The URL can be used to link to this page

3301 Coachman Rd - Use BLUE or BLACK Ink P For Office Use -I ( n 114 1 L Ila ~ Permit I City 6,, 1 Permit Fee: epQ ~ 00 1 i 3830 Pilot Knob Road I I Eagan MN 55122 I E © Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 FEB 17 2011 i Staff-------------- 2011 COMMERCIAL FIRE ALARM PERMIT APPLICATION* Date: 5 N Site Address: 1 CcLf rr,~,~ ~,c~ Tenant: Wbbcy.C'~ t ( Suite PROPERTY OWNER Name: cS)+O ,V4- W Phone: (oSl-4S7- i5 Address / City / Zip: /&X) Y Leobc~~ ,)rr mN S3Z/ aU Applicant is: Owner X Contractor TYPE OF WORK Description of work: E.Ievw~ McyA rrn; Z4,~;(,y. Construction Cost: .I SZZ).00 Estimated Completion Date: CONTRACTOR Name: Elec,Af12. VIM `t- ~Ial.uc► License dA< S93 nn /'►l Address: L/a k k~ " + City: T61 1+ State: fN Zip: 66V7-7 Phone: &S-1 -~~~~501 Contact: Email: New _ Remodel WORK TYPE _,,XXddition _ Other: Alterations DESCRIPTION OF WORK: commercial Residential _ Educational FEES r~ $55.00 Minimum (includes State Surcharge) OR Contract Value $ a~ Sco-' -X1% _ $ .56, L4 Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) w $ X00 • TOTAL FEE 'Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the appro plan in the case of work which requires a review and approval plans. X r C,, X Applicant's rinted Name Applicant at FOR OFFICE USE Reviewed By: ate: 0 Required Inspections: Rough-In Final Fire Alarm Test T f r PERMIT :ITY OF EAGAN .? ? ~. : ._ . ad, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 Receipt # vnhr. . ' . PLnp. ,o iite Addreu Erect LJ Occupancy ot Block ?c/Sub. Remodel ? Zoning ; arcel No. Repeir ? Type of Conat. Addition ? No. Stories Name Move Demolfah ? ? Length p h z ? Address ' ?_• •--- ^ ept Sq. F t. ^ i; City Phone r,ae ?W Neme W v? Address ?W City Phone 1 hereby acknowledge thot I have read this opl fFw iniormation is correct ond ogree to coml Sfate of Minnesota Statutes ond City of Eag Sipnoture of Pem+ittes A Building Permit Is issued to: o!I work shell be donm in occordarxe with oll Bulldinp Offlcioi 1lssessment Permit I Woter ? Sew. Surcharge Police Plan Review Firo SAC t - eng. wete? co?,r. Plonner Water Meter Courxil Road Unit id stote fhot gld9. p{f. li I bl Tr. PI. opp ca e APC ues Parks . Var. Dete Copies Total on the exp?ess condition that Stote of Minrtesota StaYutes ond Cify of Eoqon Ordinonces. i - 'o Pamk Na. Pormit Holda Oan ToIsphons # wurnbirig g D z ? /?- y.> ? c H.V.e?X. ebctric 8. a Q ? !)' 5 7 .SC c? ;' 1 l ?!'G- .?t?c..: ?.? / 5 8 ' > ¢' ? :3 • <'C Irapadion Date Insp. Other FooUnqs l -- FooUnysll Foundstion Framiny kl ? - Rooflnq Rouqh Plbg. Rough Hty. _ ? _ g ??. ? , ? • a?-sG Firoplaes ? 6 - JJPL? 6 D - // . S- ?/• ? Final Htg. Finsl Plbp• S_? ? ` ? fel- .; ??f •y, r/a4 /?• ???r ? , ,? S? y/aV/ 14 ac.- ,,. A, JFe -F?; a < .? ??u,? • ? 30 ???c . Receipt PLUMBING PERMIT CITY OF EAGAN frll in numbered spaces Type or Print legib/y Pe?mit No. , Fea S/C Tot, ? 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract ' 4. Owner • 5. Contractor Phone - 6. Address ; 7. City State Zip ? 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter O Repair ? Descrihe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed _ for Rough F inal InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?-;2 a-7-9 rt t/r.sr.(-4 /- CG-G . ,W7G,4L I/4VT aN /A/Fd.raviaBGF CGrgCKrD V 7?P.9P Fo?C P,?oP.?2 i/vsT.9LL a?7e ? ,`?•?, 4/KTrS7--.4LL S9??T.ecey?+N!? gAjesI627- 0,041N?S un?oF26?eou.v0 r? 1NPL9MM*VAk `T?iKfJ- Av.41- !? /l • I y-2 s -???q A? 1?p? ?' souTrYk/?-.?}Rf.tt Ruipt MECHANICAL PERMtT Pemit No. • CiTY OF EAGAN Fee Fi// in numbsisd Wsces S/C 1 YPe w A?!nt /ep/bly TOL . 1. Date Z. Irstallation Cost 3, ,Iob Address Lot ' Blk. Trset 4. Owntr - 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Hesidential ? Commercial O In:titutional O 9. Work Descxiption: New O Add ? Alter ? Repair ? 10. Dacxibe Fuel Typa ? 1 I 11. No, EqiiinIDgpi 8TU - M. Ea. Forcad Air No. EQUipment CFM Air Handliny: Mf9• Boilers Mfy. Mech. Exhaust Unit Heater Mfg• Other Air Cond. AAfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I aqrae to oomply with all ordinanoes and oodes goveming this type of work. S'igned : for Rough Final inspections: Date Insp. Date Insp. This is your psrmit when numhered and approved. Approved _ CITY OF EAGAN 45"100 , ' . 3830 Pilot Ki BUILDING PERMIT CITY OF EAGAN oad, P.O. Box 21-199, Espn, MN 55121 PHONE: 454-8100 Receipt # - To M nwf ier Est. Value Dat e •"__'_- ::>4--: :i 19 ?.,. Site Addrea Erect Q Occupancy , . - Lot Block Sec/Sub ? . i i) Remodel ? 2oning . Repelr ? Type of Conat. Parcel No. Addition ? No. Stories Move ? Lengih W Name Demolish ? Depth ? Address ?9 IM. Impr. ? Sq. Ft. City Phone `- ' Install El ? O N8T8 ^r?•••••••? r?os Addresa Assessment Permit City Phone Woter 6 Sew. SurCherqe Police Plan Review Foc ,W„ Name Fire SAC C ?? Address 10 Eny. water conn. t W City Phon e Plonner Water Meter I h eb o kn Thot I ha e r l d d this li tio n nd t t th t Countil ' Road UNt er y ya c ow a v ea fhe inlormation is corrett r d opp co l t o it a a s e a h all a licoble gldg. Off. ?% • Tr. PI. an ag e mp y w e o c pp APC k P Stote of Minnesota Statutes and Cit y. of Eagan Ord inonces. s er Var. Date Copies Sfqnoture of PeRnittee h Bulldiny Pertnif Is Isswd to: ? Total on the exp?css condition Ihot oll work sholl be done in acoordance with oll applivo ble State of NUnnesoto Statutes and Cfry of Eopon O?dinonces. BWldinp Officiol - 11121 ? Pwmit No. Pannit Holdw Daw Tel?phone #? Plumbirq H.VA?. ?f: EMctric ? Softensr Inepeetion Date Insp. Other Footinys 1 ? Foonngs1i 0 aS=Pf•d -a?-?r?' 'qa Foundatlon „w Framing -" ! 3 - Roottny / '$5 c5` /(- Rough Plbp. Rouyh Hty. insul. Finplace Final Htg. Flnel Plbg. Finsl c* Doseribe Location: E W.p. CITY OF EAGAN Remarks }r?- - Addition, FOX RTnrE.AnT1TTTON Lot_ 3 elk 2 'Parcel 70 27Sfl0 030''02 ?(. '?. ? : , ', '' -, i' G Owner Street State r. Improvement /• Date Arriount Annual e Payment Receipt Date STREET SURF, aid . STREET RESTOR. r GRAdING 1971 82 aid ' aid SAN SEW TRUNK 1968 C 2 9.8 257..88 A014553 9-12-84 Street 1007 1986 869.42 686.R4 10 15a a. lfg v 7. s 3 a o, 51 15 I? WATERMAIN 972 3 Paid WATER LATERAL ir WATER AREA STORM 5EW TRK 765.52 I 2296.61 A014553 9-12-84 STORM SEW LAT I CURB & GUT7ER SfOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK /"LG?LK ?lL??•'? ri ? Q?.ce,? ?r.ea.ec? ?i,?; .v, ? ?; ?f ? ? ? ?`' lD?C , I? .os? ^-s ?.??. -??''j`'' ? ? `J , G K ? ? 1 a? ?a??C ? ./?L G?s rsie d 1y S & S 0 113,03 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED iIITH THE CZTY OF EAGAN . INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATZONS I , l? ?io, noo To se Used For: 60 unit apartmentValuation: $27,500/unit Date: October 10, 1985 Site Address: t_?l-iMAN Zp, OFFICE USE ONLY ox i ge Lot: 3 Block 2 Sect/Sub Addltion Erect X Oceupancy Remodel _ Zoning (Z.4 Parcel 11 Repair _ Type of Const 1 1 H{z, Enlarge # of Stories 3 Owner Brutqer Companies, Inc. Move Length 3Ia Demolish Depth (o(o Address One Sunwood Drive, P.O. Box 399 Grade Sq Ft City/Zip Code St. Cloud, MN 56302 ---------------------------------- Phone 612/252-6262 APPROVALS 1I,,1 Contractor Brut4er Compani2S, Inc. Assessments/'QcN Permit 43?g, Water/Sewer Surcharge 7L-p, Address One Sunwood Drive, P.O. Box 399 Police Plan Review z154., Fire _SAC 251tb, City/Zip Code St. Cloud, MN 56302 Engr 11-/S S"S Water Conn ?Acc?v, Planner Water Meter Phone 612/252-6262 Council ad Unit l3 40 Bldg Off? - - Parks tiIA Arch./Engr. glumentals Architecture, Inc. APC Treatment P1 63yo. Variance Address 6100 Summit Drive North ToTAL City/zip Code Brooklvn Center, MN 55430 Phone ll 612/571-5550 0 ? • ? ? ' PCfzM I ? ,? . . ' loo,oo0 433 , a I,S?ooo IS?x2.J = 3b -1S 43 0 & ' Su?HAr_?aE, ?- 1?6Sc?,ocp LSCCX'? +(0004 x? 1,6so,oc? ? i,ocoooo??? _??C? ?LAN CZEL?IL=L.? 43c?8 = L = Z (S4 '7(.d ZiSq 42c? xcDo - Z52c`? 25 Zao 1..1 A c-- 4m x (oo = Z 40? Z4oo0 M GT?2 N----_ (T 2Z¢x (,O - ? 3440 13 4qb P?eVs N/a rpC- ?__-- Ic?c? 7985 BUILDING PERlfIT APPLZCATION - CITY OF EAGAN AOTE: ALL CONTRACTORS MUST BE LICENSED Y?ITH THE CITY OE EAGdN C0141ERCIAL SINGLE FAlIILY INiELLZNGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE 80ND To Be Used For: ?r?uni?r.Tio? Valuation: Site Address 3301 LAAGWMAN RD. F Lot 3 Block 2 I Parcel/Sub roK ?I?GE /?-"'L?DiT1aJ Owner 6V-UTCaE2 C0MPAN1Ef> i I NL, Address oNE ?Uf.IbdQOO DR, pabox 39q City/Zip Code CLOUO 5t07?02' Phone (0(2 7-52, ln2Co2 Contractor GjAM C Address City/Zip Code Phone Arch./Engr. Af2GN . 4N?. Address ColOp ?(1HMlT DR W0. City/Zip Code ?RCx?K??(hJ C' Date: Erect x Occupancy Remodel ? Zoning Repair ? Type of Const Addition # of Stories Move ? Length Demolish ! Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council / Road Unit Bldg Off /o-?Treatment Pl APC Parks Variance Copies TOTAL v m Phone a S71• 5550 CiTY OF EAGAN No 11121 3830 Pilat KiaV#ioad, P.O. Box 27-199, Eagan, MN 55121 ?'/ ?? 3 BUILDING PERMIT pHONE: 454-8700 Receipf # (? Te M wad }er FOUNDATION Est. Value poTe OCTOBER 15 Iq 85 SiteAadreas 3301 COACHMAN RD Erect RI Occupancy Lot 3 elock z Seclsub. FOX RIDGE ADD Remodel ? zoninq Parcal No. Repair ? Type of Const. Addition ? No. Stories Name BRUTGER COMPANIES MO"e 11 Length ; Address 1 SUNWOOD DR., P.O BOX 399 Demolish ? oepth b City ST CLOUD phone 252-6262 Intlmpc ? Sy.Ft. Install ? , O Name SAME ApProrals Faes Z ?u ? Address ? City Phone FW Name BLUMENTALS ARCH INC ?? AddreSS 6100 SUMMIT DR NO WW City BROOKLYN CMe 571-5550 I here6y ocknowledga that I have r d s applicptio an sh fhe inlormohon is Correct on t wmply Slotr of Mmnewto Statu o f Eo dm ces Sfpnoture of Permitte A Building Permit is Iss ro: - BRUTGER O P] all work sholl be done i Buildin0 Officiol ` Assessment Permi[ $15.00 Water 6 $ew, Suroharge Police Plan Review Firo SAC E^0• WaterConn, Planner Water Meter Cou^cil Road Unit 81dg,Off. ZO/IS/H TcPI. APC Parks Yar. Date Gopies 15 00 . 7otal t h on ??a ???es ond City of e express condition Ihat Eogon Ordinancea. `?fcp[?2?r>C?C ?-?ASG 1[ • C?LLC-( P/hN C?? • d?U??NL`( ??P? 'FUILD(h1L-? SIZe . /?Q a-IZ-- i Ca A-(Z . I 38?v 22?110 _ ??21v L 3 $ Z Fo)<, Po4& Awt-I. FG OF ?-Dr.f`iT(zuc--norJ ?/-- ? {?j-AS( ? ?a h?.S I O, --s?C> 2 xZl,BOO = ?12,cx^? MEMO T0: JAY BERTHE, POLICE DEPT. TOM COLBERT, DIRECTOR OF PUBLIC WORKS DALE RUNKLE, PLANNING DEPT. KEN VRAA, PARKS 6 RECREATION DEPT. JOE CONNOtiLY, WATER-DEPT: FROM: DALE PETERSON, DEPARTMENT OF PROTECTIVE INSPECTIONS The preliminary construction ??FbUUna'tt?N ??J plans for ?lcoD21ociE A?T''. are in our plan review section for your review and comments. Please return this form to date of review. Failure approval. Thank you. /JS Steve Hanson with your initialed comments and the to return form to Steve will be considered your /o'`G ?? BUILDING PERMIT To be med 1e. 60-UNIT APT siteqddress 3301 COACHMAN RD Lot 3 elock z cec/Sub. FOX RIDGE ADD Parcel No. W Name BRUTGER COMPANIES INC ? Addres5 1 SUNWOOD DR., P_O. BOX 399 city ST CLOUD pnone 252-6262 ZG Name SAMF.' u? Address City Phone 'EW Name BLUMENTALS ARCHITECTURE ?? Address 6100 SUMMIT DR NO ?W City BROOKLYN C'1Aone 571-5550 - 9?-ial . I hereby ocknowledge thot I hova ? the inlormation is correct and r Stote of Minnewru Stature Slpnoture of Permiftee (,_? /// f V(/ A Building Pertnit Iz issu2bfo• oll work sholl be done in accordonce Buildirq Official BRUTGER CITY OF EAGAN 3830 Plat KnoL Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 N° 11303 Receip[ # ?2 C_;' $1, 650, 00(C.e NOVEMBER 15 ,0 85 thnt Store EreCt 0 Occupancy RIZBI Remadel ? Zoninq R4 Hepair ? Type of Const. V 1 HR Addilion ? Na.Stories 3 Move ? Length 310 Demolish ? Dep[h 66 IM.Impr. ? Sq. Ft. Install ? Approrals Faes Assessment 11 15 ermit r • 00 Woter85ew. Surcharge 760.00 Police Plan Review 2,154.00 Fire SAC 25,200.00 Eng, 11/15/85 waterConn.24 , 000. 00 Plonner Water Meter N A Council RaadUnit l3,440.00 BIdg.Off.].1 I rj $rj Tr.PI. - 6,360.00 APC Parks N/A Var. Date Copies ' INC rotal $76.222.00 on tha axDress conditian oha, tatufes ard Ciry of Eoyan Ordinances. ! - L 3 8 2 Fbx 2(oUC ,A'oOMor4 r EXTERIOR EPIVELOPE AVERAGE "U" CCMPUTATION 0'duER ef2LTf?? ?'1?AJ,JI??I?1G M22:91i; SE SITE ADDRESS Z-A0fYlJ1IrIIhIN?? - Pf?? ??I?????iN?• DaTE?I?' PHO?lE ENGINEER Determine working square footage of each. 1. T-eEal exposed wall area ....... 2(o3Ot5 s9, ft. x¢,2a -2fp??_sq. ft. x0'o4,= ? 2. Total roof/ceilirtg area ....... 3. Total exposed floor area ..... . sq. ft. oor = b x = Total exposed wall, area ove a a. Total wall window area ... ..................... . b. Total door area ... ............................:? ........ or area d l ass o c. Total sliding g .......... d. Total fireplace wall area ...... ... ..........: e. Total wall framing area (average 10) .......... ? f. Total net wall area above floor .............. I ... g. Total rim joist area ..... .................... .. - - - Total exposed `ec!rd ation area = h. Total foundation window ar ea i. Total net foundation area above grade Determine "U" value of each wall segment. ' 32 * x 0.5(0 a. . b. X ????i 1.10 c. 314?,5 X "u?? p,(a5 = Zo4(?3 d. x f,u -- 2??55 X I!u,l p e. x „U„ _ a_ _ , ?qr,oz 9• X uUn h. X ?lull _ i. x ?lu ll = 5072,1ct'o 4 .................................Totat If iten #4 is the same a5, or ]ess than item #1, you have Tret the int2nt of SSC 6006 (c) 2. ` rotal 3. Total k. Total 7. Total Deter exposed roof/ceiling area skylight area. - roof/ceiling framing area (average 10%)' '1100'1 net insulated roof/ceiling area Z,$Q? nine "U" value for each roaf/ceiling segment. J X iiuil _ k.- V401_x °u° b.o-54 _ M.? t:` 254103 x?-u" G? b25 =?!$ L 5 .....................................Tota1 Total exposed floor area = m. Total floor framing area (average 10%) n. Total net insulated floor area M. X ttU r fl. x nUa 6 .....................................Tota1 = If total of #5 is the same as, or less than #,2, you have met the intent of SBC 6006 (C) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sun of itens Wand #6 shall not be greater than the sum of items #7,2 and fl3 41?dtV oF eagan [',4I'RICIA E. AWADA Mayor PAUI, BAKKEN PEGGY CARLSON (:YNUEE FIELDS MEG TILLEY C:ouncil Members THOMAS HF.DGfS CityAdminis[raror Municipal Center: 3530 Piloc Knob Road Eagan, MN 55722-1897 Phone: 651.68L4G00 Fu: 651.68I .4G 12 TDll: 651.454.8535 Maintenance Faciliry: 3501 Coacliman Poinr Eagan, MN 55122 Phone- 651.681.4300 Fze: 651.681.4360 TllD: 651.45G.8535 www.ciryrofeagan.com 'CHE LONE OAK"fRE.F. The symbol nf etrengrh and growrh in our wmmuniry ---I ? If -- ?- ------_ Moisture Meter Results Moisture Test Administered on November 18, 2002 Requestor: Christy Dahlberg Address: 3301 Coachman Road Telephone Number: Type of Building: SF Townhome Apartment #300 Commercial Reading Result: 20-40% Comments: Moisture level at 40% on the wall next to the shower; 20% around the air conditioner unit. November 21, 2002 Date 4L? ???-lJ--- Signature ? -1550, 50 2006 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 DateO(C2-/?/10(1=1 Site Address ?.?7Z;o ?` ce?ch c?dn pUnit # TenantName lj-7pC7CJridse A? Former Tenant Name j L{ + Property Owner Telephone # ( ) Contractor 6-' I ber-+ Me c kan i c,3 I Con4rd C?r s Address yLtS I L-i s + Ci[y E(J;r1C1 State M!4J Zip Telephone #6Sa) 5r,35^38I d License #--', L-I OO P (VN Expires: The Applicant is _ Owner -A- Contractor _ Other Work Type New Bldg Modify Space _ Irrigation System** _ Yes No Work in public rvo-w / easement? L RPZ _ PVB: New _ Repair/Rebuild _ Replace X. Remove Rain sensors are re uired on irri ation s stems Description of Work K°MDY G ?P-?- -V-Or ld W n ?t- iA a-hcn S1/S'? M To inquire if Pressure Reducing Valve is reqmred on new service, call 6i1-675-5646 Meters - Call 651-675-5300 to verify lhat hydrostaiic, conductivity, and bac[eria usts passed prior to oickine up meter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter 167.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ IVo Flushometers Yes No PRV Required _ Yes _ No Permit Fee $50.50 minimmn (includes State Surcharge) Contract Value $ x 1% _ $ s C) • C>0 Permit Fee g Meter(s) Required on all new buildings & boulevard irri¢ation systems $ Radio Meter Read s State Surcharge If oertnit fee Is less Ihan SI,000, surcharge is $.50 If oermit fee is more [han $1,000, Surchnrge is $.50 for each $1,000 owcd. '_'__""_'""'-_"""""__'-__"_"'___"""_' ""_"_-"'_"""' _"'"___""'"""'""""'_"_"'_""__-_'___"'_"_""_""'__""""' Following fees apply when installing new lawn irrigation sys[em $ Water Permit Call the City's Engineenng Department, 651-675-5646, for required fre amounts g Treatment Plant g Water Supply & Srorage $ • ?j? State Surcharge $ 15;0 • S? Total Fee I here6y apply for a Commercial Plumbing Permit and acknowledge that the infortna4on is comple[e and accura[e; tha[ the work wdl bc m Gon£ormance wrth the ordinances and codes of the Ciry o( Eagan and with the PlumAing Codes; [bat I undersland this is no[ a perrrtit, but only an application for a pertnit, and work is not to start wi[hout a permit; that the work will be m accordance wrth the approved plan in the case of work w.?hich _requires a review and approval of plans. Pd J r?cic) OrGnidn dt/,K? ApphcanPs Printed Name AppiicanCs Signature s-ayyLl CITY OF EAGAN Phone: (651) 675-5217 Fax: (651) 675-5211 MANDATORY INSPECTION OF BACKFLOW PREVENTER Rebuiid Reduced Pressure Zone Backflow Preventer WORK ORDER NiJMBER 1509 DATE INTT: 8/17/2005 8:20:50 AM iINTP ID (ACCOUNT #) PROPERTY 28854 NAME OF BUSINESS ADDRESS CONTACTED PHONE # PERSON WOODR[DGE 3301 651452-8954 e1PPARTMENTS COACHMAN RD BACKNI,OW PREVEIYTER INFORMATION TYPE ASSEMBLY SERIAL NUMBER MODEL SIZE MANUFACTURER RPZ 28854 009QTM2 1.5 WATTS RESPONSIBLE COMPANY PHONE 3 DATE OF LAST ItESTJII,D i NEXT SCHEDULED REBUII,D DEVICE LOCATION DEVICE SERVES WHAT SYSTEM I 5/112006 SOUTfi EAST CORNER OF GARAGE LAWN IRRIGATION BACKFLOW PREVENTER ASSEMBLY 1'EST PRESS DIFF ACROSS CHECK VALVE #1 PRESS DIFF ACROSS CHECK VALVE #2 PRESS DIFF RELIEF OPEN DESCRIBE REPAIItS PSI -% ?- PSI ?P??S !j/?T ??a?G j /!/.?J PSI I HEREBY CER'I'IFY THE FORGOWG DATA TO BE CORRECT AND THAT TfE TESTED DEVICE IS FUNCTIONING WITFIIN THE LIMITS OF THE STANDARDS. FuuMNAME: AnnxESS:?)/ 144 74? s-T- ?e?iA14 TESTED BY: CERTIFICATION #: Q3?/ -' T PRINTNAME: lJiGe naTFTFcTFn• () NEW INSTALL () T'EST () REBUII,D () REPLACED UN1T' MOVE UNI'T A MINIMIJM PERMIT FEE IS REQUIItED FOR NEW INSTALLS, REBLTII. S, AIRS, AND REMOVALS. CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *IOT?': PAYMF'KS OF FM AT TIME OF r,prracmiorr noFS Nar oorMTM APPROVAL OF PERMIr. INSPDCYION OF SE.TrM ADID/OR 4A'ffi2 TTSSTAT7.ATTQN$ WfT7• j.jdj` $?," $CHED-- ULID UNTIL PERhffT HAS BFESi APPROVID. 1) PROPERTY ADDRESS: L n •- LEGAL DESCRIPTION: ? Lot Block Sub iy0sion or Tax Parce ID ) IF EXISTING S'IRCCiTJRE, DATE OF ORIGINAL B(.'ILDING PERMIT ISSC'ANCE: '? ? - PRESENr ZONING/PROPOSID LTSE: n Year) 0 COPZERCIAL/101FIIL/OFFICE Q IbIDCS7RIAL n INSTI'Ii'TIONAL/GOVERNMEN'p 2) ••• r; C] R-1 SINGLE FAMILY ? R-2 DC'PLEX (7wo Pnits) ? R-3 ZUWNHOC?SE (Three + Units) ( Dnits) ?j R-4 APARTTENT/CONIDC)NLINIL'M (_6.Q_Units ) NAME: ADDRESS: CITY, S"fATE, 2IP: PAONE: %S-2_ i g 3) • u ?: ?• ' For City Use _ ??. ? ?rFJ?'? f? Plunbers License: ADDRFSS: ,,?'??,g' Active ? CITY. STATE, ZIP: PHONE: MASTER LICENSE# PU 9M n ? E7cpired Not iecOrded ?al 4) •?. • • i?• ruAM: ADDRESS: ' CITY. STATE, ZIP: PHONE: • .5) ? ?• ' ? ? a• ?• : o a? - a? CONNF.(.'TION TO CITY SEWER ?Q( CONNDCI'ION TO CITY WATER ? OTlIER ' 6) ?? • • • '• ? PF.E2MIT FOR PICK-L'P BY ONE OF ABOVE RyIIT T0 1,q) 3, 4, P,BOVE 7 (Circle one) / 7) ITA FOR CITY USE ONLY ? - - PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ S /G SL? SEWER PERMIT (INCLC'DE SURCHARGE) $ $ ? G- WATER PERMIT (INCLUDE SL'RCHARGE ) 7?+?-"" /?IGG GZ`i C?vl?C?j%? WATER METER/COPPERHORN/OL'TSIDE READER $ S WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP ' $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ oC ? I l`-!YC O-? $ WAC $ s -2CG • OCD $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUIVK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ 4-36, O` no $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ S S?oro Tj $ ?j- Ct d TOTAL .r? ?.?75 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION ISSOED BY THE ENGINEERING . LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : - •? / CASH RECEIPT CITY OF EAG ? AN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 , DATE 19 ,. RECE1VED , FROM r , AMOUNT $ & DOLLARS '00 ? CASH [?CHECK i FOR ?? .% ( J L I CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE f 9 RECEfVED . ? ' RROM ' f AMOUNT $ I r ? CASH Q CHECK FOR I I ( ?/! ? l l I? J f (!l ( t. I FUND CODE AMOUNT ? l.- =?J L Thank You ? .?-- 61639 ? .. BY CoPY ?9 coPY 61638 BY Thank You ; ;; '?? ? s,: ?a-? 3 , ° ? ?l l? Z ?? ??dyz ?rld'?. ??ER?9.? ??? ?aTC°.5?? 5?? IIlYS?• ONE SUNWOOD DRIVE • 60X 399 • ST. CLOUD, MINNESOTA 56302 • TEL. 612l252-6262 September 19, 1985 Blumentals Architecture Inc. 6100 Summit Drive North Brooklyn Center, Minnesota 55430 Attention: Deb RE: Woodridge Apartments, 60 Units Eagan, Minnesota Dear Deb: RECEE!!ED SEP 2 0 05 The following items are required by the City of Eagan for the above named development. 1. A catch basin will be needed at the last parking stall on the north side of the west parking lot. The storm sewer should run north-west approximately 60' and daylite at elevation 838'. 2. The sanitary sewer should connect on the down stream side of the manhole. Do not connect into the manhole. 3. According to the as-6uilt plans there is a 6" tap with valve approximately 100' to the north of the north-east property corner. The water main for the 60 unit building should connect to the tap and run in the road right-of-way south to the property. Sincerely, i? Gorcion Kath Project Coordinator GK/mv cc: Rick Heftyl Frank Balestreri RECEIVED JUN 3 1986 t°* 3 ataC k Z ??l"J• ONE SUNWOOD DRiVE • BOX 399 • ST. CLOUD, MINNESOTA 56302 • TEL. 6121252-8262 June 2, 1986 Mr. Ed Kirscht Engineering Aide City of Eagan 3830 Pilot Knob Raad Eagan, Minnesota 55122 RE: Woodridge Apartments EAGAN. MN Dear Ed: This letter is to verify our conversation in reference to the storm sewer line at the above named project. It was agreed that we would install a concrete gutter in place of the catch basin and storm line. The reason for this change is that the grade change from the parking lot and the drainage swale would not allow any earth coverage on the pipe. Attached is a plan showing the location of the concrete gutters. If you have any questions, please contact me at 612/252-6262. Sincerely, BRUTGER IES, . ord a Praject Coordinator GK/clc Attachment CITY OF EAGAN WATER SERVICE PERIIAIT 3830 Pilot Knob Road P. b. Box 21199 PERMIT NO.: Eagsn, MN 55121 DATE: Zaninp: •: y No. of Units: ??, ,. ?-•?.tqer Corr. Addresr. _ ? Sn. Aedrog: 3301 Caacnnar_ T«.. :?j- ::e ._C n. Plumber: r M.r.r No.. ' , _ Ca+nectsw+ Cho.ge: < , ' . , ? .. sodsr No.. NrM b e00lf vNb !w CMy of EwM of I nsp.: CITY OF EAGAN 3830 Pilot Krab Road P. O. Box 21199 Eagan, MN 55121 /?coount Depoait: Permit Fee: • Surchorps: ? Mlsc. CMr?pe? • ? . ?" ' ` `, ' Totol: Dote Paid: /Zeul-an-? _ Inep.: SEWER SERVICE PERMIT PERMIT NO.: '5? DATE e ZoninO: No. of Units: ? ' "• ? ?±i-'3--- Qwn.r: :rt;-jE' i' ' Address: _ Slte /lddress: - • . _ - . ? .. r G: , ,? ? , .. , . . , Plu+r-ber j I Mm t0 0011*Iy M1k& !w Qy of Mspw COf1MCtlOff QIOIge: . onaMfCM. I,OCOIlflt Dlposit. Peffl'Iit FYl: 5urdwrpr BY Misc. Chorpss: Dote of Irop.: Total: Inrp.: Dob Poid: PLEASE COMPLETE FOR ALL COIVIIvIERCIAUINDUSTRIAL BUIl,DINGS. AISO FOR MULTI- FAMII,Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. _ NEW CONSTRUCl'ION ADD ON REPAIR WORK DESCRIPTION: -ie?aje9 Aroin?,: CONTRACT PRICE: $ i aoo. 00 FEE: 146 OF CONTRACT FEE. STATE SURCAARGE: $.50 FOR EACH $1,000 OF ".,.RMW FEE. MIHIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ as . 00 STATE SURCHARGE $ So ToTAi. $ a5 , 50 srrE nnnREss: 3301 CO,aC4 ,,.,,.w PA TENANT NAME:-Uk-rd. i teY AgA2jinvj? STG' # OWNER NAME: !S/frn£_ INSTALLER: &2.A t/L /n£GA /4IiCfl- l1?/9442"2-s ? L?L ADDRESS: ,J(o[7c) AlL CITY: Alnunag I/I i.ra/ STATE: /y/AI) ZIP CODE: 6S//,-2, PHONE #: )-20 -9,OrRA FOR: 6?z'?-cz?, CITY OF EAGAN , PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 -!?b Fr- 30 (612) 681-4675 Si1$D. . L 3 B ?J ?- APPROVED BY: CiTY USE ONLY RECEIPT #: RECEIP7' DATE CO 199$ PLUMBINH PEgMIT (COMM£gCIAL) C1TY OF £AfiAN S$SO PILOT KNOB iiD £,A&AN, MPl 55122 (61E)6$1-4675 Please complete for: all commerciaVindusvial buildings multi-family buildings when sepazate building pertnits ace not required for each dwelling uni[ backflow preventer to be instatled in commercial areas or residential boulevards Date:?a/_All/ Work Type: _ New Bldg. _ Add-on _ Repair _ U.G. Sprinkler Description RPZ To nquire if Pressure Reduciog Valve is required on new servlce, C811 661-4040. P£FS 1% of contract price or $25.00 minimum Contract Price: $ x I% _ $ COMPLETE THIS AREA ONLY IF INSTALLING LINDERGROilND SPRINKLER SYSTEM Service: Existing (if coming off domestic line) OR New Backflower Preventer Permit Fee»»»»»»»»»»»»»>>>»>>>>>>>>>>>> $ 25.00 Water Flow GPM Water Meter l" @$189.00 OT 2" Turbo @$871.0Q $ Lnew service" add Water Permit $ 50.00 = $ State Surchazge $ .50 = $ WAC $ 807.00 = $ Water Treaknent $ 444.00 = $ Permit F.ee $ °215- e 0 S[ate surcharge is $.50 per $1,000 of eo rmit fee or minimum of $.50 per permit State Surcharge S 7bta1 Fee $ II i hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPs responsibiliry to notify the property owner that the Ciry of Eagan assumes no liability for any i 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. S1TE ADDRESS: A_AU/ TENANT NAME: INSTALLER STREET CITY: // // ZIP !5`? F/?f_" #: ?211-l0e?ls SIGNANRE OF PERMITTEE e. P? ?y??° MEMO TO: DALE PETERSON, CHIEF BUILDING OFFICIAL FROM: RICHARD M HEFTI, ASSISTANT CITY ENGINEER DATE: JULY 7, 1986 SUBJECT: WOODR GE APARTMENTS LOTS& 4, BLOCK 2, FOX RIDGE ADDITION The developer/owner of the Woodridge Apartment complex (Brutger Company) has submitted an acceptable bond in the amount of $15,000 to cover the necessary storm sewer improvements for this property. We have completed a preliminary design of the storm sewer improve- ments and will be working closely with Brutger Company to get it built. If I can be of any assistance to you regarding this matter, please let me know. Y Assistant City Engineer RMH/jj cc: Gordon Kath, Brutger Company Ed Kirscht REQUEST FOR ELECTRICAL INSPECTION ' See insLecpons for wqpjhehny •his iwm on back ot yellow copy, ? O 9 '"X"" Be/ow Wo?k Coveip.d b u,?d? qap.l T Y This RequesY ' YP 1 B Itl BT---? APPliante? Wired r fee SO 1 gh=in ? Anal'I il?is rapuesl rolp 1B months Irom r, EB-00007_pq ?tf 77 " S Cate TOiAL FEr^ „eAv Q,yo Rd3 i 1 •?.'(.? D;i e ? 17 c6 'r I, the Ele tnca Insaacta.. ,abY °8rufV Ihat tha nbove ins0ec[ion has ?een ?ea. 7hi5 rY9uest vOld mpnths trom `i G (0 ? /• I?S n? n o / Licensetl EIecVical Conhac[or Owner reat Add,ess, 9ox or Rnora N,, or ?rcvoant(PqINr) ?3 i4 r?' -?2 s Power Suppher Etectncal Commctor ICOmvany s v:40CNTC EfTlr Nailmg Atldress IConiractor or Iz MINNESOTA S1ATE eOAHD OF ELECTRICITV Grig9s-Mitlway Bldg. - R.O. N•191 7821 University Ave., SL Paul, MN 55104 , Phone (672?-297_2117 ng 5 98' igh ln Insuetllon ?mreA> qeatlY NuwN Will Nolify Insoec- es MNo tor When Read y I hereby re0uesi inspecbon of abovq ? electncal work installetl ar. $?J /? U r n n L KD 0. e No. -`7 I?o! ?.? b L° j? 7 0 ? THIS INSPECTION pEQUEST WILL NOT BE ACCEPTED BY THE STqTE BOAflD UNLESS PROPER INSPECTIpN FEE IS ENCLOSED. ° ?VL5 ??M ?tT ,E DOD RIVEL° • BOX 399 • ST. CLOUD, MINNESOTA 56302 • TEL. 61212528262 February 18, 1985 MEMO T0: Rich Hefti, Assistant City Engineer Doug Reid, City Fire Marshall Dale Petersen, Chief Building Inspector Steve Wilson, BCI Projec Manager FROM: Gordon Kath Project Coordinator RE: Woodridge Apartments Eagan, MN Site Plan Revisions s? The following comments were made in reference to the development named above. 1. Because the proposed buildinns for the two lots meet the city zoning requirements and land use ordinances, only a city building permit plan review will be required. 2. Mr. Hefti will check to see if the 9" sewer line in the easement on the south side of the property is large enough for the 60 unit building sewer service. 3. The 140 unit building sewer line can be connected with a man hole to the 15" sewer line at the north end of the site. 4. The water service line for the 60 unit building should come from the tap provided on the main just north of the proposed entrance of the 140 unit building. The service line should be installed in the right of way easement, south until it reaches the property line between the two sites, then west to the end of the 60 unit building. 5. At the east end of the 60 unit building where the water main enters the building, there must be a fire connection on the outside of the building. Within 50' of that connection, there must be a fire hydrant. 6. The water main for the 140 unit building should come from the fire hydrant on Coachman Road at the north end of the property. 7. At the east end of the center part of the building there must be a fire connection and fire hydrant as on the 60 unit building. February 18, 1985 Page 2 Woodridge Apartments 8. A wall hydrant will be required at the West end of the 60 unit building and a 10'-0" wide walking path from the end of the parking to the west end of the building. This path should 6e chained off and used by fire engines only. 9. A fire hydrant will be required at the North entrance from Letendre Street to the 140 unit building, located in the street right of way. 10. The low area on the west side of the site can be used for a storm water holding pond. At the North end of the low area a 10" plastic overflow pipe must be installed at a6out elevation 840' and extend north to the existing storm sewer in Letendre Street. A concrete pipe connection will be required within the street right of way. 11. The storm water from the parking surfaces should drain to Coachman Road if possible. If not, there will need to be a catch basin at the South end of the parking for the 140 unit building and at the Northwest end of the parking for the 60 unit building. This storm sewer can daylight into the low area used as a holding pond. At the north end of the parking for the 140 unit building, the storm sewer can be connected to the existing storm sewer line in Letendre Street. 12. It is required to have the underground parking areas 100% sprinkled. The three stories of living space above the concrete parking structure need not be sprinkled. The total living space must be one hour rated construction. 13. The attic space must have smoke enclosures at each unit party wall and one side of the common corridor. The enclosures can be con- structed of 1/2 sheet rock applied to the roof truss nearest the party wall, with a horizontal 6ridge at the bottom of the truss to the top of the party wall. The sheet rock should be installed with tight joints, no fire taping required. 14. The units should be designed to allow for proper light, windows, and open area to the kitchens. GK/dm cc: Wally Johnson Janis Blumentals Syl Sand Kermit Eastman l?Il?V" • ONE S/???C",S?UNWOO ?O? D DRIVE • BOX 399 • ST. CLOUD, MINNESOTA 58302 • TEL. 6721252$262 l November 20, 1985 i Lot 3 BLoLK REC?SVEOW! 2 " ???': 2 Mr. Ed Kirscht City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 RE: Woodridge 60 Apartments 3301 Coachman Road Eagan, MN Dear Mr. Kirscht: Enclosed please find a copy of the drawing showing the new water service location to the above named development. If any further information is required, please let me know. Sincerely, BRUT C AN ES IN . Gon n Kath Project Manager uK/rtk Enclosure ,?',• ,-','?' . ' 1 / ?. ? ?<.L..:. , ?. , ? , ,- , ? ?/Er: P'( 1.oGA'?oLl 4.1/ ? y ?"'`' EZ •? t` •i . ? ? - .. ? ? % 4 ' . ? ? • .+t. ? . ?. ? •, 6MIT (0" WAtElZ UN l- • •- `? • ? ? ? 4 I? I ? i; ?`-?-- ,I) - I; I ' I I I ? I I I \ ? I ? .._ ? ? r.,, _ , l ? ? ---- , /? - \'b?r`-,- -?-- f I ?, ? ?5"_ , . ? Woodridge Phase II r!^'t'. r '0) ^ =1t',',t i n,? ,?`.;1' W?TEIZ MAIN LJNDE2 ?I467+??q-0" 1?" W4f5-fL uNE pROVroE Ya?vF__Ag Rr?'v _ _ ... .__. _ ,„ • 1 ? E \ \\ . 1 FlstE mPaxtMs?Jr _?? ? ?WAL.I NYPR.?'IT t - ' • ? ? r ovEtZ?-tfrp.v oooft ! y-T?T?r? co.ctfl ?o?R. ! 2' c,'-6 ? ,? - 1 .. Nt FY '(fOWtlN31/ E;18 0 C r?c?sr seN. s?.weri. M.H. 'fOP • 8?-'3- • , . Pao ! ? ; i el, OF 3830 PIIOT KNOB ROAD. P,O BOX 21199 EAGAN. MINNESOTA 55121 PHONE (612) 454-8100 July 2, 1987 MR ELROY BERDAHL HUILDING CODES & STANDARDS DIV 408 METRO SQUARE BLDG ST PAUL, yN 55101 Dear Mr. Berdahl: eEA BLOMQUIST Moyor iHOMAS EGAN JAMES A SMI7H VIC ELLISON 1HEODORE WACHiER Council MembBrs nionans NEOGEs ciro nemioirrwor EUGENE VAN OvERBEKE Qry Qerk As you are aware, on June 14, 1987 the City of Eagan had a major fire at 3255 Coachman Road, the Woodridge Apartments complex. This apartment complex is approximately one year old, consists of 140 units and has a pitched roof. Since the fire, tnere have been a number of fire and building inspectors from other cities walking through the apartment project to see where the fire originated and where and how it travelled. Outside building officials have agreed with our department in that the building does meet the minimum requirements of the building code. During the fire, there was a strong north wind which helped spread the fire and 960 F. made it hard for the fire fighters. In determining where the fire originated and how it travelled, I would like to invite you, or a representative of the state building code division,..to review the complex for future code changes, in particular, the energy code as it relates to ventilation and possible changes in material for draft stopping. At your convenience, I will be happy to set up an appointment to meet and tour the site with you or a representative. Sincerely, gOv.g- / ?[% U Doug Reid Chief Building Official DR/Js CC: Tom Hedges, City Administrator Steve Hanson, Asst. Building Official THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN his request void 3????, .. i3- equest Oate Rre Roopp- I?u?ction ??` 0 ?4°' ld! ONeatly Now []Will Notify Inspec- ?YnN 1 WM1 Licensed EIer.Incai Conhac[or V V Owner I hereby rpquest inspaction ot above SVeet Address, Boz or qowe Na. ?' ^M^ ••?tl•,w a` 30/ o?..c f? c?r, ?-- eaion o. Township Name or No. Ranpe No. County • Oc - pann (P?NT) Phune No. o Power Supplier Adtlress FJ.ep[rjcal Contracior ? ompany Name) I /! l ??l/P? 1 Contrar,ior"s Liccnse No. 4 US¢? M tli 6 t/ US ZZ" a ne ?+ddress on?ractor or Owner kirg Installatian) , 356 i So. /oo A h s . SSztl ? ut oriz e(C ?a todOwner Aaiking In5 U1 ionl ? Phone Number MII.1/ueent. .. 3 9.2 9 O Griges•Mitlwe Bld ? 1?y??1411i Y e. - Noom N-791 1827 University Ave., St Vaul, MN 56704 Phone (812) 297.2777 --a oysMGIION REQOE$T WILL NOT BE ACCEPTED BY THE STq'fE BOARD UNLE$S PqOPER INSPECTION FEE IS ENCLOSED. 5ct6 '5 1 REQUEST FOR ELECTRICpL IIIISPECTION EB-oocwi w . ? , See insiructions for eompleting this fo.m p. back of yellow cooY. 15584 '"X'" Befow Work C;avered bY This Re4uest AAd Xflp. ?TYPe of Builtling AoDlia?asl?irad Equipment WireA Home Ran? Tempnrary Service Duplex Water Heater Lighhng Fixtures Apt Bwiding Dryer Electric Heatui Commercial Bldg. Furnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tdnk Farm Otner pcu v ONe? 15ucr.ilvl ? .r SPeci y Ot?er ompute lnspection Fee Be/ow M Fea ServicaEntrance5ize p pqe FeeEars/Sabfeeders p Fee Circwts 0 to 200 qm 5 0 tn 30 q s .,.- 0 to 30 Am Above 200 qm?y 37 to 100 qmps 37 to 700 A Swinming Pool Above 100_Amps ?mps Above 100 Transiormers Imgation Booir,s _ Partial: Other Fee S'?s S{?cial Inspec±?on S Ramarks $ u S TOTAL E / RouBh-m ` • Date 1, Me Ele ' C__,_ Inspec[m, hereby Final Dwle cartiry Ihet [he above A pre ir?Pe?t?on hes been aa. Thb IOauest vnid 1N mnnM¢ Imm (?fC/i .?v! v i -? ol CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS . WATER SPRAY SYSTEMS PART "A" GENERAL N aC 3 330? PROCEDURE ? VPoN COMflLETJON O? WORIS INBP6CT10N 1WD T6SI! BNOULC BE MAGE SY CONfMCIOM1M1'9 RLPRLBENTATN6 ANO WITNC[BtD BY AN OWMLII'! REPPGEN}ATNi, AL7. DElLC[B BflOU1D BC COAPECTED AtID HY6fEM L6Ff W BLRVICS HC?Opi CON7'1lACfOP'B WffN FINAI.LY L6AV6 TqE JOB. A CERTIRCATE SHOULD BE FILLED OOi AND B16NED BY BDTN REPREBCMAtNES. LtlPIC6 BHDVLO 8E PREPMED !OA INBPECTQIO AU7NDA1'f169, OWMCA AfID . COMRACfOR. IT I8 VtIDEA3TOOD TAE dWNER•b AEPREBENTATIVEB MGNATUAE IN NO WAY PAEJUDICES ANY CLA/M AGNNST CONfMCf07t F'OM 1'AOLTT NATEIW4, POOA WORICNANSWP OR FAD.UR6 TO ODMpLY W17H 1NePECTINO AUTNORITY'S REQUOlEsu:MB OA LOCAL ORDINANCFB. PPOP6RTY NAME -- DATE o 9 iOGe- ???'????NTS - - PROPERTY AMRE8S . ? /!IN ACC EO BY INSPECTION AUiHORITY 1'S NAAgS 7Y o ERfrRi? ?s.o• ?onaESa NS PLA YEb ? O I , NSTALLA770N LUNFORM9 TO ACCEPTED PLANS Y? ? ma 13 EQUIPt?NT VSED IS APPROVED l i NO, 6iA2E DEVUTIOIS I NAS PEASON IN CNMGE OF flAE EQUIPMEM B£EN 1NS7PUCTED AS 70 LOCATION OF CONTROL yE5 ?g ?? VALVES A!ID CME OFTIGS NEW EGUIPNEM IF N°, E%RLAIN ' INSTRUC• TIONS XAS A COPY OF INSTRUCTION AND MAIMENANCE CNARS BEEN LEF7 SF3 IIlY No 0 AT PLAM IF NO, E7VLAIN LOCATION SEPVE39LDG9 l,? N e 1 HYDROSTATIC TEST OF AlL PIPING ' TESTS 2 PNEUMATIC TEST OF ALL DRY PIPING RE?UIRED 3 EQUIPMENT OPERATION T8TS Of ALL EOUIPMENT TEMPEPA7UR6 SPRINKlERS MAXr MODE{, 31ZE QOANTItY pATINO OR SPRAY NOZZLES PIPE AND MA7ERlALAlIDqM1CONFORMbTO srwrroanu IF I+ot+c, ExeLUN FITTING$ AIARM VAWE A L A R N D E V'I C E MA%1MUM 71ME TOOPEMTE 7NItWGX TEST PIPE OR FLOW TYpE ?? MOOEL MIN. SEC. INDICATOR OOEAATINC TEST RESULiB WATER IUR 7'RJ7' Ti? ill.g i0 iPIP pPEffi. P11ES4. ppINT MAT6A ALARM DRY MA1? MooEI. SER, itp10UGN TEST PiPE . REACNED ppgRATED AIR ? T? PIPE NO. WRNOVT Q. o. D. W'ItX Q. O. O. DAFSS. OVlLC7 PRODERLY VAWES E4N. SEC, b4N. BEC. P.9.1. P.B.L P•8.1. WN. B6C. TC8 M7 IF NO, EXP LAIN ALL PIPING NYURO41'ASICALLY TES[ED AT ZOd Pm ? ?M DRY PIPINC PNEUMATICALL7 TL3fED tiES MQO , TESTS EOUIPXENT OPEAATE PROPERLY YES No? IF NO 6CATC R[ABON AAIN TEbT: READING OP WGE LOCATED NEAR P ATEA BUPPLY ZESC DIPE: RESIDUAL PPESSUR6 a 17F VALVE IN TEST PI?E OPEN WIDL: 6YATIC PRES6VAE P3? BLANK WMEER U6EU LOCATIOtS NUNM6R AENOY6D TESTING GASKETS OATL LEFT IN ERVI W1Lp ALL COMROL VALVE9 OP6N. , REMARKS ?i NAMB OF SPRINIQ.ER COt?RACI'OR ' f'_Og PPO T PERTY Wj'NER 181G O ? TLr. ? 61, ' PART "C" North tar F otecti x1 ? SIGNATURES svw ea rn 1 NED t.4 w? • i .. CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS . WATER SPRAY SYSTEMS VDON COf@LLYION Ot WORK INSPCCfION AND TLBT!lNOULO 86 A1AD6 8Y CVM'MCTOA'! RLPRLl6NSATN6 ANG WITHCtlLO 8T AN OWMI1'/ 71tPpUCNTA7'[VC, ALL DEfLCTI 6AOVID HL CORRECTED AIm BY8fE/.f LER'-IN BERYIC6 BEFOIIE CONTAACI'OR'8 MEN £INALLY LLAVE iN6 JOB. A CERTIflCATC 6HOVLD BE RLLED 007 AND 910NED BY BOTN REPREBEMA2NES. COPIEB 6HOULD BE PAEPMED ?OR IN4PLCTWO AVI7fORi'f![D, OWNCP AXU COMAAC70A. IT 18 UMERSTOOD 7HE OWNER'6 REPRESENTATIVE'B 9CNANRE IN NO u'AY PRENDICES ANY CLAIM AGAINST COMMCfOR !'DR lAULT' a1ATERIAL. POOR WOHIfIfANbHIP OR PAIWR6 7'O CONPLY,WITN INBPECfING AVI'HOPRY'6 REQUWEMEMS OR IACAL ORDINANCES. PPOPERTY NAME ? - OA7C o i DG ? ?A?7?16NTS - ? ? PROPERTY ORG45 li /S N //( N l/ ? 7 ACC EO BY 1NSPECTION AUiXORITY ('S) NAMES i?y o E?r? Z.s.o• ADDNE3S PLANS INSI'ALLATIDN CONFORMS i0 ACCEPTED DLANS YC1C NO ? , ? ? 0 EQUIPMENT VSEU 6 APPPONED YE8 IF NO, 67ATE DEVIA7101S I NAS PE0.50N IN CXMGE OF FlPE EQVIPMEN[ BEEN INSTPURED AS TO LOCATION OF CONTPOL ?./ No 0 YES U VALVES AND CME OF TNIS NEW EQV?MENf IFNO, E%pL/uN INSTRUC• TIONS NAS A COPY OF INSTRVCTION AND TWNfENANCE CNAAT BEEN LEFT YE6 [K NO O AT PWM If NO, EWLAIN SEPVESOLDGS. ? ' LOCATION G £NT?.2• ?o2Y?/ ?iNG I HYDROSTATIC TEST OF All PIPING ' TESTS 2 PNEUMATIC TEST OF AlL DRY PIPING . RFOUIRED 3 EQUIPMENT OPERATION TESTS OF All EQUIPMENT TfiMVEPATVRE SPRINKLERS MAKE MOOEL SI2E pUAHT1iY RATINO oa , •M-q iG Gi?? ? SFRAY NOZZlES PIPE AND +M ExLAL ArtOlCeIIf CONFOauta7o 6TAtm.Vtn Ie tar+t, E]CPLAIN FITTINGS ALARM VAWE A L A A M D E V'I C E • HA%IMUM TIA6 TOOPCMTE TNROVOH T65T PIV6 OR FLOW TYPE MAKE MODEL WN. 9EC. INDICAiOR OPEHATINGTE6TPESIILTB WATEA AIR TPfP nME TIME TO TPIP PNES4. PpEe9. ppIM aATLR ALARN DRY MA%E MOD6L SER. T101WGNTEbTPiPE . AIR AEACN6O OP6RATED TES? PIPE No• WrtNOUT WItH PROPERLY O. O. D. C. O. D. VRE35. OUTLBT VAIVES ?N. SEC. A9N. BEC. P.8.1. P,B,L p.ID.l. 7.tlN. BEC. YE8 NO IF NO, EXP LAIN ? ALL DIPING NYDROSfATICALLY SES7ED AT PA F'OR NOVP9 I DRY VIPING PNEVMATICALLT TEST£D YES NO? TESTS EQU?HENT OPEAATE P0.0PE0.LY YEB ? MOO tF NO 6TATE REABON AAIN iEbT: AEADING OI GAGE LOCATED HEAp P ATEP 6VPPLY TEST PIPE: ALSmUAL PPESSVRL r ITH VAI.VE IN TG4T PIPE OiLM W[DC: dTAT1C PAESSIfflE VSI ' BIANK NUMBER OSED LOCATIOt6 MIKBER RLHOVED TESTING ' GASKETS DATE LEfT IN'9E0.V7 E WRH ALL COMROL VALVE9 OP6N. REMARKS ? ?--2-17kj , gPAOPER2Y OaNEA (SIGNE {Q. 1D 71TLE NAME OF SPRINKI.E0. COKfRACI'OA ro vner ••c•? ? Northst r Fire Pr tection C ?C .-1-?-? *c ' r SIGNATURES 0' SPA1N R COMR GNED) ?Q a ?• / CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS • WATER SPRAY SYSTEMS PART "A" GENERAL ? PROCEDURE VDON CONPLESION O? WORK IMP6C[]ON AND TWT! IMOVID 9E MADC HY COMMLTOR'I RLPRCB6NTATN6 AND WITNCQCED BT AN OWMiII'/ M6?RdLNtA'IfYi, I AI.L DCRCTB BHOVLD BL CORRECf6D A!ID 8Y8fEM LEtT IN 6ERYICE BEFOR6 CONTRACIOit'B MEN FWALLY LEAV6 THL JOH. ? A CERTIFICATE SHOULb BE FILLED OVT ANO SIGNED BY BOTN REPNESENLATNEb. COPIEB 9HOVLD BE PREPMED i'O0. IN3PECTMO AUTHORfl1E9, OWNCR AND , E OaVNER'B REDAESENTATIVE•6 9GNATURE IN NO WAY PRENDICES ANY CLAIM AGNNST COMMCTOR )'011 TAULl7 00D TH COMAAC[OR. iT IS UMIEA57 ?U7ERIAL, ?OOA WORKAlANSF17P OR FAILURfi TO COMPLY WI'IN IN9PEC[IN6 AVTHORRY'8 RE4UQlEMEM'8OH IACAL OPDINANC66. PAOPERTYNAM£ OATE PROPERTY ADDPESS w? Lr? N A CC ED BY IN59ECf10N AUTNOHITY l'S) NAMES .r?Y o E ? .?:s.o• A oaaess ' PLANS y? No ? I NSTALLATION CONF00.M5 TO ACCEPTED PLANS Y? ...I ?? L? E QUSPGENY VSED IS APPROVED I F NO, 6TATE DEVIA270T6 I HAS PEitSON IN CHMGE OF FIRE EQUIPMEM BEEN 1NSTRUCfEO AS TO LOCATION DT CONiRO1, yE8 ? MO ? ' YALVES A!ID CME Oi TlGB NEW EQV?MEH3 I F NO, E%YLUN INSTRUC• H'l5 A C\]PY OF INSSRUCIION AND MAIMENANCE CHART BEEN LEiT YES Q? MO ? TIONS AT P WM I I F NO, E%PLAIN "-' - LOCATION SEPVF.S BIDC.B. - Sou 7-# WiN 4 I HYDROSTATIC TEST OF ALL PIPING TESTS 2 PNEUMATIC TEST OF ALl DRY PIPING REOUIREO I EQUIPMENT OPERATION TESTS OF All EOUIPMENT SENPEPATUN6 SPRINKLER$ 1AAls MODEL SI2E OUANiITY RATINC OR Rjm ?- SPRAY NOZZlES ifzw ? I PIPE AND MA2ERIAL AND IOM CONPORMS TO stAtmAnn ????' El[PLA]N FITTINGS ALARM V ALVE A L A R N D E V'I C E A1A7UMUM TI/AE TO OPERA76 SNPOUGH TESf PIPL OR FIOW TYPE MAKE MO?EL 1AN. SEC. INDICATOR OPGRATiNG TEST RESULTB WATER AIR TlvV TIME TIME TO TPEP PRE54. PRES9. PpINT WATER N.ARM DRY /dA%E MODEL SEA. TIOIOUGH TEn PIPB . A£ACR6D OPERATED AfA ? ? P?PE yp, WrtHOUT Q. O. D. W'?TN 0. O. D. PAESS. 7 ? OVTL6T PROPENLY ES MIN, 5£C. WN. gEC. P.9.I. F.B.I. P•8.1. WN. 66C. YES Ib VAlV 1r NO, E%P LAIN ALL P191NG HYDR06fAiICALLY 7ES[ED AT Z?d PR FVM xWPS DNY PIPINC PNSVMATICALLT TESTED YES HOD . 7ESTS " ECVIDMENT OPERATE PAOPERLY TEB ? moO IF NO 6fAiL RtABON NAIN TE$f: AEADING Of WGE IACATE? NEAR P'ATEP SVPPLY TESL PIPE: PE6IDUAL PNCSSUftE a'ITN VALVE IN TCS'! PIPE OPLN WIDE: 6TATC VRESSVRC DSI BLANK NUMBER USEC LOCATIOl6 NUMBER RLMOVCD TESTING GASKETS ERVI E WRH ALL CONTROL VALVE9OPEN. DATE LEFI W , REMARKS ' QN NAM6 OF SPRINKLER COHfRAC[OR f'OR PROV TY O/WNER (SlGMA14 T? nT? c? 6 PART "C" North tar Fir rotecti n X' C? '"`?l ?- SIGNATURES OR SPPI en c ? ?s c?L . L R _ mr. / - , :. . . CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS - WATER SPRAY SYSTEMS PART "A" GENERAL PROCEDURE ? UPON GOMPLL710N OF WORIC, INOPCCf10N IIND T68T! 9NOVLD BE MACL BY CONfMC[OR'8 ALDRBHBNTATN6 AND W ITNE6lED BY AN OWM11'i R6PPLBCMATIYL, ALL CEfLCiB BAOULO BL CORR&Cl'ED AIID BYBI'EM LSlT IN BERV[CB B6YOA6 CON71tACfOR'8 }6N FlNALLY LEAVE 7H6 iOB. A CERTIFICA76 6NOULD BE YILLCD OUT ANO 3IGNED 9Y BOSH AEPAEBENI'ATNES. COPIEB 6HOULD BE PAEPA7lLD f'OR IN9PEC7Q10 AU9'NOPI77E8. OWNER AND , COMRACTOA. 1718 VHIfEii57'OOD 7NE (YWNER'B REPRESENTATTVE'8 OGNAiURE IN NO WAY PRENMC68 ANY CLAIM AGAIN6T CONTRACTOR FOR fAVLTY NATERIAL, POOR WORIMANBlQY OR PAILVRE TO COHPLY WI7N INSPfiCfING AVTNOPITY'8 REOVLIEAfENI'B OA LOCAL ORDINANCE6. ppOP6RTYNAIlE -- DATE PAOPERTY ADDRE&4 C? ?' /!?N ACC ED BY INSPECfION AUTHORITY ('S NA665 o E?? ?s.o• Aouaesa PLANS INSTALLA170N CONPORMS TO ACCEPTED PLANS YFl NO ? , O I? NO EQVIPMEN'[ USED IB ApPAOVEC YE8 IF NO, BI'ASE DEVIATiOI5 I NA$ PERSON IN CNARGE OF FIAE EQUIPMEM BEEN INSTPUCfED AS TO LOCATION OF LONTROL YES ? No ? VALV65 AiID CARE OF TMS N¢W EpUeNEM fF NO, EXQLAIN ' INSTRUC• TIONS HAS A COPY OF INSTRVCIIOH AND MAIMENANCE CXART BEEN LEFT YES NO O AT PWNT 1F NO, EXPLAIN I J LOCATION HLDG4 p iE A) 1 HYDROSTATIC TEST OF ALL PIPING ' TESTS 2 PNEUMATIC TEST OF ALl DRY PIPING REOUIRED 3 EOUIPMENT OPERATION TE5T5 OF ALL EOUIPMENT '?'EMPEPATUP6 SPRINKLERS ?? MODEL S1EE pVANT17Y PATINO OR SPRAY NOZZLES PIPE AND AuTenuL Arro xirro coHeorsnu ro srArmuRn IF NONE, E%PI,NN FITTINGS ALARM VALVE A L A R M C E V'I C E MAXIMVM 7I6g TOOPERAT6 iHROUGX 7ESr PIP6 OR FLOW TYpE MA%E MODEL HIN. SEC. INDICATOR OVERATING TESI RE6ULT8 WATER AIP 7AJP Tibm DRY TIME M TRM PRES4. VFE39. PO1HT wATEN ALAAY RfA%E MODEL 56R, iifltOVGH SE67 PIPE . AIR REACHED OPEMTED TESf pIPE W. WRXOVT WITN pAOPERLT Q. D. D. O. O. D. PRES6. OVlL67 VAWES LON. SEC. F9N. BEC. P.&1. P.B.I. P.B.I. MIN. 86C7 YES W IF NO, E%P LAIN ? ALL PIPING HYDAOSIAi1CALLY'IEbTED AS PA FOR NOUPB I DRY PIPING PNEU/M7ICALLY TESfED TES NOD L] TESTS NO? EqU@NENZ OPEHAtE PAOPERLY TEB IF NO eTATE REA80N PA N TESl': READING OP WGE IACATEU NEAR P ATER 6UPPLY TESf PIPE: RESIDLAI. PRESSUAE P'ITN VALVE IN TGST PIFE OPEN WIDL: BTATIC PPESSVRL PSI ' BLANK NUMBER USED LOCAT10N5 NU1BEA pGMW6D TESTING GASKETS DATE LEFT IN RVI W2iN ALL GOMROL VALVE80P6N. REMARKS 3 /? /1 4 , ' NAME OP SPItINKLER CONTRACTOR ' FO PROP[ItTY OYXER (SIG O 11 ? ' ? PART ^C NOl'tF1 ar F otecti /6? ? SIGNATURES °R $plu ER CO 1 NED _. _ ..'.. / ? CONTRACTOR'S MATERIAL & TEST CERTIFICATE SPRINKLER SYSTEMS • WATER SPRAY SYSTEMS PART "A" GENERAL ? PROCEDUIIE UPON COMPLLTION Of WORI( IHBVCC[ION ANO TEB'I!laOULD BE )AAD6 BY GOMRACfdI'L RLDAE86NTATIVi AND WRNL6RCD OT AN OWM1lY 116oTGLNTATNL, I ALL OLlLCTBlMOULD B6 CORAECIED AIm 6Y6T'EM L6FTIN BERVIC& BBtVftL CON1'MC1'OR'! m6N flNALL! LEAV6 7H6 JOB. ? A CER71flCAT6 EHOVLD BE flL1.ED OVT AND e1GNED HY 80TN REPAEBEM'ATN£8. COYIEB 6NOULD 8E PREPMED PON IN3PECTQ+O AVTHORITICB, MWNLR A!ID , IT 18 UtmERSl'OOO 7NE OF'NER'6 REPRESENTATIVE'B 9GNATURE IN NO WAY PR£JUDICE9 AHY CL.UM ACAINBT COMMCfOR POA TAUL77 AROR ' . COM A 1.UTLPIAL, POOR WORKMANSMP OR FAILUR6 TO COMPLY,WITH IN9PEC1'INO AVTHOARY'8 AEQVIRENEM9 OR LOCAL ORDINANCEB. PAOPE0.TY NAME •- OA7E oc o ?o?? ????•???rs _ PROPEAiY AUDRESS Lrr? N /1?N A CC* ED eY INSPERION AV1'NOAITY ('S) NAAgS (...,? 7Y o E r? .7 5. 0 • A DDREffi NS PLA YFX NO O I , NSfALLATION CONFORMS TO ACCEPTED PLANS YES V` No 0 EQVIPFLENT USED IS APPRWED I F NO. 6TATE DEVU170M I HAS PEPSON IH CNAAGE OF FIRE EQUIPMEM BEEN INSTRUCTED AS 70 LOCATION OF CONTROI, yE6 u ?? VALVES Atm CME OF TFOS NEW EQV?HEM ' IF No, exps.ut+ INSTRUC- TIONS N.14 A COPY OF INSTRURION ANO MAIMENANCE CXART HEEN LEFT SES I? NO ? AT DWM IF NO, EXPLAIN SEflVE9BLDG3. n ' . IOCATION ?N??? vo2yy ?i?G . I MYDROSTATIC TEST OF ALl PIPING TE5T5 2 PNEUMATIC tEST OF ALL DRY PIPING REOUIRED , 3 EQUIPMENT OPERATION TESTS OF AlL EOUIPMENT T6MPERAiYP6 SPRINKLERS ?? MODEL 512E OUAMITY RATING OR SPRAY NOZZlES PIPE AND MA ER1AL ANO q!ID CONFORMS TO 67A1m/utn FITTINGS Ip NONE' EXPLNN ALARM VALVE A L A R M D E V'1 C E • M.WMUM TII.E TO OPERAT6 7NItOUGN T6Sf PIPE OR FLOW TYPE MAKE MODEL ka N. SEC. INDICATOR OOERA2ING TEST RESIILTB wATEq NR TI(IP TIME T[ME TO TPIP VAES9. PAE39. PoINT A'ATER AWItN DRY MAI¢ MODEL BEA. SNPOVGH 7ES1'P1PE . REAC}[ED OPERATLD AIR PIPE ?• WRXOUT O. O. D. WITH Q. O. D. PflE46. TESt OIRL6T PROPCAI,Y VALVES M?N. SEC. f.tlN. BEC. P.B.I. P.S.I. P•e.i. bN. 6EC. YE8 NO IF NO, EXP LAIN ? ALL PIPING HYDROSTATICALLY TES[ED AS V61 ? ?u% U DRY Pl?1NG PNEVMATICALI.Y TEStED YES !f0? , TESTS "D? EOUMMENT OPERASE PROPE0.LY Y? if NO 6TATE AEABDN nA1N TEST: READING Of WGELOCATED NEAR o'ATEP SUPP6Y TESf PIPE: RESmUAy PpESSLRE v ITN VALYE IN TfST PIYE OPCNMIDL: 6TAT1C PPESSURE ?51 ' Psi BLANK NU'IDER USED LOCATlO16 M1?E0. PEXOVBD TESTING GASKETS UATE LEFT W 9EAV E W RN ALL COMAOL VALVEB OPEN. , REMARKS ?. ? y 3N) . NAME OF SPRIHKI.ER COMRACTOR R. ? TTLL FOqP0.UP ERTY OWNER 4S1GNE" PART "C^ Narthst r Fire Pr tection ` _ X<<' ?' r SIGNATURES R SPR1N R CONiR GNED) . Q i ? ?.. ? ? .. . CONTRACTOR'S MATERIAL & TEST SPRINKLER SYSTEMS • WATER SPF PART "A" GENERAL PROCEDURE ? iN8P6R10N ANO TLST6 9MWLD BE MME BY CONI'MC[OR'! RLPRClCNTATN6 AND M'RNL6BLD 8T AN N'MR'/ ALDAGCMlATIYi, I VPON COWLLTION Ot C'OAIt . ALL D6TLCi'B BAOVIS BE CORRERGO Alm AYeTEM LER.IN BERVICE BEPORB COMMCfOR'B MN FWALLY LLAV61X6 .108. ? A CEATI}7CATL SNOULD BE FILLED OVi AND 81GNED BY BOTX AEPRE6ENTATNES. COPIEB BNOVLD BE PREPA7ILD fOR INSPEGTQIO AUTHORITIEB, OWNEA A!ID , IS UIIDERS]'OOD iHE Ua'NEA'6 REPRESENTATfVE•e SICNATURE 1N NO WAY PREJUUICES ANY CLA1N AGA1NbT COMMCI'OR POA IAVLT' O i T COMAACT A. IAAtEP1AL, ?OOR WORK1fAN61RP OR FAILVR6 TO COMP}.Y WITH INePECTINO AUTXOPRY'6 RECUOtEMElrlS OR I.OCAL 011DINANCE6. PRDPEATY NAME •- DAT6 PROVEASY ADDAE95 1?- d N /// N A CC ED BY INS?ECf10N AU7NORITY ('S) NAARS ??y o E?? I s. o• A DDRE33 PLANS y? ? ? I NSfALWT10N CVNFORMS TO ACCEPTED PLANS YE6 ? MC ? EOUeMEM llSED IS APPROVED I F NO, bTATE DCVIATIOIS I HhS VERSON IN CHMGE OF FIRE EQUIPMENT BEEN INSCPUCIfD AS TO IACATION OF CONTR04 yE6 ?J ?? VALVES A'ID CME OF TIaS NEW Epl17P)tEM I F NO, E%PLAIN . INSTRUC• NAS A COM' OF IN5T0.URION AND MAIMENANCE CNART HEEN I,EFC YES NO O TIONS AT ?UNI IP NO, E%PLNN ' " IOCATION SEPVES BLDGB. -' - ,,5ou r/,? LviN 1 IIYDROSTATIC TEST OF ALL PIPING ' TESTS . 2 PNEUMATIC TEST OF ALL DRY PIPING REOUIRED 3 EOUIPMENT OPERATION TESTS OF ALL EOUIPMENT 7EMPEPA7URE SPRINKlERS MAIM MODEL 51ZE OUANTITY AATINC oR 2bM. ? f.vD SPRAY NOZZlES (v ? l'yWll'+.v PIPE AND MATERUL AM1 IatIIf CONFOfiMS TO sfAtmukn IF NONE, E1CPI,AIN FITTINGS ALARM VAWE A L A R M D E V I C E • IAA701NM fltS TO OPERA7E THROIIGN TESf PIPE QR FLOW TYPE MAKE MOUEL WN. SEC. INDICATOR OPEAATING TE6T RESULiB WATER Alll TRJP Tlm T[ME TO TPIP PAES9. Pi1688. pplNf WAiEP AI.AR11 DRY pARE MOUEL BER. TWIOVGH TE6fPIPE . Am RCACXLC QpERATED PIPE NO• WRHOVT Q. O. D. WITN Q. O. 0. VAE55. TFbT OViLL2 PROPERLY ?N. SEC. MIN, 9EC. P.B.I. P.6.4 P•8•1• ?N. 6EC. YEb NO VALVE$ IP NO, E%P LAIN ALL PIPING HYDROSTATICALLY TESLED AT ZOd P? ? ??" ' DRY PIPINC PNEVMAi1CALL7'IES7ED YES NO? TESTS ' EQUMNENT OPERAiE PROPERLY YES ND? I 6TATE REA90N TEST: HEADING Of WGE IACATED NEAq a'ATEP 6UPPLY SEbC P1PE: RE6mUAL PPESSURE a'ITN VALVE IN 7FST PIPE OPEN WIDE: W 6TAt7C PRESSVfiL DSI psi BLANK KUNMER OSEO LOCAS1016 N{Il1BLR AL)tOV6O TESTING GASKETS DAi£ LEFi U1 EPVI E a'IiA ALL CONTROL YALVEB OPEN. , REMARKS a r? NAME OF SVIUNKLER COMRACTOR POR PPOPElITY GYI' ?EN SSIG ? 7TT? > `' rnsT ••c° North tar Fir rotecti n C?-e""? ' ? X?? ?- SIGNATURES on sr ca c ? 154 CERTIFICATE aY SYSTEMS ? .. . . . ? ? MEMO TO: DALE PETERSON, CHIEF BUILDING OFFICIAL FROM: RICHARD M HEFTI, ASSISTANT CITY ENGINEER DATE: JULY 7, 1986 SUBJECT; WOODR7.?JGE APARTMENTS LOT5?3?& 4, BLOCK 2, FOX RIDGE ADDITION The developer/owner of the Woodridge Apartment complex (Brutger Company) has submitted an acceptable bond in the amount of $15,000 to cover the necessary storm sewer improvements for this property. We have completed a preliminary design of the storm sewer improve- ments and will be working closely with Brutger Company to get it built. If I can be of any assistance to you regarding this matter, please let me know. -, Assistant City Engineer RMH/jj cc: Gordon Kath, Brutger Company Ed Kirscht ti, sw 9 880044 PONDING & OTILITY SASElISNT THIS PONDING AND UTILITY EASEMENT, made this 3j day of Ait71 , 1988, between WOODRIDGE PROPERTIES LIMITED PARTNERSHIP, a Minnesota limited partnership, herein referred to as °LANDOWNER" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "CITY". That the LANDOWNER, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the CITY, its successors and assigns, permanent easement for ponding and utility purposes, over, across and under the following described premises, situated within Dakota County, MinneSOtaF to-wit: That part of Lots 3 and 4, Block 2, Fox Ridge Addition, according to the plat on file in the office of the County Recorder, Dakota County, Minnesota, described as follows: Commencing at the northwest corner of Lot 4, Block 2, thence South 0 degrees 34 minutes 05 seconds East, assumed bearing, along the west line of said Lot 4 a distance of 209.84 feet; thence South 88 degrees 02 minutes 58 seconds East 49.00 feet to the point of beginning of the easement to be described; thence continuing South 88 degzees 02 minutes 58 seconds East 76.12 feet; thence South 23 degrees 17 minutes 00 seconds East 69.92 feet; thence South 0 degrees 43 minutes 55 seconds East 175.50 feet; thence South 10 degrees 49 minutes 12 seconds East 95.52 feet; thence South 27 degrees 55 minutes 57 seconds East 64.18 feet; thence South 6 degrees 45 minutes 32 seconds West 294.01 feet; thence North 84 degrees 14 minutes 00 seconds West 46.49 feet; thence North 9 degrees 29 minutes 44 seconds East 181.45 feet; thence North 25 deqrees 03 minutes 02 seconds West 263.03 feet; thence North 1 degree 49 minutes 04 seconds East 263.02 feet to the point of beginning. The grant of the foregoing permanent easement for ponding and utility purposes includes the right of the CITY, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, mains or ponds and the further right to remove tcees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the CITY shall restore the premises to the condition in which it was found prior to the 0 6 v. ;?:, v i commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. LANDOWNER retains the right to use the easement property for any lawful purpose, provided such use does not interfere with the ponding and utility purposes of this easement. Said use shall include the right to pave the surface of the easement, but shall not allow the erection of structures upon the easement. And the LANDOWNER, for itself, its heirs, executors, administratocs and assigns does hereby release the said CITY OF EAGAN, its successors and assigns, from all claims for any and all damages resulting to said land by reason of the location of the ponding area or utility line. And the LANDOwNER, its heirs and assigns, does covenant with the CITY, its successors and assigns, that it is the LANDOWNER of the premises aforesaid and has good right to grant and convey the easement herein to the CITY. - IN TESTIMONY WHEREOF, the LANDOWNER has caused this easement to be executed as of the day and year first above written. WOODRIDGE PROPERTIES LIMITED PARTNERSHIP, a Minnesota limited partnership, n BY: BRUTGER COMPANIES, INC., a Minnesota corporation ITS: Genetal Partner By: ? Its: STATE OF MINNESOTA ) ? ? ) ss. COUNTY OF 6-/;?"?? ) On this 3rcl day of ./V&V-e-? , 1988, before me a Notary P ic wi hi and for s?d C nty, personally appeared ? , ??u.oca(of BRUTGER COMPANIES, INC., a Minnesota rporation, partner of WOODRIDGE PROPERTIES LIMITED PARTNERSHIP, a Minnesota limited partnership, on behalf of such corporation and partnership, to me personally known, who being by me duly sworn, did say that he is a partner of the Partnership named in the foregoing instrument, and that the seal affixed to said instrument was signed and sealed in behalf of said Partnership and -2- said acknowledged said instrument to be the free act and deed of said Partnership. --? CONNEE l. COSSAIRT ?. j N017iNY %IBLIC- MIIR1ESOiA ?y'flv? STEARNS COUNTY Commrsmn Eaqra Aa 6, l991 Notary Public THIS INSTRUMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 JPE -3- W W 6 N 6 O Z W J 80-3 I- ' OC 5 55' E 115.51 ? ?- • ?- 10 I0(? iFUVOAear EeSExEx' S 69 ? / .?C ?vT t nS J-_ps?a zc -oM -_.c_a eN ? ONAINPGE EASEMEN S'G -- __-CL ----J _ , {?1p 50?•l 6'IO"E- - i 66 ?-m ? ep fpOi FFPnfiun, S10PU Sewfa E?6G<AV EPSFRrv??"- ',u Fe5lK?O vEe CGL xp •1689?M !i __-__ ?`_ l_` .?. __'a,Ot ___ _?/• ? vw•a?oe E IP "I e63.02 '[%ISiINL 10 l001 Ulltlir EASE4FrvI-•? 2tl[.3> - Y09.Ba ' '• " 286.30 • - - NO'34b5"W 950.34 - - .EP LIUE 01 101 a. BIOC' ] 'rv041nMf9 CrFxEA 01 i m +- eIoa z ' S 6•a5'J$" W i ' . ? _ x09•39 ` .., r'-1 y 4 ? IB? ??? . fs?i n1 VfXYCl11AL S1PPU SEIIFN i. E¢SFVErvt PEN O0: HO 916BYa 10 )G - ' -- wESi LIxE Of tCl 3. BLJCr. : GONDIxG GSEKNT ANfA = 6056 ACP[S ' vExueNFxi SIOPU SEM F .wu Lu?le?G[ iA5fAfn1 AREA = 3.812 50. fl. ! IEMCOXdPY Cp!$iXl]Llllvl EASVMINI = 11 .500 S4, fl trewn Py Ume Camm No Orr Schelen Nayeron b K.J.M. 9/IS/B8 4226.00 AssocUeles,lnc mm . ea mzi mlxe.Bm• ?.mu.. ?mnnne•.x 1e f i n...nm Caury 11.1 inu.•..j in.i i.oI unr Su#eyar aMr`1?< le.a ol L?e StsLe a1 Y? ? o m••an ev F- 9/I5/B _ Nv¢ bc ! i:?e ` °• J ? e 50 2: 0 50 l00 SC1LE In fCEI Dlawing iilie Sneel no EASEMENT SSETCH FOX RIDGE STORM WATER PUN(i ? 'JA Fox ,p, oly eXdori fio n MUSTANG INVESTMENT CORPORATION 2850 METRO DRIVE • SL11TE 527 • MINNEAPOLIS, MINNESOTA 55420 PHONE (612) 854-3584 l October 4, 1973 1'own of Ilagan 3795 Pilot Knob Road Saint Paul, *iinn 55111 Gentlemen: TKe have received Special Assessment Statements No. 6763, 6764 and 6765. Please correct your records so that future statements will be sent to the curreprt owners of these parcels, as follows: #6763-Lot 1, Block 2, Pox Ridge Addn Parcel d3231 F!ustang Investment Cornoration 2850 Metro ?rive Suite 527 Minneapolis, niinn 55420 #,6764-Lot 2, Block 2, Fox Ridge /lddn Parcel d3232 Fox Ridge Estates #1 (Al,imited Partnership) c/o Rothsdiild Development Co., Inc. Iegree of Honor Building Saint Paul, blinn 55101 4t6765-Lot 3, Blocl. 2, Pox I2idee Addn Parcel d3233 Fox Ridge Development Company c/o Rothschild Development Co., Inc. Dogree of Honor i3uilding Saint Paul, Minn S5101 By copy of this letter, I am forwarding Statements N6764 and 6765 to the respective owners. Also, by copy of this letter, I am requesting the Cotmty Auditor and County Treasurer, Hastings, Plinnesota, to check their records and make any necessary corrections. Very truly yours, rI[TSTANG INVF.STMC CORPORATION Floydg.ODaehn, Controller FI Il)/hs cc: Dennis C. Dailey, Rothschild Development Company Degree of Ilonor Building, St. Paul, h1inn 55101 . ? County Auditor f, County Treasurer, Court House, Hastings, b7inn 55033 „ .?t. November 21. 1972 Dskota Countq 9nditor Haetings, rIlf 55033 ?ttentions xoxma Dear Aorma= Eaoloeed find the aseeaemenS eylit Yor garoel 3108-A rhioh hse now bwi? platted into Boz Ri e Addition. The folloring ohangae need to be mede now thst the ?t has been reoax?ds PAHCSL 3108-B, all the aseesements ehould now 1» po? to Lo??l?k?2, _Poa Ridq?_ABditi? _ O PARCEL 3108-C, a11 the aeeeeemente ehonld now be poetmd to Lot 3, slonk 2. Foz Ridge Additian PARCEL 3108 Dp All the aseeesments esoept the Mates Latezal ia tha amwnt of $8554•10 shauld now bs poated to Lot ¢, Blonk 2 Foz $idae 6ddit_ ion PAECEL 3108-D# The Slater Leteral seeeeameat in the original emount cr a8554•10 ahunla now be poesea to Lot 1 aiook 39 Fox Riage aaatcion Call as it you noed additional infcsmtion. SPSCIAL 9SSE88?M DEPAHTlEN1' Ann tioere (Mlre. ) Asaeeement Glerk ? oF 3830 PILOT KNOB ROAD, P.O. BOX 27799 EA6AN. MINNESOTA 55121 PHONE (612) 454-8100 November 19, 1985 GORDON D KATA BRUTGER COMPANIES INC ONE SUNWOOD DRIVE P 0 BOX 399 ST. CLOUD MN 56302 Re: Waiver of Hearing - Special Assessment Authorization Lots 3& 4, Block 2, Fox Ridge Addition Dear Mr. Kath: BEA BLOM61UIS1 Mwa THOMASEGAN JAMES A. SMI7H JERRY THOMAS THC-0DORE WACHTER Councd Members THOMAS HEDGES Ciry AtlmlNSirator EUGENE VAN OVERBEKE CM C?m Enclosed are two (2) Waiver of Hearing, Special Assessment Authorizations for lots 3 and 4, block 2 of the Fox Ridge Addition. The City is requestinq that these Waiver of Hearings be signed and returned to the City of Eagan in a timely manner. As we discussed last week, the City will require that the said Waiver of Hearings be signed and returned prior to the City provid- ing sanitary sewer and water service to lot 3 and 4, block 2 of the Fox Ridge Addition. If you have any questions, please contact me at 454-8100. Sincerely, Edward J7 Kirsc ht Engineering Technician EJK/jbd enclosures cc: Jerry Wobschall, Special Assessments Tom Colbert, Public Works Director THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROM/fH IN OUR COMMUNIIY fV n2 AAIVffi{ OF HEARIHG Special Assessment Authorization I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following deacribed property owned by me/us: Fox Ridge Addifion• Lot 3 Block 2 for the benefit received from the following improvements: ITF2I QII9NTIT7C RATE 6MOlTNT PROJECf $14.35 $4,807.54 No. 8 Lateral Benefit 335.02 L.F from Sanitary Sewer TOTgt, $4,807.54 Any portion of the total amount of these special assessments may be paid without interest xithin thirty (30) days of the execution of the waiver or xithin thirty (30) days of plat approval if this waiver is part of the platting process. Payment on the new assessment cannot be made at Dakota County during the current calendar year. The unpaid balance will be collected in 15 annual inatallments (principal and intereat) on your future property taa atatements. Annual installments will include interest at the rate of 10 % per year on the unpaid belance. The first year's installment on this balance appearing on the tax statement will include interest from date of the waiver or date of final plat approval to December 31 of the following year. The undersigned, for themselves, their heira, executors, administrators successors and assigns, hereby consent to the levy of these assesamenta, and further, hereby waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these assessments, and further raive the right tc object to or appeal from these assessments made pursuant to this agreement. Dated: BRUTGERS COMPANIES, INC. Its: e ' State of County of On this day o appeared ss. f , 19 , before me, a within and for said County personally to me personally known, who being each by me duly sworn did say that they are respectively the President and the " of the corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, 8nd that said instrument was signed and sealed in behalf of said corporation by authority of its Board of and said acknowledged said instrument to be the free aet and deed of said corporation. Notary Public _ County My commission expires , 19_ Notary Public APPROVED: Eagan Publie Works Director Eng/Waiver Revised: 11/85 I,,r ) HLK. 2 Q \ "'_v I. "'veeas__ 66IL!- ? Y31 h(?Q• Q ?. •? ? I N N M ? ? ? : " o p 0 BLK.? . ?• ^ ? h? . . ? ]55 ts a?HlOOV foapo 3iquere ;. Add?iwonb' ?? ee. , O C?U "e c a ' .... „ m t eo 4 , .?. ? . hfeC? ?? ?? fi ] CpU?T N ?? m 1 ? • q?? ?? ?? • IN f0 s • w?.UOr CO11O ?L1T Id1 OET?II l ?w . ,, /s s.61 4 LLJ V? - 4 2 ? ? 3 O 1 /6-08 S81°SJC gf? X ~ z ' Q , O?E? • Z N 019 - SI LATERAL BENEFIT ???X\\FROM m SANITARY SEWER a 3 N O :L ?I • ?Y OII-Y ? / J.. f fj ? e T1O AD ?,. ? 8. 2 ?. a• ? I? r : srarsnC cT, ? KAIYIIt OF flEARIHG Special Asaessment Authoriaation I/We hereby request and authori2e the City of Eagan, MN (Dakota County) to assess the following deacribed property oxned by me/us: Fox Ridge Addition; Lot 4, Block 2 for the benefit received from the fallowing improvements: ZT'Fl! @IIAHTITY RATE 9lSOIINT PROJE(T Lateral Benefit 615.32 L.F. $14.35 $8,829.84 No. 8 from Sanitary Sewer TOTAi, $ 8, 829. 84 Any portion o£ the total amount of these special assessments may be paid xithout interest within thirty (30) days of the execution of the craiver or within thirty (30) days of plat approval if this waiver is part of the platting process. Payment on the nex assessment cannot be made at Dakota County during the current calendar year. The unpaid balance will be collected in 15 annual installments (principal and interest) on your future property tax statements. Annual installments xill include interest at the rate of 10 % per year on the unpaid balance. The first year's inatallment on this halance appearing on the taa statement xill include interest from date of the waiver or date of final plat approval to December 31 of the folloKing year. The undersigned, for themselves, their heirs, ezecutors, administrators successors and assigns, hereby consent to the levy of these assessaents, and _further, herebp waive notice of any and all hearings necessary, and waive objections to any technical defects in any proceedings related to these asaeasments, and further waive the right to object to or appeal from these assessments made pursuant to thia agreement. Dated: BRUTGERS COMPANIES, INC. Its: of f , 19 , before me, a within and for said County personally President and State of ) ) ss. County of ) On this day o appeared to me personally known, who being each by me duly sworn did say that they are respectively the the corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of and said and acknowledged said instrument to be the free aet and deed of said corporation. Notary Public County My commission expires , 79_ Notary Pu611c APPROVED: Eagan Public Works Direetor Eng/Waiver Revised: 11/85 L1r 3 19LK. ? Q Q. ? )Y • 6620- vl ??h??0• ? • a ? • ,o ,,. GdPG??Q, 0 M?y??1f ? 11jLLFLJJ lLY-? ?ari? YM>l?fY • 4??n----5 A'?:, ItY.61 N ? N? 4 Li CD - a . • O ? L?i IL ' n i>S BLK. I n v 9:? %.,. .. ea ?3 ?y ? 3 O ? ? • s?{siw ieas ?SS S B1°5/ E aa L?YflNV wano 3i 9U0r0 '?• ? ` Add'1tion'^''F CouRT S gN?f??w..?+ rn ncn ?u O? ? 'e C? Q 2 m Ypals'K ? ?1 A i? 30 • \ • ?? tl \ ) 'sloCw 75• ey' pte? w ] COUIIT D ? ? ) • ?)i ?? ?, rO b , ? \ _ .....m,. a?, coRe rur ra onul l..a S 9?'.lr'E SF B o ..r.rmv. B I? R9 2 ? R 3?...?i?°.. ..? N o„ _ s, ? h LATERAL BENEFIT FROM m SANITARY SEWER a 3 a .? S ' 2i 011-Y ? H CENTURIbJ ; c ?` :I. I/ MARG. M. t y _'j k. SrR?a3C ? p1T10 ?? 2 ;s ozo-n D • r.. .:. . .,? A e. s • ,• ?a,o ;..., . ,??. •O[MIIMIS 4M $[E 11ECOIIp ?T. r a i?-k. J/. G iV :t`?'? • iiAIVS[t OF HEARIHG Special Asseasment Authorizatian I/We hereby request and authorize the City of Eagan, MN (Dakota County) to assess the following described_property owned by me/us: Fox R"idge Addition• Lot 3 Block 2' for the benefit received from the folloxing improvements: • QIIANTITY RATE arsooNx PROJECf Lateral Benefit 335.02 L.F. $14.35 from Sanitary Sewer $4,807.54 TOTAL $4,807.54 No. 8 Any portion of the total amount of these special assessments may be paid xithout interest within thirty (30) days of the execution of the Waiver or xithin thirty (30) days of plat approval if this waiver is part of the platting process. Payment on the new asaessment cannot be made at Dakota_ County during the current calendar qear. The unpaid balance will be collected in 15 annual installments (principal and interest) on your future property tax statements. Annual installments will include interest at the rate of 10 96 per year on the unpaid balance. The first year's installment on this balance appearing on the tax statement will include interest from date of the waiver or date of final plat approval to December 31 of the £ollowing year. The undersigned, for themselves, their heirs, executors, administrators succeasars and assigns, hereby consent to the levy of these assessments, anfl .further, hereby waive notice of any and all hearings necessary, and xaive objectione to any technical defects in any proceedings related tc these assesaments, and further waive the right to object to or appeal from theae assessments made pursuant to thia agreement. Dated: BRUTGERS COMPANIES, INC. By: - ' . Ita: • 11r j BLK.2 Q Q. -. . ? _'eaeoa- '?f?? 66}Gf- Yi 1 f?Qw ? o ? ? • :> I .D r ,Z,?`P? .?• ??• ? G?PG . t?'?•;?Sr 'v o?'?r a. : ? I? YMe6'y'f I • Z I7t.,.?.'. ;;M1 R 4+Y.63 N ? Q L.r ,Z '4z t BLK.I • +M?f? N ]SS tf x..rarmw amao 3i quere ?. Add?jtion" 'b g ?' ? ?• syu???..? URT r ear. :e ON CO 1'• A m ....,..r nror. MI.W"_?r fJ ' e ] tOUXT 1 ` ? coeorur rM o[rAu1.....?. ? N 4 ? 3 4 n a w e ., M m 0 ,v M1 ? 4 , ti 9 VJ V 4 2 ? 3 O 1 S 8'1 °S/'f 1-- z + 0 , a Y°? a ? .,•?tI ?? ? ?ilt Z F ? 011-52 \y E ~ ? I MA4G. M. 'L : Ih? STNrf3C 2 ?° ozo-s Ac. n N 00 _ s, LATERAL BENEFfT FROM m SANITARY SEWER a 3 P 0 16 / _ ?0 ?o , Zoo7 COMMERCIAL PLUMBING rERMiT nrrLicaTiorr CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ., Date?/??/? SiteAddress dmt Jl? Unit# I l)?? ?? Tenant Name Former Tenant Name Property Owner L??AA? A? ?AdVli G' ?,?, ylQj0? Telephone #( ) 0- Contractor Address City State Zip Telephone # (W) License # Wc0 h6tJr?IYYI Expires: ? c 3l b-1 -??-,-?- The Applicant is _ Owner Contractor _ Other Work Type New Bldg _ Modify Space Irrigation System** Yes No Work in public r-o-w / easement? XRPZ _ PVB: _ New x Repazr/Rebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems Description of Work To mqmre if Pressure Reducing Valve is reqmred on new sernce, ca11651-675-5646 Meters - Call 651-675-5646 to verify that hydrostauc, conductiviry, and bacteria tests passed prior to oickine uo meter. Imgation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" meter $174.0 0 Domestic 5ize & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (inclndes State Surcharge) Contxact Value $ x 1% _ $ Permit Fee $ Mater(s) Required on all new buildings & boulevacd imeation systems $ Ra.dio Meter Read $ State Surchazge If permit fee is less than $1,000, surcharge is $.50 If oermit fee is more than $1,000, surcharge is $50 Yor each $1,000 owed. ' ' ' ' ' ' _ _ _ ' ' ' ' ' ' ' ' _ ' ' ' ' ' ' ' ' ' ' ' ' "' ' ' ' ' ' ' ' " " " "' "' "' " "' ' ' " "' ' "' ' ' ' ' ' ' ' ' ' ' _ ' ' -. . ' _ _ _ ' -' ' ' ' ' " " "' "' ' ' ' ' ' -' ' _ ' ' ' -' ' ' ' ' " -' ' " "' "' ' ' ' ' ' ' ' _ _ _ ' ' ' -' ' "' "' _ ' ' ' ' ' ' ' ' ' Following fees apply when installing new lawn irrigation system $ Water Permit Call Ihe Ciry's Engineering Department, 651-?6?tfqc?equised,f?,e Almyti? p ?,? ?? ???? ?? $ Treatment Plant `J ??, ?? v L? JUL 0 2 2007 $ wacer supPty& sro?ge $ State Surcharge $ Total Fee t hereby apply for a Commercial Plumbing Permi[ and acknowledge [hat [he infonna[mn is complete and acewate; that the wcttk will be m conIOmiance wim me ordinances and codes of the CiTy of Eagan and with the Plumbmg Codes, that I understand this is not a permik bu[ onty an application for a pemtit, and work is not W start out a p mit that the work vrill be in accordance with the approved plan in [he case of work whic z quires a revi and appmval of plans. L??? ? ApphcanYs Printed Name` Applicant's Signatore .? E8gd17 MN F,„.'127 t hOllB: (667) 676-6676 Fax: i6541j 675-5694 2009 COnritUiERCIAL Bi iiLD4iiiG PERrviiT -- ti ------- - ? ?oFa€?ce' ' ? ' 7E C-1 ? i i Dala Recaldeu. ? ? i ? a ? g 'aiatc i APPLiCAi'it3N 33 D/ '333.z'?COachman Road Eagan, MN _ 2-17-09 F G:: 1.3 .%G[fl: . Woodridge Apts. X ? rR0'rEni-r'vWNER harne; Stuart Companies phor,e: 952-948-9500 f "ddress/Ci; '? 1050 West 80th Street, Mpls, MN 55420 1 4 appliop•,! is; nu,,,,cr X Gon!racter 'iYPE QF WOl21t i Descriotionoiwork: Install Efficiency Unit in Bldg. ' GDi1StfUCtlOSi i.,OS2: 401000.00 ? CQNMqGT;Q 3 p;--;,Preferred Tile & Const., Inc. L;censeit: N/A ? 6950 Jubert Lane A.dc?ees? ? 1 - ` Hamel MN 55340 City: ------ -- -- - Sfiate: ---- ZiP' -- Off: 763-478-9840 ? j Fnene: Cal l- 612-723_611LontactPerson: Lyndon nqinks ? Kaas Wilson Architects ^ _M #: ,- ? EhlG!NEc!? 2104 4 th Avenue I = c:ity _. Mp 1 s Stafe? MN 5?id P4 --- f 612-879-6000 Links Wilson ? ----Contac[ Fecson: _.------- j I ? I 1-if.P.{3SP.[) hliJillbPr InSF?Elit1Ci nW SP,WP.??WAtP.i SP,IVIC.2: QhQh8 #: I _.l I AfQTF; Plaa?g af}rl crF^}JQYPI!7g flC>i'i!?t7@?1tS td?8t j/O!! Sl.tbt7TIt a!B G4!15trtBrBd $O flB nilbtir, pn(9fniattOtl. P6!fInITS nC. I j tne iniormaiion may be classiiied as non-pubiic iiyau pravicie speciiic r6asons that wou9d pePreait ttse City (c)_ ? e conclude that they ara trade secrets. I here6v ackrtoyviedqe tha; t8is irtiormation ts r,amptete and accurate; that the work v?iII tre ln ccnsormancc vnth the crdinances and „?n+, rrb 1 l a-?oh wi1M rnrvtltl .niui. .. uYU ?? . i.>? ns ?iv v? ??ii? H??.?.YY w??..? ?? ? N???? ??? ???? ?v? v ?n .J a i'unoi.4, ai? ? _ .?J 1.... : u?N? .. ..Z.??vi . l. • •.irn.. n.J .? ^`.A .nl ?{ nl.? yuiii?.? s?viil+vr ???c?irtni? f?i? ifitrylqV?VY?uM?Ml??l?l Yaa?av? ??4u???'?+4ar????vu?? a?Yj??????v Y•?v. L_. x (.?? QDAi A,l f r-1 K$ ^X^_ ------ i+VNiGSui3l?iuflcai ^NM'ii?ai??o ?i4uu?uiv Y.'XfJH 1 I)f 3 DO NOT WRITE BELOW THIS LINE t-1)?" ?7 3 SUB TYPES _ Foundation ?C Apartments y,. Lodging Miscellaneous WORK TYPES _ New Addition ? Alteration Replace DESCRIPTION Valuation Plan Review (25%_ 100°/a-?) Census Code # of Units # of Buildings Type of Construction _ Public Facility _ Commercial l lndustrial _ GreenhouselTent Antennae ? Interior Improvement Euterior Improvement Repair _ Water Damage j, ovz) REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking _Insulation _Ice & Water ,_Final ? Framing Fireplace: _Rough In _Air 7est _Final _j, Insulation Meter Size: Accessory Building Exterior Alteration-Apartments Exterior AlteratiomCommercial Exterior Alteration-Public Facility _ Siding _ Demolish Building* Reroof Demolish Interiar ? Windows Demolish Foundation Fire Repair _ Salon Owner Change *Demolition of entire building - give PCA handout to applicant 69-- S1. MCES System Tlt? OWjN;7t+V) SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock ? FinaIIC.O.Required ? Final I No C.O. Required . HVAC Other: _ Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows _ Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present: _Yes _?/_No Reviewed By: , Building Inspector COMMERCIAL FEES Base Fee `? / `?• ?S Surcharge 1,2Q Plan Review (yr ? ? ?• MCES SAC ? I4'T 77U??0 City SAC (!111 n/? o e??ei ? S&W Permit & SurcharVIO e Treatment Plant ? ? 5e, 00 Treatment Plant (Irngation) Park Dedication Trail Dedication Water Quality Occupancy Code Edition Zoning Stories Square Feet Length Width Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL? . 5 ( ?? 70 Ow 'J- - S?,Sntl? I tmyT Page 2 of 3 11A Metropolitan Council MaR 10 zoos `7? . Environmental Services Note: this determination is being sent at the request of the city because the address has been edited. That is the only aspect of this letter that has changed. March 5, 2009 Dale Schoeppner Building Official Ciry of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Schoeppner: The Metropolitan Council Environmental Services (MCES) Division has determined SAC for the Woodridge Apamnents remodel to be located at 3301 Coachman Road within the City of Eagan. This project should be charged 1 SAC Unit at 80% of the current SAC rate, as determined below. Charges: Apartment (with common laundry) I unit @ 1 unidSAC Unit SAC Units 1.00 @ 80% The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be made. Please keep in mind that on January l, 2010 our SAC credit rules will change. Visit the SAC section of the Council website to learn more. If you have any questions, call me at 651-602-1 I 18. Sincer ly, 6-1(?'l?-k Karon Cappaert SAC Technician Environmental Services Division KC:kb: 090305A] Determination expiration: March 5, 2011 cc: J. Nye, MCES Peggy Fleck, Eagan Matt Willcockson, Kaas Wilson (email) ?ww.metrocouncil org 390 Robett Strert North • St Paul, MN 5 5 10 1-1 505 •(651) 602-7005 • Fex (651) 602-1477 • TTY (651) 291-0904 An Cpm! Oppnnun?ty F.mpin??ei ? ?' . ?? - - \ - b , 3e , I I 1 ?. \ «\ _ T=8.i al ? • \ \ ?i ? ? \? I?,' •P'_?,i(' '840 8 'a+l - %-'? Pi P_AQ ?,45°",? K.C.F?• _?.J ?d y ? ., ? ? +P-jZq Woodridge Phase II (c)O F,'irst Floor Elevation 851' - - - -. 1 ? ai4 044 844 -- ? 4 0 m > ., ? ? \ - N ` ene ;?--?- - - - - - -----?----? ? I d - I??-T/\ I L J ' ', ?o --10 \ 1 , ' ,--???, 1 f I 1 ? ? - ?"? ! 1 1 1 t 1 ? l, I ---- - - ? ? ? Use BLUE or BLACK Ink For Office Use l /lJ .0 I } Ealan I Permit C/ I Li of I V `y 1 I Permit Fee: I 3830 Pilot Knob Road-1 I I Eagan MN 55122 Date Received: Z3';+ Z I Phone: (651) 675-5675 Fax: (651) 675-5694~~ I Staff: Y~I~I 2012 COMMERCIAL PLUMBING PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: 5,301 00,1~-CW &7 4R/ ~ p To 13 1'- /aa 6-117 Tenant: ad k., D "r Suite PROPERTY OWNER Name: 3 flux hIS / -1001l1* Phone: 112- Zwc, License Name: //69W CONTRACTOR Address: y'yQ/ QG~/ffG IfrF City: HUNG State: *IV Zip: Phone: 263 - '33 -/904 Email: TYPE OF -New _Replacement _Repair _XRebuild - Modify Space - Work in R.O.W. WORK Description of work: COMMERCIAL New Construction Modify Space Irrigation System yes / _ no) RPZ / _ PVB) • Rain sensors required on irrigation systems PERMIT TYPE . Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers _Yes No COMMERCIAL FEES: $60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1% _ $ Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read - If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s) - If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,000 Permit Fee requires a $5.50 surcharge $ State Surcharge Following fees apply when installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage RIO 'L $ State Surcharge Od TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x `/QI¢/I/e~s ~D~ rr/f~Al x~ Ga I Applicant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final RRV Required: Ye's 'No Page 1 of 3 Q0,01 Cof For Office Use Permit#: Permit Feer RECEIVED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAR 0 5 2018 Staff: f> buildinainspectionsecitvofeagan.com 2018 COMMERCIAL FIRE ALARM PERMIT APPLICATION Date: 2 is Site Address: .3 I l sa.. i`1Y1oGu'1 0, Tenant: j3cor e_r(LCt�L MU/i S Suite#: 0 Requirements: 2 complete set' of drawings and specifications, cut sheets on materials and components Name: � V ' I--tirY8(i.I'lPh one: (p`75C1 (c 0 3-C. Property Owner .:° 1 1p - i Address/City/Zip: 1 Cee SL: ,?1 ,,CiGYy�,i r\ c YYlld S31"be Applicant is: Owner X Contractor Type of Work Description of work: --1-y-y- -t ` T t�rk C' - Oi rY' 5.t.' i(V\ Construction Cost: 1()1 G([' Estimated Completion Date: Name: e`t.C;- 1'1License#: Etc 000 c g tt Contractor W Address: lDal'), C. C` K l v" �a City: Y-0( .( State: irfilq Zip: 5157D 14 Phone: ( L�5 C `�1r.4-- Contact fie. - :r t 'L'.i Email: tJ Y GL Er 7 /1 New _Remodel 7/ /nqg 6 F C /74 .Work Type ;� Addition Other: Alterations DESCRIPTION OF WORK: )4 Commercial _Residential _Educational FEES Contract Value$ lb , GOC) x.01 $60.00 Permit Fee Minimum =$ G0' Permit Fee Surcharge=Contract Value x$0.0005e _$ .7 ��' Surcharge* If the project valuation is over$1 million,please call for Surcharge .$ 165-, 0 Cr TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeaoan.com/subscribe. I hereby apply for a Fire Alarm permit and acknowledge that the information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ii x % 11Y1l�( LC\Lx ��d.X17 V X71 W St 11 Applicant's Printed Name Applicant's Signature FOR OFFICE USE R€viewed By o of: "( z. u . Required'Irnspect ons :°, RoughIn Final; ;;Fire Alarm Test For Office Use ::::ee N : LCA Do/ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buiidinainspections(a)citvofeaaan.com L CROSS CONNECTION CONTROL PROGRAM INSPECTIONS PERMIT APPLICATION gcsDate: a" 16 �� Site Address: 3 O �A rn�� Tenant: Suite#: Property Owner Name: 1— 1Co Phone: _ _ . Name: Cr\m `"\ .._ Q I(A- n'‘ `^ License#: 0 r 9) Contractor Address: 38 6 b S" City: ‘AJ Q.ve—c (-y State:W Zip: 5-5-3'0 Phone: Email: V- New _Replacement _Repair Rebuild Type of Work Description of work: COMMERCIAL � �..�.�.. ., _.,�,.-._..�.�� ...�......�.._.�..._..._ , t Irrigation System( yes/_no)(✓RPZ/_PVB) 1 c.t5 )N c o r`^ Permit Type • Rain sensors required on irrigation systems • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No Permit Fee $60.00 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/s ubscribe. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan:that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature