, ` r: E4Z'7> C ~r , understand and agree to comply with all provisions of this applica on and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. Date: Appl' ant / Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following c itions, if any: X"' Date: Fire Chief / Fire Mars -ISO- -4w 1 LJ, I 00 ctf f -=t2c~cX ~1t - A.)v ~w- "ob DO'rtLyb A~c ,•~1 r~ -0 100 F T 2005 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 da s prior to date of dis la and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. Date of Display: 0 Time of Display: < ~C'.~rn Display Address: Applicant (sponsoring organization): Address: 1~' Zip: ~SZZ Telephone City: ~Ce / 0 / State: Authorized Agent: /7~G l \ ( Address: 7 ,~f j r~1~ City: '15 !Et~~ --I State: Zip: ZZ- Telephone #:I q, Supervising Operator: Certificate No. 2 573 7 4 Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: 1441- Z ~'Zra Type of Fireworks/Pyrote hnic Special Effects to be Discharged: s C 4 ~ 7 J- Quantity: Permit Fee: includes $.50 state surcharge $100.50 * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, Iii understand and agree to comply with all provisions, of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. / Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: J Y02 1 P Date• l Ll 6 Lo Fire Chief !"Fire ars 1 4 outdoor e~ Indoorl(Prov mate FIREWORKS OPERATOR B08 CERTIFICATE Certificate No: 80537 t MIRA K LA COUS s 1567 ANTLER POINT EAGAN MN 55122 Effective Date Expiration Date 812/2004 8/2/2008 r+ outdoor e7 IndoorArro)dmate B08 FIREWORKS OPERATOR uTa* CERTIFICATE Certificate No: B0599 ROBERT B ROWE 2521 HUMBOLDT AVE S #C MINNEAPOLIS MN 55405 Effective Date Expiration Date 8/2/2004 8/212008 HOLLYWOOD "RCIMCHNICS We Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 866.797.6411 PERMIT FOR SUPERVISED DISPLA Y OF FIREWORKS 4pp4= ,roa 4a~tf 6ee`i mac& 4% acct wdA Ae"o4 Lie State 4 Mmme PeUx dioa id 4"e4 V 94a to -#aUVwowd Piyco tech to lsaae a "jj&W deJ dill f 4 /v~ at Carfaa obi94 &4ad, *f85 Bud&c4 `4ad in die ei4 of Cafc v cuA" id is &6 Coaatiy 4 $a" aad Ae State of /Ll4saedo& to ~e dluiaw on Sew 30', .2005, witti a pod&i W mckwwal weat 64 crate ha Ge dekAouw. `4e woywA4 oaga` 144oa a d4awpcr to c vdad 44e dap, 4-,# a 4d4wo d Piw is , Yow. `744 ff-und ~n dreaidd 4*4uy of Pteaoz4d id rycaa" Aa da# .2005. Signature of authorized person issuing permit Title / Organization Address Phone NOT TRANSFERABLE Present original to company. Make copies for your records and authorized person issuing permit. Mira LaCous President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 mireNhollywoodpyrotechnics.com HOLLYWOOD 651-454-7976 or 651-454-7975 fax 1-066-PYR0411(797-6411) toll-free PYROTECHNICS t N C 612-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School September 301h, 2005 Display Prepared: August, 2005 Aerial View: 1!!1 4 -e r INNS/ - 11 4"_X F+~ H ~yfa Jiy-gyp. ..Sal .a(► t ,e`f" 4 4~1 F y,... ` ryMir ► ' r5~ 4 .a. vi'. , M 4 w C Y } I~r . stance to bleachers and - p s a tai; hEast Ccr r of the a~ttii t; e ; t ~ 'et of safety di Audience members. Maximum size of 1.75" diameter will be used, and primarily UN0336 will be used. Some 'Proximate' Gerbs will be fired off the roof of the score board. The display is shot in many parts, opening, touchdown salutes & gerbs, and rockets in the Anthem. Half time mini-display, and a game ending display. Certificate of Insurance 108690 Issue Date: 08/2912005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Combined Specialties International, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 8362 Tamarack Village DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE Suite 119 POLICIES BELOW. Woodbury Minnesota 55125 INSURERS AFFORDING COVERAGE INSURER A: Underwriters, Lloyds of London INSURED INSURER B: Hollywood Pyrotechnics, Inc. INSURER C: 1567 Antler Point Eagan Minnesota 55122 INSURER D- COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDITIONAL CONDITIONS AND EXCLUSIONS: 1) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN "INSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2) THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSUREDS SHOOTER(S) ASSISTANT(S) OR ANY OTHER PERSON(S) INCLUDING ANY VOLUTEER(S) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED. 3)COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSUREDS FAILURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY CLAIMS MADE 1116280983/005 June 01, 2005 June 01, 2006 EACH ACCIDENT $1,000,000 MEDICAL EXP (any one $5,000 person) FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPS $1,000,000 AGG AUTOMOBILE LIABILITY ANY AUTO ANY COMBINED SINGLE LIMIT (Ea $ OWNED AUTO SCHEDULED AUTOS HIRED accident) AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per $ accident) PROPERTY DAMAGE (Per $ person) EXCESS LIABILITY FOLLOWING FORM EACH ACCIDENT $ AGGREGATE $ WORKERS COMPENSATION AND WC STATU- OTHER TORY EMPLOYERS' LIABILITY LIMITS $ E.L. EACH ACCIDENT $ E.L. DISEASE-EA $ EMPLOYER E.L. DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1)Eagan High School2)City of Eagan3)Eagan High School Booster Club are additional insured as respscts a fireworks display at Egan High School on 9-30-2005. CERTIFICATE HOLDER CANCELLATION Eagan High School SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 4185 Braddock Trail THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE Eagan MN 55123 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE t YY\-O "--kl JV-eD City Of Eagan c Application For Permit I' a- 5 Display Of Indoor Fireworks / Pyrotechnic Special Effects Instructions:' Complete this application, attach the non-refundable permit fee, proof of bond or insurance in the specified amount, a copy of the plan for the use of pyrotechnics (see page 2 for the required contents of the plan), and submit to the address below at least 15 days prior to the date of the display. If approved, a permit will be issued to the Sponsoring Organization named on the application. City of Eagan. Fire Marshal 3830 Pilot Knob Road Eagan MN 55122 Hours: 7:00 a.m. - 4:30 p.m. Monday-Friday (excluding holidays); telephone 651-675-5675 J_ V a, I Location of Display: t% / h a Date of Display: Time of Display: a.m. ~.m Manner & Place of Storage of Fireworks / Pyrotechnic Special Effects Prior to Display: Type & Number of Fireworks / Pyrotechnic Special Effects to be Discharged: 3 G / ' G t"7Ye~4:' >4' 7 Name of Sponsoring Organization: ~n l A Address of Sponsoring Organization: l r C c q SS-7 2 3 Name of Authorized Agent Sponsoring Orgaozation: Address of Agent: S e- 15-,7 / ! Yam Lci~ a vn-~ 7 fi L' c` itNV' 3737 Z Z (h) Telephone # of Agent: (w) ` C 57 Y S f 7 9 7(„ f Minnesota Statute (MS 624.20) requires` displays to be conducted 'under'the direct supervision of a fireworks operator certified by the Minnesota' State Fire Marshal Name of Supervising Operator: I~ MN Certification 0,5-37 Required Attachments: 1. $100.00 non-refundable permit fee (Cashiers or Certified Check payable to the City of Eagan). Note: Inspection Fee - The sponsoring organization will be invoiced for the actual cost, including personal and travel costs, of conducting the inspection necessary for issuance of a permit. 2. Proof of bond or insurance in the amount of $1.0 million (minimum). 3. Plan for the use of pyrotechnics (required by NFPA 1126. See page 2 for required contents). Incomplete plans will be rejected. If this application is approved and a permit issued, I understand and agree to ensure that the indoor fireUEP effects display for which this application has been filed will be conducted in full compliance with Minne, Minnesot a State Fire Code, and National Fire Protection Association Standard 1126 (1996 Edition). 4 Signature of Authorized Agent: '-T Dale ' d Pyrot ewPlen - Required Contents , Na o 1 Dire Protection Association Standard 1 126 -,Use. of Pyrotechnics Before A Proximate Audience (1996 Edition), Section 4-2, requifis that the applicant for apermit submit a ' tton plan for the use of pyrotechnics. Applications for Section 3-2 lists the contents. of the plan which are as follows: " 1. The name of the person, group, or organization sponsoring the production 2. The date and time of day of the production 3. The exact location of the production 4 The name of the person actually in charge of firing the pyrotechnics (i.e. the pyrotechnics operator'). 5. The number, and g 'nernes e as of all assistants who are to be present. ages rr 6. The qualifications of the pyrotechnic operator. 7. The pyrotechnics experience of the operator. 8. Confirmation of applicable state and federal licenses held by the operator or assistants. 9: Evidence of the pernuttee's insurance carrier or financial responsibility. - 10. The wpmbcx and t ,g of pyrotephnic devices and materials to be used, the operator's experience with those devices and effects, I is a_efinl`tiojk*df The r !{NO s o~. # s 11. A diagram of the facilities wherj production is to be held. This diagram shall show the point at which the pyrotechnic devices are to be fired,, the fallout radius for each pyrotechnic device used in the perforn>e, and the lines behind which the audience shall be restrained. t 2. The point of on-site ammbly of pyrotechnic devices. 13. The manner and place of storage of the pyrotechnic materials and devices. 14. A material safety data sheet(MSUS) for the pyrotechnic n-a s} to be used, 15. Certifications that are set, scenery, and rigging materials are inherently flarne-retardant or have been treated to achieve flarne retardancy. (NFPA 1126:4-3.2) Any addition of pyrotechnics to a performance or any significant change in the presentation of pyrotechnics shall require approval by the authority having jurisdiction. EXCEPTION: For the purpose of this standard [NFPA 1126], reducing the number or size of pyrotechnics to be used in a performance shall not be considered a significant change in the presentation (NFPA 1126: 4-2.3) After a permit has been grand, .tom permrtittee shall keep the plan available at the site [of the performance] for safety inspectors or C other authorized agents of the authority having jurisdiction. (NFPA 1126: 4-2.2) l l `~►~/~pn p DATE (l~ UMOj YVY Y) CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Britton-Gallagher and Associates, inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6240 SOM Center Rd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Cleveland On" 44139 I --~(-INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: Lexington ZnsurancQ CO J & M Displays, Inc. ,INSURER6: Granite State Insurance CO. 18069 170th Avenue INSUR IG: Arch Specialty Ins Company Yarmouth IA 52660 1 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HA'?E BEEN ISSUED TO THE INSURED NAME= ABC"E FOR THE POLICY PERIOD INCICATEC. NOTWITHSTANDING ANY REQUIREME1vT, TERM CR C IDITION OF ANY C09TRACT OR OTHER DOCUVENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE _ISSUED OR MAY PERTAIN, ,.HE INSURANCE AFFCRCEC BY THE POLICIES L-ESCR14ED HEREIN IS SUBJECT TO ALL THE TERMS, EXZLUSIONS AND CONDITIONS OF SUCH PCL=IES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID :LA.IMS. POLICY NUMBER L Y IVE Y ATK)N Lg1PTS lYY LTA NSRq 'PAW YY AT UPIDAD GENERALLIABN.ITY !9277285 2/1F/2f--04 1/11/20'25 EACRRRENCE $ 1+ Q A ~rarlrtr-~ 5 C 0~ 4 0, G x COMMERCIALGENERAL LIABILITY RREMt ' (Bao-curence) S ° $ MEDEKP(Anyaneperson) CLAIMS MADE OCCUR U ~pERSONAL $ AD'INJURY " f~ f ~ - GENERAL AGGREGATE $ 2, 00 V, 0 0 GF GEN'L AGGREGATE LIMIT APPLIES PER: ( I ! PRODUGTS • COA4PlOP AGG I $ 2 i 0 0 0, 1 j POLICY I j IRO- LOG _ --t-- AUTOMOBLE LIABILITY 3 2 2/ 1 J/ 2 0 9 1/ 15 / 2 .0 u 3 B CA~s83~1 C0M6INEDSINGLEUMIT 1, 000, CC0 I -K7 1 ' I!'aecciderni C ANYAUTO ALLOWNEDAUTOS SODILYINJURY SCHEDULEDAOTOS i (Perperacn1 I s Fi HIREDAUTOS BOWLYINJURY 4--{ $ NON•OVINED AUTOS (Per accident PROPERTY DAMAGE $ r-- j ! lPaaccident) i I GAR AGE. LIABILITY f AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGO $ R S LI ^ EXC EACHOCCURRENCE ESSr'UMBRELLA LIABILITY 9 2 U L P 19 7_ 9' 2/ 15 / 2 y _ I L I t OCCUR CLAIMS MADE AGGREGATE C 7- DEDUCTIBLE j RETENTION ~ WC STATU• O H• { I WORKERS COMPENSATION AND TOFIY IL MITE L EMPLOYERV LIABILITY ANY PROPRIETORIPARTNER)GXECUTIVE OFFICER/MEM86R EXCLUDED9 j E.L. DISEASE • EA EMPLOYEE] It yes,I de LscribePROVISIO StONSbe lew j E. L. DISEASE - POUCYLIMIT j $ SPEC A --i OTHER i ~ I ! I DESCRIPTK)N OF OPERATIONS , LOCATIONS : VEHICLES ; EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS ADD'L INSURED; THE CITY OF EAGAN, MINNESOTA, I +i EMPLOYEES, %ICLUNTEERS OFFI=SRS, ELECTED OFFICIALS, PARTNERS, SUBSIDIARIES, C*_VISIONS & AFFILIATES, E"ZNT SPCINSORS & LANDOWNERS AS THEIR .:+TEctEwT MAY APPEAR IN RELATID:I TO THIS EVEN' DISPLAY I'1ATE, OCTOBER 8, 2CC4 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERECF, THE T3SUiNG INSURER Eagan High sahaol WILL E?+?DER'/OR TO PLA-L 30 GAYS WRITTE9 NC'_ ICE TO THE 4185 51addock Tra_1 CERTIFICATE HOLDER SAM"LP TO THE LEFT, BUT FAILURE TS L-c LC Eagan MN 55123 SHALL IMPOSE NO OBLIGATION OFi LIABILITY OF ANY KYNC UPOt" THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTA'nVE ACORD 26 (2001108) CACORD CORPORATION 1988 Mira LaCous President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Paint lit Eagan, MN 55122 mira§hallywoodpyrotechnics.com HOLLYWOOD 651-454-7976 or 651-454-7975 fax 1-866-PYR0411(797-6411) toll-free PY R GT E C H N t C 5 i N C 612-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School October 8th, 2004 Display Prepared: September, 2004 Aerial View: 0 NMI go- r ~Af 7,4 , 4~ # o RPM "G ` s 'bo-rWaF 4 %"f are' ~ 9~ i ~ ~ BAs = t l 1~~ ~ .fir w~ . Olt 0% t n r1f' } A » u N* lee ~1 F R f10~ t*# N T t it *0L i 41 till s or, the North East Comer o~ of safety distance to bleachers and Audience members. Maximum size of 1.75" diameter will be used, and primarily UN0336 will be used. Some 'Proximate' Gerbs will be fired off the roof of the score board. The display is shot is many parts, opening, touchdown salutes & gerbs, and rockets in the Anthem. THE PYROTECHNICS GUILD INTERNATIONAL, INC. X. 7 Accredits < MLACous AAA = As a S 4~ Certiped Instructor i r 1 of the r _ PGII Display Fireworks Operator Certification Course L L10 28 Februaa 200 Jim! artyniak, Course rector h Steinberg, Course Director Zdrazil, Course_ a Date J Hollywood Pyrotechnics, Inc. Display Operators & Assistants Personal Information HOLLYWOOD PYROTEGMWIGlE INC Distribution Control Required Mira LaCous MN 0537 Brad Paul Addr: 1567 Antler Point Addr: 15704 Highview Drive Eagan, MN 55122 Apple Valey, MN 55124 Tel: 651-454-7976 Tel: 952-953-9028 Cell: 612-730-0380 Cell: 612-308-7643 Email: mira(a~_hollywoodpyrotechnics.com Email: DOB: 12-19-61 DOB: 01-03-64 SS: 476-74-5364 SS: 472-80-3313 DL: MN L-220-603-478-962 DL: MN P-400-098-108-010 Robert Rowe MN 0599 Terry Olstad Addr: 2521 Humboldt Ave S #C Addr: 1728 Thistle Lane Minneapolis, MN 55405 Shakopee, MN 55379 Tel: 612-377-3053 Tel: 952-445-6325 Cell: 612-770-3661 Cell: 952-215-4729 Email: _b_ert(cD-hollywoodpyrotechnics.com Email: DOB: 05-08-60 DOB: 01-08-71 SS: 396-72-2582 SS: 501-06-9032 DL: MN R-000-745-081-351 DL: MN 0-423-789-765-025 David Shapiro Grant Leifeld Addr: 5327 Colfax Ave N Addr: 20059 Lewiston Blvd Brooklyn Center, MN 55430 Hastings, MN 55033 Tel: 763-560-9071 Tel: 651-437-6975 Cell: 612-396-9994 Cell: Email: dshapiro(cD-mninter.net Email: DOB: 08-06-51 DOB: 09-25-69 SS: 472-56-4402 SS: 468-02-4307 DL: MN S-160-135-051-615 DL: MN L-143-288-429-741 Michele Kurkowski MN 0622 Wayne Watson Addr: 1207 Sterling Way Addr: 1043 1eh Ave SE Stillwater, MN 55082 Minneapolis, MN 55414 Tel: 651-351-9599 Tel: 612-378-1912 Cell: none Cell: same Email: michele(a)-hollywoodpyrotechnics.com Email: DOB: 02-12-64 DOB: 05-12-60 SS: 477-90-2986 SS: 474-84-0075 DL: MN K- DL: MN W-325-866-149-361 Hollywood Pyrotechnics, Inc. Display Operators & Assistants HOLLYWOOD Personal Information PYROTECHNICS INC Distribution Control Required Cory Bultema MN 0541 Addr: 1763 Walnut Lake Addr: Eagan, MN 55122 Tel: 651-452-3417 Tel: Cell: 651-253-8314 Cell: Email: Email: DOB: 02-20-61 DOB: SS: 501-74-0044 SS: DL: MN B-435-122-367-133 DL: Laurence Crepeau, Jr Addr: 1099 Sunrise Dr Addr: Woodbury, MN 55125 Tel: 651-739-8983 Tel: Cell: 612-238-0597 Cell: Email: eaglemountainllcaaol.com Email: DOB: 10-31-64 DOB: SS: 477-94-3621 SS: DL: MN C-610-488-734-837 DL: Addr: Addr: Tel: Tel: Cell: Cell: Email: Email: DOB: DOB: SS: SS: DL: DL: Addr: Addr: Tel: Tel: Cell: Cell: Email: Email: DOB: DOB: SS: SS: DL: DL: ~I Cep, -etterhea HOLLYWOOD YMIIlOrmeMMIc« INC Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 866.797.6411 PERMIT FOR SUPERVISED DISPLA Y OF FIREWORKS s4ptlica 0^ liaoir q Zees s>`saaQe in acc U&xe wA the laud of dse S&e of MwAedota. /"Madion a "444 9444." to dlall,cuowd pcyid"rs" to " a dcqse~ jidja" ~'neuan/z at Carte dt g i Sc4ool, X185 Bwddock %ad 4^ die cdy of Cam a id to die CWcs 4 oj -%a" and Me She of MmusWd &,(,e ds"wi on Cato " 84, 2004, udi a poddi & c>saekment a aAR4 dais % de dek4o ned 14e coorelPnt o%farja4on a"dmupd & c&vdiid dw dap a<y id .4d4poood Pgvw~ , lost. `1U4 p"md ~n "ip" ideae &*Zat id pasr" &U4 d" o~ 2004. Signature of authorized person issuing permit Title / Organization Address Phone NOT TRANSFERABLE Present original to company. Make copies for your records and authorized person issuing permit. Copy to Letterhead HOLLYWOOO RYRQTiCNNiC~ ERtiC Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 866.797.6411 PERMIT FOR SUPERVISED DISPLA Y OF FIREWORKS 4pp4ca da l a~z y lieeoi made " acc&aaww wdA the " of the 9&& of Aososedata. P"os ad oa id. 4 94aofkd to dw4ja.wd P "dec fa" to lsaue a d o jWU4"ej didl~ aj pww" at gafaa ai(4 Z Schad, 4185 &aAacla 14ad in tlse eitry oq Am s14 Ae Cry q `%a" and the 9&& of Miaaedo& to lie dAacwi ooa OdbAeA e, .2004, wdA a padliMa ioscko wat weatl" " `Ia lie dek4o uaed Ilse coo reteod &%gaaip aidA&u d to eoosc&d Ilse all 4p,&# a dEad4ta, wd Pyhatecluucd, -lost. `I4a ff4md 104 ~ Aneu~ 'A gyms" gird, 2004. Signature of authorized person issuing permit Title / Organization Address Phone NOT TRANSFERABLE Present original to company. Make copies for your records and authorized person issuing permit. Ct#-A0 v d.1 City Of Eagan - Application For Permit Display Of Indoor Fireworks / Pyrotechnic Special Effects-~ s I c) Q Instructions: Complete this application, attach the non-refundable permit fee, proof of bond or insurance in the specified amount, a copy of the plan for the use of pyrotechnics (see page 2 for the required contents of the plan), and submit to the address below at least 15 days prior to the date of the display. If approved, a permit will be issued to the Sponsoring Organization named on the application. City of Eagan Fire Marshal 3830 Pilot Knob Road Eagan MN 55122 Hours: 7:00 a.m. - 4:30 p.m. Monday-Friday (excluding holidays); telephone 651-675-5675 . Location of Display: Date of Display: ~~/s'- / ~~S TZ " ~!3? Time of Display: a.m. _ P.M. Manner & Place of Storage of Fireworks /Pyrotechnic Special Effects Prior to Display: S`6rP~wy R`~ f LCX' ~L. L~, Cc~d:G~l7~'c' ~~1 c ~~~L ~,C-~ r~ ~dd.~ Type & Number of Fireworks/ Pyrotechnic Special Effects to be Discharged: -2 !r- S~cc~zd~ 4~z /0 f 6 '~S Name of Sponsoring Organization: Efo S~w~~- L=t( ~gsc`c Address of Sponsoring Organization: Name of Authorized Agent - Sponsoring Organization: lxf.JZ2c Address of Agent: <4kh Telephone # of Agent: (w) 6 /z S"7& ^ l (h) Minnesota Statute (MS 624.20) requires displays to be conducted under the direct supervision of a fireworks operator certified by the Minnesota State Fire Marshal Name of Supervising Operator: ~DIr~,J l Z1 MN Certification Ry 13(o Required Attachments: 1. $100.00 non-refundable permit fee (Cashiers or Certified Check payable to the City of Eagan). Note: Inspection Fee - The sponsoring organization will be invoiced for the actual cost, including personal and travel costs, of conducting the inspection necessary for issuance of a permit. 2. Proof of bond or insurance in the amount of $1.0 million (minimum). - 0, tc_ Fb&V1 W VISA 6Y41 3. Plan for the use of pyrotechnics (required by NFPA 1126. See page 2 for required contents). Incomplete plans will be rejected. If this application is approved and a permit issued, I understand and agree to ensure that the indoor fireworks/pyrotechnics special effects display for which this application has been filed will be conducted in full compliance with M` Minnesota State Fire Code, and National Fire Protection Association Standard 1126 (1996 Edition). 5 JUL Zo4 Signature of Authorized A en . /e Date: C By I Pyrotechnics Plan - Required Contents National Fire Protection Association Standard 1126 - Use of Pyrotechnics Before A Proximate Audience (1996 Edition),'Section 4-2, requires that the applicant for a permit submit a written plan for the use of pyrotechnics. Applications for Section 3-2 lists the contents of the plan which are as follows: 1. The name of the person, group, or organization sponsoring the production. 2. The date and time of day of the production. 3. The exact location of the production. 4. The name of the person actually in charge of firing the pyrotechnics (i.e. the pyrotechnics operator). 5. The number, names and ages of all assistants who are to be present. 6. The qualifications of the pyrotechnic operator. 7. The pyrotechnics experience of the operator. 8. Confirmation of applicable state and federal licenses held by the operator or assistants. 9. Evidence of the permittee s insurance carrier or financial responsibility. 10. The number and types of pyrotechnic devices and materials to be used, the operator's experience with those devices and effects, and a definition of the general responsibilities of assistants 11. A diagram of the facilities where the production is to be held. This diagram shall show the point at which the pyrotechnic devices are to be fired, the fallout radius for each pyrotechnic device used in the performance, and the lines behind which the audience shall be restrained. 12. The point of on-site assembly of pyrotechnic devices. 13. The manner and place of storage of the pyrotechnic materials and devices. 14. A material safety data sheet (MSDS) for the pyrotechnic materials(s) to be used. 15. Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Any addition of pyrotechnics to a performance or any significant change in the presentation of pyrotechnics shall require approval by the authority having jurisdiction. EXCEPTION: For the purpose of this standard [NFPA 1126], reducing the number or size' of pyrotechnics to be used in a performance shall not be considered a significant change in the presentation (NFPA 1126:4-2.3) After a permit has been granted, the permittee shall keep the plan available at the site [of the performance] for safety inspectors or other authorized agents of the authority having jurisdiction. (NFPA 1126: 4-2.2) I MEM0RA 1)UN1 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #S LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 M 0 /1 0% 1 r' H g G H 5C H O O L Dr. Polly Reikowski, Principal f BRADDOCK TRAIL Phone: 651.683.6900 , MINNESOTA 55123-1575 Fax: 651.683.6910 ber 28,20 Web: http://wwweagan.kl2.mn.us Mr. Dale Schoeppner, City Building Inspector City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner, Please consider this an official request on behalf of Eagan High School. We are requesting permission to occupy our four new Science classrooms (Rooms 186, 283, 285 and 286) at this time. The plumbing and gas connections in these rooms are delayed due to needed adjustments to the lab station tabletops. Teachers using these rooms would be limited to lecture and classroom activity only. All laboratory station work would relocate back into the lab-equipped rooms in the original building. Once the labs are completed and pass final inspection, the teachers would then fully occupy and use these four classrooms and lab stations. The reason for our request is a desire to utilize the new classroom spaces with improved technology equipment now rather than wait for the lab station repairs. There would be no safety issues since gas and water would be non-operable during this time period. Please notify me of your decision as soon as possible; my direct number at Eagan High School is (651) 683-6902. Thank you for your consideration. Sincerely, i Dr. Polly R owski y EHS Principal Polly.Reikowski@districtl96.org Copy: Mr. Jim Eichman, EHS Construction Site Manager, Bossardt Construction Ms. Fran Dempster EHS Building Chief Mr. Ken Brandel, Maintenance Supervisor, ISD 196 Facilities, E H SI05 Science City Permit Itr ~a Nationally Recognized School of Excellence • Technology Exemplar Award :.SS i..& INDEPENDENT SCHOOL DISTRICT 196 -Rosemount, Apple_Valley, Eagan "Educating Students To Reach Their Full Potential" e city of eegen PATRICIAE.AWADA March 12, 2002 Mayor PAUL BAKKEN Independent School District 196 PEGGYCARLSON Mr. Brandel, Maintenance Supervisor 14445 Diamond Path W CYNDEE FIELDS Rosemount MN 55068 MEG TILLEY Council Members Re: Manual Fire Alarm Boxes Dear Mr. Brandel: THOMAS HEDGES CityAdministrator This is in response to your letter dated March 6, 2002, regarding the removable of manual fire alarm boxes at the Eagan High School and Dakota Hills Middle School. Municipal Center. The removal of the manual fire alarm boxes as addressed in your letter is 3830 Pilot Knob Road acceptable under the Uniform Fire Code, Sec. 1007.2.4.1 General, Group E Division that states, "1 and 3 occupancies having an occupant load of 50 or Eagan, MN 55122-1897 more shall be provided with an approved manual and automatic fire alarm Phone: 651.681,4600 system". Fax: 651.681.4612 EXCEPTIONS: In buildings protected throughout by an approved, supervised TDD: 651.454.8535 sprinkler system having a local fire alarm to notify all occupants, manual fire alarm boxes are only required in the main office and in a custodial area. Maintenance Facility: After reading your letter, I believe that you will meet the code requirements for 3501 Coachman Point the removal of the manual fire alarm boxes. With the addition of a manual fire Eagan, MN 55122 alarm box in the district kitchen, the school will have good coverage and should Phone: 651.681.4300 cut down on false alarms. Fax: 651.681.1360 If you have any questions regarding this information, please feel free to call me at TDD: 651.454.8535 (651) 681-4779. wwwcityofeapn.com Sincerely, wog Dale Wegleitner THELONEOAKTREE Fire Marshal The symbol of strength DW/Id and growth in our cc: Dale Schoeppner, Chief Building Official community Craig Jensen, Fire Chief j 1Department of Facilities and Grounds 9b Memorandum To: Dale Wegleitner City of Eagan Fire Chief From: Kenneth Brandel iZQ Maintenance Supervisor Date: March 6, 2002 Re: Pull Stations As per our conversation I'm requesting permission to remove manual pull stations at Eagan High School and Dakota Hills Middle School. We would remove all manual pull stations at exterior entrances and add manual pull stations in the following areas: 1. Dakota Hills Administrative Office 2. Eagan High School Administrative Office 3. District Kitchen 4. Dakota Hills Custodial Office 5. Eagan High Custodial Office I would appreciate your authorization on this project. Educating our students to reach their full potential 40kcit%) of czagan PAT GEAGAN March 5, 2003 Mayor PEGGY CARLSON Dr. Reikowski, Principal CYNDEE FIELDS Eagan High School MIKE MAGUIRE 4185 Braddock Trail MEG TILLEY Eagan MN 55123 Council Members Re: Storage Area THOMAS HEDGES Dr. Reikowski: City Administrator During our pre-con meeting with Futrell Fire on the fire alarm system, it was brought to my attention that no fire protection was installed in the storage area underneath the lecture rooms at the high school. Municipal Center. After reviewing the plans submitted for the construction of the school, it was 3830 Pilot Knob Road determined that there was no door leading to the storage area on the original Eagan, MN 55122-1897 plans. Since the school was inspected and opened, a door must have been Phone: 651.675.5000 installed to the storage area without notifying the City. This deficiency could Fax: 651.675.5012 have grave implications if a fire would occur. TDD: 651.454.8535 This storage area must be brought up to code compliance within 90 days or the storage in this area must be removed and the wall brought back to its original Maintenance Facility: state. 3501 Coachman Point If you have any questions regarding the above, please feel free to contact me at Eagan, MN 55122 651-675-5682. Phone: 651.675.5300 Sincerely, Fax: 651.675.5360 TDD: 651.454.8535 ~ \ i'1, 1 J www.cityofeagan.com Dale Wegleitner Fire Marshal cc: Ken Brandle, Maintenance Supervisor Dale Schoeppner, Chief Building Official THE LONE OAK TREE Craig Jensen, Fire Chief The symbol of strength and growth in our community MEMO TO: JIM STURM, CITY PLANNER STEVE HANSON, ASSISTANT BUILDING OFFICIAL JOE MERCHAK, CONSTRUCTION ANALYST DALE WEGLEITNER, FIRE DEPARTMENT BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING DEPARTMENT UTILITY BILLING CLERK FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE : SUBJECT: FINAL INSPECTION The Protective Inspections Department will be performing a final inspection of OFF i3ra1dpjt r -L I on Jr,'~~n9~ a an 4q h 5C601 A Certificate of occupancy will be issued following our approval. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. DR/mg 70 DIVERSIFIED PIPING & PRODUCTS dppP.O. BOX 24042 BUSINESS PHONE. 612-929-2151 EDINA, MINNESOTA 55424 September 21, 1988 City of Eagan 3830 Pilot Knob Road Eagan, Minn. 55122 Reference: Eagan School Project Attention: Mr. Bill Adams Dear Sir: This is to confirm that all the pipe sizes 8" thru 18" will meet or exceed the minimum wall thickness of schedule 40, with the exception of the 18" which will have a wall of 0.536" twenty-six thousandths thinner. Schedule 40 D3034-SDR26 F679-T-1a 8" 0.322" 0.323 10" 0.365 0.404 12" 0.406" 0.481 15" 0.438 0.588 18" 0.562 0.536" I thank you for your support in the use of this pipe for the Eagan School Project. Yours Truly, Walter C. Schultz CC.Harris Mechanical- Dale Biggerstaff Hammel, Green and Abrahamson- Bill Lent sity of aagan 3830 PILOT KNOB ROAD THOMAS EGAN EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 DAVID K. GUSTAFSON FAX: (612) 454-8363 PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Council Members June 20, 1990 THOMAS HEDGES City Administrator EUGENE VAN OVERBEKE City Clerk TOM WILSON EAGAN HIGH _SCHOOL 418 5 BRADDOCK TRAI-L°°, EAGAN-- Dear Tom: Just a quick note to follow up on our conversation concerning the potential to relocate Cable TV North Central access facilities to the Eagan High School. As Mike and I indicated to you at the time that you proposed the concept, it is essential that the City of Burnsville be involved if this concept is to be developed and proposed for consideration by the Cable Commission. At that time, you indicated that you wished additional time to develop the idea before discussing it with decision-makers in either Eagan or Burnsville. In the past week, I have been informed by the City Administrator that you have discussed the matter with both Councilmember Dave Gustafson and an employee of the local access facility which currently serves the two Cities. While I have respected your request that you be given an opportunity to develop the idea before discussing it with the various decision-makers, I do not believe that it would be prudent or appropriate for the City of Burnsville to hear about this concept through informal channels. As a consequence of this circumstance and upon discussion of the matter with City Administrator Hedges, I will be sharing this information with Burnsville City Manager Linda Barton. As was indicated to you on the day you outlined your proposal, we are excited about the possibilities that your concept presents, but it can in no way be perceived as an attempt to coopt the local access facilities to the benefit of one community over another. If location of the facility at the Eagan High School would provide sufficient benefits to access users of both communities in addition to the benefits to the high school, it is potentially feasible. The need to' contact the City of Burnsville is not borne of any desire to inhibit your proposal, but rather to ensure that it be discussed openly with all appropriate parties. THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer TOM WILSON JUNE 20, 1990 PAGE TWO If you have any questions in this regard, please let me know. Sincerely yours, J Hohenstein Assistant to the City Administrator JH/vmd dr, Hammel Green and Abrahamson, Inc. Architects & Engineers 1201 Harmon Place "Minneapolis, Minnesota 55403-1985 Telephone 612/332-3944 Fax 612/332-9013 0^ w ouac~la U U lJ TO: Dakota Hills Middle School/Eagan High School File HGA Commission Number 320.137.00 FROM: Peter Graffunder DATE: 24 January 1989 SUBJECT: Fire Door Frames There are a number of fire door frames in the building to which the supplier will not affix a UL fire door frame label due to the installation detail. The frame manufacturer has tested his door in gypsum drywall wall construction, and concrete masonry construction. The detail calls for these door frames to be anchored instead to a fire-proofed steel column. On 24 January I discussed this condition with Steve Hanson of the City of Eagan Building Inspection Department. He stated that he would accept these frames with "Fire Door Construction" labels in lieu of UL labels. The doors affected are door numbers 2009 A and B, 2196 A and B, 3003 A and B, and 3069 A and B. ck/1/2 cc: Dan Marx, Glewwe Doors Jamie Sipes, PCL Steve. Hanson Greg Shuster Ted Rozeboom Tom Wilson Hammel Green and Abrahamson, Inc. Architects & Engineers 1201 Harmon Place Minneapolis, Minnesota 55403-1985 Telephone 612/332-3944 a a^ w ® owl a 111 O ~L,J~ llt TO: Dakota Hills Middle School/Eagan High School HGA Commission Number 320.137.00 FROM: Peter Graffunder DATE: 10 January 1989 SUBJECT: 20-Minute Label Frames I spoke with Steve Hanson of the City of Eagan Building Inspection Department regarding the 20-minute labeled hollow metal frames for the project. A number of door frames have an attached sidelight which has glass panes which exceed 1296 square inches in area. For this reason, the manufacturer cannot afix a label stating that the frame is a UL listed 20-minute fire door. Mr. Hanson stated that he will accept these frames labeled "constructed as for a 20-minute fire door The glazing will be wire glass. The door and all hardware will be 20-minute fire rated and UL labeled. mm/91/53 cc: Steve Hanson, City of Eagan Dan Marx, Glewwe Metals Hammel Green and Abrahamson, Inc. Lo_ I ~ p ~A#-4 A(c:i(4 L, Architecture • Engineering • Interior Design 1201 Harmon Place Minneapolis, Minnesota 55403-1985 Telephone 612.332.3944 Fax 612.332.9013 0/% w owl 26 November 1990 Mr. Vermayne E. Bertram State of Minnesota Building codes and Standards Division 408 Metro Square 7th and Robert Street Saint Paul, Minnesota 55101 RE: Dakota Hills Middle School/Eagan High School HGA Commission Number 320.137.00 Dear Mr. Bertram: The rolling fire shutter at the Dakota Hills Middle School/Eagan High School auditorium lobby, which you refer to in your letters of November 19 and August 17, has been completed. The Eagan fire marshal, Dave Wegleitner, has witnessed the testing of the completed shutter. Sincerely, HAMMEL GREEN AND ABRAHAMSON, INC. A Peter Graffunder pmgl5.mm cc: Tom Wilson Doug Read Dale Wegleitner i 4 -46 e STATE OF MINNESOTA DEPARTMENT OF ADMINISTRATION SAINT PAUL BUILDING CODES AND - 409 METRO SQUARE STANDARDS DIVISION 7TH AND ROBERT STS. ST. PAUL, MN 55101 November 19, 1990 Phone: 612/296-4639 Peter Graffunder Hammel, Green & Abrahamson 1201 Harmon Place Minneapolis, Minnesota 55403-1985 Re: Dakota Hills Middle/Eagan High School Dear Mr. Graffunder: This is a follow-up to your letter of August 17, 1990. In that letter you advised us that your rolling fire shutter would be installed at the auditorium exits between the date of September 24 and October 15, 1990. Could you please let us know if this work is now completed? ours truly UItAyneNG ODES & STANDARDS err7e tral Codd inistrato cc: oug Reed, Building Official, City of Eagan Dr. Thomas F. Wilson, School Administrator AN EQUAL OPPORTUNITY EMPLOYER I x y H----me! Gram and Abrahamson. Inc- Engineering • Inter,or Desig. 1261 Harmon Face _ not _;rr-,.esota G5gG:3-;935 _ 9orc, . _ 332•.,, 4 5 12.32'. i td'1 A , w 1 1~~ 1 17 August 1990 Mr. Thomas R. Joachim Supervisor, Plan Review. State of Minnesota 408 Metro Square Building Seventh and Robert Streets Saint Paul, Minnesota 55101 RE: Dakota Hills Middle/Eagan High School HGA Commission Number 320.137.00 Dear Mr. Joachim: The administration of ISD #196 and the Dakota Mills Middle School/Eagan High School have recommended-approval of a change order to provide separation of the auditorium exits. We anticipate school board approval Monday, August 20. I am enclosing drawings 1/RFP #235 amd 1/SI #150, which show the work to be accomplished.' The school is also adding magnetic locks to restrict entry to the schools (middle school and high school) from the lobby. These locks are deactivated by the fire alarm system and by the building energy management system (central time clock) as well as by key switches.. Due to the long delivery time for the rolling door and magnetic locks, these changes will be made between September 24 and October 15 Please contact me if you have any further questions. Sincerely, HAMMEL GREEN AND ABRAHAMSON, INC. Peter Graffunder P9.mm cc: Tom Wilson Vermay e-Bertrarr i 20 I ~ I!III III ! t Icor,a~csTo ! ill, I . I ~ ~veo~ , : ~~~Il f{•I! (Ills ICI: v s - 119 5,, - - - C No.. ~l~~tTOR1U xtT MnAS CH MAH To Z- 10 SCALE f Hammel Green L Abrahamson Inc. ow7E - • - Architects d Engineers t 1201 Harmon Place onww Minneapolis. Minnesota S I03 5 23 o COuu MO 60 S LIME of ij A-LL Pcc3oV W CIO % WlOX49 ~ . i TY F3'c ~ WAt. L P~Bo~„ . { Gt,'~-~tJ czp Wr x o~ soFhr ( 4 EA u4 N6, 6.uv 04 CIO L GC.1 PS TO ~wM►~ i N SCALE r~ t Hammel Green A Abrahamson Inc. (f `I Ox / V H N S GATE Architects i Engineers • r~ w ~ 4h~l µtA~'ESoTPr- ~..r. r =1 Harmon Ptace OnAw • .Y'`~R1 Minneapolis, Minnesota 56I03 tso 11)(0 c019 50 Cq~'`4 MO, I Western States 2300 Territorial Road Automatic Sprinklers- Offices in Denver, Fire Protection Co. St. Paul Minnesota 55114 Engineering . Installation • Service Los Angeles, St. Paul (612) 646-9435 Special Hazards • Halon Dallas Date: October 31, 1989 To. CITY OF EAGAN 4w ' ~7qS PILOT KT\T(1R R(IATI na .l EAGAN, MINNESOTA 55122` At to : DALE WEGLEITNER Re: EAGAN SCHOOLS WSFP #86592 Dear DALE , The following is an extra to our contract # 86592 for fire protection work at the above named building. This extra is due to: Addendum No. Modification No. Bulletin No. Plan Change Verbal Instructions by X Other (Describe) _Due to the fact that there is adequate coverage with the fire hose connections located in "F" Penthouse, those mentioned on "D's" roof are not necessary. This extra involves (Describe work): and will be completed for the sum of: including material and labor. X This work will proceed upon receipt of your authorization. This work is being completed now as authorized by This quotation is based on the added work being completed in conjunction with contract work in this area, Further additional costs will be incurred if returned to this area is required. Respectfully suixnitted, WESTERN STATES FIRE PROTECTION COMPANY Accepted by .~LJcl2~ls^ Sri / Date: Name : Mark A. Connor _ STATE OF MINNESOTA BUILDING CODES AND STANDARDS Department of Administration v ►LE DV~ CONSTRUCTION AUTHORIZATION 1858 COPY TO BUILDING OFFICIAL 408 Metro Square 7th and Robert Sts. Reid, Douglas Michael DATE 07/01/92 Saint Paul, Minnesota 55101 Phone: (612) 296-4639 City of Eagan FAX: (612) 297-1973 3830 Pilot Knob Road Eagan MN 55122 Project Title Eagan Hi Expansion/remodel Location Date Received 05/04/92 Plan Review Number: 920229 Reviewer: Gerald F. Norman Phone: 612/296-4636 Dear Building Official: The construction documents, for the project described above, have been reviewed and found to be in substantial compliance with requirements of the Minnesota State Building Code. Enclosed is a signed copy authorizing construction of the project. Such authorization by this office does not relieve the Building official from the responsibility of code compliance enforcement prior to issuance of the certificate of occupancy. Yours truly, BUILDING CODES & STANDARDS B. Michael Godfrey Acting Supervisor, Plan Review BMG:p attachments: Form BDB0013C Plan Review Comments Dated: Designer Response Dated: Letter No. 1 : 06/10/92 y ' STATE OF MINNESOTA BUILDING CODES AND STANDARDS Department of Administration PLAN REVIEW / BUILDING INSPECTION AGREEMENT 185i8k COPY TO BUILDING OFFICIAL 408 Metro Square 7th and Robert Sts. Reid, Douglas Michael DATE 07/01/92 Saint Paul, Minnesota 55101 Phone: (612) 296-4639 City of Eagan FAX: (612) 297-1973 3830 Pilot Knob Road Eagan MN 55122 Project Title : Eagan Hi Expansion/remodel Location Date Received : 05/04/92 Plan Review Number: 920229 Dear Building Official: Attached is a copy of the notice to the Architect J Designer of the project described above as to the agreement reached between the Minnesota Building Codes and Standards Division and City of~Eagan delegating building code administration to your office as per our agreement on this project. Yours.truly, BUILDING CODES & STANDARDS B. Michael Godfrey Acting Supervisor, Plan Review BMG:p Attachment Form BDB0002D STATE OF MINNESOTA BUILDING CODES AND STANDARDS Department of Administration a CONSTRUCTION AUTHORIZATION l+l~g ARCHITECT/ENGINEER 408 Metro Square 7th and Robert Sts. DATE : 07/01/92 Saint Paul, Minnesota 55101 Phone: (612) 296-4639 Hammel Green & Abrahamson FAX: (612) 297-1973 1201 Harmon Place Minneapolis MN 55403 Project Title : Eagan Hi Expansion/remodel Location Date Received 05/04/92 Plan Review Number: 920229 Reviewer: Gerald F. Norman Phone: 612/296-4636 The documents, submitted by your office for the project described above, have been reviewed and found to be in substantial compliance with requirements of the Minnesota State Building Code. Any changes on these documents or changes in the construction of the building that will affect or will be a deviation from the building code requirements shall be submitted to the Building Codes and Standards Division for review relating to applicable code requirements. Enclosed are signed copies of the application form authorizing construction of the building. One copy is for your office, the other is for the owner of the building. Yours truly, BUILDING CODES & STANDARDS Stephen P. Hernick Acting Supervisor, Plan Review SPH:p attachments: Application For Plan Review Form Form BDB0013A Plan Review Comments Dated: Letter No. 1 06/10/92 STATE OF MINNESOTA BUILDING CODES AND STANDARDS Department of Administration PLAN REVIEW REPORT v gore nunoR'• ..y~ ARCHITECT/ENGINEER 18ri8 408 Metro Square 7th and Robert Sts. Hammel Green & Abrahamson Plan Review Saint Paul, Minnesota 55101 Phone: (612) 296-4639 1201 Harmon Place Letter No. 1 06/10/92 FAX: (612) 297-1973 Minneapolis MN 55403 Project Title Eagan Hi Expansion/remodel Location County DAKOTA COUNTY Plan Review Number : 920229 Received 05/04/92 Reviewer : Gerald F. Norman INTRODUCTION The following comments based on the 1988 Edition of the Uniform Building Code (tm) should be resolved before a permit is issued. This correction list is not a building permit. The approval of plans and specifications does not permit the violation of any section of the Uniform Building Code or any federal, state, or local regulations. It is the responsibility of the designer to verify with municipal officials (building official, fire marshal, zoning administrator, etc.) compliance with all local ordinances such as property setbacks, fire department access roadways, turn-around radius, access openings, annunciator panels, fire extinguishers, fire hydrants, off street parking, landscaping, etc. MN Stats. 16B.61 Subd. 3a. Recycling space. The code must require suitable space for the separation, collection, and temporary storage of recyclable materials within or adjacent to new or significantly remodeled structures that contain 1,000 square feet or more. Residential structures with less than 12 dwelling units are exempt from this subdivision. Verify location. NONSTRUCTURAL COMMENTS: B. Fire-Protection Requirements 1 Openings extending vertically through floors must be enclosed in a shaft of fire-resistive construction having the time period set forth in Table No. 17-A. Section 1706. Partition Types J & G (Ref. mech shafts sheet A2.03) do not comply with two-hour fire-resistive shaft construction required for Type II F.R. type of construction. CONTINUED STATE OF MINNESOTA Eagan Hi Expansion/remodel BUILDING CODES AND STANDARDS Department of Administration PROJECT: 920229 Plan review Letter 11 06/10/92 Page: 2 PLAN REVIEW REPORT 2 Walls and ceilings of corridors must be of one-hour fire-resistive construction. Section 3305 (g). An architectural section through the corridor must be provided to show how this is accomplished. s*i856k Interior partition between Corridor No.156.2 and Classroom No.116F is required to be of one-hour fire-resistive construction. 408 Metro Square 3 Interior openings into corridors must be protected as set forth in. 7th and Robert Sts. Section 3305 ( h ) Door openings must be protected by 20 minute Saint Paul, Minnesota 55101 Phone: (612) 296-4639 fire-rated smoke- and draft-control assemblies. Other openings FAX: (612) 297-1973 are limited to 1/4-inch thick wired glass set in steel frames and must not exceed 25 percent of the area of the common wall separat- ing the room from the corridor. Door No.107F is required to be a 20 min. fire-resistive smoke- and draft- control assembly. Glazing between Corridor No.156.2 and Computer Rm. No.156F should be designated as "G1" to comply with the protection requirement. 4 An automatic fire-extinguishing system must be installed as per UBC Chapter 38. Submit shop drawings, UNDER SEPARATE APPLICATION, for our review and approval prior to their installation. Please note the system must be connected to an approved monitoring service prior to occupancy of the building. UBC 3803. In addition, these drawings must be signed and certified by an approved design professional. Verify that the water supply is adequate for the fire-extinguishment system. This plan review does not constitute approval of the sprinkler system. 5 Identify the door number and rating from Classroom No.137F. 6 Verify minimum 20 min. fire-resistive smoke- and draft- control assembly for Door No.236F for Advance Office No.236F. C. Exit Requirements I Provide approved exit signage directing exit from the new addition to the Boys Locker Rm. No.103E to the Foyer No.104E. Relocate or verify approved exit signage from existing Weight Training No.210E to Wrestling Rm. No.205E. 2 Exit signage shall be provide so that the second approved exit of Staff Office No.258F through adjoining room (Classroom 228F) is direct and obvious. D. Special Occupancy Requirements GROUP E OCCUPANCIES 1 Laboratories, vocational shops and similar areas containing hazardous materials must be separated from each other and other portions of the building by not less than one-hour fire-resistive occupancy separation. Section 802 (d). See also Sections 905 and CONTINUED STATE OF MINNESOTA Eagan Hi Expansion/remodel BUILDING CODES AND STANDARDS Department of Administration PROJECT: 920229 Plan review Letter #1 06/10/92 Page: 3 PLAN REVIEW REPORT • ~,~DIL,yDq , E DU o~ 908 when the quantities of hazardous materials do not exceed those listed in Tables Nos. 9-A or 9-B. Doors No.203.1 and 204.1 are required to be 60 min. assembly rating to comply with the opening protection for one-hour occupancy sepaation +i,ex required for chemical storage. If hazardous materials are not present in the Earth Science Rooms (206F, 216F, 217F) so as to require one-hour occupancy separation as 408 Metro Square required in UBC Sec.802(d) Corridor No.256.6 is of sufficient length 7th and e Saint Paul, Minnesota ota 55 101 so that intervening rooms are not allowed. Therefore an approved one- Phone: (612) 2964639 hour fire-resistive corridor shall be constructed and Earth Science FAX: (612) 297-1973 Rooms No. 206F and 217F shall be separated as required including all openings.[UBC Sec.3319(d) & 3305(g)] Once enclosed Earth Science Rm. No.206F will require a second means of exit.[UBC 802(d)] If hazardous materials are present in Physics Lab No.205F so as to require one-hour fire-resistive occupancy separation doors assemblies No.205FA and 205FB shall be upgraded to a 60 min. rating. 2 Approved automatic sending stations (detectors) shall be installed in the labs. 3 Fire-resistive corridors shall not be used to connvey air to or from rooms. The openings indicated between Corridor No.203.2 and Chemistry Lab No.203F, as well as all openings along Corridor No.256.1 are not permitted.[UMC Sec.1002(a)] E. Physically Disabled Accessibility Requirements 1 State of Minnesota Building Codes and Standards Division does not review for compliance with the Federal "Americans with Disabilities Act" (ADA). H. Roof Construction and Covering Requirements 1 Provide roof scuppers or adequate overflow drains for the amount of roof area and number of roof drains shown. UBC 3207. If roof slope is less than 1/4" per foot, verify that structural system is adequate to support resulting ponding per UBC 2305(f). Existing buildings being re-roofed must be verified for adequate structural support for any new loads added and that the existing structure has not deteriorated. Verify that the roof scuppers indicated have inlet flow lines that are not greater than 2" above the roof drains being served. The documents have been reviewed for substantial compliance with requirements of the Minnesota State Building Code. The architect or engineer shall respond within 14 calendar days by letter of verification that corrections have been made to construction documents as required by this plan review. Changes in the construction documents shall comply with the Minnesota State Building Code. Any questions about plan review comments for the above project should be directed to the project plan reviewer. CONTINUED STATE OF MINNESOTA Eagan Hi Expansion/remodel BUILDING CODES AND STANDARDS Department of Administration PROJECT: 920229 Plan review Letter 11 06/10/92 Page: 4 PLAN REVIEW REPORT -.b'~~1L6 OU ry~q . • Plans and specifications shall be submitted to the State Department of Health, Division of Environmental Health, for compliance with _ provisions of the Minnesota Plumbing code. Electrical work included in this project shall be approved by inspectors of the State Board of ~$1 &~i8+ Electricity, or those of the municipality as authorized by law. Provisions of safety requirements for elevators, dumbwaiters, escalators and moving walks are enforced by the State Department of 408 Metro Square Labor and Industry. Additions or remodeling work shall not cause the 7th and Robert Sts. Saint Paul, Minnesota 55101 existing building to be in violation of the fire/life safety Phone: (612) 296-4639 requirements enforced by the Municipal Fire Code Official or the FAX: (612) 297-1973 State Fire Marshal. Yours truly, BUILDING CODES & STANDARDS B. Michael Godfrey Acting Supervisor, Plan Review BMG:p END OF COMMENTS STATE OF MINNESOTA BUILDING CODES AND STANDARDS Department of Administration PLAN REVIEW / BUILDING INSPECTION AGREEMENT 1&ri8 ARCHITECT/ENGINEER : 408 Metro Square 7th and Robert Sts. DATE 07/01/92 Saint Paul, Minnesota 55101 Phone: (612) 296-4639 Hammel Green & Abrahamson FAX: (612) 297-1973 1201 Harmon Place Minneapolis MN 55403 PROJECT : Eagan Hi Expansion/remodel LOCATION: COUNTY: Dakota County PLAN REVIEW NUMBER: 920229 Date received.: 05/04/92 An agreement has been reached between the Minnesota Building Codes and Standards Division and City of Eagan whereby the 1. Plan Review 2. ? Building Inspection will be done by City of Eagan Please submit all plans, specifications, and appropriate fees to City of Eagan If City of Eagan is doing the plan review, all plan review fees submitted to the Minnesota Building Codes and Standards Division will be rebated. You may pick up the plans and specifications submitted to the Minnesota Building Codes and Standards Division within 7 days. Sincerely, i St hen P. Hernick Acting Supervisor, Plan Review SPH:p C: Building Official Form BDB0002D STATE OFFIINNNESOTTA Building Codes & Standards Division FOR OFFICE USE ONLY. 408 Metro Square Building Project Nu ber Date c 7th & Robert Streets Z St. Paul, Minnesota 5510ty Amount of Check Check Number (612)296 -4639 $ 6 7 ~ a0 (Uj ~i858t _ Received By Construction Cost Department of AJ 5-z $ Administration Construction Authorization: APPLICATION FOR PLAN REVIEW CONSTRUCTION AUTHORIZATION BY STATE AGENCY OR LOCAL GOVERNMENT Project Title EAGAN HIGH SCHOOL City, County Construction Cost EAGAN MINNESOTA DAKOTA COUNTY $A ()00 Name of Architect/Engineer Firm Phone No. HAMMEI GIREEN & ABRAHAMSON, INC. 1, Address of Firm City, State, Zip 120 HARM ON PLACE MINNEAPOITS, MINNESOTA 5540.1 NEW CONSTRUCTION EXISTING BUILDING SEE AT ACHED ORIIJ, BLDG. AP IG IOPi Type(s) of Construction Basic Allowable Floor Area Type(s) of Construction Basic Allowable Floor Area TYPE II FR y,& . 45.200 SF "c SF T P l IL TYPE II E t Occupancy Classification(s) Increase Over One-Story Occupancy Classification(s) w Increase Over One-Story TYPE "Ell B2 90,400 SF 40_400-SF--E- BI K II Number of Stories Increase For Open Sides Number of Stories Increase For Open Sides TWO ONE 180,800 SE 80,800 SE THREE Sq. Ft. Per Floor Maximum Allowable Floor Area Total Floor Area Maximum Allowable Floor Area 14,350 'Iu at i Total Floor Area Area Separation Wall Rating(s) Yes No Rated Area Separation Wall Rating(s) 38.70 "t tl Corridors _'Yes-' No Occupancy Separation Rating(s) Change' of Occupancy Separation Rating(s) New Building Occupancy yes No Sprinklered for One Area a aratI n Yes No Sprinklered for One Addition Hour Construction Walls ' Hour Construction. Sprinklered for Area Sprinklered for Area Sprinklered Increase Sprinklered Increase Design load(s) Used: Aaditionailnformation UBC Chapt. 23 SEE ATTAf,F b-O I4N& 461ILDING APPLICATION t I~ ARCHITECT/ENGINEER: As the plan preparer I hereby certify that reasonable care has been given to compliance with applicable laws, ordinances, and building codes relating to design. Name rinti Signature Date Minnesota Registration No. f K: T I S _)VAJ AR r BC-00049-02 (2/89) BUILDING OFFICIAL Hammel Green and Abrahamson. Inc. Architect,ire • Engineering - Interior Design 1201 Harmon Place Minneapolis. Minnesota 55403-1985 Telephone 612.332.3944 Fax 612.332.9013 AV% 1 I V~ 4 t,W i 26 June 1992 Q 4_t ~~I \ C- # rr Mr. Mike Godfrey State of Minnesota Department of Administration 408 Metro Square Seventh and Robert Streets St. Paul, Minnesota 55101 Re: Eagan High School Plan Review Response Plan Review Number 920229 HGA Commission Number 320.146.00 Dear Mr. Godfrey: 1. The mechanical shafts shown on sheet A2.03 do not extend continuous through building floors. Refer to sheets M2.02, M2.03 and M3.01 for locations of fire dampers installed at floor penetrations. 2. See attached Exhibit No. 2 which indicates the manner in which rated corridor walls are terminated at the metal roof/floor deck typically. It should also be noted that the ceiling assembly is a one-hour assembly. 3A. Door No, 107F: See attached RFP #2. 3B. See sheet A2.02 and the note which indicates that the existing glazing must be replaced with glazing Type G1. 4. Mechanical contractor has been informed that the fire protection system shop drawings must be submitted to the State for review. 5. See attached RFP #2. 5. See attached RFP #2. C.1 See attached RFP #1. C.2 See attached RFP #1. 2 Of% A . . s I owl I Mr. Mike Godfrey 26 June 1992 Page 2 I I D.1 See attached RFP #2 for modification of doors. It is unclear what is meant by the statement "Corridor 256.6 is of sufficient length so that intervening rooms are not allowed. Therefore, an approved one-hour fire-resistive corridor shall be constructed, etc... " Please clarify your response. D.2 Does not apply. D.3 The corridor in this situation is not being used to convey air to or from rooms. The fire rated corridors have one-hour rated ceiling assemblies which the air is being conveyed above. Section 1002(x) does allow for "air to be conveyed via concealed building spaces or independent construction within buildings." See attached Exhibit D.3. G.1 The Construction Documents as they have been issued do comply with the recently issued Americans with Disabilities Act (ADA). H.1 This has been done. Mike, if you have any questions concerning the information above, please do not hesitate to contact me. Sincerely, HAM,I1EL GREEN AND ABRAHAMSON, INC. 46eidLeschayV Architect dmll8.la Enclosures cc: Dr. Tom Wilson, Principal, Eagan High Jim Goulet, Glenn Hawkinson, Helen Peterson, Ted Rozeboom, HGA 1001-1002 UNIFORM MECHANICAL CODE Chapter 10 DUCTS 0- Scope ! Sec. 1001. Ducts and plenums which are portions of a heating, cooling, absorption or evaporative cooling system shalt comply with the requirements of this chapter. Material Sec. 1002. (a) General. Supply air, return air and outside air for heating, cooling or evaporative cooling systems shall be conducted through duct systems constructed of metal as set forth in Tables Nos. 10-A, 10-B and 10-C; metal ducts complying with U.M.C. Standard No. 10-2 with prior approval; or factory-made air ducts complying with U.M.C. Standard No. 10-1. Ducts, plenums and fittings may be constructed of asbestos cement, concrete, clay or ceramics when installed in the ground or in a concrete slab, provided the joints are tightly sealed. Corridors shall not be used to convey air to or from rooms if the corridor is required to be of fire-resistive construction by Section 3305 of the Building Code. Concealed building spaces or independent construction within buildings may be used as ducts or plenums. • When gypsum products are exposed in ducts or plenums, the air temperature shall be restricted to a range from 50°F. to 125°F. and moisture content shall be controlled so that the material is not adversely affected. Gypsum products shall not be exposed in ducts serving evaporative coolers. Venting systems shall not extend into or through ducts or plenums. Materials exposed within ducts or plenums shall have a flame-spread index of not more than 25 and a smoke-developed rating of not more than 50 when tested in accordance with the test for Surface Burning Characteristics of Building Materi- als, U.B.C. Standard No. 42-1, EXCEPTIONS: 1. Return-air and outside-air ducts, plenums or concealed spaces which serve a dwelling unit may be of combustible construction. 2. Air filters serving a dwelling unit. 3. Air filters listed by an approved testing agency as complying with reference standards included in Appendix C. 4. Air filters used as water evaporation medium in an evaporative cooler: 5. Charcoal filters when protected with an approved fire suppression system. 6. Electrical wiring in plenums shall comply with the electrical code. Flame propagation and smoke production characteristics of exposed electric cables in- stalled in concealed space above suspended ceilings used as air plenums shall: A. Exhibit a flame travel of S feet or less, and B. Produce smoke having an average optical density not greater than 0.15 and t . having a peak optical density of 0.5 or less when tested in accordance with U.M.C. Standard No. 10-3. C. Wiring meeting these requirements shall be listed and labeled as plenum cable as required by the electrical code. so f 15F AA t~tto~~ X6.4 t=XthT►N~ WtNGOWS R~xlt~Ccv~+~ 1 Fir t ~ I I ~ t:x ti~t~n~ A`u-.~..~`~ =c cv= ) >=tu, rrt` Wt1~} tN(~ -2NalK- 4wHO fum 5~tott c~r'1t%r 5EE .MT. 102/5-36 -std I ~I PP1PU4^T-r Fi=E 942-5 1 I I 5~►Y ~t'Pt-too Ft~ I It ~ fXtyflN6 4~.ObK-' B~~N Ta•K.s:t•t~trt ~l~tNt~ -Z ti00K- ~ I II ~~ci~>~-tN E•f'pst>r t:.~ctSl'1t-~fo AT YARN A-1-445 For- III ~ 101' j II s 00 . ~ IX~ y ti i t I i 1 I • I I . t ~N tJt:uJ an CfAUW, (SPSq S6 f-T-WVW) ► i oil -1 L= .07` t SCME µ y ,.=t o Iot Hammel Green d Abrahamson Inc. o•rE l Architects d Engineers ^f Z~ E A G A N HIGH S SCHOOL a ase~• e,,a, S 120"arlnon Ptaca DRAW 1'`~I ♦ Minneapolis. Minnesota 5,5403 ' DRAW= TRAIL EADAg1 MINNESOTA COMM NQ a 320. X46. oc REQUEST FOR PROPOSAL RFP NO. 2 HAMMEL GREEN AND ABRAHAMSON, INC., ARCHITECTS AND ENGINEERS PAGE 1 OF 1 PROJECT: EAGAN HIGH SCHOOL ADDITION/REMODEL DATE: 26 June 1992 HGA Commission Number 320.146.00 OWNER: INDEPENDENT SCHOOL DISTRICT #196 Contractor Project No.: 14445 Diamond Path Road Rosemount, Minnesota 55068 Type Contract: Single Prime (John Hanson, Tom Wilson) CONTRACTOR: STAHL CONSTRUCTION COMPANY COPY TO: 601 Lakeshore Parkway, Suite 315 J. HANSON G. HAWKINSON Minnetonka, Minnesota 55343 T. WILSON M. HOEL (Phillip Baum) P. BAUM 0. LESCHAK J. GOULET H. PETERSON T. ROZEBOOM Please provide a cost breakdown in accordance with the Contract Documents and a Summary for the change described herein and on the attachments (if any) listed. This is not an authorization to proceed with the work described herein unless and until approved by the Owner. On approval, this change will be included in a Change order, which will provide the formal Contract change. DESCRIPTION OF THE WORK: General/Architectural Contractor to provide a price for all labor and mateirals as per the project specifications for the following. 1. Door 107F. Hollow metal frame: Type 1, 20 minute rating required Wood Door: Type A Hardware Group 9 2. Door 137F. Hollow metal frame: Type 1, 20 minute rating required Wood Door: Type A Hardware Group 9 3. Door 236F. Hollow metal frame: Type 1, 20 minute rating required Wood Door: Type A Hardware Group 9 4. Revise the following door openings from 20 minute to 60 minute: 203.1, 204.1, 205FA, 205FB. Attachments: None Requested By: Architect A/E COMMENTS: i rfp2.la REQUEST FOR PROPOSAL RFP NO. 1 HAMMEL GREEN AND ABRAHAMSON, INC., ARCHITECTS AND ENGINEERS PAGE 1 OF 1 PROJECT: EAGAN HIGH SCHOOL ADDITION/REMODEL DATE: 23 June 1992 HGA Commission Number 320.146.00 OWNER: INDEPENDENT SCHOOL DISTRICT #196 Contractor Project No.: 14445 Diamond Path Road Rosemount, Minnesota 55068 Type Contract: Single Prime (John Hanson, Tom Wilson) CONTRACTOR: STAHL CONSTRUCTION COMPANY COPY TO: 601 Lakeshore Parkway, Suite 375 J. HANSON G. HAWKINSON Minnetonka, Minnesota 55343 T. WILSON M. HOEL (Phillip Baum) P. BAUM D. LESCHAK J. GOULET H. PETERSON T. ROZEBOOM Please provide a cost breakdown in accordance with the Contract Documents and a Summary for the change described herein and on the attachments (if any) listed. This is not an authorization to proceed with the work described herein unless and until approved by the Owner. On approval, this change will be included in a Change order, which will provide the format Contract change. DESCRIPTION OF THE WORK: Electrical 1. Provide ceiling mounted exit sign Type E1 in Room 103E (Boy's Locker Room) on grid 29 3'-6" north of grid A.3. 2. Move relocated exit sign in Room 210E (existing Weight Training Room) 9'-0" west of new location (directly above double doors). 3. Add two exit signs in Room 258F (Staff Office); one Type E3 at west door and one Type El at east door. Attachments: None Requested By: Engineer A/E COMMENTS: rfpl.la _T 1_I L - :a W E D 1 13 _ 4 H G F1 - F' > 4 y 11ammel Crcer, and Abrahamson, Inc. ArchiloCture • Enginrtcring • interior GESian 1201 Harmon PiaCe NVrincapot?s, Minnesota 55403.1985 Telephone 612,332,3944 F-3x 612.332.9013 t 1^ w ■ WS _ _ 1 July 1992 Mr. Jerry.Norman i _ State of Minnesota- Department of -Administration - 408 Metro Sduare Seventh and Robert Streets St.` Paul, :Minnesota ` 55101 Re: Eagan High School Plan Review Response Plan Review Number 920229 HGA Commission. Number 320,146.00 ( Dear Mr, Norman: 1. The mechanical shafts shown on sheet A2.03 shall have the wall types changed to Type C walls. 2. See attached Exhibit No. 2 which indicates the manner in which rated corridor . ` walls are terminated at the metal roof/floor deck typically: It should also be noted that the ceiling assembly is a one-hour assembly. 3A. Door No.' 107F: - See attached RFP #2.,- .38. See sheet A2.02 and the note which indicates that the existing glazing must be replaced with glazing Type G1 wiregiass. 4 Mechanical contractor has been informed that the fire protection system shop drawings must be submitted to the State for review. 5. See attached RFP #2. - 5. See attached RFP #21 - C.1 See attached RFP #1. C.2 See attached RFP #J. WaD 1 0 ::34 HGA P _ i+ j @l1 w M~ffi ones Mr. Jerry Norman 1 July 1992 Page 2 D,1 See attached RFP #2 for modification of doors. Additional, conversations concerning Corridor 236.6 and the Earth Science classrooms have resulted in the decision to add a pair of double egress doors (one-hour) at intersection of the north/south party wall of Rooms 246E and 217E : - and the north wall of Corridor 256.6 (RFP with plan to follow as back up- in formatiptl) - D.2 : Does not apply. D.3 To accommodate this concern, the architect/engineer shall revise the fire damper _ installed to bea combination smoke/fire damper (RFP to follow as back-up - information). G.1 The-Construction Documents as they have been issued do comply with the recently issued Americans with Disabilities Act (ADA). H.1 This has been done. Jerry, if you have any questions concerning the inforirtation above, please do not hesitate to contact erne, Sincerely, - -It AM EL.GREEN .AND ABRAHAMSON, INC. avid Lescl k - Architect dmll9.la _ Enclosures . . cc Dr. _Tom Wilson, Principal, Eagan High Jim Goblet, HGA Glenn .Hawkinson, HGA Helen Peterson, HGA Ted Rozeboom, HGA ~ 3D M E M O-R A N D U M TO: JIM STURM, CITY PLANNER PAT GEAGAN, POLICE CHIEF DALE WEGLEITNER, FIRE INSPECTOR BILL AKINS, ELECTRICAL INSPECTOR JON HOHENSTEIN, ADMINISTRATIVE ASSISTANT PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR FROM: DOUG REID, CHIEF BUILDING.OFFICIAL DATE : 6-c? - 92- RE: PLAN REVIEW The preliminary construction plans for E AGA N HIGH 5cHo0L E~XPANSlDN E R&MODEL are in our plan review section for your review and comment. Please return this form to Joe Merchak with your initialized comments and the date of review. ret .......Fai re to w n hi s form. within five days; mll9cnsdeer2ur g'p.rpval . If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problems. DR/ j s 21 (0 t T*AX Signature Date Metropolitan Waste Control Commission Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101-1633 612 222-8423 I September 14, 1992 Mr. Joe Merchak Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Merchak: The Metropolitan Waste Control Commission determined SAC for the Eagan High School Expansion to be located within the City of Eagan. This project should be charged 60 SAC Units, as determined below. SAC Units Charges: Classroom (Secondary) 19712 sq. ft. @ 30 sq. ft./student @ 14 students/SAC 46.93 Lab 7728 sq. ft. @ 50 sq. ft./student @ 14 students/SAC 11.04 Lecture Hall 196 seats @ 110 seats/SAC Unit 1.75 Total Charge: 59.75 or 60 If you have any questions, call Roger Janzig at 229-2119. sincerely,d fWl AIY/(A Roger W. Janzig Planner RWJ•ile 92061552 cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan David Weschak, HGA Equal Opportunity/Affirmative Action Employer ell Minnesota department of health O 717 s.e. delaware st. p.o. box 9441 minneapolis 55440 (612) 623.5000 dpa iel Green and Abrahamson, Arc3 itects and Lv pineers 120 ilarmon Pla !e t*➢ p l ag Minnesota ,r3:7k0'y dies: _V, e ct: Dakota t'.ills PSicid3e/ ,a~d3r? High Sc4ool - is(€ r-ict ~,`196* oseount 'Minnesotan tc, gar April 1, 1988, we contacted your off"ce rena -PdinC, the plans for Rosemount. We have not received your response to our rqu,._t fc'r information. Insofar as our plan review is concerned, the, ,.hari ies listed below are still necessary before the plans will be ::ev dewed. 1. A complete set of plumbinrT plans is require<1 for the review t is completev 2. Information Relative to Preparation and Submission of Plans and Specifications on Plumbing in Buildings for Public Use is enclosee. Copies of the information covering; the requested items will give us the information we need to complete' our plan r -view. U you. coo not intend. to con inue with this 'project at the 1,,rese-tt time, p? =--aae notify John Barry at 612;/x",23-5357. £rBGer~:'.~ yrz.-Irs, Pu r.. t~ ' 1~~~711°rY '.I w? 3 7 f- t. at: r Supply and i''g]YPt'i"~. 8fY I lti Lis JEB: past Enclosure cc: dir. Ron Elasnund, Buildings inspector an equal opportunity employer Dakota Hills Middle/Eagan High Schools Eagan, Minnesota Plan No. 81517 Requirements: NOTE: This report concerns the domestic plumbing system only. The review of the pool equipment will be in a separate report. 1. It is recommended that the combination sink bubbler have two separate compartments for receiving the sink bubbler discharge. If this is not possible, it it recommended that the bubbler and faucet be moved as far apart as possible. Under no circumstances may that sink be used for science experiments. 2. Copper piping may not be used to receive the discharge from either urinals or from water closets in battery. 3. Verify that the building sumps are installed and operated in accordance with the Minnesota Plumbing Code. Verify that there is a " gate as well as a check valve on the sump discharge pump. 4. Verify that the pit that receives the discharge from the pool deck floor drains either: a. Is at a lower elevation than the floor drains; or, b. Has a pump that discharges to the sanitary sewer by use of an air gap. 5. Verify that the vegetable prep sink is directly connected to the sanitary sewer. 6. Verify that all drains located in the floor troughs are completely flush with the bottom of the trough. 7. Verify the island venting systems are equipped with the appropriate cleanouts in accordance with Minn. Rules, p. 4715.2650. 8. Verify that the fuel oil tanks and related piping are located a minimum of 10 feet away from any water supply or water distribution piping in accordance with Minn. Rules, p.4715.1710. It is recommended that the water service pipe be constructed of metallic materials. minnesota department of health 717 s.e. delaware st. p.o. box 9441 minneaPolis 55440 O (612) 623.5000 May 27, 1988 Independent School District 1196 c/o Mr. R. J. Rehwaldt, Superintendent 14445 Diamond Path Rosemount, Minnesota 55468 Gentlemen/Ladies: Subject: Plumbing for Etta Hills Middle/Eagan High Schools, Eagan, Dakota County„ Ainnesota Dian l30 81517 We are enclosing a copy of our report covering an examination of plans and specifications on the above-designated project. A set of the identified plans and specifications is also being returned to you. IT IS THE PROJECT GVNER'S RESPONSIBILITY TD RETAIN THE PLANS AT THE PROTECT LOCATION. Your attention is directed to the attached statement pertaining to inspection of the plumbimg. It is important that we receive the n ffl ton indicated in o-rder that the necessary inspection may be made. If you have any quest-iA s regard to plumbing inspections, please contact Donald Stanley at-612/623-5328. If you have any questions i3a regard to the information contained in this report: please contact John Barry at 612/623-5357. Sincerely yours, Gary L. Englund, P-F-, Chief Section of stater SuppL y and Engineering Y Y :-JEB :pam Ens lo-ssures .ccz sir. William Ada, Pltwhingg Inspector Hammel Green a lmahams n, Inc Department of FAmcatlcm i an equal opportunity employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT OF PLANS Plans and specifications on Plumbing for Dakota Hills Middle/Eagan High Schools Location Eagan, Minnesota Date Examined May 26 ,1988 Prepared and submitted by Hammel Green and Abrahamson Inc 1201 Harmon Place Minneapolis, Minnesota 55403 _ Date Received March 14 and May 23, 1988 Ownership - Independent School District #196, c/o Mr. R. J. Rehwaldt, Superintendent, 14445 Diamond Path, Rosemount, Minnesota 55068 Scope - This examination is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The examina- tion of plans is based upon the supposition that the data on which the design.is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with this report. Inspections - Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. - It is necessary that the State Health Department make roughing-in and final inspections of the plumbing system to determine whether it complies with the Code. Provisions should be made for applying an air test at the time of the roughing-in inspection as outlined in Minn. Rules p. 4715.2820 of the Code. In order to facilitate this work, there is attached a self-addressed card which should be returned, indicating the name of the plumbing contractor so that arrangements can be made for the State Health Department to be notified by him as to the time that the installation will be ready for test and inspections. No acceptance of the plumbing installation can be given until inspection and test of the roughing-in work (Minn. Rules p. 4715.2820, subp. 2), finished plumbing (Minn. Rules p. 4715.2820, subp. 3), and inspection of the completed installation by a representative of the State Health Department indicates compliance with the provisions of the Code. Requirements - SEE ATTACHED Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information or advanced knowledge make improvements necessary. Approved by: L Milton R. Bellin, P.E. John E. Barry Public Health Engineer Engineering Aide Section of Water Supply Section of Water Supply and Engineering and Engineering 612/623-5517 612/623-5357 4 Hammel Green and Abrahamson, Inc. Architects & Engineers 1201 Harmon Place Minneapolis, Minnesota 55403-1985 Telephone 612/332-3944 • • w . 0 ~Nu owl 28 October 1987 Mr. Doug Reig City of Eagan Building Department 3830 Pilot Knob Road Eagan, Minnesota 55122 Mr. Thomas Joachim State of Minnesota Building Code and Standard Division 408 Metro Square Building 7th and Robert Streets Saint Paul, Minnesota 55101 Re: AISC LRFD Specifications Acceptance Commission Number 320.137.00 Gentlemen: HGA intends to use the AISC Load and Resistance Factor Design (LRFD) Specifications in the Dakota Hills Middle School/Eagan High School project. Based on reliability and ultimate strength theory, the use of LRFD Specifications has an economic advantage over the current 8th Edition AISC (American Institute of Steel Construction) Manual of Steel Construction, Allowable Stress Design (ASD) Specification. An economic advantage results in part by reducing the weight of building elements, while meeting all strength and serviceability requirements. The International Conference of Building Officials (ICBO), authors of the ll n nifriy-m RNilMnn Code 1'.hich forms the basic of i-hc Minnacnta Cta,te B L! d it-in Code, adopted LRFD Specifications in early October 1987. Mr. Frank Drake,J vice president of ICBO's Code and Engineering Department informed me during our telephone conversation that acceptance of LRFD by ICBO will be published in the next issue of Building Standards magazine. It is my understanding that Minnesota Building Code Committee has not yet adopted the AISC LRFD specifications as of this date. STATE OF MINNESOTA DEPARTMENT OF ADMINISTRATION SAINT PAUL BUILDING CODES AND 408 METRO SQUARE STANDARDS DIVISION 7TH AND ROBERT STS. ST. PAUL, MN 55101 November 9, 1987 Phone: 612/296-4639 Yanak Shagalov P.E. 1201 Harmon Place Minneapolis, Minnesota 55+03-1985 Dear Mr. Shagalov: I contacted Doug Reid, Building Official for the City of Eagan and discussed the use of the alternate AISC load and resistance factor design specifications on the Dakota Hills Middle School and the Eagan High School projects. The new design methods have been approved by ICBO and will be implemented as an alternate in the 1988 UBC. If the proper documentation accompanying the STD design requirements with the alternate design is presented to our office we will accept it provided the alternate design is as approved by ICBO. If you have any further questions contact our office at 612-296-4630. Yours truly, BUILDIN CODES & STANDARDS Thomas R. Joachi Supe)Ug , Plan,, eview TRJ:cc: Reid, Building Official, City of Eagan AN EQUAL OPPORTUNITY EMPLOYER _ @A"% w i Vi Mr. Doug Reig Mr. Thomas Joachim 27 October 1987 Page 2 Please notify us as soon as possible if LRFD Specifications are not acceptable for use in the Dakota Hills Middle School/Eagan High School project. Sincerely, HA MEL GR EN ABRAHAMSON, INC. ,an2k ShaJ:,l,,., o_F Senior Associate mm/ts/72/32 cc: Tom Wilson, ISD #196 Ted Rozeboom, Dave Galey, HGA I 0/ of j MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: DECEMBER 21, 1992 SUBJECT: Revised REF's for Lot 1, Block 1, Eagan High School includes two additions to school and additional parking 4185 Braddock Trail I have recomputed the REF's for Lot 1, Block 1, Eagan High School. The total REF's for 4185 Braddock Trail is 174.6 instead of 188.96 REF's. The total net area was reduced slightly from 88.3 acres to 88.16 acres and the impermeable surface was reduced from 30% to 25% (25% = 1.98 REF's/Acre). This review is based upon Dakota County aerial photo dated Apri 15, 1990 and 2 additions to the school and an additional parking lot on the east side of the high school. I also gave this site a 1.80 acre credit for a ponding easement. Ed Kirscht cc: Mike Foertsch Jerry Wobschall EJ K/jf I I I city of eagan THOMAS EGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members February 7, 1996 THOMAS HEDGES City Administrator E. J. VAN OVERBEKE City Clerk MR KEN BRANDEL IND SCH DIST 196 14445 DIAMOND PATH APPLE VALLEY MN 55068 RE: SPRINKLER HEADS IN BOILER ROOM EAGAN HIGH SCHOOL Dear Mr. Brandel: This letter is a follow-up to our meeting of February 5, 1996 at the Eagan High School and will serve as confirmation that removal of sprinkler assemblies located under ducts supplying fresh air to the boiler room is acceptable to the City of Eagan. If you have any further questions or desire more information, please feel free to contact me at 681-4779. Sincerely, Dale Wegleitner Fire Marshal DW/js MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY EAG 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN. MINNESOTA 55122.1897 EAGAN, MINNESOTA 55122 PHONE: (612) 681.4600 PHONE: (612) 681-4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681.4360 TDD: (612) 454-8535 TDD: (612) 454-8535 police department JAY M.BERTHE Chief at Pdi.. PATRICK J.GEAGAN A*m ..tre-eCaptain CRV of eaga~ KENNETH D.ASZMANN ill)- Opernipn Captain 3830 Pilot Knob Road Eagan, Minnesota 55122 18 February, 1988 TO: Dale Runkle, City Planner FROM: Pat Geagan, Captain SUBJECT: PROPOSED EAGAN HIGH SCHOOL TRAFFIC IMPACT CONSIDERATIONS After reviewing the letter from S.E.H. Engineers dated February 15, 1988, I would like to reiterate the concerns I expressed in my memo to Tom Hedges dated October 19, 1987, relative to the implications of parking and traffic in the area. The S.E.H. study reinforced our feeling relative to the access onto Braddock Trail from the high school south parking lot. It is our understanding that the school buses will be using the south entrance. An access on a curve, as well as a grade creates an increased potential for traffic accidents. The Police Department agrees with S.E.H. Engineering's assessment that a parking lot on the north end of the recreational complex should be considered. If parking is not provided in closer proximity to the recreational fields, it is our experience that people will park illegally both on the roadway, as well as on the boulevards. This provides a high level of frustration for people who are receiving citations and having their vehicles towed, as well as the adjacent residential neighborhoods who are concerned about safety. Pat Geagan Captain PJG/kg CC: Tom Hedges, City Administrator Jay Berthe, Police Chief ✓Tom Colbert, Public Works Director THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 00 W t EAGAN FIRE DEPARTMENT O- 3795 Pilot Knob Road Eagan, MN 55122 -ItV of czegen 454-5274 3830 PILOT KNOB ROAD THOMAS ELAN EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 DAVID K. GUSTAFSON FAX: (612) 454.8363 PAMELA MCCREA TIM PAWLENTY THEODORE WACHTER Council Members THOMAS HEDGES City Administrator February 1, 1990 EUGENE VAN OVERBEKE City Clerk R.J. Rehwaldt, Ph.D. Superintendent School District 196 14445 Diamond Path Rosemount, MN 55068 Re: Eagan High School Dear Dr. Rehwaldt: After testing part of the alarm system in the Eagan High school,' Bill Bruestle, City Building Inspector, and I found that in rooms 3070.01 and 3070.04, smoke detectors and sounding devices need to be installed. The electrical switching room also needs a detector and Rooms 1196.01 and 1193 need sounding devices. Room 2212 also needs one smoke detector. More sounding devices are required in the area 2209-2212 and the hallway with rooms 2210, 2213, 2202, 2208, 2207 and 2211 for better protection of students and teachers. Sincerely, Dale Wegleitner Fire Inspector DW/tp LR*hweld.DW THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer city of engan 'y&Z si±!~ 3830 PILOT KNOB ROAD THOMAS EGAN EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 DAVID K. GUSTAFSON FAX: (612) 454-8363 PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Council Members THOMAS HEDGES City Administrator MAY S , 9 9O EUGENE VAN OVERBEKE City Clerk PCL CONSTRUCTION SERVICES, INC. 9330 JAMES AVENUE SOUTH BLOOMINGTON, MN 55431 RE: 4185 BRADDOCK TRAIL TO WHOM IT MAY CONCERN: THE FOLLOWING IS A LIST OF ITEMS WHICH MUST BE TAKEN CARE OF BEFORE A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ON THIS PROJECT. 1. SMOKE DETECTORS TO BE ADDED TO I.M.C. ATRIUM AREA. 2. HAND RAILS AND EXIT LIGHTS TO BE ADDED TO LECTURE ROOMS. 3. GASKETS TO BE INSTALLED ON ALL CORRIDOR RATED DOORS. 4. DOORS WHICH ARE REQUIRED MUST HAVE MAGNETIC HOLD OPENS INSTALLED. 5. HEAT OR SMOKE DETECTORS ARE TO BE INSTALLED IN ELECTRICAL ROOMS. 6. ALL HANDICAP SIGNS ARE TO BE INSTALLED IN PARKING LOTS ACCORDING TO DESIGNATED AREAS. 7. ALL EXTRA HORN'S AND LIGHTS ARE TO BE INSTALLED IN AREAS AS PER DISCUSSION WITH ELECTRICAL ENGINEER. 8. ALL ROLL UP DOORS FOR FIRE SYSTEM ARE TO BE IN WORKING CONDITION. SINCERELY, WM. BRUESTLE, BUILDING INSPECTOR WB/ns THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer C- 3cin, cRV of aagan 3830 PILOT KNOB ROAD VAC ELLISON EAGAN, MINNESOTA 55122-1897 Mayor PHONE: (612) 454-8100 THOMAS EGAN FAX: (612) 454-8363 DAVID K. GUSTAFSON PAMELA McCREA THEODORE WACHTER Council Members THOMAS HEDGES September 25, 1989 City Administrator EUGENE VAN OVERBEKE City Clerk TOM OSLUND HAMEL, GREEN, & ABRAHAMSON ARCHITECTS 1201 HARMON PLACE MINNEAPOLIS, MN 55403 Dear Tom: The city forester and I reviewed your request to plant red oaks at the Eagan High School site. They will be permitted as per your plan. It appears as though the fall planting is proceeding nicely. The plant material looks to be in excellent condition. Continued success and best wishes, Jim Sturm City Planner JS/mg ~.T~HELONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer 411~dt%v of eagan PAT GEAGAN August 6, 2004 Mayor PEGGY CARLSON PARKOS CONSTRUCTION CYNDEE FIELDS 1010 SOUTH ROBERT STREET WEST ST. PAUL MN 55118 MIKE MAGUIRE MEG TILLEY RE: 418$ BRADDOCK TRAIL V/ Council Members DAKOTA HILLS EAGAN HIGH SCHOOL We have started our review of the construction documents submitted in pursuit of obtaining a THOMAS HEDGES building permit for the above-referenced project. This review is not intended to be an exhaustive City Administrator and comprehensive report. Unless otherwise noted, all references are to the 2000 I.B.C. It is our goal that this review will help you in complying with the applicable codes and we are, therefore, requesting that the items listed below be addressed: 1. Two sets of Architectural Plans. Municipal Center: 2. One Code Analysis. 3830 Pilot Knob Road 3. One Key Plan. Eagan, MN 55122-1897 4. We have received project specs. Phone: 651.675.5000 If you have any questions regarding the above items, please feel free to contact me at 651-675- Fax: 651-675.5012 5683. TDD:651.454.8535 Sincerely, Maintenance Facility: 3501 Coachman Point J. Craig Novaczyk Eagan, MN 55122 Senior Inspector Phone: 651.675.5300 JCN/ld Fax: 651.675.5360 TDD: 651.454.8535 cc: Wold Architects & Engineers, 305 St. Peter St., St. Paul MN 55102 www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our community CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 /rJ DATE_ 79/ RECENED AMOUNT $ Cam/f (J 8 DOLLARS 100 ❑ CASH CHECK ; of C"u FUND OBJECT AMOUNT ~U /6, U n O l Thank You J~ BY fib! Nt1j/ White-Payers Copy C t. C Yellow--Posting Copy ! , t Pink-File Copy; 0 ~I 2007 FIREWORKS/PYROTECIINIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 1.5 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardanc . NFPA 1126: 4-3.2 Date of Display: / Time of Display: ? 3G Display Address: 1U4--6V0ClC 1`4414, , Z3 Applicant (sponsoring organization): , ff/Glrl S' *6(- Address: t-i 3/67d&0-_ (phtlL City: -/fir eftj State:. Al Zip: Telephone 6 f -7 9 -2!61A Authorized Agent: P6 A/C -12-oy.-4 5 Address: ;?I~ 2'?z L6 S/- City: Bad If~416- State:. Zip:-mac t C Telephone Supervising Operator: Jb~ j.✓ /~q ~2' Certificate No. )3n g~ Manner & Place of Storage of Fireworks/Pyrotechnic Special Effects Prior to Display: 4/_ El C t=C iy]ii~ L t.~7 f~ Type of Fireworks/Pyrotechnic S ecial Effects to be Discharged: H sAd - ~3 F~ Gf mot: ~lC . /0 (ISLE kts f, Quantity: Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, /p~i✓ ~~~~t,~, understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or pro r constitute a nuisance. Date: d 7 A F ant/A pp gent Discharge of the liste fir orks o the ate and abo loFatkDy is hereby approve jet t,~tl~f #j * ditions, if any: L 4 Date: & - N 1 5 2007 ire ief / Fire Marshal 2007 COMMERCIAL BUILDING PERMIT APPLICATION U0 City Of Eagan 1 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered` public information unless you state they are trade secret and why. Foundation • Improvement • Structural Plans (2) sets • Soils Report (1) • Architectural Plans (2) sets • Civil Plans (2) • Certificate of Survey (1) * Code Analysis (1) • Certificate of Survey (1) • Structural Plans (2) • Project Specs (1) • Code Analysis (1) * • Architectural Plans (2) sets • Key Plan (1) • Project Specs (1) HVAC units req'd. on bldg elev. / site plan • Master Exit Plan (1) • Spec Insp & Testing Schedule (1) • Civil Plans (2) • Energy Calculations (1) not always** • Soils Report (1) • Landscaping Plans (2) • Elec. Power & Lighting Form (1) not always- • Meter size must be established . Code Analysis (1) • Meter size must be established-if applicable 1 • Energy Calculations (1) 1 • Emergency Response Site Plan (1) 1 1 • Spec. Insp. & Testing Schedule (1) 1 1 • Electric Power & Lighting Form (1) 1 1 • Project Specs (1) y . 1 • Master Exit Plan (1) y • SAC determination -call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination -call 651-602-1000 • Fire Stopping Submittals • Fire Suppression/Alarm Form • Meter size must be established Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilities. Contact Building Inspections to see if it is required and for a sample. Permit for new building or addition will not be processed without Emergency Response Site Plan. Date 'V/ >o / _yConstruction Cost l f - Site Address 7 lCD greteV ock- --rr Unit/Ste # Tenant Name _ Former Tenant Name Dfs9ription of Work l/ 5 ~ I <ZJ rJ 7" l G Telephone # (~1) 0✓ %10 0 Property Owner 1 / T z Applicant is: wner Contractor Contact ( ) r Contractor ` ~ r Address / -7(~1"j 5!!-:>o City 7fq&?1P,,' q State I r t 1~'1 t/) Zip Telephone # (k~v) S / 3 3 / Arch/Engr Registration # Address 30- City State _ Zip Telephone # Licensed plumber insta ng 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. c p Le e, Z) `eG r~ Appli 's Pri ed Name A 1i 's Signature i DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation 10 26 Public Facility ❑ 30 Accessory Building ❑ 14 Apartments ❑ 27 CommerciaHndustrial ❑ 32 Ext Alt-Apartments ❑ 15 Lodging ❑ , 28 Greenhouse ❑ : 34 Ext Alt-Commercial ❑ 25 Miscellaneous ❑ 29 Antennae R1 35 Ext Alt-Public Facility 37 Nail Salon Wo k 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)* 13 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition Building - Give PCA handout to applicant Valuation Type of Const Width Plan Rev 100% 25% Occupancy MCES System SAC Units Zoning City Water Nbr. of Units _ Stories Booster Pump Nbr. of Bldgs Sq. Ft. PRV Fire Sprinklered Length Code Edition •L-+~' 2 coo _filt'-' Required Inspections _ Footings (new bldg) _ Fireplace R.I. Air Test Final - ` Footings (deck) _ Insulation Footings (addition) _ Sheetrock Foundation ' Final/C.O. Drain Tile _ Final/No C.O. Driveway Apron _ - Other Roof Ice Pr - Decking Insul Final _ Pool Ftgs Air/Gas Tests -Final ✓Framing _ Siding _ Stucco Lath Stone Lath _ Final Windows Final C/O Inspection: Schedule Fire Marshal to be present. Yes W /No Approved By: Planning Building Inspector - Base Fee 105'. OC7 Surcharge 7. 6*0 Plan Review SAC-MCES SAC-City SM Permit SM Surcharge Treatment Plant Financial Guarantee Treatment Plant (Irrigation) Storm Sewer Trunk Park Dedication Sewer Lateral Sewer Trunk Trail Dedication Street Water Quality Water Lateral Water Trunk Water Supply & Storage (WAC) Other Total' ~9~0e) loo .50 2006 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan D 3830 Pilot Knob Road, Eagan, MN 55122 Q n„ Telephone 651-675-5675 Fax 651-675-5694 U Application must be completed and returned at least 15 days prior to date of dis la and inclu SEP 182007 • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions include g the point at w the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all bw a s, s eets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restra For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic, device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve/flame retardancy. (NFPA 1126: 4-3.2) Date of Display: ( ~ Time of Display: 7.,~m Display Address: q1 rs- 4'-JL - tnGll C 53~Z-70 Applicant (sponsoring organization): ~tN~y ~V~-opt i 2 ~n G. Address: fSZ 7 4 7 /e- .e+ City: Caq~+► State: k~ Zip: 5]5? Z~- Telephone ~V y$~ 2IF 7~ Authorized Agent: ,ra Address: City: L` QDIA-~► State: t( Zip: 5--37-/z2- Telephone 6 / IK37/ 7,9;? Supervising Operator:/;r,1'"10 f`t~ Certificate No. Manner & Pla a of Storage of Fire wor /Pyrotechnic Special Effects Prior to Display: /y Typ of Fireworks/Pyrotechnic Special Effects to be Discharged: yes 3 7~✓~ fa ~S .C^-Vk.o'fR Quantity: Ive u.. S Permit Fee: $100.50 (includes state surcharge) * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshall.. 7 I, IlrwLz--~-~-3 , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or pro onstitute a nuisance. ' p ' /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: 7 O 077 Fire Chief / Fire Marshal r , r s Mira Lacous President '5 Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, Minnesota 55122 TEL: 6L: EGGPYRO ('rs7s) HOLLYWOOD TEL: 866-PVR0411 FAX: 651-454-7975 PYROTECHNICS INC odpYrotechnics.com mira~hoNYwa www hollyweodpyrotechnics.com I' Certificate of Insurance 58509 Issue Date: 091117/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Combined Specialties International, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 8362 Tamarack Village DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED BY THE Suite 119 POLICIES BELOW. Woodbury Minnesota 55125 INSURERS AFFORDING COVERAGE INSURER A: Underwriters, Lloyds of London INSURED INSURER B: Hollywood Pyrotechnics, Inc. INSURER C: 1567 Antler Point Eagan Minnesota 55122 INSURER D: COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDITIONAL CONDITIONS AND EXCLUSIONS: 1) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER AN "INSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2) THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURERS SHOOTER(S) ASSISTANT(S) OR ANY OTHER PERSON(S) INCLUDING ANY VOLUTEER(S) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED. 3)COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSUREDS FAILURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDNY) DATE (MM/DD/YY) A GENERAL LIABILITY 1177802420/007 June 01, 2007 June 01, 2008 EACH ACCIDENT $1,000,000 CLAIMS MADE MEDICAL EXP $5,000 (any one person) FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPS AGG $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY $ ANY OWNED AUTO (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per person) EXCESS LIABILITY EACH ACCIDENT $ FOLLOWING FORM AGGREGATE $ WORKERS COMPENSATION WC STATU- OTHER AND TORY LIMITS EMPLOYERS' LIABILITY $ E.L. EACH ACCIDENT $ E.L. DISEASE-EA EMPLOYER $ E.L. DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Eagan High School; City of Eagan and Eagan High School Booster Club are Additional Insured as respects the October 5, 2007 Fireworks Display at Eagan High School, 4185 Braddock Trail, Eagan, MN CERTIFICATE HOLDER CANCELLATION Eagan High School SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 4185 Braddock Trail THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE Eagan, MN 55123 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, IT'S AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE 1 Mira LaCaus President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 miraghollywoodpyrotechnics.com HOLLYWOOD 651-454-7976 or 651-454-7975 fax 1-866-PYRO411(797-6411) toll-free PYROTECHNICS I N C 612-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School October 5th, 2007 Display Prepared: September 2007 Aerial View; Y a ? + r3~""~ A s. r, % l k ,11J ~ ~0~ t 1 ail ~ 3> ' ~ ~{s,~ ♦ ~ [ Va4M . ~ kF' x a ~ A ~ r t ~D M 41 WOE;- r~l s ' ~ k 9 y'R 4•'M yL' ~i.4t z ~ ~~t ~'o®. J~C.Lhtafli1t.11+C~1t s►'..C~.i.5~+~' a9['.' I ;ce ort the No. 117 Cast Corner of thc athaeti trek. 7:7erc Z2, 0 le-=et of safety distance to bleachers and Audience members. Maximum size of 1.75" diameter will be used, and primarily UN0336 (1.4g) with some UN0335 (1.3G) will be used, The display is shot in many parts, opening, touchdown salutes & gerbs, and rockets in the Anthem, Half time mini-display, and a game ending display. I STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 MINNFSOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL Fireworks Operator License Search By Name Results Your search for la cous resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status La Cous, Mira K Both (Indoor & Outdoor) 0537 8/2/2004 8/2/2008 Valid Records 1 to 1 of 1 NEW SEARCH] Last Modified: September 17, 2007. For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahm(cDstate.mn.us or (651)215-0500. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-215-0500 - voice 651-215-0525 - fax 651-282-6555 - TDD https://www.dps. state.mn.us/finarshal/finfireworks/Public/FWNameResults.asp?L_NAME=la+cous&Sub... 9/17/2007 STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 MINNESOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL Fireworks Operator License Search By Name Results Your search for rowe resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status Rowe, Robert B Both (Indoor & Outdoor) 0599 8/2/2004 8/2/2008 Valid Records 1 to 1 of 1 NEW-SEARCH ] Last Modified: September 17, 2007 . For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert.Dahm~a state. mn.us or(651)215-0500. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-215-0500 - voice 651-215-0525 - fax 651-282-6555 - TDD https://www.dps.state.mn.us/finarshal/frnfireworks/Public/FWNameResults.asp?L_NAME=rowe 9/17/2007 STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 MINNESOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL Fireworks Operator License Search By Name Results Your search for bungert resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status Bungert, Michael J Outdoor Only 0735 6/27/2007 6/27/2011 Valid Records 1 to 1 of 1 (NEW SEARCH] Last Modified: September 17, 2007. For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahm@state. mn. us or (651)215-0500. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-215-0500 - voice 651-215-0525 - fax 651-282-6555 - TDD i https://www.dps.state.mn.us/f narshal/ftnfireworks/Public/F"ameResults.asp?L_NAME=bungert 9/17/2007 STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 MINNESOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL Fireworks Operator License Search By Name Results E. Your search for kurkowski resulted in 1 hits Name Certificate Type Certificate # issue Date Expiration Certification Date Status Kurkowski, Michele L Outdoor Only 0622 4/28/2004 4/28/2008 Valid Records 1 to 1 of 1 [ NEW_SEARCH Last Modified: September 17, 2007. For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahm&state. mn. us or(651)215-0500. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-215-0500 - voice 651-215-0525 - fax 651-282-6555 - TDD https://www.dps. state.nm.us/ftnarshal/finfireworks/Public/FWNameResults. asp?L_NAME=kurkowski&S... 9/17/2007 oil I Hollywood Pyrotechnics, Inc. gravels to cehina each year to L` Q0 'Design, Select and 'Perfect the H~~ PYROTECHNICS INC cFireworks we use in our dDisplaysl Hollywood Pyrotechnics, Inc (HPI) is proud to work closely with leading firework manufacturers like Smart Star Fireworks. Smart Star is a leading manufacturer, who is improving their line of products further with the assistance of the masters of fireworks from HPI. We do not just go to China to view a demo and select what we can find as reasonable for our displays, we work closely with our partners in the factories to improve the products to a 9~ new level of beauty, originality, perfection and safety. It is HPI's goal to provide the " best firework experience for product, choreography, service and pricing! See the Hollywood, Pyrotechnics difference! Book a Hollywood Pyrotechnics Display today! A T, . A view of a small part of a Fireworks Factory. There are hundreds of these work areas all through the factory spread over hundreds of acres. a r ilk WWI Fireworks are pasted with paper to Pattern shells are made by placing the 'stars' in the shell in the pattern create hard shells, protecting the desired. Here is a simple Star pattern. Smile face, hearts, and more are contents and assuring a big break. done in a similar way. t A¢ X . Here we see Bert (HPI VP) prepping materials for product A factory worker prepares shell inserts for development in China. We work with them for weeks each year. later assembly. vyi jf ~A'S 'ttl p ~rt1 .yam - IN -mix UP . r -ell i Mira (HPI President) demonstrates some shell Here we see Mira (HPI President) inspecting small shells for building techniques. Double petal with pistil. use in final product assembly. Consistency is important. K g Hollywood Pyrotechnics goes the extra V ■ mile (12,000 of them) to get the best _ _ -.n products at the most competitive prices ....d►~r' possible. Let us show you the HPI difference. Book a show today! Hollywood Pyrotechnics, Inc. m 1567 Antler Paint Eagan, MN 55122 651-454-7976 informationLvHollywoodPyrotechnics.com w . www.HollywoodPyratechnics.com , Copyright © 2006-2007 Hollywood Pyrotechnics, Inc. 17. The permit holder shall maintain at all times during the duration of the permit and as a condition thereof, general liability, bodily injury and property damage insurance approved by the city in a minimum amount of $1,000,000.00 per claim and for each incident. The city shall be named as an additional insured and the permit holder shall provide to the city clerk a current certificate of insurance. The permit holder shall notify the city clerk at least 30 days in advance of any insurance cancellation or threat of cancellation of insurance. 1 0 B UELL CONSULTING, INC. ® 2324 University Avenue West, Suite 200 Site Acquisition Saint Paul, Minnesota 55114-1854 Permitting ® (651) 225-0792 Est, i99~ Fax (651) 225-0795 January 24, 2008 City of Eagan Attn: Dale Schoeppner Inspections Division 3830 Pilot Knob Road Eagan, MN 55122 RE: Building Permit No. EA081163 Dear Dale: Please be advised that Buell Consulting requests that their name be removed from Building Permit No. EA081163 as we managed the acquisition of this Building Permit but we are not the actual construction contractor that is responsible for building the site. Please replace our name on this Building Permit with the construction contractofs name as follows: One Way Building Services, Inc. 6811 Washington Ave. South Edina, MN 55439 952-942-0412 Please let me know if you have any questions. Sincerely, Shelley Sp di Project Manager Buell Consulting, Inc. JAN 2 8 2008 9 4:U 2005 FIREWORKS/PYROTECHNIC SPECIAL EFFECTS DISPLAYS PERMIT APPLICATION City of Eagan 3830 Pilot Knob Road, Eagan, MN 55122 Telephone 651-675-5675 Fax 651-675-5694 Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. Date of Display: Time of Display: ^ /n ! A' Display Address: 7Y~ C'!!14. S"5713 Applicant (sponsoring organization): ff~/ I' /~G.SG Address: (~6 7 /`T r e.r- City: 4" State: Zip: S37?-?--- Telephone 6V ~/St//-rJ Authorized Agent: fr+ta3 ~~''l - tom'// G'o>' 2 6 Address: /S7 7 City: a~ n State: /K4/ Zip:,~~ Telephone 47 YSY ! ~ Supervising Operator: ~/'fe_- 4~gC Certificate No. / 351 Manner & Place of Storage of Fire orks/Pyrotechnic S ecial Effects Prior to Display: S.A Type of Firewor /Pyrotechnic Special Effects to be Discharged: / „ rig- 7S' r~le.n Quantity: Permit Fee: includes $.50 state surcharge $100.50 * If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule. The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in nner th Ufl-not endanger persons or property or constitute a nuisance. Date: ant Discharge of the li d f wor on the date and bove to ation is hereby approved subject to the following conditions, if an : C., '\1 %11 % I I C>a QO , ( Date: 1 D Fire Chief / Fire Mars 1 TLJ) 1; 2008 SE? I Mira LaCous President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 miraNhollywoodpyrotechnics.com HOLLYwOOD 1158 fi-PYR07411(797-645) toll-freer PYROTECHNICS I N C 612-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School September 26th, 2008 Display Prepared: September 2008 Aerial View; . a , Pre at -t . !M-- Y. .1- " fi~gg~ PIN. OP. r° I I . 7Prf• ~ p~ ~ i`ce' ¢ tii J, + ~ ►c~r r ~''s yaa9 , r ~IYMM►} ` xyY~~ ; i M~ ` dr: 33 o fl' t l ze site is on the North East Corner of the athletic field. ihele fs 226L feet of safety distance to bleachers and Audience members. In case of stronger winds from the North we can move further North to add safety distance. Maximum size of 1.75" diameter will be used, and primarily UN0336 (1.4g) with some UN0335 (1.3G) will be used. The display is shot in many parts, opening, touchdown salutes & gerbs, and rockets in the Anthem. Half time mini-display, and a game ending display. Safety distance is patrolled by HPI employees. CERTIFICATE OF INSURANCE This certificate of insurance is NOT an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. The terms, conditions and exclusions of the policy govern the rights and obligations of the Company to the named insured and any other insureds and may substantially limit coverage. Provisions of any other contract, including agreements between the insured and anyone else, cannot and do not amend, extend, or alter any terms, conditions or exclusions in the policy. Additional insured and other endorsements may be authorized only by the Company or its appointed General Agent. Where reference is made to an Aggregate Limit, such limit is the Company's maximum liability under the Policy for the entire policy period regardless of the number of insureds, claimants or occurrences. Date 09/08/2008 NAMED INSURED Hollywood Pyrotechnics, Inc. NAMED INSURED'S ADDRESS 1567 Antler Point Eagan, MN 55122 INSURANCE COMPANY NAME: National Fire & Marine Insurance Company INSURANCE COMPANY ADDRESS: 3024 Harney Street - Omaha, Nebraska - 68131-3580 POLICY INCEPTION DATE NUMBER TYPE OF INSURANCE LIMITS EXPIRATION DATE 72LPS008684 COMMERCIAL GENERAL LIABILITY- Occurrence Form 05/15/2008 ~ Q Premises -Operations 05/15/2009 Products/Completed Operations ❑ Other (Specify) General Aggregate Lim it $ 2,000,000. Products-Completed Operations Aggregate Limit $ 2,000,000. Personal & Advertising Injury Limit $ 2,000,000. Each Occurrence Limit $ 2,000,000. Damage to Premises Rented $100,000. Medical Expense Limit (Any One Person) $ 5,000. POLICY INCLUDES COMPANY-SPECIFIC-NON-STANDARD ENDORSEMENTS WHICH MAY BE RESTRICTIVE OR EXCLUSIONARY IN NATURE. This Certificate is not evidence of additional insured status for the certificate holder nor is it descriptive of coverage for any additional insured. The Certificateholder has been named as an additional insured under the terms of a CG2009 (03/97) endorsement to the policy. For a description of the coverage, please refer to the policy. Fireworks Display Show Date: 09/26/2008 Fireworks Display Show Location: Eagan High School, 4185 Braddock Trail, Eagan, MN 55123 Eagan High School. City of Eagan. and Eagle High School Booster Club are added as additional insureds Der the attached endorsement. In the event of any material change in or cancellation of said policy, the Company's appointed General Agent may, but is not obligated to, notify the party to whom this Certificate is issued of such change or cancellation The COMPANY undertakes no responsibility by reason of any failure to provide such notification. This Certificate issued to: This Certificate ed by: Eagan High School By 4185 Braddock Trail NORTHERN STATES AGENCY, INC. (Company General Agent) Eagan, MN 55123 Retail Producing Agent: Ryder-Rosacker-McCue & Huston 509 West Koenig Street P.O. Box 1228 Grand Island, NE 68802-1228 M-5238 (0412006) i ` POLICY NUMBER: 72LPS008684 COMMERCIAL GENERAL LIABILITY CG 20 09 03 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION (FOR USE WHEN CONTRACTUAL LIABILITY COVERAGE IS NOT PROVIDED TO YOU IN THIS POLICY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization (Additional Insured): Location Of Covered Operations A person or organization for which designation as an "additional Only locations at which the Named Insured performs work or operations insured" (as defined in Section A below) is required by written contract under written contract with the Additional insured, except those in with the Named Insured. connection with any project, premises, jobsite, or location which is or has been subject to a 'consolidated (wrap-up) insurance program' through which the insured is or has been insured. Bodily Injury And Premium Basis Rates Advance Premium Property Damage Liability Cost Per $1000 Of Cost Subject to the applicable policy Not Applicable Not Applicable $ Non-refundable fee per aggregate and per occurrence our schedule limit of insurance. Total Advance Premium $ Fee per our Schedule (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Who Is An Insured (Section 11) is amended to 2. Additional Exclusions include as an insured the person or organization This insurance does not apply to: (called "additional insured") shown in the Schedule but only with respect to liability arising out of: a. "Bodily injury" or "property damage" for 1. Your ongoing operations performed for the which the additional insured(s) are obligated to pay damages by reason of the assump- additional insured(s) at the location designated tion of liability in a contract or agreement. above; or This exclusion does not apply to liability for 2. Acts or omissions of the additional insured(s) in damages that the additional insured(s) connection with their general supervision of would have in the absence of the contract such operations. or agreement. B. With respect to the insurance afforded these addi- b. "Bodily injury" or "property damage" occur- tional insureds, the following additional provisions ring after: apply: (1) All work, including materials, parts or 1. Exclusions b., c., g., h.(1), j., k., I. and n. under equipment furnished in connection with Coverage A - Bodily Injury And Property such work, on the project (other than Damage Liability (Section I - Coverages) do service, maintenance or repairs) to be not apply. performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; or CG 20 09 03 97 Copyright, Insurance Services Office, Inc., 1996 Page 1 of 2 0 (2) That portion of "your work" out of which d. "Property damage" to: the injury or damage arises has been (1) Property owned, used or occupied by or put to its intended use by any person or rented to the additional insured(s); organization other than another con- , tractor or subcontractor engaged in (2) Property in the care, custody, or control performing operations for a principal as of the additional insured(s) or over which a part of the same project. the pose additional exercising insured(s) are for any pur- c. "Bodily injury" or "property damage" arising physical control; or out of any act or omission of the additional (3) Any work, including materials, parts or insured(s) or any of their "employees", other equipment furnished in connection with than the general supervision by the addi- such work, which is performed for the tional insured(s) of your ongoing operations additional insured(s) by you. performed for the additional insured(s). Page 2 of 2 Copyright, Insurance Services Office, Inc., 1996 CG 20 09 03 97 ❑ s STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 MINNESOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL Fireworks Operator License Search By Name Results Your search for bungert resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status Bungert, Michael J Outdoor Only 0735 6/27/2007 6/27/2011 Valid Records 1 to 1 of 1 NEW ARCH Last Modified: May 22, 2008. For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahm@state._mn.us or (651)215-0500. 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L LAd "'10 = c7 H D I~'' ~~''I D m ~ ~ a 'D ~~-1 fT'Iu~i~~f~*'1 f ~ ~~~_~i -C ~ x1 - -{ttl ,ZJ I r~ OG ~ ~r'' ~i rl ~ ~ rND~ z Z I ~ Z 3mw~A ` ~ l ~ - N i z Z_ -per 3 ~ ~ a7 _A f7 "p ~T7 ~ DS I~~bl r ~ D rte') r 3 =~7D ~ i r,l h~ z ~ ~ D D r~ -i ~ ~ `s/ d tJU H 3 N D 2 L ~ S f7 W z " ~ Z ~ ~P ' IVO C ~ 3 Z7 ~ _ ~ m ~ ~ N 11 _ 2tJ ~D ~ ~ ~ r- ~ z J W .p ITt ~ Z ❑ 3 C7 ~ C d I O ~ :U :U ~ ❑ ~ z N 00 ~ ~ ~ ~zcn ~ m ~ = r Z m 3 -p ft° z I (Tl"~C7~ D ~'1 s~ ~ D I•'1 z ~ czi z ~9 r ~1 ~j (TI (Tl D D D f'•t D v' z~ m 'i O D' '0 D -I Z Z i-i O~~❑ Cll v' ~ ~~T1 Ut ❑ n -,I t'11'"I ~ o z D' N ~~q =dam W Z -1 Lrm'1 ~ n x 1 t' ---------i For Office Use I x I Permit 4_1~1 City of EaEd 11 3830 Pilot Knob Road 1 Permit Fee: I Eagan MN 55122 Date Receiv4JAY 1 9009 Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: I 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: MAY 15,2009 Site Address: 4185 BRADDOCK TRAIL EAGAN. Tenant Name: EAGAN HIGH SCHOOL • (Tenant is: New/- XX Existing) Suite PROPERTY OWNER Name: ISD# 196 Phone: 651-423-7591 Address / City / Zip: 14445 DIAMOND PATH ROSEMOUNT,MN. 55068 Applicant is: Owner XX Contractor TYPE OF WORK Description of work: REROOFING 550 SQUARES ON THE HIGH SCHOOL ROOFS. Construction Cost: -$535.,000.00 CONTRACTOR Name: MCPHI LT BROS. ROOFING CO. License N.1 A Address: 2590 CENTENNIAL DRIVE City: NORTH ST. PAUL, State: MN Zip: 55109 Phone: 651-770-206 Contact Person: STRVF/TOnn/PAT ARCHITECT / Name: SRI CONSULT. Registration 40958 ENGINEER 9220 BASS LAKE RD. Address: City: NEW HOPE.MN. State: MN Zip: 5.5_49A Phone: 763-533-2727 Contact Person: ROB/OR BOB. 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 provide specific reasons that would permit the City to conclude that the are trade secrets. 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 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. ~2, X PATRICK M. PETERSON X Applicant's Printed Name Applicant's Signature j Page 1 of 3 DO NOT WRITE BELOW THIS LINE 9 SUB TYPES Foundation _ Public Facility _ Accessory Building _ Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments _ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous _ Antennae Exterior Alteration-Public Facility WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* Addition _ Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 3SD4D Occupancy MCES System Plan Review KO Code Edition~C-&AC Units (25%_ 100%Zoning City Water Census Code Stories Booster Pump # of Units - - Square Feet PRV # of Buildings Length - Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Decking -Insulation -ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Final C/O Inspection: Schedule Fire Marshal to be present: Yes -A- No Reviewed By: _j!V L, , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee Water Quality Surcharge oZ(t d Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk SSW Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTA~Q ~ • ' U Page 2 of 3 f { j ,,-cr Office ;use I win c~ i ! 1 Z` City of Eap Permit ! i 1 ~ Permit Fee: • 1 3330 Pilot Knob Road i i ! Date Received: Eagan MN 55122 i Phone: (651) 675-5675 Fax: (651) 675-5694 staff: _ APPLICATION I $S `~r~ldo>_ Date: S Site Address: Tenant: Suite PROPERTY OWNER Name: Phone: _ Address / City / Zip: Applicant is: Owner Contractor ~.1i.c _ I TYPE OF WORK Description of work: Construction Cost: Estimated Completion ate: - rf- CONTRACTOR Name: S ~1 License _ t 1 ~ - Address: 5r) 1c 7 3,~ - City: State: 16t) Zip: Phone: is Contact Person: FIRE PERMIT TYPE WORK TYPE j Sprinkler System of heads - New _ Fire Pump - Addition _)L Alterations _ Standpipe _ Remodel Other: Other: DESCRIPTION OF WORK: - Commercial _ Residential Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ 5C~c5 x1% = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE 3/4" Displacement Fire Meter - $183.00 $ Fire Meter $ TOTAL FEE Requirements: 2 complete 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 the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/ e 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 iryaccgrdance with the approved plan in the case of work which requires a review and approval of plans. r x 1 iU k X. ,o Applicant°s Printed Name Applicant's Signature FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic _ Flow Alarm _ Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: 1 Permit Reviewer! ~ Date: 1 ~ Use BLUE or BLACK Ink FaMT-1c -,s Eapafl City of I Permit 27 Z 56,5'b I 3830 Pilot Knob Road I Permit Fee: I Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 1 2010 COMMERCIAL PLUMBING PERMIT APPLICATION Date: 3,1 10 Site Address: ~ Tenant: r I Suite PROPERTY 1ST OWNER Name: Phone: CONTRACTOR Name: I License Address: 0 -H1 re&v City:y7 State:&Zip:5 'La Phone: 1x51- Email: '[I( c~ • TYPE OF _ New _ Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: COMMERCIAL / PERMIT TYPE _ New Construction C°27 V Modify Space _ Irrigation System yes no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2 turbo required unless smaller size allowed by Public Works) i 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 j COMMERCIAL FEES: ~p0 $50.50 Minimum (includes State Surcharge) OR Contract Value $ ~V X11% ~ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read - If Permit Fee is less than $1,000, surcharge is $.50 Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). _ $ YJ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge ~ TOTAL FEES $ 50,6D 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.gor)herstateonecall.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 without a permit; that the k will be in accordance with the approved plan i the case of wo which equires a review and approval of plans. x Applicant's P inted Name App nt's I a re F OFFICE USE, ~F Approved By: Dates Required Inspe lgps: Under Ground Rough-In Air Test Gas Test ___Final PRV Required: "Yes No Page 1 of 3 3 ` Lam, "J ,I f: f 1 Use BLUE or BLACK Ink For Office Use Itl~ ~F' I City of EaRdfl Permit _/Po So- 3830 Pilot Knob Road j Permit Fee: j Eagan MN 55122 I Date Received: q,- I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff:~ I 2009 FIREWORKS / PYROTECHNICS APPLICATION Application must be completed and returned at least 15 days prior to date of display and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: Sept 25, 2009 Time of Display: Between 7pm and 11pm, during game Display Address: Eagan High School, Eagan, MN 55121 ff 14 APPLICANT/ Name: Hollywood Pyrotechnics, Inc. Phone: 651-454-7976 SPONSORING ORGANIZATION Address/ City/Zip: 1567 Antler Point, Eagan, MN 55122 AUTHORIZED Name: Mira LaCous Phone: 651-454-7976 AGENT Address /City /Zip: 1567 Antler Point, Eagan, MN 55122 SUPERVISING Mira La Cous 0537 OPERATOR Name: Certificate Number: Manner & place of storage of fireworks/ pyrotechnic special effects prior to display: HPI Magazine, as certified by BATFE in Pine City MN Type of fireworks/ pyrotechnic special effects prior to display: 1.3G and 1.4G Fireworks to a maximum of 3" in size, requiring 210 feet per NFPA 1123 and MN requirements Type of fireworks/ pyrotechnic special effects to be discharged: Same as above Quantit : $1, 5 0 0 Permit Fee: $100.50 (includes $.50 state surcharge) *If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. Mira LaCous understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a,-nuisance. x r Date: x 9-10-09 ~~4,;kcarit~Agerit Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: L_ L 'J Date: Fire Chief / Fire Mars I _ I- E~ _ I (t F OWE r sulf I Permit 1 L 14 1 2009 b 1 Permit Fee: 60. 3830 Pilot Knob Road I I Eagan MN 55122 I I Phone: (651) 675-5675 Date Received: Fax: (651) 675-5694 Staff: I 2009 COMMERCIAL PLUMBING ~ PERMIT APPLICATION Date: Site Address: '4/g! U5 evadke,f It/ r Tenant: / Suite PROPERTY OWNER Name: )~P Phone: CONTRACTOR Name: License 01PI J~JJ~ Address: ~~~~~Y /I • City: W State:.NZip: Phone: (~~1--"T~J 11JJ~ Contact Person: TYPE OF New Replacement Repair Rebuild Modify Space Work in R.O.W. WORK Description of work: {~5~ V PERMIT TYPE COMMERCIA ~ New Construction Modify Space Irrigation System ( yes / _ no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo 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: Size & Price 3/4 meter 203.00 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value $ x1% = $ ~y yl/ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 Radio Meter Read If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharg). State Surcharge Following fees apply when installing a new lawn irrigation system. $ - Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ - S~ 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 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 P' +itrzDn x Applicant's Pr'n ed Name Appli nt's ig at re FOR OFFICE USE Approved BY: Required Inspections: Unldcr ~;,,nJ n Test C PRV Required: fc Page 1 of 3 ---------1 For Office 1Jse- _ I - 1 Permit City of Eajan Permit Fee: 3830 Pilot Knob Road I C Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: - - - - - - - - - - - - - - - - 2010 FIREWORKS / PYROTECHNICS APPLICATION Le/ Application must be completed and returned at least 15 days prior to date of display and include: _C • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: 4/27, 4/28, 4/30, 5/1, 5/6, 5/7, 5/8 Time of Display: _7:30pm, except 4/28 at 3:30pm Display Address: 4185 Braddock Trail, Eagan, MN 55123 APPLICANT / Name: -Eagan High School Phone: _651-683-6948 SPONSORING Address / City/ Zip: 4185 Braddock Trail, Eagan, MN 55123 ORGANIZATION AUTHORIZED AGENT Name: _RES Specialty Pyrotechnics Phone: _952-873-3113 Address / City / Zip: 21595 2861h St., Belle Plaine, MN 56011 SUPERVISING Name: -John G. Ratzlaff Certificate Number: _60196 OPERATOR Manner & place of storage of fireworks /pyrotechnic special effects prior to display. -Delivered day of event Type of fireworks / pyrotechnic special effects prior to display: -none 3 Type of fireworks / pyrotechnic special effects to be discharged: -Per Show: 2 - Flame Projectors, 2 - Flashpots, 2 -1 /2x12' Gerbs Quantity: Permit Fee: $100.50 (includes $.50 state surcharge) *If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, John G. Ratzlaff , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, an will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or pr erty or o to a nuisance. x~~7'r Date: x_4/2/2010 Appkant /Agent Discharge of the listed fireworks on the date and above location is hereby approved subject to the following conditions, if any: Date: Fire Chief/Fire Marshall 5 201 Use BLUE or BLACK Ink I For Office Use I j~ a • ~ Permit ! I Cfit] ity of Ea Il I ~40.~ 6 I Permit Fee: 3830 Pilot Knob Road j/ Eagan MN 55122 . - I Date Received: Phone: (651) 675-5675 I j Fax: (651) 675-5694 j Staff.. L----------------- 2011, FIREWORKS / PYROTECHNICS APPLICATION Apelication must be completed and returned at least 15 days prior to date of display and include. • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126:4-3.2) Date of Display: Time of Display: 7 'm m t1 Display Address: APPLICANT I~ /•~rc nRS Phone: `.S ~ q~ 7 SPONSORING Name: S79777-2- AUTHORIZED ORGANIZATION Address / C' / Zr : 1~6 7 4~ ~r rr 1O1 Name: -//I; Ya- Lt_6,~ Phone: 4~Sy ?9 ?G' AGENT - Zip: 7 rlcr owe SZu~-7- Address / City / SUPERVISING 0Sr7 OPERATOR Name: Certificate Number: Manner & place of storage of firework / pyrotechnic special effects prior to display: / WV tt _ Type of fireworks / pyrotechnic special effects prior to display: z /h 'ey° `Ft fs..r~ w~l S '~°'7 C~GI o~►c~ S ~1 !rG 7V~ Type of fireworks / pyrotechnic special effects to be discharged: ~c~ dlo•✓~ Quanti : Permit Fee: $105.00; (includes $5.00 State surcharge) *If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee.schedule 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.orcl The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, /,rl t understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons o e a nuisance. x.~ Date: X S- t /Agent Discharge of the listed fiorks the date and above location is hereby approved subject to. the following conditions, if any: r w Date. e r XF"fHarsha< 46' 15~ /)0, "ID ID PI&AIT-t) J ,/0q-7' HOLLYW000 PYROTECHNICS INC Aerial View: Mira LaCous President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan. MN 55122 miraXhollywoodpyrotechnics.com 651-454-7976 or 651-454-7975 fax I-866-PYR0411(797-6411) toll-free 612-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School September 30, 2011 Display Prepared. August 2011 The site is on the North East Corner of the athletic field. There is 220 feet of safety distance to bleachers and Audience members. In case of stronger winds from the North we can move further North to add safety distance. Maximum size of 1.75" diameter will be used. The display is shot in many parts, opening, touchdown salutes, and rockets in the Anthem. Half time display and a game ending salute barrage. Safety distance is patrolled by HPI employees. /MX? 72 i-`—'41 ACCWIY CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 0831.11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ryder-Rosacker-McCue & Huston 509 W. Koenig St. PO Box 1228 Grand Island NE 68802 CONTACT Tami Towne /Jeanne Prince PHON� F, 1).(308) 382.2330(AIFAX No). (308) 382-7109 E-MAIL DRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A; Scottsdale Insurance Company INSURER B ; 41297 _ INSURED Hollywood Pyrotechnics Inc 1567 Antler Point Eagan MN 55122 INSURER C : INSURER D ; EACH OCCURRENCE INSURER E A X INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR wvn POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 $100,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Fa occurrence) CLAIMS -MADE X OCCUR CPS1371481 05-01-11 05-01-12 MED EXP (Any one person) $ 5,000 $ 2,000,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG )—(-1 POLICY IF LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Fa ancident) —$ $ ANY AUTO BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE J $ EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENT ON $ $ WORKERS COMPENSATION _ TWCY LATUS OERI AND EMPLOYERS' LIABIL TY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVQ—j E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �f (Mandatory In NH) N / A E . DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If moro space Is required) Display Date: 9/30/11 Display Location: Eagan High School, 4185 Braddock Trail, Eagan, MN Additional Insureds when required by written contract per Form GLS -150s: Eagan High School Booster Club, Eagan High School, City of Eagan CERTIFICATE HOLDER CANCELLATION Eagan High School 4185 Braddock Trail Eagan, MN 55123 Phone: Fax: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE r R ENTATIVE / '1/1%L /i' A ©1988-2010 ACORD Cs RPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD /60 fireworks For Yau! HOLLYw00D PYROTECHNICS INC Hollywood Pyrotechnics, Inc. Offers Superior Quality Products and Displays to the Midwest and Beyond! Hollywood Pyrotechnics, Inc. (HPI) is a Minnesota Corporation providing local sales, and licensed & insured display operation in Minnesota, Wisconsin, Iowa, Dakota's, Nebraska and beyond. HPI has experienced crews, and state-of-the-art equipment for computer fired displays providing for exceptional choreography. Superior quality firework products provide exquisite color and effects as well as cost competitiveness for every need. HPI focuses on complete personal attention for every display, large or small. The utmost care is given to every detail, from choreography to safety, from permits to site clean-up, and all points in- between. For a display that will not be forgotten, and that will meet your budget, try HPI. Ask about first time discounts, and multi-year bonus products. Consider HPI for city festivals, fairs, community events, sporting events, corporate launches, weddings and much more! No event is too large or too small. Contact HPI for your personalized sales support and display operation! BBB Hollywood Pyrotechnics. Inc. 1567 Antler Point Eagan, MN 55122 B51-454-7976 informationRHollywoodPyrotechnics.com www.HollywoodPyrotechnics.com STATE FIRE MARSHAL - Fireworks Operator License Search By Name Results Page 1 of 1 /L UC 73 MINNESOTA DEPARTMENT OF PUBLIC SAFETY STATE FIRE MARSHAL rrtriu t►ra rtrux fuxn Fireworks Operator License Search By Name Results Your search for rowe resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status Rowe, Robert B Both (Indoor & Outdoor) 0599 8/3/2008 8/2/2012 Valid Records 1 to 1 of 1 [NEW SEARCH] Last Modified: September 01, 2011 . For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahm(c�state. mn. us or (651)201-7200. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-201-7200 - voice 651-215-0525 - fax 651-282-6555 - TDD https://lapp.dps. state.mn.us/fmarshal/fmfireworks/Public/F WNameResults.asp?L_NAME=r... 9/1 /2011 j - - - - - - - - - - - - - - For Office Use xx ~ i I D l n I Permit I Cit 6 of f Ea non j Permit Fee: n"m S' v j b 3830 Pilot nob Road I I Eagan MN 5122 Date Re eived: Phone: (65 ) 675-5675 I I Fax: (651) 75-5694 i Sta _ _ J 2010 FIREWORKS / PYROTECHNICS APPLICATION A licati n must be completed and returned t least 15 days prior to ate of display an include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. ( FPA 1126: 4-3.2) Date of Display: 974185 11 Time of Display: 1.40pm Display Address: Braddock Trail, Eagan, MN 55123 APPLICANT / SPONSORING Name: -Eagan High School Phone: _651-683-6948 ORGANIZATION Address / City / Zip: 4185 Braddock Trail, Eagan, MN 55123 AUTHORIZED AGENT Name: _RES Specialty Pyrotechnics Phone: _952-873-3113 Address / City / Zip: _21595 286th St., Belle Plaine, MN 56011 SUPERVISING Name: -John G. Ratzlaff Certificate Number: _B0196 OPERATOR Manner & place of s orage of fireworks / pyrotechnic special effects prior to display. `Delivered day of event Type of fireworks / pyrotechnic special effects prior to display: -none 3 I Type of fireworks / pyrotechnic special effects to be discharged: 4 -1/2x20 Gerbs, 1 - Flashbang Quantity: Permit Fee: $100.50 (includes $.50 state surcharge) "If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal I, -John G. Ratzla , understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons or property or constitute a nuisance. x i~ Date: x_9/13/2011 Applicant /Agent Discharge of the listed firew rks on Ithated above location is hereby approved subject to th following conditions, if any: 0 Date: Fire Chief / ire ar hal _ Use BLUE or BLACK Ink For Office Use I I j Permit City 0 Eap 1 aED I PerrnitFee: 41 t= '~l~t 3830 Pilot Knob Road 1 Date Received: - Eagan MN 55122 Phone: (651) 675-5675 Staff_--------- Fax: (651) 675-5694 4=1 411110 2012 COMM E FACIAL PLUMBING PERMIT APPLICATION ZS/ Date: Site Addres: Ir Tenant: ~ afi Suite 61 PROPERTY IG DI~ OWNER Name: J lY _ Phone: ~ Name: 19 V~CL.icense o/,~C.tYl ✓ 5 -PM CONTRACTOR I W, Address: I1~~}} V AUA City: 1 State: VVI~Zip Phone: Email: TYPE OF _ New _Replacement _ Repair , Rebuild _ Modify Space _ Work in R.O.W. WORK Description of work: COMMERCIAL New Construct n Modify Space Irrigation System yes ! _ no) RPZ PVB) • Rain sensors required on irrigation systems PERMIT TYPE • Avg. GPM (2" turbo 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: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less 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 $ State Surcharge i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surchar e Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ IV(), Do TOTAL FEE 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.gol)herstateonecall.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 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 pla xr x Applicant's Prirfjd Name Ap ll~ ant ure FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PRV Required: -Yes _ No Page 1 of 3 City of Eapn TO: DALE SCHOEPPNER, CHIEF BUILDING OFFICIAL DALE WEGLEITNER, FIRE MARSHAL PAUL OLSON, SUPERINTENDENT OF PARKS MIKE RIDLEY, SENIOR PLANNER CAROL TUNIINI, UTILITY BILLING CLERK TIM PAHR, ENGINEERING TECHNICIAN LEON WEILAND, CONSTRUCTION INSPECTOR TOM COLBERT, PUBLIC WORKS DIRECTOR JOHN GORDER, DEVELOPMENT/DESIGN ENGINEER TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT PAUL HEUER, SYSTEMS ANALYST ERIC MACBETH, WATER RESOURCE COORDINATOR MARK ANDERSON, ELECTRICAL INSPECTOR SCOTT PETERSON, PLUMBING INSPECTOR CRAIG NOVACZYK, SENIOR INSPECTOR OR MIKE LENCE, SENIOR INSPECTOR FROM: TERRY ZELENKA, COMBINATION INSPECTOR DATE: AUGUST 11, 2005 SUBJECT: FINAL INSPECTION FOR EAGAN HIGH SCHOOL 4185 BRADDOCK TRAIL LEGAL: LOT 1 BLOCK 1 EAGAN HIGH SCHOOL The Protective Inspections Division will be performing a final inspection at 4185 Braddock Trail on Thursday, August 25th, 2005. If you are requesting that the Certificate of Occupancy be held, please fill out the proper hold request form. Failure to return the hold request form will be considered your approval. The person, or department, requesting the hold is responsible for notifying and resolving any problems with the affected parties. CD/bldg insp/misc/fmal insp - comm bldgs NJEt~10RANDUNJ TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT , FROM: DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 NIENtORANDUN1 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GA rATY UM ~ KENT THERKELSEN, CHIEF Of POLICE` MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: ©l< - i g ~teg-rho . 7 raVj'~ ' &l r o Can S f zc c ~bn ®n Alf- A G All, /l/.-,: D L/- g/- cc. a_a 5~c~r Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes B- No PRV Required gnature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 CIVIL ENGINEERING Addendum No. 2 for the Bidding Documents for the: Eagan High School Addition Independent School District #196 Eagan, Minnesota Comm. No. 042059 DRAWINGS 1. Sheet C1.2 SITE PLAN AND GRADING, DRAINAGE AND UTILITY PLAN A. Revise note at existing catch basin as shown on drawing R3/C1.2. 2. Sheet C1.3 SITE DETAILS A. Replace detail 6/Cl.3 with City Standard detail as shown on drawing R1/C1.3. Manhole casting shall be Neenah R-I642B End of Addendum 2 e EW By Date NGINEERING DEPT EAGAN ~jPp)PGT ~Y J Page 1 of 1 4 111 • • • I, WOLD ARCHITECTS AND ENGINEERS ANDERSON-JOHNSON ASSOCIA TES 6 WEST FIFTH M STREET , ST. PAUL. L. MN 55102 INC FAX: 651.223.5646 TEL- 651.227.7773 L LANDSCAPE ARCHITECTURE SITEPLANNING CIVILENGINEERING 715 TOLLGATE ROAD. SUITE H Ew :2L :0 7575 GOLDEN VALLEYRO..4O SUITE 100 AiRwF-4POLIS. AIN 53417 FAX (763) 344-0531 P]1(763)344-7129 ELGIN. IL 60123 FAX: 847.608.2654 TEL: 847.608.2600 DT INV. = 908.25 i M.E. i ;"3 i c N ..,14.25 f C )j I f C~ C1.3 M Ex!4 2BUttN~ ADDI IOIN FFE _ 914.25 „ _ r 7 T INV. = 908.25 M T 14.- C1.3 y-14.25 1 i % pq T INV. = 908.05 M.E. 1, a i ~ z . 4.2 908.25 T INV. Y 1 n z , J M.E. a , ' a rl 1 M3~ 5' ,~a C1.3 C CONNECT DT TO f 7 € G\ : EXIS G H C1.3 T INV. = 907,50 INO, =T @ 'Y env = r 903 t ( CONNECTION SHALL 1 BE' CO' E DRILLED, CO r i SA1~V~ _ OR's C T. , . i wP y..l i ctyroatLf SUBJECT: GONNEGTION TO MANHOLE RE1/151ON DATE: 10/06/04 COMMISSION NO: 04205q RaJ REVISIONS A REV. DATE 10/25/04 GI.2 WOLD ARCHITECTS AND ENGINEERS ANDERSON-JOHNSON ASSOCIATES, 6 WEST FIFTH STREET INC. ST. PAUL. MN 55102 FAX: 651.223.5646 TEL: 651.227.7773 LANDSCAPE ARCHITECTURE • SITE PLANNING • CIVIL ENGWEERING 715 TOLLGATE ROAD. SUITE H 7573 GOLDEK VALLEYROAD SU?E 100 ARAWK4POUS AfN 55417 FAX(763)544-0531 Plf (763)344-7117 ELGIN, IL 60123 FAX: 847.608.2654 TEL: 847.608.2600 DES. CC 24x36' SLAB OPENING FOR NEENAH STEPS R3067V CASTING OR EQUAL DIMENSION FROM BACK OF CURB TO CENTER OF PIPE. 4' Dec. MH-9' 7' Dio. MH=9' A 5' Mo. MH-3' 8' Dio. MH=15' A W Da. MH=3' DES. DO 27' OFF-CENTER SLAB OPENING FOR NEENAH R325D-A OR R1642-B CASTING OR EQUAL CATCH BASIN CASTING, NEENAH R3067V OR APPROVED EQUAL CONCRETE COLLAR TO ENCASE CASTING AND RINGS. FULL BED OF MORTAR BETWEEN CASTING AND RINGS. MORTAR OR RAMNECK BETWEEN CONCRETE SLAB AND MANHOLE SECTION. MIN. 3' IN HEIGHT AND MAX. 12' IN HEIGHT i FOR ADJUSTMENT RINGS. 1' MAX. MORTAR THICKNESS WHEN USED FOR CASTING ADJ. `j 6' PRECAST REINFORCED CONCRETE SLAB. JOINTS BETWEEN PRECAST SECTIONS SHALL USE O-RING RUBBER GASKETS CONFORMING TO ASTM C443. V OrlOL1IQ I z PRECAST REINFORCED MANHOLE SECTIONS. 0 o CONFORMING TO ASTM C478. a 'm C .C j MANHOLE STEPS, NEENAH R1981J OR APPROVED EQUAL. 16' ON CENTER. SLOPE BENCHES 2' PER FOOT. Q° GROUT BOTTOM SECTION A A MECHANICALLY COMPACTED 4- GRANULAR MATERIAL FOR LEVELING (Mn/DOT 3149.2F) (ORDINARY COMPACTION) E230 MANHOLE or CATCH BASIN 4/03 230 Lof Ea on DESIGN CC or DD SUBJECT: MANHOLE DETAIL REV15ION 7- DATE: 10/08/04 COMMISSION NO: 042059 ~I REVISIONS REV. DATE IGI2S104 GI.3 N1EN1ORANDUN1 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL Ewe AC 1KTH, `An R UR£ES GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT CRAIG NOVACZYK, SENIOR IN PECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes K-No water quality dedication METER SIZE ❑ Yes No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ e ❑ No PRV Required Signa re Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 llENIORANDUN1 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST tvit 1 bF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 -N1ENt0 RANDUNI TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR AAWX ,C'VLANNER ~L PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. _ r 1 Comments: 7Ij ~'Y«Z, ~'i Indicate any fees that are to be collected with the building permit: AMOUNT Yes ❑ No landscape security required ZONING? Yes No water quality dedication METER SIZE ❑ Yes MNo park dedication ❑ Yes 0 No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes ❑ No PRV Required / Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 4 ~ g ri~ ~ ~ ~ ~,1 JND~PENDENT SCHOOL DISTRICT 196 14445 DIAMOND PATH WEST ■ MARK PARR, Ph.D ROSEMOUNT, MINNESOTA 55068-4199 Director of Secondary Education (651) 423-7712 FAX (651) 423-7614 E-mail: mark.parr@district196.org July 19, 2004 Pamela Dudziak, Planner City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Re: Eagan High School Addition Commission No. 042059 Dear Pamela: In regard to the Eagan High School preliminary zoning meeting that took place on July 8, 2004, Independent School District 196 would like to offer the following information in response to your telephone request for additional parking as part of this project. (Note: We have combined Dakota Hills Middle School and Eagan High School parking information.) Total Existing on site Parking Stalls 809 nn Total off-site Parking (streets, park lot) +/-200 D LU) 1J Existing Usage of Parking Stalls SUL 2 1 2Q04 Upper South Staff 267 Lower East Staff 63 Student Permits 479 By p„ Total On Site 809 Eagan Enrollment/Staff 2202/212 Dakota Hills Staff 125 Estimated Increase in Staff Parking due to the +/-6 High School Addition It is our understanding that the City of Eagan does not have parking requirements specifically related to school use. We also understand that the parking difficulties are mostly during events. It is the Districts' opinion if additional parking was built on the site (the only available District owned property is on the far north end) this parking would provide some benefit during events depending on the event and could possibly work for students who currently aren't allowed to park on-site. We will investigate this additional parking possibility and forward our . findings to you for review. Educating our students to reach their full potential 196 Serving Apple Valley, Burnsville, Coates, Eagan, Inver Grove Heights, C Lakeville, Rosemount, and Empire and Vermillion Townships www.districtl96.org y We look forward to working with the City on this manner. Sincerely Mark Parr Director of Secondary Education cc: John Currie, Superintendent Nick Marcucci, Wold Architects AlEIN1ORAND UN1 TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #J LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALXST~ SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes ❑ No tree dedication ❑ Yes XQ No PRV Required ! I Cry Signature Date CD/FORMS/BLDG INSPIPLAN REVIEW CRAIG N REVISED 9- 02 ~iN1F.N1ORANDUN1 TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR GREGG HOVE, CITY FORESTER JOHN GORDER, ASSISTANT CITY ENGINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS r1o ewr-FINfi~C AL.OFFICEIt ,~iN 1V I;l , ENT C;TNt!V*G` *HNtCIAN " MARY GRANLEY, CODE ENFORCEMENT --D , CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit be held, please fill out the proper "hold" request form. Comments: 12gen Z 121 d An a , C a P✓ D~~ ~~Ci o u G~~/nom Indicate any fees that are to be collected with the building permit: `0 /07//01( AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes No trail dedication ❑ Yes No tree dedication ❑ Yes No PRV Required 4 Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 N'lEN1ORANDUtil TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #5 LEON WEILAND, CONSTRUCTION INSPECTOR DALE WEGLEITNER, FIRE MARSHAL ERIC MACBETH, WATER RESOURCES COORDINATOR X;5S1STANT"MY rNdINEER KENT THERKELSEN, CHIEF OF POLICE MARK ANDERSON, ELECTRICAL INSPECTOR MIKE RIDLEY, CITY PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN MARY GRANLEY, CODE ENFORCEMENT FROM: CRAIG NOVACZYK, SENIOR INSPECTOR DATE: OCTOBER 19, 2004 RE: PLAN REVIEW FOR EAGAN HIGH SCHOOL ADDITIONS 4185 BRADDOCK TRAIL The plans are in our plan review section for your review and comment. Please return this form to my attention with your signed comments and the date of review within seven days. If you have any concerns with these plans, please so indicate on this form and notify and resolve these issues with the affected parties. If you are requesting that issuance of the building permit beheld, please fill out the proper "hold" request form. Comments: Indicate any fees that are to be collected with the building permit: AMOUNT ❑ Yes ❑ No landscape security required ZONING? ❑ Yes ❑ No water quality dedication METER SIZE ❑ Yes ❑ No park dedication ❑ Yes ❑ No trail dedication ❑ Yes No tree dedication ❑ Yes No PRV Required le ✓ zo o Signature Date CD/FORMS/BLDG INSP/PLAN REVIEW CRAIG N REVISED 9- 02 STRUCTURAL TESTING AND SPECIAL INSPECTION SCHEDULE Project Natiie: Eagan lhi'h School Addition Project No.: 012059 Location 41 ,~5 Braddock Trail Ea an, Minnesota 55123 Pernut No.: (1) S ecification Type of Special Section Article Description 2 Inspector 3 Report Frequency Assigned Firm 4 02200 Earthwork SI-T Weekl k' N i'Q fL 03100 Formwork SI-S Per Visit ijvAA~il.3 ~w T 03200 Reinforcement SI-S Per Visit rxup (N : ; e C, 03300 Concrete Tests TA Per Test N N j e(.T Q 03300 Concrete Placement SI-S Per Visit tQ ieeTet- 04200 Masonry Tests SI-T Per Test fVAAQ~ N re Z_i 04200 Masonry Inspection SI-S Per Visit (N ~ R ; C- 05100 Structural Steel SI-T Per Area 1.7 t2. i 05200 Steel Joists SI-T Per Area e Z+ 05300 Steel Deck SI-T Per Area 05500 Stair and Railing SI-T Per Visit Fastening ~(*X U (N' _f & l (1) Permit No. to be provided by the Building Official. (2) Use descriptions per IBC. Section 1704, as adopted by the current State Building Code. (3) Special Inspector - Technical, Special Inspector - Structural, Testing Agency. (4) Firm contracted to perform services. ACKNOWLEDGMENTS Each appropriate rep entativ~ee must sign below: Owner: Firm: Indeqpendent School District #196 Date: Contractor: Firm: Qi7T (O (L. Date: 22 rj O\/ Ij' Architect: 5 Firm: Wold Architects and Engineers Date: / 1 SE Firm: BKBM Engineers Date: 11 z-4y-4 S Firm: B V~Au P k►xre2 T e t- Date: / lI ZZ 04 f T a-•^-J Firm: brmoj k `.)Te-a TC L Date: (T11©4 SI- Firm: RV'kt4tJ IN'rQ2j f L Date: ,./t/-ZZ/0 $TZZL- F: L / Firm: S tML Q'PLj)q?& - Date: Legend: SER = Structural Engineer of Record SI-T = Special Inspector - Technical TA = Testing Agent SI-S = Special Inspector - Structural F = Fabricator Accepted for the Building Department by Date: END OF SECTION 01410 NOV 2004 I! J No. 042059 01410-7 Structural Testin and Special Inspection 7 ! `x BRAUN Braun Intertec Corporation Phone 952.995.2000 Y 1 1001 Hampshire Avenue S Fax- 952.995.2020 } iNTERTEC Minneapolis, MN 55438 Web braunintertec.com g[y, sy~ _ August 30, 2005 Project LC-04-07077B G Irv 3 1 / a~T ! Mr. Erik Youngquist 20yH r' Bossardt Corporation D~ 8585 West 78th Street, Suite 100 ~Y~ Minneapolis, Minnesota 55438 Re: Structural Steel Special Inspection Procedural and Final Report Submittal Eagan High School Addition 4185 Braddock Trail Eagan, Minnesota Dear Mr.Youngquist: ti Please find attached to this procedural report the Structural Steel Special Inspection Final Report for the f Eagan High School Addition and the supporting Special Inspection Daily Reports. Special Inspection and Testing Procedures The special inspection services were provided by International Code Council (ICC) certified special inspectors in accordance with the requirements of Chapter 1700 of the International Building Code (IBC), the Special Inspection and Testing Schedule and the project plans and specifications. The purpose of special inspections is to provide a review of the work being performed by the various contractors to determine if it was done according to the approved construction documents. The special inspector does not have the responsibility or authority to, nor is it the intent of special inspections to have t them, judge, or modify the construction documents. Only the structural engineer of record can do this. a As the special inspections were completed, a Special Inspection Daily Report was prepared to summarize the result of our inspections and testing. Copies of this report were provided to the site representative of the contract for his review and records. As part of this report, items needing correction or discrepancies observed from the approved construction documents were noted. ' Plans and Specifications The approved plans and project documents were used for our inspections. From time to time, we received plan modifications from the structural engineer. When received, these were used to evaluate the work completed in the field. Visual Weld Examinations Visual weld examinations were conducted in accordance with American Welding Society (AWS) D1.1-2004, Figure 5.4 and Table 6.1 requirements and the requirements of the project plans and specifications. Bolted Connection Observations Bolted connection observations were conducted to determine if the bolt holes were filled and if the splined end of the tension control bolts had separated from the body of the bolt. Removal of the spiined end is a direct indicator the bolt has been torqued to the minimum snap-off load. In addition, each ` s connection was observed for fit-up and to determine if the various plies were in contact with one another. Anchor Bolt Observations The anchor bolts were observed to determine if they were in place, if the nuts were installed, if they were fully engaged and if they were snug tight. If required by the construction documents, we also observed if the plate washers were installed. Providing engineering and environmental solutions since 1957 Bossardt Corporation Project LC-04-07077B August 30, 2005 Page 2 Sprayed Fire-Resistive Materials The sprayed fire-resistive material was tested in accordance with the requirements of the project plans and specifications and the requirements of the IBC. Prior to the application of the fireproofing material, the substrate members were observed for surface cleanliness. After the fireproofing material was applied, random locations were selected for thickness, density and bond testing according to the requirements of the project specifications and the IBC. Deck Weld Observations Deck weld observations were conducted in accordance with AWS D 1.3-1998, Section 6.0 requirements and the requirements of the project specifications. In addition, the location and the completeness of the side lap fasteners was also observed and evaluated. General Services performed by Braun Intertec personnel on this project have been conducted with that level of care and skill ordinarily exercised by members of the profession currently practicing in this area. No warranty, express or implied, is made. Thank you for the opportunity to provide the special inspection and testing services for this project. After review of the attached Special Inspection Final Report, if you have any questions or require additional information, please call Troy Baumann at 952.995.2554 or Ray Huber at 952.995.2260. Sincerely, BRAUN RTEC CORPORATION Tro W. Baumann IC Certified Special Inspector-Structural Steel and Welding ICC Ceqif# Special Inspector-Spray-applied Fireproofing Ra . Huber, Vice President-Principal Engineer Attachment: Structural Steel Special Inspection Final Report c: Craig Novaczyke; City of Eagan Robert Sandvick; Braun Intertec Ihor Panchenko; Wold Architects & Engineers Mike Schwanke; Independent School District # 196 Mike Brown; BKBM Engineers SS Rpt Eagan HS A Structural Steel Special Inspection Final Report Eagan High School Addition 4185 Braddock Trail Eagan, Minnesota Prepared for Bossardt Corporation Project LC-04-07077B August 30, 2005 Braun Intertec Corporation BRAUN Braun Interlec Corporation Phone: 951.995.2000 pT 1 1001 Hampshire Avenue S Fax: 952.995.2020 N7 I ER IEC Minneapolis, MN 55438 Web: braunintertec.com Structural Steel Special Inspection Final Report Page 1 of I City of: Eagan Date: August 30, 2005 Attention: Mr. Erik Youngquist Project: Eagan High School Addition 4185 Braddock Trail Eagan. Minnesota Braun Intertec Project: LC-04-07077B In accordance with Section 1704 of the International Building Code and the agreed upon scope of services, special inspections and testing has been provided for the following items: Bolting. The bolted connections detailed in the attached Special Inspection Daily Reports were observed according to the requirements of the plans and specifications. Corrections were made as required. There are currently no discrepancies and there are no outstanding bolted connection related issues. Structural Welding. The welded connections detailed in the attached Special Inspection Daily Reports were observed according to the requirements of the project plans and specifications. Discrepancies were noted and documented. Following the required corrections or review with the structural engineer, the connections were found to be acceptable. There are currently no outstanding or unresolved structural weldin related issues. Spray-applied Fire-Resistant Materials. The surface condition of the members to be fireproofed detailed in the attached Special Inspection Daily Reports was observed and found to be acceptable. The application procedures meet the requirements of the project specifications. The average thickness met the minimum thickness requirements provided by the fireproofing contractor. The measured densities were found to be acceptable. The bond strength exceeded the minimum strength requirements. There are currently no outstanding or unresolved fireproofing-related issues. Conclusion Based upon the inspections performed and the attached reports, it is our professional judgment that, to the best of our knowledge, the inspected work was performed and completed in accordance with the approved plans, specifications, structural engineer provided modifications and applicable workmanship provisions of the International Building Code. Inspecting Firm: Braun Intertec Corporation I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State o i esota er, E Vice President-Principal Engineer License Number: 15329 August 30, 2005 Attachments: Special Inspection Daily Reports, Steel 1 through 4 Special Inspection Daily Reports, Fireproofing 1 through 3 - Ss Rpt Eagan, xs Providing engineering and environmental solutions since 1957 y BRAUN Braun Intertec Corporation Phone: 952.469.3644 I NTE RTEC 21021 Heron way Fax: 952.469.8599 Suite 101 Web: brounintertec.com Lakeville, MN 55044 Special Inspection Final Report Page l oft City of Eagan Date: November 16, 2005 Attention: Mr. Craig Novaczyk Project Name/ ArlrlrPCC Eagan High School Addition 4185 Braddock Trail Eagan, Minnesota In accordance with Section 1704 of the International Building Code and the agreed upon scope of services, special inspections and testing has been provided for the following items: Geopier. The required geopier installation observations have been completed. No discrepancies were noted and there are no outstanding issues. Soils. The required testing in the field and laboratory has been completed. The compaction testing done 1 during the fill placement indicated the procedures used by the contractor were adequate to compact the fill and backfill to meet the project requirements. Observations and testing of the footing excavation j bottom indicated the soils were consistent with those encountered in the soil boring and suitable for support of the design loads. No discrepancies were noted and there are no unresolved soils issues. Concrete. The required testing in the field and in the laboratory has been completed. The available a results have been forwarded under separate cover. The compressive strength testing indicates the concrete placed has met the project requirements. The placement procedures used were judged to have met the project requirements. No discrepancies were noted and there are no outstanding issues. 's Reinforcing Steel. The reinforcement placement detailed in the Special Inspection Daily Reports was 3 observed according to the requirements of the project plans and specifications. No discrepancies were i noted and there are no outstanding issues. Structural Masonry Construction. The required structural masonry observations and testing have been completed with any discrepancies documented and discussed with the contractor. Following the required corrections, the structural masonry construction was found acceptable. The results of Set 2 met the specified strength. There are currently no unresolved structural masonry related issues. :l q~ J Providing engineering and environmental solutions since 1957 Conclusion Based upon the inspections performed and our Special Inspection Daily Reports, it is our professional judgment that, to the best of our knowledge, the inspected work was performed and completed in accordance with the approved plans, specifications, structural engineer provided modifications and applicable workmanship provisions of the International Building Code. Inspecting Firm: Braun Intertec Corporation I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of Minnesota. i Lam' Gre : I PE Associa a enior Engineer Registration Number: 24017 Date: November 16, 2005 I d 1 BRAUN Braun Intertec Corporation Phone: 952.469.3644 21021 Heron Way Fox: 952.469.8599 iNTERTEC Suite 101 Web: braunintertec.com Lakeville, MN 55044 November 16, 2005 Project LC-04-07077-B Mr. Eric Youngquist Bossardt Corporation 8585 West 78th Street, Suite 100 Minneapolis, MN 55438 Re: Special Inspection Final Report Eagan High School Addition 4185 Braddock Trail Eagan, Minnesota Dear Mr. Youngquist: Please find attached the Special Inspection Final Report for the Eagan High School Addition and the final supporting Special Inspection Daily Reports for your review and records. Special Inspections and Testing Procedures The special inspection services provided for this project were provided by International Code Council (ICC) certified special inspectors in accordance with the requirements of Chapter 1700 of the j International Building Code (IBC), the Special Inspection and Testing Schedule and the project plans and specifications. i The purpose of the special inspection services was to provide a review of the work being performed by the various contractors to determine if the work was being done according to the approved construction documents. The special inspector doesn't have the responsibility or authority to, nor is it the intent of special inspections to-have them, judge or modify the construction documents. Only the structural engineer of record can do this. As the special inspections were completed, a Special Inspection Daily Report was prepared to summarize 3 the result of our inspections and testing. Copies of this report were provided to the site representative of the contractor for his review and records. As part of this report, items needing correction or discrepancies observed from the approved construction documents were noted. I Available Information We were provided with a Geotechnical Report prepared by GME Consultants under project number 11111 completed October 11, 2004. We were provided a copy of a Geopier Soil Reinforcement Plan for the Eagan High School Addition dated November 24, 2004, submitted by Geopier Foundation Company. We were also provided a copy of the a design submittal for Geopier Foundation System prepared by Geopier Foundation Company, dated November 18, 2004 under project P04-PMM-00157. Providing engineering and environmental solutions since 1957 Bossardt Corporation Project LC-04-07077-B November 16, 2005 Page 2 Plans and Specifications The approved plans and specifications were used for our inspections throughout the duration of the project. From time to time, we have received plan modifications from the prof ect structural engineer. When received, these have been used to evaluate the work completed in the field. Geopier Observations Geopier installation observations were performed to evaluate if geopier depth and bottom soil type were consistent with the project specifications. In addition, removal of unsuitable soils was observed. We have included copies of the geopier daily observation reports. Soil Observations and Testing Prior to concrete placement, the footing subgrade soils were observed. Hand auger borings were drilled with a 1 1/2-inch-diameter hand auger. The borings were advanced in 2-to 4-inch increments to depths of 2 to 4 feet below the bottom of the excavation. The shallower penetrations occurred when the larger gravel cobbles and boulders were encountered. The auger was then withdrawn from the borehole to obtain cuttings. The soils encountered in the borings were classified in general accordance with ASTM D 2488, "Description and Identification of Soils (Visual/Manual Procedures)." Preliminary estimates of soil consistency and density were also evaluated based on resistance to penetration and turning of the hand auger. During placement of backfill for footing, slab or pavement support, compaction tests were taken to evaluate if the procedures used by the contractor were adequate to compact the fill and backfill to meet the project requirements. The results of the compaction tests were forwarded to the interested parties under separate cover as they became available. We have, for your reference, included copies of the Compaction and Proctor Tests. Concrete Reinforcement To conduct the required observations, the special inspector initially reviewed the reinforcement and dowel requirements on the project structural and shop drawings. Information reviewed included bar size, bar length, bar spacing, bar location, splice lengths and dowel placement. We also noted if the reinforcement was free of rust, scale and soil prior to placement. Concrete Placement Observations Concrete placement observations were performed to monitor the procedures being used by the contractor and to determine if they were consistent with typical industry standards. Fresh Concrete Testing Routine tests to determine the plastic concrete's slump, temperature and air content were done during each pour. In addition, concrete cylinders were cast at rates specified in the project specifications to evaluate the concrete's compressive strength. Concrete Compressive Strength Testing The concrete cylinders cast were temporarily stored at the site and then returned to our laboratory for moist curing and testing. The results of the concrete compressive strength testing were forwarded to the interested parties under a separate cover as they became available. We have attached copies of the compression test results to this final report. Bossardt Corporation Project LC-04-07077-B November 16, 2005 Page 3 Masonry Construction Observations Prior to conducting the observations, the special inspector reviewed the construction documents and the approved submittals. As construction began, the proportions of the site prepared mortar, construction of mortar joints and the location of reinforcement and connectors was observed for compliance. I The inspection program included determining the size and location of structural elements in addition to the type, size, and location of anchors, including other details of anchorage of masonry to structural members, frames or other construction for compliance. We also determined if the specified size, grade and type of reinforcement was used and if the protection of masonry was in compliance with the guidelines of Section 2104.3 and 2104.4 of the IBC. Prior to grouting, the cleanliness of the grout space, placement of reinforcement and connectors, proportions of site prepared grout and construction of mortar joints were observed. Concrete Masonry Prism Testing The hollow core masonry prisms cast were tested in general accordance with ASTM C1314: Test Method for Compressive Strength of Masonry Prisms. The samples were temporarily stored at the site and returned to our laboratory for compressive strength testing. The results for the compressive strengths of the masonry prisms were forwarded to the interested parties under separate cover as they became available. Concrete Masonry Grout Testing The grout prisms cast were tested in general accordance with ASTM C 1019: Standard Test Method for Sampling and Testing Grout. The samples were temporarily stored at the site and returned to our laboratory for compressive strength testing. The results for the compressive strengths of the grout prisms were forwarded to the interested parties under separate cover as they became available. Structural Steel Observations An ICC certified special inspector performed observations of the structural steel construction. A separate summary report dated August 30, 2005, was previously sent out for this section. General In performing its services, Braun Intertec used that degree of care and skill ordinarily exercised under similar circumstances by reputable members of its profession currently practicing in the same locality. No warranty, express or implied, is made. Bossardt Corporation Project LC-04-07077-B November 16, 2005 Page 4 Thank you for the opportunity to provide the special inspection and testing services for this project. After review of the attached Special Inspection Final Report, if you have any questions or require additional information, please call Jason Jaworski at 952.469.3644 or Robert Sandvick at 608.781.7277. Sincerely, BRAUN INTERTEC CORPORATION son Jawors EIT Staff Engineer tregoryyy~ Bia n, PE Associate - Senior Engineer Attachments: Special Inspection Final Report Observation Report; Geopier 1 through 7 Observation Report; Soils 1 Observation Report; Concrete Reinforcing 1 through 9 Observation Report; Masonry 1 through 11 Geopier Summary; Reports 1 through 12 Compaction Tests; Reports 1 through 7 Proctors; P-1 through P-2 Concrete Compressive Strengths; Sets 1 through 32 Grout Prism; Sets 1 through 2 Masonry Prism; Sets 1 through 2 Masonry Units; Set 1 c: Mr. Ihor Panchenko; Wold Architects & Engineers Mr. Dave Rey; Anderson-Johnson Associates, Inc. Mr. Ron Lemere; BKBM Engineers Mr. Mike Schwanke; ISD 196 Mr. Craig Novaczyk; City of Eagan 1c0407077b/rpt I RAu Braun Intertec Corporation Phone: 952.995.2000 11001 Hampshire Avenue S Fax: 952.995.2020 INTERTEC Minneapolis, MN 55438 Web: brounintertec.com August 30, 2005 Project LC-04-07077B Mr. Erik Youngquist Bossardt Corporation 8585 West 78th Street, Suite 100 Minneapolis, Minnesota 55438 Re: Structural Steel Special Inspection Procedural and Final Report Submittal Eagan High School Addition t 4185 Braddock Trail Eagan, Minnesota Dear Mr.Youngquist: six Please find attached to this procedural report the Structural Steel Special Inspection Final Report for the r Eagan High School Addition and the supporting Special Inspection Daily Reports. ' Special Inspection and Testing Procedures 'Y2 The special inspection services were provided by International Code Council (ICC) certified special inspectors in accordance with the requirements of Chapter 1700 of the International Building Code (IBC), the Special Inspection and Testing Schedule and the project plans and specifications. The purpose of special inspections is to provide a review of the work being performed by the various contractors to determine if it was done according to the approved construction documents. The special inspector does not have the responsibility or authority to, nor is it the intent of special inspections to have 1 them, judge, or modify the construction documents. Only the structural engineer of record can do this. As the special inspections were completed, a Special Inspection Daily Report was prepared to summarize the result of our inspections and testing. Copies of this report were provided to the site representative of the contract for his review and records. As part of this report, items needing correction or discrepancies observed from the approved construction documents were noted. Plans and Specifications The approved plans and project documents were used for our inspections. From time to time, we received plan modifications from the structural engineer. When received, these were used to evaluate the work completed in the field. Visual Weld Examinations Visual weld examinations were conducted in accordance with American Welding Society (AWS) D1.1-2004, Figure 5.4 and Table 6.1 requirements and the requirements of the project plans and specifications. Bolted Connection Observations Bolted connection observations were conducted to determine if the bolt holes were filled and if the splined end of the tension control bolts had separated from the body of the bolt. Removal of the splined end is a direct indicator the bolt has been torqued to the minimum snap-off load. In addition, each connection was observed for fit-up and to determine if the various plies were in contact with one another. a. Anchor Bolt Observations The anchor bolts were observed to determine if they were in place, if the nuts were installed, if they were fully engaged and if they were snug tight. If required by the construction documents, we also observed if the plate washers were installed. Providing engineering and environmental solutions since 1957 Bossardt Corporation Project LC-04-07077B August 30, 2005 Page 2 Sprayed Fire-Resistive Materials The sprayed fire-resistive material was tested in accordance with the requirements of the project plans and specifications and the requirements of the IBC. Prior to the application of the fireproofing material, the substrate members were observed for surface cleanliness. After the fireproofing material was applied, random locations were selected for thickness, density and bond testing according to the requirements of the project specifications and the IBC. Deck Weld Observations Deck weld observations were conducted in accordance with AWS D1.3-1998, Section 6.0 requirements and the requirements of the project specifications. In addition, the location and the completeness of the side lap fasteners was also observed and evaluated. General Services performed by Braun Intertec personnel on this project have been conducted with that level of care and skill ordinarily exercised by members of the profession currently practicing in this area. No warranty, express or implied, is made. Thank you for the opportunity to provide the special inspection and testing services for this project. After review of the attached Special Inspection Final Report, if you have any questions or require additional information, please call Troy Baumann at 952.995.2554 or Ray Huber at 952.995.2260. Sincerely, BRAUN RTEC CORPORATION Tro W. Baumann IC Certified Special Inspector-Structural Steel and Welding ICC Certi Special Inspector-Spray-applied Fireproofing Ra . Huber, Vice President-Principal Engineer Attachment: Structural Steel Special Inspection Final Report c: Craig Novaczyke; City of Eagan Robert Sandvick; Braun Intertec Ihor Panchenko; Wold Architects & Engineers Mike Schwanke; Independent School District # 196 Mike Brown; BKBM Engineers SS Rpt Eagan HS A Structural Steel Special Inspection Final Report Eagan High School Addition 4185 Braddock Trail Eagan, Minnesota Prepared for Bossardt Corporation Project LC-04-07077B August 30, 2005 Braun Intertec Corporation 1 i BRAUN Braun Intertec Corporation Phone: 952.995.2000 11001 Hampshire Avenue S fax: 952.995.2020 INT E RTEC Minneapolis, MN 55438 Web: braunintertec.com Structural Steel Special Inspection Final Report Page 1 of 1 City of: Eagan Date: Auguste, 2005 Attention: Mr. Erik Youngquist Proiect: Eagan High School Addition 4185 Braddock Trail Eagan. Minnesota Braun Intertec Proiect: LC-04-07077B In accordance with Section 1704 of the International Building Code and the agreed upon scope of services, special inspections and testing has been provided for the following items: Bolting. The bolted connections detailed in the attached Special Inspection Daily Reports were observed according to the requirements of the plans and specifications. Corrections were made as required. There are currently no discrepancies and there are no outstanding bolted connection related issues. Structural Welding. The welded connections detailed in the attached Special Inspection Daily Reports were observed according to the requirements of the project plans and specifications. Discrepancies were noted and documented. Following the required corrections or review with the structural engineer, the connections were found to be acceptable. There are currently no outstanding or unresolved structural welding related issues. Spray-applied Fire-Resistant Materials. The surface condition of the members to be fireproofed detailed in the attached Special Inspection Daily Reports was observed and found to be acceptable. The application procedures meet the requirements of the project specifications. The average thickness met the minimum thickness requirements provided by the fireproofing contractor. The measured densities were found to be acceptable. The bond strength exceeded the minimum strength requirements. There are currently no outstanding or unresolved fireproofing-related issues. Conclusion Based upon the inspections performed and the attached reports, it is our professional judgment that, to the best of our knowledge, the inspected work was performed and completed in accordance with the approved plans, specifications, structural engineer provided modifications and applicable workmanship provisions of the International Building Code. Inspecting Firm: Braun Intertec Corporation I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Professional Engineer under the laws of the State of 'nn o a. a A. ube , PE Vice President-Principal Engineer License Number: 15329 August 30, 2005 Attachments: Special Inspection Daily Reports, Steel 1 through 4 Special Inspection Daily Reports, Fireproofing 1 through 3 - SS Rpt Eagan HS Providing engineering and environmental solutions since 1957 Page ! of SIDRPT BRAUN NTE RTEC Special Inspection Daily Report rr City of Report No.: ss Date of This Report: r 'a 'a Project Name: /y7 = to Project No.: !!.L 'Q 0®J7' L) Project Address: [ ; Client: 0616 Client Project No.: Weather: u Temperature: Type of Inspection: Inspection Coverage: ❑ Continuous ❑ Masonry ❑ Rebar Placement El Foundations ❑ Special Cases Periodic Weldin & Boltin ❑ Concrete Placement ❑ Fireproofing 9 9 e1v ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes X (Listed Below) No ❑ Description and location of work completed: 1' ICLICCt z AOl ?OAA fn ka UIA GIQLO . Arl a2) - 777 r-- 310M Al 713 V3 - 0 `ldo J !C/ ~olrac tJ•3+~e` ®e/efcrol,~ d ,~rvos EJa~~3 /fit-:fi,/~ G u 10 ~ c K sari c~►Co tT l?'! ► a~'• 1 3~ 0 7~ cs ~zc: c N®~cJ. List tests performed: o d) 0. J u c I p L 1u(i to 1> 4 - Y H A-32-s- - 32-S t VG-. Jb at Ain fJt/ V , ~g 3` Sl 4 a.2 .24. ft 4Iti noik) Aj. • Are there any discrepancies noted from this day's observations? Yes No ❑ ' • Are there any outstanding discrepancies on this project? Yes No ❑ • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions ;o;fthe curre BC/UBC, except as noted above. Signed: Date: -2 -.9 ` - Print Ful ame: L"rt. c i I.D. No.: ,SoCl/ t0 White copy to Braun Intertec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 Page,,2, of BRAUN SIDRPT NTE RTEC Special Inspection Daily Report City of 44C n M14) Report No.: 1-- j Date of This Report: J-d k" o d Project Name: -L k oo! %~ro 1 Project No.: t6- eq Project Address: Client: C oS S cI I` t Client Project No.: Weather: Temperature: Type of Inspection: Inspection Coverage: ❑ Continuous ❑ Masonry ❑ Rebar Placement ❑ Foundations ❑ Special Cases ❑ Periodic ❑ Welding & Bolting ❑ Concrete Placement ❑ Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No ❑ Description and location of work completed: nncv~Q'1 c {~ti J~• J t+~LS +^3%fS1'. !a 3) 1,V914113 EiL tJtJ3 40-1 ~l«.w. ~o ~ccn t'oa~icL~fa~ s t~ boil. 4ft Ie : ! /t Or-Otl c .,jo 7 0--) to s! O SclrlcAta~~ a t"//a l,Ji.) 0A k ~-.J f -M as • ac. a List tests performed: • Are there any discrepancies noted from this day's observations? Yes No ❑ • Are there any outstanding discrepancies on this project? Yes No ❑ • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the c rrent IBC/UBC, except as noted above. Signed: Date: '2" Print Full me: I.D. No.: so 1 JI- White copy to Braun Intertec fife. Blue copy to Project Site Representative. Providing-engineering and environmental solutions since 1957 Page of _ SID"T BRAUN NTE RTEC Special Inspection Daily Report City of~ Report No.: d Date of This Report: Project Name: 4 i Ji ao ; ~t Project No. U- o`1Q 7 O 2 2 -A Project Address: JZC EIO c / ; Client: it .oa Client Project No.: Weather v h Temperature: n Type of Inspection: Inspection Coverage: ❑ Continuous ❑ Masonry ❑ Rebar Placement ❑ Foundations ❑ Special Cases Periodic Fe"Welding & Bolting ❑ Concrete Placement ❑ Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No El Description and location of work completed: - / ~ 1 r t fttc3~4 [f*fuc f3~?SLivc~ta-~J e '~Y ft'~f ~~~lFx tin f ~f(J f( //jj~ tO {l~t9Jtte~. ~.sO►'!~«+s`r*s'4~ ~,J lt3a/ j)jj~~Cmia f 9 iJt 4 ~'1 ~ +c J IL K.. < M i' l~ °6 t ~ ! E (3li r 1~. ~.3. W'-J n00 E_ ofF.~ 4fLiz IsAft'040c) Lilt, List tests performed: • Are there any discrepancies noted from this days observations? Yes No ❑ • Are there any outstanding discrepancies on this project? Ye No ❑ • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above. Signed: 10 Date: %3 A 3" • ~3_ Print Full N e: ~ /0 I.D. No.: J-01, 7 White copy to Broun Intertec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 Page of _ SIDRPT BRAUN' NTE RTEC Special Inspection Daily Report City of /~A Report No.: J A3 Date of This Report: 5-- L' a `r Project Name: to Project No.: 16 -00 20,2 7.4 Project Address: /D~ Y C /c: Client: L)OJJc : Caw Client Project No.: Weather Temperature: A.-' S 0 Type of Inspection: Inspection Coverage: ❑ Continuous ❑ Masonry ❑ Rebar Placement ❑ Foundations ❑ Special Cases Periodic Welding & Bolting ❑ Concrete Placement ❑ Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No ❑ ill Description and location of work completed: , JUL Li D/Mt U. D Sci+.c to/n r I Q r BLC•1 ~J LJtc•~ co~ ~Lcrs l.Olv.~t~ ~n~►Lt~to'~~ IlOeh ~crst-~ 1 9,-) G-M A) - 3o.,i 2J V:]V~~ Ob3C/Vcbto^J 3ll`C~ Wt~~~ opt ~c/~~t~~ ~o ~ttH•J. L,(, OhJ(/&OJ4-%i of &J, pAk v--dl --Jf *0- J</C-J List tests performed: Qe i /cA1 c CJ ,A)- K • Are there any discrepancies noted from this dcr/s observations? Yes No ❑ • Are there any outstanding discrepancies on this project? Yes No ❑ • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above. Signed: Date: L Print Full N e: /o c.. I.D. No.: XO G 2 LLD - j White copy to Braun Intertec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 Page of _ SIDRPT BRAUN NTE RTEC Special Inspection Daily Report City of ~q , 4 , Report No.: ~ /y t j t Date of This Report: 4 .0i 1 Moat : 11 ) Project No_: LC- QY' 0)0 M Project Name: L, C f1 J t Address: C cG Project !c.' Client: S i C. Client Project No.: Weather. I Temperature: A/ mss! j Type of Inspection: Inspection Coverage: ❑ Continuous ❑ Masonry ❑ Rebar Placement ❑ Foundations ❑ Special Cases Periodic Welding & Bolting ❑ Concrete Placement ❑ Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes (Listed Below) No El Description and location of work completed: r CAO/tnL_- L1:Sv~ 0~3r_/uc~10 z 0 ~ KJCJ~~ !`j S~%~_/}o~c✓ W-3 c_/4L 8 ~ r 't t t List tests performed: • Are there any discrepancies noted from this days observations? Yes ❑ Noy • Are there any outstanding discrepancies on this project? Yes ❑ No • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above- Signed: Date:" Print Full Na e: to ic, c yr I.D. No.:.~L'~® White copy to Braun Intertec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 Page i of SIDRPT BRAUN I NTE RTEC Special Inspection Daily Report City of L R Report No.: SFI:Z, /VL &I Date of This Report: 9-3-0-,5- Project Name: ~ ti ~f Project No.: L C - Gy- o 74 2 7- Project Address: Client: Client Project No.: Weather: 0.nProa_s ~ Temperature: Type of Inspection: Inspection Coverage: ,E~l Continuous ❑ Masonry El Rebar Placement El Foundations El Special Cases L"Periodic GWelding & Bolting ❑ Concrete Placement ❑ Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No ❑ Description and location of work completed: - l F C O r'a. ~ rv:, lc'~. ~ ~ c tCv~ 5 •.-n. a ✓t~ s' ac t ! 7 .~s d K P ~ YrL C Ct List tests performed: • Are there any discrepancies noted from this day's observations? Yes No ❑ • Are there any outstanding discrepancies on. this project? Yes No ❑ • if yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above. Signed: Date: e',`3 Print Full e: I.D. No.: --'=;-GoZ'2 9l,9 -RS;7- White copy to Braun Intertec file. Blue copy to Project Site Representative. 41 Providing engineering and environmental solutions since 1957 Page A of SIDRPT BRAUN NTE RTEC Special Inspection Daily Report City of ter Report No.: 5pRM Date of This Report. Project Name: 976LK6 n 17-5 - AZ r5Cio,1 Project No.: Project Address: Client: Client Project No.: Weather: P Temperature: Type of Inspection: Inspection Coverage: ❑ Continuous El Masonry El Rebar Placement Foundations El Special Cases &,'Periodic El Welding & Bolting El Concrete Placement O-Fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No ❑ Description and location of work completed: 0 A,, kytey; o b tea: --!s, g~of ~ U A IG° wt%/` , v~ t, z0 t-`- c& /l. 1'rzy f / t-, t r`fq rs n « k-l !Q O G 4- rajn 2- a~ -10 S S t- e-5 s. J /J G r t°~ r-Ci / J~ 40'.-" ~.G '-00? ji c7el 7=c 4-1 List tests performed: V;s C&4 bex - • Are there any discrepancies noted from this day's observations? Yes ❑ No • Are there any outstanding discrepancies on this project? Yes ❑ No • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above. Signed: Date: f> Print Full me: I.D. No.: !2 I " White copy to Braun Interfec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 Page Of SIDRPT BRAUN NTE RTEC Special Inspection Daily Report City of e11 Report No.: 5 FI~M 3 Date of This Report: G - ~Z J _O-5 Project Name: «,c c.. rti f-1- s- /red' Project No.: C... G-G5 O 70 2 Project Address: ~j 1 SS 8 nee o(d ec k T Client: Client Project No.: Weather: Temperature: Type of Inspection: Inspection Coverage: Continuous ❑ Masonry ❑ Rebar Placement ❑ Foundations ❑ Special Cases i~t'eriodic ❑ Welding & Bolting ❑ Concrete Placement 19--fireproofing ❑ Piles & Piers ❑ Tendon Placement ❑ Soils Did the architect or engineer authorize changes to city approved plans? Yes ❑ (Listed Below) No ❑ Description and location of work completed: / 1 s I'VI i ea n car' ~S Aid '-f / P.-a /f 1 aq/_ 1hsfta J r tY f w/ 7// ' i'L 4 ! ! b VK" ~ r-a e- _4;; ~ -e r)'4 A List tests performed: ' bon • Are there any discrepancies noted from this day's observations? Yes ❑ No • Are there any outstanding discrepancies on this project? Yes ❑ No • If yes, see attached Summary Sheet. To the best of our knowledge, work inspected was done in accordance with the approved plans, specifications and applicable workmanship provisions of the current IBC/UBC, except as noted above. Signed: Date. -G Print Full N e: I.D. No_: O l g✓~ White copy to Braun tntertec file. Blue copy to Project Site Representative. Providing engineering and environmental solutions since 1957 sr BRAUN .INTERTEC DENSITY OF FIREPROOFING Displacement Method Project Number 1z ' d r 'd7077~ Project Name Date Sampled 6-3-o6 Sample Number O~ Location of Samples: L~~,~r jz•--c l ~ea Remarks of General Condition of Material: Formula for calculating density: D = W x 62.43/V D = density in foot pounds W = weight of sample in grams V = volume of sample in cubic centimeters Weight of sample cv grams volume / cubic centimeters Density DL a lbs./cu.ft. Maniufacturer ~cc ler- C2 Minimum density required Material Type 300 General Information: This sample meets the manufacturers minimum density requirements yes ✓ no BRAUN INTERTEC CORPORATION Nondestructive Testing Department 1-1001 Hampshire Avenue South Bloomington, MN 55438, 952-995-2514, 952-995-2956 fax ,M B RAU-N 1 NTE RTEC DENSITY OF FIREPROOFING Displacement Method O1/ Project Number L~ ' Of- 0~.077/J Project Name ~C(~G111 ~I SC`!oo1 Date Sampled Sample Number 1 Location of Samples : 640Q ,-f Remarks of General Condition of Material: Formula for calculating density: D = W x 62.43/V D = density in foot pounds W = weight of sample in grams V = volume of sample in cubic centimeters Weight of sample grams Volume G cubic centimeters Density lbs./cu.ft. Manufacturer ~C4- ccY Minimum density required Material Type General Information: This sample meets the manufacturers minimum density requirements yes no BRAUN INTERTEC CORPORATION Nondestructive Testing Department 11001 Hampshire Avenue South Bloomington, MN 55438 952-995-2514, 952-995-2956 fax Tar-hni c;i an ~ SM B RAU. N-- -INTERTEC DENSITY OF FIREPROOFING Displacement Method Project Number _0!1'0707;713 Project Name Date Sampled 6 '37 y~ Sample Number 3 Location of Samples: / `oo7c (3eu Remarks of General Condition of Material: Formula for calculating density: D = W x 62.43/V .D = density in foot pounds W = weight of sample in grams V = volume of sample in cubic centimeters Weight of sample / grams Volume cubic centimeters Density / lbs./cu.ft. Manufacturer Cufco BOO Minimum density required Material Type ~J C> General Information: This sample meets the manufacturers minimum density requirements yes no BRAUN INTERTEC CORPORATION Nondestructive Testing Department 11001 Hampshire Avenue South Bloomington, MN 55438 952-995-2514, 952-995-2956 fax 91. h BRAUNYM INTERTEC DENSITY OF FIREPROOFING Displacement Method Project Number Project Name lf'f ~!'fOG~ Date Sampled Sample Number Location of Samples : ~oo~ pe c Remarks of General Condition of Material: Formula for calculating density: D = W x 62.43/V D = density in foot pounds W = weight of sample in grams V = volume of sample in cubic centimeters Weight of sample , grams Volume cubic centimeters Density lbs./cu.ft. ManuLacturer Ccr ~C !J 5-~ Gd Minimum density required !S Material Type 3 G 0 General Information: This sample meets the manufacturers minimum density requirements yes no BRAUN INTERTEC CORPORATION Nondestructive Testing Department 11001 Hampshire Avenue South Bloomington, MN 55438 952-995-2514, 952-995-2956 fa Use BLUE or BLACK Ink ity For Woe use l Perm It* of Eap, . 3830 Pilot Knob Road : Permit Fee: Eagan MN 55122 RECEIVED I l Phone: (651) 675-5675 gate Received; Fax: (651) 676-6694 JUN 18 2012 ► ` f 15tatf: t------ --1 2012 FIRE tUPPRESSION SYSTEMS PERMIT APPUCATIVN* Date: t~/JS//2 Site Address: /8S 13A4h CL/4 Tenant J'' ~G~'1 SGI~I DOCr suite Name: Phone: ;Address 1 City I Zip: Applicant is: Owner Contractor . Description of work: S6 IT D-1 ! /i A .C l pT r- Ok Drz S C /Z / o Construction ~f . 14`Estimated Completion mate: N Dense 8/f Address: City: , Sr§mdia, MN 55073 State: Zip: Phone: G /L Z 4- Z ^F ..6 Contack /TA VO FIRE PERMIT TYPE WORK TYPE Spr{nkler System of heads _ New _ Addition _ Fire Pump _ Standpipe _-Alterations Remodel -Other Other.C0012 C 12rzC7/OkS DESCRIPTION OF WORK: Commercial Residential Educational FEES $60.00 Minimum (includes State Surcharge) OR Contract Value $ G 4"'SJ X11% • If the Pem*it a is less than $10,010, surdwge is $ 5.00 = $ Permit Fee - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (I.e. a $10,010411.010 Permit Fm requires a $ 5.50 surcharge) = $ S• Surcharge $__!E?. TOTAL FEE 3/4" Displacement Fire Meter - $231.00 Fire Meter _ $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a l=ine Suppression System permd and adatawiedge that the Umforrrtation is oomptete and accurate; That the work v+n11 be in conformance with the ordinances and codas of Me City of Eagan and Mier the Maxmsofa 8uttd*g/Flre Codes; that 1 understand this is not a p[xmit, but only an application for a permit, and work is not to start without a permit; that the work will be in with the approved plan in the case of work w which requites a review and approval of prdns, Applicant's Printed (dame Applicant's Signature T CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. 1 48 hours before you intend to 4S to receive locates of underground utilities. www.aooherstateonecali^m r :b, y,i..S :tic; p:'L •wL's L' - 77 -.77 • ;1^ 7. 7 y :F<3R^IJFFICE.tIS :•Y: y.• t• i4' ::y 'o. ti f : v REQUIRED.INSPECTIONS Flow Alarm . rain 'Test ' Rou n D. Trip Central Station Final ittoii9 _t issuance,' _ '•`i':'•d.,y`3I;'•[' • ss - .::.,++i .•4..».•; ,•,w_}[,.,yt.-rn :P'~.•:A•~ ♦y:.~' :A`."ri_•ny. .:N.•7M1.".-'•..'r S:••.'r!"~"~yf.',e.,-',-' ~."~'+~Mt.«A;~.,,r..(ftt: ~;`~3'• „-,.e%j::.. . .~;':•:~i~?::'4c :.vw. C Y.a'•. - :Cia:p.L..•+.•F.' •nF;•.~ ";!2a'':. t _ '.`t.: t "s. •.i t°•~;-"•7x=3, yr,n~, °`,,,•"`,~:'d -s.wc'` .a.,re,',': -Y .,t•+r-i~.. „c > .,E„ .r . •r •s 1T• a'~i'gf'wi ;"9~jy~~i 7 G ,,,..iu.[e•'.aY.,,'•'~ .':c:i••+ t::r y .r !!.°'F.-•+G trNK.: l.t r c' .:X.i ',i~. •'C~, r. ..:1+•' .p,.,f•.: .i•i _.eL,, _ .1.',t':"r•:'f' .•ll• r,;': .,+-t•~:.. '~y:''!„ 1:"• 1, `h 'f.- :1C,' :i ,+9:..V•"T,;2L'V? •rX`.a~ to V:.," M': '-io+'l.'+.:_'i'. ..Rr. .q~y~j,S .-F •_'L-'.. .'~9~: t-. ,1 -'T :ay,. Y!'..,y;.;•1.:_.. p...• .~3.- .kiN'"•r, j x, ; ::+/._Y: is a'x,•,•~._ .,.r. .:a?yi'te.:~„ •r. i. -.y'`-:.i1 77ft .n. •":~''?i':. `t. > •v..a :r`y'':..:Y. :ei~ ''fi'r, :a~'.._:{:-~ ~'p4::~'" - ...,k`,r_(.`°"'a t :'r~'.'~ :t~c $ +:d y S`t r.. r.: v=~•sw..::~` 't °sPermit.•Rppvip~. , ~ C~' ~A~?~"' ~ rc: k: , , <~~.<.~:~ t ~ n ~ < i 7S _ "!F 'fir ,a. •~~y-„'-;~:Y~:_,-• . ' .^!;•:!.;,v- ~/r_,•,. •.y t~-~.> t - .2s^ ,ft, >=':a• •,yy°..`+: A-'-=;Tn~ sn.,~;:• c ''^•`:-'•.~,t:d 'F Lr rsf ✓J :t- vim.^r. / ,r;u ?.•5' _:e• :S .'+f r`F`+"_,•zr ••:Yi•.y;1•i ,s::' .L't ;.1r.::, y ..^.,•„•i ELL cL SPA1"kt('/c N(z~bs 1 -7/ A/ 6 r? LtiC-7AtcAc R00111 X14 4Zti L-fizb 1-702 s704464ra ~4 'b 6/4Akt-6 r A034,,~~c. _,~;7 JZX'r~L70~.<6 SIP/t.tcLiLA t'i717AP /iv 1<iLj..t. A0,21--f -o kyiair T&/firPahA7X-Atz SPA.(1,<1_1T2A_ kriAaf rok CoDr Co2ari C7~o~,rs. . Use BLUE or BLACK Ink 6 Gk- For Office Use I I c~ Permit 2 City of Eap~~ I Permit Fee: 1 3830 Pilot Knob Road I Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Ju I~r Z I Fax: (651) 675-5694 I I 1 Staff: I 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Vl S ;w Tenant: z'-46q J /UI~J eV J CE,S~S ~ONS tQv~L~is~b Suite PROPERTY q OWNER Name: Phone. Name: CcJP.Jt7Z~EL. " /`~Lyl~tov?. License CONTRACTOR Address: 00g146.~~-V-'A6& ged city: "05wo, f-od State: A-6'4fZip: S6fZ1 9" 7 37 Email: C',A4,fGhp1-r Phone: 6$r/ 21 TYPE OF New _ Replacement - Repair _ Rebuild Modify Space _Work in R.O.W. WORK 'f~ / Description of work: .u// /7'o4pWb COMMERCIAL _ New Construction - Modify Space S/;kj/& /6 _ Irrigation System yes no) RPZ PVB) Rain sensors required on irrigation systems PERMIT TYPE Avg. GPM (2" turbo 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: c $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% 5! 07 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less 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 $ oo State Surcharge i.e. a $10,010-$11,000 Permit Fee re ui'es a $5.50 surchar e Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge = $ 99. 0'7 TOTAL FEE 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 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 ~,~,~L /Ll e11 _ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date:--7/_M/Z- 7 Inspections: Under Ground o ugh-In Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 PERMIT City of Eagan 1:46 Permit Type: Fireworks 3830 Pilot Knob Rd x Permit Number: EA106995 Eagan, MN 55122 Date Issued: 09/20/2012 (651) 675-5675 www.ci.eagan.mn.us 1 of ERV ~ Site Address: 4185 Braddock Tr Lot: 1 Block: 1 Addition: Eagan High School PID: 10-22430-01-010 Use: Description: Sub Type: Pyrotechnic Special Effects Display Sign Permit Required: N Work Type: Ground Display Tent Permit Required: N Description: Temporary Event: N Sales Dates: to Number of Days: 0 to to Comments: PLEASE CONTACT FIRE MARSHAL, DARRIN BRAMWELL, ONE WEEK PRIOR TO SEPTEMBER 28 TO DISCUSS SET UP & INSPECTION. CONTACT HIM NO LATER THAN SEPTEMBER 21ST. 651-675-5900 OR 651-675-5905 Fee Summary: FI - Pyrotechnics $100.00 0801.4096 Surcharge-Fixed $5.00 9001.2195 Total: $105.00 Contractor: - Applicant - Owner: Hollywood Pyrotechnics Independent School Dist 196 1567 Antler Point 14445 Diamond Path Eagan MN 55122 Rosemount MN 55068 (651) 454-7976 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. t Use BLUE or BLACK Ink --------1 For Office Use I I I Permit o ! I City of Eaedn I Permit Fee: CJ I 3830 Pilot Knob Road I I Eagan MN 55122 Z- 4 Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2012 FIREWORKS / PYROTECHNICS APPLICATION Application must be completed and returned at least 15 days prior to date of disnlav and include: • Proof of a $1,000,000 Bond or Certificate of Insurance. • A diagram of the ground, or indoor display facilities, drawn to scale or with dimensions included, illustrating the point at which the fireworks/pyrotechnic special effects are to be discharged; location of ground pieces; location of all buildings, highways, streets, communication lines and other possible overhead obstructions; and the lines behind which the audience will be restrained. For proximate audience (e.g. indoor displays), the diagram must also include the fallout radius for each pyrotechnic device used during the display. • Names and ages of all assistants participating in the display. • Pyrotechnics plan-requires: Certifications that are set, scenery, and rigging materials are inherently flame-retardant or have been treated to achieve flame retardancy. (NFPA 1126: 4-3.2) Date of Display: Time of Display: 740 >-c fl C'`~ i~r ~CX11ham, a rk Display Address: ~r ~t~ TC` b L 11 APPLICANT / Name: 1,2:5 Phone: 6 7 c/.~ 5t 7i~ SPONSORING ORGANIZATION Address/ Ci / Zi : f Sd ter- 2"" oja." L4L .57S;7 zZ AUTHORIZED Name: Phone: AGENT Address / City / Zip: C 5~ ~Ll~ S3 2 SUPERVISING OPERATOR Name: Certificate Number: 9 Manner & place of storage of fireworks / pyrotechnic special effects prior to display. 114 4~ 2 1H e3 / 14 Type of fireworks / pyrotechnic special effects prior to display: 4 3 4 a.• Y Cc,7~~ j11 u~m d ~i:..r~t e~~" c~i"' ~ 75 , ~~3 !-M n~n+ . te•~ e->t rrYY► ~uct~ ~;~iw~, Type of fireworks / pyrotechnic special effects to be discharged:/ less y~ 1. 7S ~~~//S /s h c Quanti Permit Fee: $105.00 (includes $5.00 State surcharge) r s [;6S' *If a fire watch is needed, an additional fee will be assessed in accordance with the City's fee schedule 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.gogherstateonecall.o[g The State of Minnesota requires that this display be conducted under the direct supervision of a pyrotechnic operator certified by the State Fire Marshal. I, Z!Lq understand and agree to comply with all provisions of this application and the requirements of the issuing authority, and will ensure that the fireworks/pyrotechnic special effects are discharged in a manner that will not endanger persons o rty or,constitute a nuisance. Date: x -4( - Z-- /Ag Discharge of tl )ve location is hereby approved subject to the following conditions, if any: Date: 0IR • ?_0_1 Fire Chief / Fi -=\~tr Certificate of Insurance 116868 Issue Date: 7/31/2012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF Deborah M. Merlino INFORMATION ONLY AND CONFERS NO RIGHTS UPON Combined Specialties International, Inc. THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LATER THE COVERAGE AFFORDED 205 San Marin Drive, Suite 5 BY THE POLICIES BELOW. Novato, California 94945 INSURERS AFFORDING COVERAGE INSURED Hollywood Pyrotechnics, Inc INSURER A: Underwriters, Lloyd's London . 1567 Antler Point INSURER B: Eagan, MN 55122 INSURER C: INSURER D: COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NAMED INSURED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES INCLUDING, BUT NOT LIMITED TO THOSE FOLLOWING: LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ADDITIONAL CONDITIONS AND EXCLUSIONS: 1) THE INSURANCE EVIDENCED BY THIS CERTIFICATE IS LIABILITY INSURANCE ONLY, IT IS NOT A BOND OR ANY FORM OF SURETY AGAINST WHICH SOMEONE OTHER THAN "INSURED" MAY ASSERT A CLAIM OR BRING ANY ACTION. SUBJECT TO POLICY TERMS, CONDITIONS, DEFINITIONS AND EXCLUSIONS THE INSURANCE ONLY INDEMNIFIES AN INSURED AGAINST CERTAIN LEGAL LIABILITY. 2)THE INSURANCE DOES NOT COVER CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE OF THE NAMED INSURED's SHOOTER(S) ASSISTANT(S) OR ANY OTHER PERSON(S) INCLUDING ANY VOLUNTEER(S) PARTICIPATING IN ANY WAY IN ANY DISPLAY OR SPECIAL EFFECT PERFORMED OR EXECUTED BY THE NAMED INSURED. 3) COVERAGE DOES NOT APPLY TO CLAIMS FOR BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF THE INSURED's FAILURE TO FOLLOW NFPA OR OTHER APPLICABLE REQUIREMENTS, LAWS OR RECOMMENDATIONS, INCLUDING THOSE RELATING TO POST DISPLAY OR SPECIAL EFFECT SEARCHES OR CLEAN UP. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (DD/MM/YY) DATE (DD/MM/YY) A GENERAL LIABILITY CSI-645189-12 5/15/2012 5/15/2013 EACH ACCIDENT $2,000,000 CLAIMS MADE MEDICAL EXP (any one person) $5,000 FIRE LEGAL LIABILITY $50,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPS AGG $2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Each accident) ANY AUTO ANY OWNED AUTO SCHEDULED AUTOS BODILY INJURY (Per Person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per person) EXCESS LIABILITY EACH ACCIDENT FOLLOWING FORM AGGREGATE WORKERS COMPENSATION WC STATUTORY OTHER LIMITS AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT E.L. DISEASE-EA EMPOYER E.L. DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Eagan High School; Eagan High School Booster Club and City of Eagan, MN are Additional Insured as respects the September 28, 2012 1.313 Fireworks Display at Eagan High School, 4185 Braddock Trail, Eagan, MN REVISED 9/20/2012 CERTIFICATE HOLDER SHOULD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FA LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON City of Eagan THE COMPANY, ITIS AGENTS OR REPRESENTATIVES. 3830 Pilot Knob Road Eagan, MN 55123 n ' I AUTHORIZED REPRESENTATIVE HOLLYWOOD PYROTECHNICS INC Aerial View: Mira LaCous President / Display Operator Hollywood Pyrotechnics, Inc. 1567 Antler Point Eagan, MN 55122 mira4hollywoodpyrotechnics.com 651-454-7976 or 651-454-7975 fax 1-866-PYR0411(797-6411) toll-free 6I2-730-9380 mobile Site Survey for Shoot at Eagan High School Sponsor: Eagan High School September 28, 2012 Display Prepared: August 2011 The site is on the North East Corner of the athletic field. There is 220 feet of safety distance to bleachers and Audience members. In case of stronger winds from the North we can move further North to add safety distance. Maximum size of 1.75" diameter will be used. The display is shot in many parts, opening, touchdown salutes, and rockets in the Anthem. Half time display and a game ending salute barrage. Safety distance is patrolled by HPI employees. i i MINNFSOTA DEPARTMENT PUBLIC STATE FIRE MARSHAL Fireworks Operator License Search By Name Results Your search for netzley resulted in 1 hits Name Certificate Type Certificate # Issue Date Expiration Certification Date Status Netzley, Benjamin Outdoor Only 0829 5/26/2011 5/26/2015 Valid Records 1 to 1 of 1 I NEW SEARCH ] Last Modified: August 01, 2012. For additional information, contact Robert Dahm, Minnesota State Fire Marshal Division, at Robert. Dahma-state.mn.us or (651)201-7200. Minnesota State Fire Marshal Division 444 Cedar St., Suite 145 St. Paul, MN 55101-5145 651-201-7200 - voice 651-215-0525 - fax 651-282-6555 - TDD I PYROTECHNICS CHECK LIST 2012 X a fireworks display may be conducted only when supervised by an operator certified by the state fire marshal; and fireworks display must either be given by a municipality or fair association within its own limits, or by any other organization, whether public or private, only after a permit for the display has first been secured. An application for a permit for an outdoor fireworks display must be made in writing to the municipal clerk at least 15 days in advance of the date of the display and must list the name of an operator who is certified by the state fire marshal and will supervise the display. The application must be promptly referred to the chief of the fire department, who shall make an investigation to determine whether the operator of the display is competent and is certified by the state fire marshal, and whether X20 the display is of such a character and is to be so located, discharged, or fired that it will not be hazardous to property or endanger any person. The fire chief shall report the results of this investigation to the clerk. If the fire chief reports that the operator is certified, that in the chief's opinion the operator is competent, and that the fireworks display as planned will conform to the safety guidelines of the state fire marshal provided for in paragraph (f), the clerk shall issue a permit for the display when the ap cant pays a permit fee. NA When the supervised outdoor fireworks display for which a permit is sought is to be held outside the limits of an incorporated municipality, the application must be made to the county auditor, and the auditor shall perform duties imposed by sections 624.20 to 624.25 upon the clerk of the municipality. When an application is made to the auditor, the county sheriff shall perform the duties im ed on the fire chief of the municipality by sections 624.20 to 624.25. -INW NA An application for an I'll'' f f~ ewor FS LAI permit must be made in writing to the state fire marshal by the operator of the facility in which the display is to occur at least 15 days in advance of the date of any performance, show, or event which will include the discharge of fireworks inside a building or structure. The application must list the name of an operator who is certified by the state fire marshal and will supervise the display. The state fire marshal shall make an investigation to determine whether the operator of the display is competent and is properly certified and whether the display is of such a character and is to be so located, discharged, or fired that it will not be hazardous to property or endanger any person. If the state fire marshal determines that the operator is certified and competent, that the indoor fireworks display as planned will conform to the safety guidelines provided for in paragraph (f), and that adequate notice will be given to inform patrons of the indoor fireworks display, the state fire marshal shall issue a permit for the display when the applicant pays an indoor fireworks fee of $150 and reimburses the fire marshal for costs of inspection. Receipts from the indoor fireworks fee and inspection reimbursements must be deposited in the general fund as a nondedicated receipt. The state fire marshal may issue a single permit for multiple indoor fireworks displays when all of the displays are to take place at the same venue as part of a series of performances by the same performer or group of performers. A copy of the application must be promptly conveyed to the chief of the local fire department, who shall make appropriate preparations to ensure public safety in the vicinity of the display. The operator of a facility where an indoor fireworks display occurs must provide notice in a prominent place as approved by the state fire marshal to inform patrons attending a performance when indoor fireworks will be part of that performance. The state fire marshal may grant a local fire chief the authority to issue permits for indoor fireworks displays. Before issuing a permit, a local fire chief must make the determinations required in this paragraph. After a permit has been granted under either paragraph (b) or (d), sales, possession, use and distribution of fireworks for a display are lawful for that purpose only. A permit is not transferable. . t The state fire marshal shall adopt and disseminate to political subdivisions rules establishing guidelines on fireworks display safety that are consistent with sections 624.20 to 624.25 and the most recent edition of the State Fire Code, to insure that fireworks displays are given safely. In the guidelines, the state fire marshal shall allow political subdivisions to exempt the use of relatively safe fireworks for theatrical special effects, ceremonial occasions, and other limited purposes, as determined by the state fire marshal. Subd. 2.Operator certification requirements. (a) An applicant to be a supervising operator of a fireworks display shall meet the requirements of this subdivision before the applicant is certified by the state fire marshal. An applicant must be at least 21 years old. An applicant must have completed a written examination, administered or approved by the state fire marshal, and achieved a passing score of at least 70 percent. The state fire marshal must be satisfied that achieving a passing score on the examination satisfactorily demonstrates the applicant's knowledge of statutes, codes, and nationally recognized standards concerning safe practices for the discharge and display of fireworks. An applicant shall apply in writing to the state fire marshal by completing and signing an application form provided by the state fire marshal. An applicant shall submit evidence of experience, which must include active participation as an assistant or operator in the performance of at least five fireworks displays, at least one of which must have occurred in the current or preceding year. Subd. 3.Certification application; fee. An applicant shall submit a completed initial application form including references and evidence of experience and successful completion of the written examination. Applicants shall pay a certification fee of $100 to the State Fire Marshal Division of the Department of Public Safety. The state fire marshal shall review the application and send to the applicant written confirmation or denial of certification within 30 days of receipt of the application. Certification is valid for a period of four years from the date of issuance. Subd. 4.Classification When an applicant has met the requirements of subdivisions 2 and 3, the state fire marshal shall certify and classify the operator for supervising proximate audience displays, including indoor fireworks displays, for supervising traditional outdoor fireworks displays, or for supervising both types of displays, based on the operator's documented experience. Subd. S. Responsibilities of operator. The operator is responsible for ensuring the fireworks display is organized and operated in accordance with the state fire marshal's guidelines described in subdivision 1. Subd. 6.Reports. (a) The certified operator shall submit a written report to the state fire marshal within ten days following a fireworks display conducted by the operator if any of the following occurred: (1) an injury to any person resulting from the display of fireworks; (2) a fire or damage to property resulting from the display of fireworks; or (3) an unsafe or defective pyrotechnic product or equipment was used or observed. (b) The certified operator shall submit a written report to the state fire marshal within 30 days following any other fireworks displays supervised by the operator. (c) The state fire marshal may require other information from operators relating to fireworks displays. Subd. 7.Operator certification renewal. An applicant shall submit a completed renewal application form prepared and provided by the state fire marshal, which must include at least the dates, locations, and authorities issuing the permits for at least three fireworks displays participated in or supervised by the applicant and conducted during the past four years. An applicant shall pay a certification renewal fee of $100 to the State Fire Marshal Division of the Department of Public Safety. The state fire marshal shall review the application and send to the applicant written confirmation or denial of certification renewal within 30 days of receipt of the application. Certification is valid for a period of four years from the date of issuance. Subd. 7.Operator certification renewal. An applicant shall submit a completed renewal application form prepared and provided by the state fire marshal, which must include at least the dates, locations, and authorities issuing the permits for at least three fireworks displays participated in or supervised by the applicant and conducted during the past four years. An applicant shall pay a certification renewal fee of $100 to the State Fire Marshal Division of the Department of Public Safety. The state fire marshal shall review the application and send to the applicant written confirmation or denial of certification renewal within 30 days of receipt of the application. Certification is valid for a period of four years from the date of issuance. Subd. 8.Suspension, revocation, or refusal to renew certification. (a) The state fire marshal may suspend, revoke, or refuse to renew certification of an operator if the operator has: (1) submitted a fraudulent application; (2) caused or permitted a fire or safety hazard to exist or occur during the storage, transportation, handling, preparation, or use of fireworks; (3) conducted a display of fireworks without receipt of a permit required by the state or a political subdivision; (4) conducted a display of fireworks with assistants who were not at least 18 years of age, properly instructed, and continually supervised; or (5) otherwise failed to comply with any federal or state law or regulation, or the guidelines, relating to fireworks. (b) Any person aggrieved by a decision made by the state fire marshal under this subdivision may petition the state fire marshal in writing to reconsider the decision. The state fire marshal shall render a decision in writing within 30 days of receipt of the written request for reconsideration. Following reconsideration, the person may appeal the decision to the district court. NA Subd.9.Database. The commissioner of public safety shall maintain a database of the information required under this section for purposes of (1) law enforcement, (2) investigative inquiries made under subdivision 1, and (3) the accumulation and statistical analysis of information relative to fireworks displays. Use BLUE or BLACK Ink *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to b I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work wil conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is 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 which requires a review and approval of plans X ('.hf'i/ Ne .libec App rinted Name x �^� Applicant's gnature used be in not a permit, but e case of work \_.-`��i�' \-' For Office Use Permit #: l Cityof al �1J• ..1 Permit Fee: o 3830 Pilot Knob Road Eagan MN 55122 ' '( Date Received: >" 2"' -13 Phone: (651) 675-5675 Fax: (651) 675-5694 - j t - --1 ')--- - � � - Staff: rr 2013 FIRE SUPPRESSION SYSTEMS PERMIT Date: .:&- )/SiteAddress: ti /Ts 5 / ie 1 APPLICATION* Tenant: ♦T ? 1 .0t . t Suite #: y Rir ® a @IIf C1wnr Name: Phone: Address / City / Zip: Applicant is: Owner Contractor gym 2 Description of work:A V I •/1 i,I b&`Y holt )2��) V 'i 1 -j22/ -i ler 4)(he ✓''/�f 3 �y�^//yam ..--1- Construction Cost, --5 t Estimated Completion Date: , l , Name: ) 01 - l re. �(�f e `License#: i3O Lft1 Address: ) (,i )1' l5C 31 iv City: O , it WO C2-9 / IS State: i rf Ni Zip: 65 1' / I . Phone: I r '2 .: r' / 1 Contact:0,he t--( Witt)eC'IC--' Email:Clie.(((1 5 (' _ �'� ') *-L ( )/ '7 FIRE PERMIT TYPE Sprinkler System (# of heads , )_ Fire Pump — Standpipe Other: U WORK TYPE New _ Addition Alterations Remodel Other: DESCRIPTION OF WORK:_ Commercial Residential Educational FEES $55.00 Minimum Contract Value $.1 x 1% *If the project valuation is over $1 million, please call for Surcharge = $ 55- co Permit Fee Ulu . r e i`f / 47,1 - _ (c 1 (/: A .:-- c) 7 .$ 5.00 Su charge* O r C �,i. ' ( i�..i �j i' - 'lf i i .J = $ #'iaL 1C) TOTAL FEE 3/4" Displacement Fire Meter - $245 00 = $ Fire Meter _ $ TOTAL FEE *Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to b I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work wil conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is 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 which requires a review and approval of plans X ('.hf'i/ Ne .libec App rinted Name x �^� Applicant's gnature used be in not a permit, but e case of work , ` Use BLUE or BLACK Ink � r-----------------� I For Office Use � • � ' C � Cit of �a a� � Pe�,�t#: ��3�� Y � � � I Permit Fee: �� 'd� I 3830 Pilot Knob Road F V � � i Eagan MN 55122 REG.�I ED � � � � I Date Received: Phone: (651) 675-5675 ,�g � � Fax: (651) 675-5694 �jA r 1 ;I 3�;� I I � Staff: � �------- --------- � 2014 COMMERCIAL BUILDING�PERMIT APPLICATION � Date: �S � / Site Address: � p� � �� h �'v 3 / Tenant Name: ��ifit �j$`j �dl�,0�1� (Tenant is: New l Existing) Suite#: Former Tenant: Name: � � � � �� Phone: Pro ert Owner � r � p Y Address/City/Zip: ry��S �i�W� O �l�r l�►a � ��'S� Applicant is: Owner �Contractor � ,f�� . Type.of�WOr'k � �� Descriptionofwork: G`��`�' F� C�i1 t�.5 �� Construction Cost: 6 �� - � � � � Name: �'�4/' �� y �� ►�Y • License#: � / �- �— � 'Contractor Address:��f 0 D ��t�5 c -� �r•, �• �c�ty: (�Ir:� r (-R k.�e A State: �� Zip:�.5 3 �� Phone: C I Z " ts7,5 °"� � �- �� ' Contact: f'� Email: f O C - �O�'►') Name: //VC�(� !7i'(/�� Registration#: /6�� Architect/Engineer Address: 3 6� �= �`�'�"' �C-'T-l'c�� City: ��- �ffit/� : State:�Zip: SS 1 o 2 Phone: [st SI- ZZ'7� 77°7� Contact Person: �rG� ��/��,.�v�maiL Licensed plumber instaliing new sewer/water service: Pfione#: NOTE:Ptans and supporting documents fhat you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to ' : conclude-ftiat fhe are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecafl.or,g 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 per it, 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 ic ' s a review and approval of plans. x v'ffJ-�- X Applicant's Printed Name I Appl' a ' Signatu e Page 1 of 3 f �f(�'� �3��.��--- ( �- DO NOT WRITE BELOW THIS LINE �c�� SUB TYPES Foundation v'Public Facility Exterior Alteration-Apartments 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 (��,c�,�✓ _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant � DESCRIPTION Dd �_ Valuation f G•�� .s� Occupancy � MCES System Plan Review Ve 5 Code Edition o�6�7 '°�SB� SAC Units --- (25%_100%�/ �� Zoning � City Water �_ Census Code Stories '"� Booster Pump v #of Units Square Feet — PRV #of Buildings Length --� Fire Sprinklers "--- Type of Construction � Width `—�'"'�� REQUIRED INSPECTIONS Footings(New Building) Sheetrock �j Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final 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 i�� /'� �s..� Reviewed By: ,��/� ��iN�c-�---;Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee � (�, 7� Water Quality Surcharge ,�o�.QG Water Sampling Fee Plan Review '�0 07. 7 � 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��Ja.��,�� Page 2 of 3 Use BLUE or BLACK Ink �-----------------, ,� � For O�ce Use � • �Q," � i ��f �b � (�� f��n Perrnit#: D ( �l i ll / ' c� � �c � Permit Fee: �S � �`-� � 3830 Pilot Knob Road ��/ 1 � 6 I Eagan MN 55122 �/ n�� I � Phone: (651)675-5675 `�� Date Received: � Fax: (651)675-5694 � I � Staff: � . ______�`��_______J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: �`� 3`�� Site Address: �1 0 � �� D��C'`� / /'�,/�"��► Tenant: ��'�-� IJ /�l �� j�d �,- Suite#: � �� . . �„ � � ��j�� i� �� , Name: �C�� S� �/Q Lc J' l9CP Phone: � �/ ' ��@t�l�ftl��'"��% t��\ '�' � � ;�%��%. Address/City/Zip: ` \ ��'�/��" Name: b Z Z�!�- .J�.�� °� � ��/V j T License#:I C tLJ' 7 / i ��i/�'�/r/�� i�fy � � � ;,� ,: `��/� I C�u�8� /�Il t /V� c�ry: N�� /�P� `�� Address: /iii, � �r '/%/i�%%///��T��t"�� fr ��////� �� , �� /,�� ,�ti�� /�1� � S.S�� Pnone: 7Co3 ` aZ� 5-��rP-7 � � � ; ii�%�� ,�/� �\ �� State: Zip: �� i�� / I � ��%%%/i j��%%' Contact: ��V 7` � �/ P ,$ � ) /T = a,� �, y;'�'%i,' L- � Q Email: T�� v !7d� Z /V C - CD� � � � � � �� , ��i//� �� i��//%Gi New �Replacement �Additional Alteration Demolition �i�,�� L/}C'� E ) sTlJ✓ G- lo T'pt'� L/E �,e- U :;//, "�"��p��i ,�: Description of work: � 1� X B T� /�)T'' � � � ,,, i � ' ' PI' � ' ` � � \�� ; ,,, , � �j� � \ \�.... /i%G//� � ; ��i �; ....i � �� ; � ��i��'i/i 5 . /�� /i�i�� / ,/�� j;,��r�`�r �,.,i��. � �� i /i i'� ` - / i�,r� i i i i� // i i i /i % +� i� ,� �; ,;\ ✓%�i „��5�� rrit'�tt�r��,,;,,, / �" i,/ ��, � a� 8��t"Pr�tC�. �S� � ��,,,,,, �,,, u, � ,, �, � h.,, � � , �� /��/r\� %/r�i; � i' `'�� ,�� RESIDENTIAL � COMMERCIAL � � \ �� 6 '�� Fumace � � �� _ New Construction � Interior Improvement �j///,i � ��\ �� Air Conditioner Install Piping Processed 0 �s ��y��ji�� Air Exchanger Gas � � Exterior HVAC Unit � %�i�y '� �� Heat Pump� ;,��//�l i ' �� / � � � _Under/Above ground Tank �Install�/_Remove) ii/r//� � < ��iii � �� ,�� Other RESIDENT/AL FEES � $60.00 Minimum 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 Contract Value�.�Q, ��..�a x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ �� Q � Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =� � '��.� � Surcharge" *'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 """If the project valuation is over$1 million, please call for Surcharge =� � 3 � - �,Z TOTAL FEE 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 tart 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 ��U z. T��A �.e X � ApplicanYs Printed Name Applicant's Signature �� i,, ��. i� �;,-� � ;,;, u �, �� i ,��"t . ��/� \�' %%� � ��. ��/�j�//��i i%i�i � ��i// ��' 'i�/�ir ,�� r�.�:i /;, �///� \��\ �/iij%;,� i// � ��/�� i/ /ij i i�� i ,i;; i //� x �� // 'Requ�r�c�ins�ct��r %//-- ,�,/%/ii%i, ��+€�t�;E� i , ,,/,,,�,,,, ii,;,;,, ,, �� %;; //r i/ir ' i ' \ rr,,r,r„�/ i�/,/< � r/o � ,,,. i/� f� �i i�� \\,.�� ,: ��//��//� /,5 wrWFiw+, ��-�-e�� .3\ �h�/ � :, �`tlergrnun�! ;�%R�u h� .�.�Test // ;C�as��r�c�;;J'es�„;i, 1�-��rr�leat �i�ai� , �C v��:�ri�, �� ,, �,,, °,�� , ��,,, �, Use BLUE or BLACK Ink -----------------, � For Office Use I I / � �� U� �� PeRnit#: / �`�� I y � � ' � Permit Fee: C � 3830 Pilot Knob Road I � Eagan MN 55122 I Date Received: � I Phone:(651) 675-5675 � I Fax: 651 675-5694 ' � � " � Staff: I � ) ,...., L----------------� 2015 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets af plans with all commercial applications. Date: � `ft� -�Jr Site Address: ��O� �GJ��i ��aG/� �R'q'�� Tenant: .�i�lG/�7/✓ �%6 i/ cSG1 o O/ Suite#: Property _ �_.._ .�. � ,xt / / :OWllei" ' Name: 1 cS0 ��6 Phone: �/�" 9�� - /O 'l Z 4 Narne:..�.�!�.✓(�1��=/��.•pu7�jc �� License#: �/�'l �6�s,�z� .�,(�o G;ontractor ; Adaress: /9��5'h.q�i_�veP iP9° c�ty: ,��6�iV State:/�il/Zip: SS/LZ ; Phone: Iv�SI'�/`l— 5�/�7 Email: L/�'1 t'eh�✓� � ��'i°�`'1�✓ co/K- Type of Work ': --New ___ Replacement _Repair i� Rebuild _Modify Space _Work in R.O.W. Description of work: /'�/ �C.... /7��U�G.� ¢ �e�� COMMERCI�I L _New Construction _Modify Space : __Irrigation System(_yes/_no)(_RPZ/_PVB) • Rain sensors required on irrigation systems Permit Type . Avy.GPM_ (2"turbo required unless smaller size allowed by Public Works) _Meters Call(651)675-5646 to verity that tests passed prior to qickinq up meter. !' Domestic:Sire&Typc Fire: 1 ' Avg.GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum =$ ,�,j °Lp Permit Fee �o "If contract value is LESS than$10,010, Surcharge=$5.00 =$ � Surcharge" '*If contract value is GREATER than$10,010, S�archarge=Contract Value x$0.0005 / 0-� ""If the project valuation is over$' rnillion; pleasF:call for Surcharge =� v� ' TOTAL FEE ... ._._ _ _.._,____.. _.` .�� Following fees apply when installE;�g a new lawn irrigation system $ Water Permit Contact ine C;ty's��;ginc�riry D�pz�mcnt,;�?•51)675-5Ei�46;for required fee amounts. $ Treatment Plant $ Water Supply&Storage i $ State Surcharge ___�___ , , .__ .__.. . . _ __._-_. .._. _$ TOTAL FEE CALL BEFORE YOU DIG. C;all Gopher Stale One Call at(651)454-0002 for protection against underground utility damage. \ I hereby acknowledge that this informatior is cornplete 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 pc mit, buf 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 thc case ot work which requires a review and approval of pl s. „ X C�/�?i�l- �f��/s' X ApplicanYs Printed Name App icanYs Signature , . �� r� � � � . � � , � �,��n � � , �;FOR OFFICE USE � � � � � � Approved By: � � ��e: '� �Required Inspections: _Under Ground _Roug�i�rn .�_Air Tes Gas Test Final ° PRV R,�qwrec�n_Yes ,�� — � � �� i � `�.-Radio R�ad � Manometer �Staff. r.� "'�. - =MeterRelated Items Meter Size ; �. _ . ___ Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For OfHce Use I. 8807MBJ � f / ��6 V�� 11 Q.fi � �`., �5`�'`"-� i Permit#:!��tO � � � `� � Permit Fee: � �� 7 I, 3830 Pilot Knob Road �j f,� � n�i�j � � Eagan MN 55122 �a ,j 1�`:� � t � � '�� I Phone:(651)675-5675 � " I Date Received: � Fax: (651)675-5694 � �f� I � Staff: � ��_��J 2015 MECHANICAL PERMIT APPLICATION � Please submit two(2)sets of plans with all commercial applications. Date: �-20-15 Site Address: 4185 Braddock Trail Eagan, 1�1 55123 Tenant: Eagan High School Suite#: � � � r �� Name: Eagan Hiqh School Phone: �� :, � ,��,�,�� Address/City/zip: 4185 Braddock Trail Eagan, l�i 55123 �.,. ,, � � � . � , � f Name: NAC Mechanical & Elec Services License#: �003184 ` `�� ' : Address: 1001 �Labore Industrial Court �;ty: Vadnais Heights �4�� ,{„ � ,r �% �,� r '�;,' State: MN Zip: 55110 Phone: 651-255-3516 -s �� %�;��/,��` �'��' Mike B okne mbjokne@nac-hvac.com , ,f� /,,s F� i��;'�i'" >�`%i�i;,r: COfltilCt: J Email: � ,��ti��`�f',,%`j'��r,�r�r�" �,� ,�� ;f% ;�;`��; �' New x Replacement Additional Alteration Demolition `�"`�� ` � ` t�� Re lace Coolin Tov�er �'�� Description of work P g r � �� r'=- ' ' % ' `` � ��r��r�� , � ��e� � ��i��i�s�� ` ��f ; � � � �s j``;xs�,;� � i iy �r FF. ,li; ,' r . / . �'�' � " r' �� la F 't r,+f�f�'� /,,, .«:, ._, „r �.,,r rH..r , �s:. ,�,.%' „�r. r;"n,l��.+ l,��,try�,� r Fr, �'.,,', ,,.�.�r�5��.,1�„�' .�m �� nuF,r, �„�,�i=�;r „��,E'';t" 1� r�t ,< RESIDENTIAL COMMERCIAL / � �`, , � �, _Fumace _New Construction _Interior Improvement � � ;s;��;�` �, � ,, Air Conditioner Install Piping Processed � F. f r ��!�,, � — — — f, ; ; ,, ,�, � _Air Exchanger _Gas X Exterior HVAC Unit � � � �� !�' ��f�f�� "�28t PUIII � � � �� '��y .�� — p _UndedAbove ground Tank (_Install/_Remove) , , � � � F f'r ' r , ��' Other i .,r RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES ContractValue$ 430, 000.00 x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =� 4, 300.00 permit Fee _$ 215.00 Surcharge* *If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ 4, 515.00 TOTAL FEE 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 peRnit,but only an application for a permit,and work is not�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. � C X Mike Bjokne X Applicant's Printed Name ApplicanYs Si atur ,�G�-�W'��4�� d i ; � f � i � f . f sr f . E�eqt��Sp� f � -., � �� ,, 5 , � r � t�'��` ;� � F� �c ,, ��`'�� 'Fes�;. �i��r�f`eat �Firrrat �i�l�� ,E. �� ,,,, Use BLUE or BLACK Ink 4'J l For Office Use i C i 1 City Permit#: /g (-1((/6. I J` 9 6 .5. ' Permit Fee. r 3830 Pilot Knob Road Eagan MN 55122 Date Received: GI I Phone:(651)675-5675 //�, Fax: (651)675-5694 Staff: ,fi4 2017 COMMERCIAL BUILDING PERMIT APPLICATION Date: 03/07/2017site Address: 4185 Braddock Trail Tenant Name: Eagan High School (Tenant is: New/ X Existing) Suite#: Former Tenant: '1; 5 ISD 196 Name: Phone: Property owner Address/City/zip: 3455 153rd Street West r 0111:11'6Applicant is: Owner X Contractor �n , � New Secure Entrances ��,i Description of work: 1 X1' „ p�r �� : $180,000.00 pConstruction Cost :51,# Name: Wenck Construction License#: CM Format i!''11 7500 Olsen Memorial Highway Suite 300 Golden Valley Conic �i � Address: City: • (Icor �ti,.'II'a ` ;�4kk�iir State: MN Zip: 55427 Phone: 763-252-6885 a� II1i��'il'ii,r ” Greg Koba gkoba@wenck.com » 1,1' or Contact: Email: !'''' � g Wold Architects and En ineers 20155 Name: Registration#: a;„ "�' Address: 332 Minnesota Street W2000 city: Saint Paul ArchitectfEngtneer, M N 55101 651-227-7773 �6 ` 1'16i State: Zip: Phone: aiifl -1��6r,'u' k ' Nick Marcucci nmarcucci@woldae.com , Duh Contact Person: Email: Licensed plumber installing new sewer/water service: _ Phone#: I I � a i II�ill?+t"`�"' ��IihII i G'I ip II li_ Hp@ i li i i i; �& DII I� NOTE:HPlans and suppor ting ocumenfs hat you 41'bmit re�conside�jto �ubli i for a Po"t o� s,of a �aaD o is at ufot ermitthe ty the in#orma�ian maybe classifiedas>�cn pt�biiG�fyou�provitle sp�ec�creasons iia k+ � c>! ;�_.�.. I). r i � I II V i ip ��." Pi J �IIil 9G nr �il� ii r i� conclude Opt they arrei radesse ret`s� + ,',,'1,40,4,50.,t, u 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 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 Greg Koba x Applicant's Printed Name Ap 15r- i- ? 's Si na ure Page 1 of 3 q/ 5C 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 WORK TYPES New x 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 / Valuation 1 ig_ 6 p Occupancy 6 MCES System Plan Review � Code Edition 7.00/5S .N7/3G SAC Units (25% 100% i/// �) Zoning r City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers ,f Type of Construction 11'8 Width REQUIRED INSPECTIONS Footings(New Building) Final/C.O.Required Footings(Deck) Final/No C.O.Required Footings(Addition) Other: Foundation Foundation Before Backfill Pool:_Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick_EFIS /Roof:_Decking _Insulati _Ice&Water _Final Retaining Wall tr Framing 30 Minutes 11 Hour Erosion Control Fireplace:_Rough In Air Test _Final Concrete Entrance Apron Insulation /Meter Size: Sheetrock y Electronic Plans Required Windows r Final C/O Inspection: Schapitrtelarshal to be present: CYes No ix/� Reviewed By: - , Planning New Business to Eagan: 161 Reviewed By: , ,,,,___-_ , Building Inspector FEES Water Quality Base Fee ls)i4 Storm Sewer Trunk Surcharge * lb Sewer Trunk Plan Review 99g. % Water Trunk MCES SAC Street Lateral City SAC Street S&W Permit&Surcharge Water Lateral Treatment Plant Other: Treatment Plant(Irrigation) Park Dedication zz Z 5 �� Trail Dedication TOTAL: Page 2 of 3 1` ^� Use BLUE or BLACK Ink r C J d ' For Office Use /I l LSI CityofEaau LiPLC- 17"- e�l� Permit* /�� I '41 " 3830 Pilot KnobRoadPermit Fee: lb Eagan MN 55122RECEIVED /�"/7 �� Phone:(651)675-5675 Date Received: ► Fax:(651)675-5694 APR 1 9 2017 staff:- _. 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 04/18/2017 Site Address: 4185 Braddock Trail Tenant: ISD # 196 - G - L # Suite#: ® Rk �� _ Name: ISD # 196 Phone: 651-423-7700 91Address/City/Zip: 3455 153rd Street W Name: Northland Mechanical Contrctors, Inc. License#: MB003463 ti = Address: 9001 Science Center Drive City: New Hope State: MN zip: 55428 Phone: 763-544-5100 Contact: Crystal Swanson Email: permits@northland-mn.com � d �" New Replacement Additional Alteration Demolitionp gra s Rework Hydronic water piping t,77:7........,„,,,,„, o accommodate new fin tube heater.Modify Ductwork per plan. Description of work -4;11,, t k �'fi £` ! 1.1,i':.-2 „� ® ...:•',','5.:421,14 6 f P f..a-J�M#k5 &'T `i:.. i ii.,,,„„,-:-„ 8 ”-& i ID W 0 9 %T.,..-,,L,--,- + .�c� r 2 , 1.per'_ pv'E tl( (, ® f b i .. i f i ® i i:. l ' RESIDENTIAL COMME CIAL Furnace New Construction Interior Improvement - 'AlAir Conditioner —Install Piping —Processed Air Exchanger Gas Exterior HVAC Unit � ' � ' —Heat Pump Under/Above ground Tank (_Install/ Remove) e, —Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ 8.655.00 x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ 86.55 Permit Fee =$ 4.33 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 90.88 TOTAL FEE I hereby acknowledge that.this information is complete and accurate; that the work will be in .nfommance with the ordinances and codes of the City of Eagan;that I understand ths is not a permit,but only an application for a permit,and work is n- t 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. 0 x Crystal Swanson x / / j �. Applicant's Printed Name Apph .`� - Sig atur � - _ (_ kaS v 1 Lri _ d�� Tm a� _ 1-4 i '3 A t' �. I >> e I actio 7 ,-i, i. mo._ -A e.. ® ° krr � § u,. *, .,[. '. r sin.. e Use BLUE or BLACK Ink '*'' City /21,4)0,- (it : For Office Use cl Permit �s"i f �(''*y Permit Fee: 11711- 3830 Pilot Knob Road 3 Eagan MN 55122 ,-,., /–/ /t' Phone:(651)675-5675 RE{� :_d Date Received: (1/ �– / Fax:(651)675-5694 Staff: ? JUN 51017 2017 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 6/14/2017 Site Address: 4185 Braddock Trail Tenant: Eagan High School Suite#: Name: Phone: Property Owr Address/City/Zip: :v. f Applicant is: Owner Contractor = Description of work. Lower Level and Main Level Entries - Relocate/Add 6 Heads. r ',P5-- �' r s Construction Cost: $1,800.00 Estimated Completion Date: 8/15/2017 Name: Midwest Fire Protection, Inc. License#: CO21 Address: 324 Harding Street N.E. City: Minneapolis Mn 55413 612-331-1411 o y State: Zip: Phone: „ Jim Kuempel imk midwest-fire- rotection.com . - Contact: p Email: � � P FIRE PERMIT TYPE WORK TYPE 1 Sprinkler System(#of heads 1) _New —Addition Fire Pump _Standpipe 1 Alterations _Remodel Other: Other: DESCRIPTION OF WORK: Commercial Residential Educational — FEES $60.00 Permit Fee Minimum Contract Value$ 1,800.00 x.01 Surcharge=Contract Value x$0.0005 =$ 60.00 Permit Fee If the project valuation is over$1 million,please call for Surcharge =$ .90 Surcharge $100.00 Residential New(includes State Surcharge) =$ 60.90 TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter _$ TOTAL FEE e**Requirements:2 complete 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 the information is c•- I - and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota B .ing/Fir ,odes;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 .- in acc d ` ce with th;approved plan in the case of work which requires a review and approval of plans. x James Kuempel x Applicant's Printed Name Applicant's Sign ture I L-1-3164 ° uiw REQUIR ©'°NSP TIs..--'-;,-,.:,-,,,, S .. ` . Hydrdstati Ftb r Alarm' _� Drain Test i.''Rt ugh In " p' Pump Test Central Station "rnal Conditions o 1$4Dance: r PermltFRRev �e�ie d by �: ,, Date. �J ' Ot 1 7 y4 Use BLUE or BLACK Ink 1OF E,q EE :eT r Offi C rmit# / a o e° Date Received: Staff: 3830 Pilot Knob Road I Eagan MN 55122 Phone:(651)675-5675 I buildinginspections@citvofeagan.com 2017 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: /o -30- /7 Site Address: 7/6.5 �'4 O OC.� 7 Tenant: ..g./fr.ver/-1 /7‘.76j5/ ��(y!e•o� Suite#: Property l Quuner Name: /96 Phone: V - 77aZ Name: IJ6.r/ L '/9y,eco✓>/ ,I /7C License#: /mitt x,65.5" Contractor ' Address:/9451 4(440-(e.JCe Cit : ,ER��/� State: /VA/Zip: ILZ cs/c�/tEmail: %C s lcJf /�/VrPhone: Co / _Work New Replacement /Repair ✓ Rebuild —Modify Space in R.O.W. 'Type=ofWork° — — Description of work: �. 6''1'T ��Q COMMERCIAL New ConstructionModify Space Irrigation System(_yes/ no)(_RPZ/ ••••••KVB)VB) • Rain sensors required on irrigation systems ol'Permit Type T . Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call(651)675-5646 to verity that tests passed prior to picking u meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices? Yes No Flushometers_Yes_No COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum 'F'dt. $60.00 PVB/RPZ Permit(includes State Surcharge) =$ 60' Permit Fee Surcharge=Contract Value x$0.0005 =$ b/ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ 0- TOTAL FEE Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department,(651)675-5646,for required fee amounts. $ Treatment Plant $ Water Supply&Storage $ _ State Surcharge =$ 60• opo TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 forprotection against underground utility damage. 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 without a permit;that the work will be irrascordance with the approved plan in the case of work which requires a review and approval of plans. x ij�C'G /'1,�!P�/S x -..ate Applicant's Printed • Name Applicant's Signature FOR OFFICE USE Approved B Date Required Inspections Under Ground Rough In Air Test Gas Telt Feat V Rem red No .eter,;Rela ed Items v M R Rt_�P eterStze. �.....adlo Read Man©rr�,er �.__�., . � Page 1 of 3 B EAG / ! /V' L J v t � B S ��, %„ a0 �,� Permit#: RECEIVfµ' Permit Fee: b� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 V f _ Date Received: 4-1-42.14 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 APR 26 2018 Email: buildinginspectionsP,cityofeagan.com Staff: Commercial Plan Submittal:eplans(a�cityofeapan.com L 7 , 2018 MECHANICAL PERMIT APPLICATION n Please submit two (2) sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: 41 -23'-2-(:).1Site Address: ` gl' Cir ot - ( 1 , ,,,,.3t.i...,-, 1-0\-) 5-1z3 Tenant: t') If(t t.�, ,>,L. t .7) `-' t Suite#: Resident/Owner Name: - Phone: Address/City/Zip: Name: c T - - f'tiej—,,es-niCt4.-1 License#: Contractor Address: 5ld'-/ t-h// 6cv'', 1'L fQ City: t4cuP State: Mi*Nk Zip: 5137=1Z-S/ Phone: 7&.a- 533 -3c) rc) , Contact:.-111e444-- m s' Email: `i -/'fm c.y p n ,1-.;ce-j'(O,`i1 ..X New _ pteplacement Additional Alteration Demolition , Type of Work Description of_work: NOTE: Roof 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. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping _Processed PermitType Air Exchanger X Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install/_Remove) l Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ as-,+ E G- x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ -5o=6s Permit Fee _$ i 2.f 3' Surcharge Surcharge=Contract Value x$0.0005 ` , If the project valuation is over$1 million, please call for'Surcharge =$ 2.42--S TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 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 t it�t,F l i^moi- x -").-0.: ;> --'-----_ Applicant's Printed Name Applicant's Signature FOR OFFICE USE /,�,/) Required Inspections: Reviewed By: Date:? 1 / Underground Rough In Air Test X Gas Service Test - In-floor Heat Final HVAC Screening 0//-6,:(A+ E AGA NU y4-/�' /, f For Office Use \% � : �i° � Permit#: Permit Fee: 6).L/ E C E I V Eefr- Date Received: `�� 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 OCT 21 2018 Staff: buildinginspections(c�citvofeagan.com L 2018 COMMERCIAL FIRE BY ALARM'PERMIT APPLICATION Date:10-a r 02D/18 Site Address: 2//g5-s/ cOocK teal/, G,, /, ,iii 373-493 Tenant: EI9 9 4t9 Ji c7 se,4 ocn] Suite#: 0 Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components ISD 196 651-423-7700 Name: Phone: �,. ropey Own' : Address/city�zip: 3455 153rd st. W. Rosemount, MN 55068 Applicant is: Owner X Contractor `� of o Description of work: Add 1 monitor module and 2 relay modules for lockdown Construction Cost: 900.00 Estimated Completion Date: 19 Name: North Ridge Communications LLC License#: TS718995 Address: 12701 Chowen ave. Suit 104B city: Burnsville Contractor _— State: MN Zip: 55377 Phone: 952-456-6447 Email: Contact: Brad Long tin bradl@northridgecom.com New Remodel Work Type . V Addition Other: r Alterations DESCRIPTION OF WORK: _Commercial Residential �/ Educational FEES 900.00 Contract Value$ x.01 $60.00 Permit Fee Minimum =$ 60 Permit Fee Surcharge=Contract Value x$0.0005 =$ .45 Surcharge* If the project valuation is over$1 million,please call for Surcharge 60.45 _$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. I hereby apply for a Fire Alarm 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 with the Minnesota Building/Fire 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. - q xBradley Longtin x / aV-� :r. . Applicant's Printed Name Apr ' •nt's Sig atureL FOR CE U I �y;e I €551 a n` ; fi Required �@ eco ,fou f-In l , I } { {{iiit' ,:�iW . ..,:it" 4 m -4 f fm i £ a irc ffn ` z ..+..-ri{+azu�`X_;Irma . t?,{i i ...Iz v!� _:- ... r- JUN222020 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 I FAX: (651) 675-5694 Plan Submittal: eplansna.citvofeaaan.com For Office Use q�J Permit #: i!or,„1)1 I `Permit Fee: [�a( • cD I Staff: I Payment Recvd: Yes _No Plans: Electronic Paper 2020 COMMERCIAL BUILDING PERMIT APPLICATION Date: 6-17-20 Site Address: 4185 Braddock Trail Tenant Name: Eagan High School (Tenant Is: New / ✓ Existing) Suite #: Former Tenant: Property Owner Name: Eagan High School Phone: Address / City / Zip: 4185 Braddock Trail, Eagan, MN 55123 Applicant is: Owner ✓ Contractor Type of Work Description of work: Installation of new stadium scoreboard Construction Cost: $31, 550 Contractor Name: Scenic Sign Corp. License #: Address: PO BOX 881 city. ST. CLOUD State: MN Zip: 56302 Phone: 3202504401 Contact: LISA JUSTIN Email: PROJECTMANAGER@SCENICSIGN.COM Architect/Engineer Name: Duffy Engineering & Associates Registration #: 41 971 Address: 350 US-10 #101 City: St. Cloud State: MN Zip: 56304 Phone: 320-259-6575 Contact Person: Ryan Seavert Email: RyanS@duffyeng.com 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 provide specific reasons that would penult the Clty to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the Clty of proposed ordinances by signing up for an email update on the Clty's website at www.citvofeaaan.com/subscribe. 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.aooherstateonecall.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 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. .LISA M JUSTIN Applicant's Printed Name x Applicant's'Signature DO NOT WRITE BELOW THIS LINE SUS B TOES Foundation ,( Commercial / Industrial _ Apartments Miscellaneous WORK TYPES New x Addition Alteration _ Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%_ 100% )t ) Census Code # of Units # of Buildings Type of Construction Public Facility — Exterior Alteration -Apartments Accessory Building _ Exterior Alteration -Commercial Greenhouse / Tent _ Exterior Alteration -Public Facility Antennae Interior Improvement Exterior Improvement Repair Water Damage 431,5s4► 00 REQUIRED INSPECTIONS Occupancy Code Edition Zoning Stories Square Feet Length Width Footings _ New Building _ Deck _ Addition Foundation Foundation Before Backfill Vapor Barrier Framing 30 Minutes 1 Hour Insulation Sheetrock Roof: _Decking _Insulation Ice & Water Siding Reroof Windows Fire Repair _ Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building - give PCA handout to applicant MCES System Z $*U I144/21 SAC Units City Water Booster Pump PRV Fire Sprinklers Final Siding: _Stucco Lath Stone Lath _Brick _ EFIS Windows Fireplace: _Rough In Air Test _Final Pool: _Footings Air/Gas Tests _Final Final CIO InspectiorySche• e i'`re Mar Reviewed By: Reviewed By: FEES Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Drain Tile Retaining Wall Erosion Control Steel Reinforcement Street/Curb Cut Inspection Other: Meter Size: Electronic Set of Final Revised Plans Final / C.O. Required s' Final / No C.O. Required al to be present: Yes X No * lC.00 11,317.3 (. , Planning New Business to Eagan: , Building Inspector Water Quality Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Stormwater Performance Security Landscape Security Other: TOTAL: 468a1.4 Page 2 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEI (651) 675-5675 ( Tan: (651) 454-8535 f FAX: (651) 675-5694. r 2� 0 Plan Submittal: enlans@lcitvofeacten.com Tenant Name: EA GAN I-I(H 5c, F CCL For Office Use//�� Permit #: /l!// �s I Permit Fee: i 3 Staff feraaa.rfl mm-s Payment Recvd: _Yes Electronic Paper 1 J 2020 COMMERCIAL BUIL NG ER APPLICATION Date: 5'/2 cilaCQ0Site 41 S5 32Aw7)ttCNCT` lit L. (Tenant is: New / ,(Erdstlng) Suite #: Former Tenant IVA Property Owner Type of Work Contractor Architect/Engineer Name: .l- S b ' / 96, , r Address lCRY /Zip: 3 4.5 5 I&3 RD 6T. W. o5FAnocaiJi ptot 55-0 b Applicant is: Owner X. Contractor Phone: Description of work AD1 f (E6r+J StQUCfb AND lr�E tBO < f T i3'1 ck. 6 2 ei-P4 r5 STh 4t.b Construction Cost: ate), 1 600 Name: A FE , L L C= License #: 1� % 4a ®®.� Address: fob( EI.CaSicsat &1i City: R(CEZ St (e_ State: i V `i4 rip: .C5-31. t Phone: to (2. - 2_ 9 G 0 C Contact -r, IA TO (13 Email: fl og d 1. co Name: ttJ04.10 ot C RNT tip. Registration It: 53 8Y-tt 5,0otanil�oap Address: 33 a M City: 5+ f ill) C. State:. Zip: Phone: 65i —ZZ 7 — 77 73 Contact Person: ) c71J % fr it aiijkghI e.-wokrge, cO Licensed plumber installing mow sewer/water service: _ Phone #: NOTE Plans and supporting documents that you rbmlt are considered to be public information. Portions of tier lnPmmaUT n may be classified as non-public if you provide specific reasons that would perm* the City to conclude that they are toe sew You may subscribe to receive an electronic notifcation from the City of proposed ordinance by signing up for an email update on the City's webaite at a.citvofearaan.comisubscriba. CALL BEFORE YOU DIG. Call Gopher State One Can at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to reeve locates of underground utilities. www.000herstateonecail.ora 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 1 understand tits is not a pennir, but only an application for a wait and work is not to start without a permit; that the work will be in accordance wth the approved plan In the case of work which runes a review and approval of x Appiicant's Printed Name Applicant's Signature /b/e�( • ' SUB TYPES Foundation AC Commercial / Industrial _ Apartments Miscellaneous DO NOT WRITE BELOW THIS LINE Public Facility Accessory Building Greenhouse / Tent Antennae WORK TYPES _ New _interior Improvement — Addition Exterior Improvement _ Alteration _ Repair _ Replace — Water Damage Salon Owner Change DESCRIPTION Valuation Plan Review (25% 100%X ) Census Code # of Units # of Buildings Type of Construction 11242sal o0 v3 Exterior Alteration Apartmenits7C- Exterior Alteration -Commercial _ Exterior Alteration -Public Facility Siding Reroof Windows Fire Repair Demolish Building* _ Demolish Interior Demolish Foundation Retaining Wall *Demolition of entire building — give PCA handout to applicant Occupancy A - 5- Code Edition 2e2 It7N$2 Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS ,)C Footings . New Building _ Deck Addition Foundation Foundation Before Backfil Vapor Barrier °C Framing 30 Minutes X 1 Hour Insulation Sheetrock Roof: _Decking _Insulation _Ice & Water Final Siding: _Stucco Lath Stone Lath _Brick EFIS Windows Fireplace: __Rough In Air Test _Final Pool: _Footings Air/Gas Tests _,Final Final CIO Inspection: Schedule Fire Marshal to be present Reviewed By: , Planning New Business to Eagan: Reviewed By: , Building Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Drain Tile Retaining Wall Erosion Control Steel Reinforcement Street/Curb Cut Inspection Other. Meter Size: Electronic Set of Final Revised Plans Final / C.O. Required /y Final / No C.O. Required Yes No Base Fee Storm Sewer Trunk Surcharge Sewer Trunk Plan Review 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 FEES I Water Quality TOTAL: Page 2 of 3