The URL can be used to link to this page

4120 Lexington Ave Use BLUE or BLACK Ink j For Office Use 1 11 City of 1 Eaedn Permit 1 Permit Fee: rJ I 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 f Fax: (661) 675-5694 1 staff: 1 1010 COMMERCIAL PLUMBING PER IT APPLICATION Date: r Site Ad ss: I C Tenant - Suite PROPERTY l l~ OWNER Name: is Z,~W/ Phone: [!1 CONTRACTOR Name: j / License Address: /s 46/ C~!ity: Stat Zip. Phon t Email: A TYPE OF New _ Replacement _ Repairs ,bebuild _ Modify Space Work in R.O.W. WORK Description of work: eb t aj 116 PERMIT TYPE COMMERCIAL _ New Construction _ Modify Space r Irrigation System yes no) RPZ / _ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to nicking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ I ~v X1% - Permit Fee Required on ALL new buildings and boulevard irrigation systems 3 = $ Radio Meter Read - If Permi Fee is less than $1,000, surcharge is $.50 = $ Meter(s) - If r it F„g_e, is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $ ~--(J • 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.aopherstateonecall.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 witlftt a permit; that the/vol will be in accordance with the approved Plan i case of woich Ulf requires a review and approval of plans. x 0 &W-S Appli ant's Printed Name Applicant's Signature FOR OFFICE USE Approved By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PRV Required: - Yes No Page 1 of 3 ?. _ . , ?` • . Site Lot . ...,, ...?-. ? ?,"... . .. _ ...; .;• .,-t:?•?f 'i;..'-..? ^7 . . .. ? ? ' . . . ?. .. . .'. r :. • PERMITk • PLUMBING PERMIT RECEIPT t7 ( J,i'{ w U CITY OF EAGAN • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 12 L?Z PRICE i_:A i PHONE: 454-8100 ? rvame J /L xtui del cu Address Pt 'r?`t 29h i c City :. ::rnqu- bdi ? Name R 2 Varr:,:-rti c Address F:l iznx 2997 p City p FEES COMM/IND FEE - 1% OF CONTF APT. BLDGS - COMM RATE APPL TOWNHOUSE & CONDO - RES. F MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE G R: CITY OF EA& i4c/Sub Res. New ?- ? Mult Add-on ? Comm. Repair Other on ? ' ONLY - COMPLETE THE FOLLOWING: `r RES PLBG . . NO. FIXTURES TOTAL _Water Closet - $3.00 ? e _Bath Tubs - $3.00 L t - $3 00 _ ava ory . mebUo 7u4 59l` Shower-$3.00 _ _Ki!chen Sink - $3.00 _Urinal/Bidet - $3.00 :.T FEE -Laundry Tray - $3.00 :S -Floor Drains - $1.50 TE APPLIES -Water Heater - $1 .50 - $iz.oo Whirlpool - $3.00 - $20.00 -Gas Piping Outlets - $1.50 - .50 (MINIMUM - 1 PER PERMIn ES -Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 -Rough Openings - $1.50 ? FEE: -?SG.GtJ 4 STATE S/C: GRAND TOTAL: • 4';r ?- Y CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 BUILDIPfG PERMIT To be used for Site Address _ Lot Block Parcel No. L120 Est. Value c/Sub_ a Name 3 Address 0 City Phone ' ,o Name z oQ Address P City Phone Va ?y W Name _ z. Address ' i W City Phone . I hereby acknowledge that I ha information is correct and agr Minnesota Statutes and City o Signature of Permittee A Building Permit is issued to:_ on the express condition that a applicable State of Minnesota iead this application and state that the to comply with all applicable State of agan Ordinances. kshall be done in accordance with all des and City of Eagan Ordinances. 142' .? Receipt # Date OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System Zoning On Site Well (Actual) Conffi City Water _ (Allowable) PRV Required _ # of Stofie§ Booster Pump Length ' Depth S.F. Total Footprint S.F. APPROVALS FEE5 Engr./Assess. Permit " Planner Surcharge ' Council Plan Review Bldg. Ofl. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL ' Psrmit No. Permit Holdor Date Tolephone ? Plufibing c-"? ?-- H.V?tC. • 'li??' ? /?. ,rc. I? >i?'j, ElectriC ?'?-`1,v`?? '2 ?;t_ ?'C:_Ct /<,;;?.-?',, %-3.;?, Softener Inspection Dete Insp. Commenri Footings I Footings II Foundation Framing Roofing ? Rough Plbg. Rough Htg. F Isul. Fireplace Final Htg. Zy Final Plbg. ' Bldg. Final S CerL oca Temp. LP Deck Ftg. Deck Final 6t ?C Well oK Pt Disp. (Irrfi#tratr of (Orrupariry Citp of (tagan Ippal'tritMlY Of glilldtltg JWPt1i0It This Certificate rssued pursuanr ta the requirements of Section 306 of the Uniform Building Code certifying that at the time ojissuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the jollowing.• Use (7a,aafintloe Bidg. Iktmit Na. .. - " ti,. OccuPancY TSN Zoniog Dislriq ?. e if & ? t' o ?`.?°` owwr or e?a?e C i ::t, ::C' ... ,•?,4 i,`:"i' I. , r, Ii., .R : i . r.,t_'. __ :. Building Addreav Lovlity 's ._i'NE 24, 198 qm: Building Offiael POST IN A CONSPICUOUS PLACE i CONTRACT PRICE: jv, 300 Block ? m ? c Name ; Addre p City_ ' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent ' Gas Piping Outlets # 'I Other I PERMIT q MECHANICAL PERMIT RECEIPT # f ? 2 % ~?-'? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: .?:;--•? PHONE: 454-8100 Y OR DESCRIPTION G ? ?ec/Sub BLD . T PE W K , Res. Ga New / Mult -- Add-on Comm. Repair Phone ;l: , . Other EES HVAC 0-100 M BTU RES _$2400 . ADDITIONAL 50 M BTU - 6.00 Phone U?•,> ??4 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - Y PER PEkMln - 1 50 EA . . COMM/IND FEE - 1%OF CONTRACT FEE M BTU M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU REMODELS - 12.00 M BTU -T CFM $ MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES - 20.00 - 50 BEYOND $1,000) FEE 1?-'•'?' ??? ? ? 41 S/C: TOTAL• SIGNAT RE tSF PERMITTEE FOR: CITY OF EAGAN CITY OF EAGAN Permit No: Date: 3830 Piiot KnqE Road i b 1 2j B/P No: Date: P.O. Box 2,1199 Eagan, MN 55121 L' & i 7 Partners Owner. + Site Ad?racc 4I'' Leainpton Ave So LS Bl Lexinszton '_ilis Plumber: , I MWCC: ? • d Zoning. £4 ? City Chg: No. of Units: '4 Acct. Dep: I agree io comply with the City of Eagan Permit Fee: i?? • ??Att SJvd Ordfnances. Surcharge: . i - Misc.: BY SEWER SERVICE PERMIT CITY OF EAGAN Permit Na Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 2 1199 ? Reader No: Date: Eagan, MN 55121 j Owner. S i Z Pa*tnera ? Site Address:427 •=- ng*an r'°.. r„ , Plumber. " ? ? Conn. Chg: u d Zoning: Acct. Dep: No. of Units: _ 5dpd I agree to comply with the City of Eagan i .' np?cj Ordinances. , By I ? WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date: 3830 PiIo1-!(nob Road Meter No: 3F 7 I S y JO g1Ze; oZ " r o c P.O. Bbx 27199 Reader No: J O P Date: cZ!- a'r/ Eagan, MN 551',21 Owner.- : Z ?',artiier SItBAddreSS: '?47?;? T. xinoton 1vQ <n 1,9 T21 Te• in -tnn T+1 1- - - ° wnvc?. ? Conn. Chg: ld S ?INI'um9. 24 ACCt. Dep: RPfnrp riiu7in rall i?cmq}pflwms: 74 Permit Fee: ? ?? iLEG4:jZ1G • GA5 Lf% Surcharge: I a to comply wlth the City of Eagan : Tr. Plant 'i Meter. , Misc.:_ WATER SER ICE PERM 1 tV?;:` CITY OF EAGaN Permit No Date: 3830 PIIoy.Kfiob Road _" ' ' B/PNo r??- P.O. 9oz 21199 Date: Eayan, MN 55121 ? Owner. rr SiteAddress:!%am &vhwxvs 9o L5 ]3J Le 'n tc -Plumber. • _ ?• •¦ y ?,. v Mwcc: 6Et°je ai?Bing cail lacal utilities City Chg: i i - • ?, ..?. No. of Units: Acct Dep: ?/ Permit Fee: ' ?. `• ;„' ?bd to comply wllh the Cify of Eayan ? Surchargec `?''r Ordinances. f Misc.: B ? Y 8EWER BERVlCE PERMIT This request void 18 months from D 69297/ q « Request qate - ' Fire No: h-in InsUe't'on un i red? OReady Now;WWill Notify, Inspec- ??. MYes ?NU? lor When qeady Di Licensed Electrical Contractor I hereby-request insnection ot above ? Owner electrical work installed at Street Address, Box or Route No. CitV L ?xi.?? o,? ecLOn o. Township Name or No. ange No. County `f Tcy.z-i !}'/Ct 5 - /6G06'r IF, /Ycm OccuVam (PRINT) Phonc No. T.6. ? v-z Gd iv Puwer Suppifer Address K o Cf7t i C- ? Electrical Contractor lCompanV Namel Contractor's License No. /1?t/!"5f''L2 400 Mailfng AdJress (Contrector or Owner Making Instailation) 1 yd 7 4!!?? Als, Se-, Authorized Signature (Contractor/Owne! Making Inst211alion) Phone NumUer MINNESOTA STATE gOAHD OF EiECTHICITV 7H15 INSPEC710N HEQUEST WILL NOT Griggc-Midway BId9• - Room N-191 BE ACCEPTED BV 7HE STqTE BOARD 1821 Universitv Ave.. St. Peul. MN 55104 UNLESS PROPEH INSPECTION FEE IS Phnnw 16121 fa7-OA00 ENCLOSED. /0REQUEST FOR ELECTRICAL INSPECTION ee-oooot-os IP See instructions for completing this form on back oi vellow copy. D" 69297 "X" Below Work Covered by 7his Request New AAd ReD. Type ot Building Applioncxs Wired' Equipmant WireA Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial 81dg. Air CondiLOner Bulk Milk Tank Farm omrr pP<:i v 01he, IsumcifY! 1 in.r SpCCi(y Qth(pr 01hc r omDute Insoectlon Fee Below M P9e Service Enirance5ize N Fee Fexders/5u6feeders 7! Fr.e Circuits 0 to 200 Am s 0 to 30 Am s ^ 0 to 30 An )s Above 200 qmps 31 to 100 Amps ?- 31 to 100 "Am s Swimming Pool Above 100-Amps Above 100_AmPs Transformers Irrigation 8ooms ?,SQ Partial•?Other Fee Signs Specfal Inspection TOT FEE RemA rks /w gvvs ? Rough-in ? D't P I, the I- ? ? ? Inspectar, hereby ? certilv that the above Final ??ate pection has beea ? An, ? de. ThisrequeslvoitllBmonthalrom / ' .. , 74 ;r"=: ?•r .-G.l. ;,• CIT+' OF EAGAN N° 14272 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 ? BUILDING PERMIT Receipt# ? ? ? <<?. ] To be,u*ed for 24-UNIT APT Est. Value $500, 000 Date OCTOBER 8 19 87 Site Address 4120 LEXINGTON AVE Lot 5 Block 1 Sec/Sub Parcel No. LEXINGTON HILLS 3lName H& z PARTNERS I z Address P. O. BOX 29 7 ° City LACROSSE Phone 608/784-5910 o Name_ ? Q Address ? City _ WW Name SATERBAK ARCHITECTS Address N751 BLOOMER MILL RD aW Ciry LACROSSE Phone 608/788-2764 I hereby acknowledge that I have read this application and state that the iniormation is correct and agree to comply with all applicable State of 'ty f Eaan Or?ance Minnesota Statutes and?? Signature of Permittee;= A Building Permit is issued to: H& Z PARTAU$ on the express condition that all work shall be done in accordance with alt applicable Sfate of Min ota Slatutes and f)'jity d Eagan Ordinances. 8uildingOfficial_ ? ?'?tC- s OFFICE USE ONLY R1 On Site Sewage Occupancy MWCC System X Zoning PD On Site Well _ (ACtual) Const V 1 HR City Water X (Allowable) V 1 HR PRV Required # of Stories 2 Booster Pump _ Length 183 Depth 56 S.F. Total 20,500 Footprint S.F. 10,250 APPROVALS Engr.lAssess. Planner Council Bldg. Off. . FEES Permit Surcharge Plan Review SAQ City $ 1,703.50 250.00 851.75 _ 1? 920.00 variance SAC, MWCC 10,080.00 Water Conn. 10.080.00 Water Meter N A 17oad Unit _$3$5-6 -- OC 7reatment Pl 3,456.1010 Parks ?2? TOTAL $ 3 y ? , t , ' ' 1 1 ' ' ' ' ' ' ' 1 ? ' ' , ? INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N., Suite E-8 Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 CERTIFIED TEST, ADJUST AND BALANCE REPORT DATE 12/05/06 PROJECT MANLEY DEVELOPMENT a-Q L? ? I flr1? ? U'e ADDRESS EAGAN, MINNESOTA ARCHITECT N1A ENGINEER N/A HVAC CONTRACTOR BINDER HEATING-RICH BINDER ST. PAUL, MINNESOTA NEBB TAB FIRM INTERNATIONAL TEST 8 BALANCE, INC. OF MINNESOTA 8401 73RD AVENUE NORTH, SUITE E-8 BROOKLYN PARK, MINNESOTA 55428 TAB CERTIFICATION NUMBER 3181 t ' INTE?cannoNaL TESr a sALANcE, INc, "O1 13?tl Awnue. N., SWIo E4 tmrouApulk, MN 86A?P Vola f1831 53341e81 Fpt(7dg)d8b-l909 CERTIFICRT101?1 JO6 NAItE: wwLEv u?ppr?xr LbCA'nOM: EAtuN, MpMESOTA Lr.a. oaweM r ?a,;n OBTAINED IN ACODRD/WCE WITM NEBB STANDARG PROCEDLIRESV IANY VA ANOM FROM OE&bN QUAIJRTIES W1iICN IXCEED NE9B TOLERANCES ARE NOT'Ela THROUGNOUf 7H19 REPORT. 7ME AIR pISTRIeUT10N SYSTEMS HAVH 9EEN TES T? & BqLpNCED AND FINAL ApJUB'1'MENjg Hqyg BEEN MADE M ACCOROANCE WR}i NEeB'PROGEDURAL STANDAFtDS PoR TE9TING, ADJUSTING 9AI.ANGNG OF EMARONMEIdTAI. 6YST6M3• AND THE PRaJECT SPECIFICA71pN8. NEBB TAB FNiM: J?ffi?,TqN,q. TEST R au eure nrr REG. NO.: a?. CERTIFIED BY: K61TH8nMQEu DA7E 14105JZOD8 urTAeno.Mon BEEN ACCORDN,ICE W?N?g ?`pqOCEDUR/?L.STdANDARDS FpR TESTING, AWUB ?E 6ALAMNGN6 OF ENVfRONMENTAI SV37E8A3• MID 7HE PRO.IECT 9PECIflCATIONS. NEBB 7AB FIRM: Je[J?IWpTONAL Ir-s-T a aLMune INC REO. NO,: a181 CERTIFIED BY: SUBMITTID 6 CERrIF1ED BY: NE66 Tne FlRM: ffMRMn i TESr g epLp,ur N_ TA6 SUPFRVISM' REG. NO.: 816NATURE: DATE: GER'11FICJC110N E71 m DA7E: WA 6b+WA*AA6isrrer) ' r-1-1 Q? ' Em• ' ' ? ' 1 C CI ?I ? CI ' ' ' ' ' F I ? J I ' 71 , ? ' ' ' ' ' 7 J ' , ' ' ' ' ' ' ' INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N., Suite E-8 Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533•8933 INSTRUMENT CALIBRATION REPORT JOB NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PRWECT #: MN1 362 TECHNICIAN: RICKYZERMANS DATE: itios INSTRUMENT SERIAL NO. APPLICATION DA TE OF USE CALIBRATION TEST DATE FLUKE T5-600 MAG 0- 20.0 R0001206M86 FIELD VERIFIED MAG 0- 0.5 R0208097M71 FIELD VERIFIED MAG 0- 5.0 R020809CH31 FIELD VERIFIED MAG 0- 1.0 R910612MP134 FIELD VERIFIED EXTECH TACH L954509 FIELD VERIFIED 3 FT PITOT TUBE 9/9/2003 SHORTRIDGE ADM 860 M00705 3/17/2006 DRILL 14.4 DEWALT DW9091 N/A AMETER LASER TACH 1726 5100707 7/18/2005 6' LADDER N/A EXTENSION CORD N/A CELL PHONE 612-366-3479 N/A ALNOR HOOD HM650 9476 3/1412006 WATER GAUGE 0-200 5ZP71 7118/2003 ' INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 FAN EQUIPMENT PROJECT NAME: MANLEY DEVELOPMENT IOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1362 TECHNICIAN: JOE BENNER PAGE 1 DATE: 12/06 SYSTEM #: F-1 LOCATION: MECH. ROOM SERVING: OFFICES FAN DATA: FAN STATIC PRESSURES: MANUFACTURER: TRANE INLET PRESSURE: -0.24" MODEL NO: TUX1 B080A942JAB DISCHARGE PRESSURE: +0.24" TYPE: DRAW THRU SERIAL NO: 63716E57G DRIVE COMPON NTS• NO. FILTERS/TYPE/SIZE: (1)116"X25"X1" MOTOR DATA: MANUFACTURER: ' FRAME: * HORSEPOWER: * SERVICE FACTOR " FAN SHEAVE: DIRECT DRIVE MOTOR SHEAVE: DIRECT DRIVE CENTER TO CENTER DIST: DIRECT DRIVE BELT SIZE/QUANTITY: DIRECT DRIVE MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL SYSTEM TOTAL CFM: 1000 CFM 1060 RETURN AIR CFM: 898 CFM 945 OUTDOOR AIR CFM: 102 CFM 115 OUTLET TOTAL CFM: 1000 CFM 1060 T. F.S.P.: -- I NNVATER 0.48" FAN RPM: DIRECT DRIVE RPM DIRECT DRIVE MOTOR RPM: DIRECT DRIVE RPM DIRECT DRIVE VOLTAGE/PHASE: 120.1 VOLTS 123 AMPERAGE/PHASE: -- AMPS 3.8 " NIO ACCESS TO MOTOR. I ' 1 ' 11 ? ' ' 1 ' 1 t ' ' ' , ? MN1362-FE , ' ' ' ' , Il ' , , 1 ' ' ' ' ' ' ' ' 1 INTERNATIONAL TEST & BALANCE, INC. 8409 73rd Avenue, N. Minneapolis, MN 55428 Voice(763)533-8882 Fax (763) 533-8933 IR UTLET E EPORT JOB NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1362 SYSTEM: F-1 TECHNICIAN: JOE BENNER PAGE 2 DATE: iyos OUTLET DESIGN CFM PRELIMINARY FINAL AREA SERVED NO. TYPE SIZE AK VEL. oR VEL. oR CFM CFM REMARKS OFFICE 121 1 SAG 10 X 06 HOOD 205 220 200 OFFICE 120 2 SAG 10 X DB HOOD 125 145 146 OFFICE 120 3 SAG 10 X 06 HOOD 125 145 130 OFFICE 119 4 SAG 10 X 06 HOOD 705 150 170 OFFICE 117 5 $AG 10 X 06 HOOD 105 150 170 OFfICE 114 6 SAG 10 X Ofi HOOD 105 160 110 OFFICE 113 7 SAG 10 X 06 HOOD 115 740 130 OFFICE 113 6 SAG tO X 06 HOOD 115 145 130 TOTAL: 1000 1255 1060 M N 1362-V INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 FAN EQUIPMENT PROJECT NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT#: MN1362 TECHNICIAN: JOE BENNER PAGE 3 DATE: 12/06 SYSTEM #: F-2 LOCATION: MECH. ROOM SERVING: OFFICES FAN DATA- F N STATIC PRESSURES: MANUFACTURER: TRANE INLET PRESSURE: -0.27" MODEL NO: TUX1D120A9601A6 DISCHARGE PRESSURE: +0.39" TYPE: DRAW THRU SERIAL NO: 6304wY97G RIVE COMPONENTS: NO. FILTERSlfYPE/SIZE: (1)/20"X2511X1" MOTOR DATA: MANUFACTURER: EMERSON FRAME: 48Y HORSEPOWER: 3/4 SERVICE FACTOR THERMALLY PROTECTED FAN SHEAVE: DIRECT DRIVE MOTOR SHEAVE: DIRECT DRIVE CENTER TO CENTER DIST: DIRECT DRIVE BELT SIZE/QUANTITY: DIRECT DRIVE MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL SYSTEM TOTAL CFM: 1950 CFM 2080 RETURN AIR CFM: 1746 CFM 1865 OUTDOOR AIR CFM: 204 CFM 215 OUTLET TOTAL CFM: 2110 CFM 2080 T.F.S.P.: FAN RPM: MOTOR RPM: VOLTAGE/PHASE: AMPERAGE/PHASE: -- IN/WATER 0.66" DIRECT DRIVE RPM DIRECT DRIVE DIRECT DRIVE RPM DIRECT DRIVE 120-1 VOLTS 123 9.6-1 AMPS 9.1 MN 1362-FE , , ' , ' ? ' 1 ' ? ' 1 ' ' , , ' ' ' INTERNATIONAL TEST 8 BALANCE, INC. 8401 73rd Avenue, N. Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 AI UTL E EP R JOB NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1362 SYSTEM: F-2 TECHNICIAN: JOE BENNER pAGE 4 DATE: ivos OUTLET DESIGN CFM PRELIMINARY FINAL AREA SERVED NO. TYPE SIZE AK VEL.oR CFM VEL.oR CFM REMARKS OFFICE 112 1 SAG 10 X OB HOOD 170 160 160 OFFICE 111 2 SAG 10 X 06 HOOD 170 160 160 OFFICE 110 3 SAG 10 X OB HOOD 130 110 110 OFFICE 108 4 SAG 10 X a6 HOOD 140 170 130 CORRIDOR 105 5 SAG 10 X 06 HOOD 200 195 215 1NOMEN'S RM 109 6 SAG 10 X 06 HOOD 90 160 90 MEN'S ROOM 108 7 SAG 10 X 06 HOOD 90 115 95 OFFICE 115 8 SAG 10 X OB HOOD 50 80 60 OFFICE 116 9 SAG 70 X 06 HOOD 50 110 60 OFFICE 10 SAG 70 X 06 HOOD 120 105 175 OFFICE 11 SAG 10 X 06 HOOD 120 110 120 LIBRARY 127 12 SAG 10 X 06 HOOD 100 80 100 SERVICE RM 128 13 SAG 10 X 06 HQOD 180 150 170 SERVICE RM 126 14 SAG 10 X 06 HOOD 180 110 160 STORAGE 125 15 SAG 10 X 06 HOOD 705 120 115 BREAK ROOPA 522 16 SAG 10 X 06 HOOD 120 135 120 CORRIDOR 118 17 SAG 10 X 06 HOOD 95 170 100 TOTAL: 2110 2240 2080 MN 1362-V INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 FAN EQUIPMENT PROJECT NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1362 TECHNICIAN: JOE BENNER PAGE 5 DATE: 12/06 SYSTEM #: F-3 LOCATION: MECH. ROOM SERVING: OFFICES FAN DATA: F N STATIC PRESSURES : MANUFACTURER: TRANE INLET PRESSURE: -0.25" MODEL NO: TUX1D120A9601AC DISCHARGE PRESSURE: +0.47" TYPE: DRAW THRU NO. FILTERS/TYPE/SIZE: (1)/20"X25"Xi" D IVE COMPONENTS: FAN SHEAVE: DIRECT DRIVE MOTOR SHEAVE: DIRECT DRIVE M0TOR DATA: CENTER TO CENTER DIST: OIRECT DRIVE MANUFACTURER: EMERSON BELT SIZE/QUANTITY: DIRECT DRIVE FRAME: 48Y HORSEPOWER: 3/4 SERVICE FACTOR THERMALLY PROTECTED MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL SYSTEM TOTAL CFM: 9950 CFM 1930 RETURN AIR CFM: 1678 CFM 1665 OUTDOOR AIR CFM: 272 CFM 265 OUTLET TOTAL CFM: 1960 CFM 1930 T.F.S.P.: -- INNVATER 0.72" FAN RPM: DIRECT DRIVE RPM DIRECT DRIVE MOTOR RPM: DIRECT DRIVE RPM DIRECT DRIVE VOLTAGE/PHASE: 120-1 VOLTS 123 AMPERAGE/PHASE: 9.6-1 AMPS 8.3 MN 1362-FE ? ? ' ? , ' ' ' ' , ' ' 1 ' ' ' ' ' , INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. Mlnneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 AIR O RT JOB NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1382 SYSTEM: F-3 TECHNICIAN: JOE BENNER pAGE 6 DATE: itias OUTLET DESIGN CFM PRELIMINARY FINAL AREA SERVED NO. TYPE SIZE AK VEL. oR CFM VEL. oR CFM REMARKS VESTIBULE 701 1 SAG 10 X O6 HOOD 230 170 180 LOBBY 102 2 SAG 10 X 06 HOOD 115 150 125 L088Y 102 3 SAG 10 J( OB HOOD 115 150 125 CONFERENCE ROOM 104 4 SAG 10 X 06 HOOD 130 770 135 CONFERENCE ROOM 104 5 SAG 10 X 06 HOOD 130 735 125 RECEPT. RM 103 6 SAG 10 X 06 HOOD 230 210 240 OFFICE 132 7 SAG 10 X 06 HOOD 190 210 210 OFFICE 131 8 SAG 10 X 06 HOOD 200 215 200 OFFICE 131 9 SAG tOX 06 HOOD 200 210 200 SMALL CONF. RM 130 70 SAG 10 X DB HOOD 790 260 180 CORRIDOR 728 11 SAG 10 X 06 HOOD 230 185 210 TOTAL: 1960 2D65 1930 MN1362-V INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. ' Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 ' FAN EQUIPMENT t PROJECT NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT#: MN1362 ' TECHNICIAN: JOE BENNER PAGE 7 DATE: 12106 SYSTEM #: EF-7 ' LOCATION: CEILING SERVING: MEN'S ROOM FAN DATA: FAN STATIC PRESSURES: ' MANUFACTURER: BROAN INLET PRESSURE: -0.13" TYPE: CEILING DISCHARGE PRESSURE: DRIVE COMPONENTS: ATMOS. ' FAN SHEAVE: DIRECT DRIVE MOTOR SHEAVE: DIRECT DRIVE ' MOTOR DATA: CENTER TO CENTER DIST: DIRECT DRIVE MANUFACTURER: * BELT SIZE/QUANTITY: FRAME: * DIRECT DRIVE ' HORSEPOWER: * SERVICE FACTOR * ' ' MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL ' SYSTEM TOTAL CFM: 150 CFM 160 OUTLET TOTAL CFM: 750 CFM 160 T.F.S.P.: 0.25" IN/WATER 0.13" ' FAN RPM: DIRECT DRIVE RPM DIRECT DRIVE MOTOR RPM: DIRECT DRIVE RPM DIRECT DRIVE VOLTAGE/PHASE: 120-1 VOLTS 122 t AMPERAGE/PHASE: -- AMPS 1.3 , ? J ' INFORMATION LABEL PAINTED OVER. ' MN1362-FE ' 7 I ' 7 ' , I , I ' ' ' ' ' ' I ' ' 1 INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 FAN EQUIPMENT PROJECT NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT#: MN1362 TECHNICIAN: JOE BENNER PAGE 8 DATE: 12/O6 SYSTEM #: EF-2 LOCATION: CEILING SERVING: WOMEN'S ROOM FAN DATA: AN STATIC PRESSURES: MANUFACTURER: BROAN INLET PRESSURE: -0.11" TYPE: CEILING DISCHARGE PRESSURE: ATMOS. RIVE COMPONENTS: FAN SHEAVE: DIRECT DRIVE MOTOR SHEAVE: DIRECT DRIVE MOTOR DATA: CENTER TO CENTER DIST: DIRECT DRIVE MANUFACTURER: ' BELT SIZE/QUANTITY: DIRECT DRIVE FRAME: • HORSEPOWER: * SERVICE FACTOR " MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL SYSTEM TOTALCFM: 150 CFM 155 OUTLET TOTAL CFM: 150 CFM 155 T.F.S.P.: 0.25" IN/WATER 0.11" FAN RPM: DIRECT DRIVE RPM DiRECT DRIVE MOTOR RPM: DIRECT DRIVE RPM DIRECT DRIVE VOLTAGE/PHASE: 120-1 VOLTS 123 AMPERAGE/PHASE: -- AMPS 1.2 * INFORMATION LABEL PAINTED OVER. MN 1362-FE , . _ . ' INTERNATIONAL TEST & BALANCE, INC. 8401 73rd Avenue, N. , Minneapolis, MN 55428 Voice (763) 533-8882 Fax (763) 533-8933 , FAN EQUIPMENT ' PROJECT NAME: MANLEY DEVELOPMENT LOCATION: EAGAN, MINNESOTA I.T.B. PROJECT #: MN1362 ' TECHNICIAN: JOE BENNER PAGE 9 DATE: 12/O6 SYSTEM #: EF-3 ' LOCATION: CEILING SERVING: TRASH ROOM FAN DATA: FAN STATIC PRESSURES: ? MANUFACTURER: GENERAL ELECTRIC INLET PRESSURE: -0.11" TYPE: CEILING DISCHARGE PRESSURE: DRIVE COMPONENTS7 ATMOS. , FAN SHEAVE: MOTOR SHEAVE: DIRECT DRIVE DIRECT DRIVE ? MOTOR DATA: CENTER TO CENTER DIST: DIRECT DRIVE MANUFACTURER: * BELT SIZE/QUANTITY: DIRECT DRIVE FRAME: " , HORSEPOWER: * SERVICE FACTOR • ' ' MEASURED PERFORMANCE DATA ITEM DESIGN UNITS ACTUAL ' SYSTEM TOTAL CFM: 150 CFM 95 OUTLET TOTAL CFM: 150 CFM 95 T.F.S.P.: 0.25" IN/WATER 0.11" ' FAN RPM: DIRECT DRIVE RPM DIRECT DRIVE MOTOR RPM: DIRECT DRIVE RPM DIRECT DRIVE VOLTAGE/PHASE: 120-1 VOLTS 123 ' AMPERAGElPHASEO -- AMPS 0.1 ' ' ' INFORMATION LABEL PAINTED OVER. ? MIV 1362-FE ' S? 2005 COMMERCIAL PLUMBING PERNIIT APPLICA'I`ION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date I / .9 L / 05 Site Address Lt-X I ?t? A4 G S Unit # Tenant Name Cn' f3 "te Former Tenant Name Property Owner 4X 1 1 'PD? US Telephone # Contractor Address ')--f i1_ 2 La (v Q? U7 City_'w L*1Lc State 1)? V,\' ZipS5?GL Telephone # c(pVl) 'n-61 &0 1 License Expires: The Applicant is Owner _ Contractor Other Work Type New Bldg _ Modify Tenant Space RPZ PVB _ New Repair ebuild Replace _ Irrigation system Work within public right of-way/easement _ Yes _ o Rain sensors are re uired on irri ation s stems Description of Work 1?G<dx iQ. 14 4tD ,264 To inquire if Pressure Reducing Valve is reqd ed on new service, ca11 65 1-675-5646 Meters - Ca11 65 1-675-5300 to verify that hydrostatic, conductiviry, and bacteria tests passed prior to nickina un meter. Irrigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works Fire Size & Price 3/4" disnlacement $161.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (inc?udes State Surcharge) ContractValue $ x 1% PemritFee $ Meter(s) Required on all new buildings & boulevard irrigazion s, st? $ Radio Meter Read If pernat fee is $1,000 or 1ess, surcharge is $.50 $ St3te SllI'C113ig0 If permit fee is over $1,000, surcharge is $.50 per $1,000 of the Permit Fee -- ------------------- Following fees apply only when installing new irrigation system $ Water Pernut Call 7erry Wobschall at 651-675-5024 for required fee amounu $ Treatment Plant $ Water Supply & Storage $ State Surcharge ---------------------------------------------------------------------------------------- ---------------------------------------------------? $ Total Fee I I? 15 I hereby apply for a Commercial Plumbing Permit and acknowledge. that the information is complete and accurate; that '.thei? wor?k will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not pern v t?1b?it dnl? a?05 I application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plat?'_in?the case of work which requires a review and approval of plans. e?,,?sJ hYtn (? /I.I q? ' ApplicanYs Printed Name Applicant's SignaYure CITY USE ONLY REQUIRED iNSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: S? ?` r`j ' a? , BUILDING INSPECTOR General Information • Radio Meter Read (required on a11 new buildings & boulevard irrigation systexns- $141.00 • RPZ's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee pernut per address is required for the following RPZ's: new, rebuild, repair, remove. • Water meters include copper horn/strainer, remote wire, and touch-pad meter. METERS REOUII2ING 4-HOUR ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 1-20 518" residential $125.00 4-120 1-1/2" irrigation syst $ 735.00 dispiacernent sm commercial ?bine** Pubtic Works maximum must approve continuous meter size 10 2-30 3!4" lawn irrigation $161.00 4-160 2" turbine lg irrigation syst $ 931.00 maximum displacement residential & continuous sm commercial production lines 15 3-50 1" displacement very lg res $296.00 1/4 to 160 2" compound bldgs over $ 1,849.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 irrigation s stems 5-100 1-1/2" bldgs 25-64 units $429.00 maxirnum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine very lg irrigation $1,182.00 6-500 4" compound +300 unit bldgs & $3,563.00 syst & production very lg comm bldgs lines 112-320 3" compound +200 unit bldgs $2,282.00 10-1000 6" compound +400 unit bldgs $6,076.00 very Ig comm bldgs very Ig comm bldgs I5-1000 4" turbine very lg irrigation $2,226.00 syst & production Gnes Comments • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrauge for water turn-on, call 651-675-5300. cc: Maintenance Division Clerical Technician January 2005 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?1[ ][ ]ClC'R Yf'I?'Rli R? Xx ? ?C F? X F x-F F w x ?c z][l? l?Yf'R]C'!['Jf ?*TO'1'F': PAYMFTTP OF k'F,E AT TIME pF ? APPr.icATIoN noES rx7r ooNSZZWM APPROVAL OF PERNII'P. nvsPncriort oF sEWst Arro/oR MXTEt I VALLATzoris wuL Nar sE sCHED- (JIED UNTIL PFRMiT HAS BEQ3 APPROVID. . , P ease Print) 1) pROPERTY ADDRESS : Y/ ;t O y, 6- X 1,v e, 7-p„? LEGAL DESCRIPTION: 40 i '0.cH, / Lf )(iae, To.-y /-11A.4f. _(LotJBlock Subdivision or Tax Parcel ID ) IF EXISTING STRLCMIRE, DATE OF ORIGINAI, B(JILDING PERMIT ISS[)ANCE: , ' PRFSENT ZONING/PROP()SID LSE: (Nbn Year ? CON?AEl2CIAI'/RETAiL/OFFICE ? R-1 SINGLE FAMILY 0 IPIDL?STRIAL 0 R-2 DT-IPLEX (Two Units) n INSTI7.UTIONAL/G(7?Nr 0 R-3 TOWNHOOSE (Three + Units) ( IInits) . [Ej? R-4 APART2ENT/CONIDOMIIVILiM ( 2.. y Units ) 2) rArE: 7- T ?t-.ALS ADDREss: f'. ?. D x a 5 4? CITY. STATE, ZIP: PHOrE: 6d p' 7?`Y S 5/ a 3) ' ?: ?• , For City CTSe . N`n'ME'--T-a t-` NG'G'-- Plumbers License: ADDRESS: p0. 9,9 '? . Active CITY, STATE. ZIP: Ga ?u-v,rSc? sC m 3~'ttJ60/ . ' ExPired Not recorded PHONE:6i9f ? g'4/ S Y/ O MASTER LICENSE# 00 216 ?''M / Staff Initial 4) ?a • i?- NArE:7' 4'!2Tnjt _ ADDxESS: P. u • ?} o x CITY, STATE, 2IP: kG. Covl'Se PHONE:(°?'r ;>P' 41 'S) 'o a' '?• :? • a - . ?? ID CONNECTION 10 CITY SEWEF2 ? CONNECTION TO CITY WATER rl OTfM '. ., 6) ?? • • r ? PLEA.SE HOLD APPROVID PERMiT FOR PICK-UP BY ONE OF ABOVE E3 PLEASE MAIL APPROVID PERMIT DO 1. 2, 3, 4, ABm (Circle one) ' : ?FOR :CITY USE ONLY -• PERMIT # ISSLED /',5?? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ ?- $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ - ACCOUNT DEPOSIT - SEWER $ ? $ ' ACCOLNT DEPOSIT - WATER $ WAC <. SAC TRLNK WATER ASSESSMENT S $ TRLNK SEWER ASSESSMENT S $ LATERAL BENEFIT/TRLNK SEWER S $ LATERAL BENEFIT/TRDNK WATER WATER TREATMENT PLANT SLRCHARGE $ $ OTHER : TOTAL • 7,- ..?I Ho - F z- RECEIPT ' RE EIPT " ' - DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ? ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: xf?l,?.L TITLE: DATE : kexin34bn Hi/is S MEMO T0: TOM COLBERT, DIRECTOR OF PIIBLIC WOR%S _JIM-STpRM,--PLANNING DEPARTMENT -? BILL AgINS, II.ECTRICAL IIIdSPECTOR CRAIG gNODSEN, ENGINEERING TECH FROM: DOIIG REID, BIIILDING INSPECTIOVS DEPT DATE: to1J4/881 The Protective Inspeetions Department will be performing a final inspection for oceupaney of 4exitinfoo v • on Cp/', //88' kexin34-on -li/Is A0s.- (?aSf bldg.) Please return within 48 hours with your approval or denial. Failure of response within that time frame will be determined as approval. It will be each departments responsibility to contact the construction firm with necessary requirements before final inspection and notifying the Building Inspections Department when all requirements have been taken care of. Thank-you. DR/js "Al APPROVAL: ? ? DENIAL: (SIGNAT E & DATE) (SIGNATIIRE & DATE) IVQ 7 1987 BIIILDING PERMIT APPLICATIOH - CITY OF SAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SEfS OF PLANS, 3 CERTIFICA?SS OF SORVEY, 1 SET OF ENERGY CALCQLATIOAS NOTE: ADDRESSES FOE CORNEE LOTS - CONTRACTOR/HOMEUWNER MOST DESIGAATE WHICH ADDRESS IS DFSIRED. NO CH6NGE.S WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED. M[TLTIPLE DWELLINGS - RFSIDENTIAL RENTAL IIAITS X FOR SALE i1NITS INCLLDE 2 SETS OF PL.4N8, CEATIFICA'!'E QF SII1t9E% - CEECg WITH BL.DGe DEPT. y 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, i SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ? $2,000 LANDSCAPE BOND To Be Used For: Multi?amily Valuation: SLODOO. Date: Site Address LE:x. N\!L • Lot 15 Block I ParcelblSub Lexington Hills First Additi( Owner H & Z Partners Address PO Box 2997 City/Zip Code La Crosse Wi 54602 OFFICE DSE ONLY On Site Sewage` MWCC System ? On Site Well City Water ? Phone 608 784 5910 1 IPPROVALS Contraetor H & Z Partners Address PO BOX 2997 City/Zip Code La Crosse Wi 54601 Phone [,pg 784 5910 Areh./Engr. Saterbak Architects Address N751 Blomer Mill RD City/Zip Code La Crosse Wi 54601 Assessments Water/Sewer Police Fire Engr Planner Couneil Bldg Off _ APC Variance Occupancy Zoning ip E;) Type of Const (Actual) ?L f I-4Q. ( Allowable ) -S 7- I H- R. # of Stories Z Length l 53 Depth 5(!, S.F. Total 'LO,''a0C7 Footprin't S.F. (Ol,Z SO FfiES Permit ?-703, So 5ureharge 2-?fO. Plan Review 05f. 'S SACp City 19'Zo, SAC, MWCC c( O o, Water Conn 10,080, Water Meter i.l A Road Unit Sel?' S(C. Treatment Pl 345eD. Parks N A Copies TOTAL Phone # 60g 7A8 276Li CITY USE ONLY PERMIT#: l _I 1? ? ?? ?j No Date: c_1? - a 1? ' C) } WORK TYPE New Bldg Add-on _ Repair x RPZ ` PVB Irrigation system ' Must complete reverse side of applicadon also. Required meter size is 2" turbo ualess smaller size permitted by Pubtic Works DESCRIPTION OF WORK Z iAsAa l I eCS ne vJ v(z To inquire if Pressure Reducing Valve is required oa new service, ca11651-681-4646 METERS - CaL1651-681-4300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to oiclane uo meter Irrigation Size & Type Fire Size & Type CiO?lbl?Cill?kl. fLUMBIPB PEWT AMI.IGA1I10N C1TYvF PASlkii 3$SO PII.OT BFOB RD K146it4p, bRY' ' 18E 681-"1-4675 iNrpMpZETE APPUCATIONS WILL NOT BE PROCES? Domestic Size & Type Does this include hig6 demand devices? _ Yes FLUSHOMETERS _ Yes _ No RECEIPT DATE: Avg GPM Avg GPM Avg GPM PRV REQUIRED _ Yes _ No Site Address: 1119, C) l_ ex i,. c.46r? A,4 e? Tenant Name: LeX, -r?Q'tcr'? ?A iMS C 1 pks Telephone #: CpS (Area Coae) Was there a previous tenant in this space? _ Y_ N. lf Yes, Name: Installer Name^kL°. Installer Address: oZ U'r 0.f-?! City: S?. ?-,O tx i S ?? State: FEES Contract price $ 6 9a-00 x 1% ($50.0(1 minimum) Required on ali new buildmgs & boulevard irrigation systems Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calculate at 50 cents per $1,000 contract fee. Total From Reverse TYl1? Contract Fee Meter(s) Zip Code S Sy a? $ .s`6 • 00 $ Ratlio Meter Read $ State Surcharge $ New Service $ .%JZj Torgl $ J'G 15r6 I hereby aclmowledge that I have read this application, state that the informarion is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property ovmer that the Ciry of Eag es no liability for any damages caused by the Ciry during its nocmal operational and maintenance activiries to the facilities constructed undes is pe within Ci roQerty/right-of-way/easement. ? SIGNATURE OF PERMITTE CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. ` Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR Telephone #: 9 S o? - q oZ O- oZ lo c`ti??5 (Area Code) E?.?p . .. ?t4i ? i??• r ??rW. .. ._ ' aT ?;.•. ??' l PBRMIT #. ILY '.. . . . •t+9{?- ------ Seb?,,,' ? ?A?I/i'LLtL{lMD1LFlii"Ri 1'iiTWW'CTION . . * . _ . .4?r't. . ? .. . ? ? ' 38M FniDr KNO13 RD` VY1'?OZ"??? Date: . .. .. . . ? -e.. s .i WORK TYPE.,. New Bldg Add-on.. .. _ Repair. ... RPZ J( ._ PVB ' Irrigation system . • Must completc revme side of applicatiou also: Required meter size is 2" turbo unless smaller size permiued by Public Works DESCRiPTION UF WORK To inquire if Pressure Redu?cing;Yalvg is requved; on new service, call 651-681-4646P_ f : ., ;,;.. _ METERS .-:Ca11651-681-4300 to,verify, that hydrostatic, conductivity, andrbacteria tests.passed arior to nicidn¢ uu meter. Irrigation Size & Type Avg GPM Fire' - _Size&Type AvgGPM Domestic Size & fiype Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS Yes No PRV REQUIRED _ Yes _ No Site Address: ''Wa,2() ' ic ?°•F' ir1 c? TD s? /Yi/ ?' ? Tenant Name: Was diere a previous tenant in fliis space? _ Y_ N. If Yes, Name: Installer Name; 172141C,° /rl ,CJg Telephone #: 6,511- ` Q (Area Code) Telephane #: 90V d' 07? '?1 C? tArea Code) Insr8ver Aaaress: ?-?4A5s" X/0 r a? i City: State: ?Y?? Zip Code FEES Contract price $ASY` 0 L! x 1% ($50.00 minimum) " Contract Fee $ ?O.O6 ':... ..:=..?..-. _ _•>.:..,:.. _ .. ,. ..., ,. . _. . , .. . >.: _ . Meter(s) $ Required on all new buildings & boulevard_irrigation a7stems (Acet # 92244509) '..Radio. M,eter Read $ Surchazge:` $30 Minnnum. if contract fee exceeds $1,000, calculate at State Sarc6arge S SU cents per $1,d00 conuact fee. Total From Reverse New Service $ Total $ I hereby aclmowledge that I kiave read this application, state that the infoimation is correct, and agree to comply with all applicable City nf Eagan _ . undinances. It is the applicant's responsibilityto norify the properry ownerthat the CYiy ofEagan assumes no liabiliiy foi aaydamages caused by t6e City during iis nornial opeisuonal and manrtPa?nce activiries to the facilities constmcted under tliis pesmit within City.properry/right-of-way/easement 7 SIGNATURE OF PERMITTEE _. _:, _ ..,. . . , : ,:- -,- . . . . . ., -.CITY USE?ONLY REQUIItED II3SPECTIONS: _ U.G. _ Air Test Gas Test Rough In _ Final PLAIVS SUBMITTID ' APPROVED BY: , BUILDING INSPECTOR : „ , 2004 COMMERCIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 -::?, r:?n.1:?o Date?_/?( 04 Site Address 4raQ L?CibQ-?-py?__ Unit # Tenant Name Former Tenant Name Property Owner Telephone # ( ) Contractor J? ei kt?x Address Ci ? tJ' ?,Li C?Q.h State Telephone # The Applicant is _ Owner ? Contractor _ Other Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system * * Jerry Wobschall to caicula[e fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public NVbrks Description of Work r'mMG11,P A Ceo I cy1Q(i'"IJs1', tv? To inquire if Pressure Reducing V]ve is required-Gh new service, call 651 fi75-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tests passed prior to nickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disolacement $155.00 Domestic Size & Type Avg GPM lncludes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) Contract Value $ x 1% _$ Base Fee $ Meter(s) Required on all new buildings & boulevard irrigation systems $ Radio Meter Read If base fee is $1,000 or Iess, surcharge is $.50 $ Sbte Surchazge If base fee is over $1,000, surcharge is $.50 per 51,000 of the Base Fee "--- ----°--'--------------??_?? ____?_ Following fees apply only when installing new irrigation system ,-_ ---. $._ Water Permit Contact Ierry Wobschall at 651-675-5024 for required fee amounts $ Treatment Plant $ Water Supply & Storage $ State Surcharge ------------------------------------------------------------- ------------- ---------------------------------= __ - _ -------------------------------------------------- $ i5o Total Fee uNrIr IVI a?VL,U,Lo,oLaI r,umomg rerma ana acimowieage [naz me mtormanon is complete ana accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 'F' Q.l.ti (L(.-S Lfv? Applicant's Printed Name Applic nt's Signature CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: , BUILDING INSPECTOR General Information • Radio Meter Read (required on all new buildings & boulevazd irrigarion systems- $141.00 • RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing. • Water meters include copper horn/strainer, remote wire, and touch-pad meter GPM METERS USE PRICE GPM METERS USE PRICE 1-20 5/8" residential $121.00 4-120 1-1/2" 1111gatlori syst $ 788•00 displacement sm commercial turbine** must receive maaimum i approval con: nuou5 to from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" turbine lg irrigarion syst $ 992.00 maximum displacement residential & continuous sm commercial producrion lines 15 3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,880A0 bldg to 24 units 65 units max:inLni sm commercial & continuous & tg comm bldgs 25 irri adon s stems 5-100 1-1/2" bldgs 25-64 units $488.00 maxi?num displacement & c?ntinuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRiCE GPM METERS USE PRICE 5-350 3" turbine very Ig irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very lg comm bldgs lines 1/2-320 3" compouud +200 unit bldgs $2,407.00 10-1000 6" compound +400 unit bldgs $6,124.00 very Ig comm bldgs very lg comm bldgs 15-1000 4" turbine very Ig irrigation $2,384.00 syst & production lines Comments • To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675. • To arrange for water turn-on, ca11651-675-5300. cc: Maintenance Division Clerical Technician Updated 8/03 --------------- ? kI"C)f fiCB;W58 I Permit #: I ? Permit Fee: ! d j I ? ? Date Received: ? I ? ? Stafl: ? -----------------' 2008 COMMERCIAL BUILDING PERMIT APPLICATION ?? 2,c?> ?t?AN? Date: Z U?$ Site Address: Z'1UA, A? S, Tenant Name: _ LE'+rVu "( aj dm1.5 (Tenant is: New /e'C- Existing) Suite #: PROPERTYOWNER 0 1tiC_ Phone: ?S2 ',?C/5 'dy97 Name: A-4Cts2 - Address / City / Zip: lD q6j / TT 60,e?,7 /?K& d Z Applicant is: _ Owner ?C Contractor TYPE OF WORK Description of work: Construction Cost: CONTRACTOR Name: GcJALK&YL License#: yZZ`? Address: 227z/ C4toP ?`,0 City: S"S J94 ?cs State: Zip: Phone: -o 9fo ContactPerson: c/LIL e212-7dS°403V? ARCHITECT / Name: Registration ENGINEER Address: CijY: State: Zip: Phone: Contact Person: Licensed plumber installing new sewedwater service: Phone #: NOTE: Plans and supporting documents that you su6mif are considered to be pubiicinformation. Portions of the information may be classified as non-public ft you provide specific reasans that would permit the Clfy to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; Ihat the work will be in conformance with ihe ordinances and codes of the Gity ot Eagan; that I understand this is not a permit, but only an application for a permil, and work is not to start withoul ermit; tbat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xK7'LE- ? vr"" Applicant's Printed Name Page 1 of 3 . DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Buitding ? Apartments K Commercial / Industrial ? 6R. Altera6on-Apartments ? Lodging ? Greenhouse ? Ext Aiteration-Commercial ? Misceilaneous ? Antennae ? Ext Aiteration-Public Facility ? Nail Salon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building K Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 2-R? Occupancy MCES System Plan Review Code Edition SAC Units (25% `-100%-_1 Zoning CityWater Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings ' Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile ? 'V Roof: _ Decking _ Insulation ?inal -IceNUater Framing Fireplace:`R.I. _AirTest _Final Insulation Sheetrock Meter Size: FinallC.0. FinallNo C.O. HVAC Other: Pool: _Footings _AidGas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes Reviewed By: CP44164' , Building Inspector COMMERClAL FEES: Base Fee ?`7?l? • ? Surcharge Plan Review SAC-MCES SAGC ity S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total 4470.6o No Reviewed By: Sewer Trunk Water Trunk Planning Page 2 of 3 Use BLUE or BLACK Ink For Office Use I Permit n City of Ea ,a~ I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: L l1 Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1111yk Site Address: Unit Name: (oy21'~ !!24-4,0 jv-L, ~ Phone: '7,6 Ste` ~3~ -311.1 Resident/ f Owner Address / City / Zip: Yl~~ 4 leiA e y~.-~ Sv • t',+~,~ aSj.Z Applicant is: Owner -X- Contractor Type of Work Description of work: -'Po <XojE Construction Cost: Multi-Family Building: (Yes X / No Company:_ ,k,,ZeC4 A~ kx-,, uzA Zfa • Contact: /3r// 12"kee Contractor Address: S O /a6 ✓~Lk e ~C 5~,~. da"A City: .nw State: IVIV Zip: J'" ;-074" Phone: License S '3.?7rJ` Lead Certificate i'✓g-r 7Y535) If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota Sta Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BL�1GK tnk i-----------------� � For QfBce Use � �� Pertnit#:"� 1 / ` V ' � ��i�I�I� � . . � ��. c� ' � Permtt Fee. � 3830 Piiot Knob Road i I Eagan MN 55122 � Date Received: � � � Phone: (651)673-5675 . . � stat�: � Fax: (651)675-5694 `----------------, 2015 RESIDENTIAL PLUMBING PERMIT APPLtCATlQN Date: �' ! �Site Adclress: �I �� p I� �..-� Tenant• Suke#• � , � � . ��#�1'��{'�1A/!'�iEl�" Name: ��`7 .�� Phone: �!�`rJ�'�� - �� -' � '� ;� Address l City I Zip: � ��- '�. ��.� �' ; �...� �-'� . , ��.�L�� Name: ' icense#: ,,� ��+C�7�€��` � Address= 1;' �� _ Git}r � State:�Zip: ' _ Phone:� 1��t'" (`'(�I� �.' ` �' �� Contact: � Emait: �� r�� .� _New �Repiacement ,Repair �Rebuild Modify Space Work in R.D.W. Description of work: �Jti' Li�l�'�`�1( �� <>L.'IC�t U.X � `t'l�� `'( ..L ;: RESIDENTIAL Water Heater �. � � � � Water Softener Lawn IrrigaGon(_RPZ/�PVB) ��11'#��`� � � Add Plumk�in Fixtures Septic System 9 {._Main I_Lowrer Leve!) New Water Turnaround Abandonment RESIDENTIAL FEES: �60.00 Water Heater, Water Softener, ar Water Heater and Softener(�nctudes$5.0o State Surcharge) $60.00 Lawn trrigation(includes$5.0t3 minimum Stafe Sureharge) $60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment,Water Tumaround*(includes$5.D0 State Surcharge) *Water Tumaround(add$200.00 if a 5/8"meter is required} $115.�0 Septic Svstem New($10.00 per as built)(includes Counry fee and$5.00 State Surcharge} TaTAL FEES$ CALL BEFORE YOU DlG. Ca!!Gogher State One Cal!at(651 j 454-0002 for protection against Underground utility dsmage. Cali 48 hours before you iRtend to dig to receive lacates of underground utilities. vuww.gopherstateoneealf.org 1 hereby acknowledge that this infarmation is complete and aecurate;that the woric wiil be in conformance with the ardinances and codes af the Gity af Eagan;that 1 unclerstartd this is not a peRnit, but only an applicaGon for a permit, and is no#to s without a permit;fhat tbe work wiU be in accordance with the approv �n in 4he case of wrcxk which eequires a revisw and appr, of plans. x �� X '� ,�G�' Appllcant's Printed Name Ap Itcant's Signature �� F��i�vVe�I�'3�. ` [�:�.�.,.�.�,�.�,,'_ �+�q�re�t��s _,�._..,��r��r� „�,,;.;,�t��fi�r�; a ,�,;A�it�7'�t ��'�t Fi��; Nt��r 1��e�<{t�n�i�:' ,i�C�E�t�s��.;.-,�..;, E�i�i,��d.;.,,::.;_ �a�ir,rrt��+a��_ ��ff:'