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2107 Cedar Grove Tr -Y\ t s e-"5 2004 COMMERC BUILDING PERMIT APPLICATION City Of Eagan 1 31-d5 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 J (a L • Sunni= • 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 Forth (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established-if applicable j Project Specs (1) d 1 • Energy Calculations (1) 1 • Electric Power & Lighting Forth (1) " 1 Master Exit Plan (1) ! L • Emergency Response Site Plan (1) L • 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. ~o O Date / Cry sZs-"~ Construction Cos -•~~O r~ Site Address D e Egp% &youe " TVW1 L, Unit/Ste # Tenant Name Former Tenant Name Description of Work Nyli.i'J CQh&r&JGT10 mil' Property Owner L -WMI4L• LOR~2.^¢~► rIA-l Telephone # ( 4~ 7' ~Tt 3 Contractor + -+I.Ut- fV*&C5 of 1M 11 l1~lE~'1fi°c vf~ZA'(A- Address ~NVIAfN MW&X> 4e~-t-_ City State MVA Zip Sv5! Telephone # Arch/Engr -*MVE 1,1(XA-7 Registration # ~tp'/J I Address MeW~ City 0"Nt'ALYx4S State 0 1157 ~ In Zip Telephone # ({p J-Z 37A• ~ NO Licensed plumber instal ' g new sewer/water servl 9:61twz- Phone ( ) ~Z -I 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. {211.IDrtN[ / A:-X1Nt 0N1> Applicant's Printed Name Applicant's Signa e ) OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 26 Public Facility ❑ 30 Accessory Building Ph 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 EY 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 (Entire Bldg only) - Give PCA handout to applicant Valuation ~D+QA? Occupancy R ~1 S• 2 MCES System e5 Census Code 105- Zoning ~D City Water e5 SAC Units 14 Stories R Booster Pump Nbr. of Units 14 Sq. Ft. PRV Nbr. of Bldgs I Length Fire Sprinklered Type of Const SLB Width_ Required Ins a on i/ Footings (new'bldg):01' Insulation Footings (deck) r ✓ final/ iL.l). Footings (addition) _ Final%1Vo C.O. Foundation _ Other Drain Tile _ Roof _ Ice Pr Decking _ Insul Final Pool _ Figs Air/Gas Tests _ Final Framing - - t Siding - r- Stgcco,_ Stoney . ✓ Fireplace ✓ RI. -/Air Test ✓Final _ Windows Approved Building:l (r . . , F.4:.v.. y ..E• 1..i Base Fee 1 069. a.S Surcharge 11131.00 i,14 -l- '3•ti'?~?i -`-?X 1•a')f + 1 :`rE. ' '~}t1ic~: ti - Plan Review `fv ,.a _ $t{5, O l MCES SAC 40,300.00 City SAC H- * I~400.00 Water Supply & Storage (WAC) k. Ooq, 00 ; • 3'~ = S/WPermit' IOO.oo *t S/WSurcharge ` ,50=' • < a~2~(os { Treatment Plant +t l11soa c- WA C. Park Dedicatidn'' Trails Dedication Water Quality Copies Water Trunk I; ~e p e o~ V Sewer Trunk l x, xAA t~ ~~`A ` o I 1 ctv~ Other - !fi 'i " tr"~; Total 53/034,26 2005 COMMERCIAL PLUMBING PERMI T APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date l[/ / U 5 Site Address 21Q-7 Cedar CTr0VC Trail U/)i f-5 J (J ~f unit # Tenant Name Former Tenant Name /1 Property Owner/ D y r i n TIow o -s )n Telephone # ( `7511) Contractor llfr)z- Address '9~0 0 Lk) City Bu nsyi lle State M i y zip 6533-7 Telephone # 0% -1-7 - I O U) License # l Y IlJ Expires: 19 33 GlD 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 i V15+U1 ~21I,11IY1 V101 w) 11 P a j 1'longtG5 To inquire if Press a 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 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" lacement S161.00 Domestic Size & Type vg 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 $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ 1 State Surcharge If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee Following fees apply only when installing new irrigation system $ Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge $ 1 0 Total Fee I hereby apply fora 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 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. 9Irn Renyi 1Ic~ € /im .10 Applicant's Printed Name Applic St isaner' ignaignature 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 hom/strainer, remote wire, and touch-pad meter. METERS REQUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE LGPM METERS USE PRICE 1-20 5/8" residential $125.00 1-1/2" irrigation syst $ 735.00 displacement smcommercial turbine** Public Works maximum must approve continuous meter size 10 2-30 3/4" lawn irrigation $161.00 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 sm commercial & continuous & lg comm bidgs 25 irrigation systems 5-100 1-112" bldgs 25-64 units $429.00 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 5350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig 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 bidgs very Ig 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 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 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 1 Date/ / 05 J Site Street Address_~) 0-7 Ced Qr I Y dyplka1 Unit # 1 V I - l l Tenant Name (if applicable) nn / Previous Tenant Name / m7 Property Owner ) Y y I 'n r I '1n I on So I Telephone # (~f Ja) f t! JV -I~ J Contractor Street Address ~I (lU e• [ 1Wv, l ;J ~ -City ~~nsyi if, State Zip ~l 7 Telephone # ) -7b-7 -1 WO Bond Expires: The Applicant is Owner &Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement p I _ Install Piping -Processed -Gas Nature of Work: nstw l t-I V n nn) b l)me5 "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) Contract Value $ O~t rWJ x 1% _ $ C Permit Fee • If ermh fee is $1,000 or less, add $.50 $ State Surcharge if ermit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee -S, / 1 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 base of work which requires a review and approval of pla Applicant's Printed Name Applicant's Signature Approved By: Inspector Date: ME.IVI+QRANDTIM TO: TOM STRUVE, SUPERINTENDENT OF STREETS & EQUIPMENT #13 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, SENIOR PLANNER PAUL HEUER, SYSTEMS ANALYST SCOTT PETERSON, BUILDING INSPECTOR TOM COLBERT, DIRECTOR OF PUBLIC WORKS TOM PEPPER, CHIEF FINANCIAL OFFICER LANE WEGENER, ENGINEERING TECHNICIAN FROM: MIKE LENCE, SENIOR INSPECTOR DATE: NOVEMBER 9, 2004 RE: NICOLS RIDGE 14 UNIT CONDOS 2107 CEDAR GROVE TRAIL LOT 1 BLOCK 9 NICOLS RIDGE 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 -io4l(p 2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION I tAM -10 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 /_F/ 05 u~sicleahO-A Site Address: Z lo-* GEr>A2 Tenant / Building Name: hln-Dis C CF)6E. The Applicant is: Owner Contractor Other PROPERTY OWNER LEUNAe AEW4-MomGSnO Address: q35 E. WAYAATA BLVD. City: WAy BATA State: MIJ Zip: CONTRACTOR Inc-nco Grp rT~~l i n l~ , MN License t^--0-7f Address: 231+5 L.akc 1>e=vF City: LuZNO L-AtZEs State: m N Zip: Sso 14 Phone I,sl - X84 -04 r ~ ESTIMATED COMPLETION DATE: /0 / 3 / 057 FIRE PERMIT TYPE: Sprinkler System of heads f jt ) _ Fire Pump _ Standpipe Other: WORK TYPE: New _ Addition Alterations _ Remodel Other: DESCRIPTION OF WORK: Commercial Residential Educational X Other: 5 2- !72kx" G 6AjeAc r 'rnr' I III / uv ] 0 ao5 Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $ Z4. I zo • 00 x .01 = $ 2-4(. Zo Permit Fee • If Permit Fee is $1,000 or less, add $.50 $ . 5o State Surcharge If Permit Fee is over $1,000, add $.50 per $1.000 Permit Fee 3/4" Displacement Fire Meter - $161.00 $ 00 TOTAL FEE: $ -402,-70 1 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. ` zcc~QEWTf:ncpa a t- ~ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE REQIIRED INSPECTIONS Hydrostatic Flow Al. raid lest RQ-9 t~ Tnp Pump Test central Station Final Xonditi©ns of IssuaztCe 11`ermxt Approved Date: f 2005 COMMERCIAL PLUMBING PERMIT APPLICATION 5?~D CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Sew - Sa 4 DateZ2~ Site Address 07 e zdac Cyeyfc_ rnti( Unit# Tenant Name Former Tenant Name Property Owner Telephone # ( ) Contractor ~'J's:~~ - I yl'I.I pr,~•Po "j n/y Address city State Zip Telephone (95;L)?~ License # Expires: ask ~rvr"t `/y.sl) >5S- 35 kl C~ 11 l ~i\ The Applicant is Owner Contractor Other Work Type New Bldg _ Modify Tenant Space _ RPZ _ PVB _ New _ Repair/Rebuild _ Replace ~C Irrigation system Work within public right of-way/easement _ Yes _ No Rain sensors are required on irrigation systems Description of Work _ Ct; 0~j rt R 0 tt~ , t CM Yk le To inquire if Pressure ReducingJalve is required on w service, call 651-675-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria is passed prior to picking _ymeteD. Irrigation Size & Type ya 0 t:- p 10.CS W sag GPM~~ " b oreq unless snL or st?e allowed by Public Works Fire Size & Price 3/4" 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) Contract Value $ x I% = $ 5~'OJ Permit Fee $ cZ°l , d t) Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If permit fee is $1,000 or less, surcharge is $.50 $ - 5 State Surcharge If permit fee is over $1,000, surcharge is $SO per $1,000 of the Permit Fee Following fees apply only when installing new irrigation system _ $ fib , W Water Permit Call Jerry Wobschall at 651-675-5024 for required fee amounts $ -0- Treatment Plant $ - D - ?,*Water Supply & Storage ~ $ • 50 State Surcharge $ Total Fee 1 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 pemvt, 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 require a r view and approval of plans. e uZfSs D✓` P'licant's Printed Name Applicant's Signature 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 hom/strainer, remote wire, and touch-pad meter. METERS REOUIRING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP F METERS USE PRICE GPM METERS USE PRICE 5/8" residential $125.00 4-120 1-1/2" irrigation Syst $ 735.00 displacement sm. commercial turbine" Public Works must approve meter size 3/4" lawn irrigation $161.00 4-160 2" turbine lg irrigation cyst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very Ig res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irrigation systems 5-100 1-1/2" bldgs 25-64 units $429.00 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 $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very Ig 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 Ig comm bldgs 15-1000 4" turbine very Ig irrigation $2,226.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. • To arrange for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 Contractor's Material & Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an camels representative. All defects shall be corrected and system let in service before contractor's personnet finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner`s representative's signature in no my prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or Iocal ordinances. PROPERTY NAME: NICOLS RIDGE DATE PROPERTY ADDRESS: 210TCEDAR GROVE TRAIL ACCEPTED BY APPROVING AUTHORITIES: CITY OF EAGAN ADDRESS: PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS OYES ONO EQUIPMENT USED IS APPROVED OYES ONO IF NO, EXPLAIN DEVIATIONS - HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS OYES ONO TO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO, EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: OYES ONO 1. SYSTEM COMPONENTS INSTRUCTIONS OYES ONO 2. CARE AND MAINTENANCE INSTRUCTIONS OYES ONO 3. NFPA 25 OYES ONO LOCATION GARAGE YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE SIZE QTY. RATING TYCO ELOSW-20HSW 2005 15 155 SPRINKLERS RELIABLE F1 FR PEND 2005 V2" 125 155 PIPE AND Type of Pipe BLAZEMASTER/DYNAFLOWIALLIED XL FITTINGS Type of Fitting CPVC/DUCTILE IRON MAXIMUM TIME TO OPERATE ALARM DEVICE THROUGH TEST CONNECTION ALARM VALVE OR FLOW INDICATOR TYPE MAKE MODEL MIN SEC FLOW INDICATOR SYSTEM SENSOR WFD 3S DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. DRY PIPE TIME TO TRIP TIME WATER ALARM OPERATING TEST THROUGH TEST WATER AfR TRIP POINT REACHED OPERATED CONNNECTION' PRESSURE PRESSURE AIR PRESSURE TEST OUTLET' PROPERLY MIN SEC PSI PSI[ PSI MIN SEC YFS NO W/O Q.O.D. WITH Q.O.D. IF NO, EXPLAIN LOCATION MAKE d SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE B FLOOR MODEL FLOWING PRESSURE REDUCING INLET (Ml) OUTLET (PS)) INLET (PSI) -OUTLET (PSI) FLOW (GPM) VALVE TEST - N/A OPERATION: OPNEUMATIC []ELECTRIC []HYDRAULIC PfPING SUPEROSED OYES ONO DETAU"ANG MEMA SYmERUTSEO DYES ONO DOES VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE []YES ONO CONTROL STATIONS DELUGE & IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN PREACTION FOR TESTING VALVES DYES ONO N/A DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO YES NO YES NN MIN SEC HYDROSTATIC: Hydrostatic test sball be made at not less than 200 psi (13 Stars) Po. two hours of 50 psi (3.4 bars) abo're statlc pressure in excess of 150 psi (10.2 bars) br Nio hours. Differential dry-pipe valve clappers shall be left open during test m ge asat damage. Ali Abareground piping leakage shall be smpped_ TEST DESCRrPnA PNEWT7C-EYa81:YrJ(ipsi ti.ibss7 arcpres~vre artW meawre drop, whnnT STSY rrufexvzevi P-12 pay-~.i 6ars)in Nfmmm. Test pressure tanks at normal water level and atT pressure and measure ail pressure drop, which shall not exceed 1-112 psi (0.1 hare) In 24 houm- ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI FOR 2jiRS IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED DYES ONO NO DRY SYSTEM EQUIPMENT OPERATES PROPERLY OYES ONO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTING SYSTEMS OR STOPPING LEAKS? OYES ONO DRAIN READING OF GAGE LOCATED EAR WATER RESIDUAL PRESSURE WITH V VE IN TEST CONNECTION TESTS TEST SUPPLY TEST CONNECTION Psl CONNECTION OPEN WIDE PSI UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM. RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE U FORM NO. 85B OYES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING OYES ❑NO IF POWDER DRIVEN FASTENERS ARE USED IN OYES ONO IF NO, EXPLAIN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? BLANK TESTING NUMBER USED LOCATKMV NLRI9ER REMOVED GASKETS 0 WELDED PIPING OYES ONO IF YES DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 010.9, LEVEL AR-3? OYES ONO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS DIOR, LEVEL AR-3 OYES ONO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISC ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? OYES ONO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? OYES ONO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA OYES ONO NAMEPLATE REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR: METRO FIRE PROTECTION TEST WITNESSED BY j / IG DATE Ftv SIGNATURES t,( PROPERTY TITLE V l( DATE ( O`er-✓A (f FOR PRINKLE / ONTRAC OR (SIINEI ADDITIONAL EXPLANATION AND NOTES For-orrice Use Permit#: g7~15~ ~j I City of Eapn i ~5 3830 Pilot Knob Road i Permit Fee: 5 . Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: 2 C r/a,- 6 ,'ore Tenant Name: kk lll °15 /1 • C L v., iY 5 S. (Tenant is: _ New / ✓Existing) Suite PROPERTY OWNER Name: N•,IIo I y R.•J,e L',J, 5 7. `76 r7 Z 5 "U. Address/ City/ Zip: Z 7 L c. i ~y Applicant is: _ Owner J Contractor TYPE OF WORK Description of work: !Z - x a v F Construction Cost: 7 f S License 1/g, CONTRACTOR Name: 1-/74• l✓,~d ) y Address: 6 ~i 3 a v o v U /ly~~ City: S v < State: Zip: Phone: (Sj 7 6 'Contact Person: s/-,.7 ARCHITECT I Name: Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: 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 N you provide specific reasons that would permft the City to conclude that the are trade secrets. 1 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. Applicari anted Name App tl`gant's Signatth r Page 1 of 3 I For'OFFce-ose i of Eap Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 - Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 staff: - An RESIDENTIAL PLUMBING PERMIT APPLICATIOI NOV 2 S 2008 ate: At-~-F~+~'---Site Address: 1(a.) d~ Want: Suite By ESIDENT I OWNER Nama: r i rn Ste. Phone: l/JtL~ J -Ry43 G _ Address 1 City /Zip: CONTRACTOR Name: _ License - Address: 651-365-1340 o #100 City: _ Eagan MIN 55123-1329 State: ZIP: Phone: Contact Person: TYPE OF WORK _ New _ epfacement _ Repair - Rebuild Modify Space _ Work in R.O.W. Description of work: _ _ S~ '~'f-►~-~~-- - PERMIT TYPE RESIDENTIAL Water Heater Water Softener _ Lawn Irrigation _Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System -Water Turnaround _ New _ Abandonment ESIDENTIAL FEES: v, i0.50 Minimum Water Heater, Water Softener, of Water Heater and Softener (includes $.50 State Surcharge) 10.50 Lawn Irrigation (includes $a0 State Surcharge) t 60.50 And Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) € "Slider Turnaround (add $136.00 if a 5/8" meter is required) .00.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) =0.50 File Repair (replace burned out appliances, ductwork: etc.) (includes $.50 State Surcharge) TOTAL FEES $ ereby acknowled.,7e that this information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of qan: 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 .ordaece w iP. the approved plan in the case of work which requires a review and approval of plans. C x ;plicenYS Printed Name~v" Apolicant s Si ature . iR OFFICE USE Reviewed By Date quirediinspectians Under Ground _Roughlli Afr,Test GasTest;; Fm_al y I-4~ Use BLUE or BLACK Ink -F or office use C I j Permit f!: I ( I City of Eatdfl Permit Fee: 3830 Pilot Knob Road I $ 2 I Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 I Staff: 1 I 1 Fax: (651) 679-5694 2012 COMMERCIAL PLUMBING PERMIT APPLICATION trc...,' Date: , / Site Address: 2 I itn Tenant• t`~~G Ivt CoIS ~tpE,£~ C-6 ~ Suite PROPERTY OWNER Name,LlCoLS cub6c Cr-tm] NSFVI~ Phone: Name:i~p~ V t/~ZKkf ~03.~ctyo ~ ~ License OLR9 l --mow` cOturRACTOR ~,l l Address: Ld L- L Itrw&R 1h): City, Sr-'RNUL- state. ~ zip: _ Phone:LyS1 ??,3 31~~~ Email:. ~_►.clZl s~e7 YteLM„- Lan, TYPE OF _ New _ Replacement Repair Rebuild _ Modify Space - Work in R.O.W. WORK Description of worlc•Q y)Z tt `1 - L'NLet'-S -6 `[L ~(`l CO MERCIAL _ New Constr lon Modify Space Irrigation System Lr yes / _ no) (RPZ PVB) • Rain sensors required on Irrigation systems PEROT type,, Avg. GPM (2" turbo required unless smaller size allowed by Public Works) _ Meters Call (651) 675.5646 to verity that tests passed.orlor to olcking }in 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% M$ Permit Fee Required on ALL new buildings and boulevard Irrigation systems -9, $ Radio Meter Read - If the Permk Fy& Is less than $10,010, the surcharge Is $5.00 $ Meter(s) - If the Perm' Fgg 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 surcharge) 9e Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 975.5646, for required fee amounts. $ 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. Call 48 hours before you ^ Intend to dig to mcelve locates of underground utilities. www.aoohartataonacall.orn I hereby acknowledge that this information Is complete and accurate: that the work will be In onto n 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 w Is n wit permit: that the work will be in accordance with the ap ved plan In the case of work which requires a review and approva plan . Xy I ~ Applicant's Printed Name p icant's SignatuW.- FOR OFFICE USE Appro ved ey, Date: Required Inspections: ___,Under Ground Rough-ln r Test Gds Test; ,,;_Final PRV Required: "Yes Y _ No Page 1 of 3 Use BLUE or BLACK Ink ZME= City of E~ ; Permit I i I 3830 Pilot Knob Road I Permit Fee: • t95 Eagan MN 55122 1 I Date Received: 2- Z Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: _ 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date- Site Address: ~-7 Q 1yo lr Tenant: Suite 0: RESIDENT I OWNER Name: Gt._ Phone: ; d Address /City / Zip: r' COkrRACTOk Name:.MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50TH ST EAST City. INM GROVE HGTS State: " MN Zip. 55.077• Phone: 65J ;45-2241 Contact: BILL.MILBERT:; . Email: TYPE OF WORK Nevr _ Replacement _ Repair _Rebuild _ Modify Space _ Work in,R.O.W. Description of work: . PERMIT TYPE RESIDENTIAL p•^~ Water Heater ater Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New _Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8' meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities.- www.oooherstateonecail.om I hereby acknowledge that this 146rnation b 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 riot 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,revlew and approval of plans. Applicant's Printed Name ~ Ap a s.Signaturo FOR OFFICE USE " d~2v ~r r. ~a Reviewed -Y--'- F~Re Ired InspeG s d Xl I~tG t' 9-n , U~nd~ Rbo9 r nal 00 C9(,0 3 -70 Use BLUE or BLACK Ink For Office Use I City of Eap I Permit _ I 41 1 I r, 0. I 3830 Pilot Knob Road I Permit Fee: 4 ` I Eagan MN 55122 1 I Date Received: Phone: (651) 675-5675 l t Fax: (651) 675-5694 1 Staff: I I - - - - - - - - - - - - - - - J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: , "2-115 Site Address: t~.A 04 Ge.~r C,--, rc \)-P, Tr Unit i Name: IyiL(1~5 S - ~t ~r'1G~c~t'Y1~n~~lt^f1S Phone: _ 6o~l Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work j Description of work: 7_t n..n S "I Construction Cost: y3 Coo . - l Multi-Family Building: (Yes >0 /No i Company: Till --~~"-~-r~ . Tnr,- Contact: -I 1 C,(, Contractor Address: VCity: ~]7h 1 LJe{` State: Phone: 9 1 t License ~Sjdi y Lead Certificate NAT - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: NOTE. Plans and su pporfing 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. 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.oooherstateonecall 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed.within 180 days of permit issuance. x Y" Applicant's Printed Name Applicants Signature Page 1 of 3