Loading...
909 Apollo RdCITY OF EAGAN Remarks Addition EaQandale #3 Lot 35 Rik 3 Parcel 10 22502 350 03 Owner A' - t ) ' ?, - Street State I rovement Date Amount Annual Years Payment Receipt Date TREETSURF. 1972 $980.04 $98.00 10 STREET RESTOR. RADING 1971 1 Q..QQi 16.00 10 Gl SAN SEW TRUNK 1970 122.40 $4.$9 25 ? SEWERLATERAL 1971 WATERMAIN WATERLATERAL 1971 ]. 153.13 1 * WATER AREA 1971 * STORM SEW TRK 1971 STORM SEW LAT 1971 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDiNG PER. SAC PARK ?-a--?-=---. y --? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 SITE ADDRESS: r1fdl'm i ??rtt 1 f? Mif PERMIT SUBTYPE: :CORD PERMIT TYPE: Permit Number: Date issued: APPUCANT: TYPE OF WORK: Hr 6 r ( MANtdA f f?1E?1F? 1 i INSPECTION .. .. ?. . ?.. ?, . . ,. I `, N b;:ix ` ? ??? C) fr! Is'r • ? j i ?' ?3? ? ? .?. - ? ` ? ? '"?' ? e y m. . .. ? ? . , ., . . ., . . J Permit No. Permit Holder Date Telephone # SM! PLUMBING ?- Q HVAC 9 I,-491 ELECTRI ELECTRIC Inspectfon Date Insp. Comments Footings I ????y Y ![J? Foundation 7 Framing 7" dC Roofing Rough Pibg. /iii?l rC' ? Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. ? Plbg. Inspector - IVotrfy Plumber Const. Meter Engr./Plan Bldg. Final Cr 641-)6' Dedc Ftg. Deck Final Well Pc Disp. I& *vj y ?8373 °- Repuest Date Fire No -mJnspecM1On Requrtai NOTICE: You Must Call Elecmcal Inspector l A Rough-In Inspect?on i - I_ es ? No s Required, IXlicensed coniractor ? owner hereby request inspection of above electrical work at. Job Atldreas (Slreet, Box or Route No I Qly 0 9- /51po LLv 12 c/ Section No. Township Name or No Range No, COUnry Da,eo7?s Occupant (PRINT) , Phone No G e ?s froa ?`?y-YS6 Power Se? up i j?d2ev?/? ,516-1 *re AOtlress Elecircal Contraclor (Company Name) ' an+a f E(ncfe Conhaclar§ license No C.9-0/1 6 0. ? Maling AOtlress (COniractor or Owner akmg Installation) - c a 4 e r r / 65 3 y) AWhonzetl Signature (COntractor/Owner Making InstallaUOn) Ph r?? eJ, Y? 7 ,/ MINNESOTA STATE BOAHO OF ELECTfi1CITY THIS INSPECTION REQUEST WILL NOT Gtlggs-Mitlway eltlg. - qaam S173 BE ACCEPTED BV THE STATE eOARD 1821 University Ave., S[. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phoiw (612) 862-0800 ENCLOSED ?(/j./f ? REQUEST FOR ELECTRICAL INSPECTION v 0. See mshuctions Por comple0ng this form on back ol yellow wpy M 4 8 3 7 3 "X" Be7ow Work Covered by This Request ?EB-00001-09 ?? a! q? ?.? ew Add Rep. TypeofBUilding AppliancesWired EquipmentWrted Home Range Temporary Service Duplex Water Heater Electric Heahng Apt Bwlding Dryer Load Management Comm./Industrial Furnace Other (Speafy) Farm Air Conddioner Olher (specAy) Conirador§ Remarks - 2e- oFr-tce)-,'-wkse Compute Inspection Fee Below: # Other Fee # ServiceEnlranceSze Fee # Circuds/Feeders Fee Swimming Pool O io 200 Amps ,iL¢ 0 to 100 Amps, e? f Transformers Above 200 _ Amps /+bov Amps Si9n5 Inspec[ar5 Use Only/ TAL Irrigation Booms Speaal Inspechon Alarm/Communication THIS INSTALLATION MAV BE ORDERTD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 10-MONTI-1% ? I, the Elecincal Inspector, hereby odte u` ^y? certify that the above inspection has been made. F,,,ai oate OFFICE USE ONLY ? This request void 18 months hom PERMIT ?`?? ?-2 ?-? 30 ITY Pilot OF Knob Road EAGAN PERMITTYPE: aur?i./o?rNS? 3,3 Eagan, Minnesota 55123 Permit Number: 0 2 3 0 8 2 (612) 681-4675 Date Issued: 03/15/9q SITE ADDRESS: 909 APOLLO RD LO7: 35 BLOGK: 3 EAGANDALE CEN7ER INpUSTRIAL PARK #3 P.I.N.: 10-22502-350-03 DESCRIPTION: ,-?•,,,__ (MANNA Bu3lding".,qPerm3t Type Building Wir.rk Type f?7613C pcoupancy` r construction Ty-pe z on ing ?f BuiJ.ding length i Bui3ding Width. 60,tsdi,ng storsss. r.e Fee?ii r-v ??- ?` FREIGHT) COMM./ZND. NEW s-z a-i II-N Lz 60 1 156 f i 9,960 ?????% REMARKS: s& WP L g R- A ej)ov FEE SUMMARY: VALURTION $307,000 Base Fee $1,364.00 CI7Y SAC $200.00 Plan Review $886.60 S& W PERMIT $100.00 Surcharge $153.50 S & W SURCHARGE $.50 SAC $1,600.00 TREAT MENT PLANT $696.00 SAC & 100 ROAD UNI7 $1,107.00 5AC Units 2 PARK pEDICATION $1,107.65 Subtatal $4,004.10 TRAIL DEDICATION ...$792.00 Total Fee $8,097.25 CONTRACTOR: GIESEN CONST 831 COMO ST PAUL (612) 644-4569 - Appl3cant - 26444569 MN 55103 I Y hereby acknow.ied'ge that Z have reac4 thi•s , information 3,s carr2ct and ag.ree to campry $tatutes and City bf €agan brjdinances, L ? - , LICANT/PERMITEE SIGNA7URE OWNER: +tANNA FREIGHT 909 APOLLO ftD ;AGAN MN (612)686-0103 app',licbt.ioft and st8,te ,°Chat'the wit'Yi a1i appiiCable State of Mn. j? IS ED W. SIGNATURE CITY OF EAGAN 1301 ? 1994 BUILDING PERMIT APPLICATfON 'J??='r,vE I 681-4675 ? n ? ? U . SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date U Valuation of work ^- Site Address• J±??,/ STREET SUITE k d"GV/ ??', -? a t -N i l l ?en n ame: (commerc a on y) LOT j 5 BLOCK 3 SUSD.2i ?/ 1 ?' P.I.D. # %' 0? ? ° a e Descri tion of work: ?= -v ?G?,?j?i?ClC f/4 /Ct??(?? ? ' /.f/' The applicant'is: ? Owner Contractor O Other (Deseribe) Name /L`' Phone639 6 016 ?3 Property LAST FIRST Owner pddress STREET STE ll City State Zip Company Phone COntYaCt01' Address nse # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip 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. -'' / ? Signature of Applicant:?? z ? OFFICE USE ONLY • BUIL DING PERMIT TYP E ., ? ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 1:3 05 SF Misc. ? 10 Multi. Add'1. ? 15 Ueck 13 20 Public Facility ? 21 Miscellaneous WORK TYPE f@ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System ? (Allowable) lst F1. sq. ft. City Water X UBC Occupancy -2.91 2nd F1. sq. ft. PRV Required Zoning -I , Sq. Ft. total ? Booster PumP # of Stories Footprint Sq. ft. Fire 5prinkl er Length On-site well Census Code 3 2-2 Depth ? On-site sewage SAC Code 3G e und APPROVALS ensus t ? PTanning Bui)ding Assessments Engineering Variance REQUIRED INSPECTIONS ? .Si te ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Tatal: CO Footing jE" Final _1 3lo1/ velumtia,: lS3,S6 l a ?? &'Gt?k L 2490 lbo y z /6D .50 6 Jlo7 ua?, ?S '?9z 0 Framing ? Draintile 13' Insulation ? Fireplace ? X 23? = 3$.A S -'47 ~ ' - ? e?a?,?s o? size ? 1130 x ,6283z5k 39 . 9,t- ??80 i tl J3G,y ?,65 ?: e e6, ? o P!<.,.. Pe v, SAC % pr? SAC Units '2- PLEASE COMPLETE FOR ALL COMvvIERCIALJINDUSTRIAL BUILDINGS. ATSO COMPLETE FOR APARTMENT BUILDINGS OR O'THER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: ? 1 S? I q?Y CONTRACf PRICE: $?? rca? 1% OF Gp1VTPAGI' FEE $_ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF P?SR -ff FEE. TOT) SITE OWN Q crrY: ? ?.17 ? Q? sTa.TE: mO TELEPHONE #: Zo?o - "!4l -I3 '7 I NATURE OF PERMITTEE CTl'1' INSPECfOR ' 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 TENANf NAME: (IMPROVEMENTS ONL1) .? NEW BUII.DING INT'ERIOR IMPROVEMENT 1993 MECHANICAL PERMTT (RESIDENT7AL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS AR.E REQUIEtED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTING CONSTRUCI7oN) $ 15.00 STATE SURCHARGE TOTAL .50 SITE ADDRESS: OWNER NAME: TELEPHONE #: INSTALLER: CITY: STATE: ZIP CODE: TELEPNONE #: SIGNATURE OF PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL), CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122, (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHO1v1ES AND CONDOS WHEN PERMTI'S ARE REQUIItED FOR EACH UNTT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVt1TORY 3.00 KTTCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 ? FLOOR DRAIN 3.00' " GAS PIPING OUTLET •minimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nekay. uc 20.00 U.G. SPRINKLER • nome uuaa ooosc 3.00 ALTERATIONS • to misua8 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: STTE ADDRESS: , OWNER NAME: INSTALLER: ADDRESS: CTTY: STATE: ZIP CODE: PHONE #: ( ) SIGNATURE OF PEEtMITTEE PLEASE COMPLETE FOR ALL C0MMERCIALINDUSTRIAL:B.UILDINGS. -AISUFORMULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NO'T REQUIltED- FOR EACH DWELLING iJNIT. ? NER'CONSTRUCTION ADD ON REPAIR WORK DESCRIpTION: coxTxacr rxIcE: $ vO FEE: l% OF CONTRACT.FEE 3TATE SURCHARGE: $.50 FOR EACH51,000, G1F Vj? FEE, MINIMUM FEE $ 25.00 ? CONTRACT PRICE X 1% $ STATE SURCHARGE $ '6 0 T4TAL $ y ,(j_ .>-?4 srrE AnnxESS: 90 AA20' l/e7 A a r zErrnivT OWNER NAME: INSTALLEI ADDRESS: srE. # CI'I'Y: & PRv I STATE: ZIP CODE: SSl?3 PHONE #: -1(88 Y 'I'O / FOR: CI OF EAGAN 1994' PLUM=BIlVG PERMIT (CObII4IERCIAL) CiTY OF EAGAN 3830 PILOT KNOB° RD EAGAN MN $5?1?22 (612) 6814675 ? February 8, 1994 Mr. Dale Schoeppner Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: Metropolitan Waste Control Commission Mears Park Cenhe, 230 East Fifth Street, St. Paul, Minnesota 55101-1633 612 222-8423 The Metropolitan Waste Control Commission determined SAC for the Manna Freight Systems Inc. to be located at 3160 Neil Armstrong Blvd. within the City of Eagan. This project should be charged 2 SAC Units, as determined below. Charges: Office 1292 sq. ft. @ 2400 sq. ft./SAC Unit Warehouse 7424 sq. ft. @ 7000 sq. ft./SAC Unit Total Charge: If you have any questions, call Jodi Edwards at 229-2113. Sincerely, ?? ?? ?A P? Roger W. Janzig Planner P.YdJ: JLE 94020851 cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan Randy Giesen, Giesen Construction Equal DpportunitylAff irmalive Actfon Employer Al ??? SAC Units 0.54 1.06 1.60 or 2 d txlElllUH LflvtLUrt IHLw'IAL IMRn]"ui Uhn" srnNOaao woaKsNEEr sice adaress MoM ¢IK`,16K1" $?=M5 - ?03 APGlIQ?D. o,mer tontractor 6ff,5`/V Q?„_p"71???r(OU Phone /off -Ja2 Date Butlding Type (check one) L_)_ One and Twa Family U4e111ng X-1 Other A ? S Assembly (Qescrlbe type from Table 3 or Aree (A) U-Value U x A shrnv calculatlo 3 on Pa e 2 S Ft Insulated Area 0. 0 Z . Q f 1 ? Skylights. Type a ° Other (describe) l O .? Oth r (describe) 1 T ta s Aver e U-Ya1ue xA A from L1ne i 3 Re ired U-Val e from text 'fE***?* 0.060 *??*** 1ns lat Ar: IQI?d NJ? 0. . - m w, C?nJ , l "0 . utnaows T U1D r n-OLGhd 0. Ooors T e llks?t Coit wa $L,. 4+ 0.17-0 53,61 Ri- moi3t-Area ' 1 N " abova rade a m o T e 6 Dther describe e L S.G ?. ? Other describe Other descri6e ? Z ***? ? 4 Total s • 5 vera e U-Yalue UxA A from Line 4 6 R ulred U-Value from text If Line 2 15 greater than Line 3, or Line 5 greater than Line 6, complete tha follavin to determin alternative U-Value for total exterior envelo e. a 7 Area (Lire 1) + Area (Line 4), ?4 ? 8' UxA (L1ne 1) +UzA(Line 4), + S"° x***** ? ?. g 9 Area (L1ne 1) x U-Yalue.'(Line 3) IM x.L1S?. ° ****** 411 , ? 10 Area (Line 4) x U-Value (Line 6)VLYx .L0 0 W 11 "Budgat". Line 9+ Line 10 ****** .? ??' 12 Alternative U-ValuA, L1ne 11/LinP 7 Q.f ****** If Line 8 is greater than Lina 17, al;er assemblies as required so Line 3 does not exceed Line 11. ? A ? 0 m 0 _In ? ? O ? Z ? a d r- U ? ? N N ?. ? y m Q ? Z I , r pIA•yviV T_L(/imn NSSEIIID 1 ? i•aL s r be Th c ness R-Va ue ? ; J ?f [G Z" ?S.v?Z • nter or. - a us see Table 2 •1 te or - a ue see able 2 Total rma Resistance . sembty A alue see abie 4 Entet on pa e 1 ? ? e 4) 1 O, ISO ; assemn laL ?. e r e Thickne a 00 see 1! .. U. I see iauie ,r,H_ •,'?!<.?;„r?r,?.??F..,,. . _ P'jf•'''.'?'t., ??, ? 3:,????r? e. ? r? n Jµ:pp a? . Ue e 4, U8 152t T8C18 , .t , • )y ? IAumination Budgefi Caiculdtion Summary Pt,one: /??? 1 Y i4 P?S? 3 , . --- ••- . •- -• Measc Type or Prtnt.. ihis worlcsheet is intended to determine compl(ance wlih Mfnnesofo En.rpy Cade Parf 7670.0800 using the prescriptNe Interlor Ughting Power Allowance method. If Totol B< Totpl A, then the buiiding is ih compl(ance. f hereby cvtify N+aF to the best cri my knowledge,#Amrrwkpw* th[t pluminatlan sysfs?ti Y?coniorm with the requWementa of 1hs Minneaota State Energy Code. Desiqner ! BuHdinp Address: Desipner Ncane or Fkm: Mar.6m Sheet # ? of 1MERIOR LiGNT11VG PaWFR ALiO{NAIVCF Prccr.:..?2a.e D......-...1. ?... YVV1 V !N]'FRlOR SPACES Allowable Iliumino#io n Bud e# t BOX 16$ 6 ` i 1 f!Il;1?i Room or Area DescfipHon Room qpowabie -3?;,<,-. ?$. ... •;? ?:.s?;Y;-:; . s-? - ?- ?n " wV??a ?as? A(2Q ?/?pA ?,SX: ?,i rsR• 4 ,;s ..s i:= ' ` Room : ? y?; - ..s "E'< s _? /A7 1. ":a» ' i'Sg V .,°,• ? 140 s f??.;e . a `? ! ? IG al ? . O ? ' ,?• ' ^ S .y.• - ... , '>:`t:';?,t?`. "•<'` = - y:;,}?', - -'. ? . •.. ::Y.1:3,?i-`,-y=,..?? _ # a.`'-???'-<-_ `:i` s_-° ?i, -. i? -=•i.: .i-.?3: :, ? • %' L' a• ... '?+;?t:.s.-`; - ' ? f . .? ??• _ _ ? r?? Y`f _ _ _ ?''-?.1?=:_ ? .....v?. ?e ... . ?r: ? ? - . ... :ar.:e -'?'. ?•'- .. _R?' ? Ftl?ro ???e ?w {?wwV • q? ? -M Z a ? \ i _ - - -- ----. --..°..-?, --._?•. ?viui n a mcauamy mnasr, wtai trom .. .. ?,,,? • ? mfg's Bferic#uie. . - - -• 6?rvt7?t. ?riaF?axYO? 7??a x?sTaz?o aaeB?IIS.z (rv ba ugod in acbardRnao Nith Cha 'Ov1d41Lno• =oi Qvaaj+l YaepoabLen and,Tealind') PRO,7tCCT 1i7a48 ?? LOCkTtCx ? 7rto fl} Kotqtn ej+??Clfxoation. Thi,e ichQ,uI• ta W =llled oub end lncludee in ihe yt0560 anaeoLlsbLe at tn4e tinm to be llllad out vhen epplyinq tar a bulldl.nq y4rmifi- (1) p?rmlt Ho. Co t+e wovided Dy that 8ui3dlnQ OCiLCta1. ' {4? U,¦c dsgot4pEiona Ar U,b.e. Svebien 306. (?? 6pocisl tnopsocer• ?eetinp Apenk or fabclaatox. (1) licro coneTatloA t> pvriorm rvryLaar, AC?1tCw1?EDC!!?@?1tSl? i?ch e?yr i?t? 4ptarent&s.ivr murk otpn beaowl ouncrt? ,? t Tilmt C^Q?3'?17?'?sESl ¦ patai Centrattott- .__t?a'?ri. nn1A .wl/iw?? l{f.?Ai? . _ ?itnly ?•v' '7"? ??p?1i01 Itliarmatf.e++ 66Ry?????or"`_?, ..._._. - -•------ - •? lisrot AWW ?"?? --tltat?f??rf?? •? `- ----- Th? .., . ?At Dleat tt . ^ ?irni ??.:p? 6 zhe LrdivtCual almae oi ai1 preapoorlvo splCl11 LTlpeCfolY and the Wqrk they i*+tfind t ObDOrvB lattot ba idan:ifi+d on ch6 ravetee elde ot th1s forro. Ltq?nd? &YR ? SkYU:tqral Lnpinaer bt A9eort! T?x?catorg?otos • SA « TAotlng Aoant . Dsb?? 'O?e"ptcd ios the 8uild!t?q tlepatitenbnt ey , Mar. 8'94 12:29 MRNNR FREIGHT TEL 612-686-0213 P. 1 , ?, . ? IWtat"nrend FaxTra??`"'` o ?rx - ,........,.. ??.?.?? ? .. .. Q??? . ? q? , ComDNY :;COrcQmy ? , ... . .. . . .. .. .. . . . Ltlcaim typelim .. . ....{{??. . ?.)? .. . , . Pnt# . .. , . Commpm9 qlg . htl ? ..... ' . . . _...._...._ . . . . t0I1pDylWnm .?f? '•`.. i. . ....? ..., r. .,. ?. . , i?:r?r. .. ,?il'? .. . . . . ....... .no...n ? . . ....T...... . . . ?J :ah ; ??-• ' A '.? . .? . . . .. . .... .. ..T?._........ ,...... . .... .. . . ... . .. .. ...... . . !?/l?l •l'i ?csa.cnvee . . .. . . . ... . _.... .. R . . . . . ... .. . ... . .. ... . ?^-y , , }7NBpM10?af y /? ?.?? . „?... ?U?tray . ..QN?Ime A ?CailMPidu? ... L 7.0'Y GOlBIMYION A6R8SUNT iiHBRSAS, ALtlCOR INAESTOR8 JOINT VENTURE (h6Cein5Pt6r "OWY16r°) 18 tlt9 Oanar of tqo adjaCant paraels o8 raal property located inlDake+te Counby, Minnesota. The £1Yat pazael (heroinaEtor "pRrcol A"' ie iQentiPiod as Tax Barcel I.D. xo, 102250235003'and ie legally described as !`ollowai • Lot 35, Slock 3, 8agandaLeiCenier industrial Park 140. 3. , The eecond parcel (herelnafter °Parael 811) ie the part of Tas Parcel I.D. Np. 102250236103 deecribed as lollowue e z? : ?b =;1 .? „. ?. •FI? Lot 96, Block 3, $aganflale Center Induetirial Pazk Na. 3, Sxoept tha 8ae! 35 feet thereo£. iiHE8lESS, th9 City Couneil hae required that Paccela A and S ehe11 be aombiaed into one tax parael. IIOW, THERB80RC, the Ourner hareby agreee as followa_ 1. The Oy?per agreee io allow the Dakota County Auditor'e OPlice Co asaign one tax parcel identiEiaation number to ths area coasiabing of Pe1YCmle A and B. I AtSCOR INVBSTOAS JOINT VBNTURB S subec=ibed end sworn to before me thie-2± THZ3 INS'1'R9MEmT 97AS OIiAFTSD SY: 9EVSRSON, %ILCO% $ BHBLOON, P.A. 600 Midway HIational 8ank 9ui2di.ng 7300 Weat 147th 8traot Apple Vallay, LAY 99124 (612) 432-3136 ;,... ,. ; " R=96% of 612 686 0213 1994. K4pEN. F FITCH Mt•`nna? ,§PitltFllj?llrlBi9 'I,I99Y. o3-Ue-?94 ??:zsara 'eooi uiv MRY 26 '94 15:47 GRHNT CON5TRUCTION GIESEN CONSTRUCTION,11IC• $31 Como Avenue St. Paul, Minnesota 65103 TFx.$Fax eovES ss$Em S?m CQMPANYw CI]STOMLR FAX NO..:__4M_f:: / s DATE__.... -- JOS NUkBER OF PECES (Inoluding coeer sheet) d I?` P.12 (012) 64a-4569 FAX (612) 489-1380 **?*xxfrit*****,t&*****re?k*****#ic*?irir*itx*t*ic#***ir+k?xieirk*%***??ic*?x**xrc**ic i SBNT BY: C?? W'-,r owe?.-? 7{?e,? 77 An Equal Opportunity Emplayer x=97% 05-26-94 03:55PM POOI #14 MRY 26 '94 15:47 C,'RfaPIT CONSTRLICTION, S'f f'HL?.. i`]f?Y 2E 194 14;4k9 r'cw ? ? "... ABICAN l ; ENGiNBER1IVG TISTINC, tNG. May 26, 1994 Gi"en ConstrucdOn $31 Cann A.venue St. Pau1, I++N 55103 Atfin: Mr. Randy Giekai RE: Manna Freight Systems, Inc. FsiSaA, MinnesOhd Dear Mr. Giesm: CONSIFL'GAMS •GeGrEGHNlcwL . blA7'kRMIS • HNYEROdMEN7A4 You AavC aufttkw our firnR tp pertOmt Oemaitt vocist invecftns aa4 tes'lnB Mk at ft retera?txd pi',Jo in accozdance with the 'Gu3xle(ines f0r SPecial I*Vm&n. Od T?$$* The scape af our wcxk waa limited to the following: • Obsctving andlaor tssking tho basi of thc building area excaVatior?. , •perform wmpaction tesrs af fiU placed 9a the buiiding area. • pbwvatiqn of placenent of foundation reinfotoement steel. • Pcaform plsstic concrete testing of faundatioa concrete. • Yarform wmPrmve Mn8th tesfln8 of concre0e test cylinders. • Inspcct bolled conuections and deck watding• The xesults of our work have 6een mpotted pneviarsly. The pectilfti repoOs and mpott dates ace ac fo{lows: 4o lteport of Fxcavatioa Ohsexvatim and DWsIty Testing and Ridafotwmont Plmlane0t; tepott dated Apxit 15, 1994 • RePxt a£ Maatic Concrete Teatiag; dated Aprii 1, 1994 ' • ReQnrt of Compxesstve Strength of Concrete Spec3mens; dated ApW Zl, 1994 ? Report of Welded erld Balted Connection Ob8elrVaLions, dAted April 29, 1994 R=97% °qN,4fFIHMATIVE ACTI6N 6MPlDYER" 210 W+rvardry Au'e. 160 SL P496' MN 56114 • 6rn?S&&00'1 • fw? s126s??37? _ WIWNIMK'?WBnS1?ON•Sw4lN?????? T.?1?7Sp?? 1>70F??A.e?w+ ?? lu 'P.2i2 05-26-94 03:55PIl6 P002 #14 MRY 26 194 15:47 6RAVT CONSIRUCTION Mr. Randy Gveen May 26, 1994 Paga 2 Based on the rtstdta of our ohaavations aad tesking, as Pruemad in ihe mfuenced reparts, it is our apinSon tLat the consttucaan items nfecm;Cd in tttwe rCports hsvc 6een onmpieW iu awardanrx with project plans and qxif'scadous. Tf we can be of Artber assistence, Pkage contact us_ rteport Preparad By; teporr Iteviswaa gy: Zuy? .Ur;n? Senior. EngTmeeriag Assiamnt GAL/SD$tsm ?t?vea D. So?es, FE MIN Reg. #13180 R=94% 05-26-94 03:55PM P003 #14 YV,?ynl¢,AJiE M E M O R A N D O M TO: JIM STURM, CITY pLANNER PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMZNISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR piJBLIC t90RKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERSEKE, FINANCE DIRECTOR RSCH BRASCH, WATER RESOURCES COORDINATOR FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE : 2` /d '7 y RE: PLAN REVIEW The _ preliminary --eo construction plans for fA-h & r I'L% f 90p Aa#0 I2Q. aee in our plan review section`for your review and comment. Please return this form to Dale Schoeppner with your signed comments and the date of review. wR.fbXiii .. _ . . ... ....;. ..... ;.. ..:>:. .. . .. ::?crrisi?- 'r, .... ..... . If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. Thank-you. COMMENTS 0 'A? ,t,?.4 A stt? N " 0' P 4 ?R /i ,4 Signature D e M E M O R A N D U M TO: JIM STURM, CITY PLANNER PAT GEAGAN, POLZCE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMZNISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR ? RICH BRASCH, WATER RESOURCES COORDINATOR FROM: DOUG REID, CHTEF BUILDING OFFICIAL DATE: z'/0 l y RE: PLAN REVIEW The _ preliminary _Zr construction plans for `A 6 r ?G% ? f atfe in our plan review sect oi for your review and comment. .?.------- Please return this form to `Dale Schoeppner with your signed comments and the date of re , .......... ...,...; .. . ... ............: .. .. y our, If you have any objections to approval of these plans, it is your responsibility to notify this department and resolve any problems with the affected parties. If you are requesting that the issuance of the building permit be held, please fill out the proper hold request form. Thank-you. COMMENTS: ,,- - G rrP• ?b ?',oRl1 Pc'77rJj'/ C-?t?r?;d? c?l/t-'c?z .?i%E? GJ,76, %/?J?? ?rt'?! a? ?r c? a?c'?; ?Gf?ita?? rr??'r , ES',fD???/ J'dc?P' ?/'???i, ?"nd ?tsJOG-rc7?r'? ?l1?'??? ?d+r)?`i?7-S?' ??'T? d ?i??? y Signature Date ? ? ?. '`- ?.. ?? ?'J ? Serial # ??? 7 ? A tJD Chip# CJ..? .5 o??'oT 3 Permit # o' 3 D 6 I 10 Address: 1 AGREE TO COMPLY WITH CITY OF FJIGAN ? ORDINAMCES ? i Signature: .. \ ?? fl b r - -- --- - -- - - - - ' I ; ? ? r, i t ,, , ? .. . . , ':c„ . . . -.?. ,(035 62 ?agG?lale ?{c.?1, ? MEMO TO:` JIM BTURMt CETY PLANNER,'[ D71I,E 'WEGLEITNER0 FIRE DEPARTMENT BIL?, ARINSt EY.ECTRICAL INSPECTOR .70HN VONDBLINDEt SIIPERINTENDENT OF PARRB PIIBLIC WORXB/ENGINEERING DEPARTMENT ITTILITY BILLING CLERR FROM: DOIIG REIDe CSIEF BIIILDING OFFZCIAL DATE S ?`111flI BIIHJBCTS FINAL INSPECTION The Protective Inspections Department will be performing a final inspection of g?C! a-poj% d. on J?,?c?lO?Gy annr, ire; ht A Certificate of Occupancyy 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. Failure to return the hold request form within five working days from the date of this notice will be considered your approval. The person or department requesting the "hold° is responsible for notifying and resolving any problems with the affected parties. °s ?So a. ?So 03 ; -city of eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: CLARK WICKLUND, ENGINEERING AIDE DATE: JULY 25, 1994 SUBJECT: R.E.F. COMPUTATION FOR LOTS 35 AND 36, BLOCK 3, EAGANDALE CENTER INDUSTRIAL PARK NO. 3 ADDITION MANNA FREIGHT SYSTEMS MEMO I have computed the R.E.F. for Lots 35 and 361, Block 3, Eagandale Center Industrial Park No. 3 Addition located at 909 Apollo Road owned by Manna Freight Systems. The Total R.E.F.'s are 4.40. My computations are based upon a site plan received February 2, 1994 prepared by Rehder and Associates, Inc. The total area is .898 acres of which .621 acres is considered impermeable surface which equates to 69% impermeable surface area. Please start to invoice Lots 36 and 36, Block 3, with your next schedules billing. Ciark Wicklund CW/je .. . ... tLAll Use BLUE or BLACK ink I..,,, 4 Of E44 -\)\\*k9 ) For Office Use Permit#: I 1-1 -71e5 J. . RECEIVED Permit Fee: I 4, N crsas* Date Received: /4-.7?7/7 DEC 2 7 2017 3830 Pilot Knob Road j Eagan MN 55122L Staff: ____._........ _..........., Phone:(651)675-5675 I Fax:(651)675-5694 buildinginspections@cityofeagart,corn a3 k S•1-::-OYL-S te•C.-e, .' 2017 COMMERCIAL BUILDING PERMIT APPLICATION /7 12/27/17 909 Apollo Road Eagan' MN 55121 &ite -ssIs ( Date: Site Address: PurAir Products Inc. X Tenant Name: (Tenant is: New/ Existing) Suite#: Former Tenant: Single-Ply Systems — ................,_._ Name: J oE Cl..4 et. M,erizi F-1..._DG....4e._ Phone: (o12 -ZtliC -LI g 81 Property Owner Address/City/Zip: 1 0(IS 1 1\1€.510%Tr Ave, • ''31-osfrill4irrookii/14N 55`17 1 , s‘ Applicant is: Owner X Contractor , . ... Concrete pad for oxygen storage tank. - .Work Description of work; Type OT , . . Construction Cost: $70,000 Muska Electric A001287 Name: Co.' License#: 1985 Oakcrest Avenue Roseville Address: City: Contractor , MN 55113 651-639-5110 State: Zip: Phone: Contact: Geoff Roering Email: groering@muskaelectric.com _ ‘ WAI Continuum/Praxair Name: Registration#: 381 East Kellogg Blvd, St. Paul - .-,, Address: City: Arcnitectictigirteer ' State: MN Zip: 55101 Phone: 651-227-0644 , • . ..- Jude Hallamek judeh@walcontinuum.com Contact Person; Email: Licensed plumber installing new sewer/water service: N/A N/APhone#: NOTE:Plans and supportinfi documents that you submit are ceps/deted to be public infortriation. Portions of the information may be classified as non-public if you provide specific reasons:that wiriticipennit the CitytoConclude that they are'tratleaecrets - - 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%,vww.cifofirarian.conitsubscribe. 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.*o.herst• -one...„.1.or. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances arid 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 ans. Geoffrey Roering 0 0 lip 40 m 1 iiilito,'.' X ' 1 Applicant's Printed Name Applic (Ifs Signet Page 1 of 3 DO NOT WRITE BELOW THIS LINE , / f _Th '/ SUB TYPES Q oci 43o )Jc �Foundation _ Public Facility EAterior Altera it o —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 )e 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 Valuationoz p D0 Occupancy 1/A MCES System — Plan Review / Code Edition 2ciS AQP, SAC Units — (25%_100% Zoning City Water — Census Code Stories Booster Pump — #of Units Square Feet --- PRV #of Buildings Length --- Fire Sprinklers — Type of Construction A)A Width REQUIRED INSPECTIONS Footings_New Building_Deck)' Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation Ice&Water _Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test Final Final/C.O.Required Pool:_Footings _Air/Gas Tests _Final Final/No C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: Vi/Yes No Reviewed By: /� , Planning New Business to Eagan: Reviewed By: /' -,_--- --'' , Building Inspector FEES Water Quality 7 Base Fee 631 .' Storm Sewer Trunk Surcharge 3.5 Sewer Trunk I Plan Review a S"/0 Water Trunk .61"MCES SAC -- Street Lateral City SAC — Street S&W Permit&Surcharge — Water Lateral 1 Treatment Plant Stormwater Performance SecurityVii Treatment Plant(Irrigation) Landscape Security -- Park Dedication '` Other: Trail Dedication -- TOTAL: u11¢2 Page 2 of 3 ' - \ lite BLUE or BLACK Ink F eA(.9.1-/ ,,,,,, For Office Us zict.p.., ,./ R. Pet (9 v) ,..... . , , w ..... , . „ .,... Permit#: .... ., . ,, . ,0 ., Z --e ts 0 ‘() ) ....,.,.12 ;I No?-201-r:....„, Peoria Fee: it ....---....... tii t/giett- Date Received: 1 2 --)7-17 _Staff. 3830 Pilot Knob Road I Eagan MN 55122 Phone:(651)675-5675 i buildinginspections@citvofeagan,cont . \ 2017 MECHANICAL PERMIT APPLICATION R Please submit two(2)sets of plans with all commercial applications. 12127117 Date: b'3 Q/Qait - G i.0'-11 (6/ il 909 Apollo Road Eagan MN 55121 )1-1.----4 t. --1 -t to- Site Address: , qg PurAir Products Inc. Tenant: Suite#: Name: PurAir Products Inc. Phone: 816-241-3334 Resident/Owner Address/Cit /Zip: 125 East 10th Street, North Kansas City, MO 64116 Name:Muska Plumbing License#: 060919-PM Address' 1985 Oakcrest Avenue City: Roseville Contractor ' State: Zip: Phone.MN 55113 . 651-636-5820 Contact, Geoff Roaring Email: graering@muskaelectric,corn . ......._ X New Replacement Additional Alteration Demolition Type of Work Description of work: Oxygen Piping Installation 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 , Ar Conditioner X Install Piping Processed Permit Type — Air Exchanger Gas _.,..Exterior HVAC Unit. Heat Pump V Under/Above ground Tank (V' install/ Remove) 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$ 3-1 00Cfi x.01 $60.00 Permit Fee Minimum t C>t:) $75,00 Underground tank installationiremoval,includes Slate Surcharge =$ : -.1 iN 4—a . Permit Fee =$ • Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge $ 3 OF•'5-c . 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,citvefeanancornisubscribe. I hereby acknowledge that this information is complete and accurate,that the work will be in conformance with the ordinances and codes of the r , of Eagan;that I understand this is not a permit,but only an application for a permit,and work i not to start 'thout a permit '. t the vatork with the approved plan in the case of work which requires a review and approval of pia will be i .c . ,i:rice , x Matt Rieschl , , • x Applicant's Printed Name A plica t's Signature FOR OFFICE USE''- Required Inspecbon • Reviewed By: - — - Date -` 1-"----- i Underground Rough In __Air Test Gas Service Test In-floor Heat Falai HVAC omen g Ve Tare Ouivegic Egagzoteard Se� s 34435 Mills Road North Ridgeville, Ohio 44039 440-327-2492 440-327-0163 Fax www.veitecryogenic.com e-mail: sales@veitecryogenic.com Certificate# 3317 Oxygen Cleaning Certification for Manufactured Equipment and Components Customer: PURE AIR Date: 02/09/18 PO#RICK MEDLOCK This Item has been cleaned and prepared for medical oxygen use in accordance with NFPA 99 current edition and CGA 4.1 . Do not open except for use. Manifold#LCM-540-3 Serial#7067 Description: LIQUID OXYGEN FILL MANIFOLD OC performed by: MARK HALES Rev. by: MICHAEL VEITE Do not open except for use. Distribution of this document �,,rr E Orignal: VCE on file flt�i w4� �'�Pi�t('C W_--. lefitott Copies: Attached to invoice copy Sealed clear plastic bag secured to equipment C Vat fyA�zeiv "'_^' r iN�/�w ewe • 34435 Mills Road North Ridgeville,Ohio 44039 440-327-2492 440-327-0163 Fax j www.veiteciyogenic.com e-mail:ssaleseveitecryogenic_com Certificate#3316 LIQUID CHARGING MANIFOLD TEST DOCUMENTATION Customer. PURE AIR PO 5 RICK MEDLOCK SiN 5 7067 Manifold if LCM-540-3 Manufacture Data:02109/18 Technician: MARK HALES Product Service:OXYGEN Description: LIQUID OXYGEN FILL MANIFOLD By:MARK HALES First Test Second Test 0-100 psi Dass (hold 1 min.) 0-100 psi Pass (hold 2 min.) 0-200 psi Pass (hold I min.) 0-200 psi Past (hold 2 min.) 0-300 psi Pass (hold 1 min.) 0-300 psi Pass (hold 2 min.) 300450 psi Pass (hold 1 min.) 300350 psi Pass (hold 2 min.) Tested by:MARK HALES Tested by:MARK HALES Checked by: MICHAEL VEITE Checked by:MICHAEL VEITE AU manifolds are to be tested to one and one half times normal working pressure.Test gauge must have calibration performed moi-annually. Distribution of this document Orignal: VCE on file Copies: Attached to invoice copy Seated clear plastic bag secured to equipment 0-5000 CERTIFICATE OF CALIBRATION VEITE CRYOGENIC EQUIPMENT& SERVICE 34435 MILLS ROAD NORTH RIDGEVILLE,OH 44039 440/327-2492 PHONE 440/327-0163 FAX DATE: 01/08/18 CUSTOMER: PURE AIR P.O.# MANUFACTURER: USG ID#: NA S/N#: 10400-5-417 STANDARD(S) USED: M&G TESTER W/TRANSCAT DIGITAL : MERIAM LOW PRESSURE DIGITAL IND.. : PK TESTER WITH DIGITAL FLUKE& : ENGRG COMBO NIST TRACEABLE#(S): 838/258930-97 TEMP: 72 DEG F R.H.: 65% STANDARD GAUGE RDG. ERROR O PSI 0 0 1000 1000 0 2000 2000 0 3000 3000 0 4000 4000 0 5000 5000 0 MAX ALLOWABLE ERROR+- 1/4 OF 1% OR+- 12.5 PSI ERROR AT "0" IS NEGLIGIBLE SATISFACTORY: XXXXXX UNSATISFACTORY: TECHNICIAN: MARK HALES 0-5000 CERTIFICATE OF CALIBRATION VEITE CRYOGENIC EQUIPMENT& SERVICE 34435 MILLS ROAD NORTH RIDGEVILLE,OH 44039 440/327-2492 PHONE 440/327-0163 FAX DATE: 01/08/18 CUSTOMER: PURE AIR P.O.# MANUFACTURER: USG ID#: NA S/N#: 10400-5-418 STANDARD(S) USED: M& G TESTER W/TRANSCAT DIGITAL :MERIAM LOW PRESSURE DIGITAL IND. : PK TESTER WITH DIGITAL FLUKE& : ENGRG COMBO NIST TRACEABLE#(S): 838/258930-97 TEMP: 72 DEG F R.H.: 65% STANDARD GAUGE RDG. ERROR OPSI 0 0 1000 1000 0 2000 2000 0 3000 3000 0 4000 4000 0 5000 5000 0 MAX ALLOWABLE ERROR+- 1/4 OF 1%OR+- 12.5 PSI ERROR AT "0" IS NEGLIGIBLE SATISFACTORY: XXXXXX UNSATISFACTORY: TECHNICIAN: MARK HALES 30-0-30 CERTIFICATE OF CALIBRATION VEITE CRYOGENIC EQUIPMENT& SERVICE 34435 MILLS ROAD NORTH RIDGEVILLE,OH 44039 440/327-2492 PHONE 440/327-0163 FAX DATE: 01/08/18 CUSTOMER: PURE AIR P.O.# MANUFACTURER: USG ID#: NA S/N#: 10440-3-88 STANDARD(S) USED: M&G TESTER W/TRANSCAT DIGITAL : MERIAM LOW PRESSURE DIGITAL IND. : PK TESTER WITH DIGITAL FLUKE& : ENGRG COMBO NIST TRACEABLE#(S): 838/258930-97 TEMP: 72 DEG F R.H.: 65% STANDARD GAUGE RDG. ERROR O PSI O PSI O PSI 10 10 0 20 20 0 30 30 0 10" HGV 10"HGV 0"HGV 20" 20" 0" 28" 28" 0" MAX ALLOWABLE ERROR +- 1/2 OF 1% OR+-.5 PSI ERROR AT"0"IS NEGLIGABLE SATISFACTORY: XXXXXX UNSATISFACTORY: TECHNICIAN: MARK HALES •„ TJeete etervegec Efaiiimeat aed 5ewcce + 34435 Mills Road North Ridgeville, Ohio 44039 440-327-2492 440-327-0163 Fax www.veitecryogenic.com e-mail: sales@veitecryogenic.com Certificate # 3299 HIGH PRESSURE TEST DOCUMENTATION Customer: PURE AIR PO# S/N#7058 Manifold#HP-DUAL-540 Manufacture Date: 01/08/18 Technician: MARK HALES Product Service: MEDICAL OXYGEN CGA 540 Description: HIGH PRESSURE CGA 540 DUAL CONTROL MANIFOLD By: MARK HALES First Test Second Test Test 3000 psi MAWP Test 3000 psi MAWP 0-1000 psi Pass (hold 1 min.) 0-1000 psi Pass (hold 2 min.) 1000-2000 psi Pass (hold 1 min.) 1000-2000 psi Pass (hold 2 min.) 3000-4000 psi Pass (hold 1 min.) 3000-4000 psi Pass (hold 2 min.) 4000-5000 psi Pass (hold 1 min.) 4000-5000 psi Pass (hold 2 min.) Tested by: MARK HALES Tested by: MARK HALES Checked by: MICHAEL VEITE Checked by: MICHAEL VEITE All manifolds are to be tested to one and one half times normal working pressure.Test gauge must have calibration performed semi-annually. Distribution of this document Orignal: VCE on file Copies: Attached to invoice copy Sealed clear plastic bag secured to equipment Vac &meg& 5�� etas Swim r. " 34435 Mills Road North Ridgeville, Ohio 44039 440-327-2492 440-327-0163 Fax Ewww.veitecryogenic.com e-mail: sales©veitecryogenic.com Certificate# 3298 Oxygen Cleaning Certification for Manufactured Equipment and Components Customer: PURE AIR Date: 01/08/18 PO# This Item has been cleaned and prepared for medical oxygen use in accordance with NFPA 99 current edition and CGA 4.1 . Do not open except for use. Manifold#HP-DUAL-540 Serial#7058 Description: HIGH PRESSURE CGA 540 DUAL CONTROL MANIFOLD OC performed by: MARK HALES Rev. by: MICHAEL VEITE Do not open except for use. Distribution of this document Orignal: VCE on file Copies: Attached to invoice copy Sealed clear plastic bag secured to equipment