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2983 Center Ct INSP TION RECORD CITY OF EAGAN PERMIT TYPE: I ' ! r I ~I 3830 Pilot Knob Road Permit Number: 3 % + Eagan, Minnesota 55123 Date Issued: > J • f { ~i (612) 681-4675 SITE ADDRESS: ! r APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. „r] A I !1lr'! iil ( I'~ i 7 l: f, ri'r~F rl1r, II?;,I i Permit No. Permit Holder Date Telephone # S/W ` PLUMBING 9/9+a(t HVAC ELECTRX~ ELECTRIC Inspection /Date Insp. Comments Footings 1 7 Q[/ Foundation 9 11 4 Framing , Ill ` /ice Roofing l~J Rough Plbg. -la' O f _ /J ~I-•~ P I W-7 Rough Htg. A/ Al Isul. F - duns r CC' ens r Fireplace Final Htg. Orsat Test go 't J . Final Plbg. :Z3 Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. I Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition EAGANDALE CENTER 1 Lot _9 Blk 5 Parcel 10 22500 090 05 Owner1l~~ u Q ~ - Street '29L3 L state Eagan, NN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1972 ~ 842.00 284.20 10 STREET RESTOR. GRADING 1971 597.00 59.70 10 SAN SEW TRUNK 1968 0,~$ 10~a 0 * SEWER LATERAL 1970 U3-4 15 1 WATERMAIN K WATER LATERAL 1970 15 WATER AREA 1970 1 * STORM SEW TRK 1970 15 * STORM SEW LAT 197(11 is CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK o"A W"Iff icate of cccupaucv MM of Vewn ~rtiarnt of ~xitiaig ~>t~echoK 1 This Certificate issued pursuant to the requirements of the Uniform Building Code M certifying that at the time of issuance this structure was incompliance with the various ordinances of the City regulating building construction or use. For the following: use classffiaaon: C 0 M M / I N D-PTIfYT AIR FMGHT amg. Permit No. 24437 Oy TYPE B2 ZOning District L I Type coon. II-N SPR Owner of Building MM MARY Address 7790 231 MM, MIS M Bui Address r Locality T'q 1jkR.,C~Y~TSIRTAT. Pte{ 4 ' Building Official /'0 Date: 1 POST IN A CONSPICUOUS PLACE r D , ~ 6 0 5 q $x,50 Request Dare Fire N Foul mpsectioyeI~equired - I ltpection Other Than Roughdn (You must call map won when ready) ❑ Ready NOw ® Will Notify Inspestor V Q 4 a Yes ❑ No Oate Ready Pu' titan d contractor ❑ owner hereby request inspection of above electrical work at: J . Box or ooule No.) - City ttr eo ( Q tr b SecOOn No. Township Name or No. Range No. County Do 4r0 Occupant IPPINT) Phone No. h ~I r Pow~gtr'Supplier of Address fV - WEW Dv-. Electrical Contractor (Company NI(lmet Contractor's License NN]o. ~j L, 1' Y. i C G 4 O I G O I Mailing Address IComraclor or Owner Making Installation) LO f~ tf c) Autnit Signature IContrador:Owner tallati n) Phone Number 47 E 68Z to, MINNEs TA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S. 3 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. A EB-00001-0 REQUEST FOR ELECTRICAL INSPECTION z~ 001-0 z► See instructions for completing this form an back of yellow copy 0 6 0 5 X" Below Work Covered by This Request ew`-Add Rep, Type of Building AppliancesWiretl Equipment Wired Home nge Temporary Service Duplex Water Heater _ Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) - Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circutte/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps O Transformers Above 200 Amps D Atmve 100-Amps Signs inspectors Use Only: / TOTAL Irrigation Booms G z Special Inspection ~ Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT Other Fee COMPLETED WITHIN 1B MONTHS:? ; f I, the Electrical Inspector, hereby Hough-in ` ( Dare certify that the above inspection has ~'r r Final „~q veto been made. OFFICE USE ONLY This reguest vmo 18 months from PERMIT / i 7 CI-TYF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 4 3 7 (612) 681-4675 Date Issued: 08/29/94 SITE ADDRESS: 2983 CENTER CT LOT: 9 BLOCK: 5 EAGANDALE CENTER INDUSTRIAL PARK P.I.N.: 10-22500-090-05 DESCRIPTION: (PILOT AIR FREIGHT) Bat lding',Permit Type COMM. /IND. Building Wark Type NEW rUBC Occupancy ' B-2 3/ Construction Type II-N SPR Zoning LI ! Building Length { 180 Building Width 100 Building stories 1 S~ are Feet..-,j. ~ 18,000 t~ y L,~ REMARKS: S & W PLBR - WENZEL PLBG FEE SUMMARY' VALUATION $485,000 Base Fee $1,987.00 CITY SAC $300.00 Plan Review $1,291.55 S & W PERMIT $100.00 Surcharge $242.50 S & W SURCHARGE $.50 SAC $2,400.00 TREATMENT PLANT $1,044.00 SAC % 100 ROAD UNIT $2,373.90 SAC Units 3 PARK DEDICATION $2,378.45 Subtotal $5,921.05 TRAIL DEDICATION $1.698.40 Total Fee $13,816.30 CONTRACTOR: - Applicant - OWNER: RYAN CONST INC, R J 28664632 MADY MIKE 6511 CEDAR AVE S 7700 23RD AVE 146 MINNEAPOLIS MN 55423 MINNEAPOLIS MN 55450 (612) 866-4632 (612)726-1048 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. o~,~ R I rn r1 PPLICANT/PE E SIGNATURE ? ISSUED BY SIG TURN-T- CITY OF EAGAN 1994 BUILDING 681.46 15 APPLICATION 3 i SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sir e ergy talcs. tyU~) 0 8 1 94 COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy cal - - - 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 Valuation of ~work 4S?S ~coa Site Address: - T-- -4 L~it/leYi"`~~tTY STREET SUITE # Tenant Name: (commercial only) r LOT BLOCK SUBD., P.I.D. # Description of work: 4=:)9j C/ The applicant is: ❑ Owner "Contractor ❑ Other (Describe) Name ,I am I &4W Phone Z24-0140 Property LAST a~ FIRST Owner Address _ / ~ Zzs 's~ A.6. sirrp l~to ~9or s. STREET STE # city _ State OM. Zip saeo Company Phone A" -~a3L Contractor Address (dtS)) ck~ AWC. License # Exp. City F f State rv%.. ZipA~-4L3 Company 6646 AzAa• Phone ]SS• (ul Architect/ Engineer Name mss/ Registration # MKO Address S~}1Z /9 n/_F'. / r City State Awu. Zip _ Sewer & water licensed plumber \^A;a_y6Z_. 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 Applica OFFICE USE ONLY BUILDING PERMIT TYPE ❑ OI Foundation ❑ 06 Duplex ❑ 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 ,p 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 0 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) ;,i CO„r,Frwt 1st Fl. sq. ft. City Water UBC Occupancy z 2nd F1. sq. ft. PRV Required Zoning CI Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 2) Depth On-site sewage SAC Code 30 Census Bldg / APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS .Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace 93 c v es Permit Fee Valuation: $ Y~S 0CO(D Surcharge Plan Review License MWCC SAC City SAC 3C~7 3r Water Conn. Water Meter - Acct. Deposit Do F..'' 01 ;;,T S/W Permit //;0 S/W Surcharge ~o Treatment Pl. Road Unit Park Ded. 1 &3y y~,lOrc'j~5 P=F`d b.946 u, 53 Trails Ded. j3 Copies Other Total: SAC % j G SAC Units LOT 9 BLOCK 5 SUBD. otdv~c~ G2 - RECEIPT# O .352tR DATE ~J _ I S 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: Commercial GPM X5 Residential (boulevards) GPM Existing residential Area/address to be irrigated- //d 9L3 9ZILZ ) ArU411- Installer: Owner❑ Plumber ❑ Street addresg f 95f' A'l~aA/r?~ xee- City, state & zip code: z f~J -2- Phone Owner Name- Street address, AL", City, state & zip code: e-,4g&rL""W Phone Irrigation contractor, if different than installer: Telephone 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 this permit within City property/right-of-way/easement. s signs Title Approved by: Date: PRV ❑ Yes ❑ No New service ❑ Yes ❑ No Meter Size & Cost 17d oe 61?6-1 SO / 9 c - - - - Fees due: Calculated by: 7-2-1.S ~ c~ 7 z o- lq /,0//& ~ PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 per connection - WAC. $372.00 Per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on anew service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. "f k T*a~>a° ~ ~~~a•,a a ~ k~ b "ka"af a y~ E °'~y ~ ht c ~,~a ~.aa~ ~ 'kk axe A~~}~".,. . 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIA ANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE:,2,W7 CONTRACT PRICE: a 7/o p~ A_ NEW BUILDING INTERIOR IMPROVEMENT WORK DESC IPTION: ~ ed,4/ ig - FEES 1% OF .i FEE $ I& PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. ~x TOTAL $ SITE ADDRESS: P3 6~vr&,,o L la~G/Z% OWNER NAME: r TELEPHONE TENANT NAME: (IMPROVEMENT~ ONLY) INSTALLER: Ly ~ ~ ;nA cl ADDRESS: SS CITY:~/~ STATE: ZIP CODE: S~~ 7Y TELEPHONE #:~a az~~ S SIGNATURE PERMITTEE CITY INSPECTOR y,'[~; 3~ ~~N$ A 1 L3G to R i `4' ) 3 E #R4~i9 Y.Y~ 1 y ~!S, x k a s 3 ak4' «iF°` ^41pkiak i~ ~ s a ~ ~dt! pJ b k a`~ A~ yr; ` ~ s ~ £ .s ' ra a, F ~ Y C~^bf' ~ ~s~ ~ yY•~~~a ss . s a ~¢~g 8~. $wg~~~ ~ Wx &s t~.F . N3 - 5 x f ~ 9 a~ sta ~ E~a~y~ c*§sPJy, a''~4,x 3~~q~'~~~~sa A a ~ r ~ > e ~ ~k I 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON _ REPAIR - ~r WORK DESCRIPTION: /t/ ZGJ O C ! 4 C";5 -6 Vti CONTRACT PRICE: $ 70G.G FEE: 1% OF CONTRACT FEE. STATE' SURCHARGE: $.50 FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25.00 CONTRACT PRICE X 1% $ 7o STATE SURCHARGE $ T' o TOTAL $ -70n SITE ADDRESS: Z9Ft 3 C n Z` Ca TENANT NAME:_ /Lot {V (t f / l 4 7' STE. OWNER NAME: INSTALLER: e" h z ~Lr ADDRESSS 79 /6 f?d C i~yf3 CITY: l Vvohd ALA/ STATE: ZIP CODE: PHONE e12 C/ FOR: C OF AN APPLICANT M E M O RAND U M MEMO. _ city of eagan TO: JIM STURM CITY PLANNER PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER FROM: DOUG REID, CHIEF BUILDING OFFICIAL ~dfi 61 's ~ c r p DATE: 10 x RE: PLAN RE/VIEW The preliminary construction plans forlAir, f'r'ei9~f are 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. Failure to return this form within five 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 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. 6'e4 e COMMENTS. 11 n/ Ana P~~mi t 1 ~tiq~✓ ®n ~ Signature Date M E M O RAND t} M MEMO. - city of eagan TO: JIM STURM CITY PLANNER PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKSIENGINEERINGIUTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER FROM: DOUG REIDD, CHIEF BUILDING OFFICIAL DATE: n lS - jQ __9y RE: PLAN REVIEW The preliminary construction plans fore 10+ A r, I' 9~ are 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. Failure to return this form within five 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 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- :1LK~~ J,~-x-•41 Signature Date M Ps M O RAND U M MEMO. city of eagan TO: JIM STURM, CITY PLANNER PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKS/ENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: k 10 _9 y RE: PLAN RE/VIEW The preliminary -,A- construction plans fore l0 f- are 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. Eailure to return this form within five 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 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- r ` Iggi r,-C; Z_ Ai e= ~tJSto yinature Date M E M O R A N D U M si ~ dH MEMO. - city of eagan TO: JIM STURM, CITY PLANNER PAT GEAGAN, POLICE CHIEF JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR DALE WEGLEITNER, FIRE MARSHAL BILL AKINS, ELECTRICAL INSPECTOR PUBLIC WORKSIENGINEERING/UTILITIES/STREETS GENE VANOVERBEKE, FINANCE DIRECTOR RICH BRASCH, WATER RESOURCES COORDINATOR PEGGY REICHERT, DIRECTOR OF COMMUNITY DEVELOPMENT SHANNON TYREE, PROJECT PLANNER MIKE RIDLEY, PROJECT PLANNER FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: -IQ RE: PLAN RE/VIEW ~j The preliminary construction plans fore lof are 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. Failure to return this form within five 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 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-` < r Signa rem- Date Serial # u~ 7 .3 o X d Chip # e 3,1-1 ?K72 Permit # 'A'd'dress: 02% ~'3 / „ G (~>u 1 AGREE TO COMPLY WITH CITY OF EAGAN ORD Signature:_ G6?~ Signature: Serial # S(9 3 7~d a 3 Chip # l ~o 8 Permit Address: i AGREETO COMPLY WrrH CITY OF EAGAN , ORDINANCES Signatur t . . / Y y1 ;0 z erial # 87 permd r ..k x. agaafesso2 9ar3 4e' n 3r+.:~.xa r 1 AGREE TO COMPLY WITH CITY OF EAGAN_ ORDIJJAMESt Rp ems; n, 4 A i6 Y~'b s ti~ W g r c f!}' X f' 7~ ~ ~I Y 1 y r. ''1 E ~f'm a•'C •7y ~ t b~ta~ ~'n`* f t l•1 6 .r i. K r at t i ~l„ ;i _ 9 5 A,oJ~?~r, MEMO TO: DALE SCHOEPPNER, SENIOR INSPECTOR JIM STURM, CITY PLANNER DALE WEGLEITNER, FIRE DEPARTMENT BILL AKINS, ELECTRICAL INSPECTOR JOHN VONDELINDE,.SUPERINTENDENT OF PARKS PUBLIC WORKS/ENGINEERING DEPARTMENT UTILITY BILLING CLERK MIKE RIDLEY, PROJECT PLANNER SHANNON TYREE, PROJECT PLANNER FROM: DOUG REID, CHIEF BUILDING OFFICIAL DATE: /%114 SUBJECT: FINAL INSPECTION The Protective Inspections Department will be performing a final inspection of C'M13 O er)Lr OytArt on 11~/ N Pilot A "r F'reigA+ 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. 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. ;i(9 e,h CONTRACTOR'S MATERIAL &7 STERT FICATE FOR ABOVEGROUND PIPING cvv"Ak~, CtAv-~ndvskrj~~ T PROCEDURE - Upon completion of work, inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractors personnel 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. 41 is understood the owners representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME DATE t9j c.oT .91/L F,e6iG NT PROPERTY ADDRESS A7,41 A~ F3 ACCEPTED BY APPROVING AUTHORITIES (NAMES) ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS III YES ❑ NO EQUIPMENT USED ISAPPROVED 5kYES ❑NO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION BYES ❑ NO 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 R YES ❑ NO 1. SYSTEM COMPONENTS INSTRUCTIONS 9 YES ❑ NO 2. CARE AND MAINTENANCE INSTRUCTIONS Ill YES ❑ NO 3. NFPA13A DYES ❑ NO LOCATION SUPPLIES BUILDINGS OF SYSTEM VEAROF ORIFICE TEMPERATURE' MAKE MODEL MANUFACTURER SIZE QUANTITY RATING ,vra.v ERGO - 9 ~ .7o S /6S SPRINKLERS ni L fiy' fF / Z PIPE AND TYPE OF PIPE Y AJ,4 FLO N/ FITTINGS TYPE OF FITTINGS F/X F40 C4 ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST ALARM CONNECTION VALVE TYPE MAKE MODEL MIN. SEC. OR FLOW INDICATOR V1411145 I j 5Q-F DRY VALVE O.C.D. MAKE MODEL SERIAL NO. MAKE MODEL NO. TRIP' WATER AIR TRIP POINT TIME WATER ALARM THROU PRESSURE PRESSURE AIR PR REACHED OPERATED CONNECTION TEST OUTLET' PROPERLY MIN. SEC. PSI PSI MIN. SEC YES NO WITHOUT DRY PIPE O.O.D. OPERATING TEST WITH Q.QD. IF NO, EXP 'MEASURED FROM THE TIME INSPECTOR'S TEST CONNECTION IS OPENED. 85A (8-89) PRINTED IN THE U.S.A. FOR ATIONAL FIRE SPRINKLER ASSOCIATION, INC, P.O. BOX 1000, PATTERSON. N.Y. 12563 (OVER) .a OPERATION D PNEUMATIC D ELECTRIC D HYDRAULIC PI RVISED DYES ONO DETECTING MEDIA SUPE DYES ONO DOES VALVE OPERA HE MANUAL TRIP AND/OR REMOTE CONTROL STATIO OYES D NO DELUGE & IS THERE AN ACCESSIBLE FACILITY IN IT FOR TE IF NO, EXPLAIN PRFFACTION VALVES DYES ONO DOESEACH CIRCUIT ORRAFE, DOES EACH CIRCUIT MAXIMUMTIMETO MAK MODEL SUPERVISION LOSS ALARM VALVE RELEASE OPERATE RELEASE VE N YE MIN. SEC. HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping TEST leakage shall be stopped. DESCRIPTION PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop which shall not exceed 11h psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop which shall not exceed 1+h psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI FOR HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED D YES D NO EQUIPMENT OPERATES PROPERLY D YES D NO 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? LYE N TESTS DRAIN READING OF GAGE L?C4A/trE~PNEAq WATER SUPPLY TEST PIPE: RESID ESSURE WITH VALVE IN TEST PIPE OPEN WIDE TEST STATIC PRESSURE PSI 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. 8513 D YES O NO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER- GROUND SPRINKLER PIPING DYES ONO BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS WELDED PIPING D YES D NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9, LEVEL AR-3 of YES D NO WELDING DO YOU CERTIFY THAT THE WELDING WAS P=RFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQ'JI REMENTS OF AT LEAST AWS D10.9, LEVEL AR-3 61 YES O NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THATOPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED H YES D NO CUTOUTS DO YOU CERTIFY THATYOU HAVE A CONTROL FEATURE TO ENSURE THATALL (DISKS) CUTOUTS (DISKS) ARE RETRIEVED D YES D NO HYDRAULIC NAMEPLATE PROVIDED IF NO, EXPLAIN DATA )9 YES D NO NAMEPLATE DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: REMARKS NAME OF SPRINKLER CONTRACTOR I kl AUTO bT t 5P21 &3 k- ' fZ C4CM PA PJ TESTS WITNESSED BY SIGNATURES PR P OW R SIGNED) TIT DATE -04- FOR - SPRINKLE TRACTO SIGNED) TITLE / DATE ADDITIONAL EXPLANATION AND NOTES 1 BSA BACK - - „ SPECIAL INSPECTION AND TESTING SCHEDULE (TO be used in accordance with the "Guidelines for Special Inspection and Testing") PROJECT NAME Pilot Air Freight PROJECT NO. LOCATION Eagan (1) PERMIT NO. SPECIAL INSPECTION SCHEDULE SDecification oSpecial j_Firm Report Assigned Des do 2 3 Fre en Firm 4 ,C„~Lnll~ t i nn High Strength Bolting s . 1 Time Ron Ran rame Inspection s 1 Time Ron Ryan TESTING SCHEDULE WC Notes: This schedule to be filled out and included in the project specification. Information unavailable at that time to be filled out when applying for a building permit. (1) Permit No. to be provided by the Building official. (2) Use descriptions per U.B.C. Section 306. (3) Special Inspector, Testing Agent or Fabricator. (4) Firm contracted to perform services. ACKNOWLEDGEMENTS Each appropriate representative must sign below: Owner: Firm: Date: Contracto-Firm: R.J. Ryan Construction Date: Architect: Firm: Lampert Architects Date: SER: Firm: Ron Ryan Date: SI: Firm: on yan Date- • SI: Firm: Date: TA: Firm: ,,n 9nQin°.~y Date: TA:I -Firm: 131?"IJ .LyT6 7-&S Date: F: Firm: Date: F: Firm: Date: The individual names of all prospective special inspectors and the work they intend to observe must be identified on the reverse side of this form. Legend: SER Structural Engineer of Record SI Special Inspector TA Testing Agent F = Fabricator Accepted for the Building Department By Date: ENERGY CODE ANALYSIS JOB NAME PILOT AIR FREIGHT Gross Wall Area #1-5 11,200 Sq. Ft. x 0.220 U = 2,464.00 Gross Roof Area #6-7 18,000 Sq. Ft. x 0.060 U = 1,080.00 TOTAL Sq. Ft. x U 3, 544.00 ACTUAL CONSTRUCTION SQ. FT. X U 1. Single Glass Sq. Ft. x U = 2. Double Glass 570 Sq. Ft. x 0.550 U = 313.50 3. Triple Glass Sq. Ft. x U = 4. Door - H. M. Type 1 42 Sq. Ft. x 0.250 U = 10.50 O.H. Type 2 654 Sq. Ft. x 0.250 U = 163.50 Type 3 Sq. Ft. x U = 5. Net Wall - Type 1 2 , 460 Sq. Ft. x 0.084 U = 206.64 Type 2 7 , 474 Sq. Ft. x 0.220 U = 1,644.28 Type 3 Sq. Ft. x U = TOTAL #1-5 11,200 Sq. Ft. 6. Skylight Sq. Ft. x U = 7. Net Roof - Type 1 18,000 Sq. Ft. x 0.060 U = 1,080.00 Type 2 Sq. Ft. x U = TOTAL #6-7 18, 000 TOTAL Sq. Ft. x U 3, 418.42 I hereby certify that this plan, spoolfloation or report was prepared by Actual Construction U x S Ft. me r under m u nd that I am a duly Registered q Engioneer er the Is the S of Minnesota. is Less Than Code Requirements ENERGY Date Reg. No. 9573 Metropolitan Waste Control Commission Mears Park Centre, 230 East Fifth Street, St. Paul, Minnesota 55101-1633 612 222-8423 July 26, 1994 Mr. Dale Schoeppner Construction Analyst City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council/Wastewater Services determined SAC for the Pilot Air Freight to be located at Lone Oak Road within the City of. Eagan. This project should be charged 3 SAC Units, as determined below. SAC Units Charges: Office 1748 sq. ft. @ 2400 sq. ft./SAC Unit 0.73 Warehouse 14432 sq. ft. @ 7000 sq. ft./SAC Unit 2.06 Total Charge: 2.79 or 3 If you have any questions, call Jodi Edwards at 229-2113. Sincerely,,) Roger er er W. Janzig k Planner RWJ:JLE 94072654 cc: S. Selby, MWCC Carolyn Krech, Finance Department, Eagan John Huenin, RJ Ryan Construction A Service of the Metropolitan Council Equal Opportunity/Affirmative Action Employer i~J ELM ` Illumination Budget Calculation Summary Building Address: 7700 23RD AVE. SO. #146, EAGAN, MINNESOTA Designer Name or Firm: MEDINA ELECTRIC. INC. Phone: (612) 478-6828 Please Type or Print. This worksheet is intended to determine compliance with Minnesota Energy Code Part 7670.0800 using the prescriptive Interior Lighting Power Allowance method. Summa of Sheets SHEET NO. Column A Column B Allowable Watts otal WA e1 30562 14334 14334 otal A otal6 If Total B <Total A, then the building is in compliance. I hereby certify that to the best of my knowledge, I have designed this illumination system to conform with the requirements of the Minnesota State Energy Code. Designer MEDINA ELECTRIC, INC. M* 6" Sheet # _ of , INTERIOR LIGHTING POWER ALLOWANCE Presvi five Procedure ONE FUNCTION BUILDING VJfERIOR SPACES Allowable Illumination Budget Installed Illumination Room or Area Description Room Allowable Fixture Type No. of Watts Total Area ULPA' Watts Fixtures per Wattage Room i or function ft2 lt%Nr* alre Make ad Modell fixture" # 101 - SERVICE 14500 1,78 25810 "R" CRESCENT #.qCF296ESR K 126: f-94 50 # 102 - MEN'S ROOM 108 S 54 4 103 - WOMEN'S ROOM 56 .5 28 1 42 42 REMAINDER SMALL OFFICES 333 1.4 4670 A CRESCENT,:.#24PB3401-ESP 48 100 4$00. ' From table on back of summary sheet. Total A 30562 " Including ballast; total from Total B 14334 i mfges literature. ~G,Hf ElEC1RI C" ~O J.H. LARSON ELECTRICAL COMPANY a 700 Colorado Ave. S. • Golden Valley, MN 55416 • (612) 545-1717 WHOLESALE DISTRIBUTORS SINCE 1931 ELECTRICAL • PLUMBING • HEATING • AIR CONDITIONING SrNCE 191 CONTRACTOR: MEDINA ELECTRIC 8/16/94 JOB NAME: PILOT AIR FREIGHTQUOTED BY: GREGG MUND >k>KiE~>kr~>Kr~>«>«st~~~**>k~>K~Eas*~~**rx~*~>k>K~>k***~##*>K~~*~****>k*>K~~~**r TYPE DESCRIPTION A CRESCENT 24PE34018DA-ESB-120V B CRESCENT SCF296-ESE-120V C STONCO LPLC250LXL-VOLTAGE (SPECIFY) rx ~D SY 4~D21l1218LECRRICo INC. 1 BRANCH OFFICES: 700 Colorado Ave. S. 927 E. 10th St., Box 926 Cry. Rd. F, Box566 1809 WesternAve., Box 903 1415 9th Ave S.E., Box 1567 3501 South Phillips, Box 1606 Golden Valley, MN 55416 Fairrnonl, MN 56031 Hudson, WI 54016 Eau Claire, WI 54702 Watertown, SD 57201 Sioux Falls, SD 57105 (612) 545-1717 (507) 235-5549 (715) 386-2388 (715) 834-3111 (605) 886-6936 (605) 339-1990 FAX (612) 545-1909 FAX (507) 235-3181 FAX (715) 386-3746 FAX (715) 834-6051 FAX (605) 886-6965 FAX (605) 339-3189 AN EQUAL OPPORTUNI ry EMPLOYER 1"13 Deep Cell 3" Parabolic Troffer M C" -L crescent ~ypE~ L I G H T I N G a Gr3RYr_ company Ordering Barrington. New Jersey 08007 609-546-55OD Caw" Lampe Nominal Number Wmts C•Ik sin r' • ' 2.40URS 9 - 2 ■ 2 ' ' • 2.40URS 16 2x2 ' • • 2.40RS 12 2X4 3.40RS 18 tad ' : • • 4.40RS /8 2x4 ' 4-40RS 32 2+4 ECQ - ~f12(`4U V\11G W k's- Coefficients of Utilization Floor Canty Reeeciance 0.2D RC 80176 50.4 3004 RW 70 50 30 50 30 t0 50 30 10 1 76 74 71 69 68 66 67 65 54 li 2 71 66 63 63 60 58 61 58 56 160 so- li au Kos are S ¢ 3 66 60 55 57 53 50 56 52 49 1p1N" 0tl1iVf4ie4 ; 4 61 54 a8 51 4; 50 46 43 U 1° 5 56 48 a2 66 at 38 44 40 37 S 6 51 a3 37 41 36 33 40 36 33 7 a7 38 33 37 32 29 36 32 28 8 43 34 29 33 28 25 32 28 25 309 40 31 25 29 25 21 29 24 21 i 10 37 28 22 27 22 19 26 22 19 -Y-- ' ® 9 Cell Two-Lamp Photometric Data 5'. 1 I---23 '--I 900 Floor Cavlty Reflectance 0.20 RC 80% 5004 30 %e RW 70 5o 30 50 30 10 50 30 10 1 68 66 64 62 60 59 59 58 57 ?a-~ 71 6De -q 2 63 59 56 56 52 51 5a 52 50 f!/ ¢ 3 56 53 49 50 a7 AS 49 a6 as 6'. > a 54 48 43 45 42 38 m 47 38 a7 1 V 5 a9 a2 37 40 36 33 39 36 33 i E 6 46 38 33 36 32 29 35 32 28 30° dR 7 a2 34 29 33 28 25 32 28 25 23 •.e 8 39 30 25 29 25 22 28 25 22 9 35 27 22 26 22 19 26 22 19 10 33 25 20 24 19 17 23 19 16 a4 Pe) 34ol 9 DAIr i3 tar, i i a Specification Features Self-centering spring-loaded latching mechanisms with concealed hinges. Vertically grained aluminum louver eliminates reflected lamp images on cross baffle. Air-slot closures for heat removal or static units are included. Hinge-down snap-in ballast cover for hands-free maintenance. Full light output energy saving ballasts are standard. I I I •C-2 General-purpose Channel crescent L I G H T I N G Ordering Data a CNLYM company Barrington, New Jersey 08007 Catalog Number Lampa-Watta Nominal LenpM 609-546-5500 2-20TS' 24 2.30RS' 36 2.40RS' 48 r 4.40R5' 96 1.38SL 48 2.38SL 48 1-55SL 72 2.55SL 72 1.75SL 96 2.75SL 192 2-75SL 96 'Papio start am viapn start urms Ieasept a-a.) are starWara w UL low-tlBrnily rebel. ~s8 = ~ner5y Sav ny 60, G RS+ Lighting Calculation Guide Approximate Area of Room (Square Feet): over 2001) Maximum All Kos are VV a r. S.- 120 200 300 000 800 800 toa1) 2000 per 1000 apaong-10, urWUOtaararise apar4iea Creaeertt I+O9Ont Fixture Number of fixtures raquired for 100 foorcandles' ratio r 6 8 11 13 19 24 28 52 25 1.6 s:• 6 9 10 13 18 23 27 51) 24 1.6 3 4 6 7 9 12 14 26 12 1.6 3T_. T 'II lower or npMr Ioolm MM Wvels are 0eseeE. We or subtr= IMUres propaaiena+sy. Two-Lamp Photometric 4a a. Coefficients of Utilization 7. 90 _ Floor Cavity RetieetarMe 020 24' RC 80% 50% 10% {1 11 L R W 50 30 10 50 30 10 50 30 10 • 1 1 87 84 60 78 75 72 65 63 62 as 72• /till 60- 2 76 69 63 67 62 58 57 54 51 3 66 59 52 58 52 48 49 45 42 i 4 58 50 44 52 46 40 44 39 35 5 50 43 37 45 38 34 39 34 30 6 45 37 31 40 33 29 35 30 26 7 40 32 26 36 29 24 31 26 22 s, T 8 36 28 22 33 26 22 27 22 19 14 . 9 32 24 19 29 22 18 25 20 16 r 30 10 29 22 17 26 2D 15 22 18 14 5(.F a9(o- ES I'D General Purpose Channel C-1 Features • Snap-on channel covers and ends do not require tools for installation and _ maintenance. There are no elusive fasteners to misplace or lose • Combination end platekoupler assures integrity of row alignment J. e (Heavy-duty 10 coupler available.) `lT ,i / • Symmetric and asymmetric reflectors (for 4 ft. and B ft. units) are available for additional down-light and directional control. r • U.L Damp Location labels are standard with this series. • All 20 watt through 40 watt fixtures are suitable for mounting on low-density, cellulose fiberboard surfaces. Project Type No. Options Specifications Housing is die-formed of cold rolled steel 7 277 volt Ballast ROS-635 Radio Interference Suppressor for uniformity and stability. All metal com- ponents are phosphate coated and fin. ESS Energy saving Ballast SwP Pull switch ished in baked white enamel providing a cw Cold Weather (06) Ballast swr rum switch minimum reflectance factor of 85%. Snap-on type channel covers can be re- OCT Ballast for 32 watt TB Lamps SvMF Symmetric Reflector moved without the use of tools. All units SEC Solid State Electronic Ballast ASVF Asymmetric Reflector include combination end plate/couplers. Rapid start and slimline fixtures are DIM Dimming Ballast SCG4 Wire Guards equipped with high power factor Class "P" ETL-CBM ballasts (120 volt 60 Hz is zcS Hangers CP3 'Cord 8 Plug standard). Trigger start 20 watt units are YC•670 Chain Hangers O Grounded Convenience outlet UL-LPF Fixtures are U.L. listed and bear union and UL labels. C•900 All-Purpose Ceiling Hangers 50051 Sleeve Coupler SS-24 Stem 8 Canopy Set PLS Prewired Plug-in ELS Emergency Lighting PLR/PLB Prewired Plug-ins - FF Inline Fusing CRFSCFNT 1 1r9NTINri A (dFNI VTC rn..DAMV Dn DDwh_Tllw~ u r nenn~ uv. cne-uc crc Surface Mounted Me 2 LATENT PENDING Listed For p0' SM44P U` Wet Locations LPL Series Z;~'" LyteProo Universal Wall Mounted. Luminalre E TYP 250 watts High Pressure Sodium LPLR Series Metal Halide LytePro with Retractor PRODUCT SPECIFICATIONS ❑ APPLICATIONS ❑ OPTICS Accent. security, area and perimeter lighting. Exclusive b iopticat lens allows for refractive or thru-cav ng. Separate mounting box design Can also be used in perking garages, tunnels, distribution at light of glare free cut-off. isolates the supply hire from the component underpasses. alloys and driveways. Retractor units (LPLR series) yields IES Type II trey allowing for the use of 90°C supply wire beam padam. Units are shipped with prismatic as standard. Integral bubble-level and slotted ❑ CONSTRUCTION refractor forward for uniform perimeter fighting- mou ifing holes helps assure a balanced modular design features precision die-cast Glare-free cutoff units (LPLC series) are installation. Electrical/Optical tray (assembled aluminum mounting box. Mounting box shipped with Gear time forward inCOrpbratirg and ready to wife) attaches to mounting box contains four 1/2" NIPS lapped holes for thru- an internal from baffle to yield IES Type II via two Captive 114" bolts (supplied) allowing wiring and/or installation of photocomrd (see beam pattern (with forward glare control). both hands free for wiring. Component cover Accessories). Electrical and opt" Spaci g/mounfing height ratio is 6:1 on all snaps into place and two screws lock Cover Components are mounted to die Cast Type II units. Unique lamp/socket assembly and optics together. aluminum tray for maximum heat dissipation allows for minor field adjustment of beam ❑ LAMP and quick installation. Deep ribbing On back pattern. (Additional tight patterns available-see Refer to Section 12 for lamp dw& side of Component tray permits airflow cooing Accessories.) Refer to Section 12 for assuring longer component fife. Socket is pholometric data. pulse rated for 4KV. Component cover is ❑ BALLAST injection molded, UV stabilized. impact resistant pdycarbonale in dark bronze finish Core and coil ballast as noted in ordering -17' I 90/,. that wont peel. Chip or fade. Retractor/lens is Infortnafion Refer to Section 12 for electrical --'III constructed of injection molded high impact data. acrylic. Reflector system is hydroformed ❑ INSTALLATION anodized aluminum. E ierior hardware is Lightweight Mounting Bar allows for lime- stainless steel. saving installation via backfee4 recessed box 16" 1 ORDERING INFORMATION Catalog No. dr Catalog No with Refractor ut-oe Optcs ] wens Lamp Voila Ballast ACCESSORIES- HIGH PRESSURE SOD ■LPLR250LXL ■LPLCffiOLXL 250 Eta 120480 CWA(HPF) For The Lyteft Series METAL HALIDE e~. The following are field installed accessories. ■LPLR250MAL ■LPLC250MAL 250 8728 120480 CWA (HPF) order by Cat No. Cat. NO. ♦Medi m lase lamps eKhmed with as units. To order -mmA tamp renioe "V from and of C111. NO PHOTOCONTROL BUTTON TYPE (Installs easily to mounting box) OPTIONS-For The LytePro Series 120N "'FnoSM 208V, 240Y, 277V The following factory inslafieo oplbra. SWIVEL TYPE Atltl appropriate suffix to Cat No. (Installs easily to 1 /2" NIPS hole on Suffix mounting box) P1 FUSING: In-lira protects HID Circuitry: of a momentary voltage drop or in cold 120V P710A 0A 120V For 120V. 277V-Single Fusing FS scan situations. Ouara lamp (included) 208V, i4&7, 277V ...................P150M For 208V. 240V. 480V-Double Fusing FFS remains illuminated until HID lamp 460V _ P150E POLYCARBONATE REFRACTOR reaches 70% of brightness AMC " • • • •'•sc • "rews For vandal prone areas (no available SWITCH-ON EMERGENCY LIGHT: prevent access TAMPERPROOF by KIT: 2 intruders alien ...sc.... ...LPTP for 175 watt units) PR Operates manually from secondary AUTOMATIC STANDBY AUXILIARY 120V source. Uses 110 watt T4 base LIGHT: Electronic relay energizes a warn lamp (included) d) and installed 150 watt T4 double contact bayonet in a double contact bayonet OPTICAL ACCESSORIES- base auxiliary quartz lamp in the event base socket EM See page 17 ■Stock Item: Normally Carried in factory stock and/or at local regional warehouses. SMNCO 10 19 Use BLUE or BLACK Ink C For Office Use j Permit City of EaEdn-. - J _ -..:Permit Fes 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 l I I Staff: Fax: (651) 675-5694 2011 MECHANICAL PERMIT APPLICATION Date: L t/ ° C Site Address: 219Z C%~~I C17 f A? d Tenant: 144 LS6 Suite RESIDENT /OWNER Name: U`~ " ?!L m~~y Phone: Address / City / Zip: Z~' G 60,Az &L Name: r2Gl-~ ~f kf~{ !?~l:Y License CONTRACTOR Address: L S7' City: .10 LU f State: Zip: S taa Phone: 9<2/?z- ( - Bg0 Z Contact: r Email: k ,74& L~ 1R7F~!1~giag gg , CG~'~ - New Replacement 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 PERMIT TYPE -Air Conditioner _ Install Piping _ Processed Air Exchanger Gas X Exterior HVAC Unit Heat Pump Under / Above ground Tank L- Install Remove) Other RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE COMMERCIAL FEES: my $75.00 Underground tank installation/removal OR ContractVaalue $ x1o $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 °i- Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) =s -71? TOTAL FEE 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.aoahenstateonecali.orci 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 ko T" &A 1-64 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: / Dater Underground Rough In Air Test Gas Service Test In-floor Heat ' Final ^ HVAC Screening