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1436 Lone Oak Rd Use BLUE or BLACK Ink k;----------- roe I nf j Permit City of Ealan Permit Fee: • 00 I 3830 Pilot Knob Road I Eagan MN 55122 / ( j Date R ved: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: I Q 2011 MECHANICAL N~ICAL PERMIT APPLICATION Date: a I j 1 J Site Address: ) J G L,::3 Tenant: b V Y,o .e ~l^ c7 Suite RESIDENT I OWNER Name: Phone: Address t City / Zip: - I fin) tf_ CONTRACTOR Name: License* n Address: City: W'k` S"~ State: J~J Zip: <S ) Phone: 2--L- contact: L 'L Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: rY~ "V NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace New Construction _ Interior Improvement - Air Conditioner Install Piping _ Processed Air Exchanger _ Gas Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) G 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) 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.ooaherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with thte prove plan in th case o which requires a review and approval of plans. x 1 Vx:~11G) Applicant's Printed Name Applicant's Signature -42 FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In ,Air Test -Gas Service Test _ln4Ioor Heat Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink F i I oe Permit#: City of Eajan I Permit Fee: :2 i i 3830 Pilot Knob Road AUG1 3 REI Eagan MN 55122 I / I Phone: (651) 675-5675 Date Received: I I Fax: (651) 675-5694 i Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION Date: i r Site Address: 14 lD ~a~ & U)r, Tenant Name ILOT' Kr`Q?2 ---U-Yn 5s ~ (Tenant is: New Existing) Suite Former Tenant: PROPERTY OWNER Name:L )971 Phone: 14GrJ~ Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: E>.a 5~1p Construction Cost: 1 1~ h CONTRACTOR Name 1~5 ~)tj"C -rC.mi~ y}~Cense Address: 2 I 1 S- Coii-)irnfaZS b7wo i=,~ City: P-*& h r r a nifi State: Tf\~~ Zip: Phone: Conta Email: ARCHITECT / Name Y-2 'i e- Registration # ENGINEER Add ess ity: State: Zip: Phoney Contact Person. Email: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public 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 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 w rk w is 'res a review and approval of plans. x C~'Q~-T~ x Applicant's Printed Name Applic#Abf Signature Page 1 of 3 " • DO NOT WRITE BELOW THIS LINE 3 SUB TYPES _ Foundation _ Public Facility X Accessory Building - Apartments _ Commercial / Industrial T Exterior Alteration-Apartments _ Lodging T Greenhouse / Tent _ Exterior Alteration-Commercial Miscellaneous Antennae Exterior Alteration-Public Facility WORK TYPES New Interior Improvement Siding - Demolish Building* Addition Exterior Improvement Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation _ Replace _ Water Damage Y Fire Repair _ Salon Owner Change Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy V MCES System N b Plan Review Code Edition JC6?MSQoG SAC Units (25%_ 100%-- / Zoning - City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V B- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation Other: Drain Tile Pool: !Footings -Air/Gas Tests -Final Roof: -Decking -Insulation ,Ice & Water -Final Siding: ,Stucco Lath Stone Lath -Brick V Framing Windows Fireplace: -Rough In _Air Test -Final Retaining Wall Insulation Erosion Control Meter Size: Final C/O Inspection: Schedule Fire Marshal to be present: Yes V/ No Reviewed By: 16~ , Building Inspector Reviewed By:, Planning COMMERCIAL FEES Base Fee 4 2 • Z'$~ Water Quality Surcharge • V 0 Water Supply & Storage (WAC) Plan Review Storm Sewer Trunk MCES SAC Sewer Trunk City SAC Water Trunk S&W Permit & Surcharge Street Lateral Treatment Plant Street Treatment Plant (Irrigation) Water Lateral Park Dedication Other: Trail Dedication Water Quality TOTAL Page 2 of 3 " TZM07471T DoDR w;Ti I?avME HD,r&: ? NAND R4/C PECJD. / ?uSiB?E LiNK DaN+Fc4s RE'rj'n (400 iN 57pPA6EaM) dcor ?v,;h ??Saf`S ?C750 on S4vr4a. rwm 4 IAoor 61011+1824l e7'fic? 1 - .sD?. /°/=yAft CITY OF EAGAN Addition Lot plk Parcel 10 009QO 01 Q ni Owner.?` Street State EAGAN MW 55121 ? C Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. . . STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1 WATERMAIN * WATER LATERAL Z 1970 S 2O Paid WATER AREA ?h, / 1974 5O M 1 ' -? STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. yi.th AY` a 2112 BUIIOING PER. sac 8.00 212 1-16- o PARK • • CITY OF EAGAN A 17234 3834 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 P BUILDING PERMIT Recei t # To be used forPORTAM CLASSRDCWEst. value :?, 000 Date OCT 2b ,?g 89 Site Address 1436 LOlM QAK AD Lot 1 Block i Sec/Sub. 31=10N 9 Parcel No. Zo Name S? 0? Address City Phone W W ZLti= BRCI= ~ Name ?? Address 1 APPLE'?EE 8Q <W City MPLS Phone 853-2000 I hereby acknowlege ihat I have read this application and state thal the information is correct and agree to comply wfth all applicable State of Minnesota Statutes and City..of Eagan Ordinances. Signature of Permitee ? ' '' 4 " I` " A euilding Permit is issued to: iND SCHOOL DISZ'RIC 197 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFIC E USE ONLY ? ! Occupancy B-Z?i FE FS 1 Zoning V N 40240 (Actual) Const Bidg. Permit (Albwable) Surcharge 24•00 ? # ot Srories Plan Review 201.00 Len9th D h ? .i I 4?.00 ePl ? SAC, Cily i S.F. rotai SAC, MCWCC j : L3W' 00 S.F. Footprints On Site Sewage _ 1Nater Conn ? On Si1e Well - Waler Meter MWCC System _ Clty Water - PRV Required - Booster Pump - APPROYALS Planner Council Bldg. Off. Variance Acct. Deposit ? S.M! Permit ? S/W Surcharge Trealment PI 912,00 Foad Unit ? Park Ded. ? Copies ? TOTAL 4.239•? ? Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING Q L,? ' '' /U?,3 p g H.VA.C. ELECTRIC cp/c} ? Inspection Date Insp. Comments Footingsl Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Ntg Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber EnqrJPlan Bldg. Final Oeck Ftg. Deck Final weli Pr. Disp. S,? • ? ?,!?j? PEFMIT # y PWMBING PERMIT RECEIPT # CITY OF EAGAN • 3830 PLLOT KN08 ROAD, EAGAN, MN 55122 DATE: ?? - -)f -'Vf AACT PRICE: PHONE: 454-8100 Site Address N ? Lot Block ec Sub L Name a2 ? Address c Ciiy ??i? _P1A?Y;r c Phone o Name r. { Y r?F y? 91 c Address . p Ciry _" r• ??Phone ? - ?7?'< FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MIIVIMUM - RES4DENTIP,L FEE - - $12.00 _ MINIMUIVI - COMM%IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIQIVA RE 0 •i ? TFOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTIQIV Res. IUew Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE TNE FOLLOWING: MO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?.chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - S3.00 Floor Drains - $1.50 Water Heater - $1.50 -?VtSirip4ol -?3.06 - Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: G(", s ,C?' ??j9'J ? C ,•' r ?'-'?- ?'Q STATE S/C: '• , U.;,:a??. /, ',: e - GRAND TQTAL; ' io 3%d 9 ?-v A!E ? SITE ADDRESS i `? 3? Aj< P D Unit # Permit L ? B ? C?lSub. INSPECTION I DATE I IN$PECTOR I OTHER FRAMINB ROUBN PLBB. ROUBH HTB. IN8Ul FlREPLACE FlNAL NTB. RIIAL PLBB. UNR RNAL CERT/OCC 9 INSPECTION DATE INSPECTOR COMMENTS 9'- -?50 AW, ZY")? a ? o - - 9 ? ? e - .3 ?S? 'CITY OF EAGAN 3830 PHot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: fCORD ? ?^r PERMIT TYPE: Permit Number: Date Issued: I APPLICANT: TYPE OF WORK: At Ft Rk1 iit rl I?) '.? I 1 I i 1 i?N ( 1' I I 1? i tNilf: : 111 .• INSPECTION r• • F L J Permit No. Permk Holder Date Telephone A ELECTR j.,/0 y /a? D(, PLUMBING HVAC 95(/-'7010 Inapectlon 'ftto Ins Comments FOOTINGS FOUND f FRAMING 711s- 0,Il(rj m ROOFING ROUGH PLUMBING PLBG AIR TEST RDUGH HEATiNG .i --2 - GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINALPLBG ? . Oy FINALHTG OiiSAT TEST BLOG FINAL L BSMT R.I. .J J BSMT FINAL DECK FTG DECK FINAL a(7lT \- ?p CO. DIV. OF DAN LARSON ENTERPRISES, INC. DISTRIBUTORS OF PETROLEUM HANDLING EQUIPMENT AND INDUSTRIAL SUPPLIES 3101 SPRING STREET N.E. • MINNEAPOLIS, MN 55413 PHONE (612) 331-8550 MN WATS (800) 462-5336 FAX (612) 331-8553 www.zahl-pmc.com Tests & Inspection Tank Test Piping Test Leak Detectors Installed ? yes ? no Tests Inspected By Company Name Tests Inspected By Q? Company Name ? Llf-) z 4?b Date Location of Installation Notes CITYOFEAGAN Remarks 1?•ff. . i. _[ _Ll(::'t-?<r Addition Section 8 Lot 1 Blk ? Parcel 10 00800 010 01 Owner )L 'f'-%LStreet r/+ X _ - ? State EAGAN hIlV 55121 9 Improvement Date Amount - `v Annual Years Payment Receipt Date STREET SUR F. 5TFIEET RESTOFi. GRADING . SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK • -'' CITY OF EAGAN N2 17234 - 3830 Pilot Knob Road, P.O: Box 27-199, Eagan, MN 55121 /// BUILDING PERMIT PHONE: 454-8100 Receipt # ?•/ d To be used forPORTABLE CLASSROOMEst. Value $48, 000 Date OCT 26 , 19$9_ Site Address 1436 LONE OAK RD Lot 1 Block 1 Sec/Sub. SECTION 9 Parcel No. W Name 11VU9YENllEN'1' 5CHOUL U15TRICT 15 o Address 1897 DELAWARE City W ST PAUL phonQ681-2384 o Name SAMF. I i OU ¢ Address ? City Phone ww Name ELLERBE BECKET ?3 Address 1 APPLETREE Q aw City 14PLS Phone _ 853-2000 I hereby acknowlege that I have read Ihis applica4on and state that the mlortnation is correct antl agree to comply wrth all apphcable State of Minnesota Statutas and Cyiry,'p?? Eaga?n O?rd-iyn?ance.s Signature of Permitee rJ1?+_!d If V- A Buiming Permit is issued to: IND SCHOOL DISTRICT 197 on the express condilion that all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Building Oflicial OFFICE USE ONLV Occupancy B-2E-1 FEES zoning PF (ACWaI) Const V-N Bldg. Permit 402.00 (Allowable) V-N 1 Surcharge 24.00 N ofSlones Lengih 60' Plan Review 201 . 00 Oepth 58 ' SAQ City 400. ?0 s F. iotai 3500 3500 snc, McwcC 2,300. 00 SF Footprint5 On Site Sewage On Sna Well MWCC Syslem cny waier PRV Required Booster Pump APPROVALS Planner Ct,,nc,i 9/19 89 Bldg, ON. _ Variance - Waler Conn Water Meter Accl Deposn S!W Parmil SnN Sumharqe ireatment PI 912. 00 Road Unit Park Ded. Copies TOTAL 4.239.00 NZ& co?k O0.*- ?d , EAGAN TOWNSHIP BUILDING PERMIT N° 1903 Owne: ..... :---_..---- -: N't4i?- ?.l q,l Eagan Township ....... ?---...-' ------------ -- -- -- -------------"-----.... Address (presen!) ..... ? :'=J Town Hall ......-- .......---°°'--'--........_----? ...................-- ? sunaar ....: .. ?'-n- .....- - ......... ... . ......._... 0? .. . .. _f" - Dafe ...0 ........-3 `?- L ? "" """' Address ........ `:.r.:7./,:...-YI3r.Y'.:_-':..---......---.......--'-'--- f'n ?='-- DESCRIPTION Siozies To Be Used For Froni DepSh Heighi Esi. Cos! Permi! Fee Remarks -- LOCATION /"/i 16b' Stxeef, Road ot ofher Deccrip2ion of Localion I Lof I Slock I AtlGiiion os "1-raet <ej,Zz4a -w ?La d- ea dcQ '- 6 I` II I s E0-` l This permit does nof auihoxise the use of sizeeis, zoads, elleys os :idewalke nor does it give the owner or his agen! the zighlYo creale anp si2uafion whieh is a euisanea or which presenfs a hazard !o the healih, safety, convenience and genesal welfare !o anyone in the eommunify. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROG SS. This is to cerlifY. !hal--._-1!!? :'.?:,? • - -'.L?.'°"/? ?- - - . ...----hes permission !o ereet a._----??'=-. 1` _"!:? ....... ........_upon the above descrihed premise 114ec! to the provisions of the Building Ordinance fos Eaqan Townahip adopled April 11. 1955. ......... ___ 1?"-......... _""-_'-" .. ......................... Per .......... ?.E 1._.H:_...... ?/•'--. °- -° 8 •'------....°------°.... Chair n oiTnwn Board ? Buildin Ins ecior 4 . 03 /° Greg Hultman, I'egasus ELciN, IL FROM: Karin Stuber K-S Taor, MI DF,NVEA, CO UAt'E: January 16, 2006 COMM. NO: 042157 MINNESOTA OFFICE jOS ST. PETER Sl'0.EET ST. PAUL. MINNESOTA 55I02 651.227.7773 2 Fnx 651.223.5646 O mww.woI.Dne.com MALLOWOLOAE.COM SUE3)ECI': Independent School District #197 -City of Eagan Code Review December 1, 2005 Meeting Minutes Attendants: Craig Novaczyk, Semor Inspector Scott Peterson, Building Inspector Pamela Dudziak, Planner Mike Klass, Wold Architects and Engineers Jim Miller, Wold Architects and Engineers Karin Stuber, Wold Architects and Engineers A meeting was held to review code issues for Pilot Kno6 Elementary School in ? Independent Schoo/ District #197 Discussion Tonics: A. The first item of discussion was a review of project scope. 1. The project involves upgrading the current HVAC system, reconfiguring 2 classroom spaces and updating room finishes and restrooms. 2. Kindergarten reshooms and the nurse's office restroom will be upgraded to meet current accessibility requirements. 3. The casework in all classroom will be replaced and will include upgrading to an accessible sink and bubbler. 4. Building upgrades will also include removing three steps leading to the stage , and replacing them with an accessible ramp. The City said that due to the minimal height of the ramp the 4" pass through will not need to be met. 5. The city also norified Wold that they are only required to make accessible upgrades up to 20% of the project cost-per the building code. B. The next item of discussion was the addition of 4 mechanica] units to the roof of the school. 1. The CiTy asked if the units would include smoke duct detectors and if so would they be mounted in the drops. 2. The city would like remote duct detectors installed if mounted in the unit. The City said it is acceptable to have them mounted in the unit as long as they can be accessed. 3. The project scope also includes replacing the current roof ladder with a ships ladder that will provide greater ease m transitioning between the high roof • and low roof. WOL D ARC H ITEC'tS AN D EN G INEE RS ? ?A?: .5 ? ??? ?...,? ? ?_?? Si'. PnuL, MN EicIr+, IL Taox, MI DENVER. CO ? ?J I Independent School District 9197 -City of Eagan Code Rewew December l, 2005 Meeting Mmutes Page Tw6 4. Wold asked what requirements the City has for screening of the roof top lIIl1tS. a. Pamela clariFied that the City's requirements aze that mechanical units must be screened from views off the property at ground level and from the public right of way. b. Wold indicated to the City the extents of where the screening would be placed and the City found it to be acceptable. C. Jim Miller reviewed with the City the extents of the mechanical upgrades. 1. The classrooms currently have unit ventilators, they wil] be replaced with VAV's 2. All conlrols will be upgraded to DDC 3. There will be all new plumbing throughout the building, which includes the abatement of the current piping and the upgrading of galvanized pipe to copper. 4. There will be no new rain water leaders added to the building and all current leaders do not drain onto existing sidewalks. 5. The City notified Wold that it will be requved to upgrade existing penetrations through existing fire separatian walls to meet requirements for fire barriers. D. Wold then review with the City the need to upgrade the stairs and ramps located at the front entry. 1. The main entry at the school currently does not meet accessibility requirements for ramp slope or handrails. 2. The school uses a side door as their accessible entrance. The door is located neaz both pazking lots and is on gade and includes power actuator. 3. The City would like to have the front entrance upgraded to meet accessibility requirements. Under section 1341.05 under item H.1, the code states that %: of all entrances or the required number listed, which ever is greater is required to be accessible. The City feels that the main entry should be upgraded, E. The City's final ruling is that because the front entry is not being altered in any way Wold will not be required to upgrade it to meet accessibilirij requirements. F. Mike passed along a question from BKBM in regards to snow load reinforcing. Craig will look at it and follow up with BKBM. cc: Attendants Greg Hultman Carl Colmark, ISD #197 Scott McQueen, Wold Paul Aplikowski, Wold SM/1SD 197/042157/mm/12-i-05 W O L D A R C H I T E C T S A N D E N G I N E E R S 2004 COMMERCIAL PLUMBIlVG PERMIT APPLICATION CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-9675 Date Site Address Unit # Tenant Name Former Tenant Name 0 Property Owner Telephone # ( -? ConYrac[or Address ?' City State Zip ? Telephone # The Appiicant is _ Owner Contractor _ Other Work Type _ New Bldg _ Add-on _ Repair ?I RPZ PVB Irrigation system * * Jerry Wabschall to calculate fees Re uiYed eter siu is 2" turbo unl smsller size ermitted 6v Public Works LA J ? Deseription of Work To mqmre if Pres?ufe Reducing I ve is reqvired on new service, call 651- 5-5646 Meters - Call 651-675-5300 to verify that hydrostatic, conductiviry, and baciteria tests passed urior to oickine uo meter Irrigation Size & Type Avg GPM h Fire Size & Price 3/4" disolacement $755.00 ? DomesSc Size & Type Avg GPM I Includes high demand devices? _ Yes _ No Flushometers _ Yes _ No PRV Requir ?ed _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) 'I Contract Val¢e $ x 1% _ $ Base Fee i $ Meter(s) Required on all new buildings & boulevazd irrian tion systems Radio Meter Read If base fee is $1,000 or less, surcharge is $.50 I?$ StatO SiIICtidig0 Ifbase fee is over $1,000, surcharge is $30 per $1,000 of the Hase Fee I Following fees apply only when installing new irrigation system $ Waker Pemut Contact Jerty Wobschall at 651-675-5024 for required fce amounts ?I ?$ Treahnent Plant Water Supply & Srorage I I ? i $ State Surcharge ? i: '_"_"'"""___"'""""'_____""" _""""'"""""" ""-- '____"" """"'"' " ___________"""" "" Total Fee I hereby apply for a Commercia] Plumbmg Permit and acknowledge that the informahon is complete and ? conformance with the ordinances and codes of the City of Eagan and wrth the Plumbing Codes; that understai applica[ion for a permi[, and work is no[ to star[ without a permit; that the 'work will em accord a with the which requires a re?view and approval of plans. the ,VOrk will be in a pertnit, 'but only; ui n i? the case of work : o ApplicanPs PiHCed Nazne 'i 6/15 fea Wamre CITY USE ONLY REQtiIRED INSPECTIONS _ U.G. _ Air Test _ Gas Test _ Rough In _ Final PLANS SUBMITTED APPROVED BY: -.5 T 3-?"3 -0 Lt-' , BUILDING INSPECTOR General InFormation • Radio Meter Read (requued on all new buildings & boulevazd'urigafion 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 hom/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" irrigation syst $ 788.00 d.eelsce=.^.en: smccnui:e:ci::i [urbiue"r IpuStCeC¢1VC masimum approval cantinuous 10 from Public Works 2-30 3/4" lawn irrigation $155.00 4-160 2" tiubine Ig irrigation syst $ 942.00 maximum displacement residential & continuous sm commercial production lines 15 11 3-50 I" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,880.00 bldg to 24 units 65 units maximum sm commercial & continuous & lg comm bldgs 25 im a[ion s texns 5-100 1-1/2" bldgs 25-64 units $488.00 maximum displacement & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRTCF: GPM MF.TF.RS USF. PRICE 5-350 3° turbine very lg irrigation $1,338.00 6-500 4" compound +300 unit bldgs & $3,749.00 syst & production very Ig comm bldgs lines 1/2-320 3" compound +200 unit bldgs $2,407.00 ] 0-1000 6" compound +400 unit bldgs $6,124.00 very Ig camm bldgs very lg comm hldgs I5-1000 4" turbine verylgirrigation $2,384.00 syst & production lines t,otmnents • To schedule inspection of the inside water line and backflow preventer, ca11 65 1-675-5 675. • TO arrange fOr water turn-on, ca11651-675-5300. cc: Mafntenance Division Clerical Technician Updated 8/03 MECHPSiICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 (.oC) Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multo-family buildmgs when separate permits are not required for each dwelling unit nate 8 / 6 / 03 Site Address / y?(; G one n4t I- Unit # Tenant Name (if applicable) Previous Tenant Name PropertyOwner t,t/, 57 ? uL Sc/i o o? c Telepnoae#(6,S/ 258A Contractor ^P7-?.,'eere Tion StreetAddress RS/2? S`ia?ow C ? /'GLt ?rive- City /y,QPLE ?ruue. State Zip 5-53// Telephone# (7(;3 ) y 75/- 931?1 l? The Applicaut is _ Owner ? Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove X_ Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: /PpvL ce- Wer AJCIn l-r?v er fre?tr l4aX ?i '?i ?pa rTo z Permit Fee $5050 Minimum Fee (includes State Surcharge) Conuact Value $/8 p0 c") x 1% _$ 0 D Permit Fee • If permit fee is $1,000 or less, add $.50 (? (? ? State Surchazge If pemvt fee is over 51,000, add $.50 per D ?5 ?7 1 $t,000 Permit Fee 0113? AU6 0 6 ? Total Fee I hereby apply for a Commercial Mechanical Pemvt an ] ffi?rmation is complete and accurnte; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicauon for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work wMch requires a review and approval of plans n LA,, vFi?.l/EY ,?? ?e_ D&41f,l Applicant's Printed Name Applicant's Si a Q ??? Approved By: A a , Inspector Date: D1 Se? ? 8" _? . ol0- ?;}r Form No. 41oA-LAND G7,ASSIFICATION.- '? e?nr k pe?c..c.? Non-ConaerraHon ?-- CERTIFICATE OF COUNTY BOARD OF CLASSIFICATION OF FORFEITED LANDS A.''s ` PROVIDED BY CHAPTER 386, LAR'S 1935 AS AMENDED. ? p:ti,lf l. t Tawn To the XPMF?? Iioard of the.... Township o f Eagan . ... .. . . .. .. .. . . . .. .. . .. ... . ...... .. . . .. . . . ? Ife, the neembers of the Counhj Board of the Coecntg of. .._........Dakota ?Minne.sota, do hereby eertrfrl thal /he pccreels of dand Jaereinafter listed are all of the lands which hccve been elasaii'ced by ua a4?9n...conserr,•ateon, lands, frorn the Zist of 7ands forfeited to the State of Minnesotd for non-pmymsnt of tu.res for the ye¢r or yeara.......... 194k-?5 ¢s prouided by Minnesota StatuEes 1945, Section 28$.01, as amended. SUBDIVISION Sec. or I Lot Twp. or Block Range Appraised Value oF Land Appraised Value of Tim6er 3079 Nz of NZ of NEw of NE.1 less N270ft of 4d270ft 8.34A. 8 27 23 Pdon- ? Form No. 440C-LAND CLASSIFICATION.-Conservarion e?nnK SUBDIVISION I Sec. or I Lot Twp. or i Block I Range I Appraised Value of Land Appraised Value of Timber In u•itness rchereof we have hereunto subscribed our names tkia .. ..... .. ._lgth............. JulY.... ..... ....... ..... ........................... 19.,..5: day of CDt¢irman ......... ....... _..... ... .... ....._.._ JI ttest: ................... /?... ............... ... . ..................................." VW=n Cnuntj .9uditor,... , ...ozanty, dlinnesota. Tlee oregoing cl nd sale is kereby approced. DaEed...?? .........................u?.?..??_.................., 19.??.?. Tou•n By Ehe RHtrse Baccrd of the .?V??!?....... .. of ........................ ........... ....... _....... e'Cr ' X_ ........... .,.... .L?'C<... .. .. .. d.....F..r... - .. .....................?.??/1.......................... ............................ ._....... Approval of Timber Appraisa] by Commissioner of Conservation 6tate ot Anne!60ta, County of ?-f} ............... Certificate of County $oard of Classi- fication of ForfeitecD Lands as provided by Minnesota Statutea 1945, Section 282.01, as amended. Alt7 /b' - ConservaYion Fided this . _.. .. . __ . . ....... . ..... dwy of , 19 ........ Cau7aty Auditor I3y . ..... . . .... .......... .. ... .. . . . P..„,...o`R e ?+r.K DePuty "-?- I 8l oc)l- I c) v?. ? COMMERCIAL BUILDING Permit Application ? City Of Eagan -?? 3830 Pilot Knob Road, Eagan Mn 55122 • ? Telephone # 651-675-5675 FAX # 651-675-5694 c? alki-L Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Amhitecturel Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • CertiFlcateofSurvey (1) . CivilPlans (2) • PrqectSpecs (t) • Code Analysis (1) " . Landsraping Pians (2) • Key Plan (1) • ProjectSpecs (7) . CodeAnalysis .' (7) " • Master Exit Plan (t) • Spec. Insp. & Testing Schedule . Certificate of Survey (t) • Energy Calculations (1) not always`" . Sods Report (?) . Spec. Insp. & 7esting Schedule (1) " • Elec. Power & Lighfing Fortn (1) not always" • Meter size must be established . Meter size must be esiaplished • Meter size must be established-if applicable b . PrqectSpecs , • (1) " 1 . Energy Calculations . (1) b . Electric Power & Lighting Form (1) L . Master Exit Plan (1) . L 1 • Emergency Response Site Plan (1) "• , 1 L • Soils Report (1) 1 • SAC determinaGon - pll 651-602-1 000 . SAC determina5on - caA 651-602-1 000 SAC determina6on - pll 651-602-1000 Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections for sample and if required when it states "not always". Pernut for new 6uilding ar addkiou will not be processed without Emergency Response Site Plan. Date 63 Construction Cost ? ? 00( SiteAddress / 36 UniUSte # /' Tenant Name Cs?„L>,f.s3 `' ??.,.,*Ia- Former Tenant Name ' Description of Work ?? ? -S• ??(ill? / - !/?2 Property Owner !i t/ Telephoue # ( ) Contractor Address o?s C/' U Liia? ?? • -? City State zip Telephone # (4?Sl 70 -a 66 Z Arch/Engr Registration # Address _414 ' City State Zi' 1 i .- .2;- Telephone # ( 76_i ., ,Vb - 3 `f31r1 Licensed plumber installing new sewerlwater service: Phone #: I hereby apply for a Commereial Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernrit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approvallaf7?lans. Af: Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 1- 01 Foundation C 14 Aparhnents ? 15 Lodging ? 25 Miscellaneous ? 26 Public Facility ,'( 27 Commercial/Industrial C 28 Greenhouse E 29 Antennae C 30 Accessory Bldg C 32 Ext Alt - Apts. C 34 Ext Alt - Comm. ? 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (81dg)` X 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entira Bldg onfy) -Give PCA handout to applicant Valuation D00 till' Occupancy V. MC/ES System Census Code 41107 Zoning Cily Water SAC Units m. Stories Booster Pump Nbr. of Units 0 Sq. Ft. PRV Nbr. of Bldgs ( Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundarion ? HVAC - Drain Tile ???? Offier Roof Ice & Water -,,,e Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Frazning _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved ByOX44(.-- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Copies Other Total r3 .l5 ? QI . 6,s-a- ?, s FIRE SUPPRESSION SYSTEMS Perroit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 i= C? 1? s-I -?? Telephone # 651-675-5675 FAX # 651-675-5674 'J Requirements: 2 complete sets of drawings and specifications cut sheets on materials and components to be used ? ?O? Sr3? ? '? (? . S ? • Date (e l-j-l D 3 Site Address: Tenant / Building Name: The Applicant is: _ Owner ? Contractor _ Other PROPERTY OWNER Address: City: State: Zip: CONTRACTOR MN License No. Address: ?Z/ ?? ? ?- ? P• City: State: ? JN Zip: Phone #: lo/Z 33/ 3/YI ESTIMATED COMPLETION DATE: ? l /? l Zoo 3 .` ?. a FIRE PERMIT TYPE: ? Sprinkler System (# of heads Fire P,, p _ Standpipe Other: _. , ? WORK TYPE: _ New _ Addition Alter io??_ ?Remodel Other: ?_..? DESCRIPTION OF WORK: _ Commercial _ Residential ? Educational Other: PLEASE COMPLETE REVERSE SIDE PERMIT FEE: Contract Value $ x .Ol % _ $ / 0. 02) Permit Fee • If Permit Fee is $1,000 or less, add $.50 => $ • S-n State Surchazge If Permit Fee is over $1,000, add $30 per 1 000 Permit Fee 3/4" Displacement Fire Meter - $156.00 $ TOTAL FEE: $SOSO Minimum Fee (includes State Surcharge) $ ?• ? I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. :!?)dSAn! T. 5 po?tC ? ??__ - Applicant's Printed Name Applicant's Sagnature Date DO NOT WRITE BELOW THIS LINE REQUIRED INSPECTIONS _ Hydrostatic _ Flow Alazm _ Drain Test S h _ Trip _ Pump Test Central Starion ? Final Conditions of Issuance: Permit Approved by: Date: / / CITY USE ONLY j L? BL / RECEIPT #: SUBD. i1bvjl"?? DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buiidings. ? multi-family buildings when separate permits are IIQt required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION X IN'TERIOR IMPROVEMENT ? DESCRIPTION OF WORK: Vn b?? . FEES: ?$25.00 minimum fee or 1% of contract pnce, w1chever is greater. • Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pginj1 fee due on all permks. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL ? ls O? ??- JI I C H?JURCJJ. -Ir?ZZ7! `? ""? ?a ? N C? ?- OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) I ? rP INSTALLER: ADDRESS: CITY: f d,h STATE: /VkJ ZIP:S 5 3 PHONE #: /7?'?` 7d /d SIGNATURE: SI4AF PER E WL CITY INSPECTOR -?(CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1436 LONE OAK RD LOT: 1 BLOCK: 1 SEC7ION 9 (PIIOT eailding`,Permit Type Buildirtg Wo`r-k_ Type l_ i KNOB ELEM) PUBLIC FACILITY AITERATION , u,40300 BUILDIN6 025404 05/08/95 'C .. REMARKS: A SEPARA7E PERMIT IS REQUIRED FOR ANY PLUMBING UR ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge Total Fee $2,081.50 $1,352.98 $257.00 $3,691.48 $514,000 CONTRACTOR: - Applicant - OWNER: P C L COHST 23321481 IND SCNOOL DISTRICT 197 81 S 9TH ST 1697 DELEWARE MINNEAPOLIS MN 55402 W ST PAUL MN 55118 (612) 332-1481 (612)681-9102 I heY'eby acknowledge that I have read this applioation anr3 state that the " informatzon is correct and agree to oomply with all applicable State of Mn. Statutg.s and City Af Eagan Ordinances. ? L ? ? p?... '?'v1.?..? I16t 14 ? I m APPLICANT/PERMITEESIGNATURE -r IS'ED V SI CITY OF U1GAN is4W 1995 BUILDING PERMIT APPLICATION (COMMERCIAL) ?J? 1 4 681-4675 / The following are required with appropriate ceAfication for all Il4ny construc[ion: . 2 each: architectural plans; mech. 8 elec. plans; fire aprinkbr pWns; strucWrel plans; sRe plans; landsceping plans; gredingldrainege/erosiom mntrol plan; utility plan . t each: set of speclflcations; set of enargy celculetions; eledricaf power & lighting fonn; Special Inspeetions & Testing Schedule . Letter from MCIWS (phone #222-8423) indipting SAC detertnination . Code anatysis indipting: Codes used; occupancy classifications; setbadcs; maxvnum allowable area as per Building and Cily Codes along with sq. ft. par floor, type of consWCtion (synopsis of eonsWCtion components) & eny axupancy or aree separetion walls; occupanq bads; exR synopsis with a diagrem indicatlng exiting loads from each room or area, travel paths & all reted corridors; plum6ing fixtures; and paAcing. CL DATE: 3""?-3-95 WORKTYPE: NEw X REMODEL pi 4sr&P,,. DESCRIPTION OF WORK: CONSTRUCTION COST:?S? TENANT NAME: SITE ADDRESS: ' 3 b /.oh,- i ^^m / V LOT ? BLOCK ?_ SUB0. ?.'1V.4 P.I.D. # m . PROPERTY Name:?SZ7?"Tt /27 Phone #: OWNER `"" Street Address* (c c..sa rR.- City: 6'?e51- st PRtif State: ? ' Zip: CONTRACTOR Company: PC J- Phone #: 3 32-1 q S-/ 3cFT I-li1?rr£N Street Address• SD °?' 1`' S f' ?p?c ciry:.:?4&15 , ?(!? zip: ss-y pz, ARCHITECTI Company: < 1. JE? /411cL Phone ENGINEER Name: KK? /4-'"'c?1 Registration #Street Address• /Y Ciry: state: Zip: ?5-Sq6l Sewer & water licensed plumber. ViAR 2 3 ti995 that I have read this application and state that the information is correct and agree to comply with all inesota Statutes and City of Eagan Ordinances. A ? Signature of Applicant: s jb`?" f OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New 0 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility cri-33 Alterations ? 34 Repair Basement sq. ft. First Floor sq . ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering kl t ??i ?? ?._, ..e,.. ..a ... . ._ .. , 6-?R< 21 Miscellaneous 0 35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance y? ?/3 7 / O Permit Fee Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit SM/ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Water Qual. Other Copies Total: °k SAC SAC Units Meter Size Valuation: g S/yoad ? ? '. / k I (3l ou CONTRACTOR'S MATERIAL & TES7 CEIiTIFICATE FOR .BOVEQROUND PIPINO j ' . . . ._ ? ?Z•1 . t rROCeouae ` Upon cwnPluuon ol work, Inspoc[ion und taccs sholl ba mndv by the convxtoPs roprvsentetiva and witnesred by an owner't reproientatlvr. All - " " ' - •, :( tlefec[t tholl bo corracmd and syotom laft in wrvico batoro oontnotor's penonnel flnally IeBVe ths j06, ,,:1; A corUltcutu sholl Uu lillud out ond iiUnod 6y 6otli ruprosonlotivos. Caplat tholl ba proparsd (ot spprovlll0 outhofitlel, ownao elW a00tnatof. reludkat anV clelm agaimt eontraator tor faulty mstallel, poor wolkmemAlp, o wa I ' f i ' y p gnawro n n vo s a s rupmmncat It la undanrood thu ownar or fallura to comply wllh opprovinp authorl[y7 raqulramona or loael ordinanoor. PROPERT NAME . " ?? 11 ' AUG?;?IfQ` tq95 t,EMLNTA2y SCti00l.. PI tAT KNOI3 . PROPGftTYADORE55 ' 14a6 IANE OAK R.oaD e.aanN, nnt.:O. ACCCVTGD OV APPROVINa AVTHORITY('S) NAMES .. c%rt oF eAGa?a ' nuuiaEss " ( • 3630 PI LUT KNOCi R-0RD rLnNs INSTALL/1TION CONFOfiMS TO ACCL'DTCD VlAN9 @qVIPMGN7V5EDI5APPROVGD ?YES ,r ?? ' IF NU,EXVLAIN OLVIATIONS s .„ , •? ,':V II/15 PIi1150N IN CIiA1tCE OF I'IfIE EQVIPMENT OEEN INSTIIUCTED AS TO LOCATION yEg CJr OP CONTnOL VnLVG5 ANO CARI' AND MAINTENANCE OF THIS NEW EOUJVMENT IP NO, EXPLAIN . ? a INSTRUCTIONS nAW L' GPf+165 OP APPHOPfIIM'li INSTi1VCTIONS ANO CAR6 AND MAINTENAIVCE CHARTS . ,, ,.•; pYe$ LJ I nNU NI'i'A 171\ UL'L'N L.LPT UI`1 VfIHMISLS IFIVO,E%VLAIN LOCATIUN t 5uP11LIL'5 uWOS. . . . . , . ?, r? j oFSYSTEM ILw\Tn(_ Ljllllflm.l/ •r? YEAR OF ORIFICH , pUANTITY,';;. ''TEMPERATUi 1 MAK[ MODEL M(WUFACTUR@ 3120 RATINO _ ceMnAl. Ew - lb ?9as • 6a •..?. 13? ,; ; s t 160° SPRINKLERS izeLIA6l.C- SEw1l • - PSND UP2T Q II2? ?.?? ,r aFl Ottti 5\V 5\V. Q (?e..m u C'i 52 PIPE CONFORMS TO U1. 1 NF srnrvonao (RYES QI PIPEAND FITTINGSCONFOilMTO UL?N?? 57nnonao 01 FITTINGS IFNOrEXPLMN { ALARM DEVICE MAXIMUMTME'fOOPERATETHROlX3F1•TESTPIPi ALARM VE TYPE MAKE MOD[L MIN. i SEC. VAL OR FLOW VANE NOTIFI' INDICATOR ' s R VALVL O MAKE MODEL SERIAL NO. MAKE MODEL SE AL N .. TIME WATER A AflM TIME TO TRIP WATER AIR TRUP P?INT REACHED OPEqATED THRU TEST PIPE PRESSURE PflESSURE AIR PRESSURE 7ESTpUTLET I PROPEflLY DRY YIPE MIN,. SEC. P51 P51 P51 MIN. SEC. YES n, OPERA7INQ TE57 h,nhout O.O.D. Wltn O.O.D. IP NO, HXPLAIN I - . . -.._ . ebA 4080) PflINTEO IN THE V.8.A FOR NATIONAI FIRB BPRINKLER A880CIATION, WC.. P.O. 80X 1G00, PATTER80N, N.Y. ts:ai IOVEr . _•••^-c:.:naucart?sz+:2: s.::.«?". ?.a••• ?afN.:`.;: ?PNdt?:I?Y10 ??CL6CT:lIC NA LIC DELUOE & I5 THERE AN ACCESSIOLE FACILITY IN EACH CIRCUIT POR T STI G IF NO, XPLAIN Pp8ACT10N ?YES OND VALVES ppFS Npq?t7 ??.8 ? ?? M'Tp ? M/11CE MOOEL 6Vf+Gf NISIONI.OSSALANM RA L8A41i R Y68 NO V6 NO HXURO §ATIC: FWdrasiutic wsti cbnlt bu motlo ot oot lou tlwn YOOptl (17.96an) lor two houn or 00 pSl (yA bonl Wow swUa pmswru m uxcoss o( 160 nd 110.2 bard Jor twa boun. Olllaroodol dry-pipa volw clappsn Shsll be lalt opsn durln0 1001 lo pnwnl donwl All n6ovapround PiPing loakafla cball ba stopPOd. . ' , , ... ' . °: '.1. TEST F_ LUgNING: Flow tho ronuiroJ rato until wa[ar Is cloar ot Indicated by no collxtion of (oralgn maloAal tn burlop 6ops ul outlotf woh nr 800 GPbI (7171 L/minl lof B?InOh pl e h i h ? n f f I l 4 GP i ) l 4 I n 4 U DESCRIPTION pa p ? na p y ra nd 61ow-0 ass thon m n or • ti e. Flush at lorw not 00 M 1161 6878 Umin) for 104neh plpl Wld 4UOb 16D0 GPIr? 750 GPM (2839 L/mtn) for 6•Inch plpo 1000 GPM 13786 L/min) Ia Banch PIpa , , GPM (7870 L/min) for 12•(nch Ipo, VVhen supply cannot ptaduco ttlpuletod Ilow ratss, obla n maximum wdlebla, 1 ban! In 74 hWn 7aft ll d 1•S{ Y (0 h l h P not sowea p . , a 2.7 bars) alr prouura end meaure drop wh a r Establlsh 40 psl d td 1 b M1MI l 10 l I 44 h { ps not axoea ul outs, . n prassuru tan s at normal watar lovol ond oir pressuro and meawra air pmuuro drop whieA s ALL PIPING HVDROSTATICALL.V TCSTEO AT U* PSI FOfl Z HRS. IP NO? STATB REASON D{SY PIPING PNEUMATICALL.Y TESTEO MYEB QNO ,- .• CQVIPMENTOPEqATESPROP6RLY OYES QNO ? DRAIN READINO oF OAOC• LOCATEO EAR WATER 5tA4t.Y TQST PIPEt HPSIOUAL PRES9U WITM VALV IN OABN W IOI. ? TESTS TEST PSI STATICPRESSUflE; a PSI ? UndorUruund muin: nud Iood In cannoctions to 3ystom riann iluehed bofora connactfon medo to tprinklar, pipinp. V BNIFII'D pY COPV OF THE U FORM NO.O'JO Q YES ?NO OTHCR 6XPLAIN •! FLUSHED OY INSTALI.ER OF UNpER• I CROUNpSPqINI<lCfIPII+I" QYES ?NO ? ANKTESTING OL NVMDEHUSEU LOCATIOHS ; NUMBERRHMOV GASKETS NOn1E - , ' WFLOEDPIPINO EN YCS ONO IF YES... UU YOU CWt7U'Y ni TI IG SDIIINKLEII CONTIIACTOR THAT W41.OIN0 PROCGDUM1BS COMPLY ' wIl'1i TPIC HCqu111EMENTS ON AT Lf [?a Y8b G NO ASY AWS 010 0 4aV81 ANd c . , . ; ? WHLOINO UO vOU CLiiTIPY TI1A7' l'1-18 WELDIfYf: WAS PERFORMBD BY WEI.OERS GUALIPIEO IN 1 ???AAA YE8 E:j NU ' COMNl.1ANCE W1711 7HB IlCaVIHI MCNTS OM AT LBABT AWS 030.9. LCVBL ARd / 00 VOU CLnTII'Y TI IAT W@LDINC Wn5 CARRICD OUT IN COMPLIANCE WITH A OOCUML•'NTCO DUALITY CONTItOL PIiOCL•OURL" TO INSUItE THA7 ALL DlSCS ARC RETf31EVED, THAT OPENIN65 IN PIPING ARE 6MOOTM, TNAT SlAO AND OTMHR I WELOINORESIDVCAREqfiMOVEO,IINOTh1ATTW6INTERNALDIAMETEHSOP ; r-21yES ONp PIPING ARH NOT FENCTIIATED HYDRAULIC NAMBPLAT6PROVIOEO IFNO.EXPWIN ?I DATA NAMEP ATE YES ? NO '`{" OATE LEFT IN SEqVICH WITH ALL CONTROL VALVES OPBNt . , REMARKS ? NAME OF SPRINKLER CONTRACTON ' SHIC-1o F12E PRATECTO'N . Ir?G, ,'19A`i'fl; TESTS WITNESSED BY SIGNATUf1ES PROP@ TY WNER " EO) TIT Onl'6 111 LG Porrz*na-4 ? i, ? ..:.? ? i 1. ;r•i: r. I OSq BAC7t ? ?l ? ?••?.RYIN411,:^•••?••I-I ???,?? ,-u??. ?G?.....I?I.11!1 /L/) - 00900 - o/O-o / 7z-2a \.\I IU.\.\L FIRE.\I.\N\I fllUk: Cenificate nf Completion Xame of Prnccued Pro}>crn: _ YIL.D'r i\NOp, GMp,/7A{Zy A(b Address: H(o LON ['714K RofJt7 EAGAN1i MN SS)oll Rcp. ul Nrntrited Prop. Inamephunec Auihunn Ila%ing'furitidirtion: T IIRIX- WCLLElTNEA Addre<s f'hnnc• \ambcr: ?08l` il770 I. ?Ivpri.l nf \vstcm 4ir tirn iri•: X \}P.1 72, Chapter :4 - Lox.d If alarnt is tranmiitted iu loiaiinnhl nll' prenuse. li?i %here receiced: _ \FP.a 72. (:haptcr :1 - Eme•rge•n<\ \?nuc.\I.vm Se•rciie `uanun .,I ?oire..iLum rh.umi•1.: tiiny;le: >fultiple: Luanm d.pe.ikcr% inst:dlyd: Quauein nf }prakrr rnne.: Quana1% trlcphonrs ur Ielcplumr 1ack. miluJrd in.\.Irm: _ \pf'A i^_. ('.L:qaer d - Auciliare Indiratr icpc nl'cnnniY?ion: Lo??al i?ncry;?. tilinm. i'.n?dlrl irlrphunr L?n.mnn .wd ivIcphour nwnbt-r lor nreipf of.ignal.: ? \FF'.1 72. Chapu•r 4 - Rcmuic titaiiun .alarm: tiuprrci.inn: _ XFP:1 i`?. Chapicr 4 - I'rnprirtarr 11 •darm+ •u'e rrtr:m.mMed ln public lire sercice communications cencer or others, indicate location and tdephone numhcr of thc or? ?mnitatinn rccriemti ?ilartn: In?dicatc how alarm u rrnan.miucd: I\ PV b n S t a(r o --I _ XFPA i'!. Chapicr 4 - Ci•ntral titation Thr Prttnc (:untraclor: Crntral Statiun LoK;uiun: \Irans ol'tran.mis.inn nf.ignals from ihe protecicd premisr to ihr renrral station: 11c(:idlnh \lultiplex One-Wav RaJiu Digital .Uarm Cummmnicator "Ce•o-«'ay Radio Others \Ieans of reansmission of adarms In [hr publi< fire sen•ice cnmmunications center: .> Svuem Loxatinn: - Inuallcr tiupplicr Scn•icc (hganii:nion Representaiire NamdPhnne Nu k/EsrsER* sai-a05-1 Fi6un 1.7.2.1 CeniBarc of Completion. [Frnm NFPA '.: •!!qtl.: :.Y rmdifieA. and \FI'.\ 71. 1. 13 mmldmd) UrGaniiation Vame;l'hune LOW V01-7444 cpu7W9L7, Rc Saf-aOSI A If v k 1993 Edilion FC\I7ANF.NTAIS OF FIRF. ALAMN t}•STF.>IS 2. Certification ol'S?strm Instaltation ?Fitl out rf'ter insiallaeinn is eompiete and x•iring checked for oprns, shorts, ground faults, and improper branehing. but prior to cunducting operatiun:d acceptancr tests.l This svstem has been installyd in ucordance with ehe NFPA standards as listed below, was inspected bc on . indudes thr decices listed 6elow and has been in un•ice since NFPA 772, t:hapters Q? ?0? (circle all that applv) ? NFPA 70. ,Vrrhnnal F.lvrlnrnl r, .?lrtide 760 ManuFacturer's Instructions _ O. Signed: Organiza 9. Loxation of Record (As-Builtl D awings: ?1roo ? S> is?-r.c ? ? lrV C Gxation of Owners llanuals: S a-?-t Lucatiun ol'Test Rcports: SRm R .\ contract. datrd . fir test and inspection in attordrnce wi[h NFPA standardl+l \u.(,1 . d•atrd , is in et}ect. Certification of Svstem Operation :Vl operacional features and functions of this s•stem wcre tested by _ found to be operating properly in accordanceaith the requirements of: VFP.4 72, Chapters ?I} 'O3 QQ(? (circle all that apply) ? VFP:1 70, Natiana! EI'ectrica! Z'K? Arpc e 760 Manufacturer's [nstructions _ Other (speciFy): Signed: Date: Organizacion: LOc/ YOLTA? E ?7?pLTO?S 4. 4darm Initiating Devices and Circuiu (L'se blanks to indicate quantity of devices.) MA\t;AL a) ? Manual Stations Noncoded. Activating Transmitters b) Combination Manual Fire Alarm and Guard's Tour Coded Stations ACTOMATIC Gov"age: Complete: _ a) ?A Smoke Detectors b) Duct Detectors c) Heat Detecrors d) Sprinkler Water Flow Swiccha: e) _ Other (list): Partial: _ 2 lon ? [on Fi' _ Noncoded.auivadng Coded 7Y-?i and _ Photo _ Photo _ RR _ fT/RR _ RC _ Tcansminers _ Goded 3. Supervisory Signal lnitiating Devices and Gircuits (Use blanks to indicate quantity of devices.) GL'ARD'S Z'OL'R a) _ Coded Staaans b) _ Noncoded Stations .4ctivating Transmitters c) _ Compulsory Guard Tour System Comprised of Transmiuer Stadons and Note: Combinazian devices recorded under 4(6) and 5(a). SPRlNKLER SYSTE;bf a) _ Coded Valve Supenisorv Signaling Atrachments Valve Supervisory Switches rlctivating _ Transmitters b) _ Building Temperature Points c) _ Sice Water Temperatun Points d) _ Site Water Supply Cevd Poinrs Intrnnediate Stadons rgum t.ra.t c?dsnte otcompledbn. (cooa) (From NFPA 72 • 1990. 2-4.2 modified. and NFP:\ 71. 1•4 3 modifiedi on 1993 EdlHOn 72-28 Eleccric Fire Pump: e) _ Fire Pump Power fl _ Fire Pump Running gl _ Phase Recersal Engine-Driven Fire Pump: hl _ Sekctor in Auto Position i1 _ Engine or (:ontrol Panel Trouble j) _ fire Pump Running Engine-Driven Generator: \ATIOAAf, FIRF.AIAR?f CODE k) _ Selettor in Auto Position h _ Concrol Panel Trou6le m) _ Transfer Switches nl _ Enginc Running \ Other Supercisorv Function(s) (specify): TAr,g-v?- s,.,.AOaes y l 6. Alarm Yoti6cacion Appliances and Circuics n Quantitp of indicating applianm circuics connected to the s}stem: oc T}pes and quantities of alarm indicating appliances installed: al _ Bells _ Inch b) _ c) _ d) el ? Speakers Horns Chimes Other: Visual Signals t) 1 Local Annunciator Tvpe: . - a'l_ with audible _L N!o audible 7. Signaling Line Circuits: Quantity and Style (See NPPA 72, Tab 9-6.1) of signaling line circuia connected to system: Quantitp: St le: 8. System Poa•er Supplies a) Primary (btain): Nominal Voltage: 120 Current Rating: 3a.--P Ocercurrent Protection: Tppa C r t, 6tpqh.n Gurrent Rating: f5A ^IF Location: b) Secondary (Standbq): _ Storage Batten•: ,1mp-Honr Rating ?".--.n 1., wn Calculated capacitp to drive system, in hours: 72-e- 24 _ 60 _ Engine-driven genentor dedicated to firc alarm system: Location of Fuel storaga ' c) Emergency or 5undby S?stem used as backup to Primarv Power Supph•, instead of using a Secondan• Power Supply: _ Emergency Sy?stem dexribed in NFPA 70, Mticle700 _ Legally Required Standby Sysrem described in NFP.4 70, Article 701 _ Optional Standby System descrilxd in NFPA 70, Article 702, which also meets the perFormance requirements ot' Article 700 ar 701 9. Svstem Software al Operating System Software Revision Levd(s): 9 -` b) Application Software Revision Level(s): c) Revision Completed by: (name) (firm) 10. Comments: (signed) for Cenval Scapon or Alarm Service Company (tide) (date) Pigarc 47.2.1 CeetlBou o! Campladon, (coat) [From \FPA 74 • 1990. 4•Y.4 modified. and NFP.\ 7I. I-i.9 mtdifiail 19ai Editlon HOUSEHOLD FIRE WARNMG EQUIM[NT 72_49 Frequency of routine tesu and inspections, if other ehan in accordance wich the rcFerrnced NFPA standards(s): System dcviation: from the reFrrenced NFPA standard(s) att: "•6••??l - --- uwuon vr evarm service Gompany (ude) (da[e) Upon completion of the syscem(s) satisfactoty ceat(s) witneued (if nquired by the su[hority having jurisdic[ion): ?- , I,z. /'11ar 5-kcc. 9.r ... CITY OF EAGAN SOBJECT: BPECIAL IISE PERMIT APPLICANT: INDBPENDENT SCHOOL DIBTRICT 197 Ld/, /3/ LOCATION: 1436 LONE OAR ROAD (NE SECTION 9) E%ISTING 20NZNG: PF (PIISLIC FACILITY)-sP- 13 -?--% DATE OF PIIBLIC HEARINGS SEPTBMHER 19? 1989 /???/ DATS OF REPORT: SEPTEMBER 11p 1989 COMPILED SYS DEVELOPMENT DSPARTMENT APPLICATION SIIM4ARY An application has been submitted requestinq a Special IIse Permit to allow for the construction of a 3,600-square-foot portable classroom structure at Pilot Knob Elementary School. COMMENTS The applicant is requesting this permit due to overcrowding at the school. The portable structure will contain two classrooms that will house up to fifty children. The classrooms are believed to be necessary for up to five years. The school district is looking into an expansion of the school provided financing can be secured. The proposed expansion is anticipated within five years. If granted, this permit will be subject to the following: 1. The portable classrooms shall be handicapped accessible, if necessary. 2. All City building permit requirements and building code standards shall be met. 3. The permit shall be valid through the 1993/1994 school year. Further use will require reapplication. ? dS ?TE - LpG??'IOI?I ? / t p ? •=[ NWNVI[W NIGHV/[W YARk S ? ? =.?1 COUA' p ' ? I MC I ' I i? SW rK GU %VE? NF NO E? m? .?i v 2 ? ?ia ai (yK ai `•14 J wEO d' ` Co P< /? \9 J 2Zoanlf ? ?..^ ? Y 7.1 a NW F'PH?M N (Ml NYIT? RG ?(9?.? NE ? 6n i4 ` e5 ND il E PMN ? ._..- .?? .• ?G I ^' os : •F?v?Hb?? -'?'T ??• ? '?' ????'? _ _? ' ????-i w?6q /i /i ..4.isHr-irD:_- 1 'enG P ? i? -_ ___•r- :'_- ?/ _. "'??' .? ?' ' -}? - / ? - >" : ?; : 'a - f'- ` ' ' '• ??rlall ?? I. • '2. i ??'? ?i,. ?° - - Jee , ? ? fdo a , r y • I , . i, ! .I? - ?_ -• .?1 +?' • "g'3?? '° ''?'° • 1 :,?4?, ., •,? ` ' t F1- . ? ru '}ay ?E? ea.; n.S( .? ! ?'C? I ,,rV?`y: • ,ft ?'S??1n ? ?,?1?,, ,t 7'r.?-,;?,'?,. `?i ? ?; ? ;L?:?'?y ?• ? ? }, ?.. ?.,?'?. ?:::, ?liP \°"? 1,.\ i 1 ? j„, ??. ?„?; ? ?. {??• ??1 ! \i ? '1 ?y' ,f • "? • _ •? ' jf? ? '? ? [i?_??n ,?`?; ? ?d'. w?.t sn?? ; _ : ? •d'? a ,,? ? . •? -?--?_- C?QssrbOhy'- ti,_.-. - - --? ? ---- ? , 1 - i' i ) i. , Wnir L. ? , ', ?'• .?-_ , c Fj't `,ts? ?,;d? ? ` \? •? .. !ra c'.f -4 ?? - aBD. ?• . I ? ' I ? .?. . ? i , r.?: - - - - -- l"`o",' ? ?? , ji . . . .. • -' - • . 4 2%8N SPRINKLERSYSTEMS • NFPASTANDyRO Peeais pdqdd ? ?C). , ? NT?C OR' ATERIAL & TEST CERTIFICATE FOR UNDERGROUNU PIPING "'- ? / AdEmm?alcopiasoltMsfarmu?awiNDl?onlV?oFactoryMutudlnwro0??rom:Orar Procesdnp5sction. TreinlnY puoura Gnpr. Fxiorv Mmual En?mennnB & A?Nrch 1161 Bas?onPro?idsnea Tumpike, P•O. BoK 688, Norwuad.Mum. OZ062 PHOCEDUHE emin0 W MawMY? rptiwntnl?+. All Upon ?hiI1 a M connWkina ry?iam I? in NMa 6?fon coni?chtor'? p??onnd NoiI1V liiw W the oh. O q qrtihata ahal 6a 611ed om and tipixd hy Golh roppMntotlwt. Copiu shdl be Pleperad 1or approNn? wthoridu, owron en0 contrxtor. It li undastootl tM ownar'I rapmsuntnfw't a{Pnatum m 00 vNY Pi?I?icn eny Clnm o nnu COnYKtof w LWty msutW. Ww wwwmaNlp, of Luure io comGly wrth aDOfovinp wlhcdH I rpulnmunL of loul adlnNwti PLANS ?YES ON? INSTALIATION LONFONMS TO ACCEPTED YLMIYS EqU1PMENTUSEOISAPPNOVEO ?YES ?NO y if nO, STATE DEVIATIOnS ? . ? OFCOfTHOLiVALVLSANDCAR6ANOMAINT6Nl1NCiOFTHISMEWSLOU1pA1Hry70N ?YEB ?NO . ? IF P/O, H%PLAIR ? ? INSTRIlCT1ONS rei ?EFT OM oREM SEtR1ATe ?NSTRUCTIOHS ANO CARE ANO MAIM7EHANCE C4ART6 YES ?NQ , IY NO, E%VLMIN • $UPPI.IES BLOGS. {.OCATION ; if i ?. . ? TYPE.IOINT ? ? VIPE TYPES Af10 CLA55 $ oNo .•IPE COHPONM81'G sTA~?RD ONO UNOER6ROtlNO F17TIN09 COMMGMM T0 ?,k• STANGNRO YIiES 1R NO. E%PLAIN ANO YES NO JOIN76 JOINTS NEEOINO FNCHONAG6 C?MOE $Tp OX IOCKEG IN AQGORONNCEWITM SiMNDARO IF NO. EXPlA1H ndicated ,on F LUani? ana blawpllsWihpit?llcj?notis??3i?an,100iGPM I16f0 Llminl «or ldnchp i?M 6Dmaj 0 GPM l92]t LRn4nl lor 6+non p p?. 0W GPM 17570 Llmin?l ta111+nch pio WM?uPP Y,unnot Drotlue,idPulaiW fl w? G obu6n ?x mum M?c1.4?.N d ?I? ??v+ s? 7YGo TEST HYDROSTAYIC. HVdmstatic Intt shdl Ee medg m1 nnt I?u Nan $00 Wi I13.8 ban) foI two houn a 60 PY 11.4 W60 Psi 110.3 bYdlor twn hwrf. h• flrtN m ?w kakp, at ?e loint?? OESCRIVTION Praswn in auess of 1 E Nsw piW laid with r?ar Gaik?ud lolnu ?hdl,ll Mo worknunthi ??'olou ir°wKtrvs o1 piW tlirnrur. Tha bak?p? e amount ot bak?put iba i omu . hall noNxmd 2 Ot6 Mr hr. I1.89 Unl Wr ftw euary rep?ain med? 7h? ?mjo?uM ol Idtlowabe 4'ike fV?K fie0 ,Guw nutYhbe in ?nusE OY 111 ai prw?idlv? di?mmr, wr h?ro. test secti 130 mllYS mmM br oach mnal u?d? pj? 6?0= af minu ? 1167 mLJminl I a1kp? It p?mulqd Iw ?iach ?hY6rint?" o?R• i0 Ihs IIYQINtt Y? Y?d?t pf?iW f?, STANONNO EY ?Na NEW UNOEF6ROUN0 i1P11VG R4USME0 ACCOR71N0 TD..? ' flV,(GOMPMNYl IF NO, EXP{AIN TVPE OPENINO? NROUr'•N W11AT pIPE HOW FLUSHIlVG FLOW WAS 06TMINEO ry ?n???WATER TANKORNESERVOIfl FIREPUMP NYDRANT6UTT. 'I ?Y??E N?` FW6NINa i ?1AMDApD TEiYY LEAD•INiP41JIiMfOAGCORDIN0T0 /? ? BY COMPFNV a!?? ,V. 1F ?O, E%PIAI? (?X?)? ?•?'•^.?- ex?? J THaOUOM wMAT TYPE OPEHInO HOW FLUSHINO FIOW QPEN PIPE WAS OBTAINED y CONN_TO FI.ANGE &SPIGOT ? f'-lPUBIICWATER OTANKOARESERVOIP ?FIREPUMP ? _ _ tOVENJ ST =41?LANATI014 OT" s?tiNa-p ILW ll?. :•C31V Pape 17 ML4 NEw uNOiN?NCYNO PIN0 MVONOiTATICKLY TLiTED AT Y1 MYONOSTATIC TEST r?_o51 FOR ?? hOUA$ TOTML NMOUNT OI' LF?f MEAS1JNiG 6A18. HWNi "AKAG6 TfY'( A1.40WNp4r LiAKAG{ uALr, NuUni lw ?_???N?????? ? Nyry?PlP/iTA4LLD TVYtAMOMAK? ?VEi HYGNANTi ?-Q N ? WATEN CONT ROL VALVEy L6fT WOGE OiCN IPNG.STATEREASGN NO v/L4ol,4 0.0 JNSA Dad Y? CONTROL VALYES MOSETnkEAOSOFFIwE0EPA0.TMENTCONNECTIONSANOMVOPAf17S INTLRCMANQiAYLR ?YE& ON A INO M AI,AR w1TN TAoSE OF F1Ni DEYARTMEtYT ANSWRR QATE LEPT IN 6ERY1Gi flEMANKY ( NAA'L Plni II1aCONTMAC 1E57S WITNESSED6Y i1GMATUNEY OR P vENI'r O (f10f/6D1 Y? G I, fi ?i ' Z G /p 1 TALUNO COP1T iOR (i1GNED) TItVf OATL -- e4. 10 : 10 Lot Blk Plat PID # 10-00900-010-01 Sewedwater permit # 25686 Date 05/24/95 Receipt# 42128 CITY OF EAGAN 1895 SEWER 8 WATER CONNECTION CHARGES EXISTING COMMERCIAL PROPERTY Sewer connection charges SAC ($9 Nnit, Date pReceipt # Sewer permit and Subtotal Tap Water connection charges Treatment plant ($372/SAC unit) Water permit & surcharge 50.50 Subtotal Tap ? Total g 50.50 (new service for fire sprinkler system) Sewer & water connection charges SAC ($950 ' Date previously 'd Receipt # Treatment plant ($372 C unit) Sewer & water permit and s ar 100.50 Subtotal Tap(s) The number of SAC units is detemtined by the Metropolitan Council Wastewater 5ervices. A plumbing permit is also required. It will be issued only to a plumber licensed with the City or to the building owner if he is actually doing the work. OFFICE USE ONLY Property owner PILOT KNOB ELEMENTARY SCHOOL PRV Address t436 LONE OAK RD No. of taps Phone no. Plumber NOVA-FROST INC (459-0112) L Assessments Waiver ?- 6814368 P.@ „ ? '? ??• I WIM??? N eAuT ??q Pi10 , . ?. . . ? ? . .:... . ? ',' M,-30-1995 07:55 FROM TE) Contract No: Project No: WDC1tVoF(zagc1n Submittal Dat e; CITY OF EAGAN SEWER & WATER PERMIT RELEASE FORM PROJECT DESCRIPTION: ? GUffTF? SEkVTCl? Fo,`r' SPl2SNkGE.PS C? ?2'LOT?NOB ???En/jf??P? 1 Substantial Completion water lo -7S - ?S Date of Occurrence STEP I• PERMISSION TO 1100K UP SANITARY SEWER _ Lines Lamped and Acceptable _ Deflection Mandrel Test Passed _ Manhole Structures Properly Constructed (cstg. 6 cover, rings, cone, 1 ft, sections, final rim setting, & build and invert) Infiltration Test SERVICES WATER MAIN ? Properly Chlorinated & Flushed Entire System Pressure Tested i/ Enttre Systero Conductivity Tested V" All Va1ve Boxes Accessible, straight & keyed ? All Valves Opened or Closed as Approp. WIA Sacteria test completed _ A7.1 Wye Locatiotu confirmed _ All Curb Aoxes Exposed, Set to Proper Grade & Marked w/Fence Post Required Service Risers Televised COiMfF,NTS: _iA7Art?:P /=o.e f/ac'e -64f' STEP II: FULL USE FERMIT (OCCUPANCY) STORM SEWER _ Lines Lamped & Acceptable _ CB Structures Properly Constructed (cstg & cover, rings, 1 ft. section, invert, f1na1 cstg. setting & build, DL-DR correctly set rings b cstg. set in full bed of mortar) _ Aprons, Dissipators 6 Rip Rap properly installed CUMPtENTS: RECOP1MENDATION: I herein verify that the tests and inspections indicated above have been successfully completed. Any deviations or exceptions are described in my comments. Witlt this considered I recommend tliat permission to hook up or permission for occupancy be granted as appropriate to the above indications. Signed ///.?///I/. ? Project Confirmed by: Publfc Works STREETS Material Tests Checked & Passed (Conc. compressive s[rength & Air Content, Bitum. Extact & gradation, gravel base gradation). _ Utility Structures & Lines Clear & Free of Debris & Gravel (Gate Valves keyed) WP5.1S&WPERM.FM /0 OD900 O/O D/ EAGFN TOWNSHIP 3795 Pilot Knob Roud St. Paul, Mianesota 55111 Telephone 454-5242 PERZIIT FOR WATER SER{1ICE CONNECTION Date: July 11, 1968 Billing Name: Dist. 197 Number: 102 SiCe Address: Pilot Knob & Co. Rd. 26 Owner: axel Newman Heating & Plbg. Plimmber: PPAQlPP Plhv_ Billing Address ion of Connection Meter Size Connection Chg. Meter No, IPermit Fee 7.50 Pd. 7/11/68 Meter Reading 'Meter Dep. Meter Sealed: Yes` lAdd'1 Chg. NO iTotal Chg. Inspected by Date Building is a: I Remarks: Residence Multiple Ao, Units Commercial Industrial Hy: Chief Inspector Othersnhnoi In consideratioa of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toomship, Dakota County, Minnesota. Sy: Axel Newman Htg. & Plba. Co. Please notify the above office when ready for inspection and connection. ZAe , `7 a/o - o / BlsGAN 1OWNSHIP 3795 Pilot Knob P.oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR Sts4IER SERVICE CONNECTION DATE• July 11, 1968 PtUMBgg 197 OWNEP.: District #197 Address Pilot Knob Rd. & Co. Rd. 26 By: Axel Newman Htg & Plbg. for pLUMBEg Peaslee Plbg. & Htg. TypE OF PIPE Extra Aeavy Cast iron DESCRIPTION OF BUILDIA7G For: Sehool Industrial, Commerciall Residential i Multiple Dwelling f No, of units Location of Connections: Permit Fee 7•50 Pd. 7/11/68 Street Repairs ToYal Inspected by: DaYe Remarks• Connection Charge BY Chief Inspector In consideration of the issue and delivexy to me o€ the above permit, I hereby agree to do the proposed work in accordance wieh the rules and regulations of 8agan Township, Dakota County, Pti.nneaota By e-,ei nre._ „ u±g s plhg_ Please notify when ready for inspection and connection and befoxe any portion of the work ie covered. STAI E OF MINNES(7I'A Department of Administration PLAN REVIEW / BUILDING INSPECTION AGREEMENT COPY TO BUILDING OFFICIAL: Reid, Douglas Michael oate: 1/26/95 o°` ""ss'°" City of Eagan To improve the guatity andproductivjry 3QJ0 PllOt KTlOb RO&Cj ofMiunesota so?ernment Eagan MN 55122 Z k'? 6?.c- dr, k Project Title: Pilot Knob Elem. Remodeling/ADA Location: City of Eagan Description: Remodel interior spaces/sprinkler/ADA Date Received: 1/5/95 ? Assigned Project Number: 950004 Dear Building Official: Attached is a copy of the notice to the Architect / Designer of the project described above as to the agreement reached between the Minnesata Building Codes and Standards Division and City of Eagan delegating building cade administration to your office as per our agreement on this project. Yours truly, BUII.DING CODES -STANDAI2DS 14e i0`e,? Stephen P. Hernick Sapervesar, P'.an Reeisw SPH: p Attachment PaFormRI Bui(ding Codes and Standards Division, Facilities Management Bureau, 408 Metro Square Building, Seversth and Robert S[reets, St. Paul, MN SSIOI; Voice: 612 296-4639; Fax: 612 297-1973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number STATE OF MINNESOTA Department of Administration PLAN REVIEW / BUILDING INSPECTION AGREEMENT ARCHITECT/ENGINEER: ow ,niuio. Korsunsky Krank Erickson Inc. To improve the quality ma Proa?ctivitr 300 1 st Ave No. otMinnesom govemmem Minneapolis MN 55401 . PROJECT: pilot Knob Elem. Remodeling/ADA LOCnTTON: City of Eagan COUNTY: Dakota DESCRIP'riON: Remodel interior spaces/sprinkler/ADA .aDnRESS: 1436 Lone Oak Rd ? ASSIGNED PROJECT NUMBER: 950004 *?*.**.*****k?***,?*?«***??«?**:?*??******* Date: 1/26/95 Date Received: 1/5/95 An agreement has been reached between the Minnesota Building Codes and Standards Division and City of Eagan , whereby the PLAN REVIEW E1Nb BUILDING INSPECTION wiil be done by City of Eagan Ptease submit all plans, specifications, and appropriate fees to City of Eagan You must follow their submittal process and fee schedule. Pfease refer !o our assiened project number for their tracking purposes. The City will also be responsible for issuance of the certificate of occupancy. Since?? Stephen P. Hernick Supervisor, Plan Review SPH:p c: Bui?ding Official PaFarmRI Building Codes and Standards Divrsion, Facilities Managemertt Bureau, 408 Meero Square Building, Seventh and Robert Streets, St. Paul, MN 55I07; L'oice: 612 296-4639; Fax: 612 297-1973 7TY/TDD: Twin Cities 612 297-5353 or Greater Minrsesota 800 627-3529 and ask for voice number /D- oa?oo-oiv- oi STATF OF MINNESOIA Department of Administration LETTER OF ACREEMENT DELEGATION OF STATE BUILDING CODE ADMINISTRATION FOR Pl1BLIC BUILDINGS -- MINNESOTA STATE 5TATUTE 16B.61 Subd. la MUNICIPALITY, circle one (city, county, township) Reid, Douglas Michael °u""'ss'°" City of Eagan 7b improve [he quality anaproaucnv,tY 3830 Pilot Knob Road ofMinnesou Eagan MN 55122 govemmcnt. PRO.TECT: Pilot Knob Slem. RemodelinQ/ADA LOCATION: City of Eagan COUNTY: Dakota DESCRIPTION: Remodel interior spaces/sprinkler/ADA ADDRE55: 1436 Lone Oak Ad Date: US195 * ASSIGNED PROJECT NUMBER: 950004 Date Received: 1/5/95 This letter shall serve as a contractual agreement pursuant to Minnesota Statute 16B.61 Subd.la, between City ofBagan and the Commissioner of Administration for transfer of State Building Code administration from the Minnesota Department of Administration to the municipality for the "Public Building" or "State Licensed Facility" project described in this agreement. THIS AGREEMENT MUST BE RETURNED WITHIN 15 WORKING DAYS. PaFormAG Page 1 Building Codes and Standards Division, Facilities Management Bureau, 408 Metro Square Building, Seventh and Robert Streets, St. Paul, MN 55101; [%iee: 612 296-4639; Fax: 612 297-I973 TTY/TDD: Twin Ci[ies 612 297-5353 or Greater Minnesota 800 627-3529 and ask for voice number SIAI C Vf M1IINNESOTA Department of Administration Our minionTo impmve the quahty and pmAuctivity nFMinnesoua gavemmmt. Project: Pilot Knob Elem. Remodeling/ADA Project #: 950004 Deseription: Retnodel interior spaces/sprinkler/ADA Location: Clty of Cagalt I. Duties of Manicipalit,y. Please checic the duties ynu are willing ta contract (a or b mnst be initinled by Stxte Building Inspector). a. Attend to all aspects of State Bailding Code administration, inclading: 1. Preliminary plan review with Boilding Cndes mid Standards Division Plnn Review Staff when required by the Building Codes and Standards Division. 2. Flan Review of building and groimds with municipal plnn review comments, designers responses, and state plan revicw application form signed by designer and forwarded to the BuilJing Codes and Standards Division. 3. Interpre[ations, applicatimy antl en(nrcement of all code provisions. 4. Issuance uf all permils. 5. Dowmentation on file of all equivalences and modifications to coJe as required by UI3C 105 and 106. 6. Main[ain all records. 7. Issuanee of certificate of occnpancy vvith a copy informing the Stnte Building Inspector when sercices are completed. _/I b. Attend to all required inspections of said huilJing including: 1. Issnance oTall permits. 2. Maintain all records. 3. Issuance of certificate of oecapancy with n cnpy infm-ming the State Building Inspector when services are cnmpleted. 2. All costs of building code administration sltall lie as prescribed by Minnesota Statrde 166.61 Subd. la. IN WITNF,SS WHERCOF, the parlies have cansed this agreement to be duly execnted intending to be bound thereby. ATR OVE D: ell,<, , ? BUILDI OFFICIAL APPROVED: 1- -"=? - unTr STATF RuiLuiNC orFictni, APWVCD: 1)ATL': ZS qS?` MUNICIPAL MANA(,ER/A IS"PRATOR 1) 1\7'F, P:,rori„nc rase z BuilAing Codes and Sinr:dnrds Divisiony Faeitifies A1mraRenterl! Rrrreaa, 408 A4elrn Sqnnre Ruildritg, Seventh and RobeH Streets, St. Pmd, MN 55/Ol; Yoice: 612 296-4639; Pnx: 612 297J973 TTY/TDD: Twin Cities 612 297-5353 or Greater Minnesota 800 627-3529 aird ask for vnice nuin6er . ? e , CITY OF EAGAN FOR CITY IISE ONLY 3830 PILOT RNOB ROAD EAGAN, AIN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 1 5G? "590VWOW'C DATE : Ff r?0 9/ RESIAENI'IAU PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS S ? TOWNHOMES/CONDOS WHEN PERMITS ARE REQIISRED FOR EACH UNIT. ------------------------ ------------------------------°------------------------ WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMUM $15.00 ADD ON _ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ SITE ADDRESS: _ STATE SURCHARGE: .50 LOT: BIACK _ SUBD. TOTAL: $ INSTALLER: ADDRESS: SIGNATURE OF PERMITTEE CITY: ZIP: PHONE # ?- p4MM412qAI:JXNDUSTKTAV: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUZLDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ___--_________-°°-°__--_____-___--- -------------- 7 -__- _--t.° CONTRACT PRICE: FEES ',1, S?,/,! ? OWNER NAME: OjClIcGI 4isr #Ia 7 ?' ?'"OF CONRACT FEE. f STATE SURCHARGE a $.50 FOR SITE ADDRESS: VJ'` k(P ?L, c> ; EACH $1,000 OF PERMIT FEE. • PROCESSED PIPING - $25.00 iOT:__?_ BLOCK _L_ SUBD. 7 $25.00 MINIMUM FEE. ¢/ . INSTALLER: CONTRACT PRICE x 18 A?5-6 $ I ADDRESS: i i d ? O ?O STATE SURCHARGE $ ? • `5D CITY: ZIP: PHONE #: TOTPO FOR: CITY OF EAGAN 3 OS/ a*.;r.?? ¢ ?-?? ?• I ?Tko?l• 'T T/d a'K .-CITY OF EAGAN FOR CITY IISE ONLY 3830 PIIAT KNOS ROAD ?• . ` EAGAN, 14d 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ? ?O • I4?IChMWT DATE: / PLEP.SE COMPLETE IIPPER PORPION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR OWNER NAME: SITE ADDRE55: LOT: BLOCK SUBD. INSTALLER: ADDRESS:_ CITY: PHONE #: ZIP: FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL: $ SIGNATURE OF PERMITTEE 0.0.,MMEEtU`(T81'RTAT+E PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEYARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: U.A _ ? f ' OWNER NAME: j1p? RC?LI 0? S ? ?/ z- SITE ADDRES S: ( 4( 3?? k ?lG,?QD LOT:/_ T BLOCK L SUBD. INSTALLER: '-?4L, ?oNjYALM Cx ADDRESS: ?5__ CITY: • 2IP: S S Z? PHONE #: ` I 3?a FOR CITY OF EAGAN FEES .,Q ? ? ?OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TO - (SIGNATIJRE) ?.aV}Lov-%. ( 0 V O? I 1A JU J?_ .- REQUEST FOR IITII;ITY 114T.'ROVEMENTS I/We hereby request of the Board of Supervisbrs, Eagan Township, .?,. Minnesota, utility improvements on an3 over properl-y owned by me/us as follows: (Merition type of improvement, e.g. watar, sanitary aewer, etc,) WATER AREA The locxtion of said utility improvemectts shall he generally es follows: Parcel 3098-c, 3ection 9 Townahip 27 Range 23 Indepandent Sch-)ol Diatriat #197 71136 Lone na,k Road st.Pmul, rmr 55121 Amt. $4977.50 I/We hereby waive notice of any end all hearings decessary for the inetallatlon of said imprdvements and further consent to any assesamenYs necessarily levied by the Township of Eagan for such improvements. I/We further agree to grant to the Township of Eagan any easements neces- sary tor the installaCion of such improvements. It is further understood that thia request shall be reviewed by Che Board of Supervisors of Eagan Toeinship or its agent and I/we will be given reasonabl.e notice as Co whether thia request is poasible under preaent utility planning as to timing, location, etc. Dated: Septembsr 7J4, 1973 % Direotor aP Bmimse Request accepted by _ ? A?j,,..e-?e? P,C?.?? Date /c Eagaa Township Request referred to Town Engineer: Date Copies: 1. Township 2. Town Engineer 3. Applicant .t t , SINGLE FAMILY DWELLIWGS 2 SETS OF PLANS 3 EEGISTERED SITE SIIR9EYS t SET OF ENEAGY CALCS. 1989 B(1II.DIBG PSRMIT APPLICATION CTTY OF EAGAN 11234 l+1QLTIPLE DWELLINGS 2 3EfS OF PLANS HEGISTERED SITS 3URYEY3 - (CHECH SiTTH BLDG DIV.) 1 SST OF F.NSRGY CALCS. COM4ERCIAL 2 SETS OF ARCHTfECTORAL & STHDCTQRAL PLANS 1 3EP OF SPECIFICATION3 1 SET OF EHEEGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOa SALE DNITS # OF DNITS HOTEs ADDRESSFS FOB CORNER LOTS - C019TRACTOH/HOMEONNER MQST DESIGNAiE iiHICH ADDEESS IS DFS IRED. 80 CAANGFS WILL HE ALLOiIED ONCE BUILDING PERMIT IS I35QED.. SEfiER 6 iiATHR PERMIT FEES AND 6CCOQNT DEPOSIT FEFS idII.L BE INCLIIDED WITH THE HIIILDINfi PERMIT FEE. PROCE3SING TIME FOR SEWER 9HD WATER PERMIT3 IS TWO DAYS ONCE 6 PERMIT SBS BEEN COMPLETED INDIC9TING A LICENSED PLUlIDER. PENALTY EPPLIFS WBEN: PERMIT IS NOT PAID FOR IN 3AME MONfH IT IS REQIIESTED. LOT CHANGE IS AEQUESTED ONCE PEAMIT IS ISSDED. Q'J4?L? e To Be IIsed For: / ?,L.,r.?g-?g ?-PValuation ??-y=?r,-SO Date: ? o`/? ? Site Address 111'IS4 1456004-2 ? OFFICE QSB ONLY Lot I Bloek I_ Pareel/Sub -11 'd 4 Owner',A??• /X/l??, 169 1'7 ; - Address City/Zip Code Phone 16 /.'? ) G P - Contraetor 9ddress \ City/Zip Code Phone 9reh./Engr. Address Oceupancy x C-1 Zoning PF Actual Const V- N Allowable V-N # of stories I Length 60= o ' Depth S.F. Total 35bo Footprint S.F. 3500 On site sewage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ APPROVALS Planner Couneil* Bldg. Off. 07zf, Var ianee City/Zip Code 22?4L. 2)21? U I# SP¢?aU Pevai i 9- SP- PhOnB 0 ?,5 3-?Q?Q (?oiJ Stvy nLr?? FEF.S Bldg. Permit 1I02.00 Sureharge p I 24 10 Plan Aeview 301.00 SAC, City 400,00 SAC, MWCC oo,oa Water Conn - Water Meter ? Aeet. Deposit ^ S/W PermSt S/W Surcharge Treatment P1. 912.0Kz, Road Qnit -- Park.Ded. Copies - 3IIBTOTAL Penalty TOTAL I?• 7?. , . AVi,???C?? ,5?C uN,TS . ?! f. . JSGO ? C:11?'a:'kOD1r1 ? 3c7 SF/S7ZtDtTTe S2 57LtDo+'79 SL S7Le'la ?y,r'7' `/ S?,D?NtS ?2 GN!!- $,' P u Nm-, ?25 ? afF,cE _' 2yob FF2z UN?T ; SL?. Fee:5 G f-r-r7 100 ?u! = 4 o u ?ri`j? 5?SxU = 23?n KLl z`? I Z. 13 o k ,qs ---?.? ? ?N Z ? i T? {?LP?f?t r. + ,Y????ntl ` ? U Ellerbe Becket 1400 Minnesota World Trade Centcr 30 East 7th Strcet Sl. Paul, MN 55101 612 8i3 2200 'Jctcber 5, lgoa Jae ";erchRnk ycr„truct:cr °»alys: 3830 °ilct Kncc Road 8cF 2 ;l99 Eagar, "':r,nescta 55121 Caar Mr. Mercha nk: °ilct Nrcb EleMentary Schcc: Modu:ar Classrocm Un:'s Architects and Engineers On Wednesday, Dctc6ar 4, 1989 I;ae: Bill Sruestle and f3ale Weglei"ner `rcm the C;ty of Eagar, and Jahr Thor?aldson frcm 6istrict # 197 at the Mcdu2a; Units .at F:'ct KnaSa Elementary Schcc`.. TFe purpcsP of the meeting mas to d;scuss any remainirg ccde issues and make recommerdatiens to proceed. Each ur,;' has a data alate at:ached w:tF the €ci:owiny in`ormaticn: State of M.rnesota June, 1085 °lan ApprcvaA # 8505-126-007 Manufacturer Sarial Nc. 582756 `#ate Seal PJc. 7806615 thrcugh ApArovai flgangy 4ff2ce So Campliarce vi.t,h State Pui.d"zng thrcugh 582760 7906619 ;th St. Pau1 Ccde date of manu?acture rar,ic hardwarz is prasert cr, the rear e:1it dccr as well as an exit sigr. ihe frcnt dcors dc nct have panic but Bill Sruest,le zrdicatad that it was r,c# necessary tc ^eplace the hardware as the dccrs ware in view of anyene :r the exit c-rr;dcr and had a Iarge area of glass present. An ex:t sign is heing nnved tc the interior ualr of doors. ?he extericr stairs and ramN were e<ist:ng and tha D:strict will sea i° it t_ rer_essary ic add a lower handrail_ irs:de "ha exist:ng 42" high ra::; after the chi.dren start usir,g the facil;ty. 2i11 and Dale indica'ad that ,t was not necassary tc totally separate the ?ff<ces, storage, ar,d janitcr f;om the remairing classrcoms. They did ^eGuire tha Di;tr;ct tc put clcsers c?r al: rina of tha ra£ed dcors in .he rated cor^idcr walls. pdg8 %WG T`e ce:lirg dampers did rot ha?va `usibi_a links =n tF?er. The Distr;c4 wi11 :nvesvigate putting `usibla l:n'hs ir, tthe seven dif`usera in the exit _orr:dor, or the a:tarnate c,` placin9 hea: daiectcrs in 'ha c.eiling spaces. E:thar me:hod is aRFrcved, U-ut 'he i;ty would Grefar the fusi5le l•.;;F. so:ut.cn. Tha reeessad cef:ing :aghts are approved as is, including the suspension system and the ceiling tiles. Pdc fu-t,r,er upgrade is reqWred. E.larbe 3eckat wi'.l cart.fy the s'ructural d;-awiny and send the City a ccpy `'ar their F;les. Z` there is a;y disagreemznt wi£h the d<racticn,s stated abcve, Nlease ccntact -,Yle at 890-2369. ELLERP,E SECKET, I!':C. ?? ' " ' • -?i???'/ ,°,cna:d "', Sryder ;lIce °resident ac; llois Rnckne'r, nlistr:c: 4 197 L-t- I v61 1 4 c, I -l y- S-2 CalUvx ? COMMERCIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • Strudural Plans (2) sets • Architecturel Plans (2) sets • Architectural Plans (2) sets . CivllPlans (2) • SWCturelPlans (2) • CodeMalysis (1)" • Certifipte of Survey (1) • Civll Plans (2) • Project Specs (1) • CodeMalysis (7)" • LandscapingPlans (2) • KeyPlan (1) • ProjedSpecs (1) • CodeAnalysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certifipte of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" . Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpacs (1) 1 • EnergyCalculations (1) 1 • Eleclric Power & Lighting Fortn (1) 1 • Master Exit Plan (1) L 1 . Fire Protedion Plan (t)'" 1 y . SoilsReport (t) d • MC/ES SAC determination letter • MC/ES SAC determination letter • MClES SAC detarminadon letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Food & beverage or lodging facilitles: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. 00 DATE -7116101 WORK TYPE _ NEW Z REMODEL CONSTRUCTION COST ?7vf 6700 t SITE ADDRESS 1,q L7L Let.lt c>AK Ro,a i7 TENANT NAME P_T Kdot? 5LFiMF.hI'11-? S ?n 51 FF, h-) FORMER TENANT NAME DESCRIPTION OF WORK 4 ? ?' ?I'• P*v.i? BY rrame: ?.h D - 197 ?c?oth rnon?: ?z ??ll PROPERTY Last First NI4?? Fm?1J owrrEx ? Street Address t7l :7 126LMIAR£ ?h1l ' City 415? FAV L State ?,Zip _ , Company (?gMAL R[.WW?i C.O Phone # (7103 ) V-72. -d6lo0 CONTRACTOR ??'JrD Street Address: I" W( N !"i_ '!T hl •7/ • City ?elk State _?:N ZiP J- ARCHII'ECT/ 3 ENGINEER Company Phone# ( 71?3 ) " ?3 Name ???? Regishation # S4eet Address Vvq-? Ir City f' 1(?? 5 State tAw_ Zip Z. Z.. Licensed plumber installina new sewer/water service: 111/04, Phone #: (? I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. I , ? /'?' 4 Signature of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous WORK TYPE ? 31 New ? ? 32 Addition ? ? 33 Alterations ? ? 34 Replacement ? ? 26 Public Facility ? 30 Accessory Bldg. ? 27 Commercial/In dustrial ? 32 Ext Alt - Apts. ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon 35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors 36 Move Bidg X 43 Reroof ? 47 Repair 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code 437 SAC Code 130 No. of Units 0 No. of Bldgs. I Const. (Actual) ? (Allowable) ? UBC Occupancy E. Zoning # of Stories Length W idth Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building F k sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation ? Plumbing ? Stucco/Stone 0-y? Engineering Variance %0 VALUATION $ I?I 6 -1 GO U r- % SAC SAC Units Meter Size Total 2006 COMMERCIAL BUILDING PERMiT nrri.icnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 • Structural Plans (2) sets • Civil Plans (2) • CertiFcate of Survey (1) • CodeAnalysis (1) • ProjectSpecs (1) • Spec. Insp. & Testing Schedule " • Soils Report (1) • Meter size musl be established 1 l 1 1 1 1 • SAC ¢etertnination - call 651-602•1000 . Amhitedural Plans • Structurel Plans • Civil Plans . Landscaping Plans • CodeAnalysis • Certificate of Survey . Spec. Insp. & Testing Schedule • Meter size must be established . Project Specs • Energy Calculations • Electric Power & Lighling Form • Master Exit Plan • Emergency Respon5e SRe Plan • Soils Report ?? a , r% • SAC determination - cali651-6C ?r6, 96-7. 2s (2) sets • Architecturet Plans (2) sets (2) • CodeAnalysis (1) " (2) . Project Specs (1) (2) . Key Plan (1) (1) • Master Ezit Plan (1) (1) • Energy Calculations (1) not always" (1) " • Elec. Power & Lighting Fortn (1) not always" . Meter size must be established-if applicable (1) (1) (1) (?) ? •:r .; 1 (1) ' ? ,, • .l' ' ? 0 • SACdefermination-ca1165 1-602-1000 Call MN Dept of Heallh at 651-215-0700 for details regarding food'&.be'verage or lodging facilities. ** Contact Building Inspections for sample and if required , Permit for new building or addition will not be processed without Emergency Response Site Plan. Date _- / _.? / ? Construction Cost d 0U Site Address kJQ Qni iG6. [a Q ca(D t?# Tenant Name ?,(a} 1(J?Qb uft _SL a0) VO P Former Tenant Name N23 Description of Work 14QIhfX' m-A"0 11? -CL0JA'Wk.. (41Gk',? Property Owner Telephoni ) ?.`„24a?-• ?2? Applicantis: _ Owner X Contrac[or Contact#: ( WZ) Contractor Tnc'yswisewz CmVftGrv?n TnQ _ Address ctoUS Fcsr R1r,t. IZd Kp,s .c??y ?ao?v Zc?a?ds state (11t-'1 zipf;5q33 Tetepnoue,9.(7(03) 7111"35t77 . - , Arch/Engr t/JO ? P(Lr?l (N? kt K i 0.5S ) Registration k ???`??? Address 305 ? • r ?I?,f t7'i??e? City : si • A'.'y, Sta[e 5t. Pa.?.@ `rnn) Zip !?fif UZ Telephone#'4b1 7773 Licensed plum6er installing new sewer/water service: Phone #: (? I hereby appty for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work w911 be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. K?GtdytVe V? 4c -Chr s; 6..,..k Applicant's red Name • • - - , ? I pplican's Signature DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ' X 26 Public Facility ? 30 Accessory Building ? 14 Apartments /'27 Commercial/Ind ustrial ? 32 Ext Alt-Apartments ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercial O 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) " ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Z? 1='7 j VGO ? Type of Const Width Plan Rev 100%v/ 25%_ Occupancy E MCES System ? SAC Units '? d^ Zoning IP F City Water ? Nbr. of Units 0 Stories Booster Pump Nbr, of Bldgs ? Sq. Ft. PRV , Length FireSprinklered Required Inspections _ Footings (new bldg) _ Fireblace = R.I'. _ Air'Fest ' Final _ Footings (deck) _ Iqsulation _ Footings (addition) _ Sheetrock Foundation /FinaVC.O. _ Drain Tile FinaVNo C.O. DrivewayApron ? ?/ ' 'Oth'er " ' • -• i . Roof Ice Pr Decking ? _ Insul ? Final nal Pool Ftgs AidGas Tesu F Framing - _ Siding _ Stucco Lath Stone Lath _ Final . `. . '° Windows , . / Finai C/O Inspection: Schedule Fire Marshal to be present. W Yes _ No Approved By: Planning 'CgAmC Building Inspector Base Fee Surcharge ' Plan Review SAC-MCES SAGCity , SM! Permit , '. SIVJ Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) ? I7 1.5-• c-- • 937 • S-o 43 I tif . 7 Sr' Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other Total , ?.. /G?j SG7.tr SewerTrunk ? Water Trunk Q4& ks?. PROJECT JURISDICTION AGREEMENT COPY TO BUILDING OFFICIAL: Schoeronner. Dale R. nate: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Project'ritle: pilot Knob Elementary-Upgades Location: City of Eagan Descript;on: Repair facility deterioration,window repl etc Date Received: 11 /4/2004 Assigned Project Number: 20040439 Dear Building Official: ?;?I???.•;?`??L 1i1 nov 1?2004 Attached is a copy of the notice to the Architect / Designer of t6e project described above as to the agreement reached between the Minnesota Building Codes and Standards Division and City of Eagan delegating building code administration to your office as per our agreement on this project. Yours truly, BUI DING CODES STANDARDS Scott D. McLellan Supervisor, Plan Review SDM:w Attachment PaFormRI Depazhnent of Administration Building Codes and Standards Division, 408 Mctro Squaze Building, 121 7th Ylace East, St. Paul, MN 55101-2181 Voice: 651296.4639, Fax: 651.297.1973; TTY: 1.8D0.627.3529 and ask for 296.9929 04ik so - PROJECT JURISDICTION AGREEMENT ARCHITECT/ENGINEER: Glen Heino Wold Architects & Engineers 305 St. Peter Street St.Paul MN 55102 PRO.TECT: pilot Knob Elementary-Upgrades LoCATION: City of Eagan CoUNTY: Dakota nESCRirTIOlv: Repair facility deterioration,window repl etc aDDxESS: 1436 Lone Oak Road Department of AdministraGOn Date: 11/4/2004 * ASSIGNED PROJECT NUMBER: 20040439 Date Received: 11/4/2004 :..: «,.....«,,.*... ?,..,..? *,..,..**..?....?,?,,.? An agreement has been reached between the Minnesota Building Codes and Standards Division and City of Eagan , whereby the PLAN REVIEW AND BUILDING INSPECTION will be done by City of Eagan Please submit all plans, specifications, and appropriate fees to City of Eagan You must follow their submittal process and fee schedule. Please refer to our assigned project number for their tracking purposes. The City will also be responsible far issuance of the certificate of occupancy. Sin erely, ??*,- Scott D. McLellan Supervisor, Plan Review SDM:w c: Building Official PaFormRI Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, SL Paul, MN 55101-2181 Voice: 651296.4639, Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929 . . '___?-,?.???v„? WMWW? .'?:;?. ?JO Department .?JINITTAL APPLICATION FOR PtAN / Please fill out this application and retuin it to the Building Codes and Standazds Division approximate]y four (4) weeks prior to your expected plan review submittal. Failure to submit this form may result in up to a three (3) week delay in the processing of the plan review application. This initial application will help us expedite your review. be TN"16p0-7E+Jr ?t+aoz, bisrA%cr 4' 127 i.?:: I £f9'7 !2 . ?i+A-Wh/3.(! XV6IJ'V(1 41° M6Ny0'ra I-I?r+awy3 ) Mnl SS II .%nrum WOW kJ2,C-01TS44-5 Firm Address 3oS Sr- City, State, Zip ST pkuL , MN SSio? ? Public (state) building aid for b h I Conswction ValuaNon S 5) S-$ ZI 1f0-D MN ssia ? County bhKafi} sCp ntactPenoq G51 75S-14q, .4N l?NjJERSON K4r.1L1'ry LOOIaniN4 Owner Phone ((orl l?$ ?- 2 30? ? State Agency (If Applicable) Pirm Comect P n Gc.?,i wa Phone ( /1 ) 22+7_ •7r7•r3 F? t LSI ) 223-56'+6 P y t e state or other state agency as a: ? State College ? Zoo ? D.O,T. ? D.N.R ? State Universiry O National Guard O State Hospital ? State H ? Other; specify ome ? Capital Complex 4, Public school district building of $100,000 or more in construcfion cost. C) State Licensed Facility licensed as a: O Hospital ? Nursing Home ? Cottectional Facility 0 Supervised Living Facility O Free-standing Outpatient Surgicaf Center ? Other, specify 0 New Building Conswction ? Addition UBC Occupancy Clazsification(s): E rruiecc uescnpnon: - xemodeling p Other; specify /.l3 UBC Type of Construction: jV$ rLEh000i, 5-5'o '1dYJ S.T-. SU+6t.t Sn.y ScNaat inrLi.u7iaG Du°r6rut?j Ma?arL?i,1M+Zt' irsMi?tzeaa?z Fat-IUN 7EiarLfonarlou , l"VGk-1°e1_'r EocfSr.uec? weNyew /e.b+?c.ac¢M5.+7-1 UI°o.err6 I+Va-G SrSrsMs r-ax. ?Q , R6M0? Srec+a? ey Sw.? ) ??4hnp.cs.s ? Sra'Td6? ?c,r Gt+?SSrt,?oMS or ?7S /?bM1 UPG't4n(fS fooNy IssuEs 6v +D NSb?a (,?,.?rb•¢,? M,sc . Srrb I°AVEiYb?rK,thucvncN,- ,(,rj IMpaw,?e Upon receiving the completed initial application we will confirm that we aze the proper jurisdiction for the project, assign it a project number for tracking and determine if the city/municipaiity will do the plan review, the inspections, both or neither. We will notify you of the project number, where to submit your documents for review and how the inspections will be handled. If delegated to the city/municipality, you will only need to follow their procedures and fee schedule. If your submittal is to the BCSD, our standard application process ,,ill need to be followed. I hereby ac ow/edge that this application is not a Building Permit, nor does it authorize the start of construction. APPlicant Signature ! 1/?a? Date Building Codes and Standazds Division, 408 Metro Square Building, 121 7" Piace East, St. Paul, MN 55I0I-21R1 I 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Oi Eagan 3830 Pilot Knob Road, Eagan MN 55132 Telephone # 651-675-5675 *-? W.56 Please complete for: commercial/industriai buildmgs multi-family buildings when sepazate pertnrts are not required for each dwelling unit wt fox a Commercial Mechamcal Permit and acknowledge that the mformation is comp e e I'haieby apply `..-. - ll,:be in`conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is _.nota:permif but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wit ----- ?TCie.approved plan in the case of work which requires a review and approval of plans. ? ia? -= o} ?Applicant's Printed Name A licanYs Signature - =-Approved By: `6 Inspector Date: -' Required Inspections: _ U.G. ? R.I. ? Air Test _ Gas Service Test _ Infloor Heai ? Final Date?_/?/ Site Street Address 1y36 Z Unit # ?Tenant Name (if applicable) P 1?? klca(? ???Fm,.?C_.- Previous Tenant Name ' Pr,operty Owner ?? ?/9 7 Telephone # ( ) -?Contracfor ?U - Syr 6he?,C,ty Street Address Zip "J?l0 Telephone # ?6 State Bond #: Expires: ' Tlie Applicant is _ Owner ? Contractor _ Other ? ;V1!ork Typ? '=- New Construction _ Underground Tank _ Install _Remove **see below Interior:lmprovement ? Install Piping _Processed _Gas Natuie of Work: ff'T ? ? ? . ??- .. . ?When'insfa_lling/removing underground tank, call for inspeclion by Fire Marshal and Plumbing Inspectar s`"_PC[If11( Fe¢5: 570.50 Ondergound tank iostallationlremoval - - - $50.50 Minimum (mcludes Sta[e Surcharge) = a PermitPee /? ContractValue $ '76°: ??ODO x l% $ y ? _ - - - ?? ? State Surcharge - $ If ep mit fee is less than $1,000, add $_50 1II=? D If eo rmit fee is more than $1,000, surcharge _ . U LI FEB 0 9 2006 is $.50 for every $1,000 owed. -- ? _ - $ 1-0 ?? ? a • ? Total Fee I t and accurate that the work 2005 COMMERCIAL MECHANICAL PERMIT APPLICATIOv C: -y C?:E::gau 3830 Pilot Knob Raad, Eaizz- MN 55222 Telephone # 651 -0675-50 75 Pteasz complete for commercialhndustnal bwldmgs multi-family 6uildmgs wheo separate permits are not reqmred for each dwelling unit ° , Dxte Site Street Address?? zal?a Unit # Teuant Name (if applicabie) IS f/ 7ae7-'?'z Pre s vious Tenant 1Vame ?PropertyOwner ?a I Telephone#( ) . , coatrdc.or c-) _ _ S zi/ mva Ci , Streel Address ty State _Jfr) IN Zip Jf? Telephone # ( i so 367 Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Work Type ? New Constructien _ Underground Tank _ ! Install _Remove ""see below X Interior Improvement _ Insta//ll Piping _Processed __G,, s NaYure of Work Gf??.A.?'e_,? -- ? v U **When installing/removing underground tank, call for inspection by Frre Marshal and Plumbing Inspector Permif FeeS: 57050 Underground tank mstallation/removal $50.50 Minimum (mcludes State Surcharge) CortractVziLC S `t3?, LrL`? -o I°% _ $ -? ?.?'?,7C1• 0-o Permi?ree i $ n [s 2 ? ? ? W [E I LJl State Surcharge If en rmit fee is less than $1,000, add $.50 ? FEB 0 2006 If en rmit fee is more tnan $1,000, surcharge is $.50 forevery $1,000 owed. $ ?? , 3 59 . S ? ToYa1 Fee I hereby apply for a Commercial MechantCal Permit and acknowledge that the information is complete and accurate; that the work wil] be in conformance with the ordinances and codes of the City of Eagan and with the Mechanica odes, 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 th ork will be in accordance with the approve p an in [he case of work which requires a review and approva] of 71" ?? ? Applicant's Printed Name ApplicanYs Signature Approved By __6 0 2? .- ( -:7J - U ?- , Inspector Date: (? 9 ? U & Required Inspections: _ U G. _Vt'? R_I. ?ir Test _,r Gas Service Test _ Infloor Aeat ? inal f 11?'P?? 2004 FIRE SUPPRESSION SYSTEMS PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Requirements: 2 complete sets of drawings and specifications cut sheets on materials and corrmonents to be used Date J / I / 0& SiteAddress: 14,24 o L,dALr-- QAK F64D T / B ildi N 14C&- B ??MrAJTA9Y S2 t'/ LOT knJ enant u ng ame: _ o The Applicant is: Owner X Contractor _ Other PROPERTY OWNER N0EPEwDA1.IT SC?'??L ??ST1el? ?97 CZ0 Address: V City: 44 State: /* zipAR I 32fl% CTOR f",?'?C?O T l??Rp`IE?TION MNLi N CONTRA cense o. Address: City: L I NO LA Ko5 State: ?N Zip: 55O ?'?' Phone #: (oSI -'1 S+-041/ ESTIMATED COMPLETION DATE: II / Z rI l 0( o FIRE PERMIT TYPE: )< Sprinkler System (# of heads 4-50) _ Fire Pump _ Standpipe Other: WORK TYPE: _ New _ Addition _ Alterations ? Remodel Other: DESCRIPTION OF WORK: Commercial Residential x Educational _ Other: ??n(?iLll?l? ?X lST (1.1 ? ? t'KINK(,_,?IZ, k ?c?DS Please continue on reverse side PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge) Contract Value $,6-9 SZA(o• OD x.Ol% _$ • If Permit Fee is $1,000 or less, add $.50 => $ If Permit Fee is over $1,000, add $.50 per 1 000 Permit Fee 3/4" Displacement Fire Meter - $155.00 TOTAL FEE: $ 59 B. Z(o Permit Fee • 50 State Surchazge $ S88 •'ZCa I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (ayA Xa&- JA?? ?A4TnZ Ap licant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ?V 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Plcase complete for: commerciaUindustrial buildings multi-family buildings when separale pertnits arc no[ required for each dwelling unit Date 3/ 3( / U G Site Street Address o ne- 0 a k R./ Unit # Tenant Name (if applicable) )0+ kno6 E!e WI e n"farY Previous Tenant Name Property Owner S$ fl ?/92 Telephone #( ) ContraMor 2 y-? ff ?. ? re-'k 'co I t u wj Q i vl"t n c e, ry t - Street Address 0/ S CitY M??S State Zip C S N !3 Telephone # (6) dX ) 3 ( d'? Bond #: sS Expires: ?/a H Ob The Applicant is _ Owner ? Conhactor _ Other Work Type New Construction Underground Tank _ Install _Remove *'see below _ Interior Improvement ? Install Piping _Processed _Gas NatureofWork: Qerac-r C4 .? ?r 42``K rm j4?l oi1 t4N?t ?ta bl?. `*When instalNng/removing underground tank, ca!l for inspecfion by Fire Marshal and Plumbing Inspecfor P¢I'Otlt F¢¢S: $70.50 Underground tank ins[alla[ion/removal $50.50 Minimum (includes Sts[e Surcharga) or Contract Value $ E ?? f1 ?'oB $ Permit Fee u . If ep rmit fee is $1,000 or less, add $. D y? ,_uUS I $ State Surcharge If ep rmit Fee is aver $1,000, add $.50 0 every $1,000 permit fee Total Fee ..ie.o .,...1 0 .?rn• thar ihe wnrk I hereby apply for a Commercial Mecnamcai rermrt ana acxnowieage wat uic ., ....,..r.?.U ...... .._ _ will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plansn Q T0.w1eC &- ?atSOY% Applicant's Printed Name Approved By: ?7 60 ? ?d ? , Inspector 7? ?,5,q 2006 COMMERCIAL PLUMBING PGRMIT APPLICATION ' CITY OF GAGAN ;2,6-6-1 6-Z) 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Date 06 /? SiteAddress 4pitp ?/t /?a?3?S17-1 Unit# 7'enan[ Name ?4y-h LLiaav?r? Former Tenant Name (?S/ ) 5g/' z3 'd0 Property Owner ??D -9v /V -;7 Telephone # C / y Dek,oezw, ?, . .?t sf?,a s /i Cuntractor 46/JlL<FIZu.L1 Address 514a_ ,/tll LJ`/e'v.le°l 5r CitS' ST I State ?f L? Zip S.S/Cy Tclephone #(?? ) fjy6-..3 8„ 3-7 Licensc# 0 0"Mg5 PI'l Expires: /Z ,?i Ofi ? The Applicant is _ Owner ><_ Contractar _ Other Work Typc New Bldg ? Modify Space _[rrigation System** Yes No Work in public r-o-w! easement? ? RPZ _ PVB: New _ RepaidRebuild _ Replace _ Remove Rain sensors are re uired on irri ation s stems Description of Worl: )e,,06c ?u/a/ '/,Q-? ?-?j?i...1? iit?Z,?f ??`?Z To ?nquire if Pressure Reduang Valve is requirtd on n sernce, call 651-675-564 Me[ers - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tes[s pacsed prior to oickine uo mcter. Irrigation Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by public Works Fire Size & Price 3/4" me[er 167.00 I Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No I Flushometers A Yes _ No PRV Required _ Yes _ No Permit Fee $50.50 minimum (includes State Surcharge) ContractValue $ ZS.Soo d x 1% _ $ )-???•t? PermitFee $ Meter(s) Required on all new buJdings & boulevazd irrization svscems S Radio Meter Read State Surcharge I( oermrt fee is less than $1,000, surcharge is $SO If cermit fee is more than S1,000, surcharge is $.50 for cach $1,000 owed. ' ' ' ' _ _ ' ' ' ' _ _ ' ' _ ' ' ' _ _ _ _ _ _ ' ' ' _ _ ' ' ' ' ' _ _ _ _ ' _ ' _ _ ' _ ' ' ' ' ' ' ' ' ' _ - _ ' _ _ ' ' ' ' ' . . . ' ' ' -' _ _ _ ' ' ' _ _ _ _ ' ' ' ' ' ' _ ' ' ' ' _ ' ' ' ' ' ' ' ' ' ' ' _ _ _ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' _ _ _ _ _ _ ' _ ' _ ' ' ' ' _ ' ' ' ' ' ' Tollowing fecs npply when installing new lawn irrigation system $ Water Permit Calt the Crty's F.ngineering Uepattrncnt, 651-675-5646, for rcquired (ee amoun[s $ Treatment Plant $ Water Supply & Storage $ State Surcharge Total Fee 1 hereby apply for a Commeraal Plumbmg Pertnft and acknowletlge [ha[ the intormanon is wmpiece ana accuraee; mai the worrc wm uc m wu.w???? ?- ordmanws and codes of the City of Eagan and with the Plumbing Codes, that I unders[and this is not a permi on F)vln apphcation for a penni4 and work is not ro s[att withoul a pennit, thal the work will be in accordance with the approved plan m the case of work wli requ renew and p val of plans ApplicanPs Pnnted Name pplicanYs Signature ITY USE ONLY ('? RF,QUIREU INSPECTiONS: ??U G. A. Test _ Gas Tcst _ Rough in Y Final S? ?????96- ,RUILUINGINSPCCTOR PLANS SUI3N9ITTF.D X_ APPROVED BY: /?tias Su6??fiSe?Q General Information • Radio Meter Read ("reyuired on all new buildings. F3oulevard irrigation systems may require a radio read -$141 00 • RP'L's must be tested every year and rebuilt every five years. Test results should be mailed to Paul Heuer at the City of Eagan. • A minimum fee permit per address is required for [he following RPZ's: new, rebuild, reoair, remove. • Water nieters mdude coppzr horn/sirainei, remotc wire, and touch-pad meter. METERS REQL]RING 4-HOUR ADVANCB NO'ITCE PRTOR TO PICK UP GPM I METERS I USE PRICE METERS USE PRICE 1-20 8" residential $130.00 F4-120 1-1/2" irrigation Syst $ 827.00 displacement or turbine'* public Works maximum small commercial must approve continuous meter size 10 2-30 3/4" lawn irrigation $167.00 4-160 2" mrbine large irngation $ 1,040.00 maximum displacement resideniial system & production linu continuous or 15 small commercial 3-50 1" displacement large residential $210.00 1/4 to 160 2" compound bldgs over $ 1,962.00 bldg to 24 units 65 units maximum small commercial & & large comm bldgs continuous 25 irri ation s stems 5-100 1-1/2" 25-64 unit bldgs $515.00 maximum displacement & continuous most wmm bldgs 50 METERS REOUIffiNG 30-DAY ADVANCE NOTICE PRIOR TO PICK UP METERS USE PRICE UYM MI?',TERS USE PFcICE 3" turbine very large irzigation $1,394.00 6-500 4" compound +300 unit bldgs $3,864.00 system & produc[ion & very lazge r lines comm. bldgs I/2.320 compouod +200 unit 6ldgs $2,516.00 10-1000 6" compound -?400 unit bldgs $6,436.00 very lazge very large comm 6ldgs comm bldgs 15-1000 4"turbine very large $2,495.00 irrigation systems & production lines Comments . To schedule inspection of the inside water line and backflow preventer, call 651-675-5675. . To arrange for water turn-on, call 651-675-5200. cc Unhty Dinvon Systems Anatyst Januery 2006 2007COMMERCIAL BUILDING rExnuT arrLicaTroN City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ??.QES ??. Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. • SWCtural Plans (2) seis • Soils Report (1) • Civil Plans (2) • Certifcate of Survey (1) . Certifirate of Survey (1) • Structural Plans (2) • Code Analysis (1) " . Architectural Plans (2) sets . Prqect Specs (1) .• HVAC units req'd. on bldg elev. / site plan • Spec Insp 8 Testing Schedule (1) " • Civil Plans (2) • Soils Report (1) • Landscaping Plans (2) • Meter size must be established • Code Analysis (1) " 1 . EnergyCalculations (1) " 1 • Emergency Response Site Plan (1) 1 • Spec. Insp. 8 Testing Schedule (1) " 1 • ElecVic Power & Lighting Farm (1) " L • ProjectSpecs (t) 1 • Master Exit Plan (1) • SAC detertnmation - rall 651-602-1000 • SAC detertnination - call 651-602-1 000 • Fire Stopping Submittals . Fire SuppressionlAlarm Form . Architectural Plans (2) sets • CodeAnalysis (1) " • ProjectSpecs (1) • KeyPlan (1) . Master Exit Plan (1) . Energy Calculations (t) not always" • Elec. Power & Lighting Fortn (1) not always'" • Meter size must be established-if applicable 1 1 .y •d d • SAC detertnination - call 651-602-1000 Call MN Dept of Health at 651-2014500 tor detals regarding food & beverage or lodging facilit ** Contact 6uilding Inspections co see if it is required and for a sample. "• Pemut for new 6uilding or addition will not be processed without Emergency Response Site Plan. 2007 Date ---/ ac? l C)-7 Construction Cost ?? 1?() Site Address I N Z Ca L.?tre (' ' n 7 uL V-1}? ? 1 a I UniUSte # Tenant Name ?'I I o?- Former Tenant Name Description of Work - G ;[ r,..n ?La V`?o 1- Property Owner Telephone # ( ) Applicant is: Owner ? Contractor Contact #: ( (gGjl ) ?C9? ???? ? Coutractor?-?'??I./ l? (?'Ll.(? ? l2- 3f('1 • o G17 Address (pl r ^. T?', II ? City C<:fS` State (U( LJ Z(P C?7Sb -7(-e Telephone # ( (o 9) 'I 5," ? Sc1tq Arch/Engr W V N Registration# u50 Address 5015 ?? Pa u-' :9r City -5_. 1fti., N State lv( N Zip 55(0Z Telephone#((o6) ) 'M`-7"7-13 Licensed plumber installing new sewer/water service: Phone #: (_) I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be m coaformance with the ordinances and codes of the Ciry of Eagan and the State of MN Stamtes; I understand this is not a pemvt, but only an applicarion for a pernut, and work is not to start without a permit; tha e work ill be ie-acu6tdanse`with the approved plan in the case of work whicL requires a review and approval of plans. 1\ ApplicanYs Printed Name DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 14 Apartments ? 15 Lodging ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition )3 33 Alteration ? 34 Replacement ? 26 Public Facility ? 30 Accessory Buildmg y??27 Commercial/Industrial ? 32 Ext Alt-Apartments L 28 Greenhouse G 34 Ext Alt-Commercial ? 29 Antennae ? 35 Ext Alt-Public Facility ? 37 Nail Salon ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Fo undation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reraaf ? 46 Windows/Doors 'Demolition Building - Give PCA handout to applicant Valuatlon Z B06 ?? Plan Rev 100% ? 25°/a SAC Units Nbr. of Units O Nbr. of Bldgs Fire Sprinklered' Required Inspections _ Footings (new bldg) _ Footings (deck) _ Footings(addition) _ Foundation _ Drain Tile _ Driveway Apron _ Roof Ice Pt _ Decking _ Framing Type of Const W idth Occupancy ? MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length _ Fireplace _ R.I. _ Air Test _ Final Insulation Sheetrock FinaUC.O. ? FinaUNo C.O. Other Insul _ Final _ Pool Ftgs Air/Gas Tes[s Final _ Siding _ Stucco Lath _ Stone Lath _ Final Windows Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes "No Approved By: ? Planning cw(e Building Inspector ------------------------- ------------------- ------- ---------- Base Fee Surcharge Plan Review SAC-MCES SAGCity SIW Permit SIW Surcharge TreaUnent Plant Treatment Plant (Irrigation) Park Dedication Trail Dedica6on Water Quality Water Supply & Storage (WAC) Financial Guarantee Storm Sewer Trunk Sewer Lateral SUeet Water Lateral Other Total SewerTrunk Water Trunk 73 0 . 5!3 43 `1. Sa / 3 • ,y'o 28 L • `{3 Y r Use BLUE or BLACK Ink -----i For Office Use I 42'75 1 I Permit I rn 1 City Of l Eadfl Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 I 2010 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION* Date --3 Site Address: Tenant: 1 'L~11 Suite PROPERTY OWNER Name: Phone: Address / City / Zip: Applicant is: Owner ontrjactor TYPE OF WORK Description of work: /~cr (fi 1 r!' Q Y L%r'7 G~L~E'~ ;hG a ✓ c ya/ Construction Cost:: i ` Estimated Completion Date: CONTRACTOR Name: O ~ (-ez2 1-l r' - License ~b~J Address: .~,r~ f Gib/r c: ~ t City: dy'-121i State: 111~1 Zip: Std/f Phone: lDI-7 Contact I'A l Email: J FIRE PERMIT TYPE WORK TYPE Y----.Iprinkler System of heads New _ Addition _ Fire Pump _ Standpipe _~OAlterations _ Remodel Other: _ Other: DESCRIPTION OF WORK: Commercial _ Residential Educational FEES $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% _ $ ("L("~ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each ,%-D State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ c5 L jf~ TOTAL FEE 3/4" Displacement Fire Meter - $203.00 $ Fire Meter $ 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 Suppression System permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Minnesota Building/Fire Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name scant' n ure 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 FOR OFFICE USE REQUIRED INSPECTIONS Hydrostatic Flow Alarm Drain Test Rough In Trip Pump Test Central Station Final Conditions of Issuance: i _ / ~ / Permit Reviewed Date: (~;K Aug-11.2011 12:44 ISD 197 Buildings and Grounds 651-403-7274 414 Use BLUE or BLACK Ink 1 P S /L + j For Ofis, Use I Pemmit f d 9'7 City of Bad ~~G I I POmt4Fes:-'~~ 1 3830 Pilot Knob Road s i ; I t>am t4aoai~rod: I Eagan MN $5422 t i gut Phone: (651) 675.3675 i I X J - Fax; (651) 676-5684 r r+ L--------------- 2011 COMMERCIAL PLUMBING PERMIT APPLI ATION Qab' $Ib Addrae~: " L~L i Tenant sulfa PROPERTY OWNER Nsmw. Phone:-LnCA- (nS" 1 - cp,:~ 79 Katie: T-~; ll'Pas6yr mer'batiorcj 13ry: I.m,I.eal C CONTRACTOR. Address: S L Y~ttie S jr© i r l . ~~f ,u I Steps: Zip: 13 e- Phone: JQj' Emal: TYPE OF. -Now _Replacement _ Rspalr Robuib _ Modttyr Space _ Work In RA.W. WQRK Descr"on of worir. COM11111ERCb4L _ Now Construct Modify space trriandon System t_ yes / no) L RPZ I _ PV8) Rain semacrs required on irrigation systems PERMIT TYPE . Avg. GPM (Z bMw requNed unloss-srnollor size illowsd by Pubis Works) Meters Call (051) 679-5646 to wakyy that left passed txkrr to olgft up aster. Domesdo aim & Type Fire: 1 Avg. GPM High demand devices? Yes _No Fiushaonmftm Yes Nd COMMERCIAL FEES: $56.00 Minhwm (includes StMe 5urr heW) OR Carsb*d V&itre $5S- x1% Penult Fee RsquIred on ALL now buildings and boultward irrigation systems 4 S. Redid Mmw Read if the Pam* F~ Is Was that S10A10, the surcharge is S6A0 t t (s} WPM for SM S1AW Pirmit fee i s ^ (i.e. a $10,00411.000 PsnnR F uses a $L60 Surchwp andisrue) Following fm apply when Installing a now lawn balgaUon ayslem $ Webs Peen Contact the City's fthwering tmpartmeM (551) 575-5001. for ro**Vd fee amounia. S Theatmeat Pleat 5 Waist Supph 8 t30orarga S stele Surcharge _ TOTAL FEE CALL EeFaRE rt?SLDIta,. Cap ctepher stub ome call at (m) "44M for proleddan a8 undergrourts uft damage. CON 48 hours betas you Intend to dig to receive iocabs of uo0wV%md utilltlas. NMLM I hersby acknowisdge that this Information Is complete and awirab: that the work wpi be in confamencs wnh the onllnences and codes of the City of Eagan; that I understand Us is not a permit but onay an application fora permit and wont Is not to start w1thout a permit; th tiro worts wilt be In acW=4rtsnce the approved plan in tine me of work which requires, a review end approval Of plam. Applicant's Printed Name Applicant's Signsture FOR OFFICE USE Approved By:.- Required Inepectlons: _UnOr Ground ,Jtough-Itt __41rT90 „ -GepTit PRN Roqub*d .Yes _ No Page 1 of 3 - Use BLUE or BLACK Ink " r————————————————^ f For Office Use � . � j �a� � Permit#: lt o a �� , ; � � � Permit Fee: i 3830 Pilot Knob Road I � Eagan MN 55122 �-,�-� r �Effa�"�� `� (� ��.-.t.� � I Date Received: `� ��J Phone: (651) 675-5675 I I Fax: (651) 675-5694 ,�1�}� � � ��j��j j Staff: I. ��i�:� �V � 2015 COMMERCIAL BUILDING PERMIT APPLICATION �-�`` l�f /'� /'�, � Date:�� Site Address: /% �Y� �—�/��-' �� C��/l Tenant Name: �� ,C�'�� /s� ��7 (Tenant is: New/ �isting) Suite#: . �/ r �.� �t�ts K(`��'j �-t�8°d+t �� For r Tenant: � Name:�i�� _7'l�0� �'ST •�� Phone: . � * "� � :, �� 3 �. /� ��,� ��/ ��1" `, Address/City/Zip:�l7/ � ��/��6'Y ��6lC�'//�- �� Ivlr� -S�I�� ::,� � � �<n � � �;��'�� f .; � �� Applicant is: Owner C ntractor f � �� ; � ,. � �'� �' �Gv.-�t � � �'�' /' 'TYj�e;+cy3f il�� £• Description of wo� 7 �d�'17 ��9 `I �ld �='�� .��; �' � #�� , ��. ��: Construction Cost: � � � � � � �� e��o �s � �� Name: 'T�'�%��1 License#: ^�� ` �� /`�f �/ �� ,,ff�' ��,�'� �. �n ` �� 5 Address:,�(D / � ��'71'it'r/i�I� (�: City: (..t/��'^� /�-�' Li�'�./`� �x�=� � �#� � L 7 / �-�� : �� State��i�� Zip: �..J�Z / Phone: �� A� � � � Contact�� I t�'�°/►�' Email: � �e. �"f'i'e.✓��(�'��s�3l9��S . � � �� " � � =t,� ,,/ �1 �t � ` , Name: o�� -�l�7PL/�S Registration#: � ;� ��;� �� 3<��. C / � p�, � ;: � � �_ �� J� � � , �� : � Address: i e/�' `�?� City: ��h r /'�/"��// �+"��a�t��c#� � t . � �� , /+ / �., � �� State�� Zip:� � Phone: C> �( ' �2� �� ,,� ��# '' Contact Person: �i��'�� EmaiL• �-�3 £.� Licensed plumber installing new sewer/water service: Phone#: �t�� # ns ar��l �r acume»�s � � �a��t��r�� x � =�� c�n A � � a#�o��y� �c i�ed a� � .� c �� u� ��'�" �� '��r�� . � M� „ �,• .�.y�, . �y:}1 ,. .�� „ '',�":� X.4$.«� .x " : . „�.: . s ,. $ ; �5' ` Y� ..�.bt..! 4�: i,i .�Y ., . � � .eri`,�l,�i�Ti„�i. ...� � 4€ k;,.',.' 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. vwvw.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in confofm nce with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a pe ' a ork is not to start without a permit;that the work will be in accordance with the approved plan in hich requir ew and approval of plans. X �_ �� 1�-r''� X � Applicant's Printed Name Applicant's Sign ture Page 1 of 3 1�3� �� DO NOT WRITE BELOW THIS LINE � �� " SUB TYPES _ Foundation ✓,Public Facility _ Exterior Alteration-Apartments _ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commerciai Apartments Greenhouse/Tent Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition Exterior Improvement Reroof Demolish Interior �/'Alteration _ Repair _ Windows _ Demolish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant DESCRIPTION o� Valuation �� Occupancy E MCES System Plan Review �yeS Code Edition �0%s `�� SAC Units Q �L��n b» (25%_100%� Zoning � City Water � Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick ✓Framing Windows Fireplace:_Rough In _Air Test _Final Retaining Wall Insulation Erosion Control Meter Size: Concrete Entrance Apron Final C/O Inspection: Schedule Fire Marshal to be present: Yes I/No Reviewed By: IVL�`C� �� , Building Inspector Reviewed By: , Planning COMMERCIAL FEES Base Fee ,S�'J� oZ$- Water Quality Surcharge a,a. �� Water Sampling Fee Plan Review ��j ,3.a2(p Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit 8�Surcharge Water Trunk Treatment Plant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Trail Dedication Other: Water Quality TOTAL�9�i7 J`�� Page 2 of 3 SEP-28-2015 14:32 From:651-351-0808 To:96755694 Pa9e:2�2 � �� Use B�UE or BLACK Ink � �-----------------, � For Gffica use � C�6Ol �Q �lll i Pertnit#: ��l� � � � �� l��S � 3830 Pilot Knob Road ,; � Permit Fee: � Ea an MN 55122 ��..� Phone:(651)675-5675 �J � � 1 Date Receiv : - �� i Fax:(651)675-5694 � � • ��. � 1 ��S� _ _ ..0�J � I � �`�� _ �� !�� s�a�--------------; 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans wit�all+commercial applicatio�s. Oate:� � S� Site Address• �/�Ki�9e/� �l.��l.=ni'r.,4-�-✓ /,�c�(P �o�� L, Q.�I� Tenant; Suite#: Resident/Owner Name: �� f/s',��9'"�,,6�G. ��{adL.� pnone: Address/Ci�y/Zip: Name: t''G ,°i�e�: h9ls'e��,��1�0 Contraclor Address• 0��30 ��✓i��/,/�dcr/1/� _City: �O�s'r�r/il1`_�" State:�c��J �ip� �J..��/� Phone- �.�/— '�c��i�� Contact ��LP!/�4O(�� Emaii: �O vp�� sJi,r,�L,,Gr s,.� New �Replacement Additional AkeraUon Demolition 7ype of Work Description of work:��,(,f�,� �riS/i.J� Q,�ir�l,,�'"��/,✓t1�/�/�'� NOTE:Roof mouneed and ground mounted.mechanical equipment is required to be sereened by City Code. Please contact the Mechanical Inspecto�for inForma�on on permitled.screening methods. RESIDENT/AL COMMERC/AL �Fumaoe _New Conshvction �i Inte�or Improvement PeR11it Type —Air Conditioner Install Piping _Processed `Air ExcManger _Gas `ExEerior HVAC Unik ,Heat Pump _UndeNAbove ground Tank �Install/_Remove) _Other RESIDENT/AL FEES $60.00 lnimum Add or alteration to an exisdng unit,includes State Surcharge $100.00 Residential New,includes State Surc�arge =$ TOTAL FEE COMMERCIAL FEES Contract Yalue$ aO.� x.01 $60,00 Pe�nit Fee Minimum $70.00 Underground tank insrallatioNrernoval =$ �4. r Perm;t Fee Surcharge=Corrtract v�ue x$0.0005 '$ a��O _Surcharge If the projeck valuation is over$1 million,please call for Surcharge =g Ga� y/p TOTAL FEE I hereby aeknou,Aedge that�Ais information is complete a�d accurate;that the work will be in ooMOrtnar�ce wilh the ordinano2s end eodes of lhe City of Eagan;thai I understand kF►is is nal a permi�Du1 only an applicabon for a pem►it,sind work is not to start without a pertnii;that the work will be in accordance witl►the approved plan in�he case of work which requires a review and approval of plans. x ��✓i I/`o��L x � G% ApplicanCs Printed Name Applicant's Signature FOR OFFICE USE ' ,�,- � Required Inspections: � Reviewed By: `""— Dat : � _Underground Rough In Air Test Gas Service Test In floor Heaf � Final HVqC Screening jFor Office Use/ L a t . Pemnit#: 1 / A 7 I 0/ I 4` � .r .� Permit Fee: 3z/q5- 4y..— +•r 1 F "'� Staff:ff. I t/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 C I Payment Recvd: Yes No I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)194 2p19 �s I I Email: bu ldinainsgections aC2citvofeaoan,com AQR . \a I Plans: Electronic _Paper Plan Submittal: eolansCcacitvofeagan.cam \- L v 2019 COMMERCIAL MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email, CD or flash drive Date: 4/1W19 Site Address: 1436 Lone Oak Road Tenant: Pilot Knob Elementary School suite#: Owner Name: ISD 197 Phone: Address/City/Zip: Name: NAC Mech / Elec License#: MB003184 Contractor Address: 1001 Labore Ind Ct Suite B city: Vadnais Heights State: MN Zip: 55110 Phone: 651-490-9868 Contact: Don Schroeder Email: dschroeder@nac-hvac.com New Replacement ✓ Additional Alteration Demolition Type of Work Description of work: Replace Hot Water Boiler ?load 1900 NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical inspector for Information on permitted screening methods. COMMERCIAL New Construction Interior Improvement Permit Type ✓ Install Piping ,Processed ✓,Gas Exterior HVAC Unit Under/Above ground Tank L_Install/ Remove) COMMERCIAL FEES 000 $60.00 Permit Fee Minimum Contract Value$ x.015 $75.00 Underground tank removal, includes State Surcharge =$ 525 Permit Fee _$ 17.5 Surcharge Surcharge=Contract Value x$0.0005 542.50 If the project valuation is over$1 million, please call for Surcharge =$ 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.citvofsaaan.com/subscribe. 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 plan x ( 01‘,) SC1,IAQ),P- ` e( x vVI (-1/1,40€6A-- Applicant's -1/1, " --"Applicant's Printed Name Appl' ant's gnature FOR OFFICE USE / Required Inspections: Reviewed By: Date:'!I4� /q Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Lrhai 16/4- --/1 For Office Use 01 Permit#: / 3'2 • l Pet :itFe1i • e--.. l E C I V "`O Payment Recvd: Yes J� No II 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 / (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 APR 2 4 2019Plans: Electronic Paper I Plan Submittal:eplans ut .citvofeaoan.com L 2019 COMMERCIAL BUIED1 G1'ERM#T APPLICATION Date: 9/29/19 Site Address: 1436 Lone Oak Road, Eagan, MN 55121 Independent School District #197 West Tenant mre: St. PKft010aul-Me ''').+P/71 dota` Heights-Eagan Area Schools (Tenant is: New/ x Existing) Suite#: ( (V ) 1�� I f (p/�CT �Ch00 ormer Tenant: Name: Mark Fortman, Director of Operations Phone: (651) 403-7326 Property Owner Address/City/ZiP: 1897 Delaware Avenue, Mendota Heights, MN, 55118 Applicant is: Owner x Contractor Type of Work Description of work: r(.1,T I NGS tt. 1=01-3 N MT 10 N S Construction Cost IV) .0 0 Name: Shaw-Lundquist Associates, Inc. License#: 0008851 ContractorAddress: 2757 W. Service Road City: Eagan State: MN Zip: 55311 Phone: (651) 454-0670 Contact: Daniel Vogt _Email: Dvogt@shawlundquist.com • Name: LSE Architects, Inc. Registration#: 24228 ArChiteClEnglneer Address: 100 Portland Ave S, Suite 100 City: Minneapolis State: MN Zip: 55401 Phone: (612) 343-1010 Contact Person: Deborah Bauknight Email: Dbaukniqht@lse-architects.com Licensed plumber installing new sewer/water service: Egan Company Phone#: (7 63) 544-4131 ^ NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeaqan.com/subscribe. 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.aooherstateonecall.orq 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. A x Daniel Voat x ..1 Applicant's Printed Name Applicant's Signature • DO NOT WRITE BELOW THIS LINE j -5, ��o SUB TYPES / ' aiK a. Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/Industrial — Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae — WORK TYPES `X4_ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Exterior Improvement _ Reroof _ Demolish Interior _ Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building—give PCA handout to applicant DESCRIPTION Fcr)-•--)s ��J Fo,-^ci�1.,w, etc e.:1" s Valuation 00�3db Occupancy MCES System ,,/l Plan Review '� Code Edition ZPIS M€C SAC Units 7 ltt1Gr • (25%_100%)( ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction _a'? Width REQUIRED INSPECTIONS T Footings New Building_Deck_Addition Drain Tile Foundation X Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control Framing 30 Minutes 1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetrock Other: Roof:_Decking _Insulation _Ice&Water Final Meter Size: Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final Final/C.O. Required Pool:_Footings _Air/Gas Tests _Final Final/No C.O. Required Final CIO Inspection: Schedule Fire Marshal to be present: Yes No Reviewed By: / ,// , Planning New Business to Eagan: 7 // Reviewed By: !i ' _O , Building Inspector FEES Water Quality Base Fee I' ' .75-- Storm Sewer Trunk Surcharge r Sewer Trunk Plan Review t o Zi". Water Trunk MCES SAC /3 9S, a Street Lateral City SAC �' 8i . - Street S&W Permit&Surcharge Water Lateral Treatment Plant f Ci 6 9 6. Stormwater Performance Security i4 l/e-Z,f til gK,jd,'i Pec,.., Treatment Plant(Irrigation) Landscape Security i 7500 Park Dedication Other: eir ;---9-- Trail Dedication TOTAL: �/ /32, Page 2 of 3 MCES USE:Letter Reference: 190226A2 Address ID:5183 Payment ID:419337 • Date of Determination: 02/26/19 Determination Expiration: 02/26/21 Greetings! Please see the determination below. Project Name: Pilot Knob STEM Magnet School Project Address: 1436 Lone Oak Road Suite#/Campus: N/A City Name: Eagan Applicant: Jennifer Anderson-Tuttle Special Notes: None Charge Calculation: Educational: 62,318 sq.ft. @ 1150 sq.ft./SAC= 54.19 Total Charge: 54.19 Credit Calculation: Educational (Grandparent 1968): 54,237 sq. ft. @ 1150 sq. ft./SAC=47.16 Total Credit: 47.16 Net SAC: 7.03 = 7 SAC Due 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. If you have any questions email me at: toni.ianzig@metc.state.mn.us. Thank you, Toni Janzig SAC Technician Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram 390 Hobert Street North I St. Paul MN 55101 1805 Phone 601.602.1000 I Fax 651 602 1550 I TTY 651.291.0904 inetrocouncil.(Aey METROPOLITAN COUNCIL ;n Lc.i )), r4Olui For Office Use 0$0'47 I Permit#: / O ,% , E AGA N :itFe71QT e: Payment Recvd: Yes No I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Plans: Electronic Paper j Plan Submittal:eplans(a�citvofeagan.com L 2019 COMMERCIAL BUILDING PERMIT APPLICATION Date: 3/12/19 Site Address: 1436 Lone Oak Road, Eagan, MN 55121 Independent School District #197 West Tenant Name: St. Paul-Mendota Heights-Eagan Area Schools (Tenant is: New/ X Existing) Suite#: Former Tenant: Name: Mark Portman, Director of Operations Phone: (651) 403-7326 Property Owner Address/City/Zip: 1897 Delaware Avenue, Mendota Heights, MN, 55118 Applicant is: Owner x Contractor Type of Won( Description of work: Renovation and Addition to Grade School Construction ‘/0 8 ); .00. ; r e.-\-,1/ Name: Shaw-Lundquist Associates, Inc. License#: 0008851 ContractorAddress: 2757 W. Service Road City: Eagan State: MN Zip: 55311 Phone: (651) 454-0670 Contact: Daniel Vogt Email: Dvogt@shawlundquist.com Name: LSE Architects, Inc. Registration#: 24228 _ Architect/EngineerAddress: 100 Portland Ave S, Suite 100 City: Minneapolis State: MN Zip: 55401 Phone: (612) 343-1010 Contact Person: Deborah Bauknight Email: Dbauknight@lse-architects.cor Licensed plumber installing new sewer/water service: Egan Company Phone#: (7 63) 544-4131 NOTE:Plans and supporting documents that you submit are considemd to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are bade secrets. 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.citvofeagan.com/subscribe. 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.000herstateonecall.orq 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 Daniel Vogt x 1 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE / -3 07.D-- . . SUB 72- SUB TYPES /z-LS( 2-0116 ' A4< { _ Foundation _ Public Facility _ Exterior Alteration-Apartments Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial Apartments _ Greenhouse/Tent — Exterior Alteration-Public Facility Miscellaneous Antennae WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Exterior Improvement _ Reroof _ Demolish Interior Alteration _ Repair Windows _ Demolish Foundation Replace _ Water Damage Fire Repair _ Retaining Wall Salon Owner Change *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation 1°° Occupancy C MCES System Plan Review Code Edition Z4>15 Age- SAC Units "At.* .,l L.)IA g..4.15 (25%_100% Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction 6 Width REQUIRED INSPECTIONS Footings_New Building_Deck_Addition Drain Tile Foundation Foundation Before Backfill Retaining Wall Vapor Barrier Erosion Control V Framing 30 Minutes /1 Hour Steel Reinforcement Insulation Street/Curb Cut Inspection Sheetroc Other: Roof: Decking le Insulation _Ice&1,/ater /Final /Meter Size: I Siding:_Stucco Lath _Stone Lath I/Brick_EFIS y Electronic Set of Final Revised Plans Windows Fireplace:_Rough In _Air Test _Final /Final/C.O. Required Pool:_Footings Air/Gas Tests _Final Final/No C.O.Required Final CIO Inspection: Schedule Fire Marshal to be present: / Yes No Reviewed By: r i',r , Planning New Business to Eagan: Reviewed By: / ii,---___ , Building Inspector FEES # Water Quality Base Fee 2‘368 Storm Sewer Trunk Surcharge 4 /15:5e/36Sewer Trunk Plan Review f s /00, 0- Water Trunk MCES SAC a ire..di P",id Street Lateral City SAC Street S&W Permit&Surcharge 1 Water Lateral Treatment Plant `' `" Stormwater Performance Security r�3 ooa, Treatment Plant(Irrigation) Landscape Security Park Dedication Other: Trail Dedication TOTAL: �5 7j q‘5 g� Page 2 of 3 I lc C �i� For Office Use (,, ` i i i w Permit#: I S �"` \ I V ` , , 2019 //� (bk7a4-- ,. ,. .0', E AGA N MAR �� Permit Fee: f" l '',1/ �1 Staff: •e 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: r/Yes No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email: buildinginsoections(a�citvofeagan.com Plans: Electronic Paper Plan Submittal:eolansacitvofeagan.com L 2011 COMMERCIAL PLUMBING PERMIT APPLICATION 8 Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 3.5.2019 Site Address: 1436 Lone Oak Road Tenant: Pilot Knob STEM School Suite#: Property Owner Name: Independent School District#197 Phone: Name: Egan Company License#: PC001010 Contractor Address: 7625 Boone Avenue North City: Brooklyn ParkState: MN Zip: 55428 Phone: 763.229.1172Email: Ims@eganco.com, tkf@eganco.com Type Of Work —New —Replacement —Repair —Rebuild ✓ Modify Space —Work in R.O.W. Description of work: Addition and remodel 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 Dickinq UD meter. Domestic:Size&Type Fire: 1 Avg.GPM High demand devices?_Yes_No Flushometers_Yes_No COMMERCIAL FEES 114,188 Contract Value$ x.07 $60.00 Permit Fee Minimum =$ I 1 [D-- ''"a' permit Fee $60.00 PVB/RPZ Permit(includes State Surcharge) Surcharge=Contract Value x$0.0005 =$ 57.09 Surcharge If the project valuation is over$1 million,please call for Surcharge =$ 1-,LD q I• `�( TOTAL FEE 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 �__------------------___--- --------- $ _ State Surcharge =$ 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.c itvofeaaa n.co m/subscribe. 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. x Tony Franz �/ ' � � x Applicant's Printed Name Applicant's Signature FOR OFFICE USE /� Approved By: Date I It 1 Required Inspections: '1 Under Ground N( Rough-In —Air Test —Gas Test Final PRV Required:—Yes—No Meter Related Items: Meter Size Radio Read Manometer Staff: Page 1 of 3 1 , j 10' For Office Use 1. Cc. ', E'� :. � � � Permit#: (� (Z�I-7 L._ • 94 .� Air, Q1 Permit Fee: l I f I-1 'r J �� Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Payment Recvd: Yes No (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email: buildinginsoectionsacitvofeagan.com Plans: Electronic Paper Plan Submittal:eolansa.citvofeagan.com L 201COMMERCIAL MECHANICAL PERMIT APPLICATION ® Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal, submitted via email,CD or flash drive Date: 3.5.2019 Site Address: 1436 Lone Oak Road Tenant: Pilot Knob STEM School Suite#: Owner Name: Independent School District #197 Phone: Address/City/Zip: 1897 Delaware Avenue, Mendota Heights, MN 55118 Name: Egan Company License#: MB005457 Contractor Address: 7625 Boone Avenue North City. Brooklyn Park State: MNZip: 55428 Phone: 763.229.1172 Contact: Tony Franz Email: Ims@eganco.com, tkf@eganco.com New Replacement ✓ Additional ✓ Alteration Demolition Type of Work Description of work: Addition and remodel NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. COMMERCIAL New Construction ✓ Interior Improvement Permit Type ✓ Install Piping Processed ✓ Gas ✓ Exterior HVAC Unit Under/Above ground Tank ( Install/_Remove) COMMERCIAL FEES 739,416 $60.00 Permit Fee Minimum ContlContract Value$ x.01� $75.00 Underground tank installation/removal,includes State Surcharge =$ t' p'11?-'4Permit Fee =$ 369.71 Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ �� 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.citvofeaaan.com/subscribe. 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. .Tony Franz /9/s- -/9 --- �- Applicant's Printed Name Applicant's Signature FOR OFFICE USE I' I�� Required Inspections: Reviewed By: '''' YY Date�: q Undergroundough In Air Test �s Service Test In-floor Heat Jam Final HVAC Screening -CI v ED r For Office Use / GQ *it, t . l o� MAY 2 8 2019• :::::e: E AGA N �� e. c S Date Received: �D0' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 a� (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 \ Staff: bu ildi nai nsoection stacityofeagan.com 2019 COMMERCIAL FIRE ALARM PERMIT APPLICATION Date: 5-24-19 Site Address: 1436 Lone Oak Rd Tenant: Pilot Knob STEM Magnet School Suite#: ie Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components ISD 197 x �, � Name: Phone: Prope Owner Address/City/Zip: Applicant is: Owner ✓ Contractor i " • Description of work: Replace existing fire alarm system with new voice EVAC systeti Work- Construction Cost: $52,248 Estimated Completion Date: 8-16-19 Name: ECSI License#: TS002284 _` ; 7900 Chicago Ave S Bloomington Contractor' , Address: City: MN 55420 Phone: 612-816-3411 State: Zip: �� _ �� Contact: Nathan Mullenbach Email: nmullenbach@ecsillc.com New I Remodel ,, �; e`t. a —lSAddition —Other: ✓ Alterations DESCRIPTION OF WORK: Commercial Residential ✓ Educational FEES Contract Value$52'248 x.01 $60.00 Permit Fee Minimum _ 522.48 -$ Permit Fee Surcharge=Contract Value x$0.0005 =$ 26.12 Surcharge* If the project valuation is over$1 million, please call for Surcharge 548.60 =$ 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.citvofeaoan.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 ao 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 NathanthanMullenbach xl'el2(-,--a7-Z Applicant's Printed Name Applicant's Signature ; .?. ,.. c te, . ' o* �w� s .,"14,,,33,:a,,;„,, im #.,...,..t.,4.1,-4,- , t ::,...;;;°.."7.„--" i ::;-:1,4%,,,.. .a ,a. .. �. sa n a § pS Y ' Ci: " ' ; ,�ES :IV E � -,,,'k,:e.,=4*. .444,' 1" 4 .1,,A ;t �„ 4' i` x± " ; 4a„ , a '�* "`=' ,,,,,,:„.w4-00,,,,, ,,..,,, r` b1. ,t9r �� , e. �' �w J14(144010, , ,v .4,,z,' ugn,,,9,, a - - G �VD 7... ° 209 For Office Use Permit#: / 70 76 ,� �� o, Permit Fee: EAGAN �• w, Staff: Payment Recvd: es No 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Plans: Electronic Paper buildinginspections(c�cityofeagan.com J 2019 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION Date: 7/25/2019 Site Address: 1436 Lone Oak Road Tenant: Pilot Knob Stem School Suite#: Requirements: 2 complete sets of drawings and specifications,cut sheets on materials and components Name: School District 197 Phone: Property Owner Address/City/Zip: A••licant is: Owner Contractor Type of Work Description of work: Relocate 140 sprinkler heads as needed, add 58 heads in add 49 650.00 8/30/2019 Construction Cost: Estimated Completion Date: Name: Midwest Fire Protection, Inc. License#. CO21 Contractor Address: 9110 Davenport Street N.E. city: Blaine State: Mn. Zip: 55449 Phone: 612-331-1411 Contact: Jim Kuempel Email:jimk@midwest-fire-protection.com FIRE PERMIT TYPE WORK TYPE V Sprinkler System(#of heads ✓) New V Addition Fire Pump Standpipe V Alterations Remodel - Other: Other: DESCRIPTION OF WORK: Commercial Residential V Educational FEES 49,650.00 Contract Value$ x.01 $60.00 Permit Fee Minimum =$ 496.50 Permit Fee Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ 24.83 Surcharge $100.00 Residential New(includes State Surcharge) =$ 521.33 TOTAL FEE 3/4"Fire Meter-$290.00 =$ Fire Meter Radio Read(required with Fire Meters)-$190 =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by •.ning : for an email update on the City's website at www.c ityofe au a n.com/subscribe. i hereby apply for a Fire Suppression System permit and acknowledge that the information is complete. d accurate;th. t e 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 n. a permit,but o ly . ...• . '. 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 equires a revie a .approval of plans. xJames A Kuempel x .}i Applicant's Printed Name Applicant's Si.n. ure , . FOR OFFICE USE REQUIRED INSPECTIONS KHydrostatic Flow Alarm _ Drain Test Rough in Trip Pump Test Central Station X Final Conditions of Issuance: Permit Reviewed by: a,e....j. ... / Date: eC? / / / I ? 1