3216 Alden Pond Lane$ '2;t,; ..W,,: ::?• n'?Y:` -?;
R??TAL ???TS
CITY OF EAGAN 17270
31180 Pilot Knob Road, P.O. Box?1-199, Eagan, IV??'??4??2?!
PHONE: 454 $100
BUItD(NG PERMIT Receipt #
. ,_; .
To be used for "L" Est. Value Date 19
Site Address 321230 ALM PM U
Lot 9_ Block _.1- Sbc/Sub. OFFIC E USE ONLY:_
PdYC21 N0. Occupancy R,,,1 M,,,.#.- FEF-S
Zoning R.4. ; .
W Name 2?"20 ?.ZM'T?? ?. ?'???'',?e
(Actuai) Const V..1 _.W
Bldg. Permit 19414.00
3 /?CdK25S 105 S ?"IM ?
?y`UI? 7[4S (Allowable) V«. ?
-?-
? q'-- , Surcharge ?
City Phone "?#,.3???y # of Stories ?_
Plan Review 707
0
Length I ".? *.
0
t?j NAt118 _ RQSEWOM CQ1IllM???0U? TUC Depth 66-#
?
SAC, City
? $
?? /?f1df@SS 1711 W .?t?
B S.F.Totai 11636-
- ??
SAC, MCWC
} Cil}/ 1OSMUS_ Phone 631?7% S.F. Footprints 7
?
?Nater Conn 4
- On Site Sewage _ ,
?? "h1a171?' x? ?I'??+'+C'?RI
j? On Site Weil W
t
M
t
, - er
e
er ?
a
?i ?;rpsg " ?- .?T.3?$_
_
_
_"-'k?R? ? MWCC System ?-
aw ? _
,
_
j??{ ?.'?"? ?`?"?'?'tOtl2 ?31?-?125?
City Water
' Acct. Deposit
. S/W P
it
PRV Required _ erm
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcha[ge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City 9f``Epigan Or nances.. Treatment Pt 1 y.:8,??
I Signature of Permitee ?I/-„?< .%^J APPROVALS Rqad Unit 21720.00^
A Buiiding Permit is issued to: MUM= - INC Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg: Off. _ Copies
Building Official Variance - TOTAL
. .
. . " . . . . . . .. . . .
. . : . . . . _....q
Permi4 No. Permit Hoider Date Telephone #
WF?TER IO?1?0
r b .l'as ,°/
zjr?
?
SE?WER
PLUMBING
H.V.A.C. 11-5 Ct
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roo(ing
Rough Plbg. - -ed
Rough Htg.
Isul.
Fireptace
Final Htg.
Final Plbg.
Cons4: Meter Pibg. Inspector- Notify Plumber
Engc/Plan
Bldg.Final
Deck Ftg.
Deck Finai
Well
Pr. Disp.
. . '&` - '.t . _ . . .
, • PLUMBING PERMIT : For Office Use Only
CITY OF EAGAN PERMIT #,/?
-? , ?-
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE 'PHONE 4548106 - DATE: (Dz'??.
SiteAddressI f--
Lot Block ,Sec/Sub
? NameU %
? Address
? City P on
? Name
? Address Y .
? Clty r ? ` ;,, Pho
r
FEES
COMM./IND. FEE -1% OF CONTRAGT FEE
APT.,.BLDGS. - COMM. RATE APPLIES
TQWNHOUSE & CONDQ - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIRAUM - COMM.WD./FEE $20.00
STATE SURCHARGE PER PERMIT .50
:;(ADQ $.50 S/C PER EACH $1,000 OF PERMIT FEE)
; ^?IGNATURE OF PERMITTEE
CITY OF EAGAN
BLDG. TYPE
Res.
Mult.
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
RES. PLBG. ONLY - COMPLETE THE FOLIOWING:
NO. FIXTURES TOTAL
i_ Water Closet - $3.00 $ 4bb
Badi Tubs - $3.00 ?
Lavatory - $3.00 ?
? Shower - $3.00
? Kitchen Sink - $3.00 ?
UrinaUBidet - $3.00
Laundry Tray - $3.00 _ ?-,Go_
Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 '
PERMITFEE:
STATES S/C:
GRAND TOTAL:
-r,
?
PERMlT #
, 7l
09
MECHANIC
L
RMIT RECEIPT #
CITY OF EAGAN
i' `23830 PI LOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHON'E: 45 -8100 .?- For Office Use Oniy:
Site Address BLDG
TYPE ' WORK DESCRIPTION ?
Lot F Block Sec/Sub .
Res. LZ New
L Name Mult Add-on
? Aepair
Comm
?a Address .
c
Cit ' r
n
. Other
y e
?
Name FEES
RES. HVAC 0-100 M BTU _ $24.00
c Address 1 ct gc ADDITIONAL 50 M BTU - 6.00
3
p ?
City
4 - r''-??'
??.-?'?'-• Phone (RES. HVAC INCLUDES A/C ON NfW
- _ CONSTRUCTION)
GAS OUTLETS (MtNtMUM - 1 PER PERM!'1) - 1.50 EA. .
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
? Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATEAPPLIES
. Boiler M BTU ?. MINIMUM RESIDENTIAL fEE - ALL ADD-ON &
Unit Heater M BTU REMODELS _ - 12.00
Air Cond M BTU
?? .? MINIMUM COMMERCIAL FEE _ 20.00
. - STATE SURCHARGE PER PERMIT .50
Venf. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ t..24, BEYOND $1,000)
I Other $
?
FEE: r y
S?GNA7URE OF PERMlTTEE
. . . . : . . S/Ci:
TOTAL; FOR: CITY OF EAGAN
. . . . . . " ? . .. . ?GIt'v?? ? . . _ .. ., . , ...... . . . . . . .a ., .. _..a,.., .... . „. y....i.-"
YOUNDATION ONLY %g`1
-a
SITE ADDRESS l ? - 3230 ALDEN POND LN Unit # ? F'e'rtnit # 17069
L 9 B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
??t?
SITE ADDRESS 3216 ALDEN POND LANE Unit # Permit #--1?270 .
9 1 ALDEN POND
B Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS
Aw
? . Qe-7.
S 3-?a
a 3
?
-
,
d
SITE ADDRESS 3 21$ ALDEN PONA LANE Unit # Permit #-????
Sect./Sub ALDEN POND
.
INSPECTION INSPECTOR DATE COMMENTS
r'lv /? f /1•
161-G
?? . ?
Pfi
,2 a-sT oV ?s , OeZ
!<
r e(
INSPECTION INSPECTOR DATE COMMENTS
.;
?
,
3220 ALDEN POND LANE
SITE ADDRESS Unit # Permit # 172701
ALDEN POND
Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
a ?v ,l'# 9&-
? ,? Gf-? ,?f? 9??y?8
O?
3 _?
DQ • ! ?3 "q? J 7 -f/'
?r
w Cf l r
INSPECTION INSPECTOR DATE COMMENTS
3-:;2
-
3222 ALDEN POND LANE
SITE ADDRESS Unit # Permit # 17??Q--_
L 9 B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
} ?J /%t ? /2-
.
• /T• ° ? ? ! e I N ?l
r ?? tID ?
ov/ ?O 1??? h l?o T ?--`r Za - T" -C z- o'?1J
INSPECTION INSPECTOR DATE COMAl1ENTS
SITE ADDRESS 3 2 24 ALDEN POND LANE Unit # Permit # 17274=-
9
B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
3 -,qa
?
?
? •
-3-9'd
30
?
,
rr ?r rr
U
INSPECTION 1NSPECTOR DATE COMNIENTS
AQ 3 ,?Z-9d
SITE ADbRESS
3226 ALDEN POND LANE
Unit # Permit #
ALDEN POND
SectJSub.
INSPECTION INSPECTOR DATE COMMENTS
.
?? Ds P.? /- 3 ?o
i /, d
Q
?c
INSPECTION INSPECTOR DATE COMMENTS
??ci. . % PQ 3 -?2 y
SITE ADDRESS
9
322$ ALDEN POND LANE Unit# Permit# _17 27 0
B 1 Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
44d
o G1-? ? ?y-
-d - v
L Ds ?, ?-3 ?so
a e
pd
9 tt t e . . .
INSPECTION INSPfCTOR DATE COMMENTS
6
{ +
SITEADDRESS 3230 ALDEN POND LANE
L 9 B 1 Sect./Sub.
Unit # Permit # _ 1 7,270
alden pand
INSPECTION INSPECTOR DATE COMMENTS
v? GJ .*
' d
/-3 -s o
3 d
y,
??/snk:
D
INSPECTION tNSPECTOR DATE COMMENTS
3 -2- 5?o Pp
r.?L
;
SEWER & WATER PERMIT
CITY OF EAGAN
$830 Pil6t Knob hd.
P.O. Box 21199
Eagan, MN 55121
, ._. . _ ,
OFFtCE USE ONLY
PERMITDATE 9/22i89
~
WATER PERMIT # 1093,3 SEWER PERMIT #
MEl'ER # II/? 3 _U B.P. RECEIPT #
°rmA^_.. B.P. REGEIPT DATE ?
METERSI,ZE S>S&Ws C 3961
ISSUE DATE PRV _ BOOSTER PUMP
S1TE ADDRESS ?216 1?1 den Fon4 'Lune PERMIT fiEQttESTED
L07 ? BLOC K 1 SEC/SUB J i' K?
noshwooc1 Con5truction
Incb ?WEtR ?'VfATER ._TAPS
APPLICANT:
,
.
ADDRESS: 1711 r., un y , x,
,
? CQMM/IND -PtiE51DENTIAL
CITY, STATE .o S e J z .
?, z ZI P?. -
PHONE: L,.?W - EXISTING
-
PLUMBER: 'IaJor. hiE:chanica:l
ADDRESS: 1'06$1 Hig':`way 152 I AGREE TO COMPLY WITH CITY OF
CITY, STATE Nlkp. e . 1rave , ZIP 55369- EAGAN ORDINANGES:
, PHONE: _ , <>,,
OWNER: 7220 I,imit, cI Par4;ncrship .
ADDRESS: IR 1711 W. CUunry R.tZ' B
SI ATURE WHEN ME E jSSU
GITY, STATE R ose 4i.?. e,?d ZlP 55113
PHONE: 056 ql. ,., ,..
?
PLEASE ALLOW TWO VIIORKING DAYS FOR IPROCESSING. FOR STORM SEWER PERMITS, CONTA
ENGINEERING DEPT. .r ` f '' . ? ,.'`.+G: E . .. '. r • `f,. , r .!_- l r?.,.
i ,. .
-
.
:
. .
.? r ,r . .. ' ?
,
t
SEWER & WATER PERMIT
CiTY>OF EAGAN
3830 Pilot Knob'Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS Q =???'?? P£RMIT REQUESTED
LOT 9 BLOC K ? SEC/SUB
`nse``Jnc,Y ???r2Stx`tt?:.u;+x?Ti SfWER -"''?ATER -TAPS
APPLICANT: ,
ADDRESS:
- COMM/IND ?-fmSIDENTtAL
CITY, STATE f" ! J
ZIP
PHONE: !.- lqtW ? EXISTING
,:?? jc?x t•4?ci??.r?ical `,
PLUMBER:
ADDRESS: 10650 ighway 157. I AGREE TO COMPLY WITH CITY OF
CITY, STATE apl e G:r_'oVe , : ZIP .. . . - fAGAN ORDINANGES:
PHONE: ?
' OWNER:
I ''220 ? imi'i.ed F'ar'tztershin
19 i71 3:. COiztit;!f ?'c... ,
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE t. m a ZIP 511
.
PHONE: 6.J .3 '" . t.. J `..+ . . . . . .
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. fOR STORM SEWER PERMITS, CONTACT
' ENGINEERING DEPT. '
?
OFFICE USE ONLY
PERMIT DATE ? 12 ? ? e, 9
WATER PERMIT #?° 13--` SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE "W : •?' 3C+6l
ISSUE DATE - PRV - BOOSTER PUMP
SEWER &. WATER PERMIT
CITY OF EAGAN
3830 Pilot KnolrRd.
P.O. Box 27199
Eagan, MN 55121
SITE ADDRESS 228 d Z'o d.Z.an$ P£RMIfi REQUES?ED
LOT 9 BLOC K I SEC/SUB LA)D
APPLICANT: P.osewoad ronstzuctian, Inc. -L-99WER -?TER `TAPS
ADDRESS: 1711 `? ' o?ty CpMM/IND 4-"1AESIDENTIAI ?
CITY, STATE osev?. ?,: _.?
ZIP _
PHONE: - 3 254 N W _ EXISTING
PLUMBER: Ma:jor NSeChesiiCaw.Z .
ADDRESS: 0650 liightvay 152 I AGREE TO GOMPLY WtTW Cl'TY OF
CITY, STATE rove, .
ZIP ' 3
EAGAN ORDINANCES:
PHONE:
OWNER: 2220 Limited Partnership
ADDRESS: I711 W, COtzt2ty Rd. B .
TURE WHE E
CITY, STATE _(>SEV1 iiE 1 55113
' ZIP
Z
Z
PHONE:
- Y
.
,67-?
?
PLEASE ALLOW TWO WORKING DAYS FOR PR.QCESSING. FOR STORM $EWER PERNIITS, NTACT
ENGINEERING DEPT.
_
r.,t",1..l? ;,!..t.'..t.t.., `"':•?f ~?l?-.t .u?
.
v
? ?`.?,i'-?':.
J
.
{"°
??
?
_
;% . . . ,
! f
.
./
i
' SEaIVER & WATER PERMIT
CIT.Y OFfAGAN
9830 Fibt KnoCRd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS 2113 i?jden Pon:? .:?ite PERMIT REGIUESTED
LOT , $LOC K 1SEC/SUB ; ?;' ' :
"aseW c?t;d i,ts;?s t3??c ?::i ?n 5 S??C ?.. ??WER 4- CI?ATER _ TAPS
APPLICANT: .
ADDRESS: A'!
_711 ...13{IT2LZv : 1..
' ?
COMM/IND 4^-ESIDENTIAL '
CITY, STATE
1 . e r.. ZIP .9 ` _
.
.
PFfONE: ,.d?..L.. J ,..;, ,. . . ,•. .
NEW - EXISTING
PLUMBER: ?<zior ti:'-clianical
ADDRESS: 10 6 ; :J ghwaY. " ! AGREE TO'COMPLY WITH CITY OF
CITY, STATE ''a?le 'rnve° TV ZIP 7 '7" EAGAN ORDINANCES:
PHONE: . ,
OWNER: 2220 Lif-tited ParGnership
ADDRESS: 1711 s ?:;-?ty t?d. B
SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS fOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # 10914 SEWER PERMIT #
METER # B.P. RECEIPT #
READER # ' B.P. RECEIPT DATE
METER SIZE ?&W* u '39l• l -
1SSUE DATE - PRV - BOOSTER PUMP
? SEWEFi 8t; W,AI'ER PERMIT
CITY OF EAGAM
3830 Pilof Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SiTE ADDRESS 3210 Alden Pand I,ane PERMI"f REQUESTED
LQT 9 BLOCK ' 1 SEC/SUB' ?
APPLICANT: Rosewood Construction, InC. -SEWER ` -LWATLR _ TAPS
ADDRESS; 1711 W. Caunty R . B COMM/IND `-ESIDENTIAL
CITY, STATE osev l e, ZIP ?
PHONE EXISTING
PLUMBER: Major Mecha.na.cai
ADDRESS: 10650 ffighway 152 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE Maple Gxove, MN ZIP 55369 EAGAN ORDINANCES:
PHONE: 424-6680
? OWNER: 2220 Li.mited Partnership
ADDRESS: 1711 W. County Rd, B
D
NATURE WHE
S
SI
?
Y Roseville MN 551,13
, _
0
.
. , ,
, STATE
? CIT ZIP
PHONE: 636-$450
' PLEASE ALLOW TWO W(??KING DAYS FOR PROCESSING, FOR STORM SEINER PERMITS, CONTQCT
` ENGINEERING DEPT.
?<" f
SEIVER & WATER PERMIT
CI VY OF EAGAN
3810 Pitot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY'
PERMITDATE 9r22189
WATER PERMIT # ' 10915 SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE-
METER SIZE S&W ReCei.pt S; w 3961
ISSUE DATE - PRV - BOOSTER PUMP
SITEADDRESS -???,V` ;l*'den Pcmd ?'c PERMIT REGtUESTED
LOT %' BLOCK 1 SEC/SUB
`tosewoQd conStruCtion
Iric» `.-SEWER -WA"CER _TAPS
APPLICANT: ;
ADDRESS: 1711 1` qg'iity R" ' _ COMM/IND `^'"""'nESIDENTIAL
CITY, STATE ZIP , . ..
PHONE , a': EXISTING
PLUMBER: aJ or echa.r i c,4 1
_
ADDRESS: t'???? ??? ??way 1-52 I AGREE TO COMPLY WITH CITY OF
? CITY, STATE '"3"1? C,roue ry ??'6 ?
1 ZIP - EAGAN ORDINANGES:
PHONE {...-->>u.
..
? OWNER: L2:.?fJ ?al?il..ed l 'C?rtn.e.?J?'aA §.TZ
. . . .
ADDRESS: 1711 HT. C:otxnty
SIGNATURE WHEN METERiSSUED
CITY, STATE ?a??,???? ? ?? S51 ??
' ZIP
PHONE: ? c'-w 5 '
PLEASE ALLOW TWO WORKWG DAYS FOR PROGESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SITE ADDRESS 3222 AZden Pond Larae PERMIT REf1UES7'ED
LOT BLOCK ? SEC/SUB ?
EWER --?--?TER - TAPS
APPLICAN7: 1Roaewoed Ctsnstriie nn s Tnr-,
ADDRESS: 1711 W Cowtv Itd B COMM/IND -c--ITI?SIDENT4AC
CITY, STATE ROSeVi11C, M ZIP 55113
PHONE: 631" 3254 ?W - EXISTING
PLUMBER' - Ma; tyr M rhgni-ml
VS2
, ADDRESS: 10?30 Highw_8 I AGREE TO COMPLY WITH CITY OF
?.y
? CITY, STATE ?'?ple Grnve,' IIN ZIP 55369 EAGAN ORDINANCES:
PHONE: 4 2<*_6680
OwNER: 2224 Limited Fartnersh3 p
J,
ADDRESS: 1711 W d:prmgy R(l €3 E
TURE WHE
F-,
CITY, STATE RUS!!u?31e,t?ITd ZIP 55113 M
V ?
'
?
?lil 6 6
8f}50
PHONE: ?
.
-
LEASE ALLOW TWO WORKING'DAYS FOR PR
P
OCESSING.,fOR STORM SEW.,ER PERMITS, CoNTACT
ENGINEERING DEPT
.?
?;G
?
?+ .. ; ?! t-?•??,-
?
; ? t`, ? ?
.
.
r .,. .
s... ,
SEWER & WATER PERMIT
CITY OF EAGAIi
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 9122/89
WATER PERMIT # I??9t SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METERSIZE 7v4 P e s?;.s;i p 3:;: ' :;
ISSUEDATE - PRV -BOOSTERPUMP
SlTE ADDRESS ? ?dii=i L02c' •??f?' PERMIT REtIUESTED
LOT = BLOCK ? SEC/SUB
tEWER !-- iiGATER _ TAPS
APPLICANT: ;`osewr:od t;on ,trxzc*ion . ?nc.
ADDRESS: 171a i-daL'ity Rd• n? _COMM/IND ?1Tr= SIDENTIAL
CITY, STATE ZIP '';:5 1. 1
PHONE:
1 ,i2a4
3
?...- NEW , EXISTING
PLUMBER:
ADDRESS: 10?50 Fji?,`''-'mY 1S2 1 AGREE TO G4MPLY WITH CITY OF
CITY, STATE 2A11111` f'Mlle•!AN ZIP ?5 36'9 EAGAN ORDINAIdCES:
PHONE: ?;w=+ Si?s?a??
OWNER: .., T.?imi?^??c; '1^?t^?Iir?xS?'ii
- n
ADDRESS: 1711 11, Cnuntv 2r1 _£> SIGNATURE WHEN METER ISSUED
CITY, STATE
, !?esB"di.? c, f'Td ZIP 55113,
I PHONE'. U{1??RA
I
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT `
ENGINEERING DEPT. `
sFXF_^'
SEWER 4yU94TER PERMIT E
OFFIC
USE ONLY
CITY OF EAGV
PERMIT DATE 9/22 /89
3830 Pilbt KnOb Rd.
P.O. Box 21199
? WATER PERMIT #10917 '
sEw?R ?ERMtT #
. nnI:rER # B
P. RECEiPT #
Eagan, MIV 55121 .
Li Z
1 10 Mr_AnplaZeZ
?o B.P. RECEIPT bATE
? METER SIZE' S/S Roe,1/ SB?W Rec+?ipt : v 3961
(
, ISSUE DATE - ° - PRV ? BOOSTER PUMP
i
? SITE ADDRESS 3224 ???n Pqnd Lana
PERMIT REQUESTED
? LOT 9 BLOCK 2 SEC/SUB
Rosewood Gonstruction _-StWER __??-VVA_TER _ TAPS
Irtc
,
APPLICANT:
.
ADDRESS: untY COMMIIND
C'E§fDENTIAL
CITY, STATE oseu? e, _
-
ZIP
PHONE: `? ~? ?MIW _ EXlSTING
.
PLUMBER: °''aJor Mechanical
ADDRESS: ` 10650 HighWay 152 1 AGREE TO CQMPLY WITH CITY OF
CITY, STATE MaDl8 Grove, Z+P 55369 ' EAGAN QRDINANCES:
PHONE: . -
OWNER: 2220 Limited Partnexshi p
ADDRESS: 3721 W. COtulty Rd. B SIGNATURE WHEN METE?IS
?tn?eville, ?fi+1
CITY, STATE SS113
ZIP
PHONE:
,r
. ,
PLEASE ALLOW TWO WORKING DAYS fOR PROC SSING,FOR STORM SEWER PERMITS;"CONTACT
ENGINEERING DEPT
SEWER & WATER PERMIT
CITY OF EAGA14
363'0 Pilbt Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERM1TbATE'r122189WATER PERMIT # 110917 SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT QATE
METER SIZE S&W ?'teC&:ipR" :
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REGIUESTED
LOT 9 BLOCK 1 SEC/SUB
R" seivo;?el Constxt?Cta,on
T:°?r.
_SEWER '"11VATER _TAPS
APPLICANT: b
ADDRESS: 17'111 ` .,:t?ttt}r ,
-COMM/IND r--flESIDENTIAL
CIN, STATE ;.h
ZIP
PHONE: _? NEW - EXISTfNG
PLUMBER: Majax MechAniGa7.
ADDRESS: 10650 #l'?ghwgy 1,2
1 AGREE TO COMPLY WI'fH CITY OF
CITY, STATE
:"r.'7
e a"1oYG , `: ZIP a.?
.!?'
EAGAN ORDINANCES:
PHONE: .-?.? - :, c
OWNER: 2220 I,imited Pai•tnership
ADDRESS: 1711 11f. Co*>ttttRr ?krl . B
SIGNATURf WHEN METER ISSUED
CITY, STATE 55115
ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMiTS, CONTACT `
ENGINEERfNG DEPT.
;
. ' ,f . 4t^ ?., :.,.T -.•*..em*:?+."?;.i _-„"?';.°""&,1,"".!%"'..'.!°`^ "7- ':^'" E y?-'}, `.`???-?,?
w o-.
t ,
. . , ., s
'
¢. .
1 .
-SEWER_8wWATER PEAMIT UFFICE USE ONLY
'
- CI7Y OF EAGA4I;
3830 PII6t KnOb Rd PERMITDATE 9122/89
.
P
O
BOX 21199 WATER PE
R?M
IT
^# SEWER PERMIT #
.
.
Eagan
MN 55121 ?
?
?
MEi'ER # B.P. RECEIP7 #
, ? B.P.RECEIRTDATE
? METER SIZE clf SdeW ReG+ltpt 2 C 3961
I ISSUE DAT `- _PRV ? BOOSTER PUMP
SITE ADDRESS 3226 A1den Pt,ot3 I,ane PERMIT REQUESTED
LOT g BLOCK J SEC/SUB ??/
_"?
ER ?"
AP
?E
Rosewood Cbnstruction,
ARPLICANT:
R
VAT
f
S
Ine. -
ADDRESS: 1711 W. COWIty R. B
COMM/IND ?!"AESIDENTIAL '
osev
CITY, STATE e,
ZIP 55113 -
?
6313254
' PHONE: -
EXISTING
PLUMBER: - MA; tlr Mp?han3 Gg3
ADDRESS: 10650 H3 g'w ,y 252 1 AGREE TO COMPLY WITH-CITY OF
I CITY, STATE ?'1a.n1e Grove. MN Zip 55369 EAGAN ORDINANCES:
PHONE: 424--6$80
'
QWNER: ?220 LiMixa.ci Partnexsh ii ,
ADDRESS: 1711 W. t'.rstm y Rd B SIGNATURE WHEN MET
'I CITY, STATE Ruseville, MN
63b 8050 ZIP X 55113 7?_
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PR?CESS?N FOR STORM SEER
ENGINEERING DEPT. ?, ?,,+? ?,??
,
:ONTACT
t ?..
SEWER & WATER PERMIT
CITY AF EAGAV
3630 PilOt Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE 9122/89
WATER PERMIT # 10918 SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METERSIZE StYW ReCeijlti- C 3$6I
ISSUE DATE _ PRV - BOOSTER PUMP
SITEADDRESS 32"":' l-'?dext 110? Lane PERMIT REQUESTED
LOT f'BLOCK 1 SEGSUB t'L' Ll
-
oi:
o5ewQo?. Cdnstrueti Irtc ; ,. . ? .,.,.-
=SEWER _ WATER _ TAPS
APPLICANT: s
_ ,
ADDRESS: 17111 :+ . .camtY P? . .,
COMM/IND RESIDENTIAL
CITY, STATE e, T-TN ZIP 55113 -
PHONE: . ? ? ?'1qEW - EXtSTING
PLUMBER: llajo, 'Piechanical
ADDRESS: 10650 HI.ghwa!f 1"2 I AGREE TO COMPCY WiTH CITY OF
CITY, STATE ,lan28 f;roVe, "J1a{ Zip ,?',536;' EAGAN ORDINANGES:
PHONE: 424-6680
OWNER: ?22n r.ir.itAcl r-artnprsh3 li
ADDRESS: 1711 W. County Rct_ B SIGNATURE WHEN METER ISSUED
CITY, STATE %Seville. 101 ZIP X 55113
PHONE: 6 i6--805f}
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
? ?, .? , ,? ,,.. - -?,? ?:? : ? ? o?? ? -?
, ? ?.?
? ° ? ?? -,a_ , . ?,
i ??
?
SEWER $e??W,A?'Et? FERMtT '
OFFICE USE fJNIY
CITY OF EAGA?1 ' 4l 22 / 89
3830 Pl??t KIIOb Rd PERM IT DATE '
.
P
BOX 2 1 1 9 9
O WATER PERMiT # 10q1? SEW?R PERMIT #
.
. METER #? a B.P. RECEIPT #?
Eagan, MN 55121 ' R?k6?ER# p _
" B.P.'RECEIPTDATE
, METER SIZE ` a? ' S$W P?B.MIT`» v 3961
, ISSU? DATE - ?'" ? PRY _ BOOSTER PUMP
SITEADDRESS ?L2? .A.Ia'en ?'pn?i ?ax?? ' PERMIT REQ?ESTED
lOT ? BLOCK ? SEC/SUB ??
??W?R ?WATER ? TAPS
APPLICANT:
ADDRESS: 171.1.?N ?ttz1? T R?i i? - _ COMM/1ND ?^-''1?ESIDENTIAL
i CITY, STATE R£yc?vi i l? ??i?•1 ZIP S[ 1.13
' PNONE: f?3?.-:?254 ?
EXISTING
_
i PLUMBER; ??Te?' ?Ie??? ??? `
; ADDRESS: ????? f3? ghway 15? I AGREE 70 COMPLY WITH CI7Y OF
'' CITY, STRTE?.nZ?: t:rove, MI?T ZIP 5' 'b9 EAGAN ORDINANCES: :
? PHONE; 4:?4?.?6?G
? OWNER: 23?????it?d? 'a?rtz?er?s?tain
? ADDRESS: 1,=; ??;? Co1'¢tt ?+' R? ?' : SIGNATURE WF1EN MET J
'i CITY, STATE RpsPeri 11 ?; ivlN ZIP 5?113
? PHONE: h ?F:???y? ,,ic?yl -
? PLEASE ALLOW TWO WOR„?CING DAYS FOR PROCES$ING. FOR ST.ORM SEWER PER?UIIT ,,CONTACT
? ENGINEERING DEPT. ,'' 9
t
?
?'
?' . ?'?` .?--
-f:?.?-?'C.
? { ? ?C?
? .? .?
?; Gr -? ,t ?;..? "''?
?
? ?
.,
` ?,
-;
?,,
...
,
f
,
_ _ ___. .?..?_?_?..,___
SEWER & WATER PERMIT
CITY OF EAGAtV
3830 Pilbt Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMITDATE 9i22/89
WATER PERMIT # 104 i? SEWER PERM1T #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER StZE fi&W P?RmIT: G 3961.
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS -??26' 712,'e%2 l'o?? Larle PERMIT REG1UfSTED
LOT 9 BLOCK 1 SEC/SUB
?EWER `" ?WATER TAPS
?
APPLICANT: ??OsGwc???ti?"nt??'.triic?Ci tn.; -Is?c -
, ADDRESS: 2711 +';?. rtktiT"kY Rd- B _ COMM/IND (--- RESIDENTIAL
CITY, STATE P.nsevi1 te,M?? ZIP
PHONE 631.12,54 ?--'?W - EXISTING
PLUMBER: M8.zer- M6c-l,?.,ic23
; ADDRESS: .10650 'tiighwa.y 152 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE Map2e Groye. T
i ':"!? ZIP 5, :a6 9 EAGAN ORDINANCES:
PHONE 424-668`) :
OWNER: 2229 Limitad Fartns.r-gh in :
ADDRESS: 1711 t,t:. CCUmt'y Rd-B SIGNATURE WHEN METER iSSUED
CITY, STATE Rflsevi11e, t1N ZIP 55113
PHONE; 636- 3f} =0
PLEASE ALLO{N TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT`
ENGINEERING'DEPT.
? '4•+gr?'P??''?•.ii'. :aF{ d1 ?,;`*?'J `?? -'3?'m ?:';.T .4R"E ",?F6,J? t: -??
SEWER &VNATER PERMIT OFFIGE USE ONLY.
CITY OF EAW
3830 Pll6t KflOb Rd. PERMIT DATE ?JZ2/$?
P.O. Box 21199 WATER PERMIT #I ?? a?? SEWER PERMIT #
METER #41/-f' ?2 a 3-31
B
P. RECEIPT #
Eagan, MN 55121 ' .,
.
??#4?3 l 5"' B.P. REGEIPTDATE
METER SIZE ?/X l?oel( S1lcW IteCeipt :; w 3961
ISSUE DATE?'? ? PI?V _ BOOSTER PUMP
SITE ADDRESS 3230 Alden PO? ?ne PERAACf REQUESTED
LOT 9 BLOCK j SEC/SUB r '
Rosewoc?d Constructia??,
APPUCANT: Inc. ?WER "'"'4i?/A7ER ?TAPS
1711 W. Cc?utlt Rd. B'
ADDRESS: ?
? COMM/IND ?`ESIDEfVF1Al
1
CITY, STATE ps?V e, .
113
ZIP 55
PHONE: L-'1GEW
EXIS7'ING
?
PLUMBER: Majo2 MeChaatia1'
, ADDRESS: 10650 flighwaY 152 1 AGREE TO C4MPLY WITH GITY OF
CITY,STATE Map1et Gr°??, MN ZIp 55369 EAGANORDlNANCES:
PHONE:- 424-6686
, OWNER: 2220 Limited Partnership
ADDRESS: 1711 A' W. Courtty Rd. F3
RE WWEN
I
SI
$os?v3,?I?, M?t !?511?
CITY, STATE ZIP
77
7
7
_$050
HQNE:
i P ??
`7.
,
,
? t -,k-
PLEASE ALLOW TWO WORKING DAYS FOR PROCE551NG. FOR STORM SEWER PERMITS, CONTA?
ENGINEERINq;DEPT
r ,
. . f A.?.. c n_. . , -?-
- f7
• ? fc.
SEWER & WATER PERMIT
CITI( OP` E,AGA14
3830 Pil?ot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # . 10920_ SEWER PERMIT # '
METER # B.P. REGEIPT #
READER # B.P. RECEIPT DATE
METERSiZE a&W ReceLptr C 3961
ISSUE DATE - PRV `-BOOSTER PUMP
SITE ADDRESS a:i.?,,? :F"t7.t2?
PERMIT REQUESTED
LOT ? BLOCK ? SEGSUB
APPLICANT:
?'ose????od !:on_?t'rttCtze?n , Tnt..
-??EWER ='?1IATEfi _ TAPS .
ADDRESS: 1711 f"' "aimtY R ' " _COMM/IND '"-"?ESIDENTIAL
GITY, STATE l ?-, ZIP
PHONE: . '>-NEW _ EXISTING
PLUMBER: "9aior NlechanitaI` :
? ADDRESS`. VS650 ????hway 152 I AGREE TO COMPLY WITH CITY OF
CITY, STATE .?ar ;t 0rove, &,:: 55369
ZIP EAGAN ORDINANCES:
PHONE: `` - , ;
OWNER: 2220 Limited Partnersli.i,p ;
ADDRESS: ` ???? 1 K. Countv Rd' $ W
,
QSIR.'Y2ll@
A'?"?: S
9?
i SIGNATURE
HEN METERiSSUED
CITY, STATE .
,
.
' ZIP a
PHONE: .. . :_ t ;
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
c:`?>/?'
F 4 0801
Request Date Fiie No. ough-in Ins ron
N
quire ? Np
eS ? Ready Now OD, ill Notify Inspector
When Ready?
i ficensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route No.) CiTy
Section No. Townshr(p Name or No. Range No. Counry
P-e-
Occupant (PRlN"n phone No.
Power u r
c? .. . - ? ; Address
f 3(9&-?rj+
xw
Electrical ractor (Company Name) Confractor5 license Na
Maifing Address (Contractor o `ner Making Installation)
? '
Aut ' ed Signature (CortractodOwner M'ng Installation)
? ? Phone N,?nber ?
?L?9....? ?7
t C1(
MtNNESOTA SFATE BOARD OF ELECTRICITY THIS lNSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 8E ACCEPTED BY THE STATE BOARD
1821 Universiiy Ave., SL Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Piwne (612) 642-0800 ENCLOSED.
Building #9 8 Units
3216 Alden Pand Lane
EB-00001-07 ..
?
=quest
3218 'o " EquipmentWired
3220 " it Temporary Service
3222 n o Electric Heating
3224 n „ Other (Specify)
3228 it
3230
Compute lnspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pooi 0 to 200 Amps ;h? 0 to mps $
Transformers Above 200 Amps g' ove Amps S" 46
Signs Inspector's Use Only: Tpl
(rrigation Booms ?
Special inspection
Alarm/Communication
Other Fee i
1, the Electrical inspector, hereby
f
a ROU9h-'" Daie 7`
?
certi
y th
t the above inspection has Finai a
been made.
OFFICE USE ONLY 4` ? '
This request void 18 months from
-?-.
RENTAL UNITS
BUILDING PERMIT
To be used for 8-gLEX
CITY OF EAGAN t N2 17270
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, I414 551;h mb
PHONE: 454-8100 Receipt #
Est. Value $322, 000
Site Address 3216-3230 ALDEN POND LN
Lot 9 Block 1 Sec/Sub. ALDEN POND
Parcel No.
W Name 2220 LIMITED PARTNERSHIP
? Address 105 S FIFTH ST, SUITE 705
° City MPLS Phone 341-0190
o Name _ ROSEWOOD CONSTRUGTION INC
?Q Address 1711 W COiiNTY ROAD B
F City ROSEVILLE Phone 631-3254
WW Name BL?NTALSAR.CHITECTURE ING?2z Address 6860 SHINGLE CREEK PKWY
aW City BROOKLYN CENT?one 561-5757
I hereby acknowlege that I have read this application and state that the
information is correct and ag to com ,ly with all applicable State of
Minnesota Statutes and Ciry , Or nances.
ir 00
Signature of Permitee
A Building Permit is issued toi _ ROSEWOOD CONST, T_ NC -
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of EVan Ordinances.
8uilding Official
OFFICE USE ONLY '
Occupancy R- 1 14--L FEES
Zoning R=1
(Actual) Const V-1 HR Bldg. Permit 1,414.00
(Allowable) V-1 HR Surcharge 160.00
# of Stories 2-
Length 184 ' Plan Aeview 707.00
Depth 66' SAC, City 800.00
S.F. Total 11656
nncwcc?, 6?0.00
sac
S.F. Footprints
7984
,
On Site Sewage _ water Conn 4,640.00
On Site Well Water Meter 720 _ 00
MWCG System XX_
City Water ?_ Acct. Deposit
PRV Required S/W Permit
Boosterpump S/W Surcharge'
Treatment PI 1, 824. 00
APPROVALS Road Unit 2,720. 00
Planner - Park Ded.
Councif
BIdg.Off. - Copies
Variance -
'
TOTAL 17,585.00
!
,
ji;1110 989 BUILD?Gr PERMIT APPLICATION - CI OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF EAtERGY CALCULATIONu
NOTEs ADDaESSES F08 CORNER LOTS - CONTRACTOR/HOMEOiiiNER Mt1ST DESIGNATE WHICH ADDRESS
IS DESIRED. RO CHANGFS WILL BE ALLOWED tNCE BtTILDiGiQr PERMIT I3 IS3tTED.
.,
MQLTIPLE DWELLINGS 88NTAL UNITS ? FOa 3ALE UNITS r, D # OF UliIT$
INCLODE 2 SETS OF PLANS, CERTIFICATE OF 3URVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
C.?
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET -0F SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
REC'0 DEC 2 3 1988
To Be Used For: Townhouses Valuation: $096^-*42 Dates December 20, 1988
Site Address ??Il?j ?.90 r1?;rlpm,? ?m? ?ZZ ODO OFFICE CJ.SE 4NLY
/
Lot -1- Bloek -9- 8-plex Oceupaney FMC3
Zoning ?-3
Pareel/Sub A1den Pond Aetual Const V- I 1-LZ, Bldg. Permi,t r??,- „I,4
Allowable V - 1,+4p_ Sureharge l(IO
Owner 2220 Limited Partnership # of stories 42- Plan Review 0'7
Length 5AC, City 9cp
Address 105 ?So. 5th St., Suite 70S Depth SAC, MWCC L4600
S.F. Total' Water Conn q6!j0
City/Zip Code Minneapolis, M1v 55402 ' Footprint S.F.r)jg?Water Meter 7Zb
Acct. Depasit -?-
Phone 1612J 341-0190 Qn site sewage S/W Permit ±k2-°
On site well S!W Sureharge ?
Contraetor izosewood Construction, snc MWCC System io- Treatment Pl'.
City water ? Road Unit z72G?
Address 1711 W. Countq Road B PRV required Park Ued. ---
? Booster Pump Copies
City/Zip Code Roseville, MN 55II3 TOTAL
: APPROVALS
Phone (612) 631-3254 Planner
Couneil
Arch./Engr. Blumentals/Architecture In Bldg. Off.
Variance
AddrBSS 6860 Shingle Creek Parkwa? Couneil
City/Zip Code Brooklyn Center, MN 55430
Phone # (612) 561-5757
NOTEs 3ewer & Water Permit feea and saCOUnt deposit Pees will be inciuded in the building
permit Pee. Proeessing time for sever and water permits is tao daqs onae a licbeneed
plumber has applied for a permit at City Hall.
\
..
: -., k . . . . . . . ? ` . . . . . .
.. ? ? . ?. . 4 7
?'^•?? ? ? y r .
.. . ??,.e .. . . , p .
. ...Q' . . ?? - .?? .
(Itrtif 'tra#?e uf (Orrupaury
of tagan
arpar#nen# a# louilDing jwrrtirnc
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building ?
i Code cenifying that at the time of irsuance this structure was iM compliance with the uarious
ordinances of the City regulating building construction or use. For 1he followYng:
? Use Classi8w6on Bldg. Rzmit Na ?1I670 ?
_ o-„p-y T,,X RI /M1 zoning nuv;a R3 TYN cOML V- 1 E1R>
ta„aa;g = LID PTROW !05 S FnmI 5T, INn '
AAAIM Bwm;? 3 lEr-323U AUM P? IrAt+?u?t.9, Bi, AIm Fm
nate:-MOxi ?li..r 19M
POST IN A CONSPICUOUS PI,ACE
ei. ?:-_?-^- _,?-_._..t--.-?? f' . . . . . • . .
Aell
? _. . _.. y . .. .
T . . . . . \ . .
EarING
l 763
U?
SEDGWICK HEA
ING & AI R CQNDITIONIN G CO. H
Joe rvo.
>
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881
- -
? -9000 TEST RE?ORD
.
ADDRESS L)1())V P(?,Iv? LI\', Y
; CIT
J
OCCUPANT OWNER
SOLD BY )C ' J? INSTALLED BY r E"` I.t ?(OC
Yti'I 5-1 ?U N J l
MAKE MODEL
SERIAL NO: ? V93T I r! O INPUT
THERMOSTAT W ? C 1?
s VENT SIZE
VALVE TYPE OF LINER
L
LIMIT- (?_N?? I/? eL LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER (
FAN SETTING 1O ? ,
WIRING
?
PILOT TYPE
? TEST TAG
? IGNITION MODEL ? V7, LIGHTING INST:
PILOT TIMING
T ?l
V
?
PRESSURE ? 7 I?J' C• PERCENT CO E TESTED
DA
Z
CFH PERC
INPU
NT O
f Du
COMPANY TESTING
T
E
Z
STACK TEMP
PERCENT OF T
E ((?? (o
.
CO R
NAME
EST
FORM 235(REV. 71/89) ?v.. . ' FORM 61STRIBUTION: WHITE COPY JOB FILE YELIOW COPY - CITY ?
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS L ?V IV ?? 1 YD ? ? CITY _
OCCUPANT
HEATING
TEST RECORD
?= rlC,A N
OWNER
JOB NO. -76
SOLD BY ?: C IU/ VI?K INSTALLED BY - ?Eob(.OfC. r
MAKE ? IL I ? I 7??O ?? ?
SERIAL NO. !?, O(.i 61-1 N CA
MODEL F-
INPUT
THERMOSTAT
VALVE ?fil u t? e \i W40 L t--
LIMIT ?IV ".VIj? ?
LIMIT SETTING
VIt
FAN SETTING PJ V
PILOT TYPE L
IGNITION MODEL A ?J
PILOT TIMING 4N ? ?A?t!
PRESSURE '':2?? PERCENT COZ 62
PERCENT OZ Q /V
INPUT CFH v
STACK TEMR ^ r? e? PERCENT CO ?? nI C
FORM 235 (REV 11/891
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER ?
WIRING S?
TEST TAG
LIGHTING INST. ?
DATE TESTED L7
COMPANY TESTINGff .•a
NAME OF TESTER 1?WI Cr)1 C
FORMpISTRIBUTIONWHITE COPY JOBfIIE YELLOW COPY - CtTY ( .
_ ._ ?. , _ . _. . r ,.,.., 7_,. , _ , .. . . , . ,. _ .. . . . . ... . .... .... ...,_.,.?a:,, ,..d.:... ..K...??.n.,?,n.....? -???,wes,?u?_,....,_.,,?v,...,?n's,.....a:, '
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JoB Ndj-?5q
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881 -9000 TEST RECORD
?Qo ?L
ADDRESS ? bUN POIY? I.;I? ,
,?N
? ?C
c CITY
OCCUPANT OWNER
`'
'? 1 C
I)l) I
`
_
.
:
SOLD BY
1? WSTALLED BY
?51 I V I? b - I 7
e & lJ ? ? J 1/C
MAKE 7?
MODEL
SERIAL NO
616'7 i flf so Dob
. 1NPUT
??? 1 V?IJ
LIC
THERMOSTAT
1 VENT SIZE
VALVE TYPE OF LINER
LIMIT LINER SIZE
LIMIT SETTING I?i U FILTERS: SIZE NUMBER ?
t?
FAN SETTING (
V WIRING IZ
PILOT TYPE E (LC[QC'V I C TEST TAG l,-"'
L)96^T
IGNITION MODEL LIGHTING WST. if
PILOT TIMING _-_,! ' `F?T?"N -r r o
11 (
PRESSURE PERCENT CO
L' ?IV DATE TESTED
? J
2 r,
COMPANY TESTING
INPUT CFH
PERCENT OZ
?J \' ..r
) N L
I ,..?''
ro 't
STACK TEMP. PERCENT CO
VC NAME OF TESTER
. FORM 235 (REV 71/89) ? v FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW CQPY - CITY
.. . . . . _ .. _. . _.. , .. , . _ . , . . . . . __ . ?....,... a. o.. _ ,,.z... _.._ c...?... ? .......,..x..?.?ta ?- ... , _
b .. . . . . . . . ?
SEDGWICK HE
T HEaTING ;q6 7-
N
C
A
ING & AIR ,
CONDITIONI
O.
G
8910 WENTWORTH AVENUE SOUTH • MINNEAPOL IS, MN 55420 • (612) 881-9000 TEST RECORD
)C?`C3371 RLDDI V l C?
ADD
SS ?)C" N _
E Ar
.
RE CITY
-
OCCUPANT OWNER
SOLD BY
INSTALLED BY
? I L? S I I??N l
?
MAKE MODEL
? SERIAL NO. I N P U T
THERMOSTAT ?
VENT SIZE V
VALVE TYPE OF LINER
LIMIT ?f U N?. ?L LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER
?
FAN SETTING WIRING
PILOT TYPE TEST TAG
EL
EC! TU N IC
I IGNITION MODEL
-
? LIGHTWG INST.
PILOT TIMING ?IYSTA N I
I
I
PRESSURE S•? , I/? ?. PERCENT CO
f ?
O/J
DATE TESTED
Z C)
?
COMPANY TESTING
[ INPUT CFH PERCENT O2 ?
V?
?
60'z
i STACK TEMR PERCENT CO NAME OF TESTER
?
I FORM 235 (REV. 11189) ?l?
FORMDISTRIBUTION: WHITE COPY- JOB FILE YELLOW COPY CITY
...,. . _ . . . ,_ -. . . . .,,, .,. . . . .,. . .,.,_ .. _ ._ _r., r.,_.._,.a. ,, e..?,..xt,a.?....,,a_.,.a.,?,..tm.,..?..,.?..a,?.,,.ss...,.??..,:i7.
SEDGWICK HEATING
8910 WENTWORTH AVENUE SOUTH • & AIR CONDITIONING CO.
MINNEAPOLIS, MN 55420 •(s1z) asi-sooo HEATING JOB NO 76
TEST RECORD
ADDRESS • CITY E.
OCCUPANT
;
SOLD BY ?? f'? I 1laL ?+( ?< OWNER
INSTALLED
BY
1? (Z ti I?T?oNC?
MAKE ?
SERIAL NO.
MODEL
INPUT
E & ?-U
?'
22 0C2 V
THERMOSTAT l? ?(c??
VALVE L-?
LIMIT Q [A.J -e L?--
LIMIT SETTING
/?
VENT SIZE ?%
TYPE OF LINER
LINER SIZE
FILTERS: SIZE
FAN SETTING ( t7 C_>
PILOT TYPE ?_- L C?i c7l Co N !c-
IGNITION MODEL ?? ?I---t '5 f4A ?
PILOT TIMING '-1 NSiA ''tt
PRESSURE 7'`7 If?/• C` PERCENT COZ V U
042
INPUT CFH ? v PERCENT O ? V
WIRING ?
TEST TAG ?
LIGHTING INST. ?
NUMBER ? '
DATE TESTED 1`? I'"1 v
COMPANY TESTING '7t- ?/vwI G??
STACK TEMP. ? CI ?-? J? PERCENT CO< N U(?? C NAME OF TESTER ?? "? ???
FORM235 (REV. 17/89) ??.? . FORMDISTRIBUTION: WHITE COPY 7 JOB FILE YELLON/ COPY CITY
.
HEaTING Jog rvo!•? 5`l 16>
SEDGWICK HEATING & AIR CONDITIONING C0
.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS F ?( ? N
CITY
OCCUPANT OWNER `
SOLD BY `) f' I J??L'J ?GI l L?+C-I?
? C )
INSTALLED BY
?/
MAKE T 170 N V C
MODEL
SERIAL NO. ? U??Jc'7"LI I 1 KA INPUT
Vb w( LK
THERMOSTAT VENT SI2E `?
VALVE H TYPE OF LINER
LIMIT ' !oo) ` ( L- LINER SIZE
LIMIT SETTING f(-' U FILTERS: SIZE NUMBER f
FAN SETTWG ( f _)U WIRING L,-'
PlLOT TYPE ?(C ?
TEST TAG
IGNITtON MODEL G4?I/U LIGHTING INST.
PILOT TIMING ? -1r?l?-? I _ ? q _ ('!`?
?
DATE TESTED
t
PRESSURE PERCENT CO
? ?i
2
l_-(? ? v?
INPUT
CFH ? PERCENT O2 I) COMPANY TESTlNG ?`J
C?
G
^ ? (D
-
STACK TEMP.
PERCENT CO NAME OF TESTER
FORM 235 (REV. 11/89)
f
.
.
PORM DJSTRIBUTIONiWH1TE COPY - JOB F{LE YELLOW COPV. CITY
-
- ' . : . . . s
. _ . .. .. .,,. ..e, ,. .. , _. ,. ,... .. _, .<. . .. ..., , .. : . .
s... r_. •
. .: - _
,.<_ _......ut ......_ ...,av.......:a._a„a3.a,:,?_,.,.....d..'r:2.:t _6_c,z...a..?.ut:tl'e.,.ve6u.r..as.?r.:...,N.Z,' w,m..???
. . . . . q r, - ..-.--,?° ; F.... . . . . . . .
? . w HEATING
Jog No.
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881 TEST RECOR?
-9000
DDRESS
A CITY
OCCUPANT' OWNER
SOLD BY ?E )1(,t4j(GK
?
D
BY
?
INSTALLE
Cc, 6A'5-0I Z
MAKE /
MODEL
SERIAL NO. ??VC7`,b? f] K'T INPUT ?U oo o
THERMOSTAT VENT SIZE
VALVE HU NLy WP- C- ?.-- TYPE OF LINER
LIMIT LINER SIZE
LIMIT SETTING FILTERS: SIZE NUMBER I
FAN SETTWG ? Ov WIRING
I
? LC L
12()" ?
c..,
I
PILOT TYPE
l TEST TAG
?
IGNITION MODEL LIGHTING INST.
PILOT TIMING
DATE TESTED
R
PRESSURE PE
CENT COZ
IQ G/a
INPUT CFH ?v PERCENT O COMPANY TESTWG
Z
'?ON ?f r? (oI?
STACK TEMP. PERCENT CO
V NAME OF TESTER
. FORM 235. (REV 71/89)
?
.. _ . .. _. . . .. . . . _ FORM DISTRIBUTION; WHITE COPY JOB FILE YELLOW COPY- CITY :
.
.._, ,.... ..,. ,..._,,._ .w..,_....,.,.v...,?wa .v. ?,?i...
. . . . u6:' G. .;l.W . , . .. .. . . . . . . .
? SEDGWICK HEATING & AIR CONDITIONING CO. HEATING joB No 347 '
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) aai -sooo TEST RECORD
?°1 )'J (?C?IYo LI?I •
ADD
RESS CITY
OCCUPANT OWNER
SO ??u
LD BY WSTALLED BY
G V /? 7S L/G I?? `? ?
MAKE MODEL
Ro 9 7CrJ H 0-
SERIAL NO._ INPUT
SCDO ??? C IC t
(
THERMOSTAT VENT SIZE (?
VALVE TYPE OF LINER
LIMIT r' uT\(:y UJ?, LL LINER SIZE
o
?
LIMIT SETTWG ? 5 FILTERS: SIZE NUMBER
I ?c) " Ll?
FAN SETTING WIRING
L
?) ?
PILOT TYPE
i I
'? TEST TAG
V
IGNITION MODEL LIGHTING INST.
PILOT TIMING ?4'(
DATE TESTED
PRESSURE ?0'? PERCENT CO
z
INPUT CFH PERCENT OZ
T E S T I N
C M P A N Y
?? ONC ? r t
S T A C K T E M P. P E R C E N T C O N A M E O F T E S T E R
FORM 235 (REV 11/89)
?=
? FpRM DISTRIBUTION: WHITE COPY JOB FILE YELLOW COPY CITY
,
.. . .. , . .. ,. ..,. .. , . ... . , .. . .. .. . . ._ .. , . ., . . ._ .. _.. .. .._t . . .. . _ ..,... ....? ses.?a, ...>.. ..._«? ?...i.a „aa..w.,,..s....s.,.,.? ..d..._..,....,?..W......?.....x
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
11vaYLl.;1lUl?l KLl:UK1)
PERMIT TYPE.
Permit Number:
? Date Issued:
>
4F; 1?4'?T i ::.tY?
SITE ADDRESS:
PERMIT :? ?UBTYPE:
? APPLICANT:
? ???<? ,. 14 1. R1??.:,
.1+ 44 , 4 0 ka
TYPE OF WORK: R V. f } ? t ft
fit,",I.i? I 1,.f't(Oi?RwR00f,1•'oiFS` 1 '14r.;
,
.114 Ad O?N 1,11')N€! ! AN!'
Y't ???A i•'? ,%3? ?:33 {f ??'t' ????? ???,?;i ??.
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AI R TEST
ROUGH
HEATWG
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
a
? CONTRACTOR: ?' A?' ?' li ca?' t ?' OWNER:
;3, INREGON CONSTF2UCTION 24503900 WINDSOR A'T ALDEN Pt3NCiS LLC
22650 EXECUTIVt ClR 101 600 ATLAhiTIC AVE
STERLING VA 20166--9534 B05T'ON MA P12210
;
? (703) 450-3900
f? , . .
?.: s, .. . . , . . ,.
? APPLICAN7/PERMITEE SIGNATURE I SU BY: SI AT RE
?
C?FFICE USE ONLY ?...,? ? ?? ' ? <- ,x . :?, ? ? :' *, ?
w"
?"+?
?
,?.,?,, :
? •?. n
BUtLDiNG PERMIT TYPE
? 01 Foundation ? 19 Comm./tnd. Misc. C] 21 Miscellaneous
? 18 Comm.llnd. 0 20 Pubiic Facility
5f t z
WORK TYPE
? 31 New D 33 A{terations O 35 Tenant Finish
D 32 Addition Ot 34 Repaic C] 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sg. ft. ? AAGNVS System ?
(Allowable) First Floor sq, ft. ? City V1lafer
UBC Occupancy ? sq. ft. ? fire Sprinktered ?
Zoning ? sq. ft: ? Census Code
# o# Stories ? sq. ft. SAC Code
Length sq. ft. Census Bidg. 12,L
Depth Footprint sq, ft. Census Unit
APPROVALS
Pianning ? Building Engineering ? Variance ?
,
Permit Fee ?- ' Valuation; $ cxso, ?-
Surcharge
' Plan Review
MCiWS SAG
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails [?ed.
Water QuaL
Other
Copies
TotaL•
?
°lo SAC
SAC Units
Meter Size
? 1998 BUILDING P IT APPLICATION (COMMERCIAL)
CITY OF EAGAN
681-4675
Submit fQllowino to obtain nprpccan, nearn,;t
Contact Buddmg Jnspections for sample
Food & Beverage or tbdging facilities: Plan musf be submitted to Minnesota DepartmeM'ofi Heatth. Cap 215-0700 #or details.
DATE: ? Aof? WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: TENANT NAME: /?v?/? ? e 4L5ane /Y*e?
StTEAODRESS: a14 ao 22 2 ,2 g ;)312 %I/. Amy/ >v• SUITE#:
LOT ? BLOCK SUBD. P.I.D. #
?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name?:l/' afC?^I a ????????' Phone #: 62- 41?.? -
Last First
Street Address:
City State: Zip:
r-- 2
Company:-eGv.?-? L2 Phone #: 70 3" 62
--
Street Address: -22t..J D ,ke R, -Ve /O ? Liccnse #
City efi ? State: ? i.-+?/%1 Zip: '/?
Company: Photte #:
Name: Registration #:
Street Address:
City State: Zip:
5ewer & water licensed plumber (only if instailing sewer & water):
i hereby acicnowiedge that t have read this aPFtication and state that the infomtaticn i rrect and agree to comply with aIf aPPiicable State tf
Minnesota Statutes'and City of Eagan Ordinances.
Signature of Appticant:
M
Foundation Dnl New Construction Interior 1m rovement
structural plans (2 sets) architecturai p(ans (2 sets) architectural plans (2 aets}
civil pians (2 sets) strudurai plans (2 sets) code analysis (1) "
code analysis (1) civil plans (2 aets) project specs 0 set)
soiis repoR (1) landscaping plans (Z sets) Key Plan
project sPecs (1) code anarysis (1) " enargy caiculations (1) not aMrays ".
Speaai Inspections 8 Testing 5chedule " soils report (1) Electric Po"r $ Lighting Form (1) not BMrays "
SAC determination letter from MC 1 W S - SAC determination letterfrom MCtWS - SRG determination letter from N!ClWS -
ca11602-1000 cail 602-1Q00 cs11602-1000
Speciai lnspectians ,& Testing Schedule (1) "
prolect sPecs (1)
energy caiculations (1)
Electric Power & Li htin Fortn f'*
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation 0 19 Comm.ltnd. Misc. 13 21 Miscelianeous
? 18 Comm./Ind. ? 20 Public Facility
X c z
WORK TYPE
? 31 New 13 33 Altera#ions 0 35 Tenan# Finish
? 32 Addition Ot 34 Repair 0 37 Demoli#ion
GENERAL lNFORMATION
'
I Const. (Actual) Basement sq. ft, ? MC/WS System
(Allowab{e) first Fioor sq. ft. ? City 1Nater ?
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning
I sq, ft; Census Code
I # of Stories sq. ft. ? SAC Code ?.i
Length sq. ft. .?.,? Census Bidg. g2L;
Depth footprint sq. ft. ? Census Unit
APPROYALS
,
Pianning Building /kj3_ Engineering
Variance
Permit Fee Valuation: $ ,,,vrao. --
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
SNV Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water QuaL
Other
Copies
Total:
% SAC :
SAC Units
Meter Size
Use BLUE or BLACK Ink
---------------,
� For Office Use • I
� �p �
Clty of����� � Permit#: �
I a� �
3830 Pilot Knob Road � Permit Fee: �
Eagan MN 55122 I �
Phone:(651)675-5675 RECEIVED � Date Received: �
Fax:(651)675-5694 � Staff� j
OCT 2 6 2015 !----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: j� 'Z�-i S Site Address: �ZC� � � r� c_ n �n n r� S �c��c.._
Tenant: 1 r� n_1 �c�n r) S ���ar-'�^1���S L�L Suite#:
� � � � Name:__� � ��c, n �� n��,� �ti �u�.c Phone: E S i-'-L S Z- 6 $C1`l � ���.
t��i�enit/Uvrrher �
�"� ` Address/Ci /Zi _l�1� l
r�.: tY P� 1�� ��-�1 D/1T� �n¢.. � 'I`'�n SSIZ
��4�,� �
�;
�.� ; �� Name:�p s� r����<�\ ��c�-��^5a-�.� License#:
�
YS`,/
i.;F 2�*4� �.N" 4`�` " ,
� � Address:1 R 1 S �_ ���S� j� - � �, L�c •� City: �� ��«�� � i`�
�:��tf�r��Q�"� F�: �
' ' ,���=� � State:_[��.�Zip: ..5..5`{6� Phone: �t 2- ?Z�-1- �8�'1`� �
�
�
�;,�,,. �
="�����.� Contact: � rl.�� �L. Email: C,� nn�.- ��c lnec- 0 �o�+"���� - e0 �'l
�>�
�� x New �Replacement Additional Alteration Demolition
, h
'" e°o��(Ot'It . Description of work: l ��- �v���• s�5 S TR c�7
��
�� �
��` ,�'x � �� �
��s����',�, ��. j � ��� , s �,�" � �� � �,
��-� '�n ���
A. „ ,_... � � . � .. , ,,. �� �
�`.� . � ,
_. _. .. �
�#�� : RESIDENTIAL COMMERCIAL
�� ,�.�
� Fumace
* ��,�� � New Construction Interior Improvement
J �{��� � �
� �
� � � Air Conditioner Instail Piping Processed
���� �� — — —
�"s „ti��� Air Exchanger Gas Exterior HVAC Unit
- �;4 h ��� � .
���= Heat Pump Under/Above ground Tank �Install/_Remove)
� x ` — —
'� Other
RESIDENTIAL FEES
� $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge Q
$100.00 Residentiat New, includes State Surcharge =$ �[7 D TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
Surcharge=Contract Value x$0.0005 -$ Surcharge I
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
I hereby acknowtedge that this information is complete and accurate; that the work will be in confo nce with the ordi ces 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 s rt 'thout a p it;t at e work wiil be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x �'�� C�� nt� X
Applicant's Printed Name Applicant's ig ture
��"����I'�i��1�i3� � � �� � � ; � ��
� � � �� �'��
�Y> ,�� �, �#� %� j ;��. �' � �,�✓ '� � %��Y� '��tF€���,'
�..y.#�TS����Fi'�Cf � •���a�"'� <,� � r� `I�"^ r r�
� �
>
�(14��'3fi�1Y31#Y1C�' � �i f'��� ; �r �,,.,;` �4 rt$ ` � ��� ���� * �,� � y r� ����`��